Procedures & surgery prices at Dallas Medical Center (Dallas, TX)

1080 codes. Prices are the hospital's own posted facility charges.

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Procedure	Posted cash	Posted gross	× Medicare
Abd paracentesis w/imaging (49083)	$906	$3,960.05	1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)	$906	$829.02	1.0×
Abdomen Surgery Procedure (22999)	$246	$5,707.50	1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)	$17,527	$38,000	1.0×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)	$7,253	$6,542.72	1.0×
Acne surgery (10040)	$200	$353.49	1.0×
Acromiopl/Acromionect Partial (23130)	$3,270	$13,974.97	1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)	$2,062	$8,338.93	1.0×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)	$2,062	$7,424.40	1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)	$2,062	$5,911.30	1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines	$2,062	$3,640–$22,156.10	1.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)	$2,062	$3,617.15	1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)	$2,062	$6,206.05	1.0×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)	$7,253	$9,363.65	1.0×
Amniocentesis therapeutic (59001)	$304	$880.17	1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines	$3,270	$14,801.20–$23,623.20	1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines	$3,270	$14,801.20–$20,689	1.0×
Amputation foot transmetarsal (28805)	$3,270	$25,154	1.0×
Amputation metatarsal with toe single (28810)	$3,270	$6,354.95	1.0×
Amputation toe interphalangeal joint (28825)	$3,270	$2,960.24	1.0×
Amputation toe metatarsophalangeal joint (28820)	$3,270	$7,315.02	1.0×
Anal/Urinary Muscle Study (51784)	$128	$714.28	1.0×
Anoscopy Ablation Lesion (46615)	$2,774	$2,567.86	1.0×
Anoscopy diagnostic (46600)	$133	$584.12	1.0×
Anoscopy W/Rmvl Foreign Body (46608)	$929	$835.86	1.0×
Anoscopy; with biopsy, single or multiple (46606)	$1,196	$1,079.23	1.0×
Anterior Tibial Tubercleplasty (27418)	$7,253	$27,619	1.0×
Apheresis Platelets (36513)	$441	$3,674.97	1.0×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)	$162	$221.50	1.0×
Appl cranial tong/strtctc frame w/removal spx (20660)	$1,607	$7,349.31	1.0×
Application cast elbow finger short arm (29075)	$279	$1,228.04	1.0×
Application Cast Finger (29086)	$162	$211.10	1.0×
Application Finger Splint Dynamic (29131)	$58	$293	1.0×
Application finger splint static (29130)	$133	$559.40	1.0×
Application long arm splint shoulder hand (29105)	$162	$720.52	1.0×
Application Long Leg Splint (29505)	$162	$1,192.40	1.0×
Application of long leg cast (29345)	$279	$592.13	1.0×
Application of rigid total contact leg cast (29445)	$279	$1,080.95	1.0×
Application Short Arm Splint Dynamic (29126)	$133	$584.12	1.0×
Application short arm splint forearm-hand static (29125)	$133	$911.80	1.0×
Application short leg splint calf foot (29515)	$162	$720.52	1.0×
Application, cast; figure-of-eight Facility (29049)	$279	$245.61	1.0×
Apply long arm cast (29065)	$279	$1,228.04	1.0×
Apply Multlay Comprs Lwr Leg (29581)	$162	$2,127.47	1.0×
Apply Short Leg Cast (29405)	$279	$616	1.0×
Apply short leg cast (29425)	$279	$1,228.04	1.0×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640)	$3,156	$4,372.66	1.0×
Arterial puncture (36600)	$133	$510.90	1.0×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)	$12,833	$14,685.93	1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)	$306	$2,036.23	1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)	$705	$3,162.26	1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines	$306	$2,036.23–$17,649.70	1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)	$306	$1,334.15	1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)	$306	$2,036.23	1.0×
Arthrodesis great toe metatarsophalangeal joint (28750)	$7,253	$39,761.60	1.0×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862)	$3,270	$43,241.60	1.0×
Arthrodesis Posterior/Posterolateral Lumbar (22612)	$17,527	$47,766.80	1.0×
Arthrodesis sacroiliac joint percutaneous (27279) range across 2 matching MRF lines	$17,527	$61,177.20–$82,566.80	1.0×
Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines	$17,527	$20,495.30–$50,935.90	1.0×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)	$12,833	$30,436	1.0×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)	$3,270	$41,384.80	1.0×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240)	$5,917	$44,237.60	1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)	$3,270	$49,879.50	1.0×
Arthroscopy shoulder distal claviculectomy (29824)	$3,270	$24,004.38	1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806)	$7,253	$33,253	1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)	$3,270	$22,332.50	1.0×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)	$7,253	$25,154	1.0×
Arthroscopy, knee, surgical; with lateral release (29873)	$3,270	$13,809.50	1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)	$3,270	$33,253	1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)	$7,253	$14,513.75	1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)	$3,270	$28,771.50	1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822)	$3,270	$25,154	1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)	$7,253	$8,384.66	1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)	$7,253	$22,122.75	1.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)	$3,270	$34,760.90	1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)	$12,833	$50,935.90	1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)	$12,833	$19,164.10	1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)	$7,253	$20,147.75	1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)	$3,270	$27,619	1.0×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)	$1,607	$1,469.86	1.0×
Aspirate pleura w/ imaging (32555)	$627	$3,379.81	1.0×
Aspirate Pleura W/O Imaging (32554)	$627	$1,840.10	1.0×
Aspirate/Inj Ganglion Cyst (20612)	$306	$270.87	1.0×
Aspiration & Injection Treatment Bone Cyst (20615)	$707	$1,691.25	1.0×
Aspiration and/or injection thyroid cyst (60300)	$707	$643.45	1.0×
Aspiration bladder insert suprapubic catheter (51102)	$2,089	$5,588.29	1.0×
Aspiration Bladder Needle (51100)	$249	$1,130.14	1.0×
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines	$200	$897.75–$18,409.50	1.0×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)	$6,471	$22,000	1.0×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)	$10,625	$35,000	1.0×
Biliary ndsc prq t-tube dilat strix w/stent (47556)	$10,625	$30,000	1.0×
Biliary ndsc prq t-tube w/bx single/multiple (47553)	$6,471	$10,378.60	1.0×
Biopsy Abdominal Mass (49180)	$1,650	$7,152.60	1.0×
Biopsy bone open deep (20245)	$2,903	$2,598.68	1.0×
Biopsy bone open superficial (20240)	$2,903	$2,598.68	1.0×
Biopsy bone trocar/needle deep (20225)	$1,650	$4,448.23	1.0×
Biopsy Bone Trocar/Needle Superficial (20220)	$1,650	$1,482.74	1.0×
Biopsy muscle percutaneous needle (20206)	$1,650	$4,448.23	1.0×
Biopsy Muscle Superficial (20200)	$1,650	$4,686.25	1.0×
Biopsy nail unit (11755)	$707	$1,988.70	1.0×
Biopsy of floor of mouth (41108)	$1,650	$1,988.70	1.0×
Biopsy of liver, needle; percutaneous (47000)	$1,650	$9,910	1.0×
Biopsy Oropharynx (42800)	$1,551	$3,729.30	1.0×
Biopsy Pleura Percutaneous Needle (32400)	$1,650	$1,482.74	1.0×
Biopsy Salivary Gland Needle (42400)	$707	$643.45	1.0×
Biopsy soft tissue back/flank deep (21925)	$1,650	$4,242.84	1.0×
Biopsy Soft Tissue Back/Flank Superficial (21920)	$1,650	$3,034.40	1.0×
Biopsy soft tissue forearm&/wrist deep (25066)	$2,903	$4,780.55	1.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614)	$2,903	$5,697.10	1.0×
Biopsy soft tissue leg/ankle area superficial (27613)	$1,650	$7,413.72	1.0×
Biopsy soft tissue neck/thorax (21550)	$1,650	$7,413.72	1.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)	$1,650	$2,596.55	1.0×
Biopsy Soft Tissue Shoulder Superficial (23065)	$1,650	$1,482.74	1.0×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324)	$2,903	$6,052.90	1.0×
Biopsy soft tissue thigh/knee area superficial (27323)	$1,650	$7,413.72	1.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)	$1,650	$4,406.50	1.0×
Biopsy Spinal Cord Percutaneous Needle (62269)	$1,650	$2,453.50	1.0×
Biopsy Vaginal Mucosa Extensive (57105)	$3,235	$4,870.30	1.0×
Biopsy Vaginal Mucosa Simple (57100)	$920	$2,205.64	1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)	$920	$735.21	1.0×
Bladder instillation anticarcinogenic agent (51720)	$697	$624.73	1.0×
Bladder Irrigation (51700)	$249	$772.45	1.0×
Bladder Scan (51798)	$58	$279.70	1.0×
Blepharoplasty upper eyelid (15822)	$2,062	$6,611.30	1.0×
Blepharotomy drainage abscess eyelid (67700)	$317	$836.30	1.0×
Blood Transfusion Service (36430)	$441	$1,990.75	1.0×
Bone Marrow Biopsy (38221)	$1,650	$1,482.74	1.0×
Bone Marrow; Aspiration Only (38220)	$1,650	$2,011	1.0×
Brnchsc Brushing/Protected Brushings (31623)	$1,779	$1,552.23	1.0×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)	$7,054	$6,489.60	1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)	$3,726	$3,424.83	1.0×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643)	$1,779	$1,552.23	1.0×
