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

1077 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	$3,523.34	1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)	$906	$3,943.21	1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)	$17,527	$62,699.10	1.0×
Acne surgery (10040)	$200	$353.49	1.0×
Acromiopl/Acromionect Partial (23130)	$3,270	$27,505.79	1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)	$2,062	$24,004.38	1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)	$3,542	$26,557.50	1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)	$2,062	$2,713.26	1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)	$2,062	$20,689	1.0×
Amniocentesis diagnostic (59000)	$920	$801.85	1.0×
Amniocentesis therapeutic (59001)	$304	$1,391.43	1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)	$3,270	$3,337.84	1.0×
Anoplasty, plastic operation for stricture; adult Facility (46700)	$2,774	$19,181.02	1.0×
Anoscopy diagnostic (46600)	$133	$2,235.82	1.0×
Anoscopy W/Rmvl Foreign Body (46608)	$929	$2,904.80	1.0×
Anoscopy; with biopsy, single or multiple (46606)	$1,196	$4,447.44	1.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604)	$1,196	$4,447.44	1.0×
Anterior colporraphy rpr cystocele w/cysto (57240)	$5,000	$22,861.43	1.0×
Apheresis Platelets (36513)	$441	$3,674.97	1.0×
Appl cranial tong/strtctc frame w/removal spx (20660)	$1,607	$5,714.24	1.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)	$162	$560.50	1.0×
Application cast elbow finger short arm (29075)	$279	$457.05	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	$1,192.40	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	$668.17	1.0×
Application Short Arm Splint Dynamic (29126)	$133	$139.34	1.0×
Application short arm splint forearm-hand static (29125)	$133	$911.80	1.0×
Application short leg splint calf foot (29515)	$162	$1,192.40	1.0×
Apply long arm cast (29065)	$279	$519.12	1.0×
Apply Multlay Comprs Lwr Leg (29581)	$162	$1,192.40	1.0×
Apply Short Leg Cast (29405)	$279	$616	1.0×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640)	$3,156	$1,776.75	1.0×
Arterial puncture (36600)	$133	$496.49	1.0×
Arteriovenous Anastomosis Open Direct (36821)	$3,156	$33,893.10	1.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818)	$5,562	$33,915.50	1.0×
Artery-vein autograft (36825)	$5,562	$35,031.30	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	$2,535.95	1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines	$306	$2,036.23–$18,409.50	1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)	$306	$1,544	1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)	$306	$2,036.23	1.0×
Arthrodesis subtalar (28725)	$12,833	$9,022.72	1.0×
Arthroplasty glenohumeral joint total shoulder (23472)	$17,527	$65,373	1.0×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)	$3,270	$28,827.74	1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)	$3,270	$24,802	1.0×
Arthroscopy shoulder distal claviculectomy (29824)	$3,270	$39,729	1.0×
Arthroscopy, knee, surgical; with lateral release (29873)	$3,270	$24,802	1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)	$7,253	$13,243	1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)	$3,270	$5,938.08	1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822)	$3,270	$13,008.05	1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)	$7,253	$13,243	1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)	$12,833	$57,114.80	1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)	$12,833	$58,330.50	1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)	$7,253	$58,330.50	1.0×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)	$3,270	$27,619	1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)	$3,270	$29,615.90	1.0×
Aspirate pleura w/ imaging (32555)	$627	$3,379.81	1.0×
Aspirate Pleura W/O Imaging (32554)	$627	$1,522	1.0×
Aspirate/Inj Ganglion Cyst (20612)	$306	$1,151.20	1.0×
Aspiration and/or injection thyroid cyst (60300)	$707	$1,003	1.0×
Aspiration bladder insert suprapubic catheter (51102)	$2,089	$7,916.73	1.0×
Aspiration Bladder Needle (51100)	$249	$1,573.44	1.0×
Av fistula revision (36833)	$5,562	$46,363.60	1.0×
Av Fistula Revision Open (36832)	$5,562	$40,854.50	1.0×
Av Fuse Uppr Arm Basilic (36819)	$5,562	$38,997	1.0×
Av fusion/forearm vein (36820)	$5,562	$40,112.80	1.0×
Avulsion nail plate partial/complete simple 1 (11730)	$200	$848.06	1.0×
Biopsy Abdominal Mass (49180)	$1,650	$6,301.65	1.0×
Biopsy bone open deep (20245)	$2,903	$5,157.45	1.0×
Biopsy bone open superficial (20240)	$2,903	$4,715.17	1.0×
Biopsy bone trocar/needle deep (20225)	$1,650	$7,071.40	1.0×
Biopsy Bone Trocar/Needle Superficial (20220)	$1,650	$6,301.65	1.0×
Biopsy muscle percutaneous needle (20206)	$1,650	$6,301.65	1.0×
Biopsy Muscle Superficial (20200)	$1,650	$2,774.56	1.0×
Biopsy nail unit (11755)	$707	$995.19	1.0×
Biopsy of breast; open, incisional (19101)	$3,914	$25,154	1.0×
Biopsy of liver, needle; percutaneous (47000)	$1,650	$9,910	1.0×
Biopsy Pleura Percutaneous Needle (32400)	$1,650	$1,565	1.0×
Biopsy Salivary Gland Needle (42400)	$707	$1,411.25	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	$2,825.94	1.0×
Biopsy soft tissue forearm&/wrist deep (25066)	$2,903	$4,242.84	1.0×
Biopsy soft tissue forearm&/wrist superficial (25065)	$1,650	$3,345	1.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614)	$2,903	$4,242.84	1.0×
Biopsy soft tissue leg/ankle area superficial (27613)	$1,650	$2,159.99	1.0×
Biopsy soft tissue neck/thorax (21550)	$1,650	$6,301.65	1.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)	$1,650	$6,301.65	1.0×
Biopsy Soft Tissue Shoulder Deep (23066)	$2,903	$4,242.84	1.0×
Biopsy Soft Tissue Shoulder Superficial (23065)	$1,650	$4,242.84	1.0×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324)	$2,903	$4,780.25	1.0×
Biopsy soft tissue thigh/knee area superficial (27323)	$1,650	$4,242.84	1.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)	$1,650	$4,242.84	1.0×
Bladder Irrigation (51700)	$249	$662	1.0×
Bladder Scan (51798)	$58	$237.75	1.0×
Blepharotomy drainage abscess eyelid (67700)	$317	$804.14	1.0×
Blood Transfusion Service (36430)	$441	$1,745.70	1.0×
Blood/Lymph System Procedure (38999)	$441	$1,914.50	1.0×
Bone Marrow Biopsy (38221)	$1,650	$7,071.40	1.0×
Bone Marrow; Aspiration Only (38220)	$1,650	$2,011	1.0×
Brnchsc Brushing/Protected Brushings (31623)	$1,779	$6,596.94	1.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)	$3,726	$14,555.50	1.0×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)	$3,726	$17,840.30	1.0×
Brnchsc Removal Bronchial Valve Ea Addl (31649)	$1,779	$2,646.25	1.0×
Brnchsc Removal Bronchial Valve Initial (31648)	$3,726	$4,875	1.0×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)	$7,054	$3,584	1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)	$3,726	$4,394.89	1.0×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643)	$1,779	$2,646.25	1.0×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630)	$3,726	$4,875	1.0×
Bronch Thermoplsty 1 Lobe (31660)	$7,054	$6,618.67	1.0×
Bronchial Valve Init Insert (31647)	$7,054	$4,392.97	1.0×
Bronchoscopic Thermoplasty 2/> Lobes (31661)	$7,054	$7,023.02	1.0×
Bronchoscopy Balloon Occlusion (31634)	$7,054	$15,332.40	1.0×
Bronchoscopy Bronch Stents (31636)	$7,054	$5,555.45	1.0×
Bronchoscopy Clear Airways (31645)	$1,779	$6,596.94	1.0×
Bronchoscopy Dilate W/Stent (31631)	$7,054	$4,290.42	1.0×
Bronchoscopy Reclear Airway (31646)	$390	$2,564	1.0×
Bronchoscopy W/Biopsy(S) (31625)	$1,779	$6,596.94	1.0×
Bronchoscopy W/Excision Tumor (31640)	$3,726	$4,871.05	1.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)	$7,054	$3,746.02	1.0×
Bronchoscopy W/Removal Foreign Body (31635)	$1,779	$1,312.15	1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)	$3,726	$9,959.60	1.0×
Bronchoscopy/Needle Bx Each (31629)	$3,726	$14,555.50	1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066)	$2,903	$4,242.84	1.0×
Bx breast 1st lesion mr imag (19085)	$1,650	$2,669	1.0×
Bx breast 1st lesion strtctc (19081)	$1,650	$928.07	1.0×
Bx breast 1st lesion us imag (19083)	$1,650	$6,593.86	1.0×
Bx breast needle core w/o imaging guidance spx (19100)	$1,650	$1,339.50	1.0×
Bx Cervix (57500)	$920	$34,138.60	1.0×
Bx/exc lymph node open deep axillary node (38525)	$3,914	$25,154	1.0×
Canthotomy Separate Procedure (67715)	$2,376	$9,063.40	1.0×
Carpal Tunnel Surgery (64721)	$1,952	$20,689	1.0×
Catheter aspiration nasotracheal spx (31720)	$218	$829.01	1.0×
Cerclage cervix pregnancy vaginal (59320) range across 2 matching MRF lines	$3,235	$12,151.60–$21,411.80	1.0×
Cessj Therapy Cath Removal (37214)	$3,156	$2,618.63	1.0×
Change Cystostomy Tube Complicated (51710)	$697	$1,573.44	1.0×
