Procedures & surgery prices at Vandalia Health Davis Medical Center
Elkins, WV · every code in this section with a posted price and a Medicare benchmark.
747 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) | $2,434.85 | $3,478.35 | 2.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $2,434.85 | $3,478.35 | 2.8× |
| Amniocentesis diagnostic (59000) | $2,261.32 | $3,230.45 | 2.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$8,426.26–$11,156 | $12,037.51–$15,937.13 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $9,863.41 | $14,090.58 | 3.1× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $778.87 | $1,112.67 | 2.6× |
| Anoscopy diagnostic (46600) | $489.93 | $699.90 | 3.8× |
| Anoscopy W/Rmvl Foreign Body (46608) | $2,367.72 | $3,382.45 | 2.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $414.04 | $591.48 | 2.7× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$999.11–$1,030.01 | $1,427.30–$1,471.44 | varies |
| Application Finger Splint Dynamic (29131) | $149.15 | $213.06 | 2.6× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$475.23–$489.93 | $678.90–$699.90 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$586.21–$604.34 | $837.43–$863.33 | varies |
| Application Long Leg Cast Brace (29358) | $1,170.88 | $1,672.68 | 4.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $999.11 | $1,427.30 | 3.7× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$586.21–$604.34 | $837.43–$863.33 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$999.11–$1,030.01 | $1,427.30–$1,471.44 | varies |
| Application of rigid total contact leg cast (29445) | $1,170.88 | $1,672.68 | 4.4× |
| Application Patellar Tendon Bearing Cast (29435) | $665.58 | $950.82 | 2.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$475.23–$489.93 | $678.90–$699.90 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$586.21–$604.34 | $837.43–$863.33 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$409.79–$586.21 | $585.41–$837.43 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$999.11–$1,030.01 | $1,427.30–$1,471.44 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$405.14–$422.94 | $578.76–$604.20 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$689.71–$1,030.01 | $985.30–$1,471.44 | varies |
| Apply short leg cast (29425) | $999.11 | $1,427.30 | 3.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$766.62–$2,270.52 | $1,095.16–$3,243.60 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $2,652.30 | $3,789 | 3.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$766.62–$2,270.52 | $1,095.16–$3,243.60 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$766.62–$1,135.96 | $1,095.16–$1,622.80 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$766.62–$1,135.96 | $1,095.16–$1,622.80 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $4,383.74 | $6,262.48 | 2.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $4,466.84 | $6,381.20 | 2.9× |
| Artificial insemination intra-cervical (58321) | $1,424.64 | $2,035.20 | 4.9× |
| Artificial insemination intra-uterine (58322) | $741.33 | $1,059.04 | 3.8× |
| Aspirate pleura w/ imaging (32555) range across 5 matching MRF lines |
$1,605.62–$2,409.38 | $2,293.74–$3,441.96 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$1,605.62–$2,409.38 | $2,293.74–$3,441.96 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $834.75 | $1,192.50 | 2.8× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$4,009.98–$5,963.46 | $5,728.54–$8,519.22 | varies |
| Aspiration Bladder Needle (51100) | $631.62 | $902.31 | 2.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$578.76–$767.84 | $826.80–$1,096.91 | varies |
| Biopsy Abdominal Mass (49180) | $4,207.77 | $6,011.09 | 2.7× |
| Biopsy bone trocar/needle deep (20225) | $4,207.77 | $6,011.09 | 2.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$4,207.77–$11,265.79 | $6,011.09–$16,093.98 | varies |
| Biopsy muscle percutaneous needle (20206) | $4,207.77 | $6,011.09 | 2.7× |
| Biopsy nail unit (11755) | $2,698.43 | $3,854.90 | 4.0× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$9,944.65–$11,521.78 | $14,206.63–$16,459.68 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $4,207.77 | $6,011.09 | 2.7× |
| Biopsy of penis (54100) | $4,812.25 | $6,874.63 | 3.0× |
| Biopsy Pleura Percutaneous Needle (32400) | $4,207.77 | $6,011.09 | 2.7× |
| Biopsy soft tissue neck/thorax (21550) | $10,651.41 | $15,216.30 | 6.7× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $4,207.77 | $6,011.09 | 2.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) range across 2 matching MRF lines |
$4,207.77–$4,999.23 | $6,011.09–$7,141.75 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $6,783.95 | $9,691.35 | 7.7× |
| Bladder instillation anticarcinogenic agent (51720) | $1,733.43 | $2,476.32 | 2.6× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$851.81–$947.90 | $1,216.86–$1,354.13 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$154.26–$443 | $220.37–$632.85 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $11,980.34 | $17,114.76 | 6.1× |
| Blepharotomy drainage abscess eyelid (67700) | $1,083.77 | $1,548.23 | 3.6× |
| Blood Transfusion Service (36430) | $1,135.36 | $1,621.94 | 2.7× |
| Bone Marrow Biopsy (38221) | $4,207.77 | $6,011.09 | 2.7× |
| Bone Marrow; Aspiration Only (38220) | $4,207.77 | $6,011.09 | 2.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $9,575.02 | $13,678.59 | 2.7× |
| Bx breast 1st lesion strtctc (19081) | $4,207.77 | $6,011.09 | 2.7× |
| Bx breast 1st lesion us imag (19083) | $4,207.77 | $6,011.09 | 2.7× |
| Bx breast needle core w/o imaging guidance spx (19100) | $4,098.07 | $5,854.38 | 2.6× |
| Bx Cervix (57500) | $3,425.82 | $4,894.02 | 3.9× |
| Canthotomy Separate Procedure (67715) | $5,951.01 | $8,501.43 | 2.6× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $4,762.90 | $6,804.14 | 3.1× |
| Carpal Tunnel Surgery (64721) | $5,071.35 | $7,244.78 | 2.7× |
| Cataract surgery complex (66982) | $5,923.06 | $8,461.51 | 2.7× |
| Catheter aspiration nasotracheal spx (31720) range across 3 matching MRF lines |
$528.21–$1,402.38 | $754.58–$2,003.40 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$631.62–$919.46 | $902.31–$1,313.51 | varies |
| Change of Windpipe Airway (31502) | $603.08 | $861.54 | 2.7× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$545.37–$1,010.61 | $779.10–$1,443.72 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $2,059.43 | $2,942.03 | 3.0× |
| Chemodenerv 1 extremity 1-4 (64642) | $2,059.43 | $2,942.03 | 3.0× |
| Chemodenerv Musc Migraine (64615) | $766.62 | $1,095.16 | 2.6× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$766.62–$1,020.81 | $1,095.16–$1,458.30 | varies |
| Chemodenerv trunk musc 6/> (64647) | $2,059.43 | $2,942.03 | 3.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $766.62 | $1,095.16 | 2.6× |
| Chest tube placement (32551) range across 5 matching MRF lines |
$4,034.29–$5,519.81 | $5,763.26–$7,885.44 | varies |
| Circumcision 28 days or older (54161) | $5,319.99 | $7,599.98 | 2.7× |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$1,733.43–$2,619.95 | $2,476.32–$3,742.78 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $4,156.28 | $5,937.53 | 2.7× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$322.77–$334.76 | $461.10–$478.22 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $622.97 | $889.95 | 2.6× |
