| Abd paracentesis w/imaging (49083) |
$2,059 |
$4,118 |
2.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$826 |
$1,652 |
0.9× |
| Ablate inf turbinate submuc (30802) |
$1,196.29 |
$2,392.58 |
0.8× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$7,847.50 |
$15,695 |
0.5× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,519.33 |
$3,038.66 |
1.0× |
| Acne surgery (10040) |
$281 |
$562 |
1.4× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$4,627.50 |
$9,255 |
2.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$7,908.50 |
$15,817 |
2.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,371.50 |
$4,743 |
1.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,783 |
$5,566 |
1.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,017 |
$6,034 |
1.5× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$13,090.50 |
$26,181 |
6.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$4,011.67 |
$8,023.34 |
1.3× |
| Amputation Finger/Thumb (26951) |
$4,697 |
$9,394 |
1.5× |
| Amputation foot transmetarsal (28805) |
$3,863 |
$7,726 |
1.2× |
| Amputation metatarsal with toe single (28810) |
$3,760.50 |
$7,521 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$2,681.50 |
$5,363 |
0.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,790.58 |
$5,581.17 |
0.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,980 |
$3,960 |
1.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,146.50 |
$6,293 |
1.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$852.33 |
$1,704.66 |
0.2× |
| Anterior tibial tubercleplasty (27418) |
$5,935.62 |
$11,871.25 |
0.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$203.25 |
$406.50 |
1.3× |
| Application cast elbow finger short arm (29075) |
$298.75 |
$597.50 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$321.50 |
$643 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$90.50 |
$181 |
1.6× |
| Application finger splint static (29130) |
$175 |
$350 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$228 |
$456 |
1.5× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure |
$2,544.14 |
$5,088.28 |
0.2× |
| Application of rigid total contact leg cast (29445) |
$451.50 |
$903 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$182.50 |
$365 |
1.4× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$1,919.75 |
$3,839.50 |
0.3× |
| Apply Hand/Wrist Cast (29085) |
$187 |
$374 |
1.2× |
| Apply long leg splint (29505) |
$198.25 |
$396.50 |
1.3× |
| Apply short leg cast (29405) |
$321.50 |
$643 |
1.2× |
| Apply short leg cast (29425) |
$373.25 |
$746.50 |
1.4× |
| Apply short leg splint (29515) |
$254.50 |
$509 |
1.6× |
| Arterial puncture (36600) |
$72.25 |
$144.50 |
0.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$8,713 |
$17,426 |
2.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$8,153 |
$16,306 |
1.5× |
| Artery-vein autograft (36825) |
$16,073 |
$32,146 |
3.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$17,177.50 |
$34,355 |
1.4× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$9,210.67 |
$18,421.34 |
0.7× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$10,685.62 |
$21,371.25 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$553.25 |
$1,106.50 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$812.75 |
$1,625.50 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$424.50 |
$849 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$353 |
$706 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$712 |
$1,424 |
2.4× |
| Arthrodesis ankle open (27870) |
$8,476.50 |
$16,953 |
0.7× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,956.84 |
$5,913.66 |
0.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,593 |
$15,186 |
1.1× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$9,784 |
$19,568 |
0.6× |
| Arthrodesis triple (28715) |
$21,887.50 |
$43,775 |
1.8× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$21,213.75 |
$42,427.50 |
0.8× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
unusually low: confirm this is the full procedure |
$10,516.50 |
$21,033 |
0.4× |
| Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) |
$14,359.76 |
$28,719.52 |
0.8× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$13,202.50 |
$26,405 |
0.8× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$26,584 |
$53,168 |
3.8× |
| Arthrodesis; subtalar (28725) |
$8,945 |
$17,890.01 |
0.7× |
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure |
$12,198.42 |
$24,396.83 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$13,941 |
$27,882 |
0.8× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$8,153 |
$16,306 |
2.6× |
| Arthroplasty, radial head; with implant Facility (24366) |
$8,890.67 |
$17,781.34 |
0.7× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,946 |
$5,892 |
0.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,937.34 |
$7,874.67 |
1.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$5,461.50 |
$10,923 |
1.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,771.96 |
$5,543.92 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$4,373.17 |
$8,746.34 |
1.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$4,809.88 |
$9,619.75 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$6,087 |
$12,174 |
1.9× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$4,078.25 |
$8,156.50 |
1.3× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$9,400 |
$18,800 |
3.0× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,521.18 |
$7,042.36 |
1.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,437.67 |
$6,875.33 |
1.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$4,905.50 |
$9,811 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$5,022.92 |
$10,045.83 |
1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,266.25 |
$12,532.50 |
2.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,728.67 |
$15,457.34 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,378.33 |
$6,756.66 |
1.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,338 |
$14,676 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$11,152.75 |
$22,305.50 |
1.6× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$8,899 |
$17,798 |
2.8× |
| Arthrotomy w/synovectomy ankle (27625) |
$6,332.01 |
$12,664.01 |
2.0× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$3,717.83 |
$7,435.66 |
1.2× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$1,843.67 |
$3,687.33 |
0.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$10,814 |
$21,628 |
1.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,780 |
$7,560 |
1.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$4,002 |
$8,004 |
2.6× |
| Aspirate pleura w/ imaging (32555) |
$1,783 |
$3,566 |
2.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$567 |
$1,134 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,402.50 |
$4,805 |
1.2× |
Autochondrocyte implant knee (27412)
likely a partial charge, not the full procedure |
$1,890 |
$3,780 |
0.3× |
| Av Fuse Uppr Arm Basilic (36819) |
$8,873 |
$17,746 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$381.75 |
$763.50 |
2.0× |
| Biopsy bone open superficial (20240) |
$3,145.75 |
$6,291.50 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,721.75 |
$3,443.50 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,059 |
$2,118 |
1.2× |
| Biopsy external ear (69100) |
$233 |
$466 |
1.0× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy intranasal (30100) |
$3,168 |
$6,336 |
2.1× |
| Biopsy muscle percutaneous needle (20206) |
$1,155.25 |
$2,310.50 |
0.7× |
| Biopsy of breast; open, incisional (19101) |
$1,979.83 |
$3,959.66 |
0.5× |
| Biopsy of eyelid lining (68100) |
$2,733 |
$5,466 |
1.2× |
| Biopsy of tongue (41100) |
$2,260.67 |
$4,521.33 |
4.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$6,353 |
$12,706 |
1.7× |
| Biopsy Oropharynx (42800) |
$6,060 |
$12,120 |
4.0× |
| Biopsy pleura percutaneous needle (32400) |
$1,335.50 |
$2,671 |
0.8× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy Salivary Gland,Needle (42400) |
$4,563 |
$9,126 |
6.7× |
| Biopsy soft tissue back,superf (21920) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,805.50 |
$7,611 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$583 |
$1,166 |
0.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,059 |
$2,118 |
1.2× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$2,303.92 |
$4,607.83 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$4,245.25 |
$8,490.50 |
1.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$596.50 |
$1,193 |
0.9× |
| Bladder Irrigation Simple (51700) |
$287 |
$574 |
1.2× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$1,964.50 |
$3,929 |
1.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,355.25 |
$6,710.50 |
1.7× |
| Blepharoplasty, Upper Eyelid (15822) |
$5,853.33 |
$11,706.66 |
2.9× |
| Blepharotomy drain absc eyelid (67700) |
$361.75 |
$723.50 |
1.2× |
| Blood patch (62273) |
$923 |
$1,846 |
1.4× |
| Blood transfusion service (36430) |
$711 |
$1,422 |
1.7× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
unusually low: confirm this is the full procedure |
$3,411 |
$6,822 |
0.5× |
| Bone marrow aspiration only (38220) |
$1,898.50 |
$3,797 |
1.2× |
| Bone Marrow Biopsy (38221) |
$2,415.75 |
$4,831.50 |
1.5× |
| Breast Reduction (19318) |
$18,859.84 |
$37,719.67 |
2.9× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,395.08 |
$2,790.16 |
0.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$4,910.50 |
$9,821 |
2.9× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,678.48 |
$3,356.95 |
0.5× |
| Bronch ebus samplng 1/2 node (31652) |
$1,751 |
$3,502 |
0.5× |
| Bronch ebus samplng 3/> node (31653) |
$3,050.25 |
$6,100.50 |
0.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$4,419 |
$8,838 |
2.6× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$7,473 |
$14,946 |
1.1× |
| Bronchoscopy Balloon Occlusion (31634) |
$4,488.50 |
$8,977 |
0.7× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,478.50 |
$6,957 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$6,040 |
$12,080 |
3.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,794.25 |
$3,588.50 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$449.50 |
$899 |
1.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,704.50 |
$5,409 |
1.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,898.50 |
$3,797 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$6,892.25 |
$13,784.50 |
4.3× |
| Bx breast 1st lesion strtctc (19081) |
$6,704 |
$13,408 |
4.2× |
| Bx breast 1st lesion us imag (19083) |
$6,878.50 |
$13,757 |
4.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,497 |
$4,994 |
1.6× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$3,338.50 |
$6,677 |
1.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,077.25 |
$2,154.50 |
0.7× |
| Canthoplasty (67950) |
$2,733 |
$5,466 |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,797.16 |
$3,594.33 |
0.6× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$27,448 |
$54,896 |
3.9× |
| Car-t admn autologous (38228) |
$363 |
$726 |
1.1× |
| Carpectomy All Bones Proximal Row (25215) |
$10,052 |
$20,104 |
3.2× |
| Casting/strapping procedure (29799) |
$202.25 |
$404.50 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$311.50 |
$623 |
1.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,917 |
$3,834 |
0.6× |
| Cessj Therapy Cath Removal (37214) |
$7,654.50 |
$15,309 |
2.5× |
| Change Cystostomy Tube Complicated (51710) |
$943 |
$1,886 |
1.4× |
| Change of cystostomy tube simple (51705) |
$762.50 |
$1,525 |
3.2× |
| Change stent via transureth (50385) |
$3,714 |
$7,428 |
1.8× |
| Chemical cautery tissue (17250) |
$218 |
$436 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$636.25 |
$1,272.50 |
0.9× |
| Chemodenerv Eccrine Glands (64650) |
$353 |
$706 |
1.2× |
| Chemodenerv musc migraine (64615) |
$353 |
$706 |
1.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$410 |
$820 |
1.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$858.25 |
$1,716.50 |
1.3× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$811.50 |
$1,623 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$386.25 |