Bronchoscopy Bronch Stents (31636)	$7,054	$9,389.14	1.0×
Bronchoscopy Clear Airways (31645)	$1,779	$1,552.23	1.0×
Bronchoscopy Dilate W/Stent (31631)	$7,054	$6,259.43	1.0×
Bronchoscopy Reclear Airway (31646)	$390	$3,192	1.0×
Bronchoscopy W/Biopsy(S) (31625)	$1,779	$1,552.23	1.0×
Bronchoscopy W/Excision Tumor (31640)	$3,726	$5,992.65	1.0×
Bronchoscopy W/Removal Foreign Body (31635)	$1,779	$1,552.23	1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)	$3,726	$3,424.83	1.0×
Bronchoscopy/Needle Bx Each (31629)	$3,726	$3,424.83	1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066)	$2,903	$5,695.85	1.0×
Bx breast 1st lesion strtctc (19081)	$1,650	$5,444.50	1.0×
Bx breast needle core w/o imaging guidance spx (19100)	$1,650	$1,482.74	1.0×
Bx Cervix (57500)	$920	$735.21	1.0×
Bx/exc lymph node open superficial (38500)	$3,914	$17,430	1.0×
Canthoplasty (67950)	$2,376	$10,685.50	1.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525)	$1,607	$28,771.50	1.0×
Carpal Tunnel Surgery (64721)	$1,952	$22,156.10	1.0×
Carpectomy All Bones Proximal Row (25215)	$3,270	$31,447.90	1.0×
Cataract surgery complex (66982)	$2,306	$6,434.90	1.0×
Catheter aspiration nasotracheal spx (31720)	$218	$585.19	1.0×
Cerclage cervix pregnancy vaginal (59320)	—	$5,975.59	—
Cessj Therapy Cath Removal (37214)	$3,156	$11,486.80	1.0×
Change Cystostomy Tube Complicated (51710)	$697	$1,874.20	1.0×
Change Cystostomy Tube Simple (51705)	$249	$1,130.14	1.0×
Change of Windpipe Airway (31502)	$236	$1,116.94	1.0×
Change ureter stent percut (50382)	$2,089	$5,588.29	1.0×
Chemical Cautery Tissue (17250)	$200	$549.28	1.0×
Chemodenerv 1 extremity 1-4 (64642)	$705	$632.45	1.0×
Chest tube placement (32551)	$1,573	$7,323.40	1.0×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)	$2,089	$1,862.76	1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)	$3,579	$3,164.02	1.0×
Circumcision 28 days or older (54161)	$2,089	$6,685.10	1.0×
Circumcision w/clamp/oth dev w/block (54150)	—	$1,862.76	—
Cl Tx Scapular Fx; W Manip (23575)	$1,607	$1,469.86	1.0×
Claviculectomy partial (23120)	$3,270	$38,294.40	1.0×
Clear outer ear canal (69200)	$133	$848.06	1.0×
Closed Rx Metacarpal Fx,Percut (26608)	$3,270	$25,154	1.0×
Closed Rx Spontaneous Hip Disloc (27256)	$246	$215.67	1.0×
Closed rx talotarsal disloc,anesth (28575)	$3,270	$2,960.24	1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)	$246	$1,078.35	1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768)	$1,607	$1,469.86	1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535)	$246	$1,078.35	1.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)	$246	$1,078.35	1.0×
Closed Treatment Sesamoid Fracture (28530)	$246	$215.67	1.0×
Closed Treatment Sternum Fracture (21820)	$246	$845.45	1.0×
Closed Treatment Ulnar Styloid Fracture (25650)	$246	$1,078.35	1.0×
Closed tx ankle dislocation w/o anesthesia (27840)	$246	$1,078.35	1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)	$1,607	$1,469.86	1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)	$246	$822.28	1.0×
Closed tx carpal scaphoid fracture w/manj (25624)	$1,607	$1,469.86	1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)	$246	$1,078.35	1.0×
Closed tx fx orbit except blowout w/manipulation (21401)	$1,551	$3,362.65	1.0×
Closed Tx Knee Dislocation W/Anesthesia (27552)	$1,607	$1,469.86	1.0×
Closed tx knee dislocation w/o anesthesia (27550)	$246	$1,078.35	1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690)	$1,607	$1,469.86	1.0×
Closed tx mandibular fracture w/manipulation (21451)	$1,551	$4,682.10	1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450)	$539	$503.19	1.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)	$5,917	$10,824.30	1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)	$1,551	$3,967.60	1.0×
Closed Tx Nasomaxillary Complex Fracture (21345)	$1,551	$10,120.30	1.0×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421)	$3,314	$14,722.40	1.0×
Closed tx patellar dislocation w/anesthesia (27562)	$246	$2,769.27	1.0×
Closed tx patellar dislocation w/o anesthesia (27560)	$246	$1,078.35	1.0×
Closed tx radial head/neck fx w/manipulation (24655)	$1,607	$1,469.86	1.0×
Closed tx radial shaft fracture w/manipulation (25505)	$1,607	$1,469.86	1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)	$1,607	$1,469.86	1.0×
Closed tx septal&nose fx (21337)	$3,314	$14,722.40	1.0×
Closed tx talotarsal joint dislc w/o anes (28570)	$246	$1,078.35	1.0×
Closed Tx Talus Fracture W/Manipulation (28435)	$1,607	$1,469.86	1.0×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605)	$246	$215.67	1.0×
Closed tx tarsometatarsal dislocation w/o anes (28600)	$246	$1,078.35	1.0×
Closed tx temporomandibular dislc comp 1st/sbsq (21485)	$1,551	$6,973.62	1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480)	$246	$1,078.35	1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)	$246	$215.67	1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)	$236	$670.16	1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)	$539	$2,515.94	1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505)	$1,607	$1,469.86	1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400)	$539	$1,330.05	1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655)	$1,607	$4,409.59	1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)	$246	$1,078.35	1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)	$1,607	$4,409.59	1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635)	$1,607	$1,469.86	1.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)	$1,607	$5,714.24	1.0×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517)	$1,607	$5,714.24	1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)	$246	$1,078.35	1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)	$1,607	$4,409.59	1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)	$246	$1,078.35	1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)	$246	$534.79	1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246)	$246	$2,375	1.0×
Cltx hip dislocation traumatic req anesthesia (27252)	$1,607	$4,409.59	1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250)	$246	$1,078.35	1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)	$1,607	$1,469.86	1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)	$279	$1,116.45	1.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)	$1,607	$4,000	1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)	$279	$3,410.78	1.0×
Cltx iphal jt dislc w/manj w/o anes (26770)	$246	$1,078.35	1.0×
Cltx Med Ankle Fx W/Mnpj (27762)	$1,607	$4,409.59	1.0×
Cltx metacarpal fx w/manipulation each bone (26605)	$246	$1,078.35	1.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)	$1,607	$1,469.86	1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)	$246	$1,078.35	1.0×
Cltx post hip arthrp dislc req anes (27266)	$1,607	$4,409.59	1.0×
Cltx prox fibula/shft fx w/manj (27781)	$1,607	$4,409.59	1.0×
Cltx prox fibula/shft fx w/o manj (27780)	$246	$215.67	1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)	$1,607	$3,364.40	1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)	$246	$1,078.35	1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)	$1,607	$1,469.86	1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)	$1,607	$1,469.86	1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)	$1,607	$1,469.86	1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)	$1,607	$1,469.86	1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)	$246	$1,078.35	1.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545)	$3,270	$2,960.24	1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)	$246	$647.01	1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines	$1,607	$1,469.86–$25,154	1.0×
Collection of venous blood by venipuncture (36415)	$9	$60	1.0×
Colonoscopy Stoma Control Bleeding (44391)	$1,196	$3,365.98	1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392)	$1,196	$2,973.31	1.0×
Colonoscopy thru stoma (44388)	$929	$2,507.57	1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)	$1,196	$1,079.23	1.0×
Colonoscopy w/ablation (45388)	$1,196	$1,079.23	1.0×
Colonoscopy w/fb removal (45379)	$1,196	$1,079.23	1.0×
Colonoscopy W/Resection (45390)	$2,774	$2,567.86	1.0×
Colonoscopy w/submucosal inj (45381)	$1,196	$3,237.68	1.0×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210)	$3,235	$6,276.40	1.0×
Colposcopy Vulva W/Biopsy (56821)	$304	$700.90	1.0×
Colsc flx w/removal lesion by hot bx forceps (45384)	$1,196	$1,079.23	1.0×
Complex Cystometrogram (51726)	$249	$1,373.45	1.0×
Complex drainage wound (10180) range across 2 matching MRF lines	$2,903	$7,697.10–$20,689	1.0×
Composite Skin Graft (15760)	$2,062	$6,072.40	1.0×
Control Nasal Hemorrhage Anterior Complex (30903)	$133	$549.80	1.0×
Control Nasal Hemorrhage Anterior Simple (30901)	$133	$911.80	1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)	$1,650	$7,035	1.0×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420)	$3,523	$3,188.25	1.0×
Correction hammertoe (28285) range across 2 matching MRF lines	$3,270	$4,354.05–$25,154	1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)	$3,270	$32,425.96	1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)	$12,833	$43,241.60	1.0×
