Procedures & surgery prices at Asante Rogue Regional Medical Center

Medford, OR · every code in this section with a posted price and a Medicare benchmark.

794 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines		 $241.28–$3,864.90 $371.20–$5,946 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $166.98–$3,864.90 $256.90–$5,946 varies
Ablate Pulm Tumor Perq Crybl (32994) $28,509.78 $43,861.20 2.1×
Ablation 1/> liver tumor perq cryoablation (47383) $28,509.78 $43,861.20 2.1×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $19,562.20 $30,095.70 2.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,447.42–$7,540.65 $2,226.80–$11,601 varies
Amniocentesis diagnostic (59000) $3,589.50 $5,522.30 3.1×
Amniocentesis therapeutic (59001) $1,253.98 $1,929.20 3.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $1,591.40–$8,884.98 $2,448.30–$13,669.20 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $1,638.06–$8,884.98 $2,520.10–$13,669.20 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $398.26–$8,884.98 $612.70–$13,669.20 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $408.20–$8,884.98 $628–$13,669.20 varies
Ankle disarticulation (27889) $19,562.20 $30,095.70 2.1×
Anoscopy Control Bleeding (46614)
range across 2 matching MRF lines		 $149.37–$4,860.50 $229.80–$7,477.70 varies
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $95.74–$380.64 $147.30–$585.60 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $196.10–$3,758.36 $301.70–$5,782.10 varies
Application Cast Finger (29086)
range across 5 matching MRF lines		 $93.50–$650.46 $143.85–$1,000.70 varies
Application Finger Splint Dynamic (29131) $180.05 $277 2.4×
Application finger splint static (29130)
range across 6 matching MRF lines		 $66.62–$380.64 $102.50–$585.60 varies
Application Halo Cranial Including Removal (20661)
range across 2 matching MRF lines		 $1,219.20–$8,006.83 $1,875.70–$12,318.20 varies
Application long arm splint shoulder hand (29105)
range across 8 matching MRF lines		 $95.74–$650.46 $147.30–$1,000.70 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $123.30–$650.46 $189.70–$1,000.70 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $225.94–$1,094.80 $347.60–$1,684.30 varies
Application Short Arm Splint Dynamic (29126) $380.64 $585.60 2.3×
Application short arm splint forearm-hand static (29125)
range across 9 matching MRF lines		 $94.25–$380.64 $145–$585.60 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $116.42–$650.46 $179.10–$1,000.70 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines		 $60.52–$650.46 $93.10–$1,000.70 varies
Arterial puncture (36600) $152.30 $234.30 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines		 $84.24–$1,216.86 $129.60–$1,872.10 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,854.80 $4,392 3.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $104.20–$1,216.86 $160.30–$1,872.10 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,216.86 $1,872.10 3.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $81.96–$1,216.86 $126.10–$1,872.10 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $951.14–$4,382.56 $1,463.30–$6,742.40 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $245.83–$2,548.65 $378.20–$3,921 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $199.88–$2,548.65 $307.50–$3,921 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $94.96–$1,216.86 $146.10–$1,872.10 varies
Aspiration and/or injection thyroid cyst (60300)
range across 3 matching MRF lines		 $110.30–$2,900.43 $169.70–$4,462.20 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $322.46–$5,609.63 $496.10–$8,630.20 varies
Aspiration Bladder Needle (51100)
range across 2 matching MRF lines		 $88.86–$1,002.62 $136.70–$1,542.50 varies
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $6,245.52 $9,608.50 2.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 6 matching MRF lines		 $123.30–$589.10 $189.70–$906.30 varies
Biliary ndsc prq t-tube w/bx single/multiple (47553) $19,476.08 $29,963.20 2.4×
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $1,286.74–$4,436.84 $1,979.60–$6,825.90 varies
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $321.68–$7,837.38 $494.90–$12,057.50 varies
Biopsy bone trocar/needle deep (20225) $4,436.84 $6,825.90 2.1×
Biopsy Bone Trocar/Needle Superficial (20220) $4,436.84 $6,825.90 2.1×
Biopsy muscle percutaneous needle (20206) $4,436.84 $6,825.90 2.1×
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $1,286.74–$4,436.84 $1,979.60–$6,825.90 varies
Biopsy Pleura Percutaneous Needle (32400) $4,436.84 $6,825.90 2.1×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $5,609.63 $8,630.20 1.3×
Biopsy Spinal Cord Percutaneous Needle (62269) $4,436.84 $6,825.90 2.1×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $150.86–$3,589.50 $232.10–$5,522.30 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $135.59–$3,589.50 $208.60–$5,522.30 varies
Bladder instillation anticarcinogenic agent (51720) $1,915.55 $2,947 2.2×
Bladder Irrigation (51700) $1,002.62 $1,542.50 3.2×
Bladder Scan (51798) $180.05 $277 2.4×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $267.28–$1,232.34 $411.20–$1,895.90 varies
Blood Transfusion Service (36430) $1,782.95 $2,743 3.2×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $369.14–$4,436.84 $567.90–$6,825.90 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $361.46–$4,436.84 $556.10–$6,825.90 varies
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $331.63–$4,722.25 $510.20–$7,265 varies
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $395.20–$4,722.25 $608–$7,265 varies
Bx breast 1st lesion mr imag (19085) $4,436.84 $6,825.90 2.1×
Bx breast 1st lesion strtctc (19081) $4,436.84 $6,825.90 2.1×
Bx breast 1st lesion us imag (19083) $4,436.84 $6,825.90 2.1×
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $157.04–$4,436.84 $241.60–$6,825.90 varies
Bx Cervix (57500)
range across 2 matching MRF lines		 $173.88–$3,589.50 $267.50–$5,522.30 varies
Bx prostate in-bore CT/MRI trgt les only 1st (55714) $5,609.63 $8,630.20 0.8×
Bx prostate transperineal ultrasound-guided (55709) $5,609.63 $8,630.20 1.3×
Bx prst8 in-bore CT/MRI bx 1 (55713) $5,609.63 $8,630.20 0.8×
Bx/exc lymph node open deep axillary node (38525) $10,486 $16,132.30 2.1×
Bx/exc lymph node open superficial (38500) $10,486 $16,132.30 2.1×
Canthotomy Separate Procedure (67715)
range across 2 matching MRF lines		 $248.17–$6,388.52 $381.80–$9,828.50 varies
Catheter aspiration nasotracheal spx (31720)
range across 4 matching MRF lines		 $121.81–$627.64 $187.40–$965.60 varies
Cessj Therapy Cath Removal (37214) $8,619.06 $13,260.10 2.2×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $120.25–$1,002.62 $185–$1,542.50 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $78.91–$957.32 $121.40–$1,472.80 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $86.58–$589.10 $133.20–$906.30 varies
Chemical Pleurodesis (32560) $2,548.65 $3,921 3.2×
Chest tube placement (32551)
range across 2 matching MRF lines		 $353.08–$4,253.92 $543.20–$6,544.50 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $10,019.68 $15,414.90 2.2×
Chorionic Villus Sampling (59015) $3,589.50 $5,522.30 3.1×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $915.14–$4,382.56 $1,407.90–$6,742.40 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,164.02–$4,382.56 $1,790.80–$6,742.40 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $110.30–$380.64 $169.70–$585.60 varies
Closed rx talotarsal disloc,anesth (28575)
range across 4 matching MRF lines		 $817.12–$8,884.98 $1,257.10–$13,669.20 varies
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $703.04–$988.91 $1,081.60–$1,521.40 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $996.32–$1,301.24 $1,532.80–$2,001.90 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $1,072.89–$4,382.56 $1,650.60–$6,742.40 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $1,094.34–$1,437.93 $1,683.60–$2,212.20 varies
