| Abd paracentesis w/imaging (49083) |
$1,833.29 |
$2,618.98 |
1.7× |
| Abdomen Surgery Procedure (22999) |
$18,832.57 |
$26,903.67 |
65.7× |
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines |
$13,118.13 |
$1,553–$18,740.18 |
7.3× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$9,706.20 |
$13,866 |
0.8× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$30,125.26 |
$43,036.08 |
2.4× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$15,468.60 |
$22,098 |
0.8× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$11,559.10 |
$16,513 |
1.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$2,712.50 |
$3,875 |
1.5× |
| Acne surgery (10040) |
$276.23 |
$394.62 |
1.2× |
| Acromiopl/Acromionect Partial (23130) |
$55,199.77 |
$78,856.82 |
14.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$24,263.98 |
$34,662.83 |
10.1× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$84,193.95 |
$120,277.07 |
35.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$46,136.03 |
$65,908.62 |
11.2× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$25,536.18 |
$36,480.26 |
10.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$4,076.80 |
$5,824 |
1.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$9,875.98 |
$14,108.54 |
4.1× |
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines |
$32,446.25 |
$2,660–$46,351.78 |
13.5× |
| Amniocentesis diagnostic (59000) |
$4,151 |
$5,930 |
3.9× |
| Amniocentesis therapeutic (59001) |
$2,444.12 |
$3,491.60 |
6.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$10,440.67 |
$14,915.25 |
2.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$12,327.56 |
$17,610.80 |
3.2× |
| Amputation foot transmetarsal (28805) |
$18,931.09 |
$27,044.42 |
5.0× |
| Amputation metatarsal with toe single (28810) |
$13,088.42 |
$18,697.75 |
3.4× |
| Amputation toe interphalangeal joint (28825) |
$10,801.78 |
$15,431.11 |
2.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$11,720.75 |
$16,743.93 |
3.1× |
| Amputation, leg, through tibia and fibula; (27880) |
$27,578.82 |
$39,398.31 |
3.3× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$203 |
$290 |
0.6× |
| Anal/Urinary Muscle Study (51784) |
$717.50 |
$1,025 |
4.8× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$8,347.65 |
$11,925.21 |
2.6× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$1,624.70 |
$2,321 |
0.5× |
| Anoscopy Ablation Lesion (46615) |
$1,624.70 |
$2,321 |
0.5× |
| Anoscopy Control Bleeding (46614) |
$1,228.50 |
$1,755 |
0.9× |
Anoscopy diagnostic (46600)
range across 2 matching MRF lines |
$240.10 |
$247–$343 |
1.6× |
| Anoscopy remove lesion (46610) |
$1,624.70 |
$2,321 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$5,186.44 |
$7,409.20 |
3.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$6,922.79 |
$9,889.70 |
2.1× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$66,752.22 |
$95,360.32 |
11.5× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$20,815.41 |
$29,736.30 |
3.6× |
| Anterior Tibial Tubercleplasty (27418) |
$85,082.81 |
$121,546.87 |
10.1× |
| Apheresis Platelets (36513) |
$1,607.20 |
$2,296 |
3.1× |
| Appendectomy (44950) |
$21,163.06 |
$30,232.95 |
2.8× |
| Application cast elbow finger short arm (29075) |
$109.20 |
$156 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$190.40 |
$272 |
2.8× |
| Application finger splint static (29130) |
$427 |
$610 |
2.8× |
| Application long arm splint shoulder hand (29105) |
$189 |
$270 |
1.0× |
| Application Long Leg Splint (29505) |
$236.60 |
$338 |
1.3× |
| Application of rigid total contact leg cast (29445) |
$1,008 |
$1,440 |
3.1× |
| Application Short Arm Splint Dynamic (29126) |
$255.50 |
$365 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$236.60 |
$338 |
1.5× |
| Apply Multlay Comprs Lwr Leg (29581) |
$802.90 |
$1,147 |
4.3× |
Apply Short Leg Cast (29405)
range across 2 matching MRF lines |
$245 |
$226–$350 |
0.8× |
| Apply short leg cast (29425) |
$798.70 |
$1,141 |
2.5× |
| Aqueous Shunt Extraocular Reservoir W/O Graft (66179) |
$9,296 |
$13,280 |
1.5× |
| Arterial puncture (36600) |
$3,504.20 |
$5,006 |
22.7× |
| Arteriovenous Anastomosis Open Direct (36821) |
$40,068.97 |
$57,241.39 |
10.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$39,159.79 |
$55,942.56 |
6.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$61,306.30 |
$87,580.43 |
4.1× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$93,187.77 |
$133,125.39 |
6.3× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$56,446.75 |
$80,638.22 |
3.8× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$66,609.31 |
$95,156.16 |
4.5× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$280.31 |
$281–$400.45 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$601.94 |
$859.92 |
0.7× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$323.22–$2,085.09 |
$353–$2,978.70 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$351.29–$2,502.32 |
$501.84–$3,574.74 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$287.42 |
$410.60 |
0.8× |
| Arthrodesis ankle open (27870) |
$47,005.14 |
$67,150.20 |
3.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$27,018.24 |
$38,597.49 |
3.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$40,742 |
$58,202.86 |
4.8× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$58,012.01 |
$82,874.30 |
1.8× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$100,173.40 |
$143,104.86 |
4.9× |
| Arthrodesis subtalar (28725) |
$83,291.55 |
$118,987.93 |
5.6× |
| Arthrodesis triple (28715) |
$63,049.33 |
$90,070.47 |
4.2× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$85,529.11 |
$122,184.44 |
2.7× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) |
$52,134.82 |
$74,478.32 |
2.6× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$58,909.07 |
$84,155.82 |
4.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$60,981.74 |
$87,116.77 |
3.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$69,222.87 |
$98,889.82 |
4.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$22,265.65 |
$31,808.07 |
5.9× |
| Arthroplasty Patella W/Prosthesis (27438) |
$43,450.92 |
$62,072.74 |
2.9× |
| Arthroplasty radial head (24365) |
$34,113.74 |
$48,733.91 |
2.3× |
| Arthroplasty Radial Head W/Implant (24366) |
$34,113.74 |
$48,733.91 |
2.3× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$35,808.86 |
$51,155.51 |
19.2× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$51,013.37 |
$72,876.25 |
13.4× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$29,580.42 |
$42,257.75 |
7.8× |
| Arthroscopy hip w/femoroplasty (29914) |
$44,925.29 |
$64,178.99 |
5.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$32,564.54 |
$46,520.77 |
8.6× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$23,583.55 |
$33,690.79 |
6.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$36,870.62 |
$52,672.31 |
9.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$18,445.98 |
$26,351.40 |
4.9× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$59,545.71 |
$85,065.30 |
15.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$50,339.57 |
$71,913.67 |
6.0× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$44,925.29 |
$64,178.99 |
5.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$57,313.41 |
$81,876.30 |
15.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$39,311.63 |
$56,159.47 |
10.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$47,183.79 |
$67,405.41 |
5.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$47,547.95 |
$67,925.65 |
12.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$40,413.06 |
$57,732.95 |
10.6× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$53,790.97 |
$76,844.25 |
6.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$52,897.41 |
$75,567.73 |
13.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$48,210.45 |
$68,872.07 |
5.7× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$14,913.42 |
$21,304.88 |
3.9× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$43,810.86 |
$62,586.94 |
5.2× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$49,999.14 |
$71,427.34 |
13.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$53,041.84 |
$75,774.06 |
3.6× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$15,841.40 |
$22,630.57 |
4.2× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$53,377.55 |
$76,253.65 |
3.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$60,531.60 |
$86,473.72 |
7.2× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$92,983.46 |
$132,833.52 |
6.2× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$75,231.76 |
$107,473.94 |
19.8× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$19,615.64 |
$28,022.34 |
5.2× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$25,861.32 |
$36,944.75 |
3.1× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$16,407.05 |
$23,438.64 |
4.3× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$25,040.36 |
$35,771.95 |
6.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$17,614.16 |
$25,163.09 |
9.4× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$13,515.59 |
$19,307.98 |
3.6× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$33,512.32 |
$47,874.75 |
8.8× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$26,304.26 |
$37,577.52 |
6.9× |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
$2,317.72–$2,331.02 |
$3,311.03–$3,330.03 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$330.40 |
$472 |
0.9× |
| Aspiration and/or injection thyroid cyst (60300) |
$2,356.79 |
$3,366.85 |
2.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$7,468.82 |
$10,669.75 |
3.1× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,859.90 |
$2,657 |
1.9× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$10,319.07 |
$14,741.53 |
3.9× |
| Av fistula revision (36833) |
$53,670.89 |
$76,672.70 |
8.3× |
| Av Fistula Revision Open (36832) |
$45,462.20 |
$64,946 |
7.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$11,101.57 |
$15,859.39 |
1.7× |
| Av fusion/forearm vein (36820) |
$23,802.60 |
$34,003.72 |
3.7× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$245–$839.30 |
$350–$1,199 |
varies |
| Axillary lymphadenectomy; complete (38745) |
$28,254.69 |
$40,363.85 |
4.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$6,623.40 |
$9,462 |
0.9× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$9,706.20 |
$13,866 |
0.8× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$6,153.70 |
$8,791 |
0.8× |
| Biopsy Abdominal Mass (49180) |
$8,185.34 |
$11,693.35 |
4.3× |
| Biopsy bone open deep (20245) |
$55,422.14 |
$79,174.49 |
16.4× |
| Biopsy bone open superficial (20240) |
$14,888.39 |
$21,269.13 |
4.4× |
| Biopsy bone trocar/needle deep (20225) |
$8,369.50 |
$11,956.43 |
4.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$8,936 |
$12,765.71 |
4.7× |
| Biopsy External Auditory Canal (69105) |
$1,274.70 |
$1,821 |
0.7× |
| Biopsy external ear (69100) |
$481.60 |
$688 |
1.8× |
| Biopsy muscle percutaneous needle (20206) |
$5,669.30 |
$8,099 |
3.0× |
| Biopsy nail unit (11755) |
$489.38 |
$699.11 |
0.6× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$19,929.20 |
$28,470.28 |
5.2× |
| Biopsy of breast; open, incisional (19101) |
$13,633.25 |
$19,476.07 |
3.0× |
| Biopsy of floor of mouth (41108) |
$26,994.18 |
$38,563.12 |
14.1× |
| Biopsy of foot joint lining (28052) |
$27,935.45 |
$39,907.79 |
7.4× |
| Biopsy of lip (40490) |
$312.20 |
$446 |
1.1× |
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines |
$6,919.97–$6,934.68 |
$9,885.67–$9,906.68 |
varies |
| Biopsy of nerve (64795) |
$14,134.43 |
$20,192.05 |
6.2× |
Biopsy of palate, uvula (42100)
range across 2 matching MRF lines |
$529.90 |
$730–$757 |
0.3× |
| Biopsy of penis (54100) |
$11,131.24 |
$15,901.77 |
5.8× |
| Biopsy of rectum (45100) |
$6,866.38 |
$9,809.11 |
2.1× |
| Biopsy of toe joint lining (28054) |
$27,935.45 |
$39,907.79 |
7.4× |
| Biopsy of urethra (53200) |
$11,504.63 |
$16,435.18 |
4.7× |
| Biopsy Oropharynx (42800) |
— |
$1,496 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
$7,248.95 |
$10,355.65 |
3.8× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$1,344 |
$1,920 |
0.3× |
Biopsy Prostate Transrectal Ultrasound-Guided (55707)
range across 2 matching MRF lines |
$1,649.84 |
$1,017–$2,356.92 |
0.4× |
| Biopsy Salivary Gland Incisional (42405) |
$2,712.50 |
$3,875 |
1.5× |
| Biopsy Salivary Gland Needle (42400) |
$3,438.06 |
$4,911.51 |
4.2× |
| Biopsy soft tissue neck/thorax (21550) |
$13,531.28 |
$19,330.40 |
7.1× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$19,568.37 |
$27,954.81 |
5.8× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$6,351.69 |
$9,073.85 |
3.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$20,176.16 |
$28,823.08 |
10.5× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$2,884 |
$4,120 |
1.5× |
| Biopsy Testis Needle Separate Procedure (54500) |
$5,054 |
$7,220 |
1.5× |
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines |
$759.50 |
$737–$1,085 |
1.2× |
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines |
$1,026.90–$12,675.07 |
$1,467–$18,107.25 |
varies |
| Biopsy Vaginal Mucosa Extensive (57105) |
$12,069.49 |
$17,242.13 |
3.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$13,796.60 |
$19,709.43 |
12.9× |
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines |
$11,987.84–$17,657.70 |
$478–$25,225.29 |
varies |
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines |
$845.60 |
$518–$1,208 |
1.4× |
| Biopsy/removal lymph nodes (38510) |
$22,443.04 |
$32,061.49 |
4.9× |
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines |
$1,445.85–$21,130.69 |
$376–$30,186.70 |
varies |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$10,056.77 |
$293–$14,366.82 |
34.7× |
Bladder Scan (51798)
range across 2 matching MRF lines |
$160.30–$2,693.60 |
$229–$3,848 |
varies |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$6,826.40–$29,270.75 |
$9,752–$41,815.36 |
varies |
| Blood/Lymph System Procedure (38999) |
$1,310.40 |
$1,872 |
2.6× |
| Bone Graft Any Donor Area Major/Large (20902) |
$26,619.70 |
$38,028.14 |
3.2× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$80,143.19 |
$114,490.27 |
9.5× |
| Bone Marrow Biopsy (38221) |
$3,605 |
$5,150 |
1.9× |
| Bone Marrow; Aspiration Only (38220) |
$11,954.77 |
$17,078.25 |
6.2× |
| Breast augmentation with implant (19325) |
$57,123.88 |
$81,605.55 |
6.0× |
| Breast Reduction (19318) |
$62,604.43 |
$89,434.90 |
8.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$36,655.33 |
$52,364.76 |
17.7× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$34,771.57 |
$49,673.67 |
8.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$33,293.29 |
$47,561.85 |
7.7× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$5,795.30 |
$8,279 |
1.3× |
| Bronchoscopy Clear Airways (31645) |
$11,378.22 |
$16,254.60 |
5.5× |
Bronchoscopy Dilate W/Stent (31631)
unusually low: confirm this is the full procedure |
$3,544.10 |
$5,063 |
0.4× |
| Bronchoscopy Reclear Airway (31646) |
$534.10 |
$763 |
1.2× |
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines |
$23,430.05–$27,159.17 |
$33,471.50–$38,798.82 |
varies |
| Bronchoscopy W/Excision Tumor (31640) |
$6,660.50 |
$9,515 |
1.5× |
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
unusually low: confirm this is the full procedure |
$3,544.10 |
$5,063 |
0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$13,843.90 |
$19,777 |
6.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$37,285.85 |
$53,265.50 |
8.6× |
| Bronchoscopy/Needle Bx Each (31629) |
$38,424.96 |
$54,892.80 |
8.9× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$5,054 |
$7,220 |
1.5× |
Bx breast 1st lesion mr imag (19085)
range across 3 matching MRF lines |
$2,580.90–$3,840.78 |
$3,687–$5,486.83 |
varies |
| Bx breast 1st lesion strtctc (19081) |
$5,808.31 |
$8,297.59 |
3.0× |
| Bx breast 1st lesion us imag (19083) |
$5,772.07 |
$8,245.82 |
3.0× |
Bx Cervix (57500)
range across 2 matching MRF lines |
$3,049.81 |
$757.87–$4,356.87 |
2.9× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$13,845.54 |
$19,779.34 |
3.4× |
| Bx prostate transperineal ultrasound-guided (55709) |
$10,487.64 |
$14,982.34 |
2.6× |
Bx prst8 trct us w/MRI fus 1 (55708)
range across 2 matching MRF lines |
$871.50–$3,268.94 |
$1,245–$4,669.92 |
varies |
| Bx/exc lymph node open deep axillary node (38525) |
$40,152.56 |
$57,360.80 |
8.8× |
| Bx/exc lymph node open superficial (38500) |
$33,712.97 |
$48,161.39 |
7.4× |
| Canthotomy Separate Procedure (67715) |
$11,049.85 |
$15,785.50 |
4.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$21,115.09 |
$30,164.42 |
5.6× |
| Capsular contracture release (23020) |
$33,782.43 |
$48,260.62 |
8.9× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$19,934.86 |
$28,478.37 |
10.7× |
| Carpal Tunnel Surgery (64721) |
$9,844.23 |
$14,063.19 |
4.3× |
| Carpectomy All Bones Proximal Row (25215) |
$30,566.01 |
$43,665.73 |
8.0× |
| Cartilage graft; costochondral (20910) |
$36,614.98 |
$52,307.11 |
42.7× |
| Cataract surg w/iol 1 stage (66983) |
$20,604.26 |
$29,434.66 |
7.7× |
| Cataract surgery complex (66982) |
$18,831.97 |
$26,902.82 |
7.0× |
| Catheter aspiration nasotracheal spx (31720) |
$20,730.33 |
$29,614.76 |
81.5× |
| Cautery Cervix Electro/Thermal (57510) |
$5,560.80 |
$7,944 |
1.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$9,928.66 |
$14,183.80 |
2.6× |
| Cerv artific diskectomy (22856) |
$75,159.15 |
$107,370.21 |
3.7× |
| Cessj Therapy Cath Removal (37214) |
$4,074 |
$5,820 |
1.1× |
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines |
$437.50–$2,285.89 |
$625–$3,265.56 |
varies |
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines |
$182–$2,242.06 |
$260–$3,202.94 |
varies |
Change of Windpipe Airway (31502)
range across 2 matching MRF lines |
$434.70 |
$196–$621 |
1.6× |
| Change ureter stent percut (50382) |
$4,021.28 |
$5,744.68 |
1.7× |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
$765.80 |
$211–$1,094 |
3.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$6,569.50 |
$9,385 |
8.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$3,861.90 |
$5,517 |
4.7× |
