Procedures & surgery prices at Family Health West Hospital

Fruita, CO · every code in this section with a posted price and a Medicare benchmark.

1099 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $414.40–$1,406.30 $592–$2,009 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $102.20–$424.20 $146–$606 varies
Acromiopl/Acromionect Partial (23130) $879.20 $1,256 0.3×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $903 $1,290 0.4×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,146.60 $1,638 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,077.30 $1,539 0.5×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $999.60 $1,428 0.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,306.90 $1,867 0.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,228.50 $1,755 0.6×
Amniocentesis diagnostic (59000) $165.20 $236 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $978.60 $1,398 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $1,008–$4,440.10 $1,440–$6,343 varies
Amputate Metacarpal Bone (26910) $1,085.70 $1,551 0.3×
Amputation foot transmetarsal (28805) $979.30 $1,399 0.3×
Amputation metatarsal with toe single (28810) $590.80 $844 0.2×
Amputation thigh through femur any level (27590) $1,069.60 $1,528 0.3×
Amputation toe interphalangeal joint (28825) $410.90 $587 0.1×
Amputation toe metatarsophalangeal joint (28820) $417.90 $597 0.1×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,225.70 $1,751 0.2×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $809.90 $1,157 0.2×
Ankle Arthroscopy/Surgery (29892)
likely a partial charge, not the full procedure		 $903 $1,290 0.1×
Anoscopy diagnostic (46600) $168.70 $241 1.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $145.60 $208 0.0×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $856.80 $1,224 0.2×
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure		 $1,157.10 $1,653 0.2×
Application cast elbow finger short arm (29075) $126.70 $181 0.4×
Application Finger Splint Dynamic (29131) $77.70 $111 1.2×
Application finger splint static (29130) $59.50 $85 0.4×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $119–$240.10 $170–$343 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $130.20–$306.60 $186–$438 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $1,582 $2,260 0.1×
Application of long leg cast (29345) $193.90 $277 0.7×
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $181.30–$434.70 $259–$621 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $97.30–$438.90 $139–$627 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $104.30–$294.70 $149–$421 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $835.10 $1,193 0.1×
Apply hand/wrist cast (29085) $139.30 $199 0.8×
Apply long arm cast (29065) $140 $200 0.5×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $126–$844.90 $180–$1,207 varies
Apply Short Leg Cast (29405) $115.50 $165 0.4×
Apply short leg cast (29425) $108.50 $155 0.4×
Arterial puncture (36600) $214.20 $306 1.5×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure		 $2,347.80 $3,354 0.2×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
likely a partial charge, not the full procedure		 $1,754.20 $2,506 0.1×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure		 $1,087.80 $1,554 0.1×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,019.90 $1,457 0.1×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
likely a partial charge, not the full procedure		 $1,089.90 $1,557 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $77.70–$408.10 $111–$583 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $127.40–$607.60 $182–$868 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $91.70–$520.80 $131–$744 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $140.70–$936.60 $201–$1,338 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $75.60–$408.10 $108–$583 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $1,409.10 $2,013 0.1×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $716.10 $1,023 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,101.80 $1,574 0.1×
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure		 $1,698.20 $2,426 0.1×
Arthrodesis Posterior Interbody Lumbar (22630)
likely a partial charge, not the full procedure		 $2,160.20 $3,086 0.1×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $2,188.20 $3,126 0.1×
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure		 $1,115.80 $1,594 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,094.80 $1,564 0.1×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $1,318.80 $1,884 0.1×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $2,107 $3,010 0.1×
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810)
likely a partial charge, not the full procedure		 $2,774.80 $3,964 0.2×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure		 $1,883 $2,690 0.1×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure		 $1,223.60 $1,748 0.1×
Arthrodesis, wrist; with sliding graft Facility (25805)
likely a partial charge, not the full procedure		 $1,193.50 $1,705 0.2×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $2,005.50 $2,865 0.1×
Arthroplasty interphalangeal joint each (26535) $628.60 $898 0.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,177.40 $1,682 0.3×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $961.10 $1,373 0.1×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443)
likely a partial charge, not the full procedure		 $1,148.70 $1,641 0.1×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $1,302.70 $1,861 0.8×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge, not the full procedure		 $1,388.80 $1,984 0.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $788.20 $1,126 0.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $697.90 $997 0.2×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
likely a partial charge, not the full procedure		 $1,403.50 $2,005 0.2×
Arthroscopy ankle w/removal loose/foreign body (29894) $711.20 $1,016 0.2×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $842.80 $1,204 0.2×
Arthroscopy Elbow Surgical Debridement Limited (29837) $743.40 $1,062 0.2×
Arthroscopy hip w/femoroplasty (29914)
likely a partial charge, not the full procedure		 $1,387.40 $1,982 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $789.60 $1,128 0.2×
Arthroscopy Knee Osteochondral Allograft (29867)
likely a partial charge, not the full procedure		 $1,787.10 $2,553 0.1×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $921.90 $1,317 0.3×
Arthroscopy knee synovectomy limited spx (29875) $704.20 $1,006 0.2×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $876.40 $1,252 0.3×
Arthroscopy shoulder distal claviculectomy (29824) $956.90 $1,367 0.3×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure		 $1,483.30 $2,119 0.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $651.70 $931 0.2×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $697.20 $996 0.2×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
likely a partial charge, not the full procedure		 $1,148 $1,640 0.1×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
likely a partial charge, not the full procedure		 $928.90 $1,327 0.1×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $1,146.60 $1,638 0.3×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
likely a partial charge, not the full procedure		 $1,477 $2,110 0.2×
Arthroscopy, knee, surgical; with lateral release (29873) $767.90 $1,097 0.2×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $1,184.40 $1,692 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $969.50 $1,385 0.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $1,283.80 $1,834 0.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $837.90 $1,197 0.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $767.20 $1,096 0.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,449 $2,070 0.2×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $837.90 $1,197 0.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $830.90 $1,187 0.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $1,493.10 $2,133 0.2×
Arthrotomy ankle w/expl drainage/removal fb (27610) $909.30 $1,299 0.3×
Arthrotomy W/Meniscus Repair Knee (27403)
likely a partial charge, not the full procedure		 $914.20 $1,306 0.1×
Arthrotomy W/Synovectomy Ankle (27625) $808.50 $1,155 0.2×
Arthrotomy wrist joint with synovectomy (25105) $697.20 $996 0.2×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $1,012.20 $1,446 0.3×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $1,309 $1,870 0.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $1,782.90 $2,547 0.1×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
likely a partial charge, not the full procedure		 $898.80 $1,284 0.1×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $1,192.10 $1,703 0.3×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $1,362.20 $1,946 0.2×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure		 $1,715 $2,450 0.1×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $950.60 $1,358 0.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $933.80 $1,334 0.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $877.80 $1,254 0.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $795.90 $1,137 0.2×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $636.30 $909 0.2×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $1,009.40 $1,442 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $575.40 $822 0.3×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $487.90 $697 0.1×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $808.50 $1,155 0.2×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $655.90 $937 0.4×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $690.90 $987 0.2×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $768.60 $1,098 0.2×
Arthrt w/synvct kne ant&post w/pop area (27335)
likely a partial charge, not the full procedure		 $1,080.80 $1,544 0.1×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $583.80 $834 0.2×
Artificial insemination intra-cervical (58321) $116.20 $166 0.4×
Artificial insemination intra-uterine (58322) $128.80 $184 0.6×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $444.50–$1,316 $635–$1,880 varies
