Procedures & surgery prices at Baylor Scott and White Surgical Hospital at Sherma

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

2027 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,156.80–$1,227 $1,928–$2,045 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $713.40 $1,189 0.8×
Abdomen Surgery Procedure (22999) $3,102 $5,170 12.5×
Ablate inf turbinate submuc (30802) $2,354.40 $3,924 1.5×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $713.40 $1,189 0.5×
Acromiopl/Acromionect Partial (23130) $3,979.80 $6,633 1.2×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,354.40 $3,924 1.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,354.40 $3,924 1.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,102 $5,170 0.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,102 $5,170 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,354.40 $3,924 1.1×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,354.40 $3,924 1.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,102 $5,170 1.5×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,102 $5,170 1.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,102 $5,170 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,102 $5,170 0.9×
Amputate Metacarpal Bone (26910) $3,102 $5,170 0.9×
Amputation foot transmetarsal (28805) $3,102 $5,170 0.9×
Amputation metatarsal with toe single (28810) $3,102 $5,170 0.9×
Amputation toe interphalangeal joint (28825) $3,102 $5,170 0.9×
Amputation toe metatarsophalangeal joint (28820) $3,102 $5,170 0.9×
Ankle Arthroscopy/Surgery (29892) $3,864 $6,440 0.5×
Anoscopy Ablation Lesion (46615) $2,354.40 $3,924 0.8×
Anoscopy diagnostic (46600) $3,102 $5,170 23.1×
Anoscopy remove lesion (46610) $3,102 $5,170 1.1×
Anoscopy W/Rmvl Foreign Body (46608) $1,156.80 $1,928 1.2×
Anoscopy; with biopsy, single or multiple (46606) $1,156.80 $1,928 1.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $4,920.60 $8,201 4.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,354.40 $3,924 0.8×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $3,102 $5,170 0.6×
Anterior colporraphy rpr cystocele w/cysto (57240) $3,979.80 $6,633 0.8×
Anterior Tibial Tubercleplasty (27418) $3,979.80 $6,633 0.5×
Appendectomy (44950) $3,979.80 $6,633 0.6×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $321.60–$333.60 $536–$556 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $128.40–$376.20 $214–$627 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $306–$307.20 $510–$512 varies
Application Long Leg Splint (29505) $376.20 $627 2.3×
Application of long leg cast (29345) $198.60 $331 0.7×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $362.40–$376.20 $604–$627 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $306–$317.40 $510–$529 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $297–$298.20 $495–$497 varies
Application uniplane external fixation system (20690)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) $3,979.80 $6,633 1.2×
Arterial puncture (36600) $240.60 $401 1.8×
Arteriovenous Anastomosis Open Direct (36821) $3,102 $5,170 1.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $3,102 $5,170 0.6×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $8,100 $13,500 0.6×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $8,100 $13,500 0.6×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
unusually low: confirm this is the full procedure		 $2,531.40 $4,219 0.3×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $3,979.80 $6,633 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $693–$713.40 $1,155–$1,189 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $376.20–$1,156.80 $627–$1,928 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,156.80 $1,928 3.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $713.40 $1,189 2.3×
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Arthrodesis great toe metatarsophalangeal joint (28750) $3,979.80 $6,633 0.5×
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure		 $3,979.80 $6,633 0.2×
Arthrodesis Posterior Interbody Lumbar (22630)
likely a partial charge, not the full procedure		 $8,100 $13,500 0.3×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.5×
Arthrodesis sacroiliac joint percutaneous (27279) $25,534.64 $42,557.73 1.4×
Arthrodesis subtalar (28725)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Arthrodesis triple (28715)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Arthrodesis Wrist Complete W/O Bone Graft (25800)
likely a partial charge, not the full procedure		 $1,355.40 $2,259 0.2×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure		 $11,329.20 $18,882 0.4×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure		 $704.40 $1,174 0.0×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $26,085 $43,475 1.5×
Arthroplasty Ankle (27700) $4,919.40 $8,199 0.7×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $2,354.40 $3,924 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.5×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $8,100 $13,500 0.6×
Arthroplasty interphalangeal joint each (26535) $2,354.40 $3,924 0.7×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,102 $5,170 0.9×
Arthroplasty Patella W/Prosthesis (27438) $11,192.40 $18,654 0.9×
Arthroplasty Radial Head W/Implant (24366) $8,100 $13,500 0.6×
Arthroplasty with prosthetic replacement; lunate Facility (25444) $8,100 $13,500 0.6×
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) $18,858.60 $31,431 1.5×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $4,919.40 $8,199 3.0×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,102 $5,170 0.9×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,102 $5,170 0.9×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,102 $5,170 0.9×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $3,102 $5,170 0.9×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,102 $5,170 0.9×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $3,979.80 $6,633 1.2×
Arthroscopy hip w/femoroplasty (29914)
likely a partial charge, not the full procedure		 $1,578 $2,630 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,102 $5,170 0.9×
Arthroscopy Knee Osteochondral Allograft (29867)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,979.80 $6,633 1.2×
Arthroscopy knee synovectomy limited spx (29875) $3,102 $5,170 0.9×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,102 $5,170 0.9×
Arthroscopy shoulder distal claviculectomy (29824) $3,979.80 $6,633 1.2×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $4,919.40 $8,199 0.7×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $3,102 $5,170 0.9×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $3,979.80 $6,633 0.5×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,102 $5,170 0.9×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
likely a partial charge, not the full procedure		 $1,911.60 $3,186 0.3×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $3,979.80 $6,633 0.5×
Arthroscopy, knee, surgical; with lateral release (29873) $3,102 $5,170 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,919.40 $8,199 1.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,979.80 $6,633 1.2×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $3,979.80 $6,633 0.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,979.80 $6,633 1.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,102 $5,170 0.9×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $4,919.40 $8,199 0.7×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,979.80 $6,633 1.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,979.80 $6,633 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $4,919.40 $8,199 0.7×
Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) $3,102 $5,170 0.9×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,102 $5,170 0.9×
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,354.40 $3,924 0.7×
Arthrotomy W/Synovectomy Ankle (27625) $2,354.40 $3,924 0.7×
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $2,354.40 $3,924 0.7×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $2,354.40 $3,924 0.7×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $8,100 $13,500 0.6×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $4,505.15 $7,508.58 1.4×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $8,100 $13,500 0.6×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $3,979.80 $6,633 0.5×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $3,102 $5,170 0.9×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $4,919.40 $8,199 0.7×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $3,979.80 $6,633 1.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,979.80 $6,633 1.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,102 $5,170 0.9×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,979.80 $6,633 1.2×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $4,919.40 $8,199 0.7×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,919.40 $8,199 1.5×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $3,102 $5,170 0.9×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,354.40 $3,924 0.7×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $2,354.40 $3,924 0.7×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $981.60 $1,636 0.6×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,354.40 $3,924 0.7×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $2,354.40 $3,924 0.7×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $4,134 $6,890 1.3×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $2,354.40 $3,924 1.5×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $2,354.40 $3,924 0.7×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $952.20 $1,587 0.3×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $819.60–$2,370 $1,366–$3,950 varies
Aspirate Pleura W/O Imaging (32554) $2,370 $3,950 3.7×
Aspirate/Inj Ganglion Cyst (20612) $713.40 $1,189 2.3×
Aspiration bladder insert suprapubic catheter (51102) $713.40 $1,189 0.3×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $2,941.20 $4,902 1.3×
Autologous Chondrocyte Implantation Knee (27412) $3,979.80 $6,633 0.5×
Av fistula revision (36833)
range across 3 matching MRF lines		 $4,919.40–$7,229.40 $8,199–$12,049 varies
Av Fistula Revision Open (36832)
range across 2 matching MRF lines		 $4,919.40–$5,714.40 $8,199–$9,524 varies
Av Fuse Uppr Arm Basilic (36819) $8,211.60 $13,686 1.5×
Av fusion/forearm vein (36820) $3,102 $5,170 0.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Axillary lymphadenectomy; complete (38745) $8,100 $13,500 1.3×
Biopsy bone open deep (20245) $2,354.40 $3,924 0.8×
Biopsy bone open superficial (20240) $1,410 $2,350 0.5×
Biopsy bone trocar/needle deep (20225) $1,410 $2,350 0.8×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $2,133–$2,607.66 $3,555–$4,346.10 varies
Biopsy external ear (69100) $3,093.60 $5,156 13.0×
Biopsy Muscle Superficial (20200) $1,156.80 $1,928 0.7×
Biopsy nail unit (11755) $4,324.20 $7,207 6.1×
Biopsy Nasopharynx Visible Lesion Simple (42804) $1,410 $2,350 0.4×
Biopsy of breast; open, incisional (19101) $3,102 $5,170 0.8×
Biopsy of conjunctiva (68100) $5,022 $8,370 2.1×
Biopsy of floor of mouth (41108) $1,156.80 $1,928 0.7×
Biopsy of lacrimal gland (68510) $1,156.80 $1,928 0.5×
Biopsy of lip (40490) $1,156.80 $1,928 4.8×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $2,133–$2,354.40 $3,555–$3,924 varies
Biopsy of nerve (64795) $1,410 $2,350 0.7×
Biopsy of palate, uvula (42100) $1,156.80 $1,928 0.7×
Biopsy of penis (54100) $7,954.80 $13,258 4.8×
Biopsy of rectum (45100) $713.40 $1,189 0.3×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $3,979.80 $6,633 1.0×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,578 $2,630 0.4×
Biopsy Oropharynx (42800) $1,156.80 $1,928 0.7×
Biopsy Pleura Percutaneous Needle (32400) $2,133 $3,555 1.3×
Biopsy Salivary Gland Incisional (42405) $1,156.80 $1,928 0.7×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,156.80 $1,928 0.7×
Biopsy soft tissue forearm&/wrist deep (25066) $2,354.40 $3,924 0.8×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $2,354.40 $3,924 0.8×
Biopsy soft tissue leg/ankle area superficial (27613) $1,156.80 $1,928 0.7×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $1,156.80–$2,133 $1,928–$3,555 varies
Biopsy Spinal Cord Percutaneous Needle (62269) $1,410 $2,350 0.8×
Biopsy Testis Incisional Separate Procedure (54505) $3,102 $5,170 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $781.80 $1,303 1.4×
Biopsy Tongue Posterior One-Third (41105) $713.40 $1,189 0.2×
Biopsy Vaginal Mucosa Extensive (57105) $2,354.40 $3,924 0.7×
Biopsy Vaginal Mucosa Simple (57100) $1,156.80 $1,928 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,156.80 $1,928 1.2×
Biopsy, vestibule of mouth (40808) $1,156.80 $1,928 2.1×
Biopsy/removal lymph nodes (38510) $3,979.80 $6,633 1.0×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $693–$696.60 $1,155–$1,161 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Blepharoplasty Lower Eyelid (15820) $3,102 $5,170 1.5×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $3,102 $5,170 1.5×
Blepharoplasty upper eyelid (15822) $3,102 $5,170 1.5×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $3,102 $5,170 1.5×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $691.20–$1,573.02 $1,152–$2,621.70 varies
Blood/Lymph System Procedure (38999) $615 $1,025 1.4×
Bone Graft Any Donor Area Major/Large (20902)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Bone Graft Any Donor Area Minor/Small (20900)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Bone Marrow Biopsy (38221) $2,133 $3,555 1.3×
Bone marrow harvest allogen (38230) $981.60 $1,636 0.6×
Bone Marrow Harvest Autolog (38232) $629.40 $1,049 0.1×
Bone Marrow; Aspiration Only (38220) $1,410 $2,350 0.8×
Breast augmentation with implant (19325) $4,919.40 $8,199 0.6×
Breast Reduction (19318) $3,979.80 $6,633 0.6×
Brnchsc Brushing/Protected Brushings (31623) $2,305.20 $3,842 1.3×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $4,772.40 $7,954 1.3×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $4,772.40 $7,954 1.3×
Bronchoscopy Clear Airways (31645) $2,749.20 $4,582 1.5×
Bronchoscopy W/Biopsy(S) (31625) $2,305.20 $3,842 1.3×
Bronchoscopy W/Removal Foreign Body (31635) $2,305.20 $3,842 1.3×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $4,772.40 $7,954 1.3×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,354.40 $3,924 0.8×
Bx breast 1st lesion us imag (19083) $2,354.40 $3,924 1.4×
Bx breast needle core w/o imaging guidance spx (19100) $1,156.80 $1,928 0.7×
Bx Cervix (57500) $1,156.80 $1,928 1.2×
Bx prostate strtctc saturation sampling img gid (55706) $5,559.60 $9,266 1.6×
Bx prst8 tprn us w/MRI fus 1 (55710) $5,226.60 $8,711 1.5×
Bx/exc lymph node open deep axillary node (38525) $3,979.80 $6,633 1.0×
Bx/exc lymph node open superficial (38500) $3,102 $5,170 0.8×
Canthoplasty (67950) $2,354.40 $3,924 1.0×
Canthotomy Separate Procedure (67715) $2,354.40 $3,924 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,410 $2,350 0.4×
Capsular contracture release (23020) $2,354.40 $3,924 0.7×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,136.60 $3,561 1.3×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $4,293 $7,155 1.3×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $4,919.40 $8,199 0.7×
Capsulorrhaphy Anterior W/Labral Repair (23455) $4,919.40 $8,199 0.7×
Capsulorrhaphy Anterior With Bone Block (23460) $4,919.40 $8,199 0.7×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $3,979.80 $6,633 0.5×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,410 $2,350 0.9×
Capsulotomy wrist (25085) $952.20 $1,587 0.3×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $1,410 $2,350 0.4×
Carpal Tunnel Surgery (64721) $3,102 $5,170 1.6×
Carpectomy All Bones Proximal Row (25215) $3,102 $5,170 0.9×
Cataract surg w/iol 1 stage (66983) $3,102 $5,170 1.3×
Cataract surgery complex (66982) $3,102 $5,170 1.3×
Cautery Cervix Cryocautery Initial/Repeat (57511) $1,410 $2,350 4.6×
Cautery Cervix Electro/Thermal (57510) $1,410 $2,350 0.4×
Cerv artific diskectomy (22856)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.5×
Cervical lymphadenectomy (complete) (38720) $8,100 $13,500 1.2×
Cessj Therapy Cath Removal (37214)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $2,900.40–$3,016.20 $4,834–$5,027 varies
Change ureter stent percut (50382) $3,102 $5,170 1.5×
Chemical peel face dermal (15789) $1,156.80 $1,928 1.6×
Chemical peel, facial; epidermal (15788) $713.40 $1,189 1.7×
Chemodenerv Musc Migraine (64615) $1,156.80 $1,928 3.7×