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines |
$3,021.72–$4,763.29 |
$4,316.75–$6,804.70 |
varies |
| Chemodenerv musc neck dyston (64616) |
$3,687.02 |
$5,267.17 |
10.3× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$1,680.70 |
$2,401 |
4.7× |
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines |
$265.30–$6,569.50 |
$379–$9,385 |
varies |
| Chemodenerv trunk musc 6/> (64647) |
$10,553.57 |
$15,076.53 |
12.9× |
| Chemodenervation of internal anal sphincter (46505) |
$7,633.30 |
$10,904.71 |
5.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$1,667.57 |
$2,382.25 |
4.7× |
| Chest tube placement (32551) |
$3,561.60 |
$5,088 |
1.9× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$4,203.50 |
$6,005 |
1.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$5,609.10 |
$8,013 |
1.3× |
| Circumcision 28 days or older (54161) |
$14,633.38 |
$20,904.83 |
6.0× |
| Circumcision Neonate (54160) |
$1,215.20 |
$1,736 |
1.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$14,849.04 |
$21,212.91 |
6.1× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,504.30 |
$2,149 |
0.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,573.50 |
$5,105 |
1.9× |
| Claviculectomy partial (23120) |
$44,967.51 |
$64,239.30 |
11.8× |
| Claviculectomy; total (23125) |
$56,303.26 |
$80,433.23 |
14.8× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$303.10 |
$334–$433 |
2.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$12,734.66 |
$18,192.37 |
3.4× |
| Closed rx talotarsal disloc,anesth (28575) |
$1,774.50 |
$2,535 |
0.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,858.80 |
$4,084 |
1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$21,939.67 |
$31,342.39 |
76.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,573.50 |
$5,105 |
1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$245 |
$350 |
0.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,858.80 |
$4,084 |
1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$34,085.72 |
$48,693.89 |
119.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,824.20 |
$2,606 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,517.90 |
$3,597 |
1.3× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,791.30 |
$2,559 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$245 |
$350 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,238.60 |
$3,198 |
1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,712.50 |
$3,875 |
1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$7,878.64 |
$11,255.20 |
2.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,032.40 |
$4,332 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,207.10 |
$3,153 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$12,871.52 |
$18,387.88 |
6.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$194.60 |
$278 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$10,351.92 |
$14,788.46 |
5.5× |
| Closed tx septal&nose fx (21337) |
$13,257.71 |
$18,939.58 |
3.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,142.70 |
$3,061 |
1.1× |
| Closed tx talus fracture w/o manipulation (28430) |
$194.60 |
$278 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,673 |
$2,390 |
0.9× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$13,107 |
$18,724.29 |
3.4× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$15,490.92 |
$22,129.88 |
4.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,858.80 |
$4,084 |
1.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,504.30 |
$2,149 |
0.8× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$13,983.14 |
$19,975.91 |
4.3× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$308 |
$440 |
0.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,896.30 |
$2,709 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,858.80 |
$4,084 |
1.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,858.80 |
$4,084 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$699.30 |
$999 |
2.4× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,508.80 |
$3,584 |
1.3× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,858.80 |
$4,084 |
1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$245 |
$350 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$492.10 |
$703 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$16,311.69 |
$23,302.41 |
8.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,276.40 |
$3,252 |
1.2× |
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines |
$3,045–$3,150.70 |
$4,350–$4,501 |
varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$242.20 |
$346 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$280.70 |
$401 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,573.50 |
$5,105 |
1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,592.50 |
$2,275 |
0.9× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,356.60 |
$1,938 |
0.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,091.60 |
$2,988 |
1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,858.80 |
$4,084 |
1.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,858.80 |
$4,084 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$340.90 |
$487 |
1.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,404.90 |
$2,007 |
0.8× |
| Cltx Medial Ankle Fx (27760) |
$136.50 |
$195 |
0.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$17,517.73 |
$25,025.33 |
61.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,881.60 |
$2,688 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,823.50 |
$2,605 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$194.60 |
$278 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$9,378.47 |
$13,397.82 |
5.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,653 |
$3,790 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,573.50 |
$5,105 |
1.9× |
| Cltx prox tibfib jt dislc req anes (27831) |
$5,757.50 |
$8,225 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$367.92 |
$525.60 |
1.3× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,343.30 |
$1,919 |
0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,858.80 |
$4,084 |
1.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,090.20 |
$2,986 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,639.70 |
$3,771 |
1.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$3,157.70 |
$4,511 |
1.7× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$1,774.50 |
$2,535 |
0.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$245 |
$350 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,573.50 |
$5,105 |
1.9× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$27,989.04 |
$39,984.35 |
4.8× |
| Coccygectomy, primary (27080) |
$26,631.23 |
$38,044.61 |
7.0× |
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines |
$6,710.87–$17,257.24 |
$9,586.96–$24,653.20 |
varies |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$452.20–$5,393.15 |
$646–$7,704.50 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$518 |
$740 |
0.4× |
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
unusually low: confirm this is the full procedure |
$3,009.30 |
$4,299 |
0.4× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$3,952.97 |
$5,647.10 |
2.8× |
| Colonoscopy thru stoma (44388) |
$3,255 |
$4,650 |
3.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$5,250.56 |
$7,500.80 |
3.8× |
| Colonoscopy w/ablation (45388) |
$8,807.74 |
$12,582.48 |
6.3× |
| Colonoscopy W/Resection (45390) |
$7,364.36 |
$10,520.52 |
2.3× |
| Colonoscopy w/stent plcmt (45389) |
$5,603.50 |
$8,005 |
0.8× |
| Colonoscopy w/submucosal inj (45381) |
$7,956.88 |
$11,366.97 |
5.7× |
| Colpocentesis (57020) |
$8,846.60 |
$12,638 |
1.5× |
| Colpocleisis (le fort type) (57120) |
$27,593.60 |
$39,419.43 |
4.8× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$18,426.68 |
$26,323.83 |
4.9× |
| Colpopexy extraperitoneal (57282) |
$27,010.59 |
$38,586.56 |
3.1× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$28,787.67 |
$41,125.24 |
3.3× |
| Colporrhaphy (57200) |
$30,256.34 |
$43,223.34 |
8.0× |
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines |
$726.60 |
$397–$1,038 |
2.1× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$158.90 |
$227 |
0.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$459.20 |
$656 |
2.0× |
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines |
$826.70 |
$533–$1,181 |
2.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,347.80 |
$3,354 |
0.6× |
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines |
$19,172.20 |
$1,691–$27,388.86 |
5.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$24,199.26 |
$34,570.37 |
68.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$7,422.51 |
$10,603.58 |
5.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$7,310.20 |
$10,443.14 |
5.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$4,711 |
$6,730 |
3.4× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$9,813.66 |
$14,019.52 |
7.1× |
| Combined anteroposterior colporrhaphy; (57260) |
$31,429.49 |
$44,899.27 |
5.4× |
| Complex Cystometrogram (51726) |
$681.80 |
$974 |
2.3× |
| Complex drainage wound (10180) |
$15,107.13 |
$21,581.61 |
4.5× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$12,782.20 |
$18,260.29 |
3.4× |
| Conization of cervix (57520) |
$13,242.65 |
$18,918.07 |
3.5× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$13,148.93 |
$18,784.18 |
4.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$5,036.74 |
$7,195.35 |
32.6× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$281.40 |
$325–$402 |
1.8× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$68,197.61 |
$97,425.16 |
4.6× |
| Conversion ext bil drg cath (47535) |
$6,153.70 |
$8,791 |
1.5× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$4,230.80 |
$6,044 |
1.9× |
| Convert Nephrostomy Catheter (50434) |
$4,914.62 |
$7,020.89 |
2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$5,996.02 |
$8,565.75 |
3.1× |
| Correction hammertoe (28285) |
$19,643.66 |
$28,062.37 |
5.2× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$227.50 |
$325 |
1.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$29,959.50 |
$42,799.29 |
7.9× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$23,764.68 |
$33,949.55 |
6.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$54,306.69 |
$77,580.99 |
3.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$61,448.17 |
$87,783.10 |
7.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$23,090.24 |
$32,986.06 |
6.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$47,341.86 |
$67,631.23 |
5.6× |
Create Eardrum Opening (69433)
range across 2 matching MRF lines |
$462.70 |
$656–$661 |
0.7× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$51,246.73 |
$73,209.61 |
7.9× |
| Csf shunt reprogram (62252) |
$531.30 |
$759 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$2,765.84 |
$3,951.20 |
17.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$176.40 |
$252 |
0.6× |
| Curettage postpartum (59160) |
$18,048.86 |
$25,784.08 |
4.8× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$18,902.86 |
$27,004.08 |
7.8× |
Cysto calibration dilat urtl strix/stenosis (52281)
range across 3 matching MRF lines |
$1,560.44–$11,226.06 |
$2,101–$16,037.23 |
varies |
Cysto w/complex removal stone & stent (52315)
range across 2 matching MRF lines |
$1,280.44 |
$1,829.20–$2,120 |
0.5× |
| Cysto w/destruction of lesions (52214) |
$20,378.46 |
$29,112.09 |
5.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$17,693.26 |
$25,276.09 |
2.8× |
| Cysto w/insert ureteral stent (52332) |
$14,862.57 |
$21,232.24 |
3.6× |
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines |
$1,190.14–$1,385.30 |
$1,700.20–$1,979 |
varies |
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines |
$2,603.44 |
$3,328–$3,719.20 |
0.6× |
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines |
$11,996.13–$14,388.58 |
$17,137.33–$20,555.12 |
varies |
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines |
$1,279.04–$11,787.28 |
$1,827.20–$16,838.97 |
varies |
| Cysto w/ureter stricture tx (52341) |
$20,851.46 |
$29,787.80 |
5.1× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$14,076.73 |
$20,109.61 |
2.3× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$17,089.24 |
$24,413.20 |
4.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$18,133.21 |
$25,904.58 |
4.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$13,874.24 |
$19,820.35 |
3.4× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$18,522.45 |
$26,460.65 |
3.0× |
| Cysto/uretero w/lithotripsy (52356) |
$20,611.88 |
$29,445.55 |
3.3× |
| Cysto/uretero w/up stricture (52345) |
$20,046.31 |
$28,637.58 |
4.9× |
| Cystolithotomy (51050) |
$50,488.41 |
$72,126.30 |
8.1× |
| Cystometrogram W/Up (51727) |
$666.40 |
$952 |
0.8× |
| Cystometrogram W/Vp (51728) |
$613.90 |
$877 |
0.8× |
| Cystometrogram W/Vp&Up (51729) |
$830.20 |
$1,186 |
1.0× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$9,721.66 |
$13,888.09 |
2.4× |
| Cystouretero w/renal strict (52346) |
$12,858.06 |
$18,368.66 |
2.1× |
Cystourethroscopy (52000)
range across 3 matching MRF lines |
$562.94–$4,627.14 |
$721–$6,610.20 |
varies |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$14,977.07 |
$21,395.81 |
3.7× |
Cystourethroscopy inj chemodenervation bladder (52287)
range across 3 matching MRF lines |
$9,279.28–$10,032.61 |
$1,999–$14,332.30 |
varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$18,545.23 |
$26,493.19 |
4.5× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$27,201.38 |
$38,859.11 |
4.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$11,074.14 |
$15,820.20 |
4.6× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$21,785.06 |
$31,121.51 |
5.3× |
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines |
$2,751.84–$15,180.47 |
$3,931.20–$21,686.38 |
varies |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$14,773.52 |
$21,105.03 |
6.1× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$3,623.20 |
$5,176 |
1.5× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$24,575.80 |
$35,108.28 |
6.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$12,223.16 |
$17,461.66 |
3.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$8,447.66 |
$12,068.08 |
10.3× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$54,697.92 |
$78,139.88 |
66.5× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$68,083.38 |
$97,261.97 |
17.9× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$5,757.50 |
$8,225 |
1.5× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$11,115.19–$15,583.59 |
$15,878.84–$22,262.27 |
varies |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$158.90 |
$93–$227 |
2.3× |
Debride nail 6 or more (11721)
range across 2 matching MRF lines |
$168.70 |
$117–$241 |
2.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$17,782.67 |
$25,403.82 |
9.3× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$8,026.23 |
$11,466.05 |
12.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$238.70 |
$341 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines |
$1,626.10–$13,290.83 |
$429–$18,986.90 |
varies |
Declot vascular device (36593)
range across 2 matching MRF lines |
$7,798–$13,163.43 |
$11,140–$18,804.90 |
varies |
| Decompress Fingers/Hand (26035) |
$1,774.50 |
$2,535 |
0.5× |
| Decompress Spinal Cord Lmbr (63056) |
$38,331.67 |
$54,759.53 |
4.5× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$42,873.58 |
$61,247.97 |
11.3× |
| Decompression of leg (27892) |
$56,867.02 |
$81,238.60 |
15.0× |
| Decompression of tibia nerve (28035) |
$33,512.32 |
$47,874.75 |
14.8× |
| Deep Muscle Biopsy (20205) |
$9,871.18 |
$14,101.68 |
2.9× |
| Delivery of placenta (59414) |
$6,343.40 |
$9,062 |
1.7× |
| Derma-fat-fascia graft (15770) |
$78,325.65 |
$111,893.78 |
19.0× |
| Design custom breast implant (19396) |
$57,123.88 |
$81,605.55 |
12.6× |
| Destr penis lesion(s) (54065) |
$11,131.24 |
$15,901.77 |
4.6× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$8,790.68 |
$12,558.11 |
8.6× |
| Destroy cerv/thor facet jnt (64633) |
$3,434.20 |
$4,906 |
1.5× |
| Destroy lumb/sac facet jnt (64635) |
$3,590.30 |
$5,129 |
1.6× |
| Destruct B9 Lesion 1-14 (17110) |
$254.10 |
$363 |
1.1× |
| Destruction Benign Lesions 15/> (17111) |
$278.60 |
$398 |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$1,390.28 |
$1,986.12 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$9,034.86 |
$12,906.94 |
3.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$760.20 |
$1,086 |
3.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$1,021.30 |
$1,459 |
4.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$413.70 |
$591 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$525.70 |
$751 |
2.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$525.70 |
$751 |
2.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$357 |
$510 |
1.5× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$374.50 |
$535 |
0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$704.90 |
$1,007 |
3.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$513.53 |
$733.62 |
2.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$528.23 |
$754.62 |
2.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$735.52 |
$1,050.74 |
3.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$758.80 |
$1,084 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$1,446.63 |
$2,066.62 |
3.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$655.63 |
$936.62 |
2.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,434.20 |
$4,906 |
1.5× |
| Destruction of skin lesions (17106) |
$546.70 |
$781 |
1.2× |
| Destruction Premalignant Lesion 15/> (17004) |
$473.98 |
$677.12 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$331.10 |
$473 |
1.4× |
| Destruction Vaginal Lesions Extensive (57065) |
$1,936.90 |
$2,767 |
0.5× |
| Destruction Vaginal Lesions Simple (57061) |
$11,389.52 |
$16,270.74 |
3.0× |
| Diagnostic anoscopy (46601) |
$1,260 |
$1,800 |
2.4× |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$2,420.60 |
$739.67–$3,458 |
2.2× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$6,695.15 |
$9,564.50 |
4.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$277.90 |
$397 |
