Procedures & surgery prices at Comanche County Medical Center
Comanche, TX · every code in this section with a posted price and a Medicare benchmark.
1185 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$180.05–$1,666.60 | $277–$2,564 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$123.50–$1,638.65 | $190–$2,521 | varies |
| Acromiopl/Acromionect Partial (23130) | $6,715.80 | $10,332 | 2.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $4,161.30 | $6,402 | 2.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$684.45–$2,592.20 | $1,053–$3,988 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,925.65 | $4,501 | 1.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $3,757 | $5,780 | 1.8× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $3,952.65 | $6,081 | 1.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 3 matching MRF lines |
$507–$4,910.10 | $780–$7,554 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$570.70–$3,107 | $878–$4,780 | varies |
| Amputate Metacarpal Bone (26910) range across 2 matching MRF lines |
$518.70–$4,941.30 | $798–$7,602 | varies |
| Amputate Thigh,Re-Amputatn (27596) | $11,617.45 | $17,873 | 3.5× |
| Amputation follow-up surgery (27594) | $4,910.10 | $7,554 | 1.5× |
| Amputation Foot Midtarsal (28800) | $1,282.45 | $1,973 | 0.4× |
| Amputation foot transmetarsal (28805) | $4,910.10 | $7,554 | 1.5× |
| Amputation metatarsal with toe single (28810) | $4,219.15 | $6,491 | 1.3× |
| Amputation thigh through femur any level (27590) | $11,617.45 | $17,873 | 3.5× |
| Amputation toe interphalangeal joint (28825) | $4,056.65 | $6,241 | 1.2× |
| Amputation toe metatarsophalangeal joint (28820) | $2,506.40 | $3,856 | 0.8× |
| Amputation, forearm, through radius and ulna; Facility (25900) | $11,170.25 | $17,185 | 1.5× |
| Amputation, leg, through tibia and fibula; (27880) unusually low: confirm this is the full procedure |
$2,228.85 | $3,429 | 0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $5,491.85 | $8,449 | 1.7× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) | $11,170.25 | $17,185 | 3.4× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $1,504.10 | $2,314 | 1.6× |
| Anoscopy Control Bleeding (46614) | $2,562.30 | $3,942 | 2.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$31.20–$419.25 | $48–$645 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $2,684.50 | $4,130 | 2.2× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) unusually low: confirm this is the full procedure |
$1,831.05 | $2,817 | 0.4× |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 3 matching MRF lines |
$1,326–$9,587.50 | $277.45–$14,750 | varies |
| Anterior Tibial Tubercleplasty (27418) | $10,005.45 | $15,393 | 1.4× |
| Appendectomy (44950) | $4,945.85 | $7,609 | 0.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $224.25 | $345 | 1.4× |
| Application cast elbow finger short arm (29075) | $74.10 | $114 | 0.3× |
| Application Finger Splint Dynamic (29131) | $49.40 | $76 | 0.8× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$50.05–$185.25 | $77–$285 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$101.40–$336.05 | $156–$517 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $381.55 | $587 | 1.4× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$87.10–$336.05 | $134–$517 | varies |
| Application multiplane external fixation system (20692) | $18,065.45 | $27,793 | 1.4× |
| Application of long leg cast (29345) | $144.30 | $222 | 0.5× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$211.90–$604.50 | $326–$930 | varies |
| Application Short Arm Splint Dynamic (29126) | $192.40 | $296 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$68.90–$377.65 | $106–$581 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$85.80–$327.60 | $132–$504 | varies |
| Application uniplane external fixation system (20690) | $10,005.45 | $15,393 | 1.4× |
| Apply hand/wrist cast (29085) | $80.60 | $124 | 0.5× |
| Apply long arm cast (29065) | $83.20 | $128 | 0.3× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$57.20–$351.34 | $88–$540.52 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$103.35–$398.45 | $159–$613 | varies |
| Apply short leg cast (29425) | $96.85 | $149 | 0.3× |
| Arrest Epiphyseal Distal Femur (27475) | $10,405.85 | $16,009 | 1.4× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$24.70–$167.05 | $38–$257 | varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $33,341.75 | $51,295 | 2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$84.50–$623.35 | $130–$959 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$92.95–$1,127.10 | $143–$1,734 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$73.45–$586.30 | $113–$902 | varies |
| Arthrodesis ankle open (27870) | $18,788.25 | $28,905 | 1.5× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $9,687.60 | $14,904 | 1.3× |
| Arthrodesis knee any technique (27580) | $11,617.45 | $17,873 | 0.9× |
| Arthrodesis subtalar (28725) | $10,401.95 | $16,003 | 0.8× |
| Arthrodesis triple (28715) | $18,246.15 | $28,071 | 1.4× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) | $10,405.85 | $16,009 | 1.4× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) | $18,065.45 | $27,793 | 1.4× |
| Arthroplasty Ankle (27700) | $5,560.10 | $8,554 | 0.8× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $16,184.35 | $24,899 | 0.9× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) | $18,246.15 | $28,071 | 1.4× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $6,245.85 | $9,609 | 1.9× |
| Arthroplasty Patella W/Prosthesis (27438) | $18,246.15 | $28,071 | 1.4× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) | $18,246.15 | $28,071 | 1.4× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $3,841.50 | $5,910 | 1.2× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $3,841.50 | $5,910 | 1.2× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $4,341.35 | $6,679 | 1.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $3,841.50 | $5,910 | 1.2× |
| Arthroscopy Knee Osteochondral Allograft (29867) | $10,002.20 | $15,388 | 0.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $662.35 | $1,019 | 0.2× |
| Arthroscopy knee synovectomy limited spx (29875) | $5,361.85 | $8,249 | 1.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $3,994.25 | $6,145 | 1.2× |
| Arthroscopy shoulder distal claviculectomy (29824) | $8,065.85 | $12,409 | 2.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $12,733.50 | $19,590 | 1.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $3,841.50 | $5,910 | 1.2× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) | $7,755.80 | $11,932 | 1.1× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) | $7,755.80 | $11,932 | 1.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $3,841.50 | $5,910 | 1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $3,841.50 | $5,910 | 1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $5,266.30 | $8,102 | 1.6× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $16,902.60 | $26,004 | 2.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $7,755.80 | $11,932 | 2.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $4,094.35 | $6,299 | 1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $13,243.10 | $20,374 | 1.8× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $7,755.80 | $11,932 | 2.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $13,243.10 | $20,374 | 1.8× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $3,841.50 | $5,910 | 1.2× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) | $7,755.80 | $11,932 | 1.1× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $7,606.30 | $11,702 | 2.3× |
| Arthrotomy W/Meniscus Repair Knee (27403) | $5,791.50 | $8,910 | 0.8× |
| Arthrotomy wrist joint with synovectomy (25105) | $4,910.10 | $7,554 | 1.5× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) | $5,791.50 | $8,910 | 1.8× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) | $11,170.25 | $17,185 | 1.5× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $11,617.45 | $17,873 | 0.9× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $7,381.40 | $11,356 | 2.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $10,005.45 | $15,393 | 1.4× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) | $12,114.70 | $18,638 | 0.9× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $8,474.70 | $13,038 | 2.6× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $5,861.70 | $9,018 | 1.8× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $3,841.50 | $5,910 | 1.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $5,266.95 | $8,103 | 1.6× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $5,791.50 | $8,910 | 1.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,876.90 | $4,426 | 1.8× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) | $5,791.50 | $8,910 | 1.8× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) | $4,720.95 | $7,263 | 1.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $5,791.50 | $8,910 | 1.8× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$712.40–$1,494.35 | $1,096–$2,299 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$127.40–$1,385.80 | $196–$2,132 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $3,578.90 | $5,506 | 1.7× |
| Aspiration Bladder Needle (51100) | $96.20 | $148 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$94.90–$287.30 | $146–$442 | varies |
| Biopsy bone open superficial (20240) | $4,738.50 | $7,290 | 1.6× |
| Biopsy bone trocar/needle deep (20225) | $3,246.75 | $4,995 | 2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$477.73–$23,830.95 | $734.97–$36,663 | varies |
| Biopsy External Auditory Canal (69105) | $2,177.50 | $3,350 | 1.4× |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$158.60–$625.30 | $244–$962 | varies |
| Biopsy muscle percutaneous needle (20206) | $2,317.90 | $3,566 | 1.4× |
| Biopsy of breast; open, incisional (19101) | $5,063.50 | $7,790 | 1.3× |
| Biopsy of floor of mouth (41108) | $1,475.50 | $2,270 | 0.9× |
| Biopsy of lip (40490) | $675.35 | $1,039 | 2.8× |
| Biopsy of liver, needle; percutaneous (47000) | $1,955.20 | $3,008 | 1.2× |
| Biopsy of nerve (64795) | $2,288 | $3,520 | 1.2× |
| Biopsy of rectum (45100) | $6,238.70 | $9,598 | 2.2× |
| Biopsy Salivary Gland Needle (42400) | $838.50 | $1,290 | 1.2× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$163.15–$7,745.40 | $251–$11,916 | varies |
| Biopsy soft tissue thigh/knee area superficial (27323) | $2,317.90 | $3,566 | 1.4× |
| Biopsy Tongue Posterior One-Third (41105) | $2,442.70 | $3,758 | 0.7× |
| Biopsy Vaginal Mucosa Extensive (57105) | $230.10 | $354 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $85.80 | $132 | 0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $838.50 | $1,290 | 0.9× |
| Biopsy, vestibule of mouth (40808) | $649.35 | $999 | 1.2× |
| Biopsy/removal lymph nodes (38510) | $4,352.40 | $6,696 | 1.1× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$61.10–$477.10 | $94–$734 | varies |
| Blepharoplasty Lower Eyelid (15820) | $2,592.20 | $3,988 | 1.3× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) | $2,592.20 | $3,988 | 1.3× |
| Blepharoplasty upper eyelid (15822) | $2,689.70 | $4,138 | 1.3× |
| Blepharotomy drainage abscess eyelid (67700) | $198.90 | $306 | 0.6× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$548.60–$787.15 | $844–$1,211 | varies |
