Procedures & surgery prices at Community Hospital East

Indianapolis, IN · every code in this section with a posted price and a Medicare benchmark.

2306 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $6,858 $11,430 1.8×
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $5,014.21–$5,043.77 $8,357.02–$8,406.28 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $15,796.91 $26,328.18 16.5×
Abdomen Surgery Procedure (22999) $32,754.67 $54,591.11 125.5×
Ablate inf turbinate submuc (30802) $16,915.37 $28,192.29 10.3×
Ablate Pulm Tumor Perq Crybl (32994) $11,781.60 $19,636 1.0×
Ablation 1/> liver tumor perq cryoablation (47383) $10,990.80 $18,318 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $57,851.45 $96,419.09 3.1×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $10,392 $17,320 1.4×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $3,486 $5,810 2.1×
Acromiopl/Acromionect Partial (23130) $9,630 $16,050 2.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $10,730.93 $17,884.88 4.9×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $12,376.84 $20,628.06 5.7×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $16,925.30 $28,208.83 4.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $15,704.75 $26,174.58 7.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $9,199.67 $15,332.79 4.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $6,858 $11,430 3.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $11,862.43 $19,770.71 5.4×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $15,574.80 $25,958 7.1×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $33,584 $55,973.34 4.4×
Amniocentesis diagnostic (59000) $485.40 $809 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $8,694 $14,490 2.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,458 $7,430 1.3×
Amputate Metacarpal Bone (26910) $6,858 $11,430 2.0×
Amputation foot transmetarsal (28805) $10,047.49 $16,745.82 2.9×
Amputation metatarsal with toe single (28810) $7,095.26 $11,825.44 2.0×
Amputation toe interphalangeal joint (28825) $6,588.49 $10,980.82 1.9×
Amputation toe metatarsophalangeal joint (28820) $7,194.64 $11,991.06 2.1×
Amputation, arm through humerus; with primary closure Facility (24900) $23,625.58 $39,375.96 1.7×
Amputation, leg, through tibia and fibula; (27880) $49,857.52 $83,095.87 6.5×
Amputation, leg, through tibia and fibula; re-amputation (27886) $30,402.06 $50,670.10 8.8×
Ankle Arthroscopy/Surgery (29892) $8,658 $14,430 1.1×
Anoplasty, plastic operation for stricture; adult Facility (46700) $6,858 $11,430 2.3×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $3,486 $5,810 3.5×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $3,486 $5,810 1.2×
Anoscopy Ablation Lesion (46615) $9,710.69 $16,184.48 3.3×
Anoscopy Control Bleeding (46614) $3,486 $5,810 2.8×
Anoscopy diagnostic (46600) $3,486 $5,810 24.8×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $3,486 $5,810 2.8×
Anoscopy remove lesion (46610) $7,833.02 $13,055.04 2.7×
Anoscopy W/Rmvl Foreign Body (46608) $3,486 $5,810 3.5×
Anoscopy; with biopsy, single or multiple (46606) $10,745.47 $17,909.11 8.5×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $3,486 $5,810 2.8×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $4,458 $7,430 1.5×
Anterior colporraphy rpr cystocele w/cysto (57240) $22,277.77 $37,129.62 4.2×
Anterior Tibial Tubercleplasty (27418) $8,658 $14,430 1.1×
Appendectomy (44950) $51,831.64 $86,386.07 7.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 3 matching MRF lines		 $138.60–$276.60 $231–$461 varies
Application cast elbow finger short arm (29075) $268.20 $447 0.9×
Application Finger Splint Dynamic (29131) $126 $210 2.0×
Application finger splint static (29130)
range across 4 matching MRF lines		 $96–$436.80 $160–$728 varies
Application long arm splint shoulder hand (29105) $109.80 $183 0.6×
Application Long Leg Splint (29505) $42,458.60 $70,764.34 247.0×
Application multiplane external fixation system (20692) $26,408.63 $44,014.38 1.9×
Application of cylinder cast (thigh to ankle) (29365) $376.80 $628 1.3×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $433.80–$3,486 $723–$5,810 varies
Application of rigid total contact leg cast (29445) $3,644.40 $6,074 12.3×
Application Short Arm Splint Dynamic (29126) $109.80 $183 0.8×
Application short arm splint forearm-hand static (29125) $523.80 $873 3.7×
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $150.60–$183.60 $251–$306 varies
Application uniplane external fixation system (20690) $4,842 $8,070 0.6×
Apply long arm cast (29065) $345 $575 1.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $1,182–$1,221.60 $1,970–$2,036 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $455.40–$525.60 $759–$876 varies
Arrest Epiphyseal Distal Femur (27475) $8,694 $14,490 1.1×
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) $9,630 $16,050 1.3×
Arterial puncture (36600) $166.80 $278 1.2×
Arteriovenous Anastomosis Open Direct (36821)
range across 3 matching MRF lines		 $9,590.36–$11,160.14 $15,983.93–$18,600.23 varies
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $8,004 $13,340 1.4×
Artery-vein autograft (36825) $8,694 $14,490 1.5×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $42,107.19 $70,178.65 3.1×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $44,021.24 $73,368.74 3.2×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $8,694 $14,490 1.1×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $10,512 $17,520 0.8×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $26,467.67 $44,112.78 1.9×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $8,694 $14,490 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,580.79 $2,634.65 4.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,339.80 $2,233 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $768.84–$918.17 $1,281.40–$1,530.28 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $2,246.24 $3,743.74 6.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,453 $2,421.67 4.5×
Arthrodesis ankle open (27870) $9,500.10 $15,833.50 0.7×
Arthrodesis great toe interphalangeal joint (28755) $10,381.31 $17,302.18 1.4×
Arthrodesis great toe metatarsophalangeal joint (28750) $21,228.97 $35,381.61 2.8×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $8,694 $14,490 2.5×
Arthrodesis Pantalar (28705) $57,250.26 $95,417.10 3.1×
Arthrodesis Posterior Interbody Lumbar (22630) $93,878.26 $156,463.77 3.3×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $61,300.94 $102,168.23 3.3×
Arthrodesis Posterior/Posterolateral Thoracic (22610) $100,605.88 $167,676.46 5.4×
Arthrodesis sacroiliac joint percutaneous (27279) $31,528.77 $52,547.95 1.7×
Arthrodesis subtalar (28725) $28,765.46 $47,942.43 2.1×
Arthrodesis triple (28715) $70,049.48 $116,749.13 5.2×
Arthrodesis Wrist Complete W/O Bone Graft (25800) $8,694 $14,490 1.1×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $119,847.26 $199,745.43 4.2×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $9,630 $16,050 1.3×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $124,038.92 $206,731.54 6.7×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $10,512 $17,520 0.8×
Arthrodesis, wrist; with sliding graft Facility (25805) $9,630 $16,050 1.3×
Arthroplasty Ankle (27700) $9,630 $16,050 1.3×
Arthroplasty Ankle W/Implant (27702) $83,843.50 $139,739.17 2.9×
Arthroplasty glenohumeral joint total shoulder (23472) $49,304.16 $82,173.60 2.7×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $10,512 $17,520 0.8×
Arthroplasty interphalangeal joint each (26535) $9,630 $16,050 2.8×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $12,046.49 $20,077.49 3.5×
Arthroplasty Patella W/Prosthesis (27438) $26,984.59 $44,974.32 2.0×
Arthroplasty Radial Head W/Implant (24366) $10,512 $17,520 0.8×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) $18,000 $30,000 1.0×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $8,694 $14,490 5.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $14,560.85 $24,268.08 4.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $16,806.82 $28,011.37 4.9×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $70,942.09 $118,236.82 9.2×
Arthroscopy ankle w/removal loose/foreign body (29894) $26,366.40 $43,944 7.6×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $6,858 $11,430 2.0×
Arthroscopy Elbow Surgical Debridement Limited (29837) $12,534.66 $20,891.10 3.6×
Arthroscopy hip w/femoroplasty (29914) $8,694 $14,490 1.1×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $6,858 $11,430 2.0×
Arthroscopy Knee Osteochondral Allograft (29867) $10,512 $17,520 0.8×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $20,265.71 $33,776.18 5.9×
Arthroscopy knee synovectomy limited spx (29875) $13,165.42 $21,942.36 3.8×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $13,765.84 $22,943.06 4.0×
Arthroscopy shoulder distal claviculectomy (29824) $21,470.86 $35,784.76 6.2×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $21,641.77 $36,069.61 2.8×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $17,759.86 $29,599.77 5.1×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $6,858 $11,430 2.0×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $8,694 $14,490 1.1×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $14,143.83 $23,573.05 4.1×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $8,658 $14,430 1.1×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $8,658 $14,430 1.1×
Arthroscopy, knee, surgical; with lateral release (29873) $32,899.13 $54,831.88 9.5×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $8,658 $14,430 2.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $18,971.67 $31,619.45 5.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $29,491.81 $49,153.01 3.8×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $21,483.13 $35,805.22 6.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $20,340.79 $33,901.31 5.9×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $41,427.40 $69,045.66 5.4×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $8,658 $14,430 2.5×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $29,491.81 $49,153.01 3.8×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $6,858 $11,430 2.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $4,842 $8,070 1.4×
Arthrotomy biopsy interphalangeal joint each (26110) $3,486 $5,810 2.0×
Arthrotomy W/Meniscus Repair Knee (27403) $52,554.47 $87,590.79 6.8×
Arthrotomy W/Synovectomy Ankle (27625) $8,694 $14,490 2.5×
Arthrotomy wrist joint with synovectomy (25105) $8,694 $14,490 2.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 3 matching MRF lines		 $42,200.02–$45,023.87 $70,333.37–$75,039.79 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $9,630 $16,050 2.8×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $44,154.73 $73,591.21 3.3×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $10,338 $17,230 1.3×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $35,081.78 $58,469.63 4.6×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $10,512 $17,520 0.8×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $14,560.85 $24,268.08 4.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $14,741.37 $24,568.95 4.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $15,006.31 $25,010.51 4.3×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $6,858 $11,430 2.0×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $8,658 $14,430 1.1×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $14,266.52 $23,777.53 4.1×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $8,694 $14,490 2.5×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $8,694 $14,490 2.5×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $8,694 $14,490 2.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $8,694 $14,490 5.1×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $23,184.62 $38,641.03 6.7×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $6,858 $11,430 2.0×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $8,694 $14,490 2.5×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $10,901.75 $18,169.59 6.4×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $14,068.73 $23,447.89 4.1×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $4,458 $7,430 1.3×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $6,858 $11,430 2.0×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $3,545.40–$3,886.50 $5,909–$6,477.50 varies
Aspirate Pleura W/O Imaging (32554) $1,567.20 $2,612 2.4×
Aspirate/Inj Ganglion Cyst (20612) $3,486 $5,810 10.7×
Aspiration and/or injection thyroid cyst (60300) $1,150.80 $1,918 1.5×
Aspiration bladder insert suprapubic catheter (51102) $4,596.04 $7,660.07 2.1×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $14,117.29 $23,528.81 5.8×
Autologous Chondrocyte Implantation Knee (27412) $18,042.44 $30,070.73 2.4×
Av fistula revision (36833) $8,694 $14,490 1.5×
Av Fistula Revision Open (36832) $12,768.33 $21,280.55 2.2×
Av Fuse Uppr Arm Basilic (36819) $8,004 $13,340 1.4×
Av fusion/forearm vein (36820) $8,004 $13,340 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $807.60 $1,346 3.8×
Axillary lymphadenectomy; complete (38745) $25,274.12 $42,123.54 4.0×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $5,587.20 $9,312 0.8×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $7,250.40 $12,084 0.6×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $6,382.20 $10,637 0.9×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $7,588.80 $12,648 1.1×
Biopsy Abdominal Mass (49180) $2,146.20 $3,577 1.2×
Biopsy bone open deep (20245) $18,170.13 $30,283.55 5.9×
Biopsy bone open superficial (20240) $9,522.42 $15,870.70 3.1×
Biopsy bone trocar/needle deep (20225) $5,664.26 $9,440.43 3.2×
Biopsy Bone Trocar/Needle Superficial (20220) $4,963.04 $8,271.73 2.8×
Biopsy External Auditory Canal (69105) $2,787 $4,645 1.7×
Biopsy external ear (69100) $3,096 $5,160 12.4×
Biopsy muscle percutaneous needle (20206) $2,397.60 $3,996 1.4×
Biopsy Muscle Superficial (20200) $11,911.05 $19,851.75 6.8×
Biopsy Nasopharynx Visible Lesion Simple (42804) $3,486 $5,810 1.0×
Biopsy of breast; open, incisional (19101) $4,458 $7,430 1.1×
Biopsy of conjunctiva (68100) $3,486 $5,810 1.4×
Biopsy of floor of mouth (41108) $3,486 $5,810 2.0×
Biopsy of lip (40490) $3,096 $5,160 12.4×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $4,733.71–$5,469.88 $7,889.52–$9,116.46 varies
Biopsy of nerve (64795) $4,458 $7,430 2.2×
Biopsy of palate, uvula (42100) $3,486 $5,810 2.1×
Biopsy of penis (54100) $11,877.55 $19,795.92 6.8×
Biopsy of penis; deep structures (54105) $3,714 $6,190 1.2×
Biopsy of rectum (45100) $3,486 $5,810 1.2×
Biopsy of toe joint lining (28054) $4,458 $7,430 1.3×
Biopsy of urethra (53200) $3,486 $5,810 1.6×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $4,458 $7,430 1.1×
Biopsy Oropharynx (42800) $3,486 $5,810 2.1×
Biopsy ovary uni/bi separate procedure (58900) $4,053 $6,755 1.2×
Biopsy Pleura Percutaneous Needle (32400) $2,317.20 $3,862 1.3×
Biopsy Salivary Gland Incisional (42405) $4,458 $7,430 2.7×
Biopsy Salivary Gland Needle (42400) $2,551.41 $4,252.35 3.4×
Biopsy soft tissue back/flank deep (21925) $4,458 $7,430 2.6×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $4,458 $7,430 1.5×
Biopsy soft tissue leg/ankle area superficial (27613) $7,594.20 $12,657 4.3×
Biopsy soft tissue neck/thorax (21550) $5,480.06 $9,133.43 3.1×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,637.40 $2,729 0.9×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,317.20 $3,862 1.3×
Biopsy Soft Tissue Shoulder Superficial (23065) $3,486 $5,810 2.0×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,714 $6,190 1.2×
Biopsy Tongue Anterior Two-Thirds (41100) $8,645.40 $14,409 15.2×
Biopsy Tongue Posterior One-Third (41105) $13,327.28 $22,212.14 3.8×
Biopsy Vaginal Mucosa Extensive (57105) $4,458 $7,430 1.3×
Biopsy Vaginal Mucosa Simple (57100) $1,174.80 $1,958 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $10,499.36 $17,498.94 10.8×
Biopsy, vestibule of mouth (40808) $3,486 $5,810 6.1×
Biopsy/removal lymph nodes (38510) $11,211.40 $18,685.66 2.7×
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines		 $1,171.97–$1,174.07 $1,953.28–$1,956.78 varies
Bladder Irrigation (51700) $20,435.07 $34,058.45 77.3×
Bladder Scan (51798)
range across 3 matching MRF lines		 $13,824.32–$30,551.93 $23,040.53–$50,919.89 varies
Blepharoplasty Lower Eyelid (15820) $6,858 $11,430 3.1×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $6,858 $11,430 3.1×
Blepharoplasty upper eyelid (15822) $6,858 $11,430 3.1×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $7,467.11 $12,445.19 3.4×
Blepharotomy drainage abscess eyelid (67700) $3,486 $5,810 10.4×
Blood Transfusion Service (36430)
range across 6 matching MRF lines		 $1,220.66–$2,546.85 $2,034.43–$4,244.75 varies
Blood/Lymph System Procedure (38999) $41,659.84 $69,433.07 89.3×
Bone Graft Any Donor Area Major/Large (20902) $8,694 $14,490 1.1×
Bone Graft Any Donor Area Minor/Small (20900) $20,048.43 $33,414.05 2.6×
Bone Marrow Biopsy (38221) $1,369.20 $2,282 0.8×
Bone marrow harvest allogen (38230) $4,894.80 $8,158 3.0×
Bone Marrow; Aspiration Only (38220) $10,777.45 $17,962.41 6.2×
Breast augmentation with implant (19325) $51,887.23 $86,478.72 6.0×
Breast Reduction (19318) $23,121.92 $38,536.54 3.3×
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $10,436.14–$16,791.59 $17,393.57–$27,985.98 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 2 matching MRF lines		 $11,416.40–$16,947.77 $19,027.34–$28,246.29 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $14,367.05–$18,295.52 $23,945.08–$30,492.54 varies
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $12,389.48 $20,649.13 3.1×
Bronchoscopy Bronch Stents (31636) $32,660.33 $54,433.89 4.4×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $15,169.11–$18,992.48 $25,281.85–$31,654.13 varies
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $8,748.32–$18,613.88 $14,580.53–$31,023.13 varies
Bronchoscopy W/Excision Tumor (31640) $25,068.80 $41,781.33 6.4×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $54,969.63 $91,616.05 7.4×
Bronchoscopy W/Removal Foreign Body (31635) $15,458.58 $25,764.30 8.2×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $13,552.36–$17,462.02 $22,587.27–$29,103.36 varies
Bronchoscopy/Needle Bx Each (31629)
range across 2 matching MRF lines		 $16,540.46–$17,405.80 $27,567.43–$29,009.67 varies
Buttock fasciotomy (27027) $24,279.40 $40,465.67 3.2×
Bx breast 1st lesion mr imag (19085) $5,302.80 $8,838 3.0×
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines		 $4,504.18–$5,066.01 $7,506.96–$8,443.35 varies
Bx breast 1st lesion us imag (19083) $2,595 $4,325 1.5×
Bx breast needle core w/o imaging guidance spx (19100) $2,346 $3,910 1.3×
Bx Cervix (57500) $13,296.32 $22,160.54 13.6×
Bx prostate strtctc saturation sampling img gid (55706) $4,458 $7,430 1.2×
Bx/exc lymph node open deep axillary node (38525) $24,236.78 $40,394.64 5.9×
Bx/exc lymph node open superficial (38500) $12,377.03 $20,628.38 3.0×
Canthoplasty (67950) $4,458 $7,430 1.8×
Canthotomy Separate Procedure (67715) $3,486 $5,810 1.4×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $6,858 $11,430 2.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $6,858 $11,430 4.0×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $6,858 $11,430 2.0×
Capsulorrhaphy Anterior W/Labral Repair (23455) $15,510 $25,850 2.0×
Capsulotomy wrist (25085) $6,858 $11,430 2.0×
Car-t admn autologous (38228) $417.60 $696 1.2×
Carpal Tunnel Surgery (64721) $6,317.36 $10,528.94 3.1×
Carpectomy All Bones Proximal Row (25215) $16,189.35 $26,982.25 4.7×
Cartilage graft; costochondral (20910) $6,858 $11,430 8.8×
Cataract surgery complex (66982) $8,100 $13,500 3.3×
Catheter aspiration nasotracheal spx (31720) $183.60 $306 0.8×
Cautery Cervix Cryocautery Initial/Repeat (57511) $3,486 $5,810 10.8×
Cautery Cervix Electro/Thermal (57510) $4,458 $7,430 1.3×