$772.50 |
1.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,115 |
$8,230 |
1.2× |
| Chorionic villus sampling (59015) |
$1,059 |
$2,118 |
1.2× |
| Chromotubation oviduct (58350) |
$1,356.69 |
$2,713.38 |
0.3× |
| Circumcision (54150) |
$57 |
$114 |
0.0× |
| Circumcision Neonate (54160) |
$890.50 |
$1,781 |
1.3× |
| Claviculectomy partial (23120) |
$3,653.04 |
$7,306.08 |
1.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$219.50 |
$439 |
0.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$283.50 |
$567 |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$277 |
$554 |
1.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$243.75 |
$487.50 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$284 |
$568 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$210 |
$420 |
0.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$512 |
$1,024 |
2.1× |
| Closed Treatment Coccygeal Fracture (27200) |
$284.25 |
$568.50 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,059 |
$8,118 |
1.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$231 |
$462 |
1.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,220.50 |
$4,441 |
1.4× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$401.75 |
$803.50 |
1.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$262.50 |
$525 |
1.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$268.50 |
$537 |
1.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$386 |
$772 |
1.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,578.50 |
$7,157 |
2.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$284 |
$568 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$422 |
$844 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$477 |
$954 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,848.50 |
$3,697 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$250.25 |
$500.50 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,944.75 |
$3,889.50 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$315.50 |
$631 |
1.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$8,241.50 |
$16,483 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$270.50 |
$541 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,117.25 |
$4,234.50 |
1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$283.50 |
$567 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$336 |
$672 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,848.50 |
$3,697 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$284 |
$568 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,658.25 |
$5,316.50 |
1.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,326.50 |
$4,653 |
1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$284 |
$568 |
1.2× |
| Closed tx septal&nose fx (21337) |
$2,117.25 |
$4,234.50 |
0.7× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$2,661.25 |
$5,322.50 |
11.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$283.50 |
$567 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$388.50 |
$777 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$332 |
$664 |
1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$284 |
$568 |
1.2× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$3,412 |
$6,824 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$235.50 |
$471 |
1.0× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$284 |
$568 |
1.2× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$209.75 |
$419.50 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,496 |
$4,992 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$362 |
$724 |
1.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$326.25 |
$652.50 |
1.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,216.50 |
$6,433 |
2.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$284 |
$568 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,038.16 |
$4,076.33 |
8.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$250.25 |
$500.50 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$337 |
$674 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$284 |
$568 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$283.75 |
$567.50 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,751.50 |
$5,503 |
1.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$310.25 |
$620.50 |
1.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$284 |
$568 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,193.25 |
$2,386.50 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$284 |
$568 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$251.75 |
$503.50 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$284 |
$568 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,998.25 |
$3,996.50 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$284 |
$568 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$247 |
$494 |
1.0× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$282.50 |
$565 |
1.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$171.50 |
$343 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$400 |
$800 |
1.7× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$297.50 |
$595 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$522 |
$1,044 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$307 |
$614 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$327.25 |
$654.50 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$284 |
$568 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$778 |
$1,556 |
3.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,496 |
$4,992 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$236.25 |
$472.50 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$5,796.75 |
$11,593.50 |
3.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$250.25 |
$500.50 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$766.50 |
$1,533 |
3.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,097.25 |
$4,194.50 |
1.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,496 |
$4,992 |
1.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$332 |
$664 |
1.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$68 |
$136 |
0.5× |
| Colonoscopy flex w/blln dilat (45386) |
$624.75 |
$1,249.50 |
0.5× |
| Colonoscopy flex w/inj submuc (45381) |
$600.50 |
$1,201 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$2,954.50 |
$5,909 |
2.6× |
| Colonoscopy stoma w/biopsy (44389) |
$2,057.50 |
$4,115 |
1.8× |
| Colonoscopy thru stoma (44388) |
$1,356 |
$2,712 |
1.5× |
| Colonoscopy w/ablation (45388) |
$819.29 |
$1,638.58 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$1,551 |
$3,102 |
1.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,769.34 |
$3,538.66 |
1.5× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$2,083.17 |
$4,166.34 |
0.8× |
| Colpocleisis (le fort type) (57120) |
$6,244.76 |
$12,489.52 |
1.3× |
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure |
$3,382 |
$6,764 |
0.5× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$3,668.04 |
$7,336.08 |
0.5× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,358 |
$4,716 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$350.50 |
$701 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$170.50 |
$341 |
0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$230.75 |
$461.50 |
0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$2,421 |
$4,842 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$435 |
$870 |
1.5× |
| Colposcopy vulva (56820) |
$232.50 |
$465 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$226.75 |
$453.50 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,057.25 |
$2,114.50 |
1.2× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$4,398.75 |
$8,797.50 |
0.9× |
| Combined anteroposterior colporrhaphy; (57260) |
$1,443.08 |
$2,886.16 |
0.3× |
| Complex Cystometrogram (51726) |
$287.50 |
$575 |
1.2× |
| Complex Uroflowmetry (51741) |
$248.50 |
$497 |
1.2× |
| Conization of cervix (57520) |
$2,862 |
$5,724 |
0.9× |
| Conization of cervix (57522) |
$3,429 |
$6,858 |
1.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$180.50 |
$361 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$300.50 |
$601 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$392 |
$784 |
3.0× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$4,905.50 |
$9,811 |
1.5× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$14,354 |
$28,708 |
1.2× |
| Convert nephrostomy catheter (50434) |
$2,402.50 |
$4,805 |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,283 |
$2,566 |
0.8× |
| Correction eyelid w/implant (67912) |
$2,289.12 |
$4,578.25 |
1.0× |
| Correction hammertoe (28285) |
$3,256.83 |
$6,513.66 |
1.0× |
| Correction of bunion (28298) |
$3,886 |
$7,772 |
0.6× |
| Correction of bunion (28292) |
$4,521.34 |
$9,042.67 |
1.4× |
| Correction of bunion (28297) |
$9,513 |
$19,026 |
0.8× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$153 |
$306 |
1.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,712.50 |
$13,425 |
2.1× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$11,033 |
$22,066 |
2.0× |
| Csf shunt reprogram (62252) |
$547 |
$1,094 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$343.50 |
$687 |
2.7× |
| Curettage postpartum (59160) |
$3,114 |
$6,228 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,040.50 |
$8,081 |
2.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,735.50 |
$3,471 |
0.9× |
| Cysto w/destruction of lesions (52214) |
$4,557 |
$9,114 |
1.3× |
| Cysto w/insert ureteral stent (52332) |
$3,921.75 |
$7,843.50 |
1.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,436.50 |
$8,873 |
1.3× |
| Cysto w/removal of tumors small (52234) |
$4,892 |
$9,784 |
1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,563.25 |
$5,126.50 |
1.3× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,412.38 |
$4,824.75 |
0.7× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$4,606 |
$9,212 |
1.4× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$8,153.34 |
$16,306.67 |
1.6× |
| Cysto/uretero w/lithotripsy (52356) |
$6,264 |
$12,528 |
1.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$2,991 |
$5,982 |
0.6× |
| Cystometrogram w/vp (51728) |
$801.50 |
$1,603 |
1.2× |
| Cystouretero & or pyeloscope (52351) |
$2,761.62 |
$5,523.25 |
0.8× |
| Cystourethroscopy (52000) |
$1,085.50 |
$2,171 |
1.6× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$6,824.83 |
$13,649.66 |
1.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,844 |
$5,688 |
1.4× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$801.50 |
$1,603 |
1.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$5,886 |
$11,772 |
1.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,466.25 |
$2,932.50 |
0.7× |
| Cystourethroscopy with biopsy (52204) |
$2,892.25 |
$5,784.50 |
1.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,403 |
$4,806 |
1.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$8,519.50 |
$17,039 |
1.6× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$2,403 |
$4,806 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,859.50 |
$3,719 |
4.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,282 |
$4,564 |
0.8× |
| Dcmprn fasct leg post compartment only (27601) |
$2,174.75 |
$4,349.50 |
0.7× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$5,800.50 |
$11,601 |
0.8× |
| Debride nail 1-5 (11720) |
$30.50 |
$61 |
0.5× |
| Debride nail 6 or more (11721) |
$91.50 |
$183 |
1.6× |
| Debride skin musc at fx site (11011) |
$814 |
$1,628 |
1.2× |
| Debride tissue/muscle (11043) |
$1,832.88 |
$3,665.75 |
2.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,391.42 |
$2,782.84 |
3.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$846 |
$1,692 |
0.5× |
| Declot vascular device (36593) |
$192.50 |
$385 |
0.6× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,371.50 |
$4,743 |
1.2× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$6,504 |
$13,008 |
3.3× |
| Destroy cerv/thor facet jnt (64633) |
$2,110 |
$4,220 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$3,495 |
$6,990 |
1.9× |
| Destruction Benign Lesions 15/> (17111) |
$101 |