Chemodenervation of internal anal sphincter (46505) $2,354.40 $3,924 2.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $3,189 $5,315 10.3×
Chest tube placement (32551) $1,156.80 $1,928 0.7×
Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) $1,156.80 $1,928 0.5×
Circumcision 28 days or older (54161) $2,354.40 $3,924 1.1×
Circumcision Neonate (54160) $2,354.40 $3,924 3.3×
Circumcision w/clamp/oth dev w/block (54150) $2,354.40 $3,924 1.1×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $2,354.40 $3,924 0.6×
Claviculectomy partial (23120) $3,979.80 $6,633 1.2×
Clear outer ear canal (69200) $713.40 $1,189 5.3×
Closed Rx Metacarpal Fx,Percut (26608) $1,410 $2,350 0.4×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,156.80 $1,928 4.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $654 $1,090 2.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $3,979.80 $6,633 16.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $690.60 $1,151 2.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,156.80 $1,928 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $713.40 $1,189 2.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,156.80 $1,928 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,156.80 $1,928 0.3×
Closed tx radial head/neck fx w/manipulation (24655) $3,760.80 $6,268 2.3×
Closed tx radial head/neck fx w/o manipulation (24650) $1,156.80 $1,928 4.7×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,156.80–$2,942.40 $1,928–$4,904 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,156.80 $1,928 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Closed tx septal&nose fx (21337) $1,156.80 $1,928 0.3×
Closure Gastrostomy Surg (43870) $3,102 $5,170 0.8×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $4,484.40 $7,474 8.2×
Closure lacrimal punctum (68760) $2,354.40 $3,924 7.4×
Closure of cystostomy (separate procedure) Facility (51880) $2,354.40 $3,924 0.7×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $1,002.60 $1,671 0.3×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $3,979.80–$3,999 $6,633–$6,665 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,156.80 $1,928 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $2,354.40 $3,924 0.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,156.80 $1,928 0.7×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,156.80 $1,928 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $526.80 $878 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,156.80 $1,928 4.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,156.80 $1,928 4.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,354.40 $3,924 1.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $713.40 $1,189 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $713.40 $1,189 2.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,156.80 $1,928 0.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,354.40 $3,924 8.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Cltx metacarpal fx w/manipulation each bone (26605) $1,156.80 $1,928 4.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $713.40 $1,189 2.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,156.60 $5,261 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $1,156.80–$2,775 $1,928–$4,625 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $528.60 $881 2.1×
Cltx post hip arthrp dislc req anes (27266) $2,354.40 $3,924 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,156.80 $1,928 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,156.80 $1,928 4.7×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,156.80 $1,928 0.7×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $1,410 $2,350 0.4×
Cltx tibial shaft fx w/o manipulation (27750) $713.40 $1,189 2.9×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,979.80 $6,633 0.8×
Coccygectomy, primary (27080) $4,919.40 $8,199 1.5×
Collect Blood From Catheter Venous Nos (36592) $381.24 $635.40 2.8×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $9.60–$16.20 $16–$27 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $3,102 $5,170 2.6×
Colonoscopy Stoma W/Submucosal Injection (44404) $3,102 $5,170 2.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $3,102 $5,170 2.6×
Colonoscopy thru stoma (44388) $3,102 $5,170 3.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $3,102 $5,170 2.6×
Colonoscopy w/ablation (45388) $3,102 $5,170 2.6×
Colonoscopy w/fb removal (45379) $3,102 $5,170 2.6×
Colonoscopy W/Resection (45390) $1,410 $2,350 0.5×
Colonoscopy w/submucosal inj (45381) $2,354.40 $3,924 2.0×
Colpocleisis (le fort type) (57120)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.5×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $3,102 $5,170 1.0×
Colpopexy extraperitoneal (57282) $3,979.80 $6,633 0.5×
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Colporrhaphy (57200) $3,102 $5,170 1.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,410 $2,350 4.6×
Colposcopy cervix upper/adjacent vagina (57452) $1,410 $2,350 6.9×
Colposcopy cervix vag eltrd conization cervix (57461) $3,102 $5,170 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,861.60 $6,436 1.2×
Colposcopy entire vagina w/cervix if present (57420) $1,156.80 $1,928 3.8×
Colposcopy Vulva W/Biopsy (56821) $1,410 $2,350 4.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,156.80 $1,928 1.2×
Colpotomy; with exploration (57000) $1,410 $2,350 0.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,102 $5,170 2.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,102 $5,170 2.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,102 $5,170 2.6×
Combined anteroposterior colporrhaphy; (57260) $4,919.40 $8,199 1.0×
Complex drainage wound (10180) $2,354.40 $3,924 0.8×
Composite Skin Graft (15760) $3,102 $5,170 1.5×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,102 $5,170 1.0×
Conization of cervix (57520) $3,102 $5,170 1.0×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $2,354.40 $3,924 1.0×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $1,123.20 $1,872 0.5×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Control oropharyngeal hemorrhage simple (42960) $713.40 $1,189 1.3×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $2,017.80 $3,363 0.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,808 $4,680 1.7×
Corneal transplant (65710)
likely a partial charge, not the full procedure		 $1,410 $2,350 0.3×
Correction hammertoe (28285) $2,354.40 $3,924 0.7×
Correction of lid retraction (67911) $2,354.40 $3,924 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,102 $5,170 0.9×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,102 $5,170 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,354.40 $3,924 0.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $3,979.80 $6,633 0.5×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $2,354.40 $3,924 1.0×
Create Tear Sac-Nasal Fistula (68720) $2,354.40 $3,924 0.6×
Cricopharyngeal myotomy (43030) $3,979.80 $6,633 0.7×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $1,410 $2,350 1.4×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.4×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $2,354.40 $3,924 9.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $713.40–$742.20 $1,189–$1,237 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $2,354.40 $3,924 0.7×
Curettage postpartum (59160) $1,410 $2,350 0.4×
Cysto Bladder W/Ureteral Catheterization (52005) $2,354.40 $3,924 1.1×
Cysto calibration dilat urtl strix/stenosis (52281) $2,354.40 $3,924 1.1×
Cysto w/complex removal stone & stent (52315) $2,354.40 $3,924 1.1×
Cysto w/destruction of lesions (52214) $3,102 $5,170 0.9×
Cysto w/insert ureteral stent (52332) $2,354.40 $3,924 0.7×
Cysto w/irrig & evac multple obstructing clots (52001) $2,354.40 $3,924 0.7×
Cysto w/removal of lesions small (52224) $3,102 $5,170 0.9×
Cysto w/removal of tumors small (52234) $3,102 $5,170 0.9×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $2,353.80 $3,923 0.7×
Cysto W/Simple Removal Stone & Stent (52310) $2,354.40 $3,924 1.1×
Cysto w/ureter stricture tx (52341) $5,160 $8,600 1.5×
Cysto w/ureteroscopy w/lithotripsy (52353) $8,100 $13,500 1.5×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,102 $5,170 0.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $919.80 $1,533 0.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,354.40 $3,924 0.7×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $3,102 $5,170 0.6×
Cysto/uretero w/lithotripsy (52356) $8,100 $13,500 1.5×
Cystolithotomy (51050)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $2,354.40 $3,924 0.2×
Cystoscopy implant stent (52282) $3,102 $5,170 0.9×
Cystourethroscopy (52000) $2,354.40 $3,924 3.3×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $2,354.40 $3,924 0.7×
Cystourethroscopy inj chemodenervation bladder (52287) $1,002.60 $1,671 0.5×
Cystourethroscopy tx female urethral syndrome (52285) $3,102 $5,170 4.4×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,102 $5,170 0.9×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $3,102 $5,170 0.6×
Cystourethroscopy w/dil bladder general anesth (52260) $3,102 $5,170 1.5×
Cystourethroscopy w/rmvl ureteral calculus (52320) $2,354.40 $3,924 0.7×
Cystourethroscopy with biopsy (52204) $2,354.40 $3,924 1.1×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,354.40 $3,924 1.1×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,354.40 $3,924 1.1×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $919.80 $1,533 0.4×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $3,102 $5,170 0.9×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $2,353.80 $3,923 1.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $2,354.40 $3,924 5.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,354.40 $3,924 0.8×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,354.40 $3,924 3.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,354.40 $3,924 3.3×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600)
range across 2 matching MRF lines		 $919.80–$924 $1,533–$1,540 varies
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $4,919.40 $8,199 2.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,410 $2,350 1.9×
Debride nail 1-5 (11720) $713.40 $1,189 12.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,354.40 $3,924 1.4×
Debridement Mastoidectomy Cavity Cmplx (69222) $3,102 $5,170 5.7×
Debridement Mastoidectomy Cavity Simple (69220) $1,410 $2,350 7.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,410 $2,350 3.4×
Declot vascular device (36593) $880.80 $1,468 2.6×
Decompress Fingers/Hand (26035) $2,354.40 $3,924 0.7×
Decompress Spinal Cord Lmbr (63056) $8,100 $13,500 1.1×
Decompression of tibia nerve (28035) $2,354.40 $3,924 1.2×
Decompressive fasciotomy hand (26037) $2,354.40 $3,924 0.7×
Deep Muscle Biopsy (20205) $1,410 $2,350 0.5×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $3,102 $5,170 1.5×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $3,102 $5,170 1.5×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $3,102 $5,170 1.5×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $3,102 $5,170 0.9×
Derma-fat-fascia graft (15770) $3,102 $5,170 0.9×
Dermabrasion segmental face (15781) $713.40 $1,189 1.0×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $3,102 $5,170 1.5×
Destr penis lesion(s) (54065) $7,954.80 $13,258 3.8×
Destroy cerv/thor facet jnt (64633) $1,410 $2,350 0.7×
Destroy lumb/sac facet jnt (64635) $1,410 $2,350 0.7×
Destruct B9 Lesion 1-14 (17110) $1,156.80 $1,928 5.7×
Destruction Benign Lesions 15/> (17111) $1,156.80 $1,928 5.7×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $1,156.80 $1,928 0.6×
Destruction by neurolytic agent; pudendal nerve (64630) $1,410 $2,350 1.6×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,156.80 $1,928 1.0×
Destruction Lesions Vulva Extensive (56515) $3,102 $5,170 1.5×
Destruction Lesions Vulva Simple (56501) $1,410 $2,350 0.7×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $2,354.40 $3,924 11.6×
Destruction neurolytic agt genicular nerve w/img (64624) $1,410 $2,350 0.7×
Destruction Vaginal Lesions Extensive (57065) $3,102 $5,170 1.0×
Destruction Vaginal Lesions Simple (57061) $1,410 $2,350 0.4×
Diagnostic anoscopy (46601) $713.40 $1,189 1.6×
Diagnostic sigmoidoscopy (45330) $3,102 $5,170 3.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $3,102 $5,170 2.6×
Dilat female urethra general/cndj spinal anes (53665) $2,286.60 $3,811 1.1×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $318.60 $531 2.4×
Dilat rct strix spx under anes oth/thn local (45910) $1,612.80 $2,688 1.3×
Dilate Esophagus 1/Mult Pass (43450) $1,410 $2,350 1.5×
Dilate Urethra Stricture (53620) $1,156.80 $1,928 1.6×
Dilation & curettage dx&/ther nonobstetric (58120) $1,410 $2,350 0.4×
Dilation and catheterization of salivary duct, with or without injection (42660) $1,494.60 $2,491 2.7×
Dilation And Curettage Of Cervical Stump (57558) $3,102 $5,170 1.0×
Dilation Cervical Canal (57800) $4,209 $7,015 1.3×
Dilation Esophagus Guide Wire (43453) $1,156.80 $1,928 0.6×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $691.20 $1,152 1.5×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $1,156.80 $1,928 0.3×
Dilation Salivary Duct (42650) $713.40 $1,189 0.5×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $8,100 $13,500 1.1×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $1,870.20 $3,117 1.0×
Division of symblepharon (68340) $2,354.40 $3,924 1.0×
Drain Cerebro Spinal Fluid (62272) $1,156.80 $1,928 1.6×
Drain chest lesion (21502) $3,979.80 $6,633 1.2×
Drain Spinal Cord Cyst (62268) $1,410 $2,350 1.6×
Drainage external ear abscess/hematoma cmplx (69005) $1,410 $2,350 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $713.40 $1,189 1.0×
Drainage Finger Abscess Complicated (26011) $1,156.80 $1,928 0.7×
Drainage of finger abscess simple (26010) $1,156.80 $1,928 5.7×
Drainage of gum lesion (41800) $546 $910 4.1×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Drainage of hydrocele (55000) $713.40 $1,189 1.0×
Drainage of rectal abscess (45005) $1,410 $2,350 1.2×
Drainage of salivary cyst (42409) $2,354.40 $3,924 0.7×
Drainage of scrotal wall abscess (55100) $1,156.80 $1,928 0.7×
Drainage of scrotum (54700) $2,354.40 $3,924 1.1×
Drainage of skene's gland abscess or cyst (53060) $1,156.80 $1,928 0.5×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $3,102 $5,170 1.0×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $602.40 $1,004 0.2×
Draw Blood Off Venous Device (36591) $178.98 $298.30 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $4,484.40 $7,474 8.2×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $1,410 $2,350 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,162.80 $1,938 5.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $3,102 $5,170 15.3×
Dstrj Lesion Anus Extensive (46924) $2,354.40 $3,924 0.8×
Dstrj lesion anus simple surg excision (46922) $1,410 $2,350 0.5×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,410 $2,350 0.7×
Dstrj lesion penis simple laser (54057) $2,354.40 $3,924 1.1×
Dstrj lesion penis simple surg excision (54060) $2,354.40 $3,924 1.1×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,156.80 $1,928 0.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,410 $2,350 1.6×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,156.80 $1,928 1.3×
Dx Bone Marrow Bx & Aspir (38222) $3,594.60 $5,991 1.2×
Dx Bronchoscope/Lavage (31624) $2,305.20 $3,842 1.3×
Dx Bronchoscope/Wash (31622) $2,305.20 $3,842 1.3×
Dx gastr intub w/asp specs (43755) $642.06 $1,070.10 5.0×
Dx Laryngoscopy Excl Nb (31525) $1,156.80 $1,928 0.6×
Dx laryngoscopy w/oper scope (31526) $2,354.40 $3,924 1.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,156.80 $1,928 1.6×
Egd Balloon Dil Esoph30 Mm/> (43233) $713.40 $1,189 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,354.40 $3,924 1.2×
Egd cautery tumor polyp (43250) $1,156.80 $1,928 0.6×
Egd control bleeding any (43255) $1,410 $2,350 0.7×
Egd dilation gastric/duodenal stricture (43245) $2,354.40 $3,924 1.2×
Egd Flexible Foreign Body Removal (43247) $2,073.60 $3,456 2.3×
Egd guide wire insertion (43248) $1,410 $2,350 1.5×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,697 $4,495 1.4×
Egd lesion ablation (43270) $713.40 $1,189 0.4×
Egd Optical Endomicroscopy (43252) $2,353.80 $3,923 1.2×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $2,354.40–$2,462.40 $3,924–$4,104 varies
Egd remove lesion snare (43251) $713.40 $1,189 0.4×
Egd us transmural injxn/mark (43253) $2,896.80 $4,828 1.5×
Egd Varices Ligation (43244) $713.40 $1,189 0.4×