Cerclage cervix pregnancy vaginal (59320) $7,014.18 $11,690.30 2.0×
Cerclage Uterine Cervix Nonobstetrical (57700) $3,486 $5,810 1.0×
Cerv artific diskectomy (22856) $41,706.76 $69,511.26 2.2×
Cessj Therapy Cath Removal (37214) $5,296.20 $8,827 1.6×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $3,486–$3,691.80 $5,810–$6,153 varies
Change Cystostomy Tube Simple (51705) $1,626 $2,710 6.2×
Change of Windpipe Airway (31502) $14,761.54 $24,602.57 58.9×
Change ureter stent percut (50382) $5,589 $9,315 2.5×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $420–$613.20 $700–$1,022 varies
Chemical peel face dermal (15789) $3,096 $5,160 4.0×
Chemodenerv 1 extrem 5/> mus (64644) $632.40 $1,054 0.8×
Chemodenerv 1 extremity 1-4 (64642) $632.40 $1,054 0.8×
Chemodenerv Musc Migraine (64615) $336.60 $561 1.0×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $632.40–$1,227.60 $1,054–$2,046 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $516.60 $861 1.6×
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $632.40–$3,486 $1,054–$5,810 varies
Chemodenerv trunk musc 6/> (64647) $632.40 $1,054 0.8×
Chemodenervation of internal anal sphincter (46505) $3,486 $5,810 2.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $3,145.08 $5,241.80 9.7×
Chest tube placement (32551) $1,605.32 $2,675.54 1.0×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $6,083.40 $10,139 2.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $9,166.20 $15,277 2.4×
Circumcision 28 days or older (54161) $10,124.86 $16,874.77 4.6×
Circumcision Neonate (54160) $819 $1,365 1.1×
Circumcision w/clamp/oth dev w/block (54150) $819 $1,365 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $3,486 $5,810 2.0×
Claviculectomy partial (23120) $28,520.33 $47,533.89 8.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $123.60–$3,096 $206–$5,160 varies
Closed Rx Metacarpal Fx,Percut (26608) $10,927.46 $18,212.44 3.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $3,486 $5,810 13.4×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $40,252.58 $67,087.63 154.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,486 $5,810 2.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $3,486 $5,810 13.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $3,096 $5,160 11.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $26,685.78 $44,476.30 4.3×
Closed tx metatarsal fracture w/o manipulation (28470) $3,486 $5,810 13.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $4,458 $7,430 2.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $7,124.98 $11,874.97 2.0×
Closed tx radial head/neck fx w/manipulation (24655) $3,486 $5,810 2.0×
Closed tx radial shaft fracture w/manipulation (25505) $3,486 $5,810 2.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $10,658.92 $17,764.87 6.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $5,235 $8,725 20.1×
Closed tx septal&nose fx (21337) $4,458 $7,430 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $3,486 $5,810 13.4×
Closure Gastrostomy Surg (43870) $13,472.30 $22,453.83 3.3×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $15,211.54 $25,352.57 4.4×
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) $14,808 $24,680 1.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,486 $5,810 2.0×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $13,670.02 $22,783.37 4.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $4,458 $7,430 2.6×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $4,458 $7,430 2.6×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $3,486 $5,810 13.4×
Cltx dstl fibular fx lat malls w/manj (27788) $18,784.96 $31,308.27 72.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $3,096 $5,160 11.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $3,096 $5,160 11.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $8,983.15 $14,971.92 5.3×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $6,858 $11,430 4.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $3,486 $5,810 13.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,458 $7,430 2.6×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $3,486 $5,810 11.8×
Cltx Med Ankle Fx W/Mnpj (27762) $5,235 $8,725 3.1×
Cltx metacarpal fx w/manipulation each bone (26605) $4,458 $7,430 17.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $3,096 $5,160 11.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $4,458 $7,430 2.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,486 $5,810 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $4,458 $7,430 17.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $3,486 $5,810 13.4×
Cltx prox fibula/shft fx w/manj (27781) $3,486 $5,810 2.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,458 $7,430 2.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,486 $5,810 2.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,486 $5,810 2.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $3,486 $5,810 13.4×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $70,425.82 $117,376.37 13.3×
Coccygectomy, primary (27080) $4,842 $8,070 1.4×
Collect Blood From Catheter Venous Nos (36592) $45 $75 0.3×
Collection of venous blood by venipuncture (36415)
range across 8 matching MRF lines		 $69.60–$417 $116–$695 varies
Colonoscopy Flexible With Decompression (45393) $4,458 $7,430 3.5×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $3,486 $5,810 2.8×
Colonoscopy stoma w/balloon dilation (44405) $6,018 $10,030 4.8×
Colonoscopy Stoma W/Submucosal Injection (44404) $3,486 $5,810 2.8×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $3,486 $5,810 2.8×
Colonoscopy thru stoma (44388) $3,492.86 $5,821.43 3.6×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $4,694.27 $7,823.79 3.7×
Colonoscopy w/ablation (45388) $4,815.25 $8,025.42 3.8×
Colonoscopy W/Band Ligation (45398) $6,505.67 $10,842.79 5.1×
Colonoscopy w/fb removal (45379) $3,687.72 $6,146.20 2.9×
Colonoscopy W/Resection (45390) $5,785.43 $9,642.39 2.0×
Colonoscopy w/stent plcmt (45389) $13,196.87 $21,994.79 2.1×
Colonoscopy w/submucosal inj (45381) $4,976.70 $8,294.50 3.9×
Colpocleisis (le fort type) (57120) $23,213.64 $38,689.40 4.4×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $64,409.80 $107,349.67 18.8×
Colpopexy extraperitoneal (57282) $19,594.80 $32,658 2.5×
Colpopexy vaginal intraperitoneal approach (57283) $27,064.99 $45,108.31 3.4×
Colporrhaphy (57200) $64,541.09 $107,568.49 18.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $8,764.18 $14,606.96 27.2×
Colposcopy Cervix Endocervical Curettage (57456) $3,486 $5,810 10.8×
Colposcopy cervix upper/adjacent vagina (57452) $4,458 $7,430 20.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $3,486 $5,810 10.8×
Colposcopy cervix vag eltrd conization cervix (57461) $10,893.02 $18,155.03 3.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $9,304.33 $15,507.21 2.7×
Colposcopy entire vagina w/cervix if present (57420) $3,486 $5,810 10.8×
Colposcopy of vulva (56820) $3,486 $5,810 16.3×
Colposcopy Vulva W/Biopsy (56821) $3,486 $5,810 10.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $12,902.54 $21,504.24 13.2×
Colpotomy; with drainage of pelvic abscess (57010) $4,458 $7,430 1.3×
Colpotomy; with exploration (57000) $3,486 $5,810 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $4,463.48 $7,439.14 3.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $4,505.27 $7,508.78 3.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $5,367.32 $8,945.54 4.2×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $10,602.02 $17,670.03 8.4×
Combined anteroposterior colporrhaphy; (57260) $19,594.80 $32,658 3.7×
Complex drainage wound (10180) $9,096.75 $15,161.25 3.0×
Composite Skin Graft (15760) $4,458 $7,430 2.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $8,397.88 $13,996.46 2.5×
Conization of cervix (57520) $9,540.28 $15,900.47 2.8×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $8,694 $14,490 3.5×
Conjunctivorhinostomy Insj Tube/Stent (68750) $13,050 $21,750 3.1×
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) $8,694 $14,490 3.5×
Constj tracheoesophgl fstl&insj sp prosth (31611) $10,228.51 $17,047.51 2.9×
Contour of face bone lesion (21029) $4,458 $7,430 1.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $425.40–$3,486 $709–$5,810 varies
Control Nasal Hemorrhage Anterior Simple (30901) $23,205.99 $38,676.65 164.9×
Control oropharyngeal hemorrhage simple (42960) $3,486 $5,810 6.1×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $50,338.12 $83,896.86 3.7×
Conversion ext bil drg cath (47535) $7,278 $12,130 1.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,873.40 $4,789 1.4×
Convert Nephrostomy Catheter (50434) $9,502.80 $15,838 4.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,785.20 $4,642 1.6×
Correction hammertoe (28285) $7,684.13 $12,806.88 2.2×
Correction of inverted nipples (19355) $8,694 $14,490 2.1×
Correction of lid retraction (67911) $6,858 $11,430 2.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $10,338.82 $17,231.37 3.0×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,458 $7,430 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $23,843.75 $39,739.59 1.8×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,224.41 $12,040.68 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $7,387.16 $12,311.94 2.1×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $31,641.01 $52,735.02 4.1×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $9,424.93 $15,708.21 3.7×
Create Eardrum Opening (69433) $5,049.91 $8,416.52 8.9×
Create Tear Sac-Nasal Fistula (68720) $8,694 $14,490 2.1×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $17,060.14 $28,433.56 2.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $3,096 $5,160 49.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $425.40–$3,486 $709–$5,810 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $7,442.11 $12,403.52 2.1×
Curettage postpartum (59160) $8,688.43 $14,480.71 2.5×
Curette/treat cornea (65435) $3,486 $5,810 3.3×
Cysto Bladder W/Ureteral Catheterization (52005) $14,138.70 $23,564.50 6.4×
Cysto calibration dilat urtl strix/stenosis (52281) $7,313.69 $12,189.49 3.3×
Cysto w/complex removal stone & stent (52315) $13,195.37 $21,992.28 6.0×
Cysto w/destruction of lesions (52214) $14,990.89 $24,984.81 4.0×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $8,160 $13,600 1.4×
Cysto w/insert ureteral stent (52332)
range across 3 matching MRF lines		 $12,713.65–$16,082.42 $21,189.42–$26,804.03 varies
Cysto w/irrig & evac multple obstructing clots (52001) $14,009.39 $23,348.99 3.8×
Cysto w/removal of lesions small (52224) $11,744.17 $19,573.62 3.1×
Cysto w/removal of tumors small (52234) $12,795.23 $21,325.39 3.4×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $4,458 $7,430 1.2×
Cysto W/Simple Removal Stone & Stent (52310) $7,820.63 $13,034.38 3.5×
Cysto w/up stricture tx (52342) $17,190.07 $28,650.12 4.6×
Cysto w/ureter stricture tx (52341) $6,858 $11,430 1.8×
Cysto w/ureteroscopy w/lithotripsy (52353) $14,818.37 $24,697.29 2.6×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $14,936.40 $24,894 4.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $12,313.56 $20,522.60 3.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $13,796 $22,993.33 3.7×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $14,036.23 $23,393.71 2.5×
Cysto/uretero w/lithotripsy (52356) $16,865.47 $28,109.12 3.0×
Cysto/uretero w/up stricture (52345) $6,858 $11,430 1.8×
Cystolithotomy (51050) $8,694 $14,490 1.5×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $5,568 $9,280 0.6×
Cystoscopy implant stent (52282) $12,263.18 $20,438.63 3.3×
Cystoscopy inject material (52327) $6,378 $10,630 1.1×
Cystostomy Cystotomy W/Drainage (51040) $8,694 $14,490 3.9×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $3,714 $6,190 1.0×
Cystouretero w/excise tumor (52355) $14,619.90 $24,366.50 2.6×
Cystouretero w/renal strict (52346) $26,074.28 $43,457.13 4.6×
Cystourethroscopy (52000) $11,059.73 $18,432.88 15.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $19,462.18 $32,436.97 5.2×
Cystourethroscopy inj chemodenervation bladder (52287) $11,884.04 $19,806.74 5.4×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $14,254.92 $23,758.20 3.8×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $15,730.85 $26,218.08 2.8×
Cystourethroscopy w/dil bladder general anesth (52260) $9,940.76 $16,567.93 4.5×
Cystourethroscopy w/rmvl ureteral calculus (52320) $16,528.18 $27,546.96 4.4×
Cystourethroscopy with biopsy (52204) $12,918.02 $21,530.03 5.8×
Cystourethroscopy with direct vision internal urethrotomy (52276) $13,618.65 $22,697.75 6.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $4,458 $7,430 2.0×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $4,458 $7,430 2.0×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $12,556.87 $20,928.12 5.7×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $5,568 $9,280 1.0×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $6,858 $11,430 1.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,458 $7,430 1.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $4,458 $7,430 6.0×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $49,822.13 $83,036.88 66.5×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $11,100.74 $18,501.24 3.2×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $6,858 $11,430 2.0×
Dcmprn fasct leg post compartment only (27601) $6,858 $11,430 2.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $4,286.40–$4,297.80 $7,144–$7,163 varies
Debride nail 1-5 (11720) $589.20 $982 9.4×
Debride nail 6 or more (11721) $2,262 $3,770 36.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $2,304.60–$2,598.60 $3,841–$4,331 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $4,458 $7,430 7.8×
Debridement Mastoidectomy Cavity Simple (69220) $3,096 $5,160 14.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 6 matching MRF lines		 $2,113.20–$4,183.80 $3,522–$6,973 varies
Declot vascular device (36593) $937.20 $1,562 2.7×
Decompress Spinal Cord Lmbr (63056) $76,959.88 $128,266.46 10.0×
Decompression of leg (27894) $6,858 $11,430 2.0×
Decompression of tibia nerve (28035) $9,407.65 $15,679.41 4.6×
Deep Muscle Biopsy (20205) $8,487.77 $14,146.28 2.8×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $6,858 $11,430 3.1×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $8,694 $14,490 4.0×
Derma-fat-fascia graft (15770) $19,381.15 $32,301.91 5.2×
Dermabrasion segmental face (15781) $3,096 $5,160 4.1×
Dermabrasion total face (15780) $3,714 $6,190 1.2×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $4,458 $7,430 2.0×
Destr penis lesion(s) (54065) $3,486 $5,810 1.6×
Destr W Neurolytic; Celiac Plexus (64680) $1,983.60 $3,306 2.1×
Destroy cerv/thor facet jnt (64633) $4,566.93 $7,611.55 2.2×
Destroy lumb/sac facet jnt (64635) $4,993.61 $8,322.69 2.4×
Destruc retinal lesn,photocoag (67210) $2,440.91 $4,068.18 4.2×
Destruct B9 Lesion 1-14 (17110) $8,342.57 $13,904.29 39.3×
Destruction Benign Lesions 15/> (17111) $6,935.30 $11,558.83 32.7×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $1,711.80–$3,486 $2,853–$5,810 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $4,273.15 $7,121.91 3.4×
Destruction Lesions Vulva Extensive (56515) $6,858 $11,430 3.1×
Destruction Lesions Vulva Simple (56501) $8,308.32 $13,847.20 3.8×
Destruction neurolytic agt genicular nerve w/img (64624) $7,651.08 $12,751.80 3.7×
Destruction of lesion of lid margin (up to 1 cm) (67850) $3,486 $5,810 3.3×
Destruction of rectal tumor transanal approach (45190) $4,458 $7,430 1.5×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $262.20–$3,486 $437–$5,810 varies
Destruction Vaginal Lesions Extensive (57065) $3,486 $5,810 1.0×
Destruction Vaginal Lesions Simple (57061) $3,486 $5,810 1.0×
Diagnostic sigmoidoscopy (45330) $3,201.45 $5,335.75 3.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $3,486 $5,810 2.8×
Dilat female urethra general/cndj spinal anes (53665) $3,486 $5,810 1.6×
Dilat rct strix spx under anes oth/thn local (45910) $3,486 $5,810 2.8×
Dilat Xst Trc New Access Rcs (50437) $26,494.23 $44,157.05 7.1×
Dilate Esophagus 1/Mult Pass (43450) $3,487.55 $5,812.59 3.6×
Dilation & curettage dx&/ther nonobstetric (58120) $8,764.18 $14,606.96 2.6×
Dilation and catheterization of salivary duct, with or without injection (42660) $3,486 $5,810 6.1×
Dilation Cervical Canal (57800) $3,486 $5,810 1.0×
Dilation Esophagus Guide Wire (43453) $4,978.59 $8,297.65 2.5×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $3,096 $5,160 6.6×
Dilation of vagina (57400) $4,458 $7,430 1.3×
Dilation Salivary Duct (42650) $3,486 $5,810 2.1×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $10,789.51 $17,982.52 1.8×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $70,162.37 $116,937.28 11.9×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $4,458 $7,430 2.4×
Dissection, deep jugular node(s) Facility (38542) $8,004 $13,340 1.3×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $33,288.55 $55,480.92 5.7×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $9,630 $16,050 1.5×
Division of stricture of rectum Facility (45150) $3,096 $5,160 2.4×
Drain Cerebro Spinal Fluid (62272) $19,733.96 $32,889.94 26.4×
Drain Hand Tendon Sheath (26020) $4,458 $7,430 1.3×
Drain/inj small joint/bursa w/us (20604) $1,216.20 $2,027 3.7×
Drainage Abscess/Hematoma Nasal Septum (30020) $23,272.19 $38,786.98 40.8×
Drainage external auditory canal abscess (69020) $3,486 $5,810 4.7×
Drainage external ear abscess/hematoma cmplx (69005) $3,486 $5,810 2.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $3,486 $5,810 4.7×
Drainage Finger Abscess Complicated (26011) $3,486 $5,810 2.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $526.80–$3,096 $878–$5,160 varies
Drainage of gum lesion (41800) $3,486 $5,810 24.8×
Drainage of hematoma/fluid (10140) $4,954.80 $8,258 2.8×
Drainage of hydrocele (55000) $41,479.17 $69,131.95 55.4×
Drainage of mouth lesion (41006) $3,486 $5,810 2.1×
Drainage of nose lesion (30000) $3,486 $5,810 13.9×
Drainage of rectal abscess (45020) $4,458 $7,430 1.5×
Drainage of rectal abscess (45005) $4,458 $7,430 3.5×
Drainage of salivary cyst (42409) $6,858 $11,430 2.0×
Drainage of salivary gland (42320) $3,486 $5,810 6.1×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $2,028–$3,486 $3,380–$5,810 varies
Drainage of scrotum (54700) $4,458 $7,430 2.0×
Drainage of skene's gland abscess or cyst (53060) $3,486 $5,810 1.6×
Draw Blood Off Venous Device (36591) $174.60 $291 1.2×
Dressing Change Under Anesthesia (15852) $3,486 $5,810 4.5×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $4,458 $7,430 7.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $3,096 $5,160 4.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $492–$564.60 $820–$941 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $414.60–$477.60 $691–$796 varies
Dstrj les/scar vestibule mouth physical meths (40820) $3,486 $5,810 1.0×
Dstrj Lesion Anus Extensive (46924) $3,486 $5,810 1.2×
Dstrj lesion anus simple surg excision (46922) $8,209.42 $13,682.37 2.8×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $4,458 $7,430 2.0×
Dstrj lesion penis simple laser (54057) $3,486 $5,810 1.6×
Dstrj lesion penis simple surg excision (54060) $3,486 $5,810 1.6×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $3,486 $5,810 1.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $22,438.88 $37,398.13 24.0×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $3,486 $5,810 3.7×
Dx Bone Marrow Bx & Aspir (38222)
range across 5 matching MRF lines		 $2,465.40–$9,990.29 $4,109–$16,650.48 varies
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $6,356.78–$17,717.80 $10,594.63–$29,529.67 varies
Dx Bronchoscope/Wash (31622) $5,749.75 $9,582.91 3.1×
Dx Laryngoscopy Excl Nb (31525) $10,694.91 $17,824.85 5.7×
Dx laryngoscopy w/oper scope (31526) $7,764.82 $12,941.37 4.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $3,533.40 $5,889 4.7×