Change Cystostomy Tube Simple (51705)	$249	$960.59	1.0×
Change of Windpipe Airway (31502)	$236	$612.14	1.0×
Change ureter stent percut (50382)	$2,089	$4,792.28	1.0×
Chemical Cautery Tissue (17250)	$200	$848.06	1.0×
Chemical Pleurodesis (32560)	$627	$2,992.75	1.0×
Chest tube placement (32551)	$1,573	$6,224.85	1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)	$3,579	$13,447.10	1.0×
Chorionic Villus Sampling (59015)	$920	$2,436.25	1.0×
Circumcision Neonate (54160)	—	$7,532.10	—
Circumcision w/clamp/oth dev w/block (54150)	—	$9,703.30	—
Cl Tx Scapular Fx; W Manip (23575)	$1,607	$5,714.24	1.0×
Cl Tx Tib Shft Fx W Manip (27752)	$1,607	$6,246.91	1.0×
Claviculectomy partial (23120)	$3,270	$17,351.59	1.0×
Clear outer ear canal (69200)	$133	$848.06	1.0×
Closed Rx Spontaneous Hip Disloc (27256)	$246	$845.45	1.0×
Closed rx talotarsal disloc,anesth (28575)	$3,270	$6,560.90	1.0×
Closed Treat Vert Body Fract (22310)	$246	$2,375	1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)	$246	$2,375	1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768)	$1,607	$5,714.24	1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535)	$246	$2,375	1.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)	$246	$2,375	1.0×
Closed Treatment Sesamoid Fracture (28530)	$246	$845.45	1.0×
Closed Treatment Sternum Fracture (21820)	$246	$845.45	1.0×
Closed Treatment Ulnar Styloid Fracture (25650)	$246	$2,375	1.0×
Closed tx ankle dislocation w/o anesthesia (27840)	$246	$1,723.30	1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)	$1,607	$6,246.91	1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)	$246	$822.28	1.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405)	$246	$2,819	1.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)	$246	$2,375	1.0×
Closed tx carpal scaphoid fracture w/manj (25624)	$1,607	$5,714.24	1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)	$246	$744.72	1.0×
Closed Tx Craniofacial Separation (21431)	$5,917	$9,731	1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)	$246	$2,375	1.0×
Closed tx fx orbit except blowout w/manipulation (21401)	$1,551	$3,233.30	1.0×
Closed Tx Knee Dislocation W/Anesthesia (27552)	$1,607	$5,753.40	1.0×
Closed tx knee dislocation w/o anesthesia (27550)	$246	$2,375	1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690)	$1,607	$5,714.24	1.0×
Closed tx mandibular fracture w/manipulation (21451)	$1,551	$4,502	1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450)	$539	$926	1.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)	$5,917	$7,597.06	1.0×
Closed tx metatarsal fracture w/o manipulation (28470)	$246	$574	1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)	$1,607	$5,714.24	1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)	$1,551	$2,529	1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)	$3,314	$3,139.76	1.0×
Closed Tx Nasomaxillary Complex Fracture (21345)	$1,551	$9,731	1.0×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421)	$3,314	$18,650.20	1.0×
Closed tx patellar dislocation w/anesthesia (27562)	$246	$2,769.27	1.0×
Closed tx patellar dislocation w/o anesthesia (27560)	$246	$1,723.30	1.0×
Closed Tx Patellar Fracture W/O Manipulation (27520)	$246	$1,069.15	1.0×
Closed tx radial head/neck fx w/manipulation (24655)	$1,607	$5,714.24	1.0×
Closed tx radial head/neck fx w/o manipulation (24650)	$246	$574	1.0×
Closed tx radial shaft fracture w/manipulation (25505)	$1,607	$5,714.24	1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)	$246	$1,723.30	1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)	$1,607	$5,714.24	1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560)	$246	$795.53	1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570)	$246	$845.45	1.0×
Closed tx septal&nose fx (21337)	$3,314	$4,543.99	1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)	$246	$857	1.0×
Closed tx talotarsal joint dislc w/o anes (28570)	$246	$1,069.15	1.0×
Closed Tx Talus Fracture W/Manipulation (28435)	$1,607	$5,714.24	1.0×
Closed tx talus fracture w/o manipulation (28430)	$246	$845.45	1.0×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605)	$246	$845.45	1.0×
Closed tx tarsometatarsal dislocation w/o anes (28600)	$246	$2,375	1.0×
Closed tx temporomandibular dislc comp 1st/sbsq (21485)	$1,551	$9,731	1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480)	$246	$1,292.90	1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)	$1,607	$5,714.24	1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)	$246	$845.45	1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530)	$246	$720.86	1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)	$236	$949.37	1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)	$539	$1,966.17	1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545)	$246	$1,045	1.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)	$246	$648.51	1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505)	$1,607	$5,714.24	1.0×
Clsd tx clavicular fracture w/o manipulation (23500)	$246	$668.59	1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400)	$539	$188.70	1.0×
Clsd Tx Pelvic Ring Fx (27198)	$246	$2,375	1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)	$246	$2,375	1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655)	$1,607	$5,714.24	1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)	$246	$1,723.30	1.0×
Clsd tx sternoclavicular dislc w/o manipulation (23520)	$1,607	$5,714.24	1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)	$246	$2,375	1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)	$1,607	$5,714.24	1.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)	$246	$2,375	1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635)	$1,607	$5,714.24	1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)	$246	$731.88	1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)	$246	$2,375	1.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)	$1,607	$5,714.24	1.0×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)	$246	$845.45	1.0×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517)	$1,607	$5,714.24	1.0×
Cltx dstl fibular fx lat malls w/manj (27788)	$246	$2,375	1.0×
Cltx dstl fibular fx lat malls w/o manj (27786)	$246	$2,375	1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)	$246	$2,375	1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)	$246	$546.78	1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)	$246	$2,375	1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)	$1,607	$6,246.91	1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)	$1,607	$5,714.24	1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)	$246	$2,375	1.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232)	$1,607	$2,235.47	1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230)	$246	$1,069.15	1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)	$1,607	$5,714.24	1.0×
Cltx fx grt toe phlx/phlg w/manj (28495)	$246	$598.84	1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490)	$246	$451.53	1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)	$246	$2,375	1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)	$246	$534.79	1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)	$1,607	$5,714.24	1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)	$246	$2,375	1.0×
Cltx greater humeral tuberosity fx w/o manj (23620)	$246	$2,375	1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246)	$246	$2,375	1.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)	$1,607	$6,560.90	1.0×
Cltx hip dislocation traumatic req anesthesia (27252)	$1,607	$5,714.24	1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250)	$246	$1,723.30	1.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)	$246	$2,375	1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577)	$1,607	$5,714.24	1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)	$1,607	$5,714.24	1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)	$246	$845.45	1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)	$1,607	$5,714.24	1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)	$279	$1,116.45	1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)	$246	$1,723.30	1.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)	$1,607	$1,069.15	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	$1,723.30	1.0×
Cltx Med Ankle Fx W/Mnpj (27762)	$1,607	$5,714.24	1.0×
Cltx Medial Ankle Fx (27760)	$246	$826.61	1.0×
Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines	$246	$2,375–$26,557.50	1.0×
Cltx metacarpal fx w/o manipulation each bone (26600)	$246	$635	1.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705)	$1,607	$5,714.24	1.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)	$1,607	$6,560.90	1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)	$246	$2,375	1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)	$246	$1,723.30	1.0×
