Procedures & surgery prices at Coshocton Regional Medical Center
Coshocton, OH · every code in this section with a posted price and a Medicare benchmark.
781 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$853 | $2,230.47–$3,807.75 | 1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$853 | $2,230.47–$2,414.15 | 1.0× |
| Ablate inf turbinate submuc (30802) | $1,460 | $3,414.24 | 1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,460 | $3,414.24 | 1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,942 | $5,600 | 1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,942 | $5,297 | 1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,942 | $3,200 | 1.0× |
| Amniocentesis diagnostic (59000) | — | $1,674.12 | — |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$3,080 | $4,000–$7,870.02 | 1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $3,080 | $7,870.02 | 1.0× |
| Amputation toe interphalangeal joint (28825) | $3,080 | $4,800 | 1.0× |
| Amputation toe metatarsophalangeal joint (28820) | $3,080 | $5,400 | 1.0× |
| Anoscopy Ablation Lesion (46615) | $2,613 | $6,946.89 | 1.0× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$125 | $315.12–$319.44 | 1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) | $875 | $2,129.94 | 1.0× |
| Anoscopy; with biopsy, single or multiple (46606) | $1,126 | $5,414.55 | 1.0× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $1,126 | $4,000 | 1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $2,613 | $13,376.20 | 1.0× |
| Application cast elbow finger short arm (29075) | $263 | $706.74 | 1.0× |
| Application Finger Splint Dynamic (29131) | $55 | $167.70 | 1.0× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$125 | $167.70–$671.22 | 1.0× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$152 | $403.86–$942.34 | 1.0× |
| Application Long Leg Cast Brace (29358) | $263 | $706.74 | 1.0× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$152 | $403.86–$942.34 | 1.0× |
| Application of cylinder cast (thigh to ankle) (29365) | $263 | $706.74 | 1.0× |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$263 | $548.12–$706.74 | 1.0× |
| Application Patellar Tendon Bearing Cast (29435) | $263 | $706.74 | 1.0× |
| Application Short Arm Splint Dynamic (29126) | $125 | $315.12 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$125 | $319.44–$998.21 | 1.0× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$152 | $403.86–$942.34 | 1.0× |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$152 | $403.86–$407.33 | 1.0× |
| Apply long arm cast (29065) | $263 | $706.74 | 1.0× |
| Apply Short Leg Cast (29405) range across 4 matching MRF lines |
$263 | $548.12–$711.84 | 1.0× |
| Arterial puncture (36600) | $125 | $794.08 | 1.0× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) | $6,831 | $9,600 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$288 | $734.10–$2,500 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $664 | $4,800 | 1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$288 | $734.10–$2,578.16 | 1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $288 | $742.44 | 1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $288 | $734.10 | 1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $3,080 | $4,066.67 | 1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) | $3,080 | $1,784.50 | 1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $3,080 | $1,575 | 1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $3,080 | $1,800 | 1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $6,831 | $2,044.44 | 1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $3,080 | $1,288.89 | 1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $6,831 | $2,044.44 | 1.0× |
| Arthrotomy W/Synovectomy Ankle (27625) | $3,080 | $6,400 | 1.0× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) | $3,080 | $3,600 | 1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $12,086 | $11,887.50 | 1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $6,831 | $1,636.66 | 1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $3,080 | $1,316 | 1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $3,080 | $4,000 | 1.0× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) | $3,080 | $4,000 | 1.0× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) | $3,080 | $4,000 | 1.0× |
| Arthrt w/synvct kne ant&post w/pop area (27335) | $6,831 | $2,000 | 1.0× |
| Artificial insemination intra-uterine (58322) | $190 | $482.10 | 1.0× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$590 | $2,035.03–$4,340.07 | 1.0× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$590 | $1,837.71–$2,500.44 | 1.0× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$288 | $734.10–$1,914.15 | 1.0× |
| Aspiration and/or injection thyroid cyst (60300) | $666 | $1,718.55 | 1.0× |
| Aspiration bladder insert suprapubic catheter (51102) range across 3 matching MRF lines |
$1,967 | $4,000–$5,087.04 | 1.0× |
| Aspiration Bladder Needle (51100) | $235 | $694.26 | 1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$188 | $506.85–$3,200 | 1.0× |
| Biopsy Abdominal Mass (49180) | $1,554 | $4,126.50 | 1.0× |
| Biopsy bone trocar/needle deep (20225) | $1,554 | $4,044.09 | 1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,554 | $4,126.50 | 1.0× |
| Biopsy muscle percutaneous needle (20206) | $1,554 | $4,044.09 | 1.0× |
| Biopsy of breast; open, incisional (19101) | $3,686 | $8,183.52 | 1.0× |
| Biopsy of lip (40490) | $222 | $535.50 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $1,554 | $6,877.50 | 1.0× |
| Biopsy Salivary Gland Needle (42400) | $666 | $1,718.55 | 1.0× |
| Biopsy soft tissue neck/thorax (21550) | $1,554 | $7,723.75 | 1.0× |
| Biopsy Vaginal Mucosa Simple (57100) | $867 | $1,674.12 | 1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $867 | $1,674.12 | 1.0× |
| Bladder instillation anticarcinogenic agent (51720) | $656 | $688.59 | 1.0× |
| Bladder Irrigation (51700) | $235 | $688.59 | 1.0× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$55 | $167.70–$455.90 | 1.0× |
| Blepharotomy drainage abscess eyelid (67700) | $298 | $802.98 | 1.0× |
| Blood Transfusion Service (36430) | $415 | $1,940.20 | 1.0× |
| Bone Marrow Biopsy (38221) | $1,554 | $4,044.09 | 1.0× |
| Breast Reduction (19318) range across 2 matching MRF lines |
$6,251 | $21,503.65–$21,503.70 | 1.0× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,554 | $3,200–$9,628.50 | 1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$1,554 | $681–$4,044.09 | 1.0× |
| Bx Cervix (57500) | $867 | $1,674.12 | 1.0× |
| Bx/exc lymph node open deep axillary node (38525) | $3,686 | $8,183.52 | 1.0× |
| Carpal Tunnel Surgery (64721) | $1,838 | $3,323.08 | 1.0× |
