Procedures & surgery prices at Baylor Scott and White Medical Center Uptown

Dallas, TX · every code in this section with a posted price and a Medicare benchmark.

2384 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen Surgery Procedure (22999) $2,079.60 $3,466 8.4×
Ablate inf turbinate submuc (30802) $627.60 $1,046 0.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Acromiopl/Acromionect Partial (23130) $2,646 $4,410 0.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,071 $1,785 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,071 $1,785 0.5×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,575.60 $2,626 0.4×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,071 $1,785 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,071 $1,785 0.5×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,071 $1,785 0.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,071 $1,785 0.5×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,071 $1,785 0.5×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,071 $1,785 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,071 $1,785 0.3×
Amputate Metacarpal Bone (26910) $1,071 $1,785 0.3×
Amputate Thigh,Re-Amputatn (27596) $2,078.40 $3,464 0.6×
Amputation follow-up surgery (27594) $2,078.40 $3,464 0.6×
Amputation Foot Midtarsal (28800) $2,078.40 $3,464 0.6×
Amputation foot transmetarsal (28805) $2,078.40 $3,464 0.6×
Amputation metatarsal with toe single (28810) $1,575.60 $2,626 0.5×
Amputation thigh through femur any level (27590) $2,078.40 $3,464 0.6×
Amputation toe interphalangeal joint (28825) $1,575.60 $2,626 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,575.60 $2,626 0.5×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $2,078.40 $3,464 0.6×
Amputation, arm through humerus; with primary closure Facility (24900)
likely a partial charge, not the full procedure		 $1,943.40 $3,239 0.2×
Amputation, forearm, through radius and ulna; Facility (25900)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905)
unusually low: confirm this is the full procedure		 $3,537 $5,895 0.5×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $2,078.40 $3,464 0.6×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,078.40 $3,464 0.6×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,078.40 $3,464 0.6×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $2,078.40 $3,464 0.6×
Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) $2,078.40 $3,464 0.6×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) $2,078.40 $3,464 0.6×
Ankle Arthroscopy/Surgery (29892)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Ankle disarticulation (27889)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,575.60 $2,626 0.6×
Anoscopy diagnostic (46600) $1,575.60 $2,626 11.8×
Anoscopy; with biopsy, single or multiple (46606) $1,575.60 $2,626 1.3×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $627.60 $1,046 0.2×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.4×
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.4×
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,575.60 $2,626 1.0×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $135–$190.80 $225–$318 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $135–$190.80 $225–$318 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $135–$190.80 $225–$318 varies
Application Halo Type Body Cast (29000) $3,208.80 $5,348 11.4×
Application Hip Spica Cast 1 Leg (29305)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $227.40–$315.60 $379–$526 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.0×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $227.40–$315.60 $379–$526 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $227.40–$315.60 $379–$526 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $227.40–$315.60 $379–$526 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $465–$465.60 $775–$776 varies
Apply Multlay Comprs Lwr Leg (29581) $172.20 $287 1.1×
Apply Short Leg Cast (29405) $627.60 $1,046 2.2×
Apply short leg cast (29425)
range across 2 matching MRF lines		 $452.40–$841.20 $754–$1,402 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Arterial puncture (36600)
range across 2 matching MRF lines		 $36.60–$46.20 $61–$77 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure		 $1,432.80 $2,388 0.1×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $452.40–$2,118 $754–$3,530 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $629.40 $1,049 2.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Arthrodesis Glenohumeral Joint (23800)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $1,575.60 $2,626 0.5×
Arthrodesis knee any technique (27580)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Arthrodesis Posterior Interbody Lumbar (22630)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.1×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Arthrodesis Posterior/Posterolateral Thoracic (22610)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Arthrodesis sacroiliac joint percutaneous (27279) $20,959.20 $34,932 1.2×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Arthrodesis Wrist Complete W/O Bone Graft (25800)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Arthrodesis, wrist; with sliding graft Facility (25805)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroplasty Ankle (27700)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroplasty ankle revision total ankle (27703)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.2×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $3,485.40 $5,809 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.2×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Arthroplasty interphalangeal joint each (26535) $2,078.40 $3,464 0.6×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $2,646 $4,410 0.8×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure		 $2,079.60 $3,466 0.2×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Arthroplasty with prosthetic replacement; distal radius Facility (25441)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Arthroplasty with prosthetic replacement; lunate Facility (25444)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362)
likely a partial charge, not the full procedure		 $2,473.80 $4,123 0.2×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443)
likely a partial charge, not the full procedure		 $2,473.80 $4,123 0.2×
Arthroplasty, patella; without prosthesis (27437)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Arthroplasty, temporomandibular joint, with allograft Facility (21242)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $2,473.80 $4,123 1.5×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $2,078.40 $3,464 0.6×
Arthroscopy Ankle Surgical Debridement Limited (29897) $1,575.60 $2,626 0.5×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroscopy ankle w/removal loose/foreign body (29894) $1,575.60 $2,626 0.5×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $2,078.40 $3,464 0.6×
Arthroscopy Elbow Surgical Debridement Limited (29837) $2,078.40 $3,464 0.6×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $2,078.40 $3,464 0.6×
Arthroscopy hip w/femoroplasty (29914)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $2,078.40 $3,464 0.6×
Arthroscopy Knee Osteochondral Allograft (29867)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,078.40 $3,464 0.6×
Arthroscopy knee synovectomy limited spx (29875) $2,078.40 $3,464 0.6×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,575.60 $2,626 0.5×
Arthroscopy shoulder distal claviculectomy (29824) $2,646 $4,410 0.8×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $2,078.40 $3,464 0.6×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $1,575.60 $2,626 0.5×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $2,078.40 $3,464 0.6×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
likely a partial charge, not the full procedure		 $2,080.20 $3,467 0.3×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $2,078.40 $3,464 0.6×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Arthroscopy, knee, surgical; with lateral release (29873) $2,078.40 $3,464 0.6×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $2,646 $4,410 0.8×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $2,646 $4,410 0.8×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $2,078.40 $3,464 0.6×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $2,078.40 $3,464 0.6×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $2,078.40 $3,464 0.6×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $2,078.40 $3,464 0.6×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) $1,575 $2,625 0.5×
Arthroscopy, temporomandibular joint, surgical Facility (29804) $1,575.60 $2,626 0.5×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $2,078.40 $3,464 0.6×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) $2,078.40 $3,464 0.6×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,071 $1,785 0.3×
Arthrotomy biopsy interphalangeal joint each (26110) $1,071 $1,785 0.7×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $1,576.20 $2,627 0.5×
Arthrotomy W/Biopsy Hip Joint (27052) $3,957.60 $6,596 2.5×
Arthrotomy W/Meniscus Repair Knee (27403)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Arthrotomy W/Synovectomy Ankle (27625) $1,071 $1,785 0.3×
Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) $1,071 $1,785 0.3×
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $1,071 $1,785 0.3×
Arthrotomy Wrist Joint With Biopsy (25100) $1,575.60 $2,626 0.5×
Arthrotomy wrist joint with synovectomy (25105) $1,575.60 $2,626 0.5×
Arthrotomy, elbow; with synovial biopsy only Facility (24100) $1,575.60 $2,626 0.5×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $627.60 $1,046 0.2×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $1,473 $2,455 0.2×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $1,071 $1,785 0.3×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $1,459.80 $2,433 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $5,738.40 $9,564 1.7×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $3,592.20 $5,987 0.3×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $2,078.40 $3,464 0.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,575.60 $2,626 0.5×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $2,078.40 $3,464 0.6×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,078.40 $3,464 0.6×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $2,078.40 $3,464 0.6×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,646 $4,410 0.8×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $627.60 $1,046 0.2×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,071 $1,785 0.3×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $1,575.60 $2,626 0.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,575.60 $2,626 1.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $1,575.60 $2,626 0.5×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $1,575.60 $2,626 0.5×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $5,738.40 $9,564 1.7×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,071 $1,785 0.7×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,071 $1,785 0.3×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $1,071 $1,785 0.3×
Arthrt w/synvct kne ant&post w/pop area (27335)
likely a partial charge, not the full procedure		 $1,473 $2,455 0.2×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $1,575.60 $2,626 0.5×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,575.60–$1,578 $2,626–$2,630 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Aspiration & Injection Treatment Bone Cyst (20615)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $1,575.60 $2,626 0.7×
Autologous Chondrocyte Implantation Knee (27412)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Biopsy Abdominal Mass (49180) $2,078.40 $3,464 1.3×
Biopsy bone open deep (20245) $1,071 $1,785 0.4×
Biopsy bone open superficial (20240) $1,071 $1,785 0.4×
Biopsy bone trocar/needle deep (20225) $1,071 $1,785 0.6×
Biopsy Bone Trocar/Needle Superficial (20220) $1,071 $1,785 0.6×
Biopsy external ear (69100) $627.60 $1,046 2.6×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Biopsy Muscle Superficial (20200)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $452.40–$583.20 $754–$972 varies
Biopsy Nasopharynx Visible Lesion Simple (42804) $1,071 $1,785 0.3×
Biopsy of breast; open, incisional (19101) $627.60 $1,046 0.2×
Biopsy of conjunctiva (68100)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Biopsy of cornea (65410) $627.60 $1,046 0.3×
Biopsy of epididymis (54800) $627.60 $1,046 0.4×
Biopsy of floor of mouth (41108) $627.60 $1,046 0.4×
Biopsy of foot joint lining (28052) $1,071 $1,785 0.3×
Biopsy of foot joint lining (28050) $1,071 $1,785 0.3×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $1,575.60 $2,626 1.7×
Biopsy of lacrimal gland (68510) $627.60 $1,046 0.3×
Biopsy of liver, needle; percutaneous (47000) $2,078.40 $3,464 1.3×
Biopsy of nerve (64795) $627.60 $1,046 0.3×
Biopsy of palate, uvula (42100) $627.60 $1,046 0.4×
Biopsy of penis (54100) $627.60 $1,046 0.4×
Biopsy of penis; deep structures (54105) $1,071 $1,785 0.4×
Biopsy of rectum (45100) $627.60 $1,046 0.2×
Biopsy of tear sac (68525) $627.60 $1,046 0.3×
Biopsy of toe joint lining (28054)
range across 2 matching MRF lines		 $2,851.80–$2,856 $4,753–$4,760 varies
Biopsy of urethra (53200) $1,071 $1,785 0.5×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $2,079.60 $3,466 0.5×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,575.60 $2,626 0.4×
Biopsy Oropharynx (42800) $1,071 $1,785 0.7×
Biopsy ovary uni/bi separate procedure (58900) $1,071 $1,785 0.3×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $1,071 $1,785 0.3×
Biopsy Salivary Gland Needle (42400) $1,301.40 $2,169 1.8×
Biopsy soft tissue back/flank deep (21925) $1,071 $1,785 0.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,071 $1,785 0.6×
Biopsy soft tissue forearm&/wrist deep (25066) $993 $1,655 0.3×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,071 $1,785 0.6×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,071 $1,785 0.4×
Biopsy soft tissue leg/ankle area superficial (27613) $627.60 $1,046 0.4×
Biopsy soft tissue neck/thorax (21550) $1,071 $1,785 0.6×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,071 $1,785 0.6×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,071 $1,785 0.6×
Biopsy Soft Tissue Shoulder Deep (23066) $627.60 $1,046 0.2×
Biopsy Soft Tissue Shoulder Superficial (23065) $628.20 $1,047 0.4×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,071 $1,785 0.4×
Biopsy soft tissue thigh/knee area superficial (27323) $1,071 $1,785 0.6×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,575.60 $2,626 0.9×
Biopsy Spinal Cord Percutaneous Needle (62269) $628.20 $1,047 0.4×
Biopsy Testis Incisional Separate Procedure (54505) $1,071 $1,785 0.3×
Biopsy Testis Needle Separate Procedure (54500) $627.60 $1,046 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $627.60 $1,046 1.2×
Biopsy Tongue Posterior One-Third (41105) $627.60 $1,046 0.2×
Biopsy Vaginal Mucosa Extensive (57105) $1,575.60 $2,626 0.5×
Biopsy Vaginal Mucosa Simple (57100) $1,575.60 $2,626 1.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,575.60 $2,626 1.7×
Biopsy, vestibule of mouth (40808) $1,071 $1,785 2.0×
Biopsy/removal lymph nodes (38510) $2,078.40 $3,464 0.5×
Bladder Irrigation (51700) $1,071 $1,785 4.3×
Bladder Scan (51798)
range across 2 matching MRF lines		 $589.20–$589.80 $982–$983 varies
Blepharoplasty Lower Eyelid (15820) $1,575.60 $2,626 0.8×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $1,575.60 $2,626 0.8×
Blepharoplasty upper eyelid (15822) $1,575.60 $2,626 0.8×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,575.60 $2,626 0.8×
Blepharotomy drainage abscess eyelid (67700) $627.60 $1,046 2.0×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $555.60–$623.40 $926–$1,039 varies
Blood/Lymph System Procedure (38999) $1,071 $1,785 2.4×
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Bone graft with microvascular anastomosis; fibula Facility (20955)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Bone graft with microvascular anastomosis; iliac crest Facility (20956)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Bone marrow harvest allogen (38230) $1,575.60 $2,626 1.0×
Bone Marrow Harvest Autolog (38232) $628.20 $1,047 0.1×
Bone Marrow; Aspiration Only (38220) $993 $1,655 0.6×
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Breast Reduction (19318)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,308.80 $3,848 0.6×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,575.60 $2,626 0.5×
Bx breast 1st lesion strtctc (19081) $1,071 $1,785 0.6×
Bx breast 1st lesion us imag (19083) $601.20 $1,002 0.4×
Bx breast needle core w/o imaging guidance spx (19100) $919.80 $1,533 0.6×
Bx Cervix (57500) $627.60 $1,046 0.7×
Bx/exc lymph node open deep axillary node (38525) $2,078.40 $3,464 0.5×