Egd Balloon Dil Esoph30 Mm/> (43233) $10,715.02 $17,858.36 5.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $4,216.25 $7,027.08 2.1×
Egd cautery tumor polyp (43250) $4,458 $7,430 2.2×
Egd control bleeding any (43255) $4,188.22 $6,980.36 2.1×
Egd dilation gastric/duodenal stricture (43245) $4,244.76 $7,074.60 2.1×
Egd endo mucosal resection (43254) $6,519.40 $10,865.67 3.2×
Egd Endoscopic Stent Place (43266) $12,317.91 $20,529.85 1.9×
Egd Flexible Foreign Body Removal (43247) $3,789.11 $6,315.18 3.9×
Egd guide wire insertion (43248) $3,874.38 $6,457.30 4.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $7,422.86 $12,371.44 3.7×
Egd intrmural us needle aspirate/biopsy esophags (43238) $8,389.17 $13,981.95 4.1×
Egd lesion ablation (43270) $5,839.37 $9,732.29 2.9×
Egd Optical Endomicroscopy (43252) $7,799.11 $12,998.52 3.8×
Egd place gastrostomy tube (43246) $3,550.67 $5,917.78 1.7×
Egd remove lesion snare (43251) $3,930.50 $6,550.84 1.9×
Egd Tube/Cath Insertion (43241) $5,777.96 $9,629.94 2.8×
Egd us exam duodenum/jejunum (43259) $6,326.17 $10,543.62 3.1×
Egd us transmural injxn/mark (43253) $8,193.99 $13,656.65 4.0×
Egd Varices Ligation (43244) $4,198.30 $6,997.16 2.1×
Egd W/Transmural Drain Cyst (43240) $20,745.34 $34,575.56 3.2×
Electrical stimulation bone healing noninvasive (20974) $36,143.69 $60,239.49 379.7×
Emblc/thrmbc ax brach innominate subcla art (34101) $63,876.04 $106,460.06 10.8×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $44,513.83 $74,189.72 7.6×
Endocervical curettage (57505) $3,486 $5,810 3.6×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $10,338 $17,230 2.0×
Endometrial Biopsy (58100) $7,903.83 $13,173.05 37.0×
Endoscopic injection/implant (51715) $12,046.67 $20,077.79 3.2×
Endoscopic plantar fasciotomy (29893) $14,061.64 $23,436.06 4.1×
Endoscopic us exam esoph (43237) $6,315.93 $10,526.55 3.1×
Endoscopy Upper Small Intestine (44360) $3,205.26 $5,342.10 1.6×
Endoscopy upper small intestine w/biopsy (44361) $4,086.67 $6,811.12 2.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $7,249.01 $12,081.69 2.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $5,472.45 $9,120.75 1.6×
Endoven ther chem adhes 1st (36482) $7,573.80 $12,623 1.3×
Enterorrhaphy single perforation (44602) $3,714 $6,190 0.9×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $4,047.09 $6,745.15 2.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $3,240.16 $5,400.27 1.6×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $5,663.90 $9,439.83 2.8×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $4,874.74 $8,124.56 2.4×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $8,783.50 $14,639.16 4.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $3,975.19 $6,625.32 2.0×
Enucleation Eye Implt Musc X Attached Implt (65103) $6,858 $11,430 1.6×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,449.80 $4,083 1.1×
Epididymectomy unilateral (54860) $6,858 $11,430 1.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,038.60 $6,731 1.9×
Epidural Blood Patch (62273) $1,513.80 $2,523 2.0×
Episiotomy or vaginal repair (59300) $4,458 $7,430 1.3×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $16,643.98 $27,739.96 2.6×
Ercp duct stent placement (43274) $9,634.03 $16,056.71 1.5×
Ercp Dx Collection Specimen Brushing/Washing (43260) $9,024.71 $15,041.18 2.2×
Ercp ea duct/ampulla dilate (43277) $9,405.62 $15,676.04 2.3×
Ercp remove calculi/debris biliary/pancreas duct (43264) $8,263.59 $13,772.65 2.0×
Ercp remove forgn body duct (43275) $8,415.10 $14,025.17 4.1×
Ercp Stent Exchange W/Dilate (43276) $9,719.24 $16,198.74 1.5×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $10,154.75 $16,924.58 2.5×
Ercp W/Biopsy Single/Multiple (43261) $10,154.75 $16,924.58 2.5×
Ercp,Sphincterotomy (43262) $8,550.99 $14,251.65 2.1×
Esc i p ulcer w ostect & flap (15946) $20,554.52 $34,257.53 9.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $4,827.17 $8,045.29 5.0×
Esophagoscop Stent Placement (43212) $8,974.70 $14,957.84 1.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $4,230.75 $7,051.25 2.1×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $11,986.51 $19,977.52 2.9×
Esophagoscopy Flexible Guide Wire Dilation (43226) $6,156.38 $10,260.63 3.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $10,228.51 $17,047.51 10.7×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $6,385.24 $10,642.07 3.1×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $8,716.55 $14,527.58 4.3×
Esophagoscopy rig transoral removal foreign body (43194) $9,145.88 $15,243.14 4.5×
Esophagoscopy rigid trnso dx (43191) $7,764.82 $12,941.37 3.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $3,486 $5,810 1.7×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,521.89 $5,869.82 1.7×
Esophagoscp Guide Wire Dilat (43196) $7,577.81 $12,629.68 3.7×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $28,866.97 $48,111.62 4.6×
Esophagoscp Rig Trnso Biopsy (43193) $8,186.22 $13,643.70 4.0×
Ethmoidectomy Extranasal Total (31205) $10,320 $17,200 2.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $172.20–$3,486 $287–$5,810 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $6,858 $11,430 3.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $6,858 $11,430 3.9×
Exc abdl tum deep 5 cm/> (22901) $22,237 $37,061.67 7.2×
Exc arm/elbow les sc < 3 cm (24075) $4,458 $7,430 2.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $4,488.29 $7,480.48 6.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,504.31 $7,507.18 2.6×
Exc Back Les Sc < 3 Cm (21930) $4,458 $7,430 2.6×
Exc Back Tum Deep 5 Cm/> (21933) $14,639.45 $24,399.09 4.8×
Exc back tum deep < 5 cm (21932) $4,458 $7,430 1.5×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $6,378 $10,630 1.0×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $16,502.36 $27,503.93 2.6×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $9,630 $16,050 1.5×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $6,858 $11,430 2.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $9,751.16 $16,251.93 2.4×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $8,060.68 $13,434.46 3.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $3,096 $5,160 4.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $3,096 $5,160 4.1×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $12,376.84 $20,628.06 7.1×
Exc Face Les Sbq 2 Cm/> (21012) $21,605.96 $36,009.93 12.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $5,625.23 $9,375.39 7.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $4,488.29 $7,480.48 6.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $4,701.29 $7,835.48 6.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $3,486 $5,810 2.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,486 $5,810 2.0×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $8,694 $14,490 1.1×
Exc Forearm Les Sc 3 Cm/> (25071) $31,158.88 $51,931.47 17.8×
Exc Forearm Tum Deep 3 Cm/> (25073) $6,858 $11,430 2.2×
Exc Frenum Labial/Buccal (40819) $3,486 $5,810 2.1×
Exc ganglion wrist recurrent (25112) $8,694 $14,490 5.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $5,166.37 $8,610.61 3.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $4,526.09 $7,543.48 6.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $4,566.29 $7,610.48 2.6×
Exc Hand Les Sc < 1.5 Cm (26115) $4,458 $7,430 2.6×
Exc hand tum deep < 1.5 cm (26116) $4,458 $7,430 2.6×
Exc hydrocele sprmatic cord uni spx (55500) $18,427.69 $30,712.81 4.9×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $6,858 $11,430 2.7×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $6,322.34 $10,537.24 6.0×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $18,181.79 $30,302.98 5.2×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $4,458 $7,430 1.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $5,411.23 $9,018.71 3.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,743 $7,905 2.8×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $18,116.88 $30,194.80 5.2×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $4,458 $7,430 1.3×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,486 $5,810 1.0×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $3,486 $5,810 1.0×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $26,453.53 $44,089.21 7.5×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $4,020 $6,700 1.9×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $6,858 $11,430 3.3×
Exc neuroma hand/foot xcp digital nerve (64782) $18,760.61 $31,267.69 9.1×
Exc neuroma major peripheral nrv xcp sciatic (64784) $6,858 $11,430 3.3×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $6,858 $11,430 1.1×
Exc Rct Tum Incl Muscularis Propria (45172) $19,767.78 $32,946.30 6.7×
Exc Rct Tum Not Incl Muscularis Propria (45171) $3,486 $5,810 1.2×
Exc Shoulder Tum Deep 5 Cm/> (23073) $6,858 $11,430 2.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $4,504.31 $7,507.18 6.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $5,304.59 $8,840.98 3.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,526.09 $7,543.48 1.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $5,298.27 $8,830.45 3.0×
Exc Skin Benig >4cm Face,Facial (11446) $11,166.73 $18,611.22 3.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $8,151.22 $13,585.37 4.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $8,981.54 $14,969.24 2.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,542.11 $7,570.18 2.6×
Exc tendon shth lesion leg/ankle (27630) $8,396.88 $13,994.80 2.4×
Exc thigh/knee les sc 3 cm/> (27337) $6,858 $11,430 2.2×
Exc thigh/knee tum dep 5cm/> (27339) $11,353.39 $18,922.31 3.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,486 $5,810 2.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $4,526.09 $7,543.48 10.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $4,488.29 $7,480.48 6.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $4,488.29 $7,480.48 2.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,165.04 $8,608.40 1.7×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $11,324.12 $18,873.53 3.7×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $3,486 $5,810 2.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $6,858 $11,430 3.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $9,431.42 $15,719.04 3.1×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $4,458 $7,430 1.5×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $10,249.32 $17,082.20 3.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $13,090.65 $21,817.75 4.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $10,659.40 $17,765.67 3.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $8,640.38 $14,400.63 4.9×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $14,494.28 $24,157.14 4.7×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $6,858 $11,430 2.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $4,568.55 $7,614.25 2.6×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $6,858 $11,430 2.2×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $6,858 $11,430 2.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $4,458 $7,430 2.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $11,828.54 $19,714.23 3.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $3,096 $5,160 1.8×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $6,858 $11,430 2.2×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $4,458 $7,430 1.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $9,127.37 $15,212.29 3.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $7,747.64 $12,912.73 2.5×
Exc urethral diverticulum spx female (53230) $13,826.17 $23,043.61 2.4×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $11,561.45 $19,269.08 3.1×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $8,658 $14,430 1.1×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $8,658 $14,430 1.1×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) $8,658 $14,430 1.1×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $12,857.48 $21,429.13 3.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $4,458 $7,430 2.6×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,457.20 $10,762 1.7×
Exchange Intraocular Lens (66986) $6,594 $10,990 2.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $4,857.82–$4,921.50 $8,096.37–$8,202.50 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,463.40 $7,439 2.2×
Excis Mouth Complex,Exc Thru Muscle (40816) $17,038.66 $28,397.76 4.9×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,486 $5,810 1.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $17,043.37 $28,405.61 10.4×
Excise breast duct fistula (19112) $6,858 $11,430 1.7×
Excise excessive skin arm (15836) $6,858 $11,430 2.2×
Excise intraspinal lesion (63267) $45,540.92 $75,901.54 5.9×
Excise mandible lesion (21040) $4,458 $7,430 1.3×
Excise oral mucosa for graft (40818) $3,486 $5,810 6.1×
Excise tendon forearm/wrist (25109) $8,694 $14,490 2.5×
Excise Wrist Tendon Sheath (25118) $19,125.24 $31,875.40 11.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $4,526.09 $7,543.48 6.0×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $6,858 $11,430 2.7×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $6,858 $11,430 2.7×
Excision Aural Polyp (69540) $4,458 $7,430 2.7×
Excision Bone Mandible (21025) $14,348.99 $23,914.99 2.3×
Excision Chalazion Multiple Same Lid (67801) $3,486 $5,810 3.3×
Excision Chalazion Single (67800) $3,486 $5,810 10.4×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $6,378 $10,630 1.0×
Excision Distal Ulna Partial/Complete (25240) $8,694 $14,490 2.5×
Excision Excessive Skin & Subq Tissue Buttock (15835) $6,858 $11,430 2.2×
Excision Excessive Skin & Subq Tissue Other Area (15839) $6,858 $11,430 2.2×
Excision exostosis(es), external auditory canal Facility (69140) $5,568 $9,280 0.9×
Excision External Ear Partial Simple Repair (69110) $8,509.63 $14,182.72 2.8×
Excision external ear; complete amputation Facility (69120) $23,865.13 $39,775.22 3.8×
Excision Facial Bone (21026) $12,190.58 $20,317.64 1.9×
Excision H/P/P/U Complex Repair (11471) $18,202.92 $30,338.20 5.9×
Excision H/P/P/U Simple/Intermediate Repair (11470) $18,202.92 $30,338.20 5.9×
Excision Hidradenitis Axillary Complex Repair (11451) $22,243.04 $37,071.73 7.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $8,689.10 $14,481.84 2.8×
Excision Infected Graft Extremity (35903) $18,523.42 $30,872.36 5.5×
Excision inferior turbinate partial/complete (30130) $16,968.12 $28,280.20 4.8×
Excision Lesion Conjunctiva </1 Cm (68110) $4,458 $7,430 1.8×
Excision lesion conjunctiva > 1 cm (68115) $4,458 $7,430 1.8×
Excision Lesion Cornea Xcp Pterygium (65400) $3,486 $5,810 3.3×
Excision lesion meniscus/capsule knee (27347) $18,982.95 $31,638.25 5.5×
Excision lesion mouth roof (42104) $4,458 $7,430 1.3×
Excision lesion tendon sheath forearm&/wrist (25110) $4,743 $7,905 2.8×
Excision Lesion Tongue W/O Closure (41110) $3,486 $5,810 1.0×
Excision Lingual Frenum Frenectomy (41115) $3,486 $5,810 2.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $3,486 $5,810 4.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $4,526.09 $7,543.48 6.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $4,542.11 $7,570.18 10.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $4,542.11 $7,570.18 6.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $8,599.52 $14,332.53 11.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,787 $4,645 1.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $8,245.46 $13,742.44 2.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,787 $4,645 1.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $9,074.70 $15,124.50 12.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $4,526.09 $7,543.48 6.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $3,096 $5,160 1.8×
Excision Malignant Tumor Maxilla/Zygoma (21034) $23,989.74 $39,982.90 3.8×
Excision Multiple External Papillae/Tags Anus (46230) $8,935.50 $14,892.50 3.0×
Excision nasal polyp(s) simple (30110) $3,486 $5,810 2.1×
Excision of bartholin's gland or cyst (56740) $6,858 $11,430 2.0×
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) $32,755.39 $54,592.31 5.2×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $5,568 $9,280 0.9×
Excision of chalazion; multiple, different lids (67805) $3,486 $5,810 10.4×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) $14,985.47 $24,975.78 2.1×
Excision of extraparenchymal lesion of testis (54512) $4,458 $7,430 1.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $23,757.05 $39,595.09 14.0×
Excision of hydrocele; bilateral (55041) $9,630 $16,050 2.5×
Excision of hydrocele; unilateral (55040) $10,043.94 $16,739.90 2.7×
Excision of local lesion of epididymis (54830) $6,858 $11,430 1.8×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $6,858 $11,430 3.3×
Excision of neuroma; sciatic nerve Facility (64786) $6,858 $11,430 1.9×
Excision of osseous tuberosities, dentoalveolar structures (41823) $5,568 $9,280 0.9×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $30,050.92 $50,084.87 4.8×
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) $111,188.33 $185,313.88 17.8×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $25,729.58 $42,882.64 4.1×
Excision of pilonidal cyst or sinus; simple (11770) $8,073.68 $13,456.14 2.6×
Excision of single external papilla or tag, anus (46220) $7,893.85 $13,156.41 6.2×
Excision of sublingual gland (42450) $5,568 $9,280 0.9×
Excision of sublingual salivary cyst (ranula) (42408) $6,858 $11,430 2.0×
Excision of submandibular (submaxillary) gland (42440) $15,997.02 $26,661.70 2.6×
Excision of tonsil tags (42860) $6,858 $11,430 2.0×
Excision of tracheal tumor or carcinoma; cervical Facility (31785) $71,212.22 $118,687.04 11.4×
Excision of vaginal cyst or tumor (57135) $8,910.75 $14,851.25 2.6×
Excision of vaginal septum (57130) $4,458 $7,430 1.3×
Excision olecranon bursa (24105) $10,992.17 $18,320.28 3.2×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $6,858 $11,430 2.0×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $4,458 $7,430 1.3×
Excision or fulguration; Skene's glands Facility (53270) $4,458 $7,430 1.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $12,554.54 $20,924.23 4.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $10,085.26 $16,808.77 3.3×
Excision prepatellar bursa (27340) $6,858 $11,430 2.0×
Excision Radial Head (24130) $37,389.83 $62,316.38 10.8×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
range across 3 matching MRF lines		 $21,702.27–$25,106.22 $36,170.45–$41,843.70 varies
Excision soft tissue lesion, external auditory canal (69145) $21,476.35 $35,793.91 7.0×
Excision spermatocele w/wo epididymectomy (54840) $10,908.09 $18,180.15 4.9×
Excision synovial cyst popliteal space (27345) $8,694 $14,490 2.5×
Excision tendon finger flexor/extensor each (26180) $4,743 $7,905 2.8×
Excision tendon palm flexor/extensor single each (26170) $4,743 $7,905 2.8×
Excision Thyroglossal Duct Cyst/Sinus (60280) $16,646.90 $27,744.83 2.6×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $10,440 $17,400 1.6×
Excision Torus Mandibularis (21031) $3,486 $5,810 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $7,154.45 $11,924.08 4.1×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $5,235.97 $8,726.62 1.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $7,901.48 $13,169.14 4.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $11,771.54 $19,619.24 6.7×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $4,458 $7,430 2.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) $6,858 $11,430 2.2×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $54,792.56 $91,320.93 17.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $4,458 $7,430 1.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $6,858 $11,430 2.2×