| Cataract surgery complex (66982) | $2,172 | $4,078.43 | 1.0× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $286 | $805.05 | 1.0× |
| Cautery Cervix Electro/Thermal (57510) | $3,047 | $6,818.31 | 1.0× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$235 | $688.59–$1,330.70 | 1.0× |
| Change of Windpipe Airway (31502) | $222 | $535.50 | 1.0× |
| Chemical Cautery Tissue (17250) | $188 | $506.85 | 1.0× |
| Chemical Pleurodesis (32560) | $590 | $1,837.71 | 1.0× |
| Chemodenervation of internal anal sphincter (46505) | $1,126 | $5,184.80 | 1.0× |
| Chest tube placement (32551) | $1,481 | $2,948.91 | 1.0× |
| Circumcision 28 days or older (54161) | $1,967 | $5,087.04 | 1.0× |
| Circumcision w/clamp/oth dev w/block (54150) | — | $5,087.04 | — |
| Cl Tx Scapular Fx; W Manip (23575) | $1,513 | $3,940.02 | 1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,513 | $3,118.36–$4,049.82 | 1.0× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$125 | $319.44–$745.36 | 1.0× |
| Closed Treat Vert Body Fract (22310) | $232 | $644.70 | 1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$232 | $496.42–$675.27 | 1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Treatment Sternum Fracture (21820) | $232 | $644.70 | 1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,513 | $3,118.36–$4,049.82 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed tx femoral fracture prox head w/o manj (27267) | $3,080 | $4,049.82 | 1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $507 | $1,379.61 | 1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,460 | $3,414.24 | 1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,121 | $6,597.18 | 1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$232 | $675.27–$1,299.76 | 1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$232 | $496.42–$999 | 1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,513 | $3,940.02 | 1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,513 | $6,776.95 | 1.0× |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $232 | $644.70 | 1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$232 | $496.42–$675.27 | 1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$507 | $1,178.10–$1,461.39 | 1.0× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $232 | $644.70 | 1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$232 | $496.42–$1,575.63 | 1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $232 | $644.70 | 1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,513 | $4,049.82 | 1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $232 | $644.70 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$232 | $644.70–$675.27 | 1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $1,513 | $3,940.02 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $232 | $769.85 | 1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $232 | $644.70 | 1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,513 | $3,118.36–$9,193.38 | 1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,513 | $2,171.64 | 1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$232 | $644.70–$675.27 | 1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $232 | $644.70 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $232 | $644.70 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $232 | $644.70 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,513 | $9,193.38 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $232 | $644.70 | 1.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,513 | $6,961.75 | 1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,513 | $3,940.02 | 1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $263 | $706.74 | 1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$232 | $644.70–$1,575.63 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $263 | $2,980.79 | 1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $232 | $861.65 | 1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,513 | $3,940.02 | 1.0× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $232 | $1,831.70 | 1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$232 | $644.70–$4,000 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $232 | $644.70 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $232 | $644.70 | 1.0× |
| Cltx post hip arthrp dislc req anes (27266) | $1,513 | $6,776.95 | 1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) | $232 | $675.27 | 1.0× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,513 | $6,961.75 | 1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Cltx prox tibfib jt dislc req anes (27831) range across 2 matching MRF lines |
$3,080 | $6,110.48–$7,870.02 | 1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $232 | $675.27 | 1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$232 | $496.42–$1,575.63 | 1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $232 | $644.70 | 1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,513 | $3,118.36–$9,193.38 | 1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$125 | $319.44–$545.15 | 1.0× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$9 | $38–$53.95 | 1.0× |
| Colonoscopy Flexible With Decompression (45393) | $1,126 | $4,898.95 | 1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $1,126 | $5,414.55 | 1.0× |
| Colonoscopy stoma w/balloon dilation (44405) | $1,126 | $5,021.10 | 1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $1,126 | $5,184.80 | 1.0× |
| Colonoscopy thru stoma (44388) | $875 | $3,724.45 | 1.0× |
| Colonoscopy w/ablation (45388) | $1,126 | $3,907 | 1.0× |
| Colonoscopy W/Band Ligation (45398) | $1,126 | $6,858.53 | 1.0× |
| Colonoscopy w/submucosal inj (45381) | $1,126 | $6,858.53 | 1.0× |
| Colpocentesis (57020) | $4,709 | $6,818.31 | 1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $286 | $805.05 | 1.0× |
| Colposcopy Cervix Endocervical Curettage (57456) | $286 | $805.05 | 1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $190 | $482.10 | 1.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $286 | $805.05 | 1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $3,047 | $6,818.31 | 1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $867 | $1,674.12 | 1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,126 | $2,867 | 1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,126 | $5,021.10 | 1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,126 | $6,858.53 | 1.0× |
| Complex drainage wound (10180) | $2,734 | $6,974.61 | 1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $125 | $375 | 1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$125 | $274.12–$745.36 | 1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,554 | $4,709.90 | 1.0× |
| Correction hammertoe (28285) | $3,080 | $2,133.33 | 1.0× |