Create Tear Sac-Nasal Fistula (68720)	$3,929	$7,291.35	1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)	$133	$642.68	1.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)	$236	$461.65	1.0×
Curette/treat cornea (65435)	$996	$2,205.85	1.0×
Cysto w/complex removal stone & stent (52315)	$2,089	$7,048.75	1.0×
Cysto w/irrig & evac multple obstructing clots (52001)	$3,523	$15,381.70	1.0×
Cysto w/removal of lesions small (52224)	$3,523	$6,589.20	1.0×
Cysto w/removal of tumors small (52234)	$3,523	$6,991.05	1.0×
Cysto W/Simple Removal Stone & Stent (52310)	$2,089	$5,588.29	1.0×
Cysto w/ureter stricture tx (52341)	$3,523	$4,463.10	1.0×
Cysto w/ureteroscopy w/lithotripsy (52353)	$5,359	$9,301.95	1.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)	$5,359	$5,501.15	1.0×
Cystometrogram W/Vp (51728)	$697	$1,273.65	1.0×
Cystoscopy implant stent (52282)	$3,523	$6,327.55	1.0×
Cystostomy Cystotomy W/Drainage (51040)	$2,089	$9,313.81	1.0×
Cystourethroscopy (52000)	$697	$3,123.67	1.0×
Cystourethroscopy tx female urethral syndrome (52285)	$697	$4,403.45	1.0×
Cystourethroscopy w/rmvl ureteral calculus (52320)	$3,523	$5,938.85	1.0×
Cystourethroscopy with biopsy (52204)	$2,089	$5,994.25	1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)	$406	$574.38	1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)	$707	$3,217.26	1.0×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)	$707	$643.45	1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines	$738	$7,898.77–$25,154	1.0×
Debride nail 1-5 (11720)	$58	$279.70	1.0×
Debride nail 6 or more (11721)	$58	$838.73	1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines	$1,650	$21,202.30–$22,921.50	1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)	$406	$5,211.57	1.0×
Declot vascular device (36593)	$330	$1,548.64	1.0×
Deep Muscle Biopsy (20205)	$2,903	$2,598.68	1.0×
Delivery of placenta (59414)	—	$2,859.20	—
Destr W Neurolytic; Celiac Plexus (64680)	$884	$3,032.10	1.0×
Destroy cerv/thor facet jnt (64633)	$1,952	$8,483.70	1.0×
Destroy lumb/sac facet jnt (64635)	$1,952	$8,966.55	1.0×
Destruct B9 Lesion 1-14 (17110)	$200	$183.09	1.0×
Destruction by neurolytic agent, intercostal nerve (64620)	$884	$4,167.95	1.0×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605)	$1,952	$9,198.15	1.0×
Destruction by neurolytic agent; pudendal nerve (64630)	$884	$2,502.25	1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930)	$1,196	$2,597.45	1.0×
Destruction Lesions Vulva Simple (56501)	$2,062	$5,001.45	1.0×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)	$200	$411.85	1.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)	$200	$453.95	1.0×
Destruction neurolytic agt genicular nerve w/img (64624)	$1,952	$8,966.55	1.0×
Destruction premalignant lesion 1st (17000)	$200	$915.47	1.0×
Destruction Vaginal Lesions Simple (57061)	$3,235	$2,859.20	1.0×
Diagnostic sigmoidoscopy (45330)	$929	$835.86	1.0×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)	$128	$714.28	1.0×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621)	$249	$226.03	1.0×
Dilate Urethra Stricture (53600)	$249	$1,130.14	1.0×
Dilation and catheterization of salivary duct, with or without injection (42660)	$539	$10,802.49	1.0×
Dilation Esophagus Guide Wire (43453)	$1,918	$1,740.22	1.0×
Drain Cerebro Spinal Fluid (62272)	$705	$3,162.26	1.0×
Drain Hand Tendon Sheath (26020)	$3,270	$5,000.10	1.0×
Drain Spinal Cord Cyst (62268)	$884	$2,194	1.0×
Drain/inj small joint/bursa w/us (20604)	$306	$1,334.15	1.0×
Drainage Abscess/Hematoma Nasal Septum (30020)	$539	$503.19	1.0×
Drainage External Ear Abscess/Hematoma Simple (69000)	$707	$3,217.26	1.0×
Drainage of finger abscess simple (26010)	$200	$2,036.23	1.0×
Drainage of gum lesion (41800)	$133	$584.12	1.0×
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines	$1,650	$4,448.23–$25,154	1.0×
Drainage of nose lesion (30000)	$236	$1,164.80	1.0×
Drainage of palmar bursa single bursa (26025)	$3,270	$6,749.70	1.0×
Drainage of rectal abscess (45005)	$1,196	$3,237.68	1.0×
Drainage of scrotal wall abscess (55100)	$1,650	$2,534.80	1.0×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805)	$3,235	$6,774.70	1.0×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800)	$3,235	$6,774.70	1.0×
Draw Blood Off Venous Device (36591)	$133	$350.47	1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)	$707	$643.45	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)	$406	$1,823.35	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)	$200	$544.95	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)	$200	$848.06	1.0×
Dstrj lesion penis simple laser (54057)	$2,062	$5,599.35	1.0×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681)	$884	$3,956.60	1.0×
Dx Bronchoscope/Lavage (31624)	$1,779	$1,552.23	1.0×
Dx Bronchoscope/Wash (31622)	$1,779	$7,120.30	1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)	$1,918	$1,740.22	1.0×
Egd cautery tumor polyp (43250)	$1,918	$1,740.22	1.0×
Egd control bleeding any (43255)	$1,918	$1,740.22	1.0×
Egd dilation gastric/duodenal stricture (43245)	$1,918	$5,220.65	1.0×
Egd endo mucosal resection (43254)	$1,918	$1,740.22	1.0×
Egd Endoscopic Stent Place (43266)	$6,068	$5,212.22	1.0×
Egd Flexible Foreign Body Removal (43247)	$906	$4,145.11	1.0×
Egd guide wire insertion (43248)	$906	$829.02	1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243)	$1,918	$1,740.22	1.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242)	$1,918	$1,740.22	1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238)	$1,918	$1,740.22	1.0×
Egd lesion ablation (43270)	$1,918	$1,740.22	1.0×
Egd place gastrostomy tube (43246)	$1,918	$5,220.65	1.0×
Egd remove lesion snare (43251)	$1,918	$5,220.65	1.0×
Egd Tube/Cath Insertion (43241)	$1,918	$1,740.22	1.0×
Egd us exam duodenum/jejunum (43259)	$1,918	$1,740.22	1.0×
Egd us transmural injxn/mark (43253)	$1,918	$5,220.65	1.0×
Egd W/Transmural Drain Cyst (43240)	$6,068	$5,212.22	1.0×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)	$307	$1,365.83	1.0×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)	$307	$1,365.83	1.0×
Electro-Uroflowmetry First (51741)	$215	$374.40	1.0×
Endocervical curettage (57505)	$920	$2,590.65	1.0×
Endoscopic injection/implant (51715)	$3,523	$6,359.60	1.0×
Endoscopic plantar fasciotomy (29893)	$3,270	$6,650.80	1.0×
Endoscopic us exam esoph (43237)	$1,918	$4,526.10	1.0×
Endoscopy Upper Small Intestine (44360)	$1,918	$1,740.22	1.0×
Endoscopy upper small intestine w/biopsy (44361)	$1,918	$1,740.22	1.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623)	$11,539	$10,061.10	1.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)	$3,156	$11,684.40	1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines	$3,156	$8,611.20–$33,186.70	1.0×
Endoven ther chem adhes 1st (36482)	$5,562	$5,025.75	1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377)	$1,918	$1,740.22	1.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376)	$1,918	$1,740.22	1.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373)	$1,918	$1,740.22	1.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378)	$1,918	$1,740.22	1.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)	$6,068	$5,212.22	1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372)	$1,918	$1,740.22	1.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363)	$1,918	$1,740.22	1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365)	$1,918	$1,740.22	1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364)	$1,918	$1,740.22	1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)	$2,062	$1,667.79	1.0×
Epidural Blood Patch (62273)	$705	$2,529.81	1.0×
Epidural lysis mult sessions (62263)	$884	$4,482.65	1.0×
Episiotomy or vaginal repair (59300)	—	$2,859.20	—
Ercp duct stent placement (43274)	$6,068	$15,636.70	1.0×
Ercp ea duct/ampulla dilate (43277)	$3,854	$3,502.49	1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264)	$3,854	$3,502.49	1.0×
Ercp Stent Exchange W/Dilate (43276)	$6,068	$15,636.70	1.0×
Ercp W/Biopsy Single/Multiple (43261)	$3,854	$3,502.49	1.0×
Escharotomy; initial incision (16035)	$406	$1,094.01	1.0×
Esoph Scope W/Submucous Inj (43201)	$1,918	$1,740.22	1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236)	$906	$829.02	1.0×
Esophagoscopy Flex Transoral Injection Varices (43204)	$1,918	$1,740.22	1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217)	$1,918	$1,740.22	1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226)	$1,918	$1,740.22	1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231)	$1,918	$1,740.22	1.0×
Esophagoscopy Flexible W/Bleeding Control (43227)	$1,918	$1,740.22	1.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232)	$1,918	$1,740.22	1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)	$1,918	$1,740.22	1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)	$1,918	$1,740.22	1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205)	$1,918	$1,740.22	1.0×
Evacuation of subungual hematoma (11740)	$133	$584.12	1.0×
Exc arm/elbow les sc < 3 cm (24075)	$1,650	$4,633.20	1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)	$1,650	$1,482.74	1.0×