Excision, interdigital (morton) neuroma, single, each (28080) $7,659.81 $12,766.35 4.5×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $15,696 $26,160 7.2×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $17,111.38 $28,518.97 5.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $6,858 $11,430 2.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $5,362.27 $8,937.12 3.1×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $6,858 $11,430 2.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $6,858 $11,430 2.2×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $8,160 $13,600 2.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $4,458 $7,430 2.6×
Excision/curettage cyst/tumor carpal bones (25130) $6,592.64 $10,987.73 1.9×
Excision/curettage cyst/tumor phalanx finger (26210) $4,458 $7,430 2.6×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $6,858 $11,430 2.0×
Excision/destruction intranasal lesion int appr (30117) $6,858 $11,430 2.0×
Excision/destruction lesion pharynx any method (42808) $25,099.29 $41,832.15 7.2×
Excision/surgical planing skin nose rhinophyma (30120) $3,486 $5,810 1.0×
Excision/Transposition Pterygium W/Grafg (65426) $9,630 $16,050 3.8×
Excision/Transposition Pterygium W/O Graft (65420) $4,458 $7,430 1.8×
Excision; trochanteric bursa or calcification (27062) $34,254.72 $57,091.20 9.9×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $9,630 $16,050 1.6×
Expl po hemrrg thrombosis/infctj xtr (35860) $8,694 $14,490 2.6×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $3,957.60–$4,458 $6,596–$7,430 varies
Exploration of knee joint (27310) $8,694 $14,490 2.5×
Exploration penetrating wound spx extremity (20103) $5,187.47 $8,645.78 3.0×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $8,694 $14,490 1.3×
Exploratory elbow surgery (24000) $8,694 $14,490 2.5×
Explore eye socket,drainage (67405) $8,694 $14,490 3.5×
Explore for undescended testis (54550) $8,694 $14,490 2.3×
Explore inner ear (69806) $10,338 $17,230 1.7×
Explore/Treat Elbow Joint (24101) $8,694 $14,490 2.5×
Explore/Treat Knee Joint (27331) $8,694 $14,490 2.5×
Extensive ear canal surgery (69150) $21,640.04 $36,066.74 3.5×
External cephalic version (59412) $1,398.25 $2,330.41 0.4×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $6,858 $11,430 3.1×
Fasciectomy Palm Only (26121) $8,694 $14,490 2.5×
Fasciectomy Plantar Fascia Partial Spx (28060) $8,475.80 $14,126.33 2.4×
Fasciotomy Iliotibial Open (27305) $20,943.74 $34,906.24 6.0×
Fasciotomy palmar open partial (26045) $6,858 $11,430 2.0×
Fasciotomy palmar percutaneous (26040) $8,694 $14,490 5.1×
Fasciotomy Plantar Fascia Radical Spx (28062) $6,858 $11,430 2.0×
Fasciotomy, foot and/or toe (28008) $10,668.61 $17,781.02 3.1×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $4,860 $8,100 1.4×
Fetal Contraction Stress Test (59020) $417.60 $696 2.0×
Fetal non-stress test (59025) $669 $1,115 3.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,712.60 $4,521 3.6×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $2,888.40 $4,814 3.9×
Fine needle aspiration without imaging guidance (10021) $9,331.45 $15,552.42 21.7×
Finger tendon transfer (26497) $4,842 $8,070 1.4×
Fluoro exam of g/colon tube (49465) $1,553.40 $2,589 6.2×
Fna Bx W/Fluor Gdn 1St Les (10007) $18,847.09 $31,411.82 25.2×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $2,166.21–$2,844.97 $3,610.35–$4,741.61 varies
Follicle Puncture Oocyte Retrieval Any Method (58970) $3,486 $5,810 3.6×
Forehead flap w/vasc pedicle (15731) $10,336.18 $17,226.96 2.8×
Foreskin manipulation (54450) $3,486 $5,810 13.2×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $6,858 $11,430 1.8×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $19,906.12 $33,176.86 5.7×
Frenulotomy of penis (54164) $4,458 $7,430 2.0×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $20,659.47 $34,432.45 9.5×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $14,143.93 $23,573.21 6.5×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $8,694 $14,490 3.6×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $8,694 $14,490 3.6×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $8,509.63 $14,182.72 3.9×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $10,897.55 $18,162.59 5.0×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $6,858 $11,430 3.1×
Fuse hand bones with graft (25825) $9,630 $16,050 1.3×
Fusion Finger Joint (26860) $21,048.16 $35,080.27 6.1×
Fusion of foot bones (28740) $20,048.43 $33,414.05 2.6×
Fusion of hand bones (25820) $8,694 $14,490 1.1×
Fusion of knuckle (26850) $8,694 $14,490 1.1×
Fusion of knuckle joint (26516) $4,860 $8,100 1.4×
Fusion of tibiofibular joint (27871) $53,507.46 $89,179.10 3.9×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $4,842 $8,070 1.3×
Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) $4,842 $8,070 1.3×
Gastrocnemius recession (27687) $10,788.62 $17,981.04 3.1×
Genioplasty Sliding Osteotomy Single Piece (21121) $10,338 $17,230 2.9×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $10,338 $17,230 1.7×
Goniotomy (65820) $5,568 $9,280 1.3×
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) $6,858 $11,430 2.3×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $10,338 $17,230 1.7×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $21,789.43 $36,315.71 3.5×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $10,338 $17,230 1.7×
Grafting of autologous fat by lipo 25 cc or less (15773) $4,458 $7,430 2.0×
Grafting of autologous fat by lipo 50 cc or less (15771) $21,374.06 $35,623.43 5.7×
Grafting of autologous soft tiss by direct exc (15769) $18,306.96 $30,511.60 4.9×
Guide Cathet Fluid Drainage (10030) $1,692.60 $2,821 2.3×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $19,077.50 $31,795.83 2.5×
Hand tendon reconstruction (26500) $8,694 $14,490 1.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $11,574.74 $19,291.23 3.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $6,858 $11,430 2.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $7,847.29 $13,078.82 2.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $10,819.22 $18,032.04 3.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $8,694 $14,490 3.0×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $8,392.40 $13,987.34 2.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $4,049.23 $6,748.72 4.1×
Hip arthro acetabuloplasty (29915) $8,694 $14,490 1.1×
Hip arthro w/labral repair (29916) $8,694 $14,490 1.1×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $4,743 $7,905 1.6×
Hymenotomy Simple Incision (56442) $3,486 $5,810 1.0×
Hysteroscopy Biopsy (58558)
range across 3 matching MRF lines		 $13,730.92–$14,651.61 $22,884.87–$24,419.35 varies
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $6,858 $11,430 1.3×
Hysteroscopy Dx Sep Proc (58555) $15,701.59 $26,169.32 4.6×
Hysteroscopy Endometrial Ablation (58563) $15,741.44 $26,235.73 3.0×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $5,568 $9,280 1.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $12,005.49 $20,009.15 3.5×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $16,273.78 $27,122.97 3.1×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $3,486 $5,810 1.0×
I&d abscess peritonsillar (42700) $3,486 $5,810 13.9×
I&d abscess simple (10060) $846.60 $1,411 4.0×
I&D Below Fascia Foot 1 Bursal Space (28002) $6,858 $11,430 4.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $6,858 $11,430 2.2×
I&D Deep Absc/Hematoma Neck/Chest (21501) $10,845.05 $18,075.09 3.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,714 $6,190 1.1×
I&D Intramural Im/Absc Transanal Anes (46045) $8,154.68 $13,591.13 2.8×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $8,099.94 $13,499.90 2.8×
I&D Mouth/Tong Intra,Masticator (41009) $16,334.75 $27,224.58 28.6×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,714 $6,190 1.1×
I&d perianal abscess superficial (46050) $10,890.50 $18,150.83 11.1×
I&d pilonidal cyst complicated (10081) $3,486 $5,810 4.7×
I&d pilonidal cyst simple (10080) $11,459.51 $19,099.18 15.3×
I&d shoulder deep abscess/hematoma (23030) $3,714 $6,190 1.2×
Icd Pocket Revision (33223) $3,975 $6,625 1.8×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $4,440.35 $7,400.58 4.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $4,244.63 $7,074.38 4.4×
Image Cath Fluid Colxn Visc (49405) $3,477.60 $5,796 2.0×
Image Cath Fluid Peri/Retro (49406) $4,185 $6,975 2.4×
Image Cath Fluid Trns/Vgnl (49407)
range across 2 matching MRF lines		 $1,930.80–$4,743 $3,218–$7,905 varies
Immediate breast prosthesis (19340) $51,887.23 $86,478.72 6.0×
Implant cochlear device (69930) $49,620.76 $82,701.27 1.4×
Implant neuroelectrodes (63650) $56,211.80 $93,686.34 8.3×
Implant Neuroelectrodes (64561) $15,787.76 $26,312.93 2.3×
Implant Periph/Gastric Neurostim/Receiver (64590) $27,362.72 $45,604.54 1.3×
Implant Spine Infusion Pump (62362)
range across 2 matching MRF lines		 $30,688.57–$38,634.86 $51,147.62–$64,391.44 varies
Implant temple bone w/stimul (69714) $27,001.97 $45,003.29 2.0×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) $46,101.52 $76,835.86 2.4×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $31,399.16 $52,331.94 2.3×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $29,183.03 $48,638.39 3.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $359.40–$3,486 $599–$5,810 varies
Incise finger tendon sheath (26055) $6,259.38 $10,432.30 3.7×
Incise flexor carpi radialis (25001) $3,714 $6,190 1.1×
Incise tendon(s) & muscle(s) (23406) $4,458 $7,430 0.6×
Incise Wrist/Forearm Tendon (25290) $45,345.16 $75,575.26 13.1×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $460.20–$3,096 $767–$5,160 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $4,458 $7,430 1.5×
Incision & removal foreign body subq tiss compl (10121) $4,458 $7,430 2.6×
Incision & removal foreign body subq tiss simple (10120) $6,341.52 $10,569.20 14.7×
Incision and drainage of bartholin's gland abscess (56420) $17,814.98 $29,691.64 83.3×
Incision and drainage of vulva or perineal abscess (56405) $534.60 $891 1.7×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $36,145.01 $60,241.69 4.7×
Incision bone cortex foot (28005) $8,934.45 $14,890.75 2.6×
Incision extensor tendon sheath wrist (25000) $6,283.19 $10,471.98 3.7×
Incision of eardrum (69421) $6,858 $11,430 2.0×
Incision of eardrum (69420) $6,858 $11,430 27.4×
Incision of fibula (27707) $4,842 $8,070 1.4×
Incision of Foot Tendon (28234) $10,667.92 $17,779.86 6.3×
Incision of labial frenum (frenotomy) (40806) $3,486 $5,810 6.1×
Incision of lingual frenum (frenotomy) (41010) $406.80 $678 0.2×
Incision of rectal abscess (46040) $6,857.23 $11,428.71 5.4×
Incision of urethra (53020) $5,018.11 $8,363.52 2.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $4,458 $7,430 2.6×
Incisional biopsy eyelid skin & lid margin (67810) $3,486 $5,810 10.4×
Incisional biopsy skin single lesion (11106) $4,526.09 $7,543.48 5.8×
Induced abortion, by dilation and evacuation (59841) $10,975.99 $18,293.31 3.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,477.70 $4,129.50 2.6×
Inj W/Fluor Eval Cv Device (36598) $797.40 $1,329 3.5×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $50,961.28 $84,935.46 54.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,497.42 $4,162.37 2.7×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,424.32 $2,373.86 4.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $18,374.47 $30,624.11 19.6×
Injection aa&/strd genicular nrv branches w/img (64454) $2,517.30 $4,195.50 3.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $4,636.55 $7,727.58 5.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $7,743.61 $12,906.01 10.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $17,759.86 $29,599.77 23.8×
Injection Anes Superior Hypogastric Plexus (64517) $10,934.83 $18,224.71 11.7×
Injection anesthetic agent suprascapular nerve (64418) $3,486 $5,810 4.7×
Injection for identification of sentinel node (38792) $1,492.80 $2,488 3.5×
Injection Into Brain Canal (61055) $1,710.60 $2,851 5.3×
Injection into disk lesion (62292) $1,712.40 $2,854 0.8×
Injection of sclerosing solution, hemorrhoids (46500) $3,096 $5,160 3.1×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $531.60–$3,486 $886–$5,810 varies
Injection single/mlt trigger point 1/2 muscles (20552) $1,552.12 $2,586.86 4.8×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $667.20–$3,486 $1,112–$5,810 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,392.60 $2,321 0.8×
Injection therapeutic carpal tunnel (20526) $3,486 $5,810 10.7×
Injection Turbinate Therapeutic (30200) $3,096 $5,160 5.4×
Injection, anesthetic agent; brachial plexus, single (64415) $22,300.93 $37,168.22 23.8×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $35,651.69–$40,818.01 $59,419.48–$68,030.02 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $21,228.83–$39,518.33 $35,381.39–$65,863.88 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $174.60–$3,486 $291–$5,810 varies
Ins cath ren art 1st bilat (36252) $24,169.69 $40,282.81 7.2×
Ins cath ren art 1st unilat (36251) $14,173.80 $23,623 4.2×
Ins cath ren art 2nd+ bilat (36254) $19,345.80 $32,243 5.8×
Ins cath ren art 2nd+ unilat (36253) $14,030.40 $23,384 2.4×
Ins endovas vena cava filtr (37191) $16,585.20 $27,642 2.8×
Ins Vag Brachytx Device (57156) $373.80 $623 1.2×
Ins/Rep Subq Defibrillator (33270) $34,176.60 $56,961 1.0×
Insert 1 Electrode Pm-Defib (33216) $11,960.40 $19,934 1.4×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $6,858 $11,430 1.6×
Insert Bladder Cath Complex (51703) $51,647.93 $86,079.88 379.4×
Insert cath pleura w/ image (32557) $9,582.67 $15,971.11 5.8×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $4,033.80 $6,723 3.2×
Insert cervical dilator (59200) $345.60 $576 1.1×
Insert Drug Implant Device (11981) $3,486 $5,810 24.8×
Insert eye socket implant (67550) $8,694 $14,490 2.1×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $5,994.58–$6,563.59 $9,990.96–$10,939.31 varies
Insert Heart Pm Atrial (33206) $12,397.80 $20,663 1.1×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $26,992.64–$37,982.10 $44,987.74–$63,303.50 varies
Insert hepatic shunt (tips) (37182) $32,205.60 $53,676 1.7×
Insert multi-comp penis pros (54405) $37,143 $61,905 1.7×
Insert Nasal Septal Button (30220) $6,858 $11,430 4.2×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $17,259.51–$44,103.59 $28,765.85–$73,505.98 varies
Insert Pacing Lead & Connect (33224) $13,807.80 $23,013 1.2×
Insert pulse gen dual leads (33213) $12,876.60 $21,461 1.2×
Insert pulse gen mult leads (33221) $12,876.60 $21,461 0.6×
Insert Pulse Gen Sngl Lead (33212) $13,939.20 $23,232 1.6×
Insert self-contd prosthesis (54401) $37,143 $61,905 1.7×
Insert spine infusion device (62360) $35,937.14 $59,895.24 1.9×
Insert Temp Bladder Cath (51702) $7,273.08 $12,121.80 51.7×
Insert testicular prosthesis (54660) $5,568 $9,280 1.0×
Insert tissue expander(s) (11960) $3,714 $6,190 1.0×
Insert tun ip cath perc (49418) $13,003.86 $21,673.10 3.4×
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $6,311.45–$9,060.94 $10,519.09–$15,101.56 varies
Insert tunneled cv cath (36563) $6,470.40 $10,784 1.1×
Insert Uro/Ves Nck Sphincter (53445) $14,838 $24,730 0.7×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $11,926.43–$47,781.26 $19,877.39–$79,635.43 varies
Insertion indwelling tunneled pleural catheter (32550) $830.29 $1,383.81 0.2×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) $8,004 $13,340 1.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,824.40 $6,374 2.3×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $16,724.41–$16,749.61 $27,874.02–$27,916.02 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,842 $8,070 1.3×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $23,622.47 $39,370.79 4.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $11,400.60 $19,001 1.3×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $6,594 $10,990 2.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,637 $4,395 0.8×
Insj Picc Rs&I <5 Yr (36572) $4,451.40 $7,419 6.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $6,253.19 $10,421.99 1.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,864.40 $4,774 1.7×
Insj Subq Impltbl Dfb Elctrd (33271) $12,447.60 $20,746 1.4×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $6,470.40 $10,784 1.9×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $6,470.40 $10,784 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $7,672.09–$7,833.92 $12,786.82–$13,056.53 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $19,875.82 $33,126.37 2.3×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) $50,103.31 $83,505.52 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $33,949.80 $56,583 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $50,048.42 $83,414.03 1.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $7,955.40 $13,259 0.9×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $33,233.45–$34,070.31 $55,389.08–$56,783.85 varies
Insrt Pulse Gen W/Dual Leads (33230) $15,558 $25,930 0.7×
Insrt Pulse Gen W/Mult Leads (33231) $27,378.60 $45,631 0.8×
Insrt Pulse Gen W/Singl Lead (33240) $26,235.60 $43,726 1.1×
Insrt/Redo Neurostim 1 Array (61885) $49,861.31 $83,102.19 1.5×
Instlj ther agent renal pelvis&/ureter via tub (50391) $379.20 $632 1.4×
Int hrhc by ligation single hroid w/o img gdn (46945) $4,458 $7,430 1.5×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $2,289.60 $3,816 1.6×
Intranasal Biopsy (30100) $3,486 $5,810 2.1×
Intraoral i&d tongue/floor submndblr space (41008) $3,486 $5,810 1.0×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $4,141.78–$4,912.72 $6,902.97–$8,187.86 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $34,413.60 $57,356 2.8×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $17,545.80 $29,243 2.9×
Intro Gastrointestinal Tube (44500) $1,020.60 $1,701 1.1×
Intubation endotracheal emergency procedure (31500) $22,203.27 $37,005.45 88.6×
Iridotomy/irridectomy laser surg per session (66761) $2,363.20 $3,938.66 4.1×
Irrigation maxillary sinus (31000) $3,486 $5,810 13.9×
Island pedicle flap graft (15740) $4,458 $7,430 2.0×
IV injection test vascular flow flap/graft (15860) $47,910.41 $79,850.69 101.4×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $23,451.34 $39,085.57 5.4×
Kidney endoscopy (50553) $31,479.53 $52,465.88 5.5×
Knee arthroscopy/drainage (29871) $6,858 $11,430 2.0×
Knee Arthroscopy/Surgery (29874) $6,858 $11,430 2.0×
Knee Arthroscopy/Surgery (29850) $8,694 $14,490 5.1×
Labyrinthectomy; with mastoidectomy Facility (69910) $10,392 $17,320 1.7×
Labyrinthotomy Transcanal (69801) $9,630 $16,050 5.9×
Lam facetec & foramot lumbar (63047) $33,529.51 $55,882.51 4.4×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $48,313.84 $80,523.06 6.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $41,427.66 $69,046.10 5.4×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $37,479.10 $62,465.16 4.9×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) $14,880 $24,800 1.9×
Laminotomy Single Lumbar (63042) $27,138.13 $45,230.22 3.5×
Lap insert tunnel ip cath (49324) $13,275.28 $22,125.46 2.1×
Lap paraesoph her rpr w/mesh (43282) $42,228.85 $70,381.41 3.8×
Lap paraesophag hern repair (43281) $32,407.86 $54,013.10 2.9×
Lap revision perm ip cath (49325) $44,397.74 $73,996.24 6.9×
Laparo ablate renal cyst (50541) $33,928.33 $56,547.21 3.0×
Laparo ligate spermatic vein (55550) $8,004 $13,340 1.3×
Laparo new ureter/bladder (50947) $49,810.71 $83,017.85 4.4×
Laparo-vag hyst incl t/o (58552) $27,064.99 $45,108.31 2.4×
Laparoscope proc ureter (50949) $80,360.37 $133,933.95 12.6×
Laparoscopic myomectomy (58545) $24,445.60 $40,742.66 3.8×
Laparoscopy aspiration (49322) $37,216 $62,026.67 5.8×
Laparoscopy Enterolysis Separate Procedure (44180) $16,362.35 $27,270.59 2.6×
Laparoscopy fimbrioplasty (58672) $9,630 $16,050 1.5×
Laparoscopy fulguration oviducts (58670) $8,004 $13,340 1.3×
Laparoscopy gastrostomy (43653) $14,944.32 $24,907.20 2.3×
Laparoscopy salpingostomy (58673) $9,630 $16,050 0.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 3 matching MRF lines		 $29,008.67–$32,523.16 $48,347.79–$54,205.27 varies