| Create Eardrum Opening (69433) | $507 | $1,379.61 | 1.0× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) | $8,912 | $3,200 | 1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $125 | $315.12 | 1.0× |
| Cysto w/insert ureteral stent (52332) | $3,318 | $3,666.67 | 1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $5,047 | $11,118.10 | 1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $3,318 | $1,655.55 | 1.0× |
| Cysto/uretero w/lithotripsy (52356) | $5,047 | $4,950 | 1.0× |
| Cystometrogram W/Vp&Up (51729) | $656 | $1,686.75 | 1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $1,967 | $10,242.50 | 1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $3,318 | $4,533.33 | 1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$382 | $1,448.67–$3,600 | 1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,734 | $6,974.61 | 1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $666 | $1,738.02 | 1.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $1,838 | $13,698.20 | 1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$695 | $1,448.67–$1,464.60 | 1.0× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$55 | $167.70–$391.30 | 1.0× |
| Debride nail 6 or more (11721) | $55 | $167.70 | 1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,554 | $4,044.09–$4,533.33 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$382 | $932.40–$942.24 | 1.0× |
| Declot vascular device (36593) range across 4 matching MRF lines |
$310 | $865.14–$2,018.66 | 1.0× |
| Decompression of tibia nerve (28035) | $1,838 | $4,800 | 1.0× |
| Deep Muscle Biopsy (20205) | $2,734 | $6,974.61 | 1.0× |
| Delivery of placenta (59414) | — | $6,818.31 | — |
| Destroy cerv/thor facet jnt (64633) | $1,838 | $4,831.50 | 1.0× |
| Destroy lumb/sac facet jnt (64635) | $1,838 | $4,831.50 | 1.0× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$188 | $506.85–$3,150 | 1.0× |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$188 | $506.85–$3,975 | 1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $188 | $506.85 | 1.0× |
| Destruction Premalignant Lesion 15/> (17004) | $382 | $932.40 | 1.0× |
| Destruction premalignant lesion 1st (17000) | $188 | $506.85 | 1.0× |
| Diagnostic sigmoidoscopy (45330) | $875 | $5,214.23 | 1.0× |
| Dilate Esophagus 1/Mult Pass (43450) | $853 | $3,717.45 | 1.0× |
| Dilate Urethra Stricture (53620) | $656 | $1,686.75 | 1.0× |
| Dilate Urethra Stricture (53600) | $235 | $688.59 | 1.0× |
| Dilation Cervical Canal (57800) | $3,047 | $6,818.31 | 1.0× |
| Drain Cerebro Spinal Fluid (62272) | $664 | $1,630.14 | 1.0× |
| Drainage external auditory canal abscess (69020) | $666 | $1,718.55 | 1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) | $1,554 | $4,044.09 | 1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $666 | $1,718.55 | 1.0× |
| Drainage Finger Abscess Complicated (26011) | $1,554 | $6,877.50 | 1.0× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$188 | $506.85–$1,235.15 | 1.0× |
| Drainage of gum lesion (41800) | $125 | $745.36 | 1.0× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$1,554 | $3,600–$4,126.50 | 1.0× |
| Drainage of hydrocele (55000) | $666 | $1,718.55 | 1.0× |
| Drainage of nose lesion (30000) | $222 | $618.42 | 1.0× |
| Drainage of rectal abscess (45005) | $1,126 | $2,939.37 | 1.0× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,554 | $4,044.09–$7,035 | 1.0× |
| Drainage of scrotum (54700) | $1,967 | $5,087.04 | 1.0× |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$125 | $315.12–$617.62 | 1.0× |
| Dressing Change Under Anesthesia (15852) | $695 | $2,485.10 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $666 | $1,718.55 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $382 | $932.40 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $188 | $529.35 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$188 | $506.85–$3,200 | 1.0× |
| Dstrj lesion anus simple surg excision (46922) | $2,613 | $6,400 | 1.0× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $188 | $506.85 | 1.0× |
| Dx Bronchoscope/Lavage (31624) | $1,675 | $3,200 | 1.0× |
| Dx Laryngoscopy Excl Nb (31525) | $1,675 | $3,971.10 | 1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,806 | $7,466.75 | 1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,806 | $7,416.75 | 1.0× |
| Egd cautery tumor polyp (43250) | $1,806 | $7,416.75 | 1.0× |
| Egd control bleeding any (43255) | $1,806 | $10,383.50 | 1.0× |
| Egd dilation gastric/duodenal stricture (43245) | $1,806 | $7,416.75 | 1.0× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$853 | $3,929.60–$8,000 | 1.0× |
| Egd lesion ablation (43270) | $1,806 | $4,282.17 | 1.0× |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$1,806 | $3,783–$8,125.10 | 1.0× |
| Egd remove lesion snare (43251) | $1,806 | $7,416.75 | 1.0× |
| Egd Tube/Cath Insertion (43241) | $1,806 | $9,064.95 | 1.0× |
| Egd Varices Ligation (43244) | $1,806 | $8,707.95 | 1.0× |
| Electro-Uroflowmetry First (51741) | $203 | $407.85 | 1.0× |
| Endometrial Biopsy (58100) | $190 | $482.10 | 1.0× |
| Endoscopic plantar fasciotomy (29893) | $3,080 | $4,000 | 1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $2,972 | $7,478.22 | 1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $1,806 | $8,125.10 | 1.0× |
| Epidural Blood Patch (62273) | $664 | $1,630.14 | 1.0× |
| Episiotomy or vaginal repair (59300) | $3,047 | $6,818.31 | 1.0× |
| Escharotomy; initial incision (16035) | $382 | $932.40 | 1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $853 | $2,284.65 | 1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $1,806 | $4,282.17 | 1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,806 | $4,450.05 | 1.0× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$125 | $315.12–$745.36 | 1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $666 | $1,718.55 | 1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
$1,554 | $3,800–$7,497.75 | 1.0× |
| Exc Back Les Sc < 3 Cm (21930) | $1,554 | $7,497.75 | 1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,734 | $4,000 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$666 | $1,718.55–$4,000 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $666 | $1,738.02 | 1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,554 | $3,200 | 1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $666 | $1,718.55 | 1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $666 | $1,718.55 | 1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$666 | $1,718.55–$3,200 | 1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,554 | $1,600 | 1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,554 | $4,000 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$1,554 | $4,044.09–$7,184.95 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $666 | $3,050.05 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$1,554 | $3,600–$4,044.09 | 1.0× |