| Bone Graft Any Donor Area Major/Large (20902) | $10,005.45 | $15,393 | 1.4× |
| Bone Graft Any Donor Area Minor/Small (20900) | $10,005.45 | $15,393 | 1.4× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$144.95–$3,491.15 | $223–$5,371 | varies |
| Bone Marrow; Aspiration Only (38220) | $1,475.50 | $2,270 | 0.9× |
| Bx breast 1st lesion us imag (19083) | $2,795.65 | $4,301 | 1.7× |
| Bx breast needle core w/o imaging guidance spx (19100) | $4,349.15 | $6,691 | 2.6× |
| Bx/exc lymph node open deep axillary node (38525) | $4,486.30 | $6,902 | 1.1× |
| Bx/exc lymph node open superficial (38500) | $6,543.55 | $10,067 | 1.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $4,787.25 | $7,365 | 1.5× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $3,913.65 | $6,021 | 2.4× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) | $11,735.10 | $18,054 | 1.6× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $2,882.10 | $4,434 | 1.8× |
| Carpal Tunnel Surgery (64721) | $3,791.45 | $5,833 | 1.9× |
| Carpectomy All Bones Proximal Row (25215) | $7,381.40 | $11,356 | 2.2× |
| Cataract surg w/iol 1 stage (66983) | $3,428.75 | $5,275 | 1.5× |
| Cataract surgery complex (66982) | $1,655.55 | $2,547 | 0.7× |
| Catheter aspiration nasotracheal spx (31720) | $159.25 | $245 | 0.7× |
| Cautery Cervix Electro/Thermal (57510) | $4,379.70 | $6,738 | 1.3× |
| Change ureter stent percut (50382) | $4,474.60 | $6,884 | 2.1× |
| Chemical Cautery Tissue (17250) | $301.60 | $464 | 1.5× |
| Chemical Pleurodesis (32560) | $1,012.70 | $1,558 | 1.6× |
| Chest tube placement (32551) range across 7 matching MRF lines |
$130–$1,881.75 | $200–$2,895 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $5,697.25 | $8,765 | 1.6× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$335.40–$5,258.50 | $516–$8,090 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $5,257.85 | $8,089 | 2.5× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,320.50 | $3,570 | 1.4× |
| Claviculectomy partial (23120) | $7,745.40 | $11,916 | 2.4× |
| Claviculectomy; total (23125) | $7,880.60 | $12,124 | 2.4× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$80.60–$266.50 | $124–$410 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $4,529.85 | $6,969 | 1.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$399.75–$661.05 | $615–$1,017 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,230.80 | $3,432 | 1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$384.80–$417.30 | $592–$642 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $399.75 | $615 | 1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $981.50 | $1,510 | 4.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$281.45–$2,320.50 | $433–$3,570 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $256.10 | $394 | 1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,325.35 | $2,039 | 5.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$206.05–$397.80 | $317–$612 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $195 | $300 | 0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$399.75–$407.55 | $615–$627 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $172.90 | $266 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $150.80 | $232 | 0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $546 | $840 | 2.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $293.15 | $451 | 1.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $291.20 | $448 | 1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,230.80 | $3,432 | 1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $182 | $280 | 0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$394.55–$2,320.50 | $607–$3,570 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$230.10–$399.75 | $354–$615 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$486.85–$2,320.50 | $749–$3,570 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$211.25–$399.75 | $325–$615 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $187.85 | $289 | 0.8× |
| Closed tx talus fracture w/o manipulation (28430) | $256.10 | $394 | 1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $55.25 | $85 | 0.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $199.55 | $307 | 0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $209.95 | $323 | 0.8× |
| Closure Gastrostomy Surg (43870) | $3,419 | $5,260 | 0.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $165.10 | $254 | 0.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$213.20–$1,155.05 | $328–$1,777 | varies |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) | $3,296.15 | $5,071 | 1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $778.70 | $1,198 | 3.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $269.10 | $414 | 1.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$280.80–$7,745.40 | $432–$11,916 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$171.60–$399.75 | $264–$615 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$322.40–$2,581.15 | $496–$3,971 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$256.75–$497.25 | $395–$765 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $163.15 | $251 | 0.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,320.50 | $3,570 | 1.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $163.15 | $251 | 0.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,018.55 | $1,567 | 0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $211.90 | $326 | 0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $525.85 | $809 | 2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $399.75 | $615 | 1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$302.25–$486.20 | $465–$748 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$217.75–$338 | $335–$520 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $133.25 | $205 | 0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$202.15–$399.75 | $311–$615 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$463.45–$2,320.50 | $713–$3,570 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $2,336.75 | $3,595 | 1.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,675.70 | $2,578 | 1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $269.10 | $414 | 1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,303.25 | $2,005 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $269.10 | $414 | 1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $269.10 | $414 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$109.85–$382.85 | $169–$589 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $269.10 | $414 | 1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,340.95 | $2,063 | 0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $236.60 | $364 | 1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,581.15 | $3,971 | 1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$276.25–$384.80 | $425–$592 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $235.30 | $362 | 0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,230.80 | $3,432 | 1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $143.65 | $221 | 0.6× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $11,617.45 | $17,873 | 7.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $568.10 | $874 | 2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$211.90–$432.90 | $326–$666 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $3,623.75 | $5,575 | 2.2× |
| Cltx Medial Ankle Fx (27760) | $291.85 | $449 | 1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$269.10–$399.75 | $414–$615 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$196.95–$399.75 | $303–$615 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $623.35 | $959 | 0.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $3,394.30 | $5,222 | 2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$254.80–$338 | $392–$520 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $145.60 | $224 | 0.6× |
| Cltx post hip arthrp dislc req anes (27266) | $2,789.80 | $4,292 | 1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) | $384.80 | $592 | 1.6× |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$319.15–$1,113.45 | $491–$1,713 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $269.10 | $414 | 1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,353.35 | $5,159 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$92.30–$399.75 | $142–$615 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,230.80 | $3,432 | 1.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,320.50 | $3,570 | 1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,230.80 | $3,432 | 1.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $326.95 | $503 | 1.3× |
| Cltx tibial fx proximal w/o manipulation (27530) | $351.65 | $541 | 1.4× |
| Cltx tibial shaft fx w/o manipulation (27750) | $285.35 | $439 | 1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,277.90 | $1,966 | 0.8× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $7,632.30 | $11,742 | 1.5× |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$7.80–$26 | $12–$40 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) range across 2 matching MRF lines |
$453.70–$2,453.75 | $698–$3,775 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $1,638 | $2,520 | 1.4× |
| Colonoscopy thru stoma (44388) | $1,727.05 | $2,657 | 1.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,462.50 | $2,250 | 1.2× |
| Colonoscopy w/ablation (45388) | $2,505.10 | $3,854 | 2.1× |
| Colonoscopy W/Band Ligation (45398) | $2,682.55 | $4,127 | 2.2× |
| Colonoscopy w/fb removal (45379) | $1,305.85 | $2,009 | 1.1× |
| Colonoscopy w/submucosal inj (45381) | $1,801.80 | $2,772 | 1.5× |
| Colpopexy extraperitoneal (57282) | $11,220.95 | $17,263 | 1.5× |
| Colpopexy vaginal intraperitoneal approach (57283) range across 2 matching MRF lines |
$1,509.95–$16,823.30 | $2,323–$25,882 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $443.95 | $683 | 1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $427.05 | $657 | 2.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $443.95 | $683 | 1.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $4,811.95 | $7,403 | 1.5× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,638 | $2,520 | 1.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$462.80–$2,702.05 | $712–$4,157 | varies |
| Combined anteroposterior colporrhaphy; (57260) range across 3 matching MRF lines |
$276.25–$11,230.43 | $425–$17,277.58 | varies |
| Complex drainage wound (10180) | $4,149.60 | $6,384 | 1.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $3,513.25 | $5,405 | 1.1× |
| Conization of cervix (57520) | $3,285.10 | $5,054 | 1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $129.35 | $199 | 1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $244.40 | $376 | 1.8× |
| Correction hammertoe (28285) | $4,910.10 | $7,554 | 1.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $4,910.10 | $7,554 | 1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $10,005.45 | $15,393 | 0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $4,776.85 | $7,349 | 1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $5,542.55 | $8,527 | 0.8× |
| Create Eardrum Opening (69433) | $1,386.45 | $2,133 | 2.6× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $242.45 | $373 | 1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $133.90 | $206 | 1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $174.20 | $268 | 0.7× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $3,612.70 | $5,558 | 1.1× |
