Procedures & surgery prices at Baytown Medical Center Lp

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

1462 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $260 $260 0.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Acromiopl/Acromionect Partial (23130)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $12,326 $12,326 3.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $14,342 $14,342 2.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Amputation Foot Midtarsal (28800)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Amputation, leg, through tibia and fibula; (27880) $17,605 $17,605 2.4×
Amputation, leg, through tibia and fibula; re-amputation (27886)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ankle Arthroscopy/Surgery (29892) $17,605 $17,605 2.4×
Anoscopy diagnostic (46600)
range across 4 matching MRF lines		 $56–$14,342 $56–$14,342 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 3 matching MRF lines		 $175–$3,073 $175–$3,073 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Ant Vesicourethropexy/Urethropexy Smpl (51840)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Anterior colporraphy rpr cystocele w/cysto (57240) $17,605 $17,605 3.5×
Appendectomy (44950) $17,605 $17,605 2.7×
Appl cranial tong/strtctc frame w/removal spx (20660)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Application cast elbow finger short arm (29075) $904 $904 3.2×
Application Cast Finger (29086) $1,304 $1,304 8.0×
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines		 $178–$853 $178–$853 varies
Application finger splint static (29130)
range across 5 matching MRF lines		 $115–$12,326 $115–$12,326 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $124–$1,455 $124–$1,455 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $1,798 $1,798 6.4×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $115–$1,379 $115–$1,379 varies
Application multiplane external fixation system (20692) $12,326 $12,326 1.0×
Application of cylinder cast (thigh to ankle) (29365) $2,044 $2,044 7.3×
Application of long leg cast (29345) $2,266 $2,266 8.1×
Application Patellar Tendon Bearing Cast (29435) $1,916 $1,916 6.8×
Application Short Arm Splint Dynamic (29126)
range across 3 matching MRF lines		 $115–$1,268 $115–$1,268 varies
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines		 $115–$12,326 $115–$12,326 varies
Application short leg splint calf foot (29515)
range across 5 matching MRF lines		 $115–$12,326 $115–$12,326 varies
Application uniplane external fixation system (20690) $12,326 $12,326 1.7×
Application, cast; figure-of-eight Facility (29049)
range across 3 matching MRF lines		 $117–$1,275 $117–$1,275 varies
Apply hand/wrist cast (29085)
range across 3 matching MRF lines		 $141–$1,225 $141–$1,225 varies
Apply long arm cast (29065) $801 $801 2.9×
Apply Short Leg Cast (29405) $1,346 $1,346 4.8×
Apply short leg cast (29425) $1,304 $1,304 4.6×
Arterial puncture (36600) $553 $553 4.1×
Arteriovenous Anastomosis Open Direct (36821) $62,153 $62,153 19.6×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $25,897 $25,897 2.0×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $25,897 $25,897 2.0×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $17,605 $17,605 1.4×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $21,812 $21,812 1.7×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $17,605 $17,605 2.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $135–$12,326 $135–$12,326 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $146–$1,014 $146–$1,014 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 5 matching MRF lines		 $128–$12,326 $128–$12,326 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $74–$12,326 $74–$12,326 varies
Arthrodesis ankle open (27870) $21,812 $21,812 1.7×
Arthrodesis great toe interphalangeal joint (28755) $17,605 $17,605 2.4×
Arthrodesis great toe metatarsophalangeal joint (28750) $17,605 $17,605 2.4×
Arthrodesis Posterior Interbody Lumbar (22630) $25,897 $25,897 1.0×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $25,897 $25,897 1.5×
Arthrodesis Posterior/Posterolateral Thoracic (22610) $25,897 $25,897 1.5×
Arthrodesis sacroiliac joint percutaneous (27279) $25,897 $25,897 1.5×
Arthrodesis subtalar (28725) $17,605 $17,605 1.4×
Arthrodesis triple (28715) $17,605 $17,605 1.4×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $25,897 $25,897 1.0×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) $25,897 $25,897 1.5×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) $25,897 $25,897 2.0×
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) $25,897 $25,897 1.5×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $25,897 $25,897 1.5×
Arthroplasty Ankle W/Implant (27702) $23,544 $23,544 0.9×
Arthroplasty glenohumeral joint total shoulder (23472) $23,544 $23,544 1.3×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $21,812 $21,812 1.7×
Arthroplasty interphalangeal joint each (26535)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Arthroplasty with prosthetic replacement; distal radius Facility (25441) $12,326 $12,326 1.0×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Arthroscopy ankle w/removal loose/foreign body (29894)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Arthroscopy Elbow Surgical Debridement Extensive (29838)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806) $21,812 $21,812 3.0×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $12,326 $12,326 3.8×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $14,342 $14,342 2.0×
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $21,812 $21,812 3.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $21,812 $21,812 3.0×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $21,812 $21,812 3.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthrotomy ankle w/expl drainage/removal fb (27610)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Arthrotomy W/Meniscus Repair Knee (27403) $14,342 $14,342 2.0×
Arthrotomy W/Synovectomy Ankle (27625)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $14,342 $14,342 2.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $25,897 $25,897 2.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $23,544 $23,544 1.8×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $21,812 $21,812 3.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $21,812 $21,812 3.0×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Aspiration & Injection Treatment Bone Cyst (20615)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Augmentation, mandibular body or angle; prosthetic material Facility (21125) $17,605 $17,605 3.0×
Av fistula revision (36833) $31,416 $31,416 5.6×
Av Fuse Uppr Arm Basilic (36819) $47,123 $47,123 8.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Biopsy Abdominal Mass (49180) $7,724 $7,724 4.7×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Biopsy External Auditory Canal (69105)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Biopsy Nasopharynx Visible Lesion Simple (42804)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy of breast; open, incisional (19101) $14,342 $14,342 3.6×
Biopsy of foot joint lining (28052)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy of palate, uvula (42100)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Biopsy of penis (54100)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $14,342 $14,342 3.6×
Biopsy Oropharynx (42800)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy soft tissue thigh/knee area superficial (27323)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Biopsy/removal lymph nodes (38510) $14,342 $14,342 3.6×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $76–$1,040 $76–$1,040 varies
Bladder Scan (51798)
range across 6 matching MRF lines		 $60–$1,262 $60–$1,262 varies
Blepharoplasty Lower Eyelid (15820)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines		 $507–$3,516 $507–$3,516 varies
Blood Transfusion Service (36430) $685 $685 1.5×
Bone Graft Any Donor Area Major/Large (20902) $14,342 $14,342 2.0×
Bone Graft Any Donor Area Minor/Small (20900) $14,342 $14,342 2.0×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Bone Marrow Harvest Autolog (38232) $14,342 $14,342 3.3×
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Breast augmentation with implant (19325) $14,342 $14,342 1.7×
Breast Reduction (19318) $14,342 $14,342 2.2×
Bx Arm/Elbow Soft Tissue,Deep (24066)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Bx breast 1st lesion strtctc (19081) $9,717 $9,717 5.9×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines		 $172–$17,995 $172–$17,995 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $14,342–$20,996 $14,342–$20,996 varies
Bx/exc lymph node open superficial (38500) $12,326 $12,326 3.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) $14,342 $14,342 2.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Capsulectomy/capsulotomy mtcarphlngl joint each (26520)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $17,605 $17,605 2.4×
Capsulorrhaphy Anterior W/Labral Repair (23455) $17,605 $17,605 2.4×
Capsulotomy Iphal Joint Each Joint Spx (28272)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Carpectomy All Bones Proximal Row (25215)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cataract surgery complex (66982)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Cautery Cervix Electro/Thermal (57510)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cerclage cervix pregnancy vaginal (59320)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cerv artific diskectomy (22856) $25,897 $25,897 1.5×
