Procedures & surgery prices at Fort Memorial Hospital

Fort Atkinson, WI · every code in this section with a posted price and a Medicare benchmark.

1417 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		 $273.28–$833.92 $854–$2,606 varies
Ablate inf turbinate submuc (30802) $1,322.24 $4,132 0.9×
Abrasion single lesion (15786) $95.36 $298 0.5×
Acetabuloplasty resection femoral head (27122) $12,814.40 $40,045 1.8×
Acromiopl/Acromionect Partial (23130) $1,329.92 $4,156 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,675.84 $5,237 0.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,743.36 $5,448 0.9×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,664.64 $11,452 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,878.40 $5,870 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,866.24 $5,832 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,756.48 $5,489 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,743.36 $5,448 0.9×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $6,400.96 $20,003 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,250.24 $7,032 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,244.16 $7,013 0.7×
Amputate Metacarpal Bone (26910) $2,962.88 $9,259 0.9×
Amputation follow-up surgery (27594) $3,126.72 $9,771 1.0×
Amputation Foot Midtarsal (28800) $3,360 $10,500 1.0×
Amputation foot transmetarsal (28805) $2,962.88 $9,259 0.9×
Amputation metatarsal with toe single (28810) $2,431.36 $7,598 0.8×
Amputation thigh through femur any level (27590) $2,099.84 $6,562 0.6×
Amputation toe interphalangeal joint (28825) $1,775.68 $5,549 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,773.44 $5,542 0.5×
Amputation, forearm, through radius and ulna; Facility (25900) $12,814.40 $40,045 1.8×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $2,099.84 $6,562 0.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,104.64 $6,577 0.7×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,754.88 $8,609 0.9×
Ankle Arthroscopy/Surgery (29892) $5,920 $18,500 0.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $117.76–$328.96 $368–$1,028 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,536.64 $7,927 0.9×
Anterior colporraphy rpr cystocele w/cysto (57240) $3,236.80 $10,115 0.7×
Anterior Tibial Tubercleplasty (27418)
unusually low: confirm this is the full procedure		 $2,624.64 $8,202 0.4×
Appendectomy (44950) $3,373.76 $10,543 0.5×
Appl cranial tong/strtctc frame w/removal spx (20660) $746.24 $2,332 0.5×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $139.52 $436 0.9×
Application finger splint static (29130) $303.36 $948 2.3×
Application Long Leg Splint (29505) $175.04 $547 1.1×
Application multiplane external fixation system (20692)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Application of rigid total contact leg cast (29445) $337.28 $1,054 1.2×
Application short arm splint forearm-hand static (29125) $110.72 $346 0.8×
Application uniplane external fixation system (20690)
unusually low: confirm this is the full procedure		 $2,706.24 $8,457 0.4×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $148.48–$296.96 $464–$928 varies
Apply Short Leg Cast (29405) $195.20 $610 0.7×
Arterial puncture (36600)
range across 3 matching MRF lines		 $17.28–$29.44 $54–$92 varies
Arteriovenous Anastomosis Open Direct (36821) $2,729.28 $8,529 0.9×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $4,975.04 $15,547 0.9×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
unusually low: confirm this is the full procedure		 $5,088 $15,900 0.4×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $6,519.04 $20,372 0.9×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
unusually low: confirm this is the full procedure		 $4,771.52 $14,911 0.4×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure		 $5,412.48 $16,914 0.4×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $6,473.92 $20,231 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $239.68–$419.84 $749–$1,312 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $263.68–$770.56 $824–$2,408 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $704 $2,200 2.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $240–$372.80 $750–$1,165 varies
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure		 $2,618.24 $8,182 0.4×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,718.40 $8,495 0.4×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $2,977.60 $9,305 0.9×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $4,918.40 $15,370 0.3×
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure		 $8,480 $26,500 0.5×
Arthrodesis subtalar (28725)
unusually low: confirm this is the full procedure		 $3,965.44 $12,392 0.3×
Arthrodesis triple (28715)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Arthrodesis Wrist Complete W/O Bone Graft (25800) $6,300.16 $19,688 0.9×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $4,748.80 $14,840 0.2×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $6,309.76 $19,718 0.9×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595)