Cltx post hip arthrp dislc req anes (27266)	$1,607	$5,714.24	1.0×
Cltx post hip arthrp dislc w/o anes (27265)	$246	$2,375	1.0×
Cltx prox fibula/shft fx w/manj (27781)	$1,607	$5,714.24	1.0×
Cltx prox fibula/shft fx w/o manj (27780)	$246	$751.33	1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)	$1,607	$2,914.73	1.0×
Cltx prox tibfib jt dislc w/o anes (27830)	$246	$555	1.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)	$246	$2,375	1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)	$246	$2,375	1.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)	$1,607	$5,714.24	1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)	$1,607	$5,714.24	1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)	$1,607	$5,714.24	1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)	$1,607	$5,714.24	1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)	$246	$2,375	1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)	$1,607	$5,714.24	1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)	$246	$2,375	1.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545)	$3,270	$10,213.30	1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)	$246	$549.87	1.0×
Cltx tibial fx proximal w/o manipulation (27530)	$246	$807.80	1.0×
Cltx tibial shaft fx w/o manipulation (27750)	$246	$2,375	1.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)	$246	$2,375	1.0×
Cltx trimalleolar ankle fx w/manipulation (27818)	$1,607	$6,246.91	1.0×
Cltx trimalleolar ankle fx w/o manipulation (27816)	$246	$2,375	1.0×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315)	$3,270	$6,560.90	1.0×
Collect Blood From Catheter Venous Nos (36592)	$133	$166.70	1.0×
Collection of venous blood by venipuncture (36415)	$9	$98.02	1.0×
Colonoscopy Flexible With Decompression (45393)	$1,196	$2,904.80	1.0×
Colonoscopy Stoma Ablation Lesion (44401)	$1,196	$2,970.50	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 stoma w/balloon dilation (44405)	$1,196	$2,904.80	1.0×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403)	$1,196	$2,904.80	1.0×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)	$6,068	$6,618.67	1.0×
Colonoscopy Stoma W/Rmvl Foreign Body (44390)	$929	$2,904.80	1.0×
Colonoscopy Stoma W/Submucosal Injection (44404)	$1,196	$2,904.80	1.0×
Colonoscopy Through Stoma With Decompression (44408)	$929	$2,904.80	1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389)	$1,196	$2,904.80	1.0×
Colonoscopy thru stoma (44388)	$929	$2,904.80	1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)	$1,196	$2,904.80	1.0×
Colonoscopy w/ablation (45388)	$1,196	$2,970.50	1.0×
Colonoscopy W/Band Ligation (45398)	$1,196	$3,056.69	1.0×
Colonoscopy w/fb removal (45379)	$1,196	$2,904.80	1.0×
Colonoscopy W/Resection (45390)	$2,774	$2,904.80	1.0×
Colonoscopy w/stent plcmt (45389)	$6,068	$6,618.67	1.0×
Colonoscopy w/submucosal inj (45381)	$1,196	$4,586.69	1.0×
Colporrhaphy (57200)	$3,235	$3,551.70	1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)	$3,235	$20,689	1.0×
Colpotomy; with drainage of pelvic abscess (57010)	$3,235	$6,500	1.0×
Colsc Flexible W/Control Bleeding Any Method (45382)	$1,196	$2,904.80	1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)	$1,196	$2,904.80	1.0×
Colsc flx w/removal lesion by hot bx forceps (45384)	$1,196	$4,586.69	1.0×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392)	$1,196	$4,447.44	1.0×
Combined anteroposterior colporrhaphy; (57260)	$5,000	$30,312.57	1.0×
Complex drainage wound (10180)	$2,903	$3,472.16	1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522)	$3,235	$29,913.70	1.0×
Conization of cervix (57520)	$3,235	$33,997.60	1.0×
Control Nasal Hemorrhage Anterior Complex (30903)	$133	$549.80	1.0×
Control Nasal Hemorrhage Anterior Simple (30901)	$133	$911.80	1.0×
Conversion ext bil drg cath (47535)	$3,579	$15,546.70	1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)	$1,918	$2,839.25	1.0×
Convert Nephrostomy Catheter (50434)	$2,089	$8,698.75	1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)	$1,650	$6,301.65	1.0×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420)	$3,523	$8,857.75	1.0×
Correction hammertoe (28285)	$3,270	$25,154	1.0×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)	$5,562	$40,656.10	1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)	$133	$642.68	1.0×
Curettage postpartum (59160)	$3,235	$16,130	1.0×
Cysto calibration dilat urtl strix/stenosis (52281)	$2,089	$16,130	1.0×
Cysto w/insert ureteral stent (52332)	$3,523	$32,389.04	1.0×
Cysto w/irrig & evac multple obstructing clots (52001)	$3,523	$15,381.70	1.0×
Cysto W/Simple Removal Stone & Stent (52310)	$2,089	$20,689	1.0×
Cysto/uretero w/lithotripsy (52356)	$5,359	$23,623.20	1.0×
Cystostomy Cystotomy W/Drainage (51040)	$2,089	$4,869.47	1.0×
Cystourethroscopy (52000)	$697	$31,525.30	1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)	$406	$581.02	1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)	$707	$1,407	1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines	$738	$2,572.02–$24,730.30	1.0×
Debride nail 1-5 (11720)	$58	$280	1.0×
Debride nail 6 or more (11721)	$58	$360	1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)	$1,650	$6,301.65	1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)	$406	$1,549.85	1.0×
Declot vascular device (36593)	$330	$1,316.31	1.0×
Deep Muscle Biopsy (20205) range across 2 matching MRF lines	$2,903	$2,775.73–$16,130	1.0×
Delivery of placenta (59414) range across 2 matching MRF lines	$3,235	$3,650–$16,130	1.0×
Destr W Neurolytic; Celiac Plexus (64680)	$884	$2,466.30	1.0×
Destruction by neurolytic agent; pudendal nerve (64630)	$884	$2,466.30	1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930)	$1,196	$1,999.25	1.0×
Destruction Premalignant Lesion 15/> (17004)	$406	$817.32	1.0×
Destruction premalignant lesion 1st (17000)	$200	$262.59	1.0×
Diagnostic sigmoidoscopy (45330)	$929	$3,552.36	1.0×
Dilat Xst Trc New Access Rcs (50437)	$3,523	$14,634.30	1.0×
Dilate Esophagus 1/Mult Pass (43450)	$906	$2,890	1.0×
Dilation & curettage dx&/ther nonobstetric (58120)	$3,235	$25,361.30	1.0×
Dilation Lacrimal Punctum W/WO Irrgation (68801)	$446	$1,995.20	1.0×
Drain Cerebro Spinal Fluid (62272)	$705	$893.75	1.0×
Drainage Abscess/Hematoma Nasal Septum (30020)	$539	$1,051.14	1.0×
Drainage external auditory canal abscess (69020)	$707	$806.34	1.0×
Drainage external ear abscess/hematoma cmplx (69005)	$1,650	$7,184.95	1.0×
Drainage External Ear Abscess/Hematoma Simple (69000)	$707	$497	1.0×
Drainage Finger Abscess Complicated (26011)	$1,650	$2,088.45	1.0×
Drainage Mouth Roof Lesion (42000)	$236	$623.51	1.0×
Drainage of finger abscess simple (26010)	$200	$2,036.23	1.0×
Drainage of gum lesion (41800)	$133	$848.06	1.0×
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines	$1,650	$6,301.65–$25,154	1.0×
Drainage of palmar bursa single bursa (26025)	$3,270	$6,749.70	1.0×
Drainage of rectal abscess (45020)	$2,774	$16,130	1.0×
Drainage of scrotal wall abscess (55100)	$1,650	$6,301.65	1.0×
Draw Blood Off Venous Device (36591)	$133	$489	1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)	$707	$2,695.55	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)	$406	$608.91	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)	$200	$535.87	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)	$200	$848.06	1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)	$884	$1,802.61	1.0×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681)	$884	$3,956.60	1.0×
Dx Bone Marrow Bx & Aspir (38222)	$2,903	$11,044.40	1.0×
Dx Bronchoscope/Lavage (31624)	$1,779	$6,596.94	1.0×
Dx Bronchoscope/Wash (31622)	$1,779	$6,596.94	1.0×
Dx Laryngoscopy Excl Nb (31525)	$1,779	$3,402	1.0×
Dx lmbr spi pnxr w/fluor/CT (62328)	$705	$3,172.95	1.0×
Egd Balloon Dil Esoph30 Mm/> (43233)	$1,918	$7,395.89	1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)	$1,918	$7,395.89	1.0×
Egd cautery tumor polyp (43250)	$1,918	$3,575.28	1.0×
Egd control bleeding any (43255)	$1,918	$7,395.89	1.0×
Egd dilation gastric/duodenal stricture (43245)	$1,918	$7,395.89	1.0×
Egd endo mucosal resection (43254)	$1,918	$3,575.28	1.0×
Egd Endoscopic Stent Place (43266)	$6,068	$6,618.67	1.0×
Egd Flexible Foreign Body Removal (43247)	$906	$3,523.34	1.0×
Egd guide wire insertion (43248)	$906	$2,890	1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243)	$1,918	$2,890	1.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242)	$1,918	$7,395.89	1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238)	$1,918	$7,395.89	1.0×