Bx/exc lymph node open superficial (38500) $1,071 $1,785 0.3×
Canthoplasty (67950) $1,575.60 $2,626 0.7×
Canthotomy Separate Procedure (67715) $1,071 $1,785 0.4×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,071 $1,785 0.3×
Capsular contracture release (23020) $1,575.60 $2,626 0.5×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,575.60 $2,626 1.0×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,575.60 $2,626 0.5×
Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) $1,575.60 $2,626 0.5×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Capsulorrhaphy Anterior W/Labral Repair (23455)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Capsulorrhaphy Anterior With Bone Block (23460)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,071 $1,785 0.7×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $1,575.60 $2,626 1.0×
Capsulotomy Midtarsal (28264) $1,071 $1,785 0.7×
Capsulotomy Posterior Capsular Release Knee (27435) $1,575.60 $2,626 0.5×
Capsulotomy wrist (25085) $1,575.60 $2,626 0.5×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $1,071 $1,785 0.3×
Carpal Tunnel Surgery (64721) $1,575.60 $2,626 0.8×
Carpectomy All Bones Proximal Row (25215) $1,575.60 $2,626 0.5×
Cartilage graft; costochondral (20910) $1,575.60 $2,626 2.1×
Cataract surg w/iol 1 stage (66983) $2,646 $4,410 1.1×
Cataract surgery complex (66982) $2,646 $4,410 1.1×
Cautery Cervix Cryocautery Initial/Repeat (57511) $1,575.60 $2,626 5.1×
Cautery Cervix Electro/Thermal (57510) $1,071 $1,785 0.3×
Cerclage cervix pregnancy vaginal (59320) $1,071 $1,785 0.3×
Cerclage Uterine Cervix Nonobstetrical (57700) $1,071 $1,785 0.3×
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Cervical lymphadenectomy (complete) (38720)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.2×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $471.60–$472.80 $786–$788 varies
Chemical peel face dermal (15789) $974.40 $1,624 1.3×
Chemical peel nonfacial dermal (15793) $1,071 $1,785 2.6×
Chemical peel nonfacial epidermal (15792) $1,071 $1,785 1.4×
Chemical peel, facial; epidermal (15788) $1,071 $1,785 2.6×
Chemodenerv 1 extrem 5/> mus (64644) $993 $1,655 1.4×
Chemodenerv Eccrine Glands (64650) $993 $1,655 3.2×
Chemodenerv Musc Migraine (64615) $1,071.60 $1,786 3.5×
Chemodenervation of extraocular muscle (67345) $1,071 $1,785 3.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,071 $1,785 3.5×
Chest tube placement (32551) $1,071.60 $1,786 0.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,824.80 $9,708 1.6×
Ciliary body destruction; cryotherapy Facility (66720) $1,071 $1,785 0.4×
Ciliary body dstrj cyclophotocoag transsceral (66710) $1,071 $1,785 0.4×
Circumcision 28 days or older (54161) $627.60 $1,046 0.3×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $1,575.60 $2,626 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $1,071 $1,785 0.7×
Claviculectomy partial (23120) $2,646 $4,410 0.8×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,071 $1,785 0.3×
Closed Treat Vert Body Fract (22310) $529.80 $883 2.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,071 $1,785 4.3×
Closed Treatment Ulnar Styloid Fracture (25650) $627.60 $1,046 2.5×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $629.40–$630.60 $1,049–$1,051 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,071 $1,785 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $452.40–$1,071 $754–$1,785 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $993 $1,655 4.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $452.40 $754 1.8×
Closed tx carpal scaphoid fracture w/manj (25624) $1,071 $1,785 0.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,071 $1,785 4.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closed tx fx orbit except blowout w/manipulation (21401) $1,071 $1,785 0.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,071 $1,785 0.7×
Closed tx mandibular fracture w/manipulation (21451) $1,071 $1,785 0.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $452.40 $754 0.8×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,071–$2,173.80 $1,785–$3,623 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $627.60 $1,046 0.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,071 $1,785 0.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $452.40 $754 1.8×
Closed tx radial head/neck fx w/manipulation (24655) $1,071 $1,785 0.7×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,071 $1,785 0.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $451.80–$452.40 $753–$754 varies
Closed tx septal&nose fx (21337) $1,071 $1,785 0.3×
Closed tx talus fracture w/o manipulation (28430) $452.40 $754 1.8×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $1,071 $1,785 4.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,071 $1,785 4.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Closure Gastrostomy Surg (43870) $1,924.80 $3,208 0.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $1,575.60 $2,626 6.6×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $1,071 $1,785 0.3×
Closure of urethrovaginal fistula; Facility (57310)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,071 $1,785 4.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $452.40 $754 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,071 $1,785 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $588.60–$627.60 $981–$1,046 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $452.40 $754 0.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,071 $1,785 0.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,071 $1,785 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,071 $1,785 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $452.40–$628.20 $754–$1,047 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $861–$1,071 $1,435–$1,785 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,071 $1,785 0.7×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $574.80–$575.40 $958–$959 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $929.40–$1,071 $1,549–$1,785 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $627.60 $1,046 0.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,071 $1,785 0.7×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $627.60 $1,046 2.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $452.40 $754 1.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,071 $1,785 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $627.60 $1,046 2.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $771–$1,071 $1,285–$1,785 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $627.60 $1,046 2.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $993 $1,655 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $452.40 $754 1.8×
Cltx Greater Trochanteric Fx W/O Manj (27246) $452.40 $754 1.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,071 $1,785 0.7×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $452.40 $754 1.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $452.40 $754 1.8×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $627.60 $1,046 2.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $627.60–$630.60 $1,046–$1,051 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $1,002.60–$1,071 $1,671–$1,785 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $861–$1,071 $1,435–$1,785 varies
Cltx Med Ankle Fx W/Mnpj (27762) $993 $1,655 0.6×
Cltx Medial Ankle Fx (27760) $452.40 $754 1.8×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $1,002.60–$1,071 $1,671–$1,785 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,071 $1,785 0.7×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,635.40 $6,059 2.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $929.40–$1,071 $1,549–$1,785 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx post hip arthrp dislc req anes (27266) $1,071 $1,785 0.7×
Cltx prox fibula/shft fx w/manj (27781) $1,071 $1,785 0.7×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $7,800 $13,000 4.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,001.40 $1,669 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,071 $1,785 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,071 $1,785 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $452.40 $754 1.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $452.40 $754 1.8×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $452.40–$583.20 $754–$972 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,071 $1,785 4.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,071 $1,785 0.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $452.40 $754 1.8×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Coccygectomy, primary (27080) $1,575.60 $2,626 0.5×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $66–$90.60 $110–$151 varies
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $25.20–$25.80 $42–$43 varies
Colonoscopy W/Resection (45390) $3,675 $6,125 1.3×
Colonoscopy w/submucosal inj (45381) $2,008.80 $3,348 1.7×
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,071 $1,785 0.3×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Colporrhaphy (57200) $1,071 $1,785 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $627.60 $1,046 2.1×
Colposcopy Cervix Endocervical Curettage (57456) $627.60 $1,046 2.1×
Colposcopy cervix upper/adjacent vagina (57452) $627.60 $1,046 3.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $627.60 $1,046 2.1×
Colposcopy cervix vag eltrd conization cervix (57461) $1,071 $1,785 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,071 $1,785 0.3×
Colposcopy entire vagina w/cervix if present (57420) $627.60 $1,046 2.1×
Colposcopy of vulva (56820) $627.60 $1,046 3.1×
Colposcopy Vulva W/Biopsy (56821) $627.60 $1,046 2.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $627.60 $1,046 0.7×
Colpotomy; with drainage of pelvic abscess (57010) $627.60 $1,046 0.2×
Colpotomy; with exploration (57000) $627.60 $1,046 0.2×
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Complex drainage wound (10180) $1,071 $1,785 0.4×
Composite Skin Graft (15760) $1,071 $1,785 0.5×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,575.60 $2,626 0.5×
Conization of cervix (57520) $1,575.60 $2,626 0.5×
Conjunctival Flap Total (68362) $2,078.40 $3,464 0.9×
Conjunctivoplasty W/Buccal Muc Memb Graft (68325) $1,575.60 $2,626 0.4×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $1,575.60 $2,626 0.7×
Conjunctivorhinostomy Insj Tube/Stent (68750) $1,575.60 $2,626 0.4×
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) $1,575.60 $2,626 0.7×
Contour cranial bone lesion (21181)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.3×
Contour of face bone lesion (21029) $1,071 $1,785 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $627.60 $1,046 4.7×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Control oropharyngeal hemorrhage simple (42960) $1,071 $1,785 2.0×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Corneal transplant (65710)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.4×
Corneal Transplant,Penetrat,Aphakia (65750)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.4×
Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) $1,575.60 $2,626 0.7×
Correction claw finger, other methods Facility (26499) $1,071 $1,785 0.3×
Correction hammertoe (28285) $1,575.60 $2,626 0.5×
Correction of inverted nipples (19355) $1,071 $1,785 0.3×
Correction of lid retraction (67911) $1,071 $1,785 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,646 $4,410 0.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,646 $4,410 0.8×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,646 $4,410 0.8×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $1,071 $1,785 0.4×
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Create Tear Sac-Nasal Fistula (68720) $1,071 $1,785 0.3×
Cricopharyngeal myotomy (43030)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $1,575.60 $2,626 1.6×
Cross Intrinsic Transfer Each Tendon (26510) $1,071 $1,785 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $628.20–$629.40 $1,047–$1,049 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,071 $1,785 0.3×
Cysto Bladder W/Ureteral Catheterization (52005) $1,071 $1,785 0.5×
Cysto calibration dilat urtl strix/stenosis (52281) $1,071 $1,785 0.5×
Cysto w/complex removal stone & stent (52315) $1,071 $1,785 0.5×
Cysto w/destruction of lesions (52214) $1,071 $1,785 0.3×
Cysto w/insert ureteral stent (52332) $1,071 $1,785 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $1,071 $1,785 0.3×
Cysto w/removal of lesions small (52224) $1,071 $1,785 0.3×
Cysto w/removal of tumors small (52234) $1,071 $1,785 0.3×
Cysto W/Simple Removal Stone & Stent (52310) $1,071 $1,785 0.5×
Cysto w/up stricture tx (52342) $1,071 $1,785 0.3×
Cysto w/ureter stricture tx (52341) $1,071 $1,785 0.3×
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,071 $1,785 0.3×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $1,575.60 $2,626 0.4×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $1,071 $1,785 0.3×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Cysto/uretero w/up stricture (52345) $1,575.60 $2,626 0.4×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $2,078.40 $3,464 0.6×
Cystouretero w/excise tumor (52355)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Cystourethroscopy (52000) $1,071 $1,785 1.5×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,071 $1,785 0.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,071 $1,785 0.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Cystourethroscopy w/dil bladder general anesth (52260) $1,071 $1,785 0.5×
Cystourethroscopy w/rmvl ureteral calculus (52320) $1,071 $1,785 0.3×
Cystourethroscopy with biopsy (52204) $1,071 $1,785 0.5×
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,071 $1,785 0.5×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $1,071 $1,785 0.5×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $1,071 $1,785 0.5×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,071 $1,785 0.3×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $1,071 $1,785 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,071 $1,785 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $1,071 $1,785 0.3×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,071 $1,785 0.3×
Dcmprn fasct leg post compartment only (27601) $1,071 $1,785 0.3×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,575.60 $2,626 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,071 $1,785 1.4×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Debride nail 6 or more (11721) $452.40 $754 7.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,071 $1,785 0.6×
Debridement Mastoidectomy Cavity Cmplx (69222) $1,071 $1,785 2.0×
Debridement Mastoidectomy Cavity Simple (69220) $1,071 $1,785 5.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Decomp forearm,1 compart,w/o debride (25020) $1,071 $1,785 0.7×
Decompress Fingers/Hand (26035) $1,071 $1,785 0.3×
Decompress Spinal Cord Lmbr (63056)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) $1,576.20 $2,627 1.0×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $1,575.60 $2,626 0.5×
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) $1,575.60 $2,626 0.5×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $1,575.60 $2,626 1.0×
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Decompression of leg (27894) $1,071 $1,785 0.3×
Decompression of leg (27892) $1,071 $1,785 0.3×
Decompression of tibia nerve (28035) $1,071 $1,785 0.5×
Deep Muscle Biopsy (20205) $1,071 $1,785 0.4×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $1,071 $1,785 0.5×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,071 $1,785 0.5×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $1,071 $1,785 0.5×
Delay Flap/Sectioning Flap Trunk (15600) $1,071 $1,785 0.3×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $1,071 $1,785 0.3×
Derma-fat-fascia graft (15770) $1,071 $1,785 0.3×
Dermabrasion regional other than face (15782) $1,071 $1,785 0.4×
Dermabrasion segmental face (15781) $1,071 $1,785 1.5×
Dermabrasion superficial any site (15783) $1,071.60 $1,786 2.6×
Dermabrasion total face (15780) $1,071 $1,785 0.4×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $3,234.60 $5,391 1.6×
Destr penis lesion(s) (54065) $1,071 $1,785 0.5×
Destr W Neurolytic; Celiac Plexus (64680) $1,071 $1,785 1.2×
Destroy cerv/thor facet jnt (64633) $1,071 $1,785 0.5×
Destroy lumb/sac facet jnt (64635) $1,071 $1,785 0.5×
Destruct B9 Lesion 1-14 (17110) $1,071 $1,785 5.3×
Destruction Benign Lesions 15/> (17111) $1,071 $1,785 5.3×
Destruction by neurolytic agent, intercostal nerve (64620) $1,071 $1,785 1.2×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $1,071 $1,785 0.5×
Destruction by neurolytic agent; pudendal nerve (64630) $1,071 $1,785 1.2×
Destruction Lesions Vulva Extensive (56515) $1,071 $1,785 0.5×
Destruction Lesions Vulva Simple (56501) $1,071 $1,785 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $1,071.60 $1,786 0.5×