Laparoscopy surgical orchiectomy (54690) $11,100 $18,500 1.7×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $37,080.80 $61,801.34 3.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 3 matching MRF lines		 $32,220.88–$32,888.19 $53,701.47–$54,813.65 varies
Laparoscopy W/Lysis Of Adhesions (58660) $16,961.38 $28,268.96 2.7×
Laparoscopy w/rmvl adnexal structures (58661) $16,643.17 $27,738.62 2.6×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) $10,512 $17,520 0.9×
Laparoscopy, surgical, appendectomy (44970) $17,331.27 $28,885.45 2.7×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $44,208.02 $73,680.04 3.9×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) $61,233.60 $102,056 5.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $27,759.05 $46,265.09 2.5×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $32,917.64 $54,862.74 2.9×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $20,376.10 $33,960.17 5.0×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $42,676.65 $71,127.75 3.8×
Laparoscopy, surgical, splenectomy (38120) $70,884.84 $118,141.40 6.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $37,216 $62,026.67 3.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $36,381.25 $60,635.41 5.7×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $10,512 $17,520 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $20,233.01 $33,721.68 3.2×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $23,117.66 $38,529.44 3.6×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) $8,004 $13,340 1.3×
Laparoscopy, surgical; partial nephrectomy (50543) $46,145.72 $76,909.53 4.1×
Laparoscopy, surgical; pyeloplasty (50544) $38,888.95 $64,814.91 3.5×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $24,985.47 $41,642.45 3.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $51,071.89 $85,119.81 4.5×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $52,442.54 $87,404.24 4.7×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $18,338.05 $30,563.41 2.9×
Laparoscopy, Tubal Block (58671) $8,004 $13,340 1.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $14,536.09 $24,226.82 2.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 3 matching MRF lines		 $20,803.22–$41,956.39 $34,672.04–$69,927.31 varies
Laps Gastric Restrictive Px Remove Device & Port (43774) $14,843.32 $24,738.86 3.6×
Laps pelvic lymphadec (38573) $50,888.15 $84,813.59 4.5×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $57,465.86 $95,776.43 5.1×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $32,952.05 $54,920.09 5.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $19,440.04 $32,400.06 3.0×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $10,512 $17,520 0.9×
Largsc Arytenoidectomy Microscope/Telescope (31561) $18,629.74 $31,049.57 2.5×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $10,444.01 $17,406.69 2.6×
Laryngoplasty Medialization Unliateral (31591) $8,694 $14,490 1.4×
Laryngoscop w/arytenoidectom (31560) $9,630 $16,050 1.3×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $12,228.87 $20,381.45 3.1×
Laryngoscopy and dilation (31528) $15,074.59 $25,124.32 3.8×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $4,458 $7,430 1.1×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $23,590.97 $39,318.28 6.0×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $1,020–$1,193.29 $1,700–$1,988.82 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $9,812.75 $16,354.59 5.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $4,458 $7,430 10.8×
Laryngoscopy W/Biopsy (31535) $9,305.14 $15,508.56 2.4×
Laryngoscopy w/biopsy microscope/telescope (31536) $8,356.61 $13,927.69 2.1×
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $9,630 $16,050 2.7×
Larynscop w/tumr exc + scope (31541) $13,869.11 $23,115.18 3.5×
Laser Surgery Anal Lesions (46917) $8,209.42 $13,682.37 2.8×
Laser Surgery of Cervix (57513) $4,458 $7,430 1.3×
Laser Surgery,Sever Vitreous Strands (67031) $2,276.96 $3,794.94 3.9×
Laser treatment of retina (67040) $9,832.43 $16,387.39 2.2×
Laser vaporization of prostate (52648) $17,131.07 $28,551.78 3.0×
Late closure of wound (13160) $5,053.20 $8,422 1.3×
Lateral retinacular release open (27425) $10,338 $17,230 3.0×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $3,714 $6,190 1.1×
Lig&div long saph vein saphfem junct/interrupj (37700) $10,675.44 $17,792.40 3.2×
Ligamentous Reconstruction Knee Extra-Articular (27427) $32,146.92 $53,578.20 4.2×
Ligamentous reconstruction knee intra-articular (27428) $10,512 $17,520 0.8×
Ligation Major Artery Abdomen (37617) $4,890 $8,150 0.8×
Ligation of a-v fistula (37607) $8,693.44 $14,489.06 2.6×
Ligation of hemorrhoids (46946) $18,638.32 $31,063.87 6.3×
Ligation Of Inf Vena Cava (37619) $8,859 $14,765 1.5×
Ligation or biopsy temporal artery (37609) $6,952.21 $11,587.02 4.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)
range across 2 matching MRF lines		 $4,102.80–$6,858 $6,838–$11,430 varies
Litholapaxy comp/lg > 2.5 cm (52318) $22,689.38 $37,815.63 6.1×
Litholapaxy smpl/sm <2.5 cm (52317) $16,248.17 $27,080.29 4.4×
Lithotripsy, extracorporeal shock wave (50590) $7,293.62 $12,156.04 2.0×
Low Back Disk Surgery (63030) $26,734.24 $44,557.07 3.5×
Lumbar spine fusion combined (22633)
range across 2 matching MRF lines		 $72,448.72–$82,437.94 $120,747.87–$137,396.56 varies
Lyse chest fibrin init day (32561) $1,010.40 $1,684 1.5×
Lyse Chest Fibrin Subq Day (32562) $1,012.20 $1,687 1.5×
Lysis Intranasal Synechia (30560) $4,458 $7,430 7.8×
Lysis of labial adhesions (56441) $3,486 $5,810 1.0×
Lysis/excision penile postcircumcision adhesions (54162) $4,458 $7,430 2.0×
Manipulation Ankle Under General Anesthesia (27860) $3,714 $6,190 1.1×
Manipulation Elbow Under Anesthesia (24300) $3,486 $5,810 2.0×
Manipulation knee joint under general anesthesia (27570) $2,758.92 $4,598.20 1.6×
Manipulation tmj therapeutic require anesthesia (21073) $3,486 $5,810 2.1×
Manipulation, finger joint, under anesthesia, each joint (26340) $3,486 $5,810 2.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $3,486 $5,810 2.0×
Manometric stds thru tube/ndwellg urtrl cath (50396) $1,052.40 $1,754 1.4×
Marsupialization of bartholin's gland cyst (56440) $8,004.23 $13,340.39 2.3×
Mast mod rad (19307) $29,256.17 $48,760.28 4.2×
Mastectomy for gynecomastia (19300) $8,694 $14,490 2.1×
Mastectomy partial (19301) $13,185.58 $21,975.96 3.2×
Mastectomy partial w/axillary lymphadenectomy (19302) $22,367.26 $37,278.76 3.2×
Mastectomy simple complete (19303) $38,111.73 $63,519.55 5.4×
Mastoidectomy; complete (69502) $18,514.53 $30,857.55 3.0×
Mastopexy (19316) $20,465.96 $34,109.94 2.9×
Maternity Care Procedure (59899) $21,663.86 $36,106.43 101.3×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,392.20 $3,987 1.4×
Mech remov tunneled cv cath (36595) $5,498.40 $9,164 1.6×
Metatarsectomy (28140) $6,858 $11,430 2.0×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $6,858 $11,430 1.8×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $132,920.40 $221,534 11.3×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $6,858 $11,430 3.1×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $19,171.78 $31,952.96 5.1×
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) $10,338 $17,230 1.3×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $30,074.85 $50,124.75 3.9×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $10,544.30 $17,573.84 2.8×
Muscle-skin graft trunk (15734) $22,405.14 $37,341.90 6.0×
Myelography Lumbar Injection (62305) $3,595.20 $5,992 4.3×
Myelography Lumbar Injection (62304) $3,558.60 $5,931 4.3×
Myelography via lumbar injection rs&i cervical (62302) $3,754.80 $6,258 4.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $3,963 $6,605 4.8×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $9,630 $16,050 2.8×
Myringoplasty (69620) $17,179.66 $28,632.76 4.9×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $2,317.20–$3,486 $3,862–$5,810 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $884.40–$3,486 $1,474–$5,810 varies
N block inj intercost sng (64420) $4,636.55 $7,727.58 6.2×
N Block Inj Plantar Digit (64455) $3,486 $5,810 10.7×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $1,110–$3,486 $1,850–$5,810 varies
N Block Lumbar/Thoracic (64520) $3,008.94 $5,014.90 3.2×
Nasal Endoscopy Dx (31231) $4,458 $7,430 21.1×
Nasal surgery procedure (30999) $3,486 $5,810 13.9×
Nasal/Orogastric W/Tube Plmt (43752) $378.60 $631 0.8×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $4,458 $7,430 10.8×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $16,333.99 $27,223.32 4.1×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $6,804 $11,340 0.9×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $6,858 $11,430 1.1×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $6,858 $11,430 1.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $4,458 $7,430 2.4×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,787 $4,645 1.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $12,507.51 $20,845.85 6.6×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $8,694 $14,490 2.2×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $4,020 $6,700 0.5×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $6,804 $11,340 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $4,020 $6,700 0.5×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $6,804 $11,340 0.9×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $26,753.31 $44,588.85 3.6×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $35,361.23 $58,935.38 4.7×
Nasal/sinus ndsc total with sphenoidotomy (31257) $38,155.22 $63,592.04 5.1×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $7,331.39 $12,218.99 3.9×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $6,900 $11,500 0.9×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $35,361.23 $58,935.38 4.7×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $36,187.37 $60,312.29 4.8×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $376.80 $628 1.4×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $4,107.87 $6,846.45 4.2×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $4,589.59 $7,649.31 4.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $13,684.10 $22,806.83 8.0×
Neck spine disk surgery (63020) $37,946.45 $63,244.09 4.9×
Neck spine fusion (22600) $53,947.33 $89,912.22 2.9×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $2,865–$3,486 $4,775–$5,810 varies
Needle Biopsy Pancreas (48102) $2,113.20 $3,522 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $26.40 $44 0.9×
Needle insertion w/o injection 3 or more muscles (20561) $40.80 $68 1.3×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) $6,858 $11,430 0.7×
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) $6,057 $10,095 0.7×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) $6,378 $10,630 0.7×
Nerve repair w/conduit each nerve (64910) $6,378 $10,630 0.7×
Nerve Repair W/Nerve Allograft First Strand (64912) $137,303.23 $228,838.72 14.8×
Neurectomy, Intrinsic Musculature Of Foot (28055) $6,904.84 $11,508.07 3.3×
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $6,858 $11,430 3.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $7,232.12 $12,053.53 3.5×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $10,270.26 $17,117.10 5.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $462.60 $771 1.1×
Nipple Exploration (19110) $11,049.92 $18,416.53 2.7×
Nipple/areola reconstruction (19350) $36,895.85 $61,493.09 8.9×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $1,359.60–$3,486 $2,266–$5,810 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $436.20 $727 1.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,755.80 $4,593 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,990.60 $6,651 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,380.09 $3,966.82 2.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,525.38 $4,208.97 3.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $3,486 $5,810 4.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $2,459.57–$3,398.39 $4,099.28–$5,663.99 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $3,030.60 $5,051 4.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $26,495.32 $44,158.87 35.9×
Njx Sclrsnt 1 Incmptnt Vein (36470) $255.60 $426 0.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $282 $470 0.7×
Njx Sclrsnt Spider Veins (36468) $255.60 $426 0.6×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $18,799.78 $31,332.96 2.5×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $6,804 $11,340 0.9×
Obstructive material removal from gi tube (49460) $2,221.20 $3,702 2.3×
Occipital Nerve Block (64405) $1,862.09 $3,103.49 5.7×
Open biopsy/excision inguinofemoral nodes (38531) $11,471.83 $19,119.71 2.8×
Open bowel to skin (44300) $47,673.47 $79,455.79 23.5×
Open Implantation Nea Sacral Nerve (64581) $47,483.79 $79,139.65 7.0×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $94,421.16 $157,368.60 2.0×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $69,770.85 $116,284.75 2.1×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $8,694 $14,490 1.1×
Open Repair of Rotator Cuff Acute (23410) $22,538.02 $37,563.36 2.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $19,114.66 $31,857.76 2.5×
Open treatment calcaneal fracture (28415) $22,220.08 $37,033.46 2.9×
Open Treatment Fracture Distal Tibia & Fibula (27828) $10,512 $17,520 0.8×
Open treatment fracture distal tibia only (27827) $15,238.83 $25,398.05 1.1×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $9,630 $16,050 1.3×
Open Treatment Humeral Condylar Fracture (24579) $10,512 $17,520 0.8×
Open treatment interphalangeal joint dislocation (28675) $6,858 $11,430 2.0×
Open Treatment Medial Malleolus Fracture (27766) $15,292.84 $25,488.06 2.0×
Open treatment metacarpophalangeal dislocation (26715) $8,694 $14,490 2.5×
Open treatment metatarsal fracture each (28485) $13,490.25 $22,483.75 1.8×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $28,520.33 $47,533.89 3.7×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $8,694 $14,490 1.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $27,703.33 $46,172.21 3.6×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $9,630 $16,050 1.5×
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) $9,630 $16,050 1.5×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $6,858 $11,430 1.1×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $9,630 $16,050 1.5×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $8,658 $14,430 1.1×
Open treatment of mandibular condylar fracture Facility (21465) $8,694 $14,490 1.4×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $10,338 $17,230 2.9×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $8,694 $14,490 2.5×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $10,338 $17,230 1.7×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $8,658 $14,430 1.1×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $8,658 $14,430 1.1×
Open treatment of sternum fracture with or without skeletal fixation Facility (21825) $32,002.60 $53,337.67 4.2×
Open Treatment of Ulnar Shaft Fracture (25545) $8,658 $14,430 1.1×
Open treatment of ulnar styloid fracture (25652) $20,690.89 $34,484.82 2.7×
Open treatment posterior malleolus fracture (27769) $8,658 $14,430 1.1×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $8,658 $14,430 1.1×
Open Treatment Proximal Humeral Fracture (23615) $41,539.78 $69,232.96 3.1×
Open Treatment Radial Shaft Fracture (25515) $18,892.11 $31,486.85 2.5×
Open tx acute shoulder dislocation (23660) $10,254.76 $17,091.26 1.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $9,630 $16,050 2.8×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $8,004 $13,340 2.3×
Open tx carpal scaphoid navicular fracture (25628) $28,319.74 $47,199.56 3.7×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $6,858 $11,430 2.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $17,590.48 $29,317.47 2.3×
Open Tx Distal Phalangeal Fracture Each (26765) $8,694 $14,490 2.5×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $8,658 $14,430 1.1×
Open Tx Distal Tibiofibular Joint Disruption (27829) $22,997.46 $38,329.10 3.0×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $60,040.88 $100,068.13 4.4×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $6,858 $11,430 2.0×
Open Tx Humeral Epicondylar Fracture (24575) $10,512 $17,520 0.8×
Open tx humeral supracondylar fracture w/o xtn (24545) $10,512 $17,520 0.8×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $25,779.08 $42,965.14 3.4×
Open tx interphalangeal joint dislocation (26785) $4,458 $7,430 1.3×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $33,719.86 $56,199.77 5.4×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $8,694 $14,490 1.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $13,497.55 $22,495.92 3.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $11,081.32 $18,468.87 3.2×
Open Tx Radial Head/Neck Fracture (24665) $28,703.08 $47,838.46 3.7×
Open Tx Radial Head/Neck Fracture Prosth (24666) $10,512 $17,520 0.8×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) $6,858 $11,430 0.9×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $8,658 $14,430 1.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $6,858 $11,430 0.9×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $24,010.58 $40,017.63 3.1×
Open tx ulnar fx proximal end (24685) $15,676.24 $26,127.07 2.0×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $41,926.69–$42,628.36 $69,877.81–$71,047.27 varies
Open/Perq Place Stent Same (37238) $32,325 $53,875 2.6×
Opn tx orbit fx combined (21387) $9,630 $16,050 1.5×
Optic Nerve Decompression (67570) $13,050 $21,750 3.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $20,361.02 $33,935.04 2.7×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $19,498.33 $32,497.22 2.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $46,008.37 $76,680.62 6.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $29,463.83 $49,106.38 2.2×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $39,290.78 $65,484.63 5.1×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $10,512 $17,520 0.8×
Orbital implant removal/revision (67560) $4,842 $8,070 1.2×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $9,630 $16,050 2.3×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $6,858 $11,430 1.6×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $68,997.76 $114,996.26 27.4×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $9,630 $16,050 3.8×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $9,630 $16,050 2.3×
Orchiectomy partial (54522) $6,858 $11,430 1.8×
Orchiectomy radical tumor inguinal approach (54530) $11,590.82 $19,318.04 3.1×
Orchiopexy Ingun/Scrot Appr (54640) $13,326.14 $22,210.24 3.5×
Ostc compl all metar heads w/prtl prox phalangc (28114) $6,858 $11,430 2.0×
Ostc prtl exostc/condylc metar head (28288) $8,185.63 $13,642.71 2.4×
Ostectomy calcaneus (28118) $18,902.10 $31,503.50 5.5×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $33,787.48 $56,312.46 9.8×
Ostectomy of sternum, partial Facility (21620) $16,417.07 $27,361.78 4.7×
Ostectomy, complete excision; fifth metatarsal head (28113) $9,132.67 $15,221.11 2.6×
Ostectomy, complete excision; first metatarsal head (28111) $6,858 $11,430 2.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $8,893.18 $14,821.97 2.6×
Osteochondral allograft knee open (27415) $22,191.44 $36,985.74 1.6×
Osteochondral knee autograft (27416) $8,694 $14,490 1.1×
Osteoplasty Humerus (24420) $8,658 $14,430 1.1×
Osteoplasty Radius/Ulna Shortening (25390) $8,658 $14,430 1.1×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) $10,410 $17,350 0.8×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $8,658 $14,430 1.1×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $15,628.36 $26,047.27 2.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $8,857.09 $14,761.81 2.6×
