Procedures & surgery prices at Fort Duncan Medical Center
Eagle Pass, TX · every code in this section with a posted price and a Medicare benchmark.
623 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$791.60–$3,914 | $1,979–$9,785 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$416–$1,256.40 | $1,040–$3,141 | varies |
| Abdomen Surgery Procedure (22999) | $3,060.40 | $7,651 | 12.4× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) likely a partial charge, not the full procedure |
$4,667.20 | $11,668 | 0.3× |
| Adding Walker Previously Applied Cast (29440) | $423.60 | $1,059 | 2.6× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) | $5,086.40 | $12,716 | 0.7× |
| Amniocentesis diagnostic (59000) range across 2 matching MRF lines |
$518.40–$1,122.80 | $1,296–$2,807 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,771.60 | $6,929 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,776 | $6,940 | 0.8× |
| Amputation follow-up surgery (27594) | $4,435.20 | $11,088 | 1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) | $572.40 | $1,431 | 0.6× |
| Application cast elbow finger short arm (29075) | $423.60 | $1,059 | 1.5× |
| Application Cast Shoulder Spica (29055) | $423.60 | $1,059 | 1.5× |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$118–$470 | $295–$1,175 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$108–$740.80 | $270–$1,852 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$218.80–$529.20 | $547–$1,323 | varies |
| Application Long Leg Cast Brace (29358) | $423.60 | $1,059 | 1.5× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $423.60 | $1,059 | 1.5× |
| Application Long Leg Splint (29505) | $474.40 | $1,186 | 2.9× |
| Application of cylinder cast (thigh to ankle) (29365) | $423.60 | $1,059 | 1.5× |
| Application of long leg cast (29345) | $423.60 | $1,059 | 1.5× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$423.60–$916 | $1,059–$2,290 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $423.60 | $1,059 | 1.5× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$190–$736.80 | $475–$1,842 | varies |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$232–$289.60 | $580–$724 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$271.60–$552.80 | $679–$1,382 | varies |
| Application, cast; figure-of-eight Facility (29049) | $423.60 | $1,059 | 1.5× |
| Apply hand/wrist cast (29085) | $423.60 | $1,059 | 2.6× |
| Apply long arm cast (29065) | $423.60 | $1,059 | 1.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$248–$404.80 | $620–$1,012 | varies |
| Apply Short Leg Cast (29405) | $658 | $1,645 | 2.3× |
| Apply short leg cast (29425) | $423.60 | $1,059 | 1.5× |
| Apply shoulder cast,plastr velpeau (29058) | $423.60 | $1,059 | 1.5× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$59.60–$142.40 | $149–$356 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$423.60–$590.80 | $1,059–$1,477 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$188.80–$590.80 | $472–$1,477 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$188.80–$518.40 | $472–$1,296 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,140–$1,225.60 | $2,850–$3,064 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,558.80 | $3,897 | 2.5× |
| Aspiration and/or injection thyroid cyst (60300) range across 2 matching MRF lines |
$153.60–$1,092.80 | $384–$2,732 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 3 matching MRF lines |
$4,291.60–$4,446.40 | $10,729–$11,116 | varies |
| Aspiration Bladder Needle (51100) | $958 | $2,395 | 3.8× |
| Avulsion nail plate partial/complete simple 1 (11730) | $463.60 | $1,159 | 2.3× |
| Biopsy Abdominal Mass (49180) range across 4 matching MRF lines |
$1,294.80–$2,050.80 | $3,237–$5,127 | varies |
| Biopsy bone trocar/needle deep (20225) range across 4 matching MRF lines |
$1,448–$1,585.60 | $3,620–$3,964 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 4 matching MRF lines |
$1,258.40–$1,373.20 | $3,146–$3,433 | varies |
| Biopsy external ear (69100) | $707.20 | $1,768 | 3.0× |
| Biopsy muscle percutaneous needle (20206) range across 4 matching MRF lines |
$732.80–$804 | $1,832–$2,010 | varies |
| Biopsy of breast; open, incisional (19101) range across 4 matching MRF lines |
$2,289.20–$2,518 | $5,723–$6,295 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 3 matching MRF lines |
$1,092.80–$1,661.20 | $2,732–$4,153 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $1,238 | $3,095 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,900.40 | $4,751 | 2.7× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,474.80 | $3,687 | 2.7× |
| Bladder instillation anticarcinogenic agent (51720) | $669.60 | $1,674 | 1.0× |
| Bladder Irrigation (51700) | $590.80 | $1,477 | 2.4× |
| Bladder Scan (51798) | $281.20 | $703 | 4.7× |
| Blepharotomy drainage abscess eyelid (67700) | $690 | $1,725 | 2.2× |
| Blood Transfusion Service (36430) | $2,260.80 | $5,652 | 5.1× |
| Bone Graft Any Donor Area Minor/Small (20900) | $7,137.60 | $17,844 | 1.0× |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$264.40–$791.60 | $661–$1,979 | varies |
| Bone marrow harvest allogen (38230) | $6,962.40 | $17,406 | 4.5× |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$628.40–$1,734.40 | $1,571–$4,336 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $2,201.20 | $5,503 | 1.2× |
| Bronchoscopy Clear Airways (31645) | $1,975.60 | $4,939 | 1.1× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,975.60 | $4,939 | 1.1× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,975.60 | $4,939 | 1.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $1,975.60 | $4,939 | 0.5× |
| Bronchoscopy/Needle Bx Each (31629) | $3,280.80 | $8,202 | 0.9× |
| Bx breast 1st lesion strtctc (19081) range across 5 matching MRF lines |
$2,316–$3,663.20 | $5,790–$9,158 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$2,291.20–$2,343.60 | $5,728–$5,859 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 4 matching MRF lines |
$634.40–$745.20 | $1,586–$1,863 | varies |
