Procedures & surgery prices at Amberwell Hiawatha
Hiawatha, KS · every code in this section with a posted price and a Medicare benchmark.
847 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$402–$5,056 | $402–$5,056 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$402–$3,790 | $402–$3,790 | varies |
| Acne surgery (10040) range across 3 matching MRF lines |
$214–$246 | $214–$246 | varies |
| Adding Walker Previously Applied Cast (29440) | $168 | $168 | 1.1× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) range across 2 matching MRF lines |
$1,297–$1,520 | $1,297–$1,520 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 3 matching MRF lines |
$1,221–$2,036 | $1,221–$2,036 | varies |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $1,534 | $1,534 | 0.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,233–$1,482 | $1,233–$1,482 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$1,124–$1,320 | $1,124–$1,320 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 2 matching MRF lines |
$1,526–$1,778 | $1,526–$1,778 | varies |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$1,406–$1,641 | $1,406–$1,641 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,452 | $2,452 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$1,233–$1,434 | $1,233–$1,434 | varies |
| Amputation foot transmetarsal (28805) range across 2 matching MRF lines |
$574–$1,720 | $574–$1,720 | varies |
| Amputation metatarsal with toe single (28810) | $1,201 | $1,201 | 0.4× |
| Amputation thigh through femur any level (27590) range across 3 matching MRF lines |
$1,320–$1,720 | $1,320–$1,720 | varies |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$1,376–$1,491 | $1,376–$1,491 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,376–$1,491 | $1,376–$1,491 | varies |
| Amputation, leg, through tibia and fibula; (27880) range across 2 matching MRF lines |
$1,394–$1,992 | $1,394–$1,992 | varies |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | $1,316 | $1,316 | 0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) range across 2 matching MRF lines |
$1,019–$1,455 | $1,019–$1,455 | varies |
| Ankle Arthroscopy/Surgery (29892) range across 2 matching MRF lines |
$1,174–$1,381 | $1,174–$1,381 | varies |
| Anoscopy Ablation Lesion (46615) range across 2 matching MRF lines |
$246–$301 | $246–$301 | varies |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$93–$201 | $93–$201 | varies |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$410–$470 | $410–$470 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$206–$224 | $206–$224 | varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$801–$1,144 | $801–$1,144 | varies |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,320 | $1,320 | 0.2× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $207 | $207 | 1.4× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$202–$278 | $202–$278 | varies |
| Application Finger Splint Dynamic (29131) | $546 | $546 | 10.1× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$89–$412 | $89–$412 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$202–$772 | $202–$772 | varies |
| Application Long Leg Cast Brace (29358) | $495 | $495 | 1.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $522 | $522 | 2.0× |
| Application Long Leg Splint (29505) | $317 | $317 | 2.1× |
| Application multiplane external fixation system (20692) range across 2 matching MRF lines |
$2,035–$2,399 | $2,035–$2,399 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $412 | $412 | 1.6× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$276–$477 | $276–$477 | varies |
| Application of rigid total contact leg cast (29445) | $1,413 | $1,413 | 5.5× |
| Application Short Arm Splint Dynamic (29126) | $546 | $546 | 4.5× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$150–$443 | $150–$443 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$451–$458 | $451–$458 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$191–$434 | $191–$434 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$202–$310 | $202–$310 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$218–$828 | $218–$828 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$213–$304 | $213–$304 | varies |
| Apply short leg cast (29425) | $337 | $337 | 1.3× |
| Arterial puncture (36600) | $210 | $210 | 1.7× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) likely a partial charge, not the full procedure |
$1,549 | $1,549 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$133–$540 | $133–$540 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$133–$179 | $133–$179 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$150–$1,248 | $150–$1,248 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 5 matching MRF lines |
$242–$843 | $242–$843 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$86–$282 | $86–$282 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 2 matching MRF lines |
$1,024–$1,205 | $1,024–$1,205 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$2,572–$3,675 | $2,572–$3,675 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$740–$1,835 | $740–$1,835 | varies |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) range across 2 matching MRF lines |
$520–$1,376 | $520–$1,376 | varies |
| Arthroscopy Ankle Surgical Debridement Limited (29897) range across 3 matching MRF lines |
$472–$1,376 | $472–$1,376 | varies |
| Arthroscopy ankle w/removal loose/foreign body (29894) range across 2 matching MRF lines |
$1,268–$1,491 | $1,268–$1,491 | varies |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) range across 2 matching MRF lines |
$1,084–$1,274 | $1,084–$1,274 | varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $855 | $855 | 0.3× |
| Arthroscopy Knee Osteochondral Allograft (29867) likely a partial charge, not the full procedure |
$3,499 | $3,499 | 0.3× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$546–$1,720 | $546–$1,720 | varies |
| Arthroscopy knee synovectomy limited spx (29875) | $1,549 | $1,549 | 0.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $1,365 | $1,365 | 0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,720 | $1,720 | 0.6× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$917–$2,867 | $917–$2,867 | varies |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) range across 2 matching MRF lines |
$724–$1,147 | $724–$1,147 | varies |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) | $3,507 | $3,507 | 0.5× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) unusually low: confirm this is the full procedure |
$2,190 | $2,190 | 0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $1,434 | $1,434 | 0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $2,100 | $2,100 | 0.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$603–$2,007 | $603–$2,007 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$574–$1,720 | $574–$1,720 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$540–$1,491 | $540–$1,491 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$935–$2,752 | $935–$2,752 | varies |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) range across 2 matching MRF lines |
$371–$1,420 | $371–$1,420 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$884–$3,555 | $884–$3,555 | varies |
| Arthrotomy ankle w/expl drainage/removal fb (27610) range across 2 matching MRF lines |
$1,144–$1,346 | $1,144–$1,346 | varies |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) | $1,299 | $1,299 | 0.4× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 3 matching MRF lines |
$1,325–$3,669 | $1,325–$3,669 | varies |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) range across 2 matching MRF lines |
$1,569–$1,846 | $1,569–$1,846 | varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) range across 2 matching MRF lines |
$2,013–$2,369 | $2,013–$2,369 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$894–$2,752 | $894–$2,752 | varies |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) range across 2 matching MRF lines |
$517–$1,720 | $517–$1,720 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,778 | $1,778 | 0.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$560–$1,778 | $560–$1,778 | varies |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) | $1,364 | $1,364 | 0.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$517–$1,720 | $517–$1,720 | varies |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $1,256 | $1,256 | 0.4× |
| Aspirate pleura w/ imaging (32555) | $3,492 | $3,492 | 6.1× |