Osteotomy calcaneus w/wo internal fixation (28300) $18,109.26 $30,182.10 2.4×
Osteotomy Clavicle W Bone Graft (23485) $10,512 $17,520 0.8×
Osteotomy Metacarpal Each (26565) $17,949.29 $29,915.49 5.2×
Osteotomy Phalanx Finger Each (26567) $9,630 $16,050 2.8×
Osteotomy radius distal third (25350) $8,658 $14,430 1.1×
Osteotomy talus (28302) $8,658 $14,430 1.1×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $29,669.89 $49,449.81 3.9×
Osteotomy Tibia (27705) $58,264.48 $97,107.46 7.6×
Osteotomy Ulna (25360) $8,658 $14,430 1.1×
Ovarian cystectomy, unilateral or bilateral (58925) $9,630 $16,050 1.8×
Palatopharyngoplasty (42145) $5,568 $9,280 0.9×
Parathyroidectomy or exploration of parathyroid(s); (60500) $30,245.97 $50,409.95 4.8×
Part exc bone femur prox tibia (27360) $9,630 $16,050 2.8×
Part remv talus or calcaneus (28120) $12,303.22 $20,505.37 3.6×
Partial Excision Bone Humerus (24140) $6,858 $11,430 2.0×
Partial excision bone metacarpal (26230) $10,338 $17,230 3.0×
Partial excision bone olecranon process (24147) $4,842 $8,070 1.4×
Partial Excision Bone Radius (25151) $4,842 $8,070 1.4×
Partial Excision Bone Ulna (25150) $4,842 $8,070 1.4×
Partial Excision Distal Phalanx Finger (26236) $11,549.51 $19,249.18 6.8×
Partial excision of lip (40520) $4,458 $7,430 1.3×
Partial Excision Proximal/Middle Phalanx Finger (26235) $6,858 $11,430 4.0×
Partial hymenectomy or revision of hymenal ring (56700) $3,486 $5,810 1.0×
Partial removal of fibula (27641) $40,486.59 $67,477.65 11.7×
Partial removal of lip (40530) $4,458 $7,430 1.3×
Partial removal of nose (30150) $13,711.35 $22,852.25 2.2×
Partial removal of penis (54120) $4,842 $8,070 1.3×
Partial removal of radius (24145) $8,658 $14,430 1.1×
Partial removal of rib (21600) $8,658 $14,430 1.1×
Partial removal of scapula (23190) $8,694 $14,490 2.5×
Partial removal of thyroid (60220) $26,708.25 $44,513.75 4.2×
Partial removal of tibia (27640) $42,953.33 $71,588.88 12.4×
Partial removal of toe (28160) $6,858 $11,430 2.0×
Partial removal of tongue (41120) $30,464.68 $50,774.47 4.9×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $42,129.28 $70,215.47 6.6×
Partical Excision Bone Phalanx Toe (28124) $6,490.09 $10,816.82 1.9×
Patellectomy or hemipatellectomy (27350) $8,694 $14,490 1.1×
Pelvic examination under anesthesia (other than local) (57410) $7,065.86 $11,776.44 2.1×
Penis plastic surgery (54360) $11,568.02 $19,280.04 3.1×
Perc Cryo Ablate Renal Tum (50593) $11,223 $18,705 1.0×
Perc Rf Ablate Renal Tumor (50592) $6,322.20 $10,537 1.0×
Percut Ablate Liver Rf (47382) $6,629.40 $11,049 1.0×
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure		 $5,956.80 $9,928 0.5×
Percut Drain/Inject Renal Cyst (50390) $2,358.60 $3,931 3.1×
Percut Mech Thrombectomy, Venous, Repeat (37188) $5,457 $9,095 1.6×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $4,458 $7,430 1.3×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $6,858 $11,430 2.0×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $10,119.56 $16,865.93 2.9×
Peri-Implant Capsulectomy Breast Complete (19371) $28,044.74 $46,741.24 6.8×
Pericardiocentesis W/Imaging (33016) $1,024.20 $1,707 0.6×
Perineoplasty rpr perineum nonobstetrical spx (56810) $9,630 $16,050 2.8×
Peritoneal Lavage (49084) $4,447.20 $7,412 4.6×
Perq Cervicothoracic Inject (22510) $12,123.19 $20,205.31 3.5×
Perq dev breast 1st mr guide (19287) $3,791.40 $6,319 5.1×
Perq dev breast 1st strtctc (19283) $1,839.60 $3,066 2.5×
Perq dev breast 1st us imag (19285) $2,100 $3,500 2.8×
Perq device breast 1st imag (19281) $2,146.80 $3,578 1.2×
Perq dilation xst trc endourologic px w/img (50436) $24,144.44 $40,240.74 6.5×
Perq Lumbosacral Injection (22511) $14,118.16 $23,530.27 4.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $42,479.32 $70,798.87 4.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $10,119.60 $16,866 1.6×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $2,100–$6,720 $3,500–$11,200 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $8,581.24 $14,302.06 2.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $24,520.80 $40,868 2.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $17,295.68 $28,826.14 2.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $26,162.25 $43,603.75 3.4×
Perq Vertebral Augmentation (22513) $28,521.99 $47,536.65 3.7×
Phleb Veins - Extrem 20+ (37766) $5,529.97 $9,216.62 1.7×
Photopheresis extracorporeal (36522) $6,798 $11,330 1.5×
Pin Finger Dislocation (26776) $4,458 $7,430 1.3×
Pin hand dislocation (26676) $4,458 $7,430 1.3×
Place Amniotic Membrane Ocular Surface Sutured (65779) $4,842 $8,070 1.2×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $19,127.40–$21,700.20 $31,879–$36,167 varies
Place Cath Thoracic Aorta (36221) $12,444.60 $20,741 3.7×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $19,102.80–$21,747 $31,838–$36,245 varies
Place Duod/Jej Tube Perc (49441) $4,427.40 $7,379 2.2×
Place Rt Device/Marker Pros (55876) $32,494.64 $54,157.73 22.2×
Placement Needle Pelvic Organ Radioelement Appl (55920) $22,464.55 $37,440.92 4.2×
Placement of seton (46020) $12,620.61 $21,034.35 4.3×
Plastic Repair Canaliculi (68700) $4,458 $7,430 1.8×
Plastic Repair Introitus (56800) $6,858 $11,430 2.0×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,999 $6,665 0.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $14,476.80 $24,128 2.3×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $12,034.20 $20,057 1.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $23,728.20 $39,547 3.7×
Plmt expandable cath brst following prtl mast (19296) $8,676 $14,460 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $11,881.07 $19,801.78 5.4×
Plmt Nephroureteral Catheter (50433) $9,750.60 $16,251 2.6×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $16,045.80 $26,743 4.3×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $9,502.80 $15,838 2.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $9,750.60 $16,251 2.6×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $22,833.31 $38,055.51 3.6×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $8,117.57 $13,529.28 1.3×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $15,919.97 $26,533.28 3.0×
Prim art mech thrombectomy (37184) $10,203.60 $17,006 0.5×
Probe lacrimal canaliculi w/wo irrigation (68840) $3,486 $5,810 10.4×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $4,458 $7,430 1.8×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $4,458 $7,430 1.8×
Probing nasolacrimal duct (68810) $3,486 $5,810 10.4×
Proctoplasty Stenosis (45500) $4,458 $7,430 1.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $3,486 $5,810 3.5×
Proctosgmdsc Rigid Control Bleeding (45317) $3,486 $5,810 2.8×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $4,034.47 $6,724.11 1.4×
Prostate laser enucleation (52649)
range across 2 matching MRF lines		 $20,446.28–$23,501.59 $34,077.13–$39,169.32 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,028.40 $1,714 1.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $13,058.40 $21,764 3.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $15,531 $25,885 4.1×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,458 $7,430 1.3×
Prq skel fixj metar fx w/manj (28476) $11,726.42 $19,544.03 3.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $8,658 $14,430 1.1×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $4,596 $7,660 1.3×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $3,714 $6,190 1.1×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $8,658 $14,430 1.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $10,003.67 $16,672.78 2.9×
Pseudoaneurysm Injection Trt (36002) $487.80 $813 0.7×
Pterygomaxillary fossa surgery, any approach Facility (31040) $5,568 $9,280 0.9×
Punch biopsy skin single lesion (11104) $955.20 $1,592 2.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $924.22 $1,540.37 2.1×
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $1,410.60–$1,415.62 $2,351–$2,359.37 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,064.40 $1,774 1.4×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $18,056.59 $30,094.31 10.6×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $8,694 $14,490 2.5×
Rad resect elbow caps/sr bone w rels (24149) $8,694 $14,490 1.1×
Rad resect hand tumor 3 cm/> (26118) $6,858 $11,430 2.2×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $21,380.14 $35,633.57 7.0×
Rad resect tumor soft tissue hand/finger <3cm (26117) $6,858 $11,430 2.2×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $6,858 $11,430 2.2×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $20,748.42 $34,580.70 6.8×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $101,323.04 $168,871.73 33.0×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) $5,568 $9,280 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $6,858 $11,430 2.2×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $8,160 $13,600 2.7×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $4,458 $7,430 1.5×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $10,320 $17,200 3.4×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $6,858 $11,430 2.2×
Radical resection of tumor; phalanx of toe Facility (28175) $6,858 $11,430 4.0×
Radical resection of tumor; talus or calcaneus Facility (27647) $6,858 $11,430 2.0×
Radical styloidectomy separate procedure (25230) $16,189.35 $26,982.25 4.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $23,319.82 $38,866.36 11.3×
Rcnstj angular dfrm toe soft tiss px only (28313) $11,762.98 $19,604.97 3.4×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $10,338 $17,230 3.0×
Rcnstj Dislocating Patella (27420) $32,899.13 $54,831.88 4.3×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $6,858 $11,430 2.7×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $6,858 $11,430 2.7×
Rcnstj Eyelid Full Thickness Second Stage (67975) $6,858 $11,430 2.7×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $10,338 $17,230 1.7×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $12,270 $20,450 2.0×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $10,544.30 $17,573.84 1.4×
Rdctj torsion tstis w/wo fixj clat testis (54600) $8,694 $14,490 2.3×
Re-explore parathyroids (60502) $19,414.90 $32,358.17 3.1×
Realignment extensor tendon hand each tendon (26437) $4,743 $7,905 1.4×
Realignment of knee (27457) $42,021.37 $70,035.62 5.5×
Reconst lwr jaw w/fixation (21196) $12,270 $20,450 2.0×
Reconst lwr jaw w/o fixation (21195) $16,800 $28,000 2.7×
Reconstruct elbow lat ligmnt (24344) $8,658 $14,430 1.1×
Reconstruct elbow med ligmnt (24346) $10,512 $17,520 0.8×
Reconstruct extra finger (26587) $9,630 $16,050 2.8×
Reconstruct finger joint (26545) $8,694 $14,490 2.5×
Reconstruct Finger Joint (26548) $8,694 $14,490 2.5×
Reconstruct lip with flap (40525) $4,458 $7,430 1.3×
Reconstruct midface lefort (21143) $12,270 $20,450 2.0×
Reconstruct ulna/radioulnar (25337) $9,630 $16,050 1.3×
Reconstruct wrist joint (25445) $9,630 $16,050 1.3×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $12,270 $20,450 2.0×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) $12,270 $20,450 2.0×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $12,270 $20,450 2.0×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $12,270 $20,450 2.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $10,338 $17,230 1.3×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $19,381.15 $32,301.91 3.1×
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) $10,338 $17,230 1.7×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) $12,270 $20,450 2.0×
Reconstruction of throat (42950) $11,666.57 $19,444.29 1.9×
Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) $8,694 $14,490 1.4×
Reconstruction Tongue Fold (41520) $6,378 $10,630 1.8×
Redo Endovas Vena Cava Filtr (37192)
range across 3 matching MRF lines		 $6,858–$10,335 $11,430–$17,225 varies
Reduction Overcorrection Ptosis (67909) $8,694 $14,490 3.5×
Reinsert spinal fixation (22849) $34,026.47 $56,710.79 2.5×
Release foot/toe nerve (64726) $30,816.64 $51,361.07 14.9×
Release Intrinsic Muscles Hand Each Muscle (26593) $6,858 $11,430 2.0×
Release of big toe (28240) $4,458 $7,430 1.3×
Release of shoulder ligament (23415) $9,630 $16,050 1.3×
Relieve Pressure on Nerve(S) (64722) $3,486 $5,810 1.7×
Relocation Pocket Pacemaker (33222) $3,581.40 $5,969 1.6×
Rem Endovas Vena Cava Filter (37193) $17,896.20 $29,827 5.4×
Removal Anal Seton Other Marker (46030) $12,116.79 $20,194.65 9.6×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $14,838 $24,730 0.7×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,996.40 $4,994 3.1×
Removal Embedded Foreign Body Eyelid (67938) $3,486 $5,810 10.4×
Removal Foreign Body Deep Thigh/Knee (27372) $10,708.75 $17,847.92 3.5×
Removal Foreign Body Foot Complicated (28193) $8,694 $14,490 5.0×
Removal foreign body foot deep (28192) $4,458 $7,430 2.6×
Removal Foreign Body Foot Subcutaneous (28190) $7,055.57 $11,759.29 9.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $16,910.85 $28,184.75 9.7×
Removal foreign body upper arm/elbow deep (24201) $4,458 $7,430 1.5×
Removal foreign body, intranasal; requiring general anesthesia (30310) $3,486 $5,810 1.0×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $38,136.71 $63,561.19 10.6×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $81.60–$3,486 $136–$5,810 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $123.60–$3,486 $206–$5,810 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $16,362.35 $27,270.59 4.8×
Removal Implant Deep (20680) $7,256.75 $12,094.58 2.4×
Removal Implant Superficial Separate Procedure (20670) $11,101.86 $18,503.10 6.4×
Removal implantable contraceptive capsules (11976) $3,486 $5,810 4.7×
Removal intact breast implant (19328) $16,806.07 $28,010.12 4.1×
Removal of a lesion from the floor of the mouth (41116) $3,486 $5,810 1.0×
Removal of adenoids (42835) $40,245.80 $67,076.34 11.5×
Removal of adenoids (42831) $16,264.27 $27,107.11 4.6×
Removal of adenoids (42830) $8,791.04 $14,651.74 2.5×
Removal of adenoids (42836) $6,018 $10,030 1.7×
Removal of anal fissure (46200) $7,551.82 $12,586.37 2.6×
Removal of anterior instrumentation (22855) $89,233.66 $148,722.77 11.6×
Removal of bladder cyst (51500) $8,694 $14,490 1.4×
Removal of bone lesion (23140) $18,640.95 $31,068.25 5.4×
Removal of cervix (57530) $6,858 $11,430 1.3×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $8,004 $13,340 2.2×
Removal of heel spur (28119) $8,462.28 $14,103.80 2.4×
Removal of humerus lesion (23150) $8,694 $14,490 2.5×
Removal of implant from finger or hand (26320) $4,458 $7,430 2.6×
Removal of implanted material, anterior segment of eye (65920) $10,338 $17,230 4.2×
Removal of intranasal lesion (30118) $6,858 $11,430 2.0×
Removal of kidney stone (50081)
range across 2 matching MRF lines		 $24,905.85–$26,494.23 $41,509.75–$44,157.05 varies
Removal of lens material (66852) $21,291.38 $35,485.63 4.9×
Removal of mammary implant material (19330) $4,860 $8,100 1.2×
Removal of nail bed (11750) $6,832.75 $11,387.91 15.9×
Removal of residual cervix (57550) $35,583.61 $59,306.01 6.7×
Removal of rib (21615) $34,305.33 $57,175.55 4.5×
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) $8,694 $14,490 3.6×
Removal of sesamoid bone (28315) $7,185.11 $11,975.18 2.1×
Removal of skin wrinkles (15829) $9,630 $16,050 2.6×
Removal of sperm cord lesion (55520) $8,694 $14,490 2.3×
Removal of tendon for graft (20924) $8,694 $14,490 1.1×
Removal of testis (54520) $15,099.19 $25,165.32 4.0×
Removal of thyroid (60271) $26,296.48 $43,827.47 4.2×
Removal of tonsils (42825) $6,018 $10,030 1.0×
Removal of tonsils (42826) $8,745.33 $14,575.55 2.5×
Removal of tunneled intraperitoneal catheter (49422) $7,405.91 $12,343.19 2.2×
Removal of wrist bone (25210) $6,858 $11,430 2.0×
Removal Pacemaker Electrode (33235) $7,089.60 $11,816 1.8×
Removal parotid stone (42340) $4,458 $7,430 1.3×
Removal ppm generator only (33233) $7,796.40 $12,994 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $4,507.75 $7,512.91 21.2×
Removal subcutaneous cardiac rhythm monitor (33286) $658.20 $1,097 0.9×
Removal Submand Stone,Complicated (42335) $6,858 $11,430 2.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $7,275.33 $12,125.55 3.3×
Removal sweat gland lesion (11450) $18,202.92 $30,338.20 5.9×
Removal, under anesthesia, of external fixation system (20694) $3,486 $5,810 2.0×
Remove & graft wrist lesion (25136) $8,658 $14,430 1.1×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $4,852.80 $8,088 2.2×
Remove Ankle Joint Lining (27626) $8,694 $14,490 2.5×
Remove armpit lymph nodes (38740) $7,982.40 $13,304 1.2×
Remove brain canal fluid (61050) $3,945.60 $6,576 12.1×
Remove cerclage suture (59871) $3,740.84 $6,234.74 1.1×
Remove drug implant device (11982) $1,488.62 $2,481.04 3.1×
Remove ear lesion (69550) $22,313.29 $37,188.82 3.6×
Remove Elbow Joint Lining (24102) $8,694 $14,490 2.5×
Remove elbow lesion (24120) $6,858 $11,430 2.0×
Remove Elctrd Transvenously (33244) $8,350.80 $13,918 2.1×
Remove eye/attach implant (65105) $18,106.78 $30,177.96 4.4×
Remove Forearm Foreign Body (25248) $4,458 $7,430 2.6×
Remove foreign body from eye (65235) $4,458 $7,430 1.8×
Remove Gastric Port Open (43887) $3,486 $5,810 1.6×
Remove groin lymph nodes (38760) $6,804 $11,340 1.0×
Remove Hand Bone Lesion (26200) $4,458 $7,430 2.6×
Remove humerus lesion (24110) $4,458 $7,430 1.3×
Remove inner ear (69905) $10,338 $17,230 1.7×
Remove Int Dwell Ureteral Stent Transurethral (50386) $5,202.60 $8,671 2.4×
Remove Intrauterine Device (58301) $7,808.05 $13,013.42 24.2×
Remove intrvas foreign body (37197) $16,754.40 $27,924 5.0×
Remove knee joint lining (27334) $8,694 $14,490 2.5×
Remove lamina/facets lumbar (63012) $99,254.46 $165,424.10 12.9×
Remove Lower Leg Bone Lesion (27635) $6,858 $11,430 2.0×
Remove lung catheter (32552) $1,282.64 $2,137.74 1.9×
Remove palate/lesion (42120) $16,910.92 $28,184.87 2.7×
Remove part lumbar vertebra (22102) $24,356.78 $40,594.64 3.2×
Remove part of neck vertebra (22110) $9,630 $16,050 1.3×
Remove Peritoneal Foreign Body (49402) $25,083.23 $41,805.39 6.6×
Remove prostate regrowth (52630) $14,009.39 $23,348.99 2.5×
Remove Pulse Generator (33241) $9,069.60 $15,116 2.3×
Remove renal tube w/fluoro (50389) $2,159.40 $3,599 2.9×
Remove sacrum pressure sore (15937) $28,060.45 $46,767.42 12.9×
Remove Shoulder Foreign Body (23330) $5,235 $8,725 3.0×
Remove Skin Nerve Lesion (64774) $4,458 $7,430 2.2×
Remove spine eltrd plate (63662) $7,152 $11,920 1.9×
Remove spine fixation device (22850) $8,004 $13,340 1.0×
Remove spine lamina 1/2 thrc (63003) $54,665.52 $91,109.20 7.1×
Remove sympathetic nerves (64821) $8,694 $14,490 2.5×
Remove Tendon Sheath Lesion (26160) $6,319.66 $10,532.77 3.7×
Remove thigh pressure sore (15956)
range across 2 matching MRF lines		 $2,460–$2,836.80 $4,100–$4,728 varies
Remove thyroid lesion (60200) $8,004 $13,340 1.3×
Remove tissue expander (11971) $8,033.47 $13,389.12 2.6×
Remove ureter stent percut (50384) $5,229 $8,715 2.4×
Remove vc lesion w/scope (31545) $8,694 $14,490 2.2×
Remove wrist joint cartilage (25107) $6,858 $11,430 2.0×
Remove&replace pm gen singl (33227) $9,511.20 $15,852 1.1×
Remove/graft finger lesion (26215) $6,858 $11,430 2.0×
Remove/graft foot lesion (28107) $8,658 $14,430 1.1×
Remove/graft leg bone lesion (27637) $8,658 $14,430 1.1×
Remove/Insert Drug Implant (11983) $3,486 $5,810 7.4×
Remv cartilage for graft nasal (20912) $6,858 $11,430 1.8×
Remv&replc cvd gen dual lead (33263) $19,858.80 $33,098 0.8×
Remv&replc cvd gen mult lead (33264) $23,431.80 $39,053 0.7×
Remv&replc cvd gen sing lead (33262) $27,618.60 $46,031 1.2×
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $29,509.25–$29,879.90 $49,182.09–$49,799.83 varies
Remv&replc pm gen mult leads (33229) $19,526.40 $32,544 1.0×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $8,004 $13,340 1.4×