| Exc hand tum deep < 1.5 cm (26116) | $1,554 | $2,400 | 1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,513 | $4,000 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$666 | $1,738.02–$4,320 | 1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$2,734 | $4,000–$12,916.30 | 1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,554 | $4,400–$6,863 | 1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,734 | $3,200 | 1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,554 | $4,800 | 1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,734 | $4,000 | 1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 4 matching MRF lines |
$1,126 | $2,809.17–$5,184.80 | 1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $382 | $932.40 | 1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$666 | $1,718.55–$3,200 | 1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$1,554 | $4,000–$6,863 | 1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $2,734 | $12,916.30 | 1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $2,734 | $3,200 | 1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $2,734 | $1,866.66 | 1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $2,734 | $12,916.30 | 1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,554 | $3,200 | 1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,734 | $4,800 | 1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,734 | $4,000 | 1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $3,080 | $4,000 | 1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,967 | $5,219.25 | 1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$666 | $1,718.55–$1,738.02 | 1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $2,734 | $4,000 | 1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $2,734 | $4,000 | 1.0× |
| Excision Lingual Frenum Frenectomy (41115) | $1,460 | $3,414.24 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $666 | $1,718.55 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$666 | $1,718.55–$4,366 | 1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$382 | $932.40–$3,200 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $666 | $3,200 | 1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$666 | $1,718.55–$1,738.02 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,554 | $1,300 | 1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,554 | $4,044.09 | 1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $666 | $1,718.55 | 1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$666 | $1,718.55–$3,109.85 | 1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,554 | $4,000 | 1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) | $2,613 | $13,376.20 | 1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,513 | $3,800 | 1.0× |
| Excision of hydrocele; unilateral (55040) | $3,370 | $3,733.33 | 1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,734 | $4,000 | 1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,734 | $6,400 | 1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $2,734 | $4,400 | 1.0× |
| Excision spermatocele w/wo epididymectomy (54840) | $1,967 | $2,000 | 1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $2,734 | $5,600 | 1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $1,554 | $4,800 | 1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,554 | $6,887.50 | 1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,513 | $3,200 | 1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,734 | $12,916.30 | 1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,734 | $12,107.80 | 1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,554 | $3,200 | 1.0× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,513 | $3,200 | 1.0× |
| Exploration penetrating wound spx extremity (20103) | $1,554 | $4,000 | 1.0× |
| External cephalic version (59412) | — | $6,818.31 | — |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $3,080 | $4,800 | 1.0× |
| Fasciotomy palmar percutaneous (26040) | $1,513 | $3,400 | 1.0× |
| Fasciotomy, foot and/or toe (28008) | $3,080 | $4,000 | 1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $3,080 | $4,000 | 1.0× |
| Fetal Contraction Stress Test (59020) | — | $482.10 | — |
| Fetal non-stress test (59025) | — | $482.10 | — |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $666 | $1,738.02 | 1.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $666 | $1,738.02 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $382 | $932.40 | 1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $666 | $1,738.02 | 1.0× |
| Fna bx w/us gdn 1st les (10005) | $666 | $2,403.20 | 1.0× |
| Foreskin manipulation (54450) | $235 | $1,177.40 | 1.0× |
| Fusion of foot bones (28740) | $6,831 | $6,750 | 1.0× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$666 | $1,718.55–$3,177.70 | 1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,613 | $11,672.90 | 1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$2,613 | $4,000–$13,376.20 | 1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$2,613 | $4,266.67–$12,847.40 | 1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$875 | $2,129.94–$3,550 | 1.0× |
| Hemorrhoidopexy by stapling (46947) | $2,613 | $12,217 | 1.0× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $4,709 | $12,335.40 | 1.0× |
| I&d abscess peritonsillar (42700) | $222 | $1,039.15 | 1.0× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$188 | $506.85–$4,000 | 1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,734 | $3,200 | 1.0× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $2,613 | $4,800 | 1.0× |
| I&d perianal abscess superficial (46050) | $875 | $3,126.60 | 1.0× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$666 | $1,738.02–$3,472.95 | 1.0× |
| I&d pilonidal cyst simple (10080) | $666 | $1,718.55 | 1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$2,734 | $3,113.95–$4,044.09 | 1.0× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $853 | $2,230.47 | 1.0× |
| Image Cath Fluid Colxn Visc (49405) | $1,554 | $4,709.90 | 1.0× |
| Image Cath Fluid Peri/Retro (49406) | $1,554 | $4,044.09 | 1.0× |
| Implant neuroelectrodes (63650) | $5,999 | $9,083.42 | 1.0× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$235 | $688.59–$1,033.05 | 1.0× |
| Incise finger tendon sheath (26055) | $1,513 | $3,360 | 1.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$382 | $932.40–$2,198.56 | 1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $2,734 | $11,594.50 | 1.0× |