Exc Back Tum Deep 5 Cm/> (21933)	$2,903	$7,047.05	1.0×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048)	$5,917	$25,430.30	1.0×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046)	$5,917	$36,006.60	1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)	$707	$643.45	1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)	$707	$643.45	1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)	$707	$1,930.36	1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)	$1,650	$1,482.74	1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)	$1,650	$3,767.92	1.0×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390)	$7,253	$32,425.96	1.0×
Exc Forearm Tum Deep 3 Cm/> (25073)	$2,903	$6,240	1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)	$1,650	$1,482.74	1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)	$707	$3,217.26	1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)	$1,650	$1,482.74	1.0×
Exc Hand Les Sc < 1.5 Cm (26115)	$1,650	$20,689	1.0×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)	$996	$3,639.95	1.0×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)	$3,314	$6,182.80	1.0×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)	$3,314	$6,604.01	1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073)	$2,903	$32,426	1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)	$707	$3,217.26	1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)	$1,650	$4,734.10	1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426)	$2,903	$5,739.85	1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)	$1,650	$5,139.35	1.0×
Exc Skin Benig >4cm Face,Facial (11446)	$2,903	$9,121.55	1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)	$1,650	$4,847.55	1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626)	$2,903	$9,121.55	1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)	$1,650	$1,482.74	1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)	$707	$643.45	1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)	$2,903	$7,060.60	1.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014)	$2,903	$21,617.31	1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)	$1,650	$4,385.70	1.0×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634)	$2,903	$36,062.78	1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)	$3,579	$11,320.40	1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines	$2,089	$1,862.76–$9,313.81	1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)	$1,918	$1,740.22	1.0×
Excis Mouth Complex,Exc Thru Muscle (40816)	$3,314	$6,604.01	1.0×
Excis Mouth Mucosa/Sub,No Repair (40810)	$3,314	$4,716.25	1.0×
Excise mandible lesion (21040)	$3,314	$4,395.83	1.0×
Excise Wrist Tendon Sheath (25118)	$1,607	$9,648.67	1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)	$707	$3,217.26	1.0×
Excision Bone Mandible (21025)	$5,917	$32,778.28	1.0×
Excision Facial Bone (21026)	$5,917	$8,267.94	1.0×
Excision Lesion Conjunctiva </1 Cm (68110)	$2,376	$3,889.60	1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)	$707	$3,450.30	1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)	$707	$1,988.70	1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)	$406	$1,823.35	1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)	$707	$3,217.26	1.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)	$707	$3,450.30	1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)	$1,650	$1,482.74	1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)	$707	$2,916.70	1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)	$707	$3,217.26	1.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)	$1,650	$9,121.55	1.0×
Excision Multiple External Papillae/Tags Anus (46230)	$2,774	$2,567.86	1.0×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)	$5,917	$3,977.95	1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines	$1,607	$7,349.31–$22,645.20	1.0×
Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines	$2,903	$2,598.68–$20,689	1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines	$2,903	$11,624–$25,154	1.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830)	$6,637	$25,154	1.0×
Excision Torus Mandibularis (21031)	$3,314	$43,260.10	1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931)	$1,650	$6,270.95	1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)	$2,903	$20,689	1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)	$1,650	$6,614.40	1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)	$2,903	$5,976.90	1.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)	$2,903	$20,689	1.0×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120)	$3,270	$34,289.80	1.0×
Expl penetrating wound spx abdomen/flank/back (20102)	$2,062	$1,667.79	1.0×
Explo/Drain Breast Abscess (19020)	$1,650	$5,028.40	1.0×
Exploration of spinal fusion (22830)	$7,253	$26,557.50	1.0×
Exploration penetrating wound spx extremity (20103)	$1,650	$1,482.74	1.0×
Exploration Penetrating Wound Spx Neck (20100)	$539	$2,515.94	1.0×
Extensive Retinopathy 1/> Sess Preterm Infant (67229)	$549	$2,658	1.0×
Fasciectomy Palm Only (26121)	$3,270	$25,154	1.0×
Fasciectomy Plantar Fascia Partial Spx (28060)	$3,270	$8,384.66	1.0×
Fetal Contraction Stress Test (59020)	—	$883	—
Fetal non-stress test (59025)	—	$911.20	—
Fine needle aspiration bx w/CT gdn 1st lesion (10009)	$707	$2,573.81	1.0×
Fine needle aspiration without imaging guidance (10021)	$406	$724.95	1.0×
Fluoro exam of g/colon tube (49465)	$238	$760.40	1.0×
Fna bx w/us gdn 1st les (10005)	$707	$3,012.55	1.0×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)	$2,062	$3,902.45	1.0×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200)	$2,062	$6,091.30	1.0×
Fuse hand bones with graft (25825)	$7,253	$133,995	1.0×
Fusion Finger Joint (26860)	$3,270	$28,771.50	1.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830)	$1,918	$6,200.50	1.0×
Genioplasty Sliding Osteotomy Single Piece (21121)	$3,314	$79,871.26	1.0×
Graft Bone Nasal/Maxillary/Malar Areas (21210)	$5,917	$3,934.97	1.0×
Graft Ear Crtlg Autogenous Nose/Ear (21235)	$5,917	$8,033.61	1.0×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215)	$5,917	$4,222.98	1.0×
Guide Cathet Fluid Drainage (10030)	$707	$3,012.55	1.0×
Hemiarthroplasty hip partial (27125)	$12,833	$20,119.80	1.0×
Hemiepiphyseal Arrest (24470)	$3,270	$19,567.60	1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)	$2,774	$32,389.04	1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)	$2,774	$6,117.30	1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)	$2,774	$26,962.80	1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)	$929	$835.86	1.0×
Hip arthro w/labral repair (29916)	$7,253	$73,614.70	1.0×
I&d abscess peritonsillar (42700)	$236	$1,104.50	1.0×
I&d abscess simple (10060)	$200	$775.40	1.0×
I&D Below Fascia Foot 1 Bursal Space (28002)	$1,607	$4,210.70	1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301)	$2,903	$12,993.40	1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501)	$2,903	$2,598.68	1.0×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)	$3,270	$5,280.10	1.0×
I&d forearm/wrist bursa (25031)	$1,607	$8,636.30	1.0×
I&d perianal abscess superficial (46050)	$929	$2,458.85	1.0×
I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines	$707	$3,217.26–$28,771.50	1.0×
I&d pilonidal cyst simple (10080)	$707	$1,369.62	1.0×
I&d upper arm/elbow deep abscess/hematoma (23930)	$2,903	$12,993.40	1.0×
Icd Pocket Revision (33223)	$2,062	$6,380.40	1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382)	$906	$829.02	1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)	$906	$4,145.11	1.0×
Image Cath Fluid Colxn Visc (49405)	$1,650	$4,458	1.0×
Image Cath Fluid Peri/Retro (49406)	$1,650	$7,413.72	1.0×
Image Cath Fluid Trns/Vgnl (49407)	$1,650	$7,413.72	1.0×
Implant neuroelectrodes (63650) range across 2 matching MRF lines	$6,370	$18,764.20–$30,879.40	1.0×
Implant Periph/Gastric Neurostim/Receiver (64590)	$19,393	$30,009.30	1.0×
Implant Spine Infusion Pump (62362) range across 2 matching MRF lines	$18,017	$24,465.50–$30,958.80	1.0×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)	$18,017	$24,465.50	1.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)	$8,772	$28,021.80	1.0×
Impression & Preparation Oral Surgical Splint (21085)	$236	$1,058	1.0×
Impression and custom preparation; definitive obturator prosthesis Facility (21080)	$3,314	$3,358.75	1.0×
Impression and custom preparation; interim obturator prosthesis Facility (21079)	$3,314	$5,485.73	1.0×
Incise external hemorrhoid (46083)	$249	$785.20	1.0×
Incise finger tendon sheath (26055)	$1,607	$25,154	1.0×
Incision & drainage abscess complicated/multiple (10061)	$406	$1,094.01	1.0×
Incision & drainage leg/ankle abscess/hematoma (27603)	$2,903	$5,484.65	1.0×
Incision & drainage leg/ankle infected bursa (27604)	$3,270	$9,194.95	1.0×
Incision & removal foreign body subq tiss compl (10121)	$1,650	$7,413.72	1.0×
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines	$406	$1,094.01–$20,689	1.0×
Incision and drainage of vulva or perineal abscess (56405)	$304	$1,466.95	1.0×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)	$7,253	$950.01	1.0×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991)	$1,607	$8,636.30	1.0×