Cervical lymphadenectomy (complete) (38720) $17,605 $17,605 2.6×
Change Cystostomy Tube Simple (51705) $712 $712 2.8×
Change of Windpipe Airway (31502)
range across 3 matching MRF lines		 $584–$7,085 $584–$7,085 varies
Chemodenerv Musc Migraine (64615) $2,540 $2,540 8.2×
Chest tube placement (32551)
range across 3 matching MRF lines		 $976–$2,214 $976–$2,214 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $1,025–$6,843 $1,025–$6,843 varies
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Clear outer ear canal (69200)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 3 matching MRF lines		 $918–$5,653 $918–$5,653 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines		 $933–$6,233 $933–$6,233 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $760–$4,768 $760–$4,768 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $2,435–$6,016 $2,435–$6,016 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $2,000 $2,000 8.1×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 3 matching MRF lines		 $1,356–$3,911 $1,356–$3,911 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 3 matching MRF lines		 $995–$6,549 $995–$6,549 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines		 $973–$6,347 $973–$6,347 varies
Closed tx mandibular fracture w/manipulation (21451)
range across 3 matching MRF lines		 $1,411–$9,888 $1,411–$9,888 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $685–$4,674 $685–$4,674 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $790–$4,161 $790–$4,161 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines		 $964–$5,597 $964–$5,597 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $629–$3,364 $629–$3,364 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $550–$2,962 $550–$2,962 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Closed tx talus fracture w/o manipulation (28430)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 3 matching MRF lines		 $287–$1,281 $287–$1,281 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines		 $851–$5,817 $851–$5,817 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $1,328–$3,737 $1,328–$3,737 varies
Closure of esophagostomy or fistula; cervical approach Facility (43420)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 3 matching MRF lines		 $723–$4,492 $723–$4,492 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $533–$2,805 $533–$2,805 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $612–$4,030 $612–$4,030 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 3 matching MRF lines		 $778–$5,788 $778–$5,788 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $629–$3,902 $629–$3,902 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $651–$4,078 $651–$4,078 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $403–$2,364 $403–$2,364 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 3 matching MRF lines		 $1,581–$9,716 $1,581–$9,716 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $260–$1,899 $260–$1,899 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $408–$2,087 $408–$2,087 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $343–$913 $343–$913 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $1,023–$6,902 $1,023–$6,902 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $629–$3,995 $629–$3,995 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines		 $376–$2,277 $376–$2,277 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $403–$1,506 $403–$1,506 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $524–$3,541 $524–$3,541 varies
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $755–$4,307 $755–$4,307 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $690–$4,120 $690–$4,120 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $596–$3,780 $596–$3,780 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $412–$2,551 $412–$2,551 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $692–$3,950 $692–$3,950 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $875–$2,435 $875–$2,435 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 3 matching MRF lines		 $850–$5,205 $850–$5,205 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $341–$1,833 $341–$1,833 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $1,173–$7,808 $1,173–$7,808 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $912–$4,859 $912–$4,859 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $656–$4,442 $656–$4,442 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $17,605 $17,605 3.5×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $35–$133 $35–$133 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Colonoscopy thru stoma (44388) $5,497 $5,497 5.9×
Colonoscopy W/Band Ligation (45398) $18,564 $18,564 15.4×
Colonoscopy W/Resection (45390) $3,464 $3,464 1.2×
Colonoscopy w/submucosal inj (45381) $6,122 $6,122 5.1×
Colpopexy extraperitoneal (57282) $17,605 $17,605 2.4×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $8,482 $8,482 2.6×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Colpotomy; with exploration (57000) $12,326 $12,326 3.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $6,122 $6,122 5.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $6,122 $6,122 5.1×
Combined anteroposterior colporrhaphy; (57260) $17,605 $17,605 3.5×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Conization of cervix (57520)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Contour of face bone lesion (21029)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $168–$2,707 $168–$2,707 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $118–$1,230 $118–$1,230 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $23,544 $23,544 1.8×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $21,812 $21,812 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $17,605 $17,605 2.4×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $21,812 $21,812 3.0×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $47,123 $47,123 8.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Curette/treat cornea (65435)
range across 3 matching MRF lines		 $307–$1,549 $307–$1,549 varies
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/complex removal stone & stent (52315)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/up stricture tx (52342)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/ureter stricture tx (52341)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/ureteroscopy w/lithotripsy (52353) $19,940 $19,940 3.7×
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $17,605 $17,605 3.3×
Cysto/uretero w/lithotripsy (52356) $11,814 $11,814 2.2×
Cysto/uretero w/up stricture (52345)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystoscopy and radiotracer (52250)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystoscopy implant stent (52282)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Cystoscopy inject material (52327) $17,605 $17,605 3.3×
Cystouretero W/Congen Repr (52400)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystouretero w/excise tumor (52355) $17,605 $17,605 3.3×
Cystouretero w/renal strict (52346) $17,605 $17,605 3.3×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $17,605 $17,605 3.3×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy inj chemodenervation bladder (52287)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy tx female urethral syndrome (52285)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $17,605 $17,605 3.3×
Cystourethroscopy w/dil bladder general anesth (52260)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy w/rmvl ureteral calculus (52320)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy with direct vision internal urethrotomy (52276)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy, with internal urethrotomy; male Facility (52275)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy, with steroid injection into stricture Facility (52283)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $17,605 $17,605 3.3×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 5 matching MRF lines		 $89–$12,326 $89–$12,326 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $12,326 $12,326 4.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287)
range across 2 matching MRF lines		 $337–$23,544 $337–$23,544 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $61–$409 $61–$409 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Declot vascular device (36593) $221,562 $221,562 667.7×
Decomp forearm,1 compart,w/o debride (25020)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Decompress Spinal Cord Lmbr (63056)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $17,605 $17,605 2.4×
Decompression of leg (27894)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Destr penis lesion(s) (54065)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Destruct B9 Lesion 1-14 (17110)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Destruction Lesions Vulva Extensive (56515)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Diagnostic sigmoidoscopy (45330) $3,174 $3,174 3.4×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dilation And Curettage Of Cervical Stump (57558)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $26,180 $26,180 4.7×
Disarticulation At Knee (27598)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Dissection, deep jugular node(s) Facility (38542) $17,605 $17,605 2.9×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $17,605 $17,605 3.0×
