| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$6,515 |
$13,030 |
1.9× |
| Abd paracentesis w/imaging (49083) |
$907 |
$1,814 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,222.75 |
$2,445.50 |
1.4× |
| Abdomen Surgery Procedure (22999) |
$10,636.66 |
$21,273.32 |
44.6× |
| Ablate inf turbinate submuc (30802) |
$3,847.23 |
$7,694.46 |
2.6× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$11,691 |
$23,382 |
1.1× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$11,737 |
$23,474 |
0.7× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$13,180.50 |
$26,361 |
1.3× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$11,691 |
$23,382 |
1.1× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$6,900 |
$13,800 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$5,500.50 |
$11,001 |
0.9× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$3,807.44 |
$7,614.88 |
2.5× |
| Abortion (59841) |
$3,302 |
$6,604 |
1.1× |
| Acetabuloplasty (27120) |
$21,988 |
$43,976 |
1.8× |
| Acne surgery (10040) |
$271 |
$542 |
1.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,951.50 |
$5,903 |
1.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,325.38 |
$6,650.75 |
1.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,482.75 |
$10,965.50 |
1.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,768.50 |
$7,537 |
1.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,635 |
$5,270 |
1.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,955.25 |
$5,910.50 |
1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,971 |
$7,942 |
2.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$4,983.08 |
$9,966.16 |
2.5× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$10,292.19 |
$20,584.38 |
1.5× |
| Amniocentesis diagnostic (59000) |
$1,186 |
$2,372 |
1.3× |
| Amniocentesis therapeutic (59001) |
$538.50 |
$1,077 |
1.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$5,078 |
$10,156 |
1.6× |
| Amputate metacarpal bone (26910) |
$5,147 |
$10,294 |
1.6× |
| Amputation Finger/Thumb (26951) |
$4,821 |
$9,642 |
1.5× |
| Amputation foot transmetarsal (28805) |
$13,018.38 |
$26,036.75 |
4.1× |
| Amputation metatarsal with toe single (28810) |
$4,178.50 |
$8,357 |
1.3× |
| Amputation of penis; partial Facility (54120) |
$4,019.38 |
$8,038.75 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$2,691.75 |
$5,383.50 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,304.50 |
$6,609 |
1.0× |
| Amputation, leg, through tibia and fibula; (27880) |
$10,072.50 |
$20,145 |
1.4× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$10,276.26 |
$20,552.51 |
3.2× |
| Analyze spine infus pump (62367) |
$467 |
$934 |
1.6× |
| Anoscopy Ablation Lesion (46615) |
$4,382.50 |
$8,765 |
1.6× |
| Anoscopy diagnostic (46600) |
$215 |
$430 |
1.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,324.67 |
$2,649.33 |
1.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$3,694 |
$7,388 |
3.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,740.33 |
$3,480.66 |
1.5× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$1,295.08 |
$2,590.16 |
0.5× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$2,829.62 |
$5,659.25 |
1.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,212.67 |
$2,425.33 |
0.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$9,079.50 |
$18,159 |
1.9× |
| Anterior tibial tubercleplasty (27418) |
$6,253 |
$12,505.98 |
0.9× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$473 |
$946 |
3.0× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,076 |
$2,152 |
0.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$319.50 |
$639 |
2.0× |
| Appl Multlay Comprs Arm/Hand (29584) |
$245.50 |
$491 |
1.6× |
| Application Body Cast Shoulder Hips (29035) |
$9,341.50 |
$18,683 |
34.5× |
| Application Body Cast Shoulder Hips Both Thighs (29046) |
$5,315 |
$10,630 |
19.6× |
| Application cast elbow finger short arm (29075) |
$515.50 |
$1,031 |
1.9× |
| Application Cast Finger (29086) |
$225.50 |
$451 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$506.50 |
$1,013 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$82 |
$164 |
1.4× |
| Application finger splint static (29130) |
$241.50 |
$483 |
1.9× |
| Application Halo Cranial Including Removal (20661) |
$1,958 |
$3,916 |
1.3× |
| Application Hip Spica Cast 1 Leg (29305) |
$3,409.25 |
$6,818.50 |
12.6× |
| Application long arm splint shoulder hand (29105) |
$335 |
$670 |
2.1× |
| Application Long Leg Cast Brace (29358) |
$378.75 |
$757.50 |
1.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$586 |
$1,172 |
2.2× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
unusually low: confirm this is the full procedure |
$6,114.30 |
$12,228.59 |
0.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$421.50 |
$843 |
1.6× |
| Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) |
$6,998 |
$13,996 |
4.5× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$4,718.34 |
$9,436.67 |
17.4× |
| Application of long leg cast (29345) |
$498 |
$996 |
1.8× |
| Application of rigid total contact leg cast (29445) |
$578 |
$1,156 |
2.1× |
| Application Patellar Tendon Bearing Cast (29435) |
$357.50 |
$715 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$233 |
$466 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$198 |
$396 |
1.5× |
Application uniplane external fixation system (20690)
unusually low: confirm this is the full procedure |
$3,332.34 |
$6,664.67 |
0.5× |
| Apply Body Cast,Risser Jacket (29010) |
$6,158 |
$12,316 |
22.8× |
| Apply Hand/Wrist Cast (29085) |
$249 |
$498 |
1.6× |
| Apply long leg splint (29505) |
$289 |
$578 |
1.8× |
| Apply short leg cast (29405) |
$460.50 |
$921 |
1.7× |
| Apply short leg cast (29425) |
$517 |
$1,034 |
1.9× |
| Apply short leg splint (29515) |
$311 |
$622 |
2.0× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$6,150.50 |
$12,301 |
1.2× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$3,438.50 |
$6,877 |
1.1× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Facility (27479) |
$9,108 |
$18,216 |
1.3× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Facility (27475) |
$7,479 |
$14,958 |
1.1× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Facility (27477) |
$14,474.50 |
$28,949 |
2.1× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$9,861 |
$19,722 |
1.4× |
| Arterial puncture (36600) |
$132 |
$264 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$5,096.50 |
$10,193 |
1.7× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$10,494.50 |
$20,989 |
1.9× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$14,721.25 |
$29,442.50 |
1.2× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$6,988.41 |
$13,976.82 |
0.6× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$15,925.67 |
$31,851.34 |
1.3× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,419.08 |
$26,838.16 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,150 |
$2,300 |
3.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,569.50 |
$3,139 |
2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,069 |
$2,138 |
3.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,222 |
$2,444 |
4.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$545.50 |
$1,091 |
1.8× |
| Arthrodesis ankle open (27870) |
$14,771.94 |
$29,543.88 |
1.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,600.26 |
$15,200.52 |
1.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,288 |
$12,576 |
0.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$6,106.13 |
$12,212.26 |
1.9× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$8,719.50 |
$17,439 |
0.5× |
| Arthrodesis triple (28715) |
$11,593.71 |
$23,187.42 |
0.9× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$34,708 |
$69,416 |
1.3× |
| Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) |
$30,330.50 |
$60,661 |
2.4× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$31,745.50 |
$63,491 |
1.2× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$10,994 |
$21,988 |
1.6× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$19,532.88 |
$39,065.76 |
0.7× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) |
$28,620 |
$57,240 |
1.7× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$19,327.25 |
$38,654.50 |
1.1× |
| Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610) |
$10,937.76 |
$21,875.51 |
0.6× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$23,144.58 |
$46,289.17 |
1.4× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$7,669 |
$15,338 |
0.6× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$9,115.84 |
$18,231.68 |
1.3× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$18,277.50 |
$36,555 |
1.5× |
| Arthrodesis; subtalar (28725) |
$12,189.21 |
$24,378.42 |
1.0× |
| Arthroplasty ankle revision total ankle (27703) |
$32,279.51 |
$64,559.02 |
1.9× |
| Arthroplasty Ankle W/Implant (27702) |
$16,728.96 |
$33,457.92 |
0.6× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$13,403.75 |
$26,807.50 |
0.8× |
| Arthroplasty radial head (24365) |
$21,092.50 |
$42,185 |
1.7× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$6,126.75 |
$12,253.50 |
1.9× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$20,817 |
$41,634 |
1.7× |
| Arthroplasty, radial head; with implant Facility (24366) |
$11,989.58 |
$23,979.16 |
1.0× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$24,309 |
$48,618 |
2.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$14,657.50 |
$29,315 |
9.4× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$6,986 |
$13,972 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$5,391.50 |
$10,783 |
1.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$13,164.25 |
$26,328.50 |
4.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$5,006.50 |
$10,013 |
1.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$6,962 |
$13,924 |
2.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$4,842.94 |
$9,685.88 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$8,289.67 |
$16,579.34 |
2.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$3,130 |
$6,260 |
1.0× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$12,520 |
$25,040 |
4.0× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$12,547 |
$25,094 |
4.0× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$7,955.74 |
$15,911.47 |
1.1× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$2,924.38 |
$5,848.75 |
0.9× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$5,345 |
$10,690 |
1.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$8,447.80 |
$16,895.59 |
2.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$5,965.50 |
$11,931 |
1.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$11,631.75 |
$23,263.50 |
3.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,883.33 |
$13,766.66 |
2.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,934.28 |
$15,868.54 |
1.1× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$25,591.25 |
$51,182.50 |
3.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$8,771.50 |
$17,543 |
2.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,803.06 |
$17,606.12 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$12,162.61 |
$24,325.21 |
1.7× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$7,886 |
$15,772 |
2.5× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$11,827 |
$23,654 |
1.7× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$4,735 |
$9,470 |
1.5× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$11,749.58 |
$23,499.17 |
3.7× |
| Arthrotomy wrist joint with synovectomy (25105) |
$1,442.13 |
$2,884.25 |
0.5× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$6,150.50 |
$12,301 |
1.9× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$4,117.50 |
$8,235 |
1.3× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$3,565.50 |
$7,131 |
1.1× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$10,072.50 |
$20,145 |
3.2× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$3,103.67 |
$6,207.34 |
1.0× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$5,001.75 |
$10,003.50 |
1.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$13,815.84 |
$27,631.67 |
2.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,725.50 |
$9,451 |
1.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$6,461.50 |
$12,923 |
2.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,010.54 |
$4,021.08 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$2,336.50 |
$4,673 |
3.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$499 |
$998 |
1.7× |
| Aspiration and injection for treatment of bone cyst (20615) |
$1,647.25 |
$3,294.50 |
2.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$625.50 |
$1,251 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,168.58 |
$6,337.16 |
1.6× |
| Aspiration bladder needle (51100) |
$319 |
$638 |
1.3× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$3,508.25 |
$7,016.50 |
1.6× |
Autochondrocyte implant knee (27412)
unusually low: confirm this is the full procedure |
$2,736.75 |
$5,473.50 |
0.4× |
| Av fistula revision (36833) |
$11,128 |
$22,256 |
2.1× |
| Av Fuse Uppr Arm Basilic (36819) |
$10,223 |
$20,446 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$494.33 |
$988.66 |
2.5× |
| Axillary lymphadenectomy; complete (38745) |
$11,928.50 |
$23,857 |
2.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$8,334 |
$16,668 |
1.3× |
| Biliary Endoscopy Percut,Biopsy (47553) |
$8,533.50 |
$17,067 |
1.4× |
| Biliary endoscopy percut,dil strict (47555) |
$3,981 |
$7,962 |
0.6× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$11,691 |
$23,382 |
1.1× |
| Biopsy bone open superficial (20240) |
$4,623.75 |
$9,247.50 |
1.6× |
| Biopsy bone trocar/needle deep (20225) |
$2,685.50 |
$5,371 |
1.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,076 |
$4,152 |
1.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,262.50 |
$2,525 |
1.4× |
| Biopsy External Auditory Canal (69105) |
$2,226.50 |
$4,453 |
1.5× |
| Biopsy external ear (69100) |
$404.75 |
$809.50 |
1.8× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$3,710 |
$7,420 |
1.3× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$2,115.50 |
$4,231 |
1.3× |
| Biopsy intranasal (30100) |
$2,116.50 |
$4,233 |
1.4× |
| Biopsy muscle deep (20205) |
$3,710 |
$7,420 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$2,619.50 |
$5,239 |
1.6× |
| Biopsy Muscle Superficial (20200) |
$3,045.25 |
$6,090.50 |
1.9× |
| Biopsy Nail Unit Separate Procedure (11755) |
$2,551 |
$5,102 |
3.7× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$4,234.50 |
$8,469 |
1.3× |
| Biopsy Nerve (64795) |
$6,208.50 |
$12,417 |
3.3× |
| Biopsy of breast; open, incisional (19101) |
$4,140.96 |
$8,281.92 |
1.1× |
| Biopsy of cornea (65410) |
$3,036 |
$6,072 |
1.3× |
| Biopsy of eyelid lining (68100) |
$3,070.50 |
$6,141 |
1.3× |
| Biopsy of floor of mouth (41108) |
$2,590.75 |
$5,181.50 |
1.6× |
| Biopsy of lacrimal gland (68510) |
$4,767.50 |
$9,535 |
2.1× |
| Biopsy of lip (40490) |
$313.75 |
$627.50 |
1.4× |
| Biopsy of mouth lesion (40808) |
$746 |
$1,492 |
1.4× |
| Biopsy of palate, uvula (42100) |
$2,491.50 |
$4,983 |
1.7× |
| Biopsy of penis (54105) |
$4,305.50 |
$8,611 |
1.5× |
| Biopsy of penis (54100) |
$2,273 |
$4,546 |
1.4× |
| Biopsy of tongue (41100) |
$746 |
$1,492 |
1.4× |
| Biopsy of urethra (53200) |
$2,670 |
$5,340 |
1.3× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$18,782.67 |
$37,565.33 |
5.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,801.67 |
$11,603.33 |
1.5× |
| Biopsy Oropharynx (42800) |
$1,981.50 |
$3,963 |
1.3× |
| Biopsy pleura percutaneous needle (32400) |
$1,592 |
$3,184 |
1.0× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$4,501.50 |
$9,003 |
1.3× |
| Biopsy Salivary Gland Incisional (42405) |
$2,142.08 |
$4,284.16 |
1.4× |
| Biopsy Salivary Gland,Needle (42400) |
$1,133.50 |
$2,267 |
1.7× |
| Biopsy soft tissue back,superf (21920) |
$2,109.50 |
$4,219 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$2,466.50 |
$4,933 |
1.5× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$2,109.50 |
$4,219 |
1.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,294 |
$4,588 |
1.4× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$3,444 |
$6,888 |
2.2× |
| Biopsy testis incisional separate procedure (54505) |
$4,795.50 |
$9,591 |
1.4× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,651 |
$7,302 |
1.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$4,134 |
$8,268 |
1.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,176.50 |
$2,353 |
1.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,219.50 |
$2,439 |
1.4× |
| Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) |
$4,501.50 |
$9,003 |
1.3× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$4,501.50 |
$9,003 |
1.3× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$4,501.50 |
$9,003 |
1.3× |
| Biopsy/removal lymph nodes (38525) |
$12,798.50 |
$25,597 |
3.4× |
| Biopsy/removal lymph nodes (38510) |
$7,847.50 |
$15,695 |
2.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$902.54 |
$1,805.08 |
1.3× |
| Bladder Irrigation Simple (51700) |
$495.50 |
$991 |
2.1× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$5,277.50 |
$10,555 |
3.5× |
| Blepharoplasty lower eyelid (15820) |
$1,952.78 |
$3,905.56 |
1.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,383.83 |
$2,767.66 |
0.7× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$4,382.50 |
$8,765 |
2.2× |
| Blepharoplasty, Upper Eyelid (15822) |
$2,834.50 |
$5,669 |
1.4× |
| Blepharotomy drain absc eyelid (67700) |
$679 |
$1,358 |
2.2× |
| Blood patch (62273) |
$918.50 |
$1,837 |
1.3× |
| Blood transfusion service (36430) |
$655.25 |
$1,310.50 |
1.5× |
| Blood/Lymph System Procedure (38999) |
$587.50 |
$1,175 |
1.4× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$3,566.92 |
$7,133.83 |
0.5× |
| Bone marrow aspiration only (38220) |
$1,406 |
$2,812 |
0.9× |
| Bone Marrow Biopsy (38221) |
$2,095.75 |
$4,191.50 |
1.3× |
| Breast augmentation with implant (19325) |
$12,047.25 |
$24,094.50 |
1.5× |
| Breast Reduction (19318) |
$10,272.96 |
$20,545.92 |
1.6× |
| Breast surgery procedure (19499) |
$2,000.50 |
$4,001 |
0.5× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,181.82 |
$2,363.62 |
0.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$322.50 |
$645 |
0.2× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,274 |
$4,548 |
1.3× |
| Brnchsc removal bronchial valve initial (31648) |
$5,621.25 |
$11,242.50 |
1.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$5,118.75 |
$10,237.50 |
1.4× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$5,110 |
$10,220 |
1.4× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$2,905.67 |
$5,811.33 |
0.8× |
| Bronch ebus samplng 1/2 node (31652) |
$3,250.50 |
$6,501 |
0.9× |
| Bronch ebus samplng 3/> node (31653) |
$5,276.25 |
$10,552.50 |
1.5× |
| Bronchial valve init insert (31647) |
$6,640.75 |
$13,281.50 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,756.50 |
$5,513 |
1.6× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$8,151.50 |
$16,303 |
1.2× |
| Bronchoscopy Balloon Occlusion (31634) |
$7,932.50 |
$15,865 |
1.2× |
| Bronchoscopy Bronch Stents (31636) |
$3,437.25 |
$6,874.50 |
0.5× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$6,739.26 |
$13,478.50 |
1.9× |
| Bronchoscopy w/markers (31626) |
$11,595.75 |
$23,191.50 |
1.7× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$9,398 |
$18,796 |
1.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,723.42 |
$3,446.83 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,459 |
$2,918 |
0.8× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,497 |
$2,994 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$5,715.75 |
$11,431.50 |
3.6× |
| Bx anorectal wall anal approach (45100) |
$3,750 |
$7,500 |
1.4× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$3,713 |
$7,426 |
1.3× |
| Bx breast 1st lesion mr imag (19085) |
$2,684.50 |
$5,369 |
1.7× |
| Bx breast 1st lesion strtctc (19081) |
$2,361 |
$4,722 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$2,120 |
$4,240 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,811 |
$5,622 |
1.8× |
| Bx/exc lymph node needle superficial (38505) |
$2,644.75 |
$5,289.50 |
1.7× |
| Canthoplasty (67950) |
$3,381.50 |
$6,763 |
1.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,887.53 |
$5,775.06 |
0.9× |
| Capsular contracture release (23020) |
$4,015.75 |
$8,031.50 |
1.3× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$4,156.13 |
$8,312.25 |
1.3× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$6,827.50 |
$13,655 |
2.2× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$5,670 |
$11,340 |
3.6× |
| Capsulotomy wrist (25085) |
$1,998.75 |
$3,997.50 |
0.6× |
| Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) |
$13,768.50 |
$27,537 |
2.0× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Facility (28264) |
$2,949.95 |
$5,899.90 |
1.9× |
| Carpectomy All Bones Proximal Row (25215) |
$6,929.50 |
$13,859 |
2.2× |
| Cartilage graft; costochondral (20910) |
$5,272.88 |
$10,545.75 |
7.4× |
| Cartilage graft; nasal septum Facility (20912) |
$2,087.81 |
$4,175.62 |
0.6× |
| Casting/strapping procedure (29799) |
$222.25 |
$444.50 |
1.4× |
| Cataract surgery complex (66982) |
$3,875.25 |
$7,750.50 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$323.25 |
$646.50 |
1.5× |
| Cauterization,cervix,electro/thermal (57510) |
$4,134.50 |
$8,269 |
1.3× |
| Cautery cervix laser ablation (57513) |
$4,431 |
$8,862 |
1.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,068.50 |
$6,137 |
1.0× |
| Cervical lymphadenectomy (complete) (38720) |
$9,926.50 |
$19,853 |
1.5× |
| Cessj Therapy Cath Removal (37214) |
$2,843.50 |
$5,687 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$1,369.50 |
$2,739 |
2.0× |
| Change of cystostomy tube simple (51705) |
$510.50 |
$1,021 |
2.1× |
| Change Ureter Stent, Percut (50382) |
$7,072.50 |
$14,145 |
3.5× |
| Chemical cautery tissue (17250) |
$385 |
$770 |
2.0× |
| Chemical peel face dermal (15789) |
$944 |
$1,888 |
1.3× |
| Chemical Peel Facial Epidermal (15788) |
$519.50 |
$1,039 |
1.3× |
| Chemical peel, nonfacial; epidermal Facility (15792) |
$944 |
$1,888 |
1.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$901.42 |
$1,802.84 |
1.3× |
| Chemodenerv Eccrine Glands (64650) |
$462.75 |
$925.50 |
1.6× |
| Chemodenerv musc migraine (64615) |
$464 |
$928 |
1.6× |
| Chemodenerv Musc Neck Dyston (64616) |
$520 |
$1,040 |
1.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$950 |
$1,900 |
3.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,584 |
$3,168 |
2.3× |
| Chemodenerv trunk musc 6/> (64647) |
$910 |
$1,820 |
1.3× |
| Chemodenervation internal anal sphincter (46505) |
$2,007.50 |
$4,015 |
1.7× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$1,126 |
$2,252 |
1.6× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$427 |
$854 |
1.4× |
| Chemodenervation of extraocular muscle (67345) |
$679 |
$1,358 |
2.2× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,298.50 |
$2,597 |
1.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$418 |
$836 |
1.4× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,842.50 |
$5,685 |
1.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,807 |
$7,614 |
1.1× |
| Chorionic villus sampling (59015) |
$1,134 |
$2,268 |
1.3× |
| Chromotubation oviduct (58350) |
$5,259.32 |
$10,518.62 |
1.1× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$1,445.67 |
$2,891.34 |
0.6× |
| Circum 28 days or older (54161) |
$2,243.75 |
$4,487.50 |
1.1× |
| Circumcision (54150) |
$2,788.50 |
$5,577 |
1.4× |
| Circumcision Neonate (54160) |
$874.50 |