Egd lesion ablation (43270)	$1,918	$7,395.89	1.0×
Egd place gastrostomy tube (43246)	$1,918	$7,395.89	1.0×
Egd remove lesion snare (43251)	$1,918	$7,395.89	1.0×
Egd Tube/Cath Insertion (43241)	$1,918	$8,294.05	1.0×
Egd us exam duodenum/jejunum (43259)	$1,918	$7,395.89	1.0×
Egd us transmural injxn/mark (43253)	$1,918	$7,395.89	1.0×
Egd Varices Ligation (43244)	$1,918	$7,395.89	1.0×
Egd W/Transmural Drain Cyst (43240)	$6,068	$4,742.61	1.0×
Endometrial Biopsy (58100)	$202	$16,130	1.0×
Endoscopic us exam esoph (43237)	$1,918	$7,395.89	1.0×
Endoscopy Upper Small Intestine (44360)	$1,918	$7,395.89	1.0×
Endoscopy upper small intestine w/biopsy (44361)	$1,918	$3,575.28	1.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623)	$11,539	$28,883.60	1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473)	$3,156	$11,798	1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)	$3,156	$8,011.74	1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377)	$1,918	$3,575.28	1.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376)	$1,918	$3,575.28	1.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373)	$1,918	$3,575.28	1.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378)	$1,918	$3,575.28	1.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)	$6,068	$6,618.67	1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372)	$1,918	$3,575.28	1.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363)	$1,918	$3,575.28	1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365)	$1,918	$3,575.28	1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364)	$1,918	$3,575.28	1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)	$2,062	$4,284.78	1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)	$2,062	$6,594.80	1.0×
Epidural Blood Patch (62273)	$705	$2,925.85	1.0×
Epidural lysis mult sessions (62263)	$884	$2,844.40	1.0×
Episiotomy or vaginal repair (59300)	—	$12,151.60	—
Ercp Destruction/Lithotripsy Calculi Any Method (43265)	$6,068	$5,174	1.0×
Ercp duct stent placement (43274)	$6,068	$22,151.90	1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260)	$3,854	$4,793.55	1.0×
Ercp ea duct/ampulla dilate (43277)	$3,854	$5,196.89	1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264)	$3,854	$14,885.60	1.0×
Ercp remove forgn body duct (43275)	$1,918	$7,395.89	1.0×
Ercp Stent Exchange W/Dilate (43276)	$6,068	$6,618.67	1.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278)	$3,854	$5,318	1.0×
Ercp W/Biopsy Single/Multiple (43261)	$3,854	$4,742.61	1.0×
Ercp,Sphincterotomy (43262)	$3,854	$14,885.60	1.0×
Escharotomy; initial incision (16035)	$406	$923.27	1.0×
Esoph Scope W/Submucous Inj (43201)	$1,918	$5,324.30	1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236)	$906	$2,890	1.0×
Esophagosc Dilate Balloon 30 (43214)	$1,918	$3,575.28	1.0×
Esophagoscop Mucosal Resect (43211)	$1,918	$3,575.28	1.0×
Esophagoscop Stent Placement (43212)	$6,068	$6,618.67	1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)	$1,918	$3,575.28	1.0×
Esophagoscopy Flex Transoral Injection Varices (43204)	$1,918	$2,890	1.0×
Esophagoscopy Flex Transoral Lesion Ablation (43229)	$3,854	$9,575.75	1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217)	$1,918	$3,575.28	1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226)	$1,918	$3,575.28	1.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197)	$906	$2,890	1.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198)	$906	$2,890	1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200)	$906	$3,523.34	1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231)	$1,918	$3,575.28	1.0×
Esophagoscopy Flexible W/Bleeding Control (43227)	$1,918	$3,575.28	1.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232)	$1,918	$3,575.28	1.0×
Esophagoscopy Retro Balloon (43213)	$1,918	$3,575.28	1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)	$1,918	$2,890	1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)	$1,918	$3,575.28	1.0×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216)	$1,918	$9,575.75	1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205)	$1,918	$3,575.28	1.0×
Evacuate mole of uterus (59870)	$3,235	$34,150.30	1.0×
Evacuation of subungual hematoma (11740)	$133	$739.72	1.0×
Exc arm/elbow les sc < 3 cm (24075)	$1,650	$5,376.66	1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines	$1,650	$2,713.26–$30,856.20	1.0×
Exc Back Tum Deep 5 Cm/> (21933)	$2,903	$20,689	1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)	$3,914	$30,580.30	1.0×
Exc Face Les Sbq 2 Cm/> (21012)	$1,650	$20,689	1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)	$707	$1,141.58	1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)	$707	$1,572	1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines	$707	$1,605.95–$20,689	1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines	$1,650	$2,063.57–$20,689	1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)	$1,650	$3,767.92	1.0×
Exc Forearm Les Sc 3 Cm/> (25071)	$1,650	$31,513.90	1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)	$1,650	$1,664	1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)	$707	$1,542	1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)	$1,650	$1,913	1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073)	$2,903	$23,623.20	1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)	$707	$15,748.83	1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)	$1,650	$2,884	1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines	$2,903	$3,694–$20,689	1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)	$1,650	$21,422.60	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 thigh/knee les sc 3 cm/> (27337)	$2,903	$20,689	1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)	$1,196	$2,743.68	1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)	$707	$1,605.95	1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)	$1,650	$29,585.80	1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)	$2,903	$22,156.10	1.0×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)	$1,650	$31,360.50	1.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)	$2,903	$20,016.30	1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902)	$1,650	$72,176.67	1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)	$2,903	$37,501.90	1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)	$3,579	$7,650.23	1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)	$2,089	$7,916.73	1.0×
Excision Infected Graft Extremity (35903)	$3,156	$28,771.50	1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)	$1,650	$985.86	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	$3,882.13	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	$3,323.77	1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines	$1,607	$8,304.15–$28,350.80	1.0×
Excision of hydrocele; unilateral (55040)	$3,579	$26,557.50	1.0×
Excision of pilonidal cyst or sinus; simple (11770)	$2,903	$4,731.97	1.0×
Excision of vaginal cyst or tumor (57135)	$3,235	$39,874.80	1.0×
Excision olecranon bursa (24105)	$3,270	$19,661.15	1.0×
Excision or curettage of bone cyst or benign tumor of femur; (27355)	$3,270	$33,915.50	1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines	$2,903	$11,624–$26,962.80	1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931)	$1,650	$34,078.10	1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)	$1,650	$29,036.90	1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)	$2,903	$31,086.63	1.0×
Expl penetrating wound spx abdomen/flank/back (20102)	$2,062	$1,963.25	1.0×
Explo/Drain Breast Abscess (19020)	$1,650	$6,301.65	1.0×
Exploration penetrating wound spx extremity (20103)	$1,650	$1,963.25	1.0×
External cephalic version (59412)	—	$12,151.60	—
Fetal Contraction Stress Test (59020)	—	$883	—
Fetal non-stress test (59025)	—	$1,405.90	—
Fine needle aspiration bx w/CT gdn 1st lesion (10009)	$707	$2,896.70	1.0×
Fine needle aspiration bx w/mr gdn 1st lesion (10011)	$707	$2,896.70	1.0×
Fine needle aspiration without imaging guidance (10021)	$406	$494.47	1.0×
Fluoro exam of g/colon tube (49465)	$238	$731.15	1.0×
Fna Bx W/Fluor Gdn 1St Les (10007)	$707	$2,896.70	1.0×
Fna bx w/us gdn 1st les (10005)	$707	$2,896.70	1.0×
Foreskin manipulation (54450)	$249	$688	1.0×
Fusion of foot bones (28740)	$7,253	$9,022.72	1.0×
Gastrocnemius recession (27687)	$3,270	$9,022.72	1.0×
Guide Cathet Fluid Drainage (10030)	$707	$2,734.66	1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)	$2,774	$4,432.30	1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)	$2,774	$25,154	1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines	$929	$1,474.49–$50,340.90	1.0×
Hemorrhoidopexy by stapling (46947)	$2,774	$8,391.69	1.0×
