| Abd paracentesis (49082) |
$2,076.55 |
$2,443 |
2.2× |
| Abd paracentesis w/imaging (49083) |
$2,619.70 |
$3,082 |
2.7× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$14,118.50 |
$16,610 |
0.8× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$14,939.60 |
$17,576 |
2.3× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$1,917.60 |
$2,256 |
0.5× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$4,477.38 |
$5,267.50 |
1.3× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$23,704.80 |
$27,888 |
10.9× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$6,041.24 |
$7,107.34 |
2.8× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$15,168.25 |
$17,845 |
7.0× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$19,789.28 |
$23,281.50 |
9.1× |
| Amniocentesis diagnostic (59000) |
$1,436.50 |
$1,690 |
1.5× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$9,956.05 |
$11,713 |
2.9× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$5,393.25 |
$6,345 |
1.6× |
| Amputation of finger/thumb (26952) |
$4,980.15 |
$5,859 |
1.4× |
| Amputation of toe (28820) |
$5,632.95 |
$6,627 |
1.6× |
| Amputation toe interphalangeal joint (28825) |
$5,271.49 |
$6,201.75 |
1.5× |
| Anoscopy diagnostic (46600) |
$203.15 |
$239 |
1.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$6,772.80 |
$7,968 |
1.3× |
Anterior tibial tubercleplasty (27418)
unusually low — confirm this is the full procedure |
$3,793.13 |
$4,462.50 |
0.5× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$4,675.85 |
$5,501 |
6.0× |
| Application finger splint static (29130) |
$221.42 |
$260.50 |
1.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$530.40 |
$624 |
3.1× |
| Application of short arm splint (forearm to hand); static (29125) |
$383.35 |
$451 |
2.7× |
| Application of short leg splint (calf to foot) (29515) |
$383.35 |
$451 |
2.2× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$459.85 |
$541 |
2.7× |
| Apply hand/wrist cast (29085) |
$530.40 |
$624 |
3.1× |
| Apply long arm splint (29105) |
$383.35 |
$451 |
2.2× |
| Arthrd ant interbody min dsc crv below c2 (22554) |
$8,625.12 |
$10,147.20 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,339.48 |
$1,575.85 |
4.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,153.05 |
$2,533 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$673.62 |
$792.50 |
2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$628.15 |
$739 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,036.49 |
$1,219.40 |
3.2× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$680 |
$800 |
2.1× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure |
$7,829.35 |
$9,211 |
0.3× |
| Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551) |
$8,385.53 |
$9,865.33 |
0.6× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low — confirm this is the full procedure |
$10,396.35 |
$12,231 |
0.4× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$6,112.35 |
$7,191 |
0.8× |
Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755)
unusually low — confirm this is the full procedure |
$2,728.50 |
$3,210 |
0.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$6,725.62 |
$7,912.50 |
0.9× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$3,595.50 |
$4,230 |
1.0× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age… (26862) |
$3,535.58 |
$4,159.50 |
1.0× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age Under 21 (28735)
likely a partial charge — not the full procedure |
$1,767.79 |
$2,079.75 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740)
unusually low — confirm this is the full procedure |
$3,091.88 |
$3,637.50 |
0.4× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$15,658.70 |
$18,422 |
0.8× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825) |
$5,833.12 |
$6,862.50 |
0.8× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810)
unusually low — confirm this is the full procedure |
$4,111.88 |
$4,837.50 |
0.3× |
Arthrodesis; subtalar (28725)
unusually low — confirm this is the full procedure |
$4,887.50 |
$5,750 |
0.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$15,530.35 |
$18,271 |
0.8× |
| Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21 (26536) |
$7,970.02 |
$9,376.50 |
1.0× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446) |
$12,153.94 |
$14,298.75 |
0.9× |
| Arthroplasty, patella; with prosthesis Age Under 21 (27438) |
$11,388.30 |
$13,398 |
0.8× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$5,163.75 |
$6,075 |
0.7× |
| Arthroscopy, elbow, surgical; synovectomy, partial Age Under 21 (29835) |
$4,370.28 |
$5,141.50 |
1.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) |
$4,099.55 |
$4,823 |
1.2× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$8,160.42 |
$9,600.50 |
1.1× |
| Arthroscopy, hip, surgical; with synovectomy Age Under 21 (29863) |
$3,828.83 |
$4,504.50 |
1.1× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$4,561.52 |
$5,366.50 |
1.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$4,054.50 |
$4,770 |
1.2× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$2,846.44 |
$3,348.75 |
10.9× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$3,786.75 |
$4,455 |
1.1× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$2,678.24 |
$3,150.88 |
0.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$4,234.70 |
$4,982 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$4,080 |
$4,800 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$3,270.38 |
$3,847.50 |
0.9× |
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
unusually low — confirm this is the full procedure |
$3,417 |
$4,020 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$3,105.52 |
$3,653.54 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$3,196 |
$3,760 |
0.9× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$1,954.15 |
$2,299 |
0.6× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
unusually low — confirm this is the full procedure |
$3,497.32 |
$4,114.50 |
0.5× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$2,185.14 |
$2,570.75 |
0.6× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$1,859.94 |
$2,188.17 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
unusually low — confirm this is the full procedure |
$3,364.58 |
$3,958.33 |
0.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$6,381.38 |
$7,507.50 |
1.8× |
| Arthroscopy, wrist, surgical; synovectomy, complete Age Under 21 (29845) |
$3,867.50 |
$4,550 |
1.1× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403)
unusually low — confirm this is the full procedure |
$3,014.68 |
$3,546.68 |
0.4× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$4,641 |
$5,460 |
1.3× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$12,244.25 |
$14,405 |
3.5× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$33,433.90 |
$39,334 |
2.5× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,741.25 |
$3,225 |
1.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$3,056.18 |
$3,595.50 |
1.8× |
| Aspirate pleura w/o imaging (32554) |
$1,887 |
$2,220 |
2.9× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,488.35 |
$1,751 |
2.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$7,675.50 |
$9,030 |
3.5× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$547.40 |
$644 |
0.6× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$2,879.80 |
$3,388 |
13.6× |
| Biopsy bone trocar/needle deep (20225) |
$4,459.10 |
$5,246 |
2.6× |
| Biopsy liver needle percutaneous (47000) |
$1,656.65 |
$1,949 |
1.0× |
| Biopsy lymph node (38505) |
$2,879.80 |
$3,388 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$3,190.90 |
$3,754 |
1.8× |
| Biopsy of eyelid (67810) |
$4,934.25 |
$5,805 |
14.7× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,619.46 |
$1,905.25 |
1.3× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$2,164.52 |
$2,546.50 |
2.2× |
| Biopsy of penis; (separate procedure) (54100) |
$6,213.50 |
$7,310 |
3.6× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$1,240.15 |
$1,459 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$25,261.15 |
$29,719 |
6.1× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$8,902.08 |
$10,473.04 |
2.2× |
| Biopsy pleura percutaneous needle (32400) |
$3,190.90 |
$3,754 |
1.8× |
| Biopsy thyroid percutaneous core needle (60100) |
$741.62 |
$872.50 |
1.0× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$3,361.75 |
$3,955 |
1.9× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$2,765.05 |
$3,253 |
1.6× |
| Biopsy/removal lymph nodes (38510) |
$12,381.53 |
$14,566.50 |
3.0× |
| Bladder irrigation (51700) |
$601.38 |
$707.50 |
2.3× |
| Bladder pressure measurement during filling (51726) |
$623.90 |
$734 |
2.4× |
| Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE (15822) |
$21,865.82 |
$25,724.50 |
10.0× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$1,143.25 |
$1,345 |
3.4× |
| Breast augmentation with implant Age Under 21 (19325) |
$6,628.18 |
$7,797.85 |
0.8× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$10,234 |
$12,040 |
2.5× |
| Breast Reduction|BILATERAL PROCEDURE (19318) |
$50,161.05 |
$59,013 |
7.2× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$6,878.63 |
$8,092.50 |
1.7× |
| Bronchoscopy w biopsy (31625) |
$5,392.68 |
$6,344.33 |
2.9× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$5,107.22 |
$6,008.50 |
2.7× |
| Bronchoscopy/lung bx each (31628) |
$4,859.16 |
$5,716.66 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$1,780.75 |
$2,095 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$3,033.65 |
$3,569 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$1,615 |
$1,900 |
0.9× |
| Bx pancreas ndl perc (48102) |
$1,780.75 |
$2,095 |
1.0× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$5,386.66 |
$6,337.25 |
20.4× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$11,170.28 |
$13,141.50 |
52.4× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$2,358.75 |
$2,775 |
9.1× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$2,996.25 |
$3,525 |
0.9× |
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320)
unusually low — confirm this is the full procedure |
$2,825.83 |
$3,324.50 |
0.4× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
unusually low — confirm this is the full procedure |
$3,653.94 |
$4,298.75 |
0.5× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) |
$2,725.32 |
$3,206.25 |