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) $1,071 $1,785 1.9×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $1,071 $1,785 3.4×
Destruction of lesion of lid margin (up to 1 cm) (67850) $1,071 $1,785 1.1×
Destruction of lesion, conjunctiva (68135) $627.60 $1,046 0.3×
Destruction of skin lesions (17106) $1,071 $1,785 2.6×
Destruction Vaginal Lesions Extensive (57065) $1,071 $1,785 0.3×
Destruction Vaginal Lesions Simple (57061) $1,071 $1,785 0.3×
Diagnostic sigmoidoscopy (45330) $2,491.20 $4,152 2.7×
Dilat rct strix spx under anes oth/thn local (45910) $627.60 $1,046 0.5×
Dilat Urethral Strix Dilator Male Sbsq (53601) $627.60 $1,046 4.7×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $627.60 $1,046 2.5×
Dilate Esophagus 1/Mult Pass (43450) $1,575.60 $2,626 1.7×
Dilate Urethra Stricture (53620) $627.60 $1,046 0.9×
Dilate Urethra Stricture (53600) $627.60 $1,046 2.5×
Dilation & curettage dx&/ther nonobstetric (58120) $627.60 $1,046 0.2×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $627.60 $1,046 1.4×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $627.60 $1,046 0.2×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045)
likely a partial charge, not the full procedure		 $1,086 $1,810 0.2×
Disarticulation At Knee (27598) $2,646 $4,410 0.8×
Disarticulation of shoulder; Facility (23920)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Disarticulation of shoulder; secondary closure or scar revision Facility (23921) $2,078.40 $3,464 1.0×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Discission Secondary Membranous Cataract (66820) $1,071 $1,785 0.5×
Drain ant chmbr,remv vitreous (65810) $627.60 $1,046 0.3×
Drain Cerebro Spinal Fluid (62272) $627.60 $1,046 0.9×
Drain chest lesion (21502) $1,071 $1,785 0.3×
Drain Hand Tendon Sheath (26020) $627.60 $1,046 0.2×
Drain penis lesion (54015) $1,071 $1,785 0.6×
Drainage external auditory canal abscess (69020) $452.40 $754 0.6×
Drainage external ear abscess/hematoma cmplx (69005) $1,071 $1,785 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Drainage Finger Abscess Complicated (26011) $627.60 $1,046 0.4×
Drainage of eye (65800) $627.60 $1,046 0.3×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $371.40–$372 $619–$620 varies
Drainage of hematoma/fluid (10140) $1,071 $1,785 0.6×
Drainage of hydrocele (55000) $627.60 $1,046 0.9×
Drainage of palmar bursa single bursa (26025) $627.60 $1,046 0.2×
Drainage of palmar bursa; multiple bursa Facility (26030) $1,071 $1,785 0.3×
Drainage of rectal abscess (45005) $1,071 $1,785 0.9×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Drainage of scrotum (54700) $1,071 $1,785 0.5×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,071 $1,785 0.3×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $627.60 $1,046 0.2×
Draw Blood Off Venous Device (36591) $25.80 $43 0.2×
Dressing Change Under Anesthesia (15852) $1,071 $1,785 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,071 $1,785 2.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,071 $1,785 1.5×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $1,071 $1,785 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,071 $1,785 5.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Dstrj Extensive Retinopathy (67227) $1,575.60 $2,626 0.4×
Dstrj les/scar vestibule mouth physical meths (40820) $1,071 $1,785 0.3×
Dstrj Lesion Anus Extensive (46924) $1,071 $1,785 0.4×
Dstrj Lesion Anus Simple Chemical (46900) $1,071 $1,785 2.6×
Dstrj lesion anus simple cryosurgery (46916) $1,071 $1,785 5.3×
Dstrj lesion anus simple surg excision (46922) $1,071 $1,785 0.4×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,071 $1,785 0.5×
Dstrj Lesion Penis Simple Chemical (54050) $1,071 $1,785 2.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $1,071 $1,785 5.3×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $1,071 $1,785 0.5×
Dstrj lesion penis simple laser (54057) $1,071 $1,785 0.5×
Dstrj lesion penis simple surg excision (54060) $1,071 $1,785 0.5×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,071 $1,785 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,071 $1,785 1.2×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,071 $1,785 1.2×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,071 $1,785 1.2×
Dx Bronchoscope/Wash (31622) $1,071 $1,785 0.6×
Dx gastr intub w/asp specs (43755) $1,563 $2,605 12.1×
Dx Laryngoscopy Excl Nb (31525) $1,071 $1,785 0.6×
Dx laryngoscopy w/oper scope (31526) $1,071 $1,785 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,071.60 $1,786 1.5×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,498.20 $2,497 0.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,482.80 $4,138 1.3×
Egd dilation gastric/duodenal stricture (43245) $2,079.60 $3,466 1.1×
Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) $2,763 $4,605 3.0×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $23,441.40 $39,069 2.2×
Egd place gastrostomy tube (43246) $1,071 $1,785 0.6×
Elbow arthroscopy (29830) $2,078.40 $3,464 0.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $737.40 $1,229 2.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,071 $1,785 3.5×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $1,071 $1,785 3.5×
Electrical stimulation bone healing noninvasive (20974) $627.60 $1,046 6.6×
Endocervical curettage (57505) $627.60 $1,046 0.7×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Endometrial Biopsy (58100) $1,071 $1,785 5.3×
Endoscopic plantar fasciotomy (29893) $1,575.60 $2,626 0.5×
Endoscopy Upper Small Intestine (44360) $4,308.43 $7,180.72 2.2×
Enterorrhaphy single perforation (44602) $1,943.40 $3,239 0.5×
Enucleation Eye Implt Musc X Attached Implt (65103) $1,575.60 $2,626 0.4×
Enucleation of Eye W/O Implant (65101) $1,575.60 $2,626 0.4×
Epididymectomy bilateral (54861) $1,575.60 $2,626 0.4×
Epididymectomy unilateral (54860) $1,071 $1,785 0.3×
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) $1,575.60 $2,626 0.4×
Epidural Blood Patch (62273) $627.60 $1,046 0.9×
Epidural lysis mult sessions (62263) $1,071 $1,785 1.2×
Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) $2,078.40 $3,464 0.6×
Esc i p ulcer w ostect & flap (15946) $1,071.60 $1,786 0.5×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,071 $1,785 1.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,071 $1,785 1.2×
Esophagoscopy Retro Balloon (43213) $993 $1,655 0.5×
Esophagoscopy rigid trnso dx (43191) $1,071 $1,785 0.6×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,071 $1,785 0.6×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure		 $1,020.60 $1,701 0.2×
Ethmoidectomy Extranasal Total (31205) $1,575.60 $2,626 0.5×
Ethmoidectomy Intranasal Anterior (31200)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,071 $1,785 0.6×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,575.60 $2,626 0.9×
Exc abdl tum deep 5 cm/> (22901) $2,078.40 $3,464 0.7×
Exc arm/elbow les sc < 3 cm (24075) $1,575.60 $2,626 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $627.60 $1,046 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,071 $1,785 0.6×
Exc Back Les Sc < 3 Cm (21930) $1,071 $1,785 0.6×
Exc Back Tum Deep 5 Cm/> (21933) $1,575.60 $2,626 0.5×
Exc back tum deep < 5 cm (21932) $1,575.60 $2,626 0.5×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $10,221 $17,035 1.7×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $1,071 $1,785 0.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,071 $1,785 0.3×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $1,071 $1,785 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $627.60 $1,046 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,071 $1,785 1.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,071 $1,785 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $1,575.60 $2,626 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $627.60 $1,046 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $627.60 $1,046 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,071 $1,785 1.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,071 $1,785 0.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,071 $1,785 0.6×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Exc Forearm Les Sc 3 Cm/> (25071) $1,071 $1,785 0.6×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,575.60 $2,626 0.5×
Exc Frenum Labial/Buccal (40819) $1,071 $1,785 0.7×
Exc ganglion wrist recurrent (25112) $1,071 $1,785 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $627.60 $1,046 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $627.60 $1,046 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,071 $1,785 0.6×
Exc Hand Les Sc < 1.5 Cm (26115) $1,071 $1,785 0.6×
Exc hand tum deep < 1.5 cm (26116) $1,071 $1,785 0.6×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $1,071 $1,785 0.4×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $627.60 $1,046 0.6×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $1,483.20 $2,472 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,071 $1,785 0.7×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,071 $1,785 0.7×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,071.60 $1,786 0.3×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $5,736 $9,560 1.7×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,071 $1,785 0.3×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,071 $1,785 0.5×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $1,001.40 $1,669 0.5×
Exc neuroma hand/foot xcp digital nerve (64782) $1,071 $1,785 0.5×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,071 $1,785 0.5×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Exc Rct Tum Incl Muscularis Propria (45172) $2,078.40 $3,464 0.7×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,078.40 $3,464 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,575.60 $2,626 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,071 $1,785 1.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,071 $1,785 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,575.60 $2,626 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,575.60 $2,626 0.9×
Exc Skin Benig >4cm Face,Facial (11446) $1,575.60 $2,626 0.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,071 $1,785 0.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,575.60 $2,626 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,575.60 $2,626 0.9×
Exc tendon shth lesion leg/ankle (27630) $1,071 $1,785 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $1,071 $1,785 0.4×
Exc thigh/knee tum dep 5cm/> (27339) $1,071 $1,785 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,071 $1,785 0.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $627.60 $1,046 1.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,071 $1,785 1.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,071 $1,785 0.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,071 $1,785 0.4×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,575.60 $2,626 0.5×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,575.60 $2,626 0.9×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,071 $1,785 0.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,071 $1,785 0.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $627.60 $1,046 0.2×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,575.60 $2,626 0.5×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,575.60 $2,626 0.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,078.40 $3,464 0.7×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,078.40 $3,464 1.3×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,071 $1,785 0.4×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,071 $1,785 0.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,071 $1,785 0.6×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,071 $1,785 0.4×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,071 $1,785 0.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,071 $1,785 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,071 $1,785 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,071 $1,785 0.6×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,071 $1,785 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,071 $1,785 0.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,071 $1,785 0.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,575.60 $2,626 0.5×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,071 $1,785 0.3×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,071 $1,785 0.7×
Exchange Intraocular Lens (66986) $2,078.40 $3,464 0.9×
Excis conjunc lesn+adj sclera (68130) $627.60 $1,046 0.3×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,071 $1,785 0.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,071 $1,785 0.7×
Excise breast duct fistula (19112) $1,071 $1,785 0.3×
Excise excessive skin arm (15836) $1,575.60 $2,626 0.5×
Excise intraspinal lesion (63267)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Excise intraspinl lesion crv (63265)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Excise mandible lesion (21040) $1,071 $1,785 0.3×
Excise Neurofibroma Extensive (64792) $1,071 $1,785 0.3×
Excise tendon forearm/wrist (25109) $1,057.80 $1,763 0.3×
Excise Wrist Tendon Sheath (25118) $1,575.60 $2,626 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,071 $1,785 1.5×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,575.60 $2,626 0.7×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $1,575.60 $2,626 0.7×
Excision Bone Mandible (21025)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Excision Chalazion Multiple Same Lid (67801) $627.60 $1,046 0.6×
Excision Chalazion Single (67800) $627.60 $1,046 2.0×
Excision Chest Wall Tumor Including Ribs (21601) $6,593.40 $10,989 2.3×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Excision Distal Ulna Partial/Complete (25240) $1,575.60 $2,626 0.5×
Excision Excessive Skin & Subq Tissue Buttock (15835) $1,575.60 $2,626 0.5×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,575.60 $2,626 0.5×
Excision External Ear Partial Simple Repair (69110) $1,071 $1,785 0.4×
Excision Facial Bone (21026)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,071 $1,785 0.4×
Excision Hidradenitis Axillary Complex Repair (11451) $1,071 $1,785 0.4×
Excision Hidradenitis Inguinal Complex Repair (11463) $1,071 $1,785 0.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,071 $1,785 0.4×
Excision inferior turbinate partial/complete (30130) $1,071 $1,785 0.3×
Excision Lacrimal Sac (68520) $1,071 $1,785 0.3×
Excision Lesion Conjunctiva </1 Cm (68110) $627.60 $1,046 0.3×
Excision lesion conjunctiva > 1 cm (68115) $627.60 $1,046 0.3×
Excision Lesion Cornea Xcp Pterygium (65400) $627.60 $1,046 0.6×
Excision lesion meniscus/capsule knee (27347) $1,071 $1,785 0.3×
Excision lesion mouth roof (42104) $628.20 $1,047 0.2×
Excision lesion tendon sheath forearm&/wrist (25110) $1,071 $1,785 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $627.60 $1,046 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $627.60 $1,046 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $627.60 $1,046 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,071 $1,785 1.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $627.60 $1,046 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,071 $1,785 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,575.60 $2,626 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $627.60 $1,046 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $627.60 $1,046 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,071 $1,785 1.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,071 $1,785 0.6×
Excision malignant tumor mandible (21044)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Excision Maxillary Torus Palatinus (21032) $1,071 $1,785 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $1,071 $1,785 0.4×
Excision Nasal Polyp Extensive (30115) $1,071 $1,785 0.3×
Excision nasal polyp(s) simple (30110) $1,071 $1,785 0.7×
Excision of bartholin's gland or cyst (56740) $1,071 $1,785 0.3×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $1,575.60 $2,626 0.5×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Excision of chalazion; multiple, different lids (67805) $1,071 $1,785 3.4×
Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) $1,071 $1,785 0.3×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $6,417 $10,695 1.6×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $1,071 $1,785 0.3×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $1,071 $1,785 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,071 $1,785 0.7×
Excision of hydrocele; unilateral (55040) $1,575.60 $2,626 0.4×
Excision of lacrimal gland tumor; involving osteotomy Facility (68550) $1,575.60 $2,626 0.4×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,071 $1,785 0.5×
Excision of neuroma; sciatic nerve Facility (64786) $1,071 $1,785 0.3×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $1,575.60 $2,626 0.5×
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.3×