Elbow arthroscopy (29830) $7,850.40 $13,084 2.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,156.80 $1,928 3.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,410 $2,350 4.6×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $2,760 $4,600 8.9×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $7,229.40 $12,049 1.3×
Endocervical curettage (57505) $1,156.80 $1,928 1.2×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,979.80 $6,633 0.8×
Endometrial Biopsy (58100) $629.10 $1,048.50 3.1×
Endoscopic injection/implant (51715) $4,633.20 $7,722 1.3×
Endoscopic plantar fasciotomy (29893) $3,102 $5,170 0.9×
Endoscopic us exam esoph (43237) $963.60 $1,606 0.5×
Endoscopy Upper Small Intestine (44360) $2,462.40 $4,104 1.3×
Endoscopy upper small intestine w/biopsy (44361) $985.20 $1,642 0.5×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $4,140–$4,305.60 $6,900–$7,176 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $7,143–$7,428.60 $11,905–$12,381 varies
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $3,102 $5,170 1.6×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $2,354.40 $3,924 1.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $3,979.80 $6,633 2.1×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $3,050.40 $5,084 1.6×
Enucleation Eye Implt Musc X Attached Implt (65103) $2,354.40 $3,924 0.6×
Epididymectomy unilateral (54860) $9,273 $15,455 2.6×
Epidural Blood Patch (62273) $1,410 $2,350 2.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $4,919.40 $8,199 1.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $713.40 $1,189 0.8×
Esophagosc Dilate Balloon 30 (43214) $2,458.80 $4,098 1.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,354.40 $3,924 1.2×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $2,354.40 $3,924 0.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $713.40 $1,189 0.8×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $2,458.80 $4,098 1.3×
Esophagoscopy Retro Balloon (43213) $2,458.80 $4,098 1.3×
Esophagoscopy rig transoral removal foreign body (43194) $1,410 $2,350 0.7×
Esophagoscopy Rigid Balloon (43195) $1,815 $3,025 0.5×
Esophagoscopy rigid trnso dx (43191) $1,815 $3,025 0.9×
Esophagoscp Guide Wire Dilat (43196) $1,566.60 $2,611 0.8×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
unusually low: confirm this is the full procedure		 $1,815 $3,025 0.3×
Ethmoidectomy Extranasal Total (31205) $3,102 $5,170 0.9×
Ethmoidectomy Intranasal Anterior (31200) $3,102 $5,170 0.5×
Ethmoidectomy; intranasal, total Facility (31201) $3,102 $5,170 2.0×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $565.20–$2,571.60 $942–$4,286 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,354.40 $3,924 1.4×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,354.40 $3,924 1.4×
Exc abdl tum deep 5 cm/> (22901) $3,102 $5,170 1.1×
Exc arm/elbow les sc < 3 cm (24075) $2,354.40 $3,924 1.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $713.40 $1,189 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,156.80 $1,928 0.7×
Exc Back Les Sc < 3 Cm (21930) $2,354.40 $3,924 1.4×
Exc Back Tum Deep 5 Cm/> (21933) $3,102 $5,170 1.1×
Exc back tum deep < 5 cm (21932) $3,102 $5,170 1.1×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $3,102 $5,170 0.5×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $3,102 $5,170 0.9×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $2,354.40 $3,924 0.6×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $1,410 $2,350 0.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,156.80 $1,928 1.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,156.80 $1,928 1.6×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $3,102 $5,170 1.9×
Exc Face Les Sbq 2 Cm/> (21012) $3,979.80 $6,633 2.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $713.40 $1,189 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,156.80 $1,928 1.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,156.80 $1,928 1.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,156.80 $1,928 0.7×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,354.40 $3,924 1.4×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $3,102 $5,170 1.9×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,102 $5,170 1.1×
Exc Frenum Labial/Buccal (40819) $1,156.80 $1,928 0.7×
Exc ganglion wrist recurrent (25112) $3,102 $5,170 1.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $713.40 $1,189 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,156.80 $1,928 1.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,156.80 $1,928 0.7×
Exc Hand Les Sc < 1.5 Cm (26115) $1,410 $2,350 0.8×
Exc hand tum deep < 1.5 cm (26116) $2,354.40 $3,924 1.4×
Exc hydrocele sprmatic cord uni spx (55500) $3,979.80 $6,633 1.1×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,156.80 $1,928 1.2×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $1,156.80 $1,928 0.3×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $1,410 $2,350 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,410 $2,350 0.9×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,410 $2,350 0.9×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,410 $2,350 0.4×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $1,410 $2,350 0.4×
Exc lesion tongue w/clsr w/local tongue flap (41114) $1,410 $2,350 0.4×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $1,394.40 $2,324 0.4×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,410 $2,350 0.4×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $3,102 $5,170 1.6×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $1,156.80 $1,928 0.6×
Exc neuroma hand/foot xcp digital nerve (64782) $2,354.40 $3,924 1.2×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,354.40 $3,924 1.2×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $3,979.80 $6,633 0.7×
Exc Rct Tum Incl Muscularis Propria (45172) $3,102 $5,170 1.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,354.40 $3,924 0.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,102 $5,170 1.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,156.80 $1,928 1.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,354.40 $3,924 1.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,102 $5,170 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,102 $5,170 1.9×
Exc Skin Benig >4cm Face,Facial (11446) $3,102 $5,170 1.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,156.80 $1,928 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,102 $5,170 1.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $3,102 $5,170 1.9×
Exc tendon shth lesion leg/ankle (27630) $1,410 $2,350 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $3,102 $5,170 1.1×
Exc thigh/knee tum dep 5cm/> (27339) $3,102 $5,170 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,410 $2,350 1.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,156.80 $1,928 2.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,156.80 $1,928 1.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,354.40 $3,924 1.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,354.40 $3,924 0.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,102 $5,170 1.1×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,410 $2,350 0.8×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,354.40 $3,924 1.4×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,354.40 $3,924 0.8×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,102 $5,170 1.1×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,102 $5,170 1.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,354.40 $3,924 0.8×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,102 $5,170 1.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,354.40 $3,924 1.4×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $2,354.40 $3,924 0.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,354.40 $3,924 0.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,354.40 $3,924 1.4×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,979.80 $6,633 1.4×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $2,354.40 $3,924 0.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,354.40 $3,924 1.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,102 $5,170 1.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,354.40 $3,924 1.4×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $2,354.40 $3,924 0.8×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,354.40 $3,924 0.8×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $2,354.40 $3,924 0.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,102 $5,170 1.1×
Exc urethral diverticulum spx female (53230) $3,102 $5,170 0.6×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $2,354.40 $3,924 0.7×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $3,979.80 $6,633 0.5×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,354.40 $3,924 0.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,354.40 $3,924 1.5×
Exc/fulguration urethral caruncle (53265) $2,354.40 $3,924 1.1×
Exchange Intraocular Lens (66986) $3,102 $5,170 1.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $2,714.40–$3,102 $4,524–$5,170 varies
Excis Mouth Complex,Exc Thru Muscle (40816) $1,156.80 $1,928 0.3×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,156.80 $1,928 0.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,354.40 $3,924 1.5×
Excis uppr jaw cyst w/repair (21049) $3,102 $5,170 0.5×
Excise breast duct fistula (19112) $5,402.40 $9,004 1.4×
Excise excessive skin arm (15836) $3,979.80 $6,633 1.4×
Excise intraspinal lesion (63267) $4,919.40 $8,199 0.7×
Excise mandible lesion (21040) $3,475.20 $5,792 1.0×
Excise Wrist Tendon Sheath (25118) $2,354.40 $3,924 1.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,156.80 $1,928 1.6×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $3,102 $5,170 1.3×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $5,022 $8,370 2.1×
Excision Aural Polyp (69540) $1,410 $2,350 0.9×
Excision Chalazion Single (67800) $1,156.80 $1,928 3.6×
Excision Chest Wall Tumor Including Ribs (21601) $3,733.20 $6,222 1.3×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $3,979.80 $6,633 0.7×
Excision Distal Ulna Partial/Complete (25240) $3,102 $5,170 0.9×
Excision Excessive Skin & Subq Tissue Buttock (15835) $3,648.60 $6,081 1.2×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,979.80 $6,633 1.4×
Excision External Ear Partial Simple Repair (69110) $1,156.80 $1,928 0.4×
Excision external ear; complete amputation Facility (69120)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Excision gum each quadrant (41820) $3,289.80 $5,483 1.0×
Excision H/P/P/U Complex Repair (11471) $933 $1,555 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,102 $5,170 1.1×
Excision Hidradenitis Axillary Complex Repair (11451) $3,979.80 $6,633 1.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,354.40 $3,924 0.8×
Excision inferior turbinate partial/complete (30130) $2,354.40 $3,924 0.7×
Excision Lesion Conjunctiva </1 Cm (68110) $1,156.80 $1,928 0.5×
Excision lesion conjunctiva > 1 cm (68115) $1,156.80 $1,928 0.5×
Excision Lesion Cornea Xcp Pterygium (65400) $1,156.80 $1,928 1.2×
Excision lesion meniscus/capsule knee (27347) $2,354.40 $3,924 0.7×
Excision lesion mouth roof (42104) $1,156.80 $1,928 0.3×
Excision lesion tendon sheath forearm&/wrist (25110) $2,354.40 $3,924 1.5×
Excision Lesion Tongue W/O Closure (41110) $1,156.80 $1,928 0.3×
Excision Lingual Frenum Frenectomy (41115) $1,410 $2,350 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $713.40 $1,189 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,156.80 $1,928 1.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,156.80 $1,928 2.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $3,102 $5,170 4.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $713.40 $1,189 1.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,156.80 $1,928 0.7×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,102 $5,170 1.1×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $713.40 $1,189 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,156.80 $1,928 1.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,156.80 $1,928 1.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $3,102 $5,170 1.9×
Excision malignant tumor mandible (21044) $3,102 $5,170 0.5×
Excision Multiple External Papillae/Tags Anus (46230) $1,410 $2,350 0.5×
Excision Nasal Polyp Extensive (30115) $4,111.20 $6,852 1.2×
Excision of bartholin's gland or cyst (56740) $2,354.40 $3,924 0.7×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) $4,919.40 $8,199 0.7×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $3,979.80 $6,633 1.0×
Excision of extraparenchymal lesion of testis (54512) $4,941.60 $8,236 1.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,354.40 $3,924 1.5×
Excision of hydrocele; bilateral (55041) $3,979.80 $6,633 1.1×
Excision of hydrocele; unilateral (55040) $3,102 $5,170 0.9×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) $2,354.40 $3,924 0.6×
Excision of lingual tonsil (42870) $4,919.40 $8,199 0.8×
Excision of local lesion of epididymis (54830) $3,102 $5,170 0.9×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $2,354.40 $3,924 1.2×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $3,979.80 $6,633 0.7×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $3,979.80 $6,633 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $2,354.40 $3,924 0.8×
Excision of single external papilla or tag, anus (46220) $1,410 $2,350 1.2×
Excision of sublingual salivary cyst (ranula) (42408) $2,354.40 $3,924 0.7×
Excision of submandibular (submaxillary) gland (42440) $3,102 $5,170 0.5×
Excision of vaginal cyst or tumor (57135) $2,354.40 $3,924 0.7×
Excision of vaginal septum (57130) $2,354.40 $3,924 0.7×
Excision olecranon bursa (24105) $3,102 $5,170 0.9×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $3,102 $5,170 0.9×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $2,354.40 $3,924 0.7×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) $5,488.80 $9,148 0.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,979.80 $6,633 1.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,102 $5,170 1.1×
Excision prepatellar bursa (27340) $2,354.40 $3,924 0.7×
Excision Radial Head (24130) $3,102 $5,170 0.9×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $4,919.40 $8,199 0.7×
Excision soft tissue lesion, external auditory canal (69145) $2,354.40 $3,924 0.8×
Excision spermatocele w/wo epididymectomy (54840) $3,102 $5,170 1.5×
Excision synovial cyst popliteal space (27345) $2,354.40 $3,924 0.7×
Excision tendon finger flexor/extensor each (26180) $1,410 $2,350 0.9×
Excision Thyroglossal Duct Cyst/Sinus (60280) $3,979.80 $6,633 0.7×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $3,979.80 $6,633 0.7×
Excision Torus Mandibularis (21031) $3,102 $5,170 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,102 $5,170 1.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,354.40 $3,924 0.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,410 $2,350 0.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $3,102 $5,170 1.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,354.40 $3,924 1.4×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $3,979.80 $6,633 1.4×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $3,979.80 $6,633 1.4×
Excision, interdigital (morton) neuroma, single, each (28080) $2,354.40 $3,924 1.5×
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $3,102 $5,170 0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,979.80 $6,633 1.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,354.40 $3,924 1.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,354.40 $3,924 0.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $3,102 $5,170 1.1×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,102 $5,170 1.1×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,354.40 $3,924 1.4×
Excision/curettage cyst/tumor carpal bones (25130) $2,354.40 $3,924 0.7×
Excision/curettage cyst/tumor phalanx finger (26210) $2,354.40 $3,924 1.5×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $3,102 $5,170 0.9×
Excision/destruction intranasal lesion int appr (30117) $1,156.80 $1,928 0.3×
Excision/destruction lesion pharynx any method (42808) $2,354.40 $3,924 0.7×
Excision/surgical planing skin nose rhinophyma (30120) $2,354.40 $3,924 0.7×
Excision/Transposition Pterygium W/Grafg (65426) $1,410 $2,350 0.6×
Excision/Transposition Pterygium W/O Graft (65420) $1,156.80 $1,928 0.5×
Excision; trochanteric bursa or calcification (27062) $3,102 $5,170 0.9×
Expl po hemrrg thrombosis/infctj xtr (35860) $3,102 $5,170 1.0×
Explo/Drain Breast Abscess (19020) $3,102 $5,170 1.9×