| Aspirate Pleura W/O Imaging (32554) | $475 | $475 | 0.8× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$104–$133 | $104–$133 | varies |
| Autologous Chondrocyte Implantation Knee (27412) unusually low: confirm this is the full procedure |
$3,091 | $3,091 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$160–$173 | $160–$173 | varies |
| Biopsy Abdominal Mass (49180) | $2,581 | $2,581 | 1.7× |
| Biopsy bone trocar/needle deep (20225) | $1,505 | $1,505 | 1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $7,947 | $7,947 | 5.2× |
| Biopsy muscle percutaneous needle (20206) | $2,280 | $2,280 | 1.5× |
| Biopsy of breast; open, incisional (19101) | $660 | $660 | 0.2× |
| Biopsy of liver, needle; percutaneous (47000) | $7,586 | $7,586 | 5.0× |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$497–$662 | $497–$662 | varies |
| Biopsy Salivary Gland Needle (42400) | $4,280 | $4,280 | 6.6× |
| Biopsy soft tissue neck/thorax (21550) | $9,443 | $9,443 | 6.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $129 | $129 | 0.2× |
| Biopsy/removal lymph nodes (38510) | $1,038 | $1,038 | 0.3× |
| Bladder instillation anticarcinogenic agent (51720) | $3,062 | $3,062 | 4.8× |
| Bladder Scan (51798) range across 4 matching MRF lines |
$128–$142 | $128–$142 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $618 | $618 | 2.1× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$904–$1,446 | $904–$1,446 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$608–$6,021 | $608–$6,021 | varies |
| Bone Marrow; Aspiration Only (38220) | $487 | $487 | 0.3× |
| Bronchoscopy Clear Airways (31645) | $370 | $370 | 0.2× |
| Bx breast 1st lesion us imag (19083) | $8,309 | $8,309 | 5.5× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$230–$259 | $230–$259 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $917 | $917 | 0.3× |
| Bx/exc lymph node open superficial (38500) | $688 | $688 | 0.2× |
| Carpal Tunnel Surgery (64721) | $1,033 | $1,033 | 0.6× |
| Catheter aspiration nasotracheal spx (31720) | $757 | $757 | 3.8× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$134–$987 | $134–$987 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$95–$133 | $95–$133 | varies |
| Chemodenerv Eccrine Glands (64650) | $139 | $139 | 0.5× |
| Chemodenerv Musc Migraine (64615) | $234 | $234 | 0.8× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$274–$537 | $274–$537 | varies |
| Circumcision 28 days or older (54161) | $3,758 | $3,758 | 2.0× |
| Circumcision Neonate (54160) | $453 | $453 | 0.7× |
| Circumcision w/clamp/oth dev w/block (54150) range across 4 matching MRF lines |
$259–$814 | $259–$814 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,062–$6,287 | $1,062–$6,287 | varies |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$535–$1,262 | $535–$1,262 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$156–$408 | $156–$408 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $1,320 | $1,320 | 0.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $383 | $383 | 1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,765 | $1,765 | 7.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $459 | $459 | 2.0× |
| Closed Treatment Sesamoid Fracture (28530) | $751 | $751 | 3.3× |
| Closed Treatment Sternum Fracture (21820) | $553 | $553 | 2.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,214 | $1,214 | 5.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $2,053 | $2,053 | 9.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,704 | $1,704 | 1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$545–$1,405 | $545–$1,405 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,458 | $1,458 | 6.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $1,310 | $1,310 | 5.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,637 | $1,637 | 1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$499–$1,101 | $499–$1,101 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $2,601 | $2,601 | 11.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $2,227 | $2,227 | 9.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $3,027 | $3,027 | 2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$631–$1,032 | $631–$1,032 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,381 | $1,381 | 0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $599 | $599 | 0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $314 | $314 | 0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,085 | $1,085 | 4.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $2,048 | $2,048 | 9.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$528–$1,288 | $528–$1,288 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,546 | $1,546 | 1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$517–$976 | $517–$976 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,802 | $1,802 | 1.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$459–$1,035 | $459–$1,035 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$838–$1,866 | $838–$1,866 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$368–$1,030 | $368–$1,030 | varies |
| Closed tx septal&nose fx (21337) | $1,156 | $1,156 | 0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,255 | $1,255 | 5.5× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$631–$1,207 | $631–$1,207 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $651 | $651 | 2.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $855 | $855 | 3.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,638 | $1,638 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $1,088 | $1,088 | 4.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $953 | $953 | 4.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $2,168 | $2,168 | 4.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,120 | $1,120 | 4.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $933 | $933 | 4.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,286 | $1,286 | 0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$339–$902 | $339–$902 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $471 | $471 | 0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$917–$1,528 | $917–$1,528 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,927 | $1,927 | 8.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $929 | $929 | 0.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $443 | $443 | 2.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,491 | $1,491 | 1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$734–$1,832 | $734–$1,832 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$459–$884 | $459–$884 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,539 | $1,539 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,176 | $1,176 | 5.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,636 | $1,636 | 7.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$903–$1,531 | $903–$1,531 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$512–$1,273 | $512–$1,273 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,472 | $1,472 | 6.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$357–$794 | $357–$794 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$631–$1,108 | $631–$1,108 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$889–$1,132 | $889–$1,132 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $3,647 | $3,647 | 2.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $2,194 | $2,194 | 9.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $2,280 | $2,280 | 10.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,203 | $3,203 | 2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $402 | $402 | 1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$425–$626 | $425–$626 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $566 | $566 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $629 | $629 | 2.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,656 | $2,656 | 1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$512–$688 | $512–$688 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$601–$631 | $601–$631 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $2,060 | $2,060 | 9.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $4,366 | $4,366 | 3.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $2,584 | $2,584 | 11.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $3,008 | $3,008 | 2.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,871 | $1,871 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$631–$1,164 | $631–$1,164 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 2 matching MRF lines |