Excision of sublingual salivary cyst (ranula) (42408) $1,071 $1,785 0.3×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Excision of tonsil tags (42860) $1,575.60 $2,626 0.5×
Excision of vaginal cyst or tumor (57135) $1,071 $1,785 0.3×
Excision of vaginal septum (57130) $1,071 $1,785 0.3×
Excision olecranon bursa (24105) $1,575.60 $2,626 0.5×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) $1,575.60 $2,626 0.5×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,071 $1,785 0.3×
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) $16,484.40 $27,474 2.3×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,071 $1,785 0.3×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,575.60 $2,626 0.5×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,134–$1,575.60 $1,890–$2,626 varies
Excision prepatellar bursa (27340) $1,071 $1,785 0.3×
Excision Radial Head (24130) $1,071 $1,785 0.3×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Excision soft tissue lesion, external auditory canal (69145) $627.60 $1,046 0.2×
Excision synovial cyst popliteal space (27345) $1,071 $1,785 0.3×
Excision tendon finger flexor/extensor each (26180) $1,071 $1,785 0.7×
Excision tendon palm flexor/extensor single each (26170) $1,071 $1,785 0.7×
Excision Thyroglossal Duct Cyst/Sinus (60280) $3,591.60 $5,986 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,575.60 $2,626 0.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,071 $1,785 0.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,071 $1,785 0.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,575.60 $2,626 0.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,071 $1,785 0.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) $1,575.60 $2,626 0.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $1,575.60 $2,626 0.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $1,575.60 $2,626 0.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $1,575.60 $2,626 0.5×
Excision, interdigital (morton) neuroma, single, each (28080) $1,071 $1,785 0.7×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $1,071.60 $1,786 0.5×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $1,071 $1,785 0.5×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $1,071 $1,785 0.3×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,078.40 $3,464 0.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,071 $1,785 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,575.60 $2,626 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,575.60 $2,626 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $1,071 $1,785 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,071 $1,785 0.6×
Excision/curettage cyst/tumor carpal bones (25130) $1,071 $1,785 0.3×
Excision/curettage cyst/tumor phalanx finger (26210) $1,071 $1,785 0.7×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $1,575.60 $2,626 0.5×
Excision/destruction intranasal lesion int appr (30117) $1,071 $1,785 0.3×
Excision/destruction lesion pharynx any method (42808) $1,071 $1,785 0.3×
Excision/surgical planing skin nose rhinophyma (30120) $1,071 $1,785 0.3×
Excision/Transposition Pterygium W/Grafg (65426) $2,078.40 $3,464 0.9×
Excision/Transposition Pterygium W/O Graft (65420) $1,071 $1,785 0.4×
Excision; trochanteric bursa or calcification (27062) $1,071 $1,785 0.3×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) $1,575.60 $2,626 0.4×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) $1,575.60 $2,626 0.4×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Explo/Drain Breast Abscess (19020) $1,071 $1,785 0.6×
Exploration of hip joint (27033)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Exploration of knee joint (27310) $1,071 $1,785 0.3×
Exploration of spinal fusion (22830)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Exploration penetrating wound spx chest (20101) $770.40 $1,284 0.4×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Exploration Penetrating Wound Spx Neck (20100)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Exploratory elbow surgery (24000) $1,575.60 $2,626 0.5×
Explore eye socket,drainage (67405) $1,575.60 $2,626 0.7×
Explore treat shoulder joint (23107)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Explore/Treat Elbow Joint (24101) $1,575.60 $2,626 0.5×
Explore/Treat Hand Joint (26070) $1,575.60 $2,626 1.0×
Explore/Treat Knee Joint (27331) $1,071 $1,785 0.3×
Explore/Treat Wrist Joint (25040) $1,071 $1,785 0.3×
Extensive ear canal surgery (69150)
likely a partial charge, not the full procedure		 $1,071.60 $1,786 0.2×
Extensive mastoid surgery (69511)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Extraction of lens (66920) $1,071 $1,785 0.5×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $1,575.60 $2,626 0.8×
Fascia lata graft; by stripper Facility (20920) $1,575.60 $2,626 0.8×
Fasciectomy Palm Only (26121) $1,071 $1,785 0.3×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,071 $1,785 0.3×
Fasciotomy Iliotibial Open (27305) $1,071 $1,785 0.3×
Fasciotomy palmar open partial (26045) $1,071 $1,785 0.3×
Fasciotomy palmar percutaneous (26040) $1,071 $1,785 0.7×
Fasciotomy Plantar Fascia Radical Spx (28062) $1,575.60 $2,626 0.5×
Fasciotomy, foot and/or toe (28008) $627.60 $1,046 0.2×
Fasciotomy, hip or thigh, any type (27025) $1,071 $1,785 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,071 $1,785 0.3×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Finger tendon transfer (26497) $1,071 $1,785 0.3×
Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) $1,071 $1,785 0.3×
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) $1,071 $1,785 0.3×
Flap; neurovascular pedicle (15750) $1,071 $1,785 0.3×
Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Forehead flap w/vasc pedicle (15731) $1,071 $1,785 0.3×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $1,071 $1,785 0.3×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $627.60 $1,046 0.2×
Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) $12,045.60 $20,076 1.7×
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969)
likely a partial charge, not the full procedure		 $1,071.60 $1,786 0.1×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $1,071 $1,785 0.5×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $1,071 $1,785 0.5×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $1,071 $1,785 0.5×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $1,071 $1,785 0.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $627.60 $1,046 0.3×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $627.60 $1,046 0.3×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $627.60 $1,046 0.3×
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Fusion Finger Joint (26860) $1,575.60 $2,626 0.5×
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Fusion of hand bones (25820)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Fusion of hand joint (26843)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Fusion of knuckle (26850)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Fusion of knuckle joint (26516) $1,575.60 $2,626 0.5×
Fusion of knuckle joints (26518)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Fusion of knuckle with graft (26852)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Fusion of shoulder joint (23802)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Fusion of spermatic ducts (54900) $1,575.60 $2,626 0.8×
Fusion of tibiofibular joint (27871)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Fusion/graft of hand joint (26844)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $3,591.60 $5,986 1.0×
Gastrocnemius recession (27687) $1,071 $1,785 0.3×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $3,355.20 $5,592 1.7×
Genioplasty Sliding Osteotomy Single Piece (21121) $1,071 $1,785 0.3×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Glaucoma surgery (66160) $1,071 $1,785 0.5×
Goniotomy (65820) $1,071 $1,785 0.3×
Graft Bone Nasal/Maxillary/Malar Areas (21210)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $1,071 $1,785 0.3×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,116 $1,860 0.5×
Grafting of autologous fat by lipo 50 cc or less (15771)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Grafting of autologous soft tiss by direct exc (15769) $1,081.80 $1,803 0.3×
Hair xplant punch grft 1-15 (15775) $1,071 $1,785 2.6×
Hair xplant punch grft >15 (15776) $1,071 $1,785 2.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Hand tendon reconstruction (26500)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Head Surgery Procedure (21499) $1,575.60 $2,626 6.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,071 $1,785 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,071 $1,785 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,071 $1,785 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,071 $1,785 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $1,071 $1,785 0.4×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,071 $1,785 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,071 $1,785 1.1×
Hip arthro acetabuloplasty (29915)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Hip arthro w/labral repair (29916)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,071 $1,785 0.4×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Hysteroscopy Biopsy (58558) $1,071 $1,785 0.3×
Hysteroscopy Div/Rescj Intrauterine Septum (58560)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Hysteroscopy Dx Sep Proc (58555) $1,071 $1,785 0.3×
Hysteroscopy Endometrial Ablation (58563)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,071 $1,785 0.3×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $1,032–$1,033.80 $1,720–$1,723 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $627.60 $1,046 0.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,071 $1,785 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,071 $1,785 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $627.60 $1,046 0.2×
I&d forearm/wrist bursa (25031) $627.60 $1,046 0.4×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,071 $1,785 0.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,071 $1,785 0.3×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
I&d shoulder deep abscess/hematoma (23030) $1,575.60 $2,626 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Image Cath Fluid Trns/Vgnl (49407) $1,575.60 $2,626 0.9×
Immediate breast prosthesis (19340)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Implant eye drug system (67027)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.2×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.2×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
unusually low: confirm this is the full procedure		 $6,469.20 $10,782 0.4×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351)
unusually low: confirm this is the full procedure		 $3,592.20 $5,987 0.5×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.3×
Impression & Preparation Oral Surgical Splint (21085) $1,071 $1,785 4.5×
Impression&Preparation Surg Obturator Prosthes (21076) $1,071 $1,785 0.7×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $929.40–$1,071 $1,549–$1,785 varies
Incise finger tendon sheath (26055) $1,071 $1,785 0.7×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Incise Wrist/Forearm Tendon (25290) $1,071 $1,785 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $627.60 $1,046 0.2×
Incision & drainage leg/ankle infected bursa (27604) $627.60 $1,046 0.2×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $1,002.60–$1,071 $1,671–$1,785 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,071 $1,785 0.7×
Incision bone cortex foot (28005) $627.60 $1,046 0.2×
Incision extensor tendon sheath wrist (25000) $1,071 $1,785 0.7×
Incision of eardrum (69421) $627.60 $1,046 0.2×
Incision of eardrum (69420) $627.60 $1,046 2.6×
Incision of fibula (27707) $1,071 $1,785 0.3×
Incision of Foot Tendon (28234) $1,071 $1,785 0.7×
Incision of hip tendon (27001) $1,575.60 $2,626 0.5×
Incision of iris (66500) $627.60 $1,046 0.3×
Incision of labial frenum (frenotomy) (40806) $1,071 $1,785 2.0×
Incision of lingual frenum (frenotomy) (41010) $1,001.40 $1,669 0.6×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Incision of tibia & fibula (27709)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Incision&drainage bursa foot (28001) $627.60 $1,046 0.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,071 $1,785 0.6×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $993 $1,655 0.3×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $1,071 $1,785 0.3×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $1,071 $1,785 0.3×
Incisional biopsy eyelid skin & lid margin (67810) $627.60 $1,046 2.0×
Incisional biopsy skin single lesion (11106) $1,071.60 $1,786 1.4×
Initial Tx 1st Degree Burn Local Tx (16000) $1,071 $1,785 5.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,646 $4,410 3.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $627.60 $1,046 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $627.60 $1,046 0.7×
Inject Intravitreal Pharmcologic (67028) $1,575.60 $2,626 4.7×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $627.60 $1,046 0.7×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $627.60 $1,046 0.7×
Injection aa&/strd genicular nrv branches w/img (64454) $627.60 $1,046 0.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,071 $1,785 1.2×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $627.60 $1,046 0.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $627.60 $1,046 0.9×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $627.60 $1,046 0.7×
Injection Anes Agent Sphenopalatine Ganglion (64505) $627.60 $1,046 2.0×
Injection Anes Superior Hypogastric Plexus (64517) $627.60 $1,046 0.7×
Injection anesthetic agent suprascapular nerve (64418) $627.60 $1,046 0.9×
Injection for identification of sentinel node (38792) $1,071 $1,785 2.7×
Injection into disk lesion (62292) $4,588.80 $7,648 2.3×
Injection of sclerosing solution, hemorrhoids (46500) $627.60 $1,046 0.7×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Injection single/mlt trigger point 3/> muscles (20553) $627.60 $1,046 2.0×
Injection Sinus Tract Therapeutic Separate Proc (20500) $452.40 $754 0.3×
Injection therapeutic carpal tunnel (20526) $627.60 $1,046 2.0×
Injection, anesthetic agent; brachial plexus, single (64415) $627.60 $1,046 0.7×
Injection, anesthetic agent; femoral nerve, single (64447) $627.60 $1,046 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $545.40–$627.60 $909–$1,046 varies
Injection, Intralesional; More Than 7 Lesions (11901) $627.60 $1,046 3.1×
Injection, intralesional; up to and including 7 lesions (11900) $627.60 $1,046 3.1×
Injx anterior chamber eye air/liquid spx (66020) $628.20 $1,047 0.3×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,071 $1,785 1.2×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,071 $1,785 1.2×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,071 $1,785 1.2×
Insert and remove bone pin (20650) $627.60 $1,046 0.2×
Insert cath pleura w/ image (32557) $2,764.80 $4,608 1.7×
Insert Drug Implant Device (11981) $844.20 $1,407 6.3×
Insert eye socket implant (67550) $1,575.60 $2,626 0.4×
Insert Gastrostomy Tube Percutaneous (49440) $3,388.20 $5,647 1.8×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $1,020.60–$1,022.40 $1,701–$1,704 varies
Insert self-contd prosthesis (54401)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Insert semi-rigid prosthesis (54400)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.1×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Insert testicular prosthesis (54660)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Insert tissue expander(s) (11960) $1,071.60 $1,786 0.3×
Insert tunneled cv cath (36561) $1,071 $1,785 0.3×
Insert tunneled cv cath (36563)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $545.40–$628.20 $909–$1,047 varies
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) $1,071 $1,785 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,575.60 $2,626 1.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Insertion Vascular Pedicle Carpal Bone (25430) $1,071 $1,785 0.3×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,078.40 $3,464 0.9×
Insj Picc Rs&I <5 Yr (36572) $1,477.20 $2,462 2.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,575.60 $2,626 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Insj Stablj Dev W/Dcmprn (22867)
likely a partial charge, not the full procedure		 $1,924.80 $3,208 0.1×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure		 $1,869 $3,115 0.1×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure		 $1,020.60 $1,701 0.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,536.20 $9,227 1.7×
Insj/rplcmt breast implant sep day mastectomy (19342)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.1×
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $1,071 $1,785 0.4×
Interdental fixation (21110) $1,071 $1,785 0.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $993 $1,655 0.7×