$1,749 |
1.3× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$454.50 |
$909 |
1.5× |
| Claviculectomy partial (23120) |
$3,587.50 |
$7,175 |
1.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$438 |
$876 |
1.8× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$280.75 |
$561.50 |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$369 |
$738 |
1.5× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,418 |
$4,836 |
1.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$454 |
$908 |
1.9× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$2,226.50 |
$4,453 |
1.5× |
| Closed Rx Radial Shaft Fx (25500) |
$368.75 |
$737.50 |
1.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,166.50 |
$4,333 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$397.25 |
$794.50 |
1.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$438 |
$876 |
1.8× |
| Closed Treat Vert Body Fract (22310) |
$305.25 |
$610.50 |
1.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$315.50 |
$631 |
1.3× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,554 |
$7,108 |
1.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$438 |
$876 |
1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$345 |
$690 |
1.4× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,346 |
$4,692 |
1.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$409 |
$818 |
1.7× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$4,179 |
$8,358 |
1.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$460.25 |
$920.50 |
1.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$379.75 |
$759.50 |
1.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$362.50 |
$725 |
1.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$345 |
$690 |
1.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,346 |
$4,692 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$322.50 |
$645 |
1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$368.75 |
$737.50 |
1.5× |
| Closed Treatment Sesamoid Fracture (28530) |
$298.25 |
$596.50 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$438 |
$876 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$362.50 |
$725 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,658.50 |
$5,317 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$362.50 |
$725 |
1.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,125.75 |
$4,251.50 |
1.4× |
| Closed tx femoral fracture prox head w manip (27268) |
$6,228.50 |
$12,457 |
4.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$339 |
$678 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$349.75 |
$699.50 |
1.5× |
| Closed tx lunate dislocation w/manipulation (25690) |
$2,346 |
$4,692 |
1.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$689 |
$1,378 |
1.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$11,479.75 |
$22,959.50 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$404.50 |
$809 |
1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,418 |
$4,836 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,158.75 |
$4,317.50 |
1.4× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,795.50 |
$9,591 |
1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$345 |
$690 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$349.75 |
$699.50 |
1.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$6,231.50 |
$12,463 |
4.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$614.25 |
$1,228.50 |
2.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,120.75 |
$4,241.50 |
1.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,877 |
$5,754 |
1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$410 |
$820 |
1.7× |
| Closed tx septal&nose fx (21337) |
$5,857.75 |
$11,715.50 |
1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$315 |
$630 |
1.3× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$4,360.50 |
$8,721 |
1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,053.50 |
$4,107 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$362.50 |
$725 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,075 |
$4,150 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$379.25 |
$758.50 |
1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$563.50 |
$1,127 |
2.4× |
| Closure of gastrostomy, surgical (43870) |
$7,847.50 |
$15,695 |
2.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$302 |
$604 |
1.3× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$560.50 |
$1,121 |
1.8× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$861 |
$1,722 |
2.8× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$7,077.50 |
$14,155 |
1.4× |
| Closure of vesicovaginal fistula; vaginal approach Facility (57320) |
$8,582 |
$17,164 |
1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$414.75 |
$829.50 |
1.7× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$315.50 |
$631 |
1.3× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$382.50 |
$765 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,505.50 |
$5,011 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$520.50 |
$1,041 |
2.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$300.50 |
$601 |
1.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,075 |
$4,150 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,330.50 |
$4,661 |
1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$315 |
$630 |
1.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,346 |
$4,692 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$315.50 |
$631 |
1.3× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,346 |
$4,692 |
1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$345 |
$690 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$454 |
$908 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$362.50 |
$725 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$422 |
$844 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$474.50 |
$949 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,877 |
$5,754 |
1.8× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,054 |
$4,108 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,417.50 |
$4,835 |
1.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$440.50 |
$881 |
1.8× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,122 |
$2,244 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,399 |
$6,798 |
2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,622.25 |
$3,244.50 |
6.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$362.25 |
$724.50 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315.50 |
$631 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$486.50 |
$973 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,297.75 |
$6,595.50 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$454 |
$908 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$349.75 |
$699.50 |
1.5× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$298.25 |
$596.50 |
1.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,346 |
$4,692 |
1.5× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,075 |
$4,150 |
1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,054 |
$4,108 |
1.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$357.50 |
$715 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$434.75 |
$869.50 |
1.8× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$4,420 |
$8,840 |
2.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$344.50 |
$689 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$406.50 |
$813 |
1.7× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$4,535 |
$9,070 |
1.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$425 |
$850 |
1.8× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,264 |
$4,528 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$521.50 |
$1,043 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$454 |
$908 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,346 |
$4,692 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$441 |
$882 |
1.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$454 |
$908 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$454 |
$908 |
1.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,561 |
$5,122 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$371.75 |
$743.50 |
1.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,151 |
$4,302 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$322.50 |
$645 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,075 |
$4,150 |
1.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$362.50 |
$725 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$362.50 |
$725 |
1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,166.50 |
$4,333 |
1.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,075 |
$4,150 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,346 |
$4,692 |
1.5× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,054 |
$4,108 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$362.50 |
$725 |
1.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,505.50 |
$5,011 |
1.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$362.50 |
$725 |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$115.75 |
$231.50 |
0.9× |
| Colonoscopy flex w/blln dilat (45386) |
$916 |
$1,832 |
0.8× |
| Colonoscopy flex w/inj submuc (45381) |
$474 |
$948 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,186.67 |
$2,373.33 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,237.34 |
$2,474.66 |
1.1× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$802.67 |
$1,605.33 |
0.7× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,224 |
$2,448 |
1.1× |
| Colonoscopy thru stoma (44388) |
$1,208 |
$2,416 |
1.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,093.34 |
$2,186.67 |
0.9× |
| Colonoscopy w/ablation (45388) |
$406.67 |
$813.33 |
0.4× |
| Colonoscopy w/band ligation (45398) |
$466 |
$932 |
0.4× |
| Colonoscopy w/endoscopic fnb (45392) |
$4,926 |
$9,852 |
4.3× |
| Colonoscopy w/fb removal (45379) |
$1,652.50 |
$3,305 |
1.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$930.67 |
$1,861.33 |
0.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,446.67 |
$2,893.34 |
0.5× |
| Colpocleisis (le fort type) (57120) |
$4,923.67 |
$9,847.34 |
1.0× |
| Colpoperineorrhaphy non ob (57210) |
$6,250.50 |
$12,501 |
2.0× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$10,767.50 |
$21,535 |
1.5× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$4,225.08 |
$8,450.17 |
0.6× |
| Colporrhaphy Suture Injury Vagina (57200) |
$4,134 |
$8,268 |
1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$529.50 |
$1,059 |
1.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$364.50 |
$729 |
1.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$538.50 |
$1,077 |
1.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,536.50 |
$9,073 |
1.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$4,134.50 |
$8,269 |
1.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$389 |
$778 |
1.3× |
| Colposcopy vulva (56820) |
$280.25 |
$560.50 |
1.4× |
| Colposcopy vulva w/biopsy (56821) |
$538.50 |
$1,077 |
1.8× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$531 |
$1,062 |
1.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,176.50 |
$2,353 |
1.3× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$7,384.50 |
$14,769 |
1.5× |
| Combined anteroposterior colporrhaphy; (57260) |
$9,230 |
$18,460 |
1.9× |
| Complex Cystometrogram (51726) |
$544 |
$1,088 |
2.3× |
| Complex cystometrogram urethral press profile (51727) |
$1,034 |
$2,068 |
1.5× |
| Complex Uroflowmetry (51741) |
$280.25 |
$560.50 |
1.3× |
| Conization of cervix (57520) |
$4,720.25 |
$9,440.50 |
1.5× |
| Conization of cervix (57522) |
$4,134.50 |
$8,269 |
1.3× |
| Conjunctival Flap Total (68362) |
$4,576.08 |
$9,152.17 |
2.0× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$6,118.25 |
$12,236.50 |
1.6× |
| Construct thumb replacement (26550) |
$22,565 |
$45,130 |
7.1× |
| Contour of face bone lesion (21029) |
$5,999.50 |
$11,999 |
1.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$1,056 |
$2,112 |
5.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$264.75 |
$529.50 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$359.75 |
$719.50 |
2.8× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$2,320.75 |
$4,641.50 |
4.4× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$4,887.25 |
$9,774.50 |
1.5× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$33,842.50 |
$67,685 |
2.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,802.50 |
$3,605 |
1.0× |
| Convert nephrostomy catheter (50434) |
$1,151 |
$2,302 |
0.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,989.25 |
$5,978.50 |
1.9× |
| Corneal transplant (65730) |
$9,108 |
$18,216 |
2.3× |
| Corneal transplant (65755) |
$8,771.08 |
$17,542.17 |
2.2× |
| Corneal transplant (65710) |
$7,384.25 |
$14,768.50 |
1.4× |
| Corneal transplant (65750) |
$8,360.50 |
$16,721 |
1.6× |
| Coronoidectomy (separate procedure) Facility (21070) |
$16,422.34 |
$32,844.67 |
2.9× |
| Correction eyelid w/implant (67912) |
$3,817 |
$7,634 |
1.7× |
| Correction hammertoe (28285) |
$3,404.04 |
$6,808.08 |
1.1× |
| Correction of astigmatism (65772) |
$1,910.25 |
$3,820.50 |
2.0× |
| Correction of bunion (28298) |
$6,423 |
$12,846 |
0.9× |
| Correction of bunion (28292) |
$6,327.13 |
$12,654.26 |
2.0× |
| Correction of bunion (28299) |
$7,479.08 |
$14,958.17 |
1.1× |
| Correction of bunion (28297) |
$12,727.42 |
$25,454.84 |
1.0× |
| Correction of everted punctum, cautery (68705) |
$929 |
$1,858 |
3.0× |
| Correction of lid retraction (67911) |
$2,939.50 |
$5,879 |
1.3× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$1,301.50 |
$2,603 |
1.3× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$345.25 |
$690.50 |
2.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$8,305.75 |
$16,611.50 |
2.6× |
| Cover eye w/membrane (65778) |
$1,657.66 |
$3,315.33 |
1.7× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$8,289.75 |
$16,579.50 |
1.5× |
| Cross intrinsic transfer, each tendon Facility (26510) |
$4,179 |
$8,358 |
1.3× |
| Csf shunt reprogram (62252) |
$679.50 |
$1,359 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$270.50 |
$541 |
2.1× |
| Curettage postpartum (59160) |
$4,134.50 |
$8,269 |
1.3× |
| Curette/treat cornea (65436) |
$3,564 |
$7,128 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,999.83 |
$3,999.66 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,808.75 |
$7,617.50 |
1.9× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,191 |
$6,382 |
0.9× |
| Cysto w/destruction of lesions (52214) |
$3,627.50 |
$7,255 |
1.1× |
| Cysto w/insert ureteral stent (52332) |
$4,324.66 |
$8,649.33 |
1.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,650.25 |
$7,300.50 |
1.1× |
| Cysto w/removal of tumors small (52234) |
$4,057.25 |
$8,114.50 |
1.2× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$6,384.50 |
$12,769 |
1.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,639.50 |
$5,279 |
1.3× |
| Cysto w/ureter stricture tx (52341) |
$1,644.26 |
$3,288.50 |
0.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,527.17 |
$7,054.34 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$5,758.34 |
$11,516.66 |
1.7× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,427 |
$8,854 |
0.9× |
| Cysto/uretero w/lithotripsy (52356) |
$10,866.50 |
$21,733 |
2.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$9,046.50 |
$18,093 |
1.7× |
| Cystolithotomy (51050) |
$16,408.13 |
$32,816.25 |
3.2× |
| Cystometrogram w/vp (51728) |
$997.50 |
$1,995 |
1.5× |
| Cystometrogram W/Vp&Up (51729) |
$1,298.50 |
$2,597 |
1.9× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) |
$23,466.67 |
$46,933.34 |
2.6× |
Cystoscopy inject material (52327)
unusually low: confirm this is the full procedure |
$1,832 |
$3,664 |
0.4× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$4,690.50 |
$9,381 |
2.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,378.50 |
$6,757 |
1.7× |
| Cystouretero & or pyeloscope (52351) |
$2,230.83 |
$4,461.66 |
0.7× |
| Cystourethroscopy (52000) |
$1,376.84 |
$2,753.66 |
2.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,450.58 |
$4,901.16 |
1.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$890.50 |
$1,781 |
1.3× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$3,242.50 |
$6,485 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,242.75 |
$4,485.50 |
1.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$2,954 |
$5,908 |
0.9× |
| Cystourethroscopy with biopsy (52204) |
$3,014 |
$6,028 |
1.5× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$8,388.50 |
$16,777 |
2.5× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,670 |
$5,340 |
1.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$6,238.50 |
$12,477 |
1.2× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$4,578.25 |
$9,156.50 |
2.3× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$3,565 |
$7,130 |
1.8× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$4,305.50 |
$8,611 |
1.3× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$4,793 |
$9,586 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$762.50 |
$1,525 |
1.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,892.71 |
$7,785.42 |
1.4× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$6,445 |
$12,890 |
0.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,540.92 |
$3,081.83 |
2.2× |
| Debride nail 1-5 (11720) |
$119 |
$238 |
2.1× |
| Debride nail 6 or more (11721) |
$128.50 |
$257 |
2.3× |
| Debride skin musc at fx site (11011) |
$1,191 |
$2,382 |
1.7× |
| Debride tissue/muscle (11043) |
$3,566.92 |
$7,133.83 |
5.0× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$4,355.75 |
$8,711.50 |
8.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$343.50 |
$687 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$944.75 |
$1,889.50 |
2.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,645.90 |
$7,291.80 |
2.3× |
| Declot vascular device (36593) |
$455.50 |
$911 |
1.4× |
| Decomp forearm,1 compart,w/o debride (25020) |
$5,922.50 |
$11,845 |
3.8× |
| Decompress optic nerve (67570) |
$9,398 |
$18,796 |
2.5× |
| Decompression Of Tibia Nerve (28035) |
$5,435.15 |
$10,870.30 |
2.9× |
| Decompression; plantar digital nerve Facility (64726) |
$4,147.75 |
$8,295.50 |
2.2× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$4,364.50 |
$8,729 |
2.2× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$3,951.82 |
$7,903.62 |
2.0× |
| Delivery placenta separate procedure (59414) |
$399.50 |
$799 |
0.1× |
| Derma-fat-fascia graft (15770) |
$2,465.25 |
$4,930.50 |
0.7× |
| Dermabrasion segmental face (15781) |
$2,007 |
$4,014 |
2.9× |
| Dermabrasion superficial any site (15783) |
$519.50 |
$1,039 |
1.3× |
| Dermabrasion total face (15780) |
$3,710 |
$7,420 |
1.3× |
| Dermabrasion; regional, other than face Facility (15782) |
$3,710 |
$7,420 |
1.3× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$3,488.50 |
$6,977 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$2,494 |
$4,988 |
1.3× |
| Destroy internal hemorrhoids (46930) |
$1,583.75 |
$3,167.50 |
1.4× |
| Destroy lumb/sac facet jnt (64635) |
$3,591 |
$7,182 |
1.9× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$2,804.33 |
$5,608.66 |
1.2× |
| Destruction anal lesion(s) (46924) |
$3,544.50 |
$7,089 |
1.3× |
| Destruction Benign Lesions 15/> (17111) |
$666.71 |
$1,333.42 |
3.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$256.50 |
$513 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,555.83 |
$3,111.66 |
1.8× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$4,548.50 |
$9,097 |
2.4× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$7,762.25 |
$15,524.50 |
4.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$3,246 |
$6,492 |
3.8× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$764.50 |
$1,529 |
2.6× |
| Destruction Lesions Vulva Extensive (56515) |
$2,478.92 |
$4,957.83 |
1.2× |
| Destruction Lesions Vulva Simple (56501) |
$2,635 |
$5,270 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$505 |
$1,010 |
2.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$501 |
$1,002 |
2.6× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$519 |
$1,038 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$944 |
$1,888 |
1.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$238 |
$476 |
1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$256.75 |
$513.50 |
1.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$440.25 |
$880.50 |
2.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$530.50 |
$1,061 |
1.3× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$766 |
$1,532 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$257 |
$514 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$293.50 |
$587 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$479.25 |
$958.50 |
2.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$520.50 |
$1,041 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$650.50 |
$1,301 |
1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$379.50 |
$759 |
2.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,011.50 |
$8,023 |
2.1× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Facility (67227) |
$4,613.50 |
$9,227 |
1.2× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$1,024.50 |
$2,049 |
3.3× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$2,418 |
$4,836 |
2.5× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$1,076.92 |
$2,153.83 |
0.5× |
| Destruction of lesion, conjunctiva (68135) |
$1,749.50 |
$3,499 |
0.8× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$1,669 |
$3,338 |
3.1× |
| Destruction of skin lesions (17106) |
$613.75 |
$1,227.50 |
1.6× |
| Destruction Premalignant Lesion 15/> (17004) |
$614 |
$1,228 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$281.75 |
$563.50 |
1.5× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,738.34 |
$7,476.67 |
1.2× |
| Destruction Vaginal Lesions Simple (57061) |
$4,336.25 |
$8,672.50 |
1.4× |
| Diagnostic anoscopy (46601) |
$372 |
$744 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,283.50 |
$2,567 |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$858 |
$1,716 |
1.0× |
| Dil urethra,female,subsequent (53661) |
$161 |
$322 |
1.3× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$895.33 |
$1,790.66 |
0.8× |
| Dilate Urethra Stricture (53620) |
$890.50 |
$1,781 |
1.3× |
| Dilate urethra stricture (53621) |
$319 |
$638 |
1.3× |
| Dilate urethra stricture (53600) |
$375 |
$750 |
1.6× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$5,848.75 |
$11,697.50 |
11.2× |
| Dilation and curettage (58120) |
$4,134 |
$8,268 |
1.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$402 |
$804 |
0.5× |
| Dilation esophagus over guide wire (43453) |
$2,054.67 |
$4,109.34 |
1.1× |
| Dilation Nasolacrimal Duct (68801) |
$564.50 |
$1,129 |
1.3× |
| Dilation of anal sphincter (45905) |
$2,633 |
$5,266 |
2.3× |
| Dilation of cervical canal (57800) |
$4,014.58 |
$8,029.17 |
1.3× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$170 |
$340 |
1.3× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$2,531.67 |
$5,063.34 |
0.7× |
| Dilation Salivary Duct (42650) |
$3,147.50 |
$6,295 |
2.1× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$9,546 |
$19,092 |
1.8× |
| Discission Secondary Membranous Cataract (66820) |
$2,185.92 |
$4,371.83 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,222 |
$4,444 |
1.3× |
| Dissection, deep jugular node(s) Facility (38542) |
$17,331.25 |
$34,662.50 |
3.0× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$9,596 |
$19,192 |
1.7× |
| Division of scalenus anticus; with resection of cervical rib Facility (21705) |