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $360.75–$988.91 $555–$1,521.40 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $742.10–$988.91 $1,141.70–$1,521.40 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $925.86–$1,215.24 $1,424.40–$1,869.60 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,023.16–$4,382.56 $1,574.10–$6,742.40 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $740.54–$988.91 $1,139.30–$1,521.40 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $552.18–$988.91 $849.50–$1,521.40 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $1,073.67–$4,382.56 $1,651.80–$6,742.40 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $691.54–$988.91 $1,063.90–$1,521.40 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $1,136.46–$1,492.66 $1,748.40–$2,296.40 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $1,121.18–$1,469.39 $1,724.90–$2,260.60 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $1,174.74–$4,382.56 $1,807.30–$6,742.40 varies
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $1,106.62–$2,099.30 $1,702.50–$3,229.70 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $492.44–$988.91 $757.60–$1,521.40 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,398.41–$4,382.56 $2,151.40–$6,742.40 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $138.64–$4,056.32 $213.30–$6,240.50 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $219.05–$8,880.76 $337–$13,662.70 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $1,169.42–$1,529.06 $1,799.10–$2,352.40 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $820.24–$1,077.50 $1,261.90–$1,657.70 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $729.82–$988.91 $1,122.80–$1,521.40 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $974.16–$4,382.56 $1,498.70–$6,742.40 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $602.74–$988.91 $927.30–$1,521.40 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,104.35–$4,382.56 $1,699–$6,742.40 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $629.52–$988.91 $968.50–$1,521.40 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,108.90–$4,382.56 $1,706–$6,742.40 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $632.58–$988.91 $973.20–$1,521.40 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $592.74–$988.91 $911.90–$1,521.40 varies
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines		 $480.22–$988.91 $738.80–$1,521.40 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $790.34–$4,382.56 $1,215.90–$6,742.40 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $507–$988.91 $780–$1,521.40 varies
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $447.26–$988.91 $688.10–$1,521.40 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $72.80–$988.91 $112–$1,521.40 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $999.38–$4,382.56 $1,537.50–$6,742.40 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $650.98–$988.91 $1,001.50–$1,521.40 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $595.86–$988.91 $916.70–$1,521.40 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $340.80–$957.32 $524.30–$1,472.80 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $470.99–$2,099.30 $724.60–$3,229.70 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $573.62–$988.91 $882.50–$1,521.40 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $808.73–$4,382.56 $1,244.20–$6,742.40 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $559.06–$988.91 $860.10–$1,521.40 varies
Clsd tx fx orbit except blowout w/o manipulation (21400)
range across 2 matching MRF lines		 $402.87–$2,099.30 $619.80–$3,229.70 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $971.82–$4,382.56 $1,495.10–$6,742.40 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $728.32–$988.91 $1,120.50–$1,521.40 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,166.36 $1,794.40 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $807.95–$4,382.56 $1,243–$6,742.40 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $539.96–$988.91 $830.70–$1,521.40 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $692.32–$988.91 $1,065.10–$1,521.40 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $764.34–$992.42 $1,175.90–$1,526.80 varies
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517)
range across 2 matching MRF lines		 $1,631.18–$4,382.56 $2,509.50–$6,742.40 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $922.09–$1,210.17 $1,418.60–$1,861.80 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $691.54–$988.91 $1,063.90–$1,521.40 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $668.59–$988.91 $1,028.60–$1,521.40 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $467.16–$988.91 $718.70–$1,521.40 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $791.12–$1,034.28 $1,217.10–$1,591.20 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,219.98–$4,382.56 $1,876.90–$6,742.40 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,596.72–$4,382.56 $2,456.50–$6,742.40 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $1,184.76–$1,552.40 $1,822.70–$2,388.30 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $1,134.96–$1,491.62 $1,746.10–$2,294.80 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,763.64–$4,382.56 $2,713.30–$6,742.40 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $359.97–$988.91 $553.80–$1,521.40 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $301.02–$988.91 $463.10–$1,521.40 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $343.14–$988.91 $527.90–$1,521.40 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $291–$988.91 $447.70–$1,521.40 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,174.03–$4,382.56 $1,806.20–$6,742.40 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $738.27–$988.91 $1,135.80–$1,521.40 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $631.80–$988.91 $972–$1,521.40 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $922.09–$1,207.12 $1,418.60–$1,857.10 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $412.82–$988.91 $635.10–$1,521.40 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $761.22–$997.49 $1,171.10–$1,534.60 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $1,217.64–$4,382.56 $1,873.30–$6,742.40 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $1,185.47–$4,382.56 $1,823.80–$6,742.40 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $1,111.24–$4,382.56 $1,709.60–$6,742.40 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $294.12–$1,094.80 $452.50–$1,684.30 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $221.32–$988.91 $340.50–$1,521.40 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $640.25–$988.91 $985–$1,521.40 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,046.11–$4,382.56 $1,609.40–$6,742.40 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $745.94–$988.91 $1,147.60–$1,521.40 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $720.66–$988.91 $1,108.70–$1,521.40 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $700.76–$988.91 $1,078.10–$1,521.40 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $737.49–$988.91 $1,134.60–$1,521.40 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $463.32–$988.91 $712.80–$1,521.40 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,368.51–$4,382.56 $2,105.40–$6,742.40 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $996.32–$1,306.30 $1,532.80–$2,009.70 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $967.98–$4,382.56 $1,489.20–$6,742.40 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $691.54–$988.91 $1,063.90–$1,521.40 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,022.38–$4,382.56 $1,572.90–$6,742.40 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $1,078.28–$1,410.63 $1,658.90–$2,170.20 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines		 $183.04–$988.91 $281.60–$1,521.40 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $4,382.56 $6,742.40 2.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $961.87–$4,382.56 $1,479.80–$6,742.40 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $1,193.14–$4,382.56 $1,835.60–$6,742.40 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,365.46–$4,382.56 $2,100.70–$6,742.40 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $848.51–$1,112.93 $1,305.40–$1,712.20 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $1,876.22–$4,382.56 $2,886.50–$6,742.40 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $701.48–$988.91 $1,079.20–$1,521.40 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $779.61–$1,022.84 $1,199.40–$1,573.60 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,052.22–$4,382.56 $1,618.80–$6,742.40 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $712.20–$988.91 $1,095.70–$1,521.40 varies
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315)
