Procedures & surgery prices at Brooklyn Hospital Center - Downtown Campus
Brooklyn, NY · every code in this section with a posted price and a Medicare benchmark.
1068 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$2,370.12–$2,713.55 | $2,370.12–$2,713.55 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $2,559.64 | $2,559.64 | 2.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $5,128.55 | $5,128.55 | 2.6× |
| Adding Walker Previously Applied Cast (29440) | $563.98 | $563.98 | 2.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $10,257.10 | $10,257.10 | 4.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $13,676.14 | $13,676.14 | 5.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $5,470.45 | $5,470.45 | 1.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $10,257.10 | $10,257.10 | 4.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $13,170.14 | $13,170.14 | 5.1× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $5,470.45 | $5,470.45 | 2.1× |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) | $22,565.64 | $22,565.64 | 5.5× |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$1,622.53–$1,822.94 | $1,622.53–$1,822.94 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $17,560.17 | $17,560.17 | 4.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 3 matching MRF lines |
$7,800.37–$17,560.17 | $7,800.37–$17,560.17 | varies |
| Amputation foot transmetarsal (28805) range across 2 matching MRF lines |
$5,470.45–$8,780.09 | $5,470.45–$8,780.09 | varies |
| Amputation toe interphalangeal joint (28825) | $4,890.66 | $4,890.66 | 1.2× |
| Anal/Urinary Muscle Study (51784) | $571.77 | $571.77 | 3.6× |
| Anoscopy diagnostic (46600) | $9,313.54 | $9,313.54 | 56.1× |
| Anoscopy; with biopsy, single or multiple (46606) | $16,411.37 | $16,411.37 | 11.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $16,411.36 | $16,411.36 | 2.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $527.08 | $527.08 | 2.6× |
| Application cast elbow finger short arm (29075) | $1,282.14 | $1,282.14 | 3.7× |
| Application Finger Splint Dynamic (29131) | $563.98 | $563.98 | 7.7× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$492.60–$563.98 | $492.60–$563.98 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$492.60–$563.98 | $492.60–$563.98 | varies |
| Application Long Leg Cast Brace (29358) | $1,282.14 | $1,282.14 | 3.7× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$701.28–$802.90 | $701.28–$802.90 | varies |
| Application of long leg cast (29345) | $1,282.14 | $1,282.14 | 3.7× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$1,139.06–$1,218.79 | $1,139.06–$1,218.79 | varies |
| Application Short Arm Splint Dynamic (29126) | $563.98 | $563.98 | 3.4× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$492.60–$563.98 | $492.60–$563.98 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$641.29–$734.21 | $641.29–$734.21 | varies |
| Application uniplane external fixation system (20690) | $8,780.08 | $8,780.08 | 1.0× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$542.58–$1,218.79 | $542.58–$1,218.79 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$1,119.87–$1,282.14 | $1,119.87–$1,282.14 | varies |
| Apply short leg cast (29425) | $1,282.14 | $1,282.14 | 3.7× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$466.50–$534.10 | $466.50–$534.10 | varies |
| Arteriovenous Anastomosis Open Direct (36821) range across 2 matching MRF lines |
$24,617.05–$30,730.28 | $24,617.05–$30,730.28 | varies |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) | $28,719.89 | $28,719.89 | 4.1× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) | $16,411.36 | $16,411.36 | 1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) range across 2 matching MRF lines |
$6,838.06–$9,231.40 | $6,838.06–$9,231.40 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$1,173.53–$16,411.37 | $1,173.53–$16,411.37 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 11 matching MRF lines |
$921.79–$10,257.10 | $921.79–$10,257.10 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 6 matching MRF lines |
$873.29–$1,868.84 | $873.29–$1,868.84 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$1,173.53–$6,585.07 | $1,173.53–$6,585.07 | varies |
| Arthrodesis great toe interphalangeal joint (28755) range across 2 matching MRF lines |
$5,470.45–$8,205.69 | $5,470.45–$8,205.69 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 3 matching MRF lines |
$8,205.69–$17,560.17 | $8,205.69–$17,560.17 | varies |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) | $17,560.17 | $17,560.17 | 4.3× |
| Arthrodesis Pantalar (28705) | $16,411.37 | $16,411.37 | 0.7× |
| Arthrodesis subtalar (28725) range across 2 matching MRF lines |
$5,470.47–$8,205.69 | $5,470.47–$8,205.69 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$28,719.89–$45,131.27 | $28,719.89–$45,131.27 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $20,514.20 | $20,514.20 | 5.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $16,411.37 | $16,411.37 | 4.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $21,950.19 | $21,950.19 | 5.4× |
| Arthroscopy knee synovectomy limited spx (29875) | $16,411.37 | $16,411.37 | 4.0× |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$6,838.06–$12,308.53 | $6,838.06–$12,308.53 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$12,308.52–$24,617.05 | $12,308.52–$24,617.05 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $17,560.15 | $17,560.15 | 4.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $20,514.20 | $20,514.20 | 5.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$7,316.73–$8,780.08 | $7,316.73–$8,780.08 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$12,308.52–$20,514.20 | $12,308.52–$20,514.20 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$10,257.10–$12,308.53 | $10,257.10–$12,308.53 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$14,359.95–$16,411.36 | $14,359.95–$16,411.36 | varies |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $20,514.20 | $20,514.20 | 5.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) range across 2 matching MRF lines |
$5,487.54–$10,975.09 | $5,487.54–$10,975.09 | varies |
| Arthrotomy W/Meniscus Repair Knee (27403) | $36,925.60 | $36,925.60 | 4.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $24,617.05 | $24,617.05 | 1.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$16,411.36–$28,719.89 | $16,411.36–$28,719.89 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$17,560.17–$20,514.20 | $17,560.17–$20,514.20 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $16,411.37 | $16,411.37 | 4.0× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $10,257.10 | $10,257.10 | 2.5× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$2,370.12–$2,713.55 | $2,370.12–$2,713.55 | varies |
| Aspirate Pleura W/O Imaging (32554) | $3,218.32 | $3,218.32 | 4.1× |
| Aspiration and/or injection thyroid cyst (60300) | $2,274.07 | $2,274.07 | 2.6× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$6,978.39–$10,114.83 | $6,978.39–$10,114.83 | varies |
| Av fistula revision (36833) range across 2 matching MRF lines |
$21,950.19–$24,617.05 | $21,950.19–$24,617.05 | varies |
| Av Fistula Revision Open (36832) | $19,809.23 | $19,809.23 | 2.9× |
| Av fusion/forearm vein (36820) | $28,719.89 | $28,719.89 | 4.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 9 matching MRF lines |
$603.37–$5,853.40 | $603.37–$5,853.40 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$4,281.44–$4,901.82 | $4,281.44–$4,901.82 | varies |
| Biopsy bone open deep (20245) | $9,405.24 | $9,405.24 | 2.6× |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$7,950.66–$9,102.71 | $7,950.66–$9,102.71 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$3,735.08–$4,276.30 | $3,735.08–$4,276.30 | varies |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$3,578.15–$4,096.62 | $3,578.15–$4,096.62 | varies |
| Biopsy nail unit (11755) | $1,976.24 | $1,976.24 | 2.2× |
| Biopsy of breast; open, incisional (19101) | $11,687.41 | $11,687.41 | 2.4× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$4,281.44–$4,901.82 | $4,281.44–$4,901.82 | varies |
| Biopsy of rectum (45100) | $16,411.37 | $16,411.37 | 4.7× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $11,770.48 | $11,770.48 | 2.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $11,770.48 | $11,770.48 | 2.7× |
| Biopsy Salivary Gland Needle (42400) | $4,096.62 | $4,096.62 | 4.6× |
| Biopsy Testis Needle Separate Procedure (54500) | $7,905.58 | $7,905.58 | 2.2× |
| Biopsy Tongue Posterior One-Third (41105) | $13,170.14 | $13,170.14 | 3.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$1,592.22–$1,822.94 | $1,592.22–$1,822.94 | varies |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$18,462.80–$28,719.89 | $18,462.80–$28,719.89 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $4,710.29 | $4,710.29 | 5.4× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$225.98–$241.88 | $225.98–$241.88 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $1,012.49 | $1,012.49 | 2.6× |
| Blood Transfusion Service (36430) range across 9 matching MRF lines |
$1,707.84–$4,893.44 | $1,707.84–$4,893.44 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) | $18,462.80 | $18,462.80 | 2.0× |
| Bone Marrow Biopsy (38221) | $2,195.15 | $2,195.15 | 1.1× |
| Bone Marrow; Aspiration Only (38220) | $2,195.15 | $2,195.15 | 1.1× |
| Breast Reduction (19318) range across 2 matching MRF lines |
$61,542.63–$79,321.59 | $61,542.63–$79,321.59 | varies |
| Brnchsc Brushing/Protected Brushings (31623) range across 2 matching MRF lines |
$6,474.11–$6,797.82 | $6,474.11–$6,797.82 | varies |
| Bronchoscopy W/Biopsy(S) (31625) range across 3 matching MRF lines |
$5,937.48–$9,454.59 | $5,937.48–$9,454.59 | varies |
| Bronchoscopy W/Removal Foreign Body (31635) | $6,474.11 | $6,474.11 | 2.9× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) range across 2 matching MRF lines |
$6,064.76–$6,489.29 | $6,064.76–$6,489.29 | varies |
| Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$4,067.59–$6,985.43 | $4,067.59–$6,985.43 | varies |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$4,067.59–$6,985.43 | $4,067.59–$6,985.43 | varies |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$4,067.59–$6,985.43 | $4,067.59–$6,985.43 | varies |
| Bx Cervix (57500) range across 3 matching MRF lines |
$2,887.64–$6,154.27 | $2,887.64–$6,154.27 | varies |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) | $17,903.88 | $17,903.88 | 2.7× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) | $11,770.48 | $11,770.48 | 2.7× |
| Bx prostate transperineal ultrasound-guided (55709) | $11,770.48 | $11,770.48 | 2.7× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) | $11,770.48 | $11,770.48 | 2.7× |
| Bx prst8 tprn us w/MRI fus 1 (55710) | $11,770.48 | $11,770.48 | 2.7× |
| Bx prst8 trct us w/MRI fus 1 (55708) | $11,770.48 | $11,770.48 | 2.7× |
| Bx/exc lymph node open deep axillary node (38525) range across 3 matching MRF lines |
$8,205.68–$16,411.37 | $8,205.68–$16,411.37 | varies |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) range across 2 matching MRF lines |
$6,154.27–$8,205.69 | $6,154.27–$8,205.69 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$6,154.27–$12,308.54 | $6,154.27–$12,308.54 | varies |
| Carpectomy All Bones Proximal Row (25215) range across 2 matching MRF lines |
$17,560.17–$20,514.20 | $17,560.17–$20,514.20 | varies |
| Cerclage cervix pregnancy vaginal (59320) | $12,308.54 | $12,308.54 | 3.0× |
| Cerclage Uterine Cervix Nonobstetrical (57700) | $17,560.17 | $17,560.17 | 4.3× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$895.79–$11,304.71 | $895.79–$11,304.71 | varies |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$832.22–$952.81 | $832.22–$952.81 | varies |
| Change ureter stent percut (50382) range across 2 matching MRF lines |
$12,026.41–$13,259.15 | $12,026.41–$13,259.15 | varies |
| Chemical Cautery Tissue (17250) range across 6 matching MRF lines |