Division of scalenus anticus; with resection of cervical rib Facility (21705)
range across 3 matching MRF lines		 $1,151–$2,302 $1,151–$2,302 varies
Drain Cerebro Spinal Fluid (62272)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Drain Hand Tendon Sheath (26020) $12,326 $12,326 3.8×
Drain shoulder bursa (23031) $11 $11 0.0×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 3 matching MRF lines		 $503–$2,801 $503–$2,801 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Drainage Finger Abscess Complicated (26011)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Drainage of finger abscess simple (26010)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Drainage of gum lesion (41800)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Drainage of hematoma/fluid (10140)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Drainage of scrotal wall abscess (55100)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Drainage of scrotum (54700)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $96–$298 $96–$298 varies
Dressing Change Under Anesthesia (15852)
range across 3 matching MRF lines		 $164–$791 $164–$791 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 3 matching MRF lines		 $541–$2,810 $541–$2,810 varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300)
range across 3 matching MRF lines		 $379–$3,662 $379–$3,662 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dstrj Lesion Anus Extensive (46924)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dstrj Lesion Anus Simple Chemical (46900)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dstrj Lesion Penis Simple Chemical (54050)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Dstrj lesion penis simple laser (54057)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dstrj lesion penis simple surg excision (54060)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $6,167 $6,167 3.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $5,949 $5,949 3.1×
Egd cautery tumor polyp (43250) $5,949 $5,949 3.1×
Egd control bleeding any (43255) $5,949 $5,949 3.1×
Egd Flexible Foreign Body Removal (43247) $4,487 $4,487 4.9×
Egd guide wire insertion (43248) $7,646 $7,646 8.4×
Egd intrmural us needle aspirate/biopsy esophags (43238)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $17,605 $17,605 1.6×
Egd remove lesion snare (43251) $5,063 $5,063 2.6×
Egd Varices Ligation (43244) $6,896 $6,896 3.6×
Elbow arthroscopy (29830)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Electrical stimulation bone healing noninvasive (20974)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $14,342 $14,342 2.9×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Endoscopic injection/implant (51715)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Endoscopic plantar fasciotomy (29893)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $18,140 $18,140 5.7×
Epididymectomy unilateral (54860) $14,342 $14,342 4.1×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Ercp duct stent placement (43274) $12,326 $12,326 2.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $6,062 $6,062 1.6×
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ercp remove forgn body duct (43275)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Esophagosc Dilate Balloon 30 (43214) $6,502 $6,502 3.4×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Esophagoscopy Rigid Balloon (43195) $12,326 $12,326 3.2×
Esophagoscopy rigid trnso dx (43191)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Evacuation of subungual hematoma (11740)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc abdl tum deep 5 cm/> (22901)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc back tum deep < 5 cm (21932)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $12,326 $12,326 3.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $14,342 $14,342 2.0×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc hand tum deep < 1.5 cm (26116)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc hydrocele sprmatic cord uni spx (55500) $14,342 $14,342 4.1×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Lesion Tongue W/Clsr Posterior One-Third (41113)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc lesion tongue w/clsr w/local tongue flap (41114)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc neuroma hand/foot xcp digital nerve (64782)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc neuroma major peripheral nrv xcp sciatic (64784)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $17,605 $17,605 3.0×
Exc Rct Tum Incl Muscularis Propria (45172)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $12,326 $12,326 4.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Skin Benig >4cm Face,Facial (11446) $12,326 $12,326 4.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $12,326 $12,326 4.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc thigh/knee tum dep 5cm/> (27339) $12,326 $12,326 4.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $13,500 $13,500 4.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $18,846 $18,846 6.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Exc urethral diverticulum spx female (53230) $12,326 $12,326 2.3×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $14,342 $14,342 4.1×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $14,342 $14,342 2.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exc/fulguration urethral caruncle (53265)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exchange Intraocular Lens (66986)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excis Mouth Mucosa/Sub,No Repair (40810)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excise excessive skin arm (15836)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excise intraspinal lesion (63267)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Excise Wrist Tendon Sheath (25118)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Excision Aural Polyp (69540)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision Distal Ulna Partial/Complete (25240)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision External Ear Partial Simple Repair (69110) $12,326 $12,326 4.2×
Excision H/P/P/U Complex Repair (11471) $12,326 $12,326 4.2×
Excision H/P/P/U Simple/Intermediate Repair (11470) $12,326 $12,326 4.2×
Excision Hidradenitis Axillary Complex Repair (11451) $12,326 $12,326 4.2×
Excision Infected Graft Extremity (35903) $18,222 $18,222 5.7×
Excision inferior turbinate partial/complete (30130)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision lesion meniscus/capsule knee (27347)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision lesion mouth roof (42104)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision lesion tendon sheath forearm&/wrist (25110)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $12 $12 0.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Excision Nasal Polyp Extensive (30115)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision nasal polyp(s) simple (30110)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision of bartholin's gland or cyst (56740)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision of extraparenchymal lesion of testis (54512) $14,342 $14,342 4.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision of hydrocele; bilateral (55041) $14,342 $14,342 4.0×
Excision of hydrocele; unilateral (55040) $14,342 $14,342 4.0×
Excision of lingual tonsil (42870) $17,605 $17,605 3.0×
Excision of neuroma; digital nerve, 1 or both, same digit (64776)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $17,605 $17,605 3.0×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $17,605 $17,605 3.0×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision of submandibular (submaxillary) gland (42440) $14,342 $14,342 2.4×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision Skin Abd Infraumbilical Panniculectomy (15830) $17,605 $17,605 2.6×
Excision soft tissue lesion, external auditory canal (69145) $12,326 $12,326 4.2×
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision synovial cyst popliteal space (27345) $12,326 $12,326 3.8×
Excision Thyroglossal Duct Cyst/Sinus (60280) $14,342 $14,342 2.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $14,342 $14,342 2.4×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision/curettage cyst/tumor phalanx finger (26210)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision/destruction intranasal lesion int appr (30117)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Excision/Transposition Pterygium W/Grafg (65426)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Expl po hemrrg thrombosis/infctj xtr (35860) $15,185 $15,185 4.8×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Exploration of spinal fusion (22830)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $12,326 $12,326 1.9×
Explore for undescended testis (54550) $14,342 $14,342 4.0×
Explore/Treat Elbow Joint (24101)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Explore/Treat Hand Joint (26070)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Explore/Treat Knee Joint (27331)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Fasciectomy Palm Only (26121)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fasciotomy palmar open partial (26045)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fasciotomy palmar percutaneous (26040)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fasciotomy Plantar Fascia Radical Spx (28062)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fasciotomy, hip or thigh, any type (27025)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $393–$457 $393–$457 varies
