Procedures & surgery prices at Bellin Memorial Hospital

Green Bay, WI · every code in this section with a posted price and a Medicare benchmark.

1406 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $686.63–$1,655.69 $1,483–$3,576 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $685.70 $1,481 0.8×
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $1,177.41–$2,825.69 $2,543–$6,103 varies
Ablate Pulm Tumor Perq Crybl (32994)
unusually low: confirm this is the full procedure		 $4,924.01 $10,635 0.5×
Ablation 1/> liver tumor perq cryoablation (47383) $6,325.97 $13,663 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 2 matching MRF lines		 $7,478.38–$11,671.77 $16,152–$25,209 varies
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $6,534.78 $14,114 0.9×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,660.94 $7,907 2.3×
Acne surgery (10040) $183.35 $396 0.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,416.32 $3,059 0.7×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $2,777.07–$6,213 $5,998–$13,419 varies
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,526.51 $3,297 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,444.56–$3,218.31 $3,120–$6,951 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,416.32 $3,059 0.7×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $1,503.82–$3,218.31 $3,248–$6,951 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,479.75 $3,196 0.7×
Amniocentesis diagnostic (59000) $557.45 $1,204 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,663.64 $5,753 0.8×
Amputation toe interphalangeal joint (28825) $2,521.96 $5,447 0.8×
Amputation toe metatarsophalangeal joint (28820) $2,389.08 $5,160 0.8×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $244.46 $528 0.8×
Anal/Urinary Muscle Study (51784) $279.19 $603 2.2×
Anoscopy diagnostic (46600) $127.33 $275 1.0×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $799.14 $1,726 0.7×
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $616.25–$1,688.56 $1,331–$3,647 varies
Anoscopy; with biopsy, single or multiple (46606) $905.63 $1,956 0.8×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $853.31 $1,843 0.7×
Apheresis Platelets (36513) $469.02 $1,013 1.1×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $375.49 $811 2.4×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $577.82 $1,248 2.1×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $277.80–$492.17 $600–$1,063 varies
Application Cast Finger (29086) $135.20 $292 0.9×
Application finger splint static (29130)
range across 2 matching MRF lines		 $76.86–$223.63 $166–$483 varies
Application Halo Cranial Including Removal (20661) $857.01 $1,851 0.5×
Application Hip Spica Cast 1 Leg (29305) $576.44 $1,245 2.1×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $150.94–$281.97 $326–$609 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $445.41 $962 1.6×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $239.37–$292.62 $517–$632 varies
Application of cylinder cast (thigh to ankle) (29365) $407.44 $880 1.5×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $474.58–$517.17 $1,025–$1,117 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $441.70–$474.11 $954–$1,024 varies
Application Patellar Tendon Bearing Cast (29435) $437.54 $945 1.6×
Application Short Arm Splint Dynamic (29126) $237.06 $512 1.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $137.05–$237.98 $296–$514 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $144.92–$281.97 $313–$609 varies
Apply hand/wrist cast (29085) $177.79 $384 1.1×
Apply long arm cast (29065) $283.82 $613 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $202.79–$281.97 $438–$609 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $276.41–$492.17 $597–$1,063 varies
Apply short leg cast (29425) $394.01 $851 1.5×
Arterial puncture (36600)
range across 2 matching MRF lines		 $94.45–$206.50 $204–$446 varies
Arteriovenous Anastomosis Open Direct (36821) $5,829.17 $12,590 1.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $238.45–$484.76 $515–$1,047 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $545.41–$1,220.47 $1,178–$2,636 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $241.69–$525.97 $522–$1,136 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $484.76–$528.75 $1,047–$1,142 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $237.98–$484.76 $514–$1,047 varies
Arthrodesis triple (28715) $10,385.55 $22,431 0.8×
Arthroscopy hip w/femoroplasty (29914) $6,020.85 $13,004 0.9×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,757.17 $5,955 0.9×
Artificial insemination intra-uterine (58322) $155.11 $335 0.8×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $668.57–$1,030.64 $1,444–$2,226 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $641.26–$1,108.42 $1,385–$2,394 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $242.15–$511.15 $523–$1,104 varies
Aspiration & Injection Treatment Bone Cyst (20615) $575.05 $1,242 0.8×
Aspiration and/or injection thyroid cyst (60300) $575.97 $1,244 0.8×
Aspiration bladder insert suprapubic catheter (51102) $1,546.42 $3,340 0.8×
Aspiration Bladder Needle (51100)
range across 2 matching MRF lines		 $473.19–$531.99 $1,022–$1,149 varies
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $1,764.49 $3,811 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $184.27–$353.27 $398–$763 varies
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $4,292.01 $9,270 0.7×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $6,240.78 $13,479 0.6×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $4,495.27 $9,709 0.7×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $1,219.54–$2,927.09 $2,634–$6,322 varies
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $2,230.73–$4,709.64 $4,818–$10,172 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,357.05–$2,927.09 $2,931–$6,322 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $1,282.97–$2,927.09 $2,771–$6,322 varies
Biopsy External Auditory Canal (69105) $1,177.41 $2,543 0.8×
Biopsy external ear (69100) $410.22 $886 1.8×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $1,264.45–$2,697.44 $2,731–$5,826 varies
Biopsy Muscle Superficial (20200)
range across 2 matching MRF lines		 $1,201.02–$3,003.94 $2,594–$6,488 varies
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $531.99–$1,303.81 $1,149–$2,816 varies
Biopsy Nasopharynx Visible Lesion Simple (42804) $918.59 $1,984 0.3×
Biopsy of breast; open, incisional (19101) $2,643.27 $5,709 0.7×
Biopsy of conjunctiva (68100) $1,688.56 $3,647 0.7×
Biopsy of floor of mouth (41108) $1,283.90 $2,773 0.8×
Biopsy of lip (40490) $233.35 $504 1.0×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,375.57–$2,927.09 $2,971–$6,322 varies
Biopsy of nerve (64795) $1,525.59 $3,295 0.8×
Biopsy of palate, uvula (42100) $1,177.41 $2,543 0.8×
Biopsy of penis (54100) $1,219.54 $2,634 0.8×
Biopsy of penis; deep structures (54105) $2,141.38 $4,625 0.8×
Biopsy of urethra (53200) $2,438.62 $5,267 1.2×
Biopsy Oropharynx (42800) $1,988.59 $4,295 1.3×
Biopsy Pleura Percutaneous Needle (32400)
range across 2 matching MRF lines		 $1,357.05–$2,860.88 $2,931–$6,179 varies
Biopsy Prostate Transrectal Ultrasound-Guided (55707)
range across 2 matching MRF lines		 $2,516.87–$6,669.98 $5,436–$14,406 varies
Biopsy Salivary Gland Incisional (42405) $1,988.59 $4,295 1.3×
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines		 $550.97–$1,156.57 $1,190–$2,498 varies
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,348.72 $2,913 0.8×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,202.87 $2,598 0.7×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,357.05 $2,931 0.8×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,348.72 $2,913 0.8×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $2,075.63 $4,483 0.7×
Biopsy Tongue Anterior Two-Thirds (41100) $424.57 $917 0.8×
Biopsy Tongue Posterior One-Third (41105) $2,285.83 $4,937 0.7×
Biopsy Vaginal Mucosa Extensive (57105) $2,178.88 $4,706 0.7×
Biopsy Vaginal Mucosa Simple (57100) $665.79 $1,438 0.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $557.45 $1,204 0.6×
Biopsy, vestibule of mouth (40808) $492.17 $1,063 0.9×
Bladder instillation anticarcinogenic agent (51720) $478.28 $1,033 0.7×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $207.89–$436.15 $449–$942 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $57.41–$117.60 $124–$254 varies
Blepharoplasty Lower Eyelid (15820) $1,416.32 $3,059 0.7×
Blepharoplasty upper eyelid (15822) $1,416.32 $3,059 0.7×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,416.32 $3,059 0.7×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $304.65–$581.53 $658–$1,256 varies
Blood Transfusion Service (36430)
range across 9 matching MRF lines		 $766.27–$1,176.02 $1,655–$2,540 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $1,219.54–$2,860.88 $2,634–$6,179 varies
Bone Marrow Harvest Autolog (38232) $3,238.69 $6,995 0.8×
Bone Marrow; Aspiration Only (38220) $1,219.54 $2,634 0.8×
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $1,521.42–$3,193.77 $3,286–$6,898 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 2 matching MRF lines		 $1,004.25–$6,828.32 $2,169–$14,748 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $1,004.25–$6,828.32 $2,169–$14,748 varies
Brnchsc Removal Bronchial Valve Ea Addl (31649) $3,193.77 $6,898 1.8×
Brnchsc Removal Bronchial Valve Initial (31648)
range across 2 matching MRF lines		 $1,521.42–$6,828.32 $3,286–$14,748 varies
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
range across 2 matching MRF lines		 $1,521.42–$12,077.36 $3,286–$26,085 varies
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)
range across 2 matching MRF lines		 $1,521.42–$6,828.32 $3,286–$14,748 varies
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630)
range across 2 matching MRF lines		 $1,521.42–$6,828.32 $3,286–$14,748 varies
Bronchial Valve Init Insert (31647)
range across 2 matching MRF lines		 $1,521.42–$12,077.36 $3,286–$26,085 varies
Bronchoscopy Balloon Occlusion (31634)
range across 2 matching MRF lines		 $1,521.42–$13,353.85 $3,286–$28,842 varies
Bronchoscopy Bronch Stents (31636)
range across 2 matching MRF lines		 $1,521.42–$12,077.36 $3,286–$26,085 varies
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $1,250.56–$3,193.77 $2,701–$6,898 varies
Bronchoscopy Dilate W/Stent (31631)
range across 2 matching MRF lines		 $1,521.42–$12,077.36 $3,286–$26,085 varies
Bronchoscopy Reclear Airway (31646)
range across 2 matching MRF lines		 $419.94–$719.50 $907–$1,554 varies
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $1,521.42–$3,193.77 $3,286–$6,898 varies
Bronchoscopy W/Excision Tumor (31640) $6,828.32 $14,748 1.9×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $12,077.36 $26,085 1.8×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $1,156.11–$3,193.77 $2,497–$6,898 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $1,521.42–$6,828.32 $3,286–$14,748 varies
Bronchoscopy/Needle Bx Each (31629)
range across 2 matching MRF lines		 $1,521.42–$6,828.32 $3,286–$14,748 varies
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $1,753.84–$3,003.94 $3,788–$6,488 varies
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,617.26–$2,927.09 $3,493–$6,322 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,608.93–$2,860.88 $3,475–$6,179 varies
Bx breast needle core w/o imaging guidance spx (19100) $1,201.02 $2,594 0.7×
Bx Cervix (57500) $680.61 $1,470 0.8×
Bx prostate in-bore CT/MRI trgt les only 1st (55714) $4,379.05 $9,458 0.8×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $2,878.93 $6,218 0.8×
Bx prostate transperineal ultrasound-guided (55709) $2,878.93 $6,218 0.8×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $2,709.48 $5,852 0.8×
Bx prst8 in-bore CT/MRI bx 1 (55713) $4,379.05 $9,458 0.8×
Bx prst8 tprn us w/MRI fus 1 (55710) $2,878.93 $6,218 0.8×
Bx prst8 trct us w/MRI fus 1 (55708)
range across 2 matching MRF lines		 $2,878.93–$6,669.98 $6,218–$14,406 varies
Bx/exc lymph node open deep axillary node (38525) $2,645.12 $5,713 0.7×
Bx/exc lymph node open superficial (38500) $2,643.27 $5,709 0.7×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,507.15 $5,415 0.8×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $2,487.24–$3,616.96 $5,372–$7,812 varies
Catheter aspiration nasotracheal spx (31720) $145.38 $314 0.7×
Cautery Cervix Cryocautery Initial/Repeat (57511) $316.23 $683 1.1×
Cessj Therapy Cath Removal (37214)
range across 2 matching MRF lines		 $2,451.12–$5,624.99 $5,294–$12,149 varies
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $570.42–$1,236.21 $1,232–$2,670 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $211.13–$436.15 $456–$942 varies
Change of Windpipe Airway (31502) $181.96 $393 0.8×
Change ureter stent percut (50382)
range across 2 matching MRF lines		 $1,927.47–$3,336.84 $4,163–$7,207 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $153.72–$383.36 $332–$828 varies
Chemical peel, facial; epidermal (15788) $347.71 $751 0.9×
Chemical Pleurodesis (32560) $1,155.19 $2,495 1.9×
Chemodenerv 1 extrem 5/> mus (64644) $545.41 $1,178 0.8×
Chemodenerv 1 extremity 1-4 (64642) $545.41 $1,178 0.8×
Chemodenerv Eccrine Glands (64650) $323.64 $699 1.1×
Chemodenerv Musc Migraine (64615) $270.39 $584 0.9×
Chemodenerv musc neck dyston (64616) $265.30 $573 0.9×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $279.19 $603 0.9×
Chemodenerv trunk musc 1-5 (64646) $545.41 $1,178 0.8×
Chemodenerv trunk musc 6/> (64647) $545.41 $1,178 0.8×