| Closed Treat Vert Body Fract (22310) | $1,868.90 | $2,669.85 | 7.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $622.97 | $889.95 | 2.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$622.97–$1,233.21 | $889.95–$1,761.72 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $812.78 | $1,161.11 | 3.4× |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$812.78–$1,868.90 | $1,161.11–$2,669.85 | varies |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$1,061.81–$1,868.90 | $1,516.86–$2,669.85 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$622.97–$1,104.10 | $889.95–$1,577.28 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $4,156.28 | $5,937.53 | 2.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$622.97–$694.52 | $889.95–$992.16 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $4,156.28 | $5,937.53 | 2.7× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $4,156.28 | $5,937.53 | 2.7× |
| Closed tx mandibular fracture w/manipulation (21451) | $12,348.25 | $17,640.35 | 8.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $3,967.58 | $5,667.96 | 7.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$4,156.28–$5,539.35 | $5,937.53–$7,913.35 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $5,849.04 | $8,355.77 | 3.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $12,348.25 | $17,640.35 | 3.9× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,192.40 | $1,703.42 | 5.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $622.97 | $889.95 | 2.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $4,156.28 | $5,937.53 | 2.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $6,164.15 | $8,805.92 | 4.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $4,156.28 | $5,937.53 | 2.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$622.97–$957.18 | $889.95–$1,367.40 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$812.78–$904.46 | $1,161.11–$1,292.08 | varies |
| Closed tx septal&nose fx (21337) | $25,266.78 | $36,095.40 | 7.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$622.97–$1,010.61 | $889.95–$1,443.72 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $622.97 | $889.95 | 2.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $4,156.28 | $5,937.53 | 2.7× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $605.48 | $864.96 | 2.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $622.97 | $889.95 | 2.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $904.46 | $1,292.08 | 3.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $4,156.28 | $5,937.53 | 2.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $603.08 | $861.54 | 2.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $936.82 | $1,338.31 | 1.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $904.46 | $1,292.08 | 3.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$904.46–$1,780.80 | $1,292.08–$2,544 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$6,164.15–$12,076.05 | $8,805.92–$17,251.50 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$812.78–$904.46 | $1,161.11–$1,292.08 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $1,117.28 | $1,596.11 | 2.2× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 2 matching MRF lines |
$647.77–$1,868.90 | $925.38–$2,669.85 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $4,156.28 | $5,937.53 | 2.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $6,164.15 | $8,805.92 | 4.0× |
| Clsr Lacrimal Punctum Plug Each (68761) | $1,083.77 | $1,548.23 | 3.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $622.97 | $889.95 | 2.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$622.97–$694.52 | $889.95–$992.16 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $622.97 | $889.95 | 2.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $622.97 | $889.95 | 2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$622.97–$877.32 | $889.95–$1,253.31 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$622.97–$1,498.10 | $889.95–$2,140.14 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$4,080.26–$4,156.28 | $5,828.94–$5,937.53 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $8,454.35 | $12,077.64 | 5.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$622.97–$2,223.78 | $889.95–$3,176.82 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $622.97 | $889.95 | 2.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$622.97–$877.32 | $889.95–$1,253.31 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$622.97–$877.32 | $889.95–$1,253.31 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$4,156.28–$5,539.35 | $5,937.53–$7,913.35 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$4,156.28–$4,336.25 | $5,937.53–$6,194.64 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$622.97–$877.32 | $889.95–$1,253.31 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$999.11–$1,192.40 | $1,427.30–$1,703.42 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $622.97 | $889.95 | 2.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$925.61–$1,192.40 | $1,322.29–$1,703.42 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$622.97–$1,010.61 | $889.95–$1,443.72 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$4,156.28–$4,466.84 | $5,937.53–$6,381.20 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$622.97–$1,010.61 | $889.95–$1,443.72 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$4,156.28–$4,336.25 | $5,937.53–$6,194.64 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$4,156.28–$5,539.35 | $5,937.53–$7,913.35 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $812.78 | $1,161.11 | 3.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $622.97 | $889.95 | 2.6× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $4,156.28 | $5,937.53 | 2.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $622.97 | $889.95 | 2.6× |
| Collect Blood From Catheter Venous Nos (36592) | $334.76 | $478.22 | 2.6× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$15.59–$42 | $22.26–$60 | varies |
| Colpocentesis (57020) | $38,459.89 | $54,942.69 | 8.0× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $24,771.73 | $35,388.18 | 8.0× |
| Colporrhaphy (57200) | $24,771.73 | $35,388.18 | 8.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $1,193.48 | $1,704.97 | 4.1× |
| Colposcopy Cervix Endocervical Curettage (57456) | $1,420.19 | $2,028.84 | 4.9× |
| Colposcopy cervix upper/adjacent vagina (57452) | $865.92 | $1,237.02 | 4.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $1,417.97 | $2,025.66 | 4.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $11,630.88 | $16,615.54 | 3.7× |
| Complex drainage wound (10180) range across 4 matching MRF lines |
$7,425.94–$10,898.03 | $10,608.48–$15,568.61 | varies |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) | $6,436.85 | $9,195.50 | 2.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $489.93 | $699.90 | 3.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$475.23–$489.93 | $678.90–$699.90 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,322.53 | $1,889.32 | 2.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,207.77 | $6,011.09 | 2.7× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $1,036.31 | $1,480.44 | 2.4× |
