Procedures & surgery prices at Bigfork Valley Hospital

Bigfork, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,188.75 $1,674.30 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $323.97–$1,209.77 $456.30–$1,703.90 varies
Acromiopl/Acromionect Partial (23130)
range across 2 matching MRF lines		 $1,585.08–$2,860.09 $2,232.50–$4,028.30 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,879.02–$2,185.10 $2,646.50–$3,077.60 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 3 matching MRF lines		 $1,738.86–$3,591.04 $2,449.10–$5,057.80 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $2,211.22–$4,010.65 $3,114.40–$5,648.80 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $1,909.26–$2,673.51 $2,689.10–$3,765.50 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $1,441.02–$2,747.98 $2,029.60–$3,870.40 varies
Amputate Metacarpal Bone (26910)
range across 2 matching MRF lines		 $2,024.35–$3,071.32 $2,851.20–$4,325.80 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,214.81–$2,188.15 $1,711–$3,081.90 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $1,229.79–$3,417.80 $1,732.10–$4,813.80 varies
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $2,284.57–$3,483.40 $3,217.70–$4,906.20 varies
Anal/Urinary Muscle Study (51784) $310.70 $437.60 2.3×
Anoscopy diagnostic (46600) $169.76 $239.10 1.2×
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines		 $3,092.26–$4,780.36 $4,355.30–$6,732.90 varies
Appendectomy (44950)
range across 2 matching MRF lines		 $1,947.46–$3,216.80 $2,742.90–$4,530.70 varies
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $197.74 $278.50 1.2×
Application cast elbow finger short arm (29075) $334.77 $471.50 1.2×
Application finger splint static (29130) $166.99 $235.20 1.2×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $179.99–$231.89 $253.50–$326.60 varies
Application Long Leg Splint (29505) $240.19 $338.30 1.4×
Application of long leg cast (29345) $286.34 $403.30 1.0×
Application Short Arm Splint Dynamic (29126) $247.72 $348.90 1.8×
Application short arm splint forearm-hand static (29125) $178.14 $250.90 1.3×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $131.85–$236.64 $185.70–$333.30 varies
Application, cast; figure-of-eight Facility (29049) $122.55 $172.60 0.4×
Apply hand/wrist cast (29085) $265.26 $373.60 1.6×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $266.75–$320 $375.70–$450.70 varies
Apply Multlay Comprs Lwr Leg (29581) $215.77 $303.90 1.3×
Apply Short Leg Cast (29405) $355.14 $500.20 1.2×
Apply short leg cast (29425) $283.08 $398.70 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $77.60–$209.45 $109.30–$295 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $627.36 $883.60 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $234.73 $330.60 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $150.45–$728.60 $211.90–$1,026.20 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $120.77–$209.45 $170.10–$295 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines		 $1,270.83–$4,780.36 $1,789.90–$6,732.90 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $1,546.74–$4,780.36 $2,178.50–$6,732.90 varies
Arthrodesis knee any technique (27580)
range across 2 matching MRF lines		 $4,099.97–$5,037.17 $5,774.60–$7,094.60 varies
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure		 $11,942.06 $16,819.80 0.4×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $3,067.84–$12,288.47 $4,320.90–$17,307.70 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
range across 2 matching MRF lines		 $4,802.01–$9,510.38 $6,763.40–$13,394.90 varies
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $3,601.40–$3,897.69 $5,072.40–$5,489.70 varies
Arthroplasty Patella W/Prosthesis (27438)
range across 2 matching MRF lines		 $2,908.94–$9,510.38 $4,097.10–$13,394.90 varies
Arthroplasty Radial Head W/Implant (24366)
range across 2 matching MRF lines		 $2,097.77–$9,510.38 $2,954.60–$13,394.90 varies
Arthroplasty, knee, tibial plateau; Facility (27440)
range across 2 matching MRF lines		 $2,376.44–$9,510.38 $3,347.10–$13,394.90 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $1,444.78–$4,619.40 $2,034.90–$6,506.20 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $1,041.14–$3,602.11 $1,466.40–$5,073.40 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $1,677.73–$3,739.22 $2,363–$5,266.50 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $1,724.80–$4,018.17 $2,429.30–$5,659.40 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 2 matching MRF lines		 $1,970.25–$3,976 $2,775–$5,600 varies
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $1,932.62–$2,188.15 $2,722–$3,081.90 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $2,973.55–$5,488.37 $4,188.10–$7,730.10 varies
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $1,610.99–$2,485 $2,269–$3,500 varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)
range across 2 matching MRF lines		 $2,675.78–$3,988.57 $3,768.70–$5,617.70 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $2,230.47–$4,097.62 $3,141.50–$5,771.30 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $2,319.43–$3,176.97 $3,266.80–$4,474.60 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $2,021.73–$2,718.38 $2,847.50–$3,828.70 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $2,988.39–$5,578.19 $4,209–$7,856.60 varies
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821)
range across 2 matching MRF lines		 $2,200.72–$4,443.25 $3,099.60–$6,258.10 varies
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $1,843.66–$2,817.42 $2,596.70–$3,968.20 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $3,121.94–$4,780.36 $4,397.10–$6,732.90 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $1,873.34–$4,080.09 $2,638.50–$5,746.60 varies
Arthrotomy W/Meniscus Repair Knee (27403)
range across 2 matching MRF lines		 $2,905.53–$4,780.36 $4,092.30–$6,732.90 varies
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040)
range across 2 matching MRF lines		 $2,736.98–$4,609.11 $3,854.90–$6,491.70 varies
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $2,003.41 $2,821.70 0.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $6,676.77–$9,633.85 $9,403.90–$13,568.80 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $3,746.32–$5,461.46 $5,276.50–$7,692.20 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $2,081.08–$3,379.81 $2,931.10–$4,760.30 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $2,378.78–$4,895.38 $3,350.40–$6,894.90 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $1,152.83–$3,063.93 $1,623.70–$4,315.40 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $1,441.02–$3,441.80 $2,029.60–$4,847.60 varies
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020)
range across 2 matching MRF lines		 $1,352.76–$2,188.15 $1,905.30–$3,081.90 varies
Arthrt w/synvct kne ant&post w/pop area (27335)
range across 2 matching MRF lines		 $2,178.85–$4,780.36 $3,068.80–$6,732.90 varies
Aspirate pleura w/ imaging (32555) $592.21 $834.10 0.9×
Aspirate Pleura W/O Imaging (32554) $592.21 $834.10 0.9×
Aspirate/Inj Ganglion Cyst (20612) $124.39 $175.20 0.4×
Aspiration and/or injection thyroid cyst (60300) $488.41 $687.90 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $204.05 $287.40 1.0×
Biopsy Abdominal Mass (49180) $1,097.31 $1,545.50 0.6×
Biopsy bone trocar/needle deep (20225) $1,425.96 $2,008.40 0.8×
Biopsy muscle percutaneous needle (20206) $1,097.31 $1,545.50 0.6×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $535.48–$3,135.29 $754.20–$4,415.90 varies
Biopsy of liver, needle; percutaneous (47000) $1,302 $1,833.80 0.8×
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $609.39–$3,935.89 $858.30–$5,543.50 varies
Biopsy soft tissue back/flank deep (21925) $2,950.90 $4,156.20 1.7×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $520.43–$1,097.31 $733–$1,545.50 varies
Biopsy Tongue Anterior Two-Thirds (41100) $315.95 $445 0.6×
Biopsy, vestibule of mouth (40808) $276.90 $390 0.5×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $1,207.07–$3,797.58 $1,700.10–$5,348.70 varies
Bladder Irrigation (51700) $187.94 $264.70 0.7×
Bladder Scan (51798) $106 $149.30 1.7×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $741.52–$926.12 $1,044.40–$1,304.40 varies