Intranasal Biopsy (30100) $627.60 $1,046 0.4×
Intraoral i&d tongue/floor sublngl supfc (41005)
range across 2 matching MRF lines		 $782.40–$1,071 $1,304–$1,785 varies
Intraoral i&d tongue/floor submental space (41007)
range across 2 matching MRF lines		 $782.40–$1,071 $1,304–$1,785 varies
Intraoral i&d tongue/floor submndblr space (41008) $7,200 $12,000 2.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $1,575.60 $2,626 0.7×
Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) $1,575.60 $2,626 0.7×
Iridotomy/irridectomy laser surg per session (66761) $1,575.60 $2,626 2.9×
Irrigation of corpora cavernosa for priapism (54220) $552.38 $920.64 2.2×
Island pedicle flap graft (15740) $1,071 $1,785 0.5×
IV injection test vascular flow flap/graft (15860) $1,071 $1,785 2.4×
Jaw arthroscopy/surgery (29800) $1,071 $1,785 0.3×
Keratoplasty Penetrating Pseudophakia (65755) $2,078.40 $3,464 0.5×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $2,078.40 $3,464 0.5×
Knee arthroscopy/drainage (29871) $2,078.40 $3,464 0.6×
Knee Arthroscopy/Surgery (29885)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Knee Arthroscopy/Surgery (29874) $2,078.40 $3,464 0.6×
Lam facetec & foramot lumbar (63047)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Laminotomy Single Lumbar (63042)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Lap insert tunnel ip cath (49324) $10,103.40 $16,839 1.7×
Lap paraesoph her rpr w/mesh (43282)
likely a partial charge, not the full procedure		 $2,080.20 $3,467 0.2×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Lap replace gastr adj device (43773)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Laparo ablate liver tumor rf (47370)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparo ligate spermatic vein (55550)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparoscopic myomectomy (58545)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure		 $2,002.20 $3,337 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,943.40 $3,239 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $16,474.80 $27,458 1.5×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $2,078.40 $3,464 0.5×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,943.40 $3,239 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.3×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical; partial nephrectomy (50543)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Laparoscopy, surgical; pyeloplasty (50544)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical; ureterolithotomy Facility (50945)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
likely a partial charge, not the full procedure		 $1,473 $2,455 0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laps Gastric Restrictive Px Remove Device & Port (43774) $2,078.40 $3,464 0.5×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.3×
Laps Surg Trnsxj Vagus Nrv Truncal (43651)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $2,855.40 $4,759 0.8×
Laryngoscopy diagnostic (31505) $1,020.60 $1,701 5.1×
Laryngoscopy flexible diagnostic (31575) $444 $740 2.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $627.60 $1,046 0.4×
Laryngoscopy Indirect W/Biopsy (31510) $974.40 $1,624 0.3×
Laryngoscopy W/Biopsy (31535) $1,071 $1,785 0.3×
Laryngoscopy w/biopsy microscope/telescope (31536) $1,071 $1,785 0.3×
Laryngoscopy W/Foreign Body Removal (31530) $1,071 $1,785 0.6×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,327.80 $2,213 3.4×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $1,071 $1,785 2.7×
Larynscop w/tumr exc + scope (31541) $1,071 $1,785 0.3×
Laser Surgery Anal Lesions (46917) $1,071 $1,785 0.4×
Laser Surgery of Cervix (57513) $1,575.60 $2,626 0.5×
Laser treatment of retina (67040) $2,646 $4,410 0.6×
Laser vaporization of prostate (52648)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Late closure of wound (13160) $1,071 $1,785 0.3×
Lateral Canthopexy (21282) $1,071 $1,785 0.3×
Lateral retinacular release open (27425) $1,575.60 $2,626 0.5×
Lavage cannulation sphenoid sinus (31002) $1,071 $1,785 0.7×
Lengthen metacarpal/finger (26568)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Lengthen radius or ulna (25391)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $1,071 $1,785 0.3×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $1,498.80 $2,498 0.5×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Ligation nasal sinus artery (30915) $627.60 $1,046 0.2×
Ligation of a-v fistula (37607) $981 $1,635 0.3×
Ligation of hemorrhoids (46946) $1,071 $1,785 0.4×
Ligation or biopsy temporal artery (37609) $1,071 $1,785 0.6×
Limited pharyngectomy Facility (42890) $10,221 $17,035 1.7×
Lip Surgery Procedure (40799) $720 $1,200 3.0×
Low Back Disk Surgery (63030)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $2,518.20 $4,197 0.1×
Lysis Intranasal Synechia (30560) $1,071 $1,785 2.0×
Lysis of labial adhesions (56441) $1,575.60 $2,626 0.5×
Malar Augmentation Prosthetic Material (21270)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.3×
Manipulation Ankle Under General Anesthesia (27860) $627.60 $1,046 0.2×
Manipulation Elbow Under Anesthesia (24300) $993 $1,655 0.6×
Manipulation hip joint general anesthesia (27275) $1,071 $1,785 0.7×
Manipulation knee joint under general anesthesia (27570) $627.60 $1,046 0.4×
Manipulation wrist under anesthesia (25259) $1,071 $1,785 0.7×
Manipulation, finger joint, under anesthesia, each joint (26340) $627.60 $1,046 0.4×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,071 $1,785 0.7×
Marsupialization of bartholin's gland cyst (56440) $1,071 $1,785 0.3×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $1,666.20–$2,078.40 $2,777–$3,464 varies
Mastectomy partial (19301) $2,078.40 $3,464 0.5×
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Mastoidectomy; complete (69502)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Mastopexy (19316)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Maxillofacial fixation (21100)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Medial Canthopexy Separate Procedure (21280) $1,071 $1,785 0.3×
Mediastinoscpy w/lmph nod bx (39402) $9,687 $16,145 1.6×
Metatarsectomy (28140) $1,071 $1,785 0.3×
Middle ear expl thru postaur/ear canal inc (69440) $1,575.60 $2,626 0.5×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $1,071.60 $1,786 0.3×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) $1,575.60 $2,626 0.5×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) $1,575.60 $2,626 0.5×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $1,071 $1,785 0.5×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $1,071 $1,785 0.3×
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $1,071 $1,785 0.3×
Muscle-skin graft trunk (15734) $1,071 $1,785 0.3×
Muscle/tendon transfer upper arm/elbow single (24301)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Myelography Lumbar Injection (62305) $2,118 $3,530 2.7×
Myelography Lumbar Injection (62304) $2,118 $3,530 2.7×
Myelography via lumbar injection rs&i cervical (62302) $2,118 $3,530 2.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,118 $3,530 2.7×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $2,078.40 $3,464 0.6×
Myringoplasty (69620) $2,079.60 $3,466 0.6×
N Block Inj Celiac Pelus (64530) $627.60 $1,046 0.7×
N Block Inj Ilio-Ing/Hypogi (64425) $627.60 $1,046 0.9×
N block inj intercost sng (64420) $627.60 $1,046 0.9×
N Block Inj Paracervical (64435) $627.60 $1,046 0.9×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
N Block Inj Pudendal (64430) $627.60 $1,046 0.7×
N Block Lumbar/Thoracic (64520) $627.60 $1,046 0.7×
Nasal Endoscopy Dx (31231) $1,071 $1,785 5.3×
Nasal sinus therapy (30210) $1,071 $1,785 0.7×
Nasal surgery procedure (30999) $1,071 $1,785 4.5×
Nasal/Orogastric W/Tube Plmt (43752) $549.60 $916 1.2×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $1,071 $1,785 0.3×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,071 $1,785 0.6×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $1,071 $1,785 0.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,071 $1,785 0.6×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $993 $1,655 0.1×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,943.40 $3,239 0.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,078.40 $3,464 1.3×
Neck spine disk surgery (63020)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Neck spine fusion (22600)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Needle Biopsy Lymph Nodes (38505) $1,071 $1,785 0.6×
Needle Biopsy Pancreas (48102) $2,078.40 $3,464 1.3×
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) $627.60 $1,046 0.2×
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve graft arm/leg <4 cm (64892)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Nerve repair w/conduit each nerve (64910)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Nerve Repair W/Nerve Allograft First Strand (64912)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Neurectomy, Intrinsic Musculature Of Foot (28055) $1,071 $1,785 0.5×
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $1,575.60 $2,626 0.8×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,575.60 $2,626 0.8×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,575.60 $2,626 0.8×
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $1,575.60 $2,626 0.8×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $1,575.60 $2,626 0.8×
Nipple Exploration (19110) $1,071 $1,785 0.3×
Nipple/areola reconstruction (19350) $2,078.40 $3,464 0.5×
Njx anes stellate ganglion crv sympathetic (64510) $627.60 $1,046 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,646 $4,410 3.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,071.60 $1,786 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,071.60 $1,786 1.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,071.60 $1,786 1.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,071.60 $1,786 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,071.60 $1,786 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,071.60 $1,786 1.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,071.60 $1,786 1.2×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Occipital Nerve Block (64405) $627.60 $1,046 2.0×
Occlusion flp tube dev vag/suprapubic appr (58615) $1,575.60 $2,626 0.5×
Open biopsy/excision inguinofemoral nodes (38531) $1,575.60 $2,626 0.4×
Open bone biopsy (20251)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open bone biopsy (20250) $1,575.60 $2,626 0.5×
Open Implantation Nea Peripheral Nerve (64575)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Open Implantation Nea Sacral Nerve (64581)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.0×
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.2×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open treatment interphalangeal joint dislocation (28675) $1,575.60 $2,626 0.5×
Open Treatment Lunate Dislocation (25695)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment metacarpophalangeal dislocation (26715) $1,575.60 $2,626 0.5×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365)
unusually low: confirm this is the full procedure		 $2,080.20 $3,467 0.3×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269)
likely a partial charge, not the full procedure		 $2,079.60 $3,466 0.3×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) $2,079.60 $3,466 0.6×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open treatment of nasal fracture; uncomplicated Facility (21325) $1,071 $1,785 0.3×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $1,071 $1,785 0.3×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $1,071 $1,785 0.3×
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
likely a partial charge, not the full procedure		 $1,473 $2,455 0.2×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open tx acute shoulder dislocation (23660)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open Tx Acute/Chronic Elbow Dislocation (24615)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,575.60 $2,626 0.5×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $1,575.60 $2,626 0.5×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $1,575.60 $2,626 0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $1,575.60 $2,626 0.5×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,575.60 $2,626 0.5×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $1,889.40 $3,149 0.1×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
unusually low: confirm this is the full procedure		 $2,477.40 $4,129 0.3×
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $1,575.60–$1,578 $2,626–$2,630 varies
Open Tx Mandibular Fx W/Interdental Fixation (21462)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Open Tx Mandibular Fx W/O Interdental Fixation (21461)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,575.60 $2,626 0.5×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,575.60 $2,626 0.5×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) $8,112.60 $13,521 1.1×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Opn tx orbit fx combined (21387)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Optic Nerve Decompression (67570) $1,071 $1,785 0.3×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $1,575.60 $2,626 0.5×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $2,520 $4,200 0.3×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Orbital implant removal/revision (67560) $1,557 $2,595 0.4×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $1,575.60 $2,626 0.4×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $1,575.60 $2,626 0.4×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $1,575.60 $2,626 0.7×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $1,575.60 $2,626 0.7×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $1,575.60 $2,626 0.4×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) $1,575.60 $2,626 0.4×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $1,575.60 $2,626 0.4×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) $1,575.60 $2,626 0.4×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $1,575.60 $2,626 0.4×
Orchiectomy partial (54522) $1,071 $1,785 0.3×
Orchiectomy radical tumor inguinal approach (54530) $1,575.60 $2,626 0.4×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $2,078.40 $3,464 0.6×
Orchiopexy Ingun/Scrot Appr (54640) $1,575.60 $2,626 0.4×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $2,078.40 $3,464 0.6×
Ostc compl all metar heads w/prtl prox phalangc (28114) $1,575.60 $2,626 0.5×
Ostc prtl exostc/condylc metar head (28288) $1,575.60 $2,626 0.5×
Ostectomy calcaneus (28118) $1,071 $1,785 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,071 $1,785 0.3×
Ostectomy of sternum, partial Facility (21620) $2,078.40 $3,464 0.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,071 $1,785 0.3×
Ostectomy, complete excision; first metatarsal head (28111) $1,071 $1,785 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,071 $1,785 0.3×
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Osteochondral knee autograft (27416)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Osteochondral talus autogrft (28446)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Osteoplasty Radius/Ulna Shortening (25390)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Osteoplasty, facial bones; reduction (21209)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,071 $1,785 0.3×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Osteotomy Metacarpal Each (26565) $1,071 $1,785 0.3×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Osteotomy Phalanx Finger Each (26567) $1,071 $1,785 0.3×
Osteotomy radius distal third (25350)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteotomy Radius Middle/Proximal Third (25355) $1,071 $1,785 0.3×
Osteotomy talus (28302)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteotomy Ulna (25360)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $627.60 $1,046 0.3×
Parathyroidectomy or exploration of parathyroid(s); (60500)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Part exc bone femur prox tibia (27360) $1,071 $1,785 0.3×
Part remv talus or calcaneus (28120) $1,071 $1,785 0.3×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Partial Excision Bone Humerus (24140) $1,071 $1,785 0.3×
Partial excision bone metacarpal (26230) $1,071 $1,785 0.3×
Partial excision bone olecranon process (24147) $1,071 $1,785 0.3×
Partial Excision Bone Radius (25151) $1,071 $1,785 0.3×
Partial Excision Bone Ulna (25150) $1,071 $1,785 0.3×
Partial Excision Distal Phalanx Finger (26236) $1,071 $1,785 0.7×
Partial excision of lip (40520) $1,071 $1,785 0.3×
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,071 $1,785 0.7×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $1,575.60 $2,626 0.5×
Partial hymenectomy or revision of hymenal ring (56700) $1,575.60 $2,626 0.5×
Partial removal of fibula (27641) $1,071 $1,785 0.3×
Partial removal of nose (30150) $10,462.80 $17,438 1.8×