range across 2 matching MRF lines		 $1,839.50–$8,884.98 $2,830–$13,669.20 varies
Collect Blood From Catheter Venous Nos (36592) $380.64 $585.60 2.3×
Collection of venous blood by venipuncture (36415)
range across 11 matching MRF lines		 $15.21–$26.91 $23.40–$41.40 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $768.88–$8,706.75 $1,182.90–$13,395 varies
Colposcopy cervix upper/adjacent vagina (57452) $829.34 $1,275.90 3.2×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $416.65–$7,837.38 $641–$12,057.50 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $177.71–$531.38 $273.40–$817.50 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $129.48–$380.64 $199.20–$585.60 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $375.24–$2,099.30 $577.30–$3,229.70 varies
Conversion ext bil drg cath (47535) $10,019.68 $15,414.90 2.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $5,194.67 $7,991.80 2.1×
Convert Nephrostomy Catheter (50434) $5,609.63 $8,630.20 2.1×
Cordocentesis (59012) $1,253.98 $1,929.20 3.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,436.84 $6,825.90 2.1×
Csf shunt reprogram (62252)
range across 2 matching MRF lines		 $106.47–$1,223.17 $163.80–$1,881.80 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $244.34–$531.38 $375.90–$817.50 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $303.29–$957.32 $466.60–$1,472.80 varies
Curettage postpartum (59160)
range across 2 matching MRF lines		 $434.26–$8,706.75 $668.10–$13,395 varies
Curette/treat cornea (65435) $158.54 $243.90 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $5,609.63 $8,630.20 2.1×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $347.68–$5,609.63 $534.90–$8,630.20 varies
Cysto w/insert ureteral stent (52332) $9,444.56 $14,530.10 2.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $346.19–$5,609.63 $532.60–$8,630.20 varies
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $183.04–$1,827.80 $281.60–$2,812 varies
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290)
range across 2 matching MRF lines		 $554.45–$5,609.63 $853–$8,630.20 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $61.30–$2,523.43 $94.30–$3,882.20 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $954.98–$7,837.38 $1,469.20–$12,057.50 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $637.98–$2,900.43 $981.50–$4,462.20 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $353.86–$2,523.43 $544.40–$3,882.20 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $32.96–$180.05 $50.70–$277 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $54.40–$180.05 $83.70–$277 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $515.38–$4,436.84 $792.90–$6,825.90 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $139.42–$1,647.04 $214.50–$2,533.90 varies
Declot vascular device (36593) $1,367.34 $2,103.60 3.3×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $209.10–$8,706.75 $321.70–$13,395 varies
Destr W Neurolytic; Celiac Plexus (64680) $3,670.03 $5,646.20 3.3×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $2,673.71–$5,347.42 $4,113.40–$8,226.80 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $2,673.71–$5,347.42 $4,113.40–$8,226.80 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $160.10–$586.76 $246.30–$902.70 varies
Destruction neurolytic agt genicular nerve w/img (64624) $5,347.42 $8,226.80 2.2×
Dilat Xst Trc New Access Rcs (50437) $9,444.56 $14,530.10 2.1×
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $199.16–$1,827.80 $306.40–$2,812 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $146.32–$1,002.62 $225.10–$1,542.50 varies
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $539.96–$8,706.75 $830.70–$13,395 varies
Dilation Salivary Duct (42650)
range across 2 matching MRF lines		 $138.64–$4,056.32 $213.30–$6,240.50 varies
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $215.22–$2,854.80 $331.10–$4,392 varies
Drain/inj small joint/bursa w/us (20604) $1,216.86 $1,872.10 3.1×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $333.12–$2,900.43 $512.50–$4,462.20 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 4 matching MRF lines		 $375.24–$4,436.84 $577.30–$6,825.90 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $291–$2,900.43 $447.70–$4,462.20 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $434.98–$4,436.84 $669.20–$6,825.90 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $254.28–$957.32 $391.20–$1,472.80 varies
Drainage of eye (65800) $6,245.52 $9,608.50 2.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $330.07–$819.13 $507.80–$1,260.20 varies
Drainage of gum lesion (41800)
range across 5 matching MRF lines		 $368.36–$380.64 $566.70–$585.60 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $275.73–$4,436.84 $424.20–$6,825.90 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $194.54–$2,900.43 $299.30–$4,462.20 varies
Drainage of mouth lesion (41017)
range across 2 matching MRF lines		 $795.73–$8,880.76 $1,224.20–$13,662.70 varies
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $284.12–$957.32 $437.10–$1,472.80 varies
Drainage of palmar bursa single bursa (26025)
range across 2 matching MRF lines		 $990.21–$8,884.98 $1,523.40–$13,669.20 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $391.36–$4,436.84 $602.10–$6,825.90 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $496.28–$5,609.63 $763.50–$8,630.20 varies
Draw Blood Off Venous Device (36591) $380.64 $585.60 2.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $279.56–$2,900.43 $430.10–$4,462.20 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $306.34–$1,647.04 $471.30–$2,533.90 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $255.84–$819.13 $393.60–$1,260.20 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $129.48–$589.10 $199.20–$906.30 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $1,835.02–$3,670.03 $2,823.10–$5,646.20 varies
Dx Bone Marrow Bx & Aspir (38222) $7,837.38 $12,057.50 2.1×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $298.68–$4,722.25 $459.50–$7,265 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $368.36–$4,722.25 $566.70–$7,265 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $193.76–$2,854.80 $298.10–$4,392 varies
Egd control bleeding any (43255) $5,194.67 $7,991.80 2.1×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $400.53–$3,864.90 $616.20–$5,946 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $376.80–$3,864.90 $579.70–$5,946 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243)
range across 2 matching MRF lines		 $539.18–$5,194.67 $829.50–$7,991.80 varies
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $454.94–$5,194.67 $699.90–$7,991.80 varies
Egd Tube/Cath Insertion (43241)
range across 2 matching MRF lines		 $323.96–$5,194.67 $498.40–$7,991.80 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,223.17 $1,881.80 3.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $1,223.17 $1,881.80 3.1×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $144.76–$829.34 $222.70–$1,275.90 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $626.47–$8,619.06 $963.80–$13,260.10 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $8,619.06 $13,260.10 2.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines		 $1,621.23–$7,540.65 $2,494.20–$11,601 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $1,652.62–$7,540.65 $2,542.50–$11,601 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $259.61–$2,854.80 $399.40–$4,392 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $340.08–$8,706.75 $523.20–$13,395 varies
Ercp remove calculi/debris biliary/pancreas duct (43264) $822.51 $1,265.40 0.2×
Ercp,Sphincterotomy (43262) $805.68 $1,239.50 0.2×
Escharotomy; initial incision (16035)
range across 2 matching MRF lines		 $448.04–$1,647.04 $689.30–$2,533.90 varies
Esophagoscopy Flexible Transoral Diagnostic (43200) $200.66 $308.70 0.2×
Esophagoscopy Flexible W/Bleeding Control (43227)