unusually low: confirm this is the full procedure		 $4,748.80 $14,840 0.4×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $11,393.28 $35,604 0.9×
Arthroplasty Ankle (27700) $6,242.56 $19,508 0.9×
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure		 $5,597.44 $17,492 0.3×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $14,094.40 $44,045 1.1×
Arthroplasty interphalangeal joint each (26535) $2,838.72 $8,871 0.9×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,170.56 $9,908 1.0×
Arthroplasty Patella W/Prosthesis (27438) $12,879.36 $40,248 1.0×
Arthroplasty Radial Head W/Implant (24366) $11,393.28 $35,604 0.9×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) $17,335.04 $54,172 1.0×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $1,575.04 $4,922 1.0×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $11,809.28 $36,904 0.9×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,184.32 $9,951 1.0×
Arthroscopy Ankle Surgical Debridement Limited (29897) $1,277.12 $3,991 0.4×
Arthroscopy ankle w/removal loose/foreign body (29894) $2,848.64 $8,902 0.9×
Arthroscopy hip w/femoroplasty (29914) $5,039.68 $15,749 0.7×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $2,945.28 $9,204 0.9×
Arthroscopy Knee Osteochondral Allograft (29867) $12,322.24 $38,507 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,208.64 $10,027 1.0×
Arthroscopy knee synovectomy limited spx (29875) $3,184.32 $9,951 1.0×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,180.80 $9,940 1.0×
Arthroscopy shoulder distal claviculectomy (29824) $3,091.84 $9,662 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $4,666.24 $14,582 0.7×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $2,962.88 $9,259 0.9×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $1,235.52 $3,861 0.4×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $6,400.96 $20,003 0.9×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $6,540.48 $20,439 0.9×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $6,242.56 $19,508 0.9×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $1,665.92 $5,206 0.5×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $6,540.48 $20,439 0.9×
Arthroscopy, knee, surgical; with lateral release (29873) $3,175.36 $9,923 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,032.32 $9,476 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,100.16 $9,688 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $3,360 $10,500 0.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,086.40 $9,645 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,088.96 $9,653 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $5,894.08 $18,419 0.8×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $2,952.64 $9,227 0.9×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $1,259.84 $3,937 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,040 $22,000 1.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,360 $10,500 1.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,838.72 $8,871 0.9×
Arthrotomy W/Meniscus Repair Knee (27403) $6,058.24 $18,932 0.8×
Arthrotomy W/Synovectomy Ankle (27625) $2,848.64 $8,902 0.9×
Arthrotomy wrist joint with synovectomy (25105) $2,962.88 $9,259 0.9×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $3,965.44 $12,392 0.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $3,109.44 $9,717 0.2×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $1,865.60 $5,830 0.6×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $6,414.72 $20,046 0.9×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $3,096.64 $9,677 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $5,939.20 $18,560 0.8×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
unusually low: confirm this is the full procedure		 $4,723.84 $14,762 0.4×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $2,962.88 $9,259 0.9×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,117.12 $9,741 1.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,126.72 $9,771 1.0×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $6,057.92 $18,931 0.8×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,015.68 $12,549 1.2×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $3,136 $9,800 1.0×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $2,883.20 $9,010 0.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,610.88 $5,034 1.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,952.64 $9,227 0.9×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,357.12 $4,241 0.9×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $2,848.64 $8,902 0.9×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $2,835.52 $8,861 0.9×
Arthrt w/synvct kne ant&post w/pop area (27335) $6,626.24 $20,707 0.9×
Aspirate pleura w/ imaging (32555) $998.40 $3,120 1.6×
Aspiration bladder insert suprapubic catheter (51102) $1,773.44 $5,542 0.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $583.04–$615.04 $1,822–$1,922 varies