Chemodenervation eccrine glands oth area per day (64653) $228.26 $493 0.8×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $547.27 $1,182 0.8×
Chemodenervation of extraocular muscle (67345) $297.25 $642 1.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $236.13 $510 0.8×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,422.80–$2,676.60 $3,073–$5,781 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 2 matching MRF lines		 $1,730.69–$3,794.29 $3,738–$8,195 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $2,971.07–$6,105.12 $6,417–$13,186 varies
Ciliary body dstrj cyclophotocoag transsceral (66710) $1,688.56 $3,647 0.7×
Circumcision 28 days or older (54161) $1,546.42 $3,340 0.8×
Circumcision Neonate (54160) $594.96 $1,285 0.9×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $335.68–$981.56 $725–$2,120 varies
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $2,572.43 $5,556 0.7×
Cl Tx Scapular Fx; W Manip (23575) $1,204.26 $2,601 0.8×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,204.26–$2,615.02 $2,601–$5,648 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $125.01–$219 $270–$473 varies
Closed Rx Spontaneous Hip Disloc (27256) $556.53 $1,202 2.3×
Closed rx talotarsal disloc,anesth (28575) $2,199.25 $4,750 0.7×
Closed Treat Vert Body Fract (22310) $492.17 $1,063 2.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $432.44–$466.70 $934–$1,008 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,208.43 $2,610 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $627.37 $1,355 2.6×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $456.06 $985 1.9×
Closed Treatment Sesamoid Fracture (28530) $226.87 $490 0.9×
Closed Treatment Sternum Fracture (21820) $260.67 $563 1.1×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $444.48–$625.98 $960–$1,352 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $286.60–$416.24 $619–$899 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,328.81–$2,703.46 $2,870–$5,839 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $627.37 $1,355 2.6×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $531.52 $1,148 2.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $473.65 $1,023 2.0×
Closed tx carpal scaphoid fracture w/manj (25624) $1,204.26 $2,601 0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $610.23 $1,318 2.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $466.70–$627.37 $1,008–$1,355 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,368.25 $5,115 1.5×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $495.87–$500.50 $1,071–$1,081 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,466.32 $3,167 0.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $4,821.22 $10,413 0.8×
Closed tx metatarsal fracture w/o manipulation (28470) $271.32 $586 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,782.55–$2,978.02 $3,850–$6,432 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,177.41 $2,543 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,285.83 $4,937 0.7×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $444.48–$566.25 $960–$1,223 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $313.91–$416.24 $678–$899 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $271.78 $587 1.1×
Closed tx radial head/neck fx w/manipulation (24655) $1,204.26 $2,601 0.8×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $252.34–$437.07 $545–$944 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,341.77 $2,898 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $289.84 $626 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,347.33–$2,703.46 $2,910–$5,839 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $514.39 $1,111 2.1×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $242.15–$466.70 $523–$1,008 varies
Closed tx septal&nose fx (21337) $2,285.83 $4,937 0.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $566.25 $1,223 2.4×
Closed tx talotarsal joint dislc w/o anes (28570) $250.95 $542 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,358.44 $2,934 0.9×
Closed tx talus fracture w/o manipulation (28430) $475.96 $1,028 2.0×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $265.30 $573 1.1×
Closed tx tarsometatarsal dislocation w/o anes (28600) $265.30 $573 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $200.02–$926 $432–$2,000 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,204.26 $2,601 0.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $494.48 $1,068 2.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $523.65 $1,131 2.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $303.73 $656 1.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $618.57 $1,336 1.2×
Closure lacrimal punctum (68760) $444.02 $959 1.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $404.20 $873 1.7×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $3,480.37 $7,517 2.2×
Clsd tx clavicular fracture w/o manipulation (23500) $539.86 $1,166 2.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $214.37 $463 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,358.44–$2,703.46 $2,934–$5,839 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $269–$451.89 $581–$976 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,358.44 $2,934 0.9×
Clsr Lacrimal Punctum Plug Each (68761) $273.17 $590 0.9×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $627.37 $1,355 2.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,358.44–$2,716.88 $2,934–$5,868 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $2,206.66–$2,977.55 $4,766–$6,431 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $485.69 $1,049 2.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $374.10 $808 1.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $367.62 $794 1.5×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $566.25 $1,223 2.4×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $303.27–$444.48 $655–$960 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $305.12 $659 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $536.62 $1,159 2.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $227.80 $492 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $310.67–$416.24 $671–$899 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,357.05–$2,703.46 $2,931–$5,839 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,182.04 $2,553 0.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $381.05 $823 1.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $432.44 $934 1.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,622.35 $3,504 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $250.02 $540 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $244 $527 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $244 $527 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $237.06 $512 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,494.56 $3,228 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $304.65 $658 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $287.99 $622 1.2×
Cltx Greater Trochanteric Fx W/O Manj (27246) $627.37 $1,355 2.6×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,204.26 $2,601 0.8×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,813.57–$3,042.84 $3,917–$6,572 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $250.48 $541 1.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $346.79 $749 1.4×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,358.44 $2,934 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,358.44 $2,934 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $306.51 $662 1.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,358.44 $2,934 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $200.94–$437.07 $434–$944 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $469.02 $1,013 1.7×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $291.23–$416.24 $629–$899 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,204.26–$2,964.13 $2,601–$6,402 varies
Cltx Medial Ankle Fx (27760) $570.42 $1,232 2.4×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $306.51–$437.07 $662–$944 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $297.71 $643 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $313.45–$416.24 $677–$899 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $263.45 $569 1.1×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,950.62–$2,964.13 $4,213–$6,402 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $328.27–$416.24 $709–$899 varies
Cltx prox fibula/shft fx w/o manj (27780) $302.34 $653 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,204.26 $2,601 0.8×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $566.25 $1,223 2.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $233.82–$416.24 $505–$899 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,358.44 $2,934 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,358.44–$2,978.02 $2,934–$6,432 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $1,358.44–$2,976.16 $2,934–$6,428 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,204.26–$3,112.75 $2,601–$6,723 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $289.84 $626 1.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $322.25 $696 1.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $265.30 $573 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $300.95 $650 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $625.98 $1,352 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,204.26–$2,703.46 $2,601–$5,839 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $444.48–$627.37 $960–$1,355 varies
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,389.08 $5,160 0.8×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $175.48–$206.50 $379–$446 varies
Collection of venous blood by venipuncture (36415)
range across 7 matching MRF lines		 $6.48–$13.89 $14–$30 varies
Colonoscopy Flexible With Decompression (45393)
range across 2 matching MRF lines		 $1,459.38–$1,929.78 $3,152–$4,168 varies
Colonoscopy Stoma Ablation Lesion (44401) $2,611.32 $5,640 2.2×
Colonoscopy Stoma Control Bleeding (44391) $1,459.38 $3,152 1.3×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $955.63 $2,064 0.8×
Colonoscopy stoma w/balloon dilation (44405) $1,004.25 $2,169 0.9×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $955.63 $2,064 0.8×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $955.63 $2,064 1.1×
Colonoscopy Stoma W/Submucosal Injection (44404) $955.63 $2,064 0.8×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $966.28–$1,929.78 $2,087–$4,168 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $966.28–$1,500.58 $2,087–$3,241 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $1,459.38–$2,082.11 $3,152–$4,497 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,459.38–$2,082.57 $3,152–$4,498 varies
Colonoscopy W/Band Ligation (45398) $1,379.74 $2,980 1.2×
Colonoscopy w/fb removal (45379)
range across 2 matching MRF lines		 $1,459.38–$2,186.75 $3,152–$4,723 varies
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $2,092.76–$5,375.89 $4,520–$11,611 varies
Colonoscopy w/stent plcmt (45389) $4,307.29 $9,303 0.7×
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $1,393.17–$2,259.90 $3,009–$4,881 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $2,477.98 $5,352 0.8×
Colporrhaphy (57200) $2,178.88 $4,706 0.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $318.54 $688 1.1×
Colposcopy Cervix Endocervical Curettage (57456) $310.67 $671 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $184.74 $399 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $314.84 $680 1.1×
Colposcopy cervix vag eltrd conization cervix (57461) $2,178.88 $4,706 0.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,180.73 $4,710 0.7×
Colposcopy entire vagina w/cervix if present (57420) $262.52 $567 0.9×
Colposcopy of vulva (56820) $176.40 $381 0.9×
Colposcopy Vulva W/Biopsy (56821) $272.24 $588 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $680.15 $1,469 0.8×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,459.38–$2,082.57 $3,152–$4,498 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $1,459.38–$2,165.91 $3,152–$4,678 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $1,459.38 $3,152 1.3×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,253.34 $2,707 1.1×
Complex Cystometrogram (51726) $809.79 $1,749 3.3×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $2,075.63–$4,646.67 $4,483–$10,036 varies
Composite Skin Graft (15760) $1,444.10 $3,119 0.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,180.73 $4,710 0.7×
Contour of face bone lesion (21029) $2,159.90 $4,665 0.7×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $176.87–$234.74 $382–$507 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $131.03–$219 $283–$473 varies
Control oropharyngeal hemorrhage simple (42960) $456.52 $986 0.9×
Conversion ext bil drg cath (47535) $2,971.07 $6,417 0.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)
range across 2 matching MRF lines		 $1,391.78–$3,133.12 $3,006–$6,767 varies
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $1,730.69–$3,794.29 $3,738–$8,195 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $1,275.10–$2,697.44 $2,754–$5,826 varies
Cornea Scraping Diagnostic Smear &/Culture (65430) $317.62 $686 0.7×
Correction hammertoe (28285) $2,387.69 $5,157 0.8×
Correction of trichiasis; epilation, by forceps only (67820) $101.40 $219 0.8×
Create Eardrum Opening (69433) $494.95 $1,069 0.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $68.99 $149 1.2×