$202 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$102.50 |
$205 |
0.5× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,017 |
$2,034 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,892 |
$5,784 |
3.4× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$353 |
$706 |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$2,804 |
$5,608 |
1.4× |
| Destruction Lesions Vulva Simple (56501) |
$1,253.50 |
$2,507 |
0.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$231 |
$462 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$231 |
$462 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,244.50 |
$4,489 |
1.2× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$632.50 |
$1,265 |
1.2× |
| Destruction Premalignant Lesion 15/> (17004) |
$467 |
$934 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$363 |
$726 |
1.9× |
| Destruction Vaginal Lesions Extensive (57065) |
$4,473 |
$8,946 |
1.4× |
| Destruction Vaginal Lesions Simple (57061) |
$4,332 |
$8,664 |
1.4× |
| Diagnostic anoscopy (46601) |
$513.50 |
$1,027 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$920.25 |
$1,840.50 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,069 |
$2,138 |
1.2× |
| Dil urethra,female,subsequent (53661) |
$153 |
$306 |
1.2× |
| Dilate Urethra Stricture (53620) |
$801.50 |
$1,603 |
1.2× |
| Dilate urethra stricture (53621) |
$287.50 |
$575 |
1.2× |
| Dilate urethra stricture (53600) |
$287.50 |
$575 |
1.2× |
| Dilation and curettage (58120) |
$400.58 |
$801.16 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$469.75 |
$939.50 |
0.5× |
| Dilation esophagus over guide wire (43453) |
$1,956.50 |
$3,913 |
1.1× |
| Dilation of cervical canal (57800) |
$3,721 |
$7,442 |
1.2× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$11,833 |
$23,666 |
2.2× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,473 |
$4,946 |
1.4× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$3,813.63 |
$7,627.25 |
0.7× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$2,553 |
$5,106 |
0.8× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$4,500 |
$9,000 |
2.8× |
| Drain lower leg bursa (27604) |
$3,761 |
$7,522 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,046 |
$2,092 |
1.5× |
| Drain Spinal Cord Cyst (62268) |
$1,017 |
$2,034 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$353 |
$706 |
1.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$2,330.17 |
$4,660.33 |
4.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$814 |
$1,628 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,675 |
$5,350 |
1.7× |
| Drainage Finger Abscess Simple (26010) |
$333 |
$666 |
1.7× |
| Drainage of eye (65800) |
$2,946.25 |
$5,892.50 |
1.3× |
| Drainage of gum lesion (41800) |
$228 |
$456 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$1,898.50 |
$3,797 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$1,898.50 |
$3,797 |
1.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$6,119.84 |
$12,239.66 |
1.9× |
| Draw blood off venous device (36591) |
$68 |
$136 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$342 |
$684 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$270.50 |
$541 |
1.4× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$849.50 |
$1,699 |
1.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,371.50 |
$4,743 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$2,232 |
$4,464 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$2,371.50 |
$4,743 |
1.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,384 |
$2,768 |
1.6× |
| Dx bone marrow bx & aspir (38222) |
$3,617.75 |
$7,235.50 |
1.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,429.25 |
$6,858.50 |
2.0× |
| Dx laryngoscopy w/oper scope (31526) |
$3,833 |
$7,666 |
2.2× |
| Ear Cartilage Graft (21235) |
$4,299.83 |
$8,599.66 |
0.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$884.67 |
$1,769.33 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,718.83 |
$5,437.66 |
1.5× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,071.84 |
$2,143.66 |
0.6× |
| Egd control bleeding any (43255) |
$1,569 |
$3,138 |
0.8× |
| Egd dilate stricture (43245) |
$864.44 |
$1,728.88 |
0.5× |
| Egd endo mucosal resection (43254) |
$4,746.50 |
$9,493 |
2.6× |
Egd endoscopic stent place (43266)
unusually low: confirm this is the full procedure |
$2,754.17 |
$5,508.34 |
0.5× |
| Egd flexible foreign body removal (43247) |
$3,619.58 |
$7,239.17 |
4.1× |
| Egd guide wire insertion (43248) |
$1,297.75 |
$2,595.50 |
1.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,358 |
$4,716 |
1.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$4,122 |
$8,244 |
2.2× |
| Egd place gastrostomy tube (43246) |
$2,177 |
$4,354 |
1.2× |
| Egd remove lesion snare (43251) |
$411.63 |
$823.25 |
0.2× |
| Egd tube/cath insertion (43241) |
$8,764.83 |
$17,529.66 |
4.7× |
| Egd us exam duodenum/jejunum (43259) |
$1,602 |
$3,204 |
0.9× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$353.50 |
$707 |
1.2× |
| Embedded ip cath exit-site (49436) |
$3,307 |
$6,614 |
1.8× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101)
unusually low: confirm this is the full procedure |
$2,104.42 |
$4,208.83 |
0.4× |
| EMG anal/urethral sphincter (51785) |
$287 |
$574 |
1.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$148 |
$296 |
1.2× |
| Endocervical Curettage (57505) |
$591.75 |
$1,183.50 |
0.7× |
| Endometrial Biopsy (58100) |
$296 |
$592 |
1.5× |
| Endoscopic plantar fasciotomy (29893) |
$3,953 |
$7,906 |
1.2× |
| Endoscopic us exam esoph (43237) |
$1,164 |
$2,328 |
0.6× |
| Endoscopy bowel pouch/biop (44386) |
$2,421.50 |
$4,843 |
2.7× |
| Endoscopy Upper Small Intestine (44360) |
$984.67 |
$1,969.33 |
0.5× |
| Endovenous rf 1st vein (36475) |
$2,865.50 |
$5,731 |
0.9× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,460.75 |
$4,921.50 |
1.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,371.50 |
$4,743 |
1.2× |
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure |
$2,418 |
$4,836 |
0.4× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,403.50 |
$2,807 |
0.4× |
| Ercp remove forgn body duct (43275) |
$2,807 |
$5,614 |
1.5× |
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure |
$2,835 |
$5,670 |
0.5× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,789.38 |
$5,578.76 |
0.7× |
| Escharotomy initial incision (16035) |
$467 |
$934 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$823.25 |
$1,646.50 |
0.9× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,414 |
$2,828 |
1.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,414 |
$2,828 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$156 |
$312 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,168 |
$6,336 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,774.17 |
$3,548.33 |
1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$687.75 |
$1,375.50 |
1.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,898.50 |
$3,797 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,556 |
$3,112 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$846 |
$1,692 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$502.12 |
$1,004.25 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$6,471.75 |
$12,943.50 |
4.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$543.75 |
$1,087.50 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$846 |
$1,692 |
0.5× |
| Exc forearm les sc 3 cm/> (25071) |
$2,890 |
$5,780 |
1.8× |
| Exc Frenum Labial/Buccal (40819) |
$2,195 |
$4,390 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$3,307 |
$6,614 |
2.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,848.50 |
$3,697 |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$2,932.50 |
$5,865 |
1.0× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$3,863 |
$7,726 |
2.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$4,766.50 |
$9,533 |
2.5× |
| Exc rect tum transanal part (45171) |
$6,434.50 |
$12,869 |
2.4× |
| Exc skin abd (15830) |
$19,866.34 |
$39,732.67 |
3.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$365 |
$730 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$467 |
$934 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,588.84 |
$3,177.67 |
2.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$4,197 |
$8,394 |
2.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,847.25 |
$3,694.50 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,720.56 |
$3,441.12 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,872.67 |
$7,745.34 |
2.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,910.84 |
$5,821.67 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,258.75 |
$6,517.50 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,005.25 |
$4,010.50 |
1.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,380.34 |
$2,760.67 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$4,905.50 |
$9,811 |
1.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$846 |
$1,692 |
0.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$4,106 |
$8,212 |
2.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,392.50 |
$6,785 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,654.50 |
$7,309 |
1.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$5,865 |
$11,730 |
2.1× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$2,929.13 |
$5,858.25 |
1.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,065.67 |
$4,131.34 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,558 |
$9,116 |
1.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,394.25 |
$4,788.50 |
1.5× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$4,469.50 |
$8,939 |
1.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,898.50 |
$3,797 |
1.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$5,809 |
$11,618 |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,376.50 |
$6,753 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,819 |
$7,638 |
2.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$4,071.50 |
$8,143 |
1.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,338.50 |
$6,677 |
1.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,940.75 |
$5,881.50 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,115 |
$4,273 |
1.2× |
| Exchange nephrostomy cath (50435) |
$1,206 |
$2,412 |
0.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,205.50 |
$4,411 |
1.2× |
| Excise cutaneous neurofibroma (64788) |
$2,244.50 |
$4,489 |
1.2× |
| Excise Inferior Turbinate (30130) |
$1,993.54 |
$3,987.08 |
0.6× |
| Excise pharynx lesion (42808) |
$3,584 |
$7,168 |
1.1× |
| Excision Breast Lesion (19125) |
$4,141 |
$8,282 |
1.1× |
| Excision Chalazion Single (67800) |
$534.50 |
$1,069 |
1.7× |
| Excision external ear partial simple repair (69110) |
$1,774.17 |
$3,548.33 |
0.6× |
| Excision H/P/P/U Complex Repair (11471) |
$4,796.42 |
$9,592.84 |
1.7× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$3,932.50 |
$7,865 |
1.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$4,807.50 |
$9,615 |
1.7× |
| Excision interdigital morton neuroma single each (28080) |
$4,974.50 |
$9,949 |
3.2× |
| Excision lesion mouth roof (42104) |
$2,959.50 |
$5,919 |
0.9× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$3,842.75 |
$7,685.50 |
2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$358.50 |
$717 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$547.50 |
$1,095 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$301.54 |
$603.07 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$726.85 |
$1,453.70 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$932.57 |
$1,865.14 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$365 |
$730 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,741.75 |
$3,483.50 |
2.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$856.50 |
$1,713 |
1.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,008.50 |
$2,017 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,898.50 |
$3,797 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$828 |
$1,656 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$358.50 |
$717 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$704 |