Partial removal of radius (24145)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Partial removal of rib (21600)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Partial removal of scapula (23190) $1,575.60 $2,626 0.5×
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Partial removal of tibia (27640) $1,071 $1,785 0.3×
Partial removal of toe (28160) $1,071 $1,785 0.3×
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Partial thyroid excision (60212)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Partical Excision Bone Phalanx Toe (28124) $1,071 $1,785 0.3×
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Pelvic examination under anesthesia (other than local) (57410) $627.60 $1,046 0.2×
Penis plastic surgery (54360) $1,071 $1,785 0.3×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,575.60 $2,626 1.1×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $1,575.60 $2,626 0.5×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $1,071 $1,785 0.7×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $1,575.60 $2,626 0.5×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $1,575.60 $2,626 1.0×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,575.60 $2,626 0.5×
Peri-Implant Capsulectomy Breast Complete (19371) $1,575.60 $2,626 0.4×
Perq Cervicothoracic Inject (22510) $1,575.60 $2,626 0.5×
Perq dev breast 1st strtctc (19283) $2,046.60 $3,411 2.9×
Perq dev breast 1st us imag (19285) $628.20 $1,047 0.9×
Perq device breast 1st imag (19281) $583.20 $972 0.4×
Perq Lumbosacral Injection (22511) $1,575.60 $2,626 0.5×
Perq skel fixj distal radial fx/epiphysl sep (25606) $627.60 $1,046 0.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Phalangectomy toe each toe (28150) $1,071 $1,785 0.3×
Pin Finger Dislocation (26776) $1,071 $1,785 0.3×
Pin hand dislocation (26676) $1,071 $1,785 0.3×
Pin knuckle dislocation (26706) $1,071 $1,785 0.3×
Place Duod/Jej Tube Perc (49441) $3,211.20 $5,352 1.7×
Placement of needle for intraosseous infusion (36680) $628.20 $1,047 1.4×
Placement of seton (46020) $1,071 $1,785 0.4×
Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) $1,071 $1,785 0.5×
Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) $1,071 $1,785 0.5×
Plastic Repair Canaliculi (68700) $1,575.60 $2,626 0.7×
Plastic Repair Introitus (56800) $993 $1,655 0.3×
Plmt expandable cath brst following prtl mast (19296)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Probe lacrimal canaliculi w/wo irrigation (68840) $627.60 $1,046 2.0×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $627.60 $1,046 0.3×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $627.60 $1,046 0.3×
Probe nl duct w/balloon (68816) $627.60 $1,046 0.3×
Probing nasolacrimal duct (68810) $627.60 $1,046 2.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $627.60 $1,046 0.7×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $1,071 $1,785 0.4×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $1,071 $1,785 0.9×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $1,071 $1,785 0.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,071 $1,785 0.9×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Prostatic microwave thermotx (53850) $1,575.60 $2,626 0.4×
Prostatic Rf Thermotx (53852) $1,575.60 $2,626 0.4×
Prosthesis Removal Humeral/Glenoid Component (23334)
likely a partial charge, not the full procedure		 $2,080.20 $3,467 0.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,071 $1,785 1.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,071 $1,785 0.3×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $1,575.60 $2,626 0.5×
Prq skel fixj metar fx w/manj (28476) $1,071 $1,785 0.3×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $1,575.60 $2,626 0.5×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $1,071 $1,785 0.3×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $1,575.60 $2,626 0.5×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,071 $1,785 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Puncture Aspiration Cyst Breast (19000) $1,071 $1,785 1.5×
Puncture shunt tube/reservoir aspiration/inj px (61070) $2,078.40 $3,464 2.9×
Pvb thoracic cont infusion (64463) $589.20 $982 0.8×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $1,575.60 $2,626 1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $1,575.60 $2,626 0.5×
Rad resect elbow caps/sr bone w rels (24149)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rad resect hand tumor 3 cm/> (26118) $1,575.60 $2,626 0.5×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $1,575.60 $2,626 0.5×
Rad resect tumor soft tissue hand/finger <3cm (26117) $1,071 $1,785 0.4×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $1,459.80 $2,433 0.5×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $1,071 $1,785 0.4×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $5,061.60 $8,436 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $1,943.40 $3,239 0.7×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $1,576.20 $2,627 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $1,071 $1,785 0.4×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $1,071 $1,785 0.4×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $6,614.40 $11,024 2.3×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) $1,575.60 $2,626 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $1,071 $1,785 0.4×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $1,575.60 $2,626 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $1,576.20 $2,627 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $1,575.60 $2,626 0.5×
Radical resection of tumor, femur or knee Facility (27365) $1,575.60 $2,626 0.5×
Radical resection of tumor, proximal humerus Facility (23220)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $1,071 $1,785 0.3×
Radical resection of tumor, radius or ulna (25170)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Radical resection of tumor, shaft or distal humerus Facility (24150)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Radical resection of tumor; fibula Facility (27646) $1,576.20 $2,627 0.5×
Radical resection of tumor; scapula Facility (23210)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Radical resection of tumor; talus or calcaneus Facility (27647) $5,532.60 $9,221 1.7×
Radical resection of tumor; tibia Facility (27645) $1,575.60 $2,626 0.5×
Radical styloidectomy separate procedure (25230) $1,575.60 $2,626 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,071 $1,785 0.5×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,071.60 $1,786 0.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $1,575.60 $2,626 0.5×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $1,575.60 $2,626 0.5×
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $1,575.60 $2,626 0.7×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $1,575.60 $2,626 0.7×
Rcnstj Eyelid Full Thickness Second Stage (67975) $1,575.60 $2,626 0.7×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Realignment extensor tendon hand each tendon (26437) $1,071 $1,785 0.3×
Realignment of knee (27457)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Realignment of knee (27455)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Reconstruct cleft palate (42210) $10,076.72 $16,794.54 1.7×
Reconstruct elbow joint (24360)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Reconstruct elbow lat ligmnt (24344)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Reconstruct elbow med ligmnt (24346)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Reconstruct finger joint (26545) $1,575.60 $2,626 0.5×
Reconstruct Finger Joint (26548) $1,071 $1,785 0.3×
Reconstruct ulna/radioulnar (25337)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Reconstruct wrist joint (25445)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Reconstruction of dislocating patella; with patellectomy Facility (27424)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) $1,575.60 $2,626 0.4×
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $1,575.60 $2,626 0.5×
Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Reconstruction Tongue Fold (41520) $1,071.60 $1,786 0.3×
Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)… (21180)
likely a partial charge, not the full procedure		 $981 $1,635 0.2×
Reduction Overcorrection Ptosis (67909) $1,575.60 $2,626 0.7×
Reinforce clavicle (23490)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Reinforce hip bones (27187)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Reinforce humerus (24498)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Reinforce radius (25490) $12,045.60 $20,076 1.7×
Reinforce tibia (27745)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Reinsert spinal fixation (22849)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Release eye tissue (67343) $1,575.60 $2,626 0.7×
Release facial nerve (69720)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Release foot/toe nerve (64726) $1,071 $1,785 0.5×
Release Intrinsic Muscles Hand Each Muscle (26593) $1,071 $1,785 0.3×
Release of big toe (28240) $1,071 $1,785 0.3×
Release of shoulder ligament (23415)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Release or recession, hamstring, proximal Facility (27097) $1,071 $1,785 0.3×
Release Thenar Muscle (26508) $1,071 $1,785 0.3×
Relieve Pressure on Nerve(S) (64722) $1,057.80 $1,763 0.5×
Removal Foreign Body Deep Thigh/Knee (27372) $1,071 $1,785 0.4×
Removal Foreign Body Foot Complicated (28193) $1,071 $1,785 0.6×
Removal foreign body foot deep (28192) $1,071 $1,785 0.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $1,071 $1,785 0.3×
Removal Foreign Body Scrotum (55120) $1,071 $1,785 0.5×
Removal foreign body upper arm/elbow deep (24201) $1,071 $1,785 0.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $627.60 $1,046 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $545.40–$628.20 $909–$1,047 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $459–$627.60 $765–$1,046 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,071 $1,785 0.3×
Removal Implant Deep (20680) $1,071 $1,785 0.4×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Removal implantable contraceptive capsules (11976) $1,071 $1,785 1.5×
Removal intact breast implant (19328) $1,071 $1,785 0.3×
Removal of a lesion from the floor of the mouth (41116) $1,071.60 $1,786 0.3×
Removal of adenoids (42831) $1,575.60 $2,626 0.5×
Removal of adenoids (42830) $1,575.60 $2,626 0.5×
Removal of anal fissure (46200) $1,872 $3,120 0.7×
Removal of ankle implant (27704) $627.60 $1,046 0.2×
Removal of anterior instrumentation (22855)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Removal of bladder cyst (51500)
unusually low: confirm this is the full procedure		 $1,943.40 $3,239 0.3×
Removal of bone lesion (23140) $1,575.60 $2,626 0.5×
Removal of brow wrinkles (15826) $1,575.60 $2,626 0.4×
Removal of calcium deposits (23000) $1,575.60 $2,626 0.5×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $1,575.60 $2,626 0.5×
Removal of esophageal sphincter augmentation device (43285)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Removal of eye (65110) $1,575.60 $2,626 0.4×
Removal of foot joint lining (28072) $1,071 $1,785 0.3×
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) $1,575.60 $2,626 0.7×
Removal of heel spur (28119) $1,071 $1,785 0.3×
Removal of hip joint lining (27054) $1,575.60 $2,626 0.5×
Removal of hip prosthesis; (separate procedure) Facility (27090)
likely a partial charge, not the full procedure		 $2,079.60 $3,466 0.3×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
likely a partial charge, not the full procedure		 $2,079.60 $3,466 0.2×
Removal of humerus lesion (23150) $935.40 $1,559 0.3×
Removal of humerus lesion (23156)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Removal of implant from finger or hand (26320) $627.60 $1,046 0.4×
Removal of intranasal lesion (30118) $1,071 $1,785 0.3×
Removal of iris (66635) $1,575.60 $2,626 0.7×
Removal of iris (66630) $1,575.60 $2,626 0.7×
Removal of jaw joint (21050)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Removal of knee prosthesis (27488)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Removal of lens material (66852) $1,071 $1,785 0.3×
Removal of mammary implant material (19330) $1,071 $1,785 0.3×
Removal of nail bed (11750) $627.60 $1,046 1.5×
Removal of nose (30160)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Removal of nose lesion (30124) $1,071 $1,785 0.7×
Removal of ocular implant (65175) $2,078.40 $3,464 0.5×
Removal of posterior segmental instrumentation Facility (22852)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
likely a partial charge, not the full procedure		 $2,080.20 $3,467 0.3×
Removal of sesamoid bone (28315) $1,071 $1,785 0.3×
Removal of skin wrinkles (15829) $1,575.60 $2,626 0.4×
Removal of sperm cord lesion (55520) $1,071 $1,785 0.3×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Removal of testis (54520) $1,071 $1,785 0.3×
Removal of thyroid (60271)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Removal of tonsils (42826) $1,071 $1,785 0.3×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) $4,200 $7,000 0.6×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Facility (22865)
likely a partial charge, not the full procedure		 $1,886.40 $3,144 0.3×
Removal of wrist bone (25210) $1,071 $1,785 0.3×
Removal or bivalving full arm or full leg cast (29705) $1,001.40 $1,669 3.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $1,071 $1,785 0.5×
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $2,477.40–$2,481 $4,129–$4,135 varies
Removal tong/halo applied by another individual (20665) $1,071 $1,785 2.4×
Removal, under anesthesia, of external fixation system (20694) $1,071 $1,785 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $189 $315 0.7×
Remove & graft wrist lesion (25136)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Remove & graft wrist lesion (25135)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Remove Ankle Joint Lining (27626) $1,071 $1,785 0.3×
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Remove blood clot from eye (65930) $627.60 $1,046 0.3×
Remove coronoid process (21070)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Remove drug implant device (11982) $1,071 $1,785 2.4×
Remove elbow joint implant (24160) $1,071 $1,785 0.3×
Remove Elbow Joint Lining (24102) $1,575.60 $2,626 0.5×
Remove elbow lesion (24120) $1,071 $1,785 0.3×
Remove eye lesion (66130) $627.60 $1,046 0.3×
Remove eye/attach implant (65105) $2,078.40 $3,464 0.5×
Remove femur lesion/graft (27356)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Remove Forearm Foreign Body (25248) $1,071 $1,785 0.7×
Remove foreign body from eye (65235) $1,575.60 $2,626 0.7×
Remove foreign body from eye (65205) $1,071 $1,785 8.0×
Remove groin lymph nodes (38760)
likely a partial charge, not the full procedure		 $1,576.20 $2,627 0.2×
Remove Hand Bone Lesion (26200) $1,071 $1,785 0.7×
Remove humerus lesion (24110) $1,071 $1,785 0.3×
Remove Intrauterine Device (58301) $627.60 $1,046 2.1×
Remove iris and lesion (66600) $1,575.60 $2,626 0.4×
Remove knee joint lining (27334) $1,575.60 $2,626 0.5×
Remove lamina/facets lumbar (63012)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Remove Lower Leg Bone Lesion (27635) $1,071 $1,785 0.3×
Remove mastoid structures (69505)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Remove part lumbar vertebra (22102)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Remove Peritoneal Foreign Body (49402) $1,575.60 $2,626 0.4×
Remove radius head implant (24164) $1,071 $1,785 0.3×
Remove sacrum pressure sore (15937) $1,071.60 $1,786 0.5×
Remove Shoulder Foreign Body (23330) $1,071 $1,785 0.6×
Remove shoulder joint lining (23105)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Remove Skin Nerve Lesion (64774) $1,071 $1,785 0.5×
Remove spine eltrd plate (63662) $2,079.60 $3,466 0.6×
Remove spine fixation device (22850)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Remove spine lamina 1/2 lmbr (63005)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Remove spine lamina 1/2 thrc (63003)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Remove spine lamina >2 thrc (63016)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Remove sympathetic nerves (64821) $2,078.40 $3,464 0.6×
Remove Tendon Sheath Lesion (26160) $1,071 $1,785 0.7×
Remove thigh pressure sore (15956) $1,071.60 $1,786 0.5×
Remove thyroid lesion (60200)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Remove tissue expander (11971) $1,071 $1,785 0.4×
Remove wrist joint cartilage (25107) $1,575.60 $2,626 0.5×
Remove/graft bone lesion (24125) $1,071 $1,785 0.3×
Remove/graft finger lesion (26215) $1,575.60 $2,626 0.5×
Remove/graft foot lesion (28102)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Remove/graft forearm lesion (25126) $1,473 $2,455 0.4×