Csf shunt reprogram (62252) $334.29 $722 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $168.07–$225.48 $363–$487 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $287.52–$430.13 $621–$929 varies
Curettage postpartum (59160)
range across 2 matching MRF lines		 $2,155.27–$5,341.17 $4,655–$11,536 varies
Curette/treat cornea (65435) $721.82 $1,559 0.7×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $1,544.57–$3,794.29 $3,336–$8,195 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $1,544.57–$3,794.29 $3,336–$8,195 varies
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $1,809.87–$6,669.98 $3,909–$14,406 varies
Cysto w/insert ureteral stent (52332) $2,634.47 $5,690 0.8×
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $2,634.47–$6,387.55 $5,690–$13,796 varies
Cysto w/removal of lesions small (52224) $1,786.25 $3,858 0.5×
Cysto w/removal of tumors small (52234) $2,634.47 $5,690 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $1,655.23 $3,575 0.8×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,634.47 $5,690 0.8×
Cysto/uretero w/lithotripsy (52356) $8,641.43 $18,664 1.7×
Cystometrogram W/Up (51727) $688.48 $1,487 1.0×
Cystometrogram W/Vp (51728) $686.63 $1,483 1.0×
Cystometrogram W/Vp&Up (51729) $702.83 $1,518 1.0×
Cystostomy Cystotomy W/Drainage (51040) $1,730.69 $3,738 0.9×
Cystourethroscopy (52000) $514.39 $1,111 0.8×
Cystourethroscopy inj chemodenervation bladder (52287) $1,546.42 $3,340 0.8×
Cystourethroscopy with biopsy (52204) $1,544.57 $3,336 0.8×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $2,746.52 $5,932 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $435.68 $941 1.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $2,214.99–$4,646.67 $4,784–$10,036 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $615.33–$1,156.57 $1,329–$2,498 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $435.68–$1,113.05 $941–$2,404 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $55.10–$110.66 $119–$239 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $60.65–$107.88 $131–$233 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,202.87–$2,927.09 $2,598–$6,322 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $433.83 $937 0.8×
Debridement Mastoidectomy Cavity Simple (69220) $246.78 $533 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $277.80–$714.41 $600–$1,543 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $516.25–$660.70 $1,115–$1,427 varies
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $2,150.64–$4,879.09 $4,645–$10,538 varies
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,416.32 $3,059 0.7×
Delivery of placenta (59414) $2,155.27 $4,655 0.7×
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $727.84–$1,524.20 $1,572–$3,292 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,854.78–$3,233.59 $4,006–$6,984 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $2,133.50–$3,233.59 $4,608–$6,984 varies
Destruc retinal lesn,photocoag (67210) $683.85 $1,477 1.3×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $85.19–$371.33 $184–$802 varies
Destruction Benign Lesions 15/> (17111) $194.46 $420 1.0×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $771.82–$1,524.20 $1,667–$3,292 varies
Destruction by neurolytic agent; plantar common digital nerve (64632) $228.72 $494 0.8×
Destruction by neurolytic agent; pudendal nerve (64630) $708.39 $1,530 0.8×
Destruction Lesions Vulva Extensive (56515) $1,338.53 $2,891 0.7×
Destruction Lesions Vulva Simple (56501) $1,418.17 $3,063 0.7×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $296.78 $641 1.5×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $310.67 $671 1.6×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $318.08 $687 0.8×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $460.69 $995 0.6×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $174.09 $376 0.9×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $210.20 $454 1.1×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $215.30 $465 1.1×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $304.65 $658 0.8×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $313.45 $677 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $170.38 $368 0.9×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $200.94 $434 1.0×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $204.65 $442 1.1×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $187.52 $405 1.0×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $313.45 $677 0.8×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $317.62 $686 0.8×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $208.35 $450 1.1×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $1,705.69–$3,616.96 $3,684–$7,812 varies
Destruction of lesion, conjunctiva (68135) $1,688.56 $3,647 0.7×
Destruction Premalignant Lesion 15/> (17004) $294.01 $635 0.7×
Destruction premalignant lesion 1st (17000) $153.72 $332 0.8×
Diagnostic sigmoidoscopy (45330)
range across 3 matching MRF lines		 $898.68–$1,688.56 $1,941–$3,647 varies
Diaphragm or cervical cap fitting with instructions (57170) $148.16 $320 0.8×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $905.63 $1,956 0.8×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $126.40 $273 1.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $121.31 $262 0.9×
Dilat rct strix spx under anes oth/thn local (45910) $957.95 $2,069 0.8×
Dilat Urethral Strix Dilator Male Sbsq (53601) $141.68 $306 1.1×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $245.39 $530 1.0×
Dilat Xst Trc New Access Rcs (50437) $2,746.52 $5,932 0.8×
Dilate Esophagus 1/Mult Pass (43450) $693.57 $1,498 0.8×
Dilate Urethra Stricture (53620) $856.55 $1,850 1.3×
Dilate Urethra Stricture (53600) $237.06 $512 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $2,178.88 $4,706 0.7×
Dilation and catheterization of salivary duct, with or without injection (42660) $456.52 $986 0.9×
Dilation Cervical Canal (57800) $2,180.73 $4,710 0.7×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $317.62 $686 0.7×
Dilation Salivary Duct (42650) $1,177.41 $2,543 0.8×
Discission Secondary Membranous Cataract (66820) $1,651.52 $3,567 0.7×
Drain ant chmbr,remv vitreous (65810) $1,764.49 $3,811 0.8×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $556.99–$1,282.97 $1,203–$2,771 varies
Drain penis lesion (54015) $1,219.54 $2,634 0.8×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $521.34–$549.12 $1,126–$1,186 varies
Drainage abscess parotid simple (42300) $1,177.41 $2,543 0.8×
Drainage Abscess/Hematoma Nasal Septum (30020) $438 $946 0.8×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $599.12–$1,303.35 $1,294–$2,815 varies
Drainage external ear abscess/hematoma cmplx (69005) $1,255.66 $2,712 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $582.92–$1,423.73 $1,259–$3,075 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,320.94–$2,697.44 $2,853–$5,826 varies
Drainage Mouth Roof Lesion (42000) $222.24 $480 1.0×
Drainage of eye (65800) $1,764.49 $3,811 0.8×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $306.51–$360.68 $662–$779 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $219–$225.48 $473–$487 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,202.87–$2,697.44 $2,598–$5,826 varies
Drainage of hydrocele (55000) $531.99 $1,149 0.8×
Drainage of mouth lesion (41017) $2,478.44 $5,353 0.8×
Drainage of rectal abscess (45005) $991.28 $2,141 0.9×
Drainage of salivary cyst (42409) $2,285.83 $4,937 0.7×
Drainage of salivary gland (42305) $2,285.83 $4,937 0.7×
Drainage of scrotal wall abscess (55100) $1,219.54 $2,634 0.8×
Drainage of scrotum (54700) $1,644.58 $3,552 0.8×
Drainage of skene's gland abscess or cyst (53060) $1,054.71 $2,278 0.5×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $110.66–$221.31 $239–$478 varies
Dressing Change Under Anesthesia (15852) $492.17 $1,063 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $456.52 $986 0.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $668.11–$1,303.35 $1,443–$2,815 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $410.22 $886 0.8×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,022.85 $4,369 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $297.71–$658.39 $643–$1,422 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $171.31–$353.27 $370–$763 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $176.40–$353.27 $381–$763 varies
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,416.32 $3,059 0.7×
Dstrj Lesion Anus Simple Chemical (46900) $313.91 $678 0.8×
Dstrj lesion anus simple cryosurgery (46916) $303.27 $655 1.6×
Dstrj lesion anus simple surg excision (46922) $2,046 $4,419 0.8×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,016.75 $2,196 0.5×
Dstrj lesion choroid pc 1/> sess (67220) $509.76 $1,101 1.0×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $554.21 $1,197 1.0×
Dstrj Lesion Penis Simple Chemical (54050) $281.50 $608 0.7×
Dstrj Lesion Penis Simple Cryosurgery (54056) $269.93 $583 1.4×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $1,418.17 $3,063 0.7×
Dstrj lesion penis simple surg excision (54060) $1,418.17 $3,063 0.7×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $329.19 $711 0.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $824.14–$1,524.20 $1,780–$3,292 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681)
range across 2 matching MRF lines		 $727.84–$1,587.63 $1,572–$3,429 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600)
range across 2 matching MRF lines		 $1,018.60–$1,649.21 $2,200–$3,562 varies
Dx Bone Marrow Bx & Aspir (38222) $5,042.07 $10,890 1.8×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $1,521.42–$3,193.77 $3,286–$6,898 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,521.42–$3,193.77 $3,286–$6,898 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $1,249.17–$2,995.15 $2,698–$6,469 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $545.41–$1,152.41 $1,178–$2,489 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $1,531.14 $3,307 0.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 4 matching MRF lines		 $1,942.75–$3,133.12 $4,196–$6,767 varies
Egd cautery tumor polyp (43250) $1,942.75 $4,196 1.0×
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $1,942.75–$3,399.81 $4,196–$7,343 varies
Egd dilation gastric/duodenal stricture (43245)
range across 3 matching MRF lines		 $1,942.75–$3,133.12 $4,196–$6,767 varies
Egd endo mucosal resection (43254) $2,866.43 $6,191 1.5×
Egd Endoscopic Stent Place (43266)
range across 2 matching MRF lines		 $4,307.29–$10,560.10 $9,303–$22,808 varies
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $1,360.76–$1,799.68 $2,939–$3,887 varies
Egd guide wire insertion (43248)
range across 4 matching MRF lines		 $1,360.76–$1,735.79 $2,939–$3,749 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $3,814.19 $8,238 2.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242)
range across 2 matching MRF lines		 $1,942.75–$3,290.08 $4,196–$7,106 varies
Egd intrmural us needle aspirate/biopsy esophags (43238)
range across 2 matching MRF lines		 $1,942.75–$3,175.25 $4,196–$6,858 varies
Egd lesion ablation (43270)
range across 2 matching MRF lines		 $1,509.38–$3,196.09 $3,260–$6,903 varies
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $7,034.82 $15,194 0.7×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $1,942.75–$3,133.12 $4,196–$6,767 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $1,942.75–$3,399.81 $4,196–$7,343 varies
Egd Tube/Cath Insertion (43241)
range across 2 matching MRF lines		 $1,942.75–$3,175.25 $4,196–$6,858 varies
Egd us exam duodenum/jejunum (43259)
range across 2 matching MRF lines		 $1,942.75–$3,290.08 $4,196–$7,106 varies
Egd us transmural injxn/mark (43253)
range across 2 matching MRF lines		 $3,525.75–$3,814.19 $7,615–$8,238 varies
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $1,942.75–$3,399.81 $4,196–$7,343 varies
Egd W/Transmural Drain Cyst (43240) $3,734.10 $8,065 0.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $253.26–$527.36 $547–$1,139 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $244.46 $528 0.8×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $256.04 $553 0.9×
Electro-Uroflowmetry First (51741) $121.31 $262 0.6×
Endocervical curettage (57505) $671.81 $1,451 0.8×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,729 $8,054 0.8×
Endometrial Biopsy (58100) $356.05 $769 1.8×
Endoscopic injection/implant (51715) $2,634.47 $5,690 0.8×
Endoscopic us exam esoph (43237)
range across 2 matching MRF lines		 $1,942.75–$3,133.12 $4,196–$6,767 varies
Endoscopy Upper Small Intestine (44360)
range across 3 matching MRF lines		 $1,942.75–$3,357.68 $4,196–$7,252 varies
Endoscopy upper small intestine w/biopsy (44361)
range across 3 matching MRF lines		 $1,942.75–$3,513.24 $4,196–$7,588 varies
Endovasc Temp Balloon Occlus,Head/Nck (61623) $6,717.67 $14,509 0.6×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,689.57 $5,809 0.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,804.85 $6,058 0.9×
Endoven ther chem adhes 1st (36482) $4,297.57 $9,282 0.8×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,472.80 $3,181 0.8×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,456.14 $3,145 0.8×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,436.69 $3,103 0.8×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $4,307.29 $9,303 0.7×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,233.43 $2,664 0.7×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,391.78 $3,006 0.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,264.45 $2,731 0.7×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,354.74 $2,926 0.7×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $1,611.70–$3,379.44 $3,481–$7,299 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $616.72–$1,137.13 $1,332–$2,456 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $4,307.29 $9,303 0.7×