Bx breast 1st lesion us imag (19083) $1,097.31 $1,545.50 0.6×
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $229.90–$1,097.31 $323.80–$1,545.50 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $1,207.07–$4,789.73 $1,700.10–$6,746.10 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $724.06–$2,655.33 $1,019.80–$3,739.90 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $763.61–$2,549.26 $1,075.50–$3,590.50 varies
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450)
range across 2 matching MRF lines		 $2,571.55–$4,780.36 $3,621.90–$6,732.90 varies
Capsulorrhaphy Anterior W/Labral Repair (23455)
range across 2 matching MRF lines		 $5,042.21–$5,517.13 $7,101.70–$7,770.60 varies
Capsulotomy Iphal Joint Each Joint Spx (28272)
range across 3 matching MRF lines		 $564.95–$2,149.10 $795.70–$3,026.90 varies
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $2,469.10–$2,778.80 $3,477.60–$3,913.80 varies
Carpectomy All Bones Proximal Row (25215)
range across 2 matching MRF lines		 $1,755.12–$5,769.82 $2,472–$8,126.50 varies
Change Cystostomy Tube Simple (51705) $292.17 $411.50 1.1×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $124.82–$350.03 $175.80–$493 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $304.16–$524.62 $428.40–$738.90 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $285.99–$415.85 $402.80–$585.70 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $277.97–$462.57 $391.50–$651.50 varies
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $327.67–$500.41 $461.50–$704.80 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $352.37–$581.70 $496.30–$819.30 varies
Chest tube placement (32551) $1,304.34 $1,837.10 0.8×
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $774.82–$2,821.26 $1,091.30–$3,973.60 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,591.32 $2,241.30 1.0×
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $1,512.66–$2,559.83 $2,130.50–$3,605.40 varies
Clear outer ear canal (69200) $172.53 $243 1.3×
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $1,344.88–$3,270.40 $1,894.20–$4,606.20 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,083.67 $1,526.30 0.7×
Closed tx ankle dislocation w/o anesthesia (27840) $1,095.81 $1,543.40 4.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,083.67–$1,118.46 $1,526.30–$1,575.30 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $691.19 $973.50 2.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $392.70 $553.10 1.5×
Closed tx carpal scaphoid fracture w/manj (25624) $1,016.51 $1,431.70 0.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $989.60 $1,393.80 3.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $715.47–$1,229.79 $1,007.70–$1,732.10 varies
Closed tx knee dislocation w/o anesthesia (27550) $537.75 $757.40 2.1×
Closed tx metatarsal fracture w/o manipulation (28470) $434.80 $612.40 1.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,512.69 $3,539 1.5×
Closed tx patellar dislocation w/o anesthesia (27560) $489.12 $688.90 1.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $749.55 $1,055.70 2.9×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $984.34–$1,083.67 $1,386.40–$1,526.30 varies
Closed tx radial head/neck fx w/o manipulation (24650) $680.11 $957.90 2.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $411.66 $579.80 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,154.67 $1,626.30 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $724.48 $1,020.40 2.8×
Closed tx talus fracture w/o manipulation (28430) $654.55 $921.90 2.6×
Clsd tx acromioclavicular dislc w/manipulation (23545) $742.23 $1,045.40 2.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $989.60 $1,393.80 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,008.70–$1,756.75 $1,420.70–$2,474.30 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $654.34–$692.75 $921.60–$975.70 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $919.38–$1,084.74 $1,294.90–$1,527.80 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $579.43 $816.10 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $516.03 $726.80 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $370.98 $522.50 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $552.45 $778.10 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,164.90–$1,731.62 $1,640.70–$2,438.90 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $277.40 $390.70 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $476.13 $670.60 1.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $760.27 $1,070.80 3.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $531.86 $749.10 2.1×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,321.24–$2,043.59 $1,860.90–$2,878.30 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $851.29 $1,199 3.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $888.71–$1,104.83 $1,251.70–$1,556.10 varies
Cltx iphal jt dislc w/manj w/o anes (26770) $428.34 $603.30 1.7×
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,083.67–$1,267.49 $1,526.30–$1,785.20 varies
Cltx metacarpal fx w/manipulation each bone (26605) $384.89 $542.10 1.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $494.94 $697.10 1.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $695.80–$1,755.12 $980–$2,472 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines		 $369.56–$1,410.27 $520.50–$1,986.30 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $596.83–$643.33 $840.60–$906.10 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $370.98 $522.50 1.5×
Cltx post hip arthrp dislc req anes (27266) $1,606.73 $2,263 1.0×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $651.57–$932.23 $917.70–$1,313 varies
Cltx prox fibula/shft fx w/manj (27781) $1,140.54 $1,606.40 0.7×
Cltx prox fibula/shft fx w/o manj (27780) $581.28 $818.70 2.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines		 $1,083.67–$1,167.52 $1,526.30–$1,644.40 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $1,052.93–$1,512.66 $1,483–$2,130.50 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $624.73 $879.90 2.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $834.18 $1,174.90 3.3×
Cltx tibial fx proximal w/o manipulation (27530) $1,020.77 $1,437.70 4.0×
Cltx tibial shaft fx w/o manipulation (27750) $762.47 $1,073.90 3.0×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,359.37–$1,477.94 $1,914.60–$2,081.60 varies
Collect Blood From Catheter Venous Nos (36592) $87.97 $123.90 0.6×
Collection of venous blood by venipuncture (36415) $32.73 $46.10 3.5×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $1,040.29–$2,317.09 $1,465.20–$3,263.50 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $865.77–$2,317.01 $1,219.40–$3,263.40 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $1,081.05–$2,248.78 $1,522.60–$3,167.30 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,113.49–$1,141.61 $1,568.30–$1,607.90 varies
Colonoscopy w/submucosal inj (45381) $798.04 $1,124 0.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,384.96 $3,359.10 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,337.14–$1,718.91 $1,883.30–$2,421 varies
Complex Cystometrogram (51726) $522.92 $736.50 2.0×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $479.53–$3,020.20 $675.40–$4,253.80 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $4,281.23 $6,029.90 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $329.16 $463.60 2.4×
Control Nasal Hemorrhage Anterior Simple (30901) $308.71 $434.80 2.2×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $7,751.43–$7,906.35 $10,917.50–$11,135.70 varies
Correction hammertoe (28285)
range across 2 matching MRF lines		 $1,019.35–$2,188.15 $1,435.70–$3,081.90 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $2,389.29–$3,478.93 $3,365.20–$4,899.90 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $1,367.46–$4,504.81 $1,926–$6,344.80 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $1,897.69–$2,965.74 $2,672.80–$4,177.10 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines		 $1,828.25–$5,984.52 $2,575–$8,428.90 varies
Create Eardrum Opening (69433) $351.45 $495 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $395.83 $557.50 2.9×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942)
range across 2 matching MRF lines		 $284.07–$839.43 $400.10–$1,182.30 varies