| Bx/exc lymph node open superficial (38500) | $5,484 | $13,710 | 1.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $5,002.80 | $12,507 | 1.5× |
| Catheter aspiration nasotracheal spx (31720) | $763.20 | $1,908 | 3.5× |
| Cautery Cervix Electro/Thermal (57510) | $2,191.60 | $5,479 | 0.7× |
| Change Cystostomy Tube Simple (51705) | $577.20 | $1,443 | 2.3× |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$634.80–$897.20 | $1,587–$2,243 | varies |
| Chemical Cautery Tissue (17250) | $155.20 | $388 | 0.8× |
| Chemical Pleurodesis (32560) | $1,573.20 | $3,933 | 2.5× |
| Chemodenerv musc neck dyston (64616) | $859.20 | $2,148 | 2.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $590.80 | $1,477 | 1.9× |
| Chest tube placement (32551) | $3,067.60 | $7,669 | 1.9× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,837.60 | $4,594 | 1.1× |
| Clear outer ear canal (69200) | $453.60 | $1,134 | 3.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $2,373.20 | $5,933 | 9.6× |
| Closed Treatment Sesamoid Fracture (28530) | $532.40 | $1,331 | 2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $532.40 | $1,331 | 2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $910 | $2,275 | 3.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,043.60 | $5,109 | 1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $532.40 | $1,331 | 2.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $532.40 | $1,331 | 2.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $532.40 | $1,331 | 2.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $532.40 | $1,331 | 0.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $532.40 | $1,331 | 2.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $3,442.40 | $8,606 | 2.1× |
| Closed tx knee dislocation w/o anesthesia (27550) | $820 | $2,050 | 3.3× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,809.60 | $4,524 | 1.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $414.80 | $1,037 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $532.40 | $1,331 | 2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,274.80 | $8,187 | 1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $3,057.20 | $7,643 | 0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,010.40 | $2,526 | 4.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $532.40 | $1,331 | 2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $532.40 | $1,331 | 2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) | $532.40 | $1,331 | 0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $827.20 | $2,068 | 3.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $532.40 | $1,331 | 0.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $532.40 | $1,331 | 2.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $650 | $1,625 | 0.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $577.20 | $1,443 | 2.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $435.60 | $1,089 | 1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $532.40 | $1,331 | 2.1× |
| Closed tx talus fracture w/o manipulation (28430) | $532.40 | $1,331 | 2.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $348.80 | $872 | 1.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $532.40 | $1,331 | 2.1× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $2,949.20 | $7,373 | 1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $414.80 | $1,037 | 1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $532.40 | $1,331 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $532.40 | $1,331 | 2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $532.40 | $1,331 | 2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $414.80 | $1,037 | 1.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $2,950.40 | $7,376 | 5.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $827.60 | $2,069 | 3.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $406 | $1,015 | 1.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $406 | $1,015 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,699.60 | $6,749 | 1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $694.40 | $1,736 | 2.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $1,314.80 | $3,287 | 0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,837.60 | $4,594 | 1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $406 | $1,015 | 1.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $532.40 | $1,331 | 0.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $532.40 | $1,331 | 2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $745.20 | $1,863 | 3.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $532.40 | $1,331 | 2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $532.40 | $1,331 | 2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $406 | $1,015 | 1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $406 | $1,015 | 1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $532.40 | $1,331 | 2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,218.80–$1,837.60 | $3,047–$4,594 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $3,110.40 | $7,776 | 1.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $532.40 | $1,331 | 2.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $406 | $1,015 | 1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $450.80 | $1,127 | 1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $406 | $1,015 | 1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $532.40 | $1,331 | 0.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $532.40 | $1,331 | 2.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $532.40 | $1,331 | 2.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $585.60 | $1,464 | 2.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $532.40 | $1,331 | 2.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $532.40 | $1,331 | 2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $406 | $1,015 | 1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $2,701.20 | $6,753 | 9.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $532 | $1,330 | 2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $496.40 | $1,241 | 0.3× |