1.6× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$2,007.17 |
$2,361.38 |
0.6× |
| Care of miscarriage (59820) |
$7,675.50 |
$9,030 |
2.2× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$5,737.50 |
$6,750 |
1.7× |
| Cast short arm (29075) |
$397.80 |
$468 |
1.3× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$8,326.60 |
$9,796 |
2.5× |
| Change Cystostomy Tube Simple (51705) |
$623.90 |
$734 |
2.4× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$1,662.60 |
$1,956 |
2.3× |
| Change of windpipe airway (31502) |
$2,281.40 |
$2,684 |
9.1× |
| Chemical cauterization of granulation tissue (17250) |
$487.48 |
$573.50 |
2.3× |
| Chest tube placement (32551) |
$1,281.80 |
$1,508 |
0.8× |
| Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350) |
$10,674.52 |
$12,558.25 |
2.0× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$7,264.10 |
$8,546 |
3.3× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$3,830.52 |
$4,506.50 |
14.7× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$849.15 |
$999 |
3.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$793.90 |
$934 |
3.1× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) |
$4,020.50 |
$4,730 |
2.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$849.15 |
$999 |
3.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$806.65 |
$949 |
3.1× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$644.30 |
$758 |
2.5× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$4,552.60 |
$5,356 |
2.7× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$793.90 |
$934 |
3.1× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$564.40 |
$664 |
2.2× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$595 |
$700 |
2.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$2,295 |
$2,700 |
8.8× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$806.65 |
$949 |
3.1× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$4,358.80 |
$5,128 |
2.6× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$608.60 |
$716 |
2.3× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$849.15 |
$999 |
3.3× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$644.30 |
$758 |
2.5× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$3,635.45 |
$4,277 |
2.1× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$5,171.40 |
$6,084 |
3.0× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$723.35 |
$851 |
2.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$631.55 |
$743 |
2.4× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$544 |
$640 |
2.1× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$592.45 |
$697 |
2.3× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$4,109.75 |
$4,835 |
2.4× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$544 |
$640 |
2.1× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$4,994.60 |
$5,876 |
2.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$644.30 |
$758 |
2.5× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$723.35 |
$851 |
2.8× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$778.60 |
$916 |
3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$880.60 |
$1,036 |
3.4× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,871.70 |
$2,202 |
1.1× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$701.25 |
$825 |
2.7× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$14,212 |
$16,720 |
2.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$608.60 |
$716 |
2.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$608.60 |
$716 |
2.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$586.92 |
$690.50 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$4,404.70 |
$5,182 |
2.6× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,570.80 |
$1,848 |
0.9× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$806.65 |
$949 |
3.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$788.80 |
$928 |
3.0× |
| Closure of abnormal drainage tract from bladder to vagina through vagina (57320) |
$31,324.20 |
$36,852 |
5.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$753.95 |
$887 |
3.0× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,701.70 |
$2,002 |
3.0× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$3,933.80 |
$4,628 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,065.50 |
$2,430 |
1.2× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$733.55 |
$863 |
2.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$2,596.32 |
$3,054.50 |
10.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$709.75 |
$835 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,768.02 |
$3,256.50 |
1.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$608.60 |
$716 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$849.15 |
$999 |
3.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$544 |
$640 |
2.1× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$595 |
$700 |
2.3× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$794.75 |
$935 |
3.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$818.55 |
$963 |
3.1× |
| Cltx post ankle fx (27767) |
$701.25 |
$825 |
2.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$646 |
$760 |
0.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$4,346.05 |
$5,113 |
2.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$778.60 |
$916 |
3.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,678.32 |
$1,974.50 |
1.0× |
| Collect blood from catheter venous nos (36592) |
$129.20 |
$152 |
0.9× |
| Collect blood from implant venous access device (36591) |
$127.50 |
$150 |
0.9× |
| Colonoscopy flexible with decompression (45393) |
$2,872.98 |
$3,379.98 |
2.3× |
| Colonoscopy thru stoma spx (44388) |
$1,959.68 |
$2,305.50 |
2.0× |
| Colonoscopy w/ablation (45388) |
$1,551.89 |
$1,825.75 |
1.2× |
| Colonoscopy w/control bleed (45382) |
$1,243.55 |
$1,463 |
1.0× |
| Colonoscopy w/resection (45390) |
$1,631.15 |
$1,919 |
0.6× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$3,059.15 |
$3,599 |
2.4× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$1,272.24 |
$1,496.75 |
1.0× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$14,943 |
$17,580 |
4.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,039.98 |
$1,223.50 |
0.8× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260) |
$15,238.80 |
$17,928 |
2.9× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265) |
$23,916.45 |
$28,137 |
4.5× |
| Complex cystometrogram voiding pressure studies (51728) |
$1,662.60 |
$1,956 |
2.3× |
| Complex uroflowmetry (51741) |
$458.15 |
$539 |
2.0× |
| Conization of cervix (57520) |
$7,675.50 |
$9,030 |
2.2× |
| Contrast injection perq radiologic eval gi tube (49465) |
$1,239.30 |
$1,458 |
4.9× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$1,045.50 |
$1,230 |
4.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$351.48 |
$413.50 |
2.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$264.35 |
$311 |
1.9× |
| Control throat bleeding (42960) |
$6,849.30 |
$8,058 |
12.0× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$3,190.90 |
$3,754 |
1.8× |
| Correction of bunion (28292) |
$3,187.50 |
$3,750 |
0.9× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
unusually low — confirm this is the full procedure |
$5,100 |
$6,000 |
0.4× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
unusually low — confirm this is the full procedure |
$3,219.38 |
$3,787.50 |
0.4× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$2,352.06 |
$2,767.12 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$317.90 |
$374 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$582.25 |
$685 |
2.3× |
| Curettage postpartum (59160) |
$8,662.35 |
$10,191 |
2.5× |
| Cysto/uretero w/lithotripsy (52356) |
$14,693.95 |
$17,287 |
2.6× |
| Cystoscopy and treatment (52310) |
$6,985.09 |
$8,217.75 |
3.2× |
| Cystoscopy removal of clots (52001) |
$5,603.63 |
$6,592.50 |
1.5× |
| Cystoscopy w/biopsy(s) (52204) |
$7,936.03 |
$9,336.50 |
3.6× |
| Cystourethroscopy (52000) |
$1,914.20 |
$2,252 |
2.6× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$7,720.55 |
$9,083 |
1.4× |
| Cystourethroscopy with direct vision internal urethrotomy Age Under 21 (52276) |
$8,830.23 |
$10,388.50 |
4.0× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$166.60 |
$196 |
0.0× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$5,139.95 |
$6,047 |
2.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$14,307.20 |
$16,832 |
2.5× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$8,718.45 |
$10,257 |
2.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$10,506.85 |
$12,361 |
2.8× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) |
$5,603.63 |
$6,592.50 |
1.5× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$7,038.85 |
$8,281 |
1.9× |
| Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon… (52284) |
$12,526.45 |
$14,737 |
2.2× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$9,836.20 |
$11,572 |
4.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) |
$5,067.13 |
$5,961.33 |
1.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354) |
$8,830.23 |
$10,388.50 |
1.6× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353) |
$8,047.80 |
$9,468 |
1.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$10,953.95 |
$12,887 |
2.9× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Age Under 21 (52301) |
$8,797.50 |
$10,350 |
2.4× |
| Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Age Under 21 (52300) |
$6,772.80 |
$7,968 |
1.8× |
| Deb skin bone at fx site (11012) |
$2,935.90 |
$3,454 |
1.0× |
| Debride skin at fx site (11010) |
$2,026.40 |
$2,384 |
2.7× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$1,926.95 |
$2,267 |
4.5× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$146.20 |
$172 |
2.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$5,106.80 |
$6,008 |
11.9× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$4,417.02 |
$5,196.50 |
2.5× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$6,224.12 |
$7,322.50 |
8.0× |
| Declot vascular device (36593) |
$917.15 |
$1,079 |
2.6× |
| Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age Under 21 (15630) |
$13,889 |
$16,340 |
6.4× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$7,191 |
$8,460 |
3.3× |
| Delivery of placenta (59414) |
$3,539.40 |
$4,164 |
1.0× |
| Destruction benign lesions up to 14 (17110) |
$487.48 |
$573.50 |
2.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,948.20 |
$2,292 |