$645.61–$2,413.48 | $645.61–$2,413.48 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$5,853.40–$8,205.69 | $5,853.40–$8,205.69 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$2,446.53–$2,801.04 | $2,446.53–$2,801.04 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $15,979.19 | $15,979.19 | 3.6× |
| Chorionic Villus Sampling (59015) | $1,736.11 | $1,736.11 | 1.5× |
| Circumcision 28 days or older (54161) | $5,470.47 | $5,470.47 | 2.1× |
| Circumcision Neonate (54160) | $5,470.47 | $5,470.47 | 6.3× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$5,470.47–$12,308.54 | $5,470.47–$12,308.54 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $2,771.78 | $2,771.78 | 1.4× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$304.44–$348.55 | $304.44–$348.55 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $13,170.14 | $13,170.14 | 3.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$794.88–$13,170.14 | $794.88–$13,170.14 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,168.28 | $2,168.28 | 1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,154.28 | $1,154.28 | 3.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $794.88 | $794.88 | 2.6× |
| Closed Treatment Sesamoid Fracture (28530) | $794.88 | $794.88 | 2.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $812.49 | $812.49 | 2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,191.64 | $1,191.64 | 3.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,168.28 | $2,168.28 | 1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $2,771.78 | $2,771.78 | 1.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $794.88 | $794.88 | 2.6× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$1,087.10–$1,163.20 | $1,087.10–$1,163.20 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $10,490.92 | $10,490.92 | 5.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $10,490.92 | $10,490.92 | 5.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $8,730.24 | $8,730.24 | 4.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$778.16–$1,454.50 | $778.16–$1,454.50 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$794.88–$1,245.17 | $794.88–$1,245.17 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$2,420.98–$2,771.78 | $2,420.98–$2,771.78 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$733.41–$839.68 | $733.41–$839.68 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,771.78 | $2,771.78 | 1.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$742.88–$794.88 | $742.88–$794.88 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,771.78 | $2,771.78 | 1.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $2,447.18 | $2,447.18 | 7.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $2,771.78 | $2,771.78 | 9.0× |
| Closed tx talus fracture w/o manipulation (28430) | $794.88 | $794.88 | 2.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $794.88 | $794.88 | 2.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
$498.30–$570.50 | $498.30–$570.50 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $2,168.28 | $2,168.28 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$757.01–$794.88 | $757.01–$794.88 | varies |
| Closure Gastrostomy Surg (43870) | $12,308.54 | $12,308.54 | 2.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $2,771.78 | $2,771.78 | 9.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $794.88 | $794.88 | 2.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $10,491 | $10,491 | 5.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $794.88 | $794.88 | 2.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$7,317.93–$7,830.19 | $7,317.93–$7,830.19 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$935.11–$1,070.61 | $935.11–$1,070.61 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $2,771.78 | $2,771.78 | 1.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,168.28 | $2,168.28 | 1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $879.42 | $879.42 | 2.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,168.28 | $2,168.28 | 1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,486.53 | $1,486.53 | 4.8× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $794.88 | $794.88 | 2.6× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $2,168.28 | $2,168.28 | 1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 4 matching MRF lines |
$988.75–$1,977.50 | $988.75–$1,977.50 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $4,102.85 | $4,102.85 | 13.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 4 matching MRF lines |
$694.28–$6,154.27 | $694.28–$6,154.27 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$2,420.98–$2,771.78 | $2,420.98–$2,771.78 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,771.78 | $2,771.78 | 1.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $794.88 | $794.88 | 2.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $10,491 | $10,491 | 5.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $794.88 | $794.88 | 2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $794.88 | $794.88 | 2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$742.88–$794.88 | $742.88–$794.88 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $794.88 | $794.88 | 2.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $7,830.19 | $7,830.19 | 3.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $794.88 | $794.88 | 2.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $794.88 | $794.88 | 2.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,168.28 | $2,168.28 | 1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,168.28 | $2,168.28 | 1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $794.88 | $794.88 | 2.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$742.88–$794.88 | $742.88–$794.88 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$1,082.69–$1,239.57 | $1,082.69–$1,239.57 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $10,491 | $10,491 | 5.2× |
| Cltx Medial Ankle Fx (27760) | $794.88 | $794.88 | 2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$1,483.48–$2,591.46 | $1,483.48–$2,591.46 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 5 matching MRF lines |
$698.21–$1,388.56 | $698.21–$1,388.56 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$768.12–$879.42 | $768.12–$879.42 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $10,491 | $10,491 | 5.2× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $10,490.92 | $10,490.92 | 5.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $794.88 | $794.88 | 2.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$864.99–$990.33 | $864.99–$990.33 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $2,771.78 | $2,771.78 | 1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,771.78 | $2,771.78 | 1.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,168.28 | $2,168.28 | 1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,771.78 | $2,771.78 | 1.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$742.88–$794.88 | $742.88–$794.88 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $794.88 | $794.88 | 2.6× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$742.88–$794.88 | $742.88–$794.88 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $794.88 | $794.88 | 2.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,771.78 | $2,771.78 | 1.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $794.88 | $794.88 | 2.6× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$109.40–$218.80 | $109.40–$218.80 | varies |
| Colonoscopy w/ablation (45388) | $5,459.66 | $5,459.66 | 3.7× |
| Colonoscopy w/submucosal inj (45381) range across 3 matching MRF lines |
$2,363.64–$5,477.67 | $2,363.64–$5,477.67 | varies |
| Colpopexy vaginal intraperitoneal approach (57283) | $17,560.15 | $17,560.15 | 1.9× |
| Colporrhaphy (57200) | $8,780.08 | $8,780.08 | 2.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$1,822.94–$13,170.14 | $1,822.94–$13,170.14 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $1,822.94 | $1,822.94 | 4.8× |
| Colposcopy cervix upper/adjacent vagina (57452) | $823.22 | $823.22 | 3.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$1,822.94–$10,257.10 | $1,822.94–$10,257.10 | varies |
| Colposcopy cervix vag eltrd conization cervix (57461) | $16,411.37 | $16,411.37 | 4.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $16,411.37 | $16,411.37 | 4.1× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$1,822.94–$8,205.68 | $1,822.94–$8,205.68 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$1,822.94–$10,257.10 | $1,822.94–$10,257.10 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $3,907.40 | $3,907.40 | 2.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$2,529.10–$2,930.55 | $2,529.10–$2,930.55 | varies |
| Combined anteroposterior colporrhaphy; (57260) | $19,755.19 | $19,755.19 | 3.2× |
| Complex drainage wound (10180) | $8,291.64 | $8,291.64 | 2.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $20,514.20 | $20,514.20 | 5.1× |
| Conization of cervix (57520) | $16,411.37 | $16,411.37 | 4.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 5 matching MRF lines |
$498.30–$1,844.59 | $498.30–$1,844.59 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$664.74–$761.06 | $664.74–$761.06 | varies |
| Convert Nephrostomy Catheter (50434) | $3,074.90 | $3,074.90 | 1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 4 matching MRF lines |
$4,281.44–$6,377.23 | $4,281.44–$6,377.23 | varies |
| Correction hammertoe (28285) range across 8 matching MRF lines |
$2,926.69–$10,257.10 | $2,926.69–$10,257.10 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 3 matching MRF lines |
$4,102.85–$16,411.37 | $4,102.85–$16,411.37 | varies |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $8,205.69 | $8,205.69 | 2.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$21,950.19–$26,340.24 | $21,950.19–$26,340.24 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) range across 2 matching MRF lines |
$5,470.47–$16,411.37 | $5,470.47–$16,411.37 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$12,308.54–$16,411.37 | $12,308.54–$16,411.37 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) range across 4 matching MRF lines |
$5,470.45–$20,514.20 | $5,470.45–$20,514.20 | varies |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $28,719.89 | $28,719.89 | 4.1× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) | $15,457.52 | $15,457.52 | 1.3× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $570.50 | $570.50 | 1.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $570.50 | $570.50 | 1.9× |
| Curettage postpartum (59160) | $16,411.37 | $16,411.37 | 4.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$13,206.43–$61,542.63 | $13,206.43–$61,542.63 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$6,978.39–$13,206.43 | $6,978.39–$13,206.43 | varies |
| Cysto w/destruction of lesions (52214) | $14,130.88 | $14,130.88 | 3.2× |
| Cysto w/insert ureteral stent (52332) range across 8 matching MRF lines |
$3,864.38–$34,874.16 | $3,864.38–$34,874.16 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) | $14,130.88 | $14,130.88 | 3.2× |
| Cysto w/removal of lesions small (52224) | $13,206.43 | $13,206.43 | 3.0× |
| Cysto w/removal of tumors small (52234) range across 2 matching MRF lines |
$4,977.92–$13,956.79 | $4,977.92–$13,956.79 | varies |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) range across 2 matching MRF lines |
$4,977.92–$7,466.88 | $4,977.92–$7,466.88 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) | $6,603.21 | $6,603.21 | 2.5× |
| Cysto w/ureteroscopy w/lithotripsy (52353) range across 4 matching MRF lines |
$13,206.43–$16,282.93 | $13,206.43–$16,282.93 | varies |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 6 matching MRF lines |
$3,864.38–$7,766.28 | $3,864.38–$7,766.28 | varies |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 7 matching MRF lines |
$2,424.28–$13,956.79 | $2,424.28–$13,956.79 | varies |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) range across 2 matching MRF lines |
$4,902.40–$6,603.22 | $4,902.40–$6,603.22 | varies |