Incision extensor tendon sheath wrist (25000)	$1,607	$37,203	1.0×
Incision of Foot Tendon (28234)	$1,607	$3,307.90	1.0×
Incision of hip tendon (27001)	$3,270	$13,010.70	1.0×
Incision of lymph channels (38308)	$3,914	$6,448	1.0×
Incision of rectal abscess (46040) range across 2 matching MRF lines	$1,196	$5,396.14–$20,689	1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines	$1,650	$3,290.80–$20,689	1.0×
Initial Tx 1st Degree Burn Local Tx (16000)	$200	$915.47	1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)	$884	$2,691.65	1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)	$884	$2,500.77	1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)	$884	$2,500.77	1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)	$306	$950.55	1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)	$884	$833.59	1.0×
Injection aa&/strd genicular nrv branches w/img (64454)	$705	$3,242.60	1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421)	$884	$2,331.70	1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)	$884	$3,360.30	1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451)	$705	$20,689	1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)	$705	$1,986.50	1.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)	$884	$4,167.95	1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505)	$306	$812.62	1.0×
Injection Anes Superior Hypogastric Plexus (64517)	$884	$4,167.95	1.0×
Injection anesthetic agent suprascapular nerve (64418)	$705	$3,242.60	1.0×
Injection for identification of sentinel node (38792)	$399	$1,162.25	1.0×
Injection Into Brain Canal (61055)	$306	$1,354.36	1.0×
Injection into disk lesion (62292)	$1,952	$4,620.20	1.0×
Injection single tendon origin/insertion (20551)	$306	$270.87	1.0×
Injection single/mlt trigger point 1/2 muscles (20552)	$306	$949.50	1.0×
Injection single/mlt trigger point 3/> muscles (20553)	$306	$885.20	1.0×
Injection Sinus Tract Therapeutic Separate Proc (20500)	$1,551	$7,265.25	1.0×
Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines	$306	$949.50–$25,154	1.0×
Injection, anesthetic agent; brachial plexus, single (64415)	$884	$1,724.80	1.0×
Injection, anesthetic agent; femoral nerve, single (64447)	$705	$1,724.80	1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)	$705	$2,237.60	1.0×
Injection, anesthetic agent; vagus nerve (64408)	$306	$1,163.55	1.0×
Injection, intralesional; up to and including 7 lesions (11900)	$200	$915.47	1.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)	$884	$2,500.77	1.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281)	$884	$4,167.95	1.0×
Injx/Infusion Neurolytic Substance Subarachnoid (62280)	$884	$11,990.60	1.0×
Ins cath ren art 1st bilat (36252)	$3,156	$9,075.55	1.0×
Ins cath ren art 1st unilat (36251)	$3,156	$2,915.10	1.0×
Ins cath ren art 2nd+ bilat (36254)	$3,156	$2,915.10	1.0×
Ins cath ren art 2nd+ unilat (36253)	$5,562	$8,273.20	1.0×
Ins endovas vena cava filtr (37191)	$5,562	$15,077.30	1.0×
Insert 1 Electrode Pm-Defib (33216)	$8,272	$7,769.69	1.0×
Insert and remove bone pin (20650)	$3,270	$14,801.20	1.0×
Insert Bladder Cath Complex (51703)	$128	$714.28	1.0×
Insert cath pleura w/ image (32557)	$1,573	$5,686.85	1.0×
Insert cath pleura w/o image (32556)	$1,918	$6,038.75	1.0×
Insert cervical dilator (59200)	—	$746.82	—
Insert Gastrostomy Tube Percutaneous (49440)	$1,918	$5,479.10	1.0×
Insert Heart Pm Atrial (33206)	$10,448	$9,765.77	1.0×
Insert Heart Pm Ventricular (33207)	$10,448	$9,765.77	1.0×
Insert non-tunnel cv cath (36556)	$3,156	$14,575.50	1.0×
Insert Pacing Lead & Connect (33224)	$10,448	$24,861.20	1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)	$1,573	$1,464.68	1.0×
Insert pulse gen dual leads (33213)	$10,448	$9,765.77	1.0×
Insert pulse gen mult leads (33221)	$19,254	$50,000	1.0×
Insert Pulse Gen Sngl Lead (33212)	$8,272	$7,769.69	1.0×
Insert spine infusion device (62360)	$18,017	$24,465.50	1.0×
Insert Temp Bladder Cath (51702)	$133	$692.46	1.0×
Insert tun ip cath perc (49418)	$3,579	$3,164.02	1.0×
Insert tunneled cv cath (36561) range across 2 matching MRF lines	$3,156	$11,236.70–$28,771.50	1.0×
Insert tunneled cv cath (36563)	$5,562	$5,025.75	1.0×
Insert,Non-Indwelling Bladder Catheter (51701)	$133	$350.47	1.0×
Insertion indwelling tunneled pleural catheter (32550)	$3,579	$15,820.10	1.0×
Insertion of cannula (36800)	$5,562	$11,236.70	1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)	$1,573	$5,686.85	1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)	$8,272	$23,309.10	1.0×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)	$5,562	$5,025.75	1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)	$8,272	$23,309.10	1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)	$3,156	$14,575.50	1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571)	$3,156	$2,915.10	1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)	$1,573	$4,647.30	1.0×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)	$12,833	$37,203	1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)	$5,562	$25,128.80	1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)	$3,156	$10,370.20	1.0×
Insj/Rplcmt Defib W/Lead(S) (33249)	$31,377	$150,439	1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)	$30,846	$25,935.50	1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)	$8,272	$7,769.69	1.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)	$8,272	$7,769.69	1.0×
Insrt heart pm atrial & vent (33208)	$10,448	$48,828.80	1.0×
Insrt Pulse Gen W/Dual Leads (33230)	$22,235	$64,671.50	1.0×
Insrt Pulse Gen W/Mult Leads (33231)	$31,377	$30,087.80	1.0×
Insrt Pulse Gen W/Singl Lead (33240)	$22,235	$21,557.20	1.0×
Int hrhc by ligation single hroid w/o img gdn (46945)	$2,774	$4,877.60	1.0×
Interdental fixation (21110)	$1,551	$4,184.17	1.0×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411)	$1,383	$3,801.65	1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)	$406	$1,072.25	1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056)	$406	$1,147.10	1.0×
Intraoral i&d tongue/floor lingual (41000)	$539	$2,515.94	1.0×
Intraoral i&d tongue/floor submental space (41007)	$1,551	$2,600	1.0×
Intro cath dialysis circuit (36901)	$1,573	$3,701.45	1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)	$5,689	$17,459.70	1.0×
Intro Gastrointestinal Tube (44500)	$906	$829.02	1.0×
Intubation endotracheal emergency procedure (31500)	$236	$880.40	1.0×
Iridotomy/irridectomy laser surg per session (66761)	$549	$2,658	1.0×
Laparoscopy fulguration oviducts (58670)	$6,043	$8,104.25	1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines	$6,043	$20,616–$22,177.30	1.0×
Laparoscopy, surgical, appendectomy (44970)	$6,043	$21,746	1.0×
Laryngoscopy diagnostic (31505)	$199	$905.77	1.0×
Laryngoscopy flexible diagnostic (31575)	$199	$737.35	1.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)	$390	$1,120.30	1.0×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)	$390	$1,867.17	1.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511)	$199	$181.15	1.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515)	$390	$1,867.17	1.0×
Laser treatment of retina (67040)	$4,131	$9,071.70	1.0×
Laser vaporization of prostate (52648)	$5,359	$12,130.80	1.0×
Late closure of wound (13160)	$3,542	$7,044.05	1.0×
Lateral retinacular release open (27425)	$3,270	$15,218	1.0×
Ligate leg veins open (37761)	$3,156	$5,172.25	1.0×
Ligation of a-v fistula (37607)	$3,156	$8,745.31	1.0×
Ligation of hemorrhoids (46946)	$2,774	$5,805.30	1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)	$3,156	$2,915.10	1.0×
Litholapaxy smpl/sm <2.5 cm (52317)	$3,523	$6,902.10	1.0×
Lithotripsy, extracorporeal shock wave (50590)	$3,523	$15,740.70	1.0×
Low Back Disk Surgery (63030)	$7,253	$39,624.10	1.0×
Lyse chest fibrin init day (32561)	$627	$2,872.62	1.0×
Lyse Chest Fibrin Subq Day (32562)	$627	$2,872.62	1.0×
Lysis/excision penile postcircumcision adhesions (54162)	$2,089	$4,732.85	1.0×
Manipulation Ankle Under General Anesthesia (27860)	$3,270	$3,906.45	1.0×
Manipulation knee joint under general anesthesia (27570)	$1,607	$16,130	1.0×
Manometric stds thru tube/ndwellg urtrl cath (50396)	$697	$3,123.67	1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596)	$1,573	$1,464.68	1.0×
Mech remov tunneled cv cath (36595)	$3,156	$14,575.50	1.0×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738)	$3,542	$7,861.45	1.0×
Myelography Lumbar Injection (62304)	$783	$3,661.29	1.0×
Myelography via lumbar injection rs&i cervical (62302)	$783	$3,661.29	1.0×
N Block Inj Celiac Pelus (64530)	$884	$2,739.35	1.0×
N Block Inj Ilio-Ing/Hypogi (64425)	$705	$632.45	1.0×
N block inj intercost sng (64420)	$705	$1,825.75	1.0×
N Block Inj Paracervical (64435)	$705	$632.45	1.0×
N Block Inj Plantar Digit (64455)	$306	$722.35	1.0×
N Block Inj Pudendal (64430)	$884	$833.59	1.0×
N Block Lumbar/Thoracic (64520)	$884	$2,674.90	1.0×
Nasal Endoscopy Dx (31231)	$199	$724.62	1.0×
Nasal/Orogastric W/Tube Plmt (43752)	$446	$1,821.96	1.0×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)	$390	$373.43	1.0×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)	$3,726	$3,879.20	1.0×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)	$7,054	$9,389.14	1.0×