Aspirate Pleura W/O Imaging (32554) $332.50 $475 0.5×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $92.40–$405.30 $132–$579 varies
Aspiration and/or injection thyroid cyst (60300) $151.90 $217 0.2×
Av fusion/forearm vein (36820)
likely a partial charge, not the full procedure		 $969.50 $1,385 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $163.80–$242.20 $234–$346 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $245–$1,069.60 $350–$1,528 varies
Biopsy bone open superficial (20240) $193.20 $276 0.1×
Biopsy bone trocar/needle deep (20225) $539 $770 0.3×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $312.90–$525.70 $447–$751 varies
Biopsy of liver, needle; percutaneous (47000) $425.60 $608 0.2×
Biopsy of nerve (64795) $267.40 $382 0.1×
Biopsy of rectum (45100) $427 $610 0.1×
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines		 $75.60–$311.50 $108–$445 varies
Biopsy soft tissue forearm&/wrist deep (25066) $527.10 $753 0.2×
Biopsy Soft Tissue Shoulder Deep (23066) $819 $1,170 0.3×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $583.10 $833 0.2×
Biopsy Vaginal Mucosa Simple (57100) $146.30 $209 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $136.50 $195 0.1×
Bladder Scan (51798) $44.80 $64 0.7×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $113.40 $162 0.1×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $60.90–$1,442.70 $87–$2,061 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $378.70 $541 0.0×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $546.70 $781 0.1×
Bone Marrow Biopsy (38221) $231.70 $331 0.1×
Bone Marrow Harvest Autolog (38232) $258.30 $369 0.1×
Bone Marrow; Aspiration Only (38220) $224 $320 0.1×
Breast Reduction (19318)
likely a partial charge, not the full procedure		 $1,407.70 $2,011 0.2×
Bx Arm/Elbow Soft Tissue,Deep (24066) $893.20 $1,276 0.3×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $706.30–$3,691.10 $1,009–$5,273 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $704.90–$2,055.90 $1,007–$2,937 varies
Bx Cervix (57500) $219.10 $313 0.2×
Bx/exc lymph node open deep axillary node (38525) $613.90 $877 0.1×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $472.50–$1,698.20 $675–$2,426 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $690.20 $986 0.2×
Capsular contracture release (23020) $975.10 $1,393 0.3×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
likely a partial charge, not the full procedure		 $1,427.30 $2,039 0.2×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $984.20 $1,406 0.6×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $978.60 $1,398 0.3×
Capsulorrhaphy Anterior W/Labral Repair (23455)
likely a partial charge, not the full procedure		 $1,378.30 $1,969 0.2×
Capsulotomy Iphal Joint Each Joint Spx (28272) $542.50 $775 0.3×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $1,510.60 $2,158 0.9×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $1,030.40 $1,472 0.3×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $636.30–$2,484.30 $909–$3,549 varies
Carpectomy All Bones Proximal Row (25215) $881.30 $1,259 0.3×
Catheter aspiration nasotracheal spx (31720) $287.70 $411 1.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $284.20 $406 0.9×
Cerclage cervix pregnancy vaginal (59320) $207.20 $296 0.1×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $138.60–$153.30 $198–$219 varies
Change of Windpipe Airway (31502) $97.30 $139 0.4×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $124.60–$234.50 $178–$335 varies
Chemodenerv 1 extrem 5/> mus (64644) $250.60 $358 0.3×
Chemodenerv 1 extremity 1-4 (64642) $215.60 $308 0.3×
Chemodenerv Eccrine Glands (64650)
range across 2 matching MRF lines		 $126–$553.70 $180–$791 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $213.50–$1,022.70 $305–$1,461 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $193.90–$910 $277–$1,300 varies
Chemodenerv trunk musc 1-5 (64646) $226.10 $323 0.3×
Chemodenerv trunk musc 6/> (64647) $257.60 $368 0.3×
Chemodenervation of internal anal sphincter (46505) $445.20 $636 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $194.60 $278 0.6×
Chest tube placement (32551)
range across 2 matching MRF lines		 $210–$942.20 $300–$1,346 varies
Cl Tx Tib Shft Fx W Manip (27752) $772.80 $1,104 0.5×
Claviculectomy partial (23120) $837.90 $1,197 0.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $114.10–$311.50 $163–$445 varies
Closed Rx Metacarpal Fx,Percut (26608) $693.70 $991 0.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $721 $1,030 2.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $427.70 $611 1.6×
Closed Treatment Ulnar Styloid Fracture (25650) $485.80 $694 1.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $690.20–$3,026.10 $986–$4,323 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $495.60 $708 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $363.30 $519 1.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $455.70 $651 1.8×
Closed tx femoral fracture prox head w/o manj (27267) $634.20 $906 0.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $710.50 $1,015 0.4×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $319.90–$1,411.20 $457–$2,016 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $842.80 $1,204 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $218.40 $312 0.1×
Closed tx patellar dislocation w/anesthesia (27562) $703.50 $1,005 2.7×
Closed tx patellar dislocation w/o anesthesia (27560) $546.70 $781 2.1×
Closed Tx Patellar Fracture W/O Manipulation (27520) $480.20 $686 1.8×
Closed tx radial head/neck fx w/o manipulation (24650) $392 $560 1.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $422.10 $603 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $754.60 $1,078 0.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $429.80 $614 1.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $358.40 $512 1.4×
Closed tx talus fracture w/o manipulation (28430) $352.10 $503 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $203 $290 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $393.40 $562 1.5×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $861.70 $1,231 0.3×
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330)
likely a partial charge, not the full procedure		 $1,066.80 $1,524 0.1×
Clsd tx clavicular fracture w/o manipulation (23500) $337.40 $482 1.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $189 $270 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $588.70 $841 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $487.90 $697 1.9×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $784.70 $1,121 0.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $703.50 $1,005 0.4×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $682.50 $975 0.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $450.80 $644 1.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $513.80 $734 2.0×
Cltx dstl fibular fx lat malls w/manj (27788) $620.20 $886 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $461.30 $659 1.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $469.70–$2,069.90 $671–$2,957 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $282.10 $403 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $502.60–$856.10 $718–$1,223 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $783.30–$3,593.10 $1,119–$5,133 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $783.30 $1,119 0.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $726.60 $1,038 2.8×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,010.80 $1,444 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,055.60 $1,508 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $263.20 $376 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $208.60 $298 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $241.50–$1,079.40 $345–$1,542 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $177.80 $254 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $784.70 $1,121 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $462 $660 1.8×
Cltx greater humeral tuberosity fx w/o manj (23620) $400.40 $572 1.5×
Cltx Greater Trochanteric Fx W/O Manj (27246) $560.70 $801 2.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $242.90 $347 0.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $521.50 $745 2.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $181.30 $259 0.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $581 $830 2.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $425.60 $608 1.6×
Cltx Medial Ankle Fx (27760) $490.70 $701 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $486.50 $695 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $446.60 $638 1.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $640.50 $915 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $502.60 $718 1.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $299.60 $428 1.2×
Cltx post hip arthrp dislc req anes (27266) $826 $1,180 0.5×
Cltx prox fibula/shft fx w/o manj (27780) $456.40 $652 1.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $684.60 $978 0.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $651.70 $931 2.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $149.10–$664.30 $213–$949 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $835.10 $1,193 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $635.60 $908 0.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $564.20 $806 2.2×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $454.30 $649 0.1×
Cltx tibial fx proximal w/o manipulation (27530) $455 $650 1.7×
Cltx tibial shaft fx w/o manipulation (27750) $511 $730 2.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $764.40 $1,092 2.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $715.40 $1,022 0.4×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
likely a partial charge, not the full procedure		 $1,210.30 $1,729 0.2×
Collect Blood From Catheter Venous Nos (36592) $52.50 $75 0.4×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $11.90–$27.30 $17–$39 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $668.50–$1,151.50 $955–$1,645 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $553.70 $791 0.2×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $966.70 $1,381 0.1×