$1,408 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$931 |
$1,862 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$8,320.67 |
$16,641.34 |
5.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,168 |
$6,336 |
1.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$704 |
$1,408 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,573.88 |
$3,147.75 |
2.3× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$4,500 |
$9,000 |
1.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$5,948 |
$11,896 |
3.8× |
| Excision of hydrocele unilateral (55040) |
$2,743.67 |
$5,487.33 |
0.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,176 |
$2,352 |
1.2× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$3,921.63 |
$7,843.25 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$846 |
$1,692 |
0.5× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$2,733 |
$5,466 |
1.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$22,064.50 |
$44,129 |
3.9× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$30,752 |
$61,504 |
5.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,790 |
$7,580 |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$4,349.50 |
$8,699 |
3.8× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$11,334.25 |
$22,668.50 |
2.0× |
| Excision of tongue lesion (41112) |
$1,357.17 |
$2,714.33 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$4,904 |
$9,808 |
1.6× |
| Excision olecranon bursa (24105) |
$5,322.50 |
$10,645 |
1.7× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$7,353 |
$14,706 |
2.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) |
$5,461.50 |
$10,923 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,670 |
$11,340 |
2.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$8,857.34 |
$17,714.67 |
3.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,898.50 |
$3,797 |
1.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,339 |
$6,678 |
1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$4,662.25 |
$9,324.50 |
2.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,820.50 |
$5,641 |
1.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,294.34 |
$2,588.66 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$28,188 |
$56,376 |
10.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$3,857.50 |
$7,715 |
1.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$11,714 |
$23,428 |
4.2× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$3,307 |
$6,614 |
1.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$4,016.50 |
$8,033 |
2.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$10,327 |
$20,654 |
5.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,681.50 |
$5,363 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$8,040.25 |
$16,080.50 |
5.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,436.08 |
$4,872.16 |
1.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,032.83 |
$2,065.66 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,858 |
$7,716 |
1.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,411.25 |
$6,822.50 |
1.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,906.50 |
$7,813 |
1.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,863 |
$7,726 |
2.5× |
| Explo/Drain Breast Abscess (19020) |
$4,314.75 |
$8,629.50 |
2.7× |
| Exploration penetrating wound spx extremity (20103) |
$4,974.50 |
$9,949 |
3.1× |
| Explore Parathyroid Glands (60500) |
$8,463.50 |
$16,927 |
1.5× |
| External cephalic version (59412) |
$3,154.50 |
$6,309 |
1.0× |
| Fasciectomy Palm Only (26121) |
$6,643 |
$13,286 |
2.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$4,558 |
$9,116 |
1.4× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$5,461.50 |
$10,923 |
1.7× |
| Fasciotomy foot and/or toe (28008) |
$3,237.50 |
$6,475 |
1.0× |
| Fasciotomy Iliotibial Open (27305) |
$2,075.33 |
$4,150.66 |
0.7× |
| Fasciotomy palmar open partial (26045) |
$2,265.50 |
$4,531 |
0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$9,353.50 |
$18,707 |
3.0× |
| Fetal contraction stress test (59020) |
$491.50 |
$983 |
2.5× |
| Fetal non-stress test (59025) |
$306.50 |
$613 |
1.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,412 |
$2,824 |
2.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$784 |
$1,568 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$582 |
$1,164 |
1.5× |
| Fit/Insert Intravag Support Device (57160) |
$153.50 |
$307 |
0.8× |
| Fix Entropion,Extensv Lid Repair (67924) |
$3,011 |
$6,022 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$505 |
$1,010 |
2.2× |
| Follow-up surgery of eye (66250) |
$2,952.25 |
$5,904.50 |
1.3× |
| Forearm or wrist surgery (25999) |
$5,809.50 |
$11,619 |
24.3× |
| Forehead flap w/vasc pedicle (15731) |
$6,502 |
$13,004 |
1.9× |
| Foreskin manipulation (54450) |
$336 |
$672 |
1.4× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$4,289.67 |
$8,579.34 |
2.1× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$2,332.76 |
$4,665.51 |
0.7× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$1,263.04 |
$2,526.08 |
0.4× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$4,160.33 |
$8,320.66 |
2.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,538.67 |
$5,077.33 |
1.3× |
| Fusion of foot bones (28740) |
$3,886 |
$7,772 |
0.6× |
| Fusion of knuckle (26850) |
$9,295.62 |
$18,591.25 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$159.25 |
$318.50 |
0.8× |
| Gastrocnemius recession (27687) |
$4,446.38 |
$8,892.75 |
1.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$4,697 |
$9,394 |
2.5× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$4,150 |
$8,300 |
2.1× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$4,637.33 |
$9,274.66 |
1.4× |
| Gstr rstcv px trnsorl esg (43889) |
$10,522 |
$21,044 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$814 |
$1,628 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$4,141 |
$8,282 |
1.3× |
| Hemorrhoidectomy (46255) |
$6,365 |
$12,730 |
2.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,654.50 |
$7,309 |
1.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,190.50 |
$6,381 |
1.2× |
| Hemorrhoidopexy by stapling (46947) |
$5,976.50 |
$11,953 |
2.2× |
| Hysteroscopy biopsy (58558) |
$3,029 |
$6,058 |
1.0× |
| Hysteroscopy removal leiomyomata (58561) |
$3,654.50 |
$7,309 |
0.8× |
| Hysteroscopy w endometrial ablation (58563) |
$2,473 |
$4,946 |
0.5× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$2,537.25 |
$5,074.50 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$1,246.25 |
$2,492.50 |
5.4× |
| I&d abscess simple (10060) |
$2,959.50 |
$5,919 |
15.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$3,548.34 |
$7,096.67 |
2.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,523.25 |
$9,046.50 |
1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,067 |
$10,134 |
1.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,317.50 |
$10,635 |
2.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$7,690.08 |
$15,380.15 |
2.4× |
| I&d forearm/wrist bursa (25031) |
$1,848.50 |
$3,697 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$814 |
$1,628 |
1.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$3,585 |
$7,170 |
2.2× |
| I&d vulva/perineal abscess (56405) |
$350.50 |
$701 |
1.2× |
| Ileoscopy thru stoma (44380) |
$943.25 |
$1,886.50 |
1.1× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,034 |
$4,068 |
2.3× |
| Image Cath Fluid Colxn Visc (49405) |
$2,209 |
$4,418 |
1.4× |
| Image Cath Fluid Peri/Retro (49406) |
$7,957.50 |
$15,915 |
5.0× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$4,154.19 |
$8,308.38 |
0.5× |
| Implant neuroelectrodes (63650) |
$5,433 |
$10,866 |
0.9× |
| Incise external hemorrhoid (46083) |
$379 |
$758 |
1.6× |
| Incise finger tendon sheath (26055) |
$1,986.50 |
$3,973 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$481.75 |
$963.50 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,671.38 |
$5,342.75 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,051 |
$2,102 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,607 |
$5,214 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$208 |
$416 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$588.50 |
$1,177 |
3.0× |
| Incision and drainage perianal abscess superficial (46050) |
$1,289.25 |
$2,578.50 |
1.4× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,583.25 |
$3,166.50 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$2,151.50 |
$4,303 |
1.4× |
| Incision of conjunctiva, drainage of cyst (68020) |
$1,146 |
$2,292 |
1.2× |
| Incision of eardrum (69421) |
$1,746 |
$3,492 |
0.5× |
| Incision of eyelid fold (67715) |
$3,434 |
$6,868 |
1.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,437 |
$4,874 |
1.6× |
| Incision of rectal abscess (46040) |
$1,424.50 |
$2,849 |
1.2× |
| Incision of urethra (53020) |
$2,002 |
$4,004 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$817.58 |
$1,635.16 |
1.1× |
| Initial tx 1st degree burn local tx (16000) |
$270.50 |
$541 |
1.4× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$353 |
$706 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,017 |
$2,034 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$766.38 |
$1,532.75 |
2.6× |
| Inj therapeutic carpal tunnel (20526) |
$635 |
$1,270 |
2.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,057 |
$2,114 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,017 |
$2,034 |
1.2× |
| Inject Intravitreal Pharmcologic (67028) |
$546.50 |
$1,093 |
1.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,461.50 |
$2,923 |
1.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,130 |
$2,260 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$956.25 |
$1,912.50 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$725.50 |
$1,451 |
1.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$2,767.50 |
$5,535 |
3.2× |
| Inject Tendon Origin/Insert (20551) |
$445 |
$890 |
1.5× |
| Inject/treat eye socket (67500) |
$365 |
$730 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,100.75 |
$2,201.50 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$811.50 |
$1,623 |
1.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$850 |
$1,700 |
1.2× |
| Injection aa&/strd pudendal nerve (64430) |
$1,017 |
$2,034 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$403 |
$806 |
1.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,017 |
$2,034 |
1.2× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,162 |
$2,324 |
1.7× |
| Injection for identification of sentinel node (38792) |
$4,393.63 |
$8,787.26 |
11.4× |
| Injection into skin lesions (11900) |
$236.50 |
$473 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$353 |
$706 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$393 |
$786 |
1.3× |
| Injection, anesthetic agent; vagus nerve (64408) |
$353 |
$706 |
1.2× |
| Ins cath ren art 1st bilat (36252) |
$3,629 |
$7,258 |
1.2× |
| Ins cath ren art 1st unilat (36251) |
$3,629 |
$7,258 |
1.2× |
| Ins endovas vena cava filtr (37191) |
$13,693 |
$27,386 |
2.5× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$14,478.50 |
$28,957 |
1.4× |
| Ins Vag Brachytx Device (57156) |
$398.75 |
$797.50 |
1.4× |
| Ins/Rep Subq Defibrillator (33270) |
$36,077.50 |
$72,155 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$129 |
$258 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,991 |
$3,982 |
1.3× |
| Insert cath pleura w/o image (32556) |
$32,814 |
$65,628 |
17.7× |
| Insert cervical dilator (59200) |
$506 |
$1,012 |
1.7× |
| Insert Drug Implant Device (11981) |
$176 |
$352 |
1.4× |
| Insert gastrostomy tube percutaneous (49440) |
$2,161 |
$4,322 |
1.2× |
| Insert heart pm atrial (33206) |
$5,155.50 |
$10,311 |
0.5× |
| Insert heart pm ventricular (33207) |
$18,867.50 |
$37,735 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$3,629 |
$7,258 |
1.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$5,037.75 |
$10,075.50 |
1.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,904.50 |
$3,809 |
1.3× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,988.50 |
$9,977 |
0.5× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$145.75 |