| Cltx Medial Ankle Fx (27760) | $532.40 | $1,331 | 2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $827.20 | $2,068 | 3.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $532.40 | $1,331 | 2.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $3,388 | $8,470 | 2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $631.20 | $1,578 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $406 | $1,015 | 1.6× |
| Cltx post hip arthrp dislc req anes (27266) | $2,305.20 | $5,763 | 1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) | $532.40 | $1,331 | 2.1× |
| Cltx prox fibula/shft fx w/o manj (27780) | $532.40 | $1,331 | 2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $532.40 | $1,331 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $532.40 | $1,331 | 2.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $532.40 | $1,331 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $650 | $1,625 | 2.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $5,465.20 | $13,663 | 3.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $532.40 | $1,331 | 0.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $532.40 | $1,331 | 2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $532.40 | $1,331 | 2.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $5,876.80 | $14,692 | 1.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $532.40 | $1,331 | 2.1× |
| Cltx tibial shaft fx w/o manipulation (27750) | $532.40 | $1,331 | 2.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,837.60 | $4,594 | 1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $532.40 | $1,331 | 2.1× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$34–$54 | $85–$135 | varies |
| Colporrhaphy (57200) | $3,976.80 | $9,942 | 1.2× |
| Complex drainage wound (10180) | $901.20 | $2,253 | 0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $845.60 | $2,114 | 6.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $930 | $2,325 | 7.0× |
| Control oropharyngeal hemorrhage simple (42960) | $534 | $1,335 | 1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,354 | $5,885 | 1.4× |
| Correction hammertoe (28285) | $5,002.80 | $12,507 | 1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $761.60 | $1,904 | 5.7× |
| Cystourethroscopy (52000) | $1,458.80 | $3,647 | 2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$124.40–$435.20 | $311–$1,088 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,060.40 | $7,651 | 1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $3,060.40 | $7,651 | 4.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,047.60 | $2,619 | 1.4× |
| Debride nail 1-5 (11720) | $184.40 | $461 | 3.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,781.20–$1,977.20 | $4,453–$4,943 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$744–$928.40 | $1,860–$2,321 | varies |
| Declot vascular device (36593) range across 5 matching MRF lines |
$118–$496.40 | $295–$1,241 | varies |
| Delivery of placenta (59414) | $4,116.40 | $10,291 | 1.3× |
| Destr W Neurolytic; Celiac Plexus (64680) range across 2 matching MRF lines |
$1,680–$1,710.40 | $4,200–$4,276 | varies |
| Destroy lumb/sac facet jnt (64635) range across 4 matching MRF lines |
$2,375.20–$3,150 | $5,938–$7,875 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,680 | $4,200 | 1.9× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) | $4,235.20 | $10,588 | 2.2× |
| Destruction premalignant lesion 1st (17000) | $135.20 | $338 | 0.7× |
| Destruction Vaginal Lesions Simple (57061) | $3,976.80 | $9,942 | 1.2× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,161.60 | $2,904 | 1.3× |
| Dilate Urethra Stricture (53620) | $952.80 | $2,382 | 1.4× |
| Dilate Urethra Stricture (53600) | $532.40 | $1,331 | 2.1× |
| Drainage external auditory canal abscess (69020) | $490 | $1,225 | 0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) | $619.20 | $1,548 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $490 | $1,225 | 0.7× |
| Drainage Finger Abscess Complicated (26011) | $901.20 | $2,253 | 0.5× |
| Drainage Mouth Roof Lesion (42000) | $414.80 | $1,037 | 1.7× |
| Drainage of finger abscess simple (26010) | $490 | $1,225 | 2.4× |
| Drainage of gum lesion (41800) | $342.80 | $857 | 2.6× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$835.20–$901.20 | $2,088–$2,253 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,505.60–$2,284.40 | $3,764–$5,711 | varies |
| Draw Blood Off Venous Device (36591) | $166.40 | $416 | 1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $414.80 | $1,037 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $435.20 | $1,088 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $408.40 | $1,021 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $554.40 | $1,386 | 2.8× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $4,235.20 | $10,588 | 2.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,832 | $7,080 | 3.2× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$862.80–$1,173.20 | $2,157–$2,933 | varies |
| Dx Bronchoscope/Lavage (31624) | $1,975.60 | $4,939 | 1.1× |
| Dx Bronchoscope/Wash (31622) | $1,975.60 | $4,939 | 1.1× |
| Dx gastr intub w/asp spec (43754) | $312.40 | $781 | 1.4× |
| Dx Laryngoscopy Excl Nb (31525) | $3,163.60 | $7,909 | 1.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 4 matching MRF lines |
$735.20–$1,228.80 | $1,838–$3,072 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,754.80 | $4,387 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) | $1,754.80 | $4,387 | 1.9× |
| Egd place gastrostomy tube (43246) | $1,754.80 | $4,387 | 0.9× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $534 | $1,335 | 1.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $534 | $1,335 | 1.7× |
| Endometrial Biopsy (58100) | $291.20 | $728 | 1.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,130.80 | $7,827 | 1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,130.80 | $7,827 | 1.5× |
| Epidural Blood Patch (62273) range across 4 matching MRF lines |
$891.60–$1,680 | $2,229–$4,200 | varies |