range across 2 matching MRF lines		 $374.53–$5,194.67 $576.20–$7,991.80 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $75.86–$380.64 $116.70–$585.60 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 4 matching MRF lines		 $196.82–$2,900.43 $302.80–$4,462.20 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $318.32–$3,737.50 $489.73–$5,750 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 4 matching MRF lines		 $5,243.03–$10,486 $8,066.20–$16,132.30 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $309.40–$2,900.43 $476–$4,462.20 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $192.27–$4,436.84 $295.80–$6,825.90 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $253.50–$2,900.43 $390–$4,462.20 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $350.02–$2,900.43 $538.50–$4,462.20 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $625.69–$7,837.38 $962.60–$12,057.50 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $263.44–$4,860.50 $405.30–$7,477.70 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $245.83–$1,647.04 $378.20–$2,533.90 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 8 matching MRF lines		 $268.84–$2,900.43 $413.60–$4,462.20 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $385.26–$4,436.84 $592.70–$6,825.90 varies
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $10,019.68 $15,414.90 2.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 6 matching MRF lines		 $225.16–$5,609.63 $346.40–$8,630.20 varies
Exchange Transfusion Blood Newborn (36450) $1,782.95 $2,743 3.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $5,194.67 $7,991.80 2.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $2,900.43 $4,462.20 3.2×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $592.74–$7,540.65 $911.90–$11,601 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $731.38–$4,436.84 $1,125.20–$6,825.90 varies
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $798–$4,436.84 $1,227.70–$6,825.90 varies
External cephalic version (59412) $8,706.75 $13,395 2.1×
Fetal Contraction Stress Test (59020) $730.08 $1,123.20 2.9×
Fetal non-stress test (59025) $730.08 $1,123.20 2.9×
Fetal Scalp Blood Sampling (59030) $1,253.98 $1,929.20 3.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,900.43 $4,462.20 3.2×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $126.36–$1,647.04 $194.40–$2,533.90 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $206.05–$2,900.43 $317–$4,462.20 varies
Fluoro exam of g/colon tube (49465) $721.04 $1,109.30 2.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $2,900.43 $4,462.20 3.2×
Fna bx w/us gdn 1st les (10005) $2,900.43 $4,462.20 3.2×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $130.98–$1,002.62 $201.50–$1,542.50 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 2 matching MRF lines		 $1,412.90–$7,540.65 $2,173.70–$11,601 varies
Guide Cathet Fluid Drainage (10030) $2,900.43 $4,462.20 3.2×
Hysteroscopy Biopsy (58558) $8,706.75 $13,395 2.1×
Hysteroscopy Endometrial Ablation (58563) $13,517.86 $20,796.70 2.1×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720)
range across 2 matching MRF lines		 $892.19–$8,880.76 $1,372.60–$13,662.70 varies
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $317.85–$957.32 $489–$1,472.80 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $248.17–$819.13 $381.80–$1,260.20 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,196.20–$7,837.38 $1,840.30–$12,057.50 varies
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $237.44–$3,758.36 $365.30–$5,782.10 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $396.70–$2,900.43 $610.30–$4,462.20 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $244.34–$2,900.43 $375.90–$4,462.20 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $597.35–$7,837.38 $919–$12,057.50 varies
I&d thyroglossal duct cyst infected (60000)
range across 2 matching MRF lines		 $370.70–$4,056.32 $570.30–$6,240.50 varies
Icd Pocket Revision (33223) $7,540.65 $11,601 2.9×
Image Cath Fluid Colxn Visc (49405) $4,436.84 $6,825.90 2.1×
Image Cath Fluid Peri/Retro (49406) $4,436.84 $6,825.90 2.1×
Image Cath Fluid Trns/Vgnl (49407) $4,436.84 $6,825.90 2.1×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
range across 2 matching MRF lines		 $929.70–$17,536.74 $1,430.30–$26,979.60 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $257.34–$1,002.62 $395.90–$1,542.50 varies
Incise Wrist/Forearm Tendon (25290)
range across 2 matching MRF lines		 $1,037.72–$8,884.98 $1,596.50–$13,669.20 varies
Incision & drainage abscess complicated/multiple (10061)
range across 6 matching MRF lines		 $425.82–$1,647.04 $655.10–$2,533.90 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $425.04–$4,436.84 $653.90–$6,825.90 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $245.12–$1,647.04 $377.10–$2,533.90 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $254.28–$829.34 $391.20–$1,275.90 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $294.84–$1,253.98 $453.60–$1,929.20 varies
Incision of Foot Tendon (28234)
range across 3 matching MRF lines		 $635.64–$4,382.56 $977.90–$6,742.40 varies
Incision of lingual frenum (frenotomy) (41010) $4,056.32 $6,240.50 2.1×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,000.16–$4,860.50 $1,538.70–$7,477.70 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $378.36–$4,436.84 $582.10–$6,825.90 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $129.48–$2,523.43 $199.20–$3,882.20 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $104.98–$589.10 $161.50–$906.30 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 5 matching MRF lines		 $1,835.02–$3,670.03 $2,823.10–$5,646.20 varies
Inj W/Fluor Eval Cv Device (36598) $868.53 $1,336.20 3.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $3,670.03 $5,646.20 3.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,670.03 $5,646.20 3.3×
Inject Intravitreal Pharmcologic (67028) $1,352.78 $2,081.20 3.2×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $3,670.03 $5,646.20 3.3×
Injection aa&/strd genicular nrv branches w/img (64454) $2,854.80 $4,392 3.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $3,670.03 $5,646.20 3.3×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $3,670.03 $5,646.20 3.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,854.80 $4,392 3.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,854.80 $4,392 3.2×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $3,670.03 $5,646.20 3.3×
Injection Anes Superior Hypogastric Plexus (64517) $3,670.03 $5,646.20 3.3×
Injection anesthetic agent suprascapular nerve (64418) $2,854.80 $4,392 3.2×
Injection for identification of sentinel node (38792) $1,213.62 $1,867.10 2.4×
Injection Into Brain Canal (61055) $1,216.86 $1,872.10 3.1×
Injection of sclerosing solution, hemorrhoids (46500) $3,758.36 $5,782.10 3.2×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $88.08–$1,216.86 $135.50–$1,872.10 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $83.52–$1,216.86 $128.50–$1,872.10 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $94.96–$1,216.86 $146.10–$1,872.10 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $4,056.32 $6,240.50 2.1×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines		 $159.32–$3,670.03 $245.10–$5,646.20 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $145.54–$2,854.80 $223.90–$4,392 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $94.96–$2,854.80 $146.10–$4,392 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 2 matching MRF lines		 $103.42–$589.10 $159.10–$906.30 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $67.40–$589.10 $103.70–$906.30 varies
Ins cath ren art 1st bilat (36252) $9,378.66 $14,428.70 2.3×
Ins cath ren art 1st unilat (36251) $4,647.18 $7,149.50 1.2×
Ins cath ren art 2nd+ bilat (36254) $9,378.66 $14,428.70 2.3×
Ins cath ren art 2nd+ unilat (36253) $7,981.28 $12,278.90 1.1×
Ins endovas vena cava filtr (37191) $14,802.84 $22,773.60 2.1×
Ins/Rep Subq Defibrillator (33270) $90,739.42 $139,599.10 2.3×
Insert 1 Electrode Pm-Defib (33216) $23,091.38 $35,525.20 2.2×
Insert and remove bone pin (20650)
range across 2 matching MRF lines		 $393.64–$8,884.98 $605.60–$13,669.20 varies
Insert Bladder Cath Complex (51703)
range across 8 matching MRF lines		 $173.88–$638.10 $267.50–$981.70 varies
Insert cath pleura w/ image (32557) $4,253.92 $6,544.50 2.1×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $282.62–$5,194.67 $434.80–$7,991.80 varies
Insert cervical dilator (59200) $1,253.98 $1,929.20 3.2×
Insert Drug Implant Device (11981) $380.64 $585.60 2.3×
Insert Gastrostomy Tube Percutaneous (49440) $5,194.67 $7,991.80 2.1×
Insert Heart Pm Atrial (33206) $29,218.74 $44,951.90 2.2×
Insert Heart Pm Ventricular (33207) $29,218.74 $44,951.90 2.2×