$10,621.67 |
$21,243.34 |
1.5× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,109.50 |
$4,219 |
1.3× |
| Drain lower leg bursa (27604) |
$4,179 |
$8,358 |
1.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,076 |
$2,152 |
1.6× |
| Drain Spinal Cord Cyst (62268) |
$1,284 |
$2,568 |
1.5× |
| Drain/inj small joint/bursa w/us (20604) |
$530 |
$1,060 |
1.8× |
| Drainage Abscess Parotid Simple (42300) |
$2,424.50 |
$4,849 |
1.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$465 |
$930 |
2.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$798 |
$1,596 |
1.5× |
| Drainage external auditory canal abscess (69020) |
$1,093.75 |
$2,187.50 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,322 |
$2,644 |
1.9× |
| Drainage Finger Abscess Complicated (26011) |
$2,306.25 |
$4,612.50 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$1,323.25 |
$2,646.50 |
6.8× |
| Drainage Mouth Roof Lesion (42000) |
$357 |
$714 |
1.6× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$804 |
$1,608 |
1.5× |
| Drainage of eye (65815) |
$2,169.66 |
$4,339.33 |
1.0× |
| Drainage of eye (65810) |
$2,966.42 |
$5,932.83 |
1.3× |
| Drainage of eye (65800) |
$3,772 |
$7,544 |
1.7× |
| Drainage of gum lesion (41800) |
$428.50 |
$857 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$3,302 |
$6,604 |
2.1× |
| Drainage of hydrocele (55000) |
$1,255 |
$2,510 |
1.8× |
| Drainage of mouth lesion (41017) |
$3,843.50 |
$7,687 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$2,619.50 |
$5,239 |
1.6× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,313 |
$4,626 |
1.1× |
| Drainage tendon sheath digit&/palm each (26020) |
$4,348.25 |
$8,696.50 |
1.4× |
| Draw blood off venous device (36591) |
$170.50 |
$341 |
1.3× |
| Dressing change under anesthesia (15852) |
$898.50 |
$1,797 |
1.3× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$790 |
$1,580 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$565.25 |
$1,130.50 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$354.75 |
$709.50 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$331 |
$662 |
1.7× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,072.50 |
$2,145 |
1.5× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$3,510 |
$7,020 |
1.8× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$7,092.75 |
$14,185.50 |
2.2× |
| Dstrj lesion anus simple cryosurgery (46916) |
$274.75 |
$549.50 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$3,556.50 |
$7,113 |
1.3× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,996.50 |
$5,993 |
1.5× |
| Dstrj Lesion Choroid Pc 1/> Sess (67220) |
$4,683.50 |
$9,367 |
8.8× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$518.50 |
$1,037 |
1.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$255 |
$510 |
1.3× |
| Dstrj lesion penis simple surg excision (54060) |
$3,065.25 |
$6,130.50 |
1.5× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$519.50 |
$1,039 |
1.3× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$1,229.83 |
$2,459.66 |
1.4× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$4,856 |
$9,712 |
5.7× |
| Dx bone marrow bx & aspir (38222) |
$3,710 |
$7,420 |
1.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,458.50 |
$6,917 |
2.0× |
| Dx laryngoscopy w/oper scope (31526) |
$2,772.84 |
$5,545.67 |
1.6× |
| Ear Cartilage Graft (21235) |
$9,556.50 |
$19,113 |
1.7× |
| Eardrum revision (69450) |
$12,454.08 |
$24,908.16 |
3.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,790 |
$3,580 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$5,383.50 |
$10,767 |
2.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,256 |
$2,384 |
0.7× |
| Egd band ligation esophgeal/gastric varices (43244) |
$645.34 |
$1,290.67 |
0.3× |
| Egd control bleeding any (43255) |
$1,148 |
$2,296 |
0.6× |
| Egd dilate stricture (43245) |
$1,256 |
$2,512 |
0.7× |
| Egd endo mucosal resection (43254) |
$2,966 |
$5,932 |
1.6× |
Egd endoscopic stent place (43266)
unusually low: confirm this is the full procedure |
$1,805.50 |
$3,611 |
0.3× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$890.66 |
$1,781.33 |
0.5× |
| Egd flexible foreign body removal (43247) |
$517 |
$1,034 |
0.6× |
| Egd guide wire insertion (43248) |
$1,800 |
$3,600 |
2.1× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,119.34 |
$2,238.66 |
0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,418.25 |
$4,836.50 |
1.3× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$7,000.50 |
$14,001 |
0.7× |
| Egd place gastrostomy tube (43246) |
$2,385 |
$4,770 |
1.3× |
| Egd remove lesion snare (43251) |
$1,434.67 |
$2,869.34 |
0.8× |
| Egd tube/cath insertion (43241) |
$2,385 |
$4,770 |
1.3× |
| Egd us exam duodenum/jejunum (43259) |
$5,368.44 |
$10,736.88 |
2.9× |
| Egd us transmural injxn/mark (43253) |
$3,022 |
$6,044 |
1.6× |
| Egd w/transmural drain cyst (43240) |
$5,938.75 |
$11,877.50 |
1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$584 |
$1,168 |
2.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$941.75 |
$1,883.50 |
3.2× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$586 |
$1,172 |
2.0× |
| Electrical stimulation bone healing noninvasive (20974) |
$35 |
$70 |
0.4× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$943.75 |
$1,887.50 |
1.3× |
| EMG anal/urethral sphincter (51785) |
$319.50 |
$639 |
1.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$310.25 |
$620.50 |
2.5× |
| Endocervical Curettage (57505) |
$1,341.50 |
$2,683 |
1.5× |
| Endometrial Biopsy (58100) |
$361.25 |
$722.50 |
1.8× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$19,947.50 |
$39,895 |
2.8× |
| Endoscopic plantar fasciotomy (29893) |
$6,965 |
$13,930 |
2.2× |
| Endoscopic us exam esoph (43237) |
$2,753.17 |
$5,506.34 |
1.5× |
| Endoscopy bowel pouch/biop (44386) |
$904 |
$1,808 |
1.0× |
| Endoscopy of bowel pouch (44385) |
$872 |
$1,744 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$872 |
$1,744 |
0.5× |
Endovasc Temp Balloon Occlus,Head/Nck (61623)
unusually low: confirm this is the full procedure |
$4,749 |
$9,498 |
0.4× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,428 |
$6,856 |
1.1× |
| Endoven ther chem adhes 1st (36482) |
$5,632.50 |
$11,265 |
1.0× |
| Endovenous laser, 1st vein (36478) |
$3,183.50 |
$6,367 |
1.0× |
| Endovenous rf 1st vein (36475) |
$5,461 |
$10,922 |
1.8× |
| Enterorrhaphy single perforation (44602) |
$5,318.33 |
$10,636.66 |
1.4× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$8,122.58 |
$16,245.17 |
4.4× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,672 |
$3,344 |
0.9× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,635 |
$5,270 |
1.3× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$7,870 |
$15,740 |
2.5× |
| Episiotomy or vaginal repair (59300) |
$4,766.50 |
$9,533 |
1.5× |
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure |
$2,159.71 |
$4,319.42 |
0.4× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,038.50 |
$8,077 |
1.1× |
| Ercp ea duct/ampulla dilate (43277) |
$4,536.50 |
$9,073 |
1.2× |
| Ercp lithotripsy calculi (43265) |
$5,383.75 |
$10,767.50 |
0.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,075.67 |
$6,151.34 |
0.8× |
| Ercp remove forgn body duct (43275) |
$1,377.69 |
$2,755.38 |
0.7× |
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure |
$1,974.17 |
$3,948.33 |
0.3× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,597.13 |
$5,194.25 |
0.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,171.13 |
$4,342.25 |
0.6× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,114.25 |
$4,228.50 |
0.6× |
| Esoph Scope W/Submucous Inj (43201) |
$5,075.50 |
$10,151 |
2.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,077.83 |
$6,155.66 |
3.5× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,032 |
$2,064 |
0.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$1,304 |
$2,608 |
0.3× |
| Esophagoscopy flexible guide wire dilation (43226) |
$5,430 |
$10,860 |
2.9× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,158.50 |
$2,317 |
1.3× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$1,172 |
$2,344 |
1.3× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,673.13 |
$3,346.25 |
1.9× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$3,470 |
$6,940 |
1.9× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$671.33 |
$1,342.66 |
0.4× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$4,583 |
$9,166 |
1.2× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$8,309.50 |
$16,619 |
4.5× |
Esophagoscopy transoral stent placement (43212)
likely a partial charge, not the full procedure |
$1,026.67 |
$2,053.33 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,451 |
$4,902 |
1.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$4,250 |
$8,500 |
2.3× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$7,703.75 |
$15,407.50 |
1.3× |
| Ethmoidectomy; extranasal, total Facility (31205) |
$4,946.17 |
$9,892.33 |
1.5× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$3,980.83 |
$7,961.66 |
2.7× |
| Evacuation of subungual hematoma (11740) |
$196 |
$392 |
1.5× |
| Evisceration of ocular contents; with implant Facility (65093) |
$5,216.50 |
$10,433 |
1.4× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,109.50 |
$4,219 |
1.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,794.34 |
$7,588.67 |
2.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,256.44 |
$4,512.88 |
1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$966 |
$1,932 |
1.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,284 |
$4,568 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,112.50 |
$4,225 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,164.25 |
$6,328.50 |
2.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,615.50 |
$3,231 |
2.4× |
| Exc back les sc < 3 cm (21930) |
$3,575.92 |
$7,151.84 |
2.2× |
| Exc back tum deep < 5 cm (21932) |
$3,526 |
$7,052 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,027.50 |
$2,055 |
1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,436 |
$4,872 |
1.5× |
| Exc forearm les sc 3 cm/> (25071) |
$3,573.25 |
$7,146.50 |
2.2× |
| Exc Frenum Labial/Buccal (40819) |
$2,219.50 |
$4,439 |
1.5× |
| Exc ganglion wrist recurrent (25112) |
$3,997.50 |
$7,995 |
2.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$6,811 |
$13,622 |
2.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$4,305.50 |
$8,611 |
2.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,700.50 |
$5,401 |
1.7× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$4,537 |
$9,074 |
1.4× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$12,005.50 |
$24,011 |
3.7× |
| Exc neck tum deep < 5 cm (21556) |
$7,347 |
$14,694 |
2.6× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$17,010.50 |
$34,021 |
9.0× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$7,276.67 |
$14,553.33 |
3.9× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,488.50 |
$6,977 |
1.8× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$12,156.62 |
$24,313.25 |
6.4× |
| Exc rect tum transanal part (45171) |
$2,649.34 |
$5,298.67 |
1.0× |
| Exc skin abd (15830) |
$16,151.25 |
$32,302.50 |
2.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,062.63 |
$2,125.25 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$3,153.88 |
$6,307.75 |
8.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,686.53 |
$3,373.06 |
2.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,935.75 |
$5,871.50 |
1.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$6,122.50 |
$12,245 |
2.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,710 |
$7,420 |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,112.25 |
$4,224.50 |
1.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$4,041.50 |
$8,083 |
1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,827 |
$9,654 |
1.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,595.31 |
$7,190.62 |
2.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,049.88 |
$10,099.75 |
1.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$10,267.50 |
$20,535 |
3.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,115.50 |
$4,231 |
1.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,444 |
$4,888 |
1.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,872.84 |
$5,745.66 |
1.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,378.50 |
$10,757 |
1.9× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,398.06 |
$8,796.12 |
1.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$4,256.34 |
$8,512.67 |
1.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$9,272.50 |
$18,545 |
5.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,109.50 |
$4,219 |
1.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$6,190.75 |
$12,381.50 |
2.2× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$5,227.34 |
$10,454.66 |
1.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$5,537.50 |
$11,075 |
2.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,334.50 |
$6,669 |
1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,061.50 |
$4,123 |
1.3× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$6,846.50 |
$13,693 |
2.4× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$5,200.50 |
$10,401 |
1.9× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,456 |
$6,912 |
2.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,109.50 |
$4,219 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,888.25 |
$13,776.50 |
2.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,291.44 |
$8,582.88 |
2.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,643.50 |
$7,287 |
1.3× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$6,384.50 |
$12,769 |
2.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,769.17 |
$9,538.33 |
1.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,105.50 |
$6,211 |
1.0× |
| Exc/fulguration urethral caruncle (53265) |
$2,102.50 |
$4,205 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,237.25 |
$4,474.50 |
0.6× |
| Exchange intraocular lens (66986) |
$2,766.78 |
$5,533.54 |
1.2× |
| Exchange nephrostomy cath (50435) |
$2,628.50 |
$5,257 |
1.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,150.50 |
$2,301 |
0.6× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$5,863.13 |
$11,726.25 |
1.8× |
| Excise cutaneous neurofibroma (64788) |
$2,621.50 |
$5,243 |
1.4× |
| Excise excessive skin arm (15836) |
$17,678.88 |
$35,357.75 |
6.3× |
| Excise Inferior Turbinate (30130) |
$3,466.25 |
$6,932.50 |
1.1× |
| Excise lesion testis (54512) |
$1,384.38 |
$2,768.75 |
0.4× |
| Excise mandible lesion (21040) |
$5,383.50 |
$10,767 |
1.7× |
| Excise pharynx lesion (42808) |
$3,421.25 |
$6,842.50 |
1.1× |
| Excise Wrist Tendon Sheath (25118) |
$3,436 |
$6,872 |
2.2× |
| Excise/repair mouth lesion (40812) |
$4,948.50 |
$9,897 |
3.3× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$4,289.76 |
$8,579.51 |
1.9× |
| Excision Aural Polyp (69540) |
$1,979.75 |
$3,959.50 |
1.3× |
| Excision Bone Mandible (21025) |
$6,498.75 |
$12,997.50 |
1.1× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$7,156.84 |
$14,313.68 |
2.2× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$7,085.50 |
$14,171 |
1.2× |
| Excision Breast Lesion (19125) |
$6,230.50 |
$12,461 |
1.6× |
| Excision Chalazion Single (67800) |
$897.88 |
$1,795.75 |
2.9× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$6,966.16 |
$13,932.33 |
2.2× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$5,845.50 |
$11,691 |
1.0× |
| Excision external ear partial simple repair (69110) |
$7,952.34 |
$15,904.67 |
2.8× |
| Excision Facial Bone (21026) |
$7,394.50 |
$14,789 |
1.3× |
| Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Facility (26390) |
$7,932.08 |
$15,864.17 |
1.1× |
| Excision H/P/P/U Complex Repair (11471) |
$7,010.75 |
$14,021.50 |
2.5× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,713 |
$7,426 |
1.3× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$5,359.17 |
$10,718.33 |
1.9× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$5,292.17 |
$10,584.34 |
1.9× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,713 |
$7,426 |
1.3× |
| Excision hydrocele bilateral (55041) |
$7,847.50 |
$15,695 |
2.3× |
| Excision interdigital morton neuroma single each (28080) |
$6,422 |
$12,844 |
4.1× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,273 |
$2,546 |
1.3× |
| Excision Lesion Floor Mouth (41116) |
$5,041.50 |
$10,083 |
1.6× |
| Excision lesion meniscus/capsule knee (27347) |
$2,623.33 |
$5,246.66 |
0.8× |
| Excision lesion mouth roof (42104) |
$4,144.25 |
$8,288.50 |
1.3× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$2,225 |
$4,450 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,981.50 |
$3,963 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,148.50 |
$2,297 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,543.50 |
$3,087 |
2.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,142.25 |
$2,284.50 |
2.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,952.50 |
$3,905 |
2.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,531 |
$3,062 |
2.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,552.19 |
$3,104.38 |
2.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,642.32 |
$3,284.62 |
2.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,813.50 |
$3,627 |
2.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$3,285.50 |
$6,571 |
2.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,716 |
$7,432 |
2.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,201.50 |
$4,403 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$10,000 |
$20,000 |
14.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,531 |
$3,062 |
2.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$3,787.50 |
$7,575 |
2.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,115.50 |
$4,231 |
1.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,022.75 |
$4,045.50 |
0.8× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$3,024.34 |
$6,048.66 |
4.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,332 |
$2,664 |
1.9× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
$6,230.50 |
$12,461 |
1.1× |
| Excision of chalazion; multiple, different lids (67805) |
$631.50 |
$1,263 |
2.1× |
| Excision of chalazion; multiple, same lid (67801) |
$2,024.50 |
$4,049 |
2.1× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$2,350 |
$4,700 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,315 |
$6,630 |
2.1× |
| Excision of hydrocele unilateral (55040) |
$4,872.34 |
$9,744.67 |
1.4× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
$2,460.75 |
$4,921.50 |
0.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,762.50 |
$3,525 |
1.8× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$2,706.75 |
$5,413.50 |
0.8× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$2,256.50 |
$4,513 |
0.7× |
| Excision of lesion of tongue without closure (41110) |
$4,856 |
$9,712 |
1.5× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$7,273.25 |
$14,546.50 |
1.3× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$7,029.56 |
$14,059.12 |
2.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,229.25 |
$4,458.50 |
1.4× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$2,795.50 |
$5,591 |
1.2× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$2,500.88 |
$5,001.75 |
1.1× |
| Excision of lesion, conjunctiva; with adjacent sclera Facility (68130) |
$4,718.34 |
$9,436.67 |
2.1× |
| Excision of local lesion of epididymis (54830) |
$1,894.50 |
$3,789 |
0.6× |
| Excision of malignant tumor of mandible; Facility (21044) |
$8,639.50 |
$17,279 |
1.5× |
| Excision of mucosa of vestibule of mouth as donor graft Facility (40818) |
$5,151.23 |
$10,302.46 |
9.9× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Facility (64792) |
$9,903 |
$19,806 |
3.0× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$2,494 |
$4,988 |
1.3× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$3,425.42 |
$6,850.83 |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$16,372.50 |
$32,745 |
2.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$11,800.01 |
$23,600.02 |
2.1× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$40,783.75 |
$81,567.50 |
7.1× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$26,992.50 |
$53,985 |
4.7× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
$14,835 |
$29,670 |
1.6× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$15,364.50 |
$30,729 |
3.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,711.50 |
$7,423 |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$2,956.50 |
$5,913 |
2.6× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$7,214.17 |
$14,428.34 |
2.6× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$4,217.84 |
$8,435.66 |
2.1× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$11,062 |
$22,124 |
1.9× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,758.25 |
$5,516.50 |
2.4× |
| Excision of tongue lesion (41112) |
$4,622.50 |
$9,245 |
1.4× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$18,504 |
$37,008 |
3.2× |
| Excision of vaginal cyst or tumor (57135) |
$4,134 |
$8,268 |
1.3× |
| Excision of vaginal septum (57130) |
$7,620.83 |
$15,241.66 |
2.4× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$9,730.36 |
$19,460.71 |
2.9× |
| Excision olecranon bursa (24105) |
$5,306.50 |
$10,613 |
1.7× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) |
$11,128 |
$22,256 |
1.6× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$5,638.67 |
$11,277.34 |
1.8× |
| Excision or curettage of bone cyst or benign tumor of femur; with allograft Facility (27356) |
$17,734.50 |
$35,469 |
1.4× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$10,437 |
$20,874 |
3.3× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) |
$8,848.50 |
$17,697 |
1.3× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
$18,486.67 |
$36,973.34 |
2.6× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$2,465.25 |
$4,930.50 |
0.8× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25126) |
$12,621.50 |
$25,243 |
4.0× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$4,916 |
$9,832 |
0.7× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$7,131 |
$14,262 |
2.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) |
$12,340.83 |
$24,681.66 |
1.8× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft… (28107) |
$8,309.50 |
$16,619 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$13,129.34 |
$26,258.67 |
1.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) |
$9,301.34 |
$18,602.67 |
1.3× |
| Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870) |
$5,078.75 |
$10,157.50 |
0.9× |
| Excision or fulguration of carcinoma of urethra Facility (53220) |
$2,384.83 |
$4,769.66 |
0.7× |
| Excision or fulguration; Skene's glands Facility (53270) |
$3,997.50 |
$7,995 |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,316.25 |
$6,632.50 |
1.2× |
| Excision prepatellar bursa (27340) |
$4,725 |
$9,450 |
1.5× |
| Excision soft tissue lesion, external auditory canal (69145) |
$8,011.84 |
$16,023.67 |
2.9× |
| Excision Synovial Cyst Popliteal Space (27345) |
$4,179 |
$8,358 |
1.3× |
| Excision tendon finger flexor/extensor each (26180) |
$6,856.50 |
$13,713 |
4.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,095.25 |
$10,190.50 |
3.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$4,074.50 |
$8,149 |
1.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,804 |
$7,608 |
2.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,881 |
$5,762 |
1.8× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,436.50 |
$4,873 |
1.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,201.50 |