| Curette/treat cornea (65435) | $119.60 | $184 | 0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $6,490.25 | $9,985 | 3.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,278.25 | $3,505 | 1.1× |
| Cysto w/destruction of lesions (52214) | $3,928.60 | $6,044 | 1.1× |
| Cysto w/insert ureteral stent (52332) | $3,928.60 | $6,044 | 1.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $2,275 | $3,500 | 0.6× |
| Cysto w/removal of lesions small (52224) | $3,928.60 | $6,044 | 1.1× |
| Cysto w/removal of tumors small (52234) | $3,870.75 | $5,955 | 1.1× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,278.25 | $3,505 | 1.1× |
| Cystoscopy implant stent (52282) | $5,505.50 | $8,470 | 1.6× |
| Cystostomy Cystotomy W/Drainage (51040) | $4,728.75 | $7,275 | 2.3× |
| Cystouretero W/Congen Repr (52400) | $3,928.60 | $6,044 | 1.1× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$172.25–$1,660.10 | $265–$2,554 | varies |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) | $3,870.75 | $5,955 | 1.1× |
| Cystourethroscopy tx female urethral syndrome (52285) | $2,278.25 | $3,505 | 3.3× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $3,870.75 | $5,955 | 1.1× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $3,928.60 | $6,044 | 0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $2,671.50 | $4,110 | 1.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $3,928.60 | $6,044 | 1.1× |
| Cystourethroscopy with biopsy (52204) | $3,870.75 | $5,955 | 1.8× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $3,870.75 | $5,955 | 1.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) | $2,802.15 | $4,311 | 1.3× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) | $2,278.25 | $3,505 | 1.1× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) | $3,721.25 | $5,725 | 1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$71.50–$445.90 | $110–$686 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $4,149.60 | $6,384 | 1.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$394.55–$1,475.50 | $607–$2,270 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,023.75 | $1,575 | 1.4× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) | $5,569.20 | $8,568 | 1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$352.30–$1,119.95 | $542–$1,723 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$24.70–$227.50 | $38–$350 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$40.95–$109.85 | $63–$169 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$295.10–$3,187.60 | $454–$4,904 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$76.05–$801.45 | $117–$1,233 | varies |
| Decomp forearm,1 compart,w/o debride (25020) | $5,569.20 | $8,568 | 3.4× |
| Decompression of tibia nerve (28035) | $2,288 | $3,520 | 1.2× |
| Decompressive fasciotomy hand (26037) | $2,270.45 | $3,493 | 0.7× |
| Deep Muscle Biopsy (20205) | $5,053.10 | $7,774 | 1.7× |
| Delivery of placenta (59414) | — | $244 | — |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) | $2,494.05 | $3,837 | 0.7× |
| Dermabrasion segmental face (15781) range across 2 matching MRF lines |
$714.35–$1,072.50 | $1,099–$1,650 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$153.40–$183.30 | $236–$282 | varies |
| Destruction Lesions Vulva Extensive (56515) | $3,913.65 | $6,021 | 1.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $577.20 | $888 | 2.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $301.60 | $464 | 1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $301.60 | $464 | 1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $492.05 | $757 | 2.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $251.55 | $387 | 1.2× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $1,253.20 | $1,928 | 1.3× |
| Destruction Premalignant Lesion 15/> (17004) | $212.55 | $327 | 0.5× |
| Destruction premalignant lesion 1st (17000) | $282.75 | $435 | 1.4× |
| Destruction Vaginal Lesions Extensive (57065) | $138.45 | $213 | 0.0× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$211.25–$1,455.35 | $325–$2,239 | varies |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$260–$1,702.35 | $400–$2,619 | varies |
| Dilate Urethra Stricture (53600) | $530.40 | $816 | 2.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $4,056.65 | $6,241 | 1.2× |
| Dilation of vagina (57400) | $3,296.15 | $5,071 | 1.0× |
| Disarticulation At Knee (27598) | $11,617.45 | $17,873 | 3.5× |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$183.30–$1,009.45 | $282–$1,553 | varies |
| Drain Hand Tendon Sheath (26020) | $4,720.95 | $7,263 | 1.4× |
| Drain shoulder bursa (23031) | $2,703.35 | $4,159 | 0.9× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$265.20–$594.10 | $408–$914 | varies |
| Drainage external auditory canal abscess (69020) | $947.70 | $1,458 | 1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $172.25 | $265 | 0.2× |
| Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines |
$290.55–$2,582.45 | $447–$3,973 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$234.65–$301.60 | $361–$464 | varies |
| Drainage of gum lesion (41800) range across 3 matching MRF lines |
$105.95–$236.60 | $163–$364 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$202.80–$2,819.70 | $312–$4,338 | varies |
| Drainage of hydrocele (55000) | $806 | $1,240 | 1.1× |
| Drainage of nose lesion (30000) | $488.80 | $752 | 2.1× |
| Drainage of rectal abscess (45005) | $2,598.05 | $3,997 | 2.2× |
| Drainage of scrotal wall abscess (55100) | $276.25 | $425 | 0.2× |
| Drainage of scrotum (54700) | $3,235.05 | $4,977 | 1.5× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $3,296.15 | $5,071 | 1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $3,296.15 | $5,071 | 1.0× |
| Draw Blood Off Venous Device (36591) | $297.05 | $457 | 2.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,503.45 | $2,313 | 2.1× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $556.40 | $856 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$231.40–$514.15 | $356–$791 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$144.30–$315.90 | $222–$486 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$94.25–$278.20 | $145–$428 | varies |
| Dstrj Lesion Penis Simple Chemical (54050) | $76.70 | $118 | 0.2× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $2,128.10 | $3,274 | 1.0× |
| Dx Bone Marrow Bx & Aspir (38222) | $2,431.65 | $3,741 | 0.8× |
| Dx Bronchoscope/Wash (31622) | $1,959.10 | $3,014 | 1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,609.75 | $4,015 | 3.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $4,632.55 | $7,127 | 2.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,611.70 | $4,018 | 1.4× |
| Egd cautery tumor polyp (43250) | $1,972.10 | $3,034 | 1.0× |
| Egd control bleeding any (43255) | $2,208.05 | $3,397 | 1.1× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$405.60–$1,541.80 | $624–$2,372 | varies |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$338–$3,033.55 | $520–$4,667 | varies |
| Egd remove lesion snare (43251) | $2,208.05 | $3,397 | 1.1× |
| Egd W/Thrml Txmnt Gerd (43257) range across 2 matching MRF lines |
$456.30–$2,314.65 | $702–$3,561 | varies |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $9,218.95 | $14,183 | 1.8× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$113.10–$419.90 | $174–$646 | varies |
| Endoscopic injection/implant (51715) | $5,500.30 | $8,462 | 1.6× |
| Endoscopic plantar fasciotomy (29893) | $3,728.40 | $5,736 | 1.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,968.60 | $7,644 | 1.6× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$621.40–$5,707.65 | $956–$8,781 | varies |
| Enterorrhaphy single perforation (44602) | $11,617.45 | $17,873 | 3.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) range across 2 matching MRF lines |
$597.35–$3,411.85 | $919–$5,249 | varies |
| Epididymectomy unilateral (54860) | $3,370.90 | $5,186 | 1.0× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$1,111.50–$1,248.65 | $1,710–$1,921 | varies |
| Episiotomy or vaginal repair (59300) | $256.10 | $394 | 0.1× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $2,107.95 | $3,243 | 2.3× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) | $1,760.85 | $2,709 | 0.9× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,380.60 | $2,124 | 1.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $1,546.35 | $2,379 | 0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
$182–$1,760.85 | $280–$2,709 | varies |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) | $3,165.50 | $4,870 | 1.6× |
| Evacuation of subungual hematoma (11740) | $33.15 | $51 | 0.2× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $3,671.85 | $5,649 | 2.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $3,397.55 | $5,227 | 2.0× |
| Exc arm/elbow les sc < 3 cm (24075) | $2,839.20 | $4,368 | 1.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,342.25 | $2,065 | 1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,495.35 | $3,839 | 1.5× |
| Exc Back Les Sc < 3 Cm (21930) | $2,839.20 | $4,368 | 1.7× |
| Exc Back Tum Deep 5 Cm/> (21933) | $6,600.75 | $10,155 | 2.3× |
| Exc back tum deep < 5 cm (21932) | $4,149.60 | $6,384 | 1.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $4,868.50 | $7,490 | 1.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$335.40–$1,061.45 | $516–$1,633 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,023.75 | $1,575 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$2,847–$3,074.50 | $4,380–$4,730 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,198.60 | $1,844 | 1.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,294.80 | $1,992 | 1.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,061.45 | $1,633 | 1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,228.20 | $3,428 | 1.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,405 | $3,700 | 1.4× |
| Exc ganglion wrist recurrent (25112) | $3,859.05 | $5,937 | 2.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$129.35–$1,366.30 | $199–$2,102 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$235.95–$1,061.45 | $363–$1,633 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,228.20 | $3,428 | 1.3× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,228.20 | $3,428 | 1.3× |
| Exc hand tum deep < 1.5 cm (26116) | $2,840.50 | $4,370 | 1.7× |
| Exc hydrocele sprmatic cord uni spx (55500) | $3,990.35 | $6,139 | 1.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,376.70 | $2,118 | 1.4× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $4,056.65 | $6,241 | 2.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $4,021.55 | $6,187 | 2.5× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $2,789.80 | $4,292 | 0.8× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $3,474.25 | $5,345 | 1.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) | $2,731.95 | $4,203 | 1.4× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) | $2,529.80 | $3,892 | 1.3× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) range across 2 matching MRF lines |
$1,427.40–$5,903.95 | $2,196–$9,083 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$339.95–$1,166.75 | $523–$1,795 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,495.35 | $3,839 | 1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $4,278.30 | $6,582 | 1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,246.10 | $4,994 | 2.0× |