Fine needle aspiration without imaging guidance (10021)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Fixation contralateral testis separate procedure (54620) $14,342 $14,342 4.1×
Foreskin manipulation (54450)
range across 3 matching MRF lines		 $299–$857 $299–$857 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Frenulotomy of penis (54164)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Fusion Finger Joint (26860)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Fusion of foot bones (28740) $17,605 $17,605 2.4×
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $14,342 $14,342 2.4×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $14,342 $14,342 2.4×
Grafting of autologous fat by lipo 25 cc or less (15773)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Grafting of autologous fat by lipo 50 cc or less (15771) $14,342 $14,342 4.0×
Grafting of autologous soft tiss by direct exc (15769) $14,342 $14,342 4.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $17,605 $17,605 2.4×
Hemiarthroplasty hip partial (27125) $23,544 $23,544 1.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $17,605 $17,605 3.5×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $14,342 $14,342 2.9×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hysteroscopy Endometrial Ablation (58563) $14,342 $14,342 2.9×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $14,342 $14,342 2.9×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Hysteroscopy, surgical; with removal of leiomyomata (58561) $14,342 $14,342 2.9×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&d abscess peritonsillar (42700)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&d abscess simple (10060)
range across 6 matching MRF lines		 $144–$12,326 $144–$12,326 varies
I&D Below Fascia Foot 1 Bursal Space (28002)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 3 matching MRF lines		 $997–$5,914 $997–$5,914 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&D Intramural Im/Absc Transanal Anes (46045)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&D Ischiorct/Intramural Absc W/WO Seton (46060)
range across 3 matching MRF lines		 $144–$12,326 $144–$12,326 varies
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&d perianal abscess superficial (46050)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&d pilonidal cyst complicated (10081)
range across 3 matching MRF lines		 $386–$3,504 $386–$3,504 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $287–$2,319 $287–$2,319 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Immediate breast prosthesis (19340) $17,605 $17,605 2.1×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Implant Periph/Gastric Neurostim/Receiver (64590) $21,812 $21,812 1.1×
Implant Spine Infusion Pump (62362) $21,812 $21,812 1.2×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $23,544 $23,544 2.7×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $522–$2,293 $522–$2,293 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Incise Wrist/Forearm Tendon (25290) $46,269 $46,269 14.1×
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Incision & removal foreign body subq tiss compl (10121)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) $14,342 $14,342 2.0×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $17,605 $17,605 2.4×
Incision bone cortex foot (28005)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Incision of eardrum (69421) $12,326 $12,326 3.7×
Incision of fibula (27707)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Incision of urethra (53020)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Induced abortion dilation and curettage (59840)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Induced abortion, by dilation and evacuation (59841)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $180–$872 $180–$872 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $82–$12,326 $82–$12,326 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 4 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Injection single tendon origin/insertion (20551)
range across 5 matching MRF lines		 $89–$12,326 $89–$12,326 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $79–$12,326 $79–$12,326 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $90–$12,326 $90–$12,326 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Ins endovas vena cava filtr (37191) $12,326 $12,326 2.2×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines		 $373–$1,619 $373–$1,619 varies
Insert cath pleura w/o image (32556) $3,580 $3,580 1.9×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Insert multi-comp penis pros (54405) $17,605 $17,605 0.8×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $886–$3,014 $886–$3,014 varies
Insert self-contd prosthesis (54401) $21,812 $21,812 1.0×
Insert semi-rigid prosthesis (54400) $23,544 $23,544 1.8×
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Insert tissue expander(s) (11960) $14,342 $14,342 4.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Insert tunneled cv cath (36563) $17,605 $17,605 3.1×
Insert Uro/Ves Nck Sphincter (53445) $17,605 $17,605 0.8×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 3 matching MRF lines		 $956–$10,357 $956–$10,357 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $3,262–$5,657 $3,262–$5,657 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $9,889 $9,889 2.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $46,269 $46,269 14.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $989–$3,170 $989–$3,170 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $12,326 $12,326 3.9×
Insj/rplcmt breast implant sep day mastectomy (19342) $17,605 $17,605 2.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $21,812 $21,812 0.7×
Int hrhc by ligation single hroid w/o img gdn (46945)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Intranasal Biopsy (30100)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Intro cath dialysis circuit (36901) $9,156 $9,156 5.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $79,642 $79,642 6.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $30,630 $30,630 5.4×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $374–$1,373 $374–$1,373 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 4 matching MRF lines		 $172–$14,342 $172–$14,342 varies
IV injection test vascular flow flap/graft (15860)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Knee arthroscopy/drainage (29871)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Knee Arthroscopy/Surgery (29885) $17,605 $17,605 2.4×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Knee Arthroscopy/Surgery (29850)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Labyrinthotomy Transcanal (69801)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Laminotomy Single Lumbar (63042)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Lap insert tunnel ip cath (49324) $14,342 $14,342 2.4×
Lap paraesoph her rpr w/mesh (43282) $17,605 $17,605 1.6×
Lap paraesophag hern repair (43281) $17,605 $17,605 1.6×
Lap replace gastr adj device (43773) $21,812 $21,812 3.6×
Lap revision perm ip cath (49325) $32,986 $32,986 5.4×
Laparo ligate spermatic vein (55550) $14,342 $14,342 2.4×
Laparo-vag hyst incl t/o (58552) $17,605 $17,605 1.6×
Laparoscopic myomectomy (58545) $17,605 $17,605 2.9×
Laparoscopy aspiration (49322) $17,605 $17,605 2.9×
Laparoscopy Enterolysis Separate Procedure (44180) $17,605 $17,605 2.9×
Laparoscopy fulguration oviducts (58670) $17,605 $17,605 2.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $21,812 $21,812 3.6×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $17,605 $17,605 1.6×
Laparoscopy W/Lysis Of Adhesions (58660) $17,605 $17,605 2.9×
Laparoscopy w/rmvl adnexal structures (58661) $17,605 $17,605 2.9×
Laparoscopy, surgical, appendectomy (44970) $21,812 $21,812 3.6×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $14,342 $14,342 1.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $17,605 $17,605 1.6×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $21,812 $21,812 2.0×
Laparoscopy, surgical, splenectomy (38120) $17,605 $17,605 1.6×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $21,812 $21,812 3.6×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $21,812 $21,812 2.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $17,605 $17,605 2.9×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $17,605 $17,605 1.6×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $21,812 $21,812 3.6×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $17,605 $17,605 2.9×
Laparoscopy, Tubal Block (58671) $17,605 $17,605 2.9×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $337–$23,544 $337–$23,544 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662) $17,605 $17,605 2.9×
Laps Gastric Restrictive Px Remove Device & Port (43774)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $17,605 $17,605 1.6×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $21,812 $21,812 2.0×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $12,326 $12,326 3.3×
Laryngoscopy diagnostic (31505)
range across 5 matching MRF lines		 $102–$12,326 $102–$12,326 varies
Laryngoscopy exc tum&/stripping cords/epiglott (31540)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 3 matching MRF lines		 $830–$3,167 $830–$3,167 varies