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294)	$7,054	$11,982.50	1.0×
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292)	$7,054	$6,504.55	1.0×
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293)	$7,054	$9,604.90	1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)	$1,779	$1,552.23	1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)	$1,779	$4,656.68	1.0×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239)	$3,726	$7,058.20	1.0×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)	$7,054	$9,389.14	1.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)	$7,054	$9,389.14	1.0×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)	$7,054	$9,389.14	1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)	$929	$4,179.28	1.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)	$1,607	$25,432.40	1.0×
Needle Biopsy Lymph Nodes (38505)	$1,650	$7,152.60	1.0×
Needle Biopsy Pancreas (48102)	$1,650	$1,482.74	1.0×
Nerve repair w/conduit each nerve (64910)	$8,772	$7,360.48	1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)	$1,952	$25,579.40	1.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)	$1,952	$28,827.73	1.0×
Njx anes stellate ganglion crv sympathetic (64510)	$884	$4,167.95	1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)	$306	$2,237.60	1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)	$3,579	$3,164.02	1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)	$3,579	$3,164.02	1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)	$884	$2,741.95	1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)	$884	$4,167.95	1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)	$705	$3,041.88	1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)	$705	$1,897.36	1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)	$884	$4,167.95	1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines	$705	$3,041.88–$20,689	1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)	$697	$1,874.20	1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470)	$406	$364.67	1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471)	$406	$364.67	1.0×
Njx Sclrsnt Spider Veins (36468)	$406	$607.05	1.0×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)	$7,054	$9,389.14	1.0×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)	$7,054	$9,389.14	1.0×
Obstructive material removal from gi tube (49460)	$906	$4,145.11	1.0×
Occipital Nerve Block (64405)	$306	$1,317.15	1.0×
Open Treatment Bimalleolar Ankle Fracture (27814)	$7,253	$12,318.80	1.0×
Open treatment metacarpophalangeal dislocation (26715)	$3,270	$14,801.20	1.0×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470)	$5,917	$50,476.60	1.0×
Open Treatment of Ulnar Shaft Fracture (25545)	$7,253	$28,827.74	1.0×
Open treatment posterior malleolus fracture (27769)	$7,253	$20,689	1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)	$3,270	$7,224.40	1.0×
Open tx carpal scaphoid navicular fracture (25628) range across 2 matching MRF lines	$7,253	$9,639.10–$23,623.20	1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)	$7,253	$23,062.07	1.0×
Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines	$3,270	$8,880.71–$28,771.50	1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829)	$7,253	$16,734.42	1.0×
Open tx interphalangeal joint dislocation (26785)	$3,270	$2,960.24	1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines	$3,270	$2,960.24–$36,060.90	1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines	$3,270	$8,530.10–$39,624.10	1.0×
Open tx ulnar fx proximal end (24685)	$7,253	$120,473	1.0×
Open/Perq Place Stent 1St (37236)	$11,539	$47,711.80	1.0×
Open/Perq Place Stent Same (37238)	$11,539	$32,791.20	1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines	$7,253	$34,081.70–$34,800.70	1.0×
Orbitotomy w/o bone flap expl w/wo biopsy (67400)	$3,929	$6,349.20	1.0×
Osteoplasty Radius/Ulna Shortening (25390)	$7,253	$44,162.92	1.0×
Osteotomy Metacarpal Each (26565)	$3,270	$39,624.10	1.0×
Part exc bone femur prox tibia (27360)	$3,270	$8,907.80	1.0×
Partial Excision Distal Phalanx Finger (26236)	$1,607	$6,566.70	1.0×
Partial removal of tibia (27640)	$3,270	$7,300.80	1.0×
Partical Excision Bone Phalanx Toe (28124)	$3,270	$2,960.24	1.0×
Patellectomy or hemipatellectomy (27350)	$7,253	$39,624.08	1.0×
Perc Cryo Ablate Renal Tum (50593)	$10,625	$9,414.08	1.0×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553)	$1,383	$3,801.65	1.0×
Perc Rf Ablate Renal Tumor (50592)	$6,043	$5,276.92	1.0×
Percut Ablate Liver Rf (47382)	$6,043	$5,276.92	1.0×
Percut Cath Occlusn Non Cns Lesn (61626)	$11,539	$35,000	1.0×
Percut Drain/Inject Renal Cyst (50390)	$707	$3,217.26	1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188)	$3,156	$8,052.81	1.0×
Peritoneal Lavage (49084)	$906	$2,144.50	1.0×
Perq Cervicothoracic Inject (22510)	$3,270	$2,960.24	1.0×
Perq device breast 1st imag (19281)	$1,650	$1,482.74	1.0×
Perq Lumbosacral Injection (22511) range across 2 matching MRF lines	$3,270	$11,841–$25,154	1.0×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)	$9,462	$13,662.80	1.0×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)	$6,043	$12,462.50	1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)	$11,539	$50,279	1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines	$7,253	$6,542.72–$21,667.10	1.0×
Perq Vertebral Augmentation (22513)	$7,253	$6,542.72	1.0×
Phleb Veins - Extrem 20+ (37766)	$3,156	$7,894.10	1.0×
Place Duod/Jej Tube Perc (49441)	$1,918	$1,740.22	1.0×
Place Rt Device/Marker Pros (55876)	$1,383	$3,801.65	1.0×
Placement of needle for intraosseous infusion (36680)	$446	$404.85	1.0×
Plastic Repair Introitus (56800)	$3,235	$2,859.20	1.0×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)	$6,471	$36,042.10	1.0×
Plmt Bile Duct Stent Prq Existing Access (47538)	$6,043	$5,276.92	1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)	$6,043	$5,276.92	1.0×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540)	$6,043	$5,276.92	1.0×
Plmt expandable cath brst following prtl mast (19296)	$8,170	$8,922.15	1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)	$2,089	$5,588.29	1.0×
Prim art mech thrombectomy (37184)	$18,324	$45,000	1.0×
Probe lacrimal canaliculi w/wo irrigation (68840)	$317	$1,323.55	1.0×
Proctopexy Perineal Approach (45541)	$2,774	$8,487.45	1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)	$929	$835.86	1.0×
Proctosgmdsc Rigid Control Bleeding (45317)	$1,196	$1,079.23	1.0×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)	$2,774	$2,567.86	1.0×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)	$6,068	$5,212.22	1.0×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)	$6,370	$31,273.60	1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)	$3,579	$3,164.02	1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)	$3,579	$3,164.02	1.0×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)	$3,270	$25,154	1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)	$3,270	$20,689	1.0×
Punch biopsy skin single lesion (11104)	$406	$364.67	1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)	$406	$1,094.01	1.0×
Puncture Aspiration Cyst Breast (19000)	$707	$3,217.26	1.0×
Pvb Thoracic Single Injection Site W/Img Gid (64461)	$705	$2,872.27	1.0×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115)	$1,607	$16,130	1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116)	$3,270	$26,666.50	1.0×
Radical Resection Tumor Metacarpal (26250)	$3,270	$6,387.30	1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)	$1,952	$8,966.55	1.0×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542)	$3,270	$32,389	1.0×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541)	$3,270	$28,771.50	1.0×
Realignment extensor tendon hand each tendon (26437)	$3,270	$20,689	1.0×
Reconst lwr jaw w/fixation (21196)	$5,917	$11,083.30	1.0×
Reconstr lwr jaw segment (21198)	$5,917	$12,728.83	1.0×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147)	$5,917	$24,325.65	1.0×
Reconstruction Nail Bed W/Graft (11762)	$2,062	$1,667.79	1.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)	$7,253	$27,619	1.0×
Reconstruction of jaw (21249)	$5,917	$3,460.26	1.0×
Redo Endovas Vena Cava Filtr (37192)	$3,156	$14,575.50	1.0×
Relocation Pocket Pacemaker (33222)	$2,062	$7,056.05	1.0×
Rem Endovas Vena Cava Filter (37193)	$3,156	$14,575.50	1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)	$906	$829.02	1.0×
Removal Embedded Foreign Body Eyelid (67938)	$317	$799.26	1.0×
Removal foreign body foot deep (28192) range across 2 matching MRF lines	$1,650	$4,448.23–$25,154	1.0×
Removal Foreign Body Foot Subcutaneous (28190)	$707	$1,930.36	1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)	$1,650	$1,482.74	1.0×
Removal impacted cerumen irrigation/lvg unilat (69209)	$58	$279.70	1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)	$58	$279.70	1.0×
Removal Implant Deep (20680) range across 2 matching MRF lines	$2,903	$2,598.68–$49,585.30	1.0×
Removal Implant Superficial Separate Procedure (20670)	$1,650	$4,448.23	1.0×