Renal Biopsy Perq (50200) $2,579.40 $4,299 1.5×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) $30,642.86 $51,071.43 3.1×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) $41,235.35 $68,725.59 4.1×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $89,694.76 $149,491.26 15.8×
Reopen fallopian tube (58350) $20,089.45 $33,482.41 3.8×
Repair Achilles Tendon (27650) $15,108.89 $25,181.49 2.0×
Repair Anorectal Fistula Plug (46707) $11,171.47 $18,619.11 3.8×
Repair arm/leg nerve (64857) $6,000 $10,000 1.7×
Repair Bladder-Vagina Lesion (57320) $23,483.77 $39,139.62 4.4×
Repair Blood Vessel Direct Hand Finger (35207) $8,694 $14,490 2.6×
Repair Blood Vessel Direct Upper Extremity (35206) $42,790.01 $71,316.68 12.8×
Repair blood vessel lesion (35190) $43,569.41 $72,615.69 7.4×
Repair brow ptosis (67900) $8,694 $14,490 3.5×
Repair Choanal Atresia Intranasal (30540) $9,630 $16,050 1.5×
Repair Collat Ankle Ligmnt,Secondary (27698) $18,347.24 $30,578.74 2.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $3,096 $5,160 4.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $3,096 $5,160 4.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $3,096 $5,160 7.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $3,096 $5,160 7.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $3,096 $5,160 7.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $9,935.47 $16,559.11 23.1×
Repair complex trunk 1.1-2.5 cm (13100) $3,096 $5,160 4.0×
Repair complex trunk 2.6-7.5 cm (13101) $7,791.17 $12,985.28 10.0×
Repair detached retina (67105) $12,889.10 $21,481.83 22.2×
Repair Ectropion Excision Tarsal Wedge (67916) $8,694 $14,490 3.5×
Repair Ectropion Extensive (67917) $8,188.41 $13,647.35 3.3×
Repair Ectropion Suture (67914) $6,858 $11,430 2.7×
Repair Elbow Perc (24357) $5,848.24 $9,747.07 1.7×
Repair Entropion Excision Tarsal Wedge (67923) $8,694 $14,490 3.5×
Repair Entropion Extensive (67924) $8,694 $14,490 3.5×
Repair Entropion Suture (67921) $7,221.78 $12,036.30 2.9×
Repair extensor tendon finger w/o graft each (26418) $11,794.65 $19,657.75 6.9×
Repair Extensor Tendon Hand W/Graft Each (26412) $4,842 $8,070 1.4×
Repair Eyelid Wound (67935) $4,458 $7,430 1.8×
Repair Finger Tendon (26433) $4,743 $7,905 1.4×
Repair Finger/Hand Tendon (26350) $4,860 $8,100 1.4×
Repair Fistula Oromaxillary (30580) $8,694 $14,490 1.4×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,714 $6,190 1.1×
Repair Foot Dislocation (28615) $119,621.08 $199,368.47 15.6×
Repair Forearm Tendon Sheath (25275) $8,694 $14,490 2.5×
Repair Hallux Rigidus (28289) $10,139.64 $16,899.40 2.9×
Repair Hand Joint (26540) $8,694 $14,490 2.5×
Repair Hand Tendon (26410) $4,743 $7,905 2.8×
Repair incomplete circumcision (54163) $10,017.68 $16,696.14 4.5×
Repair inguinal hernia, sliding, any age (49525) $12,900 $21,500 3.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $12,900 $21,500 3.4×
Repair initial femoral hernia, any age; reducible (49550) $11,978.78 $19,964.63 3.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $11,125.33 $18,542.22 2.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $4,488.29 $7,480.48 10.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $4,701.29 $7,835.48 10.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $8,245.46 $13,742.44 19.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $4,458 $7,430 10.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $4,458 $7,430 5.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $4,504.31 $7,507.18 10.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $4,526.09 $7,543.48 10.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $8,981.54 $14,969.24 11.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $7,963.91 $13,273.18 18.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $4,504.31 $7,507.18 10.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $4,526.09 $7,543.48 10.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $21,374.06 $35,623.43 27.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $4,488.29 $7,480.48 10.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $4,458 $7,430 2.0×
Repair Laceration Palate >2 Cm/Complex (42182) $5,568 $9,280 0.9×
Repair lead pace-defib dual (33220) $8,511 $14,185 2.2×
Repair Lead Pace-Defib One (33218) $8,966.40 $14,944 2.3×
Repair lower leg tendons (27676) $8,658 $14,430 1.1×
Repair lumbar hernia (49540) $6,186 $10,310 1.0×
Repair mouth/nose fistula (30600) $8,694 $14,490 1.4×
Repair nasal septal perforations (30630) $10,338 $17,230 2.9×
Repair Nasal Vestibular Stenosis (30465) $6,858 $11,430 1.1×
Repair Non/Malunion Humerus W/O Graft (24430) $10,512 $17,520 0.8×
Repair Nonunion Hand (26546) $8,694 $14,490 1.1×
Repair Nonunion/Malunion Tarsal Bones (28320) $71,482.13 $119,136.88 5.3×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $9,630 $16,050 1.3×
Repair of anal fistula with fibrin glue (46706) $3,486 $5,810 1.2×
Repair of biceps tendon (24340) $8,658 $14,430 1.1×
Repair of enterocele, vaginal approach (separate procedure) (57268) $2,787 $4,645 0.5×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $8,658 $14,430 1.1×
Repair of hammertoe (28286) $8,694 $14,490 2.5×
Repair of hydrocele (55060) $7,999.50 $13,332.50 2.1×
Repair of metatarsals (28322) $35,786.80 $59,644.66 4.7×
Repair of nail bed (11760) $3,486 $5,810 4.5×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $8,694 $14,490 1.1×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $8,658 $14,430 1.1×
Repair of rectocele (45560) $4,842 $8,070 1.6×
Repair of rectum (45505) $4,842 $8,070 1.6×
Repair of Ruptured Tendon (24342) $14,407.24 $24,012.06 1.9×
Repair of shoulder (23420) $10,338 $17,230 1.3×
Repair of windpipe defect (31825) $27,188.20 $45,313.67 7.8×
Repair oval window fistula (69666) $22,537.06 $37,561.76 6.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $12,900 $21,500 1.9×
Repair retinal detach cplx (67113) $15,209.07 $25,348.45 2.7×
Repair Retinal Detachment Scleral Buckling (67107) $16,631.41 $27,719.01 3.8×
Repair Rotator Cuff Chronic (23412) $26,214.02 $43,690.04 3.4×
Repair round window fistula (69667) $8,694 $14,490 2.5×
Repair secondary achilles tendon w/wo graft (27654) $18,902.10 $31,503.50 2.5×
Repair shoulder capsule (23462) $10,338 $17,230 1.3×
Repair shoulder capsule (23466) $10,338 $17,230 1.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $11,900.66 $19,834.44 3.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $8,658 $14,430 1.1×
Repair Toe Dislocation (28645) $6,858 $11,430 2.0×
Repair Tooth Socket (41874) $9,370.10 $15,616.83 2.7×
Repair webbed toe(s) (28345) $8,694 $14,490 5.1×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $44,602.68 $74,337.80 5.8×
Repair, primary, disrupted ligament, ankle; collateral (27695) $17,759.86 $29,599.77 2.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $58,480.79 $97,467.99 7.6×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $6,858 $11,430 2.0×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $25,021.09 $41,701.81 3.3×
Repair/graft achilles tendon (27652) $29,108.86 $48,514.77 3.8×
Repair/graft finger tendon (26428) $4,842 $8,070 1.4×
Repair/Graft Wrist Bone (25440) $8,694 $14,490 1.1×
Repair/Revise Wrist Joint (25320) $8,658 $14,430 1.1×
Repair/transpose nerve (64856) $6,378 $10,630 0.7×
Replace duodenostomy/jejunostomy tube perq (49451) $1,917.60 $3,196 2.0×
Replace elbow joint (24363) $14,838 $24,730 0.8×
Replace G-J Tube Perc (49452) $1,917.60 $3,196 2.0×
Replace g/c tube perc (49450) $1,917.60 $3,196 2.0×
Replace/Revise Brain Shunt (62230) $22,193.77 $36,989.61 2.4×
Replacement Tissue Expander W/Permanent Implant (11970) $15,864.90 $26,441.50 2.1×
Repos Previously Implanted Subq Implantable Dfb (33273) $7,324.20 $12,207 1.9×
Reposition Gastrostomy Tube (43761) $1,900.80 $3,168 7.2×
Reposition L Ventric Lead (33226) $8,948.40 $14,914 2.7×
Reposition Pacing-Defib Lead (33215) $5,223 $8,705 1.6×
Reposition Venous Catheter (36597) $2,566.20 $4,277 1.5×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $8,694 $14,490 3.6×
Repr elbow lat ligmnt w/tiss (24343) $28,703.08 $47,838.46 8.3×
Rerepair ing hernia reduce (49520) $17,215 $28,691.67 4.5×
Resect leg/ankle tum < 5 cm (27615) $6,858 $11,430 2.2×
Resect Shoulder Tumor 5 Cm/> (23078) $6,858 $11,430 2.2×
Resect thigh/knee tum < 5 cm (27329) $8,694 $14,490 2.8×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $6,858 $11,430 2.0×
Resection, partial or complete, phalangeal base, each toe (28126) $6,858 $11,430 2.0×
Rev/rmv prph sac/gstr npg/r (64595) $11,474.05 $19,123.41 3.1×
Revis reconst shoulder joint (23473) $29,865.36 $49,775.60 2.2×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $38,493.02 $64,155.04 2.8×
Revise external ear (69300) $6,858 $11,430 2.0×
Revise eye (65091) $6,858 $11,430 1.6×
Revise eye with implant (65093) $6,858 $11,430 1.6×
Revise eyelashes (67835) $4,458 $7,430 1.8×
Revise eyelashes (67825) $3,096 $5,160 9.2×
Revise finger joint each (26140) $4,458 $7,430 2.6×
Revise Hand/Foot Nerve (64704) $36,070.33 $60,117.22 17.5×
Revise hernia & sperm veins (55540) $11,492.81 $19,154.68 3.0×
Revise lower leg tendon (27690) $8,694 $14,490 1.1×
Revise Lower Leg Tendons (27686) $4,842 $8,070 1.4×
Revise Spine Eltrd Plate (63664) $37,149.38 $61,915.63 3.2×
Revise ulnar nerve at wrist (64719) $6,856.89 $11,428.15 3.3×
Revise Wrist/Forearm Tendon (25280) $8,694 $14,490 2.5×
Revise/Implant Finger Joint (26536) $9,630 $16,050 1.3×
Revise/Repair Finger/Toe Nerve (64702) $3,486 $5,810 1.7×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $6,858 $11,430 2.0×
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) $10,338 $17,230 1.7×
Revision mastoidectomy; resulting in tympanoplasty Facility (69604) $65,945.36 $109,908.93 10.5×
Revision of big toe (28310) $6,858 $11,430 0.9×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $8,694 $14,490 2.3×
Revision of eyelid (67880) $9,424.93 $15,708.21 3.7×
Revision of foot (28116) $17,492.96 $29,154.94 5.1×
Revision of foot bones (28737) $10,512 $17,520 0.8×
Revision of foot fascia (28250) $6,858 $11,430 2.0×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $8,694 $14,490 2.3×
Revision of leg vein (37780) $6,858 $11,430 2.1×
Revision of lower leg tendon (27685) $15,046.73 $25,077.88 4.3×
Revision of penis (54300) $6,858 $11,430 1.8×
Revision of reconstructed breast (19380) $20,465.96 $34,109.94 2.9×
Revision of scrotum (55180) $5,568 $9,280 1.0×
Revision of stapedectomy or stapedotomy Facility (69662) $9,630 $16,050 1.5×
Revision of toe (28312) $6,858 $11,430 2.0×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $42,114.95 $70,191.59 3.1×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $88,101.32 $146,835.53 6.5×
Revision of urethra (57220) $22,929.37 $38,215.61 4.3×
Revision of wrist joint (25450) $6,858 $11,430 2.0×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) $14,400 $24,000 1.2×
Revision Peri-Implant Capsule Breast (19370) $8,033.47 $13,389.12 1.9×
Revision/replmt neurostimlator eltrd cranial nrv (64569) $14,400 $24,000 1.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $6,858 $11,430 1.8×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $4,842 $8,070 1.3×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $20,538.49 $34,230.82 3.0×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) $10,338 $17,230 1.7×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $51,541.53–$58,967.69 $85,902.55–$98,279.49 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $31,636.60 $52,727.66 2.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $22,486.20 $37,477 3.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $7,979.11 $13,298.51 2.2×
Revj/rmvl neurostimulator pulse generator (61888) $10,512 $17,520 0.9×
Revj/rmvl peripheral neurostimulator electrode (64585) $5,856.18 $9,760.30 1.6×
Revj/rpr oprative wound anterior segment (66250) $4,458 $7,430 1.8×
Rhinoplasty primary w/major septal repair (30420) $5,568 $9,280 0.9×
Rhinoplasty Secondary Intermediate Revision (30435) $5,568 $9,280 0.9×
Rhinoplasty Secondary Major Revision (30450) $10,338 $17,230 1.7×
Rhinoplasty Secondary Minor Revision (30430) $10,726.49 $17,877.48 1.7×
Rhinp Prim Complete Xtrnl Parts (30410) $5,568 $9,280 0.9×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $20,153.90 $33,589.83 3.2×
Rhytidectomy Cheek Chin & Neck (15828) $6,858 $11,430 1.8×
Rhytidectomy Forehead (15824) $6,858 $11,430 3.1×
Rhytidectomy Neck W/Platysmal Tightening (15825) $6,858 $11,430 1.8×
Rib cartilage graft (21230) $10,338 $17,230 1.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,025.60 $3,376 0.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $3,096 $5,160 3.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $8,066.08 $13,443.47 4.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $330.60 $551 0.7×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $3,486 $5,810 10.4×
Rmvl fecal impaction/fb spx under anes (45915) $3,486 $5,810 2.8×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $4,458 $7,430 2.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $4,743 $7,905 1.5×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $3,486 $5,810 1.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,787 $4,645 1.6×
Rmvl implnt matl posterior segment extraocular (67120) $4,458 $7,430 1.8×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $14,390.96 $23,984.94 5.9×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $8,694 $14,490 3.6×
Rmvl Lens Material Phacofragmentation Aspir (66850) $10,338 $17,230 4.2×
Rmvl of subq implantable defibrillator electrode (33272) $7,783.20 $12,972 2.0×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $4,458 $7,430 2.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $6,074.30 $10,123.83 2.9×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $8,004 $13,340 2.2×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) $8,658 $14,430 1.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $6,596.40 $10,994 1.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $3,340.60–$3,510.07 $5,567.67–$5,850.12 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $2,039.84–$2,475.60 $3,399.74–$4,126 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $8,694 $14,490 3.6×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $8,694 $14,490 3.6×
Rmvl/revj sling stress incontinence (57287) $48,642.32 $81,070.54 14.2×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $1,277.40–$1,511.40 $2,129–$2,519 varies
Rplcmt cath ctr vad subq port/pmp (36578)
range across 3 matching MRF lines		 $4,842–$5,438.40 $8,070–$9,064 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,566.20 $4,277 1.5×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585)
range across 2 matching MRF lines		 $5,385.60–$6,858 $8,976–$11,430 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,566.20 $4,277 1.5×
Rplcmt compl tun ctr vad w/subq pmp (36583) $6,470.40 $10,784 1.1×
Rplcmt compl tun ctr vad w/subq port (36582) $8,315.56 $13,859.27 2.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,776 $7,960 1.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 3 matching MRF lines		 $17,661.42–$33,479.11 $29,435.70–$55,798.51 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $10,924.38 $18,207.30 2.9×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $14,263 $23,771.67 2.1×
Rpr aa hernia recr 3-10 cm reducible (49615) $16,598.57 $27,664.28 2.4×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $37,887.80 $63,146.33 5.9×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $10,794.12 $17,990.20 2.8×
Rpr aa hrn 1st 3-10 rdc (49593)
range across 3 matching MRF lines		 $12,315.92–$21,702.27 $20,526.53–$36,170.45 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 3 matching MRF lines		 $11,943.83–$31,707.95 $19,906.38–$52,846.59 varies
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $9,630 $16,050 2.3×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $9,630 $16,050 3.8×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $8,694 $14,490 3.5×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $8,694 $14,490 3.5×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $8,694 $14,490 3.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 3 matching MRF lines		 $2,371.80–$4,458 $3,953–$7,430 varies
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $4,458 $7,430 1.3×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $8,658 $14,430 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $3,486 $5,810 16.4×
Rpr flexor tendon leg secondary w/o graft each (27659) $23,787.01 $39,645.01 3.1×
Rpr ing hernia init reduce (49500) $8,694 $14,490 1.3×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $6,858 $11,430 4.2×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $9,630 $16,050 1.3×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $18,748.28 $31,247.13 3.0×
Rpr Nsl Vlv Collapse W/Implt (30468) $10,338 $17,230 1.7×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $20,024.92 $33,374.86 2.6×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $13,006.99 $21,678.32 3.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $11,111.28 $18,518.80 3.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $8,694 $14,490 2.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $8,694 $14,490 2.5×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $20,898.31 $34,830.52 2.7×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $8,658 $14,430 1.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 3 matching MRF lines		 $1,315.20–$4,458 $2,192–$7,430 varies
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $6,858 $11,430 2.0×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $8,694 $14,490 1.1×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $8,694 $14,490 2.5×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $8,694 $14,490 2.5×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $8,694 $14,490 2.5×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) $8,694 $14,490 1.1×
Sclerotx Fluid Collection (49185)
range across 2 matching MRF lines		 $1,940.40–$4,458 $3,234–$7,430 varies
Scrotal exploration (55110) $4,458 $7,430 1.2×
Scrotoplasty Simple (55175) $16,688.76 $27,814.60 4.5×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $20,153.90 $33,589.83 5.7×
Sequestrectomy Olecranon Process (24138) $8,658 $14,430 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $5,687.23 $9,478.72 5.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $4,015.58 $6,692.63 3.2×
Shave skin lesion 0.5 cm/< (11300) $3,096 $5,160 7.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $3,096 $5,160 14.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $342–$3,096 $570–$5,160 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $3,096 $5,160 14.6×
Shoulder arthroscopy (29820) $8,658 $14,430 1.1×
Shoulder Arthroscopy/Surgery (29825) $15,688.05 $26,146.75 4.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $135.60 $226 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $5,393.02 $8,988.37 12.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $3,096 $5,160 14.6×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,486 $5,810 1.0×
Sigmoidoscopy & decompress (45337) $3,486 $5,810 3.5×
Sigmoidoscopy & Polypectomy (45333) $31,184.95 $51,974.91 31.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $3,486 $5,810 2.8×
Sigmoidoscopy flx tndsc balo dilat (45340) $4,242.63 $7,071.05 3.4×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $4,377.60 $7,296 3.5×
Sigmoidoscopy w/fb removal (45332) $11,706.92 $19,511.54 9.2×
Sigmoidoscopy w/plcmt stent (45347) $13,556.58 $22,594.30 2.1×
Sigmoidoscopy W/Resection (45349) $6,411.81 $10,686.35 2.2×
Sigmoidoscopy W/Ultrasound (45341) $6,377.72 $10,629.53 6.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $3,809.23 $6,348.71 3.9×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $4,092.91 $6,821.52 3.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $890.40–$3,096 $1,484–$5,160 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $327–$3,096 $545–$5,160 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $972.60 $1,621 4.6×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $8,694 $14,490 1.4×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $6,858 $11,430 1.1×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $18,686.90 $31,144.84 3.0×