| Incision & removal foreign body subq tiss compl (10121) | $1,554 | $4,927.80 | 1.0× |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$382 | $932.40–$3,200 | 1.0× |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$190 | $482.10–$732 | 1.0× |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$286 | $805.05–$1,254.50 | 1.0× |
| Incision extensor tendon sheath wrist (25000) | $1,513 | $3,600 | 1.0× |
| Incision of Foot Tendon (28234) | $1,513 | $2,000 | 1.0× |
| Incision of lingual frenum (frenotomy) (41010) | $1,460 | $3,414.24 | 1.0× |
| Incision of rectal abscess (46040) | $1,126 | $4,062.31 | 1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,554 | $3,200 | 1.0× |
| Incisional biopsy skin single lesion (11106) | $695 | $932.40 | 1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$188 | $506.85–$1,235.15 | 1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $832 | $3,824.20 | 1.0× |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$200 | $561.54–$999 | 1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $832 | $2,016.54 | 1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $832 | $2,294.52 | 1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$288 | $734.10–$2,500 | 1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $832 | $2,016.54 | 1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$664 | $3,125.25–$8,565.70 | 1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $832 | $2,016.54 | 1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $664 | $3,221.70 | 1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$664 | $1,630.14–$8,565.70 | 1.0× |
| Injection anesthetic agent suprascapular nerve (64418) | $664 | $1,796.43 | 1.0× |
| Injection for identification of sentinel node (38792) | $376 | $1,767.45 | 1.0× |
| Injection into disk lesion (62292) | $1,838 | $3,862.68 | 1.0× |
| Injection into spinal artery (62294) | $832 | $1,674.78 | 1.0× |
| Injection single tendon origin/insertion (20551) | $288 | $734.10 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$288 | $742.44–$1,237.40 | 1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) | $288 | $734.10 | 1.0× |
| Injection therapeutic carpal tunnel (20526) | $288 | $734.10 | 1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $832 | $2,016.54 | 1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$664 | $3,172.95–$8,565.70 | 1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$664 | $1,630.14–$4,412.35 | 1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) | $188 | $506.85 | 1.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $832 | $2,294.52 | 1.0× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $832 | $2,016.54 | 1.0× |
| Ins endovas vena cava filtr (37191) range across 2 matching MRF lines |
$5,238 | $12,794.90–$24,351.30 | 1.0× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$121 | $407.85–$680 | 1.0× |
| Insert cervical dilator (59200) | — | $805.05 | — |
| Insert Drug Implant Device (11981) | $125 | $315.12 | 1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) range across 2 matching MRF lines |
$1,806 | $4,282.17–$4,450.05 | 1.0× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,972 | $1,151.38–$7,655.41 | 1.0× |
| Insert pessary/other device (57160) | $190 | $482.10 | 1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,481 | $1,837.71 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$125 | $319.44–$994.60 | 1.0× |
| Insert tun ip cath perc (49418) | $3,370 | $4,000 | 1.0× |
| Insert tunneled cv cath (36561) | $2,972 | $4,000 | 1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$125 | $319.44–$1,097.10 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,481 | $5,468.15–$7,439.25 | 1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $7,790 | $22,113 | 1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,972 | $2,948.91 | 1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,972 | $4,400 | 1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$1,481 | $2,948.91–$8,155.65 | 1.0× |
| Insj Stablj Dev W/Dcmprn (22867) | $16,507 | $79,730.40 | 1.0× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) | $12,086 | $59,503.60 | 1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,972 | $7,478.22 | 1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$29,050 | $83,093.60–$150,317 | 1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $7,790 | $22,113 | 1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $382 | $932.40 | 1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $382 | $932.40 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $5,358 | $14,035.60 | 1.0× |
| Intubation endotracheal emergency procedure (31500) | $222 | $1,442.98 | 1.0× |
| Irrigation of corpora cavernosa for priapism (54220) | $235 | $1,157.10 | 1.0× |
| Lap insert tunnel ip cath (49324) | $5,691 | $7,200 | 1.0× |
| Lap paraesophag hern repair (43281) | $10,007 | $12,133.30 | 1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $5,691 | $7,462.50 | 1.0× |
| Laparoscopy, surgical, appendectomy (44970) | $5,691 | $5,435.71 | 1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $10,007 | $10,550 | 1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $5,691 | $7,225 | 1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $10,007 | $7,700 | 1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $5,691 | $4,800 | 1.0× |
| Laryngoscopy diagnostic (31505) | $187 | $471.24 | 1.0× |
| Laryngoscopy flexible diagnostic (31575) | $187 | $471.24 | 1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $187 | $471.24 | 1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $368 | $1,159.50 | 1.0× |
| Laser vaporization of prostate (52648) | $5,047 | $4,067.65 | 1.0× |
| Late closure of wound (13160) | $3,336 | $4,646.88 | 1.0× |
| Ligation or biopsy temporal artery (37609) | $1,554 | $4,044.09 | 1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $3,318 | $3,600 | 1.0× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$3,318 | $4,585.71–$8,780.58 | 1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,967 | $5,087.04 | 1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$1,513 | $2,500–$3,940.02 | 1.0× |
| Mastectomy for gynecomastia (19300) | $3,686 | $4,800 | 1.0× |
| Mastectomy partial (19301) | $3,686 | $4,480 | 1.0× |
| Maternity Care Procedure (59899) | — | $482.10 | — |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $1,942 | $1,000 | 1.0× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $3,336 | $1,600 | 1.0× |
| Myelography Lumbar Injection (62304) | $738 | $3,653.35 | 1.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $738 | $740.75 | 1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $664 | $3,221.70 | 1.0× |
| N block inj intercost sng (64420) | $664 | $3,125.25 | 1.0× |