Axillary lymphadenectomy; complete (38745) $5,063.68 $15,824 0.8×
Biopsy Abdominal Mass (49180) $1,611.84 $5,037 1.0×
Biopsy bone open deep (20245) $2,677.12 $8,366 0.9×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $2,720.64–$3,102.72 $8,502–$9,696 varies
Biopsy bone trocar/needle deep (20225) $1,586.56 $4,958 1.0×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines		 $352.96–$1,120 $1,103–$3,500 varies
Biopsy muscle percutaneous needle (20206) $1,432.96 $4,478 0.9×
Biopsy nail unit (11755) $626.88 $1,959 0.9×
Biopsy Nasopharynx Visible Lesion Simple (42804) $2,414.72 $7,546 0.7×
Biopsy of breast; open, incisional (19101) $3,274.56 $10,233 0.8×
Biopsy of liver, needle; percutaneous (47000) $1,146.88 $3,584 0.7×
Biopsy of rectum (45100) $2,627.20 $8,210 1.0×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $3,278.72 $10,246 0.8×
Biopsy Oropharynx (42800) $2,475.52 $7,736 1.6×
Biopsy Salivary Gland Needle (42400) $610.88 $1,909 0.9×
Biopsy soft tissue back/flank deep (21925) $1,485.12 $4,641 0.9×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $1,489.92–$1,548.48 $4,656–$4,839 varies
Biopsy Tongue Anterior Two-Thirds (41100) $517.76 $1,618 1.0×
Biopsy Tongue Posterior One-Third (41105) $2,565.76 $8,018 0.8×
Biopsy Vaginal Mucosa Simple (57100) $633.92 $1,981 0.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $848 $2,650 0.9×
Biopsy, vestibule of mouth (40808) $619.52 $1,936 1.2×
Biopsy/removal lymph nodes (38510) $1,934.40 $6,045 0.5×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $1,354.88–$1,365.76 $4,234–$4,268 varies
Bladder Scan (51798)
range across 4 matching MRF lines		 $77.76–$121.60 $243–$380 varies
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $69.12–$1,085.44 $216–$3,392 varies
Bone Graft Any Donor Area Major/Large (20902) $6,414.72 $20,046 0.9×
Bone Graft Any Donor Area Minor/Small (20900)
unusually low: confirm this is the full procedure		 $2,706.24 $8,457 0.4×
Bone Marrow; Aspiration Only (38220) $207.04 $647 0.1×
Breast Reduction (19318)
unusually low: confirm this is the full procedure		 $2,286.40 $7,145 0.3×
Bronchoscopy Clear Airways (31645) $1,797.12 $5,616 1.0×
Bronchoscopy W/Biopsy(S) (31625) $1,797.12 $5,616 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $1,522.24 $4,757 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,695.68 $8,424 0.7×
Bronchoscopy/Needle Bx Each (31629) $2,695.68 $8,424 0.7×
Bx breast 1st lesion strtctc (19081) $1,572.16 $4,913 1.0×
Bx breast 1st lesion us imag (19083) $984 $3,075 0.6×
Bx breast needle core w/o imaging guidance spx (19100) $1,757.12 $5,491 1.1×
Bx Cervix (57500) $840.64 $2,627 0.9×
Bx/exc lymph node open deep axillary node (38525) $1,908.48 $5,964 0.5×
Bx/exc lymph node open superficial (38500) $1,293.44 $4,042 0.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,259.84 $3,937 0.4×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) $6,519.04 $20,372 0.9×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,519.68 $4,749 1.0×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $2,977.60 $9,305 0.9×
Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) $2,894.08 $9,044 0.9×
Capsulorrhaphy Anterior W/Labral Repair (23455)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×
Capsulotomy wrist (25085) $2,952.64 $9,227 0.9×
Carpal Tunnel Surgery (64721) $2,233.92 $6,981 1.2×
Carpectomy All Bones Proximal Row (25215) $2,850.88 $8,909 0.9×
Cataract surgery complex (66982) $3,023.04 $9,447 1.3×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $18.56–$20.16 $58–$63 varies
Cautery Cervix Electro/Thermal (57510) $2,657.28 $8,304 0.8×
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure		 $4,918.40 $15,370 0.3×
Cervical lymphadenectomy (complete) (38720) $8,387.52 $26,211 1.3×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $235.20–$3,032.32 $735–$9,476 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $1,106.56–$1,166.40 $3,458–$3,645 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $662.08–$765.12 $2,069–$2,391 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $3,114.24–$3,235.52 $9,732–$10,111 varies
Circumcision 28 days or older (54161) $1,802.56 $5,633 0.9×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $198.08–$1,917.12 $619–$5,991 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,478.08 $4,619 0.9×
Claviculectomy partial (23120) $1,306.56 $4,083 0.4×
Clear outer ear canal (69200) $110.72 $346 0.8×
Closed Rx Metacarpal Fx,Percut (26608) $3,085.76 $9,643 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,520.96 $4,753 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $241.28 $754 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,586.56 $4,958 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $241.28 $754 1.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $232.96 $728 1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $216.32 $676 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $224.32 $701 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,403.84 $4,387 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,400.32 $4,376 0.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $280 $875 1.1×