Cysto W/Simple Removal Stone & Stent (52310) $1,992.05 $2,805.70 0.9×
Cystourethroscopy (52000) $891.55 $1,255.70 1.2×
Cystourethroscopy inj chemodenervation bladder (52287) $1,416.10 $1,994.50 0.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $398.10 $560.70 0.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $2,213.43–$3,206.57 $3,117.50–$4,516.30 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $1,638.11–$2,446.94 $2,307.20–$3,446.40 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $626.43–$1,120.38 $882.30–$1,578 varies
Debride nail 6 or more (11721) $76.82 $108.20 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,826.40 $2,572.40 1.1×
Debridement Mastoidectomy Cavity Simple (69220) $178.92 $252 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $428.34 $603.30 1.0×
Declot vascular device (36593) $270.79 $381.40 0.8×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $1,757.11–$3,462.24 $2,474.80–$4,876.40 varies
Destr penis lesion(s) (54065)
range across 2 matching MRF lines		 $517.95–$1,297.10 $729.50–$1,826.90 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,128.47–$1,693.71 $1,589.40–$2,385.50 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,106.61–$2,496.08 $1,558.60–$3,515.60 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $140.01–$196.67 $197.20–$277 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $163.66–$244.03 $230.50–$343.70 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $927.76–$998.54 $1,306.70–$1,406.40 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $145.83–$174.80 $205.40–$246.20 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $238.42–$704.46 $335.80–$992.20 varies
Diaphragm or cervical cap fitting with instructions (57170) $77.60 $109.30 0.4×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $334.69–$871.10 $471.40–$1,226.90 varies
Dilation & curettage dx&/ther nonobstetric (58120) $2,486.85 $3,502.60 0.7×
Drain Cerebro Spinal Fluid (62272) $495.44 $697.80 0.7×
Drain Hand Tendon Sheath (26020)
range across 2 matching MRF lines		 $1,441.02–$2,524.76 $2,029.60–$3,556 varies
Drain shoulder bursa (23031)
range across 2 matching MRF lines		 $960.77–$2,163.51 $1,353.20–$3,047.20 varies
Drain/inj small joint/bursa w/us (20604) $526.11 $741 1.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $587.53 $827.50 0.8×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $780.93–$3,066.63 $1,099.90–$4,319.20 varies
Drainage of finger abscess simple (26010) $556.07 $783.20 2.7×
Drainage of gum lesion (41800) $325.54 $458.50 2.4×
Drainage of hematoma/fluid (10140) $1,514.86 $2,133.60 0.9×
Drainage of rectal abscess (45020) $2,396.32 $3,375.10 0.8×
Draw Blood Off Venous Device (36591) $108.77 $153.20 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $458.02 $645.10 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $418.26 $589.10 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $232.81 $327.90 1.1×
Dstrj lesion anus simple surg excision (46922) $1,874.05 $2,639.50 0.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $775.68–$1,140.76 $1,092.50–$1,606.70 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,034.19 $1,456.60 1.4×
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $687.42–$2,362.31 $968.20–$3,327.20 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,320.53–$1,871.63 $1,859.90–$2,636.10 varies
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $1,604.39–$1,617.81 $2,259.70–$2,278.60 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $1,452.38–$1,632.57 $2,045.60–$2,299.40 varies
Electro-Uroflowmetry First (51741) $111.19 $156.60 0.5×
Endocervical curettage (57505) $77.60 $109.30 0.1×
Enterorrhaphy single perforation (44602)
range across 2 matching MRF lines		 $3,042.56–$4,056.09 $4,285.30–$5,712.80 varies
Enteroscopy > 2nd prtn conv gstrst tube (44373)
range across 2 matching MRF lines		 $1,136.36–$2,207.89 $1,600.50–$3,109.70 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,166.81–$2,023.57 $1,643.40–$2,850.10 varies
Evacuation of subungual hematoma (11740) $129.01 $181.70 0.9×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $1,681.14–$2,963.82 $2,367.80–$4,174.40 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $208.10–$488.41 $293.10–$687.90 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $496.22–$1,097.31 $698.90–$1,545.50 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $1,039.51–$1,491.14 $1,464.10–$2,100.20 varies
Exc Back Tum Deep 5 Cm/> (21933) $2,097.77 $2,954.60 0.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $1,174.70–$2,421.46 $1,654.50–$3,410.50 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $605.49–$704.32 $852.80–$992 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $730.31–$918.39 $1,028.60–$1,293.50 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $1,025.38–$1,257.41 $1,444.20–$1,771 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $540.67–$2,426.57 $761.50–$3,417.70 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $248.22–$488.41 $349.60–$687.90 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $77.60 $109.30 0.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $436.79–$745.15 $615.20–$1,049.50 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $545.14–$1,097.31 $767.80–$1,545.50 varies
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $1,896.98–$4,753.81 $2,671.80–$6,695.50 varies
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $1,537.08–$3,610.56 $2,164.90–$5,085.30 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $77.60–$1,097.31 $109.30–$1,545.50 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $268.24–$650.72 $377.80–$916.50 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $337.32–$1,097.31 $475.10–$1,545.50 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $1,152.83–$2,037.35 $1,623.70–$2,869.50 varies
Exc hand tum deep < 1.5 cm (26116)
range across 2 matching MRF lines		 $1,602.75–$2,302.81 $2,257.40–$3,243.40 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $1,124.85–$2,713.83 $1,584.30–$3,822.30 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 2 matching MRF lines		 $1,019.35–$1,882.28 $1,435.70–$2,651.10 varies
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788)
range across 2 matching MRF lines		 $1,086.23–$3,654.51 $1,529.90–$5,147.20 varies
Exc neuroma major peripheral nrv xcp sciatic (64784)
range across 2 matching MRF lines		 $2,005.89–$2,462.71 $2,825.20–$3,468.60 varies
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,952.75 $4,158.80 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $1,099.58–$2,725.41 $1,548.70–$3,838.60 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $406.26–$488.41 $572.20–$687.90 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $565.23–$1,840.11 $796.10–$2,591.70 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $793.07–$2,378.43 $1,117–$3,349.90 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $713.69–$2,091.16 $1,005.20–$2,945.30 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $912–$4,839.79 $1,284.50–$6,816.60 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $773.76–$1,434.41 $1,089.80–$2,020.30 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $1,084.74–$3,154.74 $1,527.80–$4,443.30 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $1,001.88–$1,855.87 $1,411.10–$2,613.90 varies
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines		 $1,270.83–$2,188.15 $1,789.90–$3,081.90 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $1,101.28–$2,268.59 $1,551.10–$3,195.20 varies
Exc thigh/knee tum dep 5cm/> (27339)
range across 2 matching MRF lines		 $2,213.85–$3,389.19 $3,118.10–$4,773.50 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $288.47–$803.22 $406.30–$1,131.30 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $248.22–$380.06 $349.60–$535.30 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $317.23–$488.41 $446.80–$687.90 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $535.48–$1,493.70 $754.20–$2,103.80 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $920.09–$2,949.06 $1,295.90–$4,153.60 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014)
range across 2 matching MRF lines		 $1,097.94–$4,535.84 $1,546.40–$6,388.50 varies
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)