Insert hepatic shunt (tips) (37182) $28,410.07 $43,707.80 1.2×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $190.71–$8,619.06 $293.40–$13,260.10 varies
Insert Pacing Lead & Connect (33224) $29,218.74 $44,951.90 2.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $4,253.92 $6,544.50 2.1×
Insert pulse gen dual leads (33213) $29,218.74 $44,951.90 2.2×
Insert pulse gen mult leads (33221) $52,820.50 $81,262.30 2.2×
Insert Pulse Gen Sngl Lead (33212) $23,091.38 $35,525.20 2.2×
Insert Temp Bladder Cath (51702)
range across 9 matching MRF lines		 $56.68–$380.64 $87.20–$585.60 varies
Insert tun ip cath perc (49418) $10,019.68 $15,414.90 2.2×
Insert tunneled cv cath (36561) $8,619.06 $13,260.10 2.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $57.46–$380.64 $88.40–$585.60 varies
Insertion indwelling tunneled pleural catheter (32550) $10,019.68 $15,414.90 2.2×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $188.44–$4,253.92 $289.90–$6,544.50 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $23,091.38 $35,525.20 2.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $10,019.68 $15,414.90 2.2×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $23,091.38 $35,525.20 2.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $190.71–$8,619.06 $293.40–$13,260.10 varies
Insj Picc Rs&I <5 Yr (36572) $2,548.65 $3,921 3.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 6 matching MRF lines		 $215.22–$4,253.92 $331.10–$6,544.50 varies
Insj Subq Impltbl Dfb Elctrd (33271) $23,091.38 $35,525.20 2.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $8,619.06 $13,260.10 2.2×
Insj/Rplcmt Defib W/Lead(S) (33249) $90,739.42 $139,599.10 2.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $23,091.38 $558.50–$35,525.20 2.2×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
range across 2 matching MRF lines		 $23,091.38 $579.70–$35,525.20 2.2×
Insrt heart pm atrial & vent (33208) $29,218.74 $44,951.90 2.2×
Insrt Pulse Gen W/Dual Leads (33230) $64,549.88 $99,307.50 2.3×
Insrt Pulse Gen W/Mult Leads (33231) $90,739.42 $139,599.10 2.3×
Insrt Pulse Gen W/Singl Lead (33240) $64,549.88 $99,307.50 2.3×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $5,580.18 $8,584.90 3.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $696.15–$1,647.04 $1,071–$2,533.90 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $891.41–$1,179.82 $1,371.40–$1,815.10 varies
Intraoral i&d tongue/floor submndblr space (41008)
range across 2 matching MRF lines		 $611.91–$8,880.76 $941.40–$13,662.70 varies
Intro cath dialysis circuit (36901) $4,253.92 $6,544.50 2.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $31,054.72 $47,776.50 2.1×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $15,612.87 $24,019.80 2.2×
Intro Gastrointestinal Tube (44500) $3,864.90 $5,946 3.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $323.96–$957.32 $498.40–$1,472.80 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $308.62–$1,002.62 $474.80–$1,542.50 varies
Laparo-vag hyst incl t/o (58552) $28,509.78 $43,861.20 2.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $2,128.94 $3,275.30 0.3×
Laparoscopy fulguration oviducts (58670) $15,976.68 $24,579.50 2.1×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $28,509.78 $43,861.20 2.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $28,509.78 $43,861.20 2.1×
Laparoscopy w/rmvl adnexal structures (58661) $15,976.68 $24,579.50 2.1×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,400.68 $2,154.90 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $28,509.78 $43,861.20 2.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $15,976.68 $24,579.50 2.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $28,509.78 $43,861.20 2.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $15,976.68 $24,579.50 2.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $15,976.68 $24,579.50 2.1×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $28,509.78 $43,861.20 2.1×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $114.92–$800.34 $176.80–$1,231.30 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $160.10–$800.34 $246.30–$1,231.30 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $307.90–$1,600.76 $473.70–$2,462.70 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $308.62–$800.34 $474.80–$1,231.30 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $456.43–$4,722.25 $702.20–$7,265 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $256.56–$1,600.76 $394.70–$2,462.70 varies
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $850.07–$8,619.06 $1,307.80–$13,260.10 varies
Ligation Of Neck Artery (37615)
range across 2 matching MRF lines		 $1,190.08–$8,619.06 $1,830.90–$13,260.10 varies
Lip Surgery Procedure (40799)
range across 2 matching MRF lines		 $95.74–$957.32 $147.30–$1,472.80 varies
Mastectomy partial (19301)
range across 3 matching MRF lines		 $5,243.03–$10,486 $8,066.20–$16,132.30 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $17,858.23 $27,474.20 2.1×
Mastectomy simple complete (19303) $17,858.23 $27,474.20 2.1×
Mech remov tunneled cv cath (36595) $8,619.06 $13,260.10 2.2×
Multifetal Pregnancy Reduction (59866) $1,253.98 $1,929.20 3.2×
Myelography Lumbar Injection (62305) $2,355.86 $3,624.40 2.4×
Myelography Lumbar Injection (62304) $2,355.86 $3,624.40 2.4×
Myelography via lumbar injection rs&i cervical (62302) $2,355.86 $3,624.40 2.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,355.86 $3,624.40 2.4×
N Block Inj Celiac Pelus (64530) $3,670.03 $5,646.20 3.3×
N Block Inj Ilio-Ing/Hypogi (64425) $2,854.80 $4,392 3.2×
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $134.81–$2,854.80 $207.40–$4,392 varies
N Block Inj Pudendal (64430) $3,670.03 $5,646.20 3.3×
N Block Lumbar/Thoracic (64520) $3,670.03 $5,646.20 3.3×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $147.81–$800.34 $227.40–$1,231.30 varies
Nasal surgery procedure (30999) $957.32 $1,472.80 3.2×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $91.20–$1,178.38 $140.30–$1,812.90 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $4,722.25 $7,265 2.1×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $18,956.34 $29,163.60 2.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $18,956.34 $29,163.60 2.1×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $1,050.14 $1,615.60 3.3×
Needle Biopsy Lymph Nodes (38505) $4,436.84 $6,825.90 2.1×
Needle Biopsy Pancreas (48102) $4,436.84 $6,825.90 2.1×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $2,120.62 $3,262.50 2.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $812.50 $1,250 1.9×
Nipple Exploration (19110) $10,486 $16,132.30 2.1×
Njx anes stellate ganglion crv sympathetic (64510) $3,670.03 $5,646.20 3.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $120.25–$1,216.86 $185–$1,872.10 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $10,421 $16,032.30 2.3×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $10,421 $16,032.30 2.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 6 matching MRF lines		 $1,835.02–$3,670.03 $2,823.10–$5,646.20 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $3,670.03 $5,646.20 3.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,854.80 $4,392 3.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $2,854.80 $4,392 3.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $3,670.03 $5,646.20 3.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $3,670.03 $5,646.20 3.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,854.80 $4,392 3.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $3,670.03 $5,646.20 3.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $2,010 $3,092.30 2.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $2,010 $3,092.30 2.3×
Obstructive material removal from gi tube (49460) $3,864.90 $5,946 3.4×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $121.81–$1,216.86 $187.40–$1,872.10 varies
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines		 $1,360.12–$8,884.98 $2,092.50–$13,669.20 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $1,196.20–$8,884.98 $1,840.30–$13,669.20 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $943.48–$8,884.98 $1,451.50–$13,669.20 varies
Open/Perq Place Stent 1St (37236) $31,054.72 $47,776.50 2.1×
Open/Perq Place Stent Same (37238) $31,054.72 $47,776.50 2.1×
Perc Cryo Ablate Renal Tum (50593) $28,509.78 $43,861.20 2.1×
Percut Ablate Liver Rf (47382) $15,976.68 $24,579.50 2.1×