Closed tx radial head/neck fx w/manipulation (24655) $1,448.64 $4,527 0.9×
Closed tx radial head/neck fx w/o manipulation (24650) $104.96 $328 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $1,586.56 $4,958 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $280 $875 1.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,610.24 $5,032 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,448.64 $4,527 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $280 $875 1.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $232 $725 1.0×
Closure Gastrostomy Surg (43870) $1,776 $5,550 0.5×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,579.84 $4,937 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $190.08 $594 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,579.84 $4,937 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $232.96 $728 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $253.44 $792 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $241.28 $754 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $202.88 $634 0.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,611.84 $5,037 1.0×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,579.84 $4,937 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $240.96 $753 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,830.40 $5,720 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $197.44 $617 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,478.08 $4,619 0.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $244.16 $763 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $200.32 $626 0.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $280 $875 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $232.96 $728 1.0×
Cltx post hip arthrp dislc req anes (27266) $1,586.56 $4,958 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,448.64 $4,527 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,466.56 $4,583 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,586.56 $4,958 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,773.44 $5,542 1.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,831.68 $5,724 1.2×
Cltx tibial fx proximal w/o manipulation (27530) $292.16 $913 1.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,531.20 $4,785 1.0×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $4,643.84 $14,512 0.9×
Collect Blood From Catheter Venous Nos (36592) $40.64 $127 0.3×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $13.12–$29.44 $41–$92 varies
Colonoscopy Flexible With Decompression (45393) $1,000.64 $3,127 0.8×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,036.16 $3,238 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $989.76 $3,093 0.8×
Colonoscopy thru stoma (44388) $852.80 $2,665 0.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,094.40 $3,420 0.9×
Colonoscopy W/Band Ligation (45398) $1,164.80 $3,640 1.0×
Colonoscopy w/submucosal inj (45381) $1,304.64 $4,077 1.1×
Colpocentesis (57020) $4,289.60 $13,405 0.9×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $2,935.04 $9,172 0.4×
Colporrhaphy (57200) $2,729.60 $8,530 0.9×
Colposcopy Cervix Endocervical Curettage (57456) $302.08 $944 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,464.96 $4,578 1.2×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,100.80 $3,440 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,631.04 $5,097 1.4×
Combined anteroposterior colporrhaphy; (57260) $3,689.60 $11,530 0.7×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $2,700.48–$2,847.04 $8,439–$8,897 varies
Composite Skin Graft (15760) $1,756.48 $5,489 0.9×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,604.48 $11,264 1.1×
Conization of cervix (57520) $3,618.24 $11,307 1.1×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 4 matching MRF lines		 $118.40–$223.68 $370–$699 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $115.84–$203.20 $362–$635 varies
Control oropharyngeal hemorrhage simple (42960) $560.32 $1,751 1.1×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $1,773.44 $5,542 0.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,409.60 $4,405 0.9×
Correction hammertoe (28285) $2,395.84 $7,487 0.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,432 $7,600 0.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,379.52 $7,436 0.7×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,624.64 $8,202 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $2,620.48 $8,189 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,109.44 $6,592 0.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,477.12 $7,741 0.3×
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) $5,342.40 $16,695 0.7×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $247.68 $774 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $282.24–$333.76 $882–$1,043 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $282.24–$295.68 $882–$924 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,886.40 $5,895 0.6×