$291.50 |
1.1× |
| Insert tun ip cath perc (49418) |
$12,525 |
$25,050 |
3.6× |
| Insert tunneled cv cath (36561) |
$5,214.84 |
$10,429.67 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$88 |
$176 |
0.7× |
| Insert/ replace infusn pump,programmable (62362) |
$15,552.50 |
$31,105 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,870 |
$7,740 |
1.1× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$3,316.66 |
$6,633.33 |
2.2× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
unusually low: confirm this is the full procedure |
$11,348.80 |
$22,697.60 |
0.4× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
likely a partial charge, not the full procedure |
$4,349.50 |
$8,699 |
0.1× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$9,382.50 |
$18,765 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$17,897.25 |
$35,794.50 |
2.2× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$4,406.50 |
$8,813 |
0.2× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$9,778.33 |
$19,556.66 |
1.2× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$27,366.25 |
$54,732.50 |
2.7× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
unusually low: confirm this is the full procedure |
$7,666 |
$15,332 |
0.4× |
| Insj picc rs&i 5 yr+ (36573) |
$1,809.50 |
$3,619 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,272 |
$10,544 |
1.7× |
| Insj rx elut implt lac canal (68841) |
$2,733 |
$5,466 |
1.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,923.50 |
$5,847 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,133 |
$10,266 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,470.50 |
$6,941 |
1.1× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,284 |
$16,568 |
1.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$26,288.75 |
$52,577.50 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,511.50 |
$19,023 |
1.2× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$6,715.34 |
$13,430.67 |
0.2× |
| Intro cath dialysis circuit (36901) |
$1,101.75 |
$2,203.50 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$23,351.50 |
$46,703 |
2.1× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,991.75 |
$11,983.50 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$1,042.50 |
$2,085 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$335.50 |
$671 |
1.5× |
| Irrigation maxillary sinus (31000) |
$1,002.92 |
$2,005.83 |
4.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$322 |
$644 |
1.3× |
| Knee Arthroscopy/Surgery (29874) |
$4,557.50 |
$9,115 |
1.4× |
| Knee Arthroscopy/Surgery (29879) |
$2,638.92 |
$5,277.83 |
0.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$6,875.34 |
$13,750.67 |
1.0× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655)
likely a partial charge, not the full procedure |
$3,357.67 |
$6,715.33 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
unusually low: confirm this is the full procedure |
$2,780.17 |
$5,560.33 |
0.4× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$5,884.19 |
$11,768.37 |
0.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$15,073 |
$30,146 |
2.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$13,478 |
$26,956 |
1.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$7,622 |
$15,244 |
1.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$9,113 |
$18,226 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$15,833 |
$31,666 |
2.3× |
| Lap ing hernia repair init (49650) |
$13,697.50 |
$27,395 |
2.3× |
| Lap insert tunnel ip cath (49324) |
$4,582 |
$9,164 |
0.8× |
| Lap paraesoph her rpr w/mesh (43282) |
$7,982.50 |
$15,965 |
0.8× |
| Lap paraesophag hern repair (43281) |
$12,886 |
$25,772 |
1.3× |
| Lap revision perm ip cath (49325) |
$5,600.50 |
$11,201 |
1.0× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$6,504 |
$13,008 |
1.1× |
| Laparoscopy appendectomy (44970) |
$6,273 |
$12,546 |
1.1× |
| Laparoscopy biopsy (49321) |
$4,463 |
$8,926 |
0.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$13,697.50 |
$27,395 |
1.3× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,051 |
$20,102 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,833 |
$11,666 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$5,766.76 |
$11,533.51 |
0.6× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$8,793 |
$17,586 |
1.5× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,984.50 |
$3,969 |
0.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$16,350.50 |
$32,701 |
1.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$15,244.50 |
$30,489 |
1.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$9,976 |
$19,952 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,473 |
$16,946 |
1.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$10,603.50 |
$21,207 |
1.8× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$1,174.25 |
$2,348.50 |
0.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,633 |
$9,266 |
0.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,392 |
$10,784 |
0.9× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$4,584.62 |
$9,169.24 |
0.8× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$14,139.50 |
$28,279 |
2.4× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$2,959.50 |
$5,919 |
0.8× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$479 |
$958 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$286.75 |
$573.50 |
1.5× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,250.50 |
$4,501 |
1.3× |
| Laryngoscopy w/biopsy (31535) |
$4,766.50 |
$9,533 |
1.3× |
| Laryngoscopy w/bx op scope (31536) |
$6,793 |
$13,586 |
1.9× |
| Larynscop w/tumr exc + scope (31541) |
$5,113 |
$10,226 |
1.4× |
| Laser surgery of eye (65855) |
$714.25 |
$1,428.50 |
1.3× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$632.50 |
$1,265 |
1.2× |
| Late closure of wound (13160) |
$3,780.50 |
$7,561 |
1.1× |
| Lateral retinacular release open (27425) |
$4,100.50 |
$8,201 |
1.3× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,808.67 |
$11,617.34 |
0.8× |
| Ligation of a-v fistula (37607) |
$6,226 |
$12,452 |
2.0× |
| Ligation of hemorrhoid(s) (46221) |
$1,917 |
$3,834 |
2.1× |
| Ligation or biopsy temporal artery (37609) |
$4,531.50 |
$9,063 |
2.8× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,188.50 |
$6,377 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$7,628.67 |
$15,257.34 |
2.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,897.25 |
$7,794.50 |
1.1× |
| Lithotripsy (50590) |
$9,167 |
$18,334 |
2.7× |
| Liver Biopsy (47000) |
$1,269.75 |
$2,539.50 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,403 |
$4,806 |
1.2× |
| Manipulat Palm Cord Post Inj (26341) |
$224.50 |
$449 |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$2,158.50 |
$4,317 |
1.4× |
| Manipulation, elbow, under anesthesia (24300) |
$3,429 |
$6,858 |
2.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$5,253 |
$10,506 |
1.7× |
| Mast mod rad (19307) |
$6,761.75 |
$13,523.50 |
1.1× |
| Mastectomy partial (19301) |
$4,606 |
$9,212 |
1.2× |
| Mastectomy simple complete (19303) |
$6,665.80 |
$13,331.58 |
1.0× |
| Mastopexy (19316) |
$14,739.75 |
$29,479.50 |
2.3× |
| Mediastinoscpy w/lmph nod bx (39402) |
$6,295.50 |
$12,591 |
1.1× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$8,519.50 |
$17,039 |
2.5× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$5,634 |
$11,268 |
0.8× |
| Muscle-skin graft trunk (15734) |
$7,532.66 |
$15,065.33 |
2.2× |
| Myelography Lumbar Injection (62305) |
$5,181.50 |
$10,363 |
6.8× |
| Myelography Lumbar Injection (62304) |
$4,580.75 |
$9,161.50 |
6.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$4,792 |
$9,584 |
6.3× |
| Myringoplasty (69620) |
$3,811 |
$7,622 |
1.2× |
| N Block Inj, Plantar Digit (64455) |
$314 |
$628 |
1.1× |
| Nasal endoscopy dx (31231) |
$3,422.12 |
$6,844.25 |
17.7× |
| Nasal surgery procedure (30999) |
$363.50 |
$727 |
1.6× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
unusually low: confirm this is the full procedure |
$3,014 |
$6,028 |
0.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$2,110 |
$4,220 |
0.6× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge, not the full procedure |
$1,002.92 |
$2,005.83 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,110 |
$4,220 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$4,350.17 |
$8,700.34 |
2.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,781.50 |
$5,563 |
1.6× |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure |
$2,426.22 |
$4,852.42 |
0.4× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure |
$1,612.25 |
$3,224.50 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$706.50 |
$1,413 |
1.6× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$2,731.50 |
$5,463 |
0.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,193 |
$6,386 |
2.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$37.50 |
$75 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$57.50 |
$115 |
2.1× |
| Neurectomy, intrinsic musculature of foot Facility (28055) |
$1,331 |
$2,662 |
0.7× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,224.12 |
$4,448.25 |
1.2× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,480.75 |
$6,961.50 |
1.8× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,110.67 |
$4,221.33 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$534 |
$1,068 |
1.3× |
| Njx aa&/strd sciatic nerve (64445) |
$1,015.75 |
$2,031.50 |
1.5× |
| 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) |
$2,535 |
$5,070 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,461.50 |
$2,923 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,360 |
$2,720 |
2.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,016.50 |
$2,033 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$941.25 |
$1,882.50 |
1.4× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,371.50 |
$4,743 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,371.50 |
$4,743 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$801.50 |
$1,603 |
1.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$5,676.50 |
$11,353 |
0.8× |
| Occipital Nerve Block (64405) |
$716 |
$1,432 |
2.4× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$750 |
$1,500 |
0.2× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$251 |
$502 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,250 |
$4,500 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,473 |
$4,946 |
0.7× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
unusually low: confirm this is the full procedure |
$13,273 |
$26,546 |
0.3× |
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
unusually low: confirm this is the full procedure |
$10,953 |
$21,906 |
0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,156.50 |
$10,313 |
0.7× |
| Open treatment calcaneal fracture (28415) |
$14,553 |
$29,106 |
2.1× |
| Open treatment fracture distal tibia only (27827) |
$11,074.75 |
$22,149.50 |
0.9× |
| Open treatment greater trochanteric fracture (27248) |
$10,744 |
$21,488 |
1.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,233 |
$16,466 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$6,073 |
$12,146 |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$12,016.50 |
$24,033 |
1.7× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$10,073 |
$20,146 |
1.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$13,393 |
$26,786 |
1.9× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$25,508 |
$51,016 |
4.5× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure |
$4,814 |
$9,628 |
0.4× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$8,233 |
$16,466 |
0.7× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$13,115.34 |
$26,230.67 |
1.1× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$10,872.50 |
$21,745 |
1.5× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
likely a partial charge, not the full procedure |
$3,593 |
$7,186 |
0.3× |
| Open treatment of sternoclavicular dislocation, acute or chronic; Facility (23530) |
$10,553 |
$21,106 |
1.5× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$7,649.84 |
$15,299.66 |