| Epidural lysis mult sessions (62263) | $1,680 | $4,200 | 1.9× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $3,807.20 | $9,518 | 1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $2,191.60 | $5,479 | 1.1× |
| Evacuation of subungual hematoma (11740) | $286.80 | $717 | 2.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $982.80 | $2,457 | 1.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $982.80 | $2,457 | 1.4× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) | $6,590.40 | $16,476 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $982.80 | $2,457 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $982.80 | $2,457 | 0.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $5,002.80 | $12,507 | 3.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $843.20 | $2,108 | 0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $982.80 | $2,457 | 2.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $982.80 | $2,457 | 1.4× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,596 | $3,990 | 0.8× |
| Exchange Transfusion Blood Newborn (36450) | $751.60 | $1,879 | 1.7× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $3,294.80 | $8,237 | 1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $862.80 | $2,157 | 2.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $5,002.80 | $12,507 | 1.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 2 matching MRF lines |
$1,229.20–$4,002.40 | $3,073–$10,006 | varies |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,962.80 | $7,407 | 1.4× |
| Explo/Drain Breast Abscess (19020) | $1,505.60 | $3,764 | 0.9× |
| Exploration penetrating wound spx chest (20101) | $2,962.80 | $7,407 | 1.4× |
| Exploration penetrating wound spx extremity (20103) | $538 | $1,345 | 0.3× |
| Exploration Penetrating Wound Spx Neck (20100) | $484.80 | $1,212 | 0.9× |
| External cephalic version (59412) | $982.80 | $2,457 | 0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $5,002.80 | $12,507 | 1.5× |
| Fasciotomy, foot and/or toe (28008) | $5,002.80 | $12,507 | 1.5× |
| Fetal Contraction Stress Test (59020) | $681.60 | $1,704 | 3.4× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$373.20–$636 | $933–$1,590 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 3 matching MRF lines |
$1,025.60–$1,590 | $2,564–$3,975 | varies |
| Fine needle aspiration without imaging guidance (10021) | $1,002.80 | $2,507 | 2.5× |
| Fluoro exam of g/colon tube (49465) | $223.20 | $558 | 0.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) range across 3 matching MRF lines |
$910.40–$1,200.80 | $2,276–$3,002 | varies |
| Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
$580–$1,502.80 | $1,450–$3,757 | varies |
| Foreskin manipulation (54450) | $1,638 | $4,095 | 6.5× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$1,293.60–$3,619.60 | $3,234–$9,049 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $572.40 | $1,431 | 0.6× |
| I&d abscess peritonsillar (42700) | $342.80 | $857 | 1.4× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$414.80–$1,057.60 | $1,037–$2,644 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $1,505.60 | $3,764 | 0.5× |
| I&d perianal abscess superficial (46050) | $572.40 | $1,431 | 0.6× |
| I&d pilonidal cyst complicated (10081) | $1,400.40 | $3,501 | 2.0× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$342.80–$904 | $857–$2,260 | varies |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $2,881.20 | $7,203 | 1.0× |
| Icd Pocket Revision (33223) | $3,709.20 | $9,273 | 1.8× |
| Image Cath Fluid Colxn Visc (49405) range across 8 matching MRF lines |
$1,092.80–$1,293.60 | $2,732–$3,234 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 7 matching MRF lines |
$1,171.60–$1,853.60 | $2,929–$4,634 | varies |
| Implant neuroelectrodes (63650) | $14,633.20 | $36,583 | 2.3× |
| Implant Neuroelectrodes (64561) | $14,633.20 | $36,583 | 2.3× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $47,385.20 | $118,463 | 2.4× |
| Implant Spine Infusion Pump (62362) | $42,762.80 | $106,907 | 2.4× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) | $42,762.80 | $106,907 | 2.4× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $9,278 | $23,195 | 1.1× |
| Incise external hemorrhoid (46083) | $629.60 | $1,574 | 2.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$743.20–$1,163.20 | $1,858–$2,908 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $4,151.60 | $10,379 | 1.4× |
| Incision & removal foreign body subq tiss compl (10121) | $1,595.60 | $3,989 | 1.0× |
| Incision & removal foreign body subq tiss simple (10120) | $1,128.40 | $2,821 | 2.8× |
| Incision and drainage of bartholin's gland abscess (56420) | $580.80 | $1,452 | 2.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $580.80 | $1,452 | 1.9× |
| Incision of Foot Tendon (28234) | $5,002.80 | $12,507 | 3.1× |
| Incision of rectal abscess (46040) | $4,964.40 | $12,411 | 4.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,505.60 | $3,764 | 0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $676.40 | $1,691 | 3.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 5 matching MRF lines |
$322.80–$1,680 | $807–$4,200 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$426.40–$669.20 | $1,066–$1,673 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,680 | $4,200 | 1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,680 | $4,200 | 1.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$518.40–$590.80 | $1,296–$1,477 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $1,680 | $4,200 | 1.9× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,680 | $4,200 | 1.9× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,680 | $4,200 | 1.9× |
| Injection Into Brain Canal (61055) | $2,110.80 | $5,277 | 6.8× |
| Injection single tendon origin/insertion (20551) | $590.80 | $1,477 | 1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$143.60–$590.80 | $359–$1,477 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $590.80 | $1,477 | 1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$809.20–$859.20 | $2,023–$2,148 | varies |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $1,680 | $4,200 | 1.9× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $1,680 | $4,200 | 1.9× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $1,680 | $4,200 | 1.9× |