$1,090–$2,299 | $1,090–$2,299 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $342 | $342 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $719 | $719 | 3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,566 | $1,566 | 6.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,096 | $1,096 | 0.7× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$545–$1,323 | $545–$1,323 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $596 | $596 | 2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$660–$917 | $660–$917 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$543–$660 | $543–$660 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$344–$655 | $344–$655 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,253–$6,287 | $1,253–$6,287 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,307 | $1,307 | 5.8× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,526 | $1,526 | 1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$499–$1,218 | $499–$1,218 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $796 | $796 | 3.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $2,802 | $2,802 | 12.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,568 | $1,568 | 6.9× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,388 | $1,388 | 6.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,770 | $2,770 | 1.9× |
| Coccygectomy, primary (27080) range across 2 matching MRF lines |
$1,099–$1,569 | $1,099–$1,569 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$113–$465 | $113–$465 | varies |
| Collection of venous blood by venipuncture (36415) | $30 | $30 | 3.2× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $615 | $615 | 0.6× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $723 | $723 | 0.7× |
| Colonoscopy thru stoma (44388) | $688 | $688 | 0.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $701 | $701 | 0.6× |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$459–$517 | $459–$517 | varies |
| Colonoscopy w/fb removal (45379) | $518 | $518 | 0.5× |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$574–$688 | $574–$688 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$747–$849 | $747–$849 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $402 | $402 | 1.4× |
| Colposcopy Cervix Endocervical Curettage (57456) | $165 | $165 | 0.6× |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$202–$230 | $202–$230 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $162 | $162 | 0.6× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 2 matching MRF lines |
$437–$519 | $437–$519 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$321–$355 | $321–$355 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$1,262–$1,376 | $1,262–$1,376 | varies |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $451 | $451 | 0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$803–$917 | $803–$917 | varies |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$398–$531 | $398–$531 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$431–$517 | $431–$517 | varies |
| Conization of cervix (57520) | $643 | $643 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $564 | $564 | 4.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$93–$543 | $93–$543 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $1,148 | $1,148 | 0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $1,566 | $1,566 | 12.8× |
| Cystourethroscopy (52000) | $1,256 | $1,256 | 2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$104–$138 | $104–$138 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,023 | $1,023 | 0.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $595 | $595 | 0.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $631 | $631 | 1.0× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) range across 2 matching MRF lines |
$854–$1,003 | $854–$1,003 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$374–$494 | $374–$494 | varies |
| Debride nail 1-5 (11720) | $74 | $74 | 1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$505–$724 | $505–$724 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$190–$274 | $190–$274 | varies |
| Declot vascular device (36593) | $268 | $268 | 0.9× |
| Decompression of leg (27892) | $1,652 | $1,652 | 0.5× |
| Delivery of placenta (59414) | $359 | $359 | 0.1× |
| Destruct B9 Lesion 1-14 (17110) | $344 | $344 | 1.9× |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$213–$253 | $213–$253 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $290 | $290 | 0.3× |
| Destruction Lesions Vulva Extensive (56515) | $523 | $523 | 0.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 3 matching MRF lines |
$344–$397 | $344–$397 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$236–$276 | $236–$276 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$140–$153 | $140–$153 | varies |
| Destruction Vaginal Lesions Simple (57061) | $258 | $258 | 0.1× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$344–$374 | $344–$374 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) range across 2 matching MRF lines |
$288–$334 | $288–$334 | varies |
| Dilat female urethra general/cndj spinal anes (53665) range across 2 matching MRF lines |
$49–$123 | $49–$123 | varies |
| Dilate Esophagus 1/Mult Pass (43450) | $316 | $316 | 0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$459–$517 | $459–$517 | varies |
| Dilation Cervical Canal (57800) | $180 | $180 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$137–$2,955 | $137–$2,955 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$122–$180 | $122–$180 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $512 | $512 | 0.8× |
| Drainage Finger Abscess Complicated (26011) | $727 | $727 | 0.5× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$302–$431 | $302–$431 | varies |
| Drainage of gum lesion (41800) | $274 | $274 | 2.2× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$267–$564 | $267–$564 | varies |
| Drainage of scrotum (54700) | $431 | $431 | 0.2× |
| Draw Blood Off Venous Device (36591) | $386 | $386 | 3.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $397 | $397 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $496 | $496 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$138–$253 | $138–$253 | varies |
| Dstrj Lesion Anus Extensive (46924) | $446 | $446 | 0.2× |
| Dstrj lesion anus simple surg excision (46922) | $574 | $574 | 0.2× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $253 | $253 | 0.1× |
| Dstrj lesion penis simple laser (54057) | $177 | $177 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$359–$2,179 | $359–$2,179 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $6,307 | $6,307 | 2.4× |
| Dx Bronchoscope/Lavage (31624) | $517 | $517 | 0.3× |
| Dx Bronchoscope/Wash (31622) | $357 | $357 | 0.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $5,822 | $5,822 | 9.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 3 matching MRF lines |
$242–$323 | $242–$323 | varies |
| Egd cautery tumor polyp (43250) | $305 | $305 | 0.2× |
| Egd control bleeding any (43255) | $626 | $626 | 0.4× |
| Egd dilation gastric/duodenal stricture (43245) | $440 | $440 | 0.2× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$574–$688 | $574–$688 | varies |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) range across 2 matching MRF lines |
$587–$838 | $587–$838 | varies |
| Egd place gastrostomy tube (43246) | $367 | $367 | 0.2× |
| Egd remove lesion snare (43251) | $917 | $917 | 0.5× |
| Egd Varices Ligation (43244) range across 2 matching MRF lines |
$459–$517 | $459–$517 | varies |
| Endocervical curettage (57505) range across 2 matching MRF lines |
$173–$202 | $173–$202 | varies |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$242–$266 | $242–$266 | varies |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $590 | $590 | 0.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $9,861 | $9,861 | 3.4× |
| Endoven ther chem adhes 1st (36482) | $9,861 | $9,861 | 1.9× |
| Enterorrhaphy single perforation (44602) | $3,446 | $3,446 | 1.0× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $536 | $536 | 0.3× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$444–$2,973 | $444–$2,973 | varies |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $2,187 | $2,187 | 0.6× |
| Escharotomy; initial incision (16035) | $876 | $876 | 2.3× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) range across 2 matching MRF lines |
$202–$230 | $202–$230 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$82–$279 | $82–$279 | varies |
| Exc abdl tum deep 5 cm/> (22901) range across 2 matching MRF lines |