Remove/graft leg bone lesion (27637)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Remv cartilage for graft nasal (20912) $1,575.60 $2,626 0.4×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $627.60 $1,046 0.1×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair arm/leg nerve (64857) $1,071 $1,785 0.3×
Repair Bladder-Vagina Lesion (57320)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $1,071 $1,785 0.3×
Repair Blood Vessel Direct Upper Extremity (35206) $1,071 $1,785 0.3×
Repair brow ptosis (67900) $1,575.60 $2,626 0.7×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $770.40–$1,071 $1,284–$1,785 varies
Repair defect w/autograft radius/ulna (25425)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair detached retina (67105) $2,646 $4,410 4.8×
Repair Ectropion Excision Tarsal Wedge (67916) $1,071 $1,785 0.4×
Repair Ectropion Extensive (67917) $1,071 $1,785 0.4×
Repair Ectropion Suture (67914) $1,071 $1,785 0.4×
Repair Ectropion Thermocauterization (67915) $1,071 $1,785 0.4×
Repair Elbow Perc (24357) $2,074.80 $3,458 0.6×
Repair Entropion Excision Tarsal Wedge (67923) $1,071 $1,785 0.4×
Repair Entropion Extensive (67924) $1,071 $1,785 0.4×
Repair Entropion Suture (67921) $1,071 $1,785 0.4×
Repair Extensor Tendon Finger W/Graft Each (26420) $1,071 $1,785 0.3×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $861–$1,071 $1,435–$1,785 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $1,071 $1,785 0.3×
Repair Eyelid Wound (67935) $1,071 $1,785 0.4×
Repair Finger Tendon (26433) $1,071 $1,785 0.3×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $817.80–$1,071 $1,363–$1,785 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,071 $1,785 0.3×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair Forearm Tendon Sheath (25275) $1,071 $1,785 0.3×
Repair forearm tendon/muscle (25265) $1,071 $1,785 0.3×
Repair Hallux Rigidus (28289) $2,646 $4,410 0.8×
Repair Hand Joint (26540) $1,071 $1,785 0.3×
Repair Hand Tendon (26410) $1,071 $1,785 0.7×
Repair humerus with graft (24435)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Repair inguinal hernia, sliding, any age (49525) $1,575.60 $2,626 0.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,575.60 $2,626 0.4×
Repair initial femoral hernia, any age; reducible (49550) $1,575.60 $2,626 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,575.60 $2,626 0.4×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $1,575.60 $2,626 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $627.60 $1,046 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $628.20 $1,047 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $627.60 $1,046 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $481.20–$627.60 $802–$1,046 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $628.20 $1,047 0.3×
Repair intrinsic muscles hand each muscle (26591) $1,071 $1,785 0.3×
Repair iris ciliary body (66680) $1,575.60 $2,626 0.7×
Repair Laceration Palate </2 Cm (42180) $1,020.60 $1,701 1.9×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair nasal septal perforations (30630) $1,575.60 $2,626 0.5×
Repair Nasal Vestibular Stenosis (30465)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Repair Nonunion Carpal Bone Each Bone (25431)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair Nonunion Hand (26546)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure		 $1,057.80 $1,763 0.1×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair of defect with autograft; radius AND ulna Facility (25426) $1,071 $1,785 0.3×
Repair of enterocele, vaginal approach (separate procedure) (57268)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Repair of entropion; thermocauterization (67922) $1,071 $1,785 0.4×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $1,071 $1,785 0.3×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of hydrocele (55060) $1,576.20 $2,627 0.4×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) $1,071 $1,785 0.3×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair of knee ligaments (27409)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of leg nerve (64840)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725)
likely a partial charge, not the full procedure		 $1,498.80 $2,498 0.2×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of rectocele (45560) $2,078.40 $3,464 0.7×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair of shoulder (23420)
unusually low: confirm this is the full procedure		 $3,591.60 $5,986 0.5×
Repair of web finger (26562) $1,071 $1,785 0.3×
Repair of web finger (26560) $1,071 $1,785 0.7×
Repair of web finger (26561) $1,071 $1,785 0.3×
Repair oval window fistula (69666) $2,079.60 $3,466 0.6×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $2,079.60 $3,466 0.3×
Repair penis post injury (54440) $1,071 $1,785 0.3×
Repair radius & ulna (25415)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $1,575.60 $2,626 0.4×
Repair recurrent femoral hernia; reducible Facility (49555) $1,575.60 $2,626 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair Retinal Detachment Scleral Buckling (67107) $2,646 $4,410 0.6×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Repair round window fistula (69667) $2,079.60 $3,466 0.6×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair shoulder capsule (23462)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Repair shoulder capsule (23466)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,071 $1,785 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Repair Toe Dislocation (28645) $1,575.60 $2,626 0.5×
Repair webbed toe(s) (28345) $1,071 $1,785 0.7×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472)
likely a partial charge, not the full procedure		 $1,473 $2,455 0.2×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $1,071 $1,785 0.3×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $1,071 $1,785 0.3×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Repair/graft femur head/neck (27170)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Repair/Graft Wrist Bone (25440)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Repair/Revise Wrist Joint (25320)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repair/transpose nerve (64856)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Replace elbow joint (24363)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Replace eye fluid (67025) $1,575.60 $2,626 0.7×
Replace G-J Tube Perc (49452) $583.20 $972 0.6×
Replace/Revise Brain Shunt (62230)
likely a partial charge, not the full procedure		 $1,001.40 $1,669 0.1×
Replacement Tissue Expander W/Permanent Implant (11970)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Reposition Venous Catheter (36597) $1,071 $1,785 0.7×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $627.60 $1,046 0.3×
Repr elbow lat ligmnt w/tiss (24343) $1,575.60 $2,626 0.5×
Repr Elbw Med Ligmnt W/Tiss (24345)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Repr torn cruciate knee ligam (27407)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Rerepair ing hernia reduce (49520) $1,575.60 $2,626 0.4×
Resect back tum < 5 cm (21935) $1,575.60 $2,626 0.5×
Resect enlarged toe (28341) $1,071 $1,785 0.3×
Resect forarm/wrist tum 3cm> (25078) $1,575.60 $2,626 0.5×
Resect hip/pelv tum 5 cm/> (27059) $1,576.20 $2,627 0.5×
Resect hip/pelv tum < 5 cm (27049) $1,071 $1,785 0.4×
Resect leg/ankle tum < 5 cm (27615) $1,001.40 $1,669 0.3×
Resect Shoulder Tumor 5 Cm/> (23078) $1,459.80 $2,433 0.5×
Resect shoulder tumor < 5 cm (23077) $627.60 $1,046 0.2×
Resect thigh/knee tum < 5 cm (27329) $1,575.60 $2,626 0.5×
Resection of scrotum (55150) $1,575.60 $2,626 0.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $1,071 $1,785 0.3×
Resection, partial or complete, phalangeal base, each toe (28126) $1,071 $1,785 0.3×
Resection/transplantation long tendon biceps (23440)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Rev/rmv prph sac/gstr npg/r (64595) $8,109.60 $13,516 2.3×
Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370)
likely a partial charge, not the full procedure		 $2,077.20 $3,462 0.2×
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure		 $3,357.60 $5,596 0.3×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Revise external ear (69300) $1,575.60 $2,626 0.5×
Revise eye (65091) $2,078.40 $3,464 0.5×
Revise eye with implant (65093) $2,078.40 $3,464 0.5×
Revise finger joint each (26140) $1,071 $1,785 0.7×
Revise Hand/Foot Nerve (64704) $1,071 $1,785 0.5×
Revise knuckle joint (26530)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Revise Lower Leg Tendons (27686) $1,088.40 $1,814 0.3×
Revise radius & ulna (25365)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Revise reconst elbow joint (24371)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Revise Spine Eltrd Plate (63664)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Revise ulnar nerve at wrist (64719) $1,575.60 $2,626 0.8×
Revise Wrist/Forearm Tendon (25280) $1,071 $1,785 0.3×
Revise/Implant Finger Joint (26536)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Revise/Repair Finger/Toe Nerve (64702) $1,071 $1,785 0.5×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $2,079.60 $3,466 0.6×
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602)
unusually low: confirm this is the full procedure		 $2,079.60 $3,466 0.3×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $2,078.40 $3,464 0.6×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $2,078.40 $3,464 0.6×
Revision of eyelid (67880) $1,071 $1,785 0.4×
Revision of foot (28116) $1,071 $1,785 0.3×
Revision of foot and ankle (28262)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Revision of foot bones (28737)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Revision of foot fascia (28250) $1,071 $1,785 0.3×
Revision of humerus (24400)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $2,078.40 $3,464 0.6×
Revision of knee joint (27442)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Revision of lower leg tendon (27685) $1,071 $1,785 0.3×
Revision of nose (30462)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Revision of penis (54300) $1,071 $1,785 0.3×
Revision of penis (54304) $1,071 $1,785 0.3×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Revision of reconstructed breast (19380)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Revision of stapedectomy or stapedotomy Facility (69662)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Revision of toe (28312) $1,071 $1,785 0.3×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Revision Peri-Implant Capsule Breast (19370) $1,575.60 $2,626 0.4×
Revision/replmt neurostimlator eltrd cranial nrv (64569)
likely a partial charge, not the full procedure		 $1,473 $2,455 0.1×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $627.60 $1,046 0.3×
Revj Arthrp W/Removal Implant Wrist Joint (25449)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $2,078.40 $3,464 0.6×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $2,078.40 $3,464 0.6×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,646 $4,410 0.8×
Revj/rmvl neurostimulator pulse generator (61888)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,575.60 $2,626 0.4×
Revj/rpr oprative wound anterior segment (66250) $1,071 $1,785 0.4×
Rhinoplasty primary w/major septal repair (30420)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rhinoplasty Secondary Intermediate Revision (30435)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rhinoplasty Secondary Major Revision (30450)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rhinoplasty Secondary Minor Revision (30430)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rhinp Dfrm W/Colum Lngth Tip Only (30460)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rhinp Prim Complete Xtrnl Parts (30410)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rhytidectomy Cheek Chin & Neck (15828) $1,575.60 $2,626 0.4×
Rhytidectomy Forehead (15824) $1,575.60 $2,626 0.8×
Rhytidectomy Neck W/Platysmal Tightening (15825) $1,575.60 $2,626 0.4×
Rib cartilage graft (21230)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $627.60 $1,046 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $1,071–$1,072.80 $1,785–$1,788 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,071 $1,785 2.4×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $1,071 $1,785 3.4×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $545.40–$583.20 $909–$972 varies
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $627.60 $1,046 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,071 $1,785 0.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,071 $1,785 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,071 $1,785 0.6×
Rmvl implnt matl posterior segment extraocular (67120) $627.60 $1,046 0.3×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $1,071 $1,785 0.5×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $1,071 $1,785 0.5×
Rmvl Lens Material Phacofragmentation Aspir (66850) $1,071 $1,785 0.5×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,646 $4,410 1.3×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,078.40 $3,464 1.1×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $1,575.60 $2,626 0.5×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,575.60 $2,626 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,576.20 $2,627 2.5×
Rmvl Vitreous Ant Appr Partial Removal (67005) $627.60 $1,046 0.3×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $1,071 $1,785 0.5×
Rmvl/revj sling stress incontinence (57287) $1,071 $1,785 0.3×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $2,079.60 $3,466 0.6×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585)
range across 2 matching MRF lines		 $1,575.60–$1,578 $2,626–$2,630 varies
Rplcmt compl tun ctr vad w/subq port (36582) $1,473 $2,455 0.5×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $13,303.20 $22,172 2.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $6,780 $11,300 1.9×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $9,039 $15,065 1.4×
Rpr aa hernia recr 3-10 cm reducible (49615) $8,777.40 $14,629 1.3×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $9,978.60 $16,631 1.6×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $7,766.40 $12,944 2.2×
Rpr aa hrn 1st 3-10 rdc (49593) $6,780 $11,300 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $9,978.60 $16,631 1.6×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $1,575.60 $2,626 0.4×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $1,575.60 $2,626 0.7×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $1,575.60 $2,626 0.7×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $1,575.60 $2,626 0.7×
Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) $1,575.60 $2,626 0.4×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $1,575.60 $2,626 0.7×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,071 $1,785 0.3×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $628.80 $1,048 3.1×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $589.80 $983 0.8×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $1,071 $1,785 0.5×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $1,071 $1,785 0.4×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $1,071 $1,785 0.3×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $940.20–$942 $1,567–$1,570 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $1,071.60–$1,073.40 $1,786–$1,789 varies
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $2,646 $4,410 1.1×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $2,646 $4,410 0.6×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $1,575.60 $2,626 0.7×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,071 $1,785 0.3×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,071 $1,785 0.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,071 $1,785 0.3×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,575.60 $2,626 2.5×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $1,071 $1,785 0.3×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $1,071 $1,785 0.3×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,071 $1,785 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $1,071 $1,785 0.3×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,575.60 $2,626 0.5×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $1,575.60 $2,626 0.5×
Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400)
likely a partial charge, not the full procedure		 $1,071.60 $1,786 0.1×
Scleral reinforcement (separate procedure); without graft Facility (67250) $1,071 $1,785 0.4×
Scleral Reinforcement Spx W/Graft (67255) $1,575.60 $2,626 0.4×
Scrotal exploration (55110) $1,575.60 $2,626 0.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $2,078.40 $3,464 0.6×
Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) $1,071 $1,785 0.3×