| Ins cath ren art 1st bilat (36252) | $5,240 | $13,100 | 1.7× |
| Ins cath ren art 1st unilat (36251) | $4,923.60 | $12,309 | 1.6× |
| Ins endovas vena cava filtr (37191) range across 2 matching MRF lines |
$10,842.40–$11,484 | $27,106–$28,710 | varies |
| Insert 1 Electrode Pm-Defib (33216) | $12,451.20 | $31,128 | 1.5× |
| Insert and remove bone pin (20650) | $3,687.20 | $9,218 | 1.1× |
| Insert Bladder Cath Complex (51703) | $532.40 | $1,331 | 4.1× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$1,230.80–$2,178 | $3,077–$5,445 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$418.40–$1,313.60 | $1,046–$3,284 | varies |
| Insert cervical dilator (59200) | $1,001.60 | $2,504 | 3.3× |
| Insert Drug Implant Device (11981) | $148.80 | $372 | 1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,533.60 | $6,334 | 1.3× |
| Insert Heart Pm Atrial (33206) | $23,781.60 | $59,454 | 2.3× |
| Insert Heart Pm Ventricular (33207) | $24,323.60 | $60,809 | 2.3× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$1,228.80–$3,644.40 | $3,072–$9,111 | varies |
| Insert Pacing Lead & Connect (33224) | $28,645.60 | $71,614 | 2.7× |
| Insert pessary/other device (57160) | $212.40 | $531 | 1.0× |
| Insert pulse gen dual leads (33213) | $22,690.40 | $56,726 | 2.2× |
| Insert pulse gen mult leads (33221) | $22,690.40 | $56,726 | 1.2× |
| Insert Pulse Gen Sngl Lead (33212) | $19,893.60 | $49,734 | 2.4× |
| Insert spine infusion device (62360) | $9,278 | $23,195 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$122.80–$266.40 | $307–$666 | varies |
| Insert tissue expander(s) (11960) | $4,932 | $12,330 | 1.4× |
| Insert tun ip cath perc (49418) | $5,730.40 | $14,326 | 1.6× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$4,070.80–$6,348.40 | $10,177–$15,871 | varies |
| Insert tunneled cv cath (36563) range across 4 matching MRF lines |
$4,070.80–$6,812.80 | $10,177–$17,032 | varies |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) range across 2 matching MRF lines |
$4,070.80–$4,395.20 | $10,177–$10,988 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $253.60 | $634 | 1.9× |
| Insertion of cannula (36800) | $8,144 | $20,360 | 1.5× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) likely a partial charge, not the full procedure |
$727.20 | $1,818 | 0.1× |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) | $6,812.80 | $17,032 | 1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 4 matching MRF lines |
$649.20–$2,299.20 | $1,623–$5,748 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $27,613.60 | $69,034 | 3.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $12,451.20 | $31,128 | 1.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 3 matching MRF lines |
$1,228.80–$2,516 | $3,072–$6,290 | varies |
| Insj Picc Rs&I <5 Yr (36572) range across 4 matching MRF lines |
$1,026.40–$2,516 | $2,566–$6,290 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 3 matching MRF lines |
$4,553.20–$5,204.80 | $11,383–$13,012 | varies |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $4,920.80 | $12,302 | 1.6× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) range across 2 matching MRF lines |
$4,553.20–$4,920.80 | $11,383–$12,302 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) range across 2 matching MRF lines |
$4,553.20–$4,920.80 | $11,383–$12,302 | varies |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) range across 2 matching MRF lines |
$4,070.80–$4,834.80 | $10,177–$12,087 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$4,395.20–$6,295.20 | $10,988–$15,738 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $61,750 | $154,375 | 2.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $47,385.20 | $118,463 | 1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$1,595.20–$13,753.60 | $3,988–$34,384 | varies |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $12,451.20 | $31,128 | 1.5× |
| Insrt heart pm atrial & vent (33208) | $42,717.60 | $106,794 | 4.1× |
| Insrt Pulse Gen W/Dual Leads (33230) | $67,684.40 | $169,211 | 3.0× |
| Insrt Pulse Gen W/Mult Leads (33231) | $67,684.40 | $169,211 | 2.1× |
| Insrt Pulse Gen W/Singl Lead (33240) | $67,684.40 | $169,211 | 3.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $598.80 | $1,497 | 1.5× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $598.80 | $1,497 | 1.5× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $414.80 | $1,037 | 1.7× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$494.40–$988.40 | $1,236–$2,471 | varies |
| Laryngoscopy diagnostic (31505) | $309.20 | $773 | 1.5× |
| Laryngoscopy flexible diagnostic (31575) | $135.20 | $338 | 0.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $1,007.60 | $2,519 | 2.6× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $309.20 | $773 | 1.5× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $3,336.40 | $8,341 | 8.5× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,450.40 | $6,126 | 1.5× |
| Mech remov tunneled cv cath (36595) | $6,319.20 | $15,798 | 2.0× |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$1,539.20–$1,693.20 | $3,848–$4,233 | varies |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$1,680–$1,710.40 | $4,200–$4,276 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $859.20 | $2,148 | 1.2× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$814–$859.20 | $2,035–$2,148 | varies |
| N Block Inj Pudendal (64430) | $1,680 | $4,200 | 1.9× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,680–$1,710.40 | $4,200–$4,276 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$359.20–$1,259.20 | $898–$3,148 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,336.40 | $8,341 | 1.9× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $571.60 | $1,429 | 2.3× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$864–$6,536.80 | $2,160–$16,342 | varies |
| Needle Biopsy Pancreas (48102) range across 2 matching MRF lines |