range across 2 matching MRF lines		 $1,383.86–$1,988.21 $1,949.10–$2,800.30 varies
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 3 matching MRF lines		 $1,006.07–$3,105.40 $1,417–$4,373.80 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $1,771.24–$4,713.12 $2,494.70–$6,638.20 varies
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $2,024.35–$2,421.88 $2,851.20–$3,411.10 varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)
range across 2 matching MRF lines		 $1,777.27–$2,525.68 $2,503.20–$3,557.30 varies
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 2 matching MRF lines		 $1,167.74–$4,575.88 $1,644.70–$6,444.90 varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $1,406.01–$3,213.96 $1,980.30–$4,526.70 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045)
range across 2 matching MRF lines		 $1,159.86–$1,943.91 $1,633.60–$2,737.90 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $1,392.95–$1,794.74 $1,961.90–$2,527.80 varies
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634)
range across 2 matching MRF lines		 $1,967.62–$3,303.77 $2,771.30–$4,653.20 varies
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619)
range across 2 matching MRF lines		 $1,038.02–$4,104.23 $1,462–$5,780.60 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $1,877.24–$2,571.12 $2,644–$3,621.30 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $804.43–$3,603.96 $1,133–$5,076 varies
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048)
range across 2 matching MRF lines		 $1,142.39–$3,663.32 $1,609–$5,159.60 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 2 matching MRF lines		 $1,596.79–$3,905 $2,249–$5,500 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $1,537.08–$4,597.96 $2,164.90–$6,476 varies
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $1,366.75–$4,146.47 $1,925–$5,840.10 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $1,019.35–$2,373.74 $1,435.70–$3,343.30 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $351.45 $495 0.2×
Excise Wrist Tendon Sheath (25118) $3,734.60 $5,260 2.3×
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		 $615.93–$860.02 $867.50–$1,211.30 varies
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $1,109.23–$3,923.96 $1,562.30–$5,526.70 varies
Excision lesion meniscus/capsule knee (27347)
range across 2 matching MRF lines		 $1,791.47–$2,188.15 $2,523.20–$3,081.90 varies
Excision Lesion Tongue W/O Closure (41110)
range across 2 matching MRF lines		 $617.20–$2,093.72 $869.30–$2,948.90 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $488.41–$500.62 $687.90–$705.10 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 3 matching MRF lines		 $538.61–$542.44 $758.60–$764 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $772.20–$1,210.12 $1,087.60–$1,704.40 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $479.53–$790.51 $675.40–$1,113.40 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $835.03–$1,882.71 $1,176.10–$2,651.70 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $1,338–$1,853.31 $1,884.50–$2,610.30 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $500.62–$623.81 $705.10–$878.60 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $605.49–$659.09 $852.80–$928.30 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,296.89–$3,343.67 $1,826.60–$4,709.40 varies
Excision of hydrocele; bilateral (55041)
range across 2 matching MRF lines		 $2,554.30–$3,133.44 $3,597.60–$4,413.30 varies
Excision of hydrocele; unilateral (55040)
range across 2 matching MRF lines		 $1,609.57–$3,749.51 $2,267–$5,281 varies
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $1,050.66–$2,663.64 $1,479.80–$3,751.60 varies
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $304.38–$3,059.18 $428.70–$4,308.70 varies
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $1,200.89–$3,004.65 $1,691.40–$4,231.90 varies
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $1,952.50–$2,445.88 $2,750–$3,444.90 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,507.40–$3,848.56 $2,123.10–$5,420.50 varies
Excision prepatellar bursa (27340)
range across 2 matching MRF lines		 $1,019.35–$4,222.87 $1,435.70–$5,947.70 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,408.64–$2,903.76 $1,984–$4,089.80 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $899.93–$2,509.78 $1,267.50–$3,534.90 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $864.71–$4,006.96 $1,217.90–$5,643.60 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $1,247.97–$1,928.15 $1,757.70–$2,715.70 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $1,124.85–$2,713.83 $1,584.30–$3,822.30 varies
Excision, sacral pressure ulcer, with primary suture; Facility (15931)
range across 2 matching MRF lines		 $2,164.51–$2,757.92 $3,048.60–$3,884.40 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $844.62–$2,942.52 $1,189.60–$4,144.40 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $930.24–$1,336.29 $1,310.20–$1,882.10 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $984.34–$2,549.75 $1,386.40–$3,591.20 varies
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045)
range across 2 matching MRF lines		 $1,718.20–$2,598.60 $2,420–$3,660 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $655.40–$1,097.31 $923.10–$1,545.50 varies
Excision/curettage cyst/tumor phalanx finger (26210)
range across 2 matching MRF lines		 $1,613.05–$2,992.51 $2,271.90–$4,214.80 varies
Excision/Curettage Cyst/Tumor Radius/Ulna (25120)
range across 2 matching MRF lines		 $1,398.70–$3,459.05 $1,970–$4,871.90 varies
Excision; trochanteric bursa or calcification (27062)
range across 2 matching MRF lines		 $913.56–$3,817.03 $1,286.70–$5,376.10 varies
Explo/Drain Breast Abscess (19020) $2,055.02 $2,894.40 1.2×
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $2,108.20–$4,555.43 $2,969.30–$6,416.10 varies
Exploration penetrating wound spx extremity (20103) $1,337.07 $1,883.20 0.8×
Explore treat shoulder joint (23107)
range across 2 matching MRF lines		 $1,458.62–$5,577.12 $2,054.40–$7,855.10 varies
Explore/Treat Knee Joint (27331)
range across 2 matching MRF lines		 $1,980.47–$2,845.40 $2,789.40–$4,007.60 varies
Fasciectomy Palm Only (26121)
range across 2 matching MRF lines		 $2,496.79–$3,438.96 $3,516.60–$4,843.60 varies
Fasciotomy palmar open partial (26045)
range across 2 matching MRF lines		 $1,310.02–$2,188.15 $1,845.10–$3,081.90 varies
Fasciotomy palmar percutaneous (26040)
range across 2 matching MRF lines		 $1,008.70–$2,214.35 $1,420.70–$3,118.80 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $2,767.51–$2,923.78 $3,897.90–$4,118 varies
Fetal non-stress test (59025) $399.66 $562.90 1.9×
Fine needle aspiration without imaging guidance (10021) $431.96 $608.40 1.0×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $1,551.71–$5,899.60 $2,185.50–$8,309.30 varies
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $976.25–$4,318.50 $1,375–$6,082.40 varies
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $5,534.73–$7,302.92 $7,795.40–$10,285.80 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $1,420.14–$4,798.11 $2,000.20–$6,757.90 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $1,322.87–$3,104.69 $1,863.20–$4,372.80 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261)
range across 2 matching MRF lines		 $1,608.86–$4,594.77 $2,266–$6,471.50 varies
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257)
range across 2 matching MRF lines		 $1,419.86–$5,140.05 $1,999.80–$7,239.50 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $486.71–$646.95 $685.50–$911.20 varies
Hysteroscopy Biopsy (58558) $2,985.98 $4,205.60 0.9×
Hysteroscopy Dx Sep Proc (58555) $2,690.69 $3,789.70 0.8×
I&d abscess simple (10060) $228.19 $321.40 1.1×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $738.12–$3,106.68 $1,039.60–$4,375.60 varies
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $1,360.22–$6,493.94 $1,915.80–$9,146.40 varies
I&d pilonidal cyst simple (10080) $487.56 $686.70 0.7×
I&d shoulder deep abscess/hematoma (23030)
range across 3 matching MRF lines		 $756.86–$2,538.68 $1,066–$3,575.60 varies
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $631.90–$4,095.28 $890–$5,768 varies