1.9× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$74.20 |
$106 |
0.5× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$7,900.79 |
$11,286.84 |
5.7× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$195.44 |
$279.20 |
1.3× |
| Dilat Xst Trc New Access Rcs (50437) |
$6,200.60 |
$8,858 |
1.5× |
| Dilate Urethra Stricture (53620) |
$209.30 |
$299 |
0.3× |
| Dilate Urethra Stricture (53600) |
— |
$359 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$23,539.38 |
$33,627.69 |
6.3× |
| Dilation Cervical Canal (57800) |
$5,560.80 |
$7,944 |
1.5× |
| Dilation Esophagus Guide Wire (43453) |
$1,121.40 |
$1,602 |
0.5× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$709.10 |
$1,013 |
1.4× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$7,750.40 |
$11,072 |
1.9× |
| Dilation of vagina (57400) |
$19,817.13 |
$28,310.18 |
5.3× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$38,146.34 |
$54,494.77 |
5.9× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$59,511.35 |
$85,016.21 |
9.2× |
| Discission Secondary Membranous Cataract (66820) |
$17,717.97 |
$25,311.38 |
6.6× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$3,678.64 |
$5,255.20 |
1.8× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$30,309.23 |
$43,298.90 |
4.7× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$35,386.84 |
$50,552.63 |
5.1× |
| Drain Hand Tendon Sheath (26020) |
$7,350.19 |
$10,500.27 |
1.9× |
| Drain/inj small joint/bursa w/us (20604) |
$321.44 |
$459.20 |
0.9× |
| Drainage abscess parotid simple (42300) |
$3,390.80 |
$4,844 |
1.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$445.20 |
$636 |
0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$759.50 |
$1,085 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$126 |
$180 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$3,605 |
$5,150 |
1.9× |
| Drainage of eye (65800) |
$18,317.38 |
$26,167.68 |
6.8× |
| Drainage of finger abscess simple (26010) |
$131.60 |
$188 |
0.6× |
| Drainage of gum lesion (41800) |
$1,817.20 |
$2,596 |
11.8× |
| Drainage of hematoma/fluid (10140) |
$17,482.42 |
$24,974.89 |
9.1× |
| Drainage of hydrocele (55000) |
$375.20 |
$536 |
0.5× |
| Drainage of mouth lesion (41006) |
$2,712.50 |
$3,875 |
1.5× |
| Drainage of mouth lesion (41017) |
$1,604.40 |
$2,292 |
0.4× |
| Drainage of salivary gland (42305) |
$1,604.40 |
$2,292 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$3,605 |
$5,150 |
1.9× |
| Drainage of scrotum (54700) |
$23,300.30 |
$33,286.14 |
9.6× |
| Drainage of skene's gland abscess or cyst (53060) |
$3,623.20 |
$5,176 |
1.5× |
| Drainage of throat abscess (42725) |
$9,176.30 |
$13,109 |
1.3× |
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines |
$602.95–$633.75 |
$861.36–$905.36 |
varies |
| Dressing Change Under Anesthesia (15852) |
$82.60 |
$118 |
0.1× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
— |
$438 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$5,054 |
$7,220 |
1.5× |
| Drg privesical/prevesical space absc (51080) |
$5,054 |
$7,220 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$886.20 |
$1,266 |
1.9× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$1,001 |
$230–$1,430 |
4.3× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$1,604.40 |
$2,292 |
0.4× |
| Dstrj Lesion Anus Extensive (46924) |
$8,943.28 |
$12,776.11 |
2.8× |
| Dstrj lesion anus simple surg excision (46922) |
$7,779.83 |
$11,114.05 |
2.4× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$278.60 |
$398 |
1.2× |
| Dstrj lesion penis simple laser (54057) |
$10,603.47 |
$15,147.82 |
4.4× |
| Dstrj lesion penis simple surg excision (54060) |
$1,095.50 |
$1,565 |
0.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$16,809.38 |
$24,013.40 |
5.0× |
| Dx Bronchoscope/Lavage (31624) |
$24,623.61 |
$35,176.58 |
11.9× |
| Dx Bronchoscope/Wash (31622) |
$3,623.20 |
$5,176 |
1.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$9,244.48 |
$13,206.40 |
4.5× |
| Dx laryngoscopy w/oper scope (31526) |
$7,465.85 |
$10,665.50 |
3.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$3,126.20 |
$4,466 |
3.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,891.03 |
$2,701.47 |
0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$6,803.75 |
$9,719.64 |
3.1× |
| Egd cautery tumor polyp (43250) |
$26,401.35 |
$37,716.21 |
11.8× |
| Egd control bleeding any (43255) |
$7,649.66 |
$10,928.08 |
3.4× |
| Egd dilation gastric/duodenal stricture (43245) |
$6,584.12 |
$9,405.89 |
3.0× |
| Egd endo mucosal resection (43254) |
$8,812.12 |
$12,588.75 |
4.0× |
| Egd Endoscopic Stent Place (43266) |
$13,916.69 |
$19,880.99 |
2.0× |
| Egd Flexible Foreign Body Removal (43247) |
$5,086.47 |
$7,266.39 |
4.8× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$3,250.97 |
$4,644.24 |
1.5× |
| Egd guide wire insertion (43248) |
$5,455.10 |
$7,793 |
5.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,798.60 |
$3,998 |
1.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,180.58 |
$3,115.12 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$9,132.69 |
$13,046.70 |
4.1× |
| Egd lesion ablation (43270) |
$7,316.16 |
$10,451.66 |
3.3× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$7,457.80 |
$10,654 |
0.6× |
| Egd place gastrostomy tube (43246) |
$5,300.82 |
$7,572.60 |
2.4× |
| Egd remove lesion snare (43251) |
$7,594.16 |
$10,848.80 |
3.4× |
| Egd us exam duodenum/jejunum (43259) |
$17,025.15 |
$24,321.65 |
7.6× |
| Egd us transmural injxn/mark (43253) |
$8,570.31 |
$12,243.30 |
3.8× |
| Egd Varices Ligation (43244) |
$4,626.79 |
$6,609.70 |
2.1× |
| Egd W/Transmural Drain Cyst (43240) |
$5,603.50 |
$8,005 |
0.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$4,202.94 |
$6,004.20 |
11.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,081.50 |
$1,545 |
3.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$328.30 |
$469 |
0.9× |
| Electro-Uroflowmetry First (51741) |
$621.60 |
$888 |
2.5× |
| Embedded ip cath exit-site (49436) |
$12,988.07 |
$18,554.38 |
5.8× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$72,858.80 |
$104,084 |
11.3× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$10,424.40 |
$14,892 |
1.6× |
Endocervical curettage (57505)
range across 2 matching MRF lines |
$676.90 |
$766–$967 |
0.6× |
Endometrial Biopsy (58100)
range across 2 matching MRF lines |
$497 |
$311–$710 |
2.1× |
| Endoscopic injection/implant (51715) |
$17,103.05 |
$24,432.93 |
4.2× |
| Endoscopic plantar fasciotomy (29893) |
$13,604.72 |
$19,435.32 |
3.6× |
| Endoscopic us exam esoph (43237) |
$7,541.41 |
$10,773.45 |
3.4× |
| Endoscopy Upper Small Intestine (44360) |
$4,061.40 |
$5,802 |
1.8× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,798.74 |
$3,998.20 |
1.3× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$19,566.40 |
$27,952 |
1.5× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$7,623.91 |
$10,891.30 |
2.1× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$12,898.47 |
$18,426.38 |
3.5× |
| Endoven ther chem adhes 1st (36482) |
$16,249.88 |
$23,214.12 |
2.5× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$1,349.60 |
$1,928 |
0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,002.40 |
$1,432 |
0.4× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$1,173.90 |
$1,677 |
0.5× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$3,384.50 |
$4,835 |
1.5× |
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
unusually low: confirm this is the full procedure |
$3,009.30 |
$4,299 |
0.4× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$1,002.40 |
$1,432 |
0.4× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,002.40 |
$1,432 |
0.4× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$1,002.40 |
$1,432 |
0.4× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$1,002.40 |
$1,432 |
0.4× |
| Epidural Blood Patch (62273) |
$2,286.90 |
$3,267 |
2.8× |
| Episiotomy or vaginal repair (59300) |
$3,725.68 |
$5,322.40 |
1.0× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$14,304.92 |
$20,435.60 |
2.0× |
Ercp duct stent placement (43274)
range across 2 matching MRF lines |
$17,526.55–$17,933.37 |
$25,037.93–$25,619.10 |
varies |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$6,811.70 |
$9,731 |
1.5× |
| Ercp ea duct/ampulla dilate (43277) |
$18,021.38 |
$25,744.83 |
4.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$17,384.28 |
$24,834.69 |
3.9× |
Ercp remove forgn body duct (43275)
range across 2 matching MRF lines |
$11,636.39–$12,130.02 |
$16,623.41–$17,328.60 |
varies |
| Ercp Stent Exchange W/Dilate (43276) |
$17,820 |
$25,457.14 |
2.5× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$18,092.90 |
$25,847 |
4.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$17,384.28 |
$24,834.69 |
3.9× |
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines |
$17,526.55–$17,766.80 |
$25,037.93–$25,381.14 |
varies |
| Esoph Scope W/Submucous Inj (43201) |
$1,628.20 |
$2,326 |
0.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$6,813.20 |
$9,733.15 |
6.5× |
| Esophagosc Dilate Balloon 30 (43214) |
$1,891.03 |
$2,701.47 |
0.8× |
| Esophagoscop Mucosal Resect (43211) |
$1,251.54 |
$1,787.92 |
0.6× |
| Esophagoscop Stent Placement (43212) |
$4,603.68 |
$6,576.68 |
0.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,440.60 |
$2,058 |
0.6× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$1,628.20 |
$2,326 |
0.7× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$3,675 |
$5,250 |
0.8× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$3,403.54 |
$4,862.20 |
1.5× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$1,440.60 |
$2,058 |
0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$9,244.48 |
$13,206.40 |
8.8× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,267.80 |
$3,239.72 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$1,628.20 |
$2,326 |
0.7× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,358.52 |
$3,369.31 |
1.1× |
| Esophagoscopy Retro Balloon (43213) |
$1,891.03 |
$2,701.47 |
0.8× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$1,891.03 |
$2,701.47 |
0.8× |
| Esophagoscopy Rigid Balloon (43195) |
$1,923.60 |
$2,748 |
0.4× |
| Esophagoscopy rigid trnso dx (43191) |
$7,465.85 |
$10,665.50 |
3.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,693.33 |
$2,419.04 |
0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,628.20 |
$2,326 |
0.7× |
| Esophagoscp Guide Wire Dilat (43196) |
$1,923.60 |
$2,748 |
0.9× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
unusually low: confirm this is the full procedure |
$3,040.80 |
$4,344 |
0.4× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$1,891.03 |
$2,701.47 |
0.8× |
| Esophagoscp Rig Trnso Inject (43192) |
$1,891.03 |
$2,701.47 |
0.8× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$3,275.44 |
$4,679.20 |
1.5× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$3,275.44 |
$4,679.20 |
1.5× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$29,156.22 |
$41,651.74 |
16.2× |
| Evacuation of subungual hematoma (11740) |
$219.80 |
$314 |
1.4× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$15,793.77 |
$22,562.53 |
8.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$13,637.66 |
$19,482.37 |
7.1× |
| Exc abdl tum deep 5 cm/> (22901) |
$8,587.36 |
$12,267.66 |
2.5× |
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines |
$4,773.87–$22,959.10 |
$6,819.82–$32,798.71 |
varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$472.50 |
$675 |
0.6× |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines |
$10,408.86–$13,036.23 |
$1,434–$18,623.18 |
varies |
| Exc Back Les Sc < 3 Cm (21930) |
$20,048.85 |
$28,641.21 |
10.5× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$11,451.69 |
$16,359.56 |
3.4× |
Exc back tum deep < 5 cm (21932)
range across 2 matching MRF lines |
$8,714.19–$10,138.53 |
$12,448.85–$14,483.62 |
varies |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$23,251.91 |
$33,217.01 |
3.4× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$9,085.01 |
$12,978.58 |
2.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$18,686.62 |
$26,695.17 |
4.1× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$4,156.60 |
$5,938 |
1.5× |
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines |
$616–$1,126.30 |
$880–$1,609 |
varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,165.50 |
$1,665 |
1.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$17,973.52 |
$25,676.46 |
9.4× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$10,196.21 |
$14,566.02 |
5.3× |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines |
$526.48 |
$664.11–$752.11 |
0.6× |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines |
$489.38 |
$694.11–$699.11 |
0.6× |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines |
$975.80 |
$870–$1,394 |
1.2× |
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines |
$7,330.53 |
$1,441.62–$10,472.19 |
3.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$11,293.72 |
$16,133.88 |
5.9× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$11,273.30 |
$16,104.72 |
5.9× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$51,157.48 |
$73,082.11 |
15.2× |
| Exc ganglion wrist recurrent (25112) |
$15,226.69 |
$21,752.42 |
8.2× |
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines |
$12,128.75–$13,619.25 |
$1,515–$19,456.07 |
varies |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines |
$1,198.40–$11,091.63 |
$839–$15,845.18 |
varies |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines |
$10,408.86–$11,904.21 |
$1,395.62–$17,006.02 |
varies |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$13,298.49 |
$18,997.84 |
6.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$22,449.15 |
$32,070.21 |
5.5× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$835.10 |
$1,193 |
0.7× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$12,944.39 |
$18,491.99 |
3.4× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$16,019.90 |
$22,885.57 |
4.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$14,593.82 |
$20,848.32 |
7.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$9,638.92 |
$13,769.89 |
5.2× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$9,002.71 |
$12,861.01 |
2.3× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$15,962.22 |
$22,803.17 |
4.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$50,135.25 |
$71,621.78 |
13.0× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$10,541.73 |
$15,059.62 |
2.7× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$36,194.01 |
$51,705.73 |
16.0× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$77,634.90 |
$110,907 |
34.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$38,929.05 |
$55,612.93 |
17.2× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$19,897.16 |
$28,424.52 |
2.9× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$9,702.08 |
$13,860.12 |
3.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$16,957.47 |
$24,224.96 |
5.3× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$5,258.41 |
$7,512.02 |
1.6× |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines |
$1,334.20–$10,481.65 |
$884–$14,973.79 |
varies |
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines |
$10,931.63–$13,712.61 |
$1,457–$19,589.45 |
varies |
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines |
$16,649.16 |
$2,454.91–$23,784.51 |
4.9× |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines |
$14,379.97–$15,499.01 |
$1,526–$22,141.45 |
varies |
| Exc Skin Benig >4cm Face,Facial (11446) |
$27,053.28 |
$38,647.54 |
8.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,672.03 |
$2,388.62 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$20,134.29 |
$28,763.27 |
6.0× |
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines |
$16,360.54–$18,131.05 |
$23,372.20–$25,901.50 |
varies |
| Exc tendon shth lesion leg/ankle (27630) |
$17,277.32 |
$24,681.89 |
4.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$13,228.96 |
$18,898.52 |
3.9× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$8,898.69 |
$12,712.41 |
2.6× |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines |
$833.70 |
$480–$1,191 |
1.8× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines |
$888.38–$11,722.77 |
$674.11–$16,746.82 |
varies |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines |
$9,072.47–$9,518.33 |
$1,438–$13,597.61 |
varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$11,641.12 |
$16,630.17 |
3.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$11,944.78 |
$17,063.97 |
3.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$9,438.25 |
$13,483.22 |
4.9× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$15,272.57 |
$21,817.96 |
8.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$13,107.81 |
$18,725.45 |
3.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$8,600.52 |
$12,286.46 |
2.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$12,925.54 |
$18,465.06 |
3.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$29,664.40 |
$42,377.72 |
8.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$22,494.51 |
$32,135.01 |
6.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$13,745.28 |
$19,636.12 |
7.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$17,806.28 |
$25,437.54 |
5.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$8,808.93 |
$12,584.18 |
2.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$22,646 |
$32,351.43 |
11.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$31,012.39 |
$44,303.41 |
9.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$5,054 |
$7,220 |
1.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$8,413.38 |
$12,019.12 |
4.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$16,482.06 |
$23,545.80 |
4.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$13,889.59 |
$19,842.27 |
7.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$14,849.14 |
$21,213.06 |
4.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$11,351.63 |
$16,216.61 |
3.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$14,806.88 |
$21,152.69 |
4.4× |
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines |
$11,760.01–$12,203.33 |
$16,800.02–$17,433.33 |
varies |