2.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,902.35 |
$4,591 |
1.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$14,071.75 |
$16,555 |
32.8× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$5,117 |
$6,020 |
1.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$3,681.35 |
$4,331 |
1.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$487.48 |
$573.50 |
2.3× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
$4,602.75 |
$5,415 |
2.1× |
| Diagnostic bone marrow aspirations (38220) |
$4,127.60 |
$4,856 |
2.4× |
| Diagnostic bone marrow biopsies (38221) |
$2,093.55 |
$2,463 |
1.2× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$7,419.65 |
$8,729 |
2.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,907.40 |
$2,244 |
2.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,959.68 |
$2,305.50 |
2.0× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$10,730.40 |
$12,624 |
3.1× |
| Dilation of cervical canal (57800) |
$15,134.25 |
$17,805 |
4.4× |
| Dilation of female urethra, general or conduction (spinal) anesthesia Age Under 21 (53665) |
$1,592.05 |
$1,873 |
0.7× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$623.90 |
$734 |
2.4× |
| Drain shoulder lesion (23030) |
$7,858.25 |
$9,245 |
2.6× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$1,452.65 |
$1,709 |
1.9× |
| Drainage finger abscess simple (26010) |
$676.60 |
$796 |
3.2× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$2,119.05 |
$2,493 |
2.8× |
| Drainage of hydrocele (55000) |
$1,711.90 |
$2,014 |
2.3× |
| Drainage of scrotal wall abscess (55100) |
$3,272.50 |
$3,850 |
1.9× |
| Drainage of scrotum (54700) |
$8,573.10 |
$10,086 |
3.9× |
| Drainage of tonsil abscess (42700) |
$753.95 |
$887 |
3.0× |
| Dry needling (20999) |
$3,056.18 |
$3,595.50 |
11.7× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,894.65 |
$2,229 |
0.9× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,948.20 |
$2,292 |
0.9× |
| Dx bronchoscope/lavage (31624) |
$6,878.63 |
$8,092.50 |
3.7× |
| Dx laryngoscopy excl nb (31525) |
$4,073.62 |
$4,792.50 |
2.2× |
| Ed proc insert intraosseous IV (36680) |
$364.65 |
$429 |
0.8× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$379.52 |
$446.50 |
2.8× |
| Ed proc remve fb nasal- hospital (30300) |
$203.15 |
$239 |
1.4× |
| Ed prof arthrocentesis sm - hospital (20551) |
$1,497.42 |
$1,761.67 |
4.6× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$319.60 |
$376 |
2.3× |
| Ed prof burn - large - hospital (16030) |
$1,019.15 |
$1,199 |
2.4× |
| Ed prof burn medium - hospital (16025) |
$549.52 |
$646.50 |
2.6× |
| Ed prof burn small - hospital (16020) |
$432.65 |
$509 |
2.0× |
| Ed prof catheterization/straight (51701) |
$310.68 |
$365.50 |
2.2× |
| Ed prof closed tx post hip arthroplasty (27265) |
$849.15 |
$999 |
3.3× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$4,721.75 |
$5,555 |
2.8× |
| Ed prof drain dental abscess-hospital (41800) |
$427.12 |
$502.50 |
3.0× |
| Ed prof insert foley cath simple (51702) |
$333.20 |
$392 |
2.4× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,513.45 |
$2,957 |
0.8× |
| Ed prof insertion of heart electr (33210) |
$24,922.85 |
$29,321 |
2.9× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$4,162.66 |
$4,897.25 |
9.7× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$3,077.85 |
$3,621 |
7.2× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$544 |
$640 |
2.1× |
| Egd endo mucosal resection (43254) |
$1,257.15 |
$1,479 |
0.6× |
Egd endoscopic stent place (43266)
likely a partial charge — not the full procedure |
$1,878.50 |
$2,210 |
0.3× |
| Egd lesion ablation (43270) |
$1,878.50 |
$2,210 |
0.9× |
| Egd percutaneous placement gastrostomy tube (43246) |
$6,030.75 |
$7,095 |
3.0× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,561.02 |
$1,836.50 |
0.8× |
| Egd transoral control bleeding any method (43255) |
$1,981.78 |
$2,331.50 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$2,376.33 |
$2,795.68 |
1.2× |
| Egd us transmural injxn/mark (43253) |
$3,771.45 |
$4,437 |
1.9× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$379.52 |
$446.50 |
2.8× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$5,388.58 |
$6,339.50 |
1.4× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$4,900.54 |
$5,765.34 |
1.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$5,450.20 |
$6,412 |
1.3× |
| Endoscopic us exam esoph (43237) |
$5,454.40 |
$6,416.94 |
2.7× |
| Endoscopy upper small intestine (44360) |
$3,114.40 |
$3,664 |
1.5× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$14,233.68 |
$16,745.50 |
2.4× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$9,004.90 |
$10,594 |
2.7× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$8,681.48 |
$10,213.50 |
2.6× |
| Endovenous rf 1st vein (36475) |
$8,681.48 |
$10,213.50 |
2.6× |
| Epididymectomy; unilateral Age Under 21 (54860) |
$13,158 |
$15,480 |
3.5× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,677.90 |
$1,974 |
2.3× |
| Ercp duct stent placement (43274) |
$6,133.12 |
$7,215.44 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$8,701.77 |
$10,237.38 |
2.1× |
| Ercp lithotripsy calculi (43265) |
$3,564.48 |
$4,193.50 |
0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$6,133.12 |
$7,215.44 |
1.5× |
| Ercp remove forgn body duct (43275) |
$5,450.20 |
$6,412 |
2.7× |
| Ercp stent exchange w/dilate (43276) |
$3,564.48 |
$4,193.50 |
0.6× |
| Esoph egd dilation <30 mm (43249) |
$1,545.30 |
$1,818 |
0.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,413.48 |
$1,662.92 |
1.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,577.39 |
$1,855.75 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,727.84 |
$2,032.75 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,787.34 |
$2,102.75 |
1.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,559.96 |
$1,835.25 |
1.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$3,771.45 |
$4,437 |
1.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$4,286.98 |
$5,043.50 |
2.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,042.53 |
$1,226.50 |
0.5× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$2,487.10 |
$2,926 |
1.2× |
| Esophagoscopy lesion ablate (43229) |
$8,702.30 |
$10,238 |
2.1× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,042.53 |
$1,226.50 |
0.5× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$4,064.70 |
$4,782 |
2.0× |
| Evac subungual hematoma (11740) |
$118.15 |
$139 |
0.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$3,790.16 |
$4,459 |
2.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,751.24 |
$3,236.75 |
1.6× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$4,771.05 |
$5,613 |
2.2× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$4,656.30 |
$5,478 |
6.2× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$4,329.48 |
$5,093.50 |
2.5× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$1,439.90 |
$1,694 |
1.9× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$4,303.55 |
$5,063 |
2.5× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$10,416.75 |
$12,255 |
5.1× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$3,830.52 |
$4,506.50 |
5.1× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$1,609.05 |
$1,893 |
2.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,929.13 |
$4,622.50 |
2.3× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$4,386 |
$5,160 |
1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,850.90 |
$3,354 |
1.6× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,187.50 |
$3,750 |
1.0× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$8,772 |
$10,320 |
5.0× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,592.05 |
$1,873 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,592.05 |
$1,873 |
0.9× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$8,783.48 |
$10,333.50 |
2.9× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$5,913.02 |
$6,956.50 |
1.9× |
| Excision bone mandible (21025) |
$35,636.25 |
$41,925 |
5.7× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$2,125.85 |
$2,501 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$4,525.19 |
$5,323.75 |
6.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$6,561.15 |
$7,719 |
8.8× |
| Excision multiple external papillae/tags anus (46230) |
$5,482.50 |
$6,450 |
1.9× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$13,066.62 |
$15,372.50 |
3.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$3,033.22 |
$3,568.50 |
1.8× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$2,005.58 |
$2,359.50 |
1.2× |
| Excision of local lesion of epididymis Age Under 21 (54830) |
$12,965.90 |
$15,254 |
3.5× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$1,157.06 |
$1,361.25 |
0.6× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$2,938.16 |
$3,456.66 |
1.4× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415) |
$38,520.30 |
$45,318 |
6.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$13,706.25 |
$16,125 |
4.5× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$11,640.75 |
$13,695 |
5.3× |
| Excision of sublingual gland (42450) |
$10,618.63 |
$12,492.50 |
1.7× |
| Excision of submandibular (submaxillary) gland Age Under 21 (42440) |
$10,618.63 |
$12,492.50 |
1.7× |
| Excision of tendon, palm, flexor or extensor, single, each tendon Age Under 21 (26170) |
$1,234.20 |
$1,452 |
0.7× |
| Excision of vaginal cyst or tumor (57135) |
$8,889.30 |
$10,458 |
2.6× |
| Excision of vaginal septum (57130) |
$12,064.05 |
$14,193 |
3.5× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age Under 21 (55530) |
$20,424.22 |
$24,028.50 |
5.5× |
| Excision olecranon bursa (24105) |
$8,868.90 |
$10,434 |
2.6× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$4,303.55 |
$5,063 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$3,086.14 |
$3,630.75 |
0.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$7,516.98 |
$8,843.50 |
2.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Age Under 21 (27638) |
$7,310 |
$8,600 |
1.0× |
| Excision tendon finger flexor/extensor each (26180) |
$3,473.95 |
$4,087 |
2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,618.02 |
$4,256.50 |
2.1× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$2,414 |
$2,840 |
1.4× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$6,761.75 |
$7,955 |
2.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$6,396.25 |