Colporrhaphy (57200) $470.40 $672 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $237.30 $339 0.7×
Colposcopy cervix upper/adjacent vagina (57452) $179.20 $256 0.8×
Colposcopy cervix vag eltrd conization cervix (57461) $495.60 $708 0.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $445.20 $636 0.1×
Colpotomy; with drainage of pelvic abscess (57010) $643.30 $919 0.2×
Colpotomy; with exploration (57000) $283.50 $405 0.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $690.90 $987 0.5×
Combined anteroposterior colporrhaphy; (57260)
likely a partial charge, not the full procedure		 $1,083.60 $1,548 0.2×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $372.40–$2,291.80 $532–$3,274 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $429.80 $614 0.1×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $347.20–$1,605.10 $496–$2,293 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $222.60–$519.40 $318–$742 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $2,313.50 $3,305 0.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $1,205.40–$1,975.40 $1,722–$2,822 varies
Correction hammertoe (28285) $765.80 $1,094 0.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,255.10 $1,793 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,449.70 $2,071 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,185.10 $1,693 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $991.90 $1,417 0.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
likely a partial charge, not the full procedure		 $1,435.70 $2,051 0.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $499.80 $714 3.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $535.50–$2,410.10 $765–$3,443 varies
Curettage postpartum (59160) $385 $550 0.1×
Curette/treat cornea (65435) $116.20 $166 0.1×
Cystourethroscopy (52000) $342.30 $489 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $914.90 $1,307 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $632.80–$1,610 $904–$2,300 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $704.20 $1,006 0.9×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $557.20 $796 0.2×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $653.80 $934 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $327.60–$818.30 $468–$1,169 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $46.90–$78.40 $67–$112 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $63–$136.50 $90–$195 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $436.10–$1,155.70 $623–$1,651 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $184.80–$401.10 $264–$573 varies
Decomp forearm,1 compart,w/o debride (25020) $1,057.70 $1,511 0.6×
Decompress Spinal Cord Lmbr (63056)
likely a partial charge, not the full procedure		 $2,060.80 $2,944 0.3×
Decompression of leg (27892) $749.70 $1,071 0.2×
Decompression of tibia nerve (28035) $749 $1,070 0.4×
Deep Muscle Biopsy (20205) $429.80 $614 0.1×
Destr penis lesion(s) (54065) $316.40 $452 0.1×
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $485.80–$2,303.70 $694–$3,291 varies
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines		 $624.40–$4,502.40 $892–$6,432 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $630–$4,553.50 $900–$6,505 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $163.10–$377.30 $233–$539 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $190.40–$557.20 $272–$796 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $295.40–$779.10 $422–$1,113 varies
Destruction by neurolytic agent; plantar common digital nerve (64632) $128.10 $183 0.4×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $555.10–$2,799.30 $793–$3,999 varies
Destruction premalignant lesion 1st (17000) $96.60 $138 0.5×
Destruction Vaginal Lesions Simple (57061) $240.10 $343 0.1×
Diagnostic anoscopy (46601) $211.40 $302 0.4×
Diagnostic sigmoidoscopy (45330) $266.70 $381 0.3×
Diaphragm or cervical cap fitting with instructions (57170) $109.20 $156 0.5×
Dilation & curettage dx&/ther nonobstetric (58120) $422.10 $603 0.1×
Dilation Cervical Canal (57800) $110.60 $158 0.0×
Drain Cerebro Spinal Fluid (62272) $260.40 $372 0.3×
Drain Hand Tendon Sheath (26020) $793.10 $1,133 0.2×
Drain/inj small joint/bursa w/us (20604) $117.60 $168 0.4×
Drainage Finger Abscess Complicated (26011) $683.20 $976 0.4×
Drainage of finger abscess simple (26010) $494.20 $706 2.3×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $241.50–$571.20 $345–$816 varies
Drainage of scrotal wall abscess (55100) $235.20 $336 0.1×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $512.40 $732 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $221.90 $317 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $122.50–$217 $175–$310 varies
Dstrj lesion anus simple surg excision (46922) $448.70 $641 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $354.20–$2,656.50 $506–$3,795 varies
Dx Bone Marrow Bx & Aspir (38222) $249.90 $357 0.1×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $315–$1,787.10 $450–$2,553 varies
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $273–$1,244.60 $390–$1,778 varies
Egd remove lesion snare (43251) $702.10 $1,003 0.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $130.90 $187 0.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $62.30 $89 0.2×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $44.80 $64 0.1×
Endometrial Biopsy (58100) $142.80 $204 0.7×
Endoscopic plantar fasciotomy (29893) $947.80 $1,354 0.3×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,132.60 $1,618 0.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $236.60–$936.60 $338–$1,338 varies
Episiotomy or vaginal repair (59300) $323.40 $462 0.1×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $299.60 $428 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $82.60–$364.70 $118–$521 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $777.70 $1,111 0.4×
Exc abdl tum deep 5 cm/> (22901)
range across 2 matching MRF lines		 $926.80–$3,946.60 $1,324–$5,638 varies
Exc arm/elbow les sc < 3 cm (24075) $755.30 $1,079 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $183.40 $262 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $291.90 $417 0.2×
Exc Back Les Sc < 3 Cm (21930) $714 $1,020 0.4×
Exc Back Tum Deep 5 Cm/> (21933) $1,026.20 $1,466 0.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $805 $1,150 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $275.80 $394 0.4×
Exc Forearm Tum Deep 3 Cm/> (25073) $758.10 $1,083 0.2×
Exc ganglion wrist recurrent (25112) $562.10 $803 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $181.30–$839.30 $259–$1,199 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $228.20–$1,038.10 $326–$1,483 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $255.50–$900.20 $365–$1,286 varies
Exc Hand Les Sc < 1.5 Cm (26115) $787.50 $1,125 0.5×
Exc hand tum deep < 1.5 cm (26116)
range across 2 matching MRF lines		 $747.60–$3,492.30 $1,068–$4,989 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $661.50–$2,040.50 $945–$2,915 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $602 $860 0.4×
Exc neuroma hand/foot xcp digital nerve (64782) $641.20 $916 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $282.10–$1,278.90 $403–$1,827 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $337.40 $482 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $462.70 $661 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $450.80–$1,640.80 $644–$2,344 varies
Exc Skin Benig >4cm Face,Facial (11446) $541.80 $774 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $296.10–$1,915.90 $423–$2,737 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $632.10 $903 0.4×
Exc tendon shth lesion leg/ankle (27630) $767.20 $1,096 0.2×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $588.70–$2,783.20 $841–$3,976 varies
Exc thigh/knee tum dep 5cm/> (27339) $1,054.90 $1,507 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $304.50 $435 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $223.30–$1,013.60 $319–$1,448 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $245.70–$758.80 $351–$1,084 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $318.50–$1,470 $455–$2,100 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $625.80 $894 0.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $732.90 $1,047 0.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $737.10 $1,053 0.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $772.10 $1,103 0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $790.30 $1,129 0.3×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $669.20 $956 0.4×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $634.20 $906 0.2×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $679.70 $971 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $739.20–$1,222.90 $1,056–$1,747 varies
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $940.10 $1,343 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $693 $990 0.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $875.70 $1,251 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $569.80 $814 0.2×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
likely a partial charge, not the full procedure		 $1,043 $1,490 0.1×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $744.80 $1,064 0.2×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $616 $880 0.4×
Excise intraspinal lesion (63267)
likely a partial charge, not the full procedure		 $1,904.70 $2,721 0.2×
Excise Wrist Tendon Sheath (25118) $551.60 $788 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $395.50–$1,802.50 $565–$2,575 varies
Excision Distal Ulna Partial/Complete (25240) $617.40 $882 0.2×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,935.80 $4,194 1.0×
Excision lesion meniscus/capsule knee (27347) $751.10 $1,073 0.2×
Excision lesion tendon sheath forearm&/wrist (25110) $498.40 $712 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $281.40 $402 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $325.50–$1,493.10 $465–$2,133 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $348.60–$1,594.60 $498–$2,278 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $440.30 $629 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,238.20 $4,626 1.1×