| Exc Skin Benig >4cm Face,Facial (11446) | $4,149.60 | $6,384 | 1.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,406.30 | $3,702 | 1.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $4,149.60 | $6,384 | 1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,228.20 | $3,428 | 1.3× |
| Exc tendon shth lesion leg/ankle (27630) | $4,720.95 | $7,263 | 1.4× |
| Exc thigh/knee les sc 3 cm/> (27337) | $4,149.60 | $6,384 | 1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$129.35–$2,405.65 | $199–$3,701 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$242.45–$728.65 | $373–$1,121 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$1,061.45–$1,261.65 | $1,633–$1,941 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$2,451.80–$3,131.70 | $3,772–$4,818 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $4,894.50 | $7,530 | 1.7× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $3,188.90 | $4,906 | 1.9× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $4,149.60 | $6,384 | 1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $4,149.60 | $6,384 | 1.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $4,149.60 | $6,384 | 1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,846.35 | $4,379 | 1.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $4,149.60 | $6,384 | 1.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $3,188.90 | $4,906 | 1.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $4,149.60 | $6,384 | 1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $2,406.30 | $3,702 | 1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,228.20 | $3,428 | 1.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $4,149.60 | $6,384 | 1.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $4,149.60 | $6,384 | 1.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $4,149.60 | $6,384 | 1.4× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) | $10,005.45 | $15,393 | 1.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $4,720.95 | $7,263 | 1.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $4,056.65 | $6,241 | 2.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $3,925.35 | $6,039 | 2.5× |
| Excise excessive skin arm (15836) range across 2 matching MRF lines |
$4,149.60–$6,224.40 | $6,384–$9,576 | varies |
| Excise Wrist Tendon Sheath (25118) | $5,569.20 | $8,568 | 3.4× |
| 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 |
$416–$1,061.45 | $640–$1,633 | varies |
| Excision Distal Ulna Partial/Complete (25240) | $5,569.20 | $8,568 | 1.7× |
| Excision External Ear Partial Simple Repair (69110) | $2,587 | $3,980 | 0.9× |
| Excision inferior turbinate partial/complete (30130) range across 2 matching MRF lines |
$614.25–$4,717.70 | $945–$7,258 | varies |
| Excision lesion meniscus/capsule knee (27347) | $4,720.95 | $7,263 | 1.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $3,859.05 | $5,937 | 2.4× |
| Excision Lingual Frenum Frenectomy (41115) | $1,111.50 | $1,710 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,366.30 | $2,102 | 1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,023.75 | $1,575 | 1.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$347.75–$555.10 | $535–$854 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,023.75 | $1,575 | 1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,475.50 | $2,270 | 2.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $2,846.35 | $4,379 | 1.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $4,894.50 | $7,530 | 1.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,366.30 | $2,102 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$336.05–$1,366.30 | $517–$2,102 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,023.75 | $1,575 | 1.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,847 | $4,380 | 1.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $3,422.90 | $5,266 | 1.2× |
| Excision nasal polyp(s) simple (30110) | $1,069.25 | $1,645 | 0.7× |
| Excision of bartholin's gland or cyst (56740) | $3,428.10 | $5,274 | 1.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,230.80 | $3,432 | 1.4× |
| Excision of hydrocele; bilateral (55041) | $4,774.90 | $7,346 | 1.3× |
| Excision of hydrocele; unilateral (55040) | $4,774.90 | $7,346 | 1.3× |
| Excision of local lesion of epididymis (54830) | $5,258.50 | $8,090 | 1.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $3,425.50 | $5,270 | 1.7× |
| Excision of pilonidal cyst or sinus; simple (11770) | $4,149.60 | $6,384 | 1.4× |
| Excision of single external papilla or tag, anus (46220) | $2,562.30 | $3,942 | 2.1× |
| Excision of tonsil tags (42860) | $6,657.30 | $10,242 | 2.0× |
| Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
$199.55–$3,996.20 | $307–$6,148 | varies |
| Excision olecranon bursa (24105) | $4,910.10 | $7,554 | 1.5× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $5,569.20 | $8,568 | 1.7× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $6,600.75 | $10,155 | 2.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $4,315.35 | $6,639 | 1.5× |
| Excision prepatellar bursa (27340) | $4,720.95 | $7,263 | 1.4× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $8,587.80 | $13,212 | 1.3× |
| Excision soft tissue lesion, external auditory canal (69145) | $4,149.60 | $6,384 | 1.4× |
| Excision spermatocele w/wo epididymectomy (54840) | $5,055.70 | $7,778 | 2.4× |
| Excision synovial cyst popliteal space (27345) | $4,720.95 | $7,263 | 1.4× |
| Excision tendon palm flexor/extensor single each (26170) | $3,666 | $5,640 | 2.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,406.30 | $3,702 | 1.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $6,918.60 | $10,644 | 2.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $3,225.30 | $4,962 | 1.9× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $4,099.55 | $6,307 | 2.5× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) | $4,837.95 | $7,443 | 1.4× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) | $4,149.60 | $6,384 | 1.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $3,112.85 | $4,789 | 1.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $5,314.40 | $8,176 | 1.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $2,406.30 | $3,702 | 1.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $6,406.40 | $9,856 | 2.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $3,188.90 | $4,906 | 1.9× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $3,284.45 | $5,053 | 2.0× |
| Excision/destruction intranasal lesion int appr (30117) | $2,787.85 | $4,289 | 0.8× |
| Excision/destruction lesion pharynx any method (42808) | $3,474.25 | $5,345 | 1.0× |
| Excision/Transposition Pterygium W/O Graft (65420) | $2,536.95 | $3,903 | 1.1× |
| Excision; trochanteric bursa or calcification (27062) | $4,720.95 | $7,263 | 1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$424.45–$4,204.85 | $653–$6,469 | varies |
| Explo/Drain Breast Abscess (19020) | $2,811.90 | $4,326 | 1.7× |
| Exploration of knee joint (27310) | $5,775.25 | $8,885 | 1.8× |
| Exploration penetrating wound spx chest (20101) | $2,796.95 | $4,303 | 1.3× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$577.20–$2,218.45 | $888–$3,413 | varies |
| Explore/Treat Hand Joint (26070) | $256.75 | $395 | 0.2× |
| Explore/Treat Knee Joint (27331) | $5,569.20 | $8,568 | 1.7× |
| Explore/Treat Wrist Joint (25040) | $5,569.20 | $8,568 | 1.7× |
| Extraction of lens (66920) | $2,896.40 | $4,456 | 1.2× |
| Fasciectomy Palm Only (26121) | $5,146.05 | $7,917 | 1.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$4,720.95–$7,081.75 | $7,263–$10,895 | varies |
| Fasciotomy palmar open partial (26045) | $4,949.10 | $7,614 | 1.5× |
| Fasciotomy palmar percutaneous (26040) | $2,230.80 | $3,432 | 1.4× |
| Fasciotomy Plantar Fascia Radical Spx (28062) | $4,720.95 | $7,263 | 1.4× |
| Fasciotomy, foot and/or toe (28008) | $47,165.95 | $72,563 | 14.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $5,146.05 | $7,917 | 1.6× |
| Fetal non-stress test (59025) | $55.25 | $85 | 0.3× |
| Fine needle aspiration without imaging guidance (10021) | $555.10 | $854 | 1.4× |
| Fluoro exam of g/colon tube (49465) | $358.80 | $552 | 1.5× |
| Foreskin manipulation (54450) | $530.40 | $816 | 2.1× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) | $8,328.45 | $12,813 | 2.3× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $3,460.60 | $5,324 | 1.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $2,612.35 | $4,019 | 1.3× |
| Fusion Finger Joint (26860) | $5,139.55 | $7,907 | 1.6× |
| Fusion of foot bones (28740) | $9,315.80 | $14,332 | 1.3× |
| Gastrocnemius recession (27687) | $5,569.20 | $8,568 | 1.7× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $7,745.40 | $11,916 | 2.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $3,419 | $5,260 | 1.8× |
| Hand tendon reconstruction (26500) | $10,005.45 | $15,393 | 1.4× |
| Hemiarthroplasty hip partial (27125) | $11,617.45 | $17,873 | 0.9× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $4,371.90 | $6,726 | 1.6× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $3,465.80 | $5,332 | 1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $3,465.80 | $5,332 | 1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $3,465.80 | $5,332 | 1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) | $4,841.20 | $7,448 | 1.7× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $3,465.80 | $5,332 | 1.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$853.45–$2,161.25 | $1,313–$3,325 | varies |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) | $3,465.80 | $5,332 | 1.2× |
| Hysteroscopy Biopsy (58558) | $3,428.10 | $5,274 | 1.1× |
| Hysteroscopy Dx Sep Proc (58555) | $4,056.65 | $6,241 | 1.2× |
| Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$529.10–$7,101.90 | $814–$10,926 | varies |
| I&d abscess peritonsillar (42700) | $649.35 | $999 | 2.7× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$138.45–$443.95 | $213–$683 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $5,553.60 | $8,544 | 1.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $3,950.70 | $6,078 | 1.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) range across 2 matching MRF lines |
$510.90–$4,910.10 | $786–$7,554 | varies |
| I&d forearm/wrist bursa (25031) | $3,859.05 | $5,937 | 2.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $4,720.95 | $7,263 | 1.4× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$297.05–$1,314.95 | $457–$2,023 | varies |
| I&d pilonidal cyst complicated (10081) | $525.85 | $809 | 0.7× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$170.95–$947.70 | $263–$1,458 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $3,149.90 | $4,846 | 1.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $3,402.10 | $5,234 | 1.2× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$617.50–$3,671.85 | $950–$5,649 | varies |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) | $27,790.75 | $42,755 | 1.5× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$109.85–$425.75 | $169–$655 | varies |
| Incise finger tendon sheath (26055) | $2,506.40 | $3,856 | 1.6× |