Curettage postpartum (59160) $3,654.08 $11,419 1.1×
Curette/treat cornea (65435) $827.52 $2,586 0.8×
Cysto Bladder W/Ureteral Catheterization (52005) $4,173.44 $13,042 2.0×
Cysto calibration dilat urtl strix/stenosis (52281) $1,767.36 $5,523 0.9×
Cysto w/destruction of lesions (52214) $2,893.12 $9,041 0.8×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
unusually low: confirm this is the full procedure		 $2,240 $7,000 0.4×
Cysto w/insert ureteral stent (52332) $1,797.76 $5,618 0.5×
Cysto w/irrig & evac multple obstructing clots (52001) $1,771.84 $5,537 0.5×
Cysto w/removal of lesions small (52224) $1,757.76 $5,493 0.5×
Cysto w/removal of tumors small (52234) $4,317.12 $13,491 1.2×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $3,294.40 $10,295 0.9×
Cysto W/Simple Removal Stone & Stent (52310) $1,754.56 $5,483 0.8×
Cysto w/ureter stricture tx (52341) $841.60 $2,630 0.2×
Cysto w/ureteroscopy w/lithotripsy (52353) $4,186.56 $13,083 0.8×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $2,593.60 $8,105 0.7×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $3,149.12 $9,841 0.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $1,973.44 $6,167 0.6×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $4,255.36 $13,298 0.8×
Cysto/uretero w/lithotripsy (52356) $4,211.84 $13,162 0.8×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $4,322.88 $13,509 0.5×
Cystostomy Cystotomy W/Drainage (51040) $1,768.64 $5,527 0.9×
Cystourethroscopy (52000) $1,306.56 $4,083 1.9×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $3,144.96 $9,828 0.9×
Cystourethroscopy inj chemodenervation bladder (52287) $1,777.60 $5,555 0.9×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $4,293.44 $13,417 1.2×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,249.28 $16,404 1.0×
Cystourethroscopy with biopsy (52204) $1,757.12 $5,491 0.8×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,006.40 $6,270 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $151.36 $473 0.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,120.64 $3,502 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $644.80 $2,015 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $754.88 $2,359 1.1×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $2,962.88 $9,259 0.9×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $3,129.28 $9,779 1.0×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $2,977.60 $9,305 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $1,261.76–$1,304.96 $3,943–$4,078 varies
Debride nail 1-5 (11720) $120.64 $377 2.1×
Debride nail 6 or more (11721) $120.64 $377 2.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $830.08–$840.64 $2,594–$2,627 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $430.72–$443.20 $1,346–$1,385 varies
Decomp forearm,1 compart,w/o debride (25020) $1,410.24 $4,407 0.9×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $1,519.68 $4,749 1.0×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $2,962.88 $9,259 0.9×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $6,057.92 $18,931 0.8×
Decompression of leg (27894) $2,838.72 $8,871 0.9×
Decompression of leg (27892) $2,835.52 $8,861 0.9×
Decompression of tibia nerve (28035) $1,765.76 $5,518 0.9×
Decompressive fasciotomy hand (26037) $2,962.88 $9,259 0.9×
Deep Muscle Biopsy (20205) $3,113.92 $9,731 1.1×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,743.36 $5,448 0.9×
Destroy cerv/thor facet jnt (64633) $1,825.60 $5,705 0.9×
Destroy lumb/sac facet jnt (64635) $1,825.60 $5,705 0.9×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $172.48–$1,400.32 $539–$4,376 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,031.04 $3,222 0.9×
Destruction Lesions Vulva Extensive (56515) $1,836.16 $5,738 0.9×
Destruction Lesions Vulva Simple (56501) $1,830.08 $5,719 0.9×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $1,757.76–$1,825.60 $5,493–$5,705 varies
Destruction premalignant lesion 1st (17000) $302.08 $944 1.5×
Destruction Vaginal Lesions Simple (57061) $3,480.32 $10,876 1.1×
Diagnostic sigmoidoscopy (45330) $416 $1,300 0.5×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $998.40 $3,120 0.8×
Dilate Esophagus 1/Mult Pass (43450) $865.60 $2,705 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $2,893.12 $9,041 0.9×
Dilation Cervical Canal (57800) $2,657.28 $8,304 0.8×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $1,679.36 $5,248 0.5×
Dilation Salivary Duct (42650) $1,330.56 $4,158 0.9×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $1,923.20 $6,010 1.1×
Drain Hand Tendon Sheath (26020) $2,977.60 $9,305 0.9×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,166.40 $3,645 2.2×
Drainage external ear abscess/hematoma cmplx (69005) $1,485.44 $4,642 0.9×
Drainage Finger Abscess Complicated (26011) $1,679.36 $5,248 1.0×
Drainage lymph node lesion (38305) $2,930.56 $9,158 1.0×
Drainage of finger abscess simple (26010) $187.20 $585 0.9×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $1,223.68–$1,272.64 $3,824–$3,977 varies