Excision Multiple External Papillae/Tags Anus (46230) $1,902.60 $2,718 0.6×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
likely a partial charge, not the full procedure		 $744.80 $1,064 0.1×
Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) $1,162 $1,660 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $470.40–$2,603.30 $672–$3,719 varies
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $572.60 $818 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $503.30 $719 0.2×
Excision of single external papilla or tag, anus (46220) $358.40 $512 0.3×
Excision of vaginal cyst or tumor (57135) $351.40 $502 0.1×
Excision olecranon bursa (24105) $521.50 $745 0.2×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $861.70 $1,231 0.2×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116)
likely a partial charge, not the full procedure		 $1,208.20 $1,726 0.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $868 $1,240 0.3×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
likely a partial charge, not the full procedure		 $599.20 $856 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,090.60 $1,558 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $890.40–$2,740.50 $1,272–$3,915 varies
Excision prepatellar bursa (27340) $539.70 $771 0.2×
Excision synovial cyst popliteal space (27345) $693.70 $991 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $655.90–$3,128.30 $937–$4,469 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $674.10 $963 0.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $543.20 $776 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $713.30–$3,267.60 $1,019–$4,668 varies
Excision, interdigital (morton) neuroma, single, each (28080) $758.80 $1,084 0.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $615.30 $879 0.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $733.60 $1,048 0.4×
Excision/curettage cyst/tumor phalanx finger (26210) $644 $920 0.4×
Excision; trochanteric bursa or calcification (27062) $646.80 $924 0.2×
Exploration of hip joint (27033)
likely a partial charge, not the full procedure		 $1,358.70 $1,941 0.2×
Exploration of knee joint (27310) $1,033.90 $1,477 0.3×
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure		 $1,149.40 $1,642 0.2×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $797.30–$2,303 $1,139–$3,290 varies
Exploratory elbow surgery (24000) $683.20 $976 0.2×
Explore/Treat Elbow Joint (24101) $718.90 $1,027 0.2×
Explore/Treat Hand Joint (26070) $465.50 $665 0.3×
Explore/Treat Knee Joint (27331) $680.40 $972 0.2×
Explore/Treat Wrist Joint (25040) $793.10 $1,133 0.2×
Fasciectomy Palm Only (26121) $853.30 $1,219 0.2×
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $734.30–$2,536.10 $1,049–$3,623 varies
Fasciotomy Iliotibial Open (27305) $688.10 $983 0.2×
Fasciotomy palmar open partial (26045) $676.90 $967 0.2×
Fasciotomy Plantar Fascia Radical Spx (28062) $816.20 $1,166 0.2×
Fasciotomy, foot and/or toe (28008) $1,662.50 $2,375 0.5×
Fasciotomy, hip or thigh, any type (27025) $1,303.40 $1,862 0.4×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,189.30 $1,699 0.3×
Fetal non-stress test (59025) $68.60 $98 0.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $610.40 $872 0.8×
Fine needle aspiration without imaging guidance (10021) $143.50 $205 0.3×
Finger tendon transfer (26497) $1,286.60 $1,838 0.4×
Flap; neurovascular pedicle (15750) $1,303.40 $1,862 0.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $434 $620 0.6×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $189.70–$947.80 $271–$1,354 varies
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure		 $1,126.30 $1,609 0.1×
Fusion Finger Joint (26860) $881.30 $1,259 0.3×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,166.90 $1,667 0.2×
Fusion of hand bones (25820)
likely a partial charge, not the full procedure		 $924 $1,320 0.1×
Fusion of knuckle (26850)
likely a partial charge, not the full procedure		 $1,050 $1,500 0.1×
Gastrocnemius recession (27687) $643.30 $919 0.2×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $907.90–$1,975.40 $1,297–$2,822 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $973.70 $1,391 0.1×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $1,577.80 $2,254 0.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $735.70 $1,051 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $675.50 $965 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $746.90 $1,067 0.3×
Hip arthro acetabuloplasty (29915)
likely a partial charge, not the full procedure		 $1,422.40 $2,032 0.2×
Hip arthro w/labral repair (29916)
likely a partial charge, not the full procedure		 $1,416.10 $2,023 0.2×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565)
unusually low: confirm this is the full procedure		 $2,372.30 $3,389 0.4×
Hysteroscopy Biopsy (58558) $1,893.50 $2,705 0.6×
Hysteroscopy Dx Sep Proc (58555) $513.10 $733 0.2×
Hysteroscopy Endometrial Ablation (58563) $3,007.90 $4,297 0.6×
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure		 $389.90 $557 0.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $610.40 $872 0.2×
Hysterotomy Abdominal (59100)
likely a partial charge, not the full procedure		 $1,182.30 $1,689 0.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $181.30–$671.30 $259–$959 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $347.20 $496 0.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $956.90 $1,367 0.3×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $991.20 $1,416 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $685.30 $979 0.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $964.60 $1,378 0.3×
I&d perianal abscess superficial (46050) $142.80 $204 0.1×
I&d pilonidal cyst simple (10080) $359.10 $513 0.5×
I&d shoulder deep abscess/hematoma (23030) $625.80 $894 0.2×
Image Cath Fluid Peri/Retro (49406) $1,248.10 $1,783 0.7×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $1,171.80–$2,427.60 $1,674–$3,468 varies
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $538.30 $769 0.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure		 $556.50 $795 0.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $296.80–$1,289.40 $424–$1,842 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $847–$2,055.90 $1,210–$2,937 varies
Incise flexor carpi radialis (25001) $502.60 $718 0.1×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,028.30 $1,469 0.1×
Incise Wrist/Forearm Tendon (25290) $625.10 $893 0.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $303.80–$1,190 $434–$1,700 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $744.10 $1,063 0.2×
Incision & removal foreign body subq tiss compl (10121) $375.20 $536 0.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $217.70–$1,024.80 $311–$1,464 varies
Incision and drainage of bartholin's gland abscess (56420) $266 $380 1.2×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
likely a partial charge, not the full procedure		 $1,358.70 $1,941 0.2×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
likely a partial charge, not the full procedure		 $1,328.60 $1,898 0.2×
Incision bone cortex foot (28005) $802.90 $1,147 0.2×
Incision extensor tendon sheath wrist (25000) $501.20 $716 0.3×
Incision of fibula (27707) $579.60 $828 0.2×
Incision of Foot Tendon (28234) $583.80 $834 0.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $434.70 $621 0.2×
Incisional biopsy skin single lesion (11106) $221.90 $317 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $112.70 $161 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $273.70–$3,553.20 $391–$5,076 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $378–$1,192.80 $540–$1,704 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $81.20–$242.20 $116–$346 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $228.20–$1,192.80 $326–$1,704 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $317.10–$1,234.80 $453–$1,764 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $46.90–$1,192.80 $67–$1,704 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $325.50–$1,192.80 $465–$1,704 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $204.40–$643.30 $292–$919 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $275.10–$1,824.20 $393–$2,606 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $121.80–$1,192.80 $174–$1,704 varies
Injection enzyme palmar fascial cord (20527) $123.20 $176 0.4×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $116.90–$277.90 $167–$397 varies
Injection Into Brain Canal (61055) $160.30 $229 0.5×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $81.20–$242.20 $116–$346 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $74.20–$1,372.70 $106–$1,961 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $85.40–$1,372.70 $122–$1,961 varies
Injection therapeutic carpal tunnel (20526) $116.20 $166 0.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $189.70–$1,192.80 $271–$1,704 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $163.80–$1,192.80 $234–$1,704 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $106.40–$1,491.70 $152–$2,131 varies
Injection, intralesional; up to and including 7 lesions (11900) $81.90 $117 0.4×
Insert and remove bone pin (20650) $329.70 $471 0.1×
Insert cath pleura w/o image (32556) $1,057.70 $1,511 0.5×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $141.40–$552.30 $202–$789 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $300.30–$1,465.10 $429–$2,093 varies
Insert pessary/other device (57160) $105 $150 0.5×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $123.20 $176 0.1×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $88.90–$140.70 $127–$201 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $1,365.70–$7,151.20 $1,951–$10,216 varies
Insert,Non-Indwelling Bladder Catheter (51701) $152.60 $218 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $464.80–$538.30 $664–$769 varies