| Incise Wrist/Forearm Tendon (25290) | $5,565.30 | $8,562 | 1.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$198.90–$520 | $306–$800 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$417.30–$4,149.60 | $642–$6,384 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$199.55–$3,189.55 | $307–$4,907 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$86.45–$549.25 | $133–$845 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$102.70–$269.10 | $158–$414 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $183.95 | $283 | 0.6× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) likely a partial charge, not the full procedure |
$2,184 | $3,360 | 0.3× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $3,859.05 | $5,937 | 2.4× |
| Incision extensor tendon sheath wrist (25000) | $4,012.45 | $6,173 | 2.5× |
| Incision of fibula (27707) | $11,170.25 | $17,185 | 3.4× |
| Incision of Foot Tendon (28234) | $2,882.10 | $4,434 | 1.8× |
| Incision of hip tendon (27001) | $5,087.55 | $7,827 | 1.5× |
| Incision of lingual frenum (frenotomy) (41010) | $1,155.05 | $1,777 | 0.7× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$375.05–$3,976.05 | $577–$6,117 | varies |
| Incision of urethra (53020) | $2,692.30 | $4,142 | 1.3× |
| Incision&drainage bursa foot (28001) | $2,228.20 | $3,428 | 1.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,537.30 | $5,442 | 2.1× |
| Incisional biopsy skin single lesion (11106) | $417.95 | $643 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $79.95 | $123 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,430.35 | $3,739 | 2.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,372.50 | $3,650 | 2.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $93.60 | $144 | 0.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,200.55 | $1,847 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $145.60 | $224 | 0.2× |
| Injection for identification of sentinel node (38792) | $657.80 | $1,012 | 1.6× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$70.85–$468 | $109–$720 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$63.05–$680.55 | $97–$1,047 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$74.75–$495.30 | $115–$762 | varies |
| Injection therapeutic carpal tunnel (20526) | $416.65 | $641 | 1.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,575.60 | $2,424 | 2.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $78 | $120 | 0.1× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $2,429.70 | $3,738 | 2.7× |
| Ins endovas vena cava filtr (37191) | $6,024.20 | $9,268 | 1.1× |
| Insert 1 Electrode Pm-Defib (33216) | $11,680.50 | $17,970 | 1.4× |
| Insert and remove bone pin (20650) | $4,720.95 | $7,263 | 1.4× |
| Insert Bladder Cath Complex (51703) | $224.25 | $345 | 1.7× |
| Insert cath pleura w/ image (32557) | $1,955.20 | $3,008 | 1.2× |
| Insert cath pleura w/o image (32556) | $3,315 | $5,100 | 1.7× |
| Insert Drug Implant Device (11981) | $1,125.15 | $1,731 | 8.4× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,901.90 | $2,926 | 1.0× |
| Insert Heart Pm Atrial (33206) | $16,943.55 | $26,067 | 1.6× |
| Insert Heart Pm Ventricular (33207) | $16,943.55 | $26,067 | 1.6× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$168.35–$2,652.65 | $259–$4,081 | varies |
| Insert pulse gen dual leads (33213) | $16,943.55 | $26,067 | 1.6× |
| Insert Pulse Gen Sngl Lead (33212) range across 2 matching MRF lines |
$11,680.50 | $558–$17,970 | 1.4× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$40.95–$218.40 | $63–$336 | varies |
| Insert tun ip cath perc (49418) | $7,499.05 | $11,537 | 2.1× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$711.10–$4,627.35 | $1,094–$7,119 | varies |
| Insert tunneled cv cath (36563) range across 2 matching MRF lines |
$707.85–$10,866.05 | $1,089–$16,717 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $232.70 | $358 | 1.7× |
| Insertion indwelling tunneled pleural catheter (32550) range across 2 matching MRF lines |
$4,810.65–$6,848.40 | $7,401–$10,536 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$189.15–$3,801.85 | $291–$5,849 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $13,018.85 | $20,029 | 1.6× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $4,083.95 | $6,283 | 1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$439.40–$6,138.60 | $676–$9,444 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$141.70–$2,037.75 | $218–$3,135 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $7,922.85 | $12,189 | 1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$436.15–$4,449.25 | $671–$6,845 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $11,681.15 | $17,971 | 1.4× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $11,681.15 | $17,971 | 1.4× |
| Insrt heart pm atrial & vent (33208) | $16,943.55 | $26,067 | 1.6× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $3,465.80 | $5,332 | 1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $241.15 | $371 | 0.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $513.50 | $790 | 1.3× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $649.35 | $999 | 2.7× |
| Intro Gastrointestinal Tube (44500) | $1,339.65 | $2,061 | 1.5× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$296.69–$414.70 | $456.44–$638 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $1,525.55 | $2,347 | 2.8× |
| Knee arthroscopy/drainage (29871) | $3,994.25 | $6,145 | 1.2× |
| Knee Arthroscopy/Surgery (29885) | $11,284.65 | $17,361 | 1.5× |
| Knee Arthroscopy/Surgery (29874) | $3,994.25 | $6,145 | 1.2× |
| Labyrinthotomy Transcanal (69801) | $2,261.35 | $3,479 | 1.5× |
| Laparo new ureter/bladder (50947) | $6,836.70 | $10,518 | 0.6× |
| Laparo-vag hyst incl t/o (58552) | $14,300 | $22,000 | 1.3× |
| Laparoscopy aspiration (49322) | $5,384.60 | $8,284 | 0.9× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $8,332.35 | $12,819 | 1.4× |
| Laparoscopy fulguration oviducts (58670) | $6,745.70 | $10,378 | 1.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $9,205.30 | $14,162 | 1.5× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) range across 3 matching MRF lines |
$2,631.85–$23,686 | $648–$36,440 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$1,963–$23,685.35 | $3,020–$36,439 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) | $6,745.70 | $10,378 | 1.1× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$1,411.15–$10,268.05 | $2,171–$15,797 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $9,507.55 | $14,627 | 1.6× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 2 matching MRF lines |
$1,747.20–$23,685.35 | $2,688–$36,439 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 2 matching MRF lines |
$1,909.05–$8,010.60 | $2,937–$12,324 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$6,550.70–$8,010.60 | $10,078–$12,324 | varies |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $11,170.25 | $17,185 | 1.0× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) | $6,745.70 | $10,378 | 1.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $5,384.60 | $8,284 | 0.9× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $6,939.40 | $10,676 | 1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $8,755.50 | $13,470 | 1.4× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $6,745.70 | $10,378 | 1.1× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $10,255.05 | $15,777 | 1.0× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$69.55–$270.40 | $107–$416 | varies |
| Laryngoscopy flexible diagnostic (31575) | $291.20 | $448 | 1.5× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $695.50 | $1,070 | 1.8× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $423.80 | $652 | 2.1× |
| Laryngoscopy W/Foreign Body Removal (31530) | $208.65 | $321 | 0.1× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $2,264.60 | $3,484 | 5.8× |
| Late closure of wound (13160) | $4,372.55 | $6,727 | 1.2× |
| Lateral Canthopexy (21282) | $3,925.35 | $6,039 | 1.2× |
| Lateral retinacular release open (27425) | $5,569.20 | $8,568 | 1.7× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) | $18,065.45 | $27,793 | 1.4× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $16,902.60 | $26,004 | 2.3× |
| Ligamentous reconstruction knee intra-articular (27428) | $18,246.15 | $28,071 | 1.4× |
| Ligation of hemorrhoids (46946) | $3,465.80 | $5,332 | 1.2× |
| Ligation Of Neck Artery (37615) | $474.50 | $730 | 0.1× |
| Ligation or biopsy temporal artery (37609) | $2,395.25 | $3,685 | 1.4× |
| Manipulation knee joint under general anesthesia (27570) | $2,481.70 | $3,818 | 1.5× |
| Manipulation wrist under anesthesia (25259) range across 2 matching MRF lines |
$700.70–$3,224 | $1,078–$4,960 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $2,230.80 | $3,432 | 1.4× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $2,481.70 | $3,818 | 1.5× |
| Marsupialization of bartholin's gland cyst (56440) | $3,586.05 | $5,517 | 1.1× |
| Mast mod rad (19307) | $9,332.70 | $14,358 | 1.4× |
| Mastectomy for gynecomastia (19300) | $4,868.50 | $7,490 | 1.2× |
| Mastectomy partial (19301) | $5,355.35 | $8,239 | 1.4× |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $8,587.80 | $13,212 | 1.3× |
| Mastectomy simple complete (19303) | $8,587.80 | $13,212 | 1.3× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$180.05–$758.55 | $277–$1,167 | varies |
| N Block Inj Plantar Digit (64455) | $78.65 | $121 | 0.3× |
| Nasal Endoscopy Dx (31231) | $323.05 | $497 | 1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$104–$657.15 | $160–$1,011 | varies |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $5,079.10 | $7,814 | 3.1× |
| Needle Biopsy Lymph Nodes (38505) | $3,686.15 | $5,671 | 2.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $63.70 | $98 | 2.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $63.70 | $98 | 2.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $3,791.45 | $5,833 | 1.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $2,762.50 | $4,250 | 1.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $124.15 | $191 | 0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $5,003.70 | $7,698 | 1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,616.25 | $4,025 | 2.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,531.40 | $2,356 | 2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,009.45 | $1,553 | 1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $2,237.95 | $3,443 | 2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,475.50 | $2,270 | 2.1× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$102.05–$758.55 | $157–$1,167 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) | $7,745.40 | $11,916 | 1.2× |
| Open biopsy/excision inguinofemoral nodes (38531) | $6,916 | $10,640 | 1.8× |
| Open bowel to skin (44300) | $7,745.40 | $11,916 | 4.0× |
| Open Repair of Rotator Cuff Acute (23410) | $10,405.85 | $16,009 | 1.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $10,405.85 | $16,009 | 1.4× |
| Open treatment calcaneal fracture (28415) | $13,850.20 | $21,308 | 1.9× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $18,065.45 | $27,793 | 1.4× |
| Open treatment fracture distal tibia only (27827) | $18,065.45 | $27,793 | 1.4× |
| Open treatment greater trochanteric fracture (27248) | $11,170.25 | $17,185 | 1.5× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | $10,005.45 | $15,393 | 1.4× |
| Open treatment interphalangeal joint dislocation (28675) | $3,646.50 | $5,610 | 1.1× |
| Open Treatment Lunate Dislocation (25695) | $10,005.45 | $15,393 | 1.4× |