Laryngoscopy Indirect W/Biopsy (31510)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Laryngoscopy W/Biopsy (31535)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Laryngoscopy w/biopsy microscope/telescope (31536)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 3 matching MRF lines		 $518–$2,540 $518–$2,540 varies
Larynscop w/tumr exc + scope (31541)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Laser vaporization of prostate (52648) $21,812 $21,812 4.0×
Late closure of wound (13160)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Lateral retinacular release open (27425)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476)
range across 3 matching MRF lines		 $9–$26 $9–$26 varies
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478)
range across 2 matching MRF lines		 $35–$70 $35–$70 varies
Ligation of a-v fistula (37607) $68,063 $68,063 21.5×
Ligation of hemorrhoids (46946)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)
range across 3 matching MRF lines		 $1,194–$4,721 $1,194–$4,721 varies
Limited pharyngectomy Facility (42890) $14,342 $14,342 2.4×
Litholapaxy comp/lg > 2.5 cm (52318)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Litholapaxy smpl/sm <2.5 cm (52317)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Lithotripsy, extracorporeal shock wave (50590) $16,471 $16,471 4.7×
Low Back Disk Surgery (63030)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Lsh uterus 250 g or less (58541) $17,605 $17,605 1.6×
Lsh uterus above 250 g (58543) $17,605 $17,605 1.6×
Lsh w/t/o uterus above 250 g (58544) $17,605 $17,605 1.6×
Lumbar spine fusion combined (22633) $25,897 $25,897 1.0×
Lysis Intranasal Synechia (30560)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Malar Augmentation Prosthetic Material (21270) $14,342 $14,342 2.4×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Manipulation, finger joint, under anesthesia, each joint (26340)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Mast mod rad (19307) $14,342 $14,342 2.2×
Mastectomy for gynecomastia (19300) $14,342 $14,342 3.6×
Mastectomy partial (19301) $14,342 $14,342 3.6×
Mastectomy partial w/axillary lymphadenectomy (19302) $17,605 $17,605 2.6×
Mastectomy simple complete (19303) $14,342 $14,342 2.2×
Mastopexy (19316) $14,342 $14,342 2.2×
Metatarsectomy (28140)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Middle ear surgery proc unlisted (69799)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Muscle-skin graft trunk (15734) $14,342 $14,342 4.0×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Myringoplasty (69620)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $144–$12,326 $144–$12,326 varies
N Block Inj Plantar Digit (64455)
range across 4 matching MRF lines		 $109–$12,326 $109–$12,326 varies
N Block Inj Pudendal (64430)
range across 3 matching MRF lines		 $601–$1,751 $601–$1,751 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Nasal surgery procedure (30999)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines		 $111–$809 $111–$809 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $17,605 $17,605 2.5×
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) $17,605 $17,605 2.5×
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) $17,605 $17,605 2.5×
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) $17,605 $17,605 2.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $21,812 $21,812 3.1×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $21,812 $21,812 3.1×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $17,605 $17,605 2.5×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $21,812 $21,812 3.1×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $21,812 $21,812 3.1×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $21,812 $21,812 3.1×
Nasal/sinus ndsc total with sphenoidotomy (31257) $21,812 $21,812 3.1×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $17,605 $17,605 2.5×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $17,605 $17,605 2.5×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $17,605 $17,605 2.5×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) $27,265 $27,265 3.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Neck spine disk surgery (63020)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Neck spine fusion (22600) $25,897 $25,897 1.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $320 $320 11.0×
Nerve repair w/conduit each nerve (64910) $17,605 $17,605 2.0×
Neurectomy, Intrinsic Musculature Of Foot (28055) $18,846 $18,846 9.6×
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Neurp major prph nrv opn arm/leg sciatic nrv (64712)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $250 $250 0.6×
Njx anes stellate ganglion crv sympathetic (64510)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $144–$15,326 $144–$15,326 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,953 $1,953 2.8×
Njx Sclrsnt 1 Incmptnt Vein (36470) $698 $698 1.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,037 $1,037 2.5×
Njx Sclrsnt Spider Veins (36468) $2,651 $2,651 6.5×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $17,605 $17,605 2.5×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $17,605 $17,605 2.5×
Occipital Nerve Block (64405)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Omntc Epiploectomy Rescj Omentum Spx (49255) $17,605 $17,605 2.7×
Open biopsy/excision inguinofemoral nodes (38531) $14,342 $14,342 3.6×
Open bowel to skin (44300)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Open Implantation Nea Sacral Nerve (64581) $14,342 $14,342 2.2×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $17,605 $17,605 2.4×
Open Repair of Rotator Cuff Acute (23410) $17,605 $17,605 2.4×
Open Treatment Bimalleolar Ankle Fracture (27814) $21,812 $21,812 3.0×
Open treatment calcaneal fracture (28415) $17,605 $17,605 2.4×
Open Treatment Fracture Distal Tibia & Fibula (27828) $17,605 $17,605 1.4×
Open treatment fracture distal tibia only (27827) $17,605 $17,605 1.4×
Open treatment greater trochanteric fracture (27248) $17,605 $17,605 2.4×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $21,812 $21,812 3.0×
Open Treatment Humeral Condylar Fracture (24579) $14,342 $14,342 1.1×
Open treatment interphalangeal joint dislocation (28675)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Open Treatment Medial Malleolus Fracture (27766) $21,812 $21,812 3.0×
Open treatment metatarsal fracture each (28485) $21,812 $21,812 3.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $17,605 $17,605 2.4×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $17,605 $17,605 2.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $17,605 $17,605 2.4×
Open treatment of coccygeal fracture Facility (27202)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $17,605 $17,605 3.0×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $21,812 $21,812 3.0×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $14,342 $14,342 2.4×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $17,605 $17,605 1.4×
Open treatment of mandibular condylar fracture Facility (21465) $17,605 $17,605 3.0×
Open treatment of nasal fracture; uncomplicated Facility (21325)
range across 3 matching MRF lines		 $983–$6,067 $983–$6,067 varies
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $17,605 $17,605 3.0×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $17,605 $17,605 3.0×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $14,342 $14,342 2.0×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812)
range across 3 matching MRF lines		 $1,525–$2,435 $1,525–$2,435 varies
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $21,812 $21,812 3.0×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) $17,605 $17,605 2.4×
Open Treatment of Ulnar Shaft Fracture (25545) $17,605 $17,605 2.4×
Open treatment of ulnar styloid fracture (25652) $17,605 $17,605 2.4×
Open treatment posterior malleolus fracture (27769) $57,326 $57,326 7.9×
Open Treatment Proximal Humeral Fracture (23615) $21,812 $21,812 1.7×
Open Treatment Radial Shaft Fracture (25515) $21,812 $21,812 3.0×
Open Tx Acute/Chronic Elbow Dislocation (24615) $14,342 $14,342 2.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Open tx carpal scaphoid navicular fracture (25628) $14,342 $14,342 2.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $21,812 $21,812 3.0×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Open Tx Distal Tibiofibular Joint Disruption (27829) $17,605 $17,605 2.4×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $17,605 $17,605 1.4×
Open tx femoral supracondylar fracture w/o xtn (27511) $17,605 $17,605 1.4×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Open Tx Humeral Epicondylar Fracture (24575) $17,605 $17,605 1.4×
Open tx humeral supracondylar fracture w/o xtn (24545) $17,605 $17,605 1.4×
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Open Tx Radial Head/Neck Fracture (24665) $17,605 $17,605 2.4×
Open Tx Radial Head/Neck Fracture Prosth (24666) $17,605 $17,605 1.4×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $17,605 $17,605 2.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $14,342 $14,342 2.0×
Open tx ulnar fx proximal end (24685) $17,605 $17,605 2.4×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $17,605 $17,605 2.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $17,605 $17,605 2.4×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $17,605 $17,605 2.4×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $21,812 $21,812 1.7×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $17,605 $17,605 2.4×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $21,812 $21,812 1.7×