$7,525 |
3.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,592.05 |
$1,873 |
0.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,060 |
$3,600 |
1.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$6,639.91 |
$7,811.66 |
3.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$5,391.13 |
$6,342.50 |
12.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$5,395.66 |
$6,347.84 |
3.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$4,313.96 |
$5,075.25 |
2.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$19,260.15 |
$22,659 |
6.3× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$4,853.93 |
$5,710.50 |
2.9× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$5,573.45 |
$6,557 |
3.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$4,229.46 |
$4,975.83 |
5.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$7,401.38 |
$8,707.50 |
4.2× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$13,158 |
$15,480 |
4.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$3,366.42 |
$3,960.50 |
1.9× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$6,761.75 |
$7,955 |
3.9× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$9,320.25 |
$10,965 |
3.0× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,592.05 |
$1,873 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,592.05 |
$1,873 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$1,592.05 |
$1,873 |
0.9× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) |
$1,592.05 |
$1,873 |
0.5× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$3,805.45 |
$4,477 |
1.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$4,151.40 |
$4,884 |
2.4× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$10,234 |
$12,040 |
3.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,128.40 |
$2,504 |
1.2× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$11,885.55 |
$13,983 |
3.4× |
| Fascia lata graft; by incision and area exposure, complex or sheet Age Under 21 (20922) |
$2,676.65 |
$3,149 |
1.2× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$1,954.15 |
$2,299 |
0.6× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$1,503.65 |
$1,769 |
0.4× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$4,339.04 |
$5,104.75 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,313.25 |
$1,545 |
1.8× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$982.60 |
$1,156 |
2.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,498.55 |
$1,763 |
2.0× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$6,140.40 |
$7,224 |
1.8× |
| Fluid pressure muscle (20950) |
$2,079.95 |
$2,447 |
2.8× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21 (15731) |
$13,889 |
$16,340 |
3.7× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,502.68 |
$2,944.33 |
1.1× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$2,576.78 |
$3,031.50 |
0.7× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Age Under 21 (41520) |
$2,558.50 |
$3,010 |
0.7× |
| Frenulotomy of penis (54164) |
$3,963.98 |
$4,663.50 |
1.8× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$23,704.80 |
$27,888 |
10.9× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$19,789.28 |
$23,281.50 |
9.1× |
| Ganglion impar nerve block (64999) |
$817.70 |
$962 |
2.5× |
| Gastric lavage (43753) |
$306.85 |
$361 |
1.3× |
| Gastrocnemius recession (27687) |
$7,430.70 |
$8,742 |
2.2× |
| Gene analysis of human immunodeficiency virus targeted sequence analysis for resistance to antiviral drugs (0219U) |
$1,883.60 |
$2,216 |
2.6× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235) |
$13,889 |
$16,340 |
2.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$19,429.47 |
$22,858.20 |
5.2× |
| Guide cathet fluid drainage (10030) |
$1,398.25 |
$1,645 |
1.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,310.85 |
$8,601 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$6,944.50 |
$8,170 |
2.4× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$5,665.25 |
$6,665 |
1.9× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$9,685.75 |
$11,395 |
3.3× |
| Hymenotomy, simple incision Age Under 21 (56442) |
$8,954.75 |
$10,535 |
2.6× |
| Hysteroscopy biopsy (58558) |
$6,674.62 |
$7,852.50 |
2.0× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$6,035.85 |
$7,101 |
1.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$11,177.50 |
$13,150 |
3.3× |
| Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561) |
$5,924.08 |
$6,969.50 |
1.1× |
| I&d abscess simple/single (10060) |
$6,497.82 |
$7,644.50 |
30.7× |
| I&d hematoma/seroma/fluid (10140) |
$4,765.95 |
$5,607 |
2.7× |
| I&d pilonidal cyst simple (10080) |
$511.28 |
$601.50 |
0.7× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$6,785.13 |
$7,982.50 |
26.1× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,780.75 |
$2,095 |
1.0× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$1,780.75 |
$2,095 |
1.0× |
| Implant subq hormone pellet (11980) |
$969.42 |
$1,140.50 |
2.1× |
Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415)
likely a partial charge — not the full procedure |
$2,663.34 |
$3,133.34 |
0.2× |
| Impression and custom preparation; oral surgical splint Age Under 21 (21085) |
$616.25 |
$725 |
2.5× |
| Incise external hemorrhoid (46083) |
$950.30 |
$1,118 |
3.6× |
| Incise finger tendon sheath (26055) |
$1,525.60 |
$1,794.83 |
0.9× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$511.28 |
$601.50 |
1.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$481.10 |
$566 |
2.3× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,649.85 |
$1,941 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$481.10 |
$566 |
1.5× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$7,147.65 |
$8,409 |
2.3× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$11,696 |
$13,760 |
3.4× |
| Incision and drainage, perianal abscess, superficial (46050) |
$2,394.88 |
$2,817.50 |
2.4× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$4,683.50 |
$5,510 |
2.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$816 |
$960 |
1.9× |
| Incision extensor tendon sheath wrist (25000) |
$2,773.98 |
$3,263.50 |
1.6× |
| Incision into wrist joint with removal of joint lining tissue (25105) |
$8,772 |
$10,320 |
2.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$4,092.75 |
$4,815 |
2.5× |
| Incision of rectal abscess (46040) |
$5,556.88 |
$6,537.50 |
4.4× |
| Incision to repair or release capsule of wrist joint (25085) |
$3,570 |
$4,200 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$1,628.60 |
$1,916 |
2.1× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$702.10 |
$826 |
1.7× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,146.65 |
$1,349 |
3.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$292.40 |
$344 |
1.4× |
| Inj epidural blood or clot patch (62273) |
$1,697.45 |
$1,997 |
2.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$480.46 |
$565.25 |
0.5× |
| Inj paravert f jnt l/s 1 lev (64493) |
$604.14 |
$710.75 |
0.6× |
| Inj tx nerve (64640) |
$1,462.64 |
$1,720.75 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$5,450.20 |
$6,412 |
7.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,639.25 |
$3,105 |
2.8× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$4,762.55 |
$5,603 |
5.1× |
| Injection aa&/strd greater occipital nerve (64405) |
$1,019.15 |
$1,199 |
3.1× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,745.05 |
$2,053 |
2.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,427.58 |
$1,679.50 |
1.5× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,744.20 |
$2,052 |
2.3× |
| Injection aa&/strd pudendal nerve (64430) |
$2,356.20 |
$2,772 |
2.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,871.09 |
$3,377.75 |
3.9× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,818.15 |
$2,139 |
2.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$930.32 |
$1,094.50 |
2.9× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$965.60 |
$1,136 |
1.0× |
| Injection anes superior hypogastric plexus (64517) |
$965.60 |
$1,136 |
1.0× |
| Injection for identification of sentinel node (38792) |
$2,442.26 |
$2,873.25 |
5.8× |
| Injection procedure for Peyronie disease; Age Under 21 (54200) |
$601.38 |
$707.50 |
2.3× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$1,506.20 |
$1,772 |
2.3× |
| Injection sclerosant multiple incmptnt veins (36471) |
$711.45 |
$837 |
1.7× |
| Injection sclerosant single incmptnt vein (36470) |
$744.60 |
$876 |
1.7× |
| Injection therapeutic carpal tunnel (20526) |
$1,281.38 |
$1,507.50 |
4.0× |
| Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) |
$563.55 |
$663 |
1.3× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$2,347.70 |
$2,762 |
2.5× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$6,938.98 |
$8,163.50 |
7.4× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$5,303.15 |
$6,239 |
5.7× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$555.05 |
$653 |
1.7× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$857.22 |
$1,008.50 |
2.6× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$1,049.32 |
$1,234.50 |
3.2× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$3,121.84 |
$3,672.75 |
3.3× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$725.05 |
$853 |
2.2× |
| Ins cath ren art 1st bilat (36252) |
$8,336.80 |
$9,808 |
2.5× |
| Ins cath ren art 1st unilat (36251) |
$9,619.45 |
$11,317 |
2.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$8,647.05 |
$10,173 |
2.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$8,647.05 |
$10,173 |
1.5× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$14,158.45 |
$16,657 |
2.4× |
| Ins vag brachytx device (57156) |
$2,002.60 |
$2,356 |
6.2× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$75,126.40 |
$88,384 |
2.3× |
| Insert cervical dilator (59200) |
$818.55 |
$963 |
2.5× |
| Insert drug implant device (11981) |
$353.60 |
$416 |
2.5× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$2,057.85 |
$2,421 |
0.6× |
| Insert pulse gen mult leads (33221) |
$57,636.80 |
$67,808 |
2.8× |
| Insert uteri tandem/ovoids (57155) |
$15,134.25 |
$17,805 |
2.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,219.90 |
$8,494 |
1.9× |
| Insertion of breast implant on same day of mastectomy (ie, immediate) Age Under 21 (19340) |
$10,522.82 |
$12,379.78 |
1.2× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$69,283.50 |
$81,510 |