| Correction of trichiasis; epilation, by forceps only (67820) | $475.23 | $678.90 | 3.7× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) range across 2 matching MRF lines |
$158.05–$462.78 | $225.78–$661.11 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$489.93–$565.41 | $699.90–$807.72 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $936.82 | $1,338.31 | 4.1× |
| Curette/treat cornea (65435) range across 2 matching MRF lines |
$2,515.30–$3,381.30 | $3,593.28–$4,830.42 | varies |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$5,319.99–$5,674.45 | $7,599.98–$8,106.35 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $5,674.45 | $8,106.35 | 2.8× |
| Cysto w/destruction of lesions (52214) | $8,961.88 | $12,802.68 | 2.7× |
| Cysto w/insert ureteral stent (52332) | $8,247.33 | $11,781.90 | 2.4× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $11,521.78 | $16,459.68 | 3.4× |
| Cysto W/Simple Removal Stone & Stent (52310) | $5,674.45 | $8,106.35 | 2.8× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $12,289.75 | $17,556.78 | 2.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $8,247.33 | $11,781.90 | 2.4× |
| Cysto/uretero w/lithotripsy (52356) | $16,428.63 | $23,469.46 | 3.2× |
| Cystouretero W/Congen Repr (52400) | $9,053.15 | $12,933.06 | 2.7× |
| Cystourethroscopy (52000) | $2,541.35 | $3,630.49 | 3.8× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) | $8,247.33 | $11,781.90 | 2.4× |
| Cystourethroscopy with biopsy (52204) | $5,674.45 | $8,106.35 | 2.8× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $4,863.81 | $6,948.30 | 2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$1,589.71–$2,408.77 | $2,271.01–$3,441.10 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $7,432.75 | $10,618.21 | 2.7× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,827.23 | $2,610.32 | 2.7× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $5,071.35 | $7,244.78 | 2.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$1,589.71–$2,408.77 | $2,271.01–$3,441.10 | varies |
| Debride nail 1-5 (11720) range across 5 matching MRF lines |
$154.26–$253.22 | $220.37–$361.73 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$154.26–$303.85 | $220.37–$434.07 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$1,785.45–$6,218.17 | $2,550.63–$8,883.09 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$1,037.59–$1,529.32 | $1,482.26–$2,184.73 | varies |
| Declot vascular device (36593) range across 3 matching MRF lines |
$861.41–$2,584.22 | $1,230.58–$3,691.74 | varies |
| Deep Muscle Biopsy (20205) | $7,432.75 | $10,618.21 | 2.7× |
| Delivery of placenta (59414) | $24,771.73 | $35,388.18 | 8.0× |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,312.09 | $3,302.98 | 2.7× |
| Destroy cerv/thor facet jnt (64633) | $5,071.35 | $7,244.78 | 2.7× |
| Destroy lumb/sac facet jnt (64635) | $5,071.35 | $7,244.78 | 2.7× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$545.37–$767.84 | $779.10–$1,096.91 | varies |
| Destruction Benign Lesions 15/> (17111) | $545.37 | $779.10 | 2.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $2,312.09 | $3,302.98 | 2.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $926.02 | $1,322.88 | 4.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $926.02 | $1,322.88 | 4.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $926.02 | $1,322.88 | 4.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $5,071.35 | $7,244.78 | 2.7× |
| Destruction of skin lesions (17106) | $1,912.14 | $2,731.62 | 4.9× |
| Destruction Premalignant Lesion 15/> (17004) | $1,529.32 | $2,184.73 | 3.9× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$545.37–$767.84 | $779.10–$1,096.91 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $741.33 | $1,059.04 | 3.8× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $9,186.22 | $13,123.17 | 8.0× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $440.27 | $628.95 | 3.4× |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$631.62–$851.81 | $902.31–$1,216.86 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $11,630.88 | $16,615.54 | 3.7× |
| Drain Cerebro Spinal Fluid (62272) | $1,798.48 | $2,569.25 | 2.7× |
| Drain/inj small joint/bursa w/us (20604) | $1,135.96 | $1,622.80 | 3.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $1,322.53 | $1,889.32 | 2.6× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$3,174.28–$6,218.17 | $4,534.68–$8,883.09 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$2,617.49–$2,698.43 | $3,739.26–$3,854.90 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$3,995.67–$4,207.77 | $5,708.10–$6,011.09 | varies |
| Drainage Mouth Roof Lesion (42000) | $936.82 | $1,338.31 | 4.1× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$516.03–$767.84 | $737.18–$1,096.91 | varies |
| Drainage of gum lesion (41800) | $489.93 | $699.90 | 3.8× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$4,207.77–$6,218.17 | $6,011.09–$8,883.09 | varies |
| Drainage of nose lesion (30000) range across 2 matching MRF lines |
$603.08–$1,015.06 | $861.54–$1,450.08 | varies |
| Drainage of perirenal or renal abscess, open Facility (50020) range across 2 matching MRF lines |
$5,300.11–$5,319.99 | $7,571.58–$7,599.98 | varies |
| Drainage of rectal abscess (45005) | $3,062.08 | $4,374.39 | 2.7× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$4,207.77–$4,271.70 | $6,011.09–$6,102.42 | varies |
| Drainage of scrotum (54700) | $5,319.99 | $7,599.98 | 2.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,827.23 | $2,610.32 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$1,190.91–$1,529.32 | $1,701.30–$2,184.73 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$545.37–$767.84 | $779.10–$1,096.91 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$545.37–$767.84 | $779.10–$1,096.91 | varies |
| Dstrj lesion penis simple laser (54057) | $5,066.38 | $7,237.68 | 2.6× |
| Dstrj lesion penis simple surg excision (54060) | $6,014.66 | $8,592.36 | 3.0× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $5,071.35 | $7,244.78 | 2.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,312.09 | $3,302.98 | 2.7× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $2,312.09 | $3,302.98 | 2.7× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,312.09 | $3,302.98 | 2.7× |
| Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines |
$7,432.75–$10,571.10 | $10,618.21–$15,101.56 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,798.48 | $2,569.25 | 2.7× |
| Egd Flexible Foreign Body Removal (43247) | $2,434.85 | $3,478.35 | 2.8× |
| Egd place gastrostomy tube (43246) | $4,926.49 | $7,037.84 | 2.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $778.87 | $1,112.67 | 2.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $778.87 | $1,112.67 | 2.6× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $778.87 | $1,112.67 | 2.6× |
| Electro-Uroflowmetry First (51741) | $2,426.11 | $3,465.87 | 11.7× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$367.29–$522.45 | $524.70–$746.35 | varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $8,174.07 | $11,677.23 | 2.7× |
| Endoven ther chem adhes 1st (36482) | $14,038.61 | $20,055.15 | 2.6× |
| Epidural Blood Patch (62273) | $1,798.48 | $2,569.25 | 2.7× |