| Open Treatment Medial Malleolus Fracture (27766) | $10,005.45 | $15,393 | 1.4× |
| Open treatment metacarpophalangeal dislocation (26715) | $4,371.25 | $6,725 | 1.3× |
| Open treatment metatarsal fracture each (28485) | $7,546.50 | $11,610 | 1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $10,005.45 | $15,393 | 1.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $10,005.45 | $15,393 | 1.4× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) | $11,170.25 | $17,185 | 1.5× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) | $11,617.45 | $17,873 | 1.6× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) | $10,005.45 | $15,393 | 1.4× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $10,005.45 | $15,393 | 1.4× |
| Open treatment of ulnar styloid fracture (25652) | $10,005.45 | $15,393 | 1.4× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $10,405.85 | $16,009 | 1.4× |
| Open Treatment Proximal Humeral Fracture (23615) | $18,065.45 | $27,793 | 1.4× |
| Open Treatment Radial Shaft Fracture (25515) | $10,005.45 | $15,393 | 1.4× |
| Open Treatment Tarsal Bone Dislocation (28555) | $7,546.50 | $11,610 | 1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $4,720.95 | $7,263 | 1.4× |
| Open tx carpal scaphoid navicular fracture (25628) | $10,005.45 | $15,393 | 1.4× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) | $4,720.95 | $7,263 | 1.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $10,005.45 | $15,393 | 1.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,720.95 | $7,263 | 1.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $10,005.45 | $15,393 | 1.4× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $11,617.45 | $17,873 | 0.9× |
| Open tx femoral supracondylar fracture w/o xtn (27511) | $11,170.25 | $17,185 | 0.9× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $4,766.45 | $7,333 | 1.5× |
| Open tx humeral supracondylar fracture w/o xtn (24545) | $18,065.45 | $27,793 | 1.4× |
| Open tx interphalangeal joint dislocation (26785) | $4,720.95 | $7,263 | 1.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $4,720.95 | $7,263 | 1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $4,720.95 | $7,263 | 1.4× |
| Open Tx Radial Head/Neck Fracture (24665) | $10,005.45 | $15,393 | 1.4× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $11,170.25 | $17,185 | 1.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $10,005.45 | $15,393 | 1.4× |
| Open tx ulnar fx proximal end (24685) | $10,005.45 | $15,393 | 1.4× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) | $7,605 | $11,700 | 2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $10,005.45 | $15,393 | 1.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $10,311.60 | $15,864 | 1.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $11,617.45 | $17,873 | 1.6× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) | $11,617.45 | $17,873 | 1.6× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) | $18,065.45 | $27,793 | 1.4× |
| Orchiectomy radical tumor inguinal approach (54530) | $5,261.75 | $8,095 | 1.5× |
| Ostc prtl exostc/condylc metar head (28288) | $3,112.85 | $4,789 | 0.9× |
| Ostectomy calcaneus (28118) | $4,720.95 | $7,263 | 1.4× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $4,720.95 | $7,263 | 1.4× |
| Ostectomy, complete excision; first metatarsal head (28111) | $4,720.95 | $7,263 | 1.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $4,720.95 | $7,263 | 1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | $5,070.65 | $7,801 | 0.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $4,056.65 | $6,241 | 1.2× |
| Osteotomy radius distal third (25350) | $10,005.45 | $15,393 | 1.4× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $9,315.15 | $14,331 | 1.3× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) | $11,170.25 | $17,185 | 0.9× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $7,385.95 | $11,363 | 1.5× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $8,023.60 | $12,344 | 1.3× |
| Part exc bone femur prox tibia (27360) | $5,569.20 | $8,568 | 1.7× |
| Part remv talus or calcaneus (28120) | $2,882.10 | $4,434 | 0.9× |
| Partial Excision Bone Humerus (24140) | $5,569.20 | $8,568 | 1.7× |
| Partial excision bone olecranon process (24147) | $5,569.20 | $8,568 | 1.7× |
| Partial Excision Distal Phalanx Finger (26236) | $2,840.50 | $4,370 | 1.8× |
| Partial removal of thyroid (60220) | $13,733.20 | $21,128 | 2.3× |
| Partial removal of tibia (27640) | $7,447.05 | $11,457 | 2.3× |
| Partial removal of toe (28160) | $3,826.55 | $5,887 | 1.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $7,870.20 | $12,108 | 1.3× |
| Partical Excision Bone Phalanx Toe (28124) | $3,237.65 | $4,981 | 1.0× |
| Patellectomy or hemipatellectomy (27350) | $5,569.20 | $8,568 | 0.8× |
| Pelvic examination under anesthesia (other than local) (57410) | $4,152.20 | $6,388 | 1.3× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $4,529.85 | $6,969 | 1.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) range across 2 matching MRF lines |
$586.30–$7,233.20 | $902–$11,128 | varies |
| Peritoneal Lavage (49084) | $242.45 | $373 | 0.3× |
| Perq Cervicothoracic Inject (22510) | $4,720.95 | $7,263 | 1.4× |
| Perq dev breast 1st us imag (19285) | $1,149.85 | $1,769 | 1.6× |
| Perq Lumbosacral Injection (22511) | $4,720.95 | $7,263 | 1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $460.85 | $709 | 0.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $4,720.95 | $7,263 | 1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $11,170.25 | $17,185 | 1.5× |
| Perq Vertebral Augmentation (22513) | $11,170.25 | $17,185 | 1.5× |
| Phleb Veins - Extrem 20+ (37766) | $5,254.60 | $8,084 | 1.7× |
| Pin Finger Dislocation (26776) | $4,720.95 | $7,263 | 1.4× |
| Pin knuckle dislocation (26706) | $4,720.95 | $7,263 | 1.4× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) | $2,230.15 | $3,431 | 2.2× |
| Place Duod/Jej Tube Perc (49441) | $1,972.10 | $3,034 | 1.0× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$105.30–$586.95 | $162–$903 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 3 matching MRF lines |
$1,329.90–$7,385.95 | $278.26–$11,363 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,024.40 | $1,576 | 1.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,624.35 | $2,499 | 2.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $4,720.95 | $7,263 | 1.4× |
| Prq skel fixj femoral fx prox end neck (27235) | $10,405.85 | $16,009 | 1.4× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) | $10,005.45 | $15,393 | 1.4× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) | $4,720.95 | $7,263 | 1.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $2,882.10 | $4,434 | 0.9× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$100.75–$787.80 | $155–$1,212 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$88.40–$514.15 | $136–$791 | varies |
| Puncture Aspiration Cyst Breast (19000) | $939.25 | $1,445 | 1.3× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $3,859.05 | $5,937 | 2.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $4,720.95 | $7,263 | 1.4× |
| Radical styloidectomy separate procedure (25230) | $5,569.20 | $8,568 | 1.7× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $2,882.10 | $4,434 | 0.9× |
| Rcnstj Dislocating Patella (27420) | $10,005.45 | $15,393 | 1.4× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $9,315.80 | $14,332 | 1.3× |
| Realignment extensor tendon hand each tendon (26437) | $2,765.75 | $4,255 | 0.8× |
| Realignment of knee (27457) | $11,170.25 | $17,185 | 1.5× |
| Realignment of knee (27455) | $11,617.45 | $17,873 | 1.6× |
| Reconstruct Finger Joint (26548) | $4,949.10 | $7,614 | 1.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) | $10,005.45 | $15,393 | 1.4× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) | $7,745.40 | $11,916 | 1.3× |
| Reduction of rectal prolapse (45900) | $863.85 | $1,329 | 0.9× |
| Release Intrinsic Muscles Hand Each Muscle (26593) | $7,880.60 | $12,124 | 2.4× |
| Release of shoulder ligament (23415) | $10,405.85 | $16,009 | 1.4× |
| Relieve Pressure on Nerve(S) (64722) | $2,288 | $3,520 | 1.2× |
| Relocation Pocket Pacemaker (33222) | $2,326.35 | $3,579 | 1.1× |
| Removal Embedded Foreign Body Eyelid (67938) | $182 | $280 | 0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $4,149.60 | $6,384 | 1.4× |
| Removal Foreign Body Foot Complicated (28193) | $2,228.20 | $3,428 | 1.3× |
| Removal foreign body foot deep (28192) | $2,228.20 | $3,428 | 1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$230.10–$1,381.90 | $354–$2,126 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$122.85–$1,366.30 | $189–$2,102 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $3,573.05 | $5,497 | 1.1× |
| Removal foreign body upper arm/elbow deep (24201) | $1,746.55 | $2,687 | 0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $42.25 | $65 | 0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $56.55 | $87 | 1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $3,712.80 | $5,712 | 1.1× |
| Removal Implant Deep (20680) | $5,845.45 | $8,993 | 2.0× |
| Removal Implant Superficial Separate Procedure (20670) | $2,840.50 | $4,370 | 1.7× |
| Removal implantable contraceptive capsules (11976) | $711.10 | $1,094 | 1.0× |
| Removal of adenoids (42835) | $3,612.70 | $5,558 | 1.1× |
| Removal of adenoids (42831) | $3,474.25 | $5,345 | 1.0× |
| Removal of adenoids (42830) | $6,923.80 | $10,652 | 2.1× |
| Removal of adenoids (42836) | $3,612.70 | $5,558 | 1.1× |
| Removal of anal fissure (46200) | $3,465.80 | $5,332 | 1.2× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$128.70–$546 | $198–$840 | varies |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$3,112.85–$4,669.60 | $4,789–$7,184 | varies |
| Removal of implant from finger or hand (26320) | $3,068 | $4,720 | 1.8× |
| Removal of lens material (66852) | $5,160.35 | $7,939 | 1.2× |
| Removal of mammary implant material (19330) | $6,002.75 | $9,235 | 1.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$345.15–$796.25 | $531–$1,225 | varies |
| Removal of sesamoid bone (28315) | $3,112.85 | $4,789 | 0.9× |
| Removal of sperm cord lesion (55520) | $3,723.20 | $5,728 | 1.1× |
| Removal of tendon for graft (20924) likely a partial charge, not the full procedure |
$471.25 | $725 | 0.1× |
| Removal of testis (54520) | $3,990.35 | $6,139 | 1.1× |
| Removal of tonsils (42825) | $6,657.30 | $10,242 | 1.1× |
| Removal of tonsils (42826) | $4,985.50 | $7,670 | 1.5× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,988.10 | $7,674 | 1.6× |
| Removal of wrist bone (25210) | $7,606.30 | $11,702 | 2.3× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$59.80–$367.25 | $92–$565 | varies |
| Removal ppm generator only (33233) | $11,681.15 | $17,971 | 1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$84.50–$364.65 | $130–$561 | varies |
| Removal, under anesthesia, of external fixation system (20694) | $3,859.05 | $5,937 | 2.4× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 4 matching MRF lines |
$55.25–$367.25 | $85–$565 | varies |
| Remove drug implant device (11982) | $289.25 | $445 | 0.6× |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$680.55–$2,163.85 | $1,047–$3,329 | varies |
| Remove foreign body from eye (65235) | $1,433.90 | $2,206 | 0.6× |
| Remove foreign body from eye (65205) | $75.40 | $116 | 0.6× |