Drainage of rectal abscess (45020) $1,783.04 $5,572 0.6×
Drainage of scrotal wall abscess (55100) $1,799.68 $5,624 1.1×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $2,680.64 $8,377 0.8×
Draw Blood Off Venous Device (36591) $40.64 $127 0.3×
Dressing Change Under Anesthesia (15852) $379.52 $1,186 0.5×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $445.44 $1,392 0.8×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $3,113.92 $9,731 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $199.04 $622 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $199.04 $622 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $173.12–$352 $541–$1,100 varies
Dstrj lesion anus simple surg excision (46922) $2,536.64 $7,927 0.9×
Dstrj lesion penis simple surg excision (54060) $1,740.16 $5,438 0.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $841.28 $2,629 1.0×
Dx Bronchoscope/Lavage (31624) $1,797.12 $5,616 1.0×
Dx Bronchoscope/Wash (31622) $1,777.28 $5,554 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,544 $4,825 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,191.04 $3,722 0.6×
Egd cautery tumor polyp (43250) $1,656.64 $5,177 0.9×
Egd control bleeding any (43255) $1,665.28 $5,204 0.9×
Egd dilation gastric/duodenal stricture (43245) $1,664.96 $5,203 0.9×
Egd Flexible Foreign Body Removal (43247) $1,200.32 $3,751 1.3×
Egd lesion ablation (43270) $3,494.08 $10,919 1.8×
Egd place gastrostomy tube (43246) $1,664.64 $5,202 0.9×
Egd remove lesion snare (43251) $1,670.72 $5,221 0.9×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $4,963.84 $15,512 0.9×
Endocervical curettage (57505) $627.84 $1,962 0.7×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,616.64 $11,302 0.7×
Endometrial Biopsy (58100) $396.80 $1,240 2.0×
Endoscopic injection/implant (51715) $1,763.52 $5,511 0.5×
Endoscopic plantar fasciotomy (29893) $3,172.80 $9,915 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,977.92 $9,306 1.0×
Enterorrhaphy single perforation (44602) $4,002.24 $12,507 1.0×
Epididymectomy bilateral (54861) $2,981.76 $9,318 0.9×
Epididymectomy unilateral (54860) $1,805.12 $5,641 0.5×
Epidural Blood Patch (62273) $480 $1,500 0.7×
Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) $2,962.88 $9,259 0.9×
Episiotomy or vaginal repair (59300) $2,602.56 $8,133 0.8×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $2,163.20 $6,760 0.6×
Esophagoscopy rigid trnso dx (43191) $1,696 $5,300 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,666.24 $5,207 0.9×
Evacuation of subungual hematoma (11740) $51.20 $160 0.4×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,485.44 $4,642 0.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,548.48 $4,839 0.9×
Exc abdl tum deep 5 cm/> (22901) $2,423.04 $7,572 0.8×
Exc arm/elbow les sc < 3 cm (24075) $1,432.96 $4,478 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $840.64 $2,627 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,516.80 $4,740 0.9×
Exc Back Les Sc < 3 Cm (21930) $1,306.56 $4,083 0.8×
Exc Back Tum Deep 5 Cm/> (21933) $1,983.04 $6,197 0.7×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $4,788.16 $14,963 0.8×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $2,566.40 $8,020 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $2,731.20 $8,535 0.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $647.04 $2,022 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,166.40 $3,645 1.7×
Exc Face Les Sbq 2 Cm/> (21012) $2,250.24 $7,032 1.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $754.88 $2,359 1.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $602.24–$754.88 $1,882–$2,359 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $758.40 $2,370 1.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,773.44 $5,542 1.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,906.88 $5,959 1.2×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $6,400.96 $20,003 0.9×
Exc Forearm Les Sc 3 Cm/> (25071) $1,548.48 $4,839 0.9×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,800.96 $5,628 0.6×
Exc Frenum Labial/Buccal (40819) $1,328 $4,150 0.9×
Exc ganglion wrist recurrent (25112) $1,670.72 $5,221 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,296.96 $4,053 0.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $753.60 $2,355 1.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,516.48 $4,739 0.9×
Exc Hand Les Sc < 1.5 Cm (26115) $1,516.80 $4,740 0.9×
Exc hand tum deep < 1.5 cm (26116) $1,633.28 $5,104 1.0×
Exc hydrocele sprmatic cord uni spx (55500) $1,958.08 $6,119 0.6×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,588.80 $4,965 1.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,531.20 $4,785 1.0×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,893.76 $5,918 0.6×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $2,796.16 $8,738 0.9×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $1,887.68 $5,899 0.6×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,860.48 $5,814 1.0×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $1,860.48 $5,814 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $2,438.08 $7,619 1.3×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,812.48 $5,664 0.9×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