Insj Picc Rs&I <5 Yr (36572) $525.70 $751 0.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,760.50 $2,515 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $128.10–$1,152.90 $183–$1,647 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure		 $606.20 $866 0.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $473.90–$1,995.70 $677–$2,851 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $190.40–$280 $272–$400 varies
Irrigation of corpora cavernosa for priapism (54220) $315 $450 1.2×
Knee arthroscopy/drainage (29871) $730.80 $1,044 0.2×
Knee Arthroscopy/Surgery (29874) $761.60 $1,088 0.2×
Knee Arthroscopy/Surgery (29850) $884.10 $1,263 0.5×
Lam facetec & foramot lumbar (63047)
likely a partial charge, not the full procedure		 $1,540 $2,200 0.2×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011)
likely a partial charge, not the full procedure		 $1,516.90 $2,167 0.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
likely a partial charge, not the full procedure		 $1,789.20 $2,556 0.2×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
likely a partial charge, not the full procedure		 $1,908.90 $2,727 0.2×
Laminotomy Single Lumbar (63042)
likely a partial charge, not the full procedure		 $1,799.70 $2,571 0.2×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,361.50 $1,945 0.1×
Laparoscopic myomectomy (58545)
likely a partial charge, not the full procedure		 $1,252.30 $1,789 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $518.70 $741 0.1×
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure		 $1,099 $1,570 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $603.40 $862 0.1×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure		 $1,693.30 $2,419 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,267 $1,810 0.1×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $949.90 $1,357 0.1×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $905.10 $1,293 0.1×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $833.70 $1,191 0.1×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $1,349.60 $1,928 0.1×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,124.90 $1,607 0.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $1,226.40 $1,752 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure		 $1,549.80 $2,214 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $991.20 $1,416 0.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $1,540 $2,200 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $786.80 $1,124 0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $477.40 $682 0.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $520.10 $743 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $456.40 $652 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $991.90 $1,417 0.2×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $1,154.30 $1,649 0.1×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,095.50 $1,565 0.2×
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,106.70–$4,573.10 $1,581–$6,533 varies
Lengthening of hamstring tendon; single tendon Facility (27393)
likely a partial charge, not the full procedure		 $713.30 $1,019 0.1×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $942.90 $1,347 0.3×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
likely a partial charge, not the full procedure		 $1,767.50 $2,525 0.1×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,000.30 $1,429 0.1×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $1,568 $2,240 0.1×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $438.20–$2,049.60 $626–$2,928 varies
Low Back Disk Surgery (63030)
likely a partial charge, not the full procedure		 $1,278.90 $1,827 0.2×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $1,018.50 $1,455 0.1×
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure		 $1,258.60 $1,798 0.1×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $2,496.90 $3,567 0.1×
Maniplatn palar fascial crd post inj single cord (26341) $168 $240 0.6×
Manipulation Elbow Under Anesthesia (24300) $639.80 $914 0.4×
Manipulation knee joint under general anesthesia (27570) $219.10 $313 0.1×
Manipulation, finger joint, under anesthesia, each joint (26340) $522.20 $746 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $277.20 $396 0.2×
Mastectomy partial (19301) $914.90 $1,307 0.2×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,324.40 $1,892 0.2×
Metatarsectomy (28140) $799.40 $1,142 0.2×
Myelography Lumbar Injection (62305) $389.90 $557 0.5×
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $357.70–$1,810.20 $511–$2,586 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines		 $359.10–$1,810.20 $513–$2,586 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $366.10 $523 0.4×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $326.20–$1,824.20 $466–$2,606 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $157.50–$1,491.70 $225–$2,131 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $138.60–$1,192.80 $198–$1,704 varies
N Block Inj Paracervical (64435) $114.10 $163 0.2×
N Block Inj Plantar Digit (64455) $70 $100 0.2×
N Block Inj Pudendal (64430) $1,192.80 $1,704 1.3×
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines		 $329.70–$2,280.60 $471–$3,258 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $730.80 $1,044 0.4×
Neck spine disk surgery (63020)
likely a partial charge, not the full procedure		 $1,530.90 $2,187 0.2×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $246.40–$1,069.60 $352–$1,528 varies
Needle Biopsy Pancreas (48102) $718.90 $1,027 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $17.50–$36.40 $25–$52 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $17.50–$52.50 $25–$75 varies
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898)
likely a partial charge, not the full procedure		 $1,898.40 $2,712 0.2×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
likely a partial charge, not the full procedure		 $1,499.40 $2,142 0.2×
Nerve Pedicle Transfer First Stage (64905)
likely a partial charge, not the full procedure		 $1,391.60 $1,988 0.2×
Nerve repair w/conduit each nerve (64910)
likely a partial charge, not the full procedure		 $1,068.90 $1,527 0.1×
Nerve Repair W/Nerve Allograft First Strand (64912)
likely a partial charge, not the full procedure		 $1,252.30 $1,789 0.1×
Neurectomy, Intrinsic Musculature Of Foot (28055) $548.10 $783 0.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $858.20 $1,226 0.4×
Neurorraphy w/vein autograft (64911)
likely a partial charge, not the full procedure		 $1,429.40 $2,042 0.2×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $723.10 $1,033 0.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $208.60–$1,824.20 $298–$2,606 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $161.70–$1,460.20 $231–$2,086 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $252.70–$3,018.40 $361–$4,312 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $375.20–$1,762.60 $536–$2,518 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $368.90–$1,762.60 $527–$2,518 varies
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $105.70–$1,491.70 $151–$2,131 varies
Open biopsy/excision inguinofemoral nodes (38531) $622.30 $889 0.2×
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,152.90 $1,647 0.2×
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
likely a partial charge, not the full procedure		 $2,292.50 $3,275 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,076.60 $1,538 0.1×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure		 $1,573.60 $2,248 0.2×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $1,857.80 $2,654 0.1×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $1,575.70 $2,251 0.1×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure		 $1,103.20 $1,576 0.1×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure		 $1,177.40 $1,682 0.1×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $857.50 $1,225 0.1×
Open treatment metacarpophalangeal dislocation (26715) $819.70 $1,171 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $802.20 $1,146 0.1×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $812 $1,160 0.1×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure		 $919.10 $1,313 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,018.50 $1,455 0.1×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $1,347.50 $1,925 0.2×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge, not the full procedure		 $1,864.80 $2,664 0.2×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $1,710.10 $2,443 0.1×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure		 $1,452.50 $2,075 0.1×
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558)
likely a partial charge, not the full procedure		 $1,646.40 $2,352 0.2×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
likely a partial charge, not the full procedure		 $959 $1,370 0.1×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $890.40 $1,272 0.1×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $886.90 $1,267 0.1×
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $1,022.70 $1,461 0.1×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $1,010.80 $1,444 0.1×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,242.50 $1,775 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $952.70 $1,361 0.1×
Open Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure		 $1,220.80 $1,744 0.2×
Open Tx Acute/Chronic Elbow Dislocation (24615)
likely a partial charge, not the full procedure		 $1,007.30 $1,439 0.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,051.40 $1,502 0.3×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure		 $1,019.20 $1,456 0.1×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $824.60 $1,178 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $912.10 $1,303 0.1×
Open Tx Distal Phalangeal Fracture Each (26765) $723.80 $1,034 0.2×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure		 $897.40 $1,282 0.1×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,001.70 $1,431 0.1×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $1,342.60 $1,918 0.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $809.90 $1,157 0.2×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $1,038.10 $1,483 0.1×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $1,304.10 $1,863 0.1×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure		 $1,144.50 $1,635 0.1×