| Epidural lysis mult sessions (62263) | $2,312.09 | $3,302.98 | 2.7× |
| Escharotomy; initial incision (16035) | $1,190.91 | $1,701.30 | 3.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $14,779.47 | $21,113.52 | 8.0× |
| Evacuation of subungual hematoma (11740) | $489.93 | $699.90 | 3.8× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $4,418.61 | $6,312.30 | 2.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $5,587.89 | $7,982.69 | 3.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$1,827.23–$2,041.25 | $2,610.32–$2,916.06 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $3,968.96 | $5,669.94 | 2.5× |
| Exc Back Les Sc < 3 Cm (21930) | $5,587.89 | $7,982.69 | 3.5× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) | $15,448.44 | $22,069.20 | 6.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,696.22 | $2,423.16 | 2.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $10,958.60 | $15,655.14 | 6.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$792.46–$2,698.43 | $1,132.08–$3,854.90 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$2,081.31–$5,481.68 | $2,973.30–$7,830.96 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$2,081.31–$5,481.68 | $2,973.30–$7,830.96 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$6,401.98–$12,623.29 | $9,145.68–$18,033.27 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $4,354.06 | $6,220.08 | 2.7× |
| Exc ganglion wrist recurrent (25112) | $11,435.63 | $16,336.61 | 7.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$2,698.43–$5,122.03 | $3,854.90–$7,317.18 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$1,324.47–$2,698.43 | $1,892.10–$3,854.90 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$425.17–$12,623.29 | $607.38–$18,033.27 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $4,418.61 | $6,312.30 | 2.8× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $3,766.52 | $5,380.74 | 3.9× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $4,461.65 | $6,373.78 | 2.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$2,041.25–$6,218.17 | $2,916.06–$8,883.09 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $4,610.05 | $6,585.78 | 2.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $7,125.43 | $10,179.18 | 2.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $4,610.05 | $6,585.78 | 2.9× |
| Exc Skin Benig >4cm Face,Facial (11446) | $7,681.93 | $10,974.18 | 2.8× |
| Exc thigh/knee les sc 3 cm/> (27337) | $7,432.75 | $10,618.21 | 2.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,062.08 | $4,374.39 | 2.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$1,190.91–$2,698.43 | $1,701.30–$3,854.90 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$2,041.25–$5,481.68 | $2,916.06–$7,830.96 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $6,401.98 | $9,145.68 | 4.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $4,781.08 | $6,830.11 | 3.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $9,164.97 | $13,092.81 | 2.7× |
| Excise Wrist Tendon Sheath (25118) | $4,196.01 | $5,994.30 | 2.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,696.22 | $2,423.16 | 2.5× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) | $8,693.49 | $12,419.27 | 3.8× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) | $8,053.95 | $11,505.63 | 3.5× |
| Excision Chalazion Single (67800) | $1,004.03 | $1,434.32 | 3.3× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $15,016.60 | $21,452.28 | 5.4× |
| Excision lesion conjunctiva > 1 cm (68115) | $15,448.44 | $22,069.20 | 6.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,696.22 | $2,423.16 | 2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,696.22 | $2,423.16 | 2.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,273.28 | $1,818.96 | 3.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,696.22 | $2,423.16 | 2.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $5,481.68 | $7,830.96 | 8.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $6,401.98 | $9,145.68 | 4.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $4,240.53 | $6,057.90 | 2.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,696.22 | $2,423.16 | 2.5× |
| Excision Multiple External Papillae/Tags Anus (46230) | $7,121.99 | $10,174.27 | 2.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $3,757.49 | $5,367.84 | 2.4× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,698.43 | $3,854.90 | 1.0× |
| Excision olecranon bursa (24105) | $9,058.34 | $12,940.48 | 2.9× |
| Excision prepatellar bursa (27340) | $8,426.26 | $12,037.51 | 2.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $8,868.76 | $12,669.65 | 3.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $4,983.65 | $7,119.49 | 3.1× |
| Explo/Drain Breast Abscess (19020) | $4,207.77 | $6,011.09 | 2.7× |
| Exploration penetrating wound spx chest (20101) | $14,251.55 | $20,359.35 | 7.2× |
| Exploration penetrating wound spx extremity (20103) | $4,207.77 | $6,011.09 | 2.7× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) range across 2 matching MRF lines |
$5,923.06–$17,769.18 | $8,461.51–$25,384.53 | varies |
| Fasciotomy palmar open partial (26045) | $7,655.22 | $10,936.02 | 2.4× |
| Fasciotomy palmar percutaneous (26040) | $7,875.59 | $11,250.84 | 5.1× |
| Fetal non-stress test (59025) | $764.26 | $1,091.79 | 3.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,075.38 | $2,964.82 | 3.1× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$1,037.59–$1,529.32 | $1,482.26–$2,184.73 | varies |
| Fluoro exam of g/colon tube (49465) | $627.75 | $896.78 | 2.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,827.23 | $2,610.32 | 2.7× |
| Fna bx w/us gdn 1st les (10005) | $1,827.23 | $2,610.32 | 2.7× |
| Foreskin manipulation (54450) | $851.81 | $1,216.86 | 3.6× |
| Frenulotomy of penis (54164) | $6,401.98 | $9,145.68 | 3.2× |
| I&d abscess peritonsillar (42700) | $936.82 | $1,338.31 | 4.1× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$471.92–$767.84 | $674.16–$1,096.91 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $4,482.43 | $6,403.46 | 2.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $7,902.68 | $11,289.53 | 2.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $22,298.25 | $31,854.63 | 8.0× |
| I&d forearm/wrist bursa (25031) | $5,539.35 | $7,913.35 | 3.6× |
| I&d perianal abscess superficial (46050) | $3,505.32 | $5,007.59 | 3.9× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$2,698.43–$3,031.82 | $3,854.90–$4,331.16 | varies |
| I&d pilonidal cyst simple (10080) | $2,698.43 | $3,854.90 | 4.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $7,432.75 | $10,618.21 | 2.7× |
| Implant neuroelectrodes (63650) | $17,043.86 | $24,348.36 | 2.8× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $55,691.09 | $79,558.69 | 3.0× |
| Implant Spine Infusion Pump (62362) | $45,899.70 | $65,570.99 | 2.7× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) | $45,899.70 | $65,570.99 | 2.7× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) | $18,552.27 | $26,503.24 | 2.7× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $16,631.38 | $23,759.11 | 2.0× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$919.46–$947.90 | $1,313.51–$1,354.13 | varies |