| Cysto/uretero w/lithotripsy (52356) range across 4 matching MRF lines |
$12,308.54–$17,033.30 | $12,308.54–$17,033.30 | varies |
| Cystometrogram W/Vp (51728) | $2,458.56 | $2,458.56 | 2.8× |
| Cystostomy Cystotomy W/Drainage (51040) | $13,956.79 | $13,956.79 | 5.3× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$3,790.61–$9,964.86 | $3,790.61–$9,964.86 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $13,206.43 | $13,206.43 | 5.1× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) range across 3 matching MRF lines |
$4,902.38–$15,532.56 | $4,902.38–$15,532.56 | varies |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) range across 3 matching MRF lines |
$4,536.33–$16,539.55 | $4,536.33–$16,539.55 | varies |
| Cystourethroscopy with biopsy (52204) range across 3 matching MRF lines |
$6,603.21–$13,206.43 | $6,603.21–$13,206.43 | varies |
| Cystourethroscopy with direct vision internal urethrotomy (52276) range across 2 matching MRF lines |
$4,710.30–$13,206.43 | $4,710.30–$13,206.43 | varies |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | $13,259.15 | $13,259.15 | 3.0× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) | $14,130.88 | $14,130.88 | 5.4× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) | $13,206.43 | $13,206.43 | 5.1× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) | $6,603.21 | $6,603.21 | 2.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$1,247.68–$1,375.53 | $1,247.68–$1,375.53 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $10,975.09 | $10,975.09 | 12.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$1,375.53–$2,513.22 | $1,375.53–$2,513.22 | varies |
| Debride nail 1-5 (11720) | $458.35 | $458.35 | 6.2× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$400.34–$458.35 | $400.34–$458.35 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$4,823.69–$5,522.64 | $4,823.69–$5,522.64 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 8 matching MRF lines |
$1,155.01–$12,308.54 | $1,155.01–$12,308.54 | varies |
| Declot vascular device (36593) | $2,363.95 | $2,363.95 | 5.7× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$428.36–$458.35 | $428.36–$458.35 | varies |
| Destruction Benign Lesions 15/> (17111) | $754.02 | $754.02 | 3.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $13,170.14 | $13,170.14 | 8.8× |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$4,194.47–$8,205.68 | $4,194.47–$8,205.68 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $1,375.53 | $1,375.53 | 2.7× |
| Destruction premalignant lesion 1st (17000) | $458.35 | $458.35 | 1.8× |
| Destruction Vaginal Lesions Simple (57061) | $10,257.10 | $10,257.10 | 2.5× |
| Diagnostic sigmoidoscopy (45330) | $9,454.59 | $9,454.59 | 8.1× |
| Diaphragm or cervical cap fitting with instructions (57170) | $272.55 | $272.55 | 1.1× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $12,308.54 | $12,308.54 | 8.2× |
| Dilat Xst Trc New Access Rcs (50437) range across 9 matching MRF lines |
$906.74–$22,112.56 | $906.74–$22,112.56 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $6,154.27 | $6,154.27 | 1.5× |
| Dilation Cervical Canal (57800) | $12,308.54 | $12,308.54 | 3.0× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) | $14,130.88 | $14,130.88 | 3.2× |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) | $9,489.39 | $9,489.39 | 3.3× |
| Drain Cerebro Spinal Fluid (62272) | $3,117.78 | $3,117.78 | 3.5× |
| Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines |
$5,128.85–$5,487.87 | $5,128.85–$5,487.87 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$2,081.50–$2,383.11 | $2,081.50–$2,383.11 | varies |
| Drainage Finger Abscess Complicated (26011) | $6,552.15 | $6,552.15 | 3.2× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$655.57–$750.56 | $655.57–$750.56 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$721.92–$826.52 | $721.92–$826.52 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$5,942.98–$8,205.68 | $5,942.98–$8,205.68 | varies |
| Drainage of mouth lesion (41017) | $10,984.51 | $10,984.51 | 2.7× |
| Drainage of rectal abscess (45020) | $8,112.86 | $8,112.86 | 2.3× |
| Drainage of scrotal wall abscess (55100) | $6,552.11 | $6,552.11 | 3.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) range across 2 matching MRF lines |
$8,780.09–$10,411.50 | $8,780.09–$10,411.50 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) range across 2 matching MRF lines |
$1,612.03–$1,724.87 | $1,612.03–$1,724.87 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$720.99–$953.24 | $720.99–$953.24 | varies |
| Drg privesical/prevesical space absc (51080) | $11,477.50 | $11,477.50 | 3.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,322.37 | $1,322.37 | 2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$848.39–$1,322.37 | $848.39–$1,322.37 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$658.59–$754.02 | $658.59–$754.02 | varies |
| Dstrj lesion anus simple surg excision (46922) | $8,205.68 | $8,205.68 | 2.4× |
| Dstrj Lesion Penis Simple Chemical (54050) | $541.30 | $541.30 | 1.1× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $415.74 | $415.74 | 1.7× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $10,974.92 | $10,974.92 | 4.3× |
| Dx Bone Marrow Bx & Aspir (38222) range across 3 matching MRF lines |
$6,345.45–$10,897.38 | $6,345.45–$10,897.38 | varies |
| Dx Bronchoscope/Lavage (31624) range across 2 matching MRF lines |
$5,477.66–$6,797.82 | $5,477.66–$6,797.82 | varies |
| Dx Bronchoscope/Wash (31622) range across 3 matching MRF lines |
$4,390.04–$9,252.60 | $4,390.04–$9,252.60 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$2,512.26–$2,876.29 | $2,512.26–$2,876.29 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $8,704.24 | $8,704.24 | 3.6× |
| Egd control bleeding any (43255) range across 3 matching MRF lines |
$3,907.40–$9,454.59 | $3,907.40–$9,454.59 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $8,704.24 | $8,704.24 | 3.6× |
| Egd Flexible Foreign Body Removal (43247) | $11,722.20 | $11,722.20 | 10.4× |
| Egd guide wire insertion (43248) | $10,204.96 | $10,204.96 | 9.0× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $5,102.48 | $5,102.48 | 2.1× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $5,477.66 | $5,477.66 | 2.3× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$4,471.96–$9,313.54 | $4,471.96–$9,313.54 | varies |
| Egd remove lesion snare (43251) | $3,151.53 | $3,151.53 | 1.3× |
| Egd us exam duodenum/jejunum (43259) | $10,955.33 | $10,955.33 | 4.6× |
| Egd Varices Ligation (43244) | $9,454.59 | $9,454.59 | 3.9× |
| Electro-Uroflowmetry First (51741) | $571.77 | $571.77 | 2.1× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) | $5,743.97 | $5,743.97 | 0.8× |
| Endocervical curettage (57505) | $10,257.10 | $10,257.10 | 8.9× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $13,170.14 | $13,170.14 | 2.1× |
| Endometrial Biopsy (58100) range across 4 matching MRF lines |
$719.03–$8,205.68 | $719.03–$8,205.68 | varies |
| Endoscopic injection/implant (51715) | $13,206.43 | $13,206.43 | 3.0× |
| Endoscopic plantar fasciotomy (29893) range across 3 matching MRF lines |
$8,205.69–$12,308.54 | $8,205.69–$12,308.54 | varies |
| Endoscopic us exam esoph (43237) | $5,102.48 | $5,102.48 | 2.1× |
| Endoscopy Upper Small Intestine (44360) | $3,401.65 | $3,401.65 | 1.4× |
| Endoscopy upper small intestine w/biopsy (44361) | $4,727.29 | $4,727.29 | 2.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) range across 3 matching MRF lines |
$13,822.80–$17,560.17 | $13,822.80–$17,560.17 | varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 5 matching MRF lines |
$10,229.65–$20,514.20 | $10,229.65–$20,514.20 | varies |
| Ercp ea duct/ampulla dilate (43277) range across 2 matching MRF lines |
$3,151.53–$3,401.66 | $3,151.53–$3,401.66 | varies |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $1,470.75 | $1,470.75 | 0.3× |
| Ercp remove forgn body duct (43275) | $1,470.72 | $1,470.72 | 0.6× |
| Ercp W/Biopsy Single/Multiple (43261) range across 2 matching MRF lines |
$3,151.53–$5,072.42 | $3,151.53–$5,072.42 | varies |
| Ercp,Sphincterotomy (43262) | $3,901.89 | $3,901.89 | 0.8× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 3 matching MRF lines |
$2,738.83–$4,727.29 | $2,738.83–$4,727.29 | varies |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) | $8,704.24 | $8,704.24 | 7.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $4,352.12 | $4,352.12 | 3.8× |
| Esophagoscopy rigid trnso dx (43191) | $4,390.06 | $4,390.06 | 1.8× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$201.45–$230.64 | $201.45–$230.64 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) range across 3 matching MRF lines |
$5,470.47–$8,205.70 | $5,470.47–$8,205.70 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 3 matching MRF lines |
$8,780.10–$17,560.17 | $8,780.10–$17,560.17 | varies |
| Exc abdl tum deep 5 cm/> (22901) | $24,617.05 | $24,617.05 | 6.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $12,308.54 | $12,308.54 | 6.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $6,585.07 | $6,585.07 | 7.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$6,585.07–$16,411.37 | $6,585.07–$16,411.37 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) | $24,617.05 | $24,617.05 | 6.8× |
| Exc back tum deep < 5 cm (21932) | $20,514.20 | $20,514.20 | 5.7× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) | $32,822.72 | $32,822.72 | 4.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$16,411.37–$20,514.20 | $16,411.37–$20,514.20 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $16,411.37 | $16,411.37 | 8.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $5,470.47 | $5,470.47 | 6.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$7,316.73–$16,411.37 | $7,316.73–$16,411.37 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $16,411.37 | $16,411.37 | 8.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$8,780.10–$16,411.37 | $8,780.10–$16,411.37 | varies |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $13,170.14 | $13,170.14 | 3.6× |
| Exc ganglion wrist recurrent (25112) | $13,170.14 | $13,170.14 | 6.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$4,276.26–$5,470.47 | $4,276.26–$5,470.47 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$4,276.30–$8,205.69 | $4,276.30–$8,205.69 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$2,195.15–$12,308.54 | $2,195.15–$12,308.54 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 2 matching MRF lines |
$5,470.47–$13,170.14 | $5,470.47–$13,170.14 | varies |
| Exc hand tum deep < 1.5 cm (26116) | $6,585.07 | $6,585.07 | 3.2× |
| Exc hydrocele sprmatic cord uni spx (55500) | $14,933.77 | $14,933.77 | 3.4× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) | $26,340.24 | $26,340.24 | 6.4× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 3 matching MRF lines |
$8,205.69–$16,411.37 | $8,205.69–$16,411.37 | varies |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $15,043.75 | $15,043.75 | 3.6× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) | $6,585.06 | $6,585.06 | 1.6× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $16,411.37 | $16,411.37 | 4.7× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $6,154.27 | $6,154.27 | 1.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $16,411.37 | $16,411.37 | 18.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $5,470.47 | $5,470.47 | 2.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $16,411.37 | $16,411.37 | 4.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$3,516.72–$16,411.37 | $3,516.72–$16,411.37 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $6,564.54 | $6,564.54 | 1.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $21,950.19 | $21,950.19 | 10.6× |
| Exc thigh/knee les sc 3 cm/> (27337) | $8,780.08 | $8,780.08 | 2.4× |
| Exc thigh/knee tum dep 5cm/> (27339) range across 2 matching MRF lines |
$16,411.37–$17,560.17 | $16,411.37–$17,560.17 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $8,414.89 | $8,414.89 | 5.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $6,154.27 | $6,154.27 | 12.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$6,154.27–$8,205.68 | $6,154.27–$8,205.68 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $12,308.54 | $12,308.54 | 6.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$11,706.76–$28,719.89 | $11,706.76–$28,719.89 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $16,411.37 | $16,411.37 | 4.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $12,308.54 | $12,308.54 | 3.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) range across 2 matching MRF lines |
$7,316.73–$12,308.54 | $7,316.73–$12,308.54 | varies |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) range across 2 matching MRF lines |
$12,308.53–$17,560.17 | $12,308.53–$17,560.17 | varies |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) range across 2 matching MRF lines |
$10,940.90–$12,308.54 | $10,940.90–$12,308.54 | varies |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $12,308.54 | $12,308.54 | 3.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) range across 2 matching MRF lines |
$10,975.09–$12,308.54 | $10,975.09–$12,308.54 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$12,308.54–$16,411.37 | $12,308.54–$16,411.37 | varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $28,719.89 | $28,719.89 | 7.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
$5,853.40–$8,780.09 | $5,853.40–$8,780.09 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $16,411.37 | $16,411.37 | 4.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $12,308.54 | $12,308.54 | 6.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $6,585.07 | $6,585.07 | 1.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $3,516.73 | $3,516.73 | 1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$12,308.54–$20,514.20 | $12,308.54–$20,514.20 | varies |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $24,617.05 | $24,617.05 | 5.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) range across 2 matching MRF lines |
$16,411.37–$17,560.17 | $16,411.37–$17,560.17 | varies |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $13,170.14 | $13,170.14 | 6.6× |
| Exc/fulguration urethral caruncle (53265) | $12,308.54 | $12,308.54 | 4.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) range across 2 matching MRF lines |
$13,703.37–$14,662.61 | $13,703.37–$14,662.61 | varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,685.74–$3,074.90 | $2,685.74–$3,074.90 | varies |
| Exchange Transfusion (36455) | $1,707.84 | $1,707.84 | 3.1× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $7,432.31 | $7,432.31 | 3.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $15,043.75 | $15,043.75 | 3.6× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $13,170.14 | $13,170.14 | 6.8× |
| Excise mandible lesion (21040) range across 2 matching MRF lines |
$18,462.80–$20,514.20 | $18,462.80–$20,514.20 | varies |
| Excise Wrist Tendon Sheath (25118) | $20,514.20 | $20,514.20 | 10.2× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $26,340.24 | $26,340.24 | 7.3× |
| Excision inferior turbinate partial/complete (30130) range across 2 matching MRF lines |
$4,102.84–$5,470.45 | $4,102.84–$5,470.45 | varies |
| Excision Lingual Frenum Frenectomy (41115) | $8,205.70 | $8,205.70 | 4.2× |
| Excision Multiple External Papillae/Tags Anus (46230) | $7,316.73 | $7,316.73 | 2.1× |
| Excision of bartholin's gland or cyst (56740) range across 2 matching MRF lines |
$8,205.68–$16,411.37 | $8,205.68–$16,411.37 | varies |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) range across 2 matching MRF lines |
$10,257.10–$24,617.05 | $10,257.10–$24,617.05 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 3 matching MRF lines |
$12,308.54–$17,560.17 | $12,308.54–$17,560.17 | varies |
| Excision of hydrocele; bilateral (55041) | $15,736.66 | $15,736.66 | 3.5× |
| Excision of hydrocele; unilateral (55040) range across 3 matching MRF lines |
$8,780.09–$14,707.16 | $8,780.09–$14,707.16 | varies |
| Excision of local lesion of epididymis (54830) range across 2 matching MRF lines |
$8,780.09–$15,736.66 | $8,780.09–$15,736.66 | varies |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) | $32,822.72 | $32,822.72 | 4.4× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 3 matching MRF lines |
$3,877.59–$12,308.54 | $3,877.59–$12,308.54 | varies |
| Excision of single external papilla or tag, anus (46220) | $3,077.13 | $3,077.13 | 2.1× |
| Excision of submandibular (submaxillary) gland (42440) range across 2 matching MRF lines |
$18,462.80–$35,120.31 | $18,462.80–$35,120.31 | varies |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) | $14,933.77 | $14,933.77 | 2.2× |
| Excision of vaginal cyst or tumor (57135) | $12,308.52 | $12,308.52 | 3.0× |
| Excision olecranon bursa (24105) | $12,308.52 | $12,308.52 | 3.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $13,170.14 | $13,170.14 | 3.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $17,560.17 | $17,560.17 | 4.8× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines |
$10,257.10–$20,514.21 | $10,257.10–$20,514.21 | varies |
| Excision soft tissue lesion, external auditory canal (69145) | $17,560.17 | $17,560.17 | 4.8× |
| Excision spermatocele w/wo epididymectomy (54840) range across 2 matching MRF lines |
$6,978.39–$13,956.79 | $6,978.39–$13,956.79 | varies |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $24,617.05 | $24,617.05 | 3.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $12,308.54 | $12,308.54 | 6.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $20,514.20 | $20,514.20 | 10.0× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) | $28,719.89 | $28,719.89 | 3.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $20,514.20 | $20,514.20 | 5.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $16,411.37 | $16,411.37 | 8.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $16,411.37 | $16,411.37 | 4.5× |
| Excision/curettage cyst/tumor carpal bones (25130) | $12,308.52 | $12,308.52 | 3.0× |
| Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines |
$8,347.48–$9,557.03 | $8,347.48–$9,557.03 | varies |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$5,128.55–$6,552.15 | $5,128.55–$6,552.15 | varies |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $13,170.14 | $13,170.14 | 3.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $21,950.19 | $21,950.19 | 5.4× |
| Fetal Contraction Stress Test (59020) | $893.55 | $893.55 | 3.5× |
| Fetal non-stress test (59025) range across 4 matching MRF lines |
$1,152.78–$1,565.81 | $1,152.78–$1,565.81 | varies |
| Fetal Scalp Blood Sampling (59030) | $1,822.94 | $1,822.94 | 4.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,917.98 | $2,917.98 | 3.3× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $2,917.98 | $2,917.98 | 3.3× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$988.39–$1,847.46 | $988.39–$1,847.46 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $2,917.98 | $2,917.98 | 3.3× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$2,548.67–$2,917.98 | $2,548.67–$2,917.98 | varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $8,205.69 | $8,205.69 | 2.0× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $29,266.94 | $29,266.94 | 11.4× |
| Fusion Finger Joint (26860) | $14,359.95 | $14,359.95 | 3.5× |
| Fusion of foot bones (28740) range across 2 matching MRF lines |
$5,487.57–$17,560.17 | $5,487.57–$17,560.17 | varies |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) range across 2 matching MRF lines |
$11,282.81–$20,514.21 | $11,282.81–$20,514.21 | varies |
| Grafting of autologous fat by lipo 50 cc or less (15771) | $7,682.57 | $7,682.57 | 1.7× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$864.45–$989.71 | $864.45–$989.71 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$16,411.37–$17,560.17 | $16,411.37–$17,560.17 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $12,308.54 | $12,308.54 | 3.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $16,411.37 | $16,411.37 | 4.7× |
| Hemorrhoidopexy by stapling (46947) | $13,170.14 | $13,170.14 | 3.8× |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$12,308.54–$16,411.37 | $12,308.54–$16,411.37 | varies |
| Hysteroscopy Dx Sep Proc (58555) | $6,154.27 | $6,154.27 | 1.5× |
| Hysteroscopy Endometrial Ablation (58563) | $17,560.17 | $17,560.17 | 2.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $6,585.07 | $6,585.07 | 1.6× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) range across 3 matching MRF lines |
$8,205.69–$17,560.17 | $8,205.69–$17,560.17 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$1,320.92–$1,512.32 | $1,320.92–$1,512.32 | varies |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$603.37–$1,966.71 | $603.37–$1,966.71 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $16,411.37 | $16,411.37 | 8.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $8,680.09 | $8,680.09 | 2.4× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$2,257.25–$2,584.33 | $2,257.25–$2,584.33 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$5,722.90–$6,552.15 | $5,722.90–$6,552.15 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$832.60–$1,338.31 | $832.60–$1,338.31 | varies |
| Image Cath Fluid Colxn Visc (49405) | $8,113.94 | $8,113.94 | 3.9× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$7,087.03–$8,113.94 | $7,087.03–$8,113.94 | varies |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$4,902.38–$7,353.58 | $4,902.38–$7,353.58 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) range across 2 matching MRF lines |
$4,652.26–$6,978.40 | $4,652.26–$6,978.40 | varies |
| Impression & Preparation Oral Surgical Splint (21085) | $7,918.61 | $7,918.61 | 26.8× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$1,308.63–$1,400.23 | $1,308.63–$1,400.23 | varies |
| Incise finger tendon sheath (26055) range across 8 matching MRF lines |
$4,102.85–$12,308.54 | $4,102.85–$12,308.54 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 6 matching MRF lines |
$778.70–$12,308.54 | $778.70–$12,308.54 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $13,170.14 | $13,170.14 | 3.6× |
| Incision & removal foreign body subq tiss compl (10121) | $9,102.71 | $9,102.71 | 4.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$2,353.39–$13,170.14 | $2,353.39–$13,170.14 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
$697.83–$893.80 | $697.83–$893.80 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $823.22 | $823.22 | 2.2× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$6,154.27–$12,308.54 | $6,154.27–$12,308.54 | varies |
| Incision of eardrum (69420) | $13,170.12 | $13,170.12 | 44.5× |
| Incision of Foot Tendon (28234) range across 2 matching MRF lines |
$4,390.04–$5,470.45 | $4,390.04–$5,470.45 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $12,308.54 | $12,308.54 | 6.4× |
| Incision&drainage bursa foot (28001) | $5,235.50 | $5,235.50 | 2.5× |
| Incisional biopsy eyelid skin & lid margin (67810) | $1,525.72 | $1,525.72 | 3.9× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$1,476.69–$5,853.40 | $1,476.69–$5,853.40 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$415.74–$458.35 | $415.74–$458.35 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $7,229.68 | $7,229.68 | 6.5× |
| Inj W/Fluor Eval Cv Device (36598) | $1,182.01 | $1,182.01 | 4.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$1,173.53–$9,388.24 | $1,173.53–$9,388.24 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $8,780.10 | $8,780.10 | 10.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$3,554.07–$7,108.13 | $3,554.07–$7,108.13 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $2,345.61 | $2,345.61 | 2.7× |
| Injection for identification of sentinel node (38792) | $11,706.77 | $11,706.77 | 23.5× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$1,343.58–$6,154.27 | $1,343.58–$6,154.27 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$1,255.68–$6,154.27 | $1,255.68–$6,154.27 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$1,343.58–$8,205.68 | $1,343.58–$8,205.68 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $3,987.57 | $3,987.57 | 2.1× |
| Injection therapeutic carpal tunnel (20526) | $1,343.58 | $1,343.58 | 3.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $3,015.47 | $3,015.47 | 2.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$1,707.42–$2,735.23 | $1,707.42–$2,735.23 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$400.34–$458.35 | $400.34–$458.35 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$428.36–$458.35 | $428.36–$458.35 | varies |
| Ins cath ren art 1st bilat (36252) | $14,815.17 | $14,815.17 | 3.8× |
| Ins cath ren art 1st unilat (36251) | $14,815.17 | $14,815.17 | 3.8× |
| Ins endovas vena cava filtr (37191) range across 3 matching MRF lines |
$7,323.80–$22,151.17 | $7,323.80–$22,151.17 | varies |
| Ins/Rep Subq Defibrillator (33270) | $99,999.99 | $99,999.99 | 2.6× |
| Insert Bladder Cath Complex (51703) | $559.39 | $559.39 | 3.5× |
| Insert cath pleura w/ image (32557) | $3,009.62 | $3,009.62 | 1.5× |
| Insert cath pleura w/o image (32556) | $2,713.55 | $2,713.55 | 1.1× |
| Insert Drug Implant Device (11981) | $8,205.68 | $8,205.68 | 49.4× |
| Insert Gastrostomy Tube Percutaneous (49440) | $7,012.37 | $7,012.37 | 2.9× |
| Insert Heart Pm Ventricular (33207) | $52,415.01 | $52,415.01 | 4.0× |
| Insert multi-comp penis pros (54405) | $20,514.20 | $20,514.20 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$930.73–$5,724.64 | $930.73–$5,724.64 | varies |
| Insert Pacing Lead & Connect (33224) | $44,891.69 | $44,891.69 | 3.4× |
| Insert pessary/other device (57160) range across 3 matching MRF lines |
$719.03–$823.22 | $719.03–$823.22 | varies |
| Insert pulse gen dual leads (33213) range across 2 matching MRF lines |
$47,540.16–$54,428.73 | $47,540.16–$54,428.73 | varies |
| Insert semi-rigid prosthesis (54400) range across 2 matching MRF lines |
$20,514.20–$26,340.24 | $20,514.20–$26,340.24 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$295.18–$337.95 | $295.18–$337.95 | varies |
| Insert testicular prosthesis (54660) | $20,514.20 | $20,514.20 | 3.1× |
| Insert tun ip cath perc (49418) | $15,609.27 | $15,609.27 | 3.5× |
| Insert tunneled cv cath (36561) range across 4 matching MRF lines |
$8,205.68–$21,950.19 | $8,205.68–$21,950.19 | varies |
| Insert Uro/Ves Nck Sphincter (53445) | $16,411.37 | $16,411.37 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 5 matching MRF lines |
$267.76–$337.95 | $267.76–$337.95 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$5,350.13–$5,724.64 | $5,350.13–$5,724.64 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$28,030.59–$32,092.22 | $28,030.59–$32,092.22 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $5,724.64 | $5,724.64 | 1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$11,724.20–$12,925.94 | $11,724.20–$12,925.94 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $5,724.64 | $5,724.64 | 2.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $15,496.10 | $15,496.10 | 3.9× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $31,582.77 | $31,582.77 | 8.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 4 matching MRF lines |
$4,102.85–$12,925.94 | $4,102.85–$12,925.94 | varies |
| Insj/rplcmt breast implant sep day mastectomy (19342) range across 3 matching MRF lines |
$9,573.29–$12,308.52 | $9,573.29–$12,308.52 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $99,999.99 | $99,999.99 | 2.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $32,092.22 | $32,092.22 | 3.1× |
| Insrt heart pm atrial & vent (33208) range across 2 matching MRF lines |
$45,781.30–$52,415.01 | $45,781.30–$52,415.01 | varies |
| Insrt Pulse Gen W/Dual Leads (33230) | $99,522.89 | $99,522.89 | 3.6× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $12,308.54 | $12,308.54 | 3.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $6,320.95 | $6,320.95 | 3.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,592 | $1,592 | 3.1× |
| Intraoral i&d tongue/floor submental space (41007) | $903.54 | $903.54 | 0.5× |
| Intro cath dialysis circuit (36901) range across 3 matching MRF lines |
$3,301.34–$17,560.17 | $3,301.34–$17,560.17 | varies |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) range across 3 matching MRF lines |
$16,411.37–$46,168.33 | $16,411.37–$46,168.33 | varies |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) range across 3 matching MRF lines |
$16,411.37–$22,842.65 | $16,411.37–$22,842.65 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$930.73–$1,191.89 | $930.73–$1,191.89 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$719.51–$823.77 | $719.51–$823.77 | varies |
| Laparo ablate renal cyst (50541) range across 2 matching MRF lines |
$3,468.48–$24,617.05 | $3,468.48–$24,617.05 | varies |
| Laparo-vag hyst incl t/o (58552) | $49,234.11 | $49,234.11 | 3.7× |
| Laparoscope proc ureter (50949) | $22,565.63 | $22,565.63 | 3.0× |
| Laparoscopic myomectomy (58545) range across 2 matching MRF lines |
$9,573.29–$10,940.90 | $9,573.29–$10,940.90 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 4 matching MRF lines |
$12,308.53–$24,617.05 | $12,308.53–$24,617.05 | varies |
| Laparoscopy surgical orchiectomy (54690) | $32,822.72 | $32,822.72 | 4.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $49,234.11 | $49,234.11 | 3.7× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $18,462.80 | $18,462.80 | 1.4× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 4 matching MRF lines |
$12,308.54–$30,730.28 | $12,308.54–$30,730.28 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$16,411.37–$18,462.80 | $16,411.37–$18,462.80 | varies |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | $12,308.52 | $12,308.52 | 0.9× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $24,617.05 | $24,617.05 | 1.9× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) | $26,668.48 | $26,668.48 | 2.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $24,617.05 | $24,617.05 | 3.3× |
| Laparoscopy, surgical; partial nephrectomy (50543) | $45,131.27 | $45,131.27 | 3.4× |
| Laparoscopy, surgical; pyeloplasty (50544) | $43,900.42 | $43,900.42 | 3.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$9,573.31–$12,308.53 | $9,573.31–$12,308.53 | varies |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) | $28,535.27 | $28,535.27 | 3.8× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) | $17,560.15 | $17,560.15 | 1.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) range across 2 matching MRF lines |
$8,205.68–$24,617.05 | $8,205.68–$24,617.05 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$13,170.12–$21,950.21 | $13,170.12–$21,950.21 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $24,617.05 | $24,617.05 | 3.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 5 matching MRF lines |
$7,179.98–$43,900.42 | $7,179.98–$43,900.42 | varies |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $28,535.28 | $28,535.28 | 2.2× |
| Laps surg prst8ect smpl stot robotic assistance (55867) | $17,560.17 | $17,560.17 | 1.3× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) range across 2 matching MRF lines |
$10,940.90–$13,676.14 | $10,940.90–$13,676.14 | varies |
| Laryngoscopy flexible diagnostic (31575) | $940.46 | $940.46 | 3.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $2,127.34 | $2,127.34 | 4.4× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $1,012.79 | $1,012.79 | 4.1× |
| Larynscop w/tumr exc + scope (31541) | $4,390.04 | $4,390.04 | 0.9× |
| Laser vaporization of prostate (52648) | $6,978.39 | $6,978.39 | 1.0× |
| Late closure of wound (13160) | $6,195.74 | $6,195.74 | 1.4× |
| Lateral retinacular release open (27425) | $21,950.19 | $21,950.19 | 5.4× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $28,719.89 | $28,719.89 | 3.2× |
| Ligamentous reconstruction knee intra-articular (27428) | $24,617.05 | $24,617.05 | 1.5× |
| Ligation or biopsy temporal artery (37609) | $20,514.20 | $20,514.20 | 10.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $8,103.94 | $8,103.94 | 1.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) range across 3 matching MRF lines |
$6,603.21–$14,130.88 | $6,603.21–$14,130.88 | varies |
| Lithotripsy, extracorporeal shock wave (50590) | $15,532.56 | $15,532.56 | 3.5× |
| Lysis Intranasal Synechia (30560) range across 2 matching MRF lines |
$5,470.47–$8,205.69 | $5,470.47–$8,205.69 | varies |
| Manipulation knee joint under general anesthesia (27570) | $12,308.54 | $12,308.54 | 6.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $10,975.09 | $10,975.09 | 5.5× |
| Marsupialization of bartholin's gland cyst (56440) | $17,560.17 | $17,560.17 | 4.3× |
| Mastectomy for gynecomastia (19300) | $20,514.20 | $20,514.20 | 4.2× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$8,205.68–$9,763.04 | $8,205.68–$9,763.04 | varies |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$7,682.57–$13,170.13 | $7,682.57–$13,170.13 | varies |
| Mastopexy (19316) | $9,573.29 | $9,573.29 | 1.2× |
| Maternity Care Procedure (59899) | $272.55 | $272.55 | 1.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $5,724.64 | $5,724.64 | 2.9× |
| Mech remov tunneled cv cath (36595) | $12,925.94 | $12,925.94 | 3.3× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) | $24,617.05 | $24,617.05 | 5.6× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $12,308.52 | $12,308.52 | 4.8× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $3,516.72 | $3,516.72 | 0.8× |
| Muscle-skin graft trunk (15734) | $13,170.14 | $13,170.14 | 3.0× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) range across 2 matching MRF lines |
$8,205.68–$17,560.17 | $8,205.68–$17,560.17 | varies |
| N Block Inj Celiac Pelus (64530) | $3,557.53 | $3,557.53 | 3.2× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$2,741.54–$5,483.07 | $2,741.54–$5,483.07 | varies |
| N Block Inj Plantar Digit (64455) | $1,253.52 | $1,253.52 | 3.3× |
| Nasal/Orogastric W/Tube Plmt (43752) | $610.40 | $610.40 | 1.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $17,560.17 | $17,560.17 | 3.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $4,102.84 | $4,102.84 | 1.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) unusually low: confirm this is the full procedure |
$4,102.84 | $4,102.84 | 0.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $5,128.55 | $5,128.55 | 0.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) range across 2 matching MRF lines |
$4,102.84–$5,128.55 | $4,102.84–$5,128.55 | varies |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) | $5,128.55 | $5,128.55 | 0.6× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $6,154.26 | $6,154.26 | 0.7× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 2 matching MRF lines |
$4,102.84–$5,128.55 | $4,102.84–$5,128.55 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$3,578.15–$4,096.62 | $3,578.15–$4,096.62 | varies |
| Nerve repair w/conduit each nerve (64910) | $10,975.10 | $10,975.10 | 1.0× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) | $16,411.37 | $16,411.37 | 6.7× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) | $8,205.68 | $8,205.68 | 3.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$10,975.09–$17,560.17 | $10,975.09–$17,560.17 | varies |
| Nfct agt sti mult amp prb tq vag endocrv/male ur (0402U) range across 2 matching MRF lines |
$306.27–$436.83 | $306.27–$436.83 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$1,049.52–$1,201.60 | $1,049.52–$1,201.60 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $15,939.67 | $15,939.67 | 3.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $12,837.55 | $12,837.55 | 2.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 5 matching MRF lines |
$911.74–$4,102.85 | $911.74–$4,102.85 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,367.51 | $2,367.51 | 2.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$2,736.70–$8,205.70 | $2,736.70–$8,205.70 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $3,074.90 | $3,074.90 | 3.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$2,483.82–$2,980.57 | $2,483.82–$2,980.57 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $913.68 | $913.68 | 1.8× |
| Njx Sclrsnt Spider Veins (36468) | $822.08 | $822.08 | 1.6× |
| Occipital Nerve Block (64405) | $999.83 | $999.83 | 2.6× |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$16,411.37–$17,560.17 | $16,411.37–$17,560.17 | varies |
| Open Implantation Nea Sacral Nerve (64581) range across 2 matching MRF lines |
$7,065.44–$7,466.88 | $7,065.44–$7,466.88 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $8,205.68 | $8,205.68 | 0.9× |
| Open treatment calcaneal fracture (28415) range across 2 matching MRF lines |
$10,257.10–$13,170.12 | $10,257.10–$13,170.12 | varies |
| Open Treatment Humeral Condylar Fracture (24579) | $12,308.52 | $12,308.52 | 0.8× |
| Open Treatment Medial Malleolus Fracture (27766) | $12,308.54 | $12,308.54 | 1.4× |
| Open treatment metatarsal fracture each (28485) | $16,411.37 | $16,411.37 | 1.8× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) | $39,510.39 | $39,510.39 | 4.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $24,617.05 | $24,617.05 | 2.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $12,308.54 | $12,308.54 | 3.0× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) range across 2 matching MRF lines |
$5,470.45–$6,585.07 | $5,470.45–$6,585.07 | varies |
| Open tx carpal scaphoid navicular fracture (25628) | $14,359.94 | $14,359.94 | 1.6× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) | $6,585.07 | $6,585.07 | 1.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $16,411.37 | $16,411.37 | 1.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$6,154.27–$13,170.14 | $6,154.27–$13,170.14 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$10,257.10–$16,411.37 | $10,257.10–$16,411.37 | varies |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $8,780.10 | $8,780.10 | 2.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$12,308.54–$16,411.37 | $12,308.54–$16,411.37 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 3 matching MRF lines |
$12,308.54–$20,514.20 | $12,308.54–$20,514.20 | varies |
| Open Tx Radial Head/Neck Fracture (24665) | $24,617.05 | $24,617.05 | 2.7× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $30,730.28 | $30,730.28 | 3.4× |
| Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
$12,308.53–$30,730.28 | $12,308.53–$30,730.28 | varies |
| Open/Perq Place Stent 1St (37236) | $60,491.67 | $60,491.67 | 4.2× |
| Open/Perq Place Stent Same (37238) range across 2 matching MRF lines |
$17,560.17–$60,491.67 | $17,560.17–$60,491.67 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$12,308.52–$24,617.05 | $12,308.52–$24,617.05 | varies |
| Orchiectomy radical tumor inguinal approach (54530) | $17,560.17 | $17,560.17 | 3.9× |
| Orchiopexy Ingun/Scrot Appr (54640) range across 3 matching MRF lines |
$10,975.10–$14,933.77 | $10,975.10–$14,933.77 | varies |
| Ostc prtl exostc/condylc metar head (28288) | $17,560.17 | $17,560.17 | 4.3× |
| Ostectomy calcaneus (28118) range across 3 matching MRF lines |
$4,102.84–$8,780.08 | $4,102.84–$8,780.08 | varies |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $8,205.68 | $8,205.68 | 2.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) range across 2 matching MRF lines |
$8,205.69–$8,780.10 | $8,205.69–$8,780.10 | varies |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) range across 4 matching MRF lines |
$5,470.45–$12,308.54 | $5,470.45–$12,308.54 | varies |
| Osteochondral talus autogrft (28446) | $24,617.05 | $24,617.05 | 2.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) range across 2 matching MRF lines |
$5,487.54–$21,950.19 | $5,487.54–$21,950.19 | varies |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$8,205.68–$10,257.10 | $8,205.68–$10,257.10 | varies |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 4 matching MRF lines |
$6,154.26–$16,411.37 | $6,154.26–$16,411.37 | varies |
| Osteotomy Clavicle W Bone Graft (23485) | $28,719.89 | $28,719.89 | 1.8× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) range across 2 matching MRF lines |
$10,257.10–$20,514.20 | $10,257.10–$20,514.20 | varies |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $28,719.89 | $28,719.89 | 3.9× |
| Part remv talus or calcaneus (28120) | $12,308.54 | $12,308.54 | 3.0× |
| Partial excision bone metacarpal (26230) | $16,411.37 | $16,411.37 | 4.0× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$8,780.09–$13,170.14 | $8,780.09–$13,170.14 | varies |
| Partial removal of thyroid (60220) range across 4 matching MRF lines |
$17,560.15–$41,028.43 | $17,560.15–$41,028.43 | varies |
| Pelvic examination under anesthesia (other than local) (57410) | $8,780.10 | $8,780.10 | 2.2× |
| Penile Injection (54235) | $10,257.10 | $10,257.10 | 32.9× |
| Penis plastic surgery (54360) | $10,257.10 | $10,257.10 | 2.3× |
| Perc Cryo Ablate Renal Tum (50593) | $26,627.47 | $26,627.47 | 2.0× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$4,446.10–$4,901.82 | $4,446.10–$4,901.82 | varies |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $12,308.54 | $12,308.54 | 3.0× |
| Peri-Implant Capsulectomy Breast Complete (19371) | $12,308.53 | $12,308.53 | 2.5× |
| Pericardiocentesis W/Imaging (33016) range across 3 matching MRF lines |
$2,801.04–$5,261.62 | $2,801.04–$5,261.62 | varies |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $21,950.19 | $21,950.19 | 5.4× |
| Perq dev breast 1st strtctc (19283) | $2,227.21 | $2,227.21 | 2.5× |
| Perq dev breast 1st us imag (19285) range across 5 matching MRF lines |
$1,248.90–$9,763.04 | $1,248.90–$9,763.04 | varies |
| Perq device breast 1st imag (19281) range across 4 matching MRF lines |
$569.25–$5,487.88 | $569.25–$5,487.88 | varies |
| Perq dilation xst trc endourologic px w/img (50436) range across 2 matching MRF lines |
$8,762.56–$13,143.87 | $8,762.56–$13,143.87 | varies |
| Perq Lumbosacral Injection (22511) | $8,205.68 | $8,205.68 | 2.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $25,454.87 | $25,454.87 | 3.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines |
$2,633.55–$2,817.90 | $2,633.55–$2,817.90 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $13,370.33 | $13,370.33 | 3.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) range across 2 matching MRF lines |
$12,308.54–$46,168.33 | $12,308.54–$46,168.33 | varies |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) range across 2 matching MRF lines |
$12,308.54–$21,950.19 | $12,308.54–$21,950.19 | varies |
| Placement of needle for intraosseous infusion (36680) | $1,351.58 | $1,351.58 | 2.4× |
| Placement of seton (46020) | $16,411.37 | $16,411.37 | 4.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $21,435.97 | $21,435.97 | 2.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $8,831.80 | $8,831.80 | 3.4× |
| Plmt Nephroureteral Catheter (50433) | $8,831.80 | $8,831.80 | 2.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $13,153.11 | $13,153.11 | 3.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $20,514.20 | $20,514.20 | 3.3× |
| Prim art mech thrombectomy (37184) range across 3 matching MRF lines |
$4,390.04–$41,734.47 | $4,390.04–$41,734.47 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $8,704.24 | $8,704.24 | 7.5× |
| Prq skel fixj metar fx w/manj (28476) | $6,154.27 | $6,154.27 | 1.5× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 3 matching MRF lines |
$2,926.69–$20,514.20 | $2,926.69–$20,514.20 | varies |
| Punch biopsy skin single lesion (11104) | $887.65 | $887.65 | 1.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$655.57–$824.30 | $655.57–$824.30 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$1,920.13–$2,198.36 | $1,920.13–$2,198.36 | varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $8,205.69 | $8,205.69 | 2.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $17,560.17 | $17,560.17 | 4.3× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) | $13,676.14 | $13,676.14 | 1.9× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) range across 2 matching MRF lines |
$8,205.68–$16,411.37 | $8,205.68–$16,411.37 | varies |
| Rdctj torsion tstis w/wo fixj clat testis (54600) range across 2 matching MRF lines |
$8,780.08–$12,308.54 | $8,780.08–$12,308.54 | varies |
| Reconstruct extra finger (26587) range across 2 matching MRF lines |
$5,470.47–$5,853.40 | $5,470.47–$5,853.40 | varies |
| Reconstruction of jaw (21249) | $11,282.81 | $11,282.81 | 1.5× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) | $14,359.94 | $14,359.94 | 1.9× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) | $32,822.72 | $32,822.72 | 4.4× |
| Reconstruction Toe Polydactyly (28344) | $5,853.40 | $5,853.40 | 1.4× |
| Release Thenar Muscle (26508) | $26,340.24 | $26,340.24 | 6.4× |
| Relocation Pocket Pacemaker (33222) | $8,666.24 | $8,666.24 | 3.4× |
| Rem Endovas Vena Cava Filter (37193) range across 2 matching MRF lines |
$12,805.05–$14,660.50 | $12,805.05–$14,660.50 | varies |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) | $35,120.31 | $35,120.31 | 1.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $3,033.20 | $3,033.20 | 2.7× |
| Removal Embedded Foreign Body Eyelid (67938) | $1,206.62 | $1,206.62 | 3.0× |
| Removal Foreign Body Foot Complicated (28193) | $4,276.30 | $4,276.30 | 2.1× |
| Removal foreign body foot deep (28192) | $9,102.71 | $9,102.71 | 4.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 5 matching MRF lines |
$3,735.08–$13,672.49 | $3,735.08–$13,672.49 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$2,562.21–$16,411.37 | $2,562.21–$16,411.37 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$175.73–$201.19 | $175.73–$201.19 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$295.18–$337.95 | $295.18–$337.95 | varies |
| Removal Implant Deep (20680) range across 7 matching MRF lines |
$5,470.47–$18,462.80 | $5,470.47–$18,462.80 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $12,308.54 | $12,308.54 | 6.0× |
| Removal of adenoids (42830) | $8,205.68 | $8,205.68 | 2.0× |
| Removal of anal fissure (46200) | $13,170.14 | $13,170.14 | 3.8× |
| Removal of foreign body from pharynx (42809) | $904.12 | $904.12 | 1.6× |
| Removal of heel spur (28119) | $10,257.10 | $10,257.10 | 2.5× |
| Removal of kidney stone (50081) range across 3 matching MRF lines |
$4,445.91–$13,525.19 | $4,445.91–$13,525.19 | varies |
| Removal of nail bed (11750) range across 6 matching MRF lines |
$2,237.93–$12,308.54 | $2,237.93–$12,308.54 | varies |
| Removal of sesamoid bone (28315) range across 2 matching MRF lines |
$12,308.54–$16,411.37 | $12,308.54–$16,411.37 | varies |
| Removal of testis (54520) | $20,514.20 | $20,514.20 | 4.7× |
| Removal of thyroid (60271) range across 2 matching MRF lines |
$32,822.72–$57,070.55 | $32,822.72–$57,070.55 | varies |
| Removal of tonsils (42826) | $13,170.14 | $13,170.14 | 3.2× |
| Removal of tumor, temporal bone Facility (69970) | $16,411.37 | $16,411.37 | 2.2× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$492.60–$563.98 | $492.60–$563.98 | varies |
| Removal ppm generator only (33233) | $11,446.86 | $11,446.86 | 1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$519.07–$6,585.07 | $519.07–$6,585.07 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$2,228.53–$2,551.45 | $2,228.53–$2,551.45 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $6,785.28 | $6,785.28 | 2.6× |
| Removal sweat gland lesion (11450) | $17,560.17 | $17,560.17 | 4.8× |
| Removal, under anesthesia, of external fixation system (20694) | $5,853.40 | $5,853.40 | 2.9× |
| Removal/bivalving gauntlet boot/body cast (29700) | $563.98 | $563.98 | 1.6× |
| Remove Ankle Joint Lining (27626) | $13,170.12 | $13,170.12 | 3.2× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$1,351.58–$12,308.54 | $1,351.58–$12,308.54 | varies |
| Remove Elctrd Transvenously (33244) | $11,520.16 | $11,520.16 | 2.5× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$487.01–$488.24 | $487.01–$488.24 | varies |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$719.03–$20,514.22 | $719.03–$20,514.22 | varies |
| Remove intrvas foreign body (37197) | $14,660.50 | $14,660.50 | 3.7× |
| Remove Lower Leg Bone Lesion (27635) range across 2 matching MRF lines |
$12,308.54–$16,411.37 | $12,308.54–$16,411.37 | varies |
| Remove lung catheter (32552) | $3,301.34 | $3,301.34 | 4.2× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$295.18–$337.95 | $295.18–$337.95 | varies |
| Remove prostate regrowth (52630) | $14,707.16 | $14,707.16 | 2.2× |
| Remove Pulse Generator (33241) | $23,986.12 | $23,986.12 | 5.1× |
| Remove renal tube w/fluoro (50389) | $3,074.90 | $3,074.90 | 3.5× |
| Remove self-contd penis pros (54415) | $28,719.89 | $28,719.89 | 6.5× |
| Remove Tendon Sheath Lesion (26160) range across 5 matching MRF lines |
$8,780.08–$16,411.37 | $8,780.08–$16,411.37 | varies |
| Remove tissue expander (11971) range across 2 matching MRF lines |
$5,470.45–$8,205.69 | $5,470.45–$8,205.69 | varies |
| Remove ureter stent percut (50384) | $8,848.50 | $8,848.50 | 3.4× |
| Remove&replace pm gen singl (33227) | $33,027.29 | $33,027.29 | 3.2× |
| Remove/replace penis prosth (54410) | $28,719.89 | $28,719.89 | 1.1× |
| Remv&replc cvd gen dual lead (33263) | $99,999.99 | $99,999.99 | 3.6× |
| Remv&replc cvd gen mult lead (33264) | $99,999.99 | $99,999.99 | 2.6× |
| Remv&replc cvd gen sing lead (33262) | $99,999.99 | $99,999.99 | 3.6× |
| Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$38,249.17–$43,791.47 | $38,249.17–$43,791.47 | varies |
| Remv&replc pm gen mult leads (33229) | $60,369.53 | $60,369.53 | 2.5× |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$4,676.50–$5,354.13 | $4,676.50–$5,354.13 | varies |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) | $7,065.44 | $7,065.44 | 1.1× |
| Reopen fallopian tube (58350) range across 4 matching MRF lines |
$7,179.97–$20,514.21 | $7,179.97–$20,514.21 | varies |
| Repair Achilles Tendon (27650) | $10,257.10 | $10,257.10 | 1.1× |
| Repair brow ptosis (67900) | $7,316.73 | $7,316.73 | 2.5× |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$10,257.10–$20,514.20 | $10,257.10–$20,514.20 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $2,537.97 | $2,537.97 | 2.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$2,371.93–$2,537.97 | $2,371.93–$2,537.97 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,592 | $1,592 | 3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $2,337.42 | $2,337.42 | 4.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$2,216.76–$3,516.72 | $2,216.76–$3,516.72 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 3 matching MRF lines |
$6,585.07–$12,308.54 | $6,585.07–$12,308.54 | varies |
| Repair Eyelid Wound (67935) | $7,901.91 | $7,901.91 | 2.7× |
| Repair Finger/Hand Tendon (26350) range across 2 matching MRF lines |
$10,975.09–$17,560.17 | $10,975.09–$17,560.17 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) range across 2 matching MRF lines |
$17,560.17–$26,340.24 | $17,560.17–$26,340.24 | varies |
| Repair Hallux Rigidus (28289) range across 3 matching MRF lines |
$10,975.10–$20,514.20 | $10,975.10–$20,514.20 | varies |
| Repair Hand Joint (26540) | $20,514.20 | $20,514.20 | 5.0× |
| Repair Hand Tendon (26410) | $7,838.89 | $7,838.89 | 3.9× |
| Repair inguinal hernia, sliding, any age (49525) | $12,308.52 | $12,308.52 | 2.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $21,950.19 | $21,950.19 | 4.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$1,390.51–$6,838.07 | $1,390.51–$6,838.07 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$586.26–$6,154.27 | $586.26–$6,154.27 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $671.21 | $671.21 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$671.21–$6,564.54 | $671.21–$6,564.54 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,592 | $1,592 | 3.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$671.21–$6,154.27 | $671.21–$6,154.27 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$586.26–$671.21 | $586.26–$671.21 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,560.86 | $1,560.86 | 1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $671.21 | $671.21 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$671.21–$6,154.27 | $671.21–$6,154.27 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$1,390.51–$8,205.70 | $1,390.51–$8,205.70 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $671.21 | $671.21 | 1.3× |
| Repair lead pace-defib dual (33220) | $13,894.28 | $13,894.28 | 3.0× |
| Repair of nail bed (11760) range across 6 matching MRF lines |
$775.08–$8,780.10 | $775.08–$8,780.10 | varies |
| Repair recurrent femoral hernia; reducible Facility (49555) | $17,560.17 | $17,560.17 | 3.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$12,308.53–$24,617.05 | $12,308.53–$24,617.05 | varies |
| Repair tongue laceration (41252) | $786.55 | $786.55 | 2.7× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$498.30–$874.24 | $498.30–$874.24 | varies |
| Repair Tooth Socket (41874) | $20,514.22 | $20,514.22 | 5.0× |
| Repair webbed toe(s) (28345) range across 2 matching MRF lines |
$4,390.04–$4,390.06 | $4,390.04–$4,390.06 | varies |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) | $8,205.68 | $8,205.68 | 0.9× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$7,316.73–$16,411.37 | $7,316.73–$16,411.37 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) | $30,730.28 | $30,730.28 | 3.4× |
| Repair/Revise Wrist Joint (25320) | $26,340.24 | $26,340.24 | 2.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,340.70 | $1,340.70 | 1.2× |
| Replace G-J Tube Perc (49452) | $844.43 | $844.43 | 0.7× |
| Replace g/c tube perc (49450) | $3,187.14 | $3,187.14 | 2.8× |
| Replacement Tissue Expander W/Permanent Implant (11970) range across 3 matching MRF lines |
$8,780.07–$10,940.90 | $8,780.07–$10,940.90 | varies |
| Reposition Gastrostomy Tube (43761) | $4,471.96 | $4,471.96 | 14.3× |
| Reposition Pacing-Defib Lead (33215) | $10,550.48 | $10,550.48 | 2.7× |
| Reposition Venous Catheter (36597) | $5,724.64 | $5,724.64 | 2.9× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$12,308.54–$16,411.37 | $12,308.54–$16,411.37 | varies |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) range across 2 matching MRF lines |
$4,102.84–$16,411.37 | $4,102.84–$16,411.37 | varies |
| Resection, partial or complete, phalangeal base, each toe (28126) | $4,102.84 | $4,102.84 | 1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) | $6,978.40 | $6,978.40 | 1.6× |
| Revise Hand/Foot Nerve (64704) | $10,975.10 | $10,975.10 | 4.5× |
| Revise ulnar nerve at wrist (64719) | $10,975.10 | $10,975.10 | 4.5× |
| Revise/Repair Finger/Toe Nerve (64702) range across 2 matching MRF lines |
$5,128.55–$20,514.20 | $5,128.55–$20,514.20 | varies |
| Revision of big toe (28310) | $7,316.73 | $7,316.73 | 0.8× |
| Revision of foot (28116) | $13,170.12 | $13,170.12 | 3.2× |
| Revision of foot bones (28737) range across 2 matching MRF lines |
$15,365.14–$16,411.37 | $15,365.14–$16,411.37 | varies |
| Revision of lower leg tendon (27685) range across 2 matching MRF lines |
$8,205.68–$13,170.14 | $8,205.68–$13,170.14 | varies |
| Revision of penis (54300) | $6,603.22 | $6,603.22 | 1.5× |
| Revision of reconstructed breast (19380) range across 5 matching MRF lines |
$7,682.57–$20,514.20 | $7,682.57–$20,514.20 | varies |
| Revision of toe (28312) | $4,102.84 | $4,102.84 | 1.0× |
| Revision Peri-Implant Capsule Breast (19370) | $8,780.07 | $8,780.07 | 1.8× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $10,940.90 | $10,940.90 | 2.5× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $21,996.81 | $21,996.81 | 3.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $6,978.39 | $6,978.39 | 1.6× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) | $19,005.05 | $19,005.05 | 2.7× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $19,005.05 | $19,005.05 | 2.7× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) | $61,212.27 | $61,212.27 | 2.7× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) | $61,212.27 | $61,212.27 | 2.7× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $61,212.27 | $61,212.27 | 2.7× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $61,212.27 | $61,212.27 | 2.7× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $38,547.91 | $38,547.91 | 2.7× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) | $38,547.91 | $38,547.91 | 2.7× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $19,005.05 | $19,005.05 | 2.7× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $19,005.05 | $19,005.05 | 2.7× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $38,547.91 | $38,547.91 | 2.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $38,547.91 | $38,547.91 | 2.7× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) | $38,547.91 | $38,547.91 | 2.7× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) | $38,547.91 | $38,547.91 | 2.7× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $61,212.27 | $61,212.27 | 2.7× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) | $61,212.27 | $61,212.27 | 2.7× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) | $61,212.27 | $61,212.27 | 2.7× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) | $61,212.27 | $61,212.27 | 2.7× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) | $36,925.60 | $36,925.60 | 8.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$7,176.05–$8,215.86 | $7,176.05–$8,215.86 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$285.32–$1,270.23 | $285.32–$1,270.23 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $8,205.70 | $8,205.70 | 4.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $904.12 | $904.12 | 1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $488.24 | $488.24 | 2.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $904.12 | $904.12 | 1.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $24,617.05 | $24,617.05 | 6.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $12,326.57 | $12,326.57 | 2.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 4 matching MRF lines |
$5,000.12–$13,170.14 | $5,000.12–$13,170.14 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 4 matching MRF lines |
$2,783.78–$8,205.70 | $2,783.78–$8,205.70 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$1,340.70–$9,313.54 | $1,340.70–$9,313.54 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) range across 2 matching MRF lines |
$5,724.64–$12,308.54 | $5,724.64–$12,308.54 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $6,056.15 | $6,056.15 | 3.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $15,496.10 | $15,496.10 | 3.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 4 matching MRF lines |
$8,780.08–$17,560.17 | $8,780.08–$17,560.17 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $20,514.20 | $20,514.20 | 2.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$10,257.10–$16,411.37 | $10,257.10–$16,411.37 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $32,822.72 | $32,822.72 | 4.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $14,359.95 | $14,359.95 | 1.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $28,719.89 | $28,719.89 | 6.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $20,514.22 | $20,514.22 | 2.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $20,514.20 | $20,514.20 | 2.7× |
| Rpr Component Inflatable Penile Prosthesis (54408) | $21,950.19 | $21,950.19 | 3.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $5,724.64 | $5,724.64 | 2.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $671.21 | $671.21 | 2.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $8,205.68 | $8,205.68 | 0.9× |
| Rpr Ing Hernia Baby, Reduc (49495) | $10,257.10 | $10,257.10 | 2.3× |
| Rpr ing hernia init reduce (49500) | $21,950.19 | $21,950.19 | 2.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$3,482.90–$3,987.57 | $3,482.90–$3,987.57 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$1,506.57–$1,724.87 | $1,506.57–$1,724.87 | varies |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) | $17,560.17 | $17,560.17 | 1.9× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 2 matching MRF lines |
$10,257.10–$16,411.37 | $10,257.10–$16,411.37 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $3,187.14 | $3,187.14 | 4.1× |
| Sclerotx Fluid Collection (49185) | $2,510.89 | $2,510.89 | 1.2× |
| Scrotoplasty Simple (55175) | $10,975.10 | $10,975.10 | 2.5× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $26,668.48 | $26,668.48 | 6.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $458.35 | $458.35 | 1.8× |
| Shoulder Arthroscopy/Surgery (29825) | $10,975.10 | $10,975.10 | 2.7× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $5,058.21 | $5,058.21 | 3.4× |
| Sigmoidoscopy W/Ultrasound (45341) | $5,102.48 | $5,102.48 | 4.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $5,102.48 | $5,102.48 | 4.4× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $8,704.24 | $8,704.24 | 5.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$627.30–$671.21 | $627.30–$671.21 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$586.26–$671.21 | $586.26–$671.21 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$586.26–$671.21 | $586.26–$671.21 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$586.26–$671.21 | $586.26–$671.21 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 6 matching MRF lines |
$140.26–$2,926.70 | $140.26–$2,926.70 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $671.21 | $671.21 | 2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$586.26–$671.21 | $586.26–$671.21 | varies |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) | $13,676.14 | $13,676.14 | 1.9× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$6,126.97–$13,170.14 | $6,126.97–$13,170.14 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$6,126.97–$17,560.17 | $6,126.97–$17,560.17 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$9,280.23–$10,624.94 | $9,280.23–$10,624.94 | varies |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$673.01–$13,170.12 | $673.01–$13,170.12 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$9,929.85–$10,624.94 | $9,929.85–$10,624.94 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $16,411.36 | $16,411.36 | 2.6× |
| Small bowel endoscopy (44366) | $4,727.29 | $4,727.29 | 2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$586.26–$671.21 | $586.26–$671.21 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $671.21 | $671.21 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $671.21 | $671.21 | 1.3× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$2,723.19–$3,117.78 | $2,723.19–$3,117.78 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $7,316.73 | $7,316.73 | 1.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $14,359.95 | $14,359.95 | 3.6× |
| Strapping ankle (29540) range across 4 matching MRF lines |
$492.60–$985.20 | $492.60–$985.20 | varies |
| Strapping elbow or wrist (29260) | $563.98 | $563.98 | 7.7× |
| Strapping hand/finger (29280) | $563.98 | $563.98 | 7.7× |
| Strapping knee (29530) | $563.98 | $563.98 | 3.4× |
| Strapping shoulder (29240) | $563.98 | $563.98 | 3.4× |
| Strapping thorax (29200) | $563.98 | $563.98 | 2.8× |
| Strapping toes (29550) range across 2 matching MRF lines |
$498.30–$570.50 | $498.30–$570.50 | varies |
| Strapping Unna Boot (29580) range across 7 matching MRF lines |
$492.60–$1,306.72 | $492.60–$1,306.72 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$5,128.55–$26,668.48 | $5,128.55–$26,668.48 | varies |
| Suction Lipectomy Lwr Extrem (15879) | $3,516.72 | $3,516.72 | 0.8× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $12,308.54 | $12,308.54 | 1.7× |
| Surg tx anal fistula subq (46270) | $6,585.07 | $6,585.07 | 1.9× |
| Suture infrapatellar tendon primary (27380) range across 2 matching MRF lines |
$21,950.19–$43,900.42 | $21,950.19–$43,900.42 | varies |
| Syndactylization toes (28280) range across 2 matching MRF lines |
$4,102.86–$6,154.27 | $4,102.86–$6,154.27 | varies |
| Tangential biopsy skin single lesion (11102) | $887.65 | $887.65 | 1.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $99,999.99 | $99,999.99 | 2.8× |
| Tenodesis long tendon biceps (23430) range across 5 matching MRF lines |
$10,243.42–$28,719.89 | $10,243.42–$28,719.89 | varies |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $4,102.84 | $4,102.84 | 1.0× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
$8,780.08–$12,308.54 | $8,780.08–$12,308.54 | varies |
| Ther Apheresis,Red Blood Cells (36512) | $7,819.25 | $7,819.25 | 4.0× |
| Therapeutic plasma exchange (36514) | $6,226.61 | $6,226.61 | 3.2× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $69,884.48 | $69,884.48 | 3.1× |
| Thrombolytic Art Therapy (37211) | $7,323.80 | $7,323.80 | 1.1× |
| Thyroid biopsy (60100) | $2,308.28 | $2,308.28 | 2.6× |
| Thyroidectomy, total or complete (60240) | $32,822.72 | $32,822.72 | 4.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $16,411.37 | $16,411.37 | 6.4× |
| Tissue Expander Placement Breast Reconstruction (19357) range across 2 matching MRF lines |
$14,359.95–$24,617.05 | $14,359.95–$24,617.05 | varies |
| Tlh uterus over 250 g (58572) | $34,874.16 | $34,874.16 | 2.6× |
| Tnot elbow lateral/medial debride open (24358) | $16,411.37 | $16,411.37 | 4.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $12,308.54 | $12,308.54 | 3.0× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$4,398.40–$24,617.05 | $4,398.40–$24,617.05 | varies |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$21,950.19–$24,617.05 | $21,950.19–$24,617.05 | varies |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) | $12,308.52 | $12,308.52 | 1.6× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $16,985.75 | $16,985.75 | 2.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $3,987.57 | $3,987.57 | 13.5× |
| Transcatheter biopsy (37200) | $15,496.10 | $15,496.10 | 2.2× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $10,411.50 | $10,411.50 | 2.6× |
| Transection or avulsion of; supraorbital nerve Facility (64732) | $8,205.69 | $8,205.69 | 3.4× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $12,308.53 | $12,308.53 | 5.0× |
| Transfusion Intrauterine Fetal (36460) range across 2 matching MRF lines |
$1,383.88–$1,480.75 | $1,383.88–$1,480.75 | varies |
| Transur electr resection of prostate (52601) | $13,956.79 | $13,956.79 | 2.1× |
| Transurethral resection bladder neck (52500) | $13,956.79 | $13,956.79 | 3.2× |
| Treat Big Toe Fracture (28505) | $13,170.14 | $13,170.14 | 3.2× |
| Treat ectopic pregnancy (59151) | $17,560.17 | $17,560.17 | 2.3× |
| Treat fracture radius/ulna (25575) | $24,196.33 | $24,196.33 | 2.7× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$12,308.52–$26,340.24 | $12,308.52–$26,340.24 | varies |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Treat Humerus Fracture (24505) | $2,168.28 | $2,168.28 | 1.1× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$1,812.86–$2,075.54 | $1,812.86–$2,075.54 | varies |
| Treat knee fracture (27532) | $10,491 | $10,491 | 2.6× |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$12,308.53–$21,950.19 | $12,308.53–$21,950.19 | varies |
| Treat Knuckle Dislocation (26700) | $794.88 | $794.88 | 2.6× |
| Treat Thumb Dislocation (26641) | $823.26 | $823.26 | 2.7× |
| Treat toe dislocation (28630) | $812.49 | $812.49 | 2.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $7,830.19 | $7,830.19 | 3.9× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$719.78–$824.07 | $719.78–$824.07 | varies |
| Trim skin lesion (11055) range across 5 matching MRF lines |
$363.12–$690.80 | $363.12–$690.80 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$400.34–$690.80 | $400.34–$690.80 | varies |
| Trim skin lesions over 4 (11057) range across 4 matching MRF lines |
$400.34–$1,322.37 | $400.34–$1,322.37 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$201.19–$327.99 | $201.19–$327.99 | varies |
| Trluml Balo Angiop 1St Art (37246) range across 2 matching MRF lines |
$21,996.81–$32,995.19 | $21,996.81–$32,995.19 | varies |
| Trluml Balo Angiop 1St Vein (37248) range across 2 matching MRF lines |
$8,205.69–$25,611.27 | $8,205.69–$25,611.27 | varies |
| Trurl rescj postop bladder neck contracture (52640) | $13,956.79 | $13,956.79 | 3.2× |
| Tx Gastro Intub W/Asp (43753) | $740.11 | $740.11 | 2.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $12,308.54 | $12,308.54 | 3.0× |
| Tx Missed Abortion First Trimester Surgical (59820) | $12,308.54 | $12,308.54 | 3.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $12,308.54 | $12,308.54 | 3.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,634.02 | $2,634.02 | 1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $2,337.42 | $2,337.42 | 2.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$694.28–$794.88 | $694.28–$794.88 | varies |
| Tympanostomy general anesthesia (69436) range across 3 matching MRF lines |
$8,205.69–$13,170.14 | $8,205.69–$13,170.14 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $12,308.54 | $12,308.54 | 2.8× |
| Unlisted hysteroscopy procedure, uterus (58579) | $8,205.69 | $8,205.69 | 32.5× |
| Unlisted laparoscopic procedure liver (47379) | $20,514.20 | $20,514.20 | 2.7× |
| Unlisted laparoscopy procedure oviduct ovary (58679) | $20,514.20 | $20,514.20 | 2.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $10,257.10 | $10,257.10 | 1.4× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $8,205.69 | $8,205.69 | 1.1× |
| Unlisted laparoscopy procedure, renal (50549) | $41,028.43 | $41,028.43 | 5.4× |
| Unlisted laparoscopy procedure, uterus (58578) | $12,308.53 | $12,308.53 | 1.6× |
| Unlisted procedure anus (46999) | $16,411.37 | $16,411.37 | 14.1× |
| Unlisted Procedure Biliary Tract (47999) | $2,967.83 | $2,967.83 | 2.6× |
| Unlisted procedure breast (19499) | $14,312.46 | $14,312.46 | 2.9× |
| Unlisted procedure foot or toes (28899) | $8,780.09 | $8,780.09 | 28.5× |
| Unlisted Procedure Hands/Fingers (26989) | $5,470.45 | $5,470.45 | 17.8× |
| Unlisted Procedure Intestine (44799) | $15,316.91 | $15,316.91 | 13.5× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$3,483.94–$8,205.70 | $3,483.94–$8,205.70 | varies |
| Unlisted Procedure Rectum (45999) | $2,721.55 | $2,721.55 | 2.3× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$5,056.72–$8,205.69 | $5,056.72–$8,205.69 | varies |
| Unlisted procedure, orbit (67599) | $17,560.17 | $17,560.17 | 44.3× |
| Unlisted Procedure, Urinary System (53899) range across 2 matching MRF lines |
$582.12–$20,514.20 | $582.12–$20,514.20 | varies |
| Unlisted px female genital system nonobstetrical (58999) | $8,205.69 | $8,205.69 | 32.5× |
| Upgrade of pacemaker system (33214) range across 2 matching MRF lines |
$60,560.21–$69,335.38 | $60,560.21–$69,335.38 | varies |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) | $10,565.15 | $10,565.15 | 1.6× |
| Vaginal delivery only (59409) | $10,411.50 | $10,411.50 | 2.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $20,514.22 | $20,514.22 | 3.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $20,514.22 | $20,514.22 | 3.3× |
| Vasc embolize/occlude artery (37242) | $58,654.03 | $58,654.03 | 2.6× |
| Vasc Embolize/Occlude Bleed (37244) | $58,654.03 | $58,654.03 | 4.1× |
| Vasc Embolize/Occlude Organ (37243) range across 2 matching MRF lines |
$51,230.70–$58,654.03 | $51,230.70–$58,654.03 | varies |
| Vasc embolize/occlude venous (37241) | $58,654.03 | $58,654.03 | 4.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $13,956.79 | $13,956.79 | 5.3× |
| Vulvectomy simple partial (56620) | $20,514.20 | $20,514.20 | 5.1× |
| Vulvectomy simple; complete (56625) | $21,950.19 | $21,950.19 | 5.4× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$541.30–$555.42 | $541.30–$555.42 | varies |
| Windowing of cast (29730) | $563.98 | $563.98 | 2.8× |
| Wound Prep F/N/Hf/G (15004) | $2,513.22 | $2,513.22 | 5.0× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$7,316.73–$8,273.66 | $7,316.73–$8,273.66 | varies |
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.