$1,019–$1,199 | $1,019–$1,199 | varies |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$930–$1,062 | $930–$1,062 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$207–$445 | $207–$445 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$328–$380 | $328–$380 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$566–$667 | $566–$667 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $987 | $987 | 0.3× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) range across 2 matching MRF lines |
$565–$665 | $565–$665 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $294 | $294 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
$321–$512 | $321–$512 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 3 matching MRF lines |
$447–$747 | $447–$747 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $628 | $628 | 0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$218–$259 | $218–$259 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$272–$431 | $272–$431 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$305–$357 | $305–$357 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$362–$425 | $362–$425 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $413 | $413 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $772 | $772 | 0.5× |
| Exc ganglion wrist recurrent (25112) range across 2 matching MRF lines |
$747–$861 | $747–$861 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$202–$204 | $202–$204 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$256–$443 | $256–$443 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$288–$459 | $288–$459 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
$833–$1,090 | $833–$1,090 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$917–$1,062 | $917–$1,062 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $671 | $671 | 0.5× |
| Exc Rct Tum Incl Muscularis Propria (45172) range across 2 matching MRF lines |
$1,273–$1,497 | $1,273–$1,497 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$425–$448 | $425–$448 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$380–$443 | $380–$443 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$540–$631 | $540–$631 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$505–$592 | $505–$592 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$489–$568 | $489–$568 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$628–$770 | $628–$770 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$729–$849 | $729–$849 | varies |
| Exc tendon shth lesion leg/ankle (27630) range across 3 matching MRF lines |
$917–$1,233 | $917–$1,233 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $775 | $775 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$242–$378 | $242–$378 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$270–$422 | $270–$422 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$357–$413 | $357–$413 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $861 | $861 | 0.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,307 | $1,307 | 0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $1,162 | $1,162 | 0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,021 | $1,021 | 0.7× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $976 | $976 | 0.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $688 | $688 | 0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $570 | $570 | 0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $771 | $771 | 0.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) range across 3 matching MRF lines |
$1,010–$1,348 | $1,010–$1,348 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $751 | $751 | 0.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $200 | $200 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$287–$338 | $287–$338 | varies |
| Excise Wrist Tendon Sheath (25118) range across 3 matching MRF lines |
$701–$792 | $701–$792 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$459–$535 | $459–$535 | varies |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $532 | $532 | 0.2× |
| Excision lesion meniscus/capsule knee (27347) | $1,107 | $1,107 | 0.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $747 | $747 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$311–$367 | $311–$367 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$442–$509 | $442–$509 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$402–$471 | $402–$471 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$512–$597 | $512–$597 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$328–$380 | $328–$380 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$517–$603 | $517–$603 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$721–$757 | $721–$757 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$301–$349 | $301–$349 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$374–$436 | $374–$436 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$413–$483 | $413–$483 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$551–$643 | $551–$643 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $572 | $572 | 0.2× |
| Excision of bartholin's gland or cyst (56740) | $976 | $976 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$631–$718 | $631–$718 | varies |
| Excision of hydrocele; bilateral (55041) range across 2 matching MRF lines |
$796–$936 | $796–$936 | varies |
| Excision of hydrocele; unilateral (55040) | $757 | $757 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 3 matching MRF lines |
$292–$522 | $292–$522 | varies |
| Excision of single external papilla or tag, anus (46220) | $431 | $431 | 0.4× |
| Excision of vaginal cyst or tumor (57135) | $3,048 | $3,048 | 1.0× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$688–$775 | $688–$775 | varies |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) range across 4 matching MRF lines |
$964–$1,295 | $964–$1,295 | varies |
| Excision or fulguration; Skene's glands Facility (53270) | $346 | $346 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,119–$1,302 | $1,119–$1,302 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$930–$1,085 | $930–$1,085 | varies |
| Excision prepatellar bursa (27340) range across 3 matching MRF lines |
$423–$803 | $423–$803 | varies |
| Excision synovial cyst popliteal space (27345) range across 2 matching MRF lines |
$888–$1,044 | $888–$1,044 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$763–$889 | $763–$889 | varies |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $958 | $958 | 0.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$688–$803 | $688–$803 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
$683–$792 | $683–$792 | varies |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $1,269 | $1,269 | 0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$847–$980 | $847–$980 | varies |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,016 | $1,016 | 0.7× |
| Excision/curettage cyst/tumor carpal bones (25130) | $970 | $970 | 0.3× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,450 | $1,450 | 1.0× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) range across 2 matching MRF lines |
$914–$1,075 | $914–$1,075 | varies |
| Excision/destruction intranasal lesion int appr (30117) | $826 | $826 | 0.3× |
| Excision; trochanteric bursa or calcification (27062) range across 2 matching MRF lines |
$849–$970 | $849–$970 | varies |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) likely a partial charge, not the full procedure |
$1,353 | $1,353 | 0.3× |
| Explo/Drain Breast Abscess (19020) | $581 | $581 | 0.4× |
| Exploration of knee joint (27310) | $1,810 | $1,810 | 0.6× |
| Exploration penetrating wound spx chest (20101) | $1,889 | $1,889 | 1.0× |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$248–$1,119 | $248–$1,119 | varies |
| Explore/Treat Elbow Joint (24101) range across 2 matching MRF lines |
$864–$1,082 | $864–$1,082 | varies |
| External cephalic version (59412) | $6,021 | $6,021 | 2.0× |
| Fasciectomy Palm Only (26121) | $1,376 | $1,376 | 0.5× |
| Fasciotomy Iliotibial Open (27305) range across 2 matching MRF lines |
$878–$1,033 | $878–$1,033 | varies |
| Fasciotomy palmar open partial (26045) | $1,274 | $1,274 | 0.4× |
| Fasciotomy palmar percutaneous (26040) | $981 | $981 | 0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $1,835 | $1,835 | 0.6× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$465–$699 | $465–$699 | varies |
| Fluid Pressure Muscle (20950) | $459 | $459 | 0.7× |
| Fluoro exam of g/colon tube (49465) | $800 | $800 | 3.6× |
| Fna bx w/us gdn 1st les (10005) | $3,986 | $3,986 | 6.1× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) range across 2 matching MRF lines |