Open tx interphalangeal joint dislocation (26785) $784 $1,120 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $822.50 $1,175 0.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $849.10 $1,213 0.2×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $935.20 $1,336 0.1×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $1,035.30 $1,479 0.1×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $908.60 $1,298 0.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,249.50 $1,785 0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,232.70 $1,761 0.2×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $929.60 $1,328 0.1×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $1,194.20 $1,706 0.3×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $884.10 $1,263 0.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,172.50 $1,675 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $1,484 $2,120 0.2×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure		 $1,663.90 $2,377 0.2×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $1,239.70 $1,771 0.1×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure		 $1,656.90 $2,367 0.2×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,259.30 $1,799 0.1×
Ostc compl all metar heads w/prtl prox phalangc (28114) $1,505.70 $2,151 0.4×
Ostc prtl exostc/condylc metar head (28288) $856.80 $1,224 0.2×
Ostectomy calcaneus (28118) $857.50 $1,225 0.2×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $683.90 $977 0.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $828.80 $1,184 0.2×
Ostectomy, complete excision; first metatarsal head (28111) $672 $960 0.2×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $658 $940 0.2×
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure		 $1,914.50 $2,735 0.1×
Osteochondral talus autogrft (28446)
likely a partial charge, not the full procedure		 $1,710.80 $2,444 0.2×
Osteoplasty Humerus (24420)
likely a partial charge, not the full procedure		 $1,497.30 $2,139 0.2×
Osteoplasty Radius/Ulna Shortening (25390)
likely a partial charge, not the full procedure		 $1,084.30 $1,549 0.1×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
likely a partial charge, not the full procedure		 $1,267.70 $1,811 0.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $865.20 $1,236 0.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $811.30 $1,159 0.2×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $914.90 $1,307 0.1×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $1,334.90 $1,907 0.1×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224)
likely a partial charge, not the full procedure		 $2,203.60 $3,148 0.3×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222)
unusually low: confirm this is the full procedure		 $2,449.30 $3,499 0.3×
Osteotomy Phalanx Finger Each (26567) $1,028.30 $1,469 0.3×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $1,052.80 $1,504 0.1×
Osteotomy Ulna (25360)
likely a partial charge, not the full procedure		 $931 $1,330 0.1×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)
likely a partial charge, not the full procedure		 $1,412.60 $2,018 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge, not the full procedure		 $1,068.20 $1,526 0.2×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
likely a partial charge, not the full procedure		 $1,157.10 $1,653 0.2×
Part exc bone femur prox tibia (27360) $1,274 $1,820 0.4×
Part remv talus or calcaneus (28120) $947.80 $1,354 0.3×
Partial Excision Bone Humerus (24140) $994 $1,420 0.3×
Partial excision bone metacarpal (26230) $713.30 $1,019 0.2×
Partial excision bone olecranon process (24147) $894.60 $1,278 0.3×
Partial Excision Bone Ulna (25150) $806.40 $1,152 0.2×
Partial Excision Distal Phalanx Finger (26236) $632.80 $904 0.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $704.20 $1,006 0.4×
Partial removal of fibula (27641) $917 $1,310 0.3×
Partial removal of radius (24145)
likely a partial charge, not the full procedure		 $844.20 $1,206 0.1×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $983.50 $1,405 0.2×
Partial removal of tibia (27640) $1,166.20 $1,666 0.3×
Partial removal of toe (28160) $580.30 $829 0.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $982.80 $1,404 0.2×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $676.90–$1,527.40 $967–$2,182 varies
Percut Drain/Inject Renal Cyst (50390) $127.40 $182 0.2×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $726.60 $1,038 0.2×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $705.60 $1,008 0.2×
Perineoplasty rpr perineum nonobstetrical spx (56810) $382.20 $546 0.1×
Perq dev breast 1st strtctc (19283) $366.80 $524 0.5×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $521.50–$1,948.80 $745–$2,784 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $342.30–$1,288.70 $489–$1,841 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $954.10 $1,363 0.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $17,625.30 $25,179 2.3×
Phalangectomy toe each toe (28150) $593.60 $848 0.2×
Pin Finger Dislocation (26776) $649.60 $928 0.2×
Pin hand dislocation (26676) $735 $1,050 0.2×
Pin knuckle dislocation (26706) $644.70 $921 0.2×
Placement of needle for intraosseous infusion (36680) $80.50 $115 0.2×
Placement of seton (46020) $161.70 $231 0.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $859.60 $1,228 0.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $182.70–$864.50 $261–$1,235 varies
Prosthesis Removal Humeral/Glenoid Component (23334)
likely a partial charge, not the full procedure		 $1,480.50 $2,115 0.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $371.70 $531 0.5×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $613.90 $877 0.2×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,269.80 $1,814 0.2×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $248.50 $355 0.1×
Prq skel fixj metar fx w/manj (28476) $558.60 $798 0.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,120 $1,600 0.1×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $559.30 $799 0.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $694.40 $992 0.2×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure		 $959 $1,370 0.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $837.90 $1,197 0.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $178.50–$329.70 $255–$471 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $184.80–$607.60 $264–$868 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $142.10–$242.20 $203–$346 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $434.70 $621 0.6×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
likely a partial charge, not the full procedure		 $1,047.90 $1,497 0.1×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $1,072.40 $1,532 0.6×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $863.10 $1,233 0.3×
Rad resect tumor soft tissue hand/finger <3cm (26117) $1,050.70 $1,501 0.3×
Radical styloidectomy separate procedure (25230) $620.90 $887 0.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $674.80–$3,536.40 $964–$5,052 varies
Rcnstj angular dfrm toe soft tiss px only (28313) $749 $1,070 0.2×
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure		 $1,058.40 $1,512 0.1×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $947.80 $1,354 0.1×
Realignment extensor tendon hand each tendon (26437) $955.50 $1,365 0.3×
Realignment of knee (27455)
likely a partial charge, not the full procedure		 $1,347.50 $1,925 0.2×
Reconstruct Finger Joint (26548) $1,140.30 $1,629 0.3×
Reconstruct ulna/radioulnar (25337)
likely a partial charge, not the full procedure		 $1,257.20 $1,796 0.2×
Reconstruction Nail Bed W/Graft (11762) $408.80 $584 0.2×
Reinsert spinal fixation (22849)
likely a partial charge, not the full procedure		 $1,808.80 $2,584 0.1×
Release foot/toe nerve (64726) $379.40 $542 0.2×
Release Intrinsic Muscles Hand Each Muscle (26593) $925.40 $1,322 0.3×
Release of big toe (28240) $627.90 $897 0.2×
Relieve Pressure on Nerve(S) (64722) $524.30 $749 0.3×
Removal Embedded Foreign Body Eyelid (67938) $386.40 $552 1.2×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $649.60–$2,101.40 $928–$3,002 varies
Removal Foreign Body Foot Subcutaneous (28190) $342.30 $489 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $310.80 $444 0.2×
Removal foreign body upper arm/elbow deep (24201) $881.30 $1,259 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $23.10 $33 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $67.20 $96 1.1×
Removal impacted vag fb spx w/anes oth/thn local (57415) $247.80 $354 0.1×
Removal Implant Deep (20680) $851.20 $1,216 0.3×
Removal Implant Superficial Separate Procedure (20670) $508.90 $727 0.3×
Removal implantable contraceptive capsules (11976) $204.40 $292 0.3×
Removal of anal fissure (46200) $678.30 $969 0.2×
Removal of ankle implant (27704) $800.80 $1,144 0.2×
Removal of anterior instrumentation (22855)
likely a partial charge, not the full procedure		 $1,538.60 $2,198 0.2×
Removal of foot joint lining (28072) $696.50 $995 0.2×
Removal of heel spur (28119) $745.50 $1,065 0.2×
Removal of implant from finger or hand (26320) $501.90 $717 0.3×
Removal of ischial bursa (27060)
likely a partial charge, not the full procedure		 $665.70 $951 0.1×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $228.90–$614.60 $327–$878 varies
Removal of posterior segmental instrumentation Facility (22852)
likely a partial charge, not the full procedure		 $993.30 $1,419 0.1×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
likely a partial charge, not the full procedure		 $1,764.70 $2,521 0.2×
Removal of sesamoid bone (28315) $676.90 $967 0.2×
Removal of sperm cord lesion (55520) $639.80 $914 0.2×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $712.60 $1,018 0.1×
Removal of wrist bone (25210) $706.30 $1,009 0.2×
Removal or bivalving full arm or full leg cast (29705) $89.60 $128 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $132.30–$597.10 $189–$853 varies
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $612.50–$2,794.40 $875–$3,992 varies
Removal, under anesthesia, of external fixation system (20694) $615.30 $879 0.4×