Exploration maxillary sinus (31020) $920.40 $1,534 0.3×
Exploration of knee joint (27310) $3,515.40 $5,859 1.1×
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure		 $919.80 $1,533 0.1×
Exploration penetrating wound spx extremity (20103) $2,354.40 $3,924 1.4×
Explore eye socket,drainage (67405) $3,102 $5,170 1.3×
Explore for undescended testis (54550) $3,102 $5,170 0.9×
Explore inner ear (69806)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Explore treat shoulder joint (23107) $8,113.20 $13,522 1.1×
Explore/Treat Elbow Joint (24101) $2,354.40 $3,924 0.7×
Explore/Treat Hand Joint (26070) $2,733 $4,555 1.7×
Explore/Treat Knee Joint (27331) $2,354.40 $3,924 0.7×
Extraction of lens (66940) $3,102 $5,170 1.3×
Extraction of lens (66920) $3,102 $5,170 1.3×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,354.40 $3,924 1.0×
Fascia lata graft; by stripper Facility (20920) $2,812.20 $4,687 1.4×
Fasciectomy Palm Only (26121) $2,354.40 $3,924 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $2,354.40 $3,924 0.7×
Fasciotomy palmar open partial (26045) $2,354.40 $3,924 0.7×
Fasciotomy palmar percutaneous (26040) $1,072.80 $1,788 0.7×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,102 $5,170 0.9×
Fasciotomy, foot and/or toe (28008) $2,354.40 $3,924 0.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,102 $5,170 0.9×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Finger tendon transfer (26497) $3,102 $5,170 0.9×
Fixation contralateral testis separate procedure (54620) $2,354.40 $3,924 0.7×
Flap; neurovascular pedicle (15750) $3,979.80 $6,633 1.1×
Fluoro exam of g/colon tube (49465) $2,011.80 $3,353 8.4×
Fna bx w/us gdn 1st les (10005) $713.40 $1,189 1.0×
Forehead flap w/vasc pedicle (15731) $3,102 $5,170 0.9×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $2,354.40 $3,924 0.7×
Frenulotomy of penis (54164) $2,354.40 $3,924 1.1×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $3,102 $5,170 1.5×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,102 $5,170 1.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,102 $5,170 1.5×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,102 $5,170 1.5×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $3,102 $5,170 1.5×
Fusion Finger Joint (26860) $3,102 $5,170 0.9×
Fusion of foot bones (28740) $3,979.80 $6,633 0.5×
Fusion of hand bones (25820)
likely a partial charge, not the full procedure		 $1,351.20 $2,252 0.2×
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Fusion of tibiofibular joint (27871)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $8,100 $13,500 2.3×
Gastrocnemius recession (27687) $2,354.40 $3,924 0.7×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,979.80 $6,633 1.0×
Goniotomy (65820) $3,102 $5,170 0.7×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $3,102 $5,170 0.5×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $933 $1,555 0.3×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,117.20 $1,862 0.5×
Grafting of autologous fat by lipo 50 cc or less (15771)
range across 2 matching MRF lines		 $3,102–$3,117.60 $5,170–$5,196 varies
Grafting of autologous soft tiss by direct exc (15769) $932.40 $1,554 0.3×
Guide Cathet Fluid Drainage (10030) $864.60 $1,441 1.2×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Head Surgery Procedure (21499) $3,102 $5,170 13.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,354.40 $3,924 0.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,354.40 $3,924 0.8×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,102 $5,170 1.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $3,102 $5,170 1.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $3,102 $5,170 1.1×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $3,102 $5,170 1.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,156.80 $1,928 1.2×
Hemorrhoidopexy by stapling (46947) $2,353.80 $3,923 0.8×
Hip arthro w/labral repair (29916)
likely a partial charge, not the full procedure		 $1,578 $2,630 0.2×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $3,102 $5,170 1.1×
Hymenotomy Simple Incision (56442) $1,410 $2,350 0.4×
Hyoid myotomy and suspension Facility (21685) $7,717.80 $12,863 1.3×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,102 $5,170 0.6×
Hysteroscopy Biopsy (58558) $2,354.40 $3,924 0.7×
Hysteroscopy Dx Sep Proc (58555) $2,354.40 $3,924 0.7×
Hysteroscopy Endometrial Ablation (58563) $3,102 $5,170 0.6×
Hysteroscopy Lysis Intrauterine Adhesions (58559)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,102 $5,170 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $3,102 $5,170 0.6×
I&d abscess peritonsillar (42700) $1,156.80 $1,928 4.8×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,354.40 $3,924 1.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,354.40 $3,924 0.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,156.80 $1,928 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,354.40 $3,924 0.7×
I&d forearm/wrist bursa (25031) $3,475.20 $5,792 2.1×
I&D Intramural Im/Absc Transanal Anes (46045) $1,410 $2,350 0.5×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,156.80 $1,928 0.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,410 $2,350 0.4×
I&d perianal abscess superficial (46050) $1,156.80 $1,928 1.2×
I&d pilonidal cyst complicated (10081) $2,354.40 $3,924 3.3×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
I&d shoulder deep abscess/hematoma (23030) $2,354.40 $3,924 0.8×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,102 $5,170 1.1×
Icd Pocket Revision (33223)
range across 2 matching MRF lines		 $2,497.20–$2,596.80 $4,162–$4,328 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,354.40 $3,924 2.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $3,102 $5,170 3.4×
Image Cath Fluid Peri/Retro (49406) $3,979.80 $6,633 2.4×
Immediate breast prosthesis (19340)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.5×
Implant neuroelectrodes (63650) $4,919.40 $8,199 0.8×
Implant Neuroelectrodes (64561) $4,919.40 $8,199 0.8×
Implant Periph/Gastric Neurostim/Receiver (64590)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.4×
Implant Spine Infusion Pump (62362) $24,482.40 $40,804 1.3×
Implant temple bone w/stimul (69714) $8,100 $13,500 0.6×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.4×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $4,919.40 $8,199 0.6×
Impression and custom preparation; speech aid prosthesis Facility (21084) $3,102 $5,170 0.9×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Incise finger tendon sheath (26055) $1,410 $2,350 0.9×
Incise flexor carpi radialis (25001) $2,354.40 $3,924 0.7×
Incise Wrist/Forearm Tendon (25290) $2,354.40 $3,924 0.7×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $524.40–$1,162.80 $874–$1,938 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,410 $2,350 0.5×
Incision & removal foreign body subq tiss compl (10121) $2,354.40 $3,924 1.4×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $713.40–$742.20 $1,189–$1,237 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $376.20–$1,156.80 $627–$1,928 varies
Incision bone cortex foot (28005) $2,354.40 $3,924 0.7×
Incision Drainage Lacrimal Sac (68420) $1,410 $2,350 0.6×
Incision extensor tendon sheath wrist (25000) $2,354.40 $3,924 1.5×
Incision of eardrum (69421) $1,156.80 $1,928 0.3×
Incision of eardrum (69420) $1,156.80 $1,928 4.8×
Incision of fibula (27707) $3,979.80 $6,633 1.2×
Incision of Foot Tendon (28234) $1,410 $2,350 0.9×
Incision of labial frenum (frenotomy) (40806) $843 $1,405 1.6×
Incision of lingual frenum (frenotomy) (41010) $1,156.80 $1,928 0.7×
Incision of rectal abscess (46040) $1,410 $2,350 1.2×
Incision of urethra (53020) $1,156.80 $1,928 0.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,859 $4,765 1.7×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $2,354.40 $3,924 0.7×
Incisional biopsy eyelid skin & lid margin (67810) $713.40 $1,189 2.2×
Incisional biopsy skin single lesion (11106) $713.40 $1,189 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $510.30 $850.50 2.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,354.40 $3,924 2.6×
Inj W/Fluor Eval Cv Device (36598) $4,675.20 $7,792 21.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,410 $2,350 1.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,156.80 $1,928 1.3×
Inject Intravitreal Pharmcologic (67028) $713.40 $1,189 2.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $713.40 $1,189 2.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,156.80 $1,928 1.3×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,410 $2,350 1.6×
Injection aa&/strd genicular nrv branches w/img (64454) $1,156.80 $1,928 1.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,156.80 $1,928 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,156.80 $1,928 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,156.80 $1,928 1.6×
Injection Anes Superior Hypogastric Plexus (64517) $1,156.80 $1,928 1.3×
Injection anesthetic agent suprascapular nerve (64418) $1,156.80 $1,928 1.6×
Injection for identification of sentinel node (38792) $1,156.80 $1,928 2.9×
Injection Into Brain Canal (61055) $3,102 $5,170 10.0×
Injection single tendon origin/insertion (20551) $713.40 $1,189 2.3×
Injection single/mlt trigger point 1/2 muscles (20552) $1,057.20 $1,762 3.4×
Injection single/mlt trigger point 3/> muscles (20553) $1,156.80 $1,928 3.7×
Injection therapeutic carpal tunnel (20526) $713.40 $1,189 2.3×
Injection, anesthetic agent; brachial plexus, single (64415) $1,156.80 $1,928 1.3×
Injection, anesthetic agent; femoral nerve, single (64447) $1,156.80 $1,928 1.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Injection, intralesional; up to and including 7 lesions (11900) $713.40 $1,189 3.5×
Injx anterior chamber eye air/liquid spx (66020) $697.20 $1,162 0.3×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,410 $2,350 1.6×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $4,161–$4,339.80 $6,935–$7,233 varies
Ins cath ren art 1st unilat (36251)
range across 3 matching MRF lines		 $3,510.60–$3,651 $5,851–$6,085 varies
Ins cath ren art 2nd+ bilat (36254) $3,648 $6,080 1.1×
Ins cath ren art 2nd+ unilat (36253) $7,143 $11,905 1.3×
Ins endovas vena cava filtr (37191)
range across 3 matching MRF lines		 $8,085–$8,408.40 $13,475–$14,014 varies
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $11,892.60–$12,368.40 $19,821–$20,614 varies
Insert and remove bone pin (20650) $2,354.40 $3,924 0.7×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $3,102 $5,170 0.7×
Insert cath pleura w/o image (32556) $3,657.42 $6,095.70 1.9×
Insert Drug Implant Device (11981) $713.40 $1,189 5.3×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $2,354.40–$2,462.40 $3,924–$4,104 varies
Insert Heart Pm Atrial (33206) $20,634 $34,390 2.0×
Insert Heart Pm Ventricular (33207)
range across 3 matching MRF lines		 $10,453.80–$10,872 $17,423–$18,120 varies
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.1×
Insert Nasal Septal Button (30220) $1,410 $2,350 0.9×
Insert non-tunnel cv cath (36556) $1,410 $2,350 0.4×
Insert Pacing Lead & Connect (33224)
range across 3 matching MRF lines		 $17,647.20–$18,352.80 $29,412–$30,588 varies
Insert pulse gen dual leads (33213)
range across 3 matching MRF lines		 $15,157.20–$15,763.20 $25,262–$26,272 varies
Insert pulse gen mult leads (33221) $10,503 $17,505 0.5×
Insert Pulse Gen Sngl Lead (33212) $10,755 $17,925 1.3×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $713.40–$742.20 $1,189–$1,237 varies
Insert testicular prosthesis (54660) $3,102 $5,170 0.6×
Insert tun ip cath perc (49418)
range across 3 matching MRF lines		 $4,922.40–$5,119.20 $8,204–$8,532 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $3,102–$4,339.80 $5,170–$7,233 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $376.20–$1,410 $627–$2,350 varies
Insertion indwelling tunneled pleural catheter (32550) $4,823.40 $8,039 1.3×
Insertion of cannula (36800) $3,102 $5,170 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $1,822.20–$1,830.60 $3,037–$3,051 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 4 matching MRF lines		 $10,730.40–$11,494.20 $17,884–$19,157 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,823.40 $8,039 1.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
range across 2 matching MRF lines		 $11,892.60–$12,368.40 $19,821–$20,614 varies
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $3,102 $5,170 1.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $3,102–$4,339.80 $5,170–$7,233 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $1,410–$2,598.60 $2,350–$4,331 varies
Insj Stablj Dev W/Dcmprn (22867)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.5×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $8,100 $13,500 0.6×
Insj Subq Impltbl Dfb Elctrd (33271) $11,344.20 $18,907 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $4,919.40 $8,199 0.6×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 3 matching MRF lines		 $19,701–$20,488.80 $32,835–$34,148 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $8,100 $13,500 0.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $11,892.60–$12,368.40 $19,821–$20,614 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $6,621.60 $11,036 0.8×
Insrt heart pm atrial & vent (33208)
range across 3 matching MRF lines		 $11,373.60–$11,828.40 $18,956–$19,714 varies
Insrt Pulse Gen W/Dual Leads (33230)
unusually low: confirm this is the full procedure		 $10,755 $17,925 0.5×
Insrt Pulse Gen W/Mult Leads (33231)
range across 2 matching MRF lines		 $10,755–$11,185.20 $17,925–$18,642 varies
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure		 $5,880 $9,800 0.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $1,410 $2,350 0.5×
Intranasal Biopsy (30100) $713.40 $1,189 0.5×
Intro cath dialysis circuit (36901)
range across 3 matching MRF lines		 $2,049.60–$6,888 $3,416–$11,480 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $14,641.80–$22,924.80 $24,403–$38,208 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $7,224.60–$12,100.20 $12,041–$20,167 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) $2,354.40 $3,924 1.0×
Iridotomy/irridectomy laser surg per session (66761) $1,156.80 $1,928 2.1×
Irrigation maxillary sinus (31000) $713.40 $1,189 3.0×
Island pedicle flap graft (15740) $3,979.80 $6,633 1.9×
IV injection test vascular flow flap/graft (15860) $1,156.80 $1,928 2.6×
Jaw arthroscopy/surgery (29800) $4,587.60 $7,646 1.4×
Keratoplasty (corneal transplant); endothelial (65756) $1,410 $2,350 0.3×
Keratoplasty Penetrating Pseudophakia (65755) $1,410 $2,350 0.3×
Knee arthroscopy/drainage (29871) $3,102 $5,170 0.9×
Knee Arthroscopy/Surgery (29885) $3,979.80 $6,633 0.5×
Knee Arthroscopy/Surgery (29874) $3,102 $5,170 0.9×
Knee Arthroscopy/Surgery (29850) $4,919.40 $8,199 3.0×
Lam facetec & foramot lumbar (63047) $8,100 $13,500 1.1×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) $4,919.40 $8,199 0.7×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $9,847.20 $16,412 1.3×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $12,447 $20,745 1.7×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $8,100 $13,500 1.1×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $8,100 $13,500 1.1×
Laminotomy Single Lumbar (63042) $8,100 $13,500 1.1×
Lap insert tunnel ip cath (49324)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.4×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.4×
Lap replace gastr adj device (43773) $8,100 $13,500 1.3×
Laparo ablate renal cyst (50541) $8,100 $13,500 0.8×
Laparo ligate spermatic vein (55550) $3,979.80 $6,633 0.7×
Laparo new ureter/bladder (50947) $7,629 $12,715 0.7×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Laparoscope proc ureter (50949) $6,393 $10,655 1.0×
Laparoscopic myomectomy (58545) $4,919.40 $8,199 0.8×
Laparoscopy aspiration (49322) $3,102 $5,170 0.5×
Laparoscopy Enterolysis Separate Procedure (44180) $3,102 $5,170 0.5×
Laparoscopy fulguration oviducts (58670) $3,102 $5,170 0.5×
Laparoscopy gastrostomy (43653) $3,102 $5,170 0.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $3,102 $5,170 0.5×
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure		 $1,355.40 $2,259 0.2×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $8,100 $13,500 0.8×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $8,100 $13,500 0.8×
Laparoscopy W/Lysis Of Adhesions (58660) $3,102 $5,170 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $3,102 $5,170 0.5×