Sequestrectomy Olecranon Process (24138)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $1,071 $1,785 0.5×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $1,071 $1,785 0.5×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $627.60 $1,046 3.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $627.60 $1,046 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $469.20–$627.60 $782–$1,046 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $627.60 $1,046 3.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $627.60 $1,046 1.5×
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Shoulder arthroscopy diagnostic (29805) $1,071 $1,785 0.3×
Shoulder Arthroscopy/Surgery (29825) $2,078.40 $3,464 0.6×
Shoulder joint surgery (23101) $1,575.60 $2,626 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $627.60 $1,046 3.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $627.60 $1,046 1.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $627.60 $1,046 3.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,265.60 $3,776 2.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $452.40 $754 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $459–$627.60 $765–$1,046 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $452.40–$540.60 $754–$901 varies
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030)
likely a partial charge, not the full procedure		 $974.40 $1,624 0.2×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051)
likely a partial charge, not the full procedure		 $1,071.60 $1,786 0.2×
Skin Full Grft Face/Genit/Hf (15240) $627.60 $1,046 0.3×
Skin graft, harvest cultured tissue (15040) $628.20 $1,047 0.3×
Skin Pedicle Flap Trunk (15570) $1,071 $1,785 0.5×
Skin sub graft face/nk/hf/g (15275) $601.20 $1,002 0.8×
Skin sub graft trnk/arm/leg (15271) $1,071 $1,785 1.4×
Skin sub grft t/arm/lg child (15273) $1,071 $1,785 0.5×
Skin Tissue Procedure (17999) $1,071 $1,785 5.3×
Skn sub grft f/n/hf/g child (15277) $1,881.60 $3,136 0.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $627.60–$628.80 $1,046–$1,048 varies
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $1,459.80 $2,433 0.5×
Sphnctrop Anal Levator Musc Imbrcj (46761) $1,575.60 $2,626 0.6×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $452.40–$2,118 $754–$3,530 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $627.60 $1,046 0.2×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $627.60 $1,046 0.3×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661)
unusually low: confirm this is the full procedure		 $1,943.40 $3,239 0.3×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
likely a partial charge, not the full procedure		 $943.20 $1,572 0.2×
Strabismus Any Superior Oblique Muscle (67318) $1,575.60 $2,626 0.7×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $1,575.60 $2,626 0.7×
Strabismus Recession/Rescj 1 Ver Musc (67314) $1,575.60 $2,626 0.7×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $1,575.60 $2,626 0.4×
Strabismus Recession/Rescj 2/More Ver Musc (67316) $1,575.60 $2,626 0.7×
Strapping ankle (29540) $124.20 $207 0.8×
Strapping hand/finger (29280) $452.40 $754 7.6×
Strapping knee (29530) $124.20 $207 0.9×
Subconjunctival injection (68200) $627.60 $1,046 1.4×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $627.60 $1,046 3.1×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $589.20 $982 0.8×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $627.60 $1,046 0.8×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,071 $1,785 0.3×
Subtalar arthro w/deb (29906) $1,575.60 $2,626 0.5×
Suction assisted lipectomy; head and neck (15876) $1,071 $1,785 0.3×
Suction assisted lipectomy; trunk (15877) $1,071 $1,785 0.3×
Suction assisted lipectomy; upper extremity (15878) $1,071 $1,785 0.5×
Suction Lipectomy Lwr Extrem (15879) $1,071 $1,785 0.3×
Suprahyoid lymphadenectomy (38700)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.2×
Surg tx anal fistula subq (46270) $1,071 $1,785 0.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,071 $1,785 0.4×
Suture 1 nerve hand/foot common sensory nerve (64834) $1,071 $1,785 0.3×
Suture 1 Nerve Median Motor Thenar (64835) $1,071 $1,785 0.3×
Suture 1 Nerve Ulnar Motor (64836) $1,071 $1,785 0.3×
Suture digital nerve hand/foot 1 nerve (64831) $1,071 $1,785 0.5×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $1,071 $1,785 0.5×
Suture of facial nerve; extracranial Facility (64864)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Suture of sciatic nerve (64858) $1,071 $1,785 0.5×
Suture of; brachial plexus Facility (64861) $1,071 $1,785 0.5×
Suture of; lumbar plexus Facility (64862) $1,071 $1,785 0.3×
Sympathectomy cervical (64802) $2,078.40 $3,464 1.1×
Sympathectomy, cervicothoracic Facility (64804) $2,078.40 $3,464 1.1×
Sympathectomy; digital arteries, each digit Facility (64820) $2,078.40 $3,464 1.1×
Sympathectomy; superficial palmar arch (64823) $2,078.40 $3,464 0.6×
Sympathectomy; ulnar artery (64822) $2,078.40 $3,464 0.6×
Syndactylization toes (28280) $1,071 $1,785 0.3×
Synovectomy carpometacarpal joint (26130) $1,071 $1,785 0.3×
Synovectomy Tendon Sheath Foot Extensor (28088) $1,071 $1,785 0.3×
Synovectomy Tendon Sheath Foot Flexor (28086) $1,071 $1,785 0.3×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $1,575.60 $2,626 0.5×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $1,071 $1,785 0.3×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,071 $1,785 0.7×
Talectomy (astragalectomy) Facility (28130)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Tangential biopsy skin single lesion (11102) $629.40 $1,049 1.5×
Tattooing incl micropigmentation 6.0 cm/< (11920) $627.60 $1,046 0.8×
Temporary Closure Eyelids Suture (67875) $1,071 $1,785 1.1×
Tendon lengthening upper arm/elbow ea tendon (24305) $1,071 $1,785 0.3×
Tendon shortening (26477) $1,575.60 $2,626 0.5×
Tendon transfer with graft (26492) $1,575.60 $2,626 0.5×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $1,071 $1,785 0.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $1,575.60 $2,626 0.5×
Tenodesis distal joint each (26474) $1,071 $1,785 0.7×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Tenodesis proximal interphalangeal joint each (26471) $1,071 $1,785 0.3×
Tenodesis Wrist Extensors Fingers (25301) $1,001.40 $1,669 0.3×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $1,071 $1,785 0.3×
Tenolysis extensor foot single tendon (28225) $1,071 $1,785 0.3×
Tenolysis Flexor Foot Multiple Tendons (28222) $1,071 $1,785 0.3×
Tenolysis flexor foot single tendon (28220) $1,071 $1,785 0.7×
Tenolysis flexor tendon palm&finger each tendo (26442) $2,078.40 $3,464 0.6×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,575.60 $2,626 1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,071 $1,785 0.3×
Tenolysis Triceps (24332) $1,071 $1,785 0.3×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $1,575.60 $2,626 0.5×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $1,071 $1,785 0.3×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $1,071 $1,785 0.3×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $1,071 $1,785 0.3×
Tenotomy Adductor Hip Percutaneous Spx (27000) $1,071 $1,785 0.7×
Tenotomy extensor hand/finger open each tendon (26460) $1,071 $1,785 0.7×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,071 $1,785 0.7×
Tenotomy Hip Abd/Ext Open (27006) $1,575.60 $2,626 0.5×
Tenotomy Percutaneous Single Each Digit (26060) $993 $1,655 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,071 $1,785 0.7×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,071 $1,785 0.3×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,071 $1,785 0.7×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Tenotomy, hip flexor(s), open (27005) $1,575.60 $2,626 0.5×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $1,071 $1,785 0.3×
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) $1,071 $1,785 0.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,071 $1,785 0.7×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $1,670.40–$2,118 $2,784–$3,530 varies
Thumb fusion with graft (26842)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Thyroid biopsy (60100) $1,071 $1,785 1.5×
Thyroidectomy Post Prev Thyr Surg (60260)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,071 $1,785 0.5×
Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) $1,071 $1,785 0.5×
Tissue Expander Placement Breast Reconstruction (19357)
likely a partial charge, not the full procedure		 $2,646 $4,410 0.2×
Tnot elbow lateral/medial debride open (24358) $2,078.40 $3,464 0.6×
Tnot elbow lateral/medial debride open tdn rpr (24359) $2,078.40 $3,464 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,071 $1,785 0.3×
Tooth extraction (41899) $1,575.60 $2,626 6.6×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge, not the full procedure		 $2,079.60 $3,466 0.1×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $3,591.60 $5,986 0.3×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Trabeculoplasty by laser surgery (65855) $1,071 $1,785 1.9×
Tracheostoma revj smpl w/o flap rotation (31613) $2,611.20 $4,352 0.8×
Transection/Avulsion Facial Nrv Different/Cmpl (64742) $1,071 $1,785 0.5×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,071 $1,785 0.5×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $1,575.60 $2,626 0.5×
Transfer skin pedicle flap (15650) $1,071 $1,785 0.5×
Transfer/transplant tendon palmar w/o graft each (26485) $1,071 $1,785 0.3×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055)
unusually low: confirm this is the full procedure		 $3,327 $5,545 0.5×
Transplant hand tendon (26480) $1,071 $1,785 0.3×
Transur electr resection of prostate (52601)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Transurethral incision of prostate (52450) $1,071 $1,785 0.3×
Transurethral resection bladder neck (52500) $1,575.60 $2,626 0.4×
Treat ankle dislocation (27848)
unusually low: confirm this is the full procedure		 $2,653.80 $4,423 0.4×
Treat Ankle Dislocation (27846)
likely a partial charge, not the full procedure		 $1,473 $2,455 0.2×
Treat ankle fracture (28445)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Treat Big Toe Fracture (28505) $1,575.60 $2,626 0.5×
Treat dental ridge fracture (21445)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Treat elbow fracture (24586)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Treat elbow fracture (24587) $20,258.40 $33,764 1.6×
Treat Finger Fracture Each (26727) $1,575.60 $2,626 0.5×
Treat forearm bone lesion (25035)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $2,646 $4,410 0.4×
Treat Hand Bone Lesion (26034) $2,014.80 $3,358 1.2×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Treat Humerus Fracture (24505) $1,071 $1,785 0.7×
Treat humerus fracture (23616)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.1×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Treat knee fracture (27532) $1,071 $1,785 0.3×
Treat Knee Fracture(S) (27538) $1,071 $1,785 4.3×
Treat kneecap dislocation (27566)
likely a partial charge, not the full procedure		 $1,459.80 $2,433 0.2×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $771–$1,071 $1,285–$1,785 varies
Treat lower leg bone lesion (27607) $627.60 $1,046 0.2×
Treat lower leg dislocation (27832)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Treat metacarpal fracture (26607) $1,071 $1,785 0.3×
Treat Metatarsal Fracture (28475) $1,071 $1,785 4.3×
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Treat scapula fracture (23585)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.3×
Treat Tail Bone Fracture (27200) $1,071 $1,785 4.3×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $817.80–$1,071 $1,363–$1,785 varies
Treat thumb fracture (26665) $1,575.60 $2,626 0.5×
Treat/graft heel fracture (28420)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,071 $1,785 0.7×
Treatment closed elbow dislocation w/o anes (24600) $771 $1,285 3.1×
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Treatment of foot infection (28003) $627.60 $1,046 0.2×
Treatment of nose fracture (21330)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.2×
Treatment of retina (67141) $1,071 $1,785 3.4×
Treatment of retinal lesion (67208) $1,071 $1,785 3.4×
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Trim skin lesion (11055) $627.60 $1,046 3.1×
Trim skin lesions 2 to 4 (11056) $627.60 $1,046 3.1×
Trim skin lesions over 4 (11057) $627.60 $1,046 3.1×
Trurl rescj postop bladder neck contracture (52640) $1,575.60 $2,626 0.4×
Tubal ligation (58600) $1,575.60 $2,626 0.5×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,071 $1,785 0.4×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $871.20–$872.40 $1,452–$1,454 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $2,078.40 $3,464 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $1,071 $1,785 0.3×
Tx open tendon flexor toe 1 tendon spx (28232) $1,071 $1,785 0.7×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,071 $1,785 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $627.60 $1,046 2.5×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×
Tympanoplasty (69631)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $9,923.40 $16,539 1.7×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
unusually low: confirm this is the full procedure		 $2,080.20 $3,467 0.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
unusually low: confirm this is the full procedure		 $2,078.40 $3,464 0.3×
Tympanostomy general anesthesia (69436) $1,071 $1,785 0.7×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $1,575.60 $2,626 6.6×
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure		 $2,080.20 $3,467 0.3×
Unlisted laparoscopy procedure oviduct ovary (58679)
likely a partial charge, not the full procedure		 $1,079.40 $1,799 0.2×
Unlisted laparoscopy procedure stomach (43659)
unusually low: confirm this is the full procedure		 $1,924.80 $3,208 0.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure		 $1,943.40 $3,239 0.3×
Unlisted laparoscopy procedure, lymphatic system (38589) $3,930 $6,550 0.6×
Unlisted laparoscopy procedure, spermatic cord (55559) $10,103.40 $16,839 1.7×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.3×
Unlisted Procedure Accessory Sinuses (31299) $1,071 $1,785 4.5×
Unlisted procedure anus (46999) $1,071 $1,785 1.1×
Unlisted procedure arthroscopy (29999) $2,078.40 $3,464 8.4×
Unlisted procedure breast (19499) $1,575.60 $2,626 0.4×
Unlisted Procedure External Ear (69399) $1,575.60 $2,626 6.6×
Unlisted procedure femur or knee (27599) $1,575.60 $2,626 6.4×
Unlisted procedure foot or toes (28899) $2,078.40 $3,464 8.4×
Unlisted procedure forearm or wrist (25999) $1,575.60 $2,626 6.4×
Unlisted Procedure Hands/Fingers (26989) $1,575.60 $2,626 6.4×
Unlisted procedure humerus/elbow (24999) $1,575.60 $2,626 6.4×
Unlisted procedure larynx (31599) $1,071.60 $1,786 4.5×
Unlisted Procedure Leg/Ankle (27899) $1,576.20 $2,627 6.4×
Unlisted procedure liver (47399) $2,080.20 $3,467 2.9×
Unlisted Procedure Muscskeletal System General (20999) $1,575.60 $2,626 6.4×
Unlisted procedure neck or thorax (21899) $1,511.40 $2,519 6.4×
Unlisted procedure nervous system (64999) $1,575.60 $2,626 5.1×
Unlisted procedure pelvis/hip joint (27299) $1,575.60 $2,626 6.4×
Unlisted procedure shoulder (23929) $2,078.40 $3,464 8.4×
Unlisted procedure spine (22899) $1,575.60 $2,626 6.4×
Unlisted procedure stomach (43999) $1,943.40 $3,239 2.1×
Unlisted Procedure Vascular Surgery (37799) $1,071 $1,785 1.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,078.40 $3,464 2.3×
Unlisted px extraocular musc (67399) $1,575.60 $2,626 4.9×
Unlisted px female genital system nonobstetrical (58999) $2,473.80 $4,123 12.2×
Urethrlys Transvag W/ Scope (53500) $1,575.60 $2,626 0.4×
Uvulectomy excision of uvula (42140) $627.60 $1,046 0.2×
Vag hyst complex (58290)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Vag hyst incl t/o complex (58291)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Vag hyst w/t/o & vag repair (58263)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Vaginectomy, partial removal of vaginal wall; (57106) $1,459.80 $2,433 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,071 $1,785 0.5×
Ventilating tube removal requiring general anesthesia (69424) $627.60 $1,046 0.2×
Vitrectomy mechanical pars plana (67036) $2,646 $4,410 0.6×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $2,646 $4,410 0.6×
Vulvectomy simple partial (56620) $1,071 $1,785 0.3×
Vulvectomy simple; complete (56625) $1,071 $1,785 0.3×
Vulvectomy, radical, partial; Facility (56630)
unusually low: confirm this is the full procedure		 $1,575.60 $2,626 0.3×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $452.40–$627.60 $754–$1,046 varies
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure		 $1,575.60 $2,626 0.2×
Windowing of cast (29730)
range across 2 matching MRF lines		 $368.40–$369 $614–$615 varies
Wound Prep F/N/Hf/G (15004) $627.60 $1,046 1.5×
Wound Prep Trk/Arm/Leg (15002) $627.60 $1,046 0.8×
Wrist arthroscopy (29840) $2,078.40 $3,464 0.6×
Wrist arthroscopy with partial removal of joint lining (29844) $2,078.40 $3,464 0.6×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,071 $1,785 0.1×

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.