Hysteroscopy Biopsy (58558)	$3,235	$27,244.80	1.0×
Hysteroscopy Dx Sep Proc (58555)	$3,235	$20,689	1.0×
Hysteroscopy Endometrial Ablation (58563)	$5,000	$29,986.70	1.0×
Hysteroscopy Removal Impacted Foreign Body (58562)	$3,235	$22,533.20	1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561)	$5,000	$32,618.60	1.0×
I&d abscess peritonsillar (42700)	$236	$967	1.0×
I&d abscess simple (10060)	$200	$778.13	1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301)	$2,903	$4,433	1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501)	$2,903	$3,193.73	1.0×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)	$3,270	$4,955	1.0×
I&d forearm/wrist bursa (25031)	$1,607	$7,073.04	1.0×
I&d pelvis/hip jt area deep abscess/hematoma (26990)	$3,270	$4,361.02	1.0×
I&d perianal abscess superficial (46050)	$929	$3,552.36	1.0×
I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines	$707	$2,734.66–$18,670.80	1.0×
I&d pilonidal cyst simple (10080)	$707	$2,734.66	1.0×
I&d shoulder deep abscess/hematoma (23030)	$2,903	$4,687	1.0×
I&d upper arm/elbow deep abscess/hematoma (23930)	$2,903	$4,615	1.0×
Icd Pocket Revision (33223)	$2,062	$4,189.10	1.0×
Ileoscopy Stoma W/Balloon Dilation (44381)	$1,918	$2,890	1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382)	$906	$2,890	1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)	$906	$2,890	1.0×
Image Cath Fluid Colxn Visc (49405)	$1,650	$6,301.65	1.0×
Image Cath Fluid Peri/Retro (49406)	$1,650	$3,195.06	1.0×
Image Cath Fluid Trns/Vgnl (49407)	$1,650	$7,723.75	1.0×
Incise external hemorrhoid (46083)	$249	$638.41	1.0×
Incise finger tendon sheath (26055)	$1,607	$25,154	1.0×
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines	$406	$1,549.85–$20,950.30	1.0×
Incision & drainage leg/ankle abscess/hematoma (27603)	$2,903	$4,242.84	1.0×
Incision & drainage leg/ankle infected bursa (27604)	$3,270	$7,867.83	1.0×
Incision & removal foreign body subq tiss compl (10121)	$1,650	$6,031	1.0×
Incision & removal foreign body subq tiss simple (10120)	$406	$1,549.85	1.0×
Incision and drainage of bartholin's gland abscess (56420)	$202	$980.72	1.0×
Incision and drainage of vulva or perineal abscess (56405)	$304	$2,036.23	1.0×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991)	$1,607	$7,186.77	1.0×
Incision of hip tendon (27001)	$3,270	$13,010.70	1.0×
Incision of rectal abscess (46040)	$1,196	$5,651.15	1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931)	$1,650	$2,866.39	1.0×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992)	$3,270	$574.81	1.0×
Incisional biopsy skin single lesion (11106)	$738	$1,570.40	1.0×
Initial Tx 1st Degree Burn Local Tx (16000)	$200	$778.13	1.0×
Inj W/Fluor Eval Cv Device (36598)	$212	$935.90	1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)	$884	$1,441.45	1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)	$884	$2,000	1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)	$306	$567.75	1.0×
Injection aa&/strd axillary nerve w/img gdn (64417)	$884	$3,542.76	1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)	$884	$3,360.30	1.0×
Injection aa&/strd genicular nrv branches w/img (64454)	$705	$3,294.50	1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421)	$884	$1,568	1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)	$884	$3,360.30	1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)	$705	$2,687.91	1.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)	$884	$3,360.30	1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505)	$306	$671.28	1.0×
Injection Anes Superior Hypogastric Plexus (64517)	$884	$2,466.30	1.0×
Injection anesthetic agent suprascapular nerve (64418)	$705	$908	1.0×
Injection for identification of sentinel node (38792)	$399	$888.75	1.0×
Injection Into Brain Canal (61055)	$306	$1,541	1.0×
Injection into disk lesion (62292)	$1,952	$4,620.20	1.0×
Injection of sclerosing solution, hemorrhoids (46500)	$929	$1,573.88	1.0×
Injection procedure for peyronie disease (54200)	$249	$1,330.70	1.0×
Injection single tendon origin/insertion (20551)	$306	$487.88	1.0×
Injection single/mlt trigger point 1/2 muscles (20552)	$306	$620.10	1.0×
Injection single/mlt trigger point 3/> muscles (20553)	$306	$740.25	1.0×
Injection therapeutic carpal tunnel (20526)	$306	$507.64	1.0×
Injection, anesthetic agent; brachial plexus, single (64415)	$884	$3,542.76	1.0×
Injection, anesthetic agent; femoral nerve, single (64447)	$705	$2,687.91	1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)	$705	$2,687.91	1.0×
Injection, anesthetic agent; vagus nerve (64408)	$306	$1,056.05	1.0×
Injection, intralesional; up to and including 7 lesions (11900)	$200	$902.90	1.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)	$884	$1,789.50	1.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281)	$884	$20,102.30	1.0×
Injx/Infusion Neurolytic Substance Subarachnoid (62280)	$884	$11,990.60	1.0×
Ins cath ren art 1st bilat (36252)	$3,156	$4,853.66	1.0×
Ins cath ren art 1st unilat (36251)	$3,156	$4,615.61	1.0×
Ins cath ren art 2nd+ bilat (36254)	$3,156	$11,017	1.0×
Ins cath ren art 2nd+ unilat (36253)	$5,562	$7,141	1.0×
Ins endovas vena cava filtr (37191)	$5,562	$21,359.40	1.0×
Ins/Rep Subq Defibrillator (33270)	$31,377	$75,054.50	1.0×
Insert 1 Electrode Pm-Defib (33216)	$8,272	$33,484.30	1.0×
Insert Bladder Cath Complex (51703)	$128	$411.25	1.0×
Insert cath pleura w/ image (32557)	$1,573	$6,224.85	1.0×
Insert cath pleura w/o image (32556)	$1,918	$7,395.89	1.0×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442)	$1,196	$4,984.50	1.0×
Insert cervical dilator (59200)	—	$1,246.91	—
Insert Gastrostomy Tube Percutaneous (49440)	$1,918	$7,395.89	1.0×
Insert Heart Pm Atrial (33206)	$10,448	$46,367	1.0×
Insert Heart Pm Ventricular (33207)	$10,448	$46,367	1.0×
Insert hepatic shunt (tips) (37182)	$18,324	$14,292	1.0×
Insert multi-comp penis pros (54405)	$20,718	$54,094.16	1.0×
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines	$3,156	$12,389.20–$46,628.50	1.0×
Insert Pacing Lead & Connect (33224)	$10,448	$17,570.90	1.0×
Insert pessary/other device (57160)	$202	$421.77	1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)	$1,573	$4,426.54	1.0×
Insert pulse gen dual leads (33213)	$10,448	$46,367	1.0×
Insert pulse gen mult leads (33221)	$19,254	$596.67	1.0×
Insert Pulse Gen Sngl Lead (33212)	$8,272	$33,484.30	1.0×
Insert Temp Bladder Cath (51702)	$133	$692.46	1.0×
Insert tun ip cath perc (49418)	$3,579	$7,089	1.0×
Insert tunneled cv cath (36561) range across 2 matching MRF lines	$3,156	$12,389.20–$23,155.40	1.0×
Insert tunneled cv cath (36563)	$5,562	$11,385.80	1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)	$5,562	$11,385.80	1.0×
Insert,Non-Indwelling Bladder Catheter (51701)	$133	$496.49	1.0×
Insertion indwelling tunneled pleural catheter (32550)	$3,579	$13,447.10	1.0×
Insertion of cannula (36800)	$5,562	$11,236.70	1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)	$1,573	$6,224.85	1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)	$8,272	$37,020.60	1.0×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)	$5,562	$11,385.80	1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)	$8,272	$33,484.30	1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)	$3,156	$3,045.68	1.0×
Insj Picc Rs&I <5 Yr (36572)	$627	$3,100.05	1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571)	$3,156	$6,036	1.0×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570)	$3,156	$11,236.70	1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines	$1,573	$4,220–$6,224.85	1.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565)	$3,156	$12,389.20	1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)	$5,562	$21,359.40	1.0×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)	$3,156	$11,236.70	1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)	$3,156	$12,389.20	1.0×
Insj/Rplcmt Defib W/Lead(S) (33249)	$31,377	$152,449	1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)	$8,272	$33,484.30	1.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)	$8,272	$7,242	1.0×
Insrt heart pm atrial & vent (33208)	$10,448	$46,367	1.0×
Insrt Pulse Gen W/Dual Leads (33230)	$22,235	$65,989.40	1.0×
Insrt Pulse Gen W/Singl Lead (33240)	$22,235	$27,320.60	1.0×
Int hrhc by ligation single hroid w/o img gdn (46945)	$2,774	$2,180.15	1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)	$406	$1,012.44	1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056)	$406	$985.79	1.0×
Intraoral i&d tongue/floor lingual (41000)	$539	$3,233.30	1.0×
Intraoral i&d tongue/floor submndblr space (41008)	$3,314	$13,969.90	1.0×
Intro cath dialysis circuit (36901)	$1,573	$6,224.85	1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)	$5,689	$22,215.80	1.0×