| N Block Inj Pudendal (64430) | $832 | $4,060.25 | 1.0× |
| N Block Lumbar/Thoracic (64520) | $832 | $3,824.20 | 1.0× |
| Nasal Endoscopy Dx (31231) | $187 | $471.24 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$420 | $1,817.95–$2,437.12 | 1.0× |
| Needle Biopsy Lymph Nodes (38505) | $1,554 | $9,629 | 1.0× |
| Neuroeltrd Stim Post Tibial (64566) | $288 | $734.10 | 1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,838 | $4,000 | 1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $416 | $4,043.75 | 1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$288 | $742.44–$1,732.36 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 3 matching MRF lines |
$3,370 | $440–$14,736.60 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,370 | $14,736.60 | 1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $832 | $3,824.20 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $664 | $1,796.43 | 1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $664 | $1,796.43 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $664 | $4,191.67 | 1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $656 | $1,686.75 | 1.0× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$288 | $711–$1,475.95 | 1.0× |
| Open bowel to skin (44300) | $1,806 | $5,600 | 1.0× |
| Open Repair of Rotator Cuff Acute (23410) | $6,831 | $3,227.50 | 1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $6,831 | $5,800 | 1.0× |
| Open Treatment Medial Malleolus Fracture (27766) | $6,831 | $31,985.30 | 1.0× |
| Open treatment metatarsal fracture each (28485) | $6,831 | $4,850 | 1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $6,831 | $4,800 | 1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $6,831 | $6,750 | 1.0× |
| Open Treatment Proximal Humeral Fracture (23615) | $12,086 | $7,700 | 1.0× |
| Open tx carpal scaphoid navicular fracture (25628) | $6,831 | $4,000 | 1.0× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) | $3,080 | $4,800 | 1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$6,831 | $6,275–$31,985.30 | 1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,080 | $13,226 | 1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $6,831 | $4,000 | 1.0× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $3,080 | $3,866.67 | 1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$3,080 | $4,000–$14,152 | 1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $3,080 | $7,870.02 | 1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $6,831 | $29,909.80 | 1.0× |
| Open tx ulnar fx proximal end (24685) | $6,831 | $6,750 | 1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $6,831 | $5,600 | 1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $6,831 | $4,900 | 1.0× |
| Ostectomy calcaneus (28118) | $3,080 | $2,800 | 1.0× |
| Partial removal of toe (28160) | $3,080 | $3,200 | 1.0× |
| Partical Excision Bone Phalanx Toe (28124) | $3,080 | $5,600 | 1.0× |
| Penile Plethysmography (54240) | $203 | $407.85 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $666 | $1,738.02 | 1.0× |
| Pericardiocentesis W/Imaging (33016) | $1,481 | $8,155.65 | 1.0× |
| Perq dev breast 1st us imag (19285) | $666 | $1,718.55 | 1.0× |
| Perq device breast 1st imag (19281) | $1,554 | $356 | 1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $3,080 | $4,800 | 1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $10,868 | $29,007.10 | 1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $6,831 | $39,897.10 | 1.0× |
| Perq Vertebral Augmentation (22513) | $6,831 | $17,098.80 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $420 | $990.03 | 1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,967 | $5,087.04 | 1.0× |
| Plmt Nephroureteral Catheter (50433) | $3,318 | $1,969 | 1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $875 | $2,129.94 | 1.0× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) | $1,126 | $5,621.80 | 1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $2,613 | $6,946.89 | 1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $1,126 | $5,414.55 | 1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $666 | $1,718.55 | 1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $3,080 | $7,870.02 | 1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $3,080 | $4,800 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$382 | $529.35–$932.40 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $382 | $932.40 | 1.0× |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$666 | $1,718.55–$2,403.20 | 1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $664 | $1,630.14 | 1.0× |
| Relieve Pressure on Nerve(S) (64722) | $1,838 | $4,831.50 | 1.0× |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$298 | $618.29–$2,732.70 | 1.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$2,734 | $6,400–$6,974.61 | 1.0× |
| Removal foreign body foot deep (28192) | $1,554 | $7,071.40 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$666 | $1,718.55–$1,969 | 1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$1,554 | $4,044.09–$5,600 | 1.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $3,080 | $7,870.02 | 1.0× |
| Removal Foreign Body Scrotum (55120) | $1,967 | $5,087.04 | 1.0× |
| Removal foreign body upper arm/elbow deep (24201) | $2,734 | $6,974.61 | 1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $55 | $391.30 | 1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$55 | $167.70–$433.28 | 1.0× |
| Removal Implant Deep (20680) | $2,734 | $6,371.43 | 1.0× |
| Removal implantable contraceptive capsules (11976) | $666 | $1,718.55 | 1.0× |
| Removal of foreign body from pharynx (42809) | $420 | $990.03 | 1.0× |
| Removal of heel spur (28119) | $3,080 | $4,800 | 1.0× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$382 | $932.40–$4,133.33 | 1.0× |
| Removal of sesamoid bone (28315) | $3,080 | $6,400 | 1.0× |
| Removal or bivalving full arm or full leg cast (29705) | $263 | $706.74 | 1.0× |
| Removal shoulder foreign body deep subfascial/im (23333) | $2,734 | $4,044.09 | 1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $188 | $506.85 | 1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $666 | $1,718.55 | 1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $263 | $706.74 | 1.0× |
| Remove drug implant device (11982) | $420 | $990.03 | 1.0× |
| Remove foreign body from eye (65235) | $2,172 | $5,731.08 | 1.0× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$125 | $242.64–$481.68 | 1.0× |
| Remove Intrauterine Device (58301) | $286 | $497.79 | 1.0× |
| Remove knee joint lining (27334) | $3,080 | $4,000 | 1.0× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$125 | $319.44–$455.90 | 1.0× |
| Remove renal tube w/fluoro (50389) | $656 | $1,686.75 | 1.0× |