$1,092.80–$1,200.80 | $2,732–$3,002 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $833.20 | $2,083 | 2.0× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,680 | $4,200 | 1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,152.40 | $2,881 | 3.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$780–$4,617.20 | $1,950–$11,543 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,680 | $4,200 | 1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,684–$2,578.40 | $4,210–$6,446 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,111.60 | $2,779 | 1.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,111.20 | $2,778 | 1.6× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$814–$859.20 | $2,035–$2,148 | varies |
| Open Implantation Nea Peripheral Nerve (64575) | $19,932.80 | $49,832 | 1.8× |
| Open Implantation Nea Sacral Nerve (64581) | $19,932.80 | $49,832 | 3.1× |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) | $19,932.80 | $49,832 | 1.0× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) | $5,877.20 | $14,693 | 0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $5,465.20 | $13,663 | 1.7× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $5,465.20 | $13,663 | 1.7× |
| Open tx interphalangeal joint dislocation (26785) | $5,465.20 | $13,663 | 1.7× |
| Ostc prtl exostc/condylc metar head (28288) | $5,002.80 | $12,507 | 1.5× |
| Ostectomy calcaneus (28118) | $5,002.80 | $12,507 | 1.5× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $5,002.80 | $12,507 | 1.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $5,002.80 | $12,507 | 1.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $5,002.80 | $12,507 | 1.5× |
| Penile Injection (54235) | $532.40 | $1,331 | 2.1× |
| Percut Drain/Inject Renal Cyst (50390) range across 4 matching MRF lines |
$1,092.80–$1,200.80 | $2,732–$3,002 | varies |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) | $14,633.20 | $36,583 | 1.3× |
| Pericardiocentesis W/Imaging (33016) | $891.60 | $2,229 | 0.6× |
| Peritoneal Lavage (49084) range across 3 matching MRF lines |
$236–$2,360 | $590–$5,900 | varies |
| Perq Cervicothoracic Inject (22510) | $2,750.80 | $6,877 | 0.8× |
| Perq dev breast 1st us imag (19285) | $793.60 | $1,984 | 1.1× |
| Perq device breast 1st imag (19281) | $1,485.20 | $3,713 | 0.9× |
| Perq dilation xst trc endourologic px w/img (50436) | $1,554.80 | $3,887 | 0.4× |
| Perq Lumbosacral Injection (22511) | $2,564.80 | $6,412 | 0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $17,604.40 | $44,011 | 2.4× |
| Phalangectomy toe each toe (28150) | $5,002.80 | $12,507 | 1.5× |
| Placement of needle for intraosseous infusion (36680) | $696.80 | $1,742 | 1.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,575.60 | $3,939 | 0.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $14,633.20 | $36,583 | 2.3× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $2,832 | $7,080 | 3.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $5,002.80 | $12,507 | 1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$627.20–$837.60 | $1,568–$2,094 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
$1,092.80–$1,112.40 | $2,732–$2,781 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
$891.60–$1,218.80 | $2,229–$3,047 | varies |
| Push Transfusion Blood 2 Yr/Under (36440) | $751.60 | $1,879 | 1.7× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $1,922.80 | $4,807 | 0.5× |
| Reconstruct extra finger (26587) | $3,798.80 | $9,497 | 1.2× |
| Relocation Pocket Pacemaker (33222) | $3,709.20 | $9,273 | 1.8× |
| Removal Embedded Foreign Body Eyelid (67938) | $1,072.40 | $2,681 | 3.4× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$2,569.20–$4,002.40 | $6,423–$10,006 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,767.20 | $4,418 | 2.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $982.80 | $2,457 | 0.6× |
| Removal Foreign Body Scrotum (55120) | $1,294 | $3,235 | 0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $246.80 | $617 | 4.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $372 | $930 | 6.3× |
| Removal Implant Deep (20680) | $5,290 | $13,225 | 1.8× |
| Removal of foreign body from pharynx (42809) | $414.80 | $1,037 | 0.9× |
| Removal of heel spur (28119) | $5,002.80 | $12,507 | 1.5× |
| Removal of infusion pump (36262) | $5,032.40 | $12,581 | 1.3× |
| Removal of nail bed (11750) | $1,680 | $4,200 | 4.1× |
| Removal or bivalving full arm or full leg cast (29705) | $271.60 | $679 | 1.0× |
| Removal Pacemaker Electrode (33235) | $6,270.40 | $15,676 | 1.7× |
| Removal ppm generator only (33233) | $6,270.40 | $15,676 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $435.20 | $1,088 | 2.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $4,282.40 | $10,706 | 6.0× |
| Removal, under anesthesia, of external fixation system (20694) | $5,087.60 | $12,719 | 3.1× |
| Removal/bivalving gauntlet boot/body cast (29700) | $271.60 | $679 | 1.0× |
| Remove Brain Cavity Fluid (61020) | $1,710.40 | $4,276 | 1.9× |
| Remove Elctrd Transvenously (33244) | $6,270.40 | $15,676 | 1.7× |
| Remove foreign body from eye (65205) | $806 | $2,015 | 6.0× |
| Remove Intrauterine Device (58301) | $291.20 | $728 | 1.0× |
| Remove intrvas foreign body (37197) | $4,526 | $11,315 | 1.4× |
| Remove Nasal Foreign Body (30300) | $725.60 | $1,814 | 5.4× |
| Remove Pulse Generator (33241) | $6,270.40 | $15,676 | 1.7× |
| Remove spine lamina 1/2 lmbr (63005) | $11,364.40 | $28,411 | 1.6× |
| Remove&replace pm gen singl (33227) | $19,893.60 | $49,734 | 2.4× |
| Remv&replc cvd gen dual lead (33263) | $67,684.40 | $169,211 | 3.0× |
| Remv&replc cvd gen mult lead (33264) | $67,684.40 | $169,211 | 2.1× |
| Remv&replc cvd gen sing lead (33262) | $67,684.40 | $169,211 | 3.0× |
| Remv&replc pm gen dual lead (33228) | $37,221.20 | $93,053 | 3.5× |
| Remv&replc pm gen mult leads (33229) | $22,690.40 | $56,726 | 1.2× |
| Renal Biopsy Perq (50200) | $2,051.20 | $5,128 | 1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) | $6,493.20 | $16,233 | 2.0× |