| Incise finger tendon sheath (26055) | $3,757.49 | $5,367.84 | 2.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$561.15–$1,529.32 | $801.63–$2,184.73 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $9,793.42 | $13,990.59 | 3.5× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$6,218.17–$7,323.54 | $8,883.09–$10,462.20 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$1,190.91–$1,529.32 | $1,701.30–$2,184.73 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$741.33–$764.26 | $1,059.04–$1,091.79 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$1,230.39–$1,424.64 | $1,757.70–$2,035.20 | varies |
| Incision bone cortex foot (28005) | $8,426.26 | $12,037.51 | 2.7× |
| Incision extensor tendon sheath wrist (25000) | $3,757.49 | $5,367.84 | 2.4× |
| Incision of eardrum (69420) | $1,809.24 | $2,584.62 | 8.0× |
| Incision of rectal abscess (46040) | $4,525.95 | $6,465.63 | 3.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$4,207.77–$4,541.04 | $6,011.09–$6,487.20 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) | $1,083.77 | $1,548.23 | 3.6× |
| Incisional biopsy skin single lesion (11106) | $1,604.95 | $2,292.78 | 2.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$545.37–$767.84 | $779.10–$1,096.91 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,312.09 | $3,302.98 | 2.7× |
| Inj W/Fluor Eval Cv Device (36598) | $547.17 | $781.67 | 2.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $2,312.09 | $3,302.98 | 2.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,312.09 | $3,302.98 | 2.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$766.62–$1,945.53 | $1,095.16–$2,779.32 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $2,312.09 | $3,302.98 | 2.7× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $2,312.09 | $3,302.98 | 2.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,798.48 | $2,569.25 | 2.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 4 matching MRF lines |
$2,312.09–$6,936.26 | $3,302.98–$9,908.94 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,798.48 | $2,569.25 | 2.7× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $2,312.09 | $3,302.98 | 2.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $766.62 | $1,095.16 | 2.6× |
| Injection Anes Superior Hypogastric Plexus (64517) | $2,312.09 | $3,302.98 | 2.7× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$1,766.87–$1,798.48 | $2,524.10–$2,569.25 | varies |
| Injection into disk lesion (62292) | $5,071.35 | $7,244.78 | 2.7× |
| Injection into spinal artery (62294) | $2,312.09 | $3,302.98 | 2.7× |
| Injection medication/other subst tenon capsule (67515) | $776.33 | $1,109.04 | 2.5× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$766.62–$1,135.96 | $1,095.16–$1,622.80 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$766.62–$1,135.96 | $1,095.16–$1,622.80 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$766.62–$1,135.96 | $1,095.16–$1,622.80 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $11,540.66 | $16,486.65 | 7.8× |
| Injection therapeutic carpal tunnel (20526) | $1,135.96 | $1,622.80 | 3.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $2,312.09 | $3,302.98 | 2.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,798.48 | $2,569.25 | 2.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$1,798.48–$1,816.42 | $2,569.25–$2,594.88 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $766.62 | $1,095.16 | 2.6× |
| Injection, Intralesional; More Than 7 Lesions (11901) | $516.03 | $737.18 | 2.7× |
| Injection, intralesional; up to and including 7 lesions (11900) | $516.03 | $737.18 | 2.7× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $2,312.09 | $3,302.98 | 2.7× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $2,312.09 | $3,302.98 | 2.7× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $2,312.09 | $3,302.98 | 2.7× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$406.33–$599.09 | $580.47–$855.84 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$4,034.29–$6,142.41 | $5,763.26–$8,774.86 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$4,926.49–$7,297.92 | $7,037.84–$10,425.60 | varies |
| Insert Drug Implant Device (11981) | $489.93 | $699.90 | 3.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $4,926.49 | $7,037.84 | 2.7× |
| Insert Heart Pm Atrial (33206) | $27,178.47 | $38,826.38 | 2.7× |
| Insert Heart Pm Ventricular (33207) | $27,178.47 | $38,826.38 | 2.7× |
| Insert non-tunnel cv cath (36556) | $8,174.07 | $11,677.23 | 2.7× |
| Insert pessary/other device (57160) | $741.33 | $1,059.04 | 3.8× |
| Insert pulse gen dual leads (33213) | $27,178.47 | $38,826.38 | 2.7× |
| Insert Pulse Gen Sngl Lead (33212) | $21,492.73 | $30,703.89 | 2.7× |
| Insert spine infusion device (62360) | $45,899.70 | $65,570.99 | 2.7× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$334.76–$489.93 | $478.22–$699.90 | varies |
| Insert tunneled cv cath (36561) | $8,174.07 | $11,677.23 | 2.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$334.76–$440.27 | $478.22–$628.95 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $21,492.73 | $30,703.89 | 2.7× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $27,494.91 | $39,278.43 | 8.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $8,174.07 | $11,677.23 | 2.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $4,034.29 | $5,763.26 | 2.7× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $79,139.92 | $113,057.02 | 2.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $21,492.73 | $30,703.89 | 2.7× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $21,492.73 | $30,703.89 | 2.7× |
| Insrt heart pm atrial & vent (33208) | $27,178.47 | $38,826.38 | 2.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,529.32 | $2,184.73 | 3.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$1,529.32–$2,408.77 | $2,184.73–$3,441.10 | varies |
| Intraoral i&d tongue/floor submental space (41007) | $3,842.08 | $5,488.68 | 2.6× |
| Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
$603.08–$608.44 | $861.54–$869.20 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $1,424.72 | $2,035.31 | 2.7× |
| Irrigation maxillary sinus (31000) | $1,015.06 | $1,450.08 | 4.5× |
| Irrigation of corpora cavernosa for priapism (54220) | $631.62 | $902.31 | 2.6× |
| Laryngoscopy diagnostic (31505) | $504.19 | $720.26 | 2.6× |
| Laryngoscopy flexible diagnostic (31575) | $504.19 | $720.26 | 2.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,932.17 | $2,760.24 | 5.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $504.19 | $720.26 | 2.6× |
| Laryngoscopy W/Foreign Body Removal (31530) | $13,435.36 | $19,193.37 | 7.9× |
| Late closure of wound (13160) | $6,994.17 | $9,991.67 | 2.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $8,956.98 | $12,795.68 | 2.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) range across 2 matching MRF lines |
$8,956.98–$18,827.51 | $12,795.68–$26,896.44 | varies |
| Lithotripsy, extracorporeal shock wave (50590) range across 3 matching MRF lines |
$14,081.68–$21,688.69 | $20,116.68–$30,983.84 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $4,418.61 | $6,312.30 | 2.9× |
| N Block Inj Celiac Pelus (64530) | $2,312.09 | $3,302.98 | 2.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$1,798.48–$2,383.46 | $2,569.25–$3,404.94 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$1,798.48–$5,395.43 | $2,569.25–$7,707.75 | varies |