Ercp duct stent placement (43274)
range across 2 matching MRF lines		 $4,307.29–$9,427.14 $9,303–$20,361 varies
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $2,638.64–$6,144.94 $5,699–$13,272 varies
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines		 $2,638.64–$7,095.94 $5,699–$15,326 varies
Ercp remove calculi/debris biliary/pancreas duct (43264)
range across 2 matching MRF lines		 $2,638.64–$6,144.94 $5,699–$13,272 varies
Ercp remove forgn body duct (43275)
range across 2 matching MRF lines		 $2,638.64–$6,284.76 $5,699–$13,574 varies
Ercp Stent Exchange W/Dilate (43276)
range across 2 matching MRF lines		 $4,307.29–$9,427.14 $9,303–$20,361 varies
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $2,638.64 $5,699 0.7×
Ercp W/Biopsy Single/Multiple (43261)
range across 2 matching MRF lines		 $2,638.64–$6,227.81 $5,699–$13,451 varies
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $2,638.64–$6,667.66 $5,699–$14,401 varies
Escharotomy; initial incision (16035) $277.80 $600 0.7×
Esoph Scope W/Submucous Inj (43201) $1,942.75 $4,196 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $1,360.76–$1,490.86 $2,939–$3,220 varies
Esophagoscop Mucosal Resect (43211) $1,220.47 $2,636 0.7×
Esophagoscop Stent Placement (43212) $4,307.29 $9,303 0.7×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,942.75 $4,196 1.0×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $2,638.64 $5,699 0.7×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,305.20 $2,819 0.7×
Esophagoscopy Flexible Guide Wire Dilation (43226)
range across 3 matching MRF lines		 $1,942.75–$3,399.81 $4,196–$7,343 varies
Esophagoscopy Flexible Transnasal Diagnostic (43197) $715.80 $1,546 0.8×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $758.86 $1,639 0.9×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,360.76 $2,939 1.5×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231)
range across 2 matching MRF lines		 $1,942.75–$3,133.12 $4,196–$6,767 varies
Esophagoscopy Flexible W/Bleeding Control (43227) $1,391.78 $3,006 0.7×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,942.75 $4,196 1.0×
Esophagoscopy rigid trnso dx (43191) $1,279.73 $2,764 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,942.75 $4,196 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,247.79 $2,695 0.7×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,942.75 $4,196 1.0×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $94.45–$219 $204–$473 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,329.74 $2,872 0.8×
Exc abdl tum deep 5 cm/> (22901) $2,230.73 $4,818 0.8×
Exc arm/elbow les sc < 3 cm (24075) $1,356.13 $2,929 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $558.84–$1,214.45 $1,207–$2,623 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,202.87–$2,832.63 $2,598–$6,118 varies
Exc Back Les Sc < 3 Cm (21930) $1,348.72 $2,913 0.8×
Exc Back Tum Deep 5 Cm/> (21933) $2,312.22 $4,994 0.8×
Exc back tum deep < 5 cm (21932) $2,285.37 $4,936 0.8×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $2,433.99 $5,257 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $7,092.23 $15,318 1.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $531.99–$1,303.81 $1,149–$2,816 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $540.32–$1,303.81 $1,167–$2,816 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $1,202.87–$3,003.94 $2,598–$6,488 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $1,300.57–$2,832.63 $2,809–$6,118 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $562.55–$1,214.45 $1,215–$2,623 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $574.12–$1,156.57 $1,240–$2,498 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $581.07–$1,161.20 $1,255–$2,508 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $1,202.87–$3,003.94 $2,598–$6,488 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,390.39 $3,003 0.9×
Exc Forearm Les Sc 3 Cm/> (25071) $1,331.13 $2,875 0.8×
Exc Forearm Tum Deep 3 Cm/> (25073) $2,108.04 $4,553 0.7×
Exc Frenum Labial/Buccal (40819) $1,177.41 $2,543 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,200.56–$2,697.44 $2,593–$5,826 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $756.08–$1,156.57 $1,633–$2,498 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,202.87–$2,697.44 $2,598–$5,826 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,202.87 $2,598 0.7×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $724.13 $1,564 0.7×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $2,285.83 $4,937 0.7×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $2,285.83 $4,937 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,679.84 $5,788 1.7×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,204.26 $2,601 0.8×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $2,285.83 $4,937 0.7×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $2,285.83 $4,937 0.7×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $4,233.21 $9,143 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,024.24 $4,372 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $583.84–$1,156.57 $1,261–$2,498 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,201.02–$2,832.63 $2,594–$6,118 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $2,074.24–$4,646.67 $4,480–$10,036 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $1,289.92–$2,697.44 $2,786–$5,826 varies
Exc Skin Benig >4cm Face,Facial (11446) $2,074.24 $4,480 0.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $1,202.87–$2,832.63 $2,598–$6,118 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $2,075.63–$4,945.30 $4,483–$10,681 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $1,202.87–$2,832.63 $2,598–$6,118 varies
Exc thigh/knee les sc 3 cm/> (27337) $2,197.40 $4,746 0.8×
Exc thigh/knee tum dep 5cm/> (27339) $2,108.04 $4,553 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $902.39 $1,949 0.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $566.71–$658.39 $1,224–$1,422 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $573.66–$1,156.57 $1,239–$2,498 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,202.87–$2,697.44 $2,598–$5,826 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $2,206.66–$4,646.67 $4,766–$10,036 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,074.24 $4,480 0.7×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,202.87 $2,598 0.7×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,202.87 $2,598 0.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $2,075.63–$4,879.09 $4,483–$10,538 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,074.24 $4,480 0.7×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,988.59 $4,295 0.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,022.85 $4,369 0.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,249.72 $4,859 0.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,538.09 $3,322 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,351.96 $2,920 0.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,824.68 $3,941 0.6×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $2,108.04 $4,553 0.7×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,275.10 $2,754 0.8×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $2,254.81–$4,879.09 $4,870–$10,538 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $1,328.81–$2,697.44 $2,870–$5,826 varies
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,360.29 $2,938 0.5×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,074.24 $4,480 0.7×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $2,108.04 $4,553 0.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,315.54 $7,161 1.2×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $2,372.41 $5,124 0.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,204.26 $2,601 0.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $2,971.07–$6,105.12 $6,417–$13,186 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $1,730.69–$3,336.84 $3,738–$7,207 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $1,391.78–$3,399.81 $3,006–$7,343 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $2,285.83 $4,937 0.7×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $2,176.10–$2,743.74 $4,700–$5,926 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		 $543.56–$1,303.81 $1,174–$2,816 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,688.56 $3,647 0.7×
Excision Chalazion Multiple Same Lid (67801) $721.82 $1,559 0.7×
Excision Chalazion Single (67800) $302.80 $654 1.0×
Excision External Ear Partial Simple Repair (69110) $2,075.63 $4,483 0.7×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 2 matching MRF lines		 $2,148.32–$4,646.67 $4,640–$10,036 varies
Excision Lesion Conjunctiva </1 Cm (68110) $1,702.45 $3,677 0.7×
Excision Lesion Cornea Xcp Pterygium (65400) $875.07 $1,890 0.9×
Excision lesion mouth roof (42104) $2,284.91 $4,935 0.7×
Excision Lesion Tongue W/O Closure (41110) $2,284.91 $4,935 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $531.99 $1,149 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $532.91–$1,214.45 $1,151–$2,623 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $536.15–$738.95 $1,158–$1,596 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $554.67–$1,303.81 $1,198–$2,816 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $531.99–$1,304.27 $1,149–$2,817 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $1,202.87–$3,003.94 $2,598–$6,488 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,075.63 $4,483 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $1,200.56–$3,003.94 $2,593–$6,488 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $531.99–$1,161.20 $1,149–$2,508 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $534.77–$1,214.45 $1,155–$2,623 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $1,201.02–$3,003.94 $2,594–$6,488 varies
Excision Multiple External Papillae/Tags Anus (46230) $2,094.15 $4,523 0.8×
Excision nasal polyp(s) simple (30110) $1,177.41 $2,543 0.8×
Excision of bartholin's gland or cyst (56740) $2,150.64 $4,645 0.7×
Excision of chalazion; multiple, different lids (67805) $322.71 $697 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,152.87 $2,490 0.7×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $2,075.63–$5,013.83 $4,483–$10,829 varies
Excision of single external papilla or tag, anus (46220) $878.31 $1,897 0.8×
Excision of tonsil tags (42860) $1,388.54 $2,999 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,646.67 $10,036 1.6×
Excision soft tissue lesion, external auditory canal (69145) $2,191.84 $4,734 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,348.26 $2,912 0.8×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,028.40 $4,381 0.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,641.80 $3,546 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,329.27–$2,697.44 $2,871–$5,826 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,344.09 $2,903 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,203.42 $4,759 0.8×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $1,305.66–$2,832.63 $2,820–$6,118 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,148.32 $4,640 0.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,075.63 $4,483 0.7×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $1,410.30 $3,046 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,316.31 $2,843 0.8×
Excision/curettage cyst/tumor phalanx finger (26210) $1,126.02 $2,432 0.7×
Excision/destruction intranasal lesion int appr (30117) $2,391.40 $5,165 0.7×
Excision/destruction lesion pharynx any method (42808) $2,285.83 $4,937 0.7×
Excision/surgical planing skin nose rhinophyma (30120) $2,285.83 $4,937 0.7×
Excision; trochanteric bursa or calcification (27062) $6,009.28 $12,979 1.9×
Expl penetrating wound spx abdomen/flank/back (20102) $1,734.40 $3,746 0.9×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,316.77–$2,832.63 $2,844–$6,118 varies
Exploration penetrating wound spx chest (20101) $1,579.29 $3,411 0.8×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,097.77–$3,003.94 $2,371–$6,488 varies
Exploration Penetrating Wound Spx Neck (20100) $1,151.48 $2,487 2.2×
External cephalic version (59412)
range across 4 matching MRF lines		 $2,155.27–$5,888.90 $4,655–$12,719 varies
Fasciectomy Plantar Fascia Partial Spx (28060) $6,009.28 $12,979 1.9×
Fasciotomy palmar percutaneous (26040) $1,204.26 $2,601 0.8×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $2,663.64–$6,009.28 $5,753–$12,979 varies
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $125.01–$351.88 $270–$760 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $556.53–$1,161.20 $1,202–$2,508 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $323.64–$703.76 $699–$1,520 varies
Fluid Pressure Muscle (20950) $605.60 $1,308 0.9×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $237.06–$454.20 $512–$981 varies
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $556.53–$1,156.57 $1,202–$2,498 varies
Foreskin manipulation (54450) $231.04 $499 1.0×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $2,284.91 $4,935 0.7×
Frenulotomy of penis (54164) $1,597.35 $3,450 0.8×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,526.05 $3,296 0.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 2 matching MRF lines		 $1,447.80–$3,218.31 $3,127–$6,951 varies