1.1× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$10,248.50 |
$20,497 |
1.5× |
| Open Treatment Proximal Humeral Fracture (23615) |
$8,834.75 |
$17,669.50 |
0.7× |
| Open treatment talus fracture (28445) |
$9,794.75 |
$19,589.50 |
1.4× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$6,975.92 |
$13,951.84 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$8,634.67 |
$17,269.34 |
1.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$4,078.25 |
$8,156.50 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,279.75 |
$2,559.50 |
0.4× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$2,541.29 |
$5,082.58 |
0.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$5,464 |
$10,928 |
1.7× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$7,273 |
$14,546 |
0.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$16,377.34 |
$32,754.67 |
1.3× |
| Open tx interphalangeal joint dislocation (26785) |
$3,782.47 |
$7,564.94 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$7,753 |
$15,506 |
2.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$7,273 |
$14,546 |
2.3× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$3,420 |
$6,840 |
0.5× |
| Open tx ulnar fx proximal end (24685) |
$13,273 |
$26,546 |
1.9× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$30,259.75 |
$60,519.50 |
2.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$9,313 |
$18,626 |
1.3× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,953 |
$15,906 |
1.1× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$12,713 |
$25,426 |
1.8× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$23,587.25 |
$47,174.50 |
3.4× |
| Ostectomy calcaneus (28118) |
$2,144.83 |
$4,289.66 |
0.7× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,761 |
$7,522 |
1.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,668.90 |
$3,337.79 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,197 |
$8,394 |
1.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,260.67 |
$4,521.33 |
0.7× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$3,831 |
$7,662 |
0.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,669.13 |
$3,338.25 |
0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,156.16 |
$6,312.33 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$4,025.58 |
$8,051.16 |
0.6× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$5,206 |
$10,412 |
0.7× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$15,144.50 |
$30,289 |
1.2× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$9,946.50 |
$19,893 |
1.4× |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305)
unusually low: confirm this is the full procedure |
$2,825.50 |
$5,651 |
0.4× |
| P-mastectomy w/ln removal (19302) |
$8,857.34 |
$17,714.67 |
1.4× |
| Palatopharyngoplasty (42145) |
$10,086 |
$20,172 |
1.8× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$5,739.50 |
$11,479 |
1.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,418.25 |
$4,836.50 |
0.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,464.25 |
$6,928.50 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$4,419.25 |
$8,838.50 |
2.8× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102) |
$6,818.25 |
$13,636.50 |
1.0× |
| Partial hymenectomy or revision (56700) |
$3,721 |
$7,442 |
1.2× |
| Partial removal of thyroid (60220) |
$9,781.75 |
$19,563.50 |
1.7× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,716.75 |
$7,433.50 |
1.2× |
| Percut Mech Thrombectomy, Venous (37187) |
$9,626.25 |
$19,252.50 |
0.9× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,679 |
$9,358 |
1.5× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$5,626.67 |
$11,253.34 |
1.8× |
| Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456) |
$3,558.25 |
$7,116.50 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$1,657.75 |
$3,315.50 |
1.1× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,720.50 |
$7,441 |
1.2× |
| Peritoneal Lavage (49084) |
$1,618.25 |
$3,236.50 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$2,955 |
$5,910 |
4.3× |
| Perq device breast 1st imag (19281) |
$2,947 |
$5,894 |
1.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$377.50 |
$755 |
1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,395.50 |
$2,791 |
2.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$5,039 |
$10,078 |
1.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$8,894.50 |
$17,789 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,801 |
$11,602 |
0.8× |
| Perq Vertebral Augmentation (22513) |
$11,888 |
$23,776 |
1.7× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,922.50 |
$7,845 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,922.50 |
$7,845 |
1.2× |
| Picc line placement (36569) |
$1,809.50 |
$3,619 |
1.2× |
| Place Cath Thoracic Aorta (36221) |
$2,385.50 |
$4,771 |
0.8× |
| Place Cath Vertebral Art (36226) |
$6,732 |
$13,464 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$474.50 |
$949 |
1.1× |
| Placement of seton (46020) |
$1,287.67 |
$2,575.33 |
0.5× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,591 |
$3,182 |
1.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,675 |
$7,350 |
1.8× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,869.50 |
$5,739 |
0.8× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$5,151.75 |
$10,303.50 |
1.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$3,502.12 |
$7,004.25 |
0.7× |
| Prim art mech thrombectomy (37184) |
$21,070 |
$42,140 |
1.2× |
| Probe nasolacrimal duct (68810) |
$365 |
$730 |
1.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$523 |
$1,046 |
0.6× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$632.50 |
$1,265 |
1.2× |
| Prostate Saturation Sampling (55706) |
$2,473 |
$4,946 |
0.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,711.75 |
$3,423.50 |
2.5× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$6,798.75 |
$13,597.50 |
1.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,993 |
$7,986 |
1.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$4,313 |
$8,626 |
1.4× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$4,756.50 |
$9,513 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$534.19 |
$1,068.38 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$814 |
$1,628 |
1.2× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$516.50 |
$1,033 |
1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,094.25 |
$6,188.50 |
1.6× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$285 |
$570 |
0.4× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$3,216.21 |
$6,432.42 |
1.0× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$11,753 |
$23,506 |
1.7× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$3,036.50 |
$6,073 |
1.3× |
| Reconstruction of nail bed with graft (11762) |
$4,567.67 |
$9,135.34 |
2.3× |
| Reconstruction of throat (42950) |
$3,806.50 |
$7,613 |
0.7× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$6,782 |
$13,564 |
2.1× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$7,824.50 |
$15,649 |
1.1× |
| Release wrist/forearm tendon (25295) |
$3,038.25 |
$6,076.50 |
1.0× |
| Relocation of skin pocket for pacemaker (33222) |
$2,156 |
$4,312 |
1.1× |
| Rem Endovas Vena Cava Filter (37193) |
$8,096.25 |
$16,192.50 |
2.7× |
| Removal Anal Seton Other Marker (46030) |
$2,376.50 |
$4,753 |
2.1× |
| Removal biliary drg cath (47537) |
$1,430.50 |
$2,861 |
1.6× |
| Removal foreign body foot deep (28192) |
$4,236 |
$8,472 |
2.7× |
| Removal foreign body foot subcutaneous (28190) |
$1,662.25 |
$3,324.50 |
2.4× |
| Removal foreign body intranasal (30300) |
$169 |
$338 |
1.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,373.25 |
$4,746.50 |
1.5× |
| Removal foreign body pharynx (42809) |
$592 |
$1,184 |
1.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,258.67 |
$4,517.34 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$83 |
$166 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$1,299.34 |
$2,598.67 |
22.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,149.50 |
$8,299 |
1.3× |
| Removal implant deep (20680) |
$6,260.12 |
$12,520.25 |
2.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,898.50 |
$3,797 |
1.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$917 |
$1,834 |
1.3× |
| Removal Intact Mammary Implant (19328) |
$3,161.17 |
$6,322.33 |
0.8× |
| Removal of adenoids (42835) |
$2,835 |
$5,670 |
0.9× |
| Removal of adenoids (42831) |
$2,621.67 |
$5,243.34 |
0.8× |
| Removal of adenoids (42830) |
$5,322.50 |
$10,645 |
1.7× |
| Removal of adenoids (42836) |
$3,177.67 |
$6,355.34 |
1.0× |
Removal of bone for graft (20902)
unusually low: confirm this is the full procedure |
$3,198.25 |
$6,396.50 |
0.5× |
| Removal of breast capsule (19371) |
$6,322.34 |
$12,644.67 |
1.7× |
| Removal of embedded foreign body, eyelid (67938) |
$430.50 |
$861 |
1.4× |
| Removal of eye (65101) |
$9,274.67 |
$18,549.34 |
2.4× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$365 |
$730 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$359.25 |
$718.50 |
0.8× |
| Removal of heel spur (28119) |
$5,305.58 |
$10,611.16 |
1.7× |
| Removal of implant from finger or hand (26320) |
$2,774.75 |
$5,549.50 |
1.7× |
| Removal of implant material (19330) |
$16,568 |
$33,136 |
4.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$973 |
$1,946 |
1.6× |
| Removal of intranasal lesion (30118) |
$8,565 |
$17,130 |
2.7× |
| Removal of iud (58301) |
$350.50 |
$701 |
1.2× |
| Removal of kidney stone (50081) |
$11,573.34 |
$23,146.67 |
1.3× |
| Removal of nail bed (11750) |
$938.25 |
$1,876.50 |
2.4× |
| Removal of sesamoid bone (28315) |
$4,073 |
$8,146 |
1.3× |
| Removal of thyroid (60271) |
$14,705 |
$29,410 |
2.6× |
| Removal of tonsils (42825) |
$3,376.50 |
$6,753 |
0.6× |
| Removal of tonsils (42826) |
$4,175.75 |
$8,351.50 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,290.34 |
$6,580.66 |
1.1× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$4,070 |
$8,140 |
1.3× |
| Removal ppm generator only (33233) |
$8,650.08 |
$17,300.16 |
1.1× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$5,183.50 |
$10,367 |
1.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$102.50 |
$205 |
0.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$4,770.50 |
$9,541 |
7.0× |
| Removal Submand Stone,Complicated (42335) |
$6,087 |
$12,174 |
1.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,988 |
$5,976 |
1.5× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,462.50 |
$4,925 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$138 |
$276 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$346.50 |
$693 |
1.3× |
| Remove anal fist subq (46270) |
$2,575.34 |
$5,150.67 |
1.0× |
| Remove drug implant device (11982) |
$531.25 |
$1,062.50 |
1.2× |
| Remove foreign body from eye (65235) |
$3,575 |
$7,150 |
1.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,304.50 |
$4,609 |
1.1× |
| Remove palate/lesion (42120) |
$3,932.50 |
$7,865 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$4,419 |
$8,838 |
1.6× |
| Remove pulse generator (33241) |
$4,295 |
$8,590 |
1.2× |
| Remove renal tube w/fluoro (50389) |
$1,676 |
$3,352 |
2.5× |
| Remove spine eltrd plate (63662) |
$4,336 |
$8,672 |
1.3× |
| Remove Tendon Sheath Lesion (26160) |
$2,820.50 |
$5,641 |
1.8× |
| Remove thyroid duct lesion (60280) |
$12,620 |
$25,240 |
2.2× |
| Remove ureter stent, percut (50384) |
$2,935 |
$5,870 |
1.5× |
| Remove vagina gland lesion (56740) |
$4,682.75 |
$9,365.50 |
1.5× |
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure |
$2,880.50 |
$5,761 |
0.4× |
| Remove/Insert Drug Implant (11983) |
$496 |
$992 |
1.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,177.75 |
$4,355.50 |
1.4× |
| Remv Ext Canal Foreign Body (69200) |
$153 |
$306 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$150.25 |
$300.50 |
1.2× |
| Remv&replc cvd gen dual lead (33263) |
$15,139 |
$30,278 |
0.7× |
| Remv&replc cvd gen mult lead (33264) |
$16,295.75 |
$32,591.50 |
0.5× |
| Remv&replc cvd gen sing lead (33262) |
$25,566 |
$51,132 |
1.2× |
| Remv&replc pm gen dual lead (33228) |
$9,316 |
$18,632 |
0.9× |