$4,403 |
1.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$4,147 |
$8,294 |
1.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$9,930 |
$19,860 |
3.5× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$14,061 |
$28,122 |
2.5× |
| Excision, nasal polyp(s), simple Facility (30110) |
$1,981.50 |
$3,963 |
1.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$4,267 |
$8,534 |
1.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$3,742.50 |
$7,485 |
2.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,321 |
$8,642 |
2.7× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$6,710 |
$13,420 |
2.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,740 |
$11,480 |
2.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$8,294.25 |
$16,588.50 |
3.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$15,448.50 |
$30,897 |
5.5× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$5,620.50 |
$11,241 |
1.0× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$7,342.50 |
$14,685 |
2.3× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$3,564.75 |
$7,129.50 |
2.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,963 |
$9,926 |
1.5× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$4,234 |
$8,468 |
1.3× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$4,459.50 |
$8,919 |
1.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,224.84 |
$4,449.66 |
1.1× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$13,902.67 |
$27,805.34 |
2.6× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,196.25 |
$4,392.50 |
1.4× |
| Explo/Drain Breast Abscess (19020) |
$2,685 |
$5,370 |
1.7× |
| Exploration of knee joint (27310) |
$5,984.25 |
$11,968.50 |
1.9× |
| Exploration of middle ear (69440) |
$10,496.50 |
$20,993 |
3.3× |
| Exploration penetrating wound spx chest (20101) |
$2,662.50 |
$5,325 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,528 |
$5,056 |
1.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,807.25 |
$5,614.50 |
0.9× |
| Explore eye socket,drainage (67405) |
$4,536.50 |
$9,073 |
2.0× |
| Explore for undescended testis (54550) |
$2,985.34 |
$5,970.67 |
0.9× |
| Explore Parathyroid Glands (60500) |
$10,927.50 |
$21,855 |
1.9× |
| Explore/biopsy eye socket (67400) |
$6,153.50 |
$12,307 |
1.6× |
| Explore/irrigate tear ducts (68840) |
$895.33 |
$1,790.66 |
2.9× |
| Explore/treat eye socket (67412) |
$2,785.50 |
$5,571 |
1.2× |
| Explore/treat hand joint (26070) |
$2,054 |
$4,108 |
1.3× |
| Explore/Treat Knee Joint (27331) |
$5,768.50 |
$11,537 |
1.8× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$9,137 |
$18,274 |
17.2× |
| External cephalic version (59412) |
$4,134.50 |
$8,269 |
1.3× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical… (66987) |
$6,428 |
$12,856 |
1.6× |
| Extraction of lens (66940) |
$2,947.50 |
$5,895 |
1.3× |
| Extraction of lens (66930) |
$4,221 |
$8,442 |
1.1× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Facility (41016) |
$8,386.50 |
$16,773 |
1.5× |
| Eye surgery procedure (67299) |
$7,063.75 |
$14,127.50 |
3.2× |
| Eye surgery procedure (66999) |
$3,997.50 |
$7,995 |
1.8× |
| Fasciectomy Palm Only (26121) |
$4,179 |
$8,358 |
1.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$4,809.90 |
$9,619.81 |
1.5× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$8,309.50 |
$16,619 |
2.6× |
| Fasciotomy foot and/or toe (28008) |
$4,478.88 |
$8,957.75 |
1.4× |
| Fasciotomy Iliotibial Open (27305) |
$4,410.08 |
$8,820.16 |
1.4× |
| Fasciotomy palmar open partial (26045) |
$4,221.50 |
$8,443 |
1.3× |
| Fasciotomy palmar percutaneous (26040) |
$2,892.75 |
$5,785.50 |
1.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,393.75 |
$12,787.50 |
2.0× |
| Fetal contraction stress test (59020) |
$544 |
$1,088 |
2.8× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$408.50 |
$817 |
1.4× |
| Fetal non-stress test (59025) |
$349 |
$698 |
1.8× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,655.50 |
$3,311 |
2.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,655.50 |
$3,311 |
2.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,574.50 |
$3,149 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$1,483.50 |
$2,967 |
3.8× |
| Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) |
$2,109.34 |
$4,218.67 |
0.5× |
| Fit/Insert Intravag Support Device (57160) |
$351.75 |
$703.50 |
1.8× |
| Fix Entropion,Extensv Lid Repair (67924) |
$2,903.69 |
$5,807.38 |
1.3× |
| Fixation of shoulder (23700) |
$1,715.50 |
$3,431 |
1.1× |
| Flap; neurovascular pedicle (15750) |
$12,638 |
$25,276 |
3.7× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) |
$4,307.67 |
$8,615.34 |
0.6× |
| Fluid pressure muscle (20950) |
$991.50 |
$1,983 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$898.50 |
$1,797 |
3.9× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,655.50 |
$3,311 |
2.4× |
| Follow-up surgery of eye (66250) |
$4,162.25 |
$8,324.50 |
1.8× |
| Forearm or wrist surgery (25999) |
$1,966.75 |
$3,933.50 |
8.2× |
| Forehead flap w/vasc pedicle (15731) |
$3,959.32 |
$7,918.62 |
1.2× |
| Foreskin manipulation (54450) |
$2,102.50 |
$4,205 |
8.7× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,539.38 |
$5,078.75 |
1.3× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,074.50 |
$8,149 |
1.3× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$6,298 |
$12,596 |
0.9× |
| Frenulotomy of penis (54164) |
$2,703.50 |
$5,407 |
1.3× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$2,661.50 |
$5,323 |
1.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,781.28 |
$7,562.54 |
1.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,909.25 |
$5,818.50 |
1.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,516.50 |
$7,033 |
1.8× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,804 |
$5,608 |
1.4× |
| Fusion of finger tendons (26471) |
$5,537 |
$11,074 |
1.7× |
| Fusion of foot bones (28740) |
$14,567 |
$29,134 |
2.1× |
| Fusion of knuckle (26850) |
$6,595.34 |
$13,190.67 |
0.9× |
| Fusion of wrist joint (25800) |
$11,168.75 |
$22,337.50 |
1.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$357 |
$714 |
1.7× |
| Gastrocnemius recession (27687) |
$3,767.02 |
$7,534.04 |
1.2× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$65,847 |
$131,694 |
11.5× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$25,148.75 |
$50,297.50 |
4.4× |
| Glaucoma surgery (66170) |
$4,690.50 |
$9,381 |
2.1× |
| Glossectomy; less than one-half tongue Facility (41120) |
$15,635 |
$31,270 |
2.7× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$13,496.34 |
$26,992.67 |
2.4× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,846 |
$5,692 |
1.4× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$4,869.50 |
$9,739 |
1.4× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
$7,963.62 |
$15,927.25 |
2.3× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$2,637.67 |
$5,275.33 |
1.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,367.13 |
$6,734.25 |
1.0× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$4,575 |
$9,150 |
1.3× |
| Gstr rstcv px trnsorl esg (43889) |
$11,691 |
$23,382 |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$983 |
$1,966 |
1.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$11,082.75 |
$22,165.50 |
1.6× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$6,823 |
$13,646 |
2.2× |
| Hem vw factor&clgn iii bndg (0279U) |
$175 |
$350 |
15.2× |
| Hemorrhoidectomy (46255) |
$4,151.50 |
$8,303 |
1.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$5,537.50 |
$11,075 |
2.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$5,315 |
$10,630 |
2.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$6,659 |
$13,318 |
2.5× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,812.50 |
$7,625 |
1.4× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$4,287.50 |
$8,575 |
1.6× |
| Hemorrhoidopexy by stapling (46947) |
$4,536.50 |
$9,073 |
1.7× |
| Hip arthro acetabuloplasty (29915) |
$19,667 |
$39,334 |
2.8× |
| Hip arthro w/labral repair (29916) |
$16,111.13 |
$32,222.26 |
2.3× |
| Hymenotomy Simple Incision (56442) |
$3,545.34 |
$7,090.67 |
1.1× |
| Hyoid myotomy and suspension Facility (21685) |
$11,056.92 |
$22,113.84 |
1.9× |
| Hysteroscopy biopsy (58558) |
$4,658.50 |
$9,317 |
1.5× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$2,973 |
$5,946 |
0.6× |
| Hysteroscopy removal leiomyomata (58561) |
$5,999.50 |
$11,999 |
1.2× |
| Hysteroscopy w endometrial ablation (58563) |
$4,536.50 |
$9,073 |
0.9× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$5,307.75 |
$10,615.50 |
1.7× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$2,203 |
$4,406 |
0.7× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$2,200 |
$4,400 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$597.50 |
$1,195 |
2.6× |
| I&d abscess simple (10060) |
$379 |
$758 |
2.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$7,780.50 |
$15,561 |
2.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,361.08 |
$6,722.17 |
1.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,628.13 |
$3,256.25 |
0.5× |
| I&d forearm/wrist bursa (25031) |
$2,054 |
$4,108 |
1.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$10,118.25 |
$20,236.50 |
3.2× |
| I&d pilonidal cyst simple (10080) |
$1,212.50 |
$2,425 |
1.8× |
| I&d submucosal abscess rectum (45005) |
$1,723 |
$3,446 |
1.5× |
| I&d vulva/perineal abscess (56405) |
$604 |
$1,208 |
2.0× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,349.34 |
$2,698.67 |
0.7× |
| Ileoscopy thru stoma (44380) |
$410 |
$820 |
0.5× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,381.34 |
$2,762.66 |
1.6× |
| Image Cath Fluid Colxn Visc (49405) |
$7,751.75 |
$15,503.50 |
4.9× |
| Image Cath Fluid Peri/Retro (49406) |
$4,107.50 |
$8,215 |
2.6× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$7,751.50 |
$15,503 |
4.9× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$8,237.56 |
$16,475.10 |
1.0× |
| Implant cochlear device (69930) |
$25,165.50 |
$50,331 |
0.8× |
Implant eye drug system (67027)
unusually low: confirm this is the full procedure |
$4,446 |
$8,892 |
0.3× |
| Implant neuroelectrodes (63650) |
$6,012.69 |
$12,025.38 |
1.0× |
| Implantation of intrastromal corneal ring segments Facility (65785) |
$4,521.50 |
$9,043 |
1.1× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$20,066 |
$40,132 |
1.6× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$8,990.25 |
$17,980.50 |
0.7× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$8,051 |
$16,102 |
0.9× |
| Impression & Preparation Oral Surgical Splint (21085) |
$404 |
$808 |
1.8× |
| Impression and custom preparation; auricular prosthesis Facility (21086) |
$4,488.75 |
$8,977.50 |
1.4× |
| Incise external hemorrhoid (46083) |
$384.25 |
$768.50 |
1.6× |
| Incise finger tendon sheath (26055) |
$3,227.50 |
$6,455 |
2.1× |
| Incise inner eye adhesions (65865) |
$1,808.83 |
$3,617.66 |
0.8× |
| Incise wrist/forearm tendon (25290) |
$2,921.67 |
$5,843.34 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$898 |
$1,796 |
2.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$13,127.50 |
$26,255 |
4.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$959.25 |
$1,918.50 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,949.50 |
$5,899 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$519 |
$1,038 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$295 |
$590 |
1.5× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$5,922.50 |
$11,845 |
2.2× |
| Incision and drainage perianal abscess superficial (46050) |
$1,409.25 |
$2,818.50 |
1.6× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$4,209.50 |
$8,419 |
1.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$12,214 |
$24,428 |
1.7× |
| Incision Drainage Lacrimal Sac (68420) |
$2,493.03 |
$4,986.06 |
1.1× |
| Incision extensor tendon sheath wrist (25000) |
$2,330.50 |
$4,661 |
1.5× |
| Incision of conjunctiva, drainage of cyst (68020) |
$1,256 |
$2,512 |
1.3× |
| Incision of eardrum (69421) |
$2,064.83 |
$4,129.66 |
0.6× |
| Incision of eardrum (69420) |
$338 |
$676 |
1.5× |
| Incision of eye (66172) |
$3,357.08 |
$6,714.17 |
1.5× |
| Incision of eye (65850) |
$2,984.17 |
$5,968.34 |
1.3× |
| Incision of eyelid fold (67715) |
$3,563 |
$7,126 |
1.5× |
| Incision of iris (66500) |
$2,564.50 |
$5,129 |
1.1× |
| Incision of labial frenum (frenotomy) (40806) |
$1,207.16 |
$2,414.33 |
2.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,507 |
$5,014 |
1.7× |
| Incision of rectal abscess (46045) |
$3,812.50 |
$7,625 |
1.4× |
| Incision of rectal abscess (46040) |
$2,518.50 |
$5,037 |
2.2× |
| Incision of tibia (27705) |
$24,711.25 |
$49,422.50 |
3.5× |
| Incision of tibia & fibula (27709) |
$17,780.34 |
$35,560.67 |
1.4× |
| Incision of urethra (53010) |
$8,038.75 |
$16,077.50 |
1.5× |
| Incision of urethra (53020) |
$2,670 |
$5,340 |
1.3× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Facility (25001) |
$4,690.50 |
$9,381 |
1.5× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$655.25 |
$1,310.50 |
2.1× |
| Incisional biopsy skin single lesion (11106) |
$944 |
$1,888 |
1.3× |
| Induced abortion by d&c (59840) |
$4,134.50 |
$8,269 |
1.3× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$17,395.50 |
$34,791 |
2.7× |
| Initial open implantation of baroreflex activation therapy (bat) modulation system, including lead placement onto the… (64654) |
$56,250.50 |
$112,501 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$300 |
$600 |
1.5× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$392 |
$784 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,358.50 |
$4,717 |
2.8× |
| Inj tendon sheath/ligament (20550) |
$721.25 |
$1,442.50 |
2.4× |
| Inj therapeutic carpal tunnel (20526) |
$659.25 |
$1,318.50 |
2.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,409.50 |
$4,819 |
2.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,700 |
$3,400 |
2.0× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$1,793.75 |
$3,587.50 |
5.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,373 |
$2,746 |
1.6× |
| Inject Intravitreal Pharmcologic (67028) |
$1,326.17 |
$2,652.33 |
4.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,550 |
$3,100 |
1.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,295.75 |
$2,591.50 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,171 |
$4,342 |
2.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,597 |
$5,194 |
3.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,546.50 |
$3,093 |
1.8× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,882 |
$3,764 |
2.2× |
| Inject Sinus Tract Theraputic (20500) |
$1,990.50 |
$3,981 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$392 |
$784 |
1.3× |
| Inject/treat eye socket (67500) |
$631.50 |
$1,263 |
2.1× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,437.50 |
$2,875 |
1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,502 |
$3,004 |
2.2× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,130 |
$2,260 |
1.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$901.50 |
$1,803 |
1.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,396 |
$2,792 |
2.0× |
| Injection aa&/strd pudendal nerve (64430) |
$1,831.08 |
$3,662.16 |
2.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$713.50 |
$1,427 |
2.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$782.75 |
$1,565.50 |
2.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,257 |
$2,514 |
1.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$3,789 |
$7,578 |
5.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,248.25 |
$2,496.50 |
1.8× |
| Injection for identification of sentinel node (38792) |
$4,941.25 |
$9,882.50 |
12.8× |
| Injection into skin lesions (11900) |
$358 |
$716 |
1.8× |
| Injection peyronie disease (54200) |
$319.50 |
$639 |
1.3× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$764.75 |
$1,529.50 |
1.3× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$1,486 |
$2,972 |
3.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$657.50 |
$1,315 |
2.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$559 |
$1,118 |
1.9× |
| Injection treatment of nerve (64681) |
$1,130 |
$2,260 |
1.3× |
| Injection(s) spider veins (36468) |
$441 |
$882 |
1.1× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,761.50 |
$3,523 |
2.1× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$1,522.25 |
$3,044.50 |
2.2× |
| Injection, anesthetic agent; vagus nerve (64408) |
$417 |
$834 |
1.4× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Facility (66020) |
$2,899.25 |
$5,798.50 |
1.3× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$3,214.92 |
$6,429.84 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$256.75 |
$513.50 |
1.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,204 |
$2,408 |
1.4× |
| Ins cath ren art 1st bilat (36252) |
$5,261 |
$10,522 |
1.7× |
| Ins cath ren art 1st unilat (36251) |
$3,584 |
$7,168 |
1.2× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,844 |
$13,688 |
2.2× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,993.58 |
$9,987.17 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$5,218.75 |
$10,437.50 |
1.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$7,470 |
$14,940 |
0.7× |
| Ins tun ip cath for dial opn (49421) |
$6,299.25 |
$12,598.50 |
1.8× |
| Ins Vag Brachytx Device (57156) |
$635.50 |
$1,271 |
2.2× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$12,083.25 |
$24,166.50 |
0.4× |
| Insert and remove bone pin (20650) |
$4,748 |
$9,496.01 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$306 |
$612 |
2.5× |
| Insert cath pleura w/ image (32557) |
$2,338 |
$4,676 |
1.5× |
| Insert cath pleura w/o image (32556) |
$2,132.50 |
$4,265 |
1.1× |
| Insert cervical dilator (59200) |
$431.75 |
$863.50 |
1.5× |
| Insert Drug Implant Device (11981) |
$1,130 |
$2,260 |
8.8× |
| Insert gastrostomy tube percutaneous (49440) |
$2,042.50 |
$4,085 |
1.1× |
| Insert heart pm atrial (33206) |
$5,679.75 |
$11,359.50 |
0.6× |
| Insert heart pm ventricular (33207) |
$6,336.50 |
$12,673 |
0.6× |
| Insert hepatic shunt (tips) (37182) |
$18,466 |
$36,932 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,002.75 |
$6,005.50 |
1.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$7,911.50 |
$15,823 |
2.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,051.50 |
$4,103 |
1.3× |
| Insert pulse gen dual leads (33213) |
$5,958.50 |
$11,917 |
0.6× |
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure |
$9,173 |
$18,346 |
0.5× |
Insert spine infusion device (62360)
unusually low: confirm this is the full procedure |
$5,695 |
$11,390 |
0.3× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$3,587 |
$7,174 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$246.50 |
$493 |
1.9× |
| Insert testicular prosthesis (54660) |
$5,788.50 |
$11,577 |
1.1× |
| Insert Tissue Expander(S) (11960) |
$13,391.50 |
$26,783 |
3.9× |
| Insert tun ip cath perc (49418) |
$3,807 |
$7,614 |
1.1× |
| Insert tunneled cv cath (36561) |
$3,183.50 |
$6,367 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,019 |
$12,038 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$208.75 |
$417.50 |
1.6× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$5,774 |
$11,548 |
0.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,407.25 |
$6,814.50 |
1.0× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$2,118.25 |
$4,236.50 |
1.4× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Facility (66183) |
$2,459.67 |
$4,919.34 |
0.6× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$13,853.50 |
$27,707 |
0.7× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$3,106 |
$6,212 |
1.4× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
$12,544.50 |
$25,089 |
0.6× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
$6,067.34 |
$12,134.67 |
1.6× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
$1,945.17 |
$3,890.33 |
0.5× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
$11,500.50 |
$23,001 |
1.4× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Facility (25430) |
$7,918.25 |
$15,836.50 |
2.5× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge, not the full procedure |
$6,076.50 |
$12,153 |
0.2× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
likely a partial charge, not the full procedure |
$2,919.50 |
$5,839 |
0.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$473.25 |
$946.50 |
0.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,795.75 |
$19,591.50 |
1.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$3,557.25 |
$7,114.50 |
0.7× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$3,231.67 |
$6,463.33 |
0.2× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$3,493 |
$6,986 |
0.4× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$7,136.25 |
$14,272.50 |
0.9× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$5,817 |
$11,634 |
0.6× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
unusually low: confirm this is the full procedure |
$9,843.50 |
$19,687 |
0.5× |
| Insj picc rs&i 5 yr+ (36573) |
$2,003 |
$4,006 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,427.50 |
$6,855 |
1.1× |
| Insj rx elut implt lac canal (68841) |
$3,085.50 |
$6,171 |
1.3× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$8,442.50 |
$16,885 |
0.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,183.50 |
$6,367 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,632.50 |
$11,265 |
1.0× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$12,033 |
$24,066 |
3.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,495 |
$6,990 |
1.1× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$10,850.50 |
$21,701 |
1.4× |
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure |
$11,919 |
$23,838 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,493 |
$6,986 |
0.4× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$3,587 |
$7,174 |
0.4× |
Insrt pulse gen w/dual leads (33230)
unusually low: confirm this is the full procedure |
$9,141.50 |
$18,283 |
0.4× |
Insrt pulse gen w/mult leads (33231)
unusually low: confirm this is the full procedure |
$12,367 |
$24,734 |
0.4× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$6,062.25 |
$12,124.50 |
0.2× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$508 |
$1,016 |
2.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,030.84 |
$8,061.67 |
1.5× |
| Interdental Fixation (21110) |
$1,916.50 |
$3,833 |
1.3× |
| Interdental Wiring Other Than Fracture (21497) |
$2,339.75 |
$4,679.50 |
1.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,323 |
$6,646 |
2.5× |
| Intraoral i&d tongue/floor masticator space (41009) |
$3,920.50 |
$7,841 |
7.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,699.50 |
$9,399 |
1.5× |
| Intro cath dialysis circuit (36901) |
$3,105 |
$6,210 |
2.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$8,850 |
$17,700 |
0.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$4,881.50 |
$9,763 |
0.9× |
| Intro Gastrointestinal Tube (44500) |
$1,281 |
$2,562 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$440.50 |
$881 |
1.9× |
| Iridectomy, with corneoscleral or corneal section; for removal of lesion Facility (66600) |
$3,097.58 |
$6,195.16 |
0.8× |
| Irrigation maxillary sinus (31000) |
$4,576.38 |
$9,152.75 |
20.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$392.25 |
$784.50 |
1.6× |
| Island pedicle flap graft (15740) |
$3,257.50 |
$6,515 |
1.6× |
| IV injection test vascular flow flap/graft (15860) |
$3,643.25 |
$7,286.50 |
8.4× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$5,129 |
$10,258 |
1.3× |
| Knee Arthroscopy/Surgery (29874) |
$5,478 |