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,311.76 $4,993 1.2×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $578.75 $1,250 15.8×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $4,233.21 $9,143 0.7×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $2,688.64 $5,807 0.8×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,497.34 $3,234 0.7×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $575.05–$1,156.57 $1,242–$2,498 varies
Head Surgery Procedure (21499) $310.21 $670 1.3×
Hem vw factor&clgn iii bndg (0279U) $33.34 $72 2.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $734.78 $1,587 0.8×
Hysteroscopy Dx Sep Proc (58555) $2,180.73 $4,710 0.7×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $2,198.32 $4,748 0.7×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $238.91–$391.70 $516–$846 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $155.11–$383.36 $335–$828 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $2,075.63–$5,496.27 $4,483–$11,871 varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $2,075.63–$4,646.67 $4,483–$10,036 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,663.64 $5,753 0.8×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $709.32–$1,613.09 $1,532–$3,484 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $531.99–$1,156.57 $1,149–$2,498 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $575.51–$1,156.57 $1,243–$2,498 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $1,937.19 $4,184 0.7×
Icd Pocket Revision (33223)
range across 2 matching MRF lines		 $1,579.29–$3,378.97 $3,411–$7,298 varies
Ileoscopy Stoma W/Balloon Dilation (44381) $1,391.78 $3,006 0.7×
Ileoscopy Stoma W/Bx Single/Multiple (44382)
range across 2 matching MRF lines		 $1,360.76–$1,599.67 $2,939–$3,455 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $1,360.76–$1,565.40 $2,939–$3,381 varies
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $1,375.57–$2,697.44 $2,971–$5,826 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $1,407.52–$2,927.09 $3,040–$6,322 varies
Image Cath Fluid Trns/Vgnl (49407) $1,375.57 $2,971 0.9×
Immediate breast prosthesis (19340) $4,569.81 $9,870 0.6×
Implant Neuroelectrodes (64561) $6,645.44 $14,353 1.1×
Impression & Preparation Auricular Prosthesis (21086) $1,410.30 $3,046 0.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $270.39–$453.74 $584–$980 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,362.61–$2,964.13 $2,943–$6,402 varies
Incise tendon(s) & muscle(s) (23406) $13,230.23 $28,575 1.9×
Incise/Drain Conjunctiva (68020) $781.54 $1,688 0.8×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $279.19–$658.39 $603–$1,422 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,075.63 $4,483 0.7×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,278.34–$2,697.44 $2,761–$5,826 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $334.29–$714.41 $722–$1,543 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $234.74–$351.88 $507–$760 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $302.80–$566.25 $654–$1,223 varies
Incision Drainage Lacrimal Sac (68420) $1,823.29 $3,938 0.8×
Incision extensor tendon sheath wrist (25000) $1,204.26 $2,601 0.8×
Incision of eardrum (69420) $238.91 $516 1.0×
Incision of Foot Tendon (28234) $1,312.61 $2,835 0.8×
Incision of labial frenum (frenotomy) (40806) $217.61 $470 0.4×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $1,177.41–$2,709.48 $2,543–$5,852 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,134.35–$2,183.97 $2,450–$4,717 varies
Incision of urethra (53020) $1,546.42 $3,340 0.8×
Incision&drainage bursa foot (28001) $1,163.06 $2,512 0.7×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,202.87 $2,598 0.7×
Incisional biopsy eyelid skin & lid margin (67810) $478.74 $1,034 1.6×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $323.64–$1,025.55 $699–$2,215 varies
Induced abortion dilation and curettage (59840) $2,180.73 $4,710 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $153.72 $332 0.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $765.34–$1,503.82 $1,653–$3,248 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $239.83–$364.38 $518–$787 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $784.79–$1,503.82 $1,695–$3,248 varies
Inject Intravitreal Pharmcologic (67028) $308.36 $666 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $239.37–$484.76 $517–$1,047 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $991.75–$1,608.46 $2,142–$3,474 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $620.88–$1,137.13 $1,341–$2,456 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $708.39–$1,503.82 $1,530–$3,248 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $620.88 $1,341 0.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,026.93 $2,218 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $237.06 $512 0.8×
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $727.84–$1,649.21 $1,572–$3,562 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $545.41–$1,137.13 $1,178–$2,456 varies
Injection enzyme palmar fascial cord (20527) $228.72 $494 0.8×
Injection for identification of sentinel node (38792) $356.51 $770 0.9×
Injection Into Brain Canal (61055) $265.30 $573 0.9×
Injection medication/other subst tenon capsule (67515) $291.69 $630 0.9×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $242.15–$549.12 $523–$1,186 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $240.76–$522.73 $520–$1,129 varies
Injection single/mlt trigger point 3/> muscles (20553) $522.73 $1,129 1.8×
Injection Sinus Tract Therapeutic Separate Proc (20500)
range across 2 matching MRF lines		 $1,177.41–$3,119.23 $2,543–$6,737 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $228.72–$522.73 $494–$1,129 varies
Injection Turbinate Therapeutic (30200) $424.57 $917 0.8×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $845.44–$1,579.29 $1,826–$3,411 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $545.41–$1,282.97 $1,178–$2,771 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $545.41–$1,137.13 $1,178–$2,456 varies
Injection, anesthetic agent; vagus nerve (64408) $241.69 $522 0.8×
Injection, Intralesional; More Than 7 Lesions (11901) $170.85 $369 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $166.68 $360 0.9×
Injx anterior chamber eye air/liquid spx (66020) $1,764.49 $3,811 0.8×
Injx Anterior Chamber Eye Medication Spx (66030) $1,781.16 $3,847 0.8×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $3,151.64–$5,624.99 $6,807–$12,149 varies
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $2,739.11–$6,328.28 $5,916–$13,668 varies
Ins cath ren art 2nd+ bilat (36254) $2,943.29 $6,357 1.0×
Ins cath ren art 2nd+ unilat (36253)
range across 2 matching MRF lines		 $4,434.61–$9,891.07 $9,578–$21,363 varies
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $4,353.59–$9,697.07 $9,403–$20,944 varies
Ins Vag Brachytx Device (57156)
range across 2 matching MRF lines		 $566.25–$645.89 $1,223–$1,395 varies
Ins/Rep Subq Defibrillator (33270)
range across 2 matching MRF lines		 $13,001.97–$59,378.36 $28,082–$128,247 varies
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $6,982.97–$14,991.48 $15,082–$32,379 varies
Insert and remove bone pin (20650) $2,389.08 $5,160 0.8×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $148.16–$275.95 $320–$596 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,422.80–$2,676.60 $3,073–$5,781 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $1,391.78–$3,133.12 $3,006–$6,767 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,143.15 $2,469 1.0×
Insert cervical dilator (59200) $287.06 $620 1.0×
Insert Drug Implant Device (11981) $146.77 $317 1.1×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $1,391.78–$3,133.12 $3,006–$6,767 varies
Insert Heart Pm Atrial (33206)
range across 2 matching MRF lines		 $9,224.35–$18,842.71 $19,923–$40,697 varies
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $9,224.35–$18,842.71 $19,923–$40,697 varies
Insert hepatic shunt (tips) (37182)
range across 2 matching MRF lines		 $1,683.93–$34,685.65 $3,637–$74,915 varies
Insert Nasal Septal Button (30220) $1,177.41 $2,543 0.8×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $2,060.81–$2,531.68 $4,451–$5,468 varies
Insert Pacing Lead & Connect (33224)
range across 2 matching MRF lines		 $6,306.52–$18,842.71 $13,621–$40,697 varies
Insert pessary/other device (57160) $174.09 $376 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,157.96 $2,501 0.8×
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines		 $9,224.35–$19,784.92 $19,923–$42,732 varies
Insert pulse gen mult leads (33221)
range across 2 matching MRF lines		 $11,267.57–$35,319.96 $24,336–$76,285 varies
Insert Pulse Gen Sngl Lead (33212)
range across 2 matching MRF lines		 $6,982.97–$15,741.07 $15,082–$33,998 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $104.18–$219 $225–$473 varies
Insert tun ip cath perc (49418)
range across 3 matching MRF lines		 $2,971.07–$6,624.14 $6,417–$14,307 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,988.20–$6,103.27 $6,454–$13,182 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $3,929.02 $8,486 0.7×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $100.47–$227.80 $217–$492 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $2,713.64–$6,624.14 $5,861–$14,307 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,676.60 $5,781 1.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $6,982.97–$14,991.48 $15,082–$32,379 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421)
range across 2 matching MRF lines		 $2,971.07–$6,105.12 $6,417–$13,186 varies
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 2 matching MRF lines		 $3,727.61–$9,599.84 $8,051–$20,734 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
range across 2 matching MRF lines		 $6,982.97–$14,991.48 $15,082–$32,379 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,123.78 $4,587 0.7×
Insj Picc Rs&I <5 Yr (36572) $550.97 $1,190 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,422.80–$2,676.60 $3,073–$5,781 varies
Insj Subq Impltbl Dfb Elctrd (33271) $4,453.13 $9,618 0.6×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $4,962.43 $10,718 0.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,356.67 $5,090 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,356.67–$5,624.99 $5,090–$12,149 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $7,100.11 $15,335 0.9×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 4 matching MRF lines		 $13,196.43–$54,949.77 $28,502–$118,682 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $6,982.97–$14,991.48 $15,082–$32,379 varies
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $9,224.35–$19,198.30 $19,923–$41,465 varies
Insrt Pulse Gen W/Dual Leads (33230)
range across 2 matching MRF lines		 $9,185.46–$44,717.93 $19,839–$96,583 varies
Insrt Pulse Gen W/Mult Leads (33231)
range across 2 matching MRF lines		 $12,166.25–$63,103.20 $26,277–$136,292 varies
Insrt Pulse Gen W/Singl Lead (33240)
unusually low: confirm this is the full procedure		 $8,849.32 $19,113 0.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411)
range across 2 matching MRF lines		 $1,086.66–$2,567.80 $2,347–$5,546 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $388.46 $839 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $394.94 $853 1.0×
Intranasal Biopsy (30100) $1,177.41 $2,543 0.8×
Intraoral i&d tongue/floor submndblr space (41008) $2,478.44 $5,353 0.8×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $1,422.80–$2,676.60 $3,073–$5,781 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $6,335.69–$19,412.66 $13,684–$41,928 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $4,943.91–$9,381.31 $10,678–$20,262 varies
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines		 $758.86–$1,414 $1,639–$3,054 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $220.39–$431.05 $476–$931 varies
Iridoplasty photocoagulation 1/> sessions (66762) $538.93 $1,164 1.0×
Iridotomy/irridectomy laser surg per session (66761) $557.45 $1,204 1.0×
Irrigation maxillary sinus (31000) $237.06 $512 1.0×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $273.17–$450.50 $590–$973 varies
Island pedicle flap graft (15740) $1,490.86 $3,220 0.7×
Klhl11 antb serum/csf cell binding assay qual (0432U)
range across 2 matching MRF lines		 $50.93–$106.03 $110–$229 varies
Labyrinthotomy Transcanal (69801) $1,177.41 $2,543 0.8×
Lap insert tunnel ip cath (49324) $4,582.31 $9,897 0.8×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $2,562.71 $5,535 0.7×
Laryngoscopy diagnostic (31505) $169 $365 0.9×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $2,562.71 $5,535 0.7×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $299.10–$306.04 $646–$661 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $1,306.59 $2,822 0.8×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines		 $1,249.17–$3,367.86 $2,698–$7,274 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $1,367.24 $2,953 0.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $423.65 $915 1.1×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $741.26 $1,601 2.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $232.89 $503 1.2×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $340.31 $735 0.9×
Laryngoscopy W/Biopsy (31535) $2,559.93 $5,529 0.7×
Laryngoscopy W/Foreign Body Removal (31530) $164.37 $355 0.1×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $364.38 $787 1.0×
Laser Surgery,Sever Vitreous Strands (67031) $442.17 $955 0.8×