| Remv&replc pm gen mult leads (33229) |
$14,996.75 |
$29,993.50 |
0.8× |
| Renal Biopsy Percutaneous (50200) |
$1,833.25 |
$3,666.50 |
1.1× |
| Repair achilles tendon (27650) |
$7,755 |
$15,510 |
1.1× |
| Repair anal fistula (46288) |
$7,824.50 |
$15,649 |
2.9× |
| Repair blood vessel direct hand finger (35207) |
$3,297.25 |
$6,594.50 |
1.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,145.50 |
$6,291 |
1.0× |
| Repair brow defect (67900) |
$11,706.67 |
$23,413.34 |
5.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,086.50 |
$2,173 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,327.13 |
$2,654.25 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,348 |
$2,696 |
3.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,071 |
$2,142 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,056 |
$2,112 |
2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,575.88 |
$3,151.75 |
4.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,393 |
$4,786 |
3.3× |
| Repair detached retina (67110) |
$2,653 |
$5,306 |
1.2× |
| Repair Ectropion Extensive (67917) |
$1,243.75 |
$2,487.50 |
0.5× |
| Repair ectropion suture (67914) |
$2,733 |
$5,466 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$5,413 |
$10,826 |
3.5× |
| Repair eyelid defect (67916) |
$2,733 |
$5,466 |
1.2× |
| Repair eyelid defect (67908) |
$1,684.62 |
$3,369.25 |
0.7× |
| Repair eyelid defect (67904) |
$2,132.75 |
$4,265.50 |
0.9× |
| Repair eyelid wound (67930) |
$5,392 |
$10,784 |
2.3× |
| Repair Fibula Nonunion (27726) |
$11,756 |
$23,512 |
1.7× |
| Repair Finger Tendon (26433) |
$8,899 |
$17,798 |
2.8× |
| Repair Forearm Tendon Sheath (25275) |
$9,918 |
$19,836 |
3.1× |
| Repair hand tendon (26410) |
$1,848 |
$3,696 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$9,631.50 |
$19,263 |
2.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$11,819 |
$23,638 |
3.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,488.50 |
$8,977 |
1.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,531 |
$11,062 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$769.56 |
$1,539.12 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$714 |
$1,428 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$653.75 |
$1,307.50 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$467.50 |
$935 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$630.56 |
$1,261.12 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$650 |
$1,300 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,402.82 |
$2,805.62 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$587.29 |
$1,174.58 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$743 |
$1,486 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,469.75 |
$2,939.50 |
2.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$689.32 |
$1,378.64 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$530.16 |
$1,060.33 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$687.75 |
$1,375.50 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$2,375.75 |
$4,751.50 |
3.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,252 |
$2,504 |
3.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$5,063.83 |
$10,127.66 |
2.5× |
| Repair lead pace-defib dual (33220) |
$4,295 |
$8,590 |
1.2× |
| Repair lead pace-defib one (33218) |
$3,045 |
$6,090 |
0.8× |
| Repair medial collateral ligament, elbow, with local tissue Facility (24345) |
$13,528 |
$27,056 |
1.9× |
Repair Nasal Stenosis (30465)
unusually low: confirm this is the full procedure |
$2,183 |
$4,366 |
0.4× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$16,570.50 |
$33,141 |
2.6× |
| Repair of leg tendon each (27658) |
$4,524.75 |
$9,049.50 |
1.4× |
| Repair of nail bed (11760) |
$996 |
$1,992 |
1.4× |
| Repair of nasal septum (30520) |
$5,203.08 |
$10,406.17 |
1.6× |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)
unusually low: confirm this is the full procedure |
$3,038.25 |
$6,076.50 |
0.4× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$10,073 |
$20,146 |
1.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
unusually low: confirm this is the full procedure |
$3,022.16 |
$6,044.33 |
0.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$10,603.50 |
$21,207 |
1.7× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$6,955.75 |
$13,911.50 |
2.0× |
| Repair rotator cuff acute (23410) |
$9,600 |
$19,200 |
1.4× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$3,233.67 |
$6,467.33 |
0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,931 |
$5,862 |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,207.25 |
$12,414.50 |
0.9× |
| Repair tongue laceration (41252) |
$389.50 |
$779 |
1.7× |
| Repair Tongue Laceration (41250) |
$657.75 |
$1,315.50 |
1.5× |
| Repair tympanic membrane (69610) |
$3,071.25 |
$6,142.50 |
2.0× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$5,993 |
$11,986 |
0.9× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
unusually low: confirm this is the full procedure |
$3,391 |
$6,782 |
0.5× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$3,826.12 |
$7,652.25 |
0.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,685.50 |
$15,371 |
1.1× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
unusually low: confirm this is the full procedure |
$2,261.88 |
$4,523.75 |
0.3× |
| Repair/graft wrist bone (25440) |
$22,553 |
$45,106 |
3.2× |
Repair/revise wrist joint (25320)
unusually low: confirm this is the full procedure |
$3,328.75 |
$6,657.50 |
0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,171.75 |
$2,343.50 |
1.3× |
| Replace elbow joint (24363) |
$12,414.50 |
$24,829 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,349 |
$2,698 |
1.5× |
| Replace Tissue Expander (11970) |
$8,180.74 |
$16,361.46 |
1.2× |
| Replace tunneled cv cath (36578) |
$3,913 |
$7,826 |
1.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,335 |
$4,670 |
2.7× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,295 |
$8,590 |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,182.08 |
$6,364.16 |
1.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,760.50 |
$7,521 |
1.2× |
| Revise eyelid defect (67909) |
$2,733 |
$5,466 |
1.2× |
| Revise Lower Leg Tendon (27691) |
$4,753 |
$9,506 |
0.7× |
| Revise spine eltrd perq aray (63663) |
$3,621.50 |
$7,243 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$6,913.08 |
$13,826.16 |
3.7× |
| Revise wrist/forearm tendon (25280) |
$6,921.75 |
$13,843.50 |
2.2× |
| Revise/Remove Neuroreceiver (63688) |
$2,168 |
$4,336 |
0.6× |
| Revision of eyelid (67880) |
$983.13 |
$1,966.25 |
0.4× |
| Revision of iris (66761) |
$714.25 |
$1,428.50 |
1.3× |
| Revision of lower leg tendon (27685) |
$3,705.67 |
$7,411.34 |
1.2× |
| Revision of reconstructed breast (19380) |
$13,106.50 |
$26,213 |
2.0× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$13,040.50 |
$26,081 |
1.1× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$27,642 |
$55,284 |
1.6× |
| Revision of urethra (57220) |
$1,099.69 |
$2,199.37 |
0.2× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Facility (35881)
unusually low: confirm this is the full procedure |
$2,104.43 |
$4,208.85 |
0.4× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$8,313 |
$16,626 |
1.5× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$29,251.50 |
$58,503 |
2.4× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$12,066.50 |
$24,133 |
2.2× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$12,066.50 |
$24,133 |
2.2× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$32,489 |
$64,978 |
1.8× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$32,489 |
$64,978 |
1.8× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$49,293.50 |
$98,587 |
2.8× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$27,156.50 |
$54,313 |
2.4× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$27,156.50 |
$54,313 |
2.4× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$4,649.50 |
$9,299 |
0.8× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$4,649.50 |
$9,299 |
0.8× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$8,565 |
$17,130 |
0.8× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$8,565 |
$17,130 |
0.8× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$13,047 |
$26,094 |
1.2× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$13,047 |
$26,094 |
1.2× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$40,853 |
$81,706 |
2.3× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$40,853 |
$81,706 |
2.3× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$36,667 |
$73,334 |
10.7× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,402.50 |
$4,805 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,382.06 |
$2,764.12 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$152.50 |
$305 |
1.2× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$513.50 |
$1,027 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,721.67 |
$7,443.34 |
1.3× |
| Rmvl of subq defibrillator (33272) |
$3,045 |
$6,090 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,040 |
$6,080 |
0.8× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$12,690.67 |
$25,381.33 |
3.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,599 |
$5,198 |
1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$811 |
$1,622 |
1.3× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$8,640.88 |
$17,281.75 |
2.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,156.92 |
$6,313.83 |
2.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,809.50 |
$3,619 |
1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$6,899 |
$13,798 |
2.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,629 |
$7,258 |
1.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$10,603.50 |
$21,207 |
1.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,237.50 |
$6,475 |
0.9× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,582 |
$9,164 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$15,172.34 |
$30,344.67 |
2.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$7,433 |
$14,866 |
2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,393 |
$8,786 |
0.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$13,697.50 |
$27,395 |
2.3× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$972.50 |
$1,945 |
1.4× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$7,167 |
$14,334 |
1.3× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$5,395.16 |
$10,790.33 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$817.50 |
$1,635 |
1.6× |
| Rpr non-union mtcrpl/phalanx (26546) |
$29,464 |
$58,928 |
4.2× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$4,596.67 |
$9,193.34 |
0.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,376.50 |
$4,753 |
0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$323 |
$646 |
0.5× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$4,226.10 |
$8,452.20 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,420.58 |
$2,841.16 |
1.2× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,854.34 |
$5,708.67 |
1.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$661.25 |
$1,322.50 |
1.7× |
| Shave skin lesion 0.5 cm/< (11305) |
$101 |
$202 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$101 |
$202 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$101 |
$202 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$179.50 |
$359 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$208 |
$416 |
0.5× |
| Shoulder arthroscopy (29820) |
$7,175 |
$14,350 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$8,921 |
$17,842 |
2.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$102.50 |
$205 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$204 |
$408 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$101 |
$202 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$208 |
$416 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$101 |
$202 |
0.5× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,956.50 |
$3,913 |
1.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,336.50 |
$2,673 |
1.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,320 |