Percut Cath Occlusn Non Cns Lesn (61626) $31,054.72 $47,776.50 2.1×
Percut Drain/Inject Renal Cyst (50390) $2,900.43 $4,462.20 3.2×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $527.67–$4,253.92 $811.80–$6,544.50 varies
Perm Occlusion/Embolization,Percut,Cns (61624) $45,442.86 $69,912.10 2.0×
Perq Cervicothoracic Inject (22510) $8,884.98 $13,669.20 2.1×
Perq dev breast 1st strtctc (19283) $2,077.66 $3,196.40 2.3×
Perq dev breast 1st us imag (19285) $2,077.66 $3,196.40 2.3×
Perq device breast 1st imag (19281) $4,784.46 $7,360.70 2.3×
Perq dilation xst trc endourologic px w/img (50436) $9,444.56 $14,530.10 2.1×
Perq Lumbosacral Injection (22511) $8,884.98 $13,669.20 2.1×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $15,976.68 $24,579.50 2.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,900.43 $4,462.20 3.2×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $31,054.72 $47,776.50 2.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $15,612.87 $24,019.80 2.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $19,562.20 $30,095.70 2.1×
Perq Vertebral Augmentation (22513) $19,562.20 $30,095.70 2.1×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines		 $4,647.18–$9,378.66 $7,149.50–$14,428.70 varies
Place Cath Thoracic Aorta (36221) $9,378.66 $14,428.70 2.3×
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines		 $7,981.28–$16,169.14 $12,278.90–$24,875.60 varies
Place Duod/Jej Tube Perc (49441) $5,194.67 $7,991.80 2.1×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $136.37–$1,178.38 $209.80–$1,812.90 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $19,476.08 $29,963.20 2.4×
Plmt Bile Duct Stent Prq Existing Access (47538) $15,976.68 $24,579.50 2.1×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $15,976.68 $24,579.50 2.1×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $15,976.68 $24,579.50 2.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $5,609.63 $8,630.20 2.1×
Plmt Nephroureteral Catheter (50433) $9,444.56 $14,530.10 2.1×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $9,444.56 $14,530.10 2.1×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $9,444.56 $14,530.10 2.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $9,444.56 $14,530.10 2.1×
Prim art mech thrombectomy (37184) $49,172.18 $75,649.50 2.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $111.86–$3,758.36 $172.10–$5,782.10 varies
Proctosgmdsc rigid w/dilation (45303) $196.10 $301.70 0.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 2 matching MRF lines		 $232.83–$7,509.71 $358.20–$11,553.40 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,900.43 $4,462.20 3.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $10,019.68 $15,414.90 2.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $10,019.68 $15,414.90 2.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 2 matching MRF lines		 $1,010.10–$8,884.98 $1,554–$13,669.20 varies
Pseudoaneurysm Injection Trt (36002) $2,548.65 $3,921 3.2×
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $107.25–$1,647.04 $165–$2,533.90 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $224.38–$1,647.04 $345.20–$2,533.90 varies
Puncture Aspiration Cyst Breast (19000)
range across 5 matching MRF lines		 $97.30–$2,900.43 $149.70–$4,462.20 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $2,854.80 $4,392 3.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $176.93–$2,854.80 $272.20–$4,392 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $5,347.42 $8,226.80 2.2×
Rdctj torsion tstis w/wo fixj clat testis (54600)
range across 2 matching MRF lines		 $1,049.16–$9,444.56 $1,614.10–$14,530.10 varies
Reconstruct extra finger (26587)
range across 2 matching MRF lines		 $2,445.24–$8,884.98 $3,761.90–$13,669.20 varies
Redo Endovas Vena Cava Filtr (37192) $8,619.06 $13,260.10 2.2×
Reduction of rectal prolapse (45900)
range across 2 matching MRF lines		 $495.50–$3,758.36 $762.30–$5,782.10 varies
Relocation Pocket Pacemaker (33222) $7,540.65 $11,601 2.9×
Rem Endovas Vena Cava Filter (37193) $8,619.06 $13,260.10 2.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,768.54 $4,259.30 2.4×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $262.73–$1,232.34 $404.20–$1,895.90 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $945.04–$7,837.38 $1,453.90–$12,057.50 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $727.54–$4,436.84 $1,119.30–$6,825.90 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $307.90–$2,900.43 $473.70–$4,462.20 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $345.41–$4,436.84 $531.40–$6,825.90 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $949.65–$7,837.38 $1,461–$12,057.50 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $36.01–$180.05 $55.40–$277 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $73.58–$183.62 $113.20–$282.50 varies
Removal impacted vag fb spx w/anes oth/thn local (57415)
range across 2 matching MRF lines		 $405.14–$8,706.75 $623.30–$13,395 varies
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $211.38–$2,077.66 $325.20–$3,196.40 varies
Removal of adenoids (42831) $8,880.76 $13,662.70 2.1×
Removal of adenoids (42830) $8,880.76 $13,662.70 2.1×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $292.56–$1,178.38 $450.10–$1,812.90 varies
Removal of nail bed (11750)
range across 4 matching MRF lines		 $235.10–$1,647.04 $361.70–$2,533.90 varies
Removal of tonsils (42825) $16,199.30 $24,922 2.2×
Removal of tonsils (42826) $8,880.76 $13,662.70 2.1×
Removal of tunneled intraperitoneal catheter (49422) $9,378.66 $14,428.70 2.3×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $104.20–$1,094.80 $160.30–$1,684.30 varies
Removal Pacemaker Electrode (33235) $11,554.53 $17,776.20 2.4×
Removal ppm generator only (33233) $24,997.05 $38,457 2.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $178.49–$589.10 $274.60–$906.30 varies
Removal subcutaneous cardiac rhythm monitor (33286) $2,077.66 $3,196.40 2.3×
Remove armpit lymph nodes (38740) $15,976.68 $24,579.50 2.1×
Remove cerclage suture (59871) $9,388.86 $14,444.40 2.3×
Remove drug implant device (11982)
range across 4 matching MRF lines		 $166.98–$1,178.38 $256.90–$1,812.90 varies
Remove Elctrd Transvenously (33244) $11,554.53 $17,776.20 2.4×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $987.94–$4,382.56 $1,519.90–$6,742.40 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $65.91–$380.64 $101.40–$585.60 varies
Remove groin lymph nodes (38760) $17,858.23 $27,474.20 2.1×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $151.64–$944 $233.30–$1,452.30 varies
Remove intrvas foreign body (37197) $8,619.06 $13,260.10 2.2×
Remove lung catheter (32552) $1,848.40 $2,843.70 2.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $280.34–$380.64 $431.30–$585.60 varies
Remove Pulse Generator (33241) $11,554.53 $17,776.20 2.4×
Remove renal tube w/fluoro (50389) $2,010 $3,092.30 2.3×
Remove Shoulder Foreign Body (23330)
range across 2 matching MRF lines		 $395.20–$4,436.84 $608–$6,825.90 varies
Remove&replace pm gen singl (33227) $23,091.38 $35,525.20 2.2×
Remv&replc cvd gen dual lead (33263) $64,549.88 $99,307.50 2.3×
Remv&replc cvd gen mult lead (33264) $90,739.42 $139,599.10 2.3×
Remv&replc cvd gen sing lead (33262) $64,549.88 $99,307.50 2.3×
Remv&replc pm gen dual lead (33228) $29,218.74 $44,951.90 2.2×
Remv&replc pm gen mult leads (33229) $52,820.50 $81,262.30 2.2×
Renal Biopsy Perq (50200)
range across 3 matching MRF lines		 $1,286.74–$4,436.84 $1,979.60–$6,825.90 varies
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $1,543.88–$19,562.20 $2,375.20–$30,095.70 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $1,810.38–$8,619.06 $2,785.20–$13,260.10 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $639.47–$2,523.43 $983.80–$3,882.20 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $768.10–$2,523.43 $1,181.70–$3,882.20 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $557.50–$1,647.04 $857.70–$2,533.90 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $693.88–$2,523.43 $1,067.50–$3,882.20 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $530.72–$2,523.43 $816.50–$3,882.20 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $593.52–$2,523.43 $913.10–$3,882.20 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $566.74–$2,523.43 $871.90–$3,882.20 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,446.64–$4,382.56 $2,225.60–$6,742.40 varies