$10,956 |
1.7× |
| Knee Arthroscopy/Surgery (29879) |
$11,309 |
$22,618 |
3.6× |
| Labyrinthotomy Transcanal (69801) |
$2,337.25 |
$4,674.50 |
1.6× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$5,138.75 |
$10,277.50 |
0.7× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$17,995 |
$35,990 |
1.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$15,900.25 |
$31,800.50 |
2.3× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$9,861 |
$19,722 |
1.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$8,085.94 |
$16,171.88 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$27,877.50 |
$55,755 |
4.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$27,368 |
$54,736 |
3.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$11,218.50 |
$22,437 |
1.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$13,254.75 |
$26,509.50 |
1.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$14,114.50 |
$28,229 |
2.0× |
| Lap ing hernia repair init (49650) |
$7,647 |
$15,294 |
1.3× |
| Lap paraesoph her rpr w/mesh (43282) |
$22,204.50 |
$44,409 |
2.2× |
| Lap paraesophag hern repair (43281) |
$17,109.75 |
$34,219.50 |
1.7× |
| Lap revision perm ip cath (49325) |
$5,152.50 |
$10,305 |
0.9× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$8,413 |
$16,826 |
1.4× |
| Laparoscopy appendectomy (44970) |
$8,684.50 |
$17,369 |
1.5× |
| Laparoscopy biopsy (49321) |
$10,157.50 |
$20,315 |
1.7× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$28,291 |
$56,582 |
2.8× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$22,453.75 |
$44,907.50 |
2.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,689 |
$15,378 |
1.3× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$27,797.50 |
$55,595 |
2.7× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Facility (47370) |
$10,964.67 |
$21,929.34 |
1.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$7,555 |
$15,110 |
0.7× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$5,425.79 |
$10,851.57 |
0.9× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$91,130 |
$182,260 |
8.9× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$11,691 |
$23,382 |
1.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$13,933.50 |
$27,867 |
3.7× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$27,962 |
$55,924 |
4.8× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$40,628.50 |
$81,257 |
4.0× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541) |
$16,777 |
$33,554 |
1.6× |
| Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550) |
$10,080.50 |
$20,161 |
1.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$19,408 |
$38,816 |
1.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$13,331.34 |
$26,662.67 |
1.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$20,559.50 |
$41,119 |
3.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$13,813.50 |
$27,627 |
1.3× |
| Laparoscopy, surgical; ablation of renal cysts Facility (50541) |
$18,855.75 |
$37,711.50 |
1.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$23,685 |
$47,370 |
4.1× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$10,856.50 |
$21,713 |
1.9× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$31,279.92 |
$62,559.84 |
3.0× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$14,803.50 |
$29,607 |
1.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$20,888.50 |
$41,777 |
3.6× |
| Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) |
$13,543 |
$27,086 |
2.3× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947) |
$35,775.75 |
$71,551.50 |
3.5× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$37,091.75 |
$74,183.50 |
3.6× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$13,378.33 |
$26,756.66 |
1.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$10,938.50 |
$21,877 |
1.1× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$23,247.34 |
$46,494.67 |
4.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,539.50 |
$15,079 |
1.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$8,503.50 |
$17,007 |
1.5× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$19,820.76 |
$39,641.51 |
1.9× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$7,870 |
$15,740 |
1.3× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,701.66 |
$11,403.32 |
1.0× |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
$12,199.92 |
$24,399.83 |
2.1× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$4,011 |
$8,022 |
0.7× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,461.50 |
$12,923 |
1.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,459.50 |
$8,919 |
1.2× |
| Laryngoplasty, medialization, unilateral Facility (31591) |
$11,836.50 |
$23,673 |
2.1× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$3,648 |
$7,296 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$302 |
$604 |
1.6× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$732 |
$1,464 |
1.9× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$4,840.38 |
$9,680.75 |
1.3× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$3,678 |
$7,356 |
1.0× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$4,761.50 |
$9,523 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$871.58 |
$1,743.16 |
4.5× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$4,761.50 |
$9,523 |
1.3× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$2,273.50 |
$4,547 |
1.3× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,656 |
$5,312 |
1.5× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,298.58 |
$6,597.17 |
1.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$636 |
$1,272 |
1.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$616.50 |
$1,233 |
1.6× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
$499.50 |
$999 |
1.3× |
| Laryngoscopy w/biopsy (31535) |
$4,678.75 |
$9,357.50 |
1.3× |
| Laryngoscopy w/bx op scope (31536) |
$1,824.36 |
$3,648.70 |
0.5× |
| Laryngoscopy w/exc of tumor (31540) |
$10,311.50 |
$20,623 |
2.9× |
| Laryngoscopy w/fb & op scope (31531) |
$5,467 |
$10,934 |
1.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,502.44 |
$9,004.88 |
2.6× |
| Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Facility (31561) |
$4,207.17 |
$8,414.33 |
0.6× |
| Larynscop w/tumr exc + scope (31541) |
$7,121 |
$14,242 |
2.0× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$6,030 |
$12,060 |
1.2× |
| Laser surgery of eye (65855) |
$1,002 |
$2,004 |
1.9× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$702.50 |
$1,405 |
1.3× |
| Laser treatment of retina (67040) |
$8,111.92 |
$16,223.84 |
2.0× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$7,574.25 |
$15,148.50 |
1.5× |
| Late closure of wound (13160) |
$4,526 |
$9,052 |
1.3× |
| Lateral canthopexy (21282) |
$3,911.75 |
$7,823.50 |
1.2× |
| Lengthen metacarpal/finger (26568) |
$7,146 |
$14,292 |
1.0× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$6,333.83 |
$12,667.66 |
0.9× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$6,155.67 |
$12,311.34 |
2.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$11,733.75 |
$23,467.50 |
1.7× |
| Ligate leg veins open (37761) |
$7,972.12 |
$15,944.25 |
2.6× |
| Ligate/strip short leg vein (37718) |
$4,945.63 |
$9,891.25 |
1.6× |
| Ligation of a-v fistula (37607) |
$4,306.66 |
$8,613.33 |
1.4× |
| Ligation of hemorrhoid(s) (46221) |
$1,849.50 |
$3,699 |
2.1× |
| Ligation Of Inf Vena Cava (37619) |
$6,019 |
$12,038 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$2,810.50 |
$5,621 |
1.8× |
| Ligation; external carotid artery Facility (37600) |
$16,819.37 |
$33,638.74 |
5.5× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,227.25 |
$6,454.50 |
1.1× |
| Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Facility (38562) |
$28,126.50 |
$56,253 |
3.6× |
| Limited pharyngectomy Facility (42890) |
$78,795.50 |
$157,591 |
13.8× |
| Lip Surgery Procedure (40799) |
$356.50 |
$713 |
1.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$8,830.75 |
$17,661.50 |
2.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,506.66 |
$11,013.33 |
1.6× |
| Lithotripsy (50590) |
$10,113.75 |
$20,227.50 |
3.0× |
| Liver Biopsy (47000) |
$2,367 |
$4,734 |
1.5× |
| Lower jaw bone graft (21215) |
$7,411.88 |
$14,823.75 |
1.3× |
| Lyse chest fibrin init day (32561) |
$807.50 |
$1,615 |
1.3× |
| Lysis Intranasal Synechia (30560) |
$1,681.32 |
$3,362.64 |
3.2× |
| Lysis of labial adhesions (56441) |
$11,113 |
$22,226 |
3.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,670 |
$5,340 |
1.3× |
| Manipulat Palm Cord Post Inj (26341) |
$305.50 |
$611 |
1.3× |
| Manipulation knee joint under general anesthesia (27570) |
$1,818 |
$3,636 |
1.2× |
| Manipulation Tmj Therapeutic Require Anesthesia (21073) |
$2,562.34 |
$5,124.67 |
1.7× |
| Manipulation, elbow, under anesthesia (24300) |
$1,510 |
$3,020 |
1.0× |
| Marsupialization Bartholins Gland Cyst (56440) |
$3,435 |
$6,870 |
1.1× |
| Mast mod rad (19307) |
$16,165.67 |
$32,331.34 |
2.5× |
| Mastectomy for gynecomastia (19300) |
$11,466.50 |
$22,933 |
3.0× |
| Mastectomy partial (19301) |
$6,195 |
$12,390 |
1.6× |
| Mastectomy simple complete (19303) |
$14,233.76 |
$28,467.52 |
2.2× |
| Mastoidectomy (69501) |
$17,846.76 |
$35,693.51 |
3.1× |
| Mastopexy (19316) |
$5,490.50 |
$10,981 |
0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,003 |
$4,006 |
1.3× |
| Mech remov tunneled cv cath (36595) |
$3,231.50 |
$6,463 |
1.1× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$11,668.50 |
$23,337 |
2.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$8,540.50 |
$17,081 |
1.5× |
| Middle ear surgery proc unlisted (69799) |
$1,230.38 |
$2,460.75 |
5.4× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$4,576 |
$9,152 |
1.3× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,014.50 |
$2,029 |
1.4× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$943.75 |
$1,887.50 |
1.3× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$3,564 |
$7,128 |
1.5× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$5,624.76 |
$11,249.52 |
2.8× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$5,790.75 |
$11,581.50 |
1.7× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$6,342.50 |
$12,685 |
1.9× |
| Muscle-skin graft trunk (15734) |
$11,514.25 |
$23,028.50 |
3.4× |
| Myelography Lumbar Injection (62305) |
$890 |
$1,780 |
1.2× |
| Myelography Lumbar Injection (62304) |
$751.50 |
$1,503 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$760 |
$1,520 |
1.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$434.25 |
$868.50 |
0.6× |
| Myringoplasty (69620) |
$4,371.50 |
$8,743 |
1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,180 |
$2,360 |
1.7× |
| N Block Inj, Plantar Digit (64455) |
$587 |
$1,174 |
2.0× |
| Nasal endoscopy dx (31231) |
$750.42 |
$1,500.83 |
3.9× |
| Nasal surgery procedure (30999) |
$1,603 |
$3,206 |
7.0× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
likely a partial charge, not the full procedure |
$1,685.68 |
$3,371.36 |
0.2× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$1,999.70 |
$3,999.40 |
0.6× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$596.50 |
$1,193 |
1.6× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$2,274 |
$4,548 |
1.3× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$8,965.50 |
$17,931 |
1.3× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
$7,472.38 |
$14,944.76 |
1.1× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
likely a partial charge, not the full procedure |
$1,773.40 |
$3,546.81 |
0.3× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,244.05 |
$4,488.10 |
1.3× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$4,794.75 |
$9,589.50 |
1.3× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) |
$3,445.98 |
$6,891.96 |
2.0× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$7,374 |
$14,748 |
1.1× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$3,769.75 |
$7,539.50 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,997.50 |
$7,995 |
2.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,989.92 |
$5,979.83 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$5,156.76 |
$10,313.52 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$13,061 |
$26,122 |
1.9× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$10,948.75 |
$21,897.50 |
1.6× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$10,089 |
$20,178 |
1.5× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,999.70 |
$3,999.40 |
0.3× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$5,699.75 |
$11,399.50 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$660 |
$1,320 |
1.5× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$4,502 |
$9,004 |
1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,019.25 |
$10,038.50 |
3.2× |
| Needle biopsy of pancreas (48102) |
$2,109 |
$4,218 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$59 |
$118 |
2.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$70 |
$140 |
2.5× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
$16,625.50 |
$33,251 |
2.0× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$21,830.01 |
$43,660.01 |
2.6× |
| Nerve pedicle transfer; first stage Facility (64905) |
$9,298 |
$18,596 |
1.1× |
| Nerve pedicle transfer; second stage Facility (64907) |
$31,219 |
$62,438 |
3.7× |
| Nerve repair w/allograft (64910) |
$9,538.34 |
$19,076.67 |
1.1× |
| Nerve repair w/nerve allograft first strand (64912) |
$9,587.50 |
$19,175 |
1.1× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$6,834.17 |
$13,668.33 |
3.6× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,919.50 |
$5,839 |
1.5× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$15,183.17 |
$30,366.34 |
8.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$18,458.50 |
$36,917 |
9.8× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$5,922.50 |
$11,845 |
3.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$534 |
$1,068 |
1.3× |
| Nipple exploration (19110) |
$5,405.50 |
$10,811 |
1.4× |
| Nipple/areola reconstruction (19350) |
$5,118.25 |
$10,236.50 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$1,551.50 |
$3,103 |
2.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,488 |
$2,976 |
1.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$569.50 |
$1,139 |
2.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,578 |
$5,156 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,807 |
$7,614 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,277 |
$6,554 |
3.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,130 |
$2,260 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,784.50 |
$5,569 |
4.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$901.50 |
$1,803 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,130 |
$2,260 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,257 |
$2,514 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,261 |
$2,522 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,130 |
$2,260 |
1.3× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,025 |
$4,050 |
1.0× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,039 |
$2,078 |
0.5× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,293.84 |
$2,587.66 |
1.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,509 |
$3,018 |
2.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$651.25 |
$1,302.50 |
1.7× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$6,601.92 |
$13,203.84 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$621.25 |
$1,242.50 |
0.7× |
| Occipital Nerve Block (64405) |
$719.50 |
$1,439 |
2.4× |
| Ocular photodynamic ther (67221) |
$845.75 |
$1,691.50 |
1.6× |
| Ocular reconst transplant (65780) |
$4,538.67 |
$9,077.34 |
1.2× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$2,305.67 |
$4,611.34 |
0.6× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$5,359.50 |
$10,719 |
0.6× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$750 |
$1,500 |
0.2× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,250 |
$4,500 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$13,853.50 |
$27,707 |
3.7× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure |
$9,770.50 |
$19,541 |
0.2× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$4,643.34 |
$9,286.67 |
0.8× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$17,301.12 |
$34,602.24 |
0.6× |
Open nasoethmoid fx w/o fixj (21338)
unusually low: confirm this is the full procedure |
$2,034.70 |
$4,069.40 |
0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,900 |
$13,800 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$16,484.84 |
$32,969.67 |
2.3× |
| Open treatment fracture distal tibia only (27827) |
$9,470 |
$18,940 |
0.8× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,900 |
$13,800 |
1.0× |
| Open treatment metacarpophalangeal dislocation (26715) |
$19,001.50 |
$38,003 |
6.0× |
| Open treatment metatarsal fracture each (28485) |
$7,475.20 |
$14,950.41 |
1.1× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$8,694 |
$17,388 |
1.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$17,785.67 |
$35,571.34 |
2.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$12,485.50 |
$24,971 |
1.8× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$28,540.50 |
$57,081 |
5.0× |
| Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) |
$7,781.83 |
$15,563.66 |
1.4× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$13,843 |
$27,686 |
2.4× |
| Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360) |
$18,880 |
$37,760 |
3.3× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$3,843.50 |
$7,687 |
0.7× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) |
$13,084.84 |
$26,169.66 |
1.1× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$15,291 |
$30,582 |
2.2× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$10,519.75 |
$21,039.50 |
1.5× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$12,170.50 |
$24,341 |
1.0× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$10,928.25 |
$21,856.50 |
1.9× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$16,126.67 |
$32,253.34 |
2.8× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$12,395 |
$24,790 |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$29,952 |
$59,904 |
2.4× |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
$8,547.50 |
$17,095 |
1.5× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$19,394.25 |
$38,788.50 |
3.4× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$12,757 |
$25,514 |
2.2× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$5,148.92 |
$10,297.84 |
0.9× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566)
unusually low: confirm this is the full procedure |
$3,160.81 |
$6,321.62 |
0.5× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$20,981 |
$41,962 |
1.2× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$24,263.76 |
$48,527.52 |
2.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$10,539.75 |
$21,079.50 |
1.5× |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) |
$10,359.67 |
$20,719.33 |
1.5× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$6,696 |
$13,392 |
1.0× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) |
$4,415.88 |
$8,831.75 |
0.6× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$6,671.75 |
$13,343.50 |
0.5× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$11,263.75 |
$22,527.50 |
1.6× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$3,788.66 |
$7,577.33 |
0.5× |
| Open treatment of ulnar styloid fracture (25652) |
$5,295.25 |
$10,590.50 |
0.8× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,300 |
$26,600 |
1.1× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$7,661.42 |
$15,322.83 |
1.1× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$5,247.26 |
$10,494.52 |
1.7× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,403.58 |
$14,807.16 |
1.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$4,931.38 |
$9,862.75 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,049 |
$8,098 |
1.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$4,614.63 |
$9,229.25 |
0.7× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$11,354.25 |
$22,708.50 |
0.9× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$11,987.75 |
$23,975.50 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$5,066.25 |
$10,132.50 |
1.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$8,047.34 |
$16,094.67 |
2.5× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$4,916 |
$9,832 |
1.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,245.50 |
$10,491 |
1.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$4,954.12 |
$9,908.25 |
0.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$6,676.67 |
$13,353.34 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,448.84 |
$14,897.66 |
1.1× |
| Open/Perq Place Stent Same (37238) |
$6,983 |
$13,966 |
0.6× |
Open/Perq Placement Intravascular Stent Initial (37236)
unusually low: confirm this is the full procedure |
$5,428.67 |
$10,857.34 |
0.5× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$8,684.50 |
$17,369 |
2.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$8,503.50 |
$17,007 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,900 |
$13,800 |
1.0× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,352.38 |
$14,704.75 |
1.0× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$8,413 |
$16,826 |
1.2× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$12,908.42 |
$25,816.84 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$21,931.58 |
$43,863.17 |
3.1× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$2,361.17 |
$4,722.33 |
0.6× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Facility (67420) |
$17,021 |
$34,042 |
4.5× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$1,928.04 |
$3,856.07 |
0.5× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Facility (67413) |
$3,235.25 |
$6,470.50 |
1.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,654 |
$13,308 |
1.9× |
| Ostectomy calcaneus (28118) |
$3,783.67 |
$7,567.33 |
1.2× |
| Ostectomy complete 5th metatarsal head (28113) |
$2,700.16 |
$5,400.31 |
0.9× |
| Ostectomy of sternum, partial Facility (21620) |
$5,691.50 |
$11,383 |
1.8× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$2,374.75 |
$4,749.50 |
0.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,128.90 |
$6,257.79 |
1.0× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,124.10 |
$4,248.18 |
0.7× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$6,170.42 |
$12,340.83 |
0.5× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$12,611.26 |
$25,222.52 |
2.2× |
| Osteoplasty, facial bones; reduction Facility (21209) |
$12,574.38 |
$25,148.75 |
2.2× |
| Osteoplasty, radius OR ulna; lengthening with autograft Facility (25391) |
$10,586 |
$21,172 |
0.9× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$12,665 |
$25,330 |
1.8× |
| Osteot shrt corrj prox phalanx 1st toe (28310) |
$4,490.84 |
$8,981.66 |
0.6× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$5,383.50 |
$10,767 |
0.8× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$5,790.25 |
$11,580.50 |
1.8× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$11,220.26 |
$22,440.50 |
1.6× |
| Osteotomy Phalanx Finger Each (26567) |
$11,942.50 |
$23,885 |
3.8× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
unusually low: confirm this is the full procedure |
$2,949.95 |
$5,899.90 |
0.4× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$11,068.84 |
$22,137.66 |
0.9× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$12,027.51 |
$24,055.01 |
1.7× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$13,874.34 |
$27,748.67 |
2.0× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$22,984.67 |