Intro Gastrointestinal Tube (44500)	$906	$2,627.47	1.0×
Intubation endotracheal emergency procedure (31500)	$236	$949.37	1.0×
Irrigation maxillary sinus (31000)	$236	$1,420.75	1.0×
Irrigation of corpora cavernosa for priapism (54220)	$249	$649.50	1.0×
Lap insert tunnel ip cath (49324)	$6,043	$28,771.50	1.0×
Laparo-vag hyst incl t/o (58552)	$10,625	$49,037.20	1.0×
Laparoscopy aspiration (49322)	$6,043	$26,962.80	1.0×
Laparoscopy Enterolysis Separate Procedure (44180)	$6,043	$25,154	1.0×
Laparoscopy fulguration oviducts (58670)	$6,043	$36,644.20	1.0×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)	$10,625	$39,624.08	1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)	$10,625	$57,711.70	1.0×
Laparoscopy W/Lysis Of Adhesions (58660)	$6,043	$25,154	1.0×
Laparoscopy w/rmvl adnexal structures (58661)	$6,043	$31,097.50	1.0×
Laparoscopy, surgical, appendectomy (44970)	$6,043	$21,993.10	1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)	$6,043	$36,006.60	1.0×
Laparoscopy, Tubal Block (58671)	$6,043	$26,778.40	1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)	$6,043	$34,197.80	1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662)	$6,043	$44,131.20	1.0×
Laps Gastric Restrictive Px Remove Device & Port (43774)	$3,854	$30,892	1.0×
Laryngoscopy diagnostic (31505)	$199	$448.90	1.0×
Laryngoscopy flexible diagnostic (31575)	$199	$639.92	1.0×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)	$1,779	$4,759.50	1.0×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)	$390	$1,932	1.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515)	$390	$6,297.75	1.0×
Late closure of wound (13160)	$3,542	$1,651.40	1.0×
Ligation of a-v fistula (37607)	$3,156	$13,856.40	1.0×
Ligation of hemorrhoids (46946)	$2,774	$2,406.50	1.0×
Ligation Of Inf Vena Cava (37619)	$5,562	$6,135.08	1.0×
Ligation or biopsy temporal artery (37609)	$1,650	$28,771.50	1.0×
Litholapaxy comp/lg > 2.5 cm (52318)	$3,523	$21,211.56	1.0×
Lithotripsy, extracorporeal shock wave (50590)	$3,523	$14,575	1.0×
Lyse chest fibrin init day (32561)	$627	$2,892.50	1.0×
Manipulation knee joint under general anesthesia (27570)	$1,607	$16,130	1.0×
Manipulation wrist under anesthesia (25259)	$1,607	$5,376.66	1.0×
Mast mod rad (19307)	$6,637	$45,050.40	1.0×
Mastectomy partial (19301)	$3,914	$32,389	1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596)	$1,573	$2,035.23	1.0×
Mech remov tunneled cv cath (36595)	$3,156	$3,995.96	1.0×
Muscle-skin graft trunk (15734)	$3,542	$76,465	1.0×
Myelography Lumbar Injection (62305)	$783	$10,055	1.0×
Myelography Lumbar Injection (62304)	$783	$5,829	1.0×
Myelography via lumbar injection rs&i cervical (62302)	$783	$5,822	1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303)	$783	$5,595	1.0×
N Block Inj Celiac Pelus (64530)	$884	$3,542.76	1.0×
N Block Inj Ilio-Ing/Hypogi (64425)	$705	$2,687.91	1.0×
N block inj intercost sng (64420)	$705	$1,175.97	1.0×
N Block Inj Paracervical (64435)	$705	$1,755.51	1.0×
N Block Inj Plantar Digit (64455)	$306	$611	1.0×
N Block Inj Pudendal (64430)	$884	$3,360.30	1.0×
N Block Lumbar/Thoracic (64520)	$884	$2,002.58	1.0×
Nasal/Orogastric W/Tube Plmt (43752)	$446	$1,548.66	1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)	$929	$2,904.80	1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386)	$929	$2,904.80	1.0×
Needle Biopsy Lymph Nodes (38505)	$1,650	$4,709.90	1.0×
Needle Biopsy Pancreas (48102)	$1,650	$6,301.65	1.0×
Needle insertion w/o injection 1 or 2 muscles (20560)	$28	$141.85	1.0×
Nerve repair w/conduit each nerve (64910)	$8,772	$23,669	1.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)	$416	$2,083.90	1.0×
Njx anes stellate ganglion crv sympathetic (64510)	$884	$1,746.08	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	$15,546.70	1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)	$3,579	$6,531.33	1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)	$884	$1,224	1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)	$884	$3,831.96	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	$1,510.39	1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)	$884	$2,466.30	1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)	$884	$3,831.96	1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)	$705	$3,041.88	1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)	$884	$2,466.30	1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)	$697	$1,717.45	1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470)	$406	$868.25	1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471)	$406	$868.25	1.0×
Njx Sclrsnt Spider Veins (36468)	$406	$525.15	1.0×
Obstructive material removal from gi tube (49460)	$906	$1,016.86	1.0×
Occipital Nerve Block (64405)	$306	$1,095.67	1.0×
Open Treatment Bimalleolar Ankle Fracture (27814)	$7,253	$25,154	1.0×
Open Treatment Fracture Distal Tibia & Fibula (27828)	$12,833	$62,556	1.0×
Open Treatment Medial Malleolus Fracture (27766)	$7,253	$28,771.50	1.0×
Open treatment metacarpophalangeal dislocation (26715)	$3,270	$14,461.40	1.0×
Open Treatment Radial Shaft Fracture (25515)	$7,253	$36,006.60	1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)	$7,253	$45,654	1.0×
Open Tx Distal Phalangeal Fracture Each (26765)	$3,270	$7,136.17	1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829)	$7,253	$109,819.22	1.0×
Open tx interphalangeal joint dislocation (26785)	$3,270	$15,420.20	1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines	$3,270	$14,883.30–$18,670.80	1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines	$3,270	$7,136.17–$26,261.90	1.0×
Open/Perq Place Stent 1St (37236)	$11,539	$47,711.80	1.0×
Open/Perq Place Stent Same (37238)	$11,539	$17,714	1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)	$7,253	$39,624.10	1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)	$7,253	$30,580.30	1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)	$12,833	$47,338	1.0×
Parathyroidectomy or exploration of parathyroid(s); (60500)	$5,917	$36,006.60	1.0×
Part exc bone femur prox tibia (27360)	$3,270	$7,186.77	1.0×
Partial Excision Distal Phalanx Finger (26236)	$1,607	$6,566.70	1.0×
Partial removal of thyroid (60220)	$6,043	$28,323.25	1.0×
Partial removal of tibia (27640)	$3,270	$7,186.77	1.0×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)	$6,043	$30,436	1.0×
Partical Excision Bone Phalanx Toe (28124)	$3,270	$12,191.70	1.0×
Penile Injection (54235)	$249	$1,147.65	1.0×
Perc Cryo Ablate Renal Tum (50593)	$10,625	$38,708.20	1.0×
Perc Rf Ablate Renal Tumor (50592)	$6,043	$22,426.90	1.0×
Percut Ablate Liver Rf (47382)	$6,043	$12,597.40	1.0×
Percut Cath Occlusn Non Cns Lesn (61626)	$11,539	$11,517.40	1.0×
Percut Drain/Inject Renal Cyst (50390)	$707	$4,709.90	1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188)	$3,156	$8,052.81	1.0×
Pericardiocentesis W/Imaging (33016)	$1,573	$8,155.65	1.0×
Peritoneal Lavage (49084)	$906	$1,060.17	1.0×
Perm Occlusion/Embolization,Percut,Cns (61624)	$18,324	$1,557	1.0×
Perq Cervicothoracic Inject (22510)	$3,270	$12,581	1.0×
Perq dev breast 1st mr guide (19287)	$707	$3,545	1.0×
Perq dev breast 1st strtctc (19283)	$707	$928.07	1.0×
Perq dev breast 1st us imag (19285)	$707	$3,364.48	1.0×
Perq device breast 1st imag (19281)	$1,650	$6,301.65	1.0×
Perq dilation xst trc endourologic px w/img (50436)	$3,523	$8,698.75	1.0×
Perq Lumbosacral Injection (22511)	$3,270	$10,440	1.0×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)	$6,043	$12,462.50	1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)	$707	$3,351.80	1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)	$11,539	$48,345.20	1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)	$5,689	$23,392.70	1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)	$7,253	$28,032.10	1.0×
Perq Vertebral Augmentation (22513)	$7,253	$28,032.10	1.0×
Phleb Veins - Extrem 20+ (37766)	$3,156	$52,285.40	1.0×
Place Cath Subclavian Art (36225)	$3,156	$6,559.10	1.0×
Place Cath Thoracic Aorta (36221)	$3,156	$7,240.97	1.0×
Place Cath Vertebral Art (36226)	$5,562	$18,976.40	1.0×
Place Duod/Jej Tube Perc (49441)	$1,918	$7,395.89	1.0×
Placement of needle for intraosseous infusion (36680)	$446	$404.85	1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)	$6,043	$27,488	1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)	$2,089	$8,223.30	1.0×
Plmt Nephroureteral Catheter (50433)	$3,523	$17,499.70	1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)	$3,523	$15,092.70	1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)	$5,000	$23,749.26	1.0×
Prim art mech thrombectomy (37184)	$18,324	$68,155.90	1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)	$929	$2,637.09	1.0×