Ligation of a-v fistula (37607) $2,417.32 $5,221 0.8×
Ligation or biopsy temporal artery (37609) $1,219.54 $2,634 0.8×
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines		 $2,576.60–$8,539.11 $5,565–$18,443 varies
Lyse chest fibrin init day (32561)
range across 2 matching MRF lines		 $430.13–$1,034.81 $929–$2,235 varies
Lyse Chest Fibrin Subq Day (32562)
range across 2 matching MRF lines		 $419.02–$1,034.81 $905–$2,235 varies
Lysis Intranasal Synechia (30560) $447.26 $966 0.9×
Lysis of labial adhesions (56441) $2,180.73 $4,710 0.7×
Lysis/excision penile postcircumcision adhesions (54162) $1,544.57 $3,336 0.8×
Maniplatn palar fascial crd post inj single cord (26341) $200.02 $432 0.8×
Manipulation knee joint under general anesthesia (27570) $1,995.53 $4,310 1.3×
Manipulation tmj therapeutic require anesthesia (21073) $2,881.25 $6,223 1.9×
Manipulation wrist under anesthesia (25259) $1,083.88 $2,341 0.7×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,204.26 $2,601 0.8×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $1,358.44–$2,838.65 $2,934–$6,131 varies
Mastopexy (19316) $4,569.81 $9,870 0.7×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,422.80 $3,073 0.9×
Mech remov tunneled cv cath (36595)
range across 2 matching MRF lines		 $2,451.12–$5,829.17 $5,294–$12,590 varies
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $1,830.70 $3,954 0.5×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,404.74 $3,034 2.0×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,338.53 $2,891 1.9×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,598.82 $5,613 0.8×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $684.31–$1,466.32 $1,478–$3,167 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $684.31–$1,396.41 $1,478–$3,016 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines		 $648.66–$1,396.41 $1,401–$3,016 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,320.94 $2,853 1.7×
Myringoplasty (69620) $2,323.33 $5,018 0.7×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $976–$1,524.20 $2,108–$3,292 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $547.27–$1,137.13 $1,182–$2,456 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $708.39–$1,137.13 $1,530–$2,456 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $237.98–$581.07 $514–$1,255 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $708.39–$1,520.49 $1,530–$3,284 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $763.95–$1,649.21 $1,650–$3,562 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $359.75–$455.13 $777–$983 varies
Nasal surgery procedure (30999) $964.43 $2,083 4.2×
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines		 $317.62–$703.30 $686–$1,519 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $2,562.71 $5,535 0.7×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243)
likely a partial charge, not the full procedure		 $816.27 $1,763 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,301.96 $2,812 0.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,333.44–$2,995.15 $2,880–$6,469 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure		 $2,057.57 $4,444 0.3×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)
range across 2 matching MRF lines		 $724.60–$1,613.09 $1,565–$3,484 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 2 matching MRF lines		 $966.28–$1,613.09 $2,087–$3,484 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,223.71–$2,697.44 $2,643–$5,826 varies
Needle Biopsy Pancreas (48102)
range across 2 matching MRF lines		 $1,552.44–$2,697.44 $3,353–$5,826 varies
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $10.65–$21.76 $23–$47 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $33.80–$34.73 $73–$75 varies
Nerve repair w/conduit each nerve (64910) $11,860.67 $25,617 1.4×
Neu prksn msfl a-syncln prtn (0393U) $694.50 $1,500 1.3×
Neuro csf detcj prion prtn quakg conf conv qual (0584U) $243.08 $525 0.4×
Neuroeltrd Stim Post Tibial (64566) $371.33 $802 1.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 3 matching MRF lines		 $607.92–$1,206.12 $1,313–$2,605 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $6,152.81 $13,289 2.9×
Nipple/areola reconstruction (19350) $2,643.27 $5,709 0.7×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $727.84–$1,524.20 $1,572–$3,292 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $228.26–$525.97 $493–$1,136 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,971.07 $6,417 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,971.07 $6,417 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $769.97–$1,503.82 $1,663–$3,248 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $708.39 $1,530 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $574.12–$1,304.27 $1,240–$2,817 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $545.41 $1,178 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $708.39 $1,530 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $708.39 $1,530 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $547.27–$1,257.97 $1,182–$2,717 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $708.39–$1,649.21 $1,530–$3,562 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $582.45–$1,178.80 $1,258–$2,546 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $598.20 $1,292 0.9×
Njx Sclrsnt 1 Incmptnt Vein (36470) $332.43 $718 0.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $341.23–$740.34 $737–$1,599 varies
Njx Sclrsnt Spider Veins (36468) $279.19 $603 0.7×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $4,586.02 $9,905 0.7×
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $372.72 $805 2.9×
Obstructive material removal from gi tube (49460) $1,776.53 $3,837 2.0×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $256.50–$484.76 $554–$1,047 varies
Open biopsy/excision inguinofemoral nodes (38531) $2,643.27 $5,709 0.7×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) $5,160.14 $11,145 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $2,827.54 $6,107 0.9×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $2,663.64 $5,753 0.8×
Open tx interphalangeal joint dislocation (26785) $2,663.64 $5,753 0.8×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $6,268.56–$19,412.66 $13,539–$41,928 varies
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $6,081.97–$21,003.07 $13,136–$45,363 varies
Ostc prtl exostc/condylc metar head (28288) $2,387.69 $5,157 0.8×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $2,496.03 $5,391 0.8×
Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) $3,752.15 $8,104 0.7×
Partial excision of lip (40520) $2,285.83 $4,937 0.7×
Partial removal of nose (30150) $4,332.29 $9,357 0.8×
Partical Excision Bone Phalanx Toe (28124) $2,500.66 $5,401 0.8×
Pelvic examination under anesthesia (other than local) (57410) $2,149.71 $4,643 0.7×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines		 $4,818.90–$19,281.64 $10,408–$41,645 varies
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines		 $4,582.31–$10,181.37 $9,897–$21,990 varies
Percut Ablate Liver Rf (47382)
range across 2 matching MRF lines		 $5,642.12–$9,502.61 $12,186–$20,524 varies
Percut Cath Occlusn Non Cns Lesn (61626) $6,310.23 $13,629 0.6×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $585.23–$1,157.04 $1,264–$2,499 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,236.37 $6,990 1.1×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $1,617.72–$2,676.60 $3,494–$5,781 varies
Peritoneal Lavage (49084) $758.86 $1,639 0.9×
Perm Occlusion/Embolization,Percut,Cns (61624) $9,155.83 $19,775 0.5×
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $2,928.94–$6,191.24 $6,326–$13,372 varies
Perq dev breast 1st mr guide (19287)
range across 2 matching MRF lines		 $575.97–$1,161.20 $1,244–$2,508 varies
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $575.97–$1,288.99 $1,244–$2,784 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $575.97–$1,243.16 $1,244–$2,685 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $754.69–$3,125.25 $1,630–$6,750 varies
Perq dilation xst trc endourologic px w/img (50436) $2,635.40 $5,692 0.8×
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $2,923.85–$5,354.60 $6,315–$11,565 varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $5,728.70 $12,373 0.6×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,595.28 $9,925 0.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $802.38–$1,241.77 $1,733–$2,682 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $6,727.39–$19,412.66 $14,530–$41,928 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 2 matching MRF lines		 $4,943.91–$10,085.99 $10,678–$21,784 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $5,643.51–$11,898.17 $12,189–$25,698 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $5,643.51–$11,898.17 $12,189–$25,698 varies
Phleb Veins - Extrem 20+ (37766) $2,528.44 $5,461 0.8×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $455.13 $983 0.5×
Place Cath Subclavian Art (36225) $2,451.12 $5,294 0.8×
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $2,451.12–$5,974.55 $5,294–$12,904 varies
Place Cath Vertebral Art (36226) $4,086.44 $8,826 0.8×
Place Duod/Jej Tube Perc (49441)
range across 2 matching MRF lines		 $1,632.54–$3,290.08 $3,526–$7,106 varies
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $909.33–$2,445.10 $1,964–$5,281 varies
Placement Needle Pelvic Organ Radioelement Appl (55920) $3,727.61 $8,051 0.8×
Placement of needle for intraosseous infusion (36680) $317.62 $686 0.7×
Placement of seton (46020) $2,046 $4,419 0.8×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,652.22 $10,048 0.7×
Plmt Bile Duct Stent Prq Existing Access (47538) $5,018.46 $10,839 0.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $5,018.46 $10,839 0.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $1,841.35–$3,336.84 $3,977–$7,207 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $2,746.52–$5,765.28 $5,932–$12,452 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $2,486.31–$6,669.98 $5,370–$14,406 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $2,746.52–$6,387.55 $5,932–$13,796 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,746.52 $5,932 0.8×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $4,233.21 $9,143 0.7×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $3,660.02 $7,905 0.6×
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $7,919.15–$15,379.01 $17,104–$33,216 varies
Probe lacrimal canaliculi w/wo irrigation (68840) $302.80 $654 1.0×
Probing nasolacrimal duct (68810) $314.38 $679 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $686.63 $1,483 0.8×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,364.08 $5,106 0.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $594.96 $1,285 0.5×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $722.74 $1,561 1.4×
Prostatic microwave thermotx (53850) $5,671.29 $12,249 1.7×
Prostatotomy external drg abscess simple (55720) $2,709.48 $5,852 0.8×
Prosthesis Removal Humeral/Glenoid Component (23334)
unusually low: confirm this is the full procedure		 $2,367.78 $5,114 0.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $603.29 $1,303 0.9×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $4,751.77 $10,263 0.8×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines		 $2,971.07–$6,774.62 $6,417–$14,632 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)
range across 2 matching MRF lines		 $2,971.07–$6,105.12 $6,417–$13,186 varies
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $616.25–$1,030.64 $1,331–$2,226 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $208.35–$658.39 $450–$1,422 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $279.19–$658.39 $603–$1,422 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $555.14–$1,219.54 $1,199–$2,634 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $545.41 $1,178 0.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $545.41 $1,178 0.8×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,705.69 $3,684 0.9×
Rbc DNA gntyp 12 bld grp gen (0282U) $2,083.50 $4,500 2.9×
Reconstruction Tongue Fold (41520) $2,045.53 $4,418 0.6×
Redo Endovas Vena Cava Filtr (37192) $4,133.66 $8,928 1.3×
Relocation Pocket Pacemaker (33222)
range across 2 matching MRF lines		 $1,579.29–$3,045.61 $3,411–$6,578 varies
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $3,171.55–$6,103.27 $6,850–$13,182 varies
Removal Anal Seton Other Marker (46030) $878.31 $1,897 0.8×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)
range across 2 matching MRF lines		 $758.86–$1,716.34 $1,639–$3,707 varies
Removal Embedded Foreign Body Eyelid (67938) $345.86 $747 1.1×
Removal entire oi implt skl perq attachment esp (69726) $1,310.29 $2,830 0.4×
Removal Foreign Body Foot Complicated (28193) $1,357.05 $2,931 0.8×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,804.77–$2,697.44 $3,898–$5,826 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $610.70–$1,156.57 $1,319–$2,498 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,357.05–$2,751.61 $2,931–$5,943 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $102.79–$108.34 $222–$234 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $61.58–$108.34 $133–$234 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $2,074.24–$4,867.98 $4,480–$10,514 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $1,202.87–$2,825.69 $2,598–$6,103 varies
Removal implantable contraceptive capsules (11976) $566.25 $1,223 0.8×
Removal intact breast implant (19328) $2,643.27 $5,709 0.7×
Removal of a lesion from the floor of the mouth (41116) $2,285.83 $4,937 0.7×