| Exc urethral diverticulum spx female (53230) |
$30,790.49 |
$43,986.42 |
4.9× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$24,171.58 |
$34,530.83 |
5.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$14,257.07 |
$20,367.25 |
3.8× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$27,515.33 |
$39,307.61 |
14.7× |
| Exc/fulguration urethral caruncle (53265) |
$17,684.83 |
$25,264.05 |
7.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$7,675.16 |
$10,964.52 |
1.8× |
| Exchange Intraocular Lens (66986) |
$30,177.22 |
$43,110.32 |
11.3× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$6,934.28–$7,744.93 |
$9,906.12–$11,064.18 |
varies |
| Exchange Transfusion Blood Newborn (36450) |
$772.10 |
$1,103 |
1.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$5,360.80 |
$7,658.28 |
2.4× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$1,604.40 |
$2,292 |
0.4× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$22,279.45 |
$31,827.79 |
5.8× |
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines |
$6,774.01 |
$1,564–$9,677.16 |
3.8× |
| Excise intraspinal lesion (63267) |
$34,602.99 |
$49,432.85 |
4.1× |
| Excise Wrist Tendon Sheath (25118) |
$35,382.40 |
$50,546.28 |
18.9× |
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines |
$1,107.40 |
$934–$1,582 |
1.3× |
| Excision Chalazion Single (67800) |
$308 |
$440 |
0.8× |
| Excision Distal Ulna Partial/Complete (25240) |
$35,382.40 |
$50,546.28 |
9.3× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$29,277.34 |
$41,824.77 |
8.7× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$14,798.97 |
$21,141.38 |
2.2× |
| Excision External Ear Partial Simple Repair (69110) |
$10,750.59 |
$15,357.98 |
3.2× |
| Excision H/P/P/U Complex Repair (11471) |
$7,547.02 |
$10,781.46 |
2.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$10,751.26 |
$15,358.95 |
3.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$17,781.39 |
$25,401.99 |
5.3× |
| Excision Infected Graft Extremity (35903) |
$16,533.80 |
$23,619.72 |
4.5× |
| Excision inferior turbinate partial/complete (30130) |
$12,320.10 |
$17,600.15 |
3.2× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$4,346.38 |
$6,209.11 |
1.6× |
| Excision lesion mouth roof (42104) |
$7,550.31 |
$10,786.16 |
2.0× |
| Excision Lesion Tongue W/O Closure (41110) |
$2,235.04 |
$3,192.92 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$3,274.68 |
$4,678.12 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,009.91 |
$1,442.73 |
1.2× |
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines |
$999.60 |
$662–$1,428 |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,004.50 |
$1,435 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$731.50 |
$1,045 |
0.9× |
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines |
$1,363.60 |
$1,498–$1,948 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$5,054 |
$7,220 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$926.10 |
$1,323 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,055.60 |
$1,508 |
1.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$970.20 |
$1,386 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,571.50 |
$2,245 |
0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$6,669.98 |
$9,528.55 |
2.1× |
| Excision Nasal Polyp Extensive (30115) |
$45,203.79 |
$64,576.85 |
11.7× |
| Excision nasal polyp(s) simple (30110) |
$34,168.15 |
$48,811.64 |
19.0× |
| Excision of bartholin's gland or cyst (56740) |
$21,884.14 |
$31,263.06 |
5.8× |
| Excision of extraparenchymal lesion of testis (54512) |
$25,951.55 |
$37,073.64 |
6.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$9,937.11 |
$14,195.87 |
5.3× |
| Excision of hydrocele; bilateral (55041) |
$14,344.11 |
$20,491.59 |
3.5× |
| Excision of hydrocele; unilateral (55040) |
$14,100.62 |
$20,143.75 |
3.4× |
| Excision of lingual tonsil (42870) |
$31,392.57 |
$44,846.53 |
4.6× |
| Excision of local lesion of epididymis (54830) |
$14,387.39 |
$20,553.42 |
3.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$16,809.41 |
$24,013.44 |
7.4× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$36,602.64 |
$52,289.49 |
5.3× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$47,728.10 |
$68,183 |
6.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$14,917.73 |
$21,311.04 |
4.4× |
| Excision of single external papilla or tag, anus (46220) |
$6,048.01 |
$8,640.01 |
4.4× |
| Excision of sublingual gland (42450) |
$17,799.93 |
$25,428.47 |
2.6× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$17,799.93 |
$25,428.47 |
4.6× |
| Excision of submandibular (submaxillary) gland (42440) |
$30,013.02 |
$42,875.74 |
4.4× |
| Excision of tonsil tags (42860) |
$1,958.60 |
$2,798 |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$9,534.01 |
$13,620.02 |
2.5× |
| Excision olecranon bursa (24105) |
$13,987.85 |
$19,982.65 |
3.7× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$25,040.36 |
$35,771.95 |
6.6× |
| Excision or fulguration; Skene's glands Facility (53270) |
$18,359.86 |
$26,228.37 |
4.5× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$12,099.85 |
$17,285.50 |
3.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$11,302.57 |
$16,146.53 |
3.4× |
| Excision prepatellar bursa (27340) |
$22,272.66 |
$31,818.08 |
5.9× |
| Excision soft tissue lesion, external auditory canal (69145) |
$6,781.95 |
$9,688.50 |
2.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$19,142.20 |
$27,346 |
7.9× |
| Excision synovial cyst popliteal space (27345) |
$45,038.06 |
$64,340.08 |
11.9× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$19,800.40 |
$28,286.28 |
2.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$15,509.07 |
$22,155.82 |
8.1× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$12,551.52 |
$17,930.74 |
3.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$9,432.42 |
$13,474.89 |
4.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$12,005.82 |
$17,151.17 |
6.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$21,835.39 |
$31,193.42 |
11.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$13,165.13 |
$18,807.33 |
7.1× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$9,395.15 |
$13,421.65 |
1.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$14,714.43 |
$21,020.62 |
4.4× |
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines |
$9,351.41 |
$1,532.62–$13,359.16 |
4.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$26,818.47 |
$38,312.10 |
8.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$10,253.40 |
$14,647.71 |
3.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$112,436.70 |
$160,623.86 |
33.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,708 |
$2,440 |
0.9× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$23,059.73 |
$32,942.47 |
12.3× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$18,888.62 |
$26,983.75 |
5.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$41,312.58 |
$59,017.97 |
10.7× |
| Excision/destruction lesion pharynx any method (42808) |
$9,628.43 |
$13,754.90 |
2.5× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$24,849.57 |
$35,499.39 |
6.5× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$14,038.13 |
$20,054.47 |
5.1× |
| Excision; trochanteric bursa or calcification (27062) |
$48,887.59 |
$69,839.42 |
12.9× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$141,638.67 |
$202,340.96 |
21.9× |
| Explo/Drain Breast Abscess (19020) |
$18,179.36 |
$25,970.51 |
9.5× |
| Exploration maxillary sinus (31020) |
$29,156.22 |
$41,651.74 |
7.6× |
| Exploration of knee joint (27310) |
$21,101.52 |
$30,145.03 |
5.6× |
| Exploration of spinal fusion (22830) |
$113,425.05 |
$162,035.78 |
13.5× |
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines |
$6,377.32 |
$1,530–$9,110.46 |
3.3× |
| Explore/Treat Elbow Joint (24101) |
$31,177.54 |
$44,539.34 |
8.2× |
| Explore/Treat Knee Joint (27331) |
$17,264.69 |
$24,663.85 |
4.5× |
External cephalic version (59412)
range across 2 matching MRF lines |
$7,500.50 |
$299–$10,715 |
2.0× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$20,274.42 |
$28,963.46 |
7.6× |
| Fasciectomy Palm Only (26121) |
$17,890.09 |
$25,557.27 |
4.7× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$6,933.50 |
$9,905 |
1.8× |
| Fasciotomy palmar percutaneous (26040) |
$4,761.43 |
$6,802.05 |
2.5× |
| Fasciotomy, foot and/or toe (28008) |
$12,028.51 |
$17,183.59 |
3.2× |
| Fasciotomy, hip or thigh, any type (27025) |
$40,519.69 |
$57,885.27 |
10.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$19,264.38 |
$27,520.55 |
5.1× |
Fetal Contraction Stress Test (59020)
range across 3 matching MRF lines |
$129.50–$2,846.20 |
$185–$4,066 |
varies |
Fetal non-stress test (59025)
range across 4 matching MRF lines |
$2,864.40–$4,682.30 |
$220–$6,689 |
varies |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
— |
$1,829 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$5,516.01 |
$7,880.02 |
6.7× |
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines |
$343.70 |
$393–$491 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$545.30 |
$779 |
2.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$453.60 |
$648 |
0.6× |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
$2,318.76 |
$715–$3,312.51 |
2.8× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$16,812.64 |
$24,018.06 |
4.4× |
| Frenulotomy of penis (54164) |
$7,039.86 |
$10,056.94 |
2.9× |
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines |
$14,310.39 |
$2,749–$20,443.41 |
6.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$9,950.53 |
$14,215.05 |
4.2× |
| Fusion Finger Joint (26860) |
$20,117.34 |
$28,739.06 |
5.3× |
| Fusion of foot bones (28740) |
$66,624.88 |
$95,178.40 |
7.9× |
| Fusion of hand bones (25820) |
$52,340.38 |
$74,771.97 |
6.2× |
| Fusion of knuckle joint (26516) |
$21,115.27 |
$30,164.67 |
5.6× |
| Fusion of tibiofibular joint (27871) |
$46,456.56 |
$66,366.52 |
3.1× |
| Gastrocnemius recession (27687) |
$27,923.17 |
$39,890.25 |
7.3× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$35,353.23 |
$50,504.61 |
5.1× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$33,614.58 |
$48,020.83 |
4.9× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$40,662.75 |
$58,089.64 |
9.9× |
| Grafting of autologous soft tiss by direct exc (15769) |
$28,620.66 |
$40,886.66 |
7.0× |
| Guide Cathet Fluid Drainage (10030) |
$4,872.64 |
$6,960.92 |
5.9× |
| Head Surgery Procedure (21499) |
$12,531.38 |
$17,901.97 |
45.6× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$6,940.72 |
$9,915.31 |
2.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$6,658.69 |
$9,512.41 |
2.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$9,192.20 |
$13,131.71 |
2.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$6,265.67 |
$8,950.96 |
1.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$5,749.88 |
$8,214.11 |
1.8× |
| Hemorrhoidopexy by stapling (46947) |
$9,499.92 |
$13,571.32 |
2.9× |
| Hip arthro w/labral repair (29916) |
$54,574.34 |
$77,963.34 |
6.5× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$7,147.29 |
$10,210.41 |
2.2× |
| Hysteroscopy Biopsy (58558) |
$16,405.56 |
$23,436.51 |
4.4× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$18,895.22 |
$26,993.17 |
3.3× |
| Hysteroscopy Dx Sep Proc (58555) |
$13,750.97 |
$19,644.24 |
3.7× |
| Hysteroscopy Endometrial Ablation (58563) |
$20,020.06 |
$28,600.09 |
3.4× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$21,315.84 |
$30,451.20 |
3.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$13,902.97 |
$19,861.39 |
3.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$22,076.47 |
$31,537.82 |
3.8× |
| I&d abscess peritonsillar (42700) |
— |
$518 |
— |
I&d abscess simple (10060)
range across 3 matching MRF lines |
$242.90–$15,042.94 |
$320–$21,489.92 |
varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$15,646.53 |
$22,352.18 |
8.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$9,921.24 |
$14,173.20 |
2.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$13,370.89 |
$19,101.27 |
4.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$7,060.28 |
$10,086.12 |
1.9× |
| I&d forearm/wrist bursa (25031) |
$2,858.80 |
$4,084 |
1.5× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$10,329.07 |
$14,755.81 |
3.2× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$12,598.33 |
$17,997.62 |
3.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$27,606.03 |
$39,437.18 |
7.3× |
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines |
$2,993.20 |
$541–$4,276 |
2.8× |
| I&d thyroglossal duct cyst infected (60000) |
$2,712.50 |
$3,875 |
1.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$12,814.65 |
$18,306.65 |
3.8× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$5,054 |
$7,220 |
1.5× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$2,340.53 |
$3,343.61 |
1.1× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$4,263.74 |
$6,091.06 |
4.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$6,227.55 |
$8,896.50 |
5.9× |
| Image Cath Fluid Colxn Visc (49405) |
$2,884 |
$4,120 |
1.5× |
| Image Cath Fluid Peri/Retro (49406) |
$3,812 |
$5,445.71 |
2.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,884 |
$4,120 |
1.5× |
| Immediate breast prosthesis (19340) |
$37,108.72 |
$53,012.46 |
3.9× |
| Implant cochlear device (69930) |
$123,268.35 |
$176,097.64 |
3.2× |
| Implant neuroelectrodes (63650) |
$12,163.90 |
$17,377 |
1.6× |
| Implant Neuroelectrodes (64561) |
$29,989.72 |
$42,842.46 |
4.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$63,653.84 |
$90,934.06 |
2.8× |
| Implant Spine Infusion Pump (62362) |
$12,849.20 |
$18,356 |
0.6× |
| Implant temple bone w/stimul (69714) |
$41,464.88 |
$59,235.54 |
2.8× |
| Implantation intrastromal corneal ring segments (65785) |
$7,231.70 |
$10,331 |
1.5× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$12,849.20 |
$18,356 |
0.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$11,848.20 |
$16,926 |
1.2× |
| Incise external hemorrhoid (46083) |
$351.40 |
$502 |
1.2× |
| Incise finger tendon sheath (26055) |
$10,078.52 |
$14,397.88 |
5.4× |
| Incise flexor carpi radialis (25001) |
$17,914.54 |
$25,592.20 |
4.7× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$354.20 |
$506–$571 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$9,880.50 |
$14,115 |
2.9× |
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines |
$1,096.90–$1,142.40 |
$1,567–$1,632 |
varies |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$361.20 |
$480–$516 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$342 |
— |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$5,054 |
$7,220 |
1.5× |
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines |
$19,678.66 |
$434–$28,112.37 |
55.6× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$28,753.23 |
$41,076.05 |
3.4× |
| Incision extensor tendon sheath wrist (25000) |
$9,504.48 |
$13,577.83 |
5.1× |
| Incision of eardrum (69421) |
$6,734.48 |
$9,620.68 |
1.7× |
| Incision of eardrum (69420) |
$554.40 |
$792 |
2.0× |
| Incision of Foot Tendon (28234) |
$41,286.06 |
$58,980.09 |
22.1× |
| Incision of hip tendon (27001) |
$20,747.07 |
$29,638.67 |
5.5× |
| Incision of labial frenum (frenotomy) (40806) |
$452.90 |
$647 |
0.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$11,285.20 |
$16,121.71 |
6.3× |
| Incision of rectal abscess (46040) |
$7,204.02 |
$10,291.46 |
5.2× |
| Incision of urethra (53020) |
$6,621.22 |
$9,458.88 |
2.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,825.90 |
$4,037 |
1.5× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$453.60 |
$648 |
1.2× |
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines |
$1,201.20 |
$606–$1,716 |
1.4× |
| Induced abortion dilation and curettage (59840) |
$10,070.08 |
$14,385.83 |
2.7× |
| Induced abortion, by dilation and evacuation (59841) |
$20,297.96 |
$28,997.08 |
5.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,573.76 |
$3,676.80 |
2.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$573.58 |
$819.40 |
2.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,597.45 |
$3,710.65 |
2.5× |
| Inject Intravitreal Pharmcologic (67028) |
$11,645.90 |
$16,637 |
30.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$294.98 |
$421.40 |
0.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$29,570.44 |
$42,243.48 |
28.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$38,738.69 |
$55,340.99 |
47.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$298.90 |
$427 |
0.8× |
| Injection for identification of sentinel node (38792) |
$64,402.66 |
$92,003.80 |
138.7× |
| Injection single tendon origin/insertion (20551) |
$319.12 |
$455.88 |
0.9× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines |
$273.70–$6,902.89 |
$282–$9,861.27 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$541.22 |
$288–$773.17 |
1.5× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$1,512 |
$2,160 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$501.51 |
$716.44 |
1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$56,785.55 |
$81,122.22 |
55.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$55,638.39 |
$79,483.41 |
67.9× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$866.60–$43,667.29 |
$1,238–$62,381.84 |
varies |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$228.28 |
$326.12 |
1.0× |
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines |
$228.28 |
$197.12–$326.12 |
1.0× |
| Injx anterior chamber eye air/liquid spx (66020) |
$7,239.77 |
$10,342.53 |
2.7× |
| Ins cath ren art 1st bilat (36252) |
$42,127.45 |
$60,182.07 |
11.5× |
| Ins cath ren art 1st unilat (36251) |
$40,088.43 |
$57,269.19 |
10.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,669.30 |
$8,099 |
1.5× |
| Ins cath ren art 2nd+ unilat (36253) |
$10,601.50 |
$15,145 |
1.6× |
| Ins endovas vena cava filtr (37191) |
$11,595.50 |
$16,565 |
1.8× |
| Ins Vag Brachytx Device (57156) |
$22,230.60 |
$31,758 |
62.8× |
| Ins/Rep Subq Defibrillator (33270) |
$98,361.95 |
$140,517.07 |
2.7× |
| Insert 1 Electrode Pm-Defib (33216) |
$21,171.58 |
$30,245.12 |
2.2× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$7,231.70 |