$2,640 |
1.5× |
| Sigmoidoscopy w/biopsy (45331) |
$2,344 |
$4,688 |
2.6× |
| Sigmoidoscopy w/fb removal (45332) |
$1,252.67 |
$2,505.34 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$467 |
$934 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$242 |
$484 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$264.25 |
$528.50 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$264.25 |
$528.50 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$314.50 |
$629 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$317.25 |
$634.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$298 |
$596 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$272 |
$544 |
1.4× |
| Skin splt grft trnk/arm/leg (15100) |
$3,581.17 |
$7,162.33 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$1,087.38 |
$2,174.75 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$2,061 |
$4,122 |
2.9× |
| Skin sub grft t/arm/lg child (15273) |
$4,118.50 |
$8,237 |
2.1× |
| Skin Tissue Procedure (17999) |
$268 |
$536 |
1.4× |
| Skin tissue rearrangement (14040) |
$5,170 |
$10,340 |
2.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,155.50 |
$8,311 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$2,371.50 |
$4,743 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,121 |
$12,242 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,837.50 |
$13,675 |
2.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,614.50 |
$9,229 |
1.0× |
| Small bowel endoscopy (44366) |
$1,201 |
$2,402 |
0.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,717.67 |
$3,435.34 |
0.9× |
| Small bowel endoscopy/biopsy (44377) |
$471.33 |
$942.66 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$391.25 |
$782.50 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$345.50 |
$691 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$605 |
$1,210 |
1.5× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$6,573.50 |
$13,147 |
2.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,390 |
$8,780 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,080 |
$2,160 |
1.6× |
| Spinal Puncture Therapeutic (62272) |
$811.50 |
$1,623 |
1.2× |
| Spine Surgery Procedure Unlisted (22899) |
$13,183.34 |
$26,366.67 |
55.3× |
| Strapping elbow or wrist (29260) |
$46 |
$92 |
0.8× |
| Strapping toes (29550) |
$50.50 |
$101 |
0.9× |
| Strapping unna boot (29580) |
$174 |
$348 |
1.1× |
| Subconjunctival injection (68200) |
$513.50 |
$1,027 |
1.2× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$231 |
$462 |
1.2× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$849.50 |
$1,699 |
1.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,713.66 |
$7,427.33 |
1.2× |
| Suction assisted lipectomy lower extremity (15879) |
$13,156.50 |
$26,313 |
3.8× |
| Suction Assisted Lipectomy Trunk (15877) |
$4,385.50 |
$8,771 |
1.3× |
| Suction assisted lipectomy; head and neck (15876) |
$5,044.50 |
$10,089 |
1.5× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$442 |
$884 |
1.4× |
| Surgery of breast capsule (19370) |
$5,596.67 |
$11,193.33 |
1.5× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$6,594 |
$13,188 |
2.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,148.67 |
$2,297.33 |
0.4× |
| Suspension of testis (54640) |
$6,895 |
$13,790 |
2.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$6,322.34 |
$12,644.67 |
3.3× |
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure |
$3,037.67 |
$6,075.33 |
0.4× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$10,233 |
$20,466 |
1.5× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$2,391.75 |
$4,783.50 |
0.8× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,376.50 |
$6,753 |
2.2× |
| Talectomy (astragalectomy) Facility (28130) |
$3,737.83 |
$7,475.66 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$325.50 |
$651 |
0.8× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
likely a partial charge, not the full procedure |
$8,153 |
$16,306 |
0.3× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$26,465 |
$52,930 |
1.4× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$4,614.50 |
$9,229 |
1.5× |
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure |
$3,378.33 |
$6,756.66 |
0.5× |
| Tenolysis extensor tendon hand/finger each (26445) |
$2,385.44 |
$4,770.87 |
0.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$4,137.17 |
$8,274.33 |
2.7× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$2,078 |
$4,156 |
0.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,951.25 |
$3,902.50 |
1.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,848.50 |
$3,697 |
1.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,848.50 |
$3,697 |
1.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$811.50 |
$1,623 |
1.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$8,017 |
$16,034 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$721 |
$1,442 |
1.2× |
| Thoracoscopy w/bx pleura (32609) |
$5,468 |
$10,936 |
0.9× |
| Throat Surgery Procedure (42999) |
$389.50 |
$779 |
1.7× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$7,513.50 |
$15,027 |
2.5× |
| Thrombolytic Art Therapy (37211) |
$4,701 |
$9,402 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$403 |
$806 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$3,290.50 |
$6,581 |
1.1× |
| Thyroid biopsy (60100) |
$814 |
$1,628 |
1.2× |
| Thyroidectomy, total or complete (60240) |
$13,593 |
$27,186 |
2.3× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$10,285.75 |
$20,571.50 |
0.8× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$6,838.50 |
$13,677 |
2.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,150.67 |
$8,301.34 |
1.3× |
| Total hip arthroplasty (27130) |
$11,249 |
$22,498 |
0.9× |
| Total Knee Arthroplasty (27447) |
$12,219 |
$24,438 |
1.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$14,288 |
$28,576 |
2.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$975 |
$1,950 |
0.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$795.16 |
$1,590.33 |
1.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$379.50 |
$759 |
1.7× |
| Tracheostomy planned (31600) |
$2,087.75 |
$4,175.50 |
0.7× |
| Tracheotomy tube change (31502) |
$2,056 |
$4,112 |
9.0× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$3,420.92 |
$6,841.83 |
1.8× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$4,150.67 |
$8,301.34 |
0.6× |
| Transplant hand tendon (26480) |
$3,328.75 |
$6,657.50 |
1.1× |
| Treat Big Toe Fracture (28505) |
$5,111.25 |
$10,222.50 |
1.6× |
| Treat clavicle fracture (23505) |
$1,848.50 |
$3,697 |
1.2× |
Treat elbow dislocation (24615)
likely a partial charge, not the full procedure |
$1,918.83 |
$3,837.66 |
0.3× |
| Treat Elbow Fracture (24635) |
$9,833 |
$19,666 |
1.4× |
| Treat fracture radius/ulna (25575) |
$8,566.50 |
$17,133 |
1.2× |
| Treat humerus fracture (24500) |
$284 |
$568 |
1.2× |
| Treat humerus fracture (23600) |
$284 |
$568 |
1.2× |
| Treat knee fracture (27532) |
$3,054.75 |
$6,109.50 |
1.0× |
| Treat Kneecap Fracture (27524) |
$6,927.50 |
$13,855 |
1.0× |
| Treat Lower Leg Fracture (27828) |
$10,633 |
$21,266 |
0.9× |
| Treat Metatarsal Fracture (28475) |
$384 |
$768 |
1.6× |
| Treat Thigh Fracture (27246) |
$261.25 |
$522.50 |
1.1× |
| Treat Thigh Fracture (27245) |
$12,153 |
$24,306 |
1.7× |
| Treat Thumb Dislocation (26641) |
$330.50 |
$661 |
1.4× |
| Treat Vaginal Bleeding (57180) |
$251.50 |
$503 |
1.3× |
| Treat wrist bone fracture (25622) |
$332 |
$664 |
1.4× |
| Treat Wrist Bone Fracture (25630) |
$238.75 |
$477.50 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,139.50 |
$2,279 |
4.8× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$2,988 |
$5,976 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,996 |
$7,992 |
1.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$338 |
$676 |
1.4× |
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure |
$3,316.67 |
$6,633.34 |
0.5× |
| Trim skin lesion (11055) |
$102.50 |
$205 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$101 |
$202 |
0.5× |
| Trim skin lesions over 4 (11057) |
$102.50 |
$205 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$68 |
$136 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$11,004.75 |
$22,009.50 |
2.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,319.75 |
$12,639.50 |
1.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$3,492 |
$6,984 |
1.0× |
| Tube thoracostomy includes water seal (32551) |
$1,002.25 |
$2,004.50 |
0.7× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$10,873 |
$21,746 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,575 |
$7,150 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$378 |
$756 |
0.5× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$6,931.42 |
$13,862.83 |
0.6× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
likely a partial charge, not the full procedure |
$1,330.63 |
$2,661.25 |
0.2× |
| Tympanostomy general anesthesia (69436) |
$1,633.50 |
$3,267 |
1.1× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$5,947.34 |
$11,894.67 |
26.0× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,598.25 |
$3,196.50 |
0.3× |
Unlisted laparoscopic procedure, ureter (50949)
likely a partial charge, not the full procedure |
$877.92 |
$1,755.83 |
0.2× |
| Unlisted laparoscopy procedure stomach (43659) |
$9,943.50 |
$19,887 |
1.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$7,982.50 |
$15,965 |
1.4× |
Unlisted laparoscopy procedure, biliary tract (47579)
unusually low: confirm this is the full procedure |
$1,971 |
$3,942 |
0.3× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$4,420.13 |
$8,840.25 |
0.8× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$3,286.76 |
$6,573.52 |
0.6× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$3,688.63 |
$7,377.25 |
0.6× |
| Unlisted procedure arthroscopy (29999) |
$4,077.67 |
$8,155.33 |
17.1× |
| Unlisted procedure colon (45399) |
$1,555 |
$3,110 |
1.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$389.50 |
$779 |
1.7× |
| Unlisted Procedure Esophagus (43499) |
$3,443 |
$6,886 |
3.9× |
| Unlisted procedure femur or knee (27599) |
$1,678.13 |
$3,356.25 |
7.0× |
| Unlisted procedure foot or toes (28899) |
$466.50 |
$933 |
2.0× |
| Unlisted procedure humerus/elbow (24999) |
$2,050.38 |
$4,100.75 |
8.6× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,727.50 |
$3,455 |
2.8× |
| Unlisted procedure nervous system (64999) |
$618 |
$1,236 |
2.1× |
| Unlisted procedure rectum (45999) |
$1,755.83 |
$3,511.66 |
2.0× |
| Unlisted Procedure Small Intestine (44799) |
$600.50 |
$1,201 |
0.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,683 |
$3,366 |
2.8× |
| Unlisted procedure, hands or fingers (26989) |
$284 |
$568 |
1.2× |
| Unlisted procedure, leg or ankle (27899) |
$1,708.88 |
$3,417.75 |
7.2× |
| Unlisted procedure, maternity care and delivery (59899) |
$87 |
$174 |
0.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$232.50 |
$465 |
1.2× |
| Upgrade of pacemaker system (33214) |
$30,196.50 |
$60,393 |
3.0× |
| Urine flow measurement (51736) |
$149 |
$298 |
1.2× |
| Urology Surgery Procedure (53899) |
$4,114 |
$8,228 |
17.0× |
| Us urine capacity measure (51798) |
$108.50 |
$217 |
1.9× |
| Uvulectomy excision of uvula (42140) |
$5,043 |
$10,086 |
1.6× |
| Vaginal delivery only (59409) |
$4,708.50 |
$9,417 |
1.5× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$1,473.25 |
$2,946.50 |
0.3× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$3,720.50 |
$7,441 |
1.2× |
| Vasc embolize/occlude artery (37242) |
$30,558.75 |
$61,117.50 |
1.7× |
| Vasc Embolize/Occlude Bleed (37244) |
$27,143.50 |
$54,287 |
2.4× |
| Venipuncture (36415) |
$20.75 |
$41.50 |
2.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,018.50 |
$2,037 |
0.3× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,017 |
$2,034 |
1.2× |
| Vulvectomy Simple Partial (56620) |
$3,515.50 |
$7,031 |
1.1× |
| Wedge excision skin nail fold (11765) |
$208 |
$416 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$1,020.69 |
$2,041.38 |
2.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,635.17 |
$3,270.33 |
2.3× |