$1,133–$1,333 | $1,133–$1,333 | varies |
| Fusion Finger Joint (26860) | $1,205 | $1,205 | 0.4× |
| Fusion of knuckle (26850) likely a partial charge, not the full procedure |
$52 | $52 | 0.0× |
| Fusion of knuckle with graft (26852) likely a partial charge, not the full procedure |
$1,719 | $1,719 | 0.3× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) range across 2 matching MRF lines |
$2,424–$2,854 | $2,424–$2,854 | varies |
| Guide Cathet Fluid Drainage (10030) | $1,094 | $1,094 | 1.7× |
| Hemiarthroplasty hip partial (27125) range across 2 matching MRF lines |
$1,033–$3,154 | $1,033–$3,154 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $958 | $958 | 0.4× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $961 | $961 | 0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,011 | $1,011 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $574 | $574 | 0.7× |
| Hemorrhoidopexy by stapling (46947) | $861 | $861 | 0.3× |
| Hysteroscopy Biopsy (58558) | $595 | $595 | 0.2× |
| Hysteroscopy Dx Sep Proc (58555) | $517 | $517 | 0.2× |
| Hysteroscopy Endometrial Ablation (58563) | $546 | $546 | 0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $1,454 | $1,454 | 0.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $928 | $928 | 0.2× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$137–$664 | $137–$664 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$1,090–$1,581 | $1,090–$1,581 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,257 | $1,257 | 0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,566 | $1,566 | 0.5× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$246–$526 | $246–$526 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$436–$510 | $436–$510 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$246–$291 | $246–$291 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $548 | $548 | 0.2× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $133 | $133 | 0.2× |
| Image Cath Fluid Peri/Retro (49406) range across 3 matching MRF lines |
$1,347–$3,803 | $1,347–$3,803 | varies |
| Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$1,352 | $1,352 | 0.2× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$610–$1,000 | $610–$1,000 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$1,062–$1,205 | $1,062–$1,205 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$340–$1,325 | $340–$1,325 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$820–$956 | $820–$956 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $512 | $512 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$250–$286 | $250–$286 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$202–$699 | $202–$699 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$202–$673 | $202–$673 | varies |
| Incision extensor tendon sheath wrist (25000) | $844 | $844 | 0.6× |
| Incision of labial frenum (frenotomy) (40806) range across 2 matching MRF lines |
$68–$405 | $68–$405 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 3 matching MRF lines |
$344–$469 | $344–$469 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,176–$1,307 | $1,176–$1,307 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
$489–$660 | $489–$660 | varies |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) | $1,104 | $1,104 | 0.4× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$218–$249 | $218–$249 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $111 | $111 | 0.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$832–$1,247 | $832–$1,247 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $234 | $234 | 0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$207–$238 | $207–$238 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$255–$344 | $255–$344 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $832 | $832 | 1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$441–$579 | $441–$579 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $832 | $832 | 1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$196–$242 | $196–$242 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $832 | $832 | 1.0× |
| Injection for identification of sentinel node (38792) | $1,013 | $1,013 | 2.8× |
| Injection single tendon origin/insertion (20551) | $138 | $138 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$93–$314 | $93–$314 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$104–$229 | $104–$229 | varies |
| Injection therapeutic carpal tunnel (20526) | $127 | $127 | 0.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$233–$290 | $233–$290 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$276–$334 | $276–$334 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$145–$458 | $145–$458 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$133–$145 | $133–$145 | varies |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$242–$398 | $242–$398 | varies |
| Insert cath pleura w/o image (32556) | $1,581 | $1,581 | 0.9× |
| Insert cervical dilator (59200) range across 2 matching MRF lines |
$107–$1,085 | $107–$1,085 | varies |
| Insert Drug Implant Device (11981) | $288 | $288 | 2.4× |
| Insert non-tunnel cv cath (36556) range across 5 matching MRF lines |
$145–$2,599 | $145–$2,599 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$44–$640 | $44–$640 | varies |
| Insert tunneled cv cath (36561) | $2,064 | $2,064 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$42–$640 | $42–$640 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$159–$2,064 | $159–$2,064 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $242 | $242 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$150–$2,476 | $150–$2,476 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,597 | $1,597 | 4.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $2,061 | $2,061 | 5.5× |
| Intro Gastrointestinal Tube (44500) | $3,492 | $3,492 | 4.2× |
| Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
$252–$674 | $252–$674 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $870 | $870 | 3.8× |
| Knee arthroscopy/drainage (29871) | $1,274 | $1,274 | 0.4× |
| Knee Arthroscopy/Surgery (29874) | $1,606 | $1,606 | 0.5× |
| Lap paraesoph her rpr w/mesh (43282) range across 3 matching MRF lines |
$2,686–$5,432 | $2,686–$5,432 | varies |
| Lap paraesophag hern repair (43281) range across 4 matching MRF lines |
$1,793–$4,094 | $1,793–$4,094 | varies |
| Laparo-vag hyst incl t/o (58552) range across 4 matching MRF lines |
$1,404–$2,006 | $1,404–$2,006 | varies |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$764 | $764 | 0.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$1,893 | $1,893 | 0.3× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$884 | $884 | 0.2× |
| Laparoscopy gastrostomy (43653) range across 2 matching MRF lines |
$881–$1,036 | $881–$1,036 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$311–$917 | $311–$917 | varies |
| Laparoscopy surgical orchiectomy (54690) likely a partial charge, not the full procedure |
$1,643 | $1,643 | 0.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) range across 2 matching MRF lines |
$1,941–$2,284 | $1,941–$2,284 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$1,465–$2,087 | $1,465–$2,087 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$884–$1,262 | $884–$1,262 | varies |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,376 | $1,376 | 0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines |
$1,231–$1,759 | $1,231–$1,759 | varies |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 2 matching MRF lines |
$1,278–$1,504 | $1,278–$1,504 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$1,115–$1,311 | $1,115–$1,311 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$1,207–$1,724 | $1,207–$1,724 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$752 | $752 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$711 | $711 | 0.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,376 | $1,376 | 0.2× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) range across 2 matching MRF lines |
$891–$1,274 | $891–$1,274 | varies |
| Ligamentous Reconstruction Knee Extra-Articular (27427) range across 2 matching MRF lines |
$1,539–$2,196 | $1,539–$2,196 | varies |
| Ligamentous reconstruction knee intra-articular (27428) range across 2 matching MRF lines |
$2,008–$2,364 | $2,008–$2,364 | varies |
| Ligation of hemorrhoids (46946) | $380 | $380 | 0.1× |
| Ligation or biopsy temporal artery (37609) | $1,307 | $1,307 | 0.9× |
| Lysis of labial adhesions (56441) | $334 | $334 | 0.1× |