Remove & graft wrist lesion (25136)
likely a partial charge, not the full procedure		 $711.90 $1,017 0.1×
Remove Ankle Joint Lining (27626) $872.90 $1,247 0.3×
Remove drug implant device (11982) $156.10 $223 0.3×
Remove elbow lesion (24120) $759.50 $1,085 0.2×
Remove foreign body from eye (65205) $39.90 $57 0.3×
Remove Hand Bone Lesion (26200) $645.40 $922 0.4×
Remove humerus lesion (24110) $840.70 $1,201 0.2×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $156.10–$322.70 $223–$461 varies
Remove knee joint lining (27334) $971.60 $1,388 0.3×
Remove Lower Leg Bone Lesion (27635) $819 $1,170 0.2×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $302.40–$421.40 $432–$602 varies
Remove spine eltrd plate (63662) $1,191.40 $1,702 0.3×
Remove spine fixation device (22850)
likely a partial charge, not the full procedure		 $1,029 $1,470 0.1×
Remove Tendon Sheath Lesion (26160) $883.40 $1,262 0.5×
Remove wrist joint cartilage (25107) $882.70 $1,261 0.3×
Remove/graft finger lesion (26215) $807.80 $1,154 0.2×
Remove/graft foot lesion (28102)
likely a partial charge, not the full procedure		 $867.30 $1,239 0.1×
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure		 $717.50 $1,025 0.1×
Remove/graft leg bone lesion (27637)
likely a partial charge, not the full procedure		 $1,053.50 $1,505 0.1×
Remove/Insert Drug Implant (11983) $198.80 $284 0.4×
Renal Biopsy Perq (50200) $726.60 $1,038 0.4×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $220.50 $315 0.0×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $928.90 $1,327 0.1×
Repair Blood Vessel Direct Upper Extremity (35206) $1,066.80 $1,524 0.3×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $896.70 $1,281 0.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $550.20 $786 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $665.70 $951 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $602.70 $861 1.4×
Repair complex trunk 2.6-7.5 cm (13101) $563.50 $805 0.7×
Repair Elbow Perc (24357) $2,441.60 $3,488 0.7×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $900.90–$2,202.90 $1,287–$3,147 varies
Repair Finger Tendon (26433) $821.80 $1,174 0.2×
Repair Finger/Hand Tendon (26350) $1,071.70 $1,531 0.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $524.30 $749 0.2×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,173.20 $1,676 0.2×
Repair Forearm Tendon Sheath (25275) $954.10 $1,363 0.3×
Repair forearm tendon/muscle (25265) $1,066.10 $1,523 0.3×
Repair Hallux Rigidus (28289) $975.80 $1,394 0.3×
Repair Hand Joint (26540) $1,001 $1,430 0.3×
Repair Hand Tendon (26410) $864.50 $1,235 0.5×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $875.70 $1,251 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $403.90 $577 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $448.70–$557.90 $641–$797 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $516.60 $738 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $375.90–$865.90 $537–$1,237 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $441–$1,326.50 $630–$1,895 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $544.60 $778 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $551.60 $788 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $375.20–$1,015.70 $536–$1,451 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $433.30–$1,999.90 $619–$2,857 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $611.80–$1,399.30 $874–$1,999 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $476–$1,087.10 $680–$1,553 varies
Repair intrinsic muscles hand each muscle (26591) $706.30 $1,009 0.2×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $859.60 $1,228 0.1×
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $1,477 $2,110 0.1×
Repair Nonunion Hand (26546)
likely a partial charge, not the full procedure		 $1,477.70 $2,111 0.2×
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure		 $867.30 $1,239 0.1×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
likely a partial charge, not the full procedure		 $1,225 $1,750 0.2×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $996.10 $1,423 0.3×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure		 $1,334.90 $1,907 0.2×
Repair of knee ligaments (27409)
likely a partial charge, not the full procedure		 $1,355.90 $1,937 0.2×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $1,112.30 $1,589 0.1×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $263.20–$1,291.50 $376–$1,845 varies
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)
likely a partial charge, not the full procedure		 $1,628.20 $2,326 0.2×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,090.60 $1,558 0.1×
Repair of web finger (26561) $1,392.30 $1,989 0.4×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $964.60 $1,378 0.1×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,197.70 $1,711 0.2×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,008.70 $1,441 0.1×
Repair shoulder capsule (23462)
likely a partial charge, not the full procedure		 $1,490.30 $2,129 0.2×
Repair shoulder capsule (23466)
likely a partial charge, not the full procedure		 $1,573.60 $2,248 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $688.10 $983 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,066.10 $1,523 0.1×
Repair Toe Dislocation (28645) $924 $1,320 0.3×
Repair tongue laceration (41250) $403.90 $577 0.9×
Repair webbed toe(s) (28345) $725.20 $1,036 0.4×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure		 $602.70 $861 0.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $688.80 $984 0.1×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure		 $957.60 $1,368 0.1×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $797.30 $1,139 0.2×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure		 $903 $1,290 0.1×
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure		 $944.30 $1,349 0.1×
Repair/Graft Wrist Bone (25440)
likely a partial charge, not the full procedure		 $1,085 $1,550 0.1×
Repair/Revise Wrist Joint (25320)
likely a partial charge, not the full procedure		 $1,402.80 $2,004 0.2×
Repair/transpose nerve (64856)
likely a partial charge, not the full procedure		 $1,399.30 $1,999 0.2×
Replace/Revise Brain Shunt (62230)
likely a partial charge, not the full procedure		 $1,171.80 $1,674 0.1×
Repr elbow lat ligmnt w/tiss (24343) $1,015.70 $1,451 0.3×
Repr Elbw Med Ligmnt W/Tiss (24345)
likely a partial charge, not the full procedure		 $1,010.10 $1,443 0.1×
Repr torn cruciate knee ligam (27407)
likely a partial charge, not the full procedure		 $1,124.20 $1,606 0.1×
Rerepair ing hernia reduce (49520) $877.10 $1,253 0.2×
Resect leg/ankle tum < 5 cm (27615) $1,407 $2,010 0.5×
Resection, humeral head Facility (23195)
likely a partial charge, not the full procedure		 $1,054.90 $1,507 0.1×
Resection, partial or complete, phalangeal base, each toe (28126) $555.80 $794 0.2×
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure		 $2,228.80 $3,184 0.2×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure		 $2,403.80 $3,434 0.2×
Revise Hand/Foot Nerve (64704) $459.90 $657 0.2×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $900.90 $1,287 0.1×
Revise Lower Leg Tendons (27686) $751.80 $1,074 0.2×
Revise radius & ulna (25365)
likely a partial charge, not the full procedure		 $1,288 $1,840 0.1×
Revise Spine Eltrd Plate (63664)
likely a partial charge, not the full procedure		 $1,239 $1,770 0.1×
Revise thumb tendon (26496) $1,288 $1,840 0.4×
Revise ulnar nerve at wrist (64719) $581 $830 0.3×
Revise Wrist/Forearm Tendon (25280) $806.40 $1,152 0.2×
Revise/Repair Finger/Toe Nerve (64702) $731.50 $1,045 0.4×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $702.80 $1,004 0.2×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $774.90 $1,107 0.1×
Revision of foot (28116) $1,085 $1,550 0.3×
Revision of foot fascia (28250) $833 $1,190 0.2×
Revision of humerus (24400)
likely a partial charge, not the full procedure		 $1,166.20 $1,666 0.2×
Revision of lower leg tendon (27685) $933.80 $1,334 0.3×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure		 $2,028.60 $2,898 0.1×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $2,105.60 $3,008 0.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
range across 2 matching MRF lines		 $1,283.10–$2,638.30 $1,833–$3,769 varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure		 $2,626.40 $3,752 0.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $1,950.90 $2,787 0.1×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $419.30 $599 0.1×
Revj/rmvl peripheral neurostimulator electrode (64585) $343.70 $491 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $85.40 $122 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $95.90 $137 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $659.40 $942 0.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $974.40 $1,392 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,135.40 $1,622 1.7×
Rmvl/revj sling stress incontinence (57287) $1,041.60 $1,488 0.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $458.50–$2,410.10 $655–$3,443 varies
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $870.10 $1,243 0.1×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $700.70 $1,001 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $242.20 $346 1.1×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $667.80 $954 0.1×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
likely a partial charge, not the full procedure		 $1,740.90 $2,487 0.2×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $772.80 $1,104 0.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $700.70 $1,001 0.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $903.70 $1,291 0.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $706.30 $1,009 0.2×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure		 $843.50 $1,205 0.1×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $720.30 $1,029 0.2×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352)
likely a partial charge, not the full procedure		 $1,187.90 $1,697 0.2×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)