Incise external hemorrhoid (46083) $336.61 $474.10 1.3×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,248.89–$1,879.94 $1,759–$2,647.80 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $390.64–$717.74 $550.20–$1,010.90 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $1,421.70–$2,042.46 $2,002.40–$2,876.70 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $515.67–$2,438.57 $726.30–$3,434.60 varies
Incision & removal foreign body subq tiss simple (10120) $309.84 $436.40 0.7×
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $1,392.95–$2,643.33 $1,961.90–$3,723 varies
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $595.12–$2,202.70 $838.20–$3,102.40 varies
Incision of labial frenum (frenotomy) (40806) $319.50 $450 0.6×
Incision of rectal abscess (46040) $2,451.56 $3,452.90 2.0×
Incision of urethra (53020) $3,148.14 $4,434 1.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $960.77–$2,839.57 $1,353.20–$3,999.40 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $195.25–$946.36 $275–$1,332.90 varies
Initial Tx 1st Degree Burn Local Tx (16000) $170.83 $240.60 0.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $431.54–$1,269.84 $607.80–$1,788.50 varies
Inj W/Fluor Eval Cv Device (36598) $537.12 $756.50 2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $575.74–$1,316.84 $810.90–$1,854.70 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $77.60 $109.30 0.2×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $321.49–$915.55 $452.80–$1,289.50 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $451.99–$1,509.11 $636.60–$2,125.50 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $575.74–$1,507.54 $810.90–$2,123.30 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $280.66–$500.41 $395.30–$704.80 varies
Injection anesthetic agent suprascapular nerve (64418) $872.59 $1,229 1.2×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $160.96–$814.58 $226.70–$1,147.30 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $117.22–$209.45 $165.10–$295 varies
Injection single/mlt trigger point 1/2 muscles (20552) $294.93 $415.40 0.9×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $142.57–$209.45 $200.80–$295 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $161.31–$254.25 $227.20–$358.10 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $288.33–$649.79 $406.10–$915.20 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $251.77–$500.41 $354.60–$704.80 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $500.41 $704.80 0.7×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $96.28–$140.01 $135.60–$197.20 varies
Insert Bladder Cath Complex (51703) $364.37 $513.20 2.7×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $246.58–$530.23 $347.30–$746.80 varies
Insert non-tunnel cv cath (36556) $1,543.68 $2,174.20 0.5×
Insert Temp Bladder Cath (51702) $223.58 $314.90 1.6×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,012.14–$3,674.46 $2,834–$5,175.30 varies
Insert tunneled cv cath (36563)
range across 2 matching MRF lines		 $2,792.79–$3,673.75 $3,933.50–$5,174.30 varies
Insert,Non-Indwelling Bladder Catheter (51701) $146.69 $206.60 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $760.34–$2,378.29 $1,070.90–$3,349.70 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $828.57–$1,536.23 $1,167–$2,163.70 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $2,212.93–$2,792.57 $3,116.80–$3,933.20 varies
Int hrhc by ligation single hroid w/o img gdn (46945)
range across 2 matching MRF lines		 $489.62–$3,436.19 $689.60–$4,839.70 varies
Intubation endotracheal emergency procedure (31500) $648.80 $913.80 2.7×
Knee arthroscopy/drainage (29871)
range across 2 matching MRF lines		 $1,486.31–$4,877.77 $2,093.40–$6,870.10 varies
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $1,984.95–$2,415.42 $2,795.70–$3,402 varies
Laparoscopy W/Lysis Of Adhesions (58660) $3,863.04 $5,440.90 0.6×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $1,385.49–$3,903.08 $1,951.40–$5,497.30 varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $3,883.56 $5,469.80 0.6×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $4,485.99 $6,318.30 0.7×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,949.02 $5,562 0.6×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $113.60–$220.10 $160–$310 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $220.10–$347.90 $310–$490 varies
Laryngoscopy Indirect W/Vocal Cord Injection (31513)
range across 2 matching MRF lines		 $227.20–$852 $320–$1,200 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $1,287.44–$3,551.21 $1,813.30–$5,001.70 varies
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,474.88–$4,874.65 $2,077.30–$6,865.70 varies
Lateral retinacular release open (27425)
range across 2 matching MRF lines		 $1,993.68–$2,211.65 $2,808–$3,115 varies
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760)
range across 2 matching MRF lines		 $1,930.92–$2,961.06 $2,719.60–$4,170.50 varies
Lig&div long saph vein saphfem junct/interrupj (37700)
range across 2 matching MRF lines		 $1,046.40–$3,898.61 $1,473.80–$5,491 varies
Ligate/strip long leg vein (37722)
range across 2 matching MRF lines		 $1,609.57–$4,759.27 $2,267–$6,703.20 varies
Ligate/strip short leg vein (37718)
range across 2 matching MRF lines		 $1,318.68–$2,798.04 $1,857.30–$3,940.90 varies
Ligation or biopsy temporal artery (37609)
range across 3 matching MRF lines		 $925.77–$2,722.14 $1,303.90–$3,834 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)
range across 2 matching MRF lines		 $1,126.63–$3,183.36 $1,586.80–$4,483.60 varies
Manipulation Ankle Under General Anesthesia (27860)
range across 2 matching MRF lines		 $627.36–$2,188.15 $883.60–$3,081.90 varies
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $641.13–$1,648.41 $903–$2,321.70 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $900.56–$1,738.29 $1,268.40–$2,448.30 varies
Mast mod rad (19307) $5,951.50 $8,382.40 0.9×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $819.34–$4,057.79 $1,154–$5,715.20 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $1,427.95–$5,150.20 $2,011.20–$7,253.80 varies
Muscle/tendon transfer upper arm/elbow single (24301)
range across 2 matching MRF lines		 $3,121.16–$5,096.38 $4,396–$7,178 varies
Myelography Lumbar Injection (62305) $853.49 $1,202.10 1.1×
Myelography Lumbar Injection (62304) $2,289.54 $3,224.70 2.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $331.14–$611.67 $466.40–$861.50 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $431.54–$990.59 $607.80–$1,395.20 varies
N Block Inj Paracervical (64435) $734.85 $1,035 1.0×
N Block Inj Plantar Digit (64455) $209.45 $295 0.7×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $324.26–$1,120.38 $456.70–$1,578 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $575.74–$1,704.85 $810.90–$2,401.20 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $319.50–$347.90 $450–$490 varies
Nasal/Orogastric W/Tube Plmt (43752) $342.15 $481.90 0.7×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)
range across 2 matching MRF lines		 $369.20–$852 $520–$1,200 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $522.56–$852 $736–$1,200 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $468.60–$852 $660–$1,200 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $1,657.14–$4,169.26 $2,334–$5,872.20 varies
Needle Biopsy Lymph Nodes (38505) $1,097.31 $1,545.50 0.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $3,877.31–$3,890.23 $5,461–$5,479.20 varies
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714)
range across 2 matching MRF lines		 $1,111.08–$7,377.54 $1,564.90–$10,390.90 varies
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $333.98–$1,789.20 $470.40–$2,520 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $520.93 $733.70 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $431.54–$912.21 $607.80–$1,284.80 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,554.55 $2,189.50 2.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,559.09 $2,195.90 2.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,554.55 $2,189.50 2.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $215.91–$686.71 $304.10–$967.20 varies
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $3,625.83–$5,443.85 $5,106.80–$7,667.40 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $2,178.85–$5,541.91 $3,068.80–$7,805.50 varies