$45,969.34 |
3.3× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$11,492.33 |
$22,984.66 |
0.9× |
| Ovarian cystectomy (58925) |
$4,561.33 |
$9,122.66 |
0.9× |
| P-mastectomy w/ln removal (19302) |
$19,273.34 |
$38,546.67 |
3.0× |
| Palatopharyngoplasty (42145) |
$7,808.50 |
$15,617 |
1.4× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$8,899.17 |
$17,798.33 |
1.6× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$3,960.75 |
$7,921.50 |
1.2× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$11,262.92 |
$22,525.84 |
2.0× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$17,798.34 |
$35,596.67 |
3.1× |
| Palatoplasty for cleft palate; major revision Facility (42215) |
$18,319.50 |
$36,639 |
3.2× |
| Palatoplasty for cleft palate; secondary lengthening procedure Facility (42220) |
$5,537.50 |
$11,075 |
1.0× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$41,053 |
$82,106 |
13.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$4,102.34 |
$8,204.67 |
1.3× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$15,405.88 |
$30,811.76 |
4.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,866.63 |
$5,733.25 |
0.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$5,442.67 |
$10,885.33 |
1.7× |
| Partial excision bone tibia (27640) |
$6,155.67 |
$12,311.34 |
1.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,674 |
$5,348 |
1.7× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102) |
$4,320.98 |
$8,641.96 |
0.6× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$5,926 |
$11,852 |
3.8× |
| Partial hymenectomy or revision (56700) |
$3,825.25 |
$7,650.50 |
1.2× |
| Partial removal of hand bone (26230) |
$6,977 |
$13,954 |
2.2× |
| Partial removal of thyroid (60220) |
$7,849.67 |
$15,699.34 |
1.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$12,198 |
$24,396 |
2.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,004.25 |
$6,008.50 |
0.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,767.67 |
$5,535.34 |
0.9× |
| Penile Plethysmography (54240) |
$256 |
$512 |
1.2× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$15,025.50 |
$30,051 |
2.6× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$4,939.50 |
$9,879 |
0.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,403.25 |
$4,806.50 |
3.5× |
| Percut Mech Thrombectomy, Venous (37187) |
$11,198 |
$22,396 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,230 |
$8,460 |
1.4× |
| Percutaneous diskectomy (62287) |
$2,494 |
$4,988 |
1.3× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$11,921.75 |
$23,843.50 |
1.7× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$6,241 |
$12,482 |
0.9× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$4,724.50 |
$9,449 |
1.5× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706) |
$3,250.84 |
$6,501.66 |
1.0× |
Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456)
likely a partial charge, not the full procedure |
$1,922.25 |
$3,844.50 |
0.3× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$6,615.50 |
$13,231 |
2.1× |
| Pericardiocentesis W/Imaging (33016) |
$4,329.50 |
$8,659 |
2.8× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$4,134 |
$8,268 |
1.3× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$8,377.50 |
$16,755 |
0.5× |
| Perq av fistula creation uxtr sep access sites (36837) |
$11,763.50 |
$23,527 |
0.7× |
| Perq av fistula creation uxtr single access (36836) |
$10,572.50 |
$21,145 |
0.6× |
| Perq dev breast 1st mr guide (19287) |
$1,187.50 |
$2,375 |
1.7× |
| Perq dev breast 1st strtctc (19283) |
$3,288.50 |
$6,577 |
4.8× |
| Perq dev breast 1st us imag (19285) |
$1,303.50 |
$2,607 |
1.9× |
| Perq device breast 1st imag (19281) |
$3,288.50 |
$6,577 |
2.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$6,798.34 |
$13,596.66 |
2.0× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,619 |
$7,238 |
1.1× |
| Perq elec nrv field stimj cn (64567) |
$1,121.50 |
$2,243 |
1.3× |
| Perq p-art revsc 1 nm nt uni (33900) |
$8,850 |
$17,700 |
0.8× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$10,572.50 |
$21,145 |
0.6× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$9,130 |
$18,260 |
0.8× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$9,130 |
$18,260 |
0.8× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$8,470 |
$16,940 |
1.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$871.75 |
$1,743.50 |
3.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$904.50 |
$1,809 |
1.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,395 |
$8,790 |
1.4× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$10,757.50 |
$21,515 |
0.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$8,958.75 |
$17,917.50 |
0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,123.25 |
$10,246.50 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$14,893.50 |
$29,787 |
2.1× |
| Perq Vertebral Augmentation (22513) |
$8,413 |
$16,826 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,559.50 |
$9,119 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$4,559.50 |
$9,119 |
1.4× |
| Phleb veins - extrem 20+ (37766) |
$6,692.50 |
$13,385 |
2.2× |
| Photopheresis, extracorporeal (36522) |
$6,616.75 |
$13,233.50 |
1.6× |
| Picc line placement (36569) |
$1,979.75 |
$3,959.50 |
1.3× |
| Pin hand dislocation (26676) |
$2,487 |
$4,974 |
0.8× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$3,117.06 |
$6,234.12 |
0.8× |
| Place Cath Subclavian Art (36225) |
$4,501.25 |
$9,002.50 |
1.5× |
| Place Cath Thoracic Aorta (36221) |
$4,815.75 |
$9,631.50 |
1.6× |
| Place Cath Vertebral Art (36226) |
$5,324.50 |
$10,649 |
1.0× |
| Place duod/jej tube perc (49441) |
$2,116 |
$4,232 |
1.1× |
| Placement needle pelvic organ radioelement appl (55920) |
$7,540.50 |
$15,081 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$564.50 |
$1,129 |
1.3× |
| Placement of seton (46020) |
$3,675.25 |
$7,350.50 |
1.4× |
| Plastic operation on penis to correct angulation Facility (54360) |
$1,846.38 |
$3,692.75 |
0.5× |
| Plastic Repair Introitus (56800) |
$7,048.50 |
$14,097 |
2.3× |
| Plastic repair of canaliculi (68700) |
$3,875 |
$7,750 |
1.7× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$20,398.50 |
$40,797 |
3.6× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) |
$15,008.50 |
$30,017 |
2.6× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) |
$3,461.75 |
$6,923.50 |
1.1× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500) |
$7,465.75 |
$14,931.50 |
1.3× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$6,931.50 |
$13,863 |
1.1× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$7,721 |
$15,442 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$7,721 |
$15,442 |
1.3× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$7,721 |
$15,442 |
1.3× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,409.08 |
$2,818.16 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,545 |
$7,090 |
1.8× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$8,075.75 |
$16,151.50 |
2.4× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,100 |
$6,200 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,719.50 |
$7,439 |
1.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,171 |
$4,342 |
0.6× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$505.25 |
$1,010.50 |
1.7× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,306.50 |
$10,613 |
1.1× |
| Prim art mech thrombectomy (37184) |
$10,989.58 |
$21,979.17 |
0.6× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,401.69 |
$4,803.38 |
1.0× |
| Probe nasolacrimal duct (68810) |
$637.50 |
$1,275 |
2.1× |
| Probe nl duct w/balloon (68816) |
$4,074.50 |
$8,149 |
1.8× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$2,294 |
$4,588 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$4,487.50 |
$8,975 |
1.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,220.75 |
$2,441.50 |
1.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,595 |
$7,190 |
1.3× |
| Proctosigmoidoscopy dilate (45303) |
$1,528.50 |
$3,057 |
1.3× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$3,622 |
$7,244 |
3.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$9,832 |
$19,664 |
0.8× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$12,390.50 |
$24,781 |
1.8× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$4,795.33 |
$9,590.66 |
9.0× |
| Prostate Saturation Sampling (55706) |
$3,535.50 |
$7,071 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,377 |
$2,754 |
2.0× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$5,935.34 |
$11,870.67 |
1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$4,025.50 |
$8,051 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,807 |
$7,614 |
1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,116.50 |
$6,233 |
0.9× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,398.50 |
$8,797 |
1.4× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$6,725 |
$13,450 |
2.1× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$5,155 |
$10,310 |
1.6× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,163.25 |
$12,326.50 |
0.9× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$6,141.75 |
$12,283.50 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$634.50 |
$1,269 |
1.6× |
| Puncture Aspiration Cyst Breast (19000) |
$1,320.75 |
$2,641.50 |
1.9× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$981 |
$1,962 |
2.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$2,243 |
$4,486 |
3.3× |
| Puncture/clear windpipe (31612) |
$4,360.50 |
$8,721 |
1.4× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$1,424 |
$2,848 |
2.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,551.50 |
$3,103 |
2.3× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$3,985.90 |
$7,971.81 |
0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,566.82 |
$7,133.62 |
1.1× |
| Rad resect elbow caps/sr bone w rels (24149) |
$8,715.42 |
$17,430.84 |
1.2× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$8,700.34 |
$17,400.66 |
3.1× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$2,564.50 |
$5,129 |
1.6× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
$33,638.76 |
$67,277.52 |
5.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$6,426.25 |
$12,852.50 |
2.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$4,419.88 |
$8,839.76 |
1.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Facility (26118) |
$6,384.50 |
$12,769 |
2.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$12,685 |
$25,370 |
4.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$14,104.50 |
$28,209 |
5.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Facility (27364) |
$8,956 |
$17,912 |
3.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Facility (27329) |
$17,516 |
$35,032 |
6.2× |
| Radical styloidectomy separate procedure (25230) |
$2,500.88 |
$5,001.75 |
0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,807.50 |
$7,615 |
2.0× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$285 |
$570 |
0.4× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,610.58 |
$5,221.16 |
0.8× |
| Rcnstj Dislocating Patella (27420) |
$12,304.50 |
$24,609 |
1.8× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$8,790.75 |
$17,581.50 |
1.3× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$1,245 |
$2,490 |
1.4× |
| Re-explore parathyroids (60502) |
$10,519 |
$21,038 |
1.8× |
| Realignment extensor tendon hand each tendon (26437) |
$4,179 |
$8,358 |
1.3× |
| Reconstruct extra finger (26587) |
$7,870.75 |
$15,741.50 |
2.5× |
| Reconstruct Finger Joint (26548) |
$5,920.75 |
$11,841.50 |
1.9× |
| Reconstruct lip with flap (40525) |
$7,473.33 |
$14,946.66 |
2.3× |
| Reconstruct Shoulder Joint (23470) |
$27,797.50 |
$55,595 |
2.2× |
| Reconstruct ulna/radioulnar (25337) |
$6,582.42 |
$13,164.84 |
0.9× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$6,065.94 |
$12,131.87 |
0.9× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Facility (21143) |
$33,777.50 |
$67,555 |
5.9× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$15,834 |
$31,668 |
2.3× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$7,977.75 |
$15,955.50 |
1.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$3,235.25 |
$6,470.50 |
1.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$3,036.50 |
$6,073 |
1.3× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$3,537.67 |
$7,075.34 |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$5,098 |
$10,196 |
2.2× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$20,392 |
$40,784 |
3.6× |
| Reconstruction of nail bed with graft (11762) |
$9,772.50 |
$19,545 |
4.9× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$7,689.88 |
$15,379.76 |
1.3× |
| Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500) |
$14,295.50 |
$28,591 |
2.0× |
| Reconstruction of throat (42950) |
$14,623.50 |
$29,247 |
2.6× |
| Reconstruction of urethra (54326) |
$8,568.34 |
$17,136.67 |
2.5× |
| Reduce testis torsion (54600) |
$3,912.62 |
$7,825.25 |
1.1× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) |
$7,079.67 |
$14,159.34 |
4.7× |
| Reinforce humerus (24498) |
$14,702.75 |
$29,405.50 |
1.2× |
| Reinforce tibia (27745) |
$8,545.40 |
$17,090.79 |
1.2× |
| Reinforce/graft eye wall (67255) |
$6,727.34 |
$13,454.67 |
1.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$13,930.50 |
$27,861 |
2.0× |
| Reinsertion of spinal fixation device Facility (22849) |
$20,559.50 |
$41,119 |
1.7× |
| Release finger contracture (26525) |
$954.46 |
$1,908.91 |
0.6× |
| Release of big toe (28240) |
$2,835.08 |
$5,670.16 |
0.9× |
| Release wrist/forearm tendon (25295) |
$4,501.92 |
$9,003.84 |
1.4× |
| Relieve inner eye pressure (65820) |
$2,863.50 |
$5,727 |
0.7× |
| Relieve pressure on nerve(s) (64722) |
$1,442.13 |
$2,884.25 |
0.8× |
| Relocation of skin pocket for pacemaker (33222) |
$2,372.25 |
$4,744.50 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$5,644 |
$11,288 |
1.8× |
| Removal Anal Seton Other Marker (46030) |
$1,085 |
$2,170 |
0.9× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$16,178.32 |
$32,356.64 |
0.8× |
| Removal bat modulation system total system (64657) |
$4,051.50 |
$8,103 |
1.2× |
| Removal biliary drg cath (47537) |
$1,158.50 |
$2,317 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,427.67 |
$10,855.34 |
1.9× |
| Removal foreign body foot deep (28192) |
$7,040.08 |
$14,080.17 |
4.4× |
| Removal foreign body foot subcutaneous (28190) |
$2,261.75 |
$4,523.50 |
3.3× |
| Removal foreign body intranasal (30300) |
$212 |
$424 |
1.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$3,840 |
$7,680 |
2.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$6,867 |
$13,734 |
2.2× |
| Removal foreign body pharynx (42809) |
$561.50 |
$1,123 |
1.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$4,074.50 |
$8,149 |
1.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,587 |
$3,174 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$258 |
$516 |
4.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$640.58 |
$1,281.16 |
11.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,054.25 |
$8,108.50 |
1.3× |
| Removal implant deep (20680) |
$6,349.84 |
$12,699.66 |
2.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,795.50 |
$5,591 |
1.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,273 |
$2,546 |
1.9× |
| Removal Intact Mammary Implant (19328) |
$5,629.50 |
$11,259 |
1.5× |
| Removal of adenoids (42835) |
$8,862 |
$17,724 |
2.8× |
| Removal of adenoids (42831) |
$3,435 |
$6,870 |
1.1× |
| Removal of adenoids (42830) |
$6,490.04 |
$12,980.07 |
2.0× |
| Removal of adenoids (42836) |
$5,614.50 |
$11,229 |
1.8× |
| Removal of anal fissure (46200) |
$3,302 |
$6,604 |
1.2× |
| Removal of ankle implant (27704) |
$9,516.42 |
$19,032.83 |
3.0× |
| Removal of arm foreign body (24200) |
$2,528 |
$5,056 |
1.6× |
Removal of bone for graft (20902)
unusually low: confirm this is the full procedure |
$2,974.75 |
$5,949.50 |
0.4× |
| Removal of bone lesion (23140) |
$6,923.50 |
$13,847 |
2.2× |
| Removal of breast capsule (19371) |
$5,644.50 |
$11,289 |
1.5× |
| Removal of cervix (57530) |
$7,776.66 |
$15,553.32 |
1.6× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$2,020 |
$4,040 |
2.1× |
| Removal of embedded foreign body, eyelid (67938) |
$624.50 |
$1,249 |
2.0× |
| Removal of eye (65110) |
$8,804 |
$17,608 |
2.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,630.42 |
$3,260.83 |
1.4× |
| Removal of finger lesion (26210) |
$4,197.50 |
$8,395 |
2.7× |
| Removal of foreign body in scrotum (55120) |
$8,617.50 |
$17,235 |
4.3× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$405.50 |
$811 |
1.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$1,029.25 |
$2,058.50 |
2.4× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$4,844.20 |
$9,688.41 |
2.2× |
| Removal of Gum Tissue (41830) |
$23,506.34 |
$47,012.67 |
7.3× |
| Removal of heel spur (28119) |
$8,734.62 |
$17,469.25 |
2.8× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$11,235.50 |
$22,471 |
3.4× |
| Removal of implant from finger or hand (26320) |
$2,528 |
$5,056 |
1.6× |
| Removal of implant material (19330) |
$3,904.13 |
$7,808.25 |
1.0× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$2,456.25 |
$4,912.50 |
1.1× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$4,683 |
$9,366 |
2.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,625.50 |
$3,251 |
2.7× |
| Removal of iris (66630) |
$2,653.50 |
$5,307 |
1.2× |
| Removal of iud (58301) |
$3,316.75 |
$6,633.50 |
11.3× |
| Removal of kidney stone (50081) |
$20,888.50 |
$41,777 |
2.3× |
| Removal of kidney stone (50080) |
$25,659 |
$51,318 |
2.8× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$5,438 |
$10,876 |
1.4× |
| Removal of nail bed (11750) |
$1,364.25 |
$2,728.50 |
3.5× |
| Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) |
$10,487 |
$20,974 |
1.5× |
| Removal of posterior segmental instrumentation Facility (22852) |
$7,960.50 |
$15,921 |
1.1× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Facility (24164) |
$23,573.50 |
$47,147 |
7.4× |
| Removal of salivary stone (42330) |
$4,699.50 |
$9,399 |
1.5× |
| Removal of sesamoid bone (28315) |
$5,608.67 |
$11,217.34 |
1.8× |
| Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod… (26392) |
$26,866.50 |
$53,733 |
3.8× |
| Removal of tail bone (27080) |
$7,693.50 |
$15,387 |
2.4× |
| Removal Of Tendon Lesion (27630) |
$3,316.13 |
$6,632.25 |
1.0× |
| Removal of testis (54520) |
$6,538.50 |
$13,077 |
1.9× |
| Removal of thyroid (60271) |
$13,083.50 |
$26,167 |
2.3× |
| Removal of tonsils (42825) |
$3,979.88 |
$7,959.75 |
0.7× |
| Removal of tonsils (42826) |
$4,671 |
$9,342 |
1.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,827.50 |
$9,655 |
1.6× |
| Removal of wrist bone (25210) |
$6,496.34 |
$12,992.67 |
2.1× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$4,907.50 |
$9,815 |
1.6× |
| Removal Phrenic Nerve Stimulator System (33278) |
$3,973.50 |
$7,947 |
1.2× |
| Removal ppm generator only (33233) |
$4,701.50 |
$9,403 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$358 |
$716 |
1.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,451 |
$2,902 |
2.1× |
| Removal Submand Stone,Complicated (42335) |
$9,786.38 |
$19,572.75 |
3.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,172 |
$4,344 |
1.1× |
| Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69727) |
$4,360.50 |
$8,721 |
1.4× |
| Removal, under anesthesia, of external fixation system (20694) |
$5,536.50 |
$11,073 |
3.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$368 |
$736 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$392.50 |
$785 |
1.5× |
| Remove anal fist subq (46270) |
$2,205.17 |
$4,410.33 |
0.8× |
| Remove brain canal fluid (61050) |
$213.50 |
$427 |
0.7× |
| Remove drug implant device (11982) |
$913 |
$1,826 |
2.1× |
| Remove ear lesion (69550) |
$26,550 |
$53,100 |
4.6× |
| Remove elbow lesion (24120) |
$4,382.50 |
$8,765 |
1.4× |
| Remove ext hem groups 2+ (46250) |
$4,051 |
$8,102 |
1.5× |
| Remove eye lesion (66130) |
$3,136.13 |
$6,272.25 |
1.4× |
| Remove eye/attach implant (65105) |
$7,689 |
$15,378 |
2.0× |
| Remove foreign body from eye (65235) |
$8,013.06 |
$16,026.12 |
3.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,656.75 |
$5,313.50 |
1.3× |
| Remove intrvas foreign body (37197) |
$4,722.75 |
$9,445.50 |
1.5× |
| Remove Lower Leg Bone Lesion (27635) |
$4,390.56 |
$8,781.12 |
1.4× |
| Remove palate/lesion (42120) |
$14,931.50 |
$29,863 |
2.6× |
| Remove Pilonidal Cyst Exten (11771) |
$3,649.50 |
$7,299 |
1.3× |
| Remove Prostate Regrowth (52630) |
$8,671.25 |
$17,342.50 |
1.7× |
| Remove pulse generator (33241) |
$3,904 |
$7,808 |
1.1× |
| Remove renal tube w/fluoro (50389) |
$3,001.75 |
$6,003.50 |
4.5× |
| Remove spine eltrd perq aray (63661) |
$2,152.34 |
$4,304.66 |
1.1× |
| Remove spine eltrd plate (63662) |
$5,796.34 |
$11,592.67 |
1.7× |
| Remove Tendon Sheath Lesion (26160) |
$2,850 |
$5,700 |
1.8× |
| Remove thyroid duct lesion (60280) |
$10,234.50 |
$20,469 |
1.8× |
| Remove tissue expander (11971) |
$5,481.38 |
$10,962.76 |
2.0× |
| Remove ureter stent, percut (50384) |
$2,677.75 |
$5,355.50 |
1.3× |
| Remove vagina gland lesion (56740) |
$6,208.50 |
$12,417 |
2.0× |
| Remove vc lesion w/scope (31545) |
$6,192 |
$12,384 |
1.7× |
| Remove&replace pm gen singl (33227) |
$6,586.50 |
$13,173 |
0.8× |
| Remove/Insert Drug Implant (11983) |
$570.50 |
$1,141 |
1.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,436.50 |
$4,873 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$216.50 |
$433 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$218 |
$436 |
1.7× |
| Remv Post Eye Implnt Mater,Extraocul (67120) |
$5,336 |
$10,672 |
2.4× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$9,156.50 |
$18,313 |
0.4× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$12,814 |
$25,628 |
0.4× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$9,843.50 |
$19,687 |
0.5× |
| Remv&replc pm gen dual lead (33228) |
$5,623.50 |
$11,247 |
0.6× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$9,195.50 |
$18,391 |
0.5× |
| Renal Biopsy Percutaneous (50200) |
$2,284.25 |
$4,568.50 |
1.4× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$9,041.50 |
$18,083 |
1.7× |
| Repair achilles tendon (27650) |
$9,772.50 |
$19,545 |
1.4× |
| Repair anal fistula (46288) |
$6,692.50 |
$13,385 |
2.5× |
| Repair arm/leg nerve (64857) |
$7,768.34 |
$15,536.67 |
2.4× |
| Repair blood vessel direct hand finger (35207) |
$3,312 |
$6,624 |
1.1× |
| Repair blood vessel direct neck (35201) |
$5,783 |
$11,566 |
1.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,273.13 |
$10,546.25 |
1.7× |
| Repair brow defect (67900) |
$2,884.25 |
$5,768.50 |
1.3× |
| Repair cleft lip/nasal (40761) |
$8,312.75 |
$16,625.50 |
1.5× |
| Repair clitoris (56805) |
$3,302.75 |
$6,605.50 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,363 |
$2,726 |
1.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,256.58 |
$4,513.16 |
3.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,046 |
$2,092 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,909.97 |
$3,819.94 |
4.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,485.50 |
$2,971 |
3.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,627 |
$3,254 |
4.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$933.50 |
$1,867 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,576.50 |
$3,153 |
2.2× |
| Repair Detached Retina (67101) |
$2,947.50 |
$5,895 |
1.3× |
| Repair detached retina (67110) |
$2,730 |
$5,460 |
1.2× |
| Repair Ectropion Extensive (67917) |
$1,985.98 |
$3,971.96 |
0.9× |