| Remove groin lymph nodes (38760) | $4,555.85 | $7,009 | 0.7× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$114.40–$287.30 | $176–$442 | varies |
| Remove knee joint lining (27334) | $4,910.10 | $7,554 | 1.5× |
| Remove Lower Leg Bone Lesion (27635) | $5,569.20 | $8,568 | 1.7× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$72.15–$178.75 | $111–$275 | varies |
| Remove prostate regrowth (52630) | $5,557.50 | $8,550 | 1.0× |
| Remove Shoulder Foreign Body (23330) | $2,782 | $4,280 | 1.7× |
| Remove Tendon Sheath Lesion (26160) | $2,876.90 | $4,426 | 1.8× |
| Remove&replace pm gen singl (33227) | $13,899.60 | $21,384 | 1.7× |
| Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$2,564.90–$25,964.90 | $3,946–$39,946 | varies |
| Reopen fallopian tube (58350) | $7,101.90 | $10,926 | 1.4× |
| Repair Achilles Tendon (27650) | $7,447.05 | $11,457 | 1.0× |
| Repair arm/leg nerve (64857) | $5,261.75 | $8,095 | 1.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) range across 2 matching MRF lines |
$1,680.25–$4,464.20 | $2,585–$6,868 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $10,005.45 | $15,393 | 1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$493.35–$904.15 | $759–$1,391 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$598–$871.65 | $920–$1,341 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$296.40–$624.65 | $456–$961 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$387.40–$807.30 | $596–$1,242 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$255.45–$513.50 | $393–$790 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$284.05–$793.65 | $437–$1,221 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $722.15 | $1,111 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$300.95–$871.65 | $463–$1,341 | varies |
| Repair Elbow Perc (24357) | $5,791.50 | $8,910 | 1.8× |
| Repair extensor tendon finger w/o graft each (26418) range across 4 matching MRF lines |
$373.10–$3,469.70 | $574–$5,338 | varies |
| Repair Finger Tendon (26433) | $4,720.95 | $7,263 | 1.4× |
| Repair Finger/Hand Tendon (26350) | $4,949.10 | $7,614 | 1.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $4,720.95 | $7,263 | 1.4× |
| Repair Foot Dislocation (28615) | $17,418.05 | $26,797 | 2.4× |
| Repair Hallux Rigidus (28289) | $3,191.50 | $4,910 | 1.0× |
| Repair Hand Joint (26540) | $4,720.95 | $7,263 | 1.4× |
| Repair humerus with graft (24435) | $18,065.45 | $27,793 | 1.4× |
| Repair inguinal hernia, sliding, any age (49525) | $7,290.40 | $11,216 | 2.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $4,775.55 | $7,347 | 1.3× |
| Repair initial femoral hernia, any age; reducible (49550) | $5,584.80 | $8,592 | 1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$6,175.65–$9,263.80 | $9,501–$14,252 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$165.10–$735.15 | $254–$1,131 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$163.15–$332.80 | $251–$512 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$222.95–$702.65 | $343–$1,081 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$239.85–$382.20 | $369–$588 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $513.50 | $790 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $223.60 | $344 | 0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$130.65–$555.75 | $201–$855 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$343.85–$680.55 | $529–$1,047 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$204.10–$871.65 | $314–$1,341 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $411.45 | $633 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$226.85–$650.65 | $349–$1,001 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$126.10–$633.10 | $194–$974 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$334.10–$654.55 | $514–$1,007 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $260 | $400 | 0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$134.55–$624.65 | $207–$961 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $377.65 | $581 | 0.2× |
| Repair Leg Fascia Defect (27656) | $4,720.95 | $7,263 | 1.4× |
| Repair Nonunion Hand (26546) | $10,005.45 | $15,393 | 1.4× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) | $3,553.55 | $5,467 | 0.7× |
| Repair of hammertoe (28286) | $2,882.10 | $4,434 | 0.9× |
| Repair of hydrocele (55060) | $3,235.05 | $4,977 | 0.9× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$126.75–$871.65 | $195–$1,341 | varies |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) | $11,284.65 | $17,361 | 1.5× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $11,284.65 | $17,361 | 1.5× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) | $11,284.65 | $17,361 | 1.5× |
| Repair of rectocele (45560) | $5,584.80 | $8,592 | 2.0× |
| Repair of shoulder (23420) | $10,005.45 | $15,393 | 1.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $4,775.55 | $7,347 | 0.7× |
| Repair Rotator Cuff Chronic (23412) | $10,005.45 | $15,393 | 1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $2,882.10 | $4,434 | 0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $10,005.45 | $15,393 | 1.4× |
| Repair Toe Dislocation (28645) | $4,426.50 | $6,810 | 1.3× |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$187.85–$1,155.05 | $289–$1,777 | varies |
| Repair tongue laceration (41250) | $104 | $160 | 0.2× |
| Repair umbilical lesion (49600) | $4,775.55 | $7,347 | 1.3× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) | $10,005.45 | $15,393 | 1.4× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) | $11,617.45 | $17,873 | 1.6× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) | $11,617.45 | $17,873 | 1.6× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $10,005.45 | $15,393 | 1.4× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) | $10,005.45 | $15,393 | 1.4× |
| Repair/graft femur head/neck (27170) | $11,617.45 | $17,873 | 1.6× |
| Repair/Graft Wrist Bone (25440) | $10,005.45 | $15,393 | 1.4× |
| Repair/transpose nerve (64856) | $5,261.75 | $8,095 | 0.6× |
| Replace g/c tube perc (49450) | $1,298.05 | $1,997 | 1.4× |
| Replantation digit complete (20822) range across 2 matching MRF lines |
$2,568.80–$5,146.05 | $3,952–$7,917 | varies |
| Reposition Gastrostomy Tube (43761) range across 3 matching MRF lines |
$100.10–$1,232.40 | $154–$1,896 | varies |
| Repr Elbw Med Ligmnt W/Tiss (24345) | $10,005.45 | $15,393 | 1.4× |
| Rerepair ing hernia reduce (49520) | $4,775.55 | $7,347 | 1.3× |
| Resect back tum < 5 cm (21935) | $4,149.60 | $6,384 | 1.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) | $3,112.85 | $4,789 | 0.9× |
| Revise finger joint each (26140) | $2,765.75 | $4,255 | 1.7× |
| Revise Hand/Foot Nerve (64704) | $2,529.80 | $3,892 | 1.3× |
| Revise lower leg tendon (27690) | $10,005.45 | $15,393 | 1.4× |
| Revise ulnar nerve at wrist (64719) | $4,098.25 | $6,305 | 2.1× |
| Revise/Implant Finger Joint (26536) | $10,005.45 | $15,393 | 1.4× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) | $11,170.25 | $17,185 | 3.1× |
| Revision of lower leg tendon (27685) | $5,569.20 | $8,568 | 1.7× |
| Revision of toe (28312) | $2,882.10 | $4,434 | 0.9× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) | $11,170.25 | $17,185 | 0.9× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) | $11,170.25 | $17,185 | 0.6× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $3,800.55 | $5,847 | 1.1× |
| Rhinp Prim Complete Xtrnl Parts (30410) range across 2 matching MRF lines |
$2,024.75–$8,767.20 | $3,115–$13,488 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,229.15 | $1,891 | 1.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$107.90–$1,930.50 | $166–$2,970 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $72.80 | $112 | 0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $72.80 | $112 | 0.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $65.65 | $101 | 0.1× |
| Rmvl fecal impaction/fb spx under anes (45915) | $3,214.25 | $4,945 | 2.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$276.25–$4,149.60 | $425–$6,384 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $1,833.65 | $2,821 | 0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,398.15 | $2,151 | 0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $4,899.05 | $7,537 | 1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$433.55–$1,138.15 | $667–$1,751 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$135.20–$1,385.80 | $208–$2,132 | varies |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $167.70 | $258 | 0.6× |
| Rplc Gtube No Revj Trc (43762) | $445.25 | $685 | 1.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $13,319.15 | $20,491 | 2.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $9,050.60 | $13,924 | 2.5× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $9,050.60 | $13,924 | 1.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $9,050.60 | $13,924 | 1.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $13,319.15 | $20,491 | 2.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $9,050.60 | $13,924 | 2.5× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $9,050.60 | $13,924 | 1.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $13,850.85 | $21,309 | 2.3× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $5,569.20 | $8,568 | 1.7× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $10,005.45 | $15,393 | 1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$160.55–$494 | $247–$760 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$344.50–$707.85 | $530–$1,089 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$595.40–$1,285.05 | $916–$1,977 | varies |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) | $11,170.25 | $17,185 | 1.5× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) | $5,569.20 | $8,568 | 0.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $204.75 | $315 | 0.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $5,569.20 | $8,568 | 1.7× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $5,569.20 | $8,568 | 1.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $4,949.10 | $7,614 | 1.5× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) | $7,743.45 | $11,913 | 1.3× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 2 matching MRF lines |
$1,001.65–$4,717.70 | $1,541–$7,258 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $882.70 | $1,358 | 0.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,827.80 | $2,812 | 1.5× |
| Shave skin lesion 0.5 cm/< (11300) | $265.20 | $408 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $243.10 | $374 | 1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $265.20 | $408 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $243.10 | $374 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $301.60 | $464 | 1.5× |
| Shoulder arthroscopy (29820) | $12,733.50 | $19,590 | 1.7× |
| Shoulder arthroscopy diagnostic (29805) | $3,841.50 | $5,910 | 1.2× |
| Shoulder Arthroscopy/Surgery (29825) | $7,606.30 | $11,702 | 2.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $243.10 | $374 | 1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $254.80 | $392 | 0.6× |
| Sigmoidoscopy & Polypectomy (45333) | $1,398.80 | $2,152 | 1.5× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $1,248.65 | $1,921 | 1.0× |
| Sigmoidoscopy w/fb removal (45332) range across 2 matching MRF lines |