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $3,434.06–$9,510.38 $4,836.70–$13,394.90 varies
Open treatment greater trochanteric fracture (27248)
range across 2 matching MRF lines		 $1,897.69–$4,863.86 $2,672.80–$6,850.50 varies
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $1,726.65–$4,780.36 $2,431.90–$6,732.90 varies
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $1,230.57–$4,780.36 $1,733.20–$6,732.90 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $2,118.85–$4,780.36 $2,984.30–$6,732.90 varies
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $3,361.21–$6,451.63 $4,734.10–$9,086.80 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $2,401.58–$5,424.40 $3,382.50–$7,640 varies
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $2,353.51–$4,780.36 $3,314.80–$6,732.90 varies
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines		 $1,848.49–$4,780.36 $2,603.50–$6,732.90 varies
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $3,121.16–$9,510.38 $4,396–$13,394.90 varies
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $2,496.79–$5,641.09 $3,516.60–$7,945.20 varies
Open Treatment Tarsal Bone Dislocation (28555)
range across 2 matching MRF lines		 $1,170.08–$3,525.22 $1,648–$4,965.10 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $1,792.11–$5,461.46 $2,524.10–$7,692.20 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 3 matching MRF lines		 $1,200.89–$3,794.81 $1,691.40–$5,344.80 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $1,669–$4,780.36 $2,350.70–$6,732.90 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $1,107.53–$2,188.15 $1,559.90–$3,081.90 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $1,681.14–$4,826.79 $2,367.80–$6,798.30 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $1,585.08–$5,750.36 $2,232.50–$8,099.10 varies
Open Tx Radial Head/Neck Fracture (24665)
range across 2 matching MRF lines		 $2,425.15–$4,780.36 $3,415.70–$6,732.90 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $2,206.54–$2,936.92 $3,107.80–$4,136.50 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $2,565.80–$5,647.62 $3,613.80–$7,954.40 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $2,452.20–$4,780.36 $3,453.80–$6,732.90 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $2,929.03–$4,913.91 $4,125.40–$6,921 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $3,457.27–$6,562.81 $4,869.40–$9,243.40 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $3,514.07–$3,664.24 $4,949.40–$5,160.90 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $2,840.71–$9,510.38 $4,001–$13,394.90 varies
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines		 $969.01–$3,440.16 $1,364.80–$4,845.30 varies
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $1,545.74–$2,545.63 $2,177.10–$3,585.40 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $941.60–$3,050.66 $1,326.20–$4,296.70 varies
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $961.98–$3,679.86 $1,354.90–$5,182.90 varies
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $1,162.84–$2,188.15 $1,637.80–$3,081.90 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $1,039.51–$3,487.45 $1,464.10–$4,911.90 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines		 $1,449.32–$4,860.66 $2,041.30–$6,846 varies
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448)
range across 2 matching MRF lines		 $2,635.66–$5,620.72 $3,712.20–$7,916.50 varies
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $1,616.60–$3,349.28 $2,276.90–$4,717.30 varies
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,404.17–$2,017.61 $1,977.70–$2,841.70 varies
Partial excision of lip (40520) $2,545.99 $3,585.90 0.7×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071)
range across 2 matching MRF lines		 $1,757.11–$6,766.66 $2,474.80–$9,530.50 varies
Partial removal of tibia (27640)
range across 2 matching MRF lines		 $1,940.15–$4,635.52 $2,732.60–$6,528.90 varies
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $1,313.36–$2,188.15 $1,849.80–$3,081.90 varies
Patellectomy or hemipatellectomy (27350)
range across 2 matching MRF lines		 $2,254.75–$4,780.36 $3,175.70–$6,732.90 varies
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496)
range across 2 matching MRF lines		 $681.60–$4,189 $960–$5,900 varies
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $254.39–$1,198.13 $358.30–$1,687.50 varies
Perq dev breast 1st us imag (19285) $1,010.12 $1,422.70 1.4×
Perq device breast 1st imag (19281) $488.41 $687.90 0.3×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $1,969.33–$2,889.70 $2,773.70–$4,070 varies
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $1,810.29–$2,630.34 $2,549.70–$3,704.70 varies
Pin Finger Dislocation (26776)
range across 2 matching MRF lines		 $1,124.85–$3,195.36 $1,584.30–$4,500.50 varies
Placement of needle for intraosseous infusion (36680) $330.08 $464.90 0.7×
Placement of seton (46020)
range across 2 matching MRF lines		 $847.03–$3,583.37 $1,193–$5,047 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $722.85 $1,018.10 1.0×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 2 matching MRF lines		 $873.37–$3,195.36 $1,230.10–$4,500.50 varies
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $3,162.98–$4,780.36 $4,454.90–$6,732.90 varies
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666)
range across 2 matching MRF lines		 $615–$3,057.40 $866.20–$4,306.20 varies
Prq skel fixj metar fx w/manj (28476)
range across 2 matching MRF lines		 $984.34–$2,434.95 $1,386.40–$3,429.50 varies
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671)
range across 2 matching MRF lines		 $1,044.55–$2,743.01 $1,471.20–$3,863.40 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $1,581.60–$2,188.15 $2,227.60–$3,081.90 varies
Punch biopsy skin single lesion (11104) $261.56 $368.40 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $271.72 $382.70 0.6×
Puncture Aspiration Cyst Breast (19000) $488.41 $687.90 0.7×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
range across 2 matching MRF lines		 $2,460.15–$4,780.36 $3,465–$6,732.90 varies
Rcnstj angular dfrm toe soft tiss px only (28313)
range across 2 matching MRF lines		 $820.19–$2,188.15 $1,155.20–$3,081.90 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $1,323.51–$4,939.12 $1,864.10–$6,956.50 varies
Realignment extensor tendon hand each tendon (26437)
range across 2 matching MRF lines		 $1,921.33–$2,344.99 $2,706.10–$3,302.80 varies
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $2,068.44–$8,406.26 $2,913.30–$11,839.80 varies
Release of big toe (28240) $2,201 $3,100 0.7×
Removal Anal Seton Other Marker (46030)
range across 2 matching MRF lines		 $280.45–$2,852.07 $395–$4,017 varies
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,487.45 $2,095 1.6×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $856.12–$1,492.28 $1,205.80–$2,101.80 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $587.81–$854.27 $827.90–$1,203.20 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $330.58–$1,129.89 $465.60–$1,591.40 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $172.25 $242.60 2.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $115.38 $162.50 1.9×
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $824.59–$3,753.06 $1,161.40–$5,286 varies
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $739.04–$2,847.03 $1,040.90–$4,009.90 varies
Removal of anal fissure (46200)
range across 2 matching MRF lines		 $715.61–$3,772.59 $1,007.90–$5,313.50 varies
Removal of calcium deposits (23000)
range across 2 matching MRF lines		 $1,349.36–$2,983.21 $1,900.50–$4,201.70 varies
Removal of foreign body from pharynx (42809) $351.45 $495 0.8×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
range across 2 matching MRF lines		 $6,169.55–$8,677.34 $8,689.50–$12,221.60 varies
Removal of knee prosthesis (27488)
range across 2 matching MRF lines		 $1,881.78–$4,714.68 $2,650.40–$6,640.40 varies
Removal of nail bed (11750)
range across 3 matching MRF lines		 $342.29–$470.09 $482.10–$662.10 varies
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $859.31–$3,711.31 $1,210.30–$5,227.20 varies
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines		 $804.43–$2,412.58 $1,133–$3,398 varies
Removal of tonsils (42826) $2,830.49 $3,986.60 0.8×