| Repair blood vessel direct neck (35201) | $4,744 | $11,860 | 0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $6,493.20 | $16,233 | 2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $920.80 | $2,302 | 1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $3,210.40 | $8,026 | 4.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $920.80 | $2,302 | 2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,034 | $2,585 | 2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $920.80 | $2,302 | 2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,610.40 | $4,026 | 3.9× |
| Repair complex trunk 1.1-2.5 cm (13100) | $920.80 | $2,302 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) | $920.80 | $2,302 | 1.2× |
| Repair extensor tendon finger w/o graft each (26418) | $2,771.60 | $6,929 | 1.7× |
| Repair Finger/Hand Tendon (26350) | $4,931.60 | $12,329 | 1.5× |
| Repair Hand Tendon (26410) | $2,776 | $6,940 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,212.40 | $3,031 | 3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,606.40 | $4,016 | 3.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $2,150.40 | $5,376 | 5.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $2,365.60 | $5,914 | 5.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,974.40 | $7,436 | 7.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $2,112.80 | $5,282 | 2.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $911.60 | $2,279 | 2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $1,287.60 | $3,219 | 3.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,674.40 | $4,186 | 2.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $2,974.40 | $7,436 | 1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,289.20 | $3,223 | 3.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$538.40–$845.60 | $1,346–$2,114 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $967.60 | $2,419 | 2.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,070.80 | $2,677 | 1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,213.60 | $3,034 | 3.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,974.40 | $7,436 | 1.4× |
| Repair lead pace-defib dual (33220) | $6,270.40 | $15,676 | 1.7× |
| Repair Lead Pace-Defib One (33218) | $6,270.40 | $15,676 | 1.7× |
| Repair of hammertoe (28286) | $5,002.80 | $12,507 | 1.5× |
| Repair of nail bed (11760) | $598.80 | $1,497 | 0.8× |
| Repair Spica/Body/Jacket Cast (29720) | $271.60 | $679 | 1.7× |
| Repair tongue laceration (41252) | $2,950.40 | $7,376 | 12.4× |
| Repair tongue laceration (41250) | $414.80 | $1,037 | 0.9× |
| Repair Tooth Socket (41874) | $2,950.40 | $7,376 | 0.9× |
| Repair webbed toe(s) (28345) | $5,002.80 | $12,507 | 3.1× |
| Replace g/c tube perc (49450) | $1,222.80 | $3,057 | 1.3× |
| Reposition Gastrostomy Tube (43761) range across 3 matching MRF lines |
$548.80–$1,161.60 | $1,372–$2,904 | varies |
| Reposition L Ventric Lead (33226) range across 2 matching MRF lines |
$4,123.20–$5,032.40 | $10,308–$12,581 | varies |
| Reposition Pacing-Defib Lead (33215) | $4,123.20 | $10,308 | 1.3× |
| Reposition Venous Catheter (36597) range across 2 matching MRF lines |
$843.20–$2,299.20 | $2,108–$5,748 | varies |
| Rev/rmv prph sac/gstr npg/r (64595) | $6,438.40 | $16,096 | 1.8× |
| Revision of implanted intra-arterial infusion pump Facility (36261) | $5,032.40 | $12,581 | 1.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $6,438.40 | $16,096 | 1.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $4,809.20 | $12,023 | 1.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $414.80 | $1,037 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $994 | $2,485 | 2.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $1,649.20 | $4,123 | 12.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $645.60 | $1,614 | 1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) | $572.40 | $1,431 | 0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,004.40 | $5,011 | 0.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $982.80 | $2,457 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $982.80 | $2,457 | 0.6× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) | $2,832 | $7,080 | 1.4× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) | $8,251.60 | $20,629 | 2.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $6,413.60 | $16,034 | 1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$2,054.80–$2,516 | $5,137–$6,290 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,054.80 | $5,137 | 3.3× |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$260.40–$1,604 | $651–$4,010 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) range across 3 matching MRF lines |
$2,483.20–$5,682.80 | $6,208–$14,207 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) range across 3 matching MRF lines |
$1,026.40–$2,299.20 | $2,566–$5,748 | varies |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) range across 3 matching MRF lines |
$2,483.20–$5,682.80 | $6,208–$14,207 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 3 matching MRF lines |
$2,483.20–$2,684.40 | $6,208–$6,711 | varies |
| Rplcmt compl tun ctr vad w/subq port (36582) range across 2 matching MRF lines |
$6,367.60–$6,812.80 | $15,919–$17,032 | varies |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 3 matching MRF lines |
$2,483.20–$5,682.80 | $6,208–$14,207 | varies |
| Rpr blood vessel direct lower extremity (35226) | $4,750.80 | $11,877 | 6.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) range across 2 matching MRF lines |
$2,483.20–$2,516 | $6,208–$6,290 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $1,976 | $4,940 | 9.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $598.80 | $1,497 | 0.8× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $3,304.80 | $8,262 | 1.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,949.20 | $7,373 | 5.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $3,057.20 | $7,643 | 2.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $5,561.60 | $13,904 | 1.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) range across 2 matching MRF lines |