$254.80–$1,367.60 | $392–$2,104 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,934.40 | $2,976 | 2.1× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $1,716 | $2,640 | 1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $211.90 | $326 | 0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$94.90–$391.95 | $146–$603 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$99.45–$397.15 | $153–$611 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $290.55 | $447 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$128.05–$191.10 | $197–$294 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $293.80 | $452 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$76.05–$360.75 | $117–$555 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $223.60 | $344 | 1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$124.80–$439.40 | $192–$676 | varies |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$1,739.40–$3,757 | $2,676–$5,780 | varies |
| Skin graft, harvest cultured tissue (15040) | $1,878.50 | $2,890 | 0.9× |
| Skin Pinch Graft (15050) range across 2 matching MRF lines |
$758.55–$871.65 | $1,167–$1,341 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$202.15–$2,911.35 | $311–$4,479 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$193.05–$2,820.35 | $297–$4,339 | varies |
| Skin sub grft t/arm/lg child (15273) | $4,837.95 | $7,443 | 2.3× |
| Skin Tissue Procedure (17999) | $191.75 | $295 | 1.0× |
| Skn sub grft f/n/hf/g child (15277) | $2,592.20 | $3,988 | 1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 3 matching MRF lines |
$1,608.10–$7,101.90 | $336–$10,926 | varies |
| Slitting of prepuce (54001) | $182 | $280 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$48.75–$367.90 | $75–$566 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$162.50–$585 | $250–$900 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$218.40–$650.65 | $336–$1,001 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $2,896.40 | $4,456 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$126.10–$1,339 | $194–$2,060 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $3,893.50 | $5,990 | 1.1× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $4,204.85 | $6,469 | 2.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $5,254.60 | $8,084 | 1.7× |
| Sternal debridement (21627) | $3,723.20 | $5,728 | 1.1× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$49.40–$254.15 | $76–$391 | varies |
| Strapping elbow or wrist (29260) | $49.40 | $76 | 0.8× |
| Strapping hand/finger (29280) | $36.40 | $56 | 0.6× |
| Strapping Hip (29520) | $171.60 | $264 | 1.3× |
| Strapping knee (29530) | $49.40 | $76 | 0.4× |
| Strapping shoulder (29240) | $49.40 | $76 | 0.4× |
| Strapping thorax (29200) | $49.40 | $76 | 0.3× |
| Strapping toes (29550) | $171.60 | $264 | 2.9× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$55.90–$268.45 | $86–$413 | varies |
| Surg Tx Anal Fistula 2nd Stage (46285) | $6,565.65 | $10,101 | 2.4× |
| Surg tx anal fistula subq (46270) | $5,133.70 | $7,898 | 1.8× |
| Suture digital nerve hand/foot 1 nerve (64831) | $5,261.75 | $8,095 | 2.7× |
| Syndactylization toes (28280) | $3,191.50 | $4,910 | 1.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $4,720.95 | $7,263 | 1.4× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) | $4,949.10 | $7,614 | 1.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) range across 2 matching MRF lines |
$2,765.75–$4,480.45 | $4,255–$6,893 | varies |
| Talectomy (astragalectomy) Facility (28130) | $5,070.65 | $7,801 | 0.7× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$87.10–$468.65 | $134–$721 | varies |
| Tenodesis long tendon biceps (23430) | $10,405.85 | $16,009 | 1.4× |
| Tenolysis flexor tendon palm&finger each tendo (26442) | $4,949.10 | $7,614 | 1.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $2,765.75 | $4,255 | 1.7× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $4,720.95 | $7,263 | 1.4× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $4,720.95 | $7,263 | 1.4× |
| Tenotomy Flexor Finger Open Each Tendon (26455) | $2,765.75 | $4,255 | 1.7× |
| Tenotomy Percutaneous Single Each Digit (26060) | $3,640.65 | $5,601 | 2.3× |
| Tenotomy shoulder area single tendon (23405) | $6,860.75 | $10,555 | 0.9× |
| Tenotomy, hip flexor(s), open (27005) | $11,617.45 | $17,873 | 3.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,684.15 | $2,591 | 2.4× |
| Therapeutic pneumothorax (32960) | $1,012.70 | $1,558 | 1.6× |
| Thrombolytic Therapy Stroke (37195) | $617.50 | $950 | 1.9× |
| Thyroid biopsy (60100) | $870.35 | $1,339 | 1.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,592.20 | $3,988 | 1.3× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) | $1,456.65 | $2,241 | 0.7× |
| Tnot elbow lateral/medial debride open (24358) | $5,861.70 | $9,018 | 1.8× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $5,569.20 | $8,568 | 1.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $4,546.75 | $6,995 | 1.4× |
| Tooth extraction (41899) | $399.75 | $615 | 1.7× |
| Total Knee Arthroplasty (27447) | $18,065.45 | $27,793 | 1.4× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) | $13,319.15 | $20,491 | 2.2× |
| Trabeculoplasty by laser surgery (65855) | $1,525.55 | $2,347 | 2.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $313.30 | $482 | 1.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$313.30–$2,228.20 | $482–$3,428 | varies |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) | $2,529.80 | $3,892 | 1.3× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $2,529.80 | $3,892 | 1.3× |
| Transplant hand tendon (26480) | $4,910.10 | $7,554 | 1.5× |
| Transur electr resection of prostate (52601) | $5,557.50 | $8,550 | 1.0× |
| Transurethral incision of prostate (52450) | $3,776.50 | $5,810 | 1.1× |
| Transurethral resection bladder neck (52500) | $3,776.50 | $5,810 | 1.1× |
| Treat ankle dislocation (27848) | $11,170.25 | $17,185 | 1.5× |
| Treat Ankle Dislocation (27846) | $10,005.45 | $15,393 | 1.4× |
| Treat Big Toe Fracture (28505) | $3,645.20 | $5,608 | 1.1× |
| Treat elbow fracture (24586) | $18,065.45 | $27,793 | 1.4× |
| Treat Finger Fracture Each (26727) | $4,720.95 | $7,263 | 1.4× |
| Treat fracture radius/ulna (25575) | $10,005.45 | $15,393 | 1.4× |
| Treat Fx Rad Extra-Articul (25607) | $10,005.45 | $15,393 | 1.4× |
| Treat Hand Bone Lesion (26034) | $2,270.45 | $3,493 | 1.4× |
| Treat humerus fracture (24500) | $294.45 | $453 | 1.2× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$531.70–$763.75 | $818–$1,175 | varies |
| Treat humerus fracture (23616) | $27,430.65 | $42,201 | 1.6× |
| Treat knee fracture (27532) | $4,720.95 | $7,263 | 1.4× |
| Treat kneecap dislocation (27566) | $10,005.45 | $15,393 | 1.4× |
| Treat Kneecap Fracture (27524) | $7,546.50 | $11,610 | 1.0× |
| Treat Knuckle Dislocation (26700) | $235.30 | $362 | 0.9× |
| Treat metacarpal fracture (26607) | $4,711.20 | $7,248 | 1.4× |
| Treat Metatarsal Fracture (28475) | $269.10 | $414 | 1.1× |
| Treat scapula fracture (23585) | $10,005.45 | $15,393 | 1.4× |
| Treat Tail Bone Fracture (27200) | $269.10 | $414 | 1.1× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$254.80–$399.75 | $392–$615 | varies |
| Treat thumb fracture (26665) | $7,546.50 | $11,610 | 2.3× |
| Treat toe dislocation (28630) | $121.55 | $187 | 0.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$362.05–$1,797.25 | $557–$2,765 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$295.75–$568.10 | $455–$874 | varies |
| Treatment of ankle fracture (27823) | $10,005.45 | $15,393 | 1.4× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $11,617.45 | $17,873 | 1.6× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$27.95–$279.50 | $43–$430 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$48.75–$451.75 | $75–$695 | varies |
| Trim skin lesions over 4 (11057) | $301.60 | $464 | 1.5× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$16.25–$81.76 | $25–$125.78 | varies |
| Tubal ligation (58600) | $3,296.15 | $5,071 | 1.0× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$38.35–$585 | $59–$900 | varies |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $18,788.25 | $28,905 | 1.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $752.05 | $1,157 | 0.2× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $11,617.45 | $17,873 | 1.6× |
| Tx Missed Abortion First Trimester Surgical (59820) | $3,407.30 | $5,242 | 1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $3,296.15 | $5,071 | 1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $3,112.85 | $4,789 | 1.9× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $2,882.10 | $4,434 | 1.8× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $2,481.70 | $3,818 | 1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$176.80–$905.45 | $272–$1,393 | varies |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $18,065.45 | $27,793 | 1.4× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $3,947.45 | $6,073 | 2.5× |
| Tympanostomy general anesthesia (69436) | $2,867.15 | $4,411 | 1.8× |
| Unlisted laparoscopic procedure liver (47379) | $7,746.70 | $11,918 | 1.3× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $8,755.50 | $13,470 | 1.4× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $5,591.95 | $8,603 | 0.9× |
| Unlisted Procedure Casting/Strapping (29799) | $270.40 | $416 | 1.7× |
| Unlisted procedure colon (45399) | $1,228.50 | $1,890 | 1.3× |
| Unlisted procedure femur or knee (27599) | $384.80 | $592 | 1.6× |
| Unlisted procedure foot or toes (28899) | $303.55 | $467 | 1.2× |
| Unlisted Procedure Hands/Fingers (26989) | $462.80 | $712 | 1.9× |
| Unlisted procedure larynx (31599) | $1,155.05 | $1,777 | 4.9× |
| Unlisted Procedure Male Genital System (55899) | $202.15 | $311 | 0.8× |
| Unlisted Procedure Muscskeletal System General (20999) | $3,351.40 | $5,156 | 13.5× |
| Unlisted Procedure Rectum (45999) | $1,610.05 | $2,477 | 1.7× |
| Unlisted procedure stomach (43999) | $1,702.35 | $2,619 | 1.9× |
| Unlisted Procedure Vascular Surgery (37799) | $460.20 | $708 | 0.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $4,243.85 | $6,529 | 4.7× |
| Uvulectomy excision of uvula (42140) | $2,261.35 | $3,479 | 0.7× |
| Vag hyst complex (58290) | $7,101.90 | $10,926 | 1.0× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,123.20–$3,756.35 | $1,728–$5,779 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $9,587.50 | $14,750 | 1.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $7,101.90 | $10,926 | 1.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $3,932.50 | $6,050 | 1.9× |
| Vein Access Cutdown < 1 Yr (36420) | $87.75 | $135 | 0.7× |
| Venous Cutdown >1 Y/O (36425) | $546 | $840 | 1.2× |
| Vitrectomy mechanical pars plana (67036) | $5,634.20 | $8,668 | 1.4× |
| Vulvectomy simple partial (56620) | $3,296.15 | $5,071 | 1.0× |
| Wedge excision skin nail fold (11765) | $514.15 | $791 | 1.3× |
| Wedging of cast (29740) | $62.40 | $96 | 0.2× |
| Windowing of cast (29730) | $171.60 | $264 | 1.1× |
| Wound Prep F/N/Hf/G (15004) | $871.65 | $1,341 | 2.1× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$431.60–$2,695.55 | $664–$4,147 | varies |
| Wrist arthroscopy with partial removal of joint lining (29844) | $3,841.50 | $5,910 | 1.2× |
| Xfer Single Deep Low Leg Tendon (27691) | $10,005.45 | $15,393 | 1.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.