3.0× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir (54405) |
$31,959.15 |
$37,599 |
1.5× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$38,008.60 |
$44,716 |
3.4× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$34,171.70 |
$40,202 |
3.1× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$24,138.30 |
$28,398 |
2.8× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$9,093.30 |
$10,698 |
2.4× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$1,591.20 |
$1,872 |
6.9× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$7,192.28 |
$8,461.50 |
2.2× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Age Under 21 (25430) |
$3,601.88 |
$4,237.50 |
1.0× |
| Insertion or replacement of breast implant on separate day from mastectomy Age Under 21 (19342) |
$14,224.64 |
$16,734.88 |
1.6× |
| Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590) |
$14,307.20 |
$16,832 |
0.7× |
| Insertion phrenic nerve stimulator system (33276) |
$92,173.15 |
$108,439 |
2.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,513.45 |
$2,957 |
1.5× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,228.70 |
$2,622 |
3.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$25,886.75 |
$30,455 |
3.0× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$24,138.30 |
$28,398 |
2.8× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$24,138.30 |
$28,398 |
2.8× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$38,008.60 |
$44,716 |
3.4× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$80,557.90 |
$94,774 |
2.4× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
unusually low — confirm this is the full procedure |
$14,204.06 |
$16,710.66 |
0.4× |
| Insrt heart pm atrial & vent (33208) |
$37,332.85 |
$43,921 |
3.4× |
| Insrt pulse gen w/dual leads (33230) |
$66,796.40 |
$78,584 |
2.8× |
| Insrt pulse gen w/mult leads (33231) |
$75,126.40 |
$88,384 |
2.3× |
| Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or… (50391) |
$623.90 |
$734 |
2.4× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$660.45 |
$777 |
2.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$7,973.85 |
$9,381 |
2.3× |
| Intubation endotracheal (31500) |
$661.30 |
$778 |
2.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$882.30 |
$1,038 |
3.3× |
| Knee arthroscopy/surgery (29876) |
$2,436.53 |
$2,866.50 |
0.7× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$12,209.40 |
$14,364 |
1.6× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655)
unusually low — confirm this is the full procedure |
$9,883.80 |
$11,628 |
0.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$10,392.52 |
$12,226.50 |
1.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$18,750.15 |
$22,059 |
2.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$14,171.62 |
$16,672.50 |
1.9× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151) |
$19,900.20 |
$23,412 |
3.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$17,548.68 |
$20,645.50 |
2.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$17,884 |
$21,040 |
2.8× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$18,331.10 |
$21,566 |
2.9× |
| Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659) |
$14,307.20 |
$16,832 |
2.2× |
| Laparoscopy, surgical, with ligation of spermatic veins for varicocele Age Under 21 (55550) |
$20,119.50 |
$23,670 |
3.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570) |
$35,320.90 |
$41,554 |
3.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571) |
$28,837.95 |
$33,927 |
2.6× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573) |
$23,074.10 |
$27,146 |
2.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552) |
$37,556.40 |
$44,184 |
3.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$34,203.15 |
$40,239 |
3.1× |
| Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979) |
$13,573.23 |
$15,968.50 |
2.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$16,095.60 |
$18,936 |
2.5× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Age Under 21 (50947) |
$81,372.20 |
$95,732 |
7.3× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Age Under 21 (50948) |
$35,320.90 |
$41,554 |
3.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571) |
$22,913.88 |
$26,957.50 |
2.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573) |
$28,055.53 |
$33,006.50 |
2.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321) |
$15,983.83 |
$18,804.50 |
2.5× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670) |
$18,778.20 |
$22,092 |
2.9× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$17,045.69 |
$20,053.75 |
2.7× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$18,678.75 |
$21,975 |
2.9× |
| Laparoscopy; w abd lymph node sampling (biopsy), single or multiple, other than retroperitoneal (38589) |
$18,331.10 |
$21,566 |
2.9× |
| Laps Surg Rpr Recurrent Inguinal Hernia (49651) |
$12,295.25 |
$14,465 |
1.9× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$10,460.10 |
$12,306 |
1.6× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$3,289.50 |
$3,870 |
1.8× |
| Laryngoscopy flex diagnostic (31575) |
$985.15 |
$1,159 |
4.7× |
| Laryngoscopy indirect diagnostic (31505) |
$514.25 |
$605 |
2.4× |
| Laryngoscopy w/biopsy (31535) |
$8,254.35 |
$9,711 |
2.1× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$5,714.55 |
$6,723 |
1.5× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$21,684.35 |
$25,511 |
3.8× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
unusually low — confirm this is the full procedure |
$3,456.95 |
$4,067 |
0.5× |
| Ligation or biopsy, temporal artery (37609) |
$11,147.75 |
$13,115 |
6.4× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$15,238.66 |
$17,927.84 |
4.1× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$16,542.70 |
$19,462 |
4.4× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$11,805.65 |
$13,889 |
3.2× |
| Long gi tube placement (44500) |
$1,609.90 |
$1,894 |
1.7× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$19,672.40 |
$23,144 |
75.6× |
| Lumbar puncture (62270) |
$1,985.60 |
$2,336 |
2.7× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$5,139.95 |
$6,047 |
2.3× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$546.76 |
$643.25 |
0.3× |
| Manipulation, elbow, under anesthesia Age Under 21 (24300) |
$2,475.20 |
$2,912 |
1.5× |
| Marsupialization bartholin's gland cyst (56440) |
$6,852.28 |
$8,061.50 |
2.0× |
| Mastectomy partial (19301) |
$17,090.74 |
$20,106.75 |
4.1× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$45,827.75 |
$53,915 |
6.5× |
| Mastopexy (19316) |
$38,450.60 |
$45,236 |
5.5× |
| Mastotomy expl drg absc dp (19020) |
$4,765.95 |
$5,607 |
2.7× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$149.18 |
$175.50 |
2.4× |
| Meatotomy cutting meatus spx except infant (53020) |
$7,521.65 |
$8,849 |
3.4× |
| Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) (39402) |
$24,918.60 |
$29,316 |
3.9× |
| Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Age Under 21 (24301) |
$16,428.80 |
$19,328 |
2.1× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21 (15736) |
$2,333.25 |
$2,745 |
1.1× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$3,327.75 |
$3,915 |
4.0× |
| Myringoplasty (69620) |
$9,100.95 |
$10,707 |
2.6× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$5,593 |
$6,580 |
0.8× |
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255)
unusually low — confirm this is the full procedure |
$2,436.95 |
$2,867 |
0.3× |
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21 (31257)
likely a partial charge — not the full procedure |
$1,707.86 |
$2,009.25 |
0.2× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge — not the full procedure |
$1,546.06 |
$1,818.90 |
0.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$1,558.05 |
$1,833 |
0.4× |
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267)
likely a partial charge — not the full procedure |
$1,767.79 |
$2,079.75 |
0.2× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21 (31288) |
$5,593 |
$6,580 |
0.8× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$5,033.70 |
$5,922 |
2.7× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21 (31240) |
$2,277.15 |
$2,679 |
1.2× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$16,304.70 |
$19,182 |
8.7× |
Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253)
likely a partial charge — not the full procedure |
$2,137.32 |
$2,514.50 |
0.3× |
Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259)
likely a partial charge — not the full procedure |
$1,558.05 |
$1,833 |
0.2× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$9,007.45 |
$10,597 |
9.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$41.65 |
$49 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$46.75 |
$55 |
1.5× |
| Neuroeltrd stim post tibial (64566) |
$830.02 |
$976.50 |
2.6× |
| Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative… (0393U) |
$1,099.05 |
$1,293 |
2.0× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$2,936.33 |
$3,454.50 |
1.4× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$4,148 |
$4,880 |
2.0× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$3,805.73 |
$4,477.33 |
1.8× |
| Nfct ds DNA untrgt ngnrj seq (0152U) |
$2,244 |
$2,640 |
1.1× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$549.95 |
$647 |
0.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$965.60 |
$1,136 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$552.50 |
$650 |
0.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,269.48 |
$1,493.50 |
1.7× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$5,212.20 |
$6,132 |
2.4× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$5,025.20 |
$5,912 |
2.3× |
| Non stress test (59025) |
$458.15 |
$539 |
2.1× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$9,769.90 |
$11,494 |
2.9× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$5,132.52 |
$6,038.25 |
1.2× |
| Open treatment bimalleolar ankle fracture (27814) |
$4,048.12 |
$4,762.50 |
0.5× |
| Open Treatment Distal Fracture (25608) |
$4,715.38 |
$5,547.50 |
0.6× |
| Open treatment fracture distal tibia only (27827) |
$11,985 |
$14,100 |
0.9× |
Open treatment medial malleolus fracture (27766)
unusually low — confirm this is the full procedure |
$3,214.06 |
$3,781.25 |
0.4× |
| Open treatment metatarsal fracture each (28485) |
$11,475 |
$13,500 |
1.5× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