Laparoscopy, surgical, appendectomy (44970) $3,102 $5,170 0.5×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $8,100 $13,500 0.8×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $8,100 $13,500 0.8×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $4,919.40 $8,199 0.8×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $7,880.40 $13,134 0.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $3,979.80 $6,633 0.7×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure		 $1,578.60 $2,631 0.3×
Laparoscopy, surgical; partial nephrectomy (50543) $11,145 $18,575 1.0×
Laparoscopy, surgical; pyeloplasty (50544) $11,145 $18,575 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $3,979.80 $6,633 0.7×
Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648) $7,795.80 $12,993 0.7×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $4,919.40 $8,199 0.8×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) $11,145 $18,575 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $3,102 $5,170 0.5×
Laparoscopy, Tubal Block (58671) $3,102 $5,170 0.5×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $3,102 $5,170 0.5×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,102 $5,170 0.5×
Laps Gastric Restrictive Px Remove Device & Port (43774) $8,100 $13,500 2.1×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Laps surg prst8ect smpl stot robotic assistance (55867) $10,507.20 $17,512 1.0×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $7,758 $12,930 1.3×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $3,979.80 $6,633 0.7×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Largsc Arytenoidectomy Microscope/Telescope (31561)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $2,354.40 $3,924 0.6×
Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) $4,919.40 $8,199 0.8×
Laryngoplasty Medialization Unliateral (31591)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $1,410 $2,350 0.4×
Laryngoscopy and dilation (31528) $4,636.80 $7,728 1.2×
Laryngoscopy diagnostic (31505) $713.40 $1,189 3.5×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $1,410 $2,350 0.4×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $3,102 $5,170 0.8×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $2,354.40 $3,924 0.6×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $1,615.20–$1,646.40 $2,692–$2,744 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,410 $2,350 0.8×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $920.40 $1,534 0.5×
Laryngoscopy W/Biopsy (31535) $2,354.40 $3,924 0.6×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,102 $5,170 0.8×
Laryngoscopy W/Foreign Body Removal (31530) $1,410 $2,350 0.8×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $2,900.40 $4,834 7.4×
Larynscop w/tumr exc + scope (31541) $3,102 $5,170 0.8×
Laser Surgery Anal Lesions (46917) $2,354.40 $3,924 0.8×
Laser Surgery of Cervix (57513) $3,102 $5,170 1.0×
Laser Surgery,Sever Vitreous Strands (67031) $2,354.40 $3,924 4.2×
Laser treatment of retina (67040) $2,354.40 $3,924 0.6×
Laser vaporization of prostate (52648) $3,979.80 $6,633 0.7×
Late closure of wound (13160) $3,102 $5,170 0.9×
Lateral Canthopexy (21282) $1,410 $2,350 0.4×
Lateral retinacular release open (27425) $3,102 $5,170 0.9×
Lavage cannulation sphenoid sinus (31002) $713.40 $1,189 0.5×
Lengthening of palate, and pharyngeal flap Facility (42226) $3,102 $5,170 0.5×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $23,544 $39,240 1.8×
Ligamentous Reconstruction Knee Extra-Articular (27427) $4,919.40 $8,199 0.7×
Ligamentous reconstruction knee intra-articular (27428) $8,100 $13,500 0.6×
Ligate leg veins open (37761) $3,102 $5,170 1.0×
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $4,140–$4,305.60 $6,900–$7,176 varies
Ligation of hemorrhoids (46946) $2,354.40 $3,924 0.8×
Ligation Of Inf Vena Cava (37619) $7,229.40 $12,049 1.3×
Ligation or biopsy temporal artery (37609) $1,410 $2,350 0.8×
Litholapaxy comp/lg > 2.5 cm (52318) $4,919.40 $8,199 1.4×
Litholapaxy smpl/sm <2.5 cm (52317) $4,919.40 $8,199 1.4×
Lithotripsy, extracorporeal shock wave (50590) $8,100 $13,500 2.3×
Low Back Disk Surgery (63030) $8,100 $13,500 1.1×
Lsh uterus 250 g or less (58541)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Lsh w/t/o uterus above 250 g (58544)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Lumbar spine fusion combined (22633)
unusually low: confirm this is the full procedure		 $11,706.60 $19,511 0.4×
Lysis Intranasal Synechia (30560) $3,102 $5,170 5.7×
Lysis of labial adhesions (56441) $2,354.40 $3,924 0.7×
Lysis/excision penile postcircumcision adhesions (54162) $2,354.40 $3,924 1.1×
Manipulation Elbow Under Anesthesia (24300) $1,156.80 $1,928 0.7×
Manipulation knee joint under general anesthesia (27570) $1,156.80 $1,928 0.7×
Manipulation, finger joint, under anesthesia, each joint (26340) $2,487.60 $4,146 1.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,156.80 $1,928 0.7×
Marsupialization of bartholin's gland cyst (56440) $2,354.40 $3,924 0.7×
Mast mod rad (19307) $3,979.80 $6,633 0.6×
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $2,354.40–$5,302.20 $3,924–$8,837 varies
Mastectomy partial (19301) $3,102 $5,170 0.8×
Mastectomy partial w/axillary lymphadenectomy (19302) $4,919.40 $8,199 0.7×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.5×
Mastopexy (19316) $3,979.80 $6,633 0.6×
Medial Canthopexy Separate Procedure (21280) $3,102 $5,170 0.9×
Metatarsectomy (28140) $3,102 $5,170 0.9×
Middle ear surgery proc unlisted (69799) $2,354.40 $3,924 9.9×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $3,102 $5,170 0.9×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,156.80 $1,928 1.6×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $3,979.80 $6,633 1.9×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $3,102 $5,170 0.9×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $3,979.80 $6,633 1.1×
Muscle-skin graft trunk (15734) $3,979.80 $6,633 1.1×
Myelography Lumbar Injection (62305)
range across 6 matching MRF lines		 $713.40–$1,506 $1,189–$2,510 varies
Myelography Lumbar Injection (62304)
range across 3 matching MRF lines		 $713.40–$1,506 $1,189–$2,510 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 3 matching MRF lines		 $713.40–$1,506 $1,189–$2,510 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 3 matching MRF lines		 $544.20–$1,506 $907–$2,510 varies
Myringoplasty (69620) $2,354.40 $3,924 0.7×
N Block Inj Celiac Pelus (64530) $1,156.80 $1,928 1.3×
N Block Inj Ilio-Ing/Hypogi (64425) $1,156.80 $1,928 1.6×
N block inj intercost sng (64420) $1,156.80 $1,928 1.6×
N Block Inj Plantar Digit (64455) $1,156.80 $1,928 3.7×
N Block Lumbar/Thoracic (64520) $1,156.80 $1,928 1.3×
Nasal Endoscopy Dx (31231) $1,410 $2,350 7.0×
Nasal sinus therapy (30210) $713.40 $1,189 0.5×
Nasal surgery procedure (30999) $2,354.40 $3,924 9.9×
Nasal/Orogastric W/Tube Plmt (43752) $468 $780 1.0×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $1,410 $2,350 3.6×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $2,354.40 $3,924 0.6×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $8,674.80 $14,458 1.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,102 $5,170 1.7×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,354.40 $3,924 1.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,102 $5,170 1.7×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $3,102 $5,170 0.8×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/sinus ndsc total with sphenoidotomy (31257)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $2,354.40 $3,924 1.3×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $6,460.20 $10,767 3.6×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $1,156.80 $1,928 4.6×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $2,354.40 $3,924 2.5×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $706.80 $1,178 0.8×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $3,102 $5,170 1.9×
Neck spine disk surgery (63020) $8,100 $13,500 1.1×
Neck spine fusion (22600)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,156.80–$2,133 $1,928–$3,555 varies
Nerve repair w/conduit each nerve (64910)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Neurectomy, Intrinsic Musculature Of Foot (28055) $2,354.40 $3,924 1.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,102 $5,170 1.6×
Neurorraphy w/vein autograft (64911)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.4×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $3,102 $5,170 1.6×
Nipple Exploration (19110) $4,996.80 $8,328 1.3×
Nipple/areola reconstruction (19350) $3,979.80 $6,633 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $1,156.80 $1,928 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,156.80 $1,928 3.7×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,156.80 $1,928 0.3×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,823.40 $8,039 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,354.40 $3,924 2.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,156.80 $1,928 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,156.80 $1,928 1.6×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,156.80 $1,928 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,156.80 $1,928 1.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,156.80 $1,928 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,156.80 $1,928 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,156.80 $1,928 1.3×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,410 $2,350 3.4×
Njx Sclrsnt Spider Veins (36468) $713.40 $1,189 1.7×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Occipital Nerve Block (64405) $1,156.80 $1,928 3.7×
Ocular Surface Reconstruction Amniotic Membrane (65780) $2,354.40 $3,924 0.6×
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) $6,147 $10,245 1.6×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,675.80 $2,793 0.3×
Open biopsy/excision inguinofemoral nodes (38531) $3,979.80 $6,633 1.0×
Open Implantation Nea Peripheral Nerve (64575) $8,100 $13,500 0.7×
Open Implantation Nea Sacral Nerve (64581) $8,100 $13,500 1.3×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure		 $4,225.80 $7,043 0.1×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
likely a partial charge, not the full procedure		 $2,531.40 $4,219 0.1×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $3,979.80 $6,633 0.5×
Open Repair of Rotator Cuff Acute (23410) $4,919.40 $8,199 0.7×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $7,689 $12,815 0.6×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814) $3,979.80 $6,633 0.5×
Open treatment calcaneal fracture (28415) $3,979.80 $6,633 0.5×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $1,355.40 $2,259 0.1×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $3,979.80 $6,633 0.5×
Open Treatment Humeral Condylar Fracture (24579)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Open treatment interphalangeal joint dislocation (28675) $3,342 $5,570 1.0×
Open Treatment Medial Malleolus Fracture (27766) $3,979.80 $6,633 0.5×
Open treatment metatarsal fracture each (28485) $3,979.80 $6,633 0.5×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $3,979.80 $6,633 0.5×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $3,979.80 $6,633 0.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $3,979.80 $6,633 0.5×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $3,979.80 $6,633 0.7×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $3,979.80 $6,633 0.7×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $1,002.60 $1,671 0.1×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $3,102 $5,170 0.5×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $3,102 $5,170 0.5×
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) $2,083.20 $3,472 0.6×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $2,354.40 $3,924 0.7×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $3,979.80 $6,633 1.2×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $4,302.60 $7,171 1.3×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $6,174.60 $10,291 1.0×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $3,102 $5,170 0.5×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $3,102 $5,170 0.5×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $3,979.80 $6,633 0.7×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $5,981.40 $9,969 0.8×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $3,979.80 $6,633 0.5×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) $6,274.80 $10,458 0.9×
Open Treatment of Ulnar Shaft Fracture (25545) $3,979.80 $6,633 0.5×
Open treatment of ulnar styloid fracture (25652) $3,979.80 $6,633 0.5×
Open treatment posterior malleolus fracture (27769) $3,979.80 $6,633 0.5×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $3,979.80 $6,633 0.5×
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Open Treatment Radial Shaft Fracture (25515) $3,979.80 $6,633 0.5×
Open Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure		 $919.80 $1,533 0.1×
Open Tx Acute/Chronic Elbow Dislocation (24615) $3,979.80 $6,633 0.5×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,354.40 $3,924 0.7×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $3,979.80 $6,633 1.2×
Open tx carpal scaphoid navicular fracture (25628) $3,979.80 $6,633 0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $3,979.80 $6,633 0.5×
Open Tx Distal Phalangeal Fracture Each (26765) $2,354.40 $3,924 0.7×
Open Tx Distal Tibiofibular Joint Disruption (27829) $3,979.80 $6,633 0.5×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.2×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $2,354.40 $3,924 0.7×
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Open tx humeral supracondylar fracture w/o xtn (24545)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Open tx interphalangeal joint dislocation (26785) $2,354.40 $3,924 0.7×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $3,979.80 $6,633 0.7×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $3,102 $5,170 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,979.80 $6,633 1.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,354.40 $3,924 0.7×
Open Tx Radial Head/Neck Fracture (24665) $3,979.80 $6,633 0.5×
Open Tx Radial Head/Neck Fracture Prosth (24666)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $3,979.80 $6,633 0.5×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $4,919.40 $8,199 0.7×
Open tx ulnar fx proximal end (24685) $3,979.80 $6,633 0.5×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $14,641.80–$15,227.40 $24,403–$25,379 varies
Open/Perq Place Stent Same (37238)
range across 3 matching MRF lines		 $15,279–$15,890.40 $25,465–$26,484 varies
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $3,979.80 $6,633 1.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $3,979.80 $6,633 0.5×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $3,979.80 $6,633 0.5×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,293.60 $2,156 0.1×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $2,354.40 $3,924 0.6×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $2,354.40 $3,924 1.0×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $2,354.40 $3,924 0.6×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $2,351.40 $3,919 0.6×
Orchiectomy radical tumor inguinal approach (54530) $3,102 $5,170 0.9×
Orchiopexy Ingun/Scrot Appr (54640) $3,102 $5,170 0.9×
Ostc compl all metar heads w/prtl prox phalangc (28114) $3,979.80 $6,633 1.2×
Ostc prtl exostc/condylc metar head (28288) $2,354.40 $3,924 0.7×
Ostectomy calcaneus (28118) $2,354.40 $3,924 0.7×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,102 $5,170 0.9×
Ostectomy of sternum, partial Facility (21620) $1,293.60 $2,156 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,102 $5,170 0.9×
Ostectomy, complete excision; first metatarsal head (28111) $2,354.40 $3,924 0.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $2,354.40 $3,924 0.7×
Osteochondral allograft knee open (27415) $8,100 $13,500 0.6×
Osteochondral talus autogrft (28446) $5,981.40 $9,969 0.8×
Osteoplasty Radius/Ulna Shortening (25390)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $3,979.80 $6,633 0.5×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $3,979.80 $6,633 0.5×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,354.40 $3,924 0.7×
Osteotomy calcaneus w/wo internal fixation (28300) $3,979.80 $6,633 0.5×
Osteotomy Clavicle W Bone Graft (23485) $13,789.20 $22,982 1.1×
Osteotomy Metacarpal Each (26565) $3,102 $5,170 0.9×
Osteotomy Phalanx Finger Each (26567) $3,102 $5,170 0.9×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $3,979.80 $6,633 0.5×