| Manipulation knee joint under general anesthesia (27570) range across 3 matching MRF lines |
$248–$818 | $248–$818 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $770 | $770 | 0.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$179–$459 | $179–$459 | varies |
| Mastectomy partial (19301) | $1,262 | $1,262 | 0.4× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$1,284–$1,835 | $1,284–$1,835 | varies |
| Maternity Care Procedure (59899) | $409 | $409 | 2.2× |
| Muscle-skin graft trunk (15734) range across 4 matching MRF lines |
$1,718–$3,269 | $1,718–$3,269 | varies |
| Myelography Lumbar Injection (62304) | $5,249 | $5,249 | 7.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $145 | $145 | 0.2× |
| N block inj intercost sng (64420) | $317 | $317 | 0.5× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$115–$145 | $115–$145 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$137–$181 | $137–$181 | varies |
| Needle Biopsy Lymph Nodes (38505) | $7,586 | $7,586 | 5.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $30 | $30 | 1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) | $30 | $30 | 1.1× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,498 | $1,498 | 0.8× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) range across 2 matching MRF lines |
$913–$1,075 | $913–$1,075 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $2,869 | $2,869 | 6.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $242 | $242 | 0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $294 | $294 | 0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $220 | $220 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $301 | $301 | 0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$179–$328 | $179–$328 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $885 | $885 | 1.1× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $9,861 | $9,861 | 5.2× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$89–$270 | $89–$270 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $1,369 | $1,369 | 0.4× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) range across 2 matching MRF lines |
$1,473–$1,684 | $1,473–$1,684 | varies |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$740–$2,466 | $740–$2,466 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 3 matching MRF lines |
$565–$1,669 | $565–$1,669 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) range across 3 matching MRF lines |
$863–$2,730 | $863–$2,730 | varies |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,280 | $2,280 | 0.2× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) range across 2 matching MRF lines |
$1,689–$2,413 | $1,689–$2,413 | varies |
| Open treatment interphalangeal joint dislocation (28675) | $890 | $890 | 0.3× |
| Open Treatment Medial Malleolus Fracture (27766) range across 3 matching MRF lines |
$839–$1,315 | $839–$1,315 | varies |
| Open treatment metacarpophalangeal dislocation (26715) | $1,778 | $1,778 | 0.6× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,376 | $1,376 | 0.2× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
$869–$1,243 | $869–$1,243 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
$357–$1,578 | $357–$1,578 | varies |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) likely a partial charge, not the full procedure |
$2,193 | $2,193 | 0.2× |
| Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$1,376 | $1,376 | 0.2× |
| Open treatment posterior malleolus fracture (27769) range across 2 matching MRF lines |
$1,097–$1,566 | $1,097–$1,566 | varies |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) range across 2 matching MRF lines |
$1,160–$1,543 | $1,160–$1,543 | varies |
| Open Treatment Proximal Humeral Fracture (23615) range across 2 matching MRF lines |
$1,560–$1,836 | $1,560–$1,836 | varies |
| Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$1,491 | $1,491 | 0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $1,600 | $1,600 | 0.5× |
| Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$2,230 | $2,230 | 0.3× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) | $1,353 | $1,353 | 0.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$1,056–$1,411 | $1,056–$1,411 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,085 | $1,085 | 0.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,520 | $1,520 | 0.2× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) range across 2 matching MRF lines |
$2,080–$2,970 | $2,080–$2,970 | varies |
| Open tx interphalangeal joint dislocation (26785) | $1,694 | $1,694 | 0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $1,606 | $1,606 | 0.5× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,376 | $1,376 | 0.5× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) likely a partial charge, not the full procedure |
$2,260 | $2,260 | 0.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$1,856 | $1,856 | 0.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 3 matching MRF lines |
$615–$2,415 | $615–$2,415 | varies |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,693 | $1,693 | 0.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$740–$1,835 | $740–$1,835 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$2,268–$3,243 | $2,268–$3,243 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
$911–$3,038 | $911–$3,038 | varies |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) range across 2 matching MRF lines |
$1,587–$1,687 | $1,587–$1,687 | varies |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $3,643 | $3,643 | 0.5× |
| Orchiopexy Ingun/Scrot Appr (54640) range across 2 matching MRF lines |
$685–$806 | $685–$806 | varies |
| Ostc prtl exostc/condylc metar head (28288) | $938 | $938 | 0.3× |
| Ostectomy calcaneus (28118) range across 2 matching MRF lines |
$771–$1,044 | $771–$1,044 | varies |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $591 | $591 | 0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $1,325 | $1,325 | 0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $983 | $983 | 0.3× |
| Osteotomy Clavicle W Bone Graft (23485) range across 2 matching MRF lines |
$1,688–$1,984 | $1,688–$1,984 | varies |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) range across 2 matching MRF lines |
$1,775–$2,536 | $1,775–$2,536 | varies |
| Partial excision bone metacarpal (26230) | $1,081 | $1,081 | 0.4× |
| Partial Excision Distal Phalanx Finger (26236) | $976 | $976 | 0.7× |
| Partial hymenectomy or revision of hymenal ring (56700) | $330 | $330 | 0.1× |
| Partial removal of tibia (27640) range across 2 matching MRF lines |
$1,608–$1,898 | $1,608–$1,898 | varies |
| Patellectomy or hemipatellectomy (27350) range across 2 matching MRF lines |
$1,193–$1,404 | $1,193–$1,404 | varies |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
$202–$230 | $202–$230 | varies |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $534 | $534 | 0.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) range across 2 matching MRF lines |
$801–$1,067 | $801–$1,067 | varies |
| Pericardiocentesis W/Imaging (33016) | $1,169 | $1,169 | 0.8× |
| Peritoneal Lavage (49084) | $230 | $230 | 0.3× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$415–$978 | $415–$978 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$1,090–$1,434 | $1,090–$1,434 | varies |
| Pin hand dislocation (26676) | $1,583 | $1,583 | 0.5× |
| Placement of needle for intraosseous infusion (36680) | $312 | $312 | 0.8× |
| Placement of seton (46020) | $433 | $433 | 0.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 2 matching MRF lines |
$994–$1,420 | $994–$1,420 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $92 | $92 | 0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $921 | $921 | 0.3× |
| Prq skel fixj femoral fx prox end neck (27235) range across 3 matching MRF lines |
$448–$1,979 | $448–$1,979 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $1,043 | $1,043 | 0.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines |
$666–$952 | $666–$952 | varies |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$104–$321 | $104–$321 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$212–$492 | $212–$492 | varies |
| Puncture Aspiration Cyst Breast (19000) | $648 | $648 | 1.0× |
| Pvb thoracic cont infusion (64463) | $672 | $672 | 1.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $250 | $250 | 0.4× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) range across 2 matching MRF lines |
$1,458–$1,823 | $1,458–$1,823 | varies |
| Reconstruct elbow lat ligmnt (24344) range across 2 matching MRF lines |