| Repair ectropion suture (67914) |
$3,036.50 |
$6,073 |
1.3× |
| Repair Entropion Suture (67921) |
$3,434 |
$6,868 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,410.50 |
$4,821 |
1.5× |
| Repair eyelid defect (67916) |
$3,036 |
$6,072 |
1.3× |
| Repair eyelid defect (67908) |
$2,973 |
$5,946 |
1.3× |
| Repair eyelid defect (67923) |
$3,410 |
$6,820 |
1.5× |
| Repair eyelid defect (67904) |
$2,842.50 |
$5,685 |
1.2× |
| Repair eyelid defect (67903) |
$1,692.38 |
$3,384.75 |
0.7× |
| Repair eyelid defect (67901) |
$7,077.50 |
$14,155 |
3.1× |
| Repair Eyelid Wound (67935) |
$3,410 |
$6,820 |
1.5× |
| Repair eyelid wound (67930) |
$3,036 |
$6,072 |
1.3× |
| Repair Fibula Nonunion (27726) |
$11,639 |
$23,278 |
1.7× |
| Repair Finger Tendon (26433) |
$4,179 |
$8,358 |
1.3× |
| Repair Fistula Oromaxillary (30580) |
$4,564.34 |
$9,128.67 |
0.8× |
| Repair fistula; oronasal Facility (30600) |
$4,769.67 |
$9,539.34 |
0.8× |
| Repair Forearm Tendon Sheath (25275) |
$7,483.50 |
$14,967 |
2.4× |
| Repair forearm tendon/muscle (25260) |
$5,169.75 |
$10,339.50 |
1.6× |
| Repair forearm tendon/muscle (25265) |
$11,920.50 |
$23,841 |
3.8× |
| Repair hand tendon (26410) |
$2,617 |
$5,234 |
1.7× |
| Repair incomplete circumcision (54163) |
$5,131.17 |
$10,262.33 |
2.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$12,004.50 |
$24,009 |
3.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$6,989.75 |
$13,979.50 |
2.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$8,388.50 |
$16,777 |
2.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,696.50 |
$21,393 |
3.1× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$5,827.88 |
$11,655.75 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$779.75 |
$1,559.50 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$660.50 |
$1,321 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,326.66 |
$2,653.31 |
3.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$519.25 |
$1,038.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$652 |
$1,304 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$683 |
$1,366 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$3,996.58 |
$7,993.16 |
5.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,681.16 |
$3,362.33 |
4.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$774 |
$1,548 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,705 |
$3,410 |
2.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,308.35 |
$2,616.70 |
3.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,125.33 |
$2,250.66 |
2.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,230.92 |
$2,461.83 |
3.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,732 |
$3,464 |
2.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$3,638.34 |
$7,276.66 |
9.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,620.75 |
$7,241.50 |
1.8× |
| Repair intrinsic muscles hand each muscle (26591) |
$9,415.34 |
$18,830.67 |
3.0× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$5,896.50 |
$11,793 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,590 |
$7,180 |
1.0× |
| Repair lead pace-defib one (33218) |
$3,868.50 |
$7,737 |
1.1× |
| Repair lower leg tendons (27676) |
$6,695.25 |
$13,390.50 |
1.0× |
| Repair Lower Leg Tendons (27675) |
$2,755.30 |
$5,510.60 |
0.9× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$7,835.58 |
$15,671.16 |
1.1× |
| Repair Mouth Laceration (40831) |
$775.75 |
$1,551.50 |
1.5× |
| Repair nasal septal perforations (30630) |
$8,351.26 |
$16,702.52 |
2.6× |
| Repair Nasal Stenosis (30465) |
$11,429.38 |
$22,858.75 |
2.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$33,884 |
$67,768 |
5.4× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$8,323.08 |
$16,646.17 |
1.6× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$6,275.50 |
$12,551 |
1.3× |
| Repair of eye wound (65275) |
$4,950.50 |
$9,901 |
1.3× |
| Repair of eye wound (65270) |
$3,725.50 |
$7,451 |
1.6× |
| Repair of humerus (24430) |
$15,155.25 |
$30,310.50 |
1.2× |
| Repair of hydrocele (55060) |
$1,871.50 |
$3,743 |
0.5× |
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344)
unusually low: confirm this is the full procedure |
$3,845.67 |
$7,691.34 |
0.4× |
| Repair of iris, ciliary body (as for iridodialysis) Facility (66680) |
$5,184.74 |
$10,369.46 |
2.3× |
| Repair of knee cartilage (27403) |
$8,882.25 |
$17,764.50 |
1.3× |
| Repair of laceration; application of tissue glue, wounds of cornea and/or sclera (65286) |
$3,639.50 |
$7,279 |
1.6× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$2,683 |
$5,366 |
1.2× |
| Repair of leg tendon each (27658) |
$3,347.63 |
$6,695.25 |
1.1× |
| Repair of nail bed (11760) |
$2,201 |
$4,402 |
3.1× |
| Repair of nasal septum (30520) |
$3,565.50 |
$7,131 |
1.1× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468) |
$3,435 |
$6,870 |
0.6× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$11,460.42 |
$22,920.84 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$12,304.50 |
$24,609 |
1.8× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$11,413.34 |
$22,826.67 |
1.6× |
| Repair of rectocele (45560) |
$32,403.50 |
$64,807 |
12.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$5,015 |
$10,030 |
0.7× |
| Repair of sperm duct (55400) |
$14,854.50 |
$29,709 |
4.4× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Facility (68340) |
$1,776.75 |
$3,553.50 |
0.8× |
| Repair of tibia (27720) |
$19,019.80 |
$38,039.60 |
2.7× |
| Repair of traumatic corporeal tear(s) (54437) |
$12,236.50 |
$24,473 |
3.6× |
| Repair of urethra injury (53502) |
$4,690.50 |
$9,381 |
1.4× |
| Repair of web finger (26561) |
$22,802.50 |
$45,605 |
7.2× |
| Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) |
$18,407 |
$36,814 |
2.6× |
| Repair oval window fistula Facility (69666) |
$4,626.50 |
$9,253 |
1.4× |
| Repair palate (42235) |
$11,882.25 |
$23,764.50 |
2.1× |
| Repair Profundus Tendon,Primary (26370) |
$5,539.67 |
$11,079.34 |
1.8× |
| Repair radius & ulna (25415) |
$10,221.25 |
$20,442.50 |
1.5× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$6,990.75 |
$13,981.50 |
2.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$7,835 |
$15,670 |
1.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$6,990.75 |
$13,981.50 |
2.0× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$11,111.50 |
$22,223 |
2.8× |
| Repair rotator cuff acute (23410) |
$6,391.67 |
$12,783.33 |
0.9× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,632.42 |
$19,264.84 |
1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$4,178.50 |
$8,357 |
1.3× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,451.62 |
$12,903.25 |
0.9× |
| Repair tongue laceration (41252) |
$363.50 |
$727 |
1.6× |
| Repair Tongue Laceration (41250) |
$660 |
$1,320 |
1.5× |
| Repair tooth socket (41874) |
$3,636.63 |
$7,273.25 |
1.1× |
| Repair tympanic membrane (69610) |
$2,636 |
$5,272 |
1.8× |
| Repair webbed toe(s) (28345) |
$3,581.50 |
$7,163 |
2.3× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$3,084.33 |
$6,168.66 |
0.9× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$9,080.92 |
$18,161.84 |
1.3× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$15,201.67 |
$30,403.34 |
2.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$5,640 |
$11,280 |
0.8× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$8,232.50 |
$16,465 |
1.2× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202)
unusually low: confirm this is the full procedure |
$2,949.95 |
$5,899.90 |
0.4× |
| Repair/graft finger tendon (26420) |
$4,287 |
$8,574 |
1.4× |
| Repair/graft wrist bone (25440) |
$13,390.50 |
$26,781 |
1.9× |
| Repair/revise wrist joint (25320) |
$12,245.34 |
$24,490.67 |
1.7× |
| Repeat control of nosebleed (30906) |
$350 |
$700 |
1.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,475.50 |
$2,951 |
1.7× |
| Replace eye fluid (67025) |
$2,020 |
$4,040 |
0.9× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$3,374.50 |
$6,749 |
3.8× |
| Replace Tissue Expander (11970) |
$9,824.92 |
$19,649.84 |
1.4× |
| Replace tunneled cv cath (36578) |
$3,308.25 |
$6,616.50 |
1.1× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,932.50 |
$3,865 |
2.2× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,637.50 |
$7,275 |
1.0× |
| Reposition cv cath w/fluoro (36597) |
$1,239.50 |
$2,479 |
0.8× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,093 |
$2,186 |
4.5× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$2,050.16 |
$4,100.33 |
0.9× |
| Repositioning Phrenic Nrv Stimulator Transvns Ld (33281) |
$3,973.50 |
$7,947 |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$6,065.94 |
$12,131.87 |
1.9× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,428 |
$6,856 |
1.1× |
| Resect hip/pelv tum 5 cm/> (27059) |
$9,652.50 |
$19,305 |
3.4× |
| Resection of lip, more than one-fourth, without reconstruction Facility (40530) |
$5,763 |
$11,526 |
1.8× |
| Resection or transplantation of long tendon of biceps (23440) |
$16,130 |
$32,260 |
2.3× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$4,357.92 |
$8,715.84 |
1.3× |
| Revis reconst shoulder joint (23473) |
$14,967.50 |
$29,935 |
1.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$29,442.50 |
$58,885 |
2.4× |
| Revise cornea with implant (65770) |
$10,150.51 |
$20,301.02 |
0.7× |
| Revise eye muscle(s) (67318) |
$3,432.06 |
$6,864.12 |
1.5× |
| Revise eye socket implant (67560) |
$4,613.50 |
$9,227 |
1.2× |
| Revise eyelashes (67825) |
$1,499.88 |
$2,999.75 |
4.9× |
| Revise eyelid defect (67909) |
$3,104.50 |
$6,209 |
1.3× |
| Revise eyelid lining (68330) |
$3,657.88 |
$7,315.76 |
1.6× |
| Revise eyelid lining (68360) |
$2,049 |
$4,098 |
0.5× |
| Revise finger/toe nerve (64702) |
$3,230.76 |
$6,461.51 |
1.7× |
| Revise Hand/Foot Nerve (64704) |
$5,873.40 |
$11,746.81 |
3.1× |
| Revise knuckle with implant (26531) |
$7,158.67 |
$14,317.33 |
1.0× |
| Revise Lower Leg Tendon (27691) |
$8,928.75 |
$17,857.50 |
1.3× |
| Revise Lower Leg Tendons (27686) |
$8,386.50 |
$16,773 |
2.6× |
| Revise ocular implant (65150) |
$2,012.75 |
$4,025.50 |
0.5× |
| Revise palsy hand tendon(s) (25315) |
$8,155.50 |
$16,311 |
1.2× |
| Revise penis/urethra (54328) |
$12,544.50 |
$25,089 |
3.7× |
| Revise spine eltrd perq aray (63663) |
$3,564.50 |
$7,129 |
0.6× |
| Revise Spine Eltrd Plate (63664) |
$15,200.50 |
$30,401 |
1.4× |
| Revise ulnar nerve at elbow (64718) |
$3,381.50 |
$6,763 |
1.8× |
| Revise ureter (50727) |
$21,546.50 |
$43,093 |
6.3× |
| Revise vag graft via vagina (57295) |
$4,527.75 |
$9,055.50 |
1.4× |
| Revise wrist/forearm tendon (25280) |
$4,501.01 |
$9,002.02 |
1.4× |
| Revise/graft eyelid lining (68328) |
$4,352.50 |
$8,705 |
1.9× |
| Revise/graft eyelid lining (68320) |
$1,567.50 |
$3,135 |
0.7× |
| Revise/Remove Neuroreceiver (63688) |
$3,642.42 |
$7,284.84 |
1.1× |
| Revision eyelid unlisted (67999) |
$2,226.50 |
$4,453 |
7.3× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
$23,397.34 |
$46,794.67 |
4.1× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$9,454.34 |
$18,908.67 |
4.2× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Facility (66184) |
$2,457.25 |
$4,914.50 |
1.1× |
| Revision of cervix (57700) |
$3,358 |
$6,716 |
1.1× |
| Revision of colostomy simple (44340) |
$7,218 |
$14,436 |
2.1× |
| Revision of eyelid (67880) |
$1,564.58 |
$3,129.16 |
0.7× |
| Revision of eyelid (67961) |
$4,190 |
$8,380 |
1.8× |
| Revision of foot (28116) |
$7,373.75 |
$14,747.50 |
2.3× |
| Revision of iris (66761) |
$1,002.50 |
$2,005 |
1.9× |
| Revision of iris (66762) |
$611.50 |
$1,223 |
1.1× |
| Revision of lower leg tendon (27685) |
$8,309.50 |
$16,619 |
2.6× |
| Revision of neck muscle (21720) |
$98 |
$196 |
0.0× |
| Revision of nose (30430) |
$7,560.50 |
$15,121 |
1.3× |
| Revision of nose (30460) |
$13,012.50 |
$26,025 |
2.3× |
| Revision of nose (30450) |
$27,964.50 |
$55,929 |
4.9× |
| Revision of penis (54300) |
$4,667 |
$9,334 |
1.4× |
| Revision of penis (54304) |
$2,654.88 |
$5,309.75 |
0.8× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$4,769.67 |
$9,539.34 |
0.9× |
| Revision of reconstructed breast (19380) |
$6,541.75 |
$13,083.50 |
1.0× |
| Revision of scrotum (55175) |
$5,847.67 |
$11,695.34 |
1.7× |
| Revision of tips (37183) |
$12,786 |
$25,572 |
2.3× |
| Revision of toe (28312) |
$2,770.83 |
$5,541.66 |
0.9× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$30,151 |
$60,302 |
2.4× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$54,922 |
$109,844 |
4.4× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$30,318.75 |
$60,637.50 |
1.8× |
| Revision of urethra (53450) |
$5,768.50 |
$11,537 |
1.7× |
| Revision or removal of intracranial neurostimulator electrodes Facility (61880) |
$6,238.08 |
$12,476.16 |
1.8× |
| Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) |
$7,133.84 |
$14,267.67 |
0.7× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$6,649.42 |
$13,298.83 |
0.6× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$15,734 |
$31,468 |
2.9× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$2,954 |
$5,908 |
0.9× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$9,590.08 |
$19,180.17 |
1.8× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$41,639 |
$83,278 |
3.4× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$13,256.50 |
$26,513 |
1.1× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$6,230.50 |
$12,461 |
0.6× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,323.50 |
$8,647 |
1.3× |
| Revj/rplcmt bat mod sys lead (64655) |
$3,790.50 |
$7,581 |
1.1× |
Revj/rplcmt bat mod sys pg (64656)
likely a partial charge, not the full procedure |
$6,664 |
$13,328 |
0.2× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$7,356.50 |
$14,713 |
1.3× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$7,356.50 |
$14,713 |
1.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$15,630 |
$31,260 |
0.9× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$10,774 |
$21,548 |
1.0× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$10,774 |
$21,548 |
1.0× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$8,850 |
$17,700 |
0.8× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$8,850 |
$17,700 |
0.8× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$5,166 |
$10,332 |
0.9× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$5,166 |
$10,332 |
0.9× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$11,522.50 |
$23,045 |
1.0× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$11,522.50 |
$23,045 |
1.0× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$8,850 |
$17,700 |
0.8× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$8,850 |
$17,700 |
0.8× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$10,942.50 |
$21,885 |
0.6× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$10,942.50 |
$21,885 |
0.6× |
| Rhinectomy; partial (30150) |
$13,468.50 |
$26,937 |
2.4× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$11,853.67 |
$23,707.34 |
2.1× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) |
$25,557.50 |
$51,115 |
4.5× |
| Rib cartilage graft (21230) |
$13,741.25 |
$27,482.50 |
2.4× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$1,673.50 |
$3,347 |
0.8× |
| Rmvl bat modul sys lead only (64658) |
$3,790.50 |
$7,581 |
1.1× |
| Rmvl bat modulj sys pg only (64659) |
$3,790.50 |
$7,581 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,220.75 |
$2,441.50 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$300 |
$600 |
2.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$570.50 |
$1,141 |
1.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,885.50 |
$7,771 |
1.4× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$2,756.75 |
$5,513.50 |
1.2× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$3,347.33 |
$6,694.66 |
1.5× |
| Rmvl of subq defibrillator (33272) |
$3,500.50 |
$7,001 |
1.0× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$3,973.50 |
$7,947 |
1.2× |
| Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld (33279) |
$5,917.50 |
$11,835 |
1.7× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$2,307.83 |
$4,615.66 |
1.2× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$4,615.67 |
$9,231.34 |
1.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,767.75 |
$7,535.50 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,532.84 |
$9,065.66 |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,051 |
$4,102 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$886.50 |
$1,773 |
1.5× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$3,195.34 |
$6,390.67 |
1.4× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$5,753.17 |
$11,506.34 |
2.6× |
Rmvl&Rplcmt Phrenic Nrv Stimulator Pls Generator (33287)
likely a partial charge, not the full procedure |
$3,973.50 |
$7,947 |
0.1× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$12,303 |
$24,606 |
1.1× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,939 |
$9,878 |
1.4× |
| Rplc gtube revj gstrst trc (43763) |
$327 |
$654 |
1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$594 |
$1,188 |
0.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,979.25 |
$3,958.50 |
1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,617.50 |
$3,235 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,123.50 |
$4,247 |
0.7× |
| Rplcmt/revj csf shunt valve/cath shunt sys (62230) |
$15,346 |
$30,692 |
1.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$18,011.69 |
$36,023.38 |
3.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,510 |
$11,020 |
1.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$21,217.50 |
$42,435 |
3.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$16,776 |
$33,552 |
2.9× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$5,768.50 |
$11,537 |
1.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$13,731.50 |
$27,463 |
2.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$8,278.83 |
$16,557.66 |
1.4× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$5,383.50 |
$10,767 |
1.4× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$972.50 |
$1,945 |
1.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,498 |
$8,996 |
1.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$504 |
$1,008 |
0.3× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$4,659.65 |
$9,319.30 |
0.7× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$6,087.88 |
$12,175.76 |
1.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$938.75 |
$1,877.50 |
1.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$363.50 |
$727 |
1.6× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$18,290 |
$36,580 |
3.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$718.25 |
$1,436.50 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$804 |
$1,608 |
1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,981.50 |
$3,963 |
1.3× |
| Rpr non-union mtcrpl/phalanx (26546) |
$6,445 |
$12,890 |
0.9× |
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
unusually low: confirm this is the full procedure |
$2,129.25 |
$4,258.50 |
0.4× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$4,298.34 |
$8,596.66 |
8.1× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$4,474.50 |
$8,949 |
1.1× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$3,302.16 |
$6,604.31 |
0.9× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$5,003.58 |
$10,007.16 |
1.6× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$8,848.50 |
$17,697 |
2.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$851.75 |
$1,703.50 |
1.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$4,117.50 |
$8,235 |
1.3× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$6,932.50 |
$13,865 |
2.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$8,078.50 |
$16,157 |
2.6× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,428 |
$6,856 |
1.1× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$3,196.25 |
$6,392.50 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$2,893.75 |
$5,787.50 |
1.8× |
| Scrotal exploration (55110) |
$6,196 |
$12,392 |
1.8× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
$39,724.50 |
$79,449 |
6.9× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$6,061.75 |
$12,123.50 |
2.7× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Facility (65860) |
$702.50 |
$1,405 |
1.3× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$1,945.17 |
$3,890.33 |
0.9× |
| Severing of tarsorrhaphy (67710) |
$1,898 |
$3,796 |
2.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,192 |
$4,384 |
2.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$833.34 |
$1,666.67 |
0.7× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$3,623 |
$7,246 |
1.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$866.50 |
$1,733 |
2.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$319.50 |
$639 |
1.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$256.50 |
$513 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$519 |
$1,038 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$288 |
$576 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$256.75 |
$513.50 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$497 |
$994 |
1.3× |
| Shoulder arthroscopy (29805) |
$5,235.75 |
$10,471.50 |
1.7× |
| Shoulder Arthroscopy/Surgery (29819) |
$8,669.08 |
$17,338.17 |
2.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$6,307.50 |
$12,615 |
2.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$231 |
$462 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$606.50 |
$1,213 |
1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$358 |
$716 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$606.50 |
$1,213 |
1.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$274.75 |
$549.50 |
1.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$7,024 |
$14,048 |
6.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,302 |
$6,604 |
2.9× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,398 |
$2,796 |
1.6× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$589.33 |
$1,178.66 |
0.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,188 |
$2,376 |
1.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$776 |
$1,552 |
0.7× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$1,160 |
$2,320 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$936 |
$1,872 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$448.10 |
$896.20 |
0.4× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,798 |
$5,596 |
2.4× |
| Simple Cystometrogram (51725) |
$516.50 |
$1,033 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$588 |
$1,176 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$395 |
$790 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,198.10 |
$2,396.20 |
6.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$519 |
$1,038 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$328.50 |
$657 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$349.50 |
$699 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$401.50 |
$803 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$2,453 |
$4,906 |
12.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$423.75 |
$847.50 |
2.2× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) |
$15,563.67 |
$31,127.34 |
2.7× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$19,076.67 |
$38,153.34 |
3.3× |
| Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) |
$10,045.26 |
$20,090.52 |
1.8× |
| Skin splt grft trnk/arm/leg (15100) |
$4,840.80 |
$9,681.59 |
2.4× |
| Skin sub graft face/nk/hf/g (15275) |
$2,452.76 |
$4,905.50 |
3.4× |
| Skin sub graft trnk/arm/leg (15271) |
$1,765.50 |
$3,531 |
2.5× |
| Skin sub grft t/arm/lg child (15273) |