Removal or bivalving full arm or full leg cast (29705) $91.31 $128.60 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $150.45–$169.62 $211.90–$238.90 varies
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $892.75–$2,937.91 $1,257.40–$4,137.90 varies
Removal/bivalving gauntlet boot/body cast (29700) $79.45 $111.90 0.3×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $246.58–$291.03 $347.30–$409.90 varies
Remove elbow lesion (24120)
range across 2 matching MRF lines		 $1,873.34–$2,913.70 $2,638.50–$4,103.80 varies
Remove femur lesion/graft (27356)
likely a partial charge, not the full procedure		 $2,308.71 $3,251.70 0.2×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $703.82–$2,483.01 $991.30–$3,497.20 varies
Remove foreign body from eye (65205) $225.99 $318.30 1.6×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $77.60–$272.78 $109.30–$384.20 varies
Remove Lower Leg Bone Lesion (27635)
range across 2 matching MRF lines		 $1,687.24–$2,697.08 $2,376.40–$3,798.70 varies
Remove Nasal Foreign Body (30300) $258.94 $364.70 1.9×
Remove Skin Nerve Lesion (64774)
range across 2 matching MRF lines		 $1,486.31–$2,586.89 $2,093.40–$3,643.50 varies
Remove Tendon Sheath Lesion (26160)
range across 3 matching MRF lines		 $1,104.83–$2,326.53 $1,556.10–$3,276.80 varies
Reopen fallopian tube (58350) $3,413.96 $4,808.40 0.7×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $2,108.20–$4,780.36 $2,969.30–$6,732.90 varies
Repair Anorectal Fistula Plug (46707)
range across 2 matching MRF lines		 $865.77–$1,874.05 $1,219.40–$2,639.50 varies
Repair blood vessel lesion (35190)
range across 2 matching MRF lines		 $4,654.48–$6,138.87 $6,555.60–$8,646.30 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $833.11–$1,197.27 $1,173.40–$1,686.30 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,602.97 $2,257.70 2.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $792.50 $1,116.20 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $654.34 $921.60 1.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $649.58–$827.65 $914.90–$1,165.70 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $684.01 $963.40 1.6×
Repair complex trunk 2.6-7.5 cm (13101) $463.49 $652.80 0.6×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,585.08–$2,977.74 $2,232.50–$4,194 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $2,385.81–$2,456.25 $3,360.30–$3,459.50 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $815.08–$4,776.17 $1,148–$6,727 varies
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $1,194.79–$3,355.67 $1,682.80–$4,726.30 varies
Repair Hand Joint (26540)
range across 2 matching MRF lines		 $2,401.58–$3,274.17 $3,382.50–$4,611.50 varies
Repair Hand Tendon (26410) $2,038.41 $2,871 1.2×
Repair inguinal hernia, sliding, any age (49525)
range across 2 matching MRF lines		 $1,683.98–$4,378.85 $2,371.80–$6,167.40 varies
Repair initial femoral hernia, any age; reducible (49550)
range across 2 matching MRF lines		 $1,703.79–$3,708.54 $2,399.70–$5,223.30 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $2,231.32–$3,655.01 $3,142.70–$5,147.90 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $578.44 $814.70 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $544.22 $766.50 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $536.69 $755.90 1.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $536.69–$751.18 $755.90–$1,058 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $369.84–$409.81 $520.90–$577.20 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $408.89 $575.90 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $800.81 $1,127.90 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $855.55 $1,205 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $368.99 $519.70 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $386.60 $544.50 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $565.37 $796.30 1.3×
Repair lower leg tendons (27676)
range across 2 matching MRF lines		 $1,818.03–$5,278.78 $2,560.60–$7,434.90 varies
Repair of biceps tendon (24340)
range across 2 matching MRF lines		 $2,401.58–$4,780.36 $3,382.50–$6,732.90 varies
Repair of enterocele, vaginal approach (separate procedure) (57268)
range across 2 matching MRF lines		 $1,047.25–$3,413.96 $1,475–$4,808.40 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $539.81–$617.20 $760.30–$869.30 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
range across 2 matching MRF lines		 $2,838.58–$4,780.36 $3,998–$6,732.90 varies
Repair of rectocele (45560)
range across 2 matching MRF lines		 $1,793.82–$4,081.22 $2,526.50–$5,748.20 varies
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $2,859.17–$4,780.36 $4,027–$6,732.90 varies
Repair of shoulder (23420)
range across 2 matching MRF lines		 $5,522.52–$6,118.07 $7,778.20–$8,617 varies
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $4,321.84–$5,365.97 $6,087.10–$7,557.70 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $2,547.84–$4,780.36 $3,588.50–$6,732.90 varies
Repair shoulder capsule (23462)
range across 2 matching MRF lines		 $4,802.01–$6,308.21 $6,763.40–$8,884.80 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $685.79–$3,043.56 $965.90–$4,286.70 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $2,333.34–$4,780.36 $3,286.40–$6,732.90 varies
Repair Toe Dislocation (28645)
range across 2 matching MRF lines		 $1,189.46–$2,394.19 $1,675.30–$3,372.10 varies
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
range across 2 matching MRF lines		 $922.93–$6,085.48 $1,299.90–$8,571.10 varies
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines		 $2,284.57–$6,290.53 $3,217.70–$8,859.90 varies
Repair/graft achilles tendon (27652)
range across 2 matching MRF lines		 $2,460.15–$5,514.36 $3,465–$7,766.70 varies
Reposition Venous Catheter (36597)
range across 2 matching MRF lines		 $256.03–$1,774.36 $360.60–$2,499.10 varies
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $1,634.92–$3,929.14 $2,302.70–$5,534 varies
Resect thigh/knee tum < 5 cm (27329)
range across 2 matching MRF lines		 $4,151.58–$5,341.97 $5,847.30–$7,523.90 varies
Resection, partial or complete, phalangeal base, each toe (28126)
range across 2 matching MRF lines		 $966.45–$2,188.15 $1,361.20–$3,081.90 varies
Resection/transplantation long tendon biceps (23440)
range across 2 matching MRF lines		 $2,698.36–$4,780.36 $3,800.50–$6,732.90 varies
Revise Lower Leg Tendons (27686)
range across 2 matching MRF lines		 $786.47–$4,161.74 $1,107.70–$5,861.60 varies
Revise ulnar nerve at wrist (64719)
range across 2 matching MRF lines		 $2,649.58–$3,095.46 $3,731.80–$4,359.80 varies
Revision of knee joint (27442)
range across 2 matching MRF lines		 $2,981.36–$9,510.38 $4,199.10–$13,394.90 varies
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $1,043.27–$4,627.99 $1,469.40–$6,518.30 varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
range across 2 matching MRF lines		 $7,994.46–$8,905.67 $11,259.80–$12,543.20 varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
range across 2 matching MRF lines		 $3,087.86–$8,609.11 $4,349.10–$12,125.50 varies
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $4,924.92–$7,203.31 $6,936.50–$10,145.50 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $5,362.63–$8,588.94 $7,553–$12,097.10 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $291.03 $409.90 0.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $763.53–$1,883.13 $1,075.40–$2,652.30 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $632.47–$2,416.41 $890.80–$3,403.40 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $431.54–$1,295.40 $607.80–$1,824.50 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $202–$301.40 $284.50–$424.50 varies
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $1,149.35–$3,401.97 $1,618.80–$4,791.50 varies
Rplcmt compl tun ctr vad w/subq pmp (36583)
range across 2 matching MRF lines		 $1,868.01–$4,644.25 $2,631–$6,541.20 varies
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $1,847.14–$2,321.70 $2,601.60–$3,270 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $1,329.12–$10,384.46 $1,872–$14,626 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $649.65–$4,095.28 $915–$5,768 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