| Remove Shoulder Foreign Body (23330) | $1,554 | $1,738.02 | 1.0× |
| Remove spine eltrd plate (63662) | $3,291 | $16,728.70 | 1.0× |
| Remove Tendon Sheath Lesion (26160) | $1,513 | $3,200 | 1.0× |
| Remove/graft foot lesion (28107) | $6,831 | $4,800 | 1.0× |
| Remove/Insert Drug Implant (11983) | $420 | $990.03 | 1.0× |
| Renal Biopsy Perq (50200) | $1,554 | $7,723.75 | 1.0× |
| Repair Achilles Tendon (27650) | $6,831 | $7,870.02 | 1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $6,831 | $4,533.33 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $695 | $1,448.67 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $695 | $1,448.67 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $382 | $932.40 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$382 | $1,448.67–$4,800 | 1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $382 | $1,448.67 | 1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $382 | $3,668.47 | 1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) | $695 | $1,448.67 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $695 | $1,448.67 | 1.0× |
| Repair extensor tendon finger w/o graft each (26418) | $1,513 | $3,940.02 | 1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $3,080 | $4,800 | 1.0× |
| Repair Hand Tendon (26410) | $1,513 | $3,940.02 | 1.0× |
| Repair incomplete circumcision (54163) | $1,967 | $5,087.04 | 1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $3,370 | $16,246.80 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$382 | $932.40–$2,198.56 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$382 | $932.40–$1,127.75 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $382 | $932.40 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $382 | $932.40 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $382 | $932.40 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $695 | $1,448.67 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$382 | $932.40–$2,198.56 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$382 | $932.40–$2,198.56 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $695 | $1,448.67 | 1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $382 | $1,018 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$382 | $932.40–$2,198.56 | 1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$382 | $932.40–$2,198.56 | 1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $695 | $1,448.67 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $382 | $2,198.56 | 1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,942 | $4,646.88 | 1.0× |
| Repair of biceps tendon (24340) | $6,831 | $1,600 | 1.0× |
| Repair of metatarsals (28322) | $6,831 | $5,600 | 1.0× |
| Repair of nail bed (11760) | $695 | $3,380.23 | 1.0× |
| Repair of rectocele (45560) | $2,613 | $6,946.89 | 1.0× |
| Repair of rectum (45505) | $2,613 | $12,217 | 1.0× |
| Repair of Ruptured Tendon (24342) | $6,831 | $3,200 | 1.0× |
| Repair of urethra injury (53502) | — | $8,090.28 | — |
| Repair recurrent femoral hernia; reducible Facility (49555) | $3,370 | $7,200 | 1.0× |
| Repair Rotator Cuff Chronic (23412) | $6,831 | $1,853.34 | 1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$6,831 | $6,400–$16,819.30 | 1.0× |
| Repair tongue laceration (41250) | $420 | $810.02 | 1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $853 | $2,230.47 | 1.0× |
| Replace g/c tube perc (49450) | $853 | $2,284.65 | 1.0× |
| Reposition Gastrostomy Tube (43761) | $235 | $694.26 | 1.0× |
| Reposition Venous Catheter (36597) | $1,481 | $3,280.89 | 1.0× |
| Retrobulbar injection (67500) | $298 | $802.98 | 1.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $12,086 | $5,600 | 1.0× |
| Revise eyelashes (67825) | $298 | $802.98 | 1.0× |
| Revise Hand/Foot Nerve (64704) | $1,838 | $4,000 | 1.0× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $3,336 | $12,450 | 1.0× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $3,336 | $2,933.34 | 1.0× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) | $3,336 | $4,850 | 1.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $5,999 | $17,938.60 | 1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $3,291 | $8,638.14 | 1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $853 | $2,230.47 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$420 | $990.03–$2,437.12 | 1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$125 | $315.12–$1,176.50 | 1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$420 | $762.32–$990.03 | 1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,126 | $3,200 | 1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,734 | $6,974.61 | 1.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $2,734 | $4,044.09 | 1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,554 | $4,044.09 | 1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $1,838 | $4,831.50 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,481 | $3,100.05 | 1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$590 | $1,837.71–$3,152.55 | 1.0× |
| Rplc Gtube No Revj Trc (43762) | $235 | $688.60 | 1.0× |
| Rplc gtube revj gstrst trc (43763) | $235 | $688.60 | 1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,972 | $13,856.40 | 1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,481 | $2,948.91 | 1.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $2,972 | $13,856.40 | 1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$1,481 | $2,948.91–$8,155.65 | 1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $5,691 | $7,333.33 | 1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $3,370 | $4,985.71 | 1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $6,094 | $7,200 | 1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $6,094 | $6,733.33 | 1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $5,691 | $4,283.33 | 1.0× |
| Rpr blood vessel direct lower extremity (35226) | $666 | $1,738.02 | 1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $188 | $664 | 1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $695 | $932.40 | 1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $507 | $3,409.91 | 1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $3,080 | $7,870.02 | 1.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $3,080 | $13,116.70 | 1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $590 | $1,837.71 | 1.0× |
| Scrotoplasty Simple (55175) | $3,318 | $2,000 | 1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $875 | $4,052.40 | 1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,126 | $2,809.17 | 1.0× |