$10,331 |
1.5× |
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines |
$172.90 |
$247–$337 |
1.2× |
| Insert cath pleura w/ image (32557) |
$9,984.72 |
$14,263.89 |
5.5× |
| Insert cath pleura w/o image (32556) |
$4,230.80 |
$6,044 |
1.9× |
Insert Drug Implant Device (11981)
range across 2 matching MRF lines |
$2,647.33 |
$358–$3,781.90 |
17.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$17,013.49 |
$24,304.99 |
7.6× |
| Insert Heart Pm Atrial (33206) |
$13,071.10 |
$18,673 |
1.1× |
| Insert Heart Pm Ventricular (33207) |
$54,412.25 |
$77,731.78 |
4.5× |
| Insert hepatic shunt (tips) (37182) |
$48,758.04 |
$69,654.34 |
2.3× |
| Insert Nasal Septal Button (30220) |
$12,275.61 |
$17,536.59 |
6.8× |
| Insert non-tunnel cv cath (36556) |
— |
$617 |
— |
| Insert Pacing Lead & Connect (33224) |
$11,338.60 |
$16,198 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,936.50 |
$4,195 |
1.6× |
| Insert pulse gen dual leads (33213) |
$38,728.70 |
$55,326.71 |
3.2× |
| Insert pulse gen mult leads (33221) |
$43,638 |
$62,340 |
2.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$9,843.40 |
$14,062 |
1.0× |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
$98.14–$467.60 |
$140.20–$668 |
varies |
| Insert testicular prosthesis (54660) |
$15,795.93 |
$22,565.61 |
2.5× |
| Insert tun ip cath perc (49418) |
$10,758.23 |
$15,368.90 |
2.6× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$10,336.79–$61,750.93 |
$14,766.84–$88,215.62 |
varies |
| Insert tunneled cv cath (36563) |
$5,494.30 |
$7,849 |
0.9× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$187.60 |
$147–$268 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$11,828.19 |
$16,897.42 |
2.8× |
| Insertion of cannula (36800) |
$10,646.30 |
$15,209 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$5,638.32 |
$8,054.75 |
3.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$20,604.84 |
$29,435.49 |
2.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$18,661 |
$26,658.57 |
4.5× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$10,481.16 |
$14,973.08 |
1.6× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$8,846.60 |
$12,638 |
1.5× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$10,299.10 |
$14,713 |
1.1× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$27,146.82 |
$38,781.17 |
10.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,773.40 |
$3,962 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$43,754.84 |
$62,506.91 |
11.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$22,343.15 |
$31,918.79 |
12.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$4,786.60 |
$6,838 |
1.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$6,307.70 |
$9,011 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$9,721.64 |
$13,888.06 |
2.7× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$46,136.03 |
$65,908.62 |
4.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$93,308.10 |
$133,297.29 |
2.6× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$88,151.58 |
$125,930.83 |
2.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,299.10 |
$14,713 |
1.1× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$6,902 |
$9,860 |
0.7× |
| Insrt heart pm atrial & vent (33208) |
$31,056.23 |
$44,366.04 |
2.6× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$46,149.60 |
$65,928 |
1.8× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$46,149.60 |
$65,928 |
1.3× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$25,916.80 |
$37,024 |
1.0× |
| Insrt/Redo Neurostim 1 Array (61885) |
$71,321.49 |
$101,887.84 |
2.0× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$10,765.82 |
$15,379.75 |
6.7× |
| Intranasal Biopsy (30100) |
$2,712.50 |
$3,875 |
1.5× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,453.90 |
$2,077 |
0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,604.40 |
$2,292 |
0.4× |
| Intro cath dialysis circuit (36901) |
$8,371.43 |
$11,959.18 |
4.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$36,920.93 |
$52,744.18 |
2.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$14,765.75 |
$21,093.93 |
2.2× |
| Intubation endotracheal emergency procedure (31500) |
— |
$310 |
— |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
$27,489.13 |
$39,270.19 |
10.3× |
| Iridotomy/irridectomy laser surg per session (66761) |
$15,275.47 |
$21,822.10 |
23.9× |
| IV injection test vascular flow flap/graft (15860) |
$72,680.76 |
$103,829.66 |
140.1× |
| Kidney endoscopy (50575) |
$19,188.02 |
$27,411.46 |
3.1× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$68.60 |
$98 |
1.9× |
| Knee arthroscopy/drainage (29871) |
$17,189.85 |
$24,556.93 |
4.5× |
| Knee Arthroscopy/Surgery (29874) |
$21,234.60 |
$30,335.14 |
5.6× |
| Labyrinthotomy Transcanal (69801) |
$1,020.60 |
$1,458 |
0.6× |
| Lam facetec & foramot lumbar (63047) |
$43,575.50 |
$62,250.71 |
5.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$124,572.03 |
$177,960.04 |
14.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$32,262.57 |
$46,089.38 |
3.8× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$36,345.36 |
$51,921.94 |
4.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$66,878.90 |
$95,541.28 |
7.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$80,147.28 |
$114,496.12 |
9.5× |
| Laminotomy Single Lumbar (63042) |
$53,628.85 |
$76,612.65 |
6.4× |
| Lap insert tunnel ip cath (49324) |
$22,656.56 |
$32,366.52 |
3.2× |
| Lap paraesophag hern repair (43281) |
$74,775.40 |
$106,822 |
6.1× |
| Lap revision perm ip cath (49325) |
$23,624.98 |
$33,749.97 |
3.4× |
| Laparo-vag hyst incl t/o (58552) |
$47,810.25 |
$68,300.36 |
3.9× |
| Laparoscope proc ureter (50949) |
$44,607.40 |
$63,724.86 |
6.4× |
| Laparoscopic myomectomy (58545) |
$44,607.40 |
$63,724.86 |
6.4× |
| Laparoscopy aspiration (49322) |
$34,677.68 |
$49,539.55 |
4.9× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$18,765.74 |
$26,808.20 |
2.7× |
| Laparoscopy fulguration oviducts (58670) |
$20,797.61 |
$29,710.87 |
3.0× |
| Laparoscopy gastrostomy (43653) |
$49,661.98 |
$70,945.68 |
7.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$26,819.44 |
$38,313.48 |
3.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$52,728.33 |
$75,326.18 |
4.3× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$42,066.44 |
$60,094.91 |
3.4× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$22,506.23 |
$32,151.76 |
3.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$21,246.33 |
$30,351.90 |
3.0× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$39,889.84 |
$56,985.48 |
3.2× |
| Laparoscopy, surgical, appendectomy (44970) |
$28,586.44 |
$40,837.77 |
4.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$58,484.76 |
$83,549.66 |
4.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$63,511.31 |
$90,730.45 |
5.1× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$56,903.20 |
$81,290.28 |
4.6× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$37,454.74 |
$53,506.77 |
3.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$41,009.77 |
$58,585.39 |
5.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$28,843.33 |
$41,204.76 |
4.1× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$42,304.90 |
$60,435.57 |
3.4× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$41,907.85 |
$59,868.36 |
6.0× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$89,655.54 |
$128,079.34 |
7.3× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$51,077.11 |
$72,967.30 |
4.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$28,094.77 |
$40,135.38 |
4.0× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$62,121.41 |
$88,744.87 |
8.8× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$78,242.73 |
$111,775.33 |
11.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$53,932.50 |
$77,046.43 |
4.4× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$58,156.33 |
$83,080.47 |
4.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$37,965.89 |
$54,236.98 |
5.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$17,665.98 |
$25,237.11 |
2.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$31,139.70 |
$44,485.29 |
4.4× |
| Laps pelvic lymphadec (38573) |
$103,679.62 |
$148,113.75 |
8.4× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$94,899.59 |
$135,570.84 |
7.7× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$49,265.71 |
$70,379.59 |
4.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$53,550.79 |
$76,501.13 |
7.6× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$60,194.46 |
$85,992.08 |
4.9× |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
$11,871.94 |
$16,959.92 |
1.4× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$13,280.39 |
$18,971.99 |
3.1× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$11,903.32 |
$17,004.74 |
2.7× |
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines |
$227.50 |
$304–$325 |
1.0× |
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines |
$20,846.22 |
$1,476–$29,780.32 |
10.1× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$700 |
$1,000 |
1.5× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$1,999.20 |
$2,856 |
0.5× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$19,419.06 |
$27,741.51 |
4.5× |
| Laryngoscopy W/Biopsy (31535) |
$12,455.62 |
$17,793.75 |
2.9× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$11,724.40 |
$16,749.15 |
2.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$6,567.44 |
$9,382.06 |
3.2× |
| Larynscop w/tumr exc + scope (31541) |
$8,292.51 |
$11,846.45 |
1.9× |
| Laser Surgery Anal Lesions (46917) |
$13,135.77 |
$18,765.39 |
4.1× |
| Laser treatment of retina (67040) |
$11,979.51 |
$17,113.58 |
2.5× |
| Laser vaporization of prostate (52648) |
$20,223.20 |
$28,890.28 |
3.2× |
| Late closure of wound (13160) |
$14,695.24 |
$20,993.20 |
3.6× |
| Lateral retinacular release open (27425) |
$129,894.47 |
$185,563.53 |
34.2× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$19,353.84 |
$27,648.35 |
5.3× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$54,065.22 |
$77,236.03 |
3.6× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$74,719.35 |
$106,741.93 |
8.9× |
| Ligamentous reconstruction knee intra-articular (27428) |
$109,790.15 |
$156,843.07 |
7.4× |
| Ligation of a-v fistula (37607) |
$21,113.48 |
$30,162.11 |
5.8× |
| Ligation of hemorrhoids (46946) |
$8,347.65 |
$11,925.21 |
2.6× |
| Ligation or biopsy temporal artery (37609) |
$13,896.95 |
$19,852.78 |
7.2× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$17,313.83 |
$24,734.04 |
4.7× |
| Limited pharyngectomy Facility (42890) |
$4,374.30 |
$6,249 |
0.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$17,917.23 |
$25,596.04 |
4.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$16,759.07 |
$23,941.53 |
4.1× |
| Lithotripsy, extracorporeal shock wave (50590) |
$17,713.44 |
$25,304.92 |
4.3× |
| Low Back Disk Surgery (63030) |
$36,736.66 |
$52,480.95 |
4.4× |
| Lsh uterus 250 g or less (58541) |
$38,024.76 |
$54,321.08 |
3.1× |
| Lsh w/t/o uterus above 250 g (58544) |
$50,290.88 |
$71,844.12 |
4.1× |
| Lumbar spine fusion combined (22633) |
$71,770.10 |
$102,528.71 |
2.3× |
| Lysis Intranasal Synechia (30560) |
$12,867.59 |
$18,382.27 |
20.5× |
| Manipulation knee joint under general anesthesia (27570) |
$6,509.89 |
$9,299.84 |
3.5× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,215.20 |
$1,736 |
1.5× |
| Marsupialization of bartholin's gland cyst (56440) |
$14,632.72 |
$20,903.89 |
3.9× |
| Mast mod rad (19307) |
$55,497.04 |
$79,281.49 |
7.2× |
| Mastectomy partial (19301) |
$30,523.31 |
$43,604.73 |
6.7× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$52,206.36 |
$74,580.51 |
6.8× |
| Mastectomy simple complete (19303) |
$51,048.37 |
$72,926.25 |
6.6× |
| Mastopexy (19316) |
$66,101.35 |
$94,430.50 |
8.6× |
| Maternity Care Procedure (59899) |
$22,872.70 |
$32,675.28 |
97.4× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,455.60 |
$3,508 |
1.3× |
| Mech remov tunneled cv cath (36595) |
$14,780.76 |
$21,115.37 |
4.0× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$9,261.70 |
$13,231 |
1.3× |
| Mediastinoscpy w/lmph nod bx (39402) |
$9,261.70 |
$13,231 |
1.3× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$16,744.85 |
$23,921.21 |
7.0× |
| Muscle-skin graft trunk (15734) |
$54,609.32 |
$78,013.32 |
13.3× |
| Myelography Lumbar Injection (62305) |
$1,719.20 |
$2,456 |
1.9× |
| Myelography Lumbar Injection (62304) |
$1,424.50 |
$2,035 |
1.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,424.50 |
$2,035 |
1.6× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,424.50 |
$2,035 |
1.6× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$13,420.50 |
$19,172.14 |
3.6× |
| Myringoplasty (69620) |
$14,341.20 |
$20,487.43 |
3.7× |
| N Block Inj Celiac Pelus (64530) |
$3,264.77 |
$4,663.96 |
3.2× |
| N block inj intercost sng (64420) |
$4,449.02 |
$6,355.75 |
5.4× |
| N Block Inj Plantar Digit (64455) |
$289.52 |
$413.60 |
0.8× |
| N Block Inj Pudendal (64430) |
$10,479.26 |
$14,970.37 |
10.2× |
| N Block Lumbar/Thoracic (64520) |
$4,340.42 |
$6,200.60 |
4.2× |
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines |
$350.70 |
$421–$501 |
1.5× |
| Nasal surgery procedure (30999) |
$13,776.68 |
$19,680.97 |
50.1× |
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines |
$886.20 |
$105–$1,266 |
1.7× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$45,960.11 |
$65,657.30 |
10.6× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$23,531.90 |
$33,617 |
2.9× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$19,899.52 |
$28,427.88 |
2.9× |
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 3 matching MRF lines |
$1,348.20–$24,164.94 |
$1,691–$34,521.34 |
varies |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$30,010.41 |
$42,872.02 |
14.5× |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 3 matching MRF lines |
$1,159.90–$9,584.06 |
$1,657–$13,691.51 |
varies |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$69,791.57 |
$99,702.24 |
8.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$43,149.79 |
$61,642.56 |
5.3× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$53,669.46 |
$76,670.66 |
6.5× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$46,642.34 |
$66,631.91 |
5.7× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) |
$45,798.35 |
$65,426.21 |
22.2× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$34,865.12 |
$49,807.31 |
4.3× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$41,357.42 |
$59,082.03 |
5.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$31,515.88 |
$45,022.68 |
3.8× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$7,003.36 |
$10,004.80 |
6.5× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$10,485.47 |
$14,979.25 |
9.7× |
| Neck spine fusion (22600) |
$66,878.90 |
$95,541.28 |
3.3× |
| Needle Biopsy Lymph Nodes (38505) |
$10,347.39 |
$14,781.99 |
5.4× |
| Needle Biopsy Pancreas (48102) |
$2,884 |
$4,120 |
1.5× |
| Nerve repair w/conduit each nerve (64910) |
$21,420.67 |
$30,600.96 |
2.1× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$79,157.95 |
$113,082.79 |
7.8× |
| Neuroeltrd Stim Post Tibial (64566) |
$189 |
$270 |
0.5× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$21,767.10 |
$31,095.86 |
9.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$20,227.51 |
$28,896.45 |
8.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$13,490.76 |
$19,272.51 |
5.9× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$32,934.59 |
$47,049.42 |
14.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$259.70 |
$371 |
0.6× |
| Nfct ds csf metagenomic ngs bioinformatic alys (0480U) |
$35 |
$50 |
0.0× |
| Nipple Exploration (19110) |
$16,450.83 |
$23,501.19 |
3.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$580.30 |
$829 |
1.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,202.91 |
$4,575.59 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,153.70 |
$8,791 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,441.06 |
$4,915.80 |
3.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,402.64 |
$3,432.35 |
2.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$6,215.24 |
$8,878.91 |
6.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$3,023.13 |
$4,318.76 |
3.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$12,592.21 |
$17,988.87 |
15.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$4,879.55 |
$6,970.79 |
10.3× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$38,910.09 |
$55,585.84 |
4.7× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$35,531.33 |
$50,759.04 |
4.3× |
| Obstructive material removal from gi tube (49460) |
$1,624 |
$2,320 |
1.5× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$416.67 |
$465–$595.25 |
1.2× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$6,036.80 |
$8,624 |
0.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$16,011.09 |
$22,872.99 |
3.5× |
| Open Implantation Nea Sacral Nerve (64581) |
$68,192.84 |
$97,418.34 |
9.2× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$102,908.81 |
$147,012.59 |
2.0× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$82,486.82 |
$117,838.31 |
2.3× |
| Open nasoethmoid fx w/o fixj (21338) |
$4,374.30 |
$6,249 |
0.6× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$35,074.40 |
$50,106.28 |
4.2× |
| Open Repair of Rotator Cuff Acute (23410) |
$52,188.65 |
$74,555.22 |
6.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$28,621.03 |
$40,887.18 |
3.4× |
| Open treatment calcaneal fracture (28415) |
$41,808.53 |
$59,726.47 |
5.0× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$73,179.38 |
$104,541.97 |
4.9× |
| Open treatment fracture distal tibia only (27827) |
$51,143.41 |
$73,062.01 |
3.4× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$37,810.13 |
$54,014.47 |
4.5× |
| Open Treatment Humeral Condylar Fracture (24579) |
$48,243.41 |
$68,919.16 |
3.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$14,625.08 |
$20,892.97 |
3.8× |
| Open Treatment Medial Malleolus Fracture (27766) |
$28,302.80 |
$40,432.57 |
3.4× |
| Open treatment metacarpophalangeal dislocation (26715) |
$19,969.13 |
$28,527.33 |
5.3× |