$1,400.40–$2,483.20 | $3,501–$6,208 | varies |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) | $4,413.20 | $11,033 | 1.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $4,821.60 | $12,054 | 1.5× |
| Scrotoplasty Simple (55175) | $4,475.60 | $11,189 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,728 | $4,320 | 4.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $828.40 | $2,071 | 4.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $1,316.80 | $3,292 | 6.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,992 | $4,980 | 4.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $2,300 | $5,750 | 11.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $2,275.20 | $5,688 | 11.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $747.60 | $1,869 | 3.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $1,937.20 | $4,843 | 9.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $1,572.40 | $3,931 | 7.8× |
| Skin Full Grft Face/Genit/Hf (15240) | $2,974.40 | $7,436 | 1.4× |
| Skin sub graft face/nk/hf/g (15275) | $3,051.60 | $7,629 | 4.1× |
| Skin sub graft trnk/arm/leg (15271) | $3,051.60 | $7,629 | 4.1× |
| Skin sub grft t/arm/lg child (15273) | $4,102 | $10,255 | 2.0× |
| Skin Tissue Procedure (17999) | $496.40 | $1,241 | 2.5× |
| Skn sub grft f/n/hf/g child (15277) | $799.60 | $1,999 | 0.4× |
| Slitting of prepuce (54001) | $557.20 | $1,393 | 0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$228–$860.40 | $570–$2,151 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $1,932.80 | $4,832 | 4.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $2,090.80 | $5,227 | 5.1× |
| Strapping ankle (29540) range across 5 matching MRF lines |
$127.20–$271.60 | $318–$679 | varies |
| Strapping elbow or wrist (29260) range across 5 matching MRF lines |
$69.60–$423.60 | $174–$1,059 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$124.40–$423.60 | $311–$1,059 | varies |
| Strapping Hip (29520) | $146.80 | $367 | 1.1× |
| Strapping knee (29530) range across 2 matching MRF lines |
$138.80–$464.40 | $347–$1,161 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$164–$658 | $410–$1,645 | varies |
| Strapping thorax (29200) | $423.60 | $1,059 | 2.6× |
| Strapping toes (29550) | $271.60 | $679 | 4.6× |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$260.80–$394 | $652–$985 | varies |
| Surg Implnt Neuroelect,Epidural (63655) | $19,952.40 | $49,881 | 1.0× |
| Suture 1 Nerve Ulnar Motor (64836) | $4,500.80 | $11,252 | 1.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) range across 3 matching MRF lines |
$632–$944 | $1,580–$2,360 | varies |
| Thromblytic art/ven therapy (37213) range across 2 matching MRF lines |
$4,526–$5,204.80 | $11,315–$13,012 | varies |
| Thrombolytic Therapy Stroke (37195) | $3,554.80 | $8,887 | 10.7× |
| Thyroid biopsy (60100) range across 5 matching MRF lines |
$1,092.80–$1,638.40 | $2,732–$4,096 | varies |
| Tooth extraction (41899) | $2,949.20 | $7,373 | 12.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,595.60 | $6,489 | 10.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $3,074.80 | $7,687 | 2.0× |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$1,713.20 | $4,283 | 0.3× |
| Treat Big Toe Fracture (28505) | $5,465.20 | $13,663 | 1.7× |
| Treat humerus fracture (24500) | $532.40 | $1,331 | 2.1× |
| Treat Humerus Fracture (24505) | $1,805.60 | $4,514 | 1.1× |
| Treat humerus fracture (23600) | $532.40 | $1,331 | 2.1× |
| Treat knee fracture (27532) | $532.40 | $1,331 | 0.2× |
| Treat Knuckle Dislocation (26700) | $568.40 | $1,421 | 2.3× |
| Treat Metatarsal Fracture (28475) | $532.40 | $1,331 | 2.1× |
| Treat Tail Bone Fracture (27200) | $406 | $1,015 | 1.6× |
| Treat Thumb Dislocation (26641) | $532.40 | $1,331 | 2.1× |
| Treat Thumb Fracture (26645) | $532.40 | $1,331 | 0.3× |
| Treat toe dislocation (28630) | $406 | $1,015 | 1.6× |
| Treat Vaginal Bleeding (57180) | $580.80 | $1,452 | 2.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $4,242.40 | $10,606 | 2.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $910 | $2,275 | 3.7× |
| Tx Gastro Intub W/Asp (43753) | $312.40 | $781 | 1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $950.40 | $2,376 | 1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $532.40 | $1,331 | 2.1× |
| Unlisted Cardiac Surgery (33999) | $1,312.40 | $3,281 | 2.1× |
| Unlisted Procedure Casting/Strapping (29799) | $271.60 | $679 | 1.7× |
| Unlisted procedure forearm or wrist (25999) | $390.80 | $977 | 1.6× |
| Unlisted Procedure Male Genital System (55899) | $532.40 | $1,331 | 2.1× |
| Unlisted Procedure Muscskeletal System General (20999) | $2,880.40 | $7,201 | 11.6× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$590.80–$859.20 | $1,477–$2,148 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $1,268 | $3,170 | 5.3× |
| Unlisted Procedure Rectum (45999) | $572.40 | $1,431 | 0.6× |
| Unlisted Procedure Trachea Bronchi (31899) | $2,498.40 | $6,246 | 12.5× |
| Unlisted Procedure Vascular Surgery (37799) range across 4 matching MRF lines |
$219.20–$1,595.60 | $548–$3,989 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
$577.20–$5,724.80 | $1,443–$14,312 | varies |
| Unlisted Procedure, Urinary System (53899) range across 2 matching MRF lines |
$240.80–$278.40 | $602–$696 | varies |
| Unlisted Px Salivary Glands/Ducts (42699) | $2,950.40 | $7,376 | 12.4× |
| Upgrade of pacemaker system (33214) | $28,645.60 | $71,614 | 2.7× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$2,748.40–$4,244.40 | $6,871–$10,611 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $1,325.60 | $3,314 | 9.9× |
| Venous Cutdown >1 Y/O (36425) | $1,325.60 | $3,314 | 3.0× |
| Ventilating tube removal requiring general anesthesia (69424) | $1,268 | $3,170 | 0.4× |
| Wedge excision skin nail fold (11765) | $435.20 | $1,088 | 1.1× |
| Wedging of cast (29740) | $271.60 | $679 | 1.0× |
| Windowing of cast (29730) | $271.60 | $679 | 1.7× |
| Wound Prep F/N/Hf/G (15004) | $1,118.80 | $2,797 | 2.7× |
| Wound Prep Trk/Arm/Leg (15002) | $905.60 | $2,264 | 1.2× |
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.