| Shave skin lesion 0.5 cm/< (11300) | $382 | $506.85 | 1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $188 | $506.85 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $188 | $3,200 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $188 | $506.85 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $188 | $506.85 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $382 | $932.40 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $188 | $506.85 | 1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $188 | $506.85 | 1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $1,126 | $5,021.10 | 1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $1,126 | $4,898.95 | 1.0× |
| Sigmoidoscopy w/fb removal (45332) | $1,126 | $2,809.17 | 1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $875 | $2,373.63 | 1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $382 | $932.40 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$188 | $506.85–$1,235.15 | 1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$188 | $529.35–$1,235.15 | 1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $382 | $932.40 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$188 | $506.85–$1,235.15 | 1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $188 | $506.85 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$188 | $506.85–$1,235.15 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $188 | $506.85 | 1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$188 | $506.85–$1,235.15 | 1.0× |
| Skin Full Grft Face/Genit/Hf (15240) | $1,942 | $800 | 1.0× |
| Skin Pinch Graft (15050) | $695 | $1,448.67 | 1.0× |
| Slitting of prepuce (54001) | $1,967 | $5,087.04 | 1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$188 | $506.85–$1,235.15 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $382 | $2,198.56 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $382 | $932.40 | 1.0× |
| Sperm washing artificial insemination (58323) | $190 | $482.10 | 1.0× |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$2,613 | $4,266.67–$11,720.90 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$664 | $1,630.14–$2,925.85 | 1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$3,336 | $4,000–$8,131.44 | 1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$1,942 | $4,640–$4,646.88 | 1.0× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$152 | $312.82–$403.86 | 1.0× |
| Strapping elbow or wrist (29260) range across 4 matching MRF lines |
$55 | $95.48–$357.93 | 1.0× |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$55 | $95.48–$96.36 | 1.0× |
| Strapping Hip (29520) | $125 | $167.70 | 1.0× |
| Strapping knee (29530) range across 3 matching MRF lines |
$125 | $242.64–$580.55 | 1.0× |
| Strapping shoulder (29240) range across 4 matching MRF lines |
$125 | $315.12–$745.36 | 1.0× |
| Strapping thorax (29200) | $152 | $403.86 | 1.0× |
| Strapping toes (29550) | $55 | $167.70 | 1.0× |
| Strapping Unna Boot (29580) | $152 | $403.86 | 1.0× |
| Surg tx anal fistula subq (46270) | $2,613 | $12,217 | 1.0× |
| Suture 1 nerve hand/foot common sensory nerve (64834) | $3,216 | $13,698.20 | 1.0× |
| Suture 1 Nerve Median Motor Thenar (64835) | $3,216 | $13,698.20 | 1.0× |
| Suture 1 Nerve Ulnar Motor (64836) | $3,216 | $13,698.20 | 1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $6,831 | $5,600 | 1.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $3,080 | $4,000 | 1.0× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$382 | $529.35–$3,200 | 1.0× |
| Tenodesis long tendon biceps (23430) | $6,831 | $1,994.54 | 1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $1,513 | $3,200 | 1.0× |
| Tenotomy Flexor Finger Open Each Tendon (26455) | $1,513 | $2,000 | 1.0× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) | $3,080 | $4,800 | 1.0× |
| Thrombolytic Art Therapy (37211) | $5,238 | $12,794.90 | 1.0× |
| Thrombolytic Therapy Stroke (37195) | $310 | $2,483.20 | 1.0× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$666 | $1,718.55–$1,738.02 | 1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,942 | $4,800 | 1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $3,080 | $4,000 | 1.0× |
| Total Knee Arthroplasty (27447) | $12,086 | $11,547.40 | 1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $222 | $618.42 | 1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,460 | $3,414.24 | 1.0× |
| Tracheostomy planned (31600) | $3,121 | $6,597.18 | 1.0× |
| Treat dislocation/fracture (23680) | $12,086 | $6,750 | 1.0× |
| Treat Finger Fracture Each (26727) | $3,080 | $7,870.02 | 1.0× |
| Treat fracture radius/ulna (25575) | $6,831 | $9,600 | 1.0× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$232 | $496.42–$644.70 | 1.0× |
| Treat Kneecap Fracture (27524) | $6,831 | $5,600 | 1.0× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$232 | $644.70–$713.42 | 1.0× |
| Treat Metatarsal Fracture (28475) | $232 | $644.70 | 1.0× |
| Treat Tail Bone Fracture (27200) | $232 | $644.70 | 1.0× |
| Treat Thumb Dislocation (26641) | $232 | $644.70 | 1.0× |
| Treat toe dislocation (28630) | $232 | $644.70 | 1.0× |
| Treat vagina infection (57150) | $55 | $315.12 | 1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,513 | $3,118.36–$3,940.02 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$232 | $496.42–$675.27 | 1.0× |
| Trluml Balo Angiop 1St Art (37246) | $5,358 | $14,035.60 | 1.0× |
| Tx Gastro Intub W/Asp (43753) | $203 | $746.49 | 1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,513 | $3,940.02 | 1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$695 | $1,448.67–$3,200 | 1.0× |
| Tx superficial wound dehiscence w/packing (12021) | $382 | $932.40 | 1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $1,513 | $3,940.02 | 1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $232 | $644.70 | 1.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $1,460 | $6,597.18 | 1.0× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $3,370 | $15,917 | 1.0× |
| Unlisted laparoscopic procedure liver (47379) | $5,691 | $2,800 | 1.0× |
| Unlisted procedure femur or knee (27599) | $232 | $1,600 | 1.0× |
| Unlisted procedure foot or toes (28899) | $232 | $3,250 | 1.0× |
| Unlisted Procedure Intestine (44799) | $853 | $2,284.65 | 1.0× |
| Unlisted Procedure Leg/Ankle (27899) | $232 | $1,078.20 | 1.0× |
| Unlisted procedure neck or thorax (21899) | $222 | $535.50 | 1.0× |
| Unlisted procedure nervous system (64999) range across 9 matching MRF lines |
$288 | $319.44–$1,308.85 | 1.0× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$3,047 | $6,818.31–$16,528.90 | 1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,967 | $3,103.57 | 1.0× |
| Venous Cutdown >1 Y/O (36425) | $420 | $990.03 | 1.0× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$382 | $932.40–$3,600 | 1.0× |
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.