| Open treatment metatarsal fracture each (28485) |
$24,771.21 |
$35,387.45 |
2.9× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$26,597.02 |
$37,995.74 |
3.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$55,311.26 |
$79,016.09 |
6.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$40,978.46 |
$58,540.66 |
4.9× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$26,945.31 |
$38,493.30 |
3.2× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$71,431.89 |
$102,045.56 |
4.8× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$11,433.51 |
$16,333.58 |
3.0× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$7,216.35 |
$10,309.07 |
1.9× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$13,678.31 |
$19,540.45 |
3.6× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$19,708.09 |
$28,154.42 |
2.3× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$28,210.98 |
$40,301.40 |
3.3× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) |
$11,559.10 |
$16,513 |
1.4× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$11,559.10 |
$16,513 |
1.4× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$2,858.80 |
$4,084 |
1.5× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$32,024.79 |
$45,749.70 |
3.8× |
| Open treatment of ulnar styloid fracture (25652) |
$29,570.44 |
$42,243.48 |
3.5× |
| Open treatment posterior malleolus fracture (27769) |
$38,976.48 |
$55,680.68 |
4.6× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$50,875.68 |
$72,679.54 |
6.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$49,334.45 |
$70,477.78 |
3.3× |
| Open Treatment Radial Shaft Fracture (25515) |
$23,194.60 |
$33,135.14 |
2.8× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$30,164.21 |
$43,091.73 |
3.6× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$15,115.67 |
$21,593.82 |
4.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$23,915.48 |
$34,164.97 |
2.8× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$23,953.81 |
$34,219.73 |
6.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$29,676.74 |
$42,395.34 |
3.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$16,311.69 |
$23,302.41 |
4.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$29,676.74 |
$42,395.34 |
3.5× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$15,627 |
$22,324.28 |
4.1× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$27,094.37 |
$38,706.25 |
1.8× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$75,943.71 |
$108,491.01 |
5.1× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$22,519.32 |
$32,170.46 |
2.7× |
| Open tx interphalangeal joint dislocation (26785) |
$5,757.50 |
$8,225 |
1.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$17,517.73 |
$25,025.33 |
4.6× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$20,183.11 |
$28,833.01 |
5.3× |
| Open Tx Radial Head/Neck Fracture (24665) |
$25,685.74 |
$36,693.92 |
3.0× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$39,857.19 |
$56,938.85 |
2.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$71,533.78 |
$102,191.11 |
8.5× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$43,755.14 |
$62,507.34 |
5.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$40,773.43 |
$58,247.76 |
4.8× |
| Open tx ulnar fx proximal end (24685) |
$35,331.11 |
$50,473.01 |
4.2× |
| Open/Perq Place Stent 1St (37236) |
$40,583.35 |
$57,976.22 |
3.0× |
| Open/Perq Place Stent Same (37238) |
$48,761.67 |
$69,659.53 |
3.6× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$31,035.77 |
$44,336.82 |
3.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$29,536.47 |
$42,194.96 |
3.5× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$68,666.02 |
$98,094.31 |
4.6× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$68,083.38 |
$97,261.97 |
8.1× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$56,204.07 |
$80,291.53 |
3.8× |
| Orchiectomy radical tumor inguinal approach (54530) |
$18,236.99 |
$26,052.84 |
4.4× |
| Ostc prtl exostc/condylc metar head (28288) |
$28,023.34 |
$40,033.35 |
7.4× |
| Ostectomy calcaneus (28118) |
$39,010.44 |
$55,729.20 |
10.3× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$10,949.79 |
$15,642.56 |
2.9× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$11,150.37 |
$15,929.10 |
2.9× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$67,502.04 |
$96,431.49 |
17.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$19,095.11 |
$27,278.73 |
5.0× |
| Osteochondral allograft knee open (27415) |
$85,133.24 |
$121,618.92 |
5.7× |
| Osteochondral knee autograft (27416) |
$85,082.81 |
$121,546.87 |
10.1× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$56,446.75 |
$80,638.22 |
6.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$39,655.66 |
$56,650.95 |
4.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$23,188.06 |
$33,125.80 |
6.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$67,502.04 |
$96,431.49 |
8.0× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
$87,084.56 |
$124,406.51 |
10.3× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$13,214.21 |
$18,877.45 |
1.6× |
| Osteotomy Tibia (27705) |
$117,240.78 |
$167,486.83 |
13.9× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$58,043.12 |
$82,918.74 |
6.9× |
| Palatopharyngoplasty (42145) |
$16,812.64 |
$24,018.06 |
2.4× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$7,158.89 |
$10,226.99 |
2.7× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$31,858.69 |
$45,512.41 |
4.6× |
| Part remv talus or calcaneus (28120) |
$27,427.52 |
$39,182.17 |
7.2× |
| Partial excision bone olecranon process (24147) |
$21,848.71 |
$31,212.45 |
5.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$12,873.78 |
$18,391.12 |
6.9× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$59,884.19 |
$85,548.85 |
15.8× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$11,147.16 |
$15,924.51 |
3.0× |
| Partial removal of lip (40530) |
$51,077.15 |
$72,967.36 |
13.3× |
| Partial removal of penis (54120) |
$28,515.14 |
$40,735.91 |
7.0× |
| Partial removal of thyroid (60220) |
$35,907.92 |
$51,297.03 |
5.1× |
| Partial removal of tibia (27640) |
$67,502.04 |
$96,431.49 |
17.8× |
| Partial removal of toe (28160) |
$5,757.50 |
$8,225 |
1.5× |
| Partial removal of tongue (41120) |
$13,332.35 |
$19,046.22 |
1.9× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$30,194.58 |
$43,135.11 |
4.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$12,660.72 |
$18,086.75 |
3.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$8,561.35 |
$12,230.50 |
2.3× |
| Perc Cryo Ablate Renal Tum (50593) |
$25,919.26 |
$37,027.51 |
2.1× |
| Perc Rf Ablate Renal Tumor (50592) |
$9,261.70 |
$13,231 |
1.3× |
| Percut Ablate Liver Rf (47382) |
$9,261.70 |
$13,231 |
1.3× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$19,566.40 |
$27,952 |
1.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$5,091.91 |
$7,274.16 |
6.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,436.90 |
$7,767 |
1.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$35,272.13 |
$50,388.76 |
9.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$31,097.88 |
$44,425.55 |
8.2× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$59,976.45 |
$85,680.65 |
13.2× |
| Pericardiocentesis W/Imaging (33016) |
$2,849 |
$4,070 |
1.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$7,679.78 |
$10,971.12 |
2.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$72,800.99 |
$104,001.42 |
3.4× |
| Perq av fistula creation uxtr sep access sites (36837) |
$32,064.85 |
$45,806.93 |
1.5× |
| Perq av fistula creation uxtr single access (36836) |
$32,064.85 |
$45,806.93 |
1.5× |
| Perq Cervicothoracic Inject (22510) |
$7,900.28 |
$11,286.11 |
2.1× |
| Perq dev breast 1st mr guide (19287) |
$5,868.97 |
$8,384.24 |
7.1× |
| Perq dev breast 1st strtctc (19283) |
$3,688.30 |
$5,269 |
4.5× |
| Perq dev breast 1st us imag (19285) |
$20,167.13 |
$28,810.19 |
24.5× |
| Perq device breast 1st imag (19281) |
$25,337.28 |
$36,196.11 |
13.2× |
| Perq dilation xst trc endourologic px w/img (50436) |
$6,200.60 |
$8,858 |
1.5× |
| Perq Lumbosacral Injection (22511) |
$5,757.50 |
$8,225 |
1.5× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$34,602.59 |
$49,432.27 |
3.1× |
| Perq p-art revsc 1 nm nt uni (33900) |
$20,607.30 |
$29,439 |
1.5× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$12,343.65 |
$17,633.78 |
0.6× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$20,607.30 |
$29,439 |
1.5× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$20,607.30 |
$29,439 |
1.5× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$9,261.70 |
$13,231 |
1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$12,237.26 |
$17,481.80 |
14.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$14,141.75 |
$20,202.50 |
3.7× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$37,164.70 |
$53,092.43 |
2.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$34,080.27 |
$48,686.10 |
5.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$23,515.45 |
$33,593.50 |
2.8× |
| Perq Vertebral Augmentation (22513) |
$25,782.95 |
$36,832.78 |
3.1× |
| Phleb Veins - Extrem 20+ (37766) |
$12,984.65 |
$18,549.50 |
3.5× |
| Place Cath Subclavian Art (36225) |
$20,083.72 |
$28,691.03 |
5.5× |
| Place Cath Thoracic Aorta (36221) |
$44,761.60 |
$63,945.15 |
12.2× |
| Place Cath Vertebral Art (36226) |
$34,936.10 |
$49,908.72 |
5.4× |
| Place Duod/Jej Tube Perc (49441) |
$3,249.40 |
$4,642 |
1.5× |
| Place Rt Device/Marker Pros (55876) |
$14,912.95 |
$21,304.22 |
9.3× |
| Placement of needle for intraosseous infusion (36680) |
$709.10 |
$1,013 |
1.4× |
| Placement of seton (46020) |
$11,041.81 |
$15,774.01 |
3.4× |
| Plastic Repair Introitus (56800) |
$12,131.94 |
$17,331.34 |
3.2× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$6,623.40 |
$9,462 |
0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,261.70 |
$13,231 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$9,261.70 |
$13,231 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$9,261.70 |
$13,231 |
1.3× |
| Plmt expandable cath brst following prtl mast (19296) |
$16,590 |
$23,700 |
1.7× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$6,500.07 |
$9,285.81 |
2.7× |
| Plmt Nephroureteral Catheter (50433) |
$40,634.21 |
$58,048.87 |
9.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,792.50 |
$8,275 |
1.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$8,782.09 |
$12,545.84 |
2.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,792.50 |
$8,275 |
1.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$24,635.52 |
$35,193.60 |
4.2× |
| Prim art mech thrombectomy (37184) |
$105,249.51 |
$150,356.45 |
4.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$7,962.08 |
$11,374.40 |
7.4× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$14,455.31 |
$20,650.44 |
22.6× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$66,011.07 |
$94,301.53 |
7.8× |
| Prostatic microwave thermotx (53850) |
$3,428.60 |
$4,898 |
0.8× |
| Prostatic Rf Thermotx (53852) |
$3,095.40 |
$4,422 |
0.8× |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
$5,054 |
$7,220 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$5,933.20 |
$8,476 |
1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$6,153.70 |
$8,791 |
1.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$9,874.77 |
$14,106.81 |
2.6× |
| Prq skel fixj femoral fx prox end neck (27235) |
$33,055.41 |
$47,222.01 |
3.9× |
| Prq skel fixj metar fx w/manj (28476) |
$26,170.60 |
$37,386.57 |
6.9× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$28,435.09 |
$40,621.56 |
3.4× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$12,853.02 |
$18,361.46 |
3.4× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$48,097.59 |
$68,710.85 |
12.7× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$84,970.70 |
$121,386.71 |
10.1× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$16,242.97 |
$23,204.24 |
4.3× |
| Prtl Exchange Transfuse Nb (36456) |
$772.10 |
$1,103 |
1.5× |
| Pseudoaneurysm Injection Trt (36002) |
$15,557.80 |
$22,225.43 |
21.4× |
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines |
$478.17–$1,208.20 |
$415–$1,726 |
varies |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$2,765.25 |
$407.62–$3,950.36 |
5.9× |
| Puncture Aspiration Cyst Breast (19000) |
$2,596.19 |
$3,708.85 |
3.2× |
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines |
$2,946.30 |
$152–$4,209 |
3.6× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$32,588.60 |
$46,555.15 |
3.9× |
| Radical styloidectomy separate procedure (25230) |
$30,566.01 |
$43,665.73 |
8.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,434.20 |
$4,906 |
1.5× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$58,209.05 |
$83,155.78 |
15.3× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$31,149.56 |
$44,499.37 |
8.2× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$20,352.14 |
$29,074.49 |
2.4× |
| Re-explore parathyroids (60502) |
$34,388.21 |
$49,126.02 |
5.0× |
| Realignment of knee (27457) |
$72,160.28 |
$103,086.11 |
8.6× |
| Reconst lwr jaw w/fixation (21196) |
$75,997.35 |
$108,567.64 |
11.1× |
| Reconstruct elbow med ligmnt (24346) |
$52,361.76 |
$74,802.52 |
3.5× |
| Reconstruct finger joint (26545) |
$20,734.10 |
$29,620.14 |
5.5× |
| Reconstruct lip with flap (40525) |
$51,077.15 |
$72,967.36 |
13.3× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$129,894.47 |
$185,563.53 |
15.4× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$18,025.18 |
$25,750.26 |
2.6× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$87,338.66 |
$124,769.52 |
12.7× |
| Reconstruction Tongue Fold (41520) |
$5,027.39 |
$7,181.98 |
1.3× |
| Redo Endovas Vena Cava Filtr (37192) |
$5,669.30 |
$8,099 |
1.5× |
| Reinsert spinal fixation (22849) |
$62,472.98 |
$89,247.11 |
4.2× |
| Relocation Pocket Pacemaker (33222) |
$9,716.57 |
$13,880.82 |
4.1× |
| Rem Endovas Vena Cava Filter (37193) |
$9,619.83 |
$13,742.62 |
2.6× |
| Removal Anal Seton Other Marker (46030) |
$10,321.67 |
$14,745.24 |
7.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,934.38 |
$2,763.40 |
1.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$8,702.15 |
$12,431.65 |
2.6× |
| Removal Foreign Body Foot Complicated (28193) |
$8,367.41 |
$11,953.45 |
4.4× |
| Removal foreign body foot deep (28192) |
$13,152.12 |
$18,788.75 |
6.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$10,816.75 |
$15,452.50 |
13.2× |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines |
$11,236.84 |
$537–$16,052.63 |
5.9× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$5,757.50 |
$8,225 |
1.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$5,054 |
$7,220 |
1.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,835.63 |
$8,336.62 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$161.70 |
$231 |
2.4× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$170.80 |
$129–$244 |
2.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,135.60 |
$5,908 |
1.1× |
| Removal Implant Deep (20680) |
$16,733.93 |
$23,905.61 |
5.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$57,640 |
$82,342.86 |
30.1× |
| Removal intact breast implant (19328) |
$49,991.07 |
$71,415.81 |
11.0× |
| Removal of a lesion from the floor of the mouth (41116) |
$1,604.40 |
$2,292 |
0.4× |
| Removal of adenoids (42835) |
$7,941.02 |
$11,344.31 |
2.1× |
| Removal of adenoids (42831) |
$11,069.25 |
$15,813.21 |
2.9× |
| Removal of adenoids (42830) |
$10,266.63 |
$14,666.61 |
2.7× |
| Removal of adenoids (42836) |
$16,363.82 |
$23,376.88 |
4.3× |
| Removal of anal fissure (46200) |
$6,266.48 |
$8,952.11 |
1.9× |
| Removal of ankle implant (27704) |
$43,641.24 |
$62,344.63 |
11.5× |
| Removal of anterior instrumentation (22855) |
$46,645 |
$66,635.72 |
5.5× |
| Removal of bladder cyst (51500) |
$79,974.86 |
$114,249.80 |
11.4× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$47,073.62 |
$67,248.03 |
11.9× |
| Removal of foreign body from pharynx (42809) |
$324.10 |
$463 |
0.6× |
| Removal of heel spur (28119) |
$37,186.66 |
$53,123.80 |
9.8× |
| Removal of implant from finger or hand (26320) |
$26,438.81 |
$37,769.73 |
13.8× |
| Removal of implanted material, anterior segment of eye (65920) |
$11,915.10 |
$17,021.57 |
4.4× |
| Removal of intranasal lesion (30118) |
$17,360.18 |
$24,800.26 |
4.5× |
| Removal of kidney stone (50081) |
$44,386.33 |
$63,409.04 |
4.0× |
| Removal of lens material (66852) |
$18,098.43 |
$25,854.90 |
3.8× |
| Removal of mammary implant material (19330) |
$32,350.81 |
$46,215.44 |
7.1× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$429.10–$11,433.45 |
$613–$16,333.50 |
varies |
| Removal of posterior segmental instrumentation Facility (22852) |
$72,025.39 |
$102,893.42 |
8.5× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$80,640.58 |
$115,200.83 |
9.6× |
| Removal of sesamoid bone (28315) |
$16,975.76 |
$24,251.09 |
4.5× |
| Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Facility (61892) |
$5,762.40 |
$8,232 |
1.5× |
| Removal of sperm cord lesion (55520) |
$15,932.66 |
$22,760.95 |
3.9× |
| Removal of testis (54520) |
$16,307.83 |
$23,296.90 |
4.0× |
| Removal of thymus gland (60520) |
$69,534.82 |
$99,335.46 |
10.1× |
| Removal of thyroid (60271) |
$78,191.88 |
$111,702.68 |
11.4× |
| Removal of tonsils (42825) |
$9,852.18 |
$14,074.55 |
1.4× |
| Removal of tonsils (42826) |
$11,230.43 |
$16,043.47 |
2.9× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
$54,993.22 |
$78,561.74 |
6.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$14,573.24 |
$20,818.92 |
4.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$80.50 |
$115 |
0.2× |
| Removal phrenic nerve stimulator system (33278) |
$6,133.40 |
$8,762 |
1.5× |
| Removal ppm generator only (33233) |
$44,831.98 |
$64,045.68 |
4.7× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$5,054 |
$7,220 |
1.5× |
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines |
$238–$8,315.58 |
$280–$11,879.40 |
varies |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,417.49 |
$2,024.99 |
1.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$11,723.70 |
$16,748.14 |
4.9× |
| Removal sweat gland lesion (11450) |