$1,986–$2,337 | $1,986–$2,337 | varies |
| Reconstruct elbow med ligmnt (24346) range across 2 matching MRF lines |
$2,000–$2,354 | $2,000–$2,354 | varies |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) range across 2 matching MRF lines |
$1,349–$1,588 | $1,349–$1,588 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $744 | $744 | 0.3× |
| Removal Foreign Body Foot Complicated (28193) | $1,635 | $1,635 | 1.1× |
| Removal foreign body foot deep (28192) | $1,369 | $1,369 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$573–$688 | $573–$688 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$390–$459 | $390–$459 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $1,142 | $1,142 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$30–$99 | $30–$99 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$93–$279 | $93–$279 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$545–$1,376 | $545–$1,376 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $833 | $833 | 0.5× |
| Removal of anal fissure (46200) | $976 | $976 | 0.4× |
| Removal of ankle implant (27704) range across 2 matching MRF lines |
$1,011–$1,190 | $1,011–$1,190 | varies |
| Removal of foreign body from pharynx (42809) | $336 | $336 | 0.8× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$253–$293 | $253–$293 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $229 | $229 | 0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$167–$255 | $167–$255 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $115 | $115 | 0.1× |
| Removal sweat gland lesion (11450) | $641 | $641 | 0.2× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$316–$344 | $316–$344 | varies |
| Remove elbow lesion (24120) | $1,003 | $1,003 | 0.3× |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$688–$889 | $688–$889 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$104–$327 | $104–$327 | varies |
| Remove Intrauterine Device (58301) | $230 | $230 | 0.8× |
| Remove Lower Leg Bone Lesion (27635) range across 2 matching MRF lines |
$1,034–$1,258 | $1,034–$1,258 | varies |
| Remove lung catheter (32552) | $393 | $393 | 0.7× |
| Remove Nasal Foreign Body (30300) | $1,325 | $1,325 | 10.8× |
| Remove Peritoneal Foreign Body (49402) | $1,528 | $1,528 | 0.5× |
| Remove Tendon Sheath Lesion (26160) | $1,262 | $1,262 | 0.9× |
| Remove/Insert Drug Implant (11983) | $402 | $402 | 1.0× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$9,443–$9,444 | $9,443–$9,444 | varies |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$1,664 | $1,664 | 0.2× |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$1,159–$1,362 | $1,159–$1,362 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,445 | $1,445 | 2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$820–$1,976 | $820–$1,976 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,156 | $1,156 | 3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,757 | $1,757 | 4.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$734–$999 | $734–$999 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$688–$972 | $688–$972 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $960 | $960 | 1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$733–$1,188 | $733–$1,188 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,161–$1,325 | $1,161–$1,325 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) range across 2 matching MRF lines |
$803–$1,147 | $803–$1,147 | varies |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$1,003–$1,432 | $1,003–$1,432 | varies |
| Repair Hand Joint (26540) range across 2 matching MRF lines |
$581–$1,434 | $581–$1,434 | varies |
| Repair Hand Tendon (26410) | $2,105 | $2,105 | 1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$517–$1,262 | $517–$1,262 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $909 | $909 | 2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,075 | $1,075 | 2.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,158 | $1,158 | 3.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,173 | $1,173 | 3.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,259 | $2,259 | 6.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,441 | $1,441 | 2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$236–$783 | $236–$783 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $1,058 | $1,058 | 2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,147 | $1,147 | 1.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,871 | $1,871 | 1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,292 | $1,292 | 3.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$385–$815 | $385–$815 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$245–$1,021 | $245–$1,021 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,510 | $1,510 | 2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$333–$1,106 | $333–$1,106 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,751 | $1,751 | 0.9× |
| Repair of biceps tendon (24340) range across 2 matching MRF lines |
$997–$1,916 | $997–$1,916 | varies |
| Repair of metatarsals (28322) unusually low: confirm this is the full procedure |
$2,064 | $2,064 | 0.3× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$269–$283 | $269–$283 | varies |
| Repair of rectocele (45560) range across 2 matching MRF lines |
$1,091–$1,284 | $1,091–$1,284 | varies |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$510–$1,692 | $510–$1,692 | varies |
| Repair paravag defect vag (57285) range across 2 matching MRF lines |
$1,516–$2,166 | $1,516–$2,166 | varies |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$770–$2,293 | $770–$2,293 | varies |
| Repair secondary achilles tendon w/wo graft (27654) range across 2 matching MRF lines |
$1,350–$1,930 | $1,350–$1,930 | varies |
| Repair shoulder capsule (23466) range across 2 matching MRF lines |
$2,414–$3,449 | $2,414–$3,449 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,604 | $1,604 | 0.2× |
| Repair tongue laceration (41252) | $1,007 | $1,007 | 4.6× |
| Repair tongue laceration (41250) | $872 | $872 | 2.1× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) range across 2 matching MRF lines |
$1,173–$1,674 | $1,173–$1,674 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $513 | $513 | 0.6× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$413–$1,376 | $413–$1,376 | varies |
| Retrobulbar injection (67500) | $237 | $237 | 0.8× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) range across 2 matching MRF lines |
$2,291–$3,273 | $2,291–$3,273 | varies |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) range across 2 matching MRF lines |
$2,714–$3,193 | $2,714–$3,193 | varies |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) range across 2 matching MRF lines |
$1,743–$2,050 | $1,743–$2,050 | varies |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
$2,730–$3,659 | $2,730–$3,659 | varies |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
$2,108–$3,012 | $2,108–$3,012 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $360 | $360 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $327 | $327 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $386 | $386 | 3.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $312 | $312 | 0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) | $660 | $660 | 0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$408–$2,893 | $408–$2,893 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,265 | $1,265 | 2.2× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$121–$216 | $121–$216 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$1,094–$1,563 | $1,094–$1,563 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$609–$717 | $609–$717 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) range across 2 matching MRF lines |
$1,201–$1,413 | $1,201–$1,413 | varies |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$1,198 | $1,198 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$893–$1,051 | $893–$1,051 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$847–$996 | $847–$996 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $510 | $510 | 2.8× |
| Rpr flexor tendon leg secondary w/o graft each (27659) range across 2 matching MRF lines |
$717–$1,022 | $717–$1,022 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,682 | $1,682 | 2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $3,164 | $3,164 | 6.4× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) range across 2 matching MRF lines |
$971–$1,179 | $971–$1,179 | varies |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 2 matching MRF lines |