Osteotomy Tibia (27705) $3,979.80 $6,633 0.5×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
likely a partial charge, not the full procedure		 $1,293.60 $2,156 0.2×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Ovarian cystectomy, unilateral or bilateral (58925) $3,102 $5,170 0.6×
Palatopharyngoplasty (42145) $3,102 $5,170 0.5×
Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) $3,102 $5,170 0.9×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $1,410 $2,350 0.6×
Parathyroidectomy or exploration of parathyroid(s); (60500) $3,979.80 $6,633 0.7×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $3,979.80 $6,633 0.8×
Part remv talus or calcaneus (28120) $2,354.40 $3,924 0.7×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $3,975.60 $6,626 0.5×
Partial Excision Bone Humerus (24140) $3,102 $5,170 0.9×
Partial excision bone metacarpal (26230) $3,102 $5,170 0.9×
Partial excision bone olecranon process (24147) $3,102 $5,170 0.9×
Partial Excision Bone Radius (25151) $3,102 $5,170 0.9×
Partial Excision Distal Phalanx Finger (26236) $2,354.40 $3,924 1.5×
Partial excision of lip (40520) $1,156.80 $1,928 0.3×
Partial hymenectomy or revision of hymenal ring (56700) $2,354.40 $3,924 0.7×
Partial removal of fibula (27641) $2,354.40 $3,924 0.7×
Partial removal of penis (54120) $1,675.80 $2,793 0.5×
Partial removal of rib (21600)
unusually low: confirm this is the full procedure		 $2,308.20 $3,847 0.3×
Partial removal of thyroid (60220) $8,100 $13,500 1.3×
Partial removal of tibia (27640) $4,537.80 $7,563 1.4×
Partial removal of toe (28160) $2,354.40 $3,924 0.7×
Partial removal of tongue (41120) $3,102 $5,170 0.5×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $3,979.80 $6,633 0.7×
Partical Excision Bone Phalanx Toe (28124) $2,354.40 $3,924 0.7×
Patellectomy or hemipatellectomy (27350) $3,979.80 $6,633 0.5×
Pelvic examination under anesthesia (other than local) (57410) $1,156.80 $1,928 0.4×
Penis plastic surgery (54360) $3,102 $5,170 0.9×
Perc Rf Ablate Renal Tumor (50592) $7,671 $12,785 1.3×
Percut Drain/Inject Renal Cyst (50390) $942.60 $1,571 1.3×
Percut Mech Thrombectomy, Venous, Repeat (37188) $9,184.80 $15,308 2.9×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $1,410 $2,350 0.4×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $3,475.20 $5,792 1.1×
Percutaneous skeletal fixation of ulnar styloid fracture (25651)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Peri-Implant Capsulectomy Breast Complete (19371) $3,102 $5,170 0.8×
Perineoplasty rpr perineum nonobstetrical spx (56810) $3,102 $5,170 1.0×
Perq av fistula creation uxtr sep access sites (36837) $22,554 $37,590 1.2×
Perq av fistula creation uxtr single access (36836) $16,915.20 $28,192 0.9×
Perq Cervicothoracic Inject (22510) $1,606.80 $2,678 0.5×
Perq dev breast 1st mr guide (19287) $3,411.60 $5,686 4.8×
Perq dev breast 1st strtctc (19283) $2,031 $3,385 2.8×
Perq dev breast 1st us imag (19285) $2,985.60 $4,976 4.2×
Perq device breast 1st imag (19281) $1,535.40 $2,559 0.9×
Perq Lumbosacral Injection (22511) $4,919.40 $8,199 1.5×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,410 $2,350 0.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $14,644.80–$23,731.20 $24,408–$39,552 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 3 matching MRF lines		 $9,184.80–$11,557.80 $15,308–$19,263 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $8,100–$9,495.60 $13,500–$15,826 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $8,100–$9,495.60 $13,500–$15,826 varies
Phalangectomy toe each toe (28150) $3,102 $5,170 0.9×
Pin Finger Dislocation (26776) $1,410 $2,350 0.4×
Pin hand dislocation (26676) $2,354.40 $3,924 0.7×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $1,410 $2,350 1.4×
Place Amniotic Membrane Ocular Surface Sutured (65779) $3,102 $5,170 0.8×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $4,892.40–$5,088 $8,154–$8,480 varies
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $6,951.60–$7,229.40 $11,586–$12,049 varies
Placement of seton (46020) $1,410 $2,350 0.5×
Plastic Repair Canaliculi (68700) $5,022 $8,370 2.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,714.40 $4,524 1.3×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $3,102 $5,170 0.5×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $3,102 $5,170 0.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,979.80 $6,633 0.8×
Prim art mech thrombectomy (37184) $9,831 $16,385 0.5×
Probe lacrimal canaliculi w/wo irrigation (68840) $1,410 $2,350 4.4×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $1,410 $2,350 0.6×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $1,410 $2,350 0.6×
Probing nasolacrimal duct (68810) $1,156.80 $1,928 3.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $3,102 $5,170 3.3×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $547.20 $912 0.5×
Proctosgmdsc rigid w/dilation (45303) $713.40 $1,189 0.6×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $547.20 $912 0.5×
Prostate laser enucleation (52649) $3,979.80 $6,633 0.7×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $4,919.40 $8,199 0.8×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,410 $2,350 1.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,063.40 $8,439 1.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,410 $2,350 0.4×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $919.80 $1,533 0.1×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $1,410 $2,350 0.4×
Prq skel fixj metar fx w/manj (28476) $1,410 $2,350 0.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $2,354.40 $3,924 0.7×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $919.80 $1,533 0.3×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure		 $1,410 $2,350 0.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,354.40 $3,924 0.7×
Pseudoaneurysm Injection Trt (36002) $1,038.60 $1,731 1.6×
Pterygomaxillary fossa surgery, any approach Facility (31040) $3,102 $5,170 0.5×
Punch biopsy skin single lesion (11104) $270.60 $451 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Puncture Aspiration Cyst Breast (19000) $713.40 $1,189 1.0×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,156.80 $1,928 1.6×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $3,102 $5,170 1.9×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $3,102 $5,170 0.9×
Rad resect elbow caps/sr bone w rels (24149) $3,979.80 $6,633 0.5×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,102 $5,170 1.1×
Rad resect tumor soft tissue hand/finger <3cm (26117) $2,354.40 $3,924 0.8×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $2,354.40 $3,924 0.8×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $3,102 $5,170 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $3,102 $5,170 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $3,102 $5,170 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $3,102 $5,170 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $3,102 $5,170 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $4,919.40 $8,199 1.7×
Radical resection of tumor; phalanx of toe Facility (28175) $2,278.20 $3,797 1.4×
Radical Resection Tumor Metatarsal (28173) $3,102 $5,170 0.9×
Radical styloidectomy separate procedure (25230) $4,133.70 $6,889.50 1.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,410 $2,350 0.7×
Rcnstj angular dfrm toe soft tiss px only (28313) $2,354.40 $3,924 0.7×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $4,431 $7,385 1.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $3,979.80 $6,633 1.2×
Rcnstj Dislocating Patella (27420) $4,919.40 $8,199 0.7×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $3,102 $5,170 1.3×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $3,102 $5,170 1.3×
Rcnstj Eyelid Full Thickness Second Stage (67975) $5,022 $8,370 2.1×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $3,979.80 $6,633 0.5×
Re-explore parathyroids (60502) $5,157.60 $8,596 0.9×
Realignment extensor tendon hand each tendon (26437) $2,354.40 $3,924 0.7×
Reconstruct elbow lat ligmnt (24344) $3,979.80 $6,633 0.5×
Reconstruct finger joint (26545) $3,979.80 $6,633 1.2×
Reconstruct Finger Joint (26548) $5,163 $8,605 1.6×
Reconstruct lip with flap (40525) $2,354.40 $3,924 0.7×
Reconstruct lip with flap (40527) $3,102 $5,170 0.5×
Reconstruct ulna/radioulnar (25337)
likely a partial charge, not the full procedure		 $1,208.40 $2,014 0.2×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $3,102 $5,170 0.5×
Reconstruction Nail Bed W/Graft (11762) $2,354.40 $3,924 1.1×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $3,979.80 $6,633 0.5×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $3,102 $5,170 0.5×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) $4,967.40 $8,279 1.3×
Reconstruction of throat (42950) $4,484.40 $7,474 0.8×
Reconstruction Tongue Fold (41520) $3,102 $5,170 0.9×
Redo Endovas Vena Cava Filtr (37192)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Reduction Overcorrection Ptosis (67909) $2,354.40 $3,924 1.0×
Reinsert spinal fixation (22849) $8,100 $13,500 0.6×
Release foot/toe nerve (64726) $3,623.40 $6,039 1.8×
Release of big toe (28240) $2,354.40 $3,924 0.7×
Release of shoulder ligament (23415) $3,979.80 $6,633 0.5×
Relieve Pressure on Nerve(S) (64722) $2,354.40 $3,924 1.2×
Relocation Pocket Pacemaker (33222)
range across 2 matching MRF lines		 $2,497.20–$2,596.80 $4,162–$4,328 varies
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $376.20–$713.40 $627–$1,189 varies
Removal Foreign Body Deep Thigh/Knee (27372) $3,102 $5,170 1.1×
Removal Foreign Body Foot Complicated (28193) $2,354.40 $3,924 1.4×
Removal foreign body foot deep (28192) $1,410 $2,350 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $1,156.80 $1,928 1.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,156.80 $1,928 0.7×
Removal Foreign Body Pelvis/Hip Deep (27087) $921 $1,535 0.3×
Removal foreign body upper arm/elbow deep (24201) $2,354.40 $3,924 0.8×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,354.40 $3,924 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Removal Implant Deep (20680) $3,102 $5,170 1.1×
Removal Implant Superficial Separate Procedure (20670) $1,156.80 $1,928 0.7×
Removal implantable contraceptive capsules (11976) $713.40 $1,189 1.0×
Removal intact breast implant (19328) $3,979.80 $6,633 1.0×
Removal of a lesion from the floor of the mouth (41116) $1,156.80 $1,928 0.3×
Removal of adenoids (42835) $1,410 $2,350 0.4×
Removal of adenoids (42831) $3,102 $5,170 0.9×
Removal of adenoids (42830) $3,102 $5,170 0.9×
Removal of adenoids (42836) $1,410 $2,350 0.4×
Removal of anal fissure (46200) $2,354.40 $3,924 0.8×
Removal of ankle implant (27704) $2,354.40 $3,924 0.7×
Removal of anterior instrumentation (22855) $8,100 $13,500 1.1×
Removal of bone lesion (23140) $2,354.40 $3,924 0.7×
Removal of cervix (57530) $3,102 $5,170 0.6×
Removal of heel spur (28119) $2,354.40 $3,924 0.7×
Removal of humerus lesion (23150) $5,161.20 $8,602 1.6×
Removal of implant from finger or hand (26320) $2,354.40 $3,924 1.4×
Removal of implanted material, anterior segment of eye (65920) $1,156.80 $1,928 0.5×
Removal of intranasal lesion (30118) $1,410 $2,350 0.4×
Removal of mammary implant material (19330) $3,979.80 $6,633 1.0×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Removal of nose lesion (30124) $1,410 $2,350 0.9×
Removal of ocular implant (65175) $2,354.40 $3,924 0.6×
Removal of posterior segmental instrumentation Facility (22852) $8,100 $13,500 1.1×
Removal of sesamoid bone (28315) $2,354.40 $3,924 0.7×
Removal of skin wrinkles (15829) $4,919.40 $8,199 1.4×
Removal of sperm cord lesion (55520) $3,102 $5,170 0.9×
Removal of tendon for graft (20924) $11,470.80 $19,118 1.6×
Removal of testis (54520) $3,102 $5,170 0.9×
Removal of thyroid (60271) $3,979.80 $6,633 0.7×
Removal of tonsils (42825) $3,102 $5,170 0.5×
Removal of tonsils (42826) $3,102 $5,170 0.9×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) $11,304.90 $18,841.50 1.5×
Removal of tunneled intraperitoneal catheter (49422)
range across 3 matching MRF lines		 $4,140–$4,305.60 $6,900–$7,176 varies
Removal of wrist bone (25210) $3,102 $5,170 0.9×
Removal or bivalving full arm or full leg cast (29705) $189.60 $316 0.7×
Removal or destruction of bladder canal (urethra) malignancy (53220) $3,102 $5,170 0.9×
Removal Pacemaker Electrode (33235) $5,220.60 $8,701 1.4×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $11,892.60–$12,368.40 $19,821–$20,614 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $1,156.80 $1,928 5.7×
Removal subcutaneous cardiac rhythm monitor (33286)
range across 3 matching MRF lines		 $906.60–$11,494.20 $1,511–$19,157 varies
Removal Submand Stone,Complicated (42335) $3,102 $5,170 0.9×
Removal sweat gland lesion (11450) $3,102 $5,170 1.1×
Removal tong/halo applied by another individual (20665) $1,156.80 $1,928 2.6×
Removal, under anesthesia, of external fixation system (20694) $1,410 $2,350 0.9×
Remove Ankle Joint Lining (27626) $2,354.40 $3,924 0.7×
Remove armpit lymph nodes (38740) $8,100 $13,500 1.3×
Remove drug implant device (11982) $713.40 $1,189 1.6×
Remove elbow lesion (24120) $3,102 $5,170 0.9×
Remove eye lesion (66130) $1,156.80 $1,928 0.5×
Remove eye/attach implant (65105) $2,354.40 $3,924 0.6×
Remove femur lesion/graft (27356)
likely a partial charge, not the full procedure		 $3,102 $5,170 0.2×
Remove Forearm Foreign Body (25248) $2,354.40 $3,924 1.5×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $713.40–$717 $1,189–$1,195 varies
Remove groin lymph nodes (38760) $3,979.80 $6,633 0.6×
Remove Int Dwell Ureteral Stent Transurethral (50386) $3,102 $5,170 1.5×
Remove Intrauterine Device (58301) $713.40 $1,189 2.3×
Remove intrvas foreign body (37197)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Remove knee joint lining (27334) $4,471.20 $7,452 1.4×
Remove Lower Leg Bone Lesion (27635) $2,354.40 $3,924 0.7×
Remove mastoid structures (69505) $3,979.80 $6,633 0.7×
Remove muti-comp penis pros (54406) $3,102 $5,170 0.9×
Remove Nasal Foreign Body (30300) $247.80 $413 1.8×
Remove palate/lesion (42120)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Remove Peritoneal Foreign Body (49402) $3,979.80 $6,633 1.1×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $5,019.60–$5,220.60 $8,366–$8,701 varies
Remove radius head implant (24164) $3,102 $5,170 0.9×
Remove renal tube w/fluoro (50389) $4,225.20 $7,042 6.0×
Remove Skin Nerve Lesion (64774) $2,354.40 $3,924 1.2×
Remove spine eltrd plate (63662) $8,100 $13,500 2.3×
Remove spine fixation device (22850) $8,100 $13,500 1.1×
Remove spine lamina 1/2 lmbr (63005) $8,100 $13,500 1.1×
Remove Tendon Sheath Lesion (26160) $1,410 $2,350 0.9×
Remove thyroid lesion (60200) $3,979.80 $6,633 0.7×
Remove tissue expander (11971) $5,737.20 $9,562 2.0×
Remove vc lesion w/scope (31545) $2,354.40 $3,924 0.6×
Remove wrist joint cartilage (25107) $981.60 $1,636 0.3×
Remove&replace pm gen singl (33227)
range across 3 matching MRF lines		 $11,052–$11,494.20 $18,420–$19,157 varies
Remove/graft finger lesion (26215) $4,587.60 $7,646 1.4×
Remove/graft foot lesion (28107)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Remove/replace penis prosth (54410)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.4×
Remv cartilage for graft nasal (20912) $2,354.40 $3,924 0.7×
Remv&replc cvd gen dual lead (33263)
range across 3 matching MRF lines		 $15,825–$28,100.40 $26,375–$46,834 varies
Remv&replc cvd gen mult lead (33264)
range across 3 matching MRF lines		 $19,918.80–$49,797 $33,198–$82,995 varies
Remv&replc cvd gen sing lead (33262)
range across 3 matching MRF lines		 $33,614.40–$34,959 $56,024–$58,265 varies
Remv&replc pm gen dual lead (33228)
range across 3 matching MRF lines		 $14,099.40–$14,663.40 $23,499–$24,439 varies
Remv&replc pm gen mult leads (33229)
range across 3 matching MRF lines		 $8,614.20–$28,234.20 $14,357–$47,057 varies
Renal Biopsy Perq (50200) $2,133 $3,555 1.3×
Reopen fallopian tube (58350) $3,102 $5,170 0.6×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair arm/leg nerve (64857) $3,979.80 $6,633 1.2×
Repair bladder neck (51845) $2,531.40 $4,219 0.5×
Repair Bladder-Vagina Lesion (57320) $4,798.20 $7,997 1.0×
Repair Blood Vessel Direct Hand Finger (35207) $3,102 $5,170 1.0×
Repair blood vessel lesion (35190) $6,304.20 $10,507 1.1×
Repair brow ptosis (67900) $3,979.80 $6,633 1.7×
Repair Collat Ankle Ligmnt,Secondary (27698)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,156.80 $1,928 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,354.40 $3,924 3.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,156.80 $1,928 2.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,354.40 $3,924 5.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,156.80 $1,928 2.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,156.80 $1,928 1.6×