$14,833.83 |
$21,191.18 |
4.4× |
| Removal, under anesthesia, of external fixation system (20694) |
$11,650.65 |
$16,643.79 |
6.2× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,306.50 |
$3,295 |
1.0× |
| Remove armpit lymph nodes (38740) |
$44,654.22 |
$63,791.74 |
6.4× |
| Remove cerclage suture (59871) |
$13,378.09 |
$19,111.56 |
3.6× |
Remove drug implant device (11982)
range across 3 matching MRF lines |
$187.60–$11,045.69 |
$268–$15,779.56 |
varies |
| Remove Elbow Joint Lining (24102) |
$31,177.54 |
$44,539.34 |
8.2× |
| Remove Forearm Foreign Body (25248) |
$27,891.82 |
$39,845.46 |
14.9× |
| Remove foreign body from eye (65235) |
$25,673.32 |
$36,676.17 |
9.6× |
| Remove foreign body from eye (65205) |
$459.20 |
$656 |
3.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$3,623.20 |
$5,176 |
1.5× |
Remove Intrauterine Device (58301)
range across 3 matching MRF lines |
$13,611–$19,691.18 |
$289–$28,130.26 |
varies |
| Remove intrvas foreign body (37197) |
$21,052.11 |
$30,074.45 |
5.7× |
| Remove Lower Leg Bone Lesion (27635) |
$15,908.89 |
$22,726.98 |
4.2× |
Remove lung catheter (32552)
range across 2 matching MRF lines |
$1,397.20–$1,406.30 |
$1,996–$2,009 |
varies |
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines |
$79.10 |
$113–$635 |
0.5× |
| Remove palate/lesion (42120) |
$4,374.30 |
$6,249 |
0.6× |
| Remove part lumbar vertebra (22102) |
$28,392.17 |
$40,560.24 |
3.4× |
| Remove Peritoneal Foreign Body (49402) |
$19,642.10 |
$28,060.14 |
4.7× |
| Remove prostate regrowth (52630) |
$25,293.24 |
$36,133.20 |
4.1× |
| Remove Pulse Generator (33241) |
$92,809.52 |
$132,585.03 |
21.4× |
| Remove renal tube w/fluoro (50389) |
$24,131.43 |
$34,473.47 |
29.8× |
| Remove Shoulder Foreign Body (23330) |
$2,009 |
$2,870 |
1.0× |
| Remove spine eltrd plate (63662) |
$28,848.69 |
$41,212.42 |
7.1× |
| Remove spine fixation device (22850) |
$62,711.98 |
$89,588.54 |
7.4× |
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines |
$8,015.03–$8,191.18 |
$11,450.04–$11,701.68 |
varies |
| Remove thyroid lesion (60200) |
$33,761.92 |
$48,231.32 |
4.8× |
| Remove tissue expander (11971) |
$27,948.53 |
$39,926.47 |
8.3× |
| Remove ureter stent percut (50384) |
$3,623.20 |
$5,176 |
1.5× |
| Remove vc lesion w/scope (31545) |
$15,603.49 |
$22,290.70 |
3.6× |
| Remove&replace pm gen singl (33227) |
$21,162.01 |
$30,231.44 |
2.2× |
| Remove/Insert Drug Implant (11983) |
$2,647.33 |
$3,781.90 |
5.1× |
| Remv&replc cvd gen dual lead (33263) |
$79,987.67 |
$114,268.10 |
3.1× |
| Remv&replc cvd gen mult lead (33264) |
$90,306.40 |
$129,009.15 |
2.5× |
| Remv&replc cvd gen sing lead (33262) |
$75,730.97 |
$108,187.10 |
2.9× |
| Remv&replc pm gen dual lead (33228) |
$26,507.04 |
$37,867.20 |
2.2× |
| Remv&replc pm gen mult leads (33229) |
$52,806.29 |
$75,437.56 |
2.4× |
| Renal Biopsy Perq (50200) |
$9,026.97 |
$12,895.67 |
4.7× |
| Reopen fallopian tube (58350) |
$33,269.96 |
$47,528.52 |
5.7× |
| Repair Achilles Tendon (27650) |
$27,865.24 |
$39,807.48 |
3.3× |
| Repair arm/leg nerve (64857) |
$27,891.82 |
$39,845.46 |
7.0× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$35,066.78 |
$50,095.40 |
9.6× |
| Repair blood vessel direct neck (35201) |
$11,231.50 |
$16,045 |
1.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,669.30 |
$8,099 |
1.5× |
| Repair blood vessel lesion (35190) |
$9,774.10 |
$13,963 |
1.5× |
| Repair blood vessel lesion (35236) |
$9,774.10 |
$13,963 |
1.5× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$44,500.28 |
$63,571.83 |
5.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$156.10 |
$223 |
0.3× |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
$1,041.60 |
$1,234–$1,488 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,332.80 |
$1,904 |
2.8× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines |
$12,326.05–$24,200.67 |
$1,110–$34,572.39 |
varies |
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines |
$16,947.39–$18,131.05 |
$1,157–$25,901.50 |
varies |
| Repair Detached Retina (67101) |
$19,323.89 |
$27,605.56 |
7.2× |
| Repair detached retina (67105) |
$9,170.16 |
$13,100.23 |
14.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$16,496.21 |
$23,566.02 |
8.8× |
| Repair Eyelid Wound (67935) |
$4,156.60 |
$5,938 |
1.5× |
| Repair Finger Tendon (26433) |
$16,064.15 |
$22,948.79 |
4.2× |
| Repair Finger/Hand Tendon (26350) |
$27,891.82 |
$39,845.46 |
7.3× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$21,042.32 |
$30,060.46 |
5.5× |
| Repair Foot Dislocation (28615) |
$43,667.29 |
$62,381.84 |
5.2× |
| Repair Forearm Tendon Sheath (25275) |
$20,845.36 |
$29,779.09 |
5.5× |
| Repair Hallux Rigidus (28289) |
$15,828.02 |
$22,611.46 |
4.2× |
| Repair Hand Joint (26540) |
$19,969.13 |
$28,527.33 |
5.3× |
| Repair Hand Tendon (26410) |
$29,219.55 |
$41,742.21 |
15.6× |
| Repair incomplete circumcision (54163) |
$16,446.65 |
$23,495.22 |
6.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$19,901.55 |
$28,430.79 |
4.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$36,751.77 |
$52,502.53 |
8.8× |
| Repair initial femoral hernia, any age; reducible (49550) |
$41,472.58 |
$59,246.54 |
10.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$49,344.48 |
$70,492.12 |
11.9× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines |
$1,502.63 |
$686–$2,146.62 |
3.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$977.20 |
$1,396 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,363.60 |
$1,948 |
2.9× |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines |
$926.10 |
$639–$1,323 |
2.0× |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines |
$1,341.20–$10,931.63 |
$753–$15,616.62 |
varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$20,076.24 |
$28,680.35 |
42.5× |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines |
$1,009.91–$8,659.71 |
$631–$12,371.02 |
varies |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines |
$1,038.53–$13,077.56 |
$801–$18,682.23 |
varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,004.50 |
$1,435 |
2.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$11,059.78 |
$15,799.68 |
4.6× |
| Repair intrinsic muscles hand each muscle (26591) |
$38,929.05 |
$55,612.93 |
10.2× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$4,374.30 |
$6,249 |
0.6× |
| Repair Lead Pace-Defib One (33218) |
$106,075.47 |
$151,536.38 |
24.4× |
| Repair lumbar hernia (49540) |
$27,681.52 |
$39,545.03 |
3.9× |
| Repair nasal septal perforations (30630) |
$18,436.77 |
$26,338.24 |
4.8× |
| Repair Nasal Vestibular Stenosis (30465) |
$22,226.95 |
$31,752.78 |
3.2× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$61,633.94 |
$88,048.48 |
4.1× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$27,832.28 |
$39,760.40 |
3.3× |
| Repair of biceps tendon (24340) |
$77,271.73 |
$110,388.18 |
9.2× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$47,148.27 |
$67,354.67 |
8.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$27,832.28 |
$39,760.40 |
3.3× |
| Repair of hydrocele (55060) |
$26,481.36 |
$37,830.51 |
6.5× |
| Repair of knee ligaments (27409) |
$100,915.34 |
$144,164.77 |
12.0× |
| Repair of metatarsals (28322) |
$26,619.70 |
$38,028.14 |
3.2× |
| Repair of nail bed (11760) |
$21,162.32 |
$30,231.88 |
24.7× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$79,157.95 |
$113,082.79 |
9.4× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$65,636.89 |
$93,766.98 |
7.8× |
| Repair of rectum (45505) |
$13,014.54 |
$18,592.20 |
4.0× |
| Repair of Ruptured Tendon (24342) |
$25,340.08 |
$36,200.11 |
3.0× |
| Repair of traumatic corporeal tear(s) (54437) |
$17,912.47 |
$25,589.24 |
4.4× |
| Repair of urethra injury (53502) |
$6,200.60 |
$8,858 |
1.5× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$34,731.08 |
$49,615.83 |
8.4× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$15,820.76 |
$22,601.08 |
3.8× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$23,335.61 |
$33,336.59 |
3.1× |
| Repair retinal detach cplx (67113) |
$18,386.31 |
$26,266.16 |
3.0× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$22,950.23 |
$32,786.05 |
4.8× |
| Repair Rotator Cuff Chronic (23412) |
$44,967.51 |
$64,239.30 |
5.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$24,624.09 |
$35,177.27 |
2.9× |
| Repair shoulder capsule (23462) |
$61,511.98 |
$87,874.26 |
7.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$26,304.26 |
$37,577.52 |
6.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$46,463.47 |
$66,376.38 |
5.5× |
| Repair Toe Dislocation (28645) |
$14,659.36 |
$20,941.95 |
3.9× |
| Repair tongue laceration (41250) |
$709.10 |
$1,013 |
1.4× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$63,123.05 |
$90,175.79 |
7.5× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$75,231.76 |
$107,473.94 |
8.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$33,680.34 |
$48,114.77 |
4.0× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$29,142.06 |
$41,631.51 |
7.7× |
| Repair/graft achilles tendon (27652) |
$45,787.99 |
$65,411.41 |
5.4× |
| Repair/Graft Wrist Bone (25440) |
$32,558.79 |
$46,512.56 |
3.9× |
| Repair/Revise Wrist Joint (25320) |
$35,217.19 |
$50,310.27 |
4.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,574.45 |
$3,677.78 |
2.4× |
| Replace eye fluid (67025) |
$14,733.23 |
$21,047.47 |
5.5× |
| Replace G-J Tube Perc (49452) |
$2,436.87 |
$3,481.24 |
2.3× |
| Replace g/c tube perc (49450) |
$2,325.18 |
$3,321.69 |
2.2× |
| Replace/Revise Brain Shunt (62230) |
$45,062.77 |
$64,375.39 |
4.4× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$40,172.53 |
$57,389.33 |
4.8× |
| Replantation digit complete (20822) |
$3,763.20 |
$5,376 |
2.0× |
| Reposition L Ventric Lead (33226) |
$27,468.30 |
$39,240.43 |
7.5× |
| Reposition Pacing-Defib Lead (33215) |
$16,004.40 |
$22,863.43 |
4.4× |
| Reposition Venous Catheter (36597) |
$3,050.60 |
$4,358 |
1.7× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$23,277.34 |
$33,253.35 |
8.7× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$6,133.40 |
$8,762 |
1.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$34,140.89 |
$48,772.70 |
9.0× |
| Rerepair ing hernia reduce (49520) |
$22,715.12 |
$32,450.17 |
5.5× |
| Resection of scrotum (55150) |
$10,895.02 |
$15,564.32 |
2.7× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$15,552.41 |
$22,217.73 |
4.1× |
| Resection/transplantation long tendon biceps (23440) |
$61,713.80 |
$88,162.57 |
7.3× |
| Retrobulbar injection (67500) |
$3,700.13 |
$5,285.90 |
10.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$23,973 |
$34,247.15 |
5.9× |
| Revis reconst shoulder joint (23473) |
$40,611.93 |
$58,017.04 |
2.7× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$73,005.90 |
$104,294.14 |
4.9× |
| Revise lower leg tendon (27690) |
$67,502.04 |
$96,431.49 |
8.0× |
| Revise Lower Leg Tendons (27686) |
$87,136.41 |
$124,480.58 |
22.9× |
| Revise ulnar nerve at wrist (64719) |
$16,744.85 |
$23,921.21 |
7.4× |
| Revise Wrist/Forearm Tendon (25280) |
$19,454.99 |
$27,792.84 |
5.1× |
| Revise/Implant Finger Joint (26536) |
$30,718.55 |
$43,883.65 |
3.6× |
| Revise/remove neuroelectrode (61880) |
$49,500.14 |
$70,714.48 |
12.2× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) |
$6,133.40 |
$8,762 |
1.5× |
| Revise/Repair Finger/Toe Nerve (64702) |
$14,066.95 |
$20,095.64 |
6.2× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$28,714.69 |
$41,020.99 |
7.6× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$45,810.41 |
$65,443.45 |
2.2× |
| Revision of big toe (28310) |
$66,624.88 |
$95,178.40 |
7.9× |
| Revision of reconstructed breast (19380) |
$19,403.50 |
$27,719.29 |
2.5× |
| Revision of toe (28312) |
$28,207.48 |
$40,296.40 |
7.4× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$46,399.74 |
$66,285.34 |
3.1× |
| Revision Peri-Implant Capsule Breast (19370) |
$40,172.53 |
$57,389.33 |
8.8× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$9,774.10 |
$13,963 |
1.5× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
$66,925.96 |
$95,608.52 |
9.7× |
| Revj Shunt Extraocular Reservoir W/O Graft (66184) |
$5,896.10 |
$8,423 |
2.2× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$71,271.72 |
$101,816.74 |
4.8× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$101,168.11 |
$144,525.87 |
5.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$50,620.32 |
$72,314.75 |
3.4× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$10,166.10 |
$14,523 |
1.5× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$28,848.69 |
$41,212.42 |
7.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$20,029.74 |
$28,613.92 |
4.9× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$58,169.94 |
$83,099.92 |
8.8× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$34,189.20 |
$48,841.71 |
5.2× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$57,598.68 |
$82,283.83 |
2.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$58,169.94 |
$83,099.92 |
4.3× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$50,583.20 |
$72,261.71 |
3.8× |
| Rhinoplasty primary w/major septal repair (30420) |
$38,290.22 |
$54,700.32 |
5.6× |
| Rhinoplasty Secondary Major Revision (30450) |
$42,029.57 |
$60,042.25 |
6.1× |
| Rhinoplasty Secondary Minor Revision (30430) |
$33,662.78 |
$48,089.68 |
4.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$5,971.80 |
$8,531.14 |
2.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,031.70 |
$4,331 |
1.7× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$6,386.79 |
$9,123.98 |
3.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$171.50 |
$245 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$544.60 |
$778 |
3.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$448.70 |
$641 |
0.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$17,355.55 |
$24,793.64 |
5.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$5,054 |
$7,220 |
1.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,684.20 |
$2,406 |
0.9× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$9,815.87 |
$14,022.67 |
3.7× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$18,317.38 |
$26,167.68 |
6.8× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$30,075.80 |
$42,965.43 |
11.2× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$117,615.80 |
$168,022.57 |
27.1× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$6,133.40 |
$8,762 |
1.5× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$6,133.40 |
$8,762 |
1.5× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$92,690.51 |
$132,415.02 |
40.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$11,848.20 |
$16,926 |
3.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$872.90 |
$1,247 |
0.2× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines |
$4,723.95–$4,865.70 |
$1,160–$6,951 |
varies |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines |
$1,397.20–$2,044.70 |
$670–$2,921 |
varies |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$15,768.10 |
$22,525.86 |
5.9× |
| Rmvl/revj sling stress incontinence (57287) |
$20,214.21 |
$28,877.44 |
5.4× |
| Rplc Gtube No Revj Trc (43762) |
$942.20 |
$1,346 |
3.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$18,524.75 |
$26,463.93 |
5.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,671.20 |
$3,816 |
1.5× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$5,669.30 |
$8,099 |
1.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,849 |
$4,070 |
1.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$9,382.17 |
$13,403.10 |
2.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$9,257.52 |
$13,225.03 |
2.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$32,469.16 |
$46,384.52 |
4.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$20,024.53 |
$28,606.47 |
4.8× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$48,007.74 |
$68,582.48 |
6.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$32,147.60 |
$45,925.15 |
4.3× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$27,954.90 |
$39,935.57 |
4.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$16,626.95 |
$23,752.78 |
4.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$29,948.46 |
$42,783.51 |
4.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$24,060.37 |
$34,371.96 |
3.4× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$9,709 |
$13,870 |
1.5× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$75,231.76 |
$107,473.94 |
19.8× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$11,559.10 |
$16,513 |
1.4× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$61,620.86 |
$88,029.80 |
7.3× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$18,207.24 |
$26,010.34 |
2.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,512 |
$2,160 |
0.8× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$8,681.92 |
$12,402.75 |
1.3× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$44,722.43 |
$63,889.18 |
5.3× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
$18,397.85 |
$26,282.65 |
6.9× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$15,240.54 |
$21,772.20 |
3.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$62,781.85 |
$89,688.36 |
16.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$15,732.86 |
$22,475.51 |
4.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,265.50 |
$4,665 |
0.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,397.20 |
$1,996 |
1.9× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$5,757.50 |
$8,225 |
1.5× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$29,983.93 |
$42,834.18 |
3.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$23,695.33 |
$33,850.47 |
6.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$19,961.02 |
$28,515.74 |
5.3× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$22,071.83 |
$31,531.19 |
5.8× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$27,344.92 |
$39,064.17 |
7.2× |
| Sclerotx Fluid Collection (49185) |
$5,832.40 |
$8,332 |
3.0× |
| Scrotal exploration (55110) |
$22,449.15 |
$32,070.21 |
5.5× |
| Scrotoplasty Simple (55175) |
$11,108.25 |
$15,868.93 |
2.7× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$54,024.88 |