Removal of calcium deposits (23000) $5,300.89 $11,449 1.9×
Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) $1,764.49 $3,811 0.8×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $326.42–$739.41 $705–$1,597 varies
Removal of kidney stone (50081) $7,753.40 $16,746 0.8×
Removal of mammary implant material (19330) $2,643.27 $5,709 0.7×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $334.75–$658.39 $723–$1,422 varies
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $2,417.32–$5,906.49 $5,221–$12,757 varies
Removal of vein clot (34490) $2,419.18 $5,225 0.8×
Removal or bivalving full arm or full leg cast (29705) $211.59 $457 0.8×
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $2,947.46–$6,851.47 $6,366–$14,798 varies
Removal peritoneal-venous shunt (49429) $2,363.62 $5,105 0.8×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $6,982.97–$16,266.12 $15,082–$35,132 varies
Removal shoulder foreign body deep subfascial/im (23333) $2,022.85 $4,369 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $178.26–$353.27 $385–$763 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $556.53–$1,223.25 $1,202–$2,642 varies
Removal Submand Stone,Complicated (42335) $2,542.80 $5,492 0.8×
Removal/bivalving gauntlet boot/body cast (29700) $231.50 $500 0.9×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $1,916.36 $4,139 0.9×
Remove drug implant device (11982) $317.62 $686 0.7×
Remove Elctrd Transvenously (33244)
range across 2 matching MRF lines		 $2,947.46–$6,400.05 $6,366–$13,823 varies
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $2,398.80–$2,978.02 $5,181–$6,432 varies
Remove foreign body from eye (65235) $1,101.48 $2,379 0.5×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $101.40–$219 $219–$473 varies
Remove Intrauterine Device (58301) $235.67 $509 0.8×
Remove intrvas foreign body (37197)
range across 2 matching MRF lines		 $2,696.98–$5,624.52 $5,825–$12,148 varies
Remove Lower Leg Bone Lesion (27635) $2,534.93 $5,475 0.8×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $1,089.90–$1,396.87 $2,354–$3,017 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $142.60–$219 $308–$473 varies
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $2,947.46–$6,314.39 $6,366–$13,638 varies
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $714.87–$1,178.80 $1,544–$2,546 varies
Remove Tendon Sheath Lesion (26160) $1,369.55 $2,958 0.9×
Remove thyroid lesion (60200) $4,042.92 $8,732 0.7×
Remove ureter stent percut (50384)
range across 2 matching MRF lines		 $1,833.94–$3,542.88 $3,961–$7,652 varies
Remove&replace pm gen singl (33227)
range across 2 matching MRF lines		 $4,702.23–$14,991.48 $10,156–$32,379 varies
Remove/Insert Drug Implant (11983) $333.36 $720 0.8×
Remv cartilage for graft nasal (20912)
range across 2 matching MRF lines		 $2,719.66–$6,647.29 $5,874–$14,357 varies
Remv&replc cvd gen dual lead (33263)
range across 2 matching MRF lines		 $9,582.25–$41,593.61 $20,696–$89,835 varies
Remv&replc cvd gen mult lead (33264)
range across 2 matching MRF lines		 $12,965.39–$62,987.45 $28,003–$136,042 varies
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $9,557.71–$43,673.40 $20,643–$94,327 varies
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $6,306.52–$18,842.71 $13,621–$40,697 varies
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $11,267.57–$37,306.23 $24,336–$80,575 varies
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $1,375.57–$2,697.44 $2,971–$5,826 varies
Repair brow ptosis (67900) $1,688.56 $3,647 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $586.62–$1,025.55 $1,267–$2,215 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $543.56–$1,025.55 $1,174–$2,215 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $370.86–$658.39 $801–$1,422 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $660.24–$1,025.55 $1,426–$2,215 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $559.30 $1,208 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $588.01–$1,046.38 $1,270–$2,260 varies
Repair complex trunk 1.1-2.5 cm (13100) $479.21 $1,035 0.7×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $575.97–$1,076.94 $1,244–$2,326 varies
Repair detached retina (67105) $469.48 $1,014 0.9×
Repair Ectropion Extensive (67917) $1,688.56 $3,647 0.7×
Repair Elbow Perc (24357)
range across 2 matching MRF lines		 $2,387.69–$6,009.28 $5,157–$12,979 varies
Repair Entropion Extensive (67924) $1,688.56 $3,647 0.7×
Repair Entropion Suture (67921) $1,688.56 $3,647 0.7×
Repair extensor tendon finger w/o graft each (26418) $2,855.32 $6,167 1.8×
Repair Eyelid Wound (67935) $2,023.77 $4,371 0.9×
Repair Hand Tendon (26410) $2,461.31 $5,316 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $348.64–$658.39 $753–$1,422 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $355.58–$714.41 $768–$1,543 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $371.79–$658.39 $803–$1,422 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $410.68–$738.95 $887–$1,596 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $391.70 $846 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $499.11 $1,078 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $364.84–$703.76 $788–$1,520 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $347.25–$658.39 $750–$1,422 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $485.69–$1,076.94 $1,049–$2,326 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $368.09–$671.81 $795–$1,451 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $364.84–$658.39 $788–$1,422 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $389.85–$658.39 $842–$1,422 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $585.23 $1,264 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $392.62–$658.39 $848–$1,422 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $2,306.20–$3,379.44 $4,981–$7,299 varies
Repair Laceration Palate >2 Cm/Complex (42182) $4,046.62 $8,740 0.7×
Repair Nasal Vestibular Stenosis (30465) $4,290.16 $9,266 0.7×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $435.68–$1,046.38 $941–$2,260 varies
Repair of windpipe defect (31825) $2,478.44 $5,353 0.8×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $13,230.23 $28,575 1.9×
Repair tongue laceration (41252) $544.03 $1,175 2.4×
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $340.77–$738.49 $736–$1,595 varies
Repair/graft finger tendon (26428) $2,381.21 $5,143 0.7×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $758.86–$1,599.67 $1,639–$3,455 varies
Replace eye fluid (67025) $1,764.49 $3,811 0.8×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $758.86–$1,599.67 $1,639–$3,455 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $758.86–$1,599.67 $1,639–$3,455 varies
Replacement Tissue Expander W/Permanent Implant (11970) $5,219.86 $11,274 0.7×
Repos Previously Implanted Subq Implantable Dfb (33273)
range across 2 matching MRF lines		 $2,947.46–$6,400.05 $6,366–$13,823 varies
Reposition Gastrostomy Tube (43761) $325.03 $702 1.3×
Reposition L Ventric Lead (33226) $2,451.12 $5,294 0.8×
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $2,451.12–$5,624.99 $5,294–$12,149 varies
Reposition Venous Catheter (36597) $1,422.80 $3,073 0.9×
Retrobulbar injection (67500) $327.80 $708 1.1×
Rev/rmv prph sac/gstr npg/r (64595) $2,746.98 $5,933 0.8×
Revise eyelashes (67825) $303.27 $655 1.0×
Revision of eyelid (67880) $1,789.50 $3,865 0.8×
Revision of lower leg tendon (27685) $2,389.08 $5,160 0.8×
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $4,488.79–$11,225.44 $9,695–$24,245 varies
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $5,190.69 $11,211 0.9×
Revj/rmvl peripheral neurostimulator electrode (64585) $2,746.98 $5,933 0.8×
Revj/rpr oprative wound anterior segment (66250) $1,896.45 $4,096 0.8×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 2 matching MRF lines		 $9,660.03–$16,216.58 $20,864–$35,025 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines		 $8,781.72–$14,742.38 $18,967–$31,841 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 2 matching MRF lines		 $10,743.92–$28,398.11 $23,205–$61,335 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 2 matching MRF lines		 $9,766.99–$25,816.42 $21,095–$55,759 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
range across 2 matching MRF lines		 $13,083.45–$40,430.09 $28,258–$87,322 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 2 matching MRF lines		 $11,894.01–$36,754.79 $25,689–$79,384 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 2 matching MRF lines		 $9,264.63–$29,562.55 $20,010–$63,850 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 2 matching MRF lines		 $8,422.43–$26,875.30 $18,191–$58,046 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298)
range across 2 matching MRF lines		 $9,293.34–$21,842.95 $20,072–$47,177 varies
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
range across 2 matching MRF lines		 $8,448.82–$21,842.95 $18,248–$47,177 varies
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 2 matching MRF lines		 $7,733.95–$16,713.37 $16,704–$36,098 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 2 matching MRF lines		 $7,030.66–$15,193.81 $15,185–$32,816 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 2 matching MRF lines		 $9,075.26–$29,066.21 $19,601–$62,778 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 2 matching MRF lines		 $8,250.20–$26,423.87 $17,819–$57,071 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 2 matching MRF lines		 $9,540.58–$29,066.21 $20,606–$62,778 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $8,673.38–$26,423.87 $18,733–$57,071 varies
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
range across 2 matching MRF lines		 $12,535.73–$40,430.09 $27,075–$87,322 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
range across 2 matching MRF lines		 $11,396.28–$36,754.79 $24,614–$79,384 varies
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
range across 2 matching MRF lines		 $12,740.83–$34,685.65 $27,518–$74,915 varies
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)
range across 2 matching MRF lines		 $11,582.41–$34,685.65 $25,016–$74,915 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 2 matching MRF lines		 $12,797.78–$40,430.09 $27,641–$87,322 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 2 matching MRF lines		 $11,634.26–$36,754.79 $25,128–$79,384 varies
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $3,960.50 $8,554 0.7×
Rhytidectomy Cheek Chin & Neck (15828) $2,799.30 $6,046 0.8×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $1,972.84–$3,955.41 $4,261–$8,543 varies
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $1,688.56 $3,647 0.7×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $220.39 $476 0.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $685.70 $1,481 0.8×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,202.87 $2,598 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $317.62–$703.30 $686–$1,519 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $119.92–$219 $259–$473 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $317.62 $686 0.7×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $356.05 $769 1.2×
Rmvl fecal impaction/fb spx under anes (45915) $957.95 $2,069 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $2,444.64–$4,879.09 $5,280–$10,538 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,357.05 $2,931 0.8×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $1,629.30 $3,519 0.7×
Rmvl of subq implantable defibrillator electrode (33272) $2,947.46 $6,366 0.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,501.05 $3,242 0.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)
range across 2 matching MRF lines		 $2,947.46–$6,314.39 $6,366–$13,638 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,244.08–$3,042.37 $2,687–$6,571 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $626.90–$1,182.97 $1,354–$2,555 varies
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $2,285.83 $4,937 0.7×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $205.11–$450.50 $443–$973 varies
Rplcmt cath ctr vad subq port/pmp (36578) $2,164.99 $4,676 0.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $1,422.80–$2,967.83 $3,073–$6,410 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $1,422.80–$2,826.15 $3,073–$6,104 varies
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $2,451.12–$5,624.99 $5,294–$12,149 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $2,451.12–$5,624.99 $5,294–$12,149 varies
Rpr blood vessel direct lower extremity (35226) $1,555.22 $3,359 2.3×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,422.80 $3,073 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $194.46–$368.09 $420–$795 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $499.11 $1,078 0.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $418.55 $904 1.8×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $1,823.29 $3,938 0.8×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $2,780.78 $6,006 0.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $393.55–$990.36 $850–$2,139 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $402.81–$943.13 $870–$2,037 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $1,179.72–$2,743.74 $2,548–$5,926 varies
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $1,881.17 $4,063 0.8×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $1,743.66 $3,766 0.8×
Sclerotx Fluid Collection (49185)
range across 2 matching MRF lines		 $1,066.75–$2,697.44 $2,304–$5,826 varies