Skin Full Grft Face/Genit/Hf (15240) $6,858 $11,430 3.1×
Skin Pinch Graft (15050) $853.20 $1,422 1.1×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $6,369.60–$8,175.60 $10,616–$13,626 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $6,160.20–$8,029.20 $10,267–$13,382 varies
Skin sub grft t/arm/lg child (15273) $25,438.06 $42,396.77 11.7×
Skin Tissue Procedure (17999) $35,878.88 $59,798.14 169.0×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $1,187.40–$4,458 $1,979–$7,430 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $24,198–$26,852.40 $40,330–$44,754 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $19,127.40–$21,747 $31,879–$36,245 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $24,198–$26,852.40 $40,330–$44,754 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $16,726.63 $27,877.72 3.2×
Slitting of prepuce (54001) $12,122.96 $20,204.93 5.5×
Small bowel endoscopy (44366) $4,615.84 $7,693.06 2.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $3,929.07 $6,548.45 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $1,064.40–$3,096 $1,774–$5,160 varies
Snip Incision Lacrimal Punctum (68440) $3,486 $5,810 10.4×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $6,858 $11,430 2.3×
Sphincterotomy anal division sphincter spx (46080) $6,858 $11,430 2.3×
Sphnctrop Anal Levator Musc Imbrcj (46761) $6,858 $11,430 2.3×
Spinal puncture lumbar diagnostic (62270) $1,179.60 $1,966 1.6×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $15,171.07 $25,285.12 4.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $14,575.84 $24,293.07 6.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $7,688.57 $12,814.29 2.3×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $9,630 $16,050 1.5×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $18,275.42 $30,459.04 2.9×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $6,858 $11,430 2.7×
Strabismus Recession/Rescj 1 Ver Musc (67314) $8,694 $14,490 3.5×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $8,694 $14,490 2.1×
Strapping ankle (29540)
range across 2 matching MRF lines		 $114–$124.80 $190–$208 varies
Strapping elbow or wrist (29260) $116.40 $194 1.9×
Strapping hand/finger (29280) $135.60 $226 2.2×
Strapping knee (29530) $118.20 $197 0.8×
Strapping shoulder (29240)
range across 3 matching MRF lines		 $167.40–$170.40 $279–$284 varies
Strapping toes (29550) $136.80 $228 2.2×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $502.80–$709.80 $838–$1,183 varies
Subconjunctival injection (68200) $3,096 $5,160 6.6×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $3,096 $5,160 14.6×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $3,096 $5,160 4.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $18,748.28 $31,247.13 5.3×
Suction assisted lipectomy; head and neck (15876) $6,858 $11,430 1.8×
Suction assisted lipectomy; trunk (15877) $17,013.59 $28,355.98 4.5×
Suction assisted lipectomy; upper extremity (15878) $6,858 $11,430 3.1×
Suction Lipectomy Lwr Extrem (15879) $6,858 $11,430 1.8×
Suprahyoid lymphadenectomy (38700) $27,005.33 $45,008.89 3.8×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $19,273.44 $32,122.40 5.5×
Surg Implnt Neuroelect,Epidural (63655) $67,268.90 $112,114.84 3.3×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $16,080.69 $26,801.15 2.6×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $16,216.59 $27,027.65 2.6×
Surg Tx Anal Fistula 2nd Stage (46285) $3,486 $5,810 1.2×
Surg tx anal fistula subq (46270) $8,559.71 $14,266.19 2.9×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $12,620.61 $21,034.35 4.3×
Suture 1 nerve hand/foot common sensory nerve (64834) $6,378 $10,630 1.8×
Suture 1 Nerve Ulnar Motor (64836) $20,998.16 $34,996.93 5.8×
Suture digital nerve hand/foot 1 nerve (64831) $8,694 $14,490 4.2×
Suture infrapatellar tendon primary (27380) $15,575.46 $25,959.10 2.0×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $8,658 $14,430 1.1×
Suture of quadriceps or hamstring muscle rupture primary (27385) $15,587.26 $25,978.76 2.0×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $63,270.92 $105,451.54 8.2×
Suture/repair testicular injury (54670) $14,655.69 $24,426.15 3.9×
Sympathectomy; digital arteries, each digit Facility (64820) $3,978 $6,630 1.9×
Sympathectomy; ulnar artery (64822) $4,890 $8,150 1.4×
Syndactylization toes (28280) $7,365.16 $12,275.27 2.1×
Synovectomy Tendon Sheath Foot Flexor (28086) $4,458 $7,430 1.3×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $6,858 $11,430 0.9×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $4,020 $6,700 2.4×
Tangential biopsy skin single lesion (11102) $919.80 $1,533 2.1×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
range across 2 matching MRF lines		 $29,400–$35,169.60 $49,000–$58,616 varies
Tcat Insj/Rpl Perm Ldls Pm (33274) $21,508.20 $35,847 1.1×
Tcat Rmvl Perm Ldls Pm (33275) $3,833.40 $6,389 1.1×
Temporary Closure Eyelids Suture (67875) $3,486 $5,810 3.3×
Tendon lengthening upper arm/elbow ea tendon (24305) $8,694 $14,490 2.5×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $6,858 $11,430 2.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $8,694 $14,490 2.5×
Tenodesis long tendon biceps (23430) $22,952.53 $38,254.22 3.0×
Tenodesis proximal interphalangeal joint each (26471) $4,458 $7,430 1.3×
Tenodesis Wrist Flexors Fingers (25300) $4,860 $8,100 1.4×
Tenolysis extensor foot single tendon (28225) $3,714 $6,190 1.1×
Tenolysis flexor tendon palm&finger each tendo (26442) $4,842 $8,070 1.4×
Tenolysis flexor tendon palm/finger each tendon (26440) $4,743 $7,905 2.8×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $12,896.75 $21,494.59 3.7×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $15,936.42 $26,560.70 4.6×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $4,743 $7,905 1.4×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $4,842 $8,070 1.4×
Tenotomy Adductor Hip Percutaneous Spx (27000)
range across 2 matching MRF lines		 $2,087.40–$4,458 $3,479–$7,430 varies
Tenotomy extensor hand/finger open each tendon (26460) $4,743 $7,905 2.8×
Tenotomy Flexor Finger Open Each Tendon (26455) $4,743 $7,905 2.8×
Tenotomy Flexor Palm Open Each Tendon (26450) $6,858 $11,430 2.0×
Tenotomy Hip Abd/Ext Open (27006) $26,277.31 $43,795.52 7.6×
Tenotomy Percutaneous Single Each Digit (26060) $4,458 $7,430 2.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $5,120.40 $8,534 3.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $15,001.78 $25,002.97 4.3×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 2 matching MRF lines		 $2,144.40–$3,486 $3,574–$5,810 varies
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)
range across 2 matching MRF lines		 $2,087.40–$4,743 $3,479–$7,905 varies
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $3,288 $5,480 0.9×
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $6,107.40–$8,658 $10,179–$14,430 varies
Tenotomy, hip flexor(s), open (27005) $12,679.52 $21,132.53 3.7×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $4,743 $7,905 2.8×
Ther Spi Pnxr Csf Fluor/Ct (62329) $3,281.40 $5,469 4.4×
Therapeutic plasma exchange (36514) $2,991.60 $4,986 1.8×
Thoracoscopy w/bx nodule (32608) $8,633.40 $14,389 0.8×
Thoracoscopy w/bx pleura (32609) $8,633.40 $14,389 1.3×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) $8,633.40 $14,389 0.8×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) $38,275.66 $63,792.76 6.0×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $55,896.65 $93,161.08 8.7×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $10,338 $17,230 1.8×
Thrmbc/Nfs Dialysis Circuit (36906) $41,437.20 $69,062 2.1×
Thromblytic art/ven therapy (37213) $9,834 $16,390 2.9×
Thrombolytic Art Therapy (37211) $6,670.20 $11,117 1.1×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $352.80–$418.80 $588–$698 varies
Thrombolytic Venous Therapy (37212) $6,618 $11,030 2.0×
Thyroid biopsy (60100) $1,727.40 $2,879 2.3×
Thyroidectomy Post Prev Thyr Surg (60260) $20,972.29 $34,953.82 3.3×
Thyroidectomy, total or complete (60240) $29,765.21 $49,608.69 4.7×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $35,257.55 $58,762.59 5.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $10,726.49 $17,877.48 4.9×
Tissue Expander Placement Breast Reconstruction (19357) $35,329.04 $58,881.74 2.4×
Tlh uterus over 250 g (58572) $73,621.94 $122,703.23 6.5×
Tnot elbow lateral/medial debride open (24358) $7,125.72 $11,876.20 2.1×
Tnot elbow lateral/medial debride open tdn rpr (24359) $6,858 $11,430 2.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $8,924.19 $14,873.65 2.5×
Tooth extraction (41899) $9,416.61 $15,694.35 37.6×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $61,485.46 $102,475.76 3.3×
Total Knee Arthroplasty (27447)
range across 3 matching MRF lines		 $40,850.86–$44,895.12 $68,084.76–$74,825.20 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $8,004 $13,340 1.3×
Tprnl Plmt Biodegrdabl Matrl (55874) $11,123.92 $18,539.87 2.0×
Trabeculoplasty by laser surgery (65855) $2,439.50 $4,065.84 4.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $14,998.79 $24,997.98 4.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $3,486 $5,810 6.1×
Tracheostoma Revj Cplx W/Flap Rotation (31614) $12,321.40 $20,535.66 2.0×
Tracheostoma revj smpl w/o flap rotation (31613) $11,011.23 $18,352.05 3.1×
Transcatheter biopsy (37200) $7,075.20 $11,792 1.2×
Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) $10,512 $17,520 1.3×
Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) $4,458 $7,430 2.2×
Transection or avulsion of; lingual nerve Facility (64740) $4,458 $7,430 2.2×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $14,560.85 $24,268.08 7.0×
Transfer skin pedicle flap (15650) $9,630 $16,050 4.4×
Transfer/transplant tendon palmar w/o graft each (26485) $4,842 $8,070 1.4×
Translum Dil Eye Canal (66174) $9,630 $16,050 2.2×
Transoral lower esophageal myotomy (43497) $21,982.35 $36,637.25 3.4×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $33,155.30 $55,258.84 5.8×
Transplant hand tendon (26480) $4,842 $8,070 1.4×
Transplant/graft hand tendon (26483) $4,842 $8,070 1.4×
Transrectal abltj mal prst8 tissue hifu w/us (55880) $21,242.91 $35,404.85 2.1×
Transrectal Drainage of Pelvic Abscess (45000) $3,486 $5,810 2.8×
Transur electr resection of prostate (52601) $14,628.63 $24,381.05 2.6×
Transurethral incision of prostate (52450) $19,282.84 $32,138.06 5.2×
Transurethral resection bladder neck (52500) $13,807.68 $23,012.80 3.7×
Treat Ankle Dislocation (27846) $8,658 $14,430 1.1×
Treat ankle fracture (28445) $8,658 $14,430 1.1×
Treat Big Toe Fracture (28505) $21,692.03 $36,153.38 6.3×
Treat dental ridge fracture (21445) $8,694 $14,490 1.4×
Treat dislocation/fracture (23670) $11,100 $18,500 1.4×
Treat ectopic pregnancy (59151) $21,663.86 $36,106.43 3.4×
Treat elbow fracture (24586) $10,512 $17,520 0.8×
Treat Finger Fracture Each (26727) $10,338 $17,230 3.0×
Treat fracture radius/ulna (25575) $29,623.55 $49,372.58 3.9×
Treat Fx Rad Extra-Articul (25607) $13,853.98 $23,089.97 1.8×
Treat Hand Bone Lesion (26034) $4,458 $7,430 2.6×
Treat kneecap dislocation (27566) $8,658 $14,430 1.1×
Treat Kneecap Fracture (27524) $19,872.86 $33,121.43 2.6×
Treat Metatarsal Fracture (28475) $3,486 $5,810 13.4×
Treat scapula fracture (23585) $8,658 $14,430 1.1×
Treat thumb fracture (26665) $8,523.94 $14,206.57 2.5×
Treatment extensive retinopathy photocoagulation (67228) $2,440.91 $4,068.18 4.2×
Treatment of anal fissure (46940) $4,500 $7,500 1.5×
Treatment of ankle fracture (27823) $8,658 $14,430 1.1×
Treatment of nose fracture (21330) $9,630 $16,050 1.5×
Trim skin lesion (11055) $515.40 $859 2.4×
Trim skin lesions 2 to 4 (11056) $414.60 $691 2.0×
Trim skin lesions over 4 (11057) $229.80 $383 1.1×
Trimming Nondystrophic Nails Any Number (11719) $96 $160 1.5×
Trluml Balo Angiop 1St Art (37246) $26,683.75 $44,472.91 4.4×
Trluml Balo Angiop 1St Vein (37248) $17,545.80 $29,243 2.9×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 2 matching MRF lines		 $2,506.80–$7,866 $4,178–$13,110 varies
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $496.80 $828 1.1×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $496.80 $828 1.1×
Trurl rescj postop bladder neck contracture (52640) $13,092.67 $21,821.11 3.5×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $6,018 $10,030 2.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $10,512 $17,520 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $8,306.84 $13,844.73 2.4×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $43,575.89 $72,626.48 5.7×
Tx Missed Abortion First Trimester Surgical (59820) $8,204.30 $13,673.83 2.4×
Tx Missed Abortion Second Trimester Surgical (59821) $8,669.52 $14,449.20 2.5×
Tx open tendon flexor toe 1 tendon spx (28232) $7,784.41 $12,974.01 4.6×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $24,941.06 $41,568.43 14.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $4,607.38 $7,678.97 5.9×
Tx superficial wound dehiscence w/packing (12021) $855.43 $1,425.72 2.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,486 $5,810 2.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $3,486 $5,810 13.4×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $49,822.13 $83,036.88 3.7×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,787 $4,645 1.7×
Tympanoplasty (69631) $18,306.96 $30,511.60 2.9×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $27,109.04 $45,181.74 4.3×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $10,338 $17,230 1.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $41,642.33 $69,403.89 6.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $44,187.08 $73,645.13 7.1×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $18,138.64 $30,231.06 2.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $10,338 $17,230 1.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $17,140.28 $28,567.13 2.7×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $40,633.07 $67,721.78 6.5×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $26,358.90 $43,931.50 4.2×
Tympanostomy general anesthesia (69436) $6,852.61 $11,421.02 4.2×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $24,752.90 $41,254.83 6.5×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $4,458 $7,430 17.8×
Unlisted hysteroscopy procedure, uterus (58579) $14,093.11 $23,488.51 65.9×
Unlisted laparoscopic procedure liver (47379) $32,971.22 $54,952.03 5.2×
Unlisted laparoscopy procedure appendix (44979) $64,111.29 $106,852.15 10.0×
Unlisted laparoscopy procedure oviduct ovary (58679) $20,803.22 $34,672.04 3.3×
Unlisted laparoscopy procedure stomach (43659) $27,759.05 $46,265.09 4.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $20,215.95 $33,693.25 3.2×
Unlisted laparoscopy procedure, biliary tract (47579) $33,293.65 $55,489.42 5.2×
Unlisted laparoscopy procedure, bladder (51999) $39,854.26 $66,423.77 6.2×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $33,089.26 $55,148.76 5.2×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $20,582.02 $34,303.37 3.2×
Unlisted laparoscopy procedure, lymphatic system (38589) $40,008.50 $66,680.83 6.3×
Unlisted laparoscopy procedure, renal (50549) $52,360.93 $87,268.22 8.2×
Unlisted laparoscopy procedure, spermatic cord (55559) $37,032.02 $61,720.03 5.8×
Unlisted laparoscopy procedure, spleen (38129) $8,340 $13,900 1.3×
Unlisted laparoscopy procedure, uterus (58578) $46,501.56 $77,502.60 7.3×
Unlisted procedure anus (46999) $3,486 $5,810 3.5×
Unlisted procedure arthroscopy (29999) $12,534.66 $20,891.10 48.0×
Unlisted procedure breast (19499) $2,309.63 $3,849.39 0.6×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $148.20–$160.80 $247–$268 varies
Unlisted procedure colon (45399) $5,465.95 $9,109.92 5.6×
Unlisted Procedure Esophagus (43499) $3,535.12 $5,891.87 3.7×
Unlisted procedure excision pressure ulcer (15999) $10,436.44 $17,394.06 13.9×
Unlisted procedure eyelids (67999) $2,478 $4,130 7.4×
Unlisted procedure femur or knee (27599) $3,285.60 $5,476 12.6×
Unlisted procedure foot or toes (28899) $7,354.68 $12,257.80 28.2×
Unlisted procedure forearm or wrist (25999) $43,123.47 $71,872.45 165.2×
Unlisted Procedure Hands/Fingers (26989) $7,420.48 $12,367.47 28.4×
Unlisted Procedure Intestine (44799) $4,605.31 $7,675.51 4.8×
Unlisted procedure larynx (31599) $8,164.25 $13,607.08 32.6×
Unlisted Procedure Leg/Ankle (27899) $20,482.07 $34,136.79 78.5×
Unlisted procedure liver (47399) $47,451.82 $79,086.36 63.3×
Unlisted Procedure Male Genital System (55899) $13,721.96 $22,869.94 51.9×
Unlisted Procedure Muscskeletal System General (20999) $3,486 $5,810 13.4×
Unlisted procedure neck or thorax (21899) $35,203.74 $58,672.90 140.5×
Unlisted procedure nervous system (64999) $7,142.30 $11,903.83 22.0×
Unlisted procedure pancreas (48999) $3,899.88 $6,499.80 5.2×
Unlisted procedure pelvis/hip joint (27299) $7,414.07 $12,356.79 28.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $9,446.51 $15,744.19 37.7×
Unlisted Procedure Rectum (45999) $10,121.07 $16,868.45 10.3×
Unlisted procedure stomach (43999) $5,016.53 $8,360.89 5.2×
Unlisted Procedure Trachea Bronchi (31899) $8,998.64 $14,997.74 42.6×
Unlisted Procedure Vascular Surgery (37799) $5,069.08 $8,448.47 7.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $4,878 $8,130 5.1×
Unlisted Procedure, Urinary System (53899) $14,640.53 $24,400.89 55.4×
Unlisted px female genital system nonobstetrical (58999) $12,354.94 $20,591.56 57.8×
Upgrade of pacemaker system (33214) $9,021 $15,035 0.8×
Ureteral endoscopy via ureterostomy (50951) $3,486 $5,810 0.9×
Urethrectomy, total, including cystostomy; male Facility (53215) $29,960.99 $49,934.98 5.3×
Uvulectomy excision of uvula (42140) $4,458 $7,430 1.3×
Vag hyst complex (58290) $10,512 $17,520 1.3×
Vag hyst incl t/o complex (58291) $9,720 $16,200 1.8×
Vag hyst w/t/o & vag repair (58263) $40,580.56 $67,634.26 7.7×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $29,804.03 $49,673.39 5.6×
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) $10,512 $17,520 1.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $9,720 $16,200 1.8×
Vaginectomy, partial removal of vaginal wall; (57106) $9,660 $16,100 2.8×
Vasc embolize/occlude artery (37242) $11,691.60 $19,486 0.6×
Vasc Embolize/Occlude Bleed (37244) $11,602.20 $19,337 0.9×
Vasc Embolize/Occlude Organ (37243) $11,602.20 $19,337 0.9×
Vasc embolize/occlude venous (37241) $11,602.20 $19,337 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $8,342.57 $13,904.29 3.8×
Venous Mech Thrombectomy (37187) $10,203.60 $17,006 0.8×
Ventilating tube removal requiring general anesthesia (69424) $5,145.35 $8,575.58 1.5×
Vestibuloplasty Anterior (40840) $5,568 $9,280 0.9×
Vitrectomy mechanical pars plana (67036) $12,477.18 $20,795.30 2.9×
Vitrectomy pars plana remove int memb retina (67042) $12,706.99 $21,178.32 2.9×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $13,984.43 $23,307.38 3.2×
Vulvectomy simple partial (56620) $8,005.87 $13,343.12 2.3×
Vulvectomy simple; complete (56625) $6,594 $10,990 1.9×
Vulvectomy, radical, partial; Facility (56630) $21,445.94 $35,743.24 4.1×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) $10,512 $17,520 1.3×
Wound Prep F/N/Hf/G (15004) $4,748.30 $7,913.84 11.0×
Wound Prep Trk/Arm/Leg (15002) $13,512.22 $22,520.36 17.3×
Wrist arthroscopy with partial removal of joint lining (29844) $6,858 $11,430 2.0×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $14,700.84 $24,501.40 2.6×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $6,594 $10,990 1.2×
Xfer Single Deep Low Leg Tendon (27691) $18,960.94 $31,601.57 2.5×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $5,568 $9,280 0.9×

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