unusually low: confirm this is the full procedure		 $2,027.84 $6,337 0.3×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,536.64 $7,927 0.9×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,780.80 $5,565 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $657.60 $2,055 0.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,548.48 $4,839 0.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,299.20 $4,060 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $885.44 $2,767 0.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,548.48 $4,839 0.9×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,916.16 $9,113 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $840.64 $2,627 0.5×
Exc tendon shth lesion leg/ankle (27630) $3,124.16 $9,763 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $2,720.64 $8,502 0.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,306.56 $4,083 1.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $280.32–$409.28 $876–$1,279 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $616.32 $1,926 0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,299.52 $4,061 0.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,787.52 $5,586 0.6×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,328.32 $7,276 0.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $840.64 $2,627 0.5×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,157.76 $6,743 1.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,329.28 $4,154 0.5×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,677.12 $8,366 0.9×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,793.28 $5,604 0.6×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,782.40 $5,570 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,645.12 $5,141 1.0×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $2,241.92 $7,006 0.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,466.24 $7,707 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,633.28 $5,104 1.0×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $2,412.80 $7,540 0.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,586.56 $4,958 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,509.44 $7,842 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,586.56 $4,958 1.0×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,712.32 $8,476 0.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,770.24 $5,532 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,762.88 $5,509 0.6×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $1,881.60 $5,880 0.5×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $6,309.76 $19,718 0.9×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,977.60 $9,305 0.9×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,593.60 $4,980 1.0×
Exchange Intraocular Lens (66986) $2,461.76 $7,693 1.1×
Excis Mouth Complex,Exc Thru Muscle (40816) $2,847.36 $8,898 0.9×
Excis Mouth Mucosa/Sub,No Repair (40810) $2,612.16 $8,163 0.8×
Excise excessive skin arm (15836) $2,677.12 $8,366 0.9×
Excise mandible lesion (21040) $3,480.32 $10,876 1.1×
Excise tendon forearm/wrist (25109) $3,085.76 $9,643 1.0×
Excise Wrist Tendon Sheath (25118) $1,638.08 $5,119 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $755.20 $2,360 1.1×
Excision Aural Polyp (69540) $1,439.68 $4,499 0.9×
Excision Distal Ulna Partial/Complete (25240) $3,172.80 $9,915 1.0×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,752.96 $8,603 1.0×
Excision exostosis(es), external auditory canal Facility (69140) $5,110.40 $15,970 0.9×
Excision External Ear Partial Simple Repair (69110) $2,616.32 $8,176 0.9×
Excision Facial Bone (21026) $5,248.64 $16,402 0.9×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,596.16 $8,113 0.9×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,677.12 $8,366 0.9×
Excision inferior turbinate partial/complete (30130) $1,750.08 $5,469 0.5×
Excision Lesion Conjunctiva </1 Cm (68110) $2,146.56 $6,708 0.9×
Excision lesion meniscus/capsule knee (27347) $3,172.80 $9,915 1.0×
Excision lesion mouth roof (42104) $2,566.08 $8,019 0.8×
Excision lesion tendon sheath forearm&/wrist (25110) $1,645.12 $5,141 1.0×
Excision Lesion Tongue W/O Closure (41110) $2,688 $8,400 0.8×
Excision Lingual Frenum Frenectomy (41115) $1,302.72 $4,071 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $755.20 $2,360 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $670.40 $2,095 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $363.52 $1,136 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $636.16 $1,988 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $636.16 $1,988 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,730.88 $5,409 1.1×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,677.12 $8,366 0.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,437.44 $4,492 0.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $622.40 $1,945 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,166.40 $3,645 0.7×