| N Block Inj Paracervical (64435) | $1,798.48 | $2,569.25 | 2.7× |
| N Block Inj Plantar Digit (64455) | $1,020.81 | $1,458.30 | 3.5× |
| N Block Inj Pudendal (64430) | $2,312.09 | $3,302.98 | 2.7× |
| N Block Lumbar/Thoracic (64520) | $2,312.09 | $3,302.98 | 2.7× |
| Nasal Endoscopy Dx (31231) | $736.92 | $1,052.73 | 3.8× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,036.31 | $1,480.44 | 2.4× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $16,975.48 | $24,250.68 | 2.5× |
| Needle Biopsy Lymph Nodes (38505) | $4,207.77 | $6,011.09 | 2.7× |
| Needle Biopsy Pancreas (48102) | $4,207.77 | $6,011.09 | 2.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,651.70 | $2,359.56 | 4.0× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,312.09 | $3,302.98 | 2.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $766.62 | $1,095.16 | 2.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $9,164.97 | $13,092.81 | 2.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $9,164.97 | $13,092.81 | 2.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$2,075.38–$2,312.09 | $2,964.82–$3,302.98 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,798.48 | $2,569.25 | 2.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 3 matching MRF lines |
$1,798.48–$5,395.43 | $2,569.25–$7,707.75 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $2,312.09 | $3,302.98 | 2.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,798.48 | $2,569.25 | 2.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $2,312.09 | $3,302.98 | 2.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,733.43 | $2,476.32 | 2.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,733.43 | $2,476.32 | 2.6× |
| Occipital Nerve Block (64405) | $766.62 | $1,095.16 | 2.6× |
| Open Implantation Nea Peripheral Nerve (64575) | $32,385.41 | $46,264.86 | 3.0× |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) | $55,691.09 | $79,558.69 | 3.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $18,552.27 | $26,503.24 | 2.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $8,426.26 | $12,037.51 | 2.7× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $8,426.26 | $12,037.51 | 2.7× |
| Open tx interphalangeal joint dislocation (26785) | $8,426.26 | $12,037.51 | 2.7× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $8,426.26 | $12,037.51 | 2.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $18,552.27 | $26,503.24 | 2.7× |
| Part exc bone femur prox tibia (27360) | $11,156 | $15,937.13 | 3.6× |
| Partial Excision Distal Phalanx Finger (26236) | $13,356 | $19,080 | 8.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | $9,128.83 | $13,041.18 | 5.9× |
| Partial removal of penis (54120) | $9,070.95 | $12,958.50 | 2.7× |
| Percut Drain/Inject Renal Cyst (50390) | $1,827.23 | $2,610.32 | 2.7× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) | $32,385.41 | $46,264.86 | 3.0× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | $7,973.54 | $11,390.76 | 2.5× |
| Perq device breast 1st imag (19281) | $4,207.77 | $6,011.09 | 2.7× |
| Placement of needle for intraosseous infusion (36680) | $1,036.31 | $1,480.44 | 2.4× |
| Placement of seton (46020) | $9,677.27 | $13,824.66 | 3.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$5,319.99–$6,183.46 | $7,599.98–$8,833.51 | varies |
| Plmt Nephroureteral Catheter (50433) | $7,993.57 | $11,419.38 | 2.4× |
| Probe lacrimal canaliculi w/wo irrigation (68840) | $1,083.77 | $1,548.23 | 3.6× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $8,693.49 | $12,419.27 | 3.8× |
| Probing nasolacrimal duct (68810) | $1,932.17 | $2,760.24 | 6.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $7,103.15 | $10,147.35 | 8.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $7,121.99 | $10,174.27 | 2.7× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $17,043.86 | $24,348.36 | 2.8× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $2,312.09 | $3,302.98 | 2.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $8,426.26 | $12,037.51 | 2.7× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$1,190.91–$3,299.52 | $1,701.30–$4,713.60 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$1,104.10–$1,529.32 | $1,577.28–$2,184.73 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$1,827.23–$2,081.31 | $2,610.32–$2,973.30 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $2,119.16 | $3,027.36 | 3.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,729.61 | $2,470.86 | 2.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $5,071.35 | $7,244.78 | 2.7× |
| Reconstruct wrist joint (25445) | $17,026.68 | $24,323.82 | 2.4× |
| Reconstruction Nail Bed W/Graft (11762) | $6,994.17 | $9,991.67 | 3.5× |
| Reduction of rectal prolapse (45900) | $7,103.15 | $10,147.35 | 8.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $776.33 | $1,109.04 | 2.5× |
| Removal Foreign Body Foot Complicated (28193) | $12,623.29 | $18,033.27 | 8.0× |
| Removal foreign body foot deep (28192) | $12,623.29 | $18,033.27 | 8.0× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,827.23–$1,996.73 | $2,610.32–$2,852.46 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $6,218.17 | $8,883.09 | 3.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$154.26–$218.15 | $220.37–$311.64 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$164.73–$234.60 | $235.32–$335.14 | varies |
| Removal Implant Deep (20680) | $9,793.42 | $13,990.59 | 3.5× |
| Removal Implant Superficial Separate Procedure (20670) | $4,781.08 | $6,830.11 | 3.0× |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$1,827.23–$2,698.43 | $2,610.32–$3,854.90 | varies |
| Removal of foreign body from pharynx (42809) | $1,036.31 | $1,480.44 | 2.4× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$1,037.59–$3,056.30 | $1,482.26–$4,366.14 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $689.71 | $985.30 | 2.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$465.24–$767.84 | $664.62–$1,096.91 | varies |
| Removal sweat gland lesion (11450) | $22,298.25 | $31,854.63 | 8.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $1,030.01 | $1,471.44 | 3.8× |
| Remove drug implant device (11982) | $1,528.15 | $2,183.06 | 3.6× |
| Remove Forearm Foreign Body (25248) | $4,156.28 | $5,937.53 | 2.7× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$334.76–$565.41 | $478.22–$807.72 | varies |
| Remove Intrauterine Device (58301) | $789.99 | $1,128.55 | 2.7× |
| Remove lung catheter (32552) | $4,816.86 | $6,881.22 | 8.0× |
| Remove Nasal Foreign Body (30300) | $334.76 | $478.22 | 2.6× |
| Remove Peritoneal Foreign Body (49402) | $3,476.66 | $4,966.65 | 1.0× |
| Remove Tendon Sheath Lesion (26160) | $4,418.61 | $6,312.30 | 2.9× |
| Remove/Insert Drug Implant (11983) | $1,528.15 | $2,183.06 | 3.6× |
| Renal Biopsy Perq (50200) | $4,207.77 | $6,011.09 | 2.7× |
| Repair Achilles Tendon (27650) | $55,656.81 | $79,509.72 | 8.0× |