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $997.10–$6,388.52 $1,534–$9,828.50 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $1,729.98–$8,884.98 $2,661.50–$13,669.20 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,391.52–$4,382.56 $2,140.80–$6,742.40 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $390.58–$1,647.04 $600.90–$2,533.90 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $461.04–$1,647.04 $709.30–$2,533.90 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $497.06–$1,647.04 $764.70–$2,533.90 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $507.78–$1,179.82 $781.20–$1,815.10 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,647.04 $2,533.90 3.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $630.30–$2,523.43 $969.70–$3,882.20 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $336.96–$1,179.82 $518.40–$1,815.10 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $452.60–$1,647.04 $696.30–$2,533.90 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $497.06–$2,523.43 $764.70–$3,882.20 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $559.06–$1,647.04 $860.10–$2,533.90 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $350.02–$1,647.04 $538.50–$2,533.90 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $440.38–$1,647.04 $677.50–$2,533.90 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $654.03–$2,523.43 $1,006.20–$3,882.20 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $474.04–$1,647.04 $729.30–$2,533.90 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $757.38–$7,540.65 $1,165.20–$11,601 varies
Repair Laceration Palate </2 Cm (42180) $2,099.30 $3,229.70 3.1×
Repair lead pace-defib dual (33220) $15,002.26 $23,080.40 3.2×
Repair Lead Pace-Defib One (33218) $15,002.26 $23,080.40 3.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $252.72–$2,523.43 $388.80–$3,882.20 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $750.49–$8,884.98 $1,154.60–$13,669.20 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $484.77–$957.32 $745.80–$1,472.80 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $358.41–$1,178.38 $551.40–$1,812.90 varies
Replace duodenostomy/jejunostomy tube perq (49451) $3,864.90 $5,946 3.4×
Replace G-J Tube Perc (49452) $3,864.90 $5,946 3.4×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $148.59–$3,864.90 $228.60–$5,946 varies
Repos Previously Implanted Subq Implantable Dfb (33273) $15,002.26 $23,080.40 3.2×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $235.88–$1,002.62 $362.90–$1,542.50 varies
Reposition L Ventric Lead (33226) $8,619.06 $13,260.10 2.2×
Reposition Pacing-Defib Lead (33215) $8,619.06 $13,260.10 2.2×
Reposition Venous Catheter (36597) $4,253.92 $6,544.50 2.1×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $15,612.87 $24,019.80 2.2×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $15,612.87 $24,019.80 2.2×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $15,612.87 $24,019.80 2.2×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $49,172.18 $75,649.50 2.1×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $49,172.18 $75,649.50 2.1×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $49,172.18 $75,649.50 2.1×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $49,172.18 $75,649.50 2.1×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $31,054.72 $47,776.50 2.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $31,054.72 $47,776.50 2.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $15,612.87 $24,019.80 2.2×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $15,612.87 $24,019.80 2.2×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $31,054.72 $47,776.50 2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $31,054.72 $47,776.50 2.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $31,054.72 $47,776.50 2.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $31,054.72 $47,776.50 2.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $49,172.18 $75,649.50 2.1×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $49,172.18 $75,649.50 2.1×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $49,172.18 $75,649.50 2.1×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $49,172.18 $75,649.50 2.1×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $49,172.18 $75,649.50 2.1×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $49,172.18 $75,649.50 2.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $5,609.63 $8,630.20 2.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $274.95–$2,768.54 $423–$4,259.30 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $219.83–$4,436.84 $338.20–$6,825.90 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $93.47–$1,178.38 $143.80–$1,812.90 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $113.36–$380.64 $174.40–$585.60 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $81.96–$1,178.38 $126.10–$1,812.90 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $533.78–$4,860.50 $821.20–$7,477.70 varies
Rmvl of subq implantable defibrillator electrode (33272) $11,554.53 $17,776.20 2.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $11,554.53 $17,776.20 2.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $432.70–$4,712.30 $665.70–$7,249.70 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $310.96–$1,848.40 $478.40–$2,843.70 varies
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $85.80–$1,002.62 $132–$1,542.50 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $201.44–$1,002.62 $309.90–$1,542.50 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $146.32–$4,253.92 $225.10–$6,544.50 varies
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $8,619.06 $13,260.10 2.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,253.92 $6,544.50 2.1×
Rplcmt compl tun ctr vad w/subq port (36582) $8,619.06 $13,260.10 2.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $8,619.06 $13,260.10 2.2×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,867.84–$3,505.32 $2,873.60–$5,392.80 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $215.22–$589.10 $331.10–$906.30 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $738.27–$2,523.43 $1,135.80–$3,882.20 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $849.29–$2,099.30 $1,306.60–$3,229.70 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $745.16–$2,099.30 $1,146.40–$3,229.70 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $997.88–$4,056.32 $1,535.20–$6,240.50 varies
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $6,245.52 $9,608.50 2.1×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,503.32–$8,884.98 $2,312.80–$13,669.20 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,548.65 $3,921 3.2×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370)
range across 2 matching MRF lines		 $1,816.49–$8,884.98 $2,794.60–$13,669.20 varies
Sclerotx Fluid Collection (49185) $4,436.84 $6,825.90 2.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $8,880.76 $13,662.70 2.1×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 4 matching MRF lines		 $384.48–$8,880.76 $591.50–$13,662.70 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $291.78–$1,179.82 $448.90–$1,815.10 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $127.92–$589.10 $196.80–$906.30 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $132.54–$589.10 $203.90–$906.30 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $352.30–$1,179.82 $542–$1,815.10 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $170.04–$589.10 $261.60–$906.30 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $399.04–$589.10 $613.90–$906.30 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $102.64–$589.10 $157.90–$906.30 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $331.63–$819.13 $510.20–$1,260.20 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $167.76–$589.10 $258.10–$906.30 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,844.83–$7,540.65 $2,838.20–$11,601 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $214.44–$7,540.65 $329.90–$11,601 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $192.98–$7,540.65 $296.90–$11,601 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $443.43–$15,091.57 $682.20–$23,217.80 varies