Proctosgmdsc Rigid Control Bleeding (45317)	$1,196	$4,683.45	1.0×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)	$2,774	$4,447.44	1.0×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)	$6,068	$10,840.70	1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)	$3,579	$17,709.70	1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)	$3,579	$14,736.60	1.0×
Pseudoaneurysm Injection Trt (36002)	$627	$2,760.20	1.0×
Punch biopsy skin single lesion (11104)	$406	$882.25	1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)	$406	$1,549.85	1.0×
Puncture Aspiration Cyst Breast (19000)	$707	$706.34	1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600)	$3,523	$4,427.82	1.0×
Redo Endovas Vena Cava Filtr (37192)	$3,156	$7,118	1.0×
Relocation Pocket Pacemaker (33222)	$2,062	$7,056.05	1.0×
Rem Endovas Vena Cava Filter (37193)	$3,156	$7,118	1.0×
Removal Embedded Foreign Body Eyelid (67938)	$317	$663.33	1.0×
Removal foreign body foot deep (28192)	$1,650	$3,388.68	1.0×
Removal Foreign Body Foot Subcutaneous (28190)	$707	$1,397.82	1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)	$1,650	$1,046.88	1.0×
Removal Foreign Body Scrotum (55120)	$2,089	$9,703.30	1.0×
Removal impacted cerumen irrigation/lvg unilat (69209)	$58	$279.70	1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)	$58	$248	1.0×
Removal Implant Deep (20680)	$2,903	$28,006.10	1.0×
Removal of foreign body from pharynx (42809)	$446	$861	1.0×
Removal of nail bed (11750)	$406	$1,852	1.0×
Removal of sesamoid bone (28315)	$3,270	$25,154	1.0×
Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines	$3,156	$7,081.80–$20,689	1.0×
Removal or bivalving full arm or full leg cast (29705)	$279	$298.78	1.0×
Removal Pacemaker Electrode (33235)	$3,735	$4,924.39	1.0×
Removal ppm generator only (33233)	$8,272	$4,811.28	1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200)	$200	$351.53	1.0×
Removal subcutaneous cardiac rhythm monitor (33286)	$707	$2,896.70	1.0×
Removal sweat gland lesion (11450)	$2,903	$44,171.47	1.0×
Removal/bivalving gauntlet boot/body cast (29700)	$279	$290	1.0×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385)	$2,089	$5,589	1.0×
Remove cerclage suture (59871)	—	$5,245.30	—
Remove Elctrd Transvenously (33244)	$3,735	$12,448.50	1.0×
Remove foreign body from eye (65205)	$133	$496.49	1.0×
Remove Int Dwell Ureteral Stent Transurethral (50386)	$2,089	$5,589	1.0×
Remove Intrauterine Device (58301)	$304	$491	1.0×
Remove intrvas foreign body (37197)	$3,156	$5,536.40	1.0×
Remove lung catheter (32552)	$627	$2,441.71	1.0×
Remove Nasal Foreign Body (30300)	$133	$496.49	1.0×
Remove Pulse Generator (33241)	$3,735	$11,731.60	1.0×
Remove renal tube w/fluoro (50389)	$697	$1,387.02	1.0×
Remove Shoulder Foreign Body (23330)	$1,650	$39,624.10	1.0×
Remove Tendon Sheath Lesion (26160)	$1,607	$18,409.50	1.0×
Remove&replace pm gen singl (33227)	$8,272	$33,484.30	1.0×
Remv&replc cvd gen dual lead (33263)	$22,235	$109,650	1.0×
Remv&replc cvd gen mult lead (33264)	$31,377	$152,449	1.0×
Remv&replc cvd gen sing lead (33262)	$22,235	$44,587	1.0×
Remv&replc pm gen dual lead (33228)	$10,448	$46,367	1.0×
Remv&replc pm gen mult leads (33229)	$19,254	$93,056.30	1.0×
Renal Biopsy Perq (50200)	$1,650	$7,071.40	1.0×
Repair Achilles Tendon (27650)	$7,253	$28,771.50	1.0×
Repair Blood Vessel Direct Upper Extremity (35206)	$3,156	$12,463.70	1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)	$738	$1,722	1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)	$738	$1,623	1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)	$406	$1,034	1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)	$406	$1,419.30	1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)	$406	$904	1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)	$406	$1,151	1.0×
Repair complex trunk 1.1-2.5 cm (13100)	$738	$1,479.47	1.0×
Repair complex trunk 2.6-7.5 cm (13101)	$738	$1,747.38	1.0×
Repair extensor tendon finger w/o graft each (26418)	$1,607	$3,907.67	1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)	$3,579	$36,216	1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)	$406	$1,549.85	1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)	$406	$1,549.85	1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)	$406	$1,549.85	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	$894.30	1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)	$406	$1,549.85	1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)	$406	$1,549.85	1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)	$738	$803.51	1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)	$2,062	$1,651.40	1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)	$406	$1,549.85	1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031)	$406	$1,549.85	1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)	$406	$1,549.85	1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)	$738	$1,284	1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)	$406	$1,549.85	1.0×
Repair intermediate s/a/t/e >30.0 cm (12037)	$2,062	$1,899.22	1.0×
Repair lead pace-defib dual (33220)	$3,735	$11,731.60	1.0×
Repair Lead Pace-Defib One (33218)	$3,735	$5,640.26	1.0×
Repair lumbar hernia (49540)	$6,043	$43,241.60	1.0×
Repair Nonunion/Malunion Tibia W/O Graft (27720)	$7,253	$10,796.34	1.0×
Repair of nail bed (11760)	$738	$2,441.12	1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)	$7,253	$37,815.30	1.0×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557)	$3,579	$50,476.64	1.0×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)	$6,471	$42,764.30	1.0×
Repair Rotator Cuff Chronic (23412)	$7,253	$17,917.26	1.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)	$7,253	$9,830.57	1.0×
Repair tongue laceration (41252)	$236	$1,727	1.0×
Repair tongue laceration (41250)	$446	$1,548.66	1.0×
Replace duodenostomy/jejunostomy tube perq (49451)	$906	$3,523.34	1.0×
Replace G-J Tube Perc (49452)	$906	$3,523.34	1.0×
Replace g/c tube perc (49450)	$906	$3,523.34	1.0×
Reposition Gastrostomy Tube (43761)	$249	$7,924.46	1.0×
Reposition L Ventric Lead (33226)	$3,156	$11,236.70	1.0×
Reposition Pacing-Defib Lead (33215)	$3,156	$5,027.50	1.0×
Reposition Venous Catheter (36597)	$1,573	$6,224.85	1.0×
Rerepair ing hernia reduce (49520)	$3,579	$31,183.20	1.0×
Revise Abdomen-Venous Shunt (49426)	$3,579	$7,837.71	1.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183)	$5,689	$23,392.70	1.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)	$1,551	$5,185.74	1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)	$906	$336.29	1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)	$446	$1,548.66	1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)	$133	$442.81	1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)	$446	$491.81	1.0×
Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines	$1,196	$2,307.80–$16,130	1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)	$1,650	$1,305	1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)	$3,735	$4,657.90	1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)	$1,573	$6,224.85	1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)	$627	$6,279.72	1.0×
Rplc Gtube No Revj Trc (43762)	$249	$1,157.10	1.0×
Rplc gtube revj gstrst trc (43763)	$249	$1,157.10	1.0×
Rplcmt cath ctr vad subq port/pmp (36578)	$3,156	$3,886	1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)	$1,573	$2,736.24	1.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585)	$3,156	$6,741.99	1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)	$1,573	$2,564	1.0×
Rplcmt compl tun ctr vad w/subq pmp (36583)	$5,562	$11,385.80	1.0×
Rplcmt compl tun ctr vad w/subq port (36582)	$3,156	$2,382.34	1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581)	$3,156	$12,389.20	1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)	$6,043	$91,037.70	1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)	$3,579	$114,698	1.0×
Rpr aa hrn 1st 3-10 rdc (49593)	$6,471	$32,389	1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592)	$6,043	$27,221.20	1.0×
Rpr blood vessel direct lower extremity (35226)	$707	$3,600.85	1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) range across 2 matching MRF lines	$1,573	$2,382.34–$31,894.30	1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)	$200	$1,403.21	1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)	$738	$871	1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652)	$539	$1,850.62	1.0×
Rpr Lip Full Thickness Vermilion Only (40650)	$539	$2,138.52	1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)	$1,551	$1,931.27	1.0×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108)	$4,131	$10,142.30	1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)	$627	$2,440.30	1.0×