Removal implantable contraceptive capsules (11976)	$707	$3,217.26	1.0×
Removal of a lesion from the floor of the mouth (41116)	$3,314	$21,592.70	1.0×
Removal of foreign body from pharynx (42809)	$446	$364.39	1.0×
Removal of heel spur (28119)	$3,270	$20,689	1.0×
Removal of kidney stone (50081)	$9,462	$28,000	1.0×
Removal of nail bed (11750)	$406	$1,823.35	1.0×
Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416)	$3,270	$11,492.50	1.0×
Removal of tunneled intraperitoneal catheter (49422)	$3,156	$2,915.10	1.0×
Removal or bivalving full arm or full leg cast (29705)	$279	$1,228.04	1.0×
Removal Pacemaker Electrode (33235)	$3,735	$4,924.39	1.0×
Removal peritoneal-venous shunt (49429)	$3,156	$8,470	1.0×
Removal ppm generator only (33233)	$8,272	$9,950.60	1.0×
Removal, under anesthesia, of external fixation system (20694)	$1,607	$6,341.90	1.0×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385)	$2,089	$5,588.29	1.0×
Remove cerclage suture (59871)	—	$8,599.30	—
Remove drug implant device (11982)	$446	$1,821.96	1.0×
Remove Elctrd Transvenously (33244)	$3,735	$10,774.30	1.0×
Remove foreign body from eye (65205)	$133	$584.12	1.0×
Remove Hand Bone Lesion (26200)	$1,607	$4,053.24	1.0×
Remove Int Dwell Ureteral Stent Transurethral (50386)	$2,089	$1,862.76	1.0×
Remove Intrauterine Device (58301)	$304	$605.80	1.0×
Remove knee joint lining (27334)	$3,270	$33,253	1.0×
Remove lung catheter (32552)	$627	$2,872.62	1.0×
Remove Nasal Foreign Body (30300)	$133	$584.12	1.0×
Remove Peritoneal Foreign Body (49402)	$3,579	$7,376.70	1.0×
Remove Pulse Generator (33241)	$3,735	$3,591.43	1.0×
Remove renal tube w/fluoro (50389)	$697	$3,123.67	1.0×
Remove Shoulder Foreign Body (23330)	$1,650	$3,450.30	1.0×
Remove Tendon Sheath Lesion (26160)	$1,607	$20,689	1.0×
Remove ureter stent percut (50384)	$2,089	$9,313.81	1.0×
Remove wrist joint cartilage (25107)	$3,270	$43,241.60	1.0×
Remove&replace pm gen singl (33227)	$8,272	$23,309.10	1.0×
Remv&replc cvd gen mult lead (33264)	$31,377	$150,439	1.0×
Remv&replc cvd gen sing lead (33262)	$22,235	$21,557.20	1.0×
Remv&replc pm gen dual lead (33228)	$10,448	$46,865.50	1.0×
Remv&replc pm gen mult leads (33229)	$19,254	$89,100.70	1.0×
Renal Biopsy Perq (50200)	$1,650	$4,448.23	1.0×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)	$5,359	$8,313.15	1.0×
Repair Achilles Tendon (27650)	$7,253	$32,389	1.0×
Repair blood vessel direct neck (35201)	$5,562	$7,027.30	1.0×
Repair Blood Vessel Direct Upper Extremity (35206) range across 2 matching MRF lines	$3,156	$12,463.70–$26,557.50	1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)	$738	$2,048.45	1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)	$738	$2,111.35	1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)	$406	$1,486.75	1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)	$406	$1,866.50	1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)	$406	$1,246.95	1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)	$406	$1,486.75	1.0×
Repair complex trunk 1.1-2.5 cm (13100)	$738	$2,871.90	1.0×
Repair complex trunk 2.6-7.5 cm (13101)	$738	$1,723.14	1.0×
Repair Entropion Suture (67921)	$2,376	$5,082.50	1.0×
Repair Extensor Tendon Finger W/Graft Each (26420)	$3,270	$6,934.35	1.0×
Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines	$1,607	$5,200.85–$20,689	1.0×
Repair Finger Tendon (26433)	$3,270	$26,557.50	1.0×
Repair Finger/Hand Tendon (26350)	$3,270	$5,408	1.0×
Repair Hand Joint (26540) range across 2 matching MRF lines	$3,270	$2,960.24–$36,105.70	1.0×
Repair Hand Tendon (26410)	$1,607	$4,409.59	1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)	$3,579	$39,624.10	1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)	$406	$1,094.01	1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)	$406	$1,094.01	1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)	$406	$820.97	1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)	$406	$969	1.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)	$406	$1,367.83	1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)	$738	$1,400.50	1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)	$406	$364.67	1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)	$406	$1,094.01	1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)	$738	$923.50	1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)	$2,062	$8,338.93	1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)	$406	$1,069.10	1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031)	$406	$364.67	1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)	$406	$1,385.55	1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)	$738	$1,486.75	1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)	$406	$1,094.01	1.0×
Repair intermediate s/a/t/e >30.0 cm (12037)	$2,062	$8,338.93	1.0×
Repair intrinsic muscles hand each muscle (26591)	$3,270	$2,960.24	1.0×
Repair lead pace-defib dual (33220)	$3,735	$3,591.43	1.0×
Repair Lead Pace-Defib One (33218)	$3,735	$6,725.70	1.0×
Repair Non/Malunion Humerus W/O Graft (24430)	$12,833	$15,218	1.0×
Repair Nonunion Hand (26546)	$7,253	$45,050.40	1.0×
Repair of nail bed (11760)	$738	$975.60	1.0×
Repair Rotator Cuff Chronic (23412)	$7,253	$13,974.97	1.0×
Repair secondary achilles tendon w/wo graft (27654)	$7,253	$66,997.50	1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)	$3,270	$2,960.24	1.0×
Repair tongue laceration (41252)	$236	$1,727	1.0×
Repair Tooth Socket (41874)	$3,314	$3,979.37	1.0×
Repair/Revise Wrist Joint (25320)	$7,253	$39,636.40	1.0×
Replace duodenostomy/jejunostomy tube perq (49451)	$906	$2,487.06	1.0×
Replace elbow joint (24363)	$17,527	$19,599.80	1.0×
Replace G-J Tube Perc (49452)	$906	$4,145.11	1.0×
Replace g/c tube perc (49450)	$906	$4,145.11	1.0×
Replantation digit complete (20822)	$1,607	$7,349.31	1.0×
Repos Previously Implanted Subq Implantable Dfb (33273)	$3,735	$10,000	1.0×
Reposition Gastrostomy Tube (43761)	$249	$1,130.14	1.0×
Reposition L Ventric Lead (33226)	$3,156	$8,745.31	1.0×
Reposition Pacing-Defib Lead (33215)	$3,156	$8,289.85	1.0×
Reposition Venous Catheter (36597)	$1,573	$1,464.68	1.0×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)	$12,833	$21,145.90	1.0×
Revise ulnar nerve at wrist (64719)	$1,952	$20,689	1.0×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)	$6,370	$46,859.10	1.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183)	$5,689	$15,681.70	1.0×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 2 matching MRF lines	$3,494	$15,558.90–$29,293.20	1.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)	$2,089	$1,862.76	1.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)	$1,551	$6,973.62	1.0×
Rmvl embedded fb vestibule mouth comp (40805)	$539	$2,515.94	1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)	$446	$364.39	1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)	$133	$584.12	1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)	$446	$1,821.96	1.0×
Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines	$1,196	$3,237.68–$25,154	1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)	$2,903	$2,598.68	1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)	$1,650	$1,482.74	1.0×
Rmvl Previously Implted Ithcl/Edrl Cath (62355)	$1,952	$20,386.86	1.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661)	$1,952	$8,966.55	1.0×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) range across 2 matching MRF lines	$3,414	$9,055.70–$20,689	1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)	$3,735	$4,910.90	1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)	$1,573	$4,647.30	1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)	$627	$2,872.62	1.0×
Rplc Gtube No Revj Trc (43762)	$249	$1,203.40	1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)	$1,573	$7,323.40	1.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585)	$3,156	$2,915.10	1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)	$1,573	$7,323.40	1.0×
Rplcmt compl tun ctr vad w/subq pmp (36583)	$5,562	$5,025.75	1.0×
Rplcmt compl tun ctr vad w/subq port (36582)	$3,156	$7,480.50	1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581)	$3,156	$5,089.35	1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)	$6,043	$52,585.70	1.0×
Rpr aa hrn 1st 3-10 rdc (49593)	$6,471	$25,154	1.0×
Rpr blood vessel direct lower extremity (35226)	$707	$3,627.95	1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)	$1,573	$1,464.68	1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)	$200	$915.47	1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)	$738	$904.80	1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)	$236	$1,116.94	1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652)	$539	$2,515.94	1.0×
Rpr Lip Full Thickness Vermilion Only (40650)	$539	$2,515.94	1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)	$1,551	$2,950.50	1.0×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108)	$4,131	$11,990.80	1.0×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)	$3,270	$5,334.25	1.0×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426)	$3,270	$23,623.20	1.0×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)	$7,253	$41,228.68	1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)	$3,270	$13,278.74	1.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370)	$3,270	$18,361.55	1.0×