| Repair Blood Vessel Direct Hand Finger (35207) | $12,225.04 | $17,464.33 | 4.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $8,174.07 | $11,677.23 | 2.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$2,408.77–$2,976.17 | $3,441.10–$4,251.66 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$2,408.77–$2,976.17 | $3,441.10–$4,251.66 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $767.84 | $1,096.91 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $767.84 | $1,096.91 | 2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$767.84–$2,976.17 | $1,096.91–$4,251.66 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$767.84–$2,976.17 | $1,096.91–$4,251.66 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$767.84–$2,976.17 | $1,096.91–$4,251.66 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$767.84–$2,976.17 | $1,096.91–$4,251.66 | varies |
| Repair Ectropion Excision Tarsal Wedge (67916) | $6,279.55 | $8,970.78 | 2.8× |
| Repair Ectropion Extensive (67917) | $6,279.55 | $8,970.78 | 2.8× |
| Repair Ectropion Suture (67914) | $6,279.55 | $8,970.78 | 2.8× |
| Repair Ectropion Thermocauterization (67915) | $6,279.55 | $8,970.78 | 2.8× |
| Repair Entropion Suture (67921) | $15,448.44 | $22,069.20 | 6.8× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$4,156.28–$4,418.61 | $5,937.53–$6,312.30 | varies |
| Repair Finger Tendon (26433) | $25,278.78 | $36,112.53 | 8.1× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $25,278.78 | $36,112.53 | 8.1× |
| Repair Hand Tendon (26410) | $4,156.28 | $5,937.53 | 2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$1,529.32–$1,820.87 | $2,184.73–$2,601.24 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$1,529.32–$1,820.87 | $2,184.73–$2,601.24 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$1,529.32–$1,820.87 | $2,184.73–$2,601.24 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,529.32 | $2,184.73 | 3.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$1,912.14–$6,994.17 | $2,731.62–$9,991.67 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$2,408.77–$2,976.17 | $3,441.10–$4,251.66 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$1,190.91–$1,529.32 | $1,701.30–$2,184.73 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$1,524.81–$1,529.32 | $2,178.30–$2,184.73 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $2,408.77 | $3,441.10 | 3.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $767.84 | $1,096.91 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,529.32 | $2,184.73 | 3.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$1,190.91–$1,529.32 | $1,701.30–$2,184.73 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$1,529.32–$1,912.14 | $2,184.73–$2,731.62 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,529.32–$2,976.17 | $2,184.73–$4,251.66 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$1,529.32–$1,912.14 | $2,184.73–$2,731.62 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $6,994.17 | $9,991.67 | 3.5× |
| Repair Laceration Palate </2 Cm (42180) | $3,967.58 | $5,667.96 | 7.7× |
| Repair of nail bed (11760) | $2,408.77 | $3,441.10 | 3.4× |
| Repair of traumatic corporeal tear(s) (54437) | $10,306.38 | $14,723.40 | 3.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $8,426.26 | $12,037.51 | 2.7× |
| Repair tongue laceration (41252) | $603.08 | $861.54 | 2.7× |
| Repair tongue laceration (41250) | $1,036.31 | $1,480.44 | 2.4× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) | $8,426.26 | $12,037.51 | 2.7× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) | $18,552.27 | $26,503.24 | 2.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $7,304.54 | $10,435.05 | 8.4× |
| Replace g/c tube perc (49450) | $2,434.85 | $3,478.35 | 2.8× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$605.48–$631.62 | $864.96–$902.31 | varies |
| Reposition Venous Catheter (36597) | $4,034.29 | $5,763.26 | 2.7× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) | $5,923.06 | $8,461.51 | 2.7× |
| Rev/rmv prph sac/gstr npg/r (64595) | $8,931.12 | $12,758.73 | 2.7× |
| Revise eyelashes (67825) | $1,932.17 | $2,760.24 | 6.3× |
| Revision of eyelid (67880) | $8,693.49 | $12,419.27 | 3.8× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $17,043.86 | $24,348.36 | 2.8× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $8,931.12 | $12,758.73 | 2.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $8,931.12 | $12,758.73 | 2.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $7,304.54 | $10,435.05 | 8.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$1,036.31–$1,482.30 | $1,480.44–$2,117.57 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$334.76–$475.23 | $478.22–$678.90 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$1,036.31–$2,657.85 | $1,480.44–$3,796.92 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $9,186.22 | $13,123.17 | 8.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$10,869.56–$10,898.03 | $15,527.94–$15,568.61 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $4,207.77 | $6,011.09 | 2.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $5,071.35 | $7,244.78 | 2.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$1,707.54–$5,634.01 | $2,439.33–$8,048.58 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,596.05 | $2,280.06 | 2.7× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $5,923.06 | $8,461.51 | 2.7× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$736.81–$947.90 | $1,052.58–$1,354.13 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $4,034.29 | $5,763.26 | 2.7× |
| Rpr blood vessel direct lower extremity (35226) | $1,846.10 | $2,637.28 | 2.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$767.84–$883.73 | $1,096.91–$1,262.46 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $2,408.77 | $3,441.10 | 3.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,616.08 | $2,308.68 | 7.1× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) | $13,399.78 | $19,142.53 | 2.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,322.53 | $1,889.32 | 2.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,322.53 | $1,889.32 | 2.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $3,846.89 | $5,495.55 | 2.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $8,426.26 | $12,037.51 | 2.7× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $8,426.26 | $12,037.51 | 2.7× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $7,969.08 | $11,384.40 | 2.5× |
| Sclerotx Fluid Collection (49185) | $4,224.95 | $6,035.64 | 2.7× |
| Severing tarsorrhaphy (67710) | $4,106.97 | $5,867.10 | 4.3× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$1,190.91–$2,698.43 | $1,701.30–$3,854.90 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $545.37 | $779.10 | 2.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $1,190.91 | $1,701.30 | 3.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $578.76 | $826.80 | 3.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $578.76 | $826.80 | 3.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $578.76 | $826.80 | 3.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $1,190.91 | $1,701.30 | 3.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $545.37 | $779.10 | 2.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $1,190.91 | $1,701.30 | 3.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $545.37 | $779.10 | 2.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $1,015.06 | $1,450.08 | 2.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $545.37 | $779.10 | 2.8× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $3,387.98 | $4,839.96 | 3.0× |