unusually low — confirm this is the full procedure |
$3,779.10 |
$4,446 |
0.5× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$6,343.12 |
$7,462.50 |
1.8× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$3,272.50 |
$3,850 |
0.9× |
| Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628) |
$8,415 |
$9,900 |
1.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$8,733.75 |
$10,275 |
1.1× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$3,936.56 |
$4,631.25 |
0.5× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$10,582.50 |
$12,450 |
3.1× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575) |
$8,415 |
$9,900 |
0.6× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) |
$12,280.80 |
$14,448 |
0.9× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Age Under 21 (21335) |
$3,475.65 |
$4,089 |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Age Under 21 (21390) |
$13,770 |
$16,200 |
2.2× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$20,364.86 |
$23,958.66 |
1.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) |
$9,243.75 |
$10,875 |
1.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure |
$3,474.38 |
$4,087.50 |
0.3× |
| Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585) |
$4,845 |
$5,700 |
0.6× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$14,754.30 |
$17,358 |
1.9× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$5,610 |
$6,600 |
0.7× |
| Open treatment of ulnar shaft fracture (25545) |
$5,673.75 |
$6,675 |
0.7× |
| Open treatment radial shaft fracture (25515) |
$6,854.40 |
$8,064 |
0.9× |
| Open tx distal phalangeal fracture each (26765) |
$3,111 |
$3,660 |
0.9× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$6,757.50 |
$7,950 |
2.0× |
| Open tx metacarpal fracture single ea bone (26615) |
$3,213 |
$3,780 |
0.9× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$8,542.50 |
$10,050 |
2.5× |
| Open tx prox humeral fx (23615) |
$7,990 |
$9,400 |
0.6× |
| Open/perq placement intravascular stent initial (37236) |
$35,556.35 |
$41,831 |
2.9× |
| Open/perq placement intravascular stent same 1st (37238) |
$38,128.88 |
$44,857.50 |
3.1× |
| Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) |
$16,614.52 |
$19,546.50 |
4.4× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$17,486.20 |
$20,572 |
4.7× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$4,309.60 |
$5,070.12 |
1.2× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$3,633.75 |
$4,275 |
1.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$5,355 |
$6,300 |
1.6× |
| Osteoplasty, radius OR ulna; shortening Age Under 21 (25390) |
$3,984.38 |
$4,687.50 |
0.5× |
| Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Age Under 21 (28312) |
$5,992.50 |
$7,050 |
1.7× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21 (28306)
unusually low — confirm this is the full procedure |
$3,657.34 |
$4,302.75 |
0.5× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$4,853.93 |
$5,710.50 |
1.4× |
| Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300) |
$4,590 |
$5,400 |
0.6× |
| Osteotomy; metacarpal, each Age Under 21 (26565) |
$3,315 |
$3,900 |
1.0× |
| Other procedure on fallopian tube or ovary using an endoscope (58679) |
$10,460.10 |
$12,306 |
1.6× |
| Other procedure on uterus using an endoscope (58578) |
$14,943 |
$17,580 |
2.3× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$44,262.90 |
$52,074 |
8.4× |
| Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500) |
$17,884 |
$21,040 |
2.9× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$487.48 |
$573.50 |
2.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$505.75 |
$595 |
2.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$6,232.20 |
$7,332 |
1.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$4,823.96 |
$5,675.25 |
1.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,352.98 |
$3,944.68 |
1.0× |
| Partial removal of kidney using an endoscope|RIGHT SIDE (50543) |
$34,985.58 |
$41,159.50 |
3.1× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$5,848 |
$6,880 |
1.7× |
| Pelvis/hip joint surgery unlisted (27299) |
$9,463.90 |
$11,134 |
36.4× |
| Penile injection (54235) |
$601.38 |
$707.50 |
2.3× |
| Perc rf ablate renal tumor (50592) |
$17,926.50 |
$21,090 |
2.8× |
| Percut ablate liver rf (47382) |
$11,952.70 |
$14,062 |
1.9× |
| Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561) |
$14,307.20 |
$16,832 |
2.1× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Age Under 21 (24582)
unusually low — confirm this is the full procedure |
$3,266.55 |
$3,843 |
0.4× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$6,222 |
$7,320 |
1.8× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$8,376.75 |
$9,855 |
1.1× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$4,614.65 |
$5,429 |
1.3× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$7,756.25 |
$9,125 |
2.3× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$7,160.83 |
$8,424.50 |
1.7× |
| Pericardiocentesis w/img guidance when performed (33016) |
$5,285.30 |
$6,218 |
3.2× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$2,310.30 |
$2,718 |
2.4× |
| Perq dev breast 1st us imag (19285) |
$1,345.84 |
$1,583.34 |
1.8× |
| Perq device breast 1st imag (19281) |
$1,371.05 |
$1,613 |
0.8× |
| Perq drainage pleura insert cath w/imaging (32557) |
$3,484.15 |
$4,099 |
2.1× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$3,485 |
$4,100 |
1.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,513.85 |
$1,781 |
5.7× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$20,792.70 |
$24,462 |
2.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$18,225.70 |
$21,442 |
2.4× |
| Phalangectomy, toe, each toe Age Under 21 (28150) |
$3,633.75 |
$4,275 |
1.1× |
| Placement of internal stabilizing device using an endoscope to treat broken or unstable wrist (29847) |
$4,447.63 |
$5,232.50 |
0.6× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$2,102.05 |
$2,473 |
1.4× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$3,613.35 |
$4,251 |
2.5× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$7,737.55 |
$9,103 |
5.3× |
| Placement of seton (46020) |
$19,113.53 |
$22,486.50 |
6.5× |
| Plastic operation of penis for injury Age Under 21 (54440) |
$27,647.10 |
$32,526 |
7.4× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$8,830.23 |
$10,388.50 |
4.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$166.60 |
$196 |
0.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250) |
$5,150.15 |
$6,059 |
1.0× |
| Pr laparascopic vasectomy during hernia repair (55250) (55559) |
$11,959.93 |
$14,070.50 |
1.9× |
| Preputial stretching (54450) |
$2,230.82 |
$2,624.50 |
8.5× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$11,929.75 |
$14,035 |
0.6× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$15,011 |
$17,660 |
2.2× |
| Prq impltj nstim electrode array epidural (63650) |
$8,599.45 |
$10,117 |
1.3× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$9,353.40 |
$11,004 |
2.8× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$15,518.45 |
$18,257 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$583.10 |
$686 |
1.4× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$1,139.85 |
$1,341 |
2.7× |
| Puncture aspiration of cyst of breast (19000) |
$929.90 |
$1,094 |
1.2× |
| Pvb thoracic single injection site w/img gid (64461) |
$2,150.50 |
$2,530 |
2.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,370.25 |
$3,965 |
2.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$7,929.22 |
$9,328.50 |
2.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,682.20 |
$4,332 |
1.8× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$4,105.50 |
$4,830 |
1.2× |
| Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238) |
$4,823.96 |
$5,675.25 |
0.6× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$4,743 |
$5,580 |
0.6× |
| Reconstruction, toe(s); polydactyly Age Under 21 (28344) |
$7,790.25 |
$9,165 |
2.3× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$272 |
$320 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$7,968.75 |
$9,375 |
1.0× |
| Release i-p jt contracture (26525) |
$3,295.88 |
$3,877.50 |
1.9× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$3,949.52 |
$4,646.50 |
1.1× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure |
$2,293.30 |
$2,698 |
0.3× |
| Relocate skin pocket implantable defibrillator (33223) |
$5,050.70 |
$5,942 |
2.3× |
| Relocation of skin pocket for pacemaker (33222) |
$4,869.22 |
$5,728.50 |
2.2× |
| Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Age Under 21 (21029) |
$8,677.65 |
$10,209 |
2.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$2,287.35 |
$2,691 |
3.1× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Age Under 21 (54115) |
$7,419.65 |
$8,729 |
2.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$239.70 |
$282 |
3.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$178.50 |
$210 |
2.9× |
| Removal implant deep (20680) |
$9,302.68 |
$10,944.34 |
3.0× |
| Removal implant from finger/hand (26320) |
$7,968.75 |
$9,375 |
4.6× |
| Removal implant superficial (20670) |
$3,954.20 |
$4,652 |
2.3× |
| Removal implantable defib pulse generator only (33241) |
$10,205.95 |
$12,007 |
2.6× |
| Removal of appendix using an endoscope (44970) |
$15,939.20 |
$18,752 |
2.5× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$4,234.92 |
$4,982.25 |
1.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$5,556.88 |
$6,537.50 |
4.4× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$12,542.60 |
$14,756 |
3.3× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$12,244.25 |
$14,405 |
3.5× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$4,459.10 |
$5,246 |
2.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$290.70 |
$342 |
2.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$371.45 |
$437 |
0.8× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$920.98 |
$1,083.50 |
0.7× |
| Removal of heel spur (28119) |
$4,569.28 |
$5,375.62 |
1.3× |
| Removal of intact breast implant Age Under 21 (19328) |
$11,640.75 |
$13,695 |
2.8× |
| Removal of iud (58301) |
$1,214.65 |
$1,429 |
3.8× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$10,234 |
$12,040 |
3.5× |
| Removal of nail bed (11750) |
$6,030.75 |
$7,095 |
14.1× |
| Removal of pm generator (33233) |
$24,138.30 |
$28,398 |
2.8× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Age Under 21 (24164) |