$77,178.40 |
7.9× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$17,752.93 |
$25,361.33 |
4.6× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$11,560.02 |
$16,514.32 |
4.3× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$12,312.33 |
$17,589.04 |
4.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$7,140.20 |
$10,200.29 |
6.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,635.29 |
$3,764.70 |
1.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$330.40 |
$472 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$541.80 |
$774 |
2.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$368.20 |
$526 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$464.10 |
$663 |
2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$518.70 |
$741 |
2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$452.60 |
$646.57 |
1.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$445.28 |
$636.12 |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$35,747.82 |
$51,068.31 |
9.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$485.80 |
$694 |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$338.80 |
$484 |
0.7× |
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines |
$512.40 |
$312–$732 |
2.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$793.10 |
$1,133 |
1.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$664.38 |
$949.12 |
2.9× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$19,439.92 |
$27,771.32 |
5.0× |
| Sigmoidoscopy & decompress (45337) |
$709.52 |
$1,013.60 |
0.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$5,110.60 |
$7,300.86 |
3.7× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$4,527.56 |
$6,467.94 |
3.3× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$4,751.98 |
$6,788.55 |
3.4× |
| Sigmoidoscopy w/plcmt stent (45347) |
$8,873 |
$12,675.71 |
1.3× |
| Sigmoidoscopy W/Resection (45349) |
$5,349.76 |
$7,642.52 |
1.7× |
| Sigmoidoscopy W/Ultrasound (45341) |
$2,586.22 |
$3,694.60 |
2.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,772.07 |
$3,960.10 |
2.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$3,560.92 |
$5,087.03 |
2.6× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$194.60 |
$278–$286 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$212.10 |
$303 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$173.60 |
$248 |
0.7× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$195.30 |
$269–$279 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$175 |
$250 |
0.8× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$4,374.30 |
$6,249 |
0.6× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$20,807.27 |
$29,724.67 |
3.0× |
| Skin Pedicle Flap Trunk (15570) |
$85,182.43 |
$121,689.18 |
35.6× |
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines |
$6,710.20–$6,835.71 |
$2,140–$9,765.30 |
varies |
| Skin sub graft trnk/arm/leg (15271) |
$8,339.10 |
$11,913 |
9.7× |
| Skin Tissue Procedure (17999) |
$3,592.76 |
$5,132.51 |
15.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$10,601.50 |
$15,145 |
1.6× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$7,507.50 |
$10,725 |
2.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$26,095.61 |
$37,279.44 |
4.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$19,654.75 |
$28,078.22 |
3.4× |
| Slitting of prepuce (54001) |
$14,862.57 |
$21,232.24 |
6.1× |
| Small bowel endoscopy (44384) |
$1,923.60 |
$2,748 |
0.9× |
| Small bowel endoscopy (44366) |
$4,061.40 |
$5,802 |
1.8× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,250.90 |
$1,787 |
0.6× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
$218.40 |
$290–$312 |
0.9× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$22,667.04 |
$32,381.49 |
7.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$6,641.89 |
$9,488.41 |
2.1× |
| Spinal puncture lumbar diagnostic (62270) |
$49,419.99 |
$70,599.98 |
60.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$17,720.39 |
$25,314.84 |
4.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$77,347.67 |
$110,496.67 |
32.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$21,357.92 |
$30,511.32 |
5.8× |
| Strapping elbow or wrist (29260) |
$495.60 |
$708 |
7.2× |
| Strapping hand/finger (29280) |
$495.60 |
$708 |
7.2× |
| Strapping Hip (29520) |
$281.40 |
$402 |
1.8× |
| Strapping knee (29530) |
$417.20 |
$596 |
2.7× |
| Strapping shoulder (29240) |
$472.50 |
$675 |
3.1× |
| Strapping toes (29550) |
$221.20 |
$316 |
3.2× |
| Strapping Unna Boot (29580) |
$217 |
$310 |
1.1× |
| Subconjunctival injection (68200) |
$13,139.42 |
$18,770.60 |
25.3× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$1,252.30 |
$1,789 |
2.4× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$17,060.68 |
$24,372.40 |
4.4× |
| Suprahyoid lymphadenectomy (38700) |
$30,677.09 |
$43,824.41 |
4.0× |
| Surg Implnt Neuroelect,Epidural (63655) |
$88,151.58 |
$125,930.83 |
3.9× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$13,433.08 |
$19,190.12 |
2.0× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$19,899.52 |
$28,427.88 |
2.9× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$6,922.47 |
$9,889.24 |
2.1× |
| Surg tx anal fistula subq (46270) |
$8,662.12 |
$12,374.46 |
2.7× |
| Surgery to stop leg growth (27477) |
$62,886.08 |
$89,837.26 |
7.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$9,188.37 |
$13,126.24 |
2.9× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$20,244.36 |
$28,920.51 |
8.9× |
| Suture infrapatellar tendon primary (27380) |
$25,252.84 |
$36,075.48 |
3.0× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$30,229.07 |
$43,184.38 |
11.3× |
| Suture of facial nerve; extracranial Facility (64864) |
$53,283.91 |
$76,119.87 |
5.2× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$43,625.75 |
$62,322.50 |
5.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$31,984.60 |
$45,692.28 |
3.8× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$26,952.72 |
$38,503.89 |
3.2× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$28,400.66 |
$40,572.37 |
7.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$24,657.63 |
$35,225.19 |
13.2× |
| Tangential biopsy skin single lesion (11102) |
$472.93 |
$675.62 |
1.0× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$45,671.50 |
$65,245 |
1.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$61,573.09 |
$87,961.56 |
2.8× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$5,669.30 |
$8,099 |
1.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$35,382.40 |
$50,546.28 |
9.3× |
| Tenodesis long tendon biceps (23430) |
$60,874.48 |
$86,963.55 |
7.2× |
| Tenodesis proximal interphalangeal joint each (26471) |
$21,115.27 |
$30,164.67 |
5.6× |
| Tenolysis extensor foot single tendon (28225) |
$21,522.26 |
$30,746.09 |
5.7× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$9,585.30 |
$13,693.29 |
5.1× |
| Tenotomy Hip Abd/Ext Open (27006) |
$42,932.25 |
$61,331.79 |
11.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,139.90 |
$3,057 |
1.1× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$9,753.84 |
$13,934.06 |
2.6× |
| Therapeutic plasma exchange (36514) |
$18,498.06 |
$26,425.80 |
10.2× |
| Thoracoscopy w/bx nodule (32608) |
$27,125.61 |
$38,750.87 |
2.2× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$21,397.75 |
$30,568.22 |
1.7× |
| Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) |
$28,887.46 |
$41,267.80 |
2.3× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$60,183.70 |
$85,976.72 |
9.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$50,751.92 |
$72,502.74 |
2.4× |
| Thromblytic art/ven therapy (37213) |
$5,669.30 |
$8,099 |
1.5× |
| Thrombolytic Art Therapy (37211) |
$9,412.20 |
$13,446 |
1.5× |
| Thrombolytic Therapy Stroke (37195) |
$602.70 |
$861 |
1.6× |
| Thrombolytic Venous Therapy (37212) |
$5,365.50 |
$7,665 |
1.5× |
Thyroid biopsy (60100)
range across 2 matching MRF lines |
$2,829.99–$3,013.19 |
$4,042.85–$4,304.56 |
varies |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$31,428.61 |
$44,898.02 |
4.6× |
| Thyroidectomy, total or complete (60240) |
$47,554.87 |
$67,935.53 |
6.8× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$72,899.32 |
$104,141.89 |
10.6× |
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines |
$13,584.03 |
$2,013–$19,405.76 |
5.7× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$63,777.36 |
$91,110.52 |
4.0× |
| Tlh uterus over 250 g (58572) |
$35,648.61 |
$50,926.59 |
2.9× |
| Tnot elbow lateral/medial debride open (24358) |
$15,342.89 |
$21,918.42 |
4.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$35,024.64 |
$50,035.20 |
9.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$13,110.42 |
$18,729.17 |
3.4× |
| Total Knee Arthroplasty (27447) |
$56,023.35 |
$80,033.36 |
3.8× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$40,687.03 |
$58,124.33 |
5.8× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$17,324.45 |
$24,749.22 |
2.8× |
| Trabeculoplasty by laser surgery (65855) |
$440.30 |
$629 |
0.7× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$22,383.48 |
$31,976.40 |
6.0× |
Tracheostomy Fenestration W/Skin Flaps (31610)
likely a partial charge, not the full procedure |
$1,311.80 |
$1,874 |
0.2× |
| Tracheostomy planned (31600) |
$2,054.50 |
$2,935 |
0.5× |
| Transcatheter biopsy (37200) |
$24,975.37 |
$35,679.10 |
3.9× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$29,837.53 |
$42,625.04 |
7.9× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$33,889.96 |
$48,414.23 |
5.4× |
| Transplant hand tendon (26480) |
$16,764.77 |
$23,949.67 |
4.4× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$16,384.90 |
$23,407 |
1.5× |
| Transur electr resection of prostate (52601) |
$25,710.97 |
$36,729.96 |
4.1× |
| Transurethral resection bladder neck (52500) |
$12,152.66 |
$17,360.95 |
3.0× |
| Treat Big Toe Fracture (28505) |
$14,148.14 |
$20,211.63 |
3.7× |
| Treat Dental Ridge Fracture (21440) |
$3,032.40 |
$4,332 |
0.8× |
| Treat dislocation/fracture (23670) |
$47,564.05 |
$67,948.65 |
5.6× |
| Treat dislocation/fracture (23680) |
$56,785.55 |
$81,122.22 |
3.8× |
| Treat ectopic pregnancy (59151) |
$25,455.04 |
$36,364.34 |
3.6× |
| Treat elbow fracture (24586) |
$66,083.41 |
$94,404.87 |
4.4× |
| Treat Finger Fracture Each (26727) |
$16,703.41 |
$23,862.01 |
4.4× |
| Treat fracture radius/ulna (25575) |
$32,539.78 |
$46,485.40 |
3.9× |
| Treat Fx Rad Extra-Articul (25607) |
$29,219.55 |
$41,742.21 |
3.5× |
| Treat Humerus Fracture (24505) |
$2,345 |
$3,350 |
1.3× |
| Treat humerus fracture (23600) |
$245 |
$350 |
0.9× |
| Treat knee fracture (27532) |
$2,005.50 |
$2,865 |
0.5× |
| Treat kneecap dislocation (27566) |
$76,355.15 |
$109,078.79 |
9.1× |
| Treat Kneecap Fracture (27524) |
$33,680.34 |
$48,114.77 |
4.0× |
| Treat lower jaw fracture (21452) |
$6,253.10 |
$8,933 |
0.9× |
| Treat metacarpal fracture (26607) |
$5,757.50 |
$8,225 |
1.5× |
| Treat Metatarsal Fracture (28475) |
$44,058.12 |
$62,940.17 |
153.8× |
| Treat scapula fracture (23585) |
$84,088.95 |
$120,127.07 |
10.0× |
| Treat Thumb Fracture (26645) |
$1,874.60 |
$2,678 |
1.0× |
| Treat thumb fracture (26665) |
$33,979.89 |
$48,542.70 |
8.9× |
| Treat vagina infection (57150) |
$74.20 |
$106 |
1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$29,536.47 |
$42,194.96 |
15.8× |
| Treatment extensive retinopathy photocoagulation (67228) |
$13,139.42 |
$18,770.60 |
20.6× |
| Treatment mouth roof lesion (42160) |
$1,604.40 |
$2,292 |
0.4× |
| Treatment of ankle fracture (27823) |
$48,676.17 |
$69,537.39 |
5.8× |
| Treatment of penis lesion (54115) |
$11,197.79 |
$15,996.85 |
3.3× |
Trim skin lesion (11055)
range across 3 matching MRF lines |
$279.38–$765.80 |
$180.12–$1,094 |
varies |
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines |
$279.38 |
$187.12–$399.12 |
1.2× |
| Trim skin lesions over 4 (11057) |
$284.20 |
$406 |
1.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$158.90 |
$227 |
2.3× |
| Trluml Balo Angiop 1St Art (37246) |
$49,272.80 |
$70,389.71 |
7.5× |
| Trluml Balo Angiop 1St Vein (37248) |
$23,667.75 |
$33,811.07 |
3.6× |
| Trurl rescj postop bladder neck contracture (52640) |
$18,872.98 |
$26,961.40 |
4.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$7,625.04 |
$10,892.91 |
2.4× |
| Tx Gastro Intub W/Asp (43753) |
$388.50 |
$555 |
1.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$11,178.61 |
$15,969.45 |
3.0× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$39,369.59 |
$56,242.27 |
4.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$10,933.07 |
$15,618.67 |
2.9× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$21,783.73 |
$31,119.61 |
5.8× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$15,129.45 |
$21,613.50 |
8.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,858.80 |
$4,084 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$8,042.89 |
$11,489.85 |
9.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,858.80 |
$4,084 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$356.30 |
$509 |
1.2× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$58,822.58 |
$84,032.26 |
3.9× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$13,397.13 |
$19,138.76 |
7.4× |
| Tympanolysis transcanal (69450) |
$5,481.52 |
$7,830.74 |
1.4× |
| Tympanoplasty (69631) |
$27,021.71 |
$38,602.45 |
3.9× |
| Tympanostomy general anesthesia (69436) |
$5,659.57 |
$8,085.10 |
3.1× |
| Unlisted Cardiac Surgery (33999) |
$55,586.82 |
$79,409.74 |
76.3× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$18,644.25 |
$26,634.64 |
79.4× |
| Unlisted laparoscopic procedure liver (47379) |
$33,400.56 |
$47,715.08 |
4.8× |
| Unlisted laparoscopy procedure appendix (44979) |
$34,972.57 |
$49,960.81 |
5.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$52,844.71 |
$75,492.44 |
7.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$47,730.49 |
$68,186.42 |
6.8× |
| Unlisted laparoscopy procedure, bladder (51999) |
$86,037.87 |
$122,911.25 |
12.3× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$34,731.08 |
$49,615.83 |
4.9× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$33,198.16 |
$47,425.94 |
4.7× |
| Unlisted laparoscopy procedure, uterus (58578) |
$19,498.25 |
$27,854.64 |
2.8× |
| Unlisted Procedure Accessory Sinuses (31299) |
$62,218.55 |
$88,883.65 |
226.2× |
| Unlisted procedure anus (46999) |
$5,966.07 |
$8,522.96 |
5.5× |
| Unlisted procedure arthroscopy (29999) |
$16,955.58 |
$24,222.26 |
59.2× |
| Unlisted procedure breast (19499) |
$5,528.60 |
$7,898 |
1.2× |
| Unlisted Procedure Endocrine System (60699) |
$69,534.82 |
$99,335.46 |
9.9× |
| Unlisted Procedure External Ear (69399) |
$543.20 |
$776 |
2.0× |
| Unlisted procedure femur or knee (27599) |
$43,072.93 |
$61,532.76 |
150.4× |
| Unlisted procedure foot or toes (28899) |
$16,244.07 |
$23,205.81 |
56.7× |
| Unlisted Procedure Leg/Ankle (27899) |
$36,301.29 |
$51,858.99 |
126.7× |
| Unlisted Procedure Male Genital System (55899) |
$23,832.61 |
$34,046.58 |
82.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$43,396.24 |
$61,994.63 |
151.5× |
| Unlisted procedure nervous system (64999) |
$2,730.10 |
$3,900.15 |
7.7× |
| Unlisted procedure pelvis/hip joint (27299) |
$40,519.69 |
$57,885.27 |
141.5× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$19,097.25 |
$27,281.78 |
69.4× |
| Unlisted procedure shoulder (23929) |
$47,564.05 |
$67,948.65 |
166.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$15,692.96 |
$22,418.52 |
21.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$8,358.85 |
$11,941.21 |
7.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$12,109.24 |
$17,298.91 |
51.6× |
| Upgrade of pacemaker system (33214) |
$33,526.18 |
$47,894.55 |
2.8× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$13,380.68 |
$19,115.26 |
3.3× |
| Urinary Reflex Study (51792) |
$46.90 |
$67 |
0.7× |
| Urine Flow Measurement (51736) |
$609 |
$870 |
3.9× |
| Uvulectomy excision of uvula (42140) |
$7,149.76 |
$10,213.95 |
1.9× |
| Vag hyst incl t/o complex (58291) |
$57,062.14 |
$81,517.34 |
9.8× |
| Vag hyst w/t/o & vag repair (58263) |
$33,353.26 |
$47,647.52 |
5.7× |
| Vaginal delivery only (59409) |
$5,560.80 |
$7,944 |
1.5× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$56,027.73 |
$80,039.62 |
9.6× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$44,747.42 |
$63,924.89 |
5.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$49,850.97 |
$71,215.67 |
8.6× |
| Vasc embolize/occlude artery (37242) |
$55,374.45 |
$79,106.36 |
2.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$19,566.40 |
$27,952 |
1.5× |
| Vasc Embolize/Occlude Organ (37243) |
$36,699.26 |
$52,427.51 |
2.7× |
| Vasc embolize/occlude venous (37241) |
$29,193.25 |
$41,704.65 |
2.2× |
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines |
$1,726.20–$10,533.98 |
$2,155–$15,048.54 |
varies |
| Vein Access Cutdown < 1 Yr (36420) |
$597.10 |
$853 |
3.9× |
| Venous Cutdown >1 Y/O (36425) |
$590.80 |
$844 |
1.1× |
| Venous Mech Thrombectomy (37187) |
$11,585.70 |
$16,551 |
0.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,608.78 |
$6,583.97 |
1.2× |
| Vit for membrane dissect (67043) |
$13,925.46 |
$19,893.51 |
2.9× |
| Vitrectomy mechanical pars plana (67036) |
$9,983.32 |
$14,261.88 |
2.1× |
| Vitrectomy pars plana remove int memb retina (67042) |
$12,227.61 |
$17,468.01 |
2.5× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$12,288.17 |
$17,554.53 |
2.6× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$10,460.68 |
$14,943.83 |
2.2× |
| Vulvectomy simple partial (56620) |
$20,219.18 |
$28,884.54 |
5.4× |
| Vulvectomy simple; complete (56625) |
$18,136.81 |
$25,909.73 |
4.8× |
| Vulvectomy, radical, partial; Facility (56630) |
$33,712.97 |
$48,161.39 |
5.8× |
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines |
$14,267.30 |
$1,049–$20,381.86 |
30.2× |
| Wound Prep Trk/Arm/Leg (15002) |
$12,067.82 |
$17,239.75 |
14.1× |
| Xfer Single Deep Low Leg Tendon (27691) |
$50,610.66 |
$72,300.94 |
6.0× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$4,374.30 |
$6,249 |
0.6× |
| Xtroral I&D Floor Masticator Space (41018) |
$2,712.50 |
$3,875 |
1.5× |