| Simple Cystometrogram (51725) | $919.46 | $1,313.51 | 3.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,529.32 | $2,184.73 | 3.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$767.84–$1,133.04 | $1,096.91–$1,618.62 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$516.03–$885.95 | $737.18–$1,265.64 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,529.32 | $2,184.73 | 3.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$767.84–$883.73 | $1,096.91–$1,262.46 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $767.84 | $1,096.91 | 4.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$516.03–$767.84 | $737.18–$1,096.91 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$767.84–$883.73 | $1,096.91–$1,262.46 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$516.03–$883.73 | $737.18–$1,262.46 | varies |
| Skin sub graft face/nk/hf/g (15275) | $4,750.52 | $6,786.45 | 6.7× |
| Skin sub graft trnk/arm/leg (15271) | $5,122.03 | $7,317.18 | 7.2× |
| Slitting of prepuce (54001) | $15,959.96 | $22,799.94 | 8.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$516.03–$767.84 | $737.18–$1,096.91 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$1,010.61–$1,529.32 | $1,443.72–$2,184.73 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,529.32 | $2,184.73 | 3.9× |
| Snip Incision Lacrimal Punctum (68440) | $1,208.72 | $1,726.74 | 4.0× |
| Spinal puncture lumbar diagnostic (62270) | $1,798.48 | $2,569.25 | 2.7× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $14,251.55 | $20,359.35 | 7.2× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$586.21–$604.34 | $837.43–$863.33 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$234.60–$282.71 | $335.14–$403.86 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$227.56–$234.60 | $325.08–$335.14 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$489.93–$565.41 | $699.90–$807.72 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$489.93–$514.21 | $699.90–$734.58 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$714.55–$1,229.37 | $1,020.78–$1,756.23 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$227.56–$234.60 | $325.08–$335.14 | varies |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$409.79–$586.21 | $585.41–$837.43 | varies |
| Subconjunctival injection (68200) | $2,762.47 | $3,946.38 | 6.4× |
| Surg Implnt Neuroelect,Epidural (63655) | $55,691.09 | $79,558.69 | 3.0× |
| Suture infrapatellar tendon primary (27380) | $55,656.81 | $79,509.72 | 8.0× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$1,320.02–$1,548.08 | $26.50–$2,211.54 | varies |
| Temporary Closure Eyelids Suture (67875) | $3,766.52 | $5,380.74 | 3.9× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $25,278.78 | $36,112.53 | 8.1× |
| Tenotomy Flexor Finger Open Each Tendon (26455) | $4,098.07 | $5,854.38 | 2.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $5,539.35 | $7,913.35 | 3.6× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $4,466.84 | $6,381.20 | 2.9× |
| Thrombolytic Therapy Stroke (37195) | $861.41 | $1,230.58 | 2.7× |
| Thyroid biopsy (60100) | $1,827.23 | $2,610.32 | 2.7× |
| Trabeculoplasty by laser surgery (65855) | $1,424.72 | $2,035.31 | 2.7× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $13,770.04 | $19,671.48 | 4.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $3,967.58 | $5,667.96 | 7.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $603.08 | $861.54 | 2.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $3,846.89 | $5,495.55 | 2.6× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $5,071.35 | $7,244.78 | 2.7× |
| Transur electr resection of prostate (52601) | $14,337.67 | $20,482.38 | 2.8× |
| Treat Big Toe Fracture (28505) | $8,426.26 | $12,037.51 | 2.7× |
| Treat dislocation/fracture (23670) | $5,649.59 | $8,070.84 | 0.8× |
| Treat Elbow Fracture (24635) | $27,438.12 | $39,197.31 | 3.9× |
| Treat fracture radius/ulna (25575) | $18,552.27 | $26,503.24 | 2.7× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$4,156.28–$4,672.01 | $5,937.53–$6,674.29 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$812.78–$904.46 | $1,161.11–$1,292.08 | varies |
| Treat Knee Fracture(S) (27538) | $622.97 | $889.95 | 2.6× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Treat Metatarsal Fracture (28475) | $622.97 | $889.95 | 2.6× |
| Treat Tail Bone Fracture (27200) | $622.97 | $889.95 | 2.6× |
| Treat Thumb Dislocation (26641) | $622.97 | $889.95 | 2.6× |
| Treat thumb fracture (26665) | $8,426.26 | $12,037.51 | 2.7× |
| Treat toe dislocation (28630) | $622.97 | $889.95 | 2.6× |
| Treat vagina infection (57150) range across 2 matching MRF lines |
$282.71–$462.78 | $403.86–$661.11 | varies |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
$741.33–$1,567.34 | $1,059.04–$2,239.05 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $4,156.28 | $5,937.53 | 2.7× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$622.97–$812.78 | $889.95–$1,161.11 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$244.86–$1,548.08 | $349.80–$2,211.54 | varies |
| Trim skin lesions 2 to 4 (11056) | $507.53 | $725.04 | 2.6× |
| Trim skin lesions over 4 (11057) | $507.53 | $725.04 | 2.6× |
| Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
$154.26–$234.60 | $220.37–$335.14 | varies |
| Tx Gastro Intub W/Asp (43753) | $808.71 | $1,155.29 | 3.9× |
| Tx Missed Abortion First Trimester Surgical (59820) | $753.13 | $1,075.90 | 0.2× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $24,771.73 | $35,388.18 | 8.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $5,539.35 | $7,913.35 | 3.6× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $5,539.35 | $7,913.35 | 3.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$2,408.77–$3,300.79 | $3,441.10–$4,715.41 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$1,529.32–$1,820.87 | $2,184.73–$2,601.24 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $4,156.28 | $5,937.53 | 2.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$622.97–$877.32 | $889.95–$1,253.31 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $414.04 | $591.48 | 2.7× |
| Unlisted Procedure Hands/Fingers (26989) | $617.43 | $882.04 | 2.6× |
| Unlisted procedure humerus/elbow (24999) | $622.97 | $889.95 | 2.6× |
| Unlisted Procedure Male Genital System (55899) | $919.46 | $1,313.51 | 3.8× |
| Unlisted procedure nervous system (64999) range across 4 matching MRF lines |
$766.62–$1,079.61 | $1,095.16–$1,542.30 | varies |
| Unlisted procedure pelvis/hip joint (27299) | $1,968.53 | $2,812.18 | 8.3× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $647.77 | $925.38 | 2.9× |
| Unlisted Procedure Vascular Surgery (37799) | $4,816.86 | $6,881.22 | 8.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $5,321.63 | $7,602.32 | 6.1× |
| Vaginal delivery only (59409) | $8,257.25 | $11,796.06 | 2.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $7,577.48 | $10,824.97 | 3.8× |
| Vein Access Cutdown < 1 Yr (36420) | $1,004.27 | $1,434.66 | 7.9× |
| Venous Cutdown >1 Y/O (36425) | $1,036.31 | $1,480.44 | 2.4× |
| Wedge excision skin nail fold (11765) | $1,529.32 | $2,184.73 | 3.9× |
| Windowing of cast (29730) | $409.79 | $585.41 | 2.6× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $4,034.29 | $5,763.26 | 2.7× |
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.