Orbital implant removal/revision (67560)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Orchiectomy radical tumor inguinal approach (54530) $14,342 $14,342 4.0×
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ostectomy, complete excision; first metatarsal head (28111)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $17,605 $17,605 2.4×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $21,812 $21,812 3.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Osteotomy calcaneus w/wo internal fixation (28300) $21,812 $21,812 3.0×
Osteotomy Clavicle W Bone Graft (23485) $17,605 $17,605 1.4×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) $21,812 $21,812 3.0×
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) $21,812 $21,812 3.0×
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) $21,812 $21,812 3.0×
Osteotomy Phalanx Finger Each (26567)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Osteotomy talus (28302) $17,605 $17,605 2.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $17,605 $17,605 2.4×
Osteotomy Ulna (25360) $14,342 $14,342 2.0×
Ovarian cystectomy, unilateral or bilateral (58925) $17,605 $17,605 3.5×
Palatopharyngoplasty (42145) $17,605 $17,605 3.0×
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $17,605 $17,605 2.4×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) $17,605 $17,605 2.4×
Partial excision bone clavicle (23180) $17,605 $17,605 2.4×
Partial excision bone metacarpal (26230)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Partial removal of fibula (27641)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Partial removal of penis (54120)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Partial removal of thyroid (60220) $17,605 $17,605 2.9×
Partial removal of tibia (27640)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Partial removal of toe (28160)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Partial thyroid excision (60212) $17,605 $17,605 2.9×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $17,605 $17,605 2.9×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Patellectomy or hemipatellectomy (27350) $17,605 $17,605 2.4×
Penis plastic surgery (54360) $14,342 $14,342 4.1×
Perc Cryo Ablate Renal Tum (50593) $58,847 $58,847 5.5×
Perc Rf Ablate Renal Tumor (50592) $27,488 $27,488 4.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Peri-Implant Capsulectomy Breast Complete (19371) $14,342 $14,342 3.6×
Perineoplasty rpr perineum nonobstetrical spx (56810)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $31,445 $31,445 2.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $27,229 $27,229 4.8×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Phalangectomy toe each toe (28150) $1,597 $1,597 0.5×
Pin Finger Dislocation (26776)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Pin hand dislocation (26676)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Place Amniotic Membrane Ocular Surface Sutured (65779) $14,342 $14,342 3.6×
Place Duod/Jej Tube Perc (49441)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Place ndl musc/tis for rt (20555) $12,326 $12,326 3.8×
Placement of seton (46020)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $14,342 $14,342 2.9×
Proctopexy Perineal Approach (45541)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines		 $337–$23,544 $337–$23,544 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Prq skel fixj femoral fx prox end neck (27235) $17,605 $17,605 2.4×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Prq skel fixj metar fx w/manj (28476)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $17,605 $17,605 2.4×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Pterygomaxillary fossa surgery, any approach Facility (31040) $17,605 $17,605 3.0×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rad resect tumor soft tissue hand/finger <3cm (26117)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rad resection tumor soft tissue abdl wall 5 cm/> (22905)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) $12,326 $12,326 2.1×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radical styloidectomy separate procedure (25230)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Rcnstj angular dfrm toe soft tiss px only (28313)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rcnstj Dislocating Patella (27420) $17,605 $17,605 2.4×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $17,605 $17,605 2.4×
Reconstruct Finger Joint (26548)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Reconstruct ulna/radioulnar (25337) $14,342 $14,342 2.0×
Reconstruct wrist joint (25445) $17,605 $17,605 2.4×
Reconstruction Nail Bed W/Graft (11762)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $17,605 $17,605 2.4×
Reconstruction of throat (42950) $17,605 $17,605 3.0×
Reconstruction Tongue Fold (41520)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Reinsert spinal fixation (22849) $25,897 $25,897 2.0×
Release foot/toe nerve (64726)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Release of big toe (28240)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Release of shoulder ligament (23415) $17,605 $17,605 2.4×
Release Thenar Muscle (26508)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Relieve Pressure on Nerve(S) (64722)
range across 2 matching MRF lines		 $337–$23,544 $337–$23,544 varies
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $17,605 $17,605 0.8×
Removal Embedded Foreign Body Eyelid (67938)
range across 3 matching MRF lines		 $360–$3,176 $360–$3,176 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 3 matching MRF lines		 $835–$7,813 $835–$7,813 varies
Removal Foreign Body Foot Complicated (28193)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal foreign body foot deep (28192)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $12,326 $12,326 3.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $129–$12,326 $129–$12,326 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Removal impacted vag fb spx w/anes oth/thn local (57415)
range across 3 matching MRF lines		 $344–$4,171 $344–$4,171 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal intact breast implant (19328) $14,342 $14,342 3.6×
Removal of adenoids (42831)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal of adenoids (42830)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal of adenoids (42836)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal of anal fissure (46200)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Removal of ankle implant (27704)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Removal of anterior instrumentation (22855)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Removal of cervix (57530) $14,342 $14,342 2.9×
Removal of foreign body from pharynx (42809)
range across 3 matching MRF lines		 $256–$2,264 $256–$2,264 varies
Removal of heel spur (28119)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal of hip prosthesis; (separate procedure) Facility (27090) $17,605 $17,605 2.4×
Removal of implant from finger or hand (26320)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Removal of knee prosthesis (27488) $14,342 $14,342 1.1×
Removal of mammary implant material (19330)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal of nail bed (11750)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Removal of posterior segmental instrumentation Facility (22852) $21,812 $21,812 3.0×
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal of sperm cord lesion (55520) $14,342 $14,342 4.1×
Removal of testis (54520) $14,342 $14,342 4.1×
Removal of tonsils (42825) $17,605 $17,605 3.0×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal of tunneled intraperitoneal catheter (49422) $12,326 $12,326 3.9×
Removal of wrist bone (25210) $12,326 $12,326 3.8×
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $99–$1,105 $99–$1,105 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Removal/bivalving gauntlet boot/body cast (29700)
range across 3 matching MRF lines		 $83–$851 $83–$851 varies
Remove drug implant device (11982)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Remove Elbow Joint Lining (24102)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $1,461–$3,649 $1,461–$3,649 varies
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $161–$723 $161–$723 varies
Remove groin lymph nodes (38760) $17,605 $17,605 2.6×
Remove Hand Bone Lesion (26200)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Remove Int Dwell Ureteral Stent Transurethral (50386)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Remove Intrauterine Device (58301)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Remove lamina/facets lumbar (63012)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Remove Lower Leg Bone Lesion (27635)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Remove muti-comp penis pros (54406)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $325–$3,088 $325–$3,088 varies
Remove Peritoneal Foreign Body (49402) $19,778 $19,778 5.5×
Remove prostate regrowth (52630) $17,605 $17,605 3.3×
Remove spine eltrd plate (63662)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Remove spine fixation device (22850)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Remove Tendon Sheath Lesion (26160)