Repair complex trunk 2.6-7.5 cm (13101) $1,156.80 $1,928 1.6×
Repair defect w/autograft radius/ulna (25425)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair Ectropion Excision Tarsal Wedge (67916) $3,102 $5,170 1.3×
Repair Ectropion Extensive (67917) $3,102 $5,170 1.3×
Repair Ectropion Suture (67914) $2,354.40 $3,924 1.0×
Repair Ectropion Thermocauterization (67915) $2,354.40 $3,924 1.0×
Repair Elbow Perc (24357) $2,354.40 $3,924 0.7×
Repair Entropion Excision Tarsal Wedge (67923) $3,102 $5,170 1.3×
Repair Entropion Extensive (67924) $3,102 $5,170 1.3×
Repair Entropion Suture (67921) $2,354.40 $3,924 1.0×
Repair Extensor Tendon Finger W/Graft Each (26420) $2,354.40 $3,924 0.7×
Repair extensor tendon finger w/o graft each (26418) $2,354.40 $3,924 1.5×
Repair Extensor Tendon Hand W/Graft Each (26412) $3,790.80 $6,318 1.1×
Repair Finger Tendon (26433) $2,354.40 $3,924 0.7×
Repair Finger/Hand Tendon (26350) $2,354.40 $3,924 0.7×
Repair Fistula Oromaxillary (30580) $3,102 $5,170 0.5×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,354.40 $3,924 0.7×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,410 $2,350 0.2×
Repair Hallux Rigidus (28289) $3,102 $5,170 0.9×
Repair Hand Joint (26540) $2,354.40 $3,924 0.7×
Repair Hand Tendon (26410) $2,354.40 $3,924 1.5×
Repair humerus with graft (24435)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Repair incomplete circumcision (54163) $2,354.40 $3,924 1.1×
Repair inguinal hernia, sliding, any age (49525) $3,979.80 $6,633 1.1×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $4,919.40 $8,199 1.4×
Repair initial femoral hernia, any age; reducible (49550) $3,979.80 $6,633 1.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,979.80 $6,633 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,410 $2,350 3.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $2,354.40 $3,924 5.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,156.80 $1,928 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $2,354.40–$2,365.80 $3,924–$3,943 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $2,354.40–$2,365.80 $3,924–$3,943 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $534–$1,156.80 $890–$1,928 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $1,410–$1,417.20 $2,350–$2,362 varies
Repair iris ciliary body (66680) $2,354.40 $3,924 1.0×
Repair Laceration Palate </2 Cm (42180) $713.40 $1,189 1.3×
Repair lead pace-defib dual (33220) $10,047.60 $16,746 2.7×
Repair Lead Pace-Defib One (33218)
range across 2 matching MRF lines		 $4,843.20–$10,755 $8,072–$17,925 varies
Repair Leg Fascia Defect (27656) $3,341.52 $5,569.20 1.0×
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair lumbar hernia (49540) $3,102 $5,170 0.5×
Repair mouth/nose fistula (30600) $3,102 $5,170 0.5×
Repair nasal septal perforations (30630) $3,102 $5,170 0.9×
Repair Nasal Vestibular Stenosis (30465) $3,102 $5,170 0.5×
Repair Non/Malunion Humerus W/O Graft (24430)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Repair Nonunion Carpal Bone Each Bone (25431)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair Nonunion Hand (26546)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Repair Nonunion/Malunion Tarsal Bones (28320)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $3,979.80 $6,633 0.5×
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair of enterocele, vaginal approach (separate procedure) (57268)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.5×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $3,979.80 $6,633 0.5×
Repair of hydrocele (55060) $3,102 $5,170 0.9×
Repair of knee ligaments (27409) $3,979.80 $6,633 0.5×
Repair of metatarsals (28322)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $1,112.40–$1,156.80 $1,854–$1,928 varies
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $6,943.80 $11,573 0.9×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $4,919.40 $8,199 0.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $4,919.40 $8,199 0.7×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $3,979.80 $6,633 0.5×
Repair of rectocele (45560) $1,355.40 $2,259 0.5×
Repair of Ruptured Tendon (24342) $3,979.80 $6,633 0.5×
Repair of shoulder (23420) $4,919.40 $8,199 0.7×
Repair of windpipe defect (31825) $3,979.80 $6,633 1.2×
Repair paravag defect lap (57423) $10,119.60 $16,866 0.9×
Repair radius & ulna (25415) $4,919.40 $8,199 0.7×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $4,919.40 $8,199 1.4×
Repair recurrent femoral hernia; reducible Facility (49555) $4,919.40 $8,199 1.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $3,979.80 $6,633 0.6×
Repair Rotator Cuff Chronic (23412) $4,919.40 $8,199 0.7×
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair shoulder capsule (23462) $3,979.80 $6,633 0.5×
Repair shoulder capsule (23466) $4,919.40 $8,199 0.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,354.40 $3,924 0.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair tongue laceration (41252) $1,156.80 $1,928 4.8×
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Repair Tooth Socket (41874) $5,476.20 $9,127 1.6×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $3,979.80 $6,633 0.5×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $2,354.40 $3,924 0.7×
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair/Graft Wrist Bone (25440)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repair/Revise Wrist Joint (25320)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Replace duodenostomy/jejunostomy tube perq (49451) $693 $1,155 0.8×
Replace G-J Tube Perc (49452) $1,420.80 $2,368 1.6×
Replace g/c tube perc (49450) $713.40 $1,189 0.8×
Replacement Tissue Expander W/Permanent Implant (11970)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Repos Previously Implanted Subq Implantable Dfb (33273) $4,657.20 $7,762 1.2×
Reposition L Ventric Lead (33226)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Reposition Venous Catheter (36597) $1,410 $2,350 0.9×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $1,410 $2,350 0.6×
Repr elbow lat ligmnt w/tiss (24343) $3,102 $5,170 0.9×
Repr Elbw Med Ligmnt W/Tiss (24345) $3,979.80 $6,633 0.5×
Repr torn cruciate knee ligam (27407) $6,943.80 $11,573 0.9×
Rerepair ing hernia reduce (49520) $3,979.80 $6,633 1.1×
Resect leg/ankle tum < 5 cm (27615) $3,102 $5,170 1.1×
Resect Shoulder Tumor 5 Cm/> (23078) $3,102 $5,170 1.1×
Resect shoulder tumor < 5 cm (23077) $3,168.60 $5,281 1.1×
Resect thigh/knee tum < 5 cm (27329) $2,354.40 $3,924 0.8×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $2,354.40 $3,924 0.7×
Resection, partial or complete, phalangeal base, each toe (28126) $2,354.40 $3,924 0.7×
Resection/transplantation long tendon biceps (23440)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Retrobulbar injection (67500) $415.20 $692 1.3×
Rev/rmv prph sac/gstr npg/r (64595) $3,102 $5,170 0.9×
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure		 $4,920 $8,200 0.4×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $8,100 $13,500 0.6×
Revise external ear (69300) $3,979.80 $6,633 1.2×
Revise eye with implant (65093) $2,354.40 $3,924 0.6×
Revise eyelashes (67825) $713.40 $1,189 2.2×
Revise finger joint each (26140) $1,410 $2,350 0.9×
Revise Hand/Foot Nerve (64704) $2,354.40 $3,924 1.2×
Revise hernia & sperm veins (55540) $3,979.80 $6,633 1.1×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Revise Lower Leg Tendons (27686) $3,102 $5,170 0.9×
Revise Spine Eltrd Plate (63664) $8,100 $13,500 0.7×
Revise ulnar nerve at wrist (64719) $3,102 $5,170 1.6×
Revise/Implant Finger Joint (26536) $3,979.80 $6,633 0.5×
Revise/Repair Finger/Toe Nerve (64702) $2,354.40 $3,924 1.2×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $3,102 $5,170 1.0×
Revision mastoidectomy; resulting in tympanoplasty Facility (69604) $6,057 $10,095 1.0×
Revision of big toe (28310)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Revision of eyelid (67880) $1,156.80 $1,928 0.5×
Revision of foot (28116) $2,354.40 $3,924 0.7×
Revision of foot and ankle (28262)
likely a partial charge, not the full procedure		 $1,410 $2,350 0.2×
Revision of foot bones (28737)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Revision of foot fascia (28250) $1,410 $2,350 0.4×
Revision of knee joint (27442) $8,100 $13,500 0.6×
Revision of larynx (31400)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Revision of leg vein (37780) $3,102 $5,170 1.0×
Revision of lower leg tendon (27685) $2,354.40 $3,924 0.7×
Revision of penis (54300) $3,102 $5,170 0.9×
Revision of reconstructed breast (19380) $4,919.40 $8,199 0.7×
Revision of stapedectomy or stapedotomy Facility (69662) $3,102 $5,170 0.5×
Revision of toe (28312) $2,354.40 $3,924 0.7×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $2,476.80 $4,128 0.2×
Revision Peri-Implant Capsule Breast (19370) $3,102 $5,170 0.8×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $1,410 $2,350 0.6×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $8,100 $13,500 1.3×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) $3,979.80 $6,633 0.7×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $6,526.20 $10,877 0.5×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $27,955.80 $46,593 1.6×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $8,100 $13,500 0.6×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $8,100 $13,500 2.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,919.40 $8,199 1.4×
Revj/rpr oprative wound anterior segment (66250) $2,354.40 $3,924 1.0×
Rhinoplasty primary w/major septal repair (30420) $4,919.40 $8,199 0.8×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $8,590.20 $14,317 1.4×
Rhinp Prim Complete Xtrnl Parts (30410)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $3,102 $5,170 0.5×
Rhytidectomy Cheek Chin & Neck (15828) $4,919.40 $8,199 1.4×
Rhytidectomy Forehead (15824) $3,102 $5,170 1.5×
Rhytidectomy Neck W/Platysmal Tightening (15825) $3,102 $5,170 0.9×
Rib cartilage graft (21230) $4,919.40 $8,199 0.8×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $1,410 $2,350 0.6×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,149 $1,915 0.7×
Rmvl embedded fb vestibule mouth comp (40805) $1,156.80 $1,928 2.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,450.80 $2,418 1.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,410 $2,350 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $919.80–$924 $1,533–$1,540 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530) $3,536.40 $5,894 11.1×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $1,257.60–$1,263.60 $2,096–$2,106 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,410 $2,350 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,477.80 $2,463 0.9×
Rmvl implnt matl posterior segment extraocular (67120) $628.80 $1,048 0.3×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $3,102 $5,170 1.3×
Rmvl Lens Material Phacofragmentation Aspir (66850) $3,102 $5,170 1.3×
Rmvl of subq implantable defibrillator electrode (33272) $4,657.20 $7,762 1.2×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $1,410 $2,350 0.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $8,100 $13,500 4.1×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $4,919.40 $8,199 1.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)
range across 2 matching MRF lines		 $5,019.60–$5,220.60 $8,366–$8,701 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $2,131.80–$2,354.40 $3,553–$3,924 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $787.80–$1,410 $1,313–$2,350 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $3,102 $5,170 1.3×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $3,102 $5,170 1.3×
Rmvl/revj sling stress incontinence (57287) $3,102 $5,170 1.0×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Rplcmt cath ctr vad subq port/pmp (36578) $3,102 $5,170 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,131.80 $3,553 1.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,598.60 $4,331 1.6×
Rplcmt compl tun ctr vad w/subq port (36582) $3,102 $5,170 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 3 matching MRF lines		 $4,302–$4,474.20 $7,170–$7,457 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,758 $12,930 1.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $5,272.80 $8,788 1.5×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $2,531.40 $4,219 0.4×
Rpr aa hernia recr 3-10 cm reducible (49615) $5,272.80 $8,788 0.8×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $9,040.80 $15,068 1.5×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $5,272.80 $8,788 1.5×
Rpr aa hrn 1st 3-10 rdc (49593) $5,273.40 $8,789 0.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $7,759.80 $12,933 1.3×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $3,102 $5,170 0.8×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $5,022 $8,370 2.1×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $4,395 $7,325 1.8×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $3,102 $5,170 1.3×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $3,102 $5,170 1.3×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,271.60 $3,786 1.4×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $3,102 $5,170 0.9×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Rpr Ing Hernia Baby, Reduc (49495) $3,102 $5,170 0.9×
Rpr ing hernia init reduce (49500)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.5×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280)
likely a partial charge, not the full procedure		 $1,156.80 $1,928 0.2×
Rpr Lip Full Thickness Vermilion Only (40650) $4,484.40 $7,474 8.2×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $3,979.80 $6,633 0.5×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $4,708.20 $7,847 0.8×
Rpr Nsl Vlv Collapse W/Implt (30468) $7,949.40 $13,249 1.3×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,354.40 $3,924 0.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,102 $5,170 0.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,354.40 $3,924 0.7×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
likely a partial charge, not the full procedure		 $919.80 $1,533 0.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $2,143.80–$2,229.60 $3,573–$3,716 varies
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $2,354.40 $3,924 0.7×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,354.40 $3,924 0.7×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $2,354.40 $3,924 0.7×
Scrotal exploration (55110) $2,354.40 $3,924 0.7×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $3,102 $5,170 0.5×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,102 $5,170 0.9×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $1,156.80 $1,928 0.5×
Severing tarsorrhaphy (67710) $3,536.40 $5,894 3.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $3,979.80 $6,633 4.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,102 $5,170 2.6×
Shave skin lesion 0.5 cm/< (11300) $713.40 $1,189 1.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $713.40 $1,189 3.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $713.40 $1,189 3.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $713.40 $1,189 3.5×
Shoulder arthroscopy (29820) $3,979.80 $6,633 0.5×
Shoulder arthroscopy diagnostic (29805) $3,102 $5,170 0.9×
Shoulder Arthroscopy/Surgery (29825) $3,979.80 $6,633 1.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,410 $2,350 0.4×
Sigmoidoscopy & Polypectomy (45333) $3,102 $5,170 3.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,097 $3,495 1.7×
Sigmoidoscopy flx tndsc balo dilat (45340) $3,102 $5,170 2.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $2,017.20 $3,362 1.7×
Sigmoidoscopy w/fb removal (45332) $3,102 $5,170 2.6×
Sigmoidoscopy W/Resection (45349) $1,912.80 $3,188 0.7×
Sigmoidoscopy W/Ultrasound (45341) $2,354.40 $3,924 2.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,156.80 $1,928 1.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $3,102 $5,170 2.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $376.20–$713.40 $627–$1,189 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $586.20 $977 2.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $376.20–$713.40 $627–$1,189 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $763.80–$1,162.80 $1,273–$1,938 varies
Sinusotomy frontal; external, simple (trephine operation) Facility (31070) $3,102 $5,170 0.5×
Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) $7,108.80 $11,848 1.2×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $8,590.20 $14,317 1.4×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $3,102 $5,170 0.5×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) $3,102 $5,170 0.5×
Skin Full Grft Face/Genit/Hf (15240) $3,102 $5,170 1.5×
Skin Pedicle Flap Trunk (15570) $919.80 $1,533 0.4×
Skin sub graft face/nk/hf/g (15275) $2,354.40 $3,924 3.2×
Skin sub graft trnk/arm/leg (15271) $2,354.40 $3,924 3.2×
Skin sub grft t/arm/lg child (15273) $919.80 $1,533 0.4×
Skin Tissue Procedure (17999) $2,354.40 $3,924 11.6×
Skn sub grft f/n/hf/g child (15277) $2,354.40 $3,924 1.1×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $6,951.60–$7,229.40 $11,586–$12,049 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $6,951.60–$7,229.40 $11,586–$12,049 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,102 $5,170 0.6×
Slitting of prepuce (54001) $1,156.80 $1,928 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $376.20–$1,156.80 $627–$1,928 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,162.80 $1,938 2.8×
Snip Incision Lacrimal Punctum (68440) $713.40 $1,189 2.2×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $1,461.60 $2,436 0.5×
Sphincterotomy anal division sphincter spx (46080) $2,354.40 $3,924 0.8×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $909.60–$1,156.80 $1,516–$1,928 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,102 $5,170 0.9×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,102 $5,170 1.5×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $3,979.80 $6,633 0.7×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $1,410 $2,350 0.6×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $3,102 $5,170 0.8×
Submucosal abltj tongue rf 1/> sites pr session (41530) $4,431.60 $7,386 1.3×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,354.40 $3,924 0.7×
Subtalar arthro w/deb (29906) $3,102 $5,170 0.9×
Subtalar arthro w/exc (29905)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Suction assisted lipectomy; head and neck (15876) $3,102 $5,170 0.9×
Suction assisted lipectomy; trunk (15877) $3,102 $5,170 0.9×
Suction assisted lipectomy; upper extremity (15878) $3,102 $5,170 1.5×
Suction Lipectomy Lwr Extrem (15879) $3,102 $5,170 0.9×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,102 $5,170 0.9×
Surg Implnt Neuroelect,Epidural (63655)
unusually low: confirm this is the full procedure		 $8,100 $13,500 0.4×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
unusually low: confirm this is the full procedure		 $2,606.40 $4,344 0.4×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
unusually low: confirm this is the full procedure		 $2,286.60 $3,811 0.4×
Surg tx anal fistula subq (46270) $2,354.40 $3,924 0.8×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,354.40 $3,924 0.8×
Suture 1 nerve hand/foot common sensory nerve (64834) $2,354.40 $3,924 0.7×
Suture 1 Nerve Median Motor Thenar (64835) $2,354.40 $3,924 0.7×
Suture 1 Nerve Ulnar Motor (64836) $2,354.40 $3,924 0.7×
Suture digital nerve hand/foot 1 nerve (64831) $3,102 $5,170 1.6×
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Suture of facial nerve; extracranial Facility (64864)
likely a partial charge, not the full procedure		 $1,245 $2,075 0.1×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $9,846 $16,410 1.3×
Syndactylization toes (28280) $1,410 $2,350 0.4×
Synovectomy Tendon Sheath Foot Extensor (28088) $1,410 $2,350 0.4×
Synovectomy Tendon Sheath Foot Flexor (28086) $1,410 $2,350 0.4×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $2,354.40 $3,924 0.7×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,354.40 $3,924 1.5×
Tangential biopsy skin single lesion (11102) $236.40 $394 0.6×
Tattooing incl micropigmentation 6.0 cm/< (11920) $2,354.40 $3,924 3.2×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $2,354.40 $3,924 3.2×
Tcat Insj/Rpl Perm Ldls Pm (33274) $10,048.20 $16,747 0.5×
Tcat Rmvl Perm Ldls Pm (33275) $4,138.80 $6,898 1.3×
Temporary Closure Eyelids Suture (67875) $713.40 $1,189 0.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $2,354.40 $3,924 0.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $3,102 $5,170 0.9×
Tenodesis distal joint each (26474) $2,354.40 $3,924 1.5×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $2,353.80 $3,923 0.7×
Tenolysis flexor foot single tendon (28220) $1,410 $2,350 0.9×
Tenolysis flexor tendon palm&finger each tendo (26442) $2,354.40 $3,924 0.7×
Tenolysis flexor tendon palm/finger each tendon (26440) $2,354.40 $3,924 1.5×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $2,354.40 $3,924 0.7×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $2,354.40 $3,924 0.7×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,354.40 $3,924 0.7×
Tenotomy extensor hand/finger open each tendon (26460) $2,354.40 $3,924 1.5×
Tenotomy Flexor Finger Open Each Tendon (26455) $2,354.40 $3,924 1.5×
Tenotomy Hip Abd/Ext Open (27006) $2,353.80 $3,923 0.7×
Tenotomy Percutaneous Single Each Digit (26060) $2,278.20 $3,797 1.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $4,708.80 $7,848 2.9×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $2,354.40 $3,924 0.7×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,410 $2,350 0.9×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $3,102 $5,170 0.9×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure		 $993 $1,655 0.1×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
range across 3 matching MRF lines		 $3,102–$7,229.40 $5,170–$12,049 varies
Thrmbc/Nfs Dialysis Circuit (36906)
range across 2 matching MRF lines		 $23,410.80–$28,159.20 $39,018–$46,932 varies
Thromblytic art/ven therapy (37213)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $6,951.60–$7,229.40 $11,586–$12,049 varies
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $4,173–$4,339.80 $6,955–$7,233 varies
Thyroid biopsy (60100) $1,156.80 $1,928 1.6×
Thyroidectomy Post Prev Thyr Surg (60260) $3,979.80 $6,633 0.7×
Thyroidectomy, total or complete (60240) $3,979.80 $6,633 0.7×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $8,100 $13,500 1.4×
Tibial Arthroscopy/Surgery (29855) $4,919.40 $8,199 0.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,354.40 $3,924 1.1×
Tissue Expander Placement Breast Reconstruction (19357)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.4×
Tlh uterus over 250 g (58572)
unusually low: confirm this is the full procedure		 $4,919.40 $8,199 0.5×
Tnot elbow lateral/medial debride open (24358) $3,102 $5,170 0.9×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,102 $5,170 0.9×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,102 $5,170 0.9×
Tooth extraction (41899) $1,156.80 $1,928 4.8×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $23,544 $39,240 1.3×
Total Knee Arthroplasty (27447) $8,100 $13,500 0.6×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $8,100 $13,500 1.3×
Trabeculoplasty by laser surgery (65855) $1,156.80 $1,928 2.1×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $3,102 $5,170 1.0×
Tracheostoma revj smpl w/o flap rotation (31613) $4,387.80 $7,313 1.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,979.80 $6,633 2.5×
Tracheostomy planned (31600) $3,979.80 $6,633 1.2×
Transcatheter biopsy (37200) $8,209.20 $13,682 1.5×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,354.40 $3,924 1.2×
Transfer skin pedicle flap (15650) $3,102 $5,170 1.5×
Transfer/transplant tendon palmar w/o graft each (26485) $8,871 $14,785 2.7×
Translum Dil Eye Canal (66174) $2,354.40 $3,924 0.6×
Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175)
unusually low: confirm this is the full procedure		 $2,354.40 $3,924 0.4×
Transplant hand tendon (26480) $2,354.40 $3,924 0.7×
Transplant/graft hand tendon (26483) $3,102 $5,170 0.9×
Transplant/graft palm tendon (26489) $3,102 $5,170 0.9×
Transur electr resection of prostate (52601) $4,919.40 $8,199 0.9×
Transurethral incision of prostate (52450) $3,102 $5,170 0.9×
Transurethral resection bladder neck (52500) $3,102 $5,170 0.9×
Treat ankle dislocation (27848) $3,979.80 $6,633 0.5×
Treat ankle fracture (28445) $3,979.80 $6,633 0.5×
Treat Big Toe Fracture (28505) $2,354.40 $3,924 0.7×
Treat ectopic pregnancy (59151) $3,102 $5,170 0.5×
Treat elbow fracture (24586)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Treat Elbow Fracture (24635) $3,979.80 $6,633 0.5×
Treat Finger Fracture Each (26727) $1,410 $2,350 0.4×
Treat fracture radius/ulna (25575) $3,979.80 $6,633 0.5×
Treat Fx Rad Extra-Articul (25607) $3,979.80 $6,633 0.5×
Treat Humerus Fracture (24505) $1,156.80 $1,928 0.7×
Treat humerus fracture (23616) $31,650.60 $52,751 1.8×
Treat kneecap dislocation (27566) $3,979.80 $6,633 0.5×
Treat Kneecap Fracture (27524) $3,979.80 $6,633 0.5×
Treat lower leg bone lesion (27607) $2,354.40 $3,924 0.7×
Treat metacarpal fracture (26607) $1,156.80 $1,928 0.4×
Treat Metatarsal Fracture (28475) $1,156.80 $1,928 4.7×
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure		 $1,410 $2,350 0.2×
Treat scapula fracture (23585) $3,979.80 $6,633 0.5×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $1,156.80–$1,162.80 $1,928–$1,938 varies
Treat thumb fracture (26665) $3,979.80 $6,633 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,112.40–$1,156.80 $1,854–$1,928 varies
Treatment of ankle fracture (27823) $3,979.80 $6,633 0.5×
Treatment of foot infection (28003) $718.80 $1,198 0.2×
Treatment of nose fracture (21330) $3,102 $5,170 0.5×
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure		 $1,410 $2,350 0.2×
Trim skin lesion (11055) $529.80 $883 2.6×
Trluml Balo Angiop 1St Art (37246) $15,802.56 $26,337.60 2.8×
Trluml Balo Angiop 1St Vein (37248) $9,651.60 $16,086 1.7×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $4,941.60 $8,236 1.4×
Trurl rescj postop bladder neck contracture (52640) $3,102 $5,170 0.9×
Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) $13,039.52 $21,732.53 1.4×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,354.40 $3,924 0.8×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,354.40 $3,924 0.7×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $3,598.20 $5,997 0.5×
Tx Missed Abortion First Trimester Surgical (59820) $2,354.40 $3,924 0.7×
Tx Missed Abortion Second Trimester Surgical (59821) $2,354.40 $3,924 0.7×
Tx open tendon flexor toe 1 tendon spx (28232) $1,410 $2,350 0.9×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,354.40 $3,924 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $713.40 $1,189 1.0×
Tx superficial wound dehiscence w/packing (12021) $713.40 $1,189 1.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,410 $2,350 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $1,410 $2,350 5.7×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure		 $3,979.80 $6,633 0.3×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,354.40 $3,924 1.5×
Tympanoplasty (69631) $3,979.80 $6,633 0.7×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $3,979.80 $6,633 0.7×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $3,979.80 $6,633 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $3,979.80 $6,633 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $8,958.60 $14,931 1.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $3,979.80 $6,633 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $3,979.80 $6,633 0.7×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $4,919.40 $8,199 0.8×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $3,979.80 $6,633 0.7×
Tympanostomy general anesthesia (69436) $2,354.40 $3,924 1.5×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $3,979.80 $6,633 1.1×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $3,102 $5,170 13.0×
Unlisted hysteroscopy procedure, uterus (58579) $3,102 $5,170 15.2×
Unlisted laparoscopic procedure liver (47379) $3,979.80 $6,633 0.7×
Unlisted laparoscopy procedure oviduct ovary (58679) $3,979.80 $6,633 0.7×
Unlisted laparoscopy procedure stomach (43659) $3,979.80 $6,633 0.7×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $3,102 $5,170 0.5×
Unlisted laparoscopy procedure, bladder (51999) $6,393 $10,655 1.0×
Unlisted laparoscopy procedure, esophagus (43289)
unusually low: confirm this is the full procedure		 $2,309.40 $3,849 0.4×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $3,102 $5,170 0.5×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $3,979.80 $6,633 0.7×
Unlisted laparoscopy procedure, lymphatic system (38589) $4,920 $8,200 0.8×
Unlisted laparoscopy procedure, spermatic cord (55559) $5,080.80 $8,468 0.8×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $1,293.60 $2,156 0.2×
Unlisted Procedure Accessory Sinuses (31299) $2,354.40 $3,924 9.9×
Unlisted procedure anus (46999) $1,156.80 $1,928 1.2×
Unlisted procedure arthroscopy (29999) $3,102 $5,170 12.5×
Unlisted procedure breast (19499) $3,102 $5,170 0.8×
Unlisted Procedure Esophagus (43499) $2,354.40 $3,924 2.6×
Unlisted Procedure External Ear (69399) $1,156.80 $1,928 4.8×
Unlisted procedure eyelids (67999) $1,410 $2,350 4.4×
Unlisted procedure femur or knee (27599) $3,979.80 $6,633 16.0×
Unlisted procedure foot or toes (28899) $2,354.40 $3,924 9.5×
Unlisted procedure forearm or wrist (25999) $2,354.40 $3,924 9.5×
Unlisted Procedure Hands/Fingers (26989) $2,354.40 $3,924 9.5×
Unlisted procedure humerus/elbow (24999) $3,102 $5,170 12.5×
Unlisted Procedure Intestine (44799) $3,979.80 $6,633 4.4×
Unlisted procedure larynx (31599) $1,410 $2,350 5.9×
Unlisted Procedure Leg/Ankle (27899) $2,354.40 $3,924 9.5×
Unlisted Procedure Male Genital System (55899) $3,102 $5,170 12.3×
Unlisted Procedure Muscskeletal System General (20999) $2,354.40 $3,924 9.5×
Unlisted procedure neck or thorax (21899) $3,102 $5,170 13.0×
Unlisted procedure nervous system (64999) $1,156.80 $1,928 3.7×
Unlisted Procedure Palate Uvula (42299) $3,102 $5,170 13.0×
Unlisted procedure pelvis/hip joint (27299) $3,515.40 $5,859 14.1×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,156.80 $1,928 4.8×
Unlisted procedure shoulder (23929) $3,102 $5,170 12.5×
Unlisted procedure spine (22899) $8,100 $13,500 32.6×
Unlisted procedure stomach (43999) $4,919.40 $8,199 5.4×
Unlisted Procedure Trachea Bronchi (31899) $2,354.40 $3,924 11.7×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $3,826.80–$3,979.80 $6,378–$6,633 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,102 $5,170 3.4×
Unlisted procedure, orbit (67599) $2,515.80 $4,193 7.9×
Unlisted Procedure, Urinary System (53899) $3,102 $5,170 12.3×
Unlisted px female genital system nonobstetrical (58999) $2,354.40 $3,924 11.6×
Upgrade of pacemaker system (33214)
range across 3 matching MRF lines		 $8,553.60–$8,895.60 $14,256–$14,826 varies
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $3,102 $5,170 0.6×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) $3,102 $5,170 0.6×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $3,102 $5,170 0.9×
Uvulectomy excision of uvula (42140) $1,410 $2,350 0.4×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $3,102 $5,170 0.6×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure		 $1,578 $2,630 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $3,102 $5,170 0.6×
Vaginectomy, partial removal of vaginal wall; (57106) $3,102 $5,170 1.0×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $14,641.80–$15,227.40 $24,403–$25,379 varies
Vasc Embolize/Occlude Bleed (37244) $20,640 $34,400 1.8×
Vasc Embolize/Occlude Organ (37243) $20,640 $34,400 1.8×
Vasc embolize/occlude venous (37241) $20,640 $34,400 1.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,102 $5,170 1.5×
Venous Mech Thrombectomy (37187) $9,831 $16,385 0.8×
Ventilating tube removal requiring general anesthesia (69424) $713.40 $1,189 0.2×
Vermilionectomy lip shv w/mucosal advmnt (40500) $713.40 $1,189 0.2×
Vitrectomy mechanical pars plana (67036) $2,354.40 $3,924 0.6×
Vulvectomy simple partial (56620) $3,102 $5,170 1.0×
Vulvectomy simple; complete (56625) $2,354.40 $3,924 0.7×
Wedge excision skin nail fold (11765) $2,354.40 $3,924 5.7×
Wound Prep F/N/Hf/G (15004) $3,102 $5,170 7.6×
Wound Prep Trk/Arm/Leg (15002) $3,102 $5,170 4.2×
Wrist arthroscopy with partial removal of joint lining (29844) $3,102 $5,170 0.9×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $5,435.40 $9,059 1.0×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $4,045.20 $6,742 0.8×
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $3,102 $5,170 0.4×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,131.80 $3,553 1.3×

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.