$587–$1,376 | $587–$1,376 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $2,490 | $2,490 | 0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $298 | $298 | 0.3× |
| Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
$191–$220 | $191–$220 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$222–$255 | $222–$255 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$305–$352 | $305–$352 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$161–$188 | $161–$188 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$199–$230 | $199–$230 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$236–$276 | $236–$276 | varies |
| Shoulder arthroscopy diagnostic (29805) | $1,491 | $1,491 | 0.5× |
| Shoulder Arthroscopy/Surgery (29825) range across 2 matching MRF lines |
$535–$1,376 | $535–$1,376 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$181–$218 | $181–$218 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 3 matching MRF lines |
$304–$349 | $304–$349 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$196–$230 | $196–$230 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$253–$294 | $253–$294 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 3 matching MRF lines |
$267–$308 | $267–$308 | varies |
| Sigmoidoscopy & Polypectomy (45333) | $1,861 | $1,861 | 2.2× |
| Sigmoidoscopy W/Resection (45349) | $496 | $496 | 0.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$489–$574 | $489–$574 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $692 | $692 | 1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$90–$297 | $90–$297 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$94–$314 | $94–$314 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $818 | $818 | 2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $404 | $404 | 2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $927 | $927 | 5.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$74–$239 | $74–$239 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $782 | $782 | 4.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $393 | $393 | 2.1× |
| Skin sub graft face/nk/hf/g (15275) | $277 | $277 | 0.4× |
| Skin sub graft trnk/arm/leg (15271) | $181 | $181 | 0.3× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$355–$417 | $355–$417 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$97–$316 | $97–$316 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $514 | $514 | 1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $628 | $628 | 1.7× |
| Sphincterotomy anal division sphincter spx (46080) | $528 | $528 | 0.2× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$262–$3,022 | $262–$3,022 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$1,322–$1,535 | $1,322–$1,535 | varies |
| Strapping knee (29530) | $181 | $181 | 1.5× |
| Strapping shoulder (29240) | $170 | $170 | 1.4× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$138–$843 | $138–$843 | varies |
| Surg tx anal fistula subq (46270) | $868 | $868 | 0.3× |
| Suture infrapatellar tendon primary (27380) range across 3 matching MRF lines |
$568–$1,292 | $568–$1,292 | varies |
| Suture of quadriceps or hamstring muscle rupture primary (27385) range across 3 matching MRF lines |
$528–$1,262 | $528–$1,262 | varies |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) | $1,198 | $1,198 | 0.4× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $1,601 | $1,601 | 1.1× |
| Tangential biopsy skin single lesion (11102) | $304 | $304 | 0.8× |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$1,165–$1,664 | $1,165–$1,664 | varies |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) range across 2 matching MRF lines |
$769–$904 | $769–$904 | varies |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) range across 2 matching MRF lines |
$1,117–$1,314 | $1,117–$1,314 | varies |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) range across 2 matching MRF lines |
$967–$1,138 | $967–$1,138 | varies |
| Thyroid biopsy (60100) | $910 | $910 | 1.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$1,256–$1,468 | $1,256–$1,468 | varies |
| Tnot elbow lateral/medial debride open (24358) range across 2 matching MRF lines |
$380–$1,260 | $380–$1,260 | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $1,434 | $1,434 | 0.5× |
| Tooth extraction (41899) | $2,187 | $2,187 | 10.0× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$1,406–$4,128 | $1,406–$4,128 | varies |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $1,047 | $1,047 | 0.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $992 | $992 | 4.6× |
| Treat ankle fracture (28445) unusually low: confirm this is the full procedure |
$2,118 | $2,118 | 0.3× |
| Treat Big Toe Fracture (28505) | $1,242 | $1,242 | 0.4× |
| Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
$459–$1,406 | $459–$1,406 | varies |
| Treat Finger Fracture Each (26727) | $1,262 | $1,262 | 0.4× |
| Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
$684–$2,277 | $684–$2,277 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 3 matching MRF lines |
$483–$1,606 | $483–$1,606 | varies |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$688–$707 | $688–$707 | varies |
| Treat Humerus Fracture (24505) | $1,776 | $1,776 | 1.2× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$631–$718 | $631–$718 | varies |
| Treat kneecap dislocation (27566) range across 2 matching MRF lines |
$1,341–$1,914 | $1,341–$1,914 | varies |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$1,189–$1,697 | $1,189–$1,697 | varies |
| Treat Knuckle Dislocation (26700) | $757 | $757 | 3.3× |
| Treat Metatarsal Fracture (28475) | $957 | $957 | 4.2× |
| Treat Tail Bone Fracture (27200) | $714 | $714 | 3.1× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$1,076–$1,699 | $1,076–$1,699 | varies |
| Treat thumb fracture (26665) | $1,556 | $1,556 | 0.5× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$770–$1,556 | $770–$1,556 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,187 | $1,187 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $2,048 | $2,048 | 9.0× |
| Treatment of ankle fracture (27823) range across 2 matching MRF lines |
$1,488–$2,127 | $1,488–$2,127 | varies |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) range across 3 matching MRF lines |
$1,136–$2,696 | $1,136–$2,696 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$79–$104 | $79–$104 | varies |
| Trim skin lesions 2 to 4 (11056) | $141 | $141 | 0.8× |
| Tubal ligation (58600) range across 2 matching MRF lines |
$631–$688 | $631–$688 | varies |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $1,055 | $1,055 | 0.4× |
| Tx Gastro Intub W/Asp (43753) | $58 | $58 | 0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$574–$688 | $574–$688 | varies |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 3 matching MRF lines |
$803–$2,696 | $803–$2,696 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$718–$833 | $718–$833 | varies |
| Tx Missed Abortion Second Trimester Surgical (59821) range across 2 matching MRF lines |
$688–$833 | $688–$833 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
$306–$1,017 | $306–$1,017 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $1,078 | $1,078 | 0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,132 | $1,132 | 5.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) unusually low: confirm this is the full procedure |
$2,523 | $2,523 | 0.5× |
| Unlisted laparoscopy procedure, uterus (58578) range across 2 matching MRF lines |
$362–$517 | $362–$517 | varies |
| Unlisted procedure femur or knee (27599) range across 4 matching MRF lines |
$1,208–$1,638 | $1,208–$1,638 | varies |
| Unlisted procedure liver (47399) | $517 | $517 | 0.8× |
| Unlisted procedure nervous system (64999) | $250 | $250 | 0.9× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $745 | $745 | 3.4× |
| Unlisted Procedure Vascular Surgery (37799) | $210 | $210 | 0.4× |
| Vaginal delivery only (59409) | $1,950 | $1,950 | 0.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) range across 2 matching MRF lines |
$1,281–$1,830 | $1,281–$1,830 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$655–$947 | $655–$947 | varies |
| Vulvectomy simple partial (56620) range across 2 matching MRF lines |
$930–$1,094 | $930–$1,094 | varies |
| Vulvectomy simple; complete (56625) range across 2 matching MRF lines |
$564–$1,161 | $564–$1,161 | varies |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$274–$1,070 | $274–$1,070 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$563–$660 | $563–$660 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.