range across 4 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Remove tissue expander (11971) $12,326 $12,326 4.2×
Remove vc lesion w/scope (31545)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Remove wrist joint cartilage (25107)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Remove/graft foot lesion (28107) $14,342 $14,342 2.0×
Remove/replace penis prosth (54410) $17,605 $17,605 0.8×
Remv cartilage for graft nasal (20912)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Renal Biopsy Perq (50200) $4,499 $4,499 2.7×
Reopen fallopian tube (58350) $17,605 $17,605 3.5×
Repair Achilles Tendon (27650) $21,812 $21,812 3.0×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair brow ptosis (67900)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair Collat Ankle Ligmnt,Secondary (27698) $17,605 $17,605 2.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $611–$4,480 $611–$4,480 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Elbow Perc (24357)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Entropion Suture (67921)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair extensor tendon finger w/o graft each (26418)
range across 4 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair Finger Tendon (26433)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Foot Dislocation (28615) $17,605 $17,605 2.4×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Hand Joint (26540)
range across 5 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair initial femoral hernia, any age; reducible (49550) $14,342 $14,342 4.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $644–$4,734 $644–$4,734 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 3 matching MRF lines		 $562–$5,150 $562–$5,150 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $564–$4,970 $564–$4,970 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Repair intrinsic muscles hand each muscle (26591)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair lower leg tendons (27676) $21,812 $21,812 3.0×
Repair lumbar hernia (49540) $17,605 $17,605 2.9×
Repair nasal septal perforations (30630)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Nasal Vestibular Stenosis (30465) $21,812 $21,812 3.7×
Repair Nonunion/Malunion Tarsal Bones (28320) $17,605 $17,605 1.4×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $14,342 $14,342 2.0×
Repair of hammertoe (28286)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair of hydrocele (55060)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair of metatarsals (28322) $17,605 $17,605 2.4×
Repair of nail bed (11760)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $17,605 $17,605 2.4×
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) $14,342 $14,342 2.0×
Repair of rectocele (45560)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair of rectum (45505)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Repair of Ruptured Tendon (24342) $23,544 $23,544 3.2×
Repair of shoulder (23420) $23,544 $23,544 3.2×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $17,605 $17,605 2.7×
Repair Rotator Cuff Chronic (23412) $21,812 $21,812 3.0×
Repair secondary achilles tendon w/wo graft (27654) $17,605 $17,605 2.4×
Repair shoulder capsule (23462) $17,605 $17,605 2.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $17,605 $17,605 2.4×
Repair Toe Dislocation (28645)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Repair tongue laceration (41252)
range across 3 matching MRF lines		 $446–$4,156 $446–$4,156 varies
Repair tongue laceration (41250)
range across 3 matching MRF lines		 $323–$3,562 $323–$3,562 varies
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $17,605 $17,605 2.4×
Repair, primary, disrupted ligament, ankle; collateral (27695) $21,812 $21,812 3.0×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $17,605 $17,605 2.4×
Repair/graft achilles tendon (27652) $21,812 $21,812 3.0×
Repair/graft finger tendon (26428)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Repair/Revise Wrist Joint (25320) $14,342 $14,342 2.0×
Replace g/c tube perc (49450)
range across 3 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Replacement Tissue Expander W/Permanent Implant (11970) $14,342 $14,342 2.0×
Reposition Gastrostomy Tube (43761)
range across 3 matching MRF lines		 $157–$1,460 $157–$1,460 varies
Repr elbow lat ligmnt w/tiss (24343)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Repr Elbw Med Ligmnt W/Tiss (24345) $14,342 $14,342 2.0×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Resect back tum < 5 cm (21935)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Resect forarm/wrist tum 3cm> (25078)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Resect thigh/knee tum < 5 cm (27329)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Resection of scrotum (55150)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Resection, partial or complete, phalangeal base, each toe (28126)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rev/rmv prph sac/gstr npg/r (64595) $14,342 $14,342 4.1×
Revis reconst shoulder joint (23473) $23,544 $23,544 1.8×
Revise external ear (69300)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Revise Hand/Foot Nerve (64704)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revise hernia & sperm veins (55540) $14,342 $14,342 4.0×
Revise knuckle joint (26530) $14,342 $14,342 2.0×
Revise lower leg tendon (27690) $17,605 $17,605 2.4×
Revise Lower Leg Tendons (27686)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revise Spine Eltrd Plate (63664) $25,897 $25,897 2.3×
Revise ulnar nerve at wrist (64719)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revise/Implant Finger Joint (26536) $14,342 $14,342 2.0×
Revise/Repair Finger/Toe Nerve (64702)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revision including removal of prosthetic vaginal graft vaginal approach (57295)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $25,897 $25,897 1.5×
Revision of big toe (28310) $17,605 $17,605 2.4×
Revision of foot (28116)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revision of foot bones (28737) $17,605 $17,605 1.4×
Revision of foot fascia (28250)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revision of reconstructed breast (19380) $14,342 $14,342 2.2×
Revision of toe (28312)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $17,605 $17,605 1.4×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $25,897 $25,897 2.0×
Revision Peri-Implant Capsule Breast (19370) $14,342 $14,342 3.6×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $25,897 $25,897 2.0×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $23,544 $23,544 1.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $21,812 $21,812 1.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $438–$25,897 $438–$25,897 varies
Revj/rmvl peripheral neurostimulator electrode (64585) $14,342 $14,342 4.1×
Rhinoplasty primary w/major septal repair (30420) $17,605 $17,605 3.0×
Rhinoplasty Secondary Major Revision (30450) $17,605 $17,605 3.0×
Rhinoplasty Secondary Minor Revision (30430) $17,605 $17,605 3.0×
Rhinp Prim Complete Xtrnl Parts (30410) $17,605 $17,605 3.0×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $14,342 $14,342 2.4×
Rhytidectomy Cheek Chin & Neck (15828) $14,342 $14,342 4.0×
Rhytidectomy Neck W/Platysmal Tightening (15825) $14,342 $14,342 4.0×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 2 matching MRF lines		 $541–$2,077 $541–$2,077 varies
Rmvl embedded fb vestibule mouth comp (40805) $3,275 $3,275 6.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 3 matching MRF lines		 $385–$2,879 $385–$2,879 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 4 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $249–$744 $249–$744 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines		 $294–$876 $294–$876 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines		 $181–$894 $181–$894 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 3 matching MRF lines		 $773–$6,241 $773–$6,241 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rmvl Previously Implted Ithcl/Edrl Cath (62355)
range across 2 matching MRF lines		 $337–$23,544 $337–$23,544 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $337–$23,544 $337–$23,544 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $220–$2,155 $220–$2,155 varies
Rmvl Vitreous Ant Appr Partial Removal (67005)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rmvl/revj sling stress incontinence (57287)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Rplcmt compl tun ctr vad w/subq port (36582) $18,222 $18,222 5.7×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $9,111 $9,111 2.9×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $15,636 $15,636 2.6×
Rpr aa hernia recr 3-10 cm reducible (49615) $19,778 $19,778 3.0×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $557–$2,198 $557–$2,198 varies