$3,940.60 |
$4,636 |
1.1× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$14,321.65 |
$16,849 |
3.5× |
| Removal of salivary stone (42330) |
$8,510.20 |
$10,012 |
2.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$505.75 |
$595 |
2.4× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$13,333.95 |
$15,687 |
4.4× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$10,209.35 |
$12,011 |
2.6× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$10,205.95 |
$12,007 |
2.6× |
| Removal of wrist bone (25210) |
$7,458.75 |
$8,775 |
2.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,100.35 |
$2,471 |
2.8× |
| Removal tunneled cv cath (36590) |
$911.20 |
$1,072 |
0.5× |
| Removal, non-biodegradable drug delivery implant (11982) |
$12,557.34 |
$14,773.34 |
26.6× |
| Remove foreign body from eye (65210) |
$1,057.40 |
$1,244 |
2.2× |
| Remove pharynx foreign body (42809) |
$487.05 |
$573 |
1.0× |
| Remove vaginal foreign body (57415) |
$8,174.88 |
$9,617.50 |
2.4× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$38,008.60 |
$44,716 |
3.4× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$61,803.08 |
$72,709.50 |
3.0× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$23,394.98 |
$27,523.50 |
2.7× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$2,093.55 |
$2,463 |
1.2× |
| Repair achilles tendon (27650) |
$4,654.18 |
$5,475.50 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,156.85 |
$1,361 |
2.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,614.15 |
$1,899 |
3.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,996.65 |
$2,349 |
4.7× |
| Repair elbow deb/attch open (24359) |
$4,697.52 |
$5,526.50 |
1.4× |
| Repair extensor tendon hand w/o graft each (26410) |
$4,358.80 |
$5,128 |
2.6× |
| Repair finger tendon (26418) |
$4,913.85 |
$5,781 |
2.9× |
| Repair finger/hand tendon (26350) |
$3,111 |
$3,660 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$1,038.70 |
$1,222 |
2.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$1,038.70 |
$1,222 |
2.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,001.30 |
$1,178 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,034.88 |
$1,217.50 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,054 |
$1,240 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,209.55 |
$1,423 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,285.20 |
$1,512 |
1.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$1,289.45 |
$1,517 |
3.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$1,038.70 |
$1,222 |
2.4× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,023.40 |
$1,204 |
1.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$7,402.94 |
$8,709.34 |
17.3× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$5,052.40 |
$5,944 |
2.3× |
| Repair lead pace-defib dual (33220) |
$10,205.95 |
$12,007 |
2.6× |
| Repair lead pace-defib one (33218) |
$10,205.95 |
$12,007 |
2.6× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,949.05 |
$2,293 |
3.4× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$1,287.32 |
$1,514.50 |
2.3× |
| Repair lower leg tendons (27676) |
$4,590 |
$5,400 |
0.6× |
| Repair nasal septal perforations Age Under 21 (30630) |
$2,676.65 |
$3,149 |
0.8× |
Repair nasal vestibular stenosis (30465)
unusually low — confirm this is the full procedure |
$2,956.30 |
$3,478 |
0.5× |
| Repair of abnormal anal drainage tract with tissue glue (46706) |
$6,396.25 |
$7,525 |
2.2× |
| Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Age Under 21 (46707) |
$10,051.25 |
$11,825 |
3.4× |
| Repair of component(s) of a multi-component, inflatable penile prosthesis (54408) |
$19,560.63 |
$23,012.50 |
3.5× |
| Repair of digit nerve (64831) |
$4,770.20 |
$5,612 |
2.3× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) |
$2,440.14 |
$2,870.76 |
0.7× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$4,934.25 |
$5,805 |
2.0× |
| Repair of kidney using an endoscope|RIGHT SIDE (50544) |
$14,083.65 |
$16,569 |
1.3× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$1,027.65 |
$1,209 |
2.2× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,949.05 |
$2,293 |
7.8× |
| Repair of leg tendon each (27658) |
$5,313.35 |
$6,251 |
1.5× |
| Repair of nail bed (11760) |
$362.95 |
$427 |
0.5× |
| Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430) |
$10,710 |
$12,600 |
0.8× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) |
$11,730 |
$13,800 |
1.5× |
| Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440) |
$7,538.44 |
$8,868.75 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410) |
$7,990 |
$9,400 |
1.0× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
unusually low — confirm this is the full procedure |
$2,988.26 |
$3,515.60 |
0.4× |
| Repair of shoulder joint capsule and shoulder blade with bone block (23460) |
$4,486.30 |
$5,278 |
0.6× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$3,422.10 |
$4,026 |
1.0× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$4,329.48 |
$5,093.50 |
1.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521) |
$29,814.60 |
$35,076 |
4.4× |
| Repair wrist joints (25447) |
$2,936.33 |
$3,454.50 |
0.9× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$10,666.65 |
$12,549 |
3.1× |
Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664)
unusually low — confirm this is the full procedure |
$3,675.40 |
$4,324 |
0.5× |
| Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659) |
$4,823.96 |
$5,675.25 |
0.6× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322) |
$12,367.50 |
$14,550 |
1.6× |
| Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695) |
$4,251.70 |
$5,002 |
0.6× |
| Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654) |
$4,329.58 |
$5,093.62 |
0.6× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698) |
$5,564.10 |
$6,546 |
0.7× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
unusually low — confirm this is the full procedure |
$3,349.42 |
$3,940.50 |
0.4× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$4,014.98 |
$4,723.50 |
1.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$5,117 |
$6,020 |
5.3× |
| Replacement of tissue expander with permanent implant|BILATERAL PROCEDURE (11970) |
$17,704.52 |
$20,828.85 |
2.3× |
| Reposition l ventric lead (33226) |
$8,303.65 |
$9,769 |
2.5× |
| Reposition venous catheter (36597) |
$5,827.60 |
$6,856 |
3.5× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$10,423.76 |
$12,263.25 |
2.8× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$8,829.80 |
$10,388 |
2.7× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$7,905 |
$9,300 |
2.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,474.38 |
$4,087.50 |
1.0× |
| Reset dislocated jaw (21480) |
$676.18 |
$795.50 |
2.6× |
| Revise ulnar nerve at elbow (64718) |
$2,856.64 |
$3,360.75 |
1.4× |
| Revise ulnar nerve at wrist (64719) |
$3,880.10 |
$4,564.83 |
1.9× |
| Revision mastoidectomy; resulting in complete mastoidectomy Age Under 21 (69601) |
$3,508.80 |
$4,128 |
0.6× |
| Revision of cervix (59320) |
$10,051.25 |
$11,825 |
2.9× |
| Revision of penis (54420) |
$7,799.60 |
$9,176 |
2.1× |
| Revision of penis (54435) |
$15,595.80 |
$18,348 |
4.2× |
| Revision of reconstructed breast (19380) |
$11,288 |
$13,280 |
1.6× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$61,687.90 |
$72,574 |
4.6× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$101,909.90 |
$119,894 |
7.5× |
| Revision of total knee arthroplasty, with or without allograft; 1 component (27486) |
$18,314.10 |
$21,546 |
1.4× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
unusually low — confirm this is the full procedure |
$8,080.67 |
$9,506.67 |
0.4× |
| Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473) |
$35,167.90 |
$41,374 |
2.6× |
| Revision of upper eyelid (15823) |
$19,630.54 |
$23,094.75 |
9.0× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$6,472.96 |
$7,615.25 |
1.8× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$6,930.05 |
$8,153 |
1.9× |
| Revision peri-implant capsule breast (19370) |
$15,362.26 |
$18,073.25 |
3.7× |
| Revsc evasc fpvt angio sf 1 (37263) |
$12,356.45 |
$14,537 |
2.1× |
| Revsc evasc fpvt st cplx 1st (37269) |
$25,063.10 |
$29,486 |
2.1× |
| Revsc evasc ivt angio cplx 1 (37256) |
$12,356.45 |
$14,537 |
2.1× |
| Revsc evasc ivt angio sf 1st (37254) |
$12,356.45 |
$14,537 |
2.1× |
| Revsc evasc ivt st cplx 1st (37260) |
$25,063.10 |
$29,486 |
2.1× |
| Revsc evasc ivt stent sf 1st (37258) |
$25,063.10 |
$29,486 |
2.1× |
| Revsc evasc tpvt st cplx 1st (37286) |
$39,798.70 |
$46,822 |
2.1× |
| Revsc evasc tpvt st sf 1st (37284) |
$39,798.70 |
$46,822 |
2.1× |
| Revsc evsc fpvt angio cplx 1 (37265) |
$12,356.45 |
$14,537 |
2.1× |
| Revsc evsc fpvt athrc cplx 1 (37273) |
$39,798.70 |
$46,822 |
2.1× |
| Revsc evsc fpvt athrc sf 1st (37271) |
$39,798.70 |
$46,822 |
2.1× |
| Revsc evsc fpvt stent sf 1st (37267) |
$25,063.10 |
$29,486 |
2.1× |
| Revsc evsc tpvt angio sf 1st (37280) |
$25,063.10 |
$29,486 |
2.1× |
| Revsc evsc tpvt athrc cplx 1 (37290) |
$39,798.70 |
$46,822 |
2.1× |
| Revsc evsc tpvt athrc sf 1st (37288) |
$39,798.70 |
$46,822 |
2.1× |
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410)
unusually low — confirm this is the full procedure |
$2,816.48 |
$3,313.50 |
0.5× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$203.15 |
$239 |
1.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$422.02 |
$496.50 |
3.0× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$80,557.90 |
$94,774 |
2.4× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$97,919.58 |
$115,199.50 |
4.2× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$74,292.12 |
$87,402.50 |
3.2× |
| Rmvl nfros tube req fluoro guidance (50389) |
$7,870.43 |
$9,259.33 |
10.7× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$7,905 |
$9,300 |
2.1× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$7,905 |
$9,300 |
2.1× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$72,136.95 |
$84,867 |
2.2× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$31,645.50 |
$37,230 |
2.7× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$9,390.80 |
$11,048 |
2.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$22,562.40 |
$26,544 |
3.5× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$22,355 |
$26,300 |
3.3× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$12,427 |