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $95.74–$589.10 $147.30–$906.30 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $510.84–$7,540.65 $785.90–$11,601 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines		 $7,981.28–$16,169.14 $12,278.90–$24,875.60 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 3 matching MRF lines		 $4,647.18–$9,378.66 $7,149.50–$14,428.70 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines		 $7,981.28–$16,169.14 $12,278.90–$24,875.60 varies
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $327.02–$5,609.63 $503.10–$8,630.20 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $134.81–$589.10 $207.40–$906.30 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $216–$1,179.82 $332.30–$1,815.10 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $267.28–$1,179.82 $411.20–$1,815.10 varies
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $147.81–$2,854.80 $227.40–$4,392 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $42.90–$180.05 $66–$277 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $45.24–$180.05 $69.60–$277 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $40.62–$380.64 $62.50–$585.60 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $25.28–$180.05 $38.90–$277 varies
Strapping Unna Boot (29580)
range across 6 matching MRF lines		 $59.74–$650.46 $91.90–$1,000.70 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $8,880.76 $13,662.70 2.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $536.12–$6,388.52 $824.80–$9,828.50 varies
Suture 1 nerve hand/foot common sensory nerve (64834)
range across 2 matching MRF lines		 $1,743.76–$17,536.74 $2,682.70–$26,979.60 varies
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $1,458.86–$19,562.20 $2,244.40–$30,095.70 varies
Suture pharynx for wound or injury (42900)
range across 2 matching MRF lines		 $768.10–$4,056.32 $1,181.70–$6,240.50 varies
Suture/repair testicular injury (54670)
range across 2 matching MRF lines		 $949.65–$9,444.56 $1,461–$14,530.10 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $85.80–$819.13 $132–$1,260.20 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $77,847.32 $119,765.10 2.1×
Tcat Insj/Rpl Perm Ldls Pm (33274) $52,223.92 $80,344.50 2.1×
Tenotomy Percutaneous Single Each Digit (26060) $4,382.56 $6,742.40 2.2×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $489.38–$4,382.56 $752.90–$6,742.40 varies
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $238.22–$2,854.80 $366.50–$4,392 varies
Therapeutic Apheresis White Blood Cells (36511) $6,685.44 $10,285.30 3.4×
Therapeutic plasma exchange (36514) $6,685.44 $10,285.30 3.4×
Thrmbc/Nfs Dialysis Circuit (36906) $49,172.18 $75,649.50 2.1×
Thromblytic art/ven therapy (37213) $8,619.06 $13,260.10 2.2×
Thrombolytic Art Therapy (37211) $14,802.84 $22,773.60 2.1×
Thrombolytic Therapy Stroke (37195) $1,367.34 $2,103.60 3.3×
Thrombolytic Venous Therapy (37212) $8,619.06 $13,260.10 2.2×
Thyroid biopsy (60100)
range across 3 matching MRF lines		 $841.16–$2,900.43 $1,294.10–$4,462.20 varies
Tlh uterus over 250 g (58572) $28,509.78 $43,861.20 2.1×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $8,880.76 $13,662.70 2.1×
Tooth extraction (41899)
range across 2 matching MRF lines		 $95.74–$957.32 $147.30–$1,472.80 varies
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $266.50–$2,099.30 $410–$3,229.70 varies
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $755.88–$991.38 $1,162.90–$1,525.20 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $728.32–$4,056.32 $1,120.50–$6,240.50 varies
Transcatheter biopsy (37200) $14,802.84 $22,773.60 2.1×
Transrectal Drainage of Pelvic Abscess (45000) $4,860.50 $7,477.70 3.2×
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $1,129.57–$8,884.98 $1,737.80–$13,669.20 varies
Treat Hip Socket Fracture (27222)
range across 2 matching MRF lines		 $2,290.54–$3,001.38 $3,523.90–$4,617.50 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $809.51–$1,061.26 $1,245.40–$1,632.70 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,081.34–$4,382.56 $1,663.60–$6,742.40 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $768.88–$1,003.54 $1,182.90–$1,543.90 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $1,374.62–$8,884.98 $2,114.80–$13,669.20 varies
Treat Knee Fracture(S) (27538)
range across 2 matching MRF lines		 $1,077.50–$1,410.63 $1,657.70–$2,170.20 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $759.72–$992.42 $1,168.80–$1,526.80 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $546.84–$988.91 $841.30–$1,521.40 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $464.88–$988.91 $715.20–$1,521.40 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $922.80–$1,207.12 $1,419.70–$1,857.10 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $950.36–$4,382.56 $1,462.10–$6,742.40 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $260.39–$988.91 $400.60–$1,521.40 varies
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $279.56–$829.34 $430.10–$1,275.90 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $825.56–$1,079.52 $1,270.10–$1,660.80 varies
Treatment mouth roof lesion (42160)
range across 2 matching MRF lines		 $324.74–$8,880.76 $499.60–$13,662.70 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $35.23–$589.10 $54.20–$906.30 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $50.57–$589.10 $77.80–$906.30 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $64.35–$819.13 $99–$1,260.20 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $15.54–$180.05 $23.90–$277 varies
Trluml Balo Angiop 1St Art (37246) $15,612.87 $24,019.80 2.2×
Trluml Balo Angiop 1St Vein (37248) $15,612.87 $24,019.80 2.2×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $49.08–$923.58 $75.50–$1,420.90 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $714.54–$8,706.75 $1,099.30–$13,395 varies
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $563.68–$4,382.56 $867.20–$6,742.40 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 2 matching MRF lines		 $668.59–$4,382.56 $1,028.60–$6,742.40 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $438.10–$2,523.43 $674–$3,882.20 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $325.52–$1,647.04 $500.80–$2,533.90 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $459.48–$988.91 $706.90–$1,521.40 varies
Tympanostomy general anesthesia (69436) $4,056.32 $6,240.50 2.1×
Unlisted Cardiac Surgery (33999) $2,548.65 $3,921 3.2×
Unlisted Procedure Endocrine System (60699) $15,976.68 $24,579.50 2.1×
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $609.34–$3,320.52 $937.44–$5,108.50 varies
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $95.74–$988.91 $147.30–$1,521.40 varies
Unlisted Procedure Intestine (44799)
range across 4 matching MRF lines		 $95.74–$3,864.90 $147.30–$5,946 varies
Unlisted procedure liver (47399) $2,900.43 $4,462.20 3.2×
Unlisted procedure lungs and pleura (32999) $2,548.65 $3,921 3.2×
Unlisted Procedure Male Genital System (55899)
range across 4 matching MRF lines		 $95.74–$1,002.62 $147.30–$1,542.50 varies
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $95.74–$988.91 $147.30–$1,521.40 varies
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $95.74–$1,216.86 $147.30–$1,872.10 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $95.74–$957.32 $147.30–$1,472.80 varies
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $95.74–$3,758.36 $147.30–$5,782.10 varies
Unlisted Procedure Tongue Floor Mouth (41599)
range across 2 matching MRF lines		 $95.74–$957.32 $147.30–$1,472.80 varies
Unlisted Procedure Trachea Bronchi (31899)
range across 2 matching MRF lines		 $95.74–$1,512.03 $147.30–$2,326.20 varies
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $95.74–$2,548.65 $147.30–$3,921 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 3 matching MRF lines		 $95.74–$3,864.90 $147.30–$5,946 varies
Upgrade of pacemaker system (33214) $29,218.74 $44,951.90 2.2×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,837.16–$8,706.75 $2,826.40–$13,395 varies
Vasc embolize/occlude artery (37242) $49,172.18 $75,649.50 2.1×
Vasc Embolize/Occlude Bleed (37244) $31,054.72 $47,776.50 2.1×
Vasc Embolize/Occlude Organ (37243) $31,054.72 $47,776.50 2.1×
Vasc embolize/occlude venous (37241) $31,054.72 $47,776.50 2.1×
Venous Mech Thrombectomy (37187) $31,054.72 $47,776.50 2.1×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $216–$1,179.82 $332.30–$1,815.10 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.