Rpr flexor tendon leg secondary w/o graft each (27659) $17,605 $17,605 2.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 3 matching MRF lines		 $286–$3,905 $286–$3,905 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $17,605 $17,605 2.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $17,605 $17,605 2.4×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $14,342 $14,342 2.0×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $21,812 $21,812 3.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Scrotal exploration (55110) $14,342 $14,342 4.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Shoulder arthroscopy diagnostic (29805)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Sigmoidoscopy w/fb removal (45332) $8,413 $8,413 7.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,668 $2,668 2.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 3 matching MRF lines		 $351–$2,728 $351–$2,728 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $497–$1,544 $497–$1,544 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $478–$1,544 $478–$1,544 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $325–$1,641 $325–$1,641 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $15,419 $15,419 2.8×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $432–$2,121 $432–$2,121 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $365–$2,563 $365–$2,563 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $364–$2,046 $364–$2,046 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Strapping ankle (29540)
range across 3 matching MRF lines		 $144–$615 $144–$615 varies
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $171–$843 $171–$843 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $157–$832 $157–$832 varies
Strapping Hip (29520)
range across 3 matching MRF lines		 $170–$791 $170–$791 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $116–$837 $116–$837 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $170–$943 $170–$943 varies
Strapping toes (29550)
range across 3 matching MRF lines		 $115–$515 $115–$515 varies
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Subtalar arthro w/deb (29906)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Suction assisted lipectomy; head and neck (15876)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Suction assisted lipectomy; trunk (15877)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Suction assisted lipectomy; upper extremity (15878)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Suction Lipectomy Lwr Extrem (15879)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Surg Implnt Neuroelect,Epidural (63655) $25,897 $25,897 1.3×
Surg Tx Anal Fistula 2nd Stage (46285)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Suture 1 nerve hand/foot common sensory nerve (64834) $14,342 $14,342 4.2×
Suture 1 Nerve Ulnar Motor (64836) $14,342 $14,342 4.2×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Suture infrapatellar tendon primary (27380) $17,605 $17,605 2.4×
Suture of quadriceps or hamstring muscle rupture primary (27385) $17,605 $17,605 2.4×
Syndactylization toes (28280)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Synovectomy Tendon Sheath Foot Extensor (28088)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Talectomy (astragalectomy) Facility (28130) $21,812 $21,812 3.0×
Tendon shortening (26477) $46,269 $46,269 14.1×
Tendon transfer with graft (26492)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenodesis long tendon biceps (23430) $17,605 $17,605 2.4×
Tenodesis Wrist Extensors Fingers (25301) $12,326 $12,326 3.8×
Tenolysis flexor foot single tendon (28220)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Tenotomy Adductor Hip Percutaneous Spx (27000)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenotomy extensor hand/finger open each tendon (26460)
range across 3 matching MRF lines		 $804–$2,435 $804–$2,435 varies
Tenotomy Flexor Palm Open Each Tendon (26450)
range across 4 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Tenotomy Hip Abd/Ext Open (27006)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tenotomy shoulder area single tendon (23405) $17,605 $17,605 2.4×
Tenotomy, hip flexor(s), open (27005) $1,039 $1,039 0.3×
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Thrmbc/Nfs Dialysis Circuit (36906) $51,531 $51,531 2.8×
Thrombolytic Therapy Stroke (37195)
range across 3 matching MRF lines		 $253–$1,523 $253–$1,523 varies
Thyroidectomy Post Prev Thyr Surg (60260) $17,605 $17,605 3.0×
Thyroidectomy, total or complete (60240) $17,605 $17,605 2.9×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $17,605 $17,605 3.0×
Tibial Arthroscopy/Surgery (29855) $17,605 $17,605 2.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Tissue Expander Placement Breast Reconstruction (19357) $14,342 $14,342 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tooth extraction (41899)
range across 2 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $25,897 $25,897 1.5×
Total Knee Arthroplasty (27447) $23,544 $23,544 1.8×
Tracheostomy planned (31600)
range across 3 matching MRF lines		 $1,147–$4,347 $1,147–$4,347 varies
Transection/Avulsion Oth Spinal Nrv Xdrl (64772)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Transplant hand tendon (26480)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Transur electr resection of prostate (52601) $21,812 $21,812 4.0×
Transurethral resection bladder neck (52500) $12,326 $12,326 3.5×
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Treat Dental Ridge Fracture (21440)
range across 3 matching MRF lines		 $980–$7,607 $980–$7,607 varies
Treat ectopic pregnancy (59151) $17,605 $17,605 2.9×
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Treat fracture radius/ulna (25575) $14,342 $14,342 2.0×
Treat Fx Rad Extra-Articul (25607) $17,605 $17,605 2.4×
Treat Hip Socket Fracture (27222)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $634–$4,200 $634–$4,200 varies
Treat Kneecap Fracture (27524) $17,605 $17,605 2.4×
Treat Knuckle Dislocation (26700)
range across 3 matching MRF lines		 $625–$4,140 $625–$4,140 varies
Treat metacarpal fracture (26607)
range across 5 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Treat Thumb Dislocation (26641)
range across 3 matching MRF lines		 $712–$4,688 $712–$4,688 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Treat toe dislocation (28630)
range across 3 matching MRF lines		 $408–$2,026 $408–$2,026 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $688–$4,675 $688–$4,675 varies
Treatment of ankle fracture (27823) $21,812 $21,812 3.0×
Treatment of foot infection (28003) $12,326 $12,326 3.8×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $169–$606 $169–$606 varies
Trluml Balo Angiop 1St Vein (37248) $21,784 $21,784 3.8×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tx Gastro Intub W/Asp (43753) $465 $465 2.1×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $14,342 $14,342 2.0×
Tx Missed Abortion First Trimester Surgical (59820) $12,326 $12,326 3.8×
Tx Missed Abortion Second Trimester Surgical (59821) $12,326 $12,326 3.8×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 5 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Tx superficial wound dehiscence w/packing (12021)
range across 3 matching MRF lines		 $428–$2,177 $428–$2,177 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $17,605 $17,605 1.4×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Tympanoplasty (69631) $17,605 $17,605 3.0×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $17,605 $17,605 3.0×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $17,605 $17,605 3.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $14,342 $14,342 2.4×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $17,605 $17,605 3.0×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Unlisted hysteroscopy procedure, uterus (58579)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted laparoscopic procedure liver (47379) $14,342 $14,342 2.4×
Unlisted laparoscopy procedure stomach (43659) $17,605 $17,605 2.9×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $17,605 $17,605 2.9×
Unlisted laparoscopy procedure, biliary tract (47579) $14,342 $14,342 2.4×
Unlisted laparoscopy procedure, bladder (51999) $17,605 $17,605 2.9×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $14,342 $14,342 2.4×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $17,605 $17,605 2.9×
Unlisted laparoscopy procedure, spermatic cord (55559) $14,342 $14,342 2.4×
Unlisted Procedure Accessory Sinuses (31299)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted procedure breast (19499)
range across 3 matching MRF lines		 $1,048–$4,999 $1,048–$4,999 varies
Unlisted Procedure Esophagus (43499)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted Procedure Male Genital System (55899)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $144–$12,326 $144–$12,326 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Vag hyst complex (58290) $21,812 $21,812 2.9×
Vaginal delivery only (59409)
range across 3 matching MRF lines		 $1,704–$10,384 $1,704–$10,384 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260)
range across 2 matching MRF lines		 $260–$21,812 $260–$21,812 varies
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $17,605 $17,605 3.5×
Vasc embolize/occlude artery (37242) $50,122 $50,122 2.7×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Vasovasostomy vasovasorrhaphy (55400)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Venous Mech Thrombectomy (37187) $31,445 $31,445 2.7×
Ventilating tube removal requiring general anesthesia (69424) $12,326 $12,326 3.7×
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $223–$2,132 $223–$2,132 varies
Windowing of cast (29730) $1,076 $1,076 6.6×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $172–$14,342 $172–$14,342 varies
Wrist arthroscopy (29840)
range across 2 matching MRF lines		 $220–$17,605 $220–$17,605 varies
Xfer Single Deep Low Leg Tendon (27691) $17,605 $17,605 2.4×

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.