Excision Nasal Polyp Extensive (30115) $2,710.08 $8,469 0.8×
Excision of bartholin's gland or cyst (56740) $2,694.72 $8,421 0.8×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,647.04 $5,147 1.0×
Excision of hydrocele; unilateral (55040) $2,849.60 $8,905 0.8×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,836.48 $5,739 1.0×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure		 $2,025.28 $6,329 0.3×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure		 $2,032 $6,350 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $2,677.12 $8,366 0.9×
Excision of single external papilla or tag, anus (46220) $1,102.72 $3,446 0.9×
Excision of submandibular (submaxillary) gland (42440)
unusually low: confirm this is the full procedure		 $2,034.88 $6,359 0.3×
Excision of vaginal septum (57130) $2,680.64 $8,377 0.8×
Excision olecranon bursa (24105) $3,032.32 $9,476 0.9×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $2,248.32 $7,026 0.7×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) $4,579.20 $14,310 0.6×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $3,086.40 $9,645 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,573.76 $8,043 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,712.32 $8,476 0.9×
Excision prepatellar bursa (27340) $2,256 $7,050 0.7×
Excision Radial Head (24130) $2,952.64 $9,227 0.9×
Excision soft tissue lesion, external auditory canal (69145) $1,944.64 $6,077 0.7×
Excision spermatocele w/wo epididymectomy (54840) $1,830.40 $5,720 0.9×
Excision tendon finger flexor/extensor each (26180) $1,797.12 $5,616 1.1×
Excision tendon palm flexor/extensor single each (26170) $1,478.08 $4,619 0.9×
Excision Thyroglossal Duct Cyst/Sinus (60280)
unusually low: confirm this is the full procedure		 $2,097.60 $6,555 0.4×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $5,230.72 $16,346 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,633.28 $5,104 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,712.32 $8,476 0.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,572.16 $4,913 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,572.16 $4,913 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,350.40 $4,220 0.8×
Excision, interdigital (morton) neuroma, single, each (28080) $1,785.28 $5,579 1.1×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $1,756.48 $5,489 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,616.32 $8,176 0.9×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,437.44 $4,492 0.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,423.04 $7,572 0.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,616.32 $8,176 0.9×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,548.48 $4,839 0.9×
Excision/curettage cyst/tumor carpal bones (25130) $2,952.64 $9,227 0.9×
Excision/curettage cyst/tumor phalanx finger (26210) $1,775.68 $5,549 1.1×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $3,129.28 $9,779 1.0×
Excision/destruction intranasal lesion int appr (30117) $1,026.88 $3,209 0.3×
Excision/destruction lesion pharynx any method (42808) $1,882.56 $5,883 0.6×
Excision; trochanteric bursa or calcification (27062) $1,248.64 $3,902 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $1,743.36 $5,448 0.9×
Explo/Drain Breast Abscess (19020) $1,548.48 $4,839 0.9×
Exploration of knee joint (27310) $3,126.72 $9,771 1.0×
Exploration of spinal fusion (22830)
unusually low: confirm this is the full procedure		 $2,544 $7,950 0.4×
Exploration penetrating wound spx extremity (20103) $653.44 $2,042 0.4×
Exploration Penetrating Wound Spx Neck (20100) $477.44 $1,492 0.9×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $5,230.72 $16,346 0.8×
Exploratory elbow surgery (24000) $2,952.64 $9,227 0.9×
Explore/Treat Elbow Joint (24101) $3,126.72 $9,771 1.0×
Explore/Treat Hand Joint (26070) $1,423.36 $4,448 0.9×
Explore/Treat Wrist Joint (25040) $2,945.28 $9,204 0.9×
External cephalic version (59412)
range across 2 matching MRF lines		 $173.44–$184.32 $542–$576 varies
Fasciectomy Palm Only (26121) $2,248.32 $7,026 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $2,962.88 $9,259 0.9×
Fasciotomy Iliotibial Open (27305) $1,773.44 $5,542 0.5×
Fasciotomy Plantar Fascia Radical Spx (28062) $2,340.48 $7,314 0.7×
Fasciotomy, foot and/or toe (28008) $3,114.88 $9,734 1.0×
Fasciotomy, hip or thigh, any type (27025) $2,146.56 $6,708 0.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,306.56 $7,208 0.7×
Fetal non-stress test (59025) $236.48 $739 1.2×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,783.04 $5,572 0.9×
Fine needle aspiration without imaging guidance (10021) $395.84 $1,237 1.0×
Finger tendon transfer (26497) $2,977.60 $9,305 0.9×
Fixation contralateral testis separate procedure (54620) $1,813.76 $5,668 0.5×
Flap; neurovascular pedicle (15750) $3,050.56 $9,533 0.9×
Fna bