Procedures & surgery prices at Cabell Huntington Hospital

Huntington, WV · every code in this section with a posted price and a Medicare benchmark.

1525 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,391.37 $1,391.37 1.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,459.56–$1,523.10 $1,459.56–$1,523.10 varies
Abdomen Surgery Procedure (22999) $5,696.88 $5,696.88 24.1×
Ablate inf turbinate submuc (30802) $5,797.38 $5,797.38 3.9×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $6,846.71 $6,846.71 4.6×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,681.06 $3,681.06 1.9×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)
range across 2 matching MRF lines		 $1,731–$3,424.24 $1,731–$3,424.24 varies
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $3,259–$7,098.54 $3,259–$7,098.54 varies
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,731–$3,230.88 $1,731–$3,230.88 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $1,731–$4,579.66 $1,731–$4,579.66 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,307 $3,307 1.7×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 3 matching MRF lines		 $1,731–$4,007.23 $1,731–$4,007.23 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $1,731–$3,681.06 $1,731–$3,681.06 varies
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $6,862.29 $6,862.29 1.0×
Amniocentesis diagnostic (59000) $731.68 $731.68 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $4,267 $4,267 1.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $5,867.60–$5,868.19 $5,867.60–$5,868.19 varies
Amputate Metacarpal Bone (26910) $6,005.12 $6,005.12 1.9×
Amputation metatarsal with toe single (28810) $7,729.14 $7,729.14 2.5×
Amputation toe interphalangeal joint (28825) $7,729.14 $7,729.14 2.5×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $9,757.59 $9,757.59 3.1×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $300 $300 1.0×
Anal/Urinary Muscle Study (51784)
range across 3 matching MRF lines		 $344–$493.67 $344–$493.67 varies
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $2,667.39 $2,667.39 3.0×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $124.25–$406.70 $124.25–$406.70 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $3,662.55 $3,662.55 1.4×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $12,991.71 $12,991.71 2.7×
Anterior colporraphy rpr cystocele w/cysto (57240) $14,478.61 $14,478.61 3.0×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $115.02 $115.02 0.7×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 5 matching MRF lines		 $151–$602.40 $151–$602.40 varies
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $270–$1,336.42 $270–$1,336.42 varies
Application Cast Finger (29086)
range across 2 matching MRF lines		 $160–$224.25 $160–$224.25 varies
Application finger splint static (29130)
range across 11 matching MRF lines		 $116.95–$660.28 $116.95–$660.28 varies
Application long arm splint shoulder hand (29105)
range across 5 matching MRF lines		 $160–$660.28 $160–$660.28 varies
Application Long Leg Splint (29505)
range across 4 matching MRF lines		 $160–$693.49 $160–$693.49 varies
Application multiplane external fixation system (20692) $38,442.39 $38,442.39 3.1×
Application of long leg cast (29345)
range across 3 matching MRF lines		 $270–$1,336.42 $270–$1,336.42 varies
Application of rigid total contact leg cast (29445) $659.99 $659.99 2.5×
Application of Risser jacket, localizer, body; including head Facility (29015) $246.17 $246.17 0.9×
Application Patellar Tendon Bearing Cast (29435) $246.17 $246.17 0.9×
Application risser jacket localizer body only (29010) $246.17 $246.17 0.9×
Application Short Arm Splint Dynamic (29126) $316.48 $316.48 2.5×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $140–$660.28 $140–$660.28 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $159–$1,196.28 $159–$1,196.28 varies
Application uniplane external fixation system (20690) $9,353.25 $9,353.25 1.3×
Application, cast; figure-of-eight Facility (29049) $246.17 $246.17 0.9×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $220–$224.25 $220–$224.25 varies
Apply long arm cast (29065)
range across 3 matching MRF lines		 $270–$1,336.42 $270–$1,336.42 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 5 matching MRF lines		 $289.43–$602.40 $289.43–$602.40 varies
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $270–$1,336.42 $270–$1,336.42 varies
Apply short leg cast (29425) $270 $270 1.0×
Apply shoulder cast,plastr velpeau (29058) $246.17 $246.17 0.9×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $4,963.43 $4,963.43 1.0×
Aqueous Shunt Extraocular Reservoir W/O Graft (66179) $9,121.41 $9,121.41 1.8×
Arterial puncture (36600)
range across 5 matching MRF lines		 $61.71–$111.48 $61.71–$111.48 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $14,080.43 $14,080.43 1.1×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $22,072.27 $22,072.27 3.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $280–$1,235.92 $280–$1,235.92 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $639.59 $639.59 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $280–$736.98 $280–$736.98 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $280 $280 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines		 $280–$5,000.74 $280–$5,000.74 varies
Arthrodesis great toe metatarsophalangeal joint (28750) $10,785.19 $10,785.19 1.5×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $6,146.17 $6,146.17 2.0×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $18,571.35 $18,571.35 2.7×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $17,439.72 $17,439.72 1.4×
Arthroplasty interphalangeal joint each (26535) $8,531.65 $8,531.65 2.7×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $9,648.56 $9,648.56 3.1×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $10,414.06 $10,414.06 3.3×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $9,555.42 $9,555.42 3.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $9,509.88 $9,509.88 3.0×
Arthroscopy knee synovectomy limited spx (29875) $10,270.95 $10,270.95 3.3×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $10,944.46 $10,944.46 3.5×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $10,414.06 $10,414.06 3.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $6,281.05 $6,281.05 2.0×
Arthroscopy, knee, surgical; with lateral release (29873) $7,002.76 $7,002.76 2.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $10,270.95 $10,270.95 3.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $21,461.66 $21,461.66 3.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $12,533.01 $12,533.01 4.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $10,441.09 $10,441.09 1.5×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $9,518.85 $9,518.85 3.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $10,414.06 $10,414.06 3.3×
Arthrotomy wrist joint with synovectomy (25105) $9,412.91 $9,412.91 3.0×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $13,175.66 $13,175.66 1.9×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $10,270.95 $10,270.95 3.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $12,378.45 $12,378.45 3.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $21,059.08 $21,059.08 6.7×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $6,829.68 $6,829.68 2.2×
Artificial insemination intra-cervical (58321) $286.48 $286.48 1.0×
Artificial insemination intra-uterine (58322) $269 $269 1.4×
Aspirate pleura w/ imaging (32555) $1,637.62 $1,637.62 2.7×
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $280–$658.52 $280–$658.52 varies
Aspiration bladder insert suprapubic catheter (51102) $4,243.49 $4,243.49 2.1×
Aspiration bladder trocar/intracatheter (51101) $2,431.91 $2,431.91 3.0×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $9,317.41 $9,317.41 4.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $200–$645 $200–$645 varies
Axillary lymphadenectomy; complete (38745) $10,670 $10,670 1.8×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $2,500–$5,307.24 $2,500–$5,307.24 varies
Biopsy bone open deep (20245) $6,846.71 $6,846.71 2.5×
Biopsy bone open superficial (20240) $8,205.48 $8,205.48 2.9×
Biopsy Bone Trocar/Needle Superficial (20220) $2,549.44 $2,549.44 1.6×
Biopsy external ear (69100)
range across 2 matching MRF lines		 $213–$739.62 $213–$739.62 varies
Biopsy muscle percutaneous needle (20206) $1,412 $1,412 0.9×
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $654–$1,851.79 $654–$1,851.79 varies
Biopsy of breast; open, incisional (19101) $5,481.47 $5,481.47 1.5×
Biopsy of conjunctiva (68100) $3,978.73 $3,978.73 1.7×
Biopsy of cornea (65410) $6,846.71 $6,846.71 3.0×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $213–$667.92 $213–$667.92 varies
Biopsy of liver, needle; percutaneous (47000) $3,426.01 $3,426.01 2.2×
Biopsy of penis (54100)
range across 2 matching MRF lines		 $1,505–$3,368.71 $1,505–$3,368.71 varies
Biopsy of urethra (53200) $1,831.27 $1,831.27 0.9×
Biopsy Salivary Gland Incisional (42405) $3,903.22 $3,903.22 2.6×
Biopsy Salivary Gland Needle (42400) $2,078.98 $2,078.98 3.1×
Biopsy soft tissue back/flank deep (21925) $5,736.84 $5,736.84 3.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,530 $1,530 1.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $8,170.51 $8,170.51 2.9×
Biopsy soft tissue leg/ankle area superficial (27613) $1,752.23 $1,752.23 1.1×
Biopsy soft tissue neck/thorax (21550) $4,779.86 $4,779.86 3.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $5,145.03 $5,145.03 3.2×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $4,729.32 $4,729.32 3.0×
Biopsy Soft Tissue Shoulder Superficial (23065) $4,924.64 $4,924.64 3.1×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,441.99 $1,441.99 0.9×
Biopsy Testis Incisional Separate Procedure (54505) $5,047.46 $5,047.46 1.5×
Biopsy Vaginal Mucosa Simple (57100) $657.75 $657.75 0.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $698.78–$709 $698.78–$709 varies
Biopsy, vestibule of mouth (40808) $530 $530 1.0×
Biopsy/removal lymph nodes (38510) $9,664.16 $9,664.16 2.6×
Bladder instillation anticarcinogenic agent (51720) $500 $500 0.7×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $265.25–$483.39 $265.25–$483.39 varies
Bladder Scan (51798)
range across 4 matching MRF lines		 $148.75–$229.51 $148.75–$229.51 varies
Blepharoplasty Lower Eyelid (15820)
range across 2 matching MRF lines		 $3,424.24–$6,849.06 $3,424.24–$6,849.06 varies
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821)
range across 2 matching MRF lines		 $4,464.17–$8,927.18 $4,464.17–$8,927.18 varies
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines		 $3,688.42–$7,376.23 $3,688.42–$7,376.23 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $4,637.54–$9,274.21 $4,637.54–$9,274.21 varies
Blepharotomy drainage abscess eyelid (67700)
range across 4 matching MRF lines		 $288.52–$1,084.91 $288.52–$1,084.91 varies
Blood Transfusion Service (36430) $1,209.49 $1,209.49 2.9×
Bone Graft Any Donor Area Minor/Small (20900) $6,862.29 $6,862.29 1.0×
Bone Marrow Biopsy (38221) $2,170 $2,170 1.4×
Bone Marrow; Aspiration Only (38220) $1,530 $1,530 1.0×
Breast augmentation with implant (19325)
range across 2 matching MRF lines		 $7,729.14–$15,458.29 $7,729.14–$15,458.29 varies
Breast Reduction (19318)
range across 2 matching MRF lines		 $10,039.40–$20,078.49 $10,039.40–$20,078.49 varies
Bx Arm/Elbow Soft Tissue,Deep (24066) $8,319.50 $8,319.50 3.0×
Bx breast 1st lesion strtctc (19081) $2,509.47 $2,509.47 1.6×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $3,886.76–$4,935.52 $3,886.76–$4,935.52 varies
Bx breast needle core w/o imaging guidance spx (19100) $2,761.31 $2,761.31 1.7×
Bx Cervix (57500) $1,298.50 $1,298.50 1.5×
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $13,523.29–$27,047.17 $13,523.29–$27,047.17 varies
Bx/exc lymph node open superficial (38500) $10,279.79 $10,279.79 2.7×
Canthoplasty (67950)
range across 2 matching MRF lines		 $4,069.24–$8,138.18 $4,069.24–$8,138.18 varies
Canthotomy Separate Procedure (67715) $3,975.80 $3,975.80 1.7×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $4,711.89 $4,711.89 1.5×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $7,156.44 $7,156.44 4.6×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $3,614.94 $3,614.94 1.2×
Capsulotomy wrist (25085) $5,404.79 $5,404.79 1.7×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $10,750.81–$21,501.61 $10,750.81–$21,501.61 varies
Carpectomy All Bones Proximal Row (25215) $6,862.29 $6,862.29 2.2×
Cataract surg w/iol 1 stage (66983)
range across 2 matching MRF lines		 $7,737.98–$15,476.22 $7,737.98–$15,476.22 varies
Cataract surgery complex (66982) $7,737.98 $7,737.98 3.5×
Catheter aspiration nasotracheal spx (31720) $425.75 $425.75 2.0×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $286.48–$405.21 $286.48–$405.21 varies
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $650–$1,421.65 $650–$1,421.65 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $460–$574.19 $460–$574.19 varies
Change of Windpipe Airway (31502) $480.45 $480.45 2.1×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $200–$475.16 $200–$475.16 varies
Chemical peel face dermal (15789) $586 $586 0.8×
Chemodenerv 1 extrem 5/> mus (64644) $639.59 $639.59 0.9×
Chemodenerv 1 extremity 1-4 (64642)
range across 3 matching MRF lines		 $639.59–$1,661.73 $639.59–$1,661.73 varies
Chemodenerv Eccrine Glands (64650)
range across 2 matching MRF lines		 $266.17–$277 $266.17–$277 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $280–$283 $280–$283 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $470–$600 $470–$600 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611)
range across 2 matching MRF lines		 $280–$390 $280–$390 varies
Chemodenervation eccrine glands oth area per day (64653) $252.50 $252.50 0.9×
Chemodenervation of extraocular muscle (67345) $4,834.13 $4,834.13 15.9×
Chemodenervation of internal anal sphincter (46505)
range across 2 matching MRF lines		 $1,041.96–$3,412.77 $1,041.96–$3,412.77 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $366.25 $366.25 1.2×
Chest tube placement (32551) $845.11 $845.11 0.6×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $8,389.44 $8,389.44 2.4×
Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) $9,382.06 $9,382.06 4.2×
Ciliary body dstrj cyclophotocoag transsceral (66710) $3,282.90 $3,282.90 1.4×
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $1,744.75–$9,662.98 $1,744.75–$9,662.98 varies
Circumcision Neonate (54160) $578.88 $578.88 0.9×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $1,432.88–$6,044.50 $1,432.88–$6,044.50 varies
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $3,918.79 $3,918.79 1.0×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,397.35–$2,199.17 $1,397.35–$2,199.17 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $132.50–$217.44 $132.50–$217.44 varies
Closed Rx Metacarpal Fx,Percut (26608) $4,748.02 $4,748.02 1.5×
Closed Rx Spontaneous Hip Disloc (27256) $891.54 $891.54 3.8×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $461.63 $461.63 0.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $489.56 $489.56 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $505.14 $505.14 2.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $571.83 $571.83 0.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $248.50–$571.83 $248.50–$571.83 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $248.50–$2,961.14 $248.50–$2,961.14 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $295.03 $295.03 1.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $248.50–$406.99 $248.50–$406.99 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $960 $960 4.1×
Closed Tx Knee Dislocation W/Anesthesia (27552) $4,773.60 $4,773.60 3.1×
Closed tx knee dislocation w/o anesthesia (27550) $505.14 $505.14 2.1×
Closed Tx Lunate Dislocation W/Manipulation (25690) $6,130.31 $6,130.31 4.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $11,495.73 $11,495.73 2.0×
Closed tx metatarsal fracture w/o manipulation (28470) $248.50 $248.50 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $675.55 $675.55 0.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $4,546.82 $4,546.82 3.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,797.38 $5,797.38 1.8×
Closed tx patellar dislocation w/anesthesia (27562) $4,522.07 $4,522.07 19.1×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $230.09–$442.24 $230.09–$442.24 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $248.50–$571.83 $248.50–$571.83 varies
Closed tx radial head/neck fx w/manipulation (24655) $677.62 $677.62 0.4×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $248.50–$571.83 $248.50–$571.83 varies
Closed tx radial shaft fracture w/manipulation (25505) $794.27 $794.27 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $571.83 $571.83 2.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $677.62 $677.62 0.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $557.43 $557.43 2.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $470 $470 2.0×
Closed tx septal&nose fx (21337) $7,729.14 $7,729.14 2.4×
Closed tx talotarsal joint dislc w/o anes (28570) $601.51 $601.51 2.5×
Closed Tx Talus Fracture W/Manipulation (28435) $675.55 $675.55 0.4×
Closed tx talus fracture w/o manipulation (28430) $248.50 $248.50 1.1×
Closed tx tarsometatarsal dislocation w/o anes (28600) $586.82 $586.82 2.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $230–$390.82 $230–$390.82 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $541.56 $541.56 0.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $248.50–$571.83 $248.50–$571.83 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $460–$571.83 $460–$571.83 varies
Closure Gastrostomy Surg (43870) $7,371.89 $7,371.89 2.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $2,104.26 $2,104.26 4.1×
Closure lacrimal punctum (68760) $1,624.69 $1,624.69 5.3×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $15,216.75 $15,216.75 3.0×
Clsd tx clavicular fracture w/o manipulation (23500) $250 $250 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,124.82 $2,124.82 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $333.23 $333.23 1.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,975.17 $4,975.17 3.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $248.50 $248.50 1.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,773.98 $1,773.98 1.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $571.83 $571.83 2.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,267.67 $1,267.67 5.4×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $4,572.58 $4,572.58 3.0×
Cltx dstl fibular fx lat malls w/manj (27788) $505.14 $505.14 2.1×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $248.50–$597.11 $248.50–$597.11 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $571.83 $571.83 2.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $250–$388.17 $250–$388.17 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $250–$571.83 $250–$571.83 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $794.27–$4,800.04 $794.27–$4,800.04 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $5,220.55 $5,220.55 3.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $571.83 $571.83 0.4×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $4,474.17 $4,474.17 2.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,199.17 $2,199.17 1.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $379.96 $379.96 1.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $250 $250 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $904.77 $904.77 3.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $892.43 $892.43 3.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,077.17 $4,077.17 2.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $570.96 $570.96 2.4×
Cltx greater humeral tuberosity fx w/o manj (23620) $248.50 $248.50 1.1×
Cltx Greater Trochanteric Fx W/O Manj (27246) $460 $460 1.9×
Cltx hip dislocation traumatic req anesthesia (27252) $4,522.07 $4,522.07 2.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $557.43 $557.43 2.4×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $541.56 $541.56 2.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $502.48 $502.48 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $230–$696.43 $230–$696.43 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $3,168.59 $3,168.59 11.8×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $230.09–$333.23 $230.09–$333.23 varies
Cltx Med Ankle Fx W/Mnpj (27762) $2,199.17 $2,199.17 1.4×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $248.50–$530.99 $248.50–$530.99 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $211.50–$498.37 $211.50–$498.37 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $248.50–$659.86 $248.50–$659.86 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines		 $230.09–$659.86 $230.09–$659.86 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $248.50–$710.82 $248.50–$710.82 varies
Cltx post hip arthrp dislc req anes (27266) $4,311.67 $4,311.67 2.8×
Cltx post hip arthrp dislc w/o anes (27265) $571.83 $571.83 2.4×
Cltx prox fibula/shft fx w/manj (27781) $3,113.93 $3,113.93 2.0×
Cltx prox fibula/shft fx w/o manj (27780) $507.78 $507.78 2.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,199.17 $2,199.17 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $230–$511.60 $230–$511.60 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,199.76 $2,199.76 1.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $621.48 $621.48 0.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $248.50 $248.50 1.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 2 matching MRF lines		 $248.50–$654.12 $248.50–$654.12 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $677.62 $677.62 2.9×
Cltx tibial fx proximal w/o manipulation (27530) $248.50 $248.50 1.1×
Cltx tibial shaft fx w/o manipulation (27750) $571.83 $571.83 2.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $794.27 $794.27 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $560 $560 2.4×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines		 $120–$171.01 $120–$171.01 varies
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $13.52–$20 $13.52–$20 varies
Colonoscopy Stoma Ablation Lesion (44401) $2,137.47 $2,137.47 1.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,367.84 $2,367.84 2.1×
Colonoscopy Stoma W/Submucosal Injection (44404) $3,665.19 $3,665.19 3.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $3,665.19 $3,665.19 3.2×
Colonoscopy thru stoma (44388) $3,867.65 $3,867.65 4.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,519.76 $2,519.76 2.2×
Colonoscopy w/ablation (45388) $4,806.21 $4,806.21 4.2×
Colonoscopy W/Band Ligation (45398) $2,571.78 $2,571.78 2.2×
Colonoscopy w/fb removal (45379) $2,114.56 $2,114.56 1.8×
Colonoscopy W/Resection (45390) $8,423.51 $8,423.51 3.2×
Colonoscopy w/submucosal inj (45381) $3,867.65 $3,867.65 3.4×
Colpocleisis (le fort type) (57120) $14,804.18 $14,804.18 3.1×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $4,326.94 $4,326.94 1.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $511.75–$680.56 $511.75–$680.56 varies
Colposcopy Cervix Endocervical Curettage (57456) $315.75 $315.75 1.1×
Colposcopy cervix upper/adjacent vagina (57452) $467.50 $467.50 2.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $511.75 $511.75 1.8×
Colposcopy cervix vag eltrd conization cervix (57461) $9,662.98 $9,662.98 3.1×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $511.75–$715.82 $511.75–$715.82 varies
Colposcopy of vulva (56820) $295 $295 1.5×
Colposcopy Vulva W/Biopsy (56821)
range across 2 matching MRF lines		 $511.75–$712.88 $511.75–$712.88 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 2 matching MRF lines		 $638.41–$1,808.35 $638.41–$1,808.35 varies
Colpotomy; with drainage of pelvic abscess (57010) $5,063.93 $5,063.93 1.6×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,602.90 $3,602.90 3.1×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,485.50 $3,485.50 3.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $5,021.02 $5,021.02 4.4×
Complex Cystometrogram (51726)
range across 2 matching MRF lines		 $236.42–$697.60 $236.42–$697.60 varies
Complex drainage wound (10180) $3,834.16 $3,834.16 1.4×
Composite Skin Graft (15760) $5,887 $5,887 3.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $9,662.98 $9,662.98 3.1×
Conization of cervix (57520) $9,662.98 $9,662.98 3.1×
Conjunctival Flap Total (68362) $4,872.93 $4,872.93 2.1×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $5,454.45 $5,454.45 2.4×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $6,504.08 $6,504.08 2.9×
Contour of face bone lesion (21029) $9,195.32 $9,195.32 2.9×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $111.48–$448.71 $111.48–$448.71 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $226.85–$448.71 $226.85–$448.71 varies
Conversion ext bil drg cath (47535) $8,186.97 $8,186.97 2.4×
Convert Nephrostomy Catheter (50434) $1,797.99 $1,797.99 0.9×
Cornea Scraping Diagnostic Smear &/Culture (65430)
range across 3 matching MRF lines		 $226.26–$930.33 $226.26–$930.33 varies
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $8,979.19 $8,979.19 2.7×
Correction hammertoe (28285) $4,711.89 $4,711.89 1.5×
Correction of inverted nipples (19355) $7,488.49 $7,488.49 2.0×
Correction of lid retraction (67911)
range across 2 matching MRF lines		 $4,069.24–$8,139.08 $4,069.24–$8,139.08 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $11,504.24 $11,504.24 1.7×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $6,974.84 $6,974.84 3.1×
Create Eardrum Opening (69433) $6,584.61 $6,584.61 12.7×
Create Tear Sac-Nasal Fistula (68720) $6,213.18 $6,213.18 1.6×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $22,742.54 $22,742.54 2.5×
Csf shunt reprogram (62252)
range across 2 matching MRF lines		 $302–$339.99 $302–$339.99 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $111.48–$448.71 $111.48–$448.71 varies
Curette/treat cornea (65435) $2,896.78 $2,896.78 3.0×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 3 matching MRF lines		 $1,797.99–$7,017.74 $1,797.99–$7,017.74 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $4,161.25–$5,795.61 $4,161.25–$5,795.61 varies
Cysto w/destruction of lesions (52214) $5,677.77 $5,677.77 1.7×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $6,103.56–$12,206.83 $6,103.56–$12,206.83 varies
Cysto w/irrig & evac multple obstructing clots (52001) $3,450.10 $3,450.10 1.0×
Cysto w/removal of lesions small (52224) $5,797.38 $5,797.38 1.7×
Cysto w/removal of tumors small (52234) $10,537.77 $10,537.77 3.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $2,776.75–$7,734.74 $2,776.75–$7,734.74 varies
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines		 $8,346.52–$16,692.76 $8,346.52–$16,692.76 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $5,820.30 $5,820.30 1.7×
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $7,450.88–$10,501.92 $7,450.88–$10,501.92 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $6,784.11–$13,569.13 $6,784.11–$13,569.13 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $7,782.63 $7,782.63 1.5×
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $9,336.51–$18,673.31 $9,336.51–$18,673.31 varies
Cystolithotomy (51050) $14,425.99 $14,425.99 2.8×
Cystometrogram W/Up (51727) $1,187.16 $1,187.16 1.8×
Cystometrogram W/Vp (51728)
range across 4 matching MRF lines		 $646.25–$2,103.09 $646.25–$2,103.09 varies
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 $612–$1,885.93 $612–$1,885.93 varies
Cystoscopy and radiotracer (52250) $5,651.33 $5,651.33 1.7×
Cystoscopy inject material (52327) $8,142.01 $8,142.01 1.6×
Cystostomy Cystotomy W/Drainage (51040) $7,055.94 $7,055.94 3.5×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $10,501.92 $10,501.92 3.1×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $6,181.14 $6,181.14 3.1×
Cystouretero w/renal strict (52346) $5,820.30 $5,820.30 1.1×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $739–$1,029.36 $739–$1,029.36 varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330)
range across 2 matching MRF lines		 $3,081.34–$10,617.10 $3,081.34–$10,617.10 varies
Cystourethroscopy inj chemodenervation bladder (52287)
range across 3 matching MRF lines		 $1,797.99–$3,582.33 $1,797.99–$3,582.33 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $7,782.63 $7,782.63 2.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,675.43 $5,675.43 1.1×
Cystourethroscopy w/dil bladder general anesth (52260) $3,783.04 $3,783.04 1.9×
Cystourethroscopy w/rmvl ureteral calculus (52320) $10,213.95 $10,213.95 3.0×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $1,797.99–$3,867.65 $1,797.99–$3,867.65 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $6,784.11 $6,784.11 3.4×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $1,554.47 $1,554.47 0.8×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $5,678.37 $5,678.37 2.8×
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) $6,784.11 $6,784.11 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 5 matching MRF lines		 $529.17–$873.33 $529.17–$873.33 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,550.91 $2,550.91 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $1,231.23–$2,166.85 $1,231.23–$2,166.85 varies
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,122.41 $5,122.41 1.6×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $10,662.07 $10,662.07 5.7×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $529.17–$1,511.27 $529.17–$1,511.27 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $70–$387 $70–$387 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $70–$339.11 $70–$339.11 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $1,530–$3,995.48 $1,530–$3,995.48 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $395.25–$1,511.27 $395.25–$1,511.27 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $443.75–$568.59 $443.75–$568.59 varies
Decompressive fasciotomy hand (26037) $7,145.56 $7,145.56 2.3×
Deep Muscle Biopsy (20205) $3,586.15 $3,586.15 1.3×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $5,757.03 $5,757.03 2.9×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $5,308.98 $5,308.98 2.7×
Delay Flap/Sectioning Flap Trunk (15600) $4,653.12 $4,653.12 1.4×
Delivery of placenta (59414) $5,285.20 $5,285.20 1.7×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $11,124.87 $11,124.87 3.3×
Derma-fat-fascia graft (15770) $6,847.31 $6,847.31 2.0×
Dermabrasion segmental face (15781) $640.54 $640.54 0.9×
Dermabrasion total face (15780) $2,589 $2,589 0.9×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $6,174.97 $6,174.97 3.1×
Destr penis lesion(s) (54065)
range across 2 matching MRF lines		 $1,731–$7,729.14 $1,731–$7,729.14 varies
Destr W Neurolytic; Celiac Plexus (64680) $827.46 $827.46 1.0×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $6,137.37–$6,341 $6,137.37–$6,341 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $6,137.37–$23,776.90 $6,137.37–$23,776.90 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $196.75–$4,418.63 $196.75–$4,418.63 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $196.75–$7,360.37 $196.75–$7,360.37 varies
Destruction by neurolytic agent, intercostal nerve (64620) $2,646.41 $2,646.41 3.1×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,233 $1,233 1.1×
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines		 $1,731–$5,391.57 $1,731–$5,391.57 varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 2 matching MRF lines		 $238–$1,627.64 $238–$1,627.64 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $350.84 $350.84 1.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $186 $186 1.0×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $186 $186 1.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $184.55 $184.55 1.0×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $379 $379 1.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $186 $186 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $618.85 $618.85 3.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $186 $186 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $186 $186 1.0×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $186 $186 1.0×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $882.14 $882.14 2.9×
Destruction of skin lesions (17106) $378.07 $378.07 1.0×
Destruction Premalignant Lesion 15/> (17004) $379 $379 1.0×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $200–$2,944.38 $200–$2,944.38 varies
Diagnostic sigmoidoscopy (45330) $3,093.66 $3,093.66 3.5×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)
range across 2 matching MRF lines		 $160–$6,088.88 $160–$6,088.88 varies
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $124.25 $124.25 1.0×
Dilat Urethral Strix Dilator Male Sbsq (53601) $124.25 $124.25 1.0×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $265.25 $265.25 1.1×
Dilate Urethra Stricture (53620) $646.25 $646.25 1.0×
Dilate Urethra Stricture (53600) $276.77 $276.77 1.2×
Dilation & curettage dx&/ther nonobstetric (58120) $8,115.84 $8,115.84 2.6×
Dilation And Curettage Of Cervical Stump (57558) $4,564.96 $4,564.96 1.5×
Dilation Lacrimal Punctum W/WO Irrgation (68801)
range across 2 matching MRF lines		 $471.33–$942.38 $471.33–$942.38 varies
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $3,326.58 $3,326.58 1.0×
Discission of vitreous strands (without removal), pars plana approach Facility (67030) $4,191.49 $4,191.49 1.9×
Discission Secondary Membranous Cataract (66820) $2,021.10 $2,021.10 0.9×
Drain ant chmbr,remv vitreous (65810) $6,135.89 $6,135.89 2.8×
Drain Cerebro Spinal Fluid (62272) $730.81 $730.81 1.1×
Drain chest lesion (21502) $2,897.28 $2,897.28 0.9×
Drain/inj small joint/bursa w/us (20604) $283 $283 1.0×
Drainage external auditory canal abscess (69020) $558.61 $558.61 0.8×
Drainage external ear abscess/hematoma cmplx (69005) $2,671.10 $2,671.10 1.7×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $564.19–$5,393.62 $564.19–$5,393.62 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $2,108.67–$3,800.96 $2,108.67–$3,800.96 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $211.14–$716.71 $211.14–$716.71 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $208.50–$488.97 $208.50–$488.97 varies
Drainage of gum lesion (41800) $489.85 $489.85 3.8×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $1,505–$5,485 $1,505–$5,485 varies
Drainage of hydrocele (55000) $2,796.87 $2,796.87 4.1×
Drainage of nose lesion (30000) $700.55 $700.55 3.1×
Drainage of perirenal or renal abscess, open Facility (50020) $4,277.59 $4,277.59 2.1×
Drainage of scrotal wall abscess (55100)
range across 3 matching MRF lines		 $1,412–$3,861.48 $1,412–$3,861.48 varies
Drainage of scrotum (54700)
range across 4 matching MRF lines		 $1,700.68–$7,716.21 $1,700.68–$7,716.21 varies
Drainage of skene's gland abscess or cyst (53060) $1,797.99 $1,797.99 0.9×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $122.50–$171.01 $122.50–$171.01 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $1,477.57–$2,068.61 $1,477.57–$2,068.61 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $555.37 $555.37 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $524.82 $524.82 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $196.75–$524.82 $196.75–$524.82 varies
Dstrj Lesion Anus Extensive (46924) $5,391.57 $5,391.57 2.0×
Dstrj Lesion Anus Simple Chemical (46900) $379 $379 1.0×
Dstrj lesion anus simple surg excision (46922) $4,217.63 $4,217.63 1.6×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910)
range across 2 matching MRF lines		 $1,731–$3,580.86 $1,731–$3,580.86 varies
Dstrj Lesion Penis Simple Chemical (54050)
range across 2 matching MRF lines		 $318.53–$379 $318.53–$379 varies
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 2 matching MRF lines		 $186–$785.16 $186–$785.16 varies
Dstrj lesion penis simple laser (54057) $4,544.11 $4,544.11 2.3×
Dstrj lesion penis simple surg excision (54060)
range across 2 matching MRF lines		 $1,720.36–$7,729.14 $1,720.36–$7,729.14 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $620–$6,137.37 $620–$6,137.37 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $827.46 $827.46 1.0×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $2,375.01–$2,588.25 $2,375.01–$2,588.25 varies
Dx Bronchoscope/Wash (31622) $3,049.28 $3,049.28 1.8×
Dx Laryngoscopy Excl Nb (31525) $5,646.62 $5,646.62 3.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $4,637.54 $4,637.54 2.5×
Egd cautery tumor polyp (43250) $4,313.73 $4,313.73 2.3×
Egd control bleeding any (43255) $3,597.61 $3,597.61 2.0×
Egd dilation gastric/duodenal stricture (43245) $3,580.86 $3,580.86 1.9×
Egd Flexible Foreign Body Removal (43247) $3,867.65 $3,867.65 4.4×
Egd guide wire insertion (43248) $3,867.65 $3,867.65 4.4×
Egd place gastrostomy tube (43246) $3,867.65 $3,867.65 2.1×
Egd remove lesion snare (43251) $3,688.42 $3,688.42 2.0×
Egd us exam duodenum/jejunum (43259) $4,075.71 $4,075.71 2.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 4 matching MRF lines		 $480–$653.82 $480–$653.82 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $300 $300 1.0×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $300 $300 1.0×
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $140.95–$464.86 $140.95–$464.86 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $1,116.08–$2,171.55 $1,116.08–$2,171.55 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $15,483.85 $15,483.85 3.2×
Endometrial Biopsy (58100) $214.25 $214.25 1.1×
Endoscopic injection/implant (51715) $7,588.39 $7,588.39 2.2×
Endoscopic us exam esoph (43237) $4,992.81 $4,992.81 2.7×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $6,109.15 $6,109.15 2.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,980 $4,980 1.6×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $3,467.73 $3,467.73 1.8×
Epididymectomy unilateral (54860) $4,931.98 $4,931.98 1.5×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,354.56 $4,354.56 2.2×
Epidural Blood Patch (62273) $1,957.93 $1,957.93 2.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $10,620.93 $10,620.93 2.9×
Ercp remove forgn body duct (43275) $10,801.07 $10,801.07 5.9×
Ercp,Sphincterotomy (43262) $10,620.93 $10,620.93 2.9×
Escharotomy; initial incision (16035) $857.46 $857.46 2.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $3,867.65 $3,867.65 4.4×
Esophagoscopy Flex Transoral Injection Varices (43204) $3,515.04 $3,515.04 1.9×
Esophagoscopy rigid trnso dx (43191) $4,014.29 $4,014.29 2.2×
Ethmoidectomy Extranasal Total (31205) $9,195.32 $9,195.32 2.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $120–$387 $120–$387 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 2 matching MRF lines		 $1,409.70–$4,497.10 $1,409.70–$4,497.10 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $3,477.72 $3,477.72 2.2×
Exc abdl tum deep 5 cm/> (22901) $4,830.02 $4,830.02 1.7×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $1,412–$4,637.54 $1,412–$4,637.54 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $840–$1,168.07 $840–$1,168.07 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,505–$6,182.31 $1,505–$6,182.31 varies
Exc Back Les Sc < 3 Cm (21930) $8,502.56 $8,502.56 5.4×
Exc Back Tum Deep 5 Cm/> (21933) $9,235.13 $9,235.13 3.3×
Exc back tum deep < 5 cm (21932) $5,269.63 $5,269.63 1.9×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $5,423.60 $5,423.60 1.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 3 matching MRF lines		 $3,162.74–$15,745.68 $3,162.74–$15,745.68 varies
Exc Chalazion Anes Req Hospization Single/Mult (67808) $5,624.89 $5,624.89 2.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $690–$4,091.87 $690–$4,091.87 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $810–$4,418.63 $810–$4,418.63 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,505 $1,505 0.9×
Exc Face Les Sbq 2 Cm/> (21012) $2,468.05 $2,468.05 1.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $654–$4,418.63 $654–$4,418.63 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $654–$4,418.63 $654–$4,418.63 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $1,090–$4,418.63 $1,090–$4,418.63 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $1,505–$4,418.63 $1,505–$4,418.63 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $4,111.27 $4,111.27 2.6×
Exc Forearm Les Sc 3 Cm/> (25071) $4,934.04 $4,934.04 3.1×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,946.71 $3,946.71 1.4×
Exc Frenum Labial/Buccal (40819) $5,368.36 $5,368.36 3.6×
Exc ganglion wrist recurrent (25112) $10,068.78 $10,068.78 6.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,505–$5,890.52 $1,505–$5,890.52 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $654–$5,890.52 $654–$5,890.52 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,505–$6,182.31 $1,505–$6,182.31 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $1,412–$7,751.77 $1,412–$7,751.77 varies
Exc hand tum deep < 1.5 cm (26116) $4,976.39 $4,976.39 3.1×
Exc hydrocele sprmatic cord uni spx (55500) $6,530.23 $6,530.23 1.9×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $5,621.36 $5,621.36 5.9×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $4,831.19 $4,831.19 3.1×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,413.36 $3,413.36 1.1×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $6,536.69 $6,536.69 2.1×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $5,404.50 $5,404.50 1.7×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $6,875.22 $6,875.22 3.7×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $4,141.53 $4,141.53 2.2×
Exc neuroma hand/foot xcp digital nerve (64782) $3,908.21 $3,908.21 2.1×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,000.54 $2,000.54 1.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $6,606.35 $6,606.35 2.5×
Exc Shoulder Tum Deep 5 Cm/> (23073) $9,235.13 $9,235.13 3.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $810–$4,418.63 $810–$4,418.63 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,505–$5,890.52 $1,505–$5,890.52 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $2,589–$6,182.31 $2,589–$6,182.31 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $1,505–$8,183.44 $1,505–$8,183.44 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $2,426.55–$4,214.11 $2,426.55–$4,214.11 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $1,505–$4,924.64 $1,505–$4,924.64 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $2,589–$5,890.52 $2,589–$5,890.52 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $1,505–$4,418.63 $1,505–$4,418.63 varies
Exc tendon shth lesion leg/ankle (27630) $8,990.94 $8,990.94 2.9×
Exc thigh/knee les sc 3 cm/> (27337) $6,918.71 $6,918.71 2.5×
Exc thigh/knee tum dep 5cm/> (27339) $5,797.67 $5,797.67 2.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,670.46 $4,670.46 4.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $840–$1,168.07 $840–$1,168.07 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $529.82–$1,168.07 $529.82–$1,168.07 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,505–$4,418.63 $1,505–$4,418.63 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $7,857.84 $7,857.84 2.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,432.23 $1,432.23 0.5×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $7,864.91 $7,864.91 5.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $7,730.91 $7,730.91 4.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $2,589–$8,170.51 $2,589–$8,170.51 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $6,846.71 $6,846.71 2.5×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $5,626.95 $5,626.95 2.0×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $4,637.54 $4,637.54 1.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $8,283.05 $8,283.05 3.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $5,604.02 $5,604.02 3.5×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $8,234.19 $8,234.19 3.0×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $6,471.77 $6,471.77 2.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $7,729.14 $7,729.14 4.9×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $7,718.76 $7,718.76 2.8×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $14,686.64 $14,686.64 5.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $1,441.99–$3,260.28 $1,441.99–$3,260.28 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $7,857.84 $7,857.84 2.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $1,412–$4,935.52 $1,412–$4,935.52 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $8,319.50 $8,319.50 3.0×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,367.82 $3,367.82 1.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $7,729.14 $7,729.14 2.8×
Exc urethral diverticulum spx female (53230) $15,499.13 $15,499.13 3.0×
Exc Varicocele/Ligation Spermatic Veins Spx (55530)
range across 2 matching MRF lines		 $8,186.09–$16,371.58 $8,186.09–$16,371.58 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $6,987.17 $6,987.17 4.5×
Exc/fulguration urethral caruncle (53265) $4,581.14 $4,581.14 2.3×
Exchange Intraocular Lens (66986) $10,497.81 $10,497.81 4.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines		 $1,489.82–$6,018.32 $1,489.82–$6,018.32 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $3,334.90 $3,334.90 1.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,334.90 $3,334.90 2.2×
Excis penile plaque (54110) $10,947.99 $10,947.99 3.2×
Excise breast duct fistula (19112)
range across 2 matching MRF lines		 $5,534.09–$11,068.18 $5,534.09–$11,068.18 varies
Excise excessive skin arm (15836)
range across 3 matching MRF lines		 $6,689.80–$13,380.17 $6,689.80–$13,380.17 varies
Excise Neurofibroma Extensive (64792) $7,381.82 $7,381.82 2.3×
Excise tendon forearm/wrist (25109) $4,520.30 $4,520.30 1.4×
Excise Wrist Tendon Sheath (25118) $6,801.17 $6,801.17 4.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $810–$4,418.63 $810–$4,418.63 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $5,995.71 $5,995.71 2.6×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $5,578.17 $5,578.17 2.4×
Excision Chalazion Single (67800) $5,779.45 $5,779.45 19.0×
Excision Distal Ulna Partial/Complete (25240) $7,056.23 $7,056.23 2.2×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,170.05 $3,170.05 1.1×
Excision External Ear Partial Simple Repair (69110) $8,319.50 $8,319.50 3.0×
Excision Facial Bone (21026) $17,402.11 $17,402.11 3.1×
Excision H/P/P/U Simple/Intermediate Repair (11470) $8,896.31 $8,896.31 3.2×
Excision Hidradenitis Axillary Complex Repair (11451)
range across 2 matching MRF lines		 $4,941.38–$9,882.77 $4,941.38–$9,882.77 varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $4,590.53 $4,590.53 1.6×
Excision Infected Graft Extremity (35903) $6,393.59 $6,393.59 2.1×
Excision inferior turbinate partial/complete (30130) $9,664.16 $9,664.16 3.0×
Excision Lacrimal Sac (68520) $6,213.18 $6,213.18 1.6×
Excision Lesion Conjunctiva </1 Cm (68110) $4,498.27 $4,498.27 2.0×
Excision lesion conjunctiva > 1 cm (68115) $4,498.27 $4,498.27 2.0×
Excision Lesion Cornea Xcp Pterygium (65400) $7,477.91 $7,477.91 7.8×
Excision lesion meniscus/capsule knee (27347) $4,387.78 $4,387.78 1.4×
Excision lesion mouth roof (42104) $9,195.32 $9,195.32 2.9×
Excision Lesion Tongue W/O Closure (41110) $3,499.47 $3,499.47 1.1×
Excision Lingual Frenum Frenectomy (41115) $5,857.03 $5,857.03 3.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $810 $810 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $654–$1,010.25 $654–$1,010.25 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $386.25–$4,418.63 $386.25–$4,418.63 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $654–$1,672.01 $654–$1,672.01 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $1,090–$4,091.87 $1,090–$4,091.87 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $1,530–$4,418.63 $1,530–$4,418.63 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $2,589–$4,827.68 $2,589–$4,827.68 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $1,505–$4,850.58 $1,505–$4,850.58 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $896.83–$920 $896.83–$920 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $690–$5,751.53 $690–$5,751.53 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,412 $1,412 0.9×
Excision Multiple External Papillae/Tags Anus (46230) $7,156.44 $7,156.44 2.7×
Excision of bartholin's gland or cyst (56740) $8,832.55 $8,832.55 2.8×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $10,739.64 $10,739.64 2.9×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $9,516.44 $9,516.44 3.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $9,662.98 $9,662.98 6.3×
Excision of hydrocele; bilateral (55041) $10,575.38 $10,575.38 3.1×
Excision of hydrocele; unilateral (55040) $11,808.37 $11,808.37 3.4×
Excision of local lesion of epididymis (54830) $8,330.08 $8,330.08 2.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $8,949.22 $8,949.22 4.8×
Excision of pilonidal cyst or sinus; simple (11770) $7,360.37 $7,360.37 2.6×
Excision of single external papilla or tag, anus (46220) $4,637.54 $4,637.54 4.0×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines		 $4,449.78–$4,722.54 $4,449.78–$4,722.54 varies
Excision of vaginal septum (57130) $4,326.94 $4,326.94 1.4×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) $7,191.11 $7,191.11 1.2×
Excision olecranon bursa (24105) $4,137.11 $4,137.11 1.3×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $7,035.07 $7,035.07 2.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $7,729.14 $7,729.14 2.5×
Excision or fulguration; Skene's glands Facility (53270) $10,216.42 $10,216.42 3.0×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $4,868.52 $4,868.52 1.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $10,305.63 $10,305.63 3.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $9,203.98 $9,203.98 3.3×
Excision prepatellar bursa (27340) $6,165.27 $6,165.27 2.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $10,356.17 $10,356.17 1.6×
Excision soft tissue lesion, external auditory canal (69145) $7,190.82 $7,190.82 2.6×
Excision spermatocele w/wo epididymectomy (54840) $10,734.07 $10,734.07 5.4×
Excision synovial cyst popliteal space (27345) $5,466.80 $5,466.80 1.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $6,920.77 $6,920.77 4.4×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $5,391.57 $5,391.57 1.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $5,391.57 $5,391.57 3.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $8,551.63 $8,551.63 5.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $6,633.09 $6,633.09 4.2×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $7,940.66 $7,940.66 2.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $8,234.19 $8,234.19 3.0×
Excision, interdigital (morton) neuroma, single, each (28080) $7,190.82 $7,190.82 4.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $4,626.68 $4,626.68 1.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $3,623.47 $3,623.47 2.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $4,568.79 $4,568.79 1.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $8,551.63–$17,102.97 $8,551.63–$17,102.97 varies
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $4,646.07 $4,646.07 1.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $8,949.22 $8,949.22 5.6×
Excision/curettage cyst/tumor carpal bones (25130) $6,829.68 $6,829.68 2.2×
Excision/curettage cyst/tumor phalanx finger (26210) $6,554.91 $6,554.91 4.2×
Excision/destruction intranasal lesion int appr (30117) $5,564.07 $5,564.07 1.7×
Excision/destruction lesion pharynx any method (42808) $9,397.34 $9,397.34 3.0×
Excision/surgical planing skin nose rhinophyma (30120) $8,905.89 $8,905.89 2.8×
Excision/Transposition Pterygium W/Grafg (65426) $14,976.67 $14,976.67 6.6×
Excision/Transposition Pterygium W/O Graft (65420) $6,589.98 $6,589.98 2.9×
Excision; trochanteric bursa or calcification (27062) $10,414.06 $10,414.06 3.3×
Expl penetrating wound spx abdomen/flank/back (20102) $4,388.37 $4,388.37 2.2×
Explo/Drain Breast Abscess (19020)
range across 3 matching MRF lines		 $1,412–$5,943.70 $1,412–$5,943.70 varies
Exploration for undescended testis with abdominal exploration (54560) $4,795.63 $4,795.63 2.4×
Exploration penetrating wound spx extremity (20103) $9,217.50 $9,217.50 5.8×
Explore/Treat Elbow Joint (24101) $6,862.29 $6,862.29 2.2×
Explore/Treat Hand Joint (26070) $3,567.92 $3,567.92 2.3×
Explore/Treat Wrist Joint (25040) $9,812.84 $9,812.84 3.1×
Extraction of lens (66940)
range across 2 matching MRF lines		 $7,563.42–$15,127.42 $7,563.42–$15,127.42 varies
Extraction of lens (66920) $5,364.53 $5,364.53 2.4×
Extraction of lens (66930) $8,552.82 $8,552.82 2.2×
Eye Surg Ant Sgmt Proc Unlisted (66999) $7,497 $7,497 3.4×
Eye surgery procedure (67299) $5,346.02 $5,346.02 2.4×
Fasciectomy Palm Only (26121) $10,230.10 $10,230.10 3.3×
Fasciotomy Iliotibial Open (27305) $3,790.67 $3,790.67 1.2×
Fasciotomy palmar open partial (26045) $6,204.36 $6,204.36 2.0×
Fasciotomy palmar percutaneous (26040)
range across 2 matching MRF lines		 $1,297.75–$7,873.14 $1,297.75–$7,873.14 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $11,592.39 $11,592.39 3.7×
Fetal Contraction Stress Test (59020) $1,249.16 $1,249.16 6.4×
Fetal non-stress test (59025)
range across 4 matching MRF lines		 $170.93–$416.69 $170.93–$416.69 varies
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $350.84–$873.33 $350.84–$873.33 varies
Finger tendon transfer (26497) $6,300.74 $6,300.74 2.0×
Fixation contralateral testis separate procedure (54620) $5,047.46 $5,047.46 1.5×
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $472.22–$650 $472.22–$650 varies
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines		 $653.97–$1,913.55 $653.97–$1,913.55 varies
Follicle Puncture Oocyte Retrieval Any Method (58970)
range across 2 matching MRF lines		 $352.05–$983.58 $352.05–$983.58 varies
Foreskin manipulation (54450)
range across 3 matching MRF lines		 $379–$708.18 $379–$708.18 varies
Frenulotomy of penis (54164) $4,317.24 $4,317.24 2.2×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $4,492.09 $4,492.09 2.3×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $4,872.93 $4,872.93 2.2×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $5,081.56 $5,081.56 2.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $1,731–$4,106.56 $1,731–$4,106.56 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 2 matching MRF lines		 $1,754.26–$5,523.22 $1,754.26–$5,523.22 varies
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200)
range across 2 matching MRF lines		 $1,720.36–$3,307 $1,720.36–$3,307 varies
Fuse hand bones with graft (25825) $21,053.48 $21,053.48 3.0×
Fusion Finger Joint (26860) $10,894.49 $10,894.49 3.5×
Fusion of foot bones (28740) $12,874.47 $12,874.47 1.8×
Fusion of hand bones (25820) $10,289.47 $10,289.47 1.5×
Fusion of hand joint (26843) $14,110.11 $14,110.11 2.0×
Fusion of knuckle (26850) $21,084.33 $21,084.33 3.0×
Fusion of knuckle joint (26516) $6,300.74 $6,300.74 2.0×
Fusion of tibiofibular joint (27871) $36,035.47 $36,035.47 2.9×
Goniotomy (65820) $10,018.53 $10,018.53 2.5×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $3,550.30 $3,550.30 0.6×
Grafting of autologous fat by lipo 50 cc or less (15771) $11,835.62 $11,835.62 3.5×
Grafting of autologous soft tiss by direct exc (15769) $12,142.48 $12,142.48 3.6×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $626.97–$2,166.85 $626.97–$2,166.85 varies
Hair xplant punch grft 1-15 (15775) $1,125.20 $1,125.20 2.9×
Hand tendon reconstruction (26500) $21,084.33 $21,084.33 3.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,578.74 $5,578.74 2.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $8,211.48 $8,211.48 3.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $10,785.19 $10,785.19 4.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $8,190.26 $8,190.26 3.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $8,410.29 $8,410.29 3.2×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $4,878.50 $4,878.50 1.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,458.35 $2,458.35 2.8×
Hemorrhoidopexy by stapling (46947) $7,564.01 $7,564.01 2.8×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $10,130.50 $10,130.50 2.1×
Hysteroscopy Biopsy (58558) $10,822.50 $10,822.50 3.5×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $4,722.54–$9,662.98 $4,722.54–$9,662.98 varies
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $13,523.29–$27,047.17 $13,523.29–$27,047.17 varies
Hysteroscopy Removal Impacted Foreign Body (58562) $12,897.38 $12,897.38 4.2×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $14,804.18 $14,804.18 3.1×
I&d abscess peritonsillar (42700) $631.18 $631.18 2.8×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $200–$964.71 $200–$964.71 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $10,068.20 $10,068.20 6.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $8,234.19 $8,234.19 3.0×
I&d perianal abscess superficial (46050) $836.01 $836.01 0.9×
I&d pilonidal cyst complicated (10081) $1,486 $1,486 2.2×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $408.17–$640.54 $408.17–$640.54 varies
Icd Pocket Revision (33223) $4,151.51 $4,151.51 2.1×
Immediate breast prosthesis (19340)
range across 2 matching MRF lines		 $13,505.37–$27,011.02 $13,505.37–$27,011.02 varies
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $14,068.96–$28,137.35 $14,068.96–$28,137.35 varies
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $17,928.10–$35,857.09 $17,928.10–$35,857.09 varies
Implant Periph/Gastric Neurostim/Receiver (64590) $52,422.61 $52,422.61 2.8×
Implant Spine Infusion Pump (62362) $45,121.90 $45,121.90 2.6×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) $49,610.17 $49,610.17 2.9×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $10,395.84 $10,395.84 1.2×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $270–$476.04 $270–$476.04 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $8,502.56–$17,005.12 $8,502.56–$17,005.12 varies
Incise Wrist/Forearm Tendon (25290) $6,213.76 $6,213.76 2.0×
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $379–$471.04 $379–$471.04 varies
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $1,412–$5,234.94 $1,412–$5,234.94 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $379–$955.60 $379–$955.60 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $294.75–$484.26 $294.75–$484.26 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $536.70–$979.40 $536.70–$979.40 varies
Incision extensor tendon sheath wrist (25000) $9,664.16 $9,664.16 6.3×
Incision of eardrum (69421)
range across 2 matching MRF lines		 $8,658.01–$17,315.71 $8,658.01–$17,315.71 varies
Incision of eye (65850) $4,987.52 $4,987.52 2.3×
Incision of iris (66500) $5,346.02 $5,346.02 2.4×
Incision of labial frenum (frenotomy) (40806) $1,212.72 $1,212.72 2.3×
Incision of lingual frenum (frenotomy) (41010) $5,393.62 $5,393.62 3.6×
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $1,540–$6,492.04 $1,540–$6,492.04 varies
Incision of urethra (53000) $4,581.14 $4,581.14 2.3×
Incision of urethra (53020) $4,668.70 $4,668.70 2.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,530 $1,530 1.0×
Incisional biopsy eyelid skin & lid margin (67810)
range across 2 matching MRF lines		 $270–$705.24 $270–$705.24 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $586–$1,126.91 $586–$1,126.91 varies
Initial Tx 1st Degree Burn Local Tx (16000) $319.41 $319.41 1.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,619.71–$4,418.63 $1,619.71–$4,418.63 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,429.55 $2,429.55 2.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $280–$5,284.31 $280–$5,284.31 varies
Injection aa&/strd genicular nrv branches w/img (64454) $639.59 $639.59 0.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,682.88 $1,682.88 2.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $2,758.96 $2,758.96 3.3×
Injection anesthetic agent suprascapular nerve (64418) $653.52 $653.52 1.0×
Injection enzyme palmar fascial cord (20527) $280 $280 1.0×
Injection for identification of sentinel node (38792) $2,549.44 $2,549.44 6.6×
Injection medication/other subst tenon capsule (67515) $5,476.50 $5,476.50 18.0×
Injection procedure for peyronie disease (54200) $265.25 $265.25 1.1×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $280–$1,624.69 $280–$1,624.69 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $280–$888.01 $280–$888.01 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $280–$462.83 $280–$462.83 varies
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $500–$1,933.82 $500–$1,933.82 varies
Injection, anesthetic agent; femoral nerve, single (64447) $1,118.38 $1,118.38 1.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $639.59–$4,418.63 $639.59–$4,418.63 varies
Injection, Intralesional; More Than 7 Lesions (11901) $186 $186 1.0×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $200–$1,510.68 $200–$1,510.68 varies
Injx anterior chamber eye air/liquid spx (66020) $3,360.47 $3,360.47 1.5×
Injx Anterior Chamber Eye Medication Spx (66030) $5,196.75 $5,196.75 2.3×
Ins cath ren art 1st bilat (36252) $5,136.51 $5,136.51 1.7×
Ins cath ren art 1st unilat (36251) $3,815.94 $3,815.94 1.3×
Ins cath ren art 2nd+ bilat (36254) $5,136.51 $5,136.51 1.7×
Ins cath ren art 2nd+ unilat (36253) $3,815.94 $3,815.94 0.7×
Ins endovas vena cava filtr (37191) $11,490.29 $11,490.29 2.2×
Ins Vag Brachytx Device (57156)
range across 2 matching MRF lines		 $330.25–$441.07 $330.25–$441.07 varies
Ins/Rep Subq Defibrillator (33270) $50,358.31 $50,358.31 1.7×
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $12,763.99–$20,728.51 $12,763.99–$20,728.51 varies
Insert and remove bone pin (20650) $8,277.19 $8,277.19 2.6×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $9,374.71 $9,374.71 2.4×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $263.25–$687.90 $263.25–$687.90 varies
Insert cervical dilator (59200) $286.48 $286.48 1.0×
Insert Drug Implant Device (11981)
range across 4 matching MRF lines		 $124.25–$439.89 $124.25–$439.89 varies
Insert Heart Pm Atrial (33206) $28,568.43 $28,568.43 2.8×
Insert Heart Pm Ventricular (33207) $28,568.43 $28,568.43 2.8×
Insert multi-comp penis pros (54405) $37,228.79 $37,228.79 1.9×
Insert non-tunnel cv cath (36556) $1,686.71 $1,686.71 0.6×
Insert pessary/other device (57160) $187.25 $187.25 1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,196.82 $3,196.82 2.1×
Insert pulse gen dual leads (33213) $25,564.39 $25,564.39 2.5×
Insert Pulse Gen Sngl Lead (33212) $27,854.08 $27,854.08 3.5×
Insert self-contd prosthesis (54401) $37,228.79 $37,228.79 1.9×
Insert semi-rigid prosthesis (54400) $38,604.75 $38,604.75 3.1×
Insert spine infusion device (62360) $22,478.68 $22,478.68 1.3×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $132.50–$178.66 $132.50–$178.66 varies
Insert testicular prosthesis (54660) $15,039.27 $15,039.27 2.9×
Insert tunneled cv cath (36561) $7,729.14 $7,729.14 2.6×
Insert tunneled cv cath (36563) $6,627.80 $6,627.80 1.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $120–$503.95 $120–$503.95 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,462.45 $3,462.45 2.3×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $17,092.40 $17,092.40 2.2×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $4,460.07 $4,460.07 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $12,763.99 $12,763.99 1.6×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $7,590.46 $7,590.46 3.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,149.78 $3,149.78 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,393.62 $5,393.62 1.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines		 $1,411.14–$3,870.01 $1,411.14–$3,870.01 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $42,454.03 $42,454.03 3.4×
Insj Subq Impltbl Dfb Elctrd (33271) $12,763.99 $12,763.99 1.6×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $16,028.59 $16,028.59 3.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $7,453.22 $7,453.22 2.5×
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 2 matching MRF lines		 $13,258.83–$26,517.35 $13,258.83–$26,517.35 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $50,358.31 $50,358.31 1.7×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $52,424.08–$101,508.54 $52,424.08–$101,508.54 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $13,275.27 $13,275.27 1.7×
Insrt heart pm atrial & vent (33208) $31,233.06 $31,233.06 3.1×
Insrt Pulse Gen W/Singl Lead (33240) $42,756.70 $42,756.70 2.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $6,318.08 $6,318.08 2.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411)
range across 2 matching MRF lines		 $1,267.18–$3,665.19 $1,267.18–$3,665.19 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $507.78 $507.78 1.3×
Intraoral i&d tongue/floor lingual (41000) $1,585.04 $1,585.04 3.1×
Intro cath dialysis circuit (36901) $1,722.55 $1,722.55 1.1×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $12,778.09 $12,778.09 2.3×
Intubation endotracheal emergency procedure (31500) $917.99 $917.99 4.0×
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $2,890.02 $2,890.02 1.3×
Iridoplasty photocoagulation 1/> sessions (66762)
range across 2 matching MRF lines		 $1,341.43–$2,682.56 $1,341.43–$2,682.56 varies
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $4,498.27–$8,996.81 $4,498.27–$8,996.81 varies
Irrigation of corpora cavernosa for priapism (54220) $564.49 $564.49 2.4×
Island pedicle flap graft (15740) $5,365.13 $5,365.13 2.7×
Keratoplasty (corneal transplant); endothelial (65756) $12,679.94 $12,679.94 3.2×
Keratoplasty Penetrating Pseudophakia (65755) $11,246.54 $11,246.54 2.8×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $10,413.76 $10,413.76 2.6×
Knee Arthroscopy/Surgery (29850) $6,438.86 $6,438.86 4.2×
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines		 $9,541.32–$13,140.11 $9,541.32–$13,140.11 varies
Laparo-vag hyst incl t/o (58552) $18,037.12 $18,037.12 1.8×
Laparoscopic myomectomy (58545) $17,112.18 $17,112.18 3.0×
Laparoscopy aspiration (49322) $13,140.11 $13,140.11 2.3×
Laparoscopy Enterolysis Separate Procedure (44180) $8,606 $8,606 1.5×
Laparoscopy fulguration oviducts (58670) $12,520.97 $12,520.97 2.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $9,601.85 $9,601.85 1.7×
Laparoscopy W/Lysis Of Adhesions (58660) $12,897.38 $12,897.38 2.2×
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $15,460.05–$30,920.69 $15,460.05–$30,920.69 varies
Laparoscopy, surgical, appendectomy (44970) $8,683.86 $8,683.86 1.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $20,354.42 $20,354.42 3.5×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $10,634.16 $10,634.16 1.8×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $10,373.20 $10,373.20 1.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $13,140.11 $13,140.11 2.3×
Laparoscopy, Tubal Block (58671) $11,950.01 $11,950.01 2.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $13,140.11 $13,140.11 2.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $13,523.29 $13,523.29 2.3×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $174.44–$3,688.42 $174.44–$3,688.42 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $613.56–$647.65 $613.56–$647.65 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $1,501.39 $1,501.39 0.9×
Laryngoscopy W/Biopsy (31535) $5,797.38 $5,797.38 1.6×
Laryngoscopy W/Foreign Body Removal (31530) $3,959.34 $3,959.34 2.3×
Laser Surgery Anal Lesions (46917) $4,120.37 $4,120.37 1.5×
Laser treatment of retina (67040) $8,468.77 $8,468.77 2.1×
Laser vaporization of prostate (52648) $14,829.44 $14,829.44 2.9×
Late closure of wound (13160) $5,797.38 $5,797.38 1.7×
Lateral Canthopexy (21282)
range across 2 matching MRF lines		 $3,413.36–$6,826.14 $3,413.36–$6,826.14 varies
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $6,310.43 $6,310.43 2.0×
Ligation of hemorrhoids (46946) $5,442.40 $5,442.40 2.0×
Ligation Of Neck Artery (37615) $7,066.81 $7,066.81 2.3×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $3,260.28–$6,520.25 $3,260.28–$6,520.25 varies
Litholapaxy comp/lg > 2.5 cm (52318) $6,430.33 $6,430.33 1.9×
Litholapaxy smpl/sm <2.5 cm (52317) $8,420.28 $8,420.28 2.5×
Lithotripsy, extracorporeal shock wave (50590)
range across 4 matching MRF lines		 $35,781.28–$51,777.02 $35,781.28–$51,777.02 varies
Lysis of labial adhesions (56441) $8,365.63 $8,365.63 2.7×
Lysis/excision penile postcircumcision adhesions (54162) $6,440.91 $6,440.91 3.2×
Male sling procedure (53440) $22,713.16 $22,713.16 1.8×
Maniplatn palar fascial crd post inj single cord (26341) $400 $400 1.7×
Manipulation Elbow Under Anesthesia (24300) $3,076.32 $3,076.32 2.0×
Manipulation knee joint under general anesthesia (27570) $4,712.47 $4,712.47 3.1×
Manipulation, finger joint, under anesthesia, each joint (26340)
range across 2 matching MRF lines		 $1,300.58–$1,439.52 $1,300.58–$1,439.52 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $4,057.20 $4,057.20 2.6×
Manometric stds thru tube/ndwellg urtrl cath (50396) $592.56 $592.56 0.9×
Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) $1,833.65 $1,833.65 14.9×
Marsupialization of bartholin's gland cyst (56440) $4,204.41 $4,204.41 1.4×
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $5,477.37–$10,954.45 $5,477.37–$10,954.45 varies
Mastectomy partial (19301)
range across 2 matching MRF lines		 $10,279.79–$21,772.27 $10,279.79–$21,772.27 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $13,505.37–$27,011.02 $13,505.37–$27,011.02 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $7,498.77–$14,997.25 $7,498.77–$14,997.25 varies
Mastopexy (19316)
range across 2 matching MRF lines		 $8,644.79–$17,289.27 $8,644.79–$17,289.27 varies
Medial Canthopexy Separate Procedure (21280) $9,392.64 $9,392.64 3.0×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311)
range across 2 matching MRF lines		 $529.17–$780 $529.17–$780 varies
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $529.17 $529.17 0.7×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $5,181.46 $5,181.46 2.6×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $10,671.48 $10,671.48 3.1×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $4,388.37 $4,388.37 1.3×
Muscle-skin graft trunk (15734) $4,761.56 $4,761.56 1.4×
Muscle/tendon transfer upper arm/elbow single (24301) $6,862.29 $6,862.29 1.0×
Myringoplasty (69620) $7,156.44 $7,156.44 2.3×
N Block Inj Ilio-Ing/Hypogi (64425) $639.59 $639.59 0.9×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $653.52–$868.03 $653.52–$868.03 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $280–$762.54 $280–$762.54 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $2,474.80–$4,418.63 $2,474.80–$4,418.63 varies
Nasal Endoscopy Dx (31231) $7,190.82 $7,190.82 37.6×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $339.69–$930.33 $339.69–$930.33 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $5,890.82–$11,781.35 $5,890.82–$11,781.35 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $7,729.14 $7,729.14 4.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $4,098.33–$8,197.25 $4,098.33–$8,197.25 varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $489.23 $489.23 2.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $12,281.77–$24,564.42 $12,281.77–$24,564.42 varies
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $233.32–$2,906.76 $233.32–$2,906.76 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $42.38 $42.38 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $42.38 $42.38 1.5×
Nerve Pedicle Transfer First Stage (64905) $18,783.14 $18,783.14 2.2×
Nerve repair w/conduit each nerve (64910) $11,201.58 $11,201.58 1.3×
Neuroeltrd Stim Post Tibial (64566) $280 $280 1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $11,592.39 $11,592.39 6.2×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $8,502.56 $8,502.56 4.5×
Nipple Exploration (19110) $8,791.42 $8,791.42 2.3×
Nipple/areola reconstruction (19350)
range across 2 matching MRF lines		 $7,729.14–$15,458.29 $7,729.14–$15,458.29 varies
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $2,646.41–$6,137.37 $2,646.41–$6,137.37 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $603.81–$781.94 $603.81–$781.94 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $8,064.28 $8,064.28 2.3×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $8,389.44 $8,389.44 2.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,619.71–$4,418.63 $1,619.71–$4,418.63 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $9,923.91 $9,923.91 11.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $4,418.63–$8,179.32 $4,418.63–$8,179.32 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $8,179.32 $8,179.32 12.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $9,923.91 $9,923.91 11.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines		 $649.34–$8,179.32 $649.34–$8,179.32 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $630.34 $630.34 0.9×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $600 $600 4.7×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $366.75–$963.83 $366.75–$963.83 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $7,123.23 $7,123.23 2.3×
Ocular Surface Reconstruction Amniotic Membrane (65780) $8,624.21 $8,624.21 2.3×
Open biopsy/excision inguinofemoral nodes (38531) $10,533.95 $10,533.95 2.8×
Open Implantation Nea Peripheral Nerve (64575) $71,630.73 $71,630.73 6.7×
Open Implantation Nea Sacral Nerve (64581)
range across 2 matching MRF lines		 $21,718.78–$43,436.97 $21,718.78–$43,436.97 varies
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $75,965.01 $75,965.01 1.8×
Open Treatment Bimalleolar Ankle Fracture (27814) $12,281.77 $12,281.77 1.8×
Open treatment fracture distal tibia only (27827) $16,115.93 $16,115.93 1.3×
Open Treatment Humeral Condylar Fracture (24579) $41,591.13 $41,591.13 3.4×
Open Treatment Medial Malleolus Fracture (27766) $11,196.88 $11,196.88 1.6×
Open treatment metatarsal fracture each (28485) $9,662.98 $9,662.98 1.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $13,503.61 $13,503.61 1.9×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $9,998.25 $9,998.25 1.8×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $9,201.64 $9,201.64 1.6×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $5,353.95 $5,353.95 1.7×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $9,998.25 $9,998.25 1.8×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $17,094.99 $17,094.99 3.0×
Open Treatment of Ulnar Shaft Fracture (25545) $21,598 $21,598 3.1×
Open treatment of ulnar styloid fracture (25652) $10,672.65 $10,672.65 1.5×
Open Treatment Proximal Humeral Fracture (23615) $42,454.62 $42,454.62 3.4×
Open Treatment Radial Shaft Fracture (25515) $20,390.78 $20,390.78 2.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $5,820.30 $5,820.30 1.9×
Open tx carpal scaphoid navicular fracture (25628) $11,196.59 $11,196.59 1.6×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $9,812.84 $9,812.84 3.1×
Open Tx Depressed Malar Fracture (21360) $9,753.78 $9,753.78 1.7×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $10,539.83 $10,539.83 1.5×
Open Tx Distal Phalangeal Fracture Each (26765) $7,801.43 $7,801.43 2.5×
Open Tx Distal Tibiofibular Joint Disruption (27829) $12,988.48 $12,988.48 1.9×
Open Tx Humeral Epicondylar Fracture (24575) $15,371.60 $15,371.60 1.2×
Open tx interphalangeal joint dislocation (26785) $5,820.30 $5,820.30 1.9×
Open Tx Mandibular Fx W/Interdental Fixation (21462)
range across 2 matching MRF lines		 $9,998.25–$19,997.39 $9,998.25–$19,997.39 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $10,283.88 $10,283.88 3.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $6,849.06–$7,340.97 $6,849.06–$7,340.97 varies
Open Tx Radial Head/Neck Fracture (24665) $21,084.33 $21,084.33 3.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $12,034.34 $12,034.34 1.7×
Open tx ulnar fx proximal end (24685) $20,450.81 $20,450.81 2.9×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $18,123.22 $18,123.22 2.6×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $13,625.25 $13,625.25 2.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $42,454.62 $42,454.62 3.4×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $8,131.72 $8,131.72 2.2×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $6,670.70 $6,670.70 2.9×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $11,113.06 $11,113.06 2.9×
Orchiectomy radical tumor inguinal approach (54530) $7,190.82 $7,190.82 2.1×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $10,115.83 $10,115.83 3.0×
Orchiopexy Ingun/Scrot Appr (54640)
range across 2 matching MRF lines		 $8,455.55–$16,910.81 $8,455.55–$16,910.81 varies
Osteoplasty, carpal bone, shortening Facility (25394) $10,225.69 $10,225.69 3.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $4,603.46 $4,603.46 1.5×
Osteotomy Metacarpal Each (26565) $6,005.12 $6,005.12 1.9×
Osteotomy Phalanx Finger Each (26567) $6,005.12 $6,005.12 1.9×
Osteotomy radius distal third (25350) $19,992.29 $19,992.29 2.9×
Palatop cl palate soft&/hard palate only (42200) $16,549.36 $16,549.36 2.9×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $13,060.18 $13,060.18 5.9×
Part exc bone femur prox tibia (27360) $6,862.58 $6,862.58 2.2×
Partial excision bone metacarpal (26230) $3,614.94 $3,614.94 1.2×
Partial Excision Bone Ulna (25150) $9,518.85 $9,518.85 3.0×
Partial Excision Distal Phalanx Finger (26236) $3,526.50 $3,526.50 2.3×
Partial Excision Proximal/Middle Phalanx Finger (26235) $4,165.92 $4,165.92 2.7×
Partial hymenectomy or revision of hymenal ring (56700) $5,529.08 $5,529.08 1.8×
Partial removal of penis (54120) $7,737.67 $7,737.67 2.3×
Partial removal of tibia (27640) $6,862.29 $6,862.29 2.2×
Pelvic examination under anesthesia (other than local) (57410) $7,190.82 $7,190.82 2.3×
Penile Injection (54235) $265.25 $265.25 1.1×
Penis plastic surgery (54360) $11,116.95 $11,116.95 3.3×
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,664.76 $6,664.76 2.2×
Peri-Implant Capsulectomy Breast Complete (19371) $6,776.48 $6,776.48 1.8×
Pericardiocentesis W/Imaging (33016) $2,322.59 $2,322.59 1.5×
Peritoneal Lavage (49084) $1,464.26 $1,464.26 1.7×
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $1,454.25–$1,483.65 $1,454.25–$1,483.65 varies
Perq dev breast 1st us imag (19285) $406.70 $406.70 0.6×
Perq device breast 1st imag (19281)
range across 4 matching MRF lines		 $235.67–$472.22 $235.67–$472.22 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,365.23 $1,365.23 2.0×
Perq skel fixj distal radial fx/epiphysl sep (25606) $6,103.56 $6,103.56 1.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $12,500.39 $12,500.39 2.3×
Pin Finger Dislocation (26776) $5,678.37 $5,678.37 1.8×
Pin hand dislocation (26676) $9,045.56 $9,045.56 2.9×
Pin knuckle dislocation (26706) $5,657.79 $5,657.79 1.8×
Place Amniotic Membrane Ocular Surface Sutured (65779) $5,417.13 $5,417.13 1.4×
Place breast rad tube/caths (19298) $13,258.83 $13,258.83 1.0×
Place Rt Device/Marker Pros (55876) $1,267.18 $1,267.18 1.0×
Placement of needle for intraosseous infusion (36680) $390.82 $390.82 0.9×
Plastic Repair Of Urethrocele (57230) $9,043.54 $9,043.54 2.9×
Plmt expandable cath brst following prtl mast (19296)
range across 2 matching MRF lines		 $8,810.74–$18,705.63 $8,810.74–$18,705.63 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,797.99 $1,797.99 0.9×
Prim art mech thrombectomy (37184) $9,454.04 $9,454.04 0.5×
Probe lacrimal canaliculi w/wo irrigation (68840) $1,503.92 $1,503.92 4.9×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815)
range across 2 matching MRF lines		 $6,422.39–$12,845.08 $6,422.39–$12,845.08 varies
Probe nasolacrimal duct w/wo irrig req gen anes (68811)
range across 2 matching MRF lines		 $5,779.45–$11,559.18 $5,779.45–$11,559.18 varies
Probe nl duct w/balloon (68816)
range across 2 matching MRF lines		 $4,661.65–$9,323.28 $4,661.65–$9,323.28 varies
Proctopexy Perineal Approach (45541) $6,876.39 $6,876.39 2.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $3,867.65 $3,867.65 4.3×
Proctosgmdsc Rigid Control Bleeding (45317) $3,597.61 $3,597.61 3.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $3,867.65 $3,867.65 3.4×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 2 matching MRF lines		 $6,278.41–$12,556.23 $6,278.41–$12,556.23 varies
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines		 $13,027.56–$26,055.42 $13,027.56–$26,055.42 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $7,362.11 $7,362.11 2.3×
Prq skel fixj metar fx w/manj (28476) $10,414.06 $10,414.06 3.3×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $5,820.30 $5,820.30 1.9×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $14,568.51 $14,568.51 2.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,711.89 $4,711.89 1.5×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $379–$659.99 $379–$659.99 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $342.34–$357.75 $342.34–$357.75 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $626.97–$2,166.85 $626.97–$2,166.85 varies
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $9,045.46 $9,045.46 2.9×
Rad resect elbow caps/sr bone w rels (24149) $20,952.56 $20,952.56 3.0×
Rad resect hand tumor 3 cm/> (26118) $8,533.71 $8,533.71 3.1×
Rad resect tumor soft tissue hand/finger <3cm (26117) $8,170.51 $8,170.51 2.9×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $3,051.93 $3,051.93 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $8,317.84 $8,317.84 3.0×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $8,317.84 $8,317.84 3.0×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $1,706.68 $1,706.68 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $8,170.51 $8,170.51 2.9×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $9,315.20 $9,315.20 3.0×
Radical resection of tumor, radial head or neck Facility (24152) $21,319.73 $21,319.73 3.1×
Radical resection of tumor, shaft or distal humerus Facility (24150) $21,084.33 $21,084.33 3.0×
Radical resection of tumor; phalanx of toe Facility (28175) $4,800.04 $4,800.04 3.1×
Radical Resection Tumor Metacarpal (26250) $9,488.19 $9,488.19 3.0×
Radical Resection Tumor Metatarsal (28173) $9,488.19 $9,488.19 3.0×
Radical styloidectomy separate procedure (25230) $6,862.29 $6,862.29 2.2×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $5,508.82 $5,508.82 1.8×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $4,068.94 $4,068.94 1.8×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $6,903.14 $6,903.14 3.0×
Realignment extensor tendon hand each tendon (26437) $3,559.71 $3,559.71 1.1×
Reconstruct elbow joint (24360) $8,531.65 $8,531.65 1.2×
Reconstruct extra finger (26587)
range across 2 matching MRF lines		 $3,526.50–$7,052.41 $3,526.50–$7,052.41 varies
Reconstruct finger joint (26545) $6,300.74 $6,300.74 2.0×
Reconstruct Finger Joint (26548) $6,146.17 $6,146.17 2.0×
Reconstruct lip with flap (40525) $9,068.62 $9,068.62 2.9×
Reconstruct ulna/radioulnar (25337) $22,225.96 $22,225.96 3.2×
Reconstruction Nail Bed W/Graft (11762) $4,326.94 $4,326.94 2.2×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $6,484.39 $6,484.39 2.1×
Reconstruction Toe Polydactyly (28344) $4,537.34 $4,537.34 1.4×
Reconstruction Tongue Fold (41520) $12,532.43 $12,532.43 3.9×
Redo Endovas Vena Cava Filtr (37192) $6,664.76 $6,664.76 2.2×
Reduction of rectal prolapse (45900) $1,543.60 $1,543.60 1.7×
Reinforce tibia (27745) $22,225.96 $22,225.96 3.2×
Release eye tissue (67343) $5,224.36 $5,224.36 2.3×
Release Intrinsic Muscles Hand Each Muscle (26593) $3,526.50 $3,526.50 1.1×
Release of big toe (28240) $4,266.42 $4,266.42 1.4×
Relieve Pressure on Nerve(S) (64722) $5,854.37 $5,854.37 3.1×
Relocation Pocket Pacemaker (33222) $4,151.51 $4,151.51 2.1×
Rem Endovas Vena Cava Filter (37193) $6,664.76 $6,664.76 2.2×
Removal Anal Seton Other Marker (46030) $1,277.37 $1,277.37 1.1×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) $63,639.47 $63,639.47 3.2×
Removal Embedded Foreign Body Eyelid (67938) $970.59 $970.59 3.2×
Removal Foreign Body Foot Complicated (28193) $2,505.96 $2,505.96 1.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $626.97–$2,361.68 $626.97–$2,361.68 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,396.67 $1,396.67 0.9×
Removal Foreign Body Scrotum (55120) $5,537.02 $5,537.02 2.8×
Removal foreign body upper arm/elbow deep (24201) $4,219.40 $4,219.40 1.5×
Removal foreign body, intranasal; requiring general anesthesia (30310) $8,005.96 $8,005.96 2.5×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $68.50–$345.85 $68.50–$345.85 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $68.50–$1,507.75 $68.50–$1,507.75 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,499.17 $3,499.17 1.1×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $4,394.53–$8,788.77 $4,394.53–$8,788.77 varies
Removal Implant Superficial Separate Procedure (20670)
range across 4 matching MRF lines		 $1,412–$11,528.33 $1,412–$11,528.33 varies
Removal implantable contraceptive capsules (11976) $5,993.08 $5,993.08 8.8×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $7,156.44–$14,313.46 $7,156.44–$14,313.46 varies
Removal of adenoids (42835) $8,502.56 $8,502.56 2.7×
Removal of adenoids (42831)
range across 2 matching MRF lines		 $8,502.56–$9,195.32 $8,502.56–$9,195.32 varies
Removal of adenoids (42830) $8,502.56 $8,502.56 2.7×
Removal of anal fissure (46200) $5,317.21 $5,317.21 2.0×
Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) $4,956.97 $4,956.97 2.2×
Removal of foreign body from pharynx (42809) $169.85 $169.85 0.4×
Removal of heel spur (28119) $9,891.58 $9,891.58 3.2×
Removal of implanted material, anterior segment of eye (65920) $7,171.42 $7,171.42 3.2×
Removal of infusion pump (36262) $11,709.94 $11,709.94 3.3×
Removal of lens material (66852) $9,992.39 $9,992.39 2.5×
Removal of mammary implant material (19330)
range across 2 matching MRF lines		 $5,309.87–$10,619.75 $5,309.87–$10,619.75 varies
Removal of nail bed (11750)
range across 4 matching MRF lines		 $400–$2,361.68 $400–$2,361.68 varies
Removal of nose lesion (30124) $5,506.17 $5,506.17 3.7×
Removal of sperm cord lesion (55520) $4,931.98 $4,931.98 1.5×
Removal of testis (54520) $7,887.82 $7,887.82 2.3×
Removal of tonsils (42826) $8,502.56 $8,502.56 2.7×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $4,582.25–$9,865.44 $4,582.25–$9,865.44 varies
Removal of wrist bone (25210) $7,957.48 $7,957.48 2.5×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) $15,181.78 $15,181.78 3.0×
Removal Pacemaker Electrode (33235) $5,018.68 $5,018.68 1.4×
Removal ppm generator only (33233) $18,585.05 $18,585.05 2.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $200–$336.16 $200–$336.16 varies
Removal subcutaneous cardiac rhythm monitor (33286) $2,550.91 $2,550.91 3.8×
Removal Sutures/Staples Requiring Anesthesia (15851) $1,322.63 $1,322.63 0.7×
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $13,029.92–$26,059.53 $13,029.92–$26,059.53 varies
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $4,626.68–$9,253.35 $4,626.68–$9,253.35 varies
Removal/bivalving gauntlet boot/body cast (29700) $551.85 $551.85 2.1×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $6,679.22 $6,679.22 3.3×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $188.07–$682.33 $188.07–$682.33 varies
Remove elbow lesion (24120) $9,518.85 $9,518.85 3.0×
Remove Elctrd Transvenously (33244) $5,016.91 $5,016.91 1.4×
Remove eye lesion (66130) $6,903.14 $6,903.14 3.0×
Remove foreign body from eye (65235) $5,626.95 $5,626.95 2.5×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $212.16–$470.46 $212.16–$470.46 varies
Remove groin lymph nodes (38760) $19,077.94 $19,077.94 3.0×
Remove Int Dwell Ureteral Stent Transurethral (50386) $1,248.57 $1,248.57 0.6×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $330–$727.58 $330–$727.58 varies
Remove Lower Leg Bone Lesion (27635) $9,664.16 $9,664.16 3.1×
Remove lung catheter (32552) $1,226.53 $1,226.53 2.0×
Remove muti-comp penis pros (54406) $11,068.18 $11,068.18 3.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $138.99–$188.35 $138.99–$188.35 varies
Remove Peritoneal Foreign Body (49402) $6,223.17 $6,223.17 1.8×
Remove Pulse Generator (33241) $5,016.91 $5,016.91 1.4×
Remove renal tube w/fluoro (50389) $579.77 $579.77 0.9×
Remove self-contd penis pros (54415) $10,334.26 $10,334.26 3.1×
Remove Skin Nerve Lesion (64774) $3,534.14 $3,534.14 1.9×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $1,439.52–$7,729.14 $1,439.52–$7,729.14 varies
Remove tissue expander (11971) $2,043.72 $2,043.72 0.7×
Remove&replace pm gen singl (33227) $29,604.84 $29,604.84 3.7×
Remove/graft foot lesion (28107) $15,388.36 $15,388.36 2.2×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $453.16–$889.34 $453.16–$889.34 varies
Remove/replace penis prosth (54410) $34,558.87 $34,558.87 1.7×
Remv&replc cvd gen dual lead (33263) $42,459.33 $42,459.33 2.0×
Remv&replc cvd gen mult lead (33264) $55,137.21 $55,137.21 1.8×
Remv&replc cvd gen sing lead (33262) $42,459.33 $42,459.33 2.0×
Remv&replc pm gen dual lead (33228) $30,342.41 $30,342.41 3.0×
Remv&replc pm gen mult leads (33229) $55,137.21 $55,137.21 3.0×
Reopen fallopian tube (58350)
range across 2 matching MRF lines		 $10,393.48–$20,786.67 $10,393.48–$20,786.67 varies
Repair Achilles Tendon (27650) $9,469.91 $9,469.91 1.4×
Repair brow ptosis (67900) $5,205.28 $5,205.28 2.3×
Repair Collat Ankle Ligmnt,Secondary (27698) $15,301.38 $15,301.38 2.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $586–$1,794.84 $586–$1,794.84 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $586–$1,794.84 $586–$1,794.84 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $379–$747.84 $379–$747.84 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $586–$1,202.74 $586–$1,202.74 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $600–$1,202.74 $600–$1,202.74 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $586–$678.20 $586–$678.20 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $585.95–$1,883.29 $585.95–$1,883.29 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $586–$5,113.88 $586–$5,113.88 varies
Repair defect w/autograft radius/ulna (25425) $17,877.57 $17,877.57 2.6×
Repair Detached Retina (67101) $4,499.44 $4,499.44 2.0×
Repair detached retina (67105) $4,227.04 $4,227.04 8.0×
Repair Ectropion Excision Tarsal Wedge (67916) $5,624.89 $5,624.89 2.5×
Repair Ectropion Extensive (67917) $7,497 $7,497 3.3×
Repair Ectropion Suture (67914) $5,208.49 $5,208.49 2.3×
Repair Entropion Excision Tarsal Wedge (67923) $5,740.36 $5,740.36 2.5×
Repair Entropion Extensive (67924) $5,624.89 $5,624.89 2.5×
Repair Entropion Suture (67921) $5,233.18 $5,233.18 2.3×
Repair Extensor Tendon Finger W/Graft Each (26420) $6,705.96 $6,705.96 2.1×
Repair extensor tendon finger w/o graft each (26418) $3,996.96 $3,996.96 2.6×
Repair Extensor Tendon Hand W/Graft Each (26412) $6,005.12 $6,005.12 1.9×
Repair Eyelid Wound (67935) $4,323.71 $4,323.71 1.9×
Repair Finger Tendon (26433) $9,295.08 $9,295.08 3.0×
Repair Finger/Hand Tendon (26350) $6,463.53 $6,463.53 2.1×
Repair Forearm Tendon Sheath (25275) $9,518.85 $9,518.85 3.0×
Repair Hallux Rigidus (28289) $4,711.89 $4,711.89 1.5×
Repair Hand Joint (26540) $3,614.94 $3,614.94 1.2×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $4,070.71–$4,712.47 $4,070.71–$4,712.47 varies
Repair incomplete circumcision (54163) $5,047.46 $5,047.46 2.5×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $13,913.82 $13,913.82 4.1×
Repair initial femoral hernia, any age; reducible (49550) $7,407.39 $7,407.39 2.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $13,913.82 $13,913.82 4.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $379–$643.82 $379–$643.82 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $379–$643.82 $379–$643.82 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $379–$643.82 $379–$643.82 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $379–$643.82 $379–$643.82 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,273.83 $1,273.83 1.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $379–$539.51 $379–$539.51 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 4 matching MRF lines		 $379–$1,189.17 $379–$1,189.17 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $559–$966.48 $559–$966.48 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $379–$494.84 $379–$494.84 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $379–$678.50 $379–$678.50 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $379–$678.20 $379–$678.20 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $494.84–$730.81 $494.84–$730.81 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $379–$678.20 $379–$678.20 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $6,040.40 $6,040.40 3.1×
Repair Laceration Palate </2 Cm (42180) $1,228.59 $1,228.59 2.4×
Repair Lead Pace-Defib One (33218) $12,763.99 $12,763.99 3.6×
Repair nasal septal perforations (30630)
range across 2 matching MRF lines		 $5,353.95–$10,707.91 $5,353.95–$10,707.91 varies
Repair Non/Malunion Humerus W/O Graft (24430) $38,442.39 $38,442.39 3.1×
Repair Nonunion Hand (26546) $6,204.36 $6,204.36 0.9×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $22,072.57 $22,072.57 3.2×
Repair of hydrocele (55060) $5,047.46 $5,047.46 1.5×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $560–$649.41 $560–$649.41 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $4,693.99 $4,693.99 0.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $21,598 $21,598 3.1×
Repair of rectum (45505) $7,565.17 $7,565.17 2.8×
Repair of Ruptured Tendon (24342) $11,004.12 $11,004.12 1.6×
Repair recurrent femoral hernia; reducible Facility (49555) $11,128.70 $11,128.70 3.2×
Repair retinal detach cplx (67113) $8,885.16 $8,885.16 1.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $10,482.52 $10,482.52 1.5×
Repair tongue laceration (41252) $2,395.76 $2,395.76 10.5×
Repair tongue laceration (41250) $631.18 $631.18 1.5×
Repair, primary, disrupted ligament, ankle; collateral (27695) $15,301.38 $15,301.38 2.2×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $9,518.85 $9,518.85 3.0×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $21,053.48 $21,053.48 3.0×
Repair/Graft Wrist Bone (25440) $17,541.10 $17,541.10 2.5×
Repair/Revise Wrist Joint (25320) $10,482.52 $10,482.52 1.5×
Replace duodenostomy/jejunostomy tube perq (49451) $1,410.48 $1,410.48 1.6×
Replace eye fluid (67025) $8,885.16 $8,885.16 4.0×
Replace G-J Tube Perc (49452) $1,587.97 $1,587.97 1.8×
Replace g/c tube perc (49450) $1,632.63 $1,632.63 1.9×
Replacement Tissue Expander W/Permanent Implant (11970)
range across 2 matching MRF lines		 $13,295.27–$26,589.65 $13,295.27–$26,589.65 varies
Reposition Gastrostomy Tube (43761) $271.14 $271.14 1.1×
Reposition L Ventric Lead (33226) $5,016.91 $5,016.91 1.7×
Reposition Pacing-Defib Lead (33215) $5,016.91 $5,016.91 1.7×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $6,748.27 $6,748.27 3.0×
Repr Elbw Med Ligmnt W/Tiss (24345) $10,482.52 $10,482.52 1.5×
Rerepair ing hernia reduce (49520) $13,913.82 $13,913.82 4.1×
Resect forarm/wrist tum 3cm> (25078) $8,170.51 $8,170.51 2.9×
Resect hip/pelv tum 5 cm/> (27059) $8,696.50 $8,696.50 3.1×
Resect hip/pelv tum < 5 cm (27049) $7,800 $7,800 2.8×
Resect leg/ankle tum < 5 cm (27615) $8,170.51 $8,170.51 2.9×
Resect Shoulder Tumor 5 Cm/> (23078) $4,987.81 $4,987.81 1.8×
Resect shoulder tumor < 5 cm (23077) $8,317.84 $8,317.84 3.0×
Resect thigh/knee tum < 5 cm (27329) $15,057.78 $15,057.78 5.4×
Resection of elbow joint (arthrectomy) Facility (24155) $6,862.29 $6,862.29 2.2×
Resection of scrotum (55150) $10,605.65 $10,605.65 3.1×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $9,757.59 $9,757.59 3.1×
Rev/rmv prph sac/gstr npg/r (64595) $8,458.19 $8,458.19 2.5×
Revise external ear (69300) $9,005.80 $9,005.80 2.8×
Revise eyelid lining (68360) $5,128.58 $5,128.58 1.4×
Revise knuckle joint (26530) $21,598 $21,598 3.1×
Revise radius & ulna (25365) $29,707.96 $29,707.96 2.4×
Revise thumb tendon (26496) $6,463.53 $6,463.53 2.1×
Revise ulnar nerve at wrist (64719)
range across 2 matching MRF lines		 $8,502.56–$17,005.70 $8,502.56–$17,005.70 varies
Revise Wrist/Forearm Tendon (25280) $6,310.43 $6,310.43 2.0×
Revise/Implant Finger Joint (26536) $21,084.33 $21,084.33 3.0×
Revise/Repair Finger/Toe Nerve (64702) $6,102.68 $6,102.68 3.3×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $9,472.56 $9,472.56 3.1×
Revision of penis (54300) $8,066.79 $8,066.79 2.4×
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $7,156.44–$14,313.46 $7,156.44–$14,313.46 varies
Revision Peri-Implant Capsule Breast (19370)
range across 2 matching MRF lines		 $7,371.52–$14,743.06 $7,371.52–$14,743.06 varies
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $7,633.35 $7,633.35 3.4×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $21,084.33 $21,084.33 3.0×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $6,266.36 $6,266.36 1.8×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $14,069.56 $14,069.56 2.3×
Revj Shunt Extraocular Reservoir W/O Graft (66184) $5,346.02 $5,346.02 2.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $8,307.44 $8,307.44 2.5×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $4,832.37–$9,664.73 $4,832.37–$9,664.73 varies
Revj/rpr oprative wound anterior segment (66250)
range across 2 matching MRF lines		 $5,057.47–$10,114.62 $5,057.47–$10,114.62 varies
Rhinoplasty primary w/major septal repair (30420) $12,366.40 $12,366.40 2.2×
Rhinoplasty Secondary Minor Revision (30430) $5,353.95 $5,353.95 0.9×
Rhinp Prim Complete Xtrnl Parts (30410) $16,405.17 $16,405.17 2.9×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $6,369.81 $6,369.81 1.1×
Rib cartilage graft (21230) $16,405.17 $16,405.17 2.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,797.99 $1,797.99 0.9×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $3,867.65–$7,734.74 $3,867.65–$7,734.74 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $808.68 $808.68 1.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $538.04 $538.04 4.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $538.04 $538.04 1.3×
Rmvl fecal impaction/fb spx under anes (45915) $3,686.94 $3,686.94 3.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,200.32 $3,200.32 2.0×
Rmvl implnt matl posterior segment extraocular (67120) $3,858.25 $3,858.25 1.7×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $8,346.82 $8,346.82 3.8×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $8,993.01 $8,993.01 4.1×
Rmvl Lens Material Phacofragmentation Aspir (66850) $11,246.54 $11,246.54 5.1×
Rmvl of subq implantable defibrillator electrode (33272) $5,016.91 $5,016.91 1.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,830.31 $4,830.31 2.6×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $8,723.83 $8,723.83 2.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,868.75–$2,602.63 $1,868.75–$2,602.63 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $1,230–$1,277.96 $1,230–$1,277.96 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $7,497 $7,497 3.4×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $9,317.41 $9,317.41 4.2×
Rmvl/revj sling stress incontinence (57287) $8,686.79 $8,686.79 2.8×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $618.27–$917.40 $618.27–$917.40 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,022.55 $3,022.55 2.0×
Rplcmt compl tun ctr vad w/subq port (36582) $7,277.21 $7,277.21 2.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $11,290 $11,290 3.3×
Rpr aa hrn 1st 3-10 rdc (49593) $11,290 $11,290 1.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $16,613.88 $16,613.88 2.9×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $1,300.87 $1,300.87 0.6×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903)
range across 2 matching MRF lines		 $6,974.84–$13,949.66 $6,974.84–$13,949.66 varies
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 2 matching MRF lines		 $7,497–$14,994.02 $7,497–$14,994.02 varies
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908)
range across 2 matching MRF lines		 $6,974.84–$13,950.25 $6,974.84–$13,950.25 varies
Rpr Component Inflatable Penile Prosthesis (54408) $8,066.79 $8,066.79 1.6×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,250.90 $2,250.90 1.5×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $4,757.72 $4,757.72 1.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $565.06 $565.06 2.9×
Rpr ing hernia init reduce (49500) $13,913.82 $13,913.82 2.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,174.81 $1,174.81 1.7×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $14,819.76 $14,819.76 2.9×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $8,186.09 $8,186.09 2.2×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $8,847.55 $8,847.55 1.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,958.51 $1,958.51 3.8×
Rpr Lip Full Thickness Vermilion Only (40650) $1,774.86 $1,774.86 3.4×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,483.06 $1,483.06 1.0×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110)
range across 2 matching MRF lines		 $3,683.42–$7,717.10 $3,683.42–$7,717.10 varies
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $8,885.16 $8,885.16 2.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $4,553.22–$6,862.29 $4,553.22–$6,862.29 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $7,056.23 $7,056.23 2.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,587.97 $1,587.97 2.6×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $6,741.80 $6,741.80 2.1×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,300.74 $6,300.74 2.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $6,300.74 $6,300.74 2.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $9,516.44 $9,516.44 3.0×
Scleral Reinforcement Spx W/Graft (67255) $4,130.95 $4,130.95 1.0×
Scrotal exploration (55110) $7,156.44 $7,156.44 2.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $11,976.17 $11,976.17 3.8×
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) $3,360.47 $3,360.47 0.8×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $4,470.94 $4,470.94 2.0×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $1,375.81 $1,375.81 0.6×
Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) $2,905 $2,905 1.3×
Severing tarsorrhaphy (67710) $2,896.78 $2,896.78 3.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,672.58 $2,672.58 3.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,864.74 $2,864.74 2.5×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $207.74–$379 $207.74–$379 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $200–$3,408.37 $200–$3,408.37 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $379 $379 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $186–$413.74 $186–$413.74 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $200 $200 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $196.75–$413.74 $196.75–$413.74 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $320–$640.88 $320–$640.88 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $379 $379 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $200–$3,425.13 $200–$3,425.13 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $379 $379 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $196.75 $196.75 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $2,864.74 $2,864.74 2.5×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $2,270.88 $2,270.88 2.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $3,093.66 $3,093.66 3.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $494.84 $494.84 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $181.45–$494.84 $181.45–$494.84 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $196.75–$494.84 $196.75–$494.84 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $507.78 $507.78 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $181.45–$494.84 $181.45–$494.84 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $196.75–$494.84 $196.75–$494.84 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $494.84 $494.84 2.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $494.84 $494.84 2.6×
Skin Full Grft Face/Genit/Hf (15240)
range across 3 matching MRF lines		 $1,754.26–$4,897.61 $1,754.26–$4,897.61 varies
Skin graft, harvest cultured tissue (15040) $6,174.97 $6,174.97 3.1×
Skin Pinch Graft (15050) $1,432.82 $1,432.82 2.0×
Skin sub graft face/nk/hf/g (15275) $3,255.27 $3,255.27 4.6×
Skin sub graft trnk/arm/leg (15271) $2,364.61 $2,364.61 3.3×
Skin sub grft t/arm/lg child (15273) $8,578.08 $8,578.08 4.3×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $196.75–$303.84 $196.75–$303.84 varies
Skn sub grft f/n/hf/g child (15277) $2,364.61 $2,364.61 1.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $9,662.98 $9,662.98 2.0×
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $1,797.99–$4,581.14 $1,797.99–$4,581.14 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $196.75–$1,471.91 $196.75–$1,471.91 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $494.84 $494.84 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $358–$494.84 $358–$494.84 varies
Snip Incision Lacrimal Punctum (68440) $1,503.92 $1,503.92 4.9×
Sperm washing artificial insemination (58323) $170.93 $170.93 0.9×
Sphincterotomy anal division sphincter spx (46080) $6,846.71 $6,846.71 2.6×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $639.59–$1,554.77 $639.59–$1,554.77 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,894.98 $3,894.98 1.1×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $7,360.37 $7,360.37 3.7×
Strabismus Any Superior Oblique Muscle (67318) $5,224.36 $5,224.36 2.3×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311)
range across 2 matching MRF lines		 $11,246.54–$22,493.07 $11,246.54–$22,493.07 varies
Strabismus Recession/Rescj 1 Ver Musc (67314)
range across 2 matching MRF lines		 $9,374.71–$18,748.83 $9,374.71–$18,748.83 varies
Strabismus Recession/Rescj 2 Hrzntl Musc (67312)
range across 2 matching MRF lines		 $9,374.71–$18,749.13 $9,374.71–$18,749.13 varies
Strabismus Recession/Rescj 2/More Ver Musc (67316)
range across 2 matching MRF lines		 $5,224.36–$10,449.03 $5,224.36–$10,449.03 varies
Strapping ankle (29540) $316.48 $316.48 2.0×
Strapping elbow or wrist (29260) $316.48 $316.48 5.6×
Strapping hand/finger (29280) $316.48 $316.48 5.6×
Strapping Hip (29520) $316.48 $316.48 2.5×
Strapping knee (29530) $316.48 $316.48 2.5×
Strapping shoulder (29240) $316.48 $316.48 2.5×
Strapping toes (29550) $122.10 $122.10 2.2×
Strapping Unna Boot (29580)
range across 11 matching MRF lines		 $160–$1,121.34 $160–$1,121.34 varies
Subconjunctival injection (68200) $398.18 $398.18 0.9×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $730.21 $730.21 1.0×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $439.60 $439.60 0.6×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $1,373.16 $1,373.16 1.9×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $10,734.07–$21,468.41 $10,734.07–$21,468.41 varies
Suction assisted lipectomy; head and neck (15876) $4,308.14 $4,308.14 1.3×
Suction assisted lipectomy; trunk (15877)
range across 2 matching MRF lines		 $7,945.42–$15,890.55 $7,945.42–$15,890.55 varies
Suction assisted lipectomy; upper extremity (15878)
range across 2 matching MRF lines		 $3,969.92–$7,939.84 $3,969.92–$7,939.84 varies
Suction Lipectomy Lwr Extrem (15879) $7,946.89 $7,946.89 2.3×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $17,094.99 $17,094.99 3.0×
Surg tx anal fistula subq (46270) $8,502.56 $8,502.56 3.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $8,190.26 $8,190.26 3.1×
Suture 1 nerve hand/foot common sensory nerve (64834) $18,783.14 $18,783.14 5.7×
Suture digital nerve hand/foot 1 nerve (64831) $9,590.69 $9,590.69 5.1×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $8,115.84 $8,115.84 3.7×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $22,072.27–$44,144.84 $22,072.27–$44,144.84 varies
Sympathectomy; digital arteries, each digit Facility (64820) $3,999.89 $3,999.89 2.1×
Synovectomy carpometacarpal joint (26130) $10,414.06 $10,414.06 3.3×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $7,910.16 $7,910.16 2.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $6,296.92 $6,296.92 4.1×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $225–$453.71 $225–$453.71 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $70,956.93 $70,956.93 2.6×
Tcat Insj/Rpl Perm Ldls Pm (33274) $37,763.31 $37,763.31 2.0×
Temporary Closure Eyelids Suture (67875)
range across 2 matching MRF lines		 $3,472.15–$6,943.10 $3,472.15–$6,943.10 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $7,968.92 $7,968.92 2.5×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $6,005.12 $6,005.12 1.9×
Tenolysis flexor tendon palm&finger each tendo (26442) $6,300.74 $6,300.74 2.0×
Tenolysis flexor tendon palm/finger each tendon (26440) $4,163.85 $4,163.85 2.7×
Tenolysis Triceps (24332) $6,339.53 $6,339.53 2.0×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $7,873.14 $7,873.14 2.5×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $4,626.68 $4,626.68 1.5×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $2,897.28 $2,897.28 0.9×
Tenotomy Hip Abd/Ext Open (27006) $10,414.06 $10,414.06 3.3×
Therapeutic Apheresis White Blood Cells (36511) $2,293.51 $2,293.51 1.5×
Therapeutic plasma exchange (36514) $1,636.75 $1,636.75 1.1×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $29,707.96 $29,707.96 2.4×
Thrmbc/Nfs Dialysis Circuit (36906) $43,318.25 $43,318.25 2.5×
Thrombolytic Therapy Stroke (37195) $567.42 $567.42 1.8×
Tibial Arthroscopy/Surgery (29855) $10,927.71 $10,927.71 1.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,731–$3,408.37 $1,731–$3,408.37 varies
Tissue Expander Placement Breast Reconstruction (19357)
range across 2 matching MRF lines		 $24,289.08–$48,578.17 $24,289.08–$48,578.17 varies
Tnot elbow lateral/medial debride open (24358) $8,782.90 $8,782.90 2.8×
Tnot elbow lateral/medial debride open tdn rpr (24359) $9,757.59 $9,757.59 3.1×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $9,275.98 $9,275.98 2.9×
Tooth extraction (41899) $3,515.92 $3,515.92 15.5×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $211.14–$1,775.15 $211.14–$1,775.15 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $1,315.86 $1,315.86 0.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $677.12 $677.12 2.3×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $3,999.89 $3,999.89 2.1×
Transfer of embryo (58974)
range across 2 matching MRF lines		 $771.84–$815.73 $771.84–$815.73 varies
Transplant hand tendon (26480) $6,146.17 $6,146.17 2.0×
Transplant/graft hand tendon (26483) $6,300.74 $6,300.74 2.0×
Transurethral resection bladder neck (52500) $5,839.10 $5,839.10 1.7×
Transvesical ureterolithotomy Facility (51060) $1,744.75 $1,744.75 0.9×
Treat Dental Ridge Fracture (21440)
range across 2 matching MRF lines		 $5,488.54–$10,976.77 $5,488.54–$10,976.77 varies
Treat Finger Fracture Each (26727) $6,103.56 $6,103.56 1.9×
Treat fracture radius/ulna (25575) $16,446.51 $16,446.51 2.4×
Treat Fx Rad Extra-Articul (25607) $14,033.70 $14,033.70 2.0×
Treat Hip Socket Fracture (27222) $6,727.70 $6,727.70 28.4×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $248.50–$554.49 $248.50–$554.49 varies
Treat Humerus Fracture (24505) $620.02 $620.02 0.4×
Treat humerus fracture (23600) $248.50 $248.50 1.1×
Treat knee fracture (27532) $2,199.17 $2,199.17 0.7×
Treat Knuckle Dislocation (26700) $333.23 $333.23 1.4×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $230.09–$489.56 $230.09–$489.56 varies
Treat Thumb Dislocation (26641) $571.83 $571.83 2.4×
Treat Thumb Fracture (26645) $4,800.04 $4,800.04 3.1×
Treat thumb fracture (26665) $10,230.10 $10,230.10 3.3×
Treat toe dislocation (28630) $333.23 $333.23 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,239.14 $2,239.14 1.5×
Treatment closed elbow dislocation w/o anes (24600) $442.24 $442.24 1.9×
Treatment of anal fissure (46940) $8,424.11 $8,424.11 3.2×
Treatment of retinal lesion (67208) $5,237.89 $5,237.89 17.2×
Treatment of tibia fracture (27756) $14,568.51 $14,568.51 2.1×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $196.75–$422.27 $196.75–$422.27 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $196.75–$372.30 $196.75–$372.30 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $196.75–$566.55 $196.75–$566.55 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $110–$172.79 $110–$172.79 varies
Trnsplj autologous hematopoietic cells per donor (38241) $4,809.74 $4,809.74 3.2×
Trurl rescj postop bladder neck contracture (52640) $10,501.92 $10,501.92 3.1×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $9,275.98 $9,275.98 3.5×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $482.50–$645.89 $482.50–$645.89 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $9,662.98 $9,662.98 3.1×
Tx Missed Abortion First Trimester Surgical (59820) $9,662.98 $9,662.98 3.1×
Tx Missed Abortion Second Trimester Surgical (59821) $9,151.74 $9,151.74 2.9×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $1,690–$4,603.46 $1,690–$4,603.46 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $539.89–$4,091.87 $539.89–$4,091.87 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $350.84–$507.78 $350.84–$507.78 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $379 $379 1.6×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $5,797.38 $5,797.38 3.9×
Tympanoplasty (69631) $12,392.55 $12,392.55 2.2×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $7,727.39–$15,454.76 $7,727.39–$15,454.76 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $10,174.87 $10,174.87 3.0×
Unlisted laparoscopic procedure liver (47379) $7,190.82 $7,190.82 1.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $13,140.11 $13,140.11 2.3×
Unlisted procedure anus (46999) $5,368.36 $5,368.36 6.0×
Unlisted procedure arthroscopy (29999) $710.82 $710.82 3.0×
Unlisted procedure breast (19499)
range across 2 matching MRF lines		 $8,788.77–$17,578.43 $8,788.77–$17,578.43 varies
Unlisted Procedure Casting/Strapping (29799) $159 $159 1.0×
Unlisted procedure eyelids (67999) $725.81 $725.81 2.4×
Unlisted procedure femur or knee (27599) $636 $636 2.7×
Unlisted procedure forearm or wrist (25999) $395.53 $395.53 1.7×
Unlisted Procedure Hands/Fingers (26989) $2,225.03 $2,225.03 9.4×
Unlisted procedure humerus/elbow (24999) $388.17 $388.17 1.6×
Unlisted Procedure Male Genital System (55899) $934.74 $934.74 3.9×
Unlisted procedure nervous system (64999) $543.04 $543.04 1.8×
Unlisted Procedure Rectum (45999) $1,398.44 $1,398.44 1.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $7,418.54 $7,418.54 8.5×
Unlisted Procedure, Urinary System (53899) $5,365.70 $5,365.70 22.4×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $396.14–$399.63 $396.14–$399.63 varies
Upgrade of pacemaker system (33214) $31,228.94 $31,228.94 3.1×
Urethromeatoplasty W/Mucosal Advancement (53450) $5,414.78 $5,414.78 1.6×
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) $7,239.60 $7,239.60 1.4×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $15,499.13 $15,499.13 3.0×
Uvulectomy excision of uvula (42140) $8,346.23 $8,346.23 2.6×
Vaginal delivery only (59409) $2,925.27 $2,925.27 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $3,390–$11,590.93 $3,390–$11,590.93 varies
Venous Mech Thrombectomy (37187) $23,002.46 $23,002.46 2.1×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $3,093.66–$6,187.32 $3,093.66–$6,187.32 varies
Vitrectomy mechanical pars plana (67036) $7,149.97 $7,149.97 1.8×
Vitrectomy pars plana remove int memb retina (67042) $9,231.31 $9,231.31 2.3×
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $8,885.16 $8,885.16 2.2×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $8,885.16 $8,885.16 2.2×
Vulvectomy simple partial (56620) $12,380.20 $12,380.20 4.0×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $350.84–$584.46 $350.84–$584.46 varies
Wound Prep F/N/Hf/G (15004) $5,800.91 $5,800.91 14.9×
Wound Prep Trk/Arm/Leg (15002) $5,795.61 $5,795.61 8.2×
Wrist arthroscopy with partial removal of joint lining (29844) $9,475.12 $9,475.12 3.0×
Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) $13,699.02 $13,699.02 3.5×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $13,988.93 $13,988.93 2.7×
Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) $13,699.02 $13,699.02 3.5×

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.