Sclerotx Fluid Collection (49185)	$1,650	$1,482.74	1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)	$3,314	$10,995.30	1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335)	$929	$835.86	1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)	$1,196	$1,079.23	1.0×
Shave skin lesion 0.5 cm/< (11300)	$406	$547.01	1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)	$200	$322.65	1.0×
Shoulder Arthroscopy/Surgery (29825)	$3,270	$25,154	1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)	$406	$520	1.0×
Sigmoidoscopy & decompress (45337)	$929	$835.86	1.0×
Sigmoidoscopy & Polypectomy (45333)	$929	$835.86	1.0×
Sigmoidoscopy flx tndsc balo dilat (45340)	$1,196	$1,079.23	1.0×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342)	$1,196	$1,079.23	1.0×
Sigmoidoscopy W/Ultrasound (45341)	$929	$835.86	1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)	$1,196	$1,079.23	1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)	$406	$1,823.35	1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)	$200	$915.47	1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)	$406	$364.67	1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)	$200	$915.47	1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)	$200	$915.47	1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines	$200	$1,033.11–$25,154	1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)	$200	$1,059	1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)	$200	$1,403.21	1.0×
Skin Full Grft Face/Genit/Hf (15240)	$2,062	$1,667.79	1.0×
Skin Pinch Graft (15050)	$738	$1,723.14	1.0×
Skin sub graft face/nk/hf/g (15275)	$738	$8,338.93	1.0×
Skin sub graft trnk/arm/leg (15271)	$738	$8,338.93	1.0×
Skin sub grft t/arm/lg child (15273)	$2,062	$16,405.30	1.0×
Skin Tissue Procedure (17999)	$200	$915.47	1.0×
Skn sub grft f/n/hf/g child (15277)	$2,062	$8,338.93	1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)	$5,562	$15,077.30	1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222)	$3,156	$13,594.20	1.0×
Small bowel endoscopy (44366)	$1,918	$1,740.22	1.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369)	$1,918	$1,740.22	1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)	$6,068	$5,212.22	1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)	$200	$1,218.16	1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)	$406	$1,458.68	1.0×
Spinal puncture lumbar diagnostic (62270)	$705	$3,162.26	1.0×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)	$3,542	$6,950.30	1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)	$2,062	$8,384.66	1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)	$3,156	$7,208.75	1.0×
Strapping ankle (29540)	$162	$321.35	1.0×
Strapping elbow or wrist (29260)	$58	$279.70	1.0×
Strapping hand/finger (29280)	$58	$279.70	1.0×
Strapping Hip (29520)	$133	$258.64	1.0×
Strapping knee (29530)	$133	$350.47	1.0×
Strapping shoulder (29240)	$133	$584.12	1.0×
Strapping thorax (29200)	$162	$720.52	1.0×
Strapping toes (29550)	$58	$271	1.0×
Strapping Unna Boot (29580)	$162	$714	1.0×
Subcutaneous Hormone Pellet Implantation (11980)	$446	$546.59	1.0×
Surgery to stop leg growth (27479)	$7,253	$13,637.50	1.0×
Suture 1 Nerve Ulnar Motor (64836)	$3,414	$9,573.61	1.0×
Suture digital nerve hand/foot 1 nerve (64831)	$1,952	$7,169.95	1.0×
Suture infrapatellar tendon primary (27380)	$7,253	$47,338	1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385)	$7,253	$23,669	1.0×
Synovectomy Tendon Sheath Foot Flexor (28086)	$3,270	$22,332.50	1.0×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) range across 2 matching MRF lines	$1,607	$6,165.10–$25,154	1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)	$3,270	$22,332.50	1.0×
Tenolysis, extensor tendon, hand or finger, each tendon (26445)	$3,270	$4,053.24	1.0×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681)	$3,270	$8,106.49	1.0×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516)	$4,353	$21,161.80	1.0×
Therapeutic Apheresis White Blood Cells (36511)	$1,556	$4,186	1.0×
Therapeutic plasma exchange (36514)	$1,556	$7,016.05	1.0×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)	$12,833	$30,254.70	1.0×
Thoracoscopy w/bx pleura (32609)	$6,043	$9,558.10	1.0×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606)	$6,043	$9,568	1.0×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)	$10,625	$15,162.80	1.0×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)	$6,043	$5,276.92	1.0×
Thromblytic art/ven therapy (37213)	$3,156	$11,486.80	1.0×
Thrombolytic Venous Therapy (37212)	$3,156	$14,575.50	1.0×
Thyroid biopsy (60100)	$707	$3,012.55	1.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)	$2,062	$1,667.79	1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359)	$3,270	$26,539	1.0×
Tooth extraction (41899)	$236	$1,116.94	1.0×
Total Knee Arthroplasty (27447)	$12,833	$110,981	1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605)	$236	$2,427.65	1.0×
Tracheostomy Emergency Procedure Transtracheal (31603)	$1,551	$2,592.70	1.0×
Tracheostomy planned (31600)	$3,314	$8,833.46	1.0×
Transcatheter biopsy (37200)	$5,562	$5,025.75	1.0×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345)	$3,235	$2,859.20	1.0×
Transplant hand tendon (26480)	$3,270	$4,053.24	1.0×
Treat ectopic pregnancy (59151)	$6,043	$12,248.10	1.0×
Treat Elbow Fracture (24635)	$7,253	$21,192.20	1.0×
Treat Finger Fracture Each (26727)	$3,270	$25,154	1.0×
Treat Fx Rad Extra-Articul (25607)	$7,253	$44,443.70	1.0×
Treat knee fracture (27532)	$3,270	$6,560.90	1.0×
Treat Knee Fracture(S) (27538)	$246	$1,078.35	1.0×
Treat Knuckle Dislocation (26700)	$246	$1,078.35	1.0×
Treat Metatarsal Fracture (28475)	$246	$1,078.35	1.0×
Treat Thumb Dislocation (26641)	$246	$1,078.35	1.0×
Treat Thumb Fracture (26645)	$1,607	$1,469.86	1.0×
Treat toe dislocation (28630)	$246	$610.60	1.0×
Treatment closed elbow dislocation w/o anes (24600)	$246	$1,078.35	1.0×
Treatment of foot infection (28003)	$3,270	$4,440.36	1.0×
Trim skin lesion (11055)	$200	$183.09	1.0×
Trim skin lesions 2 to 4 (11056)	$200	$183.09	1.0×
Trim skin lesions over 4 (11057)	$200	$354.60	1.0×
Trimming Nondystrophic Nails Any Number (11719)	$58	$191	1.0×
Trluml Balo Angiop 1St Art (37246)	$5,689	$24,115.80	1.0×
Trluml Balo Angiop 1St Vein (37248)	$5,689	$24,115.80	1.0×
Tx Gastro Intub W/Asp (43753)	$215	$510.65	1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812)	$3,235	$5,590	1.0×
Tx open tendon flexor toe 1 tendon spx (28232)	$1,607	$4,365.78	1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)	$1,607	$5,714.24	1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)	$738	$2,297.52	1.0×
Unlisted laparoscopy procedure, spermatic cord (55559)	$6,043	$5,276.92	1.0×
Unlisted procedure anus (46999)	$929	$1,876.15	1.0×
Unlisted procedure arthroscopy (29999)	$246	$13,809.50	1.0×
Unlisted Procedure Biliary Tract (47999)	$906	$4,145.11	1.0×
Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines	$162	$357.72–$37,203	1.0×
Unlisted Procedure Endocrine System (60699)	$6,043	$21,198	1.0×
Unlisted Procedure Esophagus (43499)	$906	$4,145.11	1.0×
Unlisted procedure femur or knee (27599)	$246	$1,078.35	1.0×
Unlisted procedure foot or toes (28899)	$246	$790.15	1.0×
Unlisted procedure humerus/elbow (24999)	$246	$1,078.35	1.0×
Unlisted Procedure Intestine (44799)	$906	$4,010.25	1.0×
Unlisted Procedure Leg/Ankle (27899)	$246	$37,203	1.0×
Unlisted procedure liver (47399)	$707	$3,217.26	1.0×
Unlisted procedure lungs and pleura (32999)	$627	$2,872.62	1.0×
Unlisted procedure nervous system (64999) range across 2 matching MRF lines	$306	$3,755.45–$39,624.10	1.0×
Unlisted Procedure Rectum (45999)	$929	$835.86	1.0×
Unlisted procedure spine (22899)	$246	$114,698	1.0×
Unlisted procedure stomach (43999)	$906	$3,058.65	1.0×
Unlisted Procedure Tongue Floor Mouth (41599)	$236	$223.39	1.0×
Unlisted Procedure Vascular Surgery (37799)	$627	$6,319.10	1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999)	$906	$4,145.11	1.0×
Unlisted Procedure, Urinary System (53899)	$249	$484.75	1.0×
Upgrade of pacemaker system (33214)	$10,448	$27,063.90	1.0×
Vaginal delivery only (59409)	$3,235	$4,199	1.0×
Vasc embolize/occlude artery (37242)	$18,324	$16,036.70	1.0×
Vasc Embolize/Occlude Bleed (37244)	$11,539	$21,296.30	1.0×
Vasc Embolize/Occlude Organ (37243)	$11,539	$30,183.20	1.0×
Vasc embolize/occlude venous (37241)	$11,539	$22,467	1.0×
Vasectomy uni/bi spx w/postop semen exams (55250)	$2,089	$9,423.35	1.0×
Venous Mech Thrombectomy (37187)	$11,539	$35,000	1.0×
Wedge excision skin nail fold (11765)	$406	$1,823.35	1.0×
Wedging of cast (29740)	$279	$245.61	1.0×
Wound Prep F/N/Hf/G (15004)	$406	$1,723.14	1.0×
Wound Prep Trk/Arm/Leg (15002)	$738	$1,667.79	1.0×
Wrist arthroscopy (29840)	$3,270	$18,949.82	1.0×
Wrist arthroscopy with partial removal of joint lining (29844)	$3,270	$28,827.74	1.0×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861)	$5,562	$21,882.60	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.