$3,708.38 |
$7,416.75 |
1.9× |
| Skin Tissue Procedure (17999) |
$1,898.25 |
$3,796.50 |
9.8× |
| Skin tissue rearrangement (14040) |
$3,877.25 |
$7,754.50 |
1.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$5,574.50 |
$11,149 |
1.6× |
| Skn sub grft f/n/hf/g child (15277) |
$3,081.75 |
$6,163.50 |
1.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$8,059.17 |
$16,118.34 |
1.5× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$5,359.50 |
$10,719 |
1.8× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$4,558.50 |
$9,117 |
0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,255.25 |
$10,510.50 |
1.1× |
| Slitting of prepuce (54001) |
$3,368 |
$6,736 |
1.7× |
| Small Bowel Endoscopy (44373) |
$4,921.50 |
$9,843 |
2.7× |
| Small bowel endoscopy (44366) |
$1,320 |
$2,640 |
0.7× |
| Small bowel endoscopy (44364) |
$2,920 |
$5,840 |
1.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,756 |
$5,512 |
1.5× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,032 |
$2,064 |
0.6× |
| Small bowel endoscopy/biopsy (44377) |
$3,281 |
$6,562 |
1.8× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$3,486.34 |
$6,972.67 |
1.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$3,496.50 |
$6,993 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$463 |
$926 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$711 |
$1,422 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$629.25 |
$1,258.50 |
1.6× |
| Snip incision lacrimal punctum (68440) |
$622.46 |
$1,244.92 |
2.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,882.08 |
$5,764.17 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,307.50 |
$2,615 |
1.9× |
| Spinal Puncture Therapeutic (62272) |
$1,428.50 |
$2,857 |
2.1× |
| Spine Surgery Procedure Unlisted (22899) |
$315 |
$630 |
1.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,844.50 |
$9,689 |
1.6× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$20,381.75 |
$40,763.50 |
3.6× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$21,464.25 |
$42,928.50 |
3.7× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$5,537.50 |
$11,075 |
2.4× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$2,576.25 |
$5,152.50 |
1.1× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$8,571.50 |
$17,143 |
2.3× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Facility (67316) |
$6,053 |
$12,106 |
2.6× |
| Strapping ankle (29540) |
$183.25 |
$366.50 |
1.2× |
| Strapping shoulder (29240) |
$170.50 |
$341 |
1.3× |
| Strapping toes (29550) |
$75.50 |
$151 |
1.3× |
| Strapping unna boot (29580) |
$311 |
$622 |
2.0× |
| Subconjunctival injection (68200) |
$964.83 |
$1,929.66 |
2.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$592 |
$1,184 |
1.4× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$304 |
$608 |
1.6× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$944 |
$1,888 |
1.3× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$944 |
$1,888 |
1.3× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$898.50 |
$1,797 |
1.3× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) |
$7,015.58 |
$14,031.16 |
2.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$4,699.50 |
$9,399 |
1.5× |
| Suction assisted lipectomy lower extremity (15879) |
$12,621.50 |
$25,243 |
3.7× |
| Suction Assisted Lipectomy Trunk (15877) |
$1,999.83 |
$3,999.66 |
0.6× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$494.50 |
$989 |
1.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$2,993.82 |
$5,987.62 |
0.5× |
Surg nasopharyngoscopy dilat eustachian tube uni (69705)
unusually low: confirm this is the full procedure |
$2,262.11 |
$4,524.21 |
0.4× |
| Surgery of breast capsule (19370) |
$6,080.83 |
$12,161.66 |
1.6× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$4,325 |
$8,650 |
1.4× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$7,782.75 |
$15,565.50 |
2.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,997.50 |
$7,995 |
1.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$5,845.50 |
$11,691 |
2.2× |
| Suspension of testis (54640) |
$3,257.50 |
$6,515 |
0.9× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$6,145.83 |
$12,291.66 |
3.3× |
| Suture infrapatellar tendon primary (27380) |
$10,827.75 |
$21,655.50 |
1.5× |
| Suture of 1 nerve ulnar motor (64836) |
$6,760.67 |
$13,521.34 |
2.0× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$6,846.46 |
$13,692.92 |
2.1× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$5,306.50 |
$10,613 |
2.4× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$9,387.50 |
$18,775 |
1.3× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$24,347 |
$48,694 |
3.5× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$4,473.25 |
$8,946.50 |
1.4× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$2,053.50 |
$4,107 |
1.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,496 |
$4,992 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$519.50 |
$1,039 |
1.3× |
| Tattooing Incl Micropigmentation 6.0 Cm/< (11920) |
$944 |
$1,888 |
1.3× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
likely a partial charge, not the full procedure |
$7,014.75 |
$14,029.50 |
0.3× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
unusually low: confirm this is the full procedure |
$7,851.50 |
$15,703 |
0.4× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,098.12 |
$4,196.25 |
0.7× |
| Temporary Closure Eyelids Suture (67875) |
$2,159 |
$4,318 |
2.2× |
| Tendon lengthening, upper arm or elbow, each tendon Facility (24305) |
$3,038.25 |
$6,076.50 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$4,721.50 |
$9,443 |
1.5× |
| Tenodesis long tendon biceps (23430) |
$6,900 |
$13,800 |
1.0× |
| Tenolysis extensor tendon hand/finger each (26445) |
$4,178.50 |
$8,357 |
1.3× |
| Tenolysis flexor foot single tendon (28220) |
$2,734 |
$5,468 |
1.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,766.50 |
$7,533 |
2.4× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,411.50 |
$6,823 |
1.1× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Facility (26449) |
$6,050.58 |
$12,101.17 |
1.9× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$3,257.50 |
$6,515 |
1.0× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$4,178.50 |
$8,357 |
1.3× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$2,053.50 |
$4,107 |
1.3× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$4,183.50 |
$8,367 |
1.3× |
| Tenotomy flexor finger open each tendon (26455) |
$2,330.50 |
$4,661 |
1.5× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$2,053.50 |
$4,107 |
1.3× |
| Tenotomy percutaneous single each digit (26060) |
$2,268 |
$4,536 |
1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,850 |
$5,700 |
1.8× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,310.50 |
$4,621 |
1.5× |
| Tenotomy, adductor of hip, open Facility (27001) |
$3,890.63 |
$7,781.25 |
1.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,033.38 |
$4,066.75 |
1.3× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$8,694.50 |
$17,389 |
2.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,054 |
$4,108 |
1.3× |
| Thaw preserved stem cells (38208) |
$556 |
$1,112 |
1.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,362.75 |
$2,725.50 |
0.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,279.75 |
$2,559.50 |
0.8× |
| Ther Apheresis,White Blood Cells (36511) |
$1,989 |
$3,978 |
1.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,482.25 |
$2,964.50 |
2.2× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
unusually low: confirm this is the full procedure |
$5,620.25 |
$11,240.50 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$924 |
$1,848 |
1.5× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$18,511.27 |
$37,022.54 |
3.2× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$5,632.50 |
$11,265 |
1.0× |
| Throat Surgery Procedure (42999) |
$363.50 |
$727 |
1.6× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$5,632.50 |
$11,265 |
1.0× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$5,622.50 |
$11,245 |
1.8× |
| Thrombolytic Art Therapy (37211) |
$5,622.50 |
$11,245 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$476 |
$952 |
1.5× |
| Thrombolytic Venous Therapy (37212) |
$5,622.50 |
$11,245 |
1.8× |
| Thyroid biopsy (60100) |
$991.50 |
$1,983 |
1.4× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$15,085.50 |
$30,171 |
2.6× |
| Thyroidectomy, total or complete (60240) |
$15,085.50 |
$30,171 |
2.6× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$24,268.50 |
$48,537 |
4.2× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$9,061.92 |
$18,123.84 |
0.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,987.67 |
$9,975.34 |
1.6× |
| Tongue and mouth surg unlisted (41599) |
$1,172.32 |
$2,344.62 |
5.1× |
| Tongue suspension (41512) |
$4,309.83 |
$8,619.66 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$7,231.50 |
$14,463 |
2.3× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$21,711 |
$43,422 |
1.3× |
| Total hip arthroplasty (27130) |
$18,585 |
$37,170 |
1.5× |
| Total Knee Arthroplasty (27447) |
$16,009.34 |
$32,018.67 |
1.3× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$8,120.25 |
$16,240.50 |
1.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$4,134.50 |
$8,269 |
1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$790 |
$1,580 |
1.5× |
| Tracheostoma revision; complex, with flap rotation Facility (31614) |
$8,396.25 |
$16,792.50 |
1.5× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$8,309.50 |
$16,619 |
2.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$355.50 |
$711 |
1.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,990.50 |
$3,981 |
1.3× |
| Tracheostomy planned (31600) |
$4,054 |
$8,108 |
1.3× |
| Tracheotomy tube change (31502) |
$255.75 |
$511.50 |
1.1× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$1,565.25 |
$3,130.50 |
0.3× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$2,532.75 |
$5,065.50 |
1.3× |
| Transection or avulsion of; facial nerve, differential or complete Facility (64742) |
$3,230.76 |
$6,461.51 |
1.7× |
| Transfer of tendon to restore intrinsic function; ring and small finger Facility (26497) |
$5,057.69 |
$10,115.38 |
1.6× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$6,720.34 |
$13,440.67 |
1.0× |
| Transfusion intrauterine fetal (36460) |
$631.50 |
$1,263 |
1.5× |
| Translum Dil Eye Canal (66174) |
$3,557.34 |
$7,114.67 |
0.9× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$4,522.67 |
$9,045.34 |
0.9× |
| Transoral Lower Esophageal Myotomy (43497) |
$7,000.50 |
$14,001 |
1.2× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$2,765.50 |
$5,531 |
0.5× |
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
likely a partial charge, not the full procedure |
$652.88 |
$1,305.75 |
0.1× |
| Transplant hand tendon (26480) |
$6,547 |
$13,094 |
2.1× |
| Transplant palm tendon (26485) |
$4,179 |
$8,358 |
1.3× |
| Transplant/graft hand tendon (26483) |
$12,486.67 |
$24,973.34 |
3.9× |
| Transur electr resection of prostate (52601) |
$5,845.50 |
$11,691 |
1.1× |
| Transurethral resection bladder neck (52500) |
$2,128.16 |
$4,256.33 |
0.6× |
| Treat Big Toe Fracture (28505) |
$3,921.50 |
$7,843 |
1.2× |
| Treat clavicle dislocation (23540) |
$307.75 |
$615.50 |
1.3× |
| Treat clavicle fracture (23505) |
$2,346 |
$4,692 |
1.5× |
| Treat elbow dislocation (24615) |
$11,972 |
$23,944 |
1.7× |
| Treat elbow fracture (24586) |
$17,806.25 |
$35,612.50 |
1.4× |
| Treat fracture radius/ulna (25575) |
$9,137 |
$18,274 |
1.3× |
| Treat Hand Dislocation (26685) |
$2,057.22 |
$4,114.43 |
0.6× |
| Treat humerus fracture (24500) |
$438 |
$876 |
1.8× |
| Treat humerus fracture (23600) |
$455.25 |
$910.50 |
1.9× |
| Treat knee fracture (27532) |
$4,359 |
$8,718 |
1.4× |
| Treat Knee Fracture (27535) |
$21,217.50 |
$42,435 |
3.0× |
| Treat Knee Fracture (27540) |
$13,390.50 |
$26,781 |
1.9× |
| Treat Knee Fracture(S) (27538) |
$330 |
$660 |
1.4× |
| Treat Kneecap Fracture (27524) |
$11,671 |
$23,342 |
1.7× |
| Treat Lower Leg Fracture (27828) |
$8,052.75 |
$16,105.50 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$425.50 |
$851 |
1.8× |
| Treat pleurodesis w/agent (32560) |
$801.50 |
$1,603 |
1.3× |
| Treat scapula fracture (23585) |
$9,892.34 |
$19,784.67 |
1.4× |
| Treat shoulder blade fx (23575) |
$2,346 |
$4,692 |
1.5× |
| Treat Thigh Fracture (27246) |
$315.50 |
$631 |
1.3× |
| Treat Thumb Dislocation (26641) |
$345 |
$690 |
1.4× |
| Treat thumb fracture (26665) |
$5,426.50 |
$10,853 |
1.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,120.75 |
$4,241.50 |
1.4× |
| Treat vagina infection (57150) |
$87 |
$174 |
1.5× |
| Treat Vaginal Bleeding (57180) |
$270.50 |
$541 |
1.4× |
| Treat wrist bone fracture (25622) |
$368.75 |
$737.50 |
1.5× |
| Treat Wrist Bone Fracture (25630) |
$315 |
$630 |
1.3× |
| Treat/graft heel fracture (28420) |
$12,596 |
$25,192 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$2,505.50 |
$5,011 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$349.75 |
$699.50 |
1.5× |
| Treatment extensive retinopathy photocoagulation (67228) |
$2,322.66 |
$4,645.33 |
4.4× |
| Treatment mouth roof lesion (42160) |
$5,383.50 |
$10,767 |
1.7× |
| Treatment of fibula fracture (27784) |
$5,788.50 |
$11,577 |
0.8× |
| Treatment of heel fracture (28406) |
$3,844.50 |
$7,689 |
0.5× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$14,024 |
$28,048 |
2.0× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$4,481.50 |
$8,963 |
1.4× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,694 |
$7,388 |
1.2× |
| Treatment of nose fracture (21330) |
$3,967.75 |
$7,935.50 |
0.7× |
| Treatment of retina (67141) |
$655.25 |
$1,310.50 |
2.1× |
| Treatment of retinal lesion (67208) |
$1,021.06 |
$2,042.12 |
3.3× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$8,639.25 |
$17,278.50 |
2.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$368.75 |
$737.50 |
1.5× |
| Trim skin lesion (11055) |
$1,065.42 |
$2,130.83 |
5.5× |
| Trim skin lesions 2 to 4 (11056) |
$332.25 |
$664.50 |
1.7× |
| Trim skin lesions over 4 (11057) |
$307.25 |
$614.50 |
1.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$139 |
$278 |
2.4× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,698 |
$11,396 |
1.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,064.75 |
$10,129.50 |
0.9× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$701 |
$1,402 |
1.6× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$2,126.50 |
$4,253 |
5.0× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$296.25 |
$592.50 |
0.7× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$375 |
$750 |
0.9× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$79,473 |
$158,946 |
1.3× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$1,787.75 |
$3,575.50 |
1.2× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,457.50 |
$4,915 |
0.7× |
| Tube thoracostomy includes water seal (32551) |
$2,280 |
$4,560 |
1.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,460.50 |
$10,921 |
2.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,974.50 |
$7,949 |
1.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$3,414.83 |
$6,829.66 |
2.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,669.75 |
$5,339.50 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,513.50 |
$5,027 |
3.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$606.50 |
$1,213 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,054 |
$4,108 |
1.3× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$14,024 |
$28,048 |
1.1× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$25,337 |
$50,674 |
4.4× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$27,428.62 |
$54,857.25 |
4.8× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$44,658.75 |
$89,317.50 |
7.8× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$38,325.50 |
$76,651 |
6.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$50,169.50 |
$100,339 |
8.8× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$26,427.67 |
$52,855.34 |
4.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$37,613 |
$75,226 |
6.6× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$21,626 |
$43,252 |
3.8× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$8,927 |
$17,854 |
1.6× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$11,531.50 |
$23,063 |
2.0× |
| Tympanostomy (69433) |
$992.50 |
$1,985 |
1.9× |
| Tympanostomy general anesthesia (69436) |
$1,796 |
$3,592 |
1.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$7,017.50 |
$14,035 |
2.0× |
| Unlisted Cardiac Surgery (33999) |
$924.50 |
$1,849 |
1.5× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$7,455.67 |
$14,911.33 |
32.5× |
| Unlisted laparoscopic procedure liver (47379) |
$18,641.34 |
$37,282.67 |
3.2× |
| Unlisted laparoscopic procedure, ureter (50949) |
$10,768.33 |
$21,536.66 |
1.8× |
| Unlisted laparoscopy procedure stomach (43659) |
$10,403.88 |
$20,807.75 |
1.8× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure |
$2,751.13 |
$5,502.25 |
0.5× |
| Unlisted laparoscopy procedure, bladder (51999) |
$4,184.75 |
$8,369.50 |
0.7× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$15,346 |
$30,692 |
2.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$17,027.34 |
$34,054.67 |
2.9× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$15,130.88 |
$30,261.75 |
2.6× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$18,368.17 |
$36,736.33 |
3.1× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$3,528.67 |
$7,057.33 |
0.6× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$5,119.32 |
$10,238.62 |
0.9× |
| Unlisted laparoscopy procedure, uterus (58578) |
$22,533.50 |
$45,067 |
3.9× |
| Unlisted musculoskeletal procedure head (21499) |
$8,155.50 |
$16,311 |
35.6× |
| Unlisted Procedure Accessory Sinuses (31299) |
$1,239.51 |
$2,479.02 |
5.4× |
| Unlisted procedure anus (46999) |
$2,184.50 |
$4,369 |
2.4× |
| Unlisted procedure arthroscopy (29999) |
$6,965 |
$13,930 |
29.2× |
| Unlisted Procedure Biliary Tract (47999) |
$1,551.50 |
$3,103 |
1.8× |
| Unlisted procedure colon (45399) |
$2,526.34 |
$5,052.66 |
2.8× |
| Unlisted Procedure Conjunctiva (68399) |
$1,125.25 |
$2,250.50 |
3.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$4,150.50 |
$8,301 |
18.1× |
| Unlisted Procedure Endocrine System (60699) |
$5,586.16 |
$11,172.33 |
1.0× |
| Unlisted Procedure Esophagus (43499) |
$2,053.34 |
$4,106.67 |
2.3× |
| Unlisted Procedure External Ear (69399) |
$581 |
$1,162 |
2.5× |
| Unlisted procedure femur or knee (27599) |
$964.25 |
$1,928.50 |
4.0× |
| Unlisted procedure foot or toes (28899) |
$1,269.16 |
$2,538.33 |
5.3× |
| Unlisted procedure humerus/elbow (24999) |
$1,732.19 |
$3,464.38 |
7.3× |
| Unlisted procedure larynx (31599) |
$937.92 |
$1,875.83 |
4.1× |
| Unlisted Procedure Lungs & Pleura (32999) |
$6,494.50 |
$12,989 |
10.7× |
| Unlisted Procedure Male Genital System (55899) |
$2,618.25 |
$5,236.50 |
10.8× |
| Unlisted Procedure Muscskeletal System General (20999) |
$2,230.50 |
$4,461 |
9.3× |
| Unlisted procedure neck or thorax (21899) |
$5,310.83 |
$10,621.66 |
23.2× |
| Unlisted procedure nervous system (64999) |
$3,022 |
$6,044 |
10.2× |
| Unlisted procedure pancreas (48999) |
$951.50 |
$1,903 |
1.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$9,380.08 |
$18,760.16 |
39.3× |
| Unlisted procedure rectum (45999) |
$2,524.75 |
$5,049.50 |
2.8× |
| Unlisted Procedure Small Intestine (44799) |
$1,782.50 |
$3,565 |
2.0× |
| Unlisted Procedure Trachea Bronchi (31899) |
$1,366.06 |
$2,732.12 |
7.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$4,267.32 |
$8,534.62 |
7.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$4,072.60 |
$8,145.18 |
4.6× |
| Unlisted procedure, hands or fingers (26989) |
$5,449.50 |
$10,899 |
22.8× |
| Unlisted procedure, inner ear (69949) |
$8,348 |
$16,696 |
36.4× |
| Unlisted procedure, lacrimal system (68899) |
$878.14 |
$1,756.26 |
2.9× |
| Unlisted procedure, leg or ankle (27899) |
$4,302.58 |
$8,605.17 |
18.0× |
| Unlisted procedure, maternity care and delivery (59899) |
$251.50 |
$503 |
1.3× |
| Unlisted procedure, stomach (43999) |
$1,341 |
$2,682 |
1.5× |
| Unlisted procedure, vestibule of mouth (40899) |
$1,654 |
$3,308 |
7.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$311 |
$622 |
1.6× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$3,280.23 |
$6,560.46 |
14.3× |
| Upgrade of pacemaker system (33214) |
$5,817 |
$11,634 |
0.6× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$6,030 |
$12,060 |
1.2× |
| Ureteral endoscopy via ureterostomy (50951) |
$6,572 |
$13,144 |
1.9× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)… (53500) |
$4,536.50 |
$9,073 |
1.3× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$6,720.34 |
$13,440.67 |
1.3× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$10,391.75 |
$20,783.50 |
2.0× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
$12,313.50 |
$24,627 |
2.4× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$4,769.67 |
$9,539.34 |
0.9× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$16,627 |
$33,254 |
3.2× |
| Urine flow measurement (51736) |
$267.50 |
$535 |
2.1× |
| Urology Surgery Procedure (53899) |
$2,712.34 |
$5,424.66 |
11.2× |
| Us urine capacity measure (51798) |
$134 |
$268 |
2.3× |
| Uvulectomy excision of uvula (42140) |
$5,513.50 |
$11,027 |
1.7× |
| Vaginal delivery only (59409) |
$3,629.75 |
$7,259.50 |
1.2× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$3,722 |
$7,444 |
1.2× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$8,162.25 |
$16,324.50 |
1.7× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$18,640.50 |
$37,281 |
3.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$11,921.88 |
$23,843.75 |
2.5× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$5,897.50 |
$11,795 |
1.9× |
| Vaginoplasty for intersex state Facility (57335) |
$3,302.75 |
$6,605.50 |
0.7× |
| Vasc embolize/occlude artery (37242) |
$9,026 |
$18,052 |
0.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$5,863.50 |
$11,727 |
0.5× |
Vasc embolize/occlude organ (37243)
unusually low: confirm this is the full procedure |
$5,436 |
$10,872 |
0.5× |
| Vasc embolize/occlude venous (37241) |
$10,331.84 |
$20,663.67 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,179 |
$6,358 |
1.6× |
| Venipuncture (36415) |
$8 |
$16 |
0.9× |
| Venipuncture, cutdown; age 1 or over (36425) |
$570.50 |
$1,141 |
1.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,403.63 |
$2,807.25 |
0.4× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,678.25 |
$3,356.50 |
2.0× |
| Vitrectomy mechanical pars plana (67036) |
$4,095.50 |
$8,191 |
1.0× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,793 |
$9,586 |
1.2× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$7,123.34 |
$14,246.67 |
1.8× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$2,276.42 |
$4,552.83 |
0.6× |
| Vulvectomy Simple Partial (56620) |
$4,160.67 |
$8,321.34 |
1.3× |
| Vulvectomy simple; complete (56625) |
$12,929.50 |
$25,859 |
4.1× |
| Wedge excision skin nail fold (11765) |
$849.75 |
$1,699.50 |
2.2× |
| Windowing of cast (29730) |
$205 |
$410 |
1.3× |
| Wound Prep F/N/Hf/G (15004) |
$2,693.38 |
$5,386.75 |
6.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,122.30 |
$4,244.58 |
3.0× |
| Wrist arthroscopy (29840) |
$3,616.83 |
$7,233.66 |
1.1× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$3,074.66 |
$6,149.33 |
0.6× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$4,567.34 |
$9,134.67 |
1.1× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$5,336 |
$10,672 |
1.0× |