$14,620 |
1.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$13,274.02 |
$15,616.50 |
3.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$9,165.55 |
$10,783 |
2.4× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$4,569.60 |
$5,376 |
2.8× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$12,472.69 |
$14,673.75 |
3.3× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$9,235.68 |
$10,865.50 |
2.8× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$9,960.72 |
$11,718.50 |
3.0× |
| Rvsc evsc fpvt st athr cpx 1 (37277) |
$39,798.70 |
$46,822 |
2.1× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$39,798.70 |
$46,822 |
2.1× |
| Rvsc evsc tpvt angio cplx 1 (37282) |
$25,063.10 |
$29,486 |
2.1× |
| Rvsc evsc tpvt st athr cpx 1 (37294) |
$39,798.70 |
$46,822 |
2.1× |
| Rvsc evsc tpvt st athrc sf 1 (37292) |
$39,798.70 |
$46,822 |
2.1× |
| Scrotal exploration Age Under 21 (55110) |
$13,594.05 |
$15,993 |
3.7× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$7,310 |
$8,600 |
2.0× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$2,037.46 |
$2,397 |
0.6× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$1,008.95 |
$1,187 |
2.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$505.75 |
$595 |
2.4× |
| Sigmoidoscopy flx control bleeding (45334) |
$1,841.95 |
$2,167 |
1.5× |
| Sigmoidoscopy w/fb removal (45332) |
$1,841.95 |
$2,167 |
1.5× |
| Sigmoidoscopy w/us guide bx (45342) |
$3,771.45 |
$4,437 |
3.0× |
| Simple complete removal of breast|BILATERAL PROCEDURE (19303) |
$9,377.12 |
$11,031.91 |
1.3× |
| Simple partial removal of external female genitals (56620) |
$8,954.75 |
$10,535 |
2.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$547.40 |
$644 |
2.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$547.40 |
$644 |
2.6× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$652.38 |
$767.50 |
3.1× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$652.38 |
$767.50 |
3.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$530.40 |
$624 |
2.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$547.40 |
$644 |
2.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$634.10 |
$746 |
3.0× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$1,046.35 |
$1,231 |
2.4× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$982.60 |
$1,156 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$652.38 |
$767.50 |
3.1× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$9,769.90 |
$11,494 |
1.7× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$9,769.90 |
$11,494 |
2.9× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$17,111.35 |
$20,131 |
2.9× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$10,866.40 |
$12,784 |
3.3× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$17,111.35 |
$20,131 |
2.9× |
| Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Age Under 21 (53440) |
$21,165 |
$24,900 |
1.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$6,772.80 |
$7,968 |
1.3× |
| Slitting of prepuce (54001) |
$4,111.45 |
$4,837 |
1.9× |
| Small bowel endoscopy (44366) |
$3,771.45 |
$4,437 |
1.9× |
| Small bowel endoscopy/biopsy (44361) |
$2,081.22 |
$2,448.50 |
1.0× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$567.80 |
$668 |
2.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$990.68 |
$1,165.50 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,038.70 |
$1,222 |
2.4× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$6,561.15 |
$7,719 |
3.0× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$4,675.85 |
$5,501 |
6.0× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$4,449.43 |
$5,234.62 |
1.3× |
| Suction assisted lipectomy; lower extremity - 15879 (15879) |
$18,977.95 |
$22,327 |
5.1× |
| Suction assisted removal of fat of body (15877) |
$15,238.80 |
$17,928 |
4.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$11,147.75 |
$13,115 |
3.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$12,609.75 |
$14,835 |
4.3× |
| Suture closure of vagina and vaginal opening (57120) |
$10,476.68 |
$12,325.50 |
2.0× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$4,510.95 |
$5,307 |
1.3× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$16,785.38 |
$19,747.50 |
2.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$2,127.12 |
$2,502.50 |
1.3× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Age… (26135) |
$2,716.60 |
$3,196 |
0.8× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,537.28 |
$4,161.50 |
2.1× |
| Tangential biopsy skin single lesion (11102) |
$5,562.82 |
$6,544.50 |
13.0× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$48,260.45 |
$56,777 |
2.4× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$8,613.05 |
$10,133 |
2.6× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924) |
$4,743 |
$5,580 |
0.6× |
| Tenodesis long tendon biceps (23430) |
$10,866.96 |
$12,784.66 |
1.4× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$2,488.80 |
$2,928 |
0.7× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$7,310 |
$8,600 |
2.1× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Age Under 21 (26442) |
$2,074 |
$2,440 |
0.6× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$20,792.70 |
$24,462 |
1.5× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,575.05 |
$1,853 |
2.4× |
| Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision (34421) |
$8,957.30 |
$10,538 |
2.7× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$7,580.30 |
$8,918 |
2.3× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$14,931.95 |
$17,567 |
2.5× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$9,004.90 |
$10,594 |
2.7× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$31,967.65 |
$37,609 |
5.1× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age Under 21 (19357) |
$9,868.13 |
$11,609.57 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$2,466.82 |
$2,902.14 |
0.7× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$2,558.50 |
$3,010 |
0.7× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$33,114.30 |
$38,958 |
1.8× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$38,505 |
$45,300 |
2.1× |
| Total knee arthroplasty (27447) |
$12,680.94 |
$14,918.75 |
0.9× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220) |
$20,007.72 |
$23,538.50 |
3.1× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$3,601.88 |
$4,237.50 |
1.7× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691) |
$4,314.60 |
$5,076 |
0.6× |
| Transfer or transplant of tendon, palmar; without free tendon graft, each tendon Age Under 21 (26485) |
$3,213 |
$3,780 |
0.9× |
| Transfusion, blood or blood components (36430) |
$855.10 |
$1,006 |
1.8× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$16,860.60 |
$19,836 |
2.2× |
| Transperi needle place pros (55875) |
$7,041.83 |
$8,284.50 |
1.2× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$12,132.48 |
$14,273.50 |
2.1× |
| Transplant hand tendon (26480) |
$2,936.33 |
$3,454.50 |
0.9× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$18,823.25 |
$22,145 |
1.9× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$6,743.48 |
$7,933.50 |
1.2× |
| Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) |
$8,718.45 |
$10,257 |
2.3× |
| Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative… (52630) |
$8,047.80 |
$9,468 |
1.4× |
| Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance,… (52597) |
$23,249.20 |
$27,352 |
2.3× |
| Treat big toe fracture (28495) |
$592.45 |
$697 |
2.3× |
| Treat fx distal radial (25606) |
$5,444.25 |
$6,405 |
1.6× |
| Treat fx rad extra-articul (25607) |
$4,080 |
$4,800 |
0.5× |
| Treat lower leg fracture (27825) |
$4,246.60 |
$4,996 |
2.5× |
| Treat radius fracture (24665) |
$5,100 |
$6,000 |
0.7× |
| Treat thumb fracture (26665) |
$8,925 |
$10,500 |
2.6× |
| Treat toe dislocation (28630) |
$793.90 |
$934 |
3.1× |
| Treat ulnar fracture (24675) |
$1,928.22 |
$2,268.50 |
1.1× |
| Treat vaginal bleeding (57180) |
$532.95 |
$627 |
2.5× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$9,970.50 |
$11,730 |
1.3× |
| Treatment of ankle fracture (27822) |
$4,143.75 |
$4,875 |
0.5× |
| Treatment of bladder lesion (51720) |
$3,041.94 |
$3,578.75 |
4.1× |
| Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515) |
$15,937.50 |
$18,750 |
1.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$544 |
$640 |
2.1× |
| Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516) |
$7,841.25 |
$9,225 |
0.6× |
| Treatment of miscarriage (59812) |
$8,002.75 |
$9,415 |
2.3× |
| Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) |
$18,992.40 |
$22,344 |
1.4× |
| Trimming of nondystrophic nails, any number (11719) |
$161.50 |
$190 |
2.6× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$18,985.60 |
$22,336 |
3.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$18,985.60 |
$22,336 |
3.2× |
| Tx superficial wound dehiscence simple closure (12020) |
$1,996.65 |
$2,349 |
2.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$998.75 |
$1,175 |
2.3× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$3,792.06 |
$4,461.25 |
2.3× |
| Unlisted procedure anus (46999) |
$11,147.75 |
$13,115 |
11.4× |
| Unlisted procedure leg/ankle (27899) |
$7,726.92 |
$9,090.50 |
29.7× |
| Unlisted procedure rectum (45999) |
$9,503 |
$11,180 |
9.7× |
| Unlisted procedure, dentoalveolar structures (41899) |
$11,885.55 |
$13,983 |
47.6× |
| Unlisted procedure, hands or fingers (26989) |
$5,768.10 |
$6,786 |
22.2× |
| Upgrade of pacemaker system (33214) |
$35,444.15 |
$41,699 |
3.2× |
| Upper arm/elbow surgery unlisted (24999) |
$5,722.84 |
$6,732.75 |
22.0× |
| Urology surgery procedure unlisted (53899) |
$14,083.65 |
$16,569 |
53.4× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$900.15 |
$1,059 |
1.9× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$12,244.25 |
$14,405 |
3.6× |
| Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260) |
$45,827.75 |
$53,915 |
8.7× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262) |
$18,107.55 |
$21,303 |
3.4× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$31,031.80 |
$36,508 |
1.6× |
| Vascular embolization or occlusion venous rs&i (37241) |
$34,593.30 |
$40,698 |
2.8× |
| Vasectomy (55250) |
$2,222.75 |
$2,615 |
1.0× |
| Venipuncture (36415) |
$19.55 |
$23 |
2.1× |
| Version cephalic external (59412) |
$7,657.65 |
$9,009 |
2.2× |
| Wedge excision skin nail fold (11765) |
$1,019.15 |
$1,199 |
2.4× |