Sclerotx Fluid Collection (49185)	$1,650	$4,709.90	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	$2,637.09	1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)	$1,196	$4,586.69	1.0×
Shoulder Arthroscopy/Surgery (29825)	$3,270	$7,206.93	1.0×
Sigmoidoscopy & decompress (45337)	$929	$2,904.80	1.0×
Sigmoidoscopy & Polypectomy (45333)	$929	$2,637.09	1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)	$1,196	$2,904.80	1.0×
Sigmoidoscopy flx tndsc balo dilat (45340)	$1,196	$2,904.80	1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350)	$1,196	$2,904.80	1.0×
Sigmoidoscopy w/fb removal (45332)	$1,196	$2,904.80	1.0×
Sigmoidoscopy w/plcmt stent (45347)	$6,068	$6,618.67	1.0×
Sigmoidoscopy W/Resection (45349)	$2,774	$10,913.40	1.0×
Sigmoidoscopy W/Ultrasound (45341)	$929	$3,968.25	1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)	$929	$3,552.36	1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)	$1,196	$2,904.80	1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)	$406	$1,549.85	1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)	$200	$1,033.11	1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)	$406	$973	1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)	$200	$1,218.16	1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)	$200	$1,132.85	1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)	$200	$1,033.11	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 Pinch Graft (15050)	$738	$1,611	1.0×
Skin sub graft face/nk/hf/g (15275)	$738	$7,088.07	1.0×
Skin sub graft trnk/arm/leg (15271)	$738	$7,088.07	1.0×
Skin sub grft t/arm/lg child (15273)	$2,062	$2,504.13	1.0×
Skin Tissue Procedure (17999)	$200	$18,670.80	1.0×
Skn sub grft f/n/hf/g child (15277)	$2,062	$4,302	1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)	$5,562	$18,976.40	1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222)	$3,156	$13,594.20	1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)	$5,562	$21,324.80	1.0×
Slitting of prepuce (54001)	$2,089	$3,174.52	1.0×
Small bowel endoscopy (44384)	$1,918	$6,618.67	1.0×
Small bowel endoscopy (44366)	$1,918	$3,575.28	1.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369)	$1,918	$3,575.28	1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)	$6,068	$6,618.67	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 12.6-20.0cm (12005)	$406	$1,588.26	1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)	$406	$1,765	1.0×
Spinal puncture lumbar diagnostic (62270)	$705	$2,925.85	1.0×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)	$3,542	$4,839.02	1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)	$3,156	$32,971.90	1.0×
Strapping ankle (29540)	$162	$612.43	1.0×
Strapping elbow or wrist (29260)	$58	$255	1.0×
Strapping hand/finger (29280)	$58	$205	1.0×
Strapping Hip (29520)	$133	$258.64	1.0×
Strapping knee (29530)	$133	$496.49	1.0×
Strapping shoulder (29240)	$133	$254.67	1.0×
Strapping thorax (29200)	$162	$357.72	1.0×
Strapping toes (29550)	$58	$271	1.0×
Strapping Unna Boot (29580)	$162	$714	1.0×
Surg tx anal fistula subq (46270)	$2,774	$32,389	1.0×
Suture infrapatellar tendon primary (27380)	$7,253	$11,714.78	1.0×
Tangential biopsy skin single lesion (11102)	$406	$882.25	1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)	$28,672	$146,704	1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274)	$19,254	$76,772.50	1.0×
Tcat Rmvl Perm Ldls Pm (33275)	$3,156	$13,207.60	1.0×
Tenodesis long tendon biceps (23430)	$7,253	$8,049.38	1.0×
Tenotomy Adductor Hip Percutaneous Spx (27000)	$1,607	$16,130	1.0×
Tenotomy Percutaneous Toe Single Tendon (28010)	$1,607	$4,709.90	1.0×
Ther Apheresis,Red Blood Cells (36512)	$1,556	$4,433.89	1.0×
Therapeutic Apheresis White Blood Cells (36511)	$1,556	$3,936.48	1.0×
Therapeutic plasma exchange (36514)	$1,556	$4,646	1.0×
Thoracoscopy w/bx nodule (32608)	$10,625	$7,890	1.0×
Thoracoscopy w/bx pleura (32609)	$6,043	$7,672	1.0×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607)	$10,625	$7,890	1.0×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606)	$6,043	$7,875	1.0×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)	$10,625	$7,875	1.0×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)	$6,043	$5,481.50	1.0×
Thrmbc/Nfs Dialysis Circuit (36906)	$18,324	$76,772.50	1.0×
Thromblytic art/ven therapy (37213)	$3,156	$12,389.20	1.0×
Thrombolytic Art Therapy (37211)	$5,562	$21,359.40	1.0×
Thrombolytic Therapy Stroke (37195)	$330	$2,060.67	1.0×
Thrombolytic Venous Therapy (37212)	$3,156	$12,389.20	1.0×
Thyroid biopsy (60100)	$707	$2,734.66	1.0×
Thyroidectomy, total or complete (60240)	$6,043	$35,348.80	1.0×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)	$5,917	$43,241.60	1.0×
Total Knee Arthroplasty (27447)	$12,833	$60,443.30	1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605)	$236	$2,251.87	1.0×
Tracheostomy Emergency Procedure Transtracheal (31603)	$1,551	$2,196	1.0×
Tracheostomy planned (31600) range across 2 matching MRF lines	$3,314	$12,514–$25,154	1.0×
Transcatheter biopsy (37200)	$5,562	$7,118	1.0×
Transur electr resection of prostate (52601)	$5,359	$36,006.56	1.0×
Transurethral resection bladder neck (52500)	$3,523	$28,771.52	1.0×
Treat Dental Ridge Fracture (21440)	$3,314	$9,731	1.0×
Treat ectopic pregnancy (59151)	$6,043	$29,977.40	1.0×
Treat Elbow Fracture (24635)	$7,253	$21,192.20	1.0×
Treat Fx Rad Extra-Articul (25607)	$7,253	$37,681.40	1.0×
Treat Hip Socket Fracture (27222)	$246	$2,958.33	1.0×
Treat humerus fracture (24500)	$246	$2,375	1.0×
Treat Humerus Fracture (24505)	$1,607	$6,246.91	1.0×
Treat humerus fracture (23600)	$246	$710	1.0×
Treat knee fracture (27532)	$3,270	$6,560.90	1.0×
Treat Knee Fracture(S) (27538)	$246	$2,375	1.0×
Treat Kneecap Fracture (27524)	$7,253	$26,557.50	1.0×
Treat Knuckle Dislocation (26700)	$246	$2,375	1.0×
Treat Metatarsal Fracture (28475)	$246	$637.50	1.0×
Treat Tail Bone Fracture (27200)	$246	$845.45	1.0×
Treat Thumb Dislocation (26641)	$246	$2,375	1.0×
Treat Thumb Fracture (26645)	$1,607	$5,714.24	1.0×
Treat toe dislocation (28630)	$246	$542	1.0×
Treatment Closed Elbow Dislocation Req Anes (24605)	$1,607	$5,714.24	1.0×
Treatment closed elbow dislocation w/o anes (24600)	$246	$1,723.30	1.0×
Trim skin lesion (11055)	$200	$775.40	1.0×
Trim skin lesions 2 to 4 (11056)	$200	$895.40	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 anal fstl trans/supra/xtrasphnctrc incl seton (46280)	$2,774	$28,771.52	1.0×
Tx Gastro Intub W/Asp (43753)	$215	$269	1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines	$3,235	$5,584.28–$19,616.90	1.0×
Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines	$3,235	$13,116–$19,048.10	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	$2,441.12	1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)	$1,607	$5,714.24	1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)	$246	$2,375	1.0×
Unlisted Cardiac Surgery (33999)	$627	$3,100	1.0×
Unlisted laparoscopic procedure liver (47379)	$6,043	$22,797.57	1.0×
Unlisted laparoscopy procedure oviduct ovary (58679)	$6,043	$12,002.18	1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)	$6,043	$25,154	1.0×
Unlisted laparoscopy procedure, uterus (58578)	$6,043	$18,470.36	1.0×
Unlisted Procedure Casting/Strapping (29799)	$162	$357.72	1.0×
Unlisted Procedure Endocrine System (60699)	$6,043	$21,198	1.0×
Unlisted Procedure Esophagus (43499)	$906	$4,048	1.0×
Unlisted procedure humerus/elbow (24999)	$246	$1,125.45	1.0×
Unlisted Procedure Muscskeletal System General (20999)	$246	$36,090.88	1.0×
Unlisted procedure nervous system (64999)	$306	$1,223.50	1.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)	$236	$1,058	1.0×
Unlisted Procedure Rectum (45999)	$929	$3,819.40	1.0×
Unlisted procedure stomach (43999)	$906	$4,318.45	1.0×
Unlisted Procedure Vascular Surgery (37799)	$627	$4,476.05	1.0×
Upgrade of pacemaker system (33214)	$10,448	$19,895.60	1.0×
Vaginal delivery only (59409)	$3,235	$4,199	1.0×
Vaginal hysterectomy, for uterus 250 g or less; (58260)	$5,000	$35,554.40	1.0×
Vasc embolize/occlude artery (37242)	$18,324	$14,621	1.0×
Vasc Embolize/Occlude Bleed (37244)	$11,539	$14,755.10	1.0×
Vasc Embolize/Occlude Organ (37243)	$11,539	$47,711.80	1.0×
Vasc embolize/occlude venous (37241)	$11,539	$21,602.90	1.0×
Venous Mech Thrombectomy (37187)	$11,539	$42,759.60	1.0×
Vulvectomy simple partial (56620)	$3,235	$25,154	1.0×
Wedge excision skin nail fold (11765)	$406	$603	1.0×
Wedging of cast (29740)	$279	$237.08	1.0×
Windowing of cast (29730)	$162	$294.80	1.0×
Wound Prep F/N/Hf/G (15004)	$406	$1,619.01	1.0×
Wound Prep Trk/Arm/Leg (15002)	$738	$1,563.65	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.