likely a partial charge, not the full procedure		 $1,391.60 $1,988 0.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,132.60 $1,618 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $1,264.20 $1,806 0.4×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,120 $1,600 0.3×
Salpingostomy (salpingoneostomy) (58770) $1,197.70 $1,711 0.4×
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) $744.10 $1,063 0.2×
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134)
likely a partial charge, not the full procedure		 $1,054.90 $1,507 0.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $426.30 $609 0.3×
Shave skin lesion 0.5 cm/< (11300) $143.50 $205 0.3×
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure		 $753.90 $1,077 0.1×
Shoulder Arthroscopy/Surgery (29825) $828.80 $1,184 0.2×
Shoulder joint surgery (23101) $653.80 $934 0.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $195.30 $279 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $410.20 $586 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $306.60–$702.10 $438–$1,003 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $158.90–$361.90 $227–$517 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $165.20–$375.90 $236–$537 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $200.90 $287 0.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $133.70–$249.90 $191–$357 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $325.50 $465 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $187.60–$421.40 $268–$602 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $224.70–$508.90 $321–$727 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $218.40–$557.20 $312–$796 varies
Skin sub grft t/arm/lg child (15273) $433.30 $619 0.2×
Skn sub grft f/n/hf/g child (15277) $477.40 $682 0.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure		 $1,038.10 $1,483 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $161.70–$363.30 $231–$519 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $249.90–$567 $357–$810 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $287.70 $411 0.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $206.50–$366.10 $295–$523 varies
Strapping ankle (29540) $39.20 $56 0.2×
Strapping elbow or wrist (29260) $40.60 $58 0.7×
Strapping knee (29530) $41.30 $59 0.3×
Strapping shoulder (29240) $42 $60 0.3×
Strapping toes (29550) $27.30 $39 0.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $91–$171.50 $130–$245 varies
Subcutaneous Hormone Pellet Implantation (11980) $133 $190 0.3×
Subtalar arthro w/exc (29905)
likely a partial charge, not the full procedure		 $722.40 $1,032 0.1×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $1,173.90 $1,677 0.1×
Surg tx anal fistula subq (46270) $756.70 $1,081 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $800.10 $1,143 0.3×
Suture 1 nerve hand/foot common sensory nerve (64834) $1,045.10 $1,493 0.3×
Suture 1 Nerve Median Motor Thenar (64835) $1,142.40 $1,632 0.3×
Suture 1 Nerve Ulnar Motor (64836) $1,142.40 $1,632 0.3×
Suture digital nerve hand/foot 1 nerve (64831) $979.30 $1,399 0.5×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $885.50 $1,265 0.1×
Syndactylization toes (28280) $715.40 $1,022 0.2×
Synovectomy Tendon Sheath Foot Flexor (28086) $743.40 $1,062 0.2×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $788.90 $1,127 0.2×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
likely a partial charge, not the full procedure		 $718.90 $1,027 0.1×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $737.80 $1,054 0.4×
Tangential biopsy skin single lesion (11102) $143.50 $205 0.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $884.10 $1,263 0.3×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $1,050.70 $1,501 0.1×
Tenodesis proximal interphalangeal joint each (26471) $946.40 $1,352 0.3×
Tenolysis extensor foot single tendon (28225) $587.30 $839 0.2×
Tenolysis flexor foot single tendon (28220) $639.10 $913 0.4×
Tenolysis flexor tendon palm/finger each tendon (26440) $933.80 $1,334 0.6×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $596.40 $852 0.2×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $869.40 $1,242 0.3×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $751.80 $1,074 0.2×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $718.90 $1,027 0.2×
Tenotomy Adductor Hip Percutaneous Spx (27000) $2,336.60 $3,338 1.4×
Tenotomy extensor hand/finger open each tendon (26460) $651 $930 0.4×
Tenotomy Flexor Finger Open Each Tendon (26455) $664.30 $949 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $333.20–$1,380.40 $476–$1,972 varies
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $3,987.90 $5,697 2.4×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $2,027.20 $2,896 0.6×
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $869.40–$3,577 $1,242–$5,110 varies
Tenotomy, hip flexor(s), open (27005) $939.40 $1,342 0.3×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $676.20 $966 0.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $448 $640 0.3×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
range across 2 matching MRF lines		 $452.48–$2,342.90 $646.40–$3,347 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $154–$607.60 $220–$868 varies
Tibial Arthroscopy/Surgery (29855)
likely a partial charge, not the full procedure		 $1,097.60 $1,568 0.1×
Tlh uterus over 250 g (58572)
likely a partial charge, not the full procedure		 $1,407.70 $2,011 0.1×
Tnot elbow lateral/medial debride open (24358) $756 $1,080 0.2×
Tnot elbow lateral/medial debride open tdn rpr (24359) $940.10 $1,343 0.3×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $1,809.50 $2,585 0.1×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $471.80 $674 0.1×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $785.40 $1,122 0.4×
Transplant hand tendon (26480) $1,124.90 $1,607 0.3×
Transplant/graft hand tendon (26483) $1,243.20 $1,776 0.4×
Treat Ankle Dislocation (27846)
likely a partial charge, not the full procedure		 $1,024.10 $1,463 0.1×
Treat ankle fracture (28445)
likely a partial charge, not the full procedure		 $1,469.30 $2,099 0.2×
Treat Big Toe Fracture (28505) $922.60 $1,318 0.3×
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure		 $1,226.40 $1,752 0.2×
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure		 $1,292.90 $1,847 0.1×
Treat elbow fracture (24586)
likely a partial charge, not the full procedure		 $1,519.70 $2,171 0.1×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $959 $1,370 0.1×
Treat Finger Fracture Each (26727) $683.90 $977 0.2×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $1,275.40 $1,822 0.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,052.10 $1,503 0.1×
Treat humerus fracture (24500) $535.50 $765 2.1×
Treat Humerus Fracture (24505) $735 $1,050 0.4×
Treat humerus fracture (23616)
likely a partial charge, not the full procedure		 $1,723.40 $2,462 0.1×
Treat humerus fracture (23600) $492.10 $703 1.9×
Treat knee fracture (27532) $889.70 $1,271 0.3×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,061.90 $1,517 0.1×
Treat Knuckle Dislocation (26700) $497.70 $711 1.9×
Treat lower leg bone lesion (27607) $842.80 $1,204 0.2×
Treat metacarpal fracture (26607) $728.70 $1,041 0.2×
Treat Metatarsal Fracture (28475) $378 $540 1.5×
Treat scapula fracture (23585)
likely a partial charge, not the full procedure		 $1,365.70 $1,951 0.2×
Treat Thumb Dislocation (26641) $614.60 $878 2.4×
Treat Thumb Fracture (26645) $632.80 $904 0.4×
Treat thumb fracture (26665) $894.60 $1,278 0.3×
Treat/graft heel fracture (28420)
likely a partial charge, not the full procedure		 $1,818.60 $2,598 0.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $688.10 $983 0.4×
Treatment closed elbow dislocation w/o anes (24600) $550.20 $786 2.1×
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure		 $1,385.30 $1,979 0.2×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure		 $1,710.10 $2,443 0.2×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $1,294.30 $1,849 0.4×
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure		 $821.80 $1,174 0.1×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $102.20–$444.50 $146–$635 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $118.30–$126.70 $169–$181 varies
Trim skin lesions over 4 (11057) $128.80 $184 0.6×
Trimming Nondystrophic Nails Any Number (11719) $20.30 $29 0.3×
Tubal ligation (58600) $519.40 $742 0.2×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $1,206.10 $1,723 0.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $508.90 $727 0.1×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure		 $1,708 $2,440 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $620.20 $886 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $536.20 $766 0.3×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $612.50 $875 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $426.30–$1,247.40 $609–$1,782 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $309.40 $442 1.2×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $1,394.40 $1,992 0.1×
Unlisted hysteroscopy procedure, uterus (58579) $999.60 $1,428 4.7×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $833 $1,190 0.1×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $52.50–$1,496.60 $75–$2,138 varies
Unlisted procedure pelvis/hip joint (27299) $3,987.90 $5,697 15.3×
Vag hyst complex (58290)
likely a partial charge, not the full procedure		 $1,594.60 $2,278 0.2×
Vag hyst incl t/o complex (58291)
unusually low: confirm this is the full procedure		 $1,722 $2,460 0.3×
Vaginal delivery only (59409) $1,089.20 $1,556 0.3×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
likely a partial charge, not the full procedure		 $1,168.30 $1,669 0.2×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
likely a partial charge, not the full procedure		 $1,289.40 $1,842 0.2×
Wedge excision skin nail fold (11765) $238 $340 0.6×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $551.60–$2,661.40 $788–$3,802 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $483–$2,142.70 $690–$3,061 varies
Wrist arthroscopy (29840) $641.90 $917 0.2×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,047.20 $1,496 0.1×

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.