Severing tarsorrhaphy (67710) $819.97 $1,771 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $966.28–$1,688.56 $2,087–$3,647 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $1,459.38–$2,183.97 $3,152–$4,717 varies
Shave skin lesion 0.5 cm/< (11300) $208.35 $450 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $186.59 $403 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $300.02 $648 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $182.89–$353.27 $395–$763 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $192.15–$368.09 $415–$795 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $199.09 $430 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $287.52 $621 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $185.66 $401 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $291.69 $630 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $208.35 $450 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $573.66 $1,239 1.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $197.70 $427 1.0×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $2,285.83 $4,937 0.7×
Sigmoidoscopy & decompress (45337) $1,459.38 $3,152 1.6×
Sigmoidoscopy & Polypectomy (45333) $615.79 $1,330 0.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,459.38 $3,152 1.3×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,459.38 $3,152 1.3×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,459.38 $3,152 1.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $955.63 $2,064 0.8×
Sigmoidoscopy w/fb removal (45332)
range across 2 matching MRF lines		 $1,459.38–$2,264.53 $3,152–$4,891 varies
Sigmoidoscopy w/plcmt stent (45347) $4,307.29 $9,303 0.7×
Sigmoidoscopy W/Resection (45349) $2,092.76 $4,520 0.8×
Sigmoidoscopy W/Ultrasound (45341) $1,459.38 $3,152 1.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $966.28–$1,688.56 $2,087–$3,647 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,459.38 $3,152 1.3×
Simple Cystometrogram (51725) $410.22 $886 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $277.80–$769.51 $600–$1,662 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $186.59–$383.36 $403–$828 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $186.59–$383.36 $403–$828 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $288.45 $623 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $191.22–$353.27 $413–$763 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $314.84 $680 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $178.26–$383.36 $385–$828 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $398.18 $860 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $193.07–$353.27 $417–$763 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,499.66–$3,218.31 $3,239–$6,951 varies
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $1,039.44–$3,218.31 $2,245–$6,951 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $1,039.44–$3,218.31 $2,245–$6,951 varies
Skin sub grft t/arm/lg child (15273)
range across 3 matching MRF lines		 $2,598.82–$6,176.88 $5,613–$13,341 varies
Skin Tissue Procedure (17999) $353.27 $763 1.8×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $1,416.32–$3,379.44 $3,059–$7,299 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $4,086.44–$10,529.08 $8,826–$22,741 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $2,451.12–$5,624.52 $5,294–$12,148 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $4,086.44 $8,826 0.8×
Slitting of prepuce (54001) $1,546.42 $3,340 0.8×
Small bowel endoscopy (44366)
range across 3 matching MRF lines		 $1,942.75–$3,357.68 $4,196–$7,252 varies
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,270.94 $2,745 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $185.20–$383.36 $400–$828 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $296.78–$651.90 $641–$1,408 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $369.94 $799 0.9×
Snip Incision Lacrimal Punctum (68440) $258.82 $559 0.8×
Sperm washing artificial insemination (58323) $119.92 $259 0.6×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $545.41–$1,137.13 $1,178–$2,456 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,694.66 $5,820 0.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $1,539.94–$3,218.31 $3,326–$6,951 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $2,484.92 $5,367 0.8×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $1,840.43 $3,975 0.8×
Strabismus Recession/Rescj 1 Ver Musc (67314) $1,818.66 $3,928 0.8×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $2,905.79 $6,276 0.8×
Strapping ankle (29540) $153.25 $331 1.0×
Strapping elbow or wrist (29260) $81.49 $176 1.4×
Strapping hand/finger (29280) $84.73 $183 1.5×
Strapping knee (29530) $129.64 $280 1.0×
Strapping shoulder (29240) $129.64 $280 1.0×
Strapping thorax (29200) $163.90 $354 1.0×
Strapping toes (29550) $77.78 $168 1.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $138.44–$281.97 $299–$609 varies
Subconjunctival injection (68200) $265.30 $573 0.6×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $435.68 $941 0.6×
Suprachoroidal space njx pharmacologic agent (67516) $334.75 $723 1.0×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $2,378.43 $5,137 0.7×
Surg tx anal fistula subq (46270) $2,376.58 $5,133 0.9×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $153.72–$353.27 $332–$763 varies
Tattooing incl micropigmentation 6.0 cm/< (11920) $492.17 $1,063 0.7×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $555.14 $1,199 0.8×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
unusually low: confirm this is the full procedure		 $9,905.89 $21,395 0.4×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $9,807.27–$32,369.72 $21,182–$69,913 varies
Tcat Rmvl Perm Ldls Pm (33275) $2,451.12 $5,294 0.8×
Temporary Closure Eyelids Suture (67875) $718.58 $1,552 0.7×
Tenodesis Wrist Extensors Fingers (25301) $2,433.07 $5,255 0.8×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $2,479.37 $5,355 0.8×
Tenotomy Adductor Hip Percutaneous Spx (27000)
range across 2 matching MRF lines		 $1,807.09–$2,964.13 $3,903–$6,402 varies
Tenotomy Hip Abd/Ext Open (27006) $6,009.28 $12,979 1.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,246.40 $2,692 0.8×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 2 matching MRF lines		 $1,285.29–$2,964.13 $2,776–$6,402 varies
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)
range across 2 matching MRF lines		 $2,387.69–$6,009.28 $5,157–$12,979 varies
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $6,009.28 $12,979 1.9×
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $5,219.86–$13,230.23 $11,274–$28,575 varies
Tenotomy, hip flexor(s), open (27005) $4,028.10 $8,700 1.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,279.27 $2,763 0.8×
Ther Apheresis,Red Blood Cells (36512) $1,109.81 $2,397 0.7×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $576.44–$1,152.41 $1,245–$2,489 varies
Therapeutic plasma exchange (36514) $2,369.17 $5,117 1.6×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $7,270.49 $15,703 0.6×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $4,086.44 $8,826 0.8×
Thrmbc/Nfs Dialysis Circuit (36906)
range across 2 matching MRF lines		 $9,807.27–$30,942.29 $21,182–$66,830 varies
Thromblytic art/ven therapy (37213)
range across 2 matching MRF lines		 $2,451.12–$5,624.99 $5,294–$12,149 varies
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $5,006.42 $10,813 0.9×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $4,353.59–$9,697.07 $9,403–$20,944 varies
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $2,451.12–$5,624.99 $5,294–$12,149 varies
Thyroid biopsy (60100) $627.37 $1,355 0.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,449.65 $3,131 0.7×
Tooth extraction (41899) $194 $419 0.8×
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $932.48 $2,014 0.2×
Trabeculoplasty by laser surgery (65855) $475.04 $1,026 0.9×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $424.57–$970.91 $917–$2,097 varies
Tracheostoma revj smpl w/o flap rotation (31613) $2,162.21 $4,670 0.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $474.11 $1,024 2.1×
Transcatheter biopsy (37200)
range across 2 matching MRF lines		 $4,353.59–$10,521.68 $9,403–$22,725 varies
Transection/Avulsion Facial Nrv Different/Cmpl (64742) $2,366.86 $5,112 1.2×
Transoral lower esophageal myotomy (43497) $4,310.07 $9,309 0.7×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $3,264.61 $7,051 0.6×
Treat Big Toe Fracture (28505) $2,571.50 $5,554 0.8×
Treat humerus fracture (24500) $320.86 $693 1.3×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,204.26–$3,334.06 $2,601–$7,201 varies
Treat humerus fracture (23600) $272.24 $588 1.1×
Treat knee fracture (27532) $3,199.33 $6,910 1.0×
Treat Knee Fracture(S) (27538) $627.37 $1,355 2.6×
Treat Knuckle Dislocation (26700) $277.80 $600 1.2×
Treat Metatarsal Fracture (28475) $398.18 $860 1.7×
Treat Tail Bone Fracture (27200) $380.12 $821 1.6×
Treat Thumb Dislocation (26641) $319.01 $689 1.3×
Treat Thumb Fracture (26645) $1,358.44 $2,934 0.9×
Treat toe dislocation (28630) $294.01 $635 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,501.05–$2,703.46 $3,242–$5,839 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $364.38–$926 $787–$2,000 varies
Treatment extensive retinopathy photocoagulation (67228) $679.68 $1,468 1.3×
Treatment of nose fracture (21330) $4,483.23 $9,683 0.8×
Treatment of tibia fracture (27756) $5,643.51 $12,189 0.8×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $153.72–$383.36 $332–$828 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $153.72–$383.36 $332–$828 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $153.72–$353.27 $332–$763 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $51.39–$108.34 $111–$234 varies
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $5,190.69–$9,381.31 $11,211–$20,262 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $5,190.69–$9,381.31 $11,211–$20,262 varies
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $3,590.57 $7,755 1.0×
Tx Gastro Intub W/Asp (43753) $254.19 $549 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $2,150.17–$5,888.90 $4,644–$12,719 varies
Tx Missed Abortion First Trimester Surgical (59820) $2,180.73 $4,710 0.7×
Tx open tendon flexor toe 1 tendon spx (28232) $1,204.26 $2,601 0.8×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 2 matching MRF lines		 $1,204.26–$2,964.13 $2,601–$6,402 varies
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,977.55 $6,431 1.9×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $460.69–$1,091.75 $995–$2,358 varies
Tx superficial wound dehiscence w/packing (12021) $291.69 $630 0.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,609.85 $3,477 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $269.93 $583 1.1×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,208.51 $4,770 1.5×
Unlisted Cardiac Surgery (33999) $1,393.63 $3,010 2.3×
Unlisted fetal invasive px w/ultrasound (59897) $512.54 $1,107 2.6×
Unlisted Procedure Accessory Sinuses (31299) $544.03 $1,175 2.4×
Unlisted procedure anus (46999) $666.72 $1,440 0.7×
Unlisted procedure breast (19499)
range across 3 matching MRF lines		 $1,660.32–$7,062.60 $3,586–$15,254 varies
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines		 $4,334.61–$7,400.13 $9,362–$15,983 varies
Unlisted Procedure Hands/Fingers (26989) $262.52 $567 1.1×
Unlisted Procedure Intestine (44799) $779.69 $1,684 0.9×
Unlisted procedure lungs and pleura (32999)
range across 2 matching MRF lines		 $573.66–$1,438.54 $1,239–$3,107 varies
Unlisted Procedure Muscskeletal System General (20999) $769.97 $1,663 3.2×
Unlisted procedure nervous system (64999)
range across 8 matching MRF lines		 $228.72–$1,872.84 $494–$4,045 varies
Unlisted procedure pancreas (48999) $605.14 $1,307 0.9×
Unlisted procedure pelvis/hip joint (27299) $542.17 $1,171 2.3×
Unlisted Procedure Rectum (45999) $1,426.50 $3,081 1.6×
Unlisted procedure spine (22899)
range across 2 matching MRF lines		 $211.13–$542.17 $456–$1,171 varies
Unlisted procedure stomach (43999) $678.76 $1,466 0.8×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $55.56–$222.70 $120–$481 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $685.70 $1,481 0.8×
Unlisted px female genital system nonobstetrical (58999) $156.96 $339 0.8×
Upgrade of pacemaker system (33214)
range across 2 matching MRF lines		 $9,224.35–$20,351.63 $19,923–$43,956 varies
Uvulectomy excision of uvula (42140) $1,288.99 $2,784 0.4×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $3,430.37–$5,888.90 $7,409–$12,719 varies
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $8,582.63–$20,003.92 $18,537–$43,205 varies
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $6,694.98–$19,412.66 $14,460–$41,928 varies
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $7,092.70–$19,412.66 $15,319–$41,928 varies
Vasc embolize/occlude venous (37241)
range across 2 matching MRF lines		 $6,356.53–$21,003.07 $13,729–$45,363 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $1,546.42 $3,340 0.8×
Venous Cutdown >1 Y/O (36425) $317.62 $686 0.7×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $5,561.56–$21,003.07 $12,012–$45,363 varies
Ventricular puncture previous burr hole w/inj (61026) $545.41 $1,178 0.8×
Vulvectomy simple partial (56620) $2,377.04 $5,134 0.8×
Wedge excision skin nail fold (11765) $341.23 $737 0.9×
Wedging of cast (29740) $350.95 $758 1.3×
Windowing of cast (29730) $123.16 $266 0.8×
Wound Prep F/N/Hf/G (15004) $510.69 $1,103 1.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.