range across 2 matching MRF lines		 $1,572.65–$10,530.72 $2,215–$14,832 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $1,062.16–$9,812.20 $1,496–$13,820 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
range across 2 matching MRF lines		 $1,213.96–$5,950.65 $1,709.80–$8,381.20 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $294.15 $414.30 1.4×
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $998.26–$4,692.75 $1,406–$6,609.50 varies
Rpr ing hernia init reduce (49500)
range across 2 matching MRF lines		 $1,338–$3,502.08 $1,884.50–$4,932.50 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,815.51 $3,965.50 1.8×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $677.20–$4,198.16 $953.80–$5,912.90 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $2,017.32–$2,284.71 $2,841.30–$3,217.90 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $1,574.64–$2,329.30 $2,217.80–$3,280.70 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $316.31–$1,310.23 $445.50–$1,845.40 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $3,217.15–$3,860.70 $4,531.20–$5,437.60 varies
Sclerotx Fluid Collection (49185) $996.63 $1,403.70 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $773.05–$1,293.62 $1,088.80–$1,822 varies
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $192.84–$212.08 $271.60–$298.70 varies
Shoulder arthroscopy (29820)
range across 2 matching MRF lines		 $1,564.13–$4,780.36 $2,203–$6,732.90 varies
Shoulder arthroscopy diagnostic (29805)
range across 2 matching MRF lines		 $1,189.46–$2,825.73 $1,675.30–$3,979.90 varies
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $1,370.51–$2,244.67 $1,930.30–$3,161.50 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $206.33–$221.59 $290.60–$312.10 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $175.73–$184.74 $247.50–$260.20 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $226.49–$302.96 $319–$426.70 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $155.06–$186.16 $218.40–$262.20 varies
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines		 $558.77–$1,877.10 $787–$2,643.80 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $370.83–$1,774.43 $522.30–$2,499.20 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $294.93 $415.40 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $527.39 $742.80 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $329.16 $463.60 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $267.95 $377.40 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $560.76 $789.80 2.7×
Skin sub graft trnk/arm/leg (15271) $351.66 $495.30 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $413.43 $582.30 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $436.65 $615 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $528.38 $744.20 1.3×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $486.92–$562.82 $685.80–$792.70 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $2,510.42–$3,198.48 $3,535.80–$4,504.90 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $1,488.94–$2,343.14 $2,097.10–$3,300.20 varies
Strapping thorax (29200) $21.30 $30 0.1×
Strapping Unna Boot (29580) $152.30 $214.50 0.9×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $1,822.64–$4,780.36 $2,567.10–$6,732.90 varies
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
range across 2 matching MRF lines		 $2,063.19–$11,475.52 $2,905.90–$16,162.70 varies
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $2,284.57–$4,780.36 $3,217.70–$6,732.90 varies
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135)
range across 2 matching MRF lines		 $1,659.27–$2,256.88 $2,337–$3,178.70 varies
Tangential biopsy skin single lesion (11102) $269.52 $379.60 0.6×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $1,703.93–$3,992.19 $2,399.90–$5,622.80 varies
Tenodesis distal joint each (26474)
range across 2 matching MRF lines		 $1,441.02–$2,892.47 $2,029.60–$4,073.90 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $3,265.15–$4,780.36 $4,598.80–$6,732.90 varies
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 2 matching MRF lines		 $1,491–$2,201 $2,100–$3,100 varies
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 2 matching MRF lines		 $1,194.72–$2,188.15 $1,682.70–$3,081.90 varies
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $2,401.58–$4,780.36 $3,382.50–$6,732.90 varies
Tenotomy, open, elbow to shoulder, each tendon Facility (24310)
range across 2 matching MRF lines		 $1,681.14–$3,471.62 $2,367.80–$4,889.60 varies
Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471)
range across 2 matching MRF lines		 $2,796.34–$3,183.36 $3,938.50–$4,483.60 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $598.39–$868.40 $842.80–$1,223.10 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,918.92–$2,216.48 $2,702.70–$3,121.80 varies
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines		 $1,681.71–$2,416.41 $2,368.60–$3,403.40 varies
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $2,013.77–$2,188.15 $2,836.30–$3,081.90 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,464.94 $4,880.20 1.0×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $6,008.87–$9,510.38 $8,463.20–$13,394.90 varies
Transplant hand tendon (26480)
range across 2 matching MRF lines		 $2,094.29–$2,188.15 $2,949.70–$3,081.90 varies
Treat Ankle Dislocation (27846)
range across 2 matching MRF lines		 $2,178.85–$4,780.36 $3,068.80–$6,732.90 varies
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $1,364.98–$2,188.15 $1,922.50–$3,081.90 varies
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $1,344.88–$3,448.40 $1,894.20–$4,856.90 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $2,353.51–$4,879.62 $3,314.80–$6,872.70 varies
Treat humerus fracture (24500) $890.70 $1,254.50 3.5×
Treat Humerus Fracture (24505) $1,384.57 $1,950.10 0.8×
Treat humerus fracture (23600) $791.79 $1,115.20 3.1×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $1,910.54–$4,780.36 $2,690.90–$6,732.90 varies
Treat Metatarsal Fracture (28475) $597.54 $841.60 2.3×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $319.78–$474.85 $450.40–$668.80 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $1,562 $2,200 0.9×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $624.73–$719.87 $879.90–$1,013.90 varies
Treatment of anal fissure (46940)
range across 2 matching MRF lines		 $284.07–$2,649.51 $400.10–$3,731.70 varies
Treatment of ankle fracture (27823)
range across 2 matching MRF lines		 $3,526.29–$7,101.14 $4,966.60–$10,001.60 varies
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $2,079.16–$3,267.78 $2,928.40–$4,602.50 varies
Trim skin lesion (11055) $149.10 $210 0.7×
Trim skin lesions 2 to 4 (11056) $77.60 $109.30 0.4×
Trim skin lesions over 4 (11057) $93.22 $131.30 0.5×
Tubal ligation (58600)
range across 2 matching MRF lines		 $1,213.60–$2,029.61 $1,709.30–$2,858.60 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $3,051.86 $4,298.40 1.1×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $497.14–$2,063.76 $700.20–$2,906.70 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,272 $3,200 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $408.75–$624.52 $575.70–$879.60 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $487.42 $686.50 1.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $3,092.26–$9,510.38 $4,355.30–$13,394.90 varies
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $1,804.82–$6,165.71 $2,542–$8,684.10 varies
Unlisted Procedure Casting/Strapping (29799) $119.21 $167.90 0.7×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $2,174.45–$4,683.23 $3,062.60–$6,596.10 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $333.98–$872.31 $470.40–$1,228.60 varies
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $1,491.85–$2,335.05 $2,101.20–$3,288.80 varies
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $230.75–$326.60 $325–$460 varies
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $1,129.89–$2,715.47 $1,591.40–$3,824.60 varies
Urine Flow Measurement (51736) $187.94 $264.70 1.4×
Vaginal delivery only (59409) $2,469.95 $3,478.80 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $804.43–$1,425.96 $1,133–$2,008.40 varies
Wedging of cast (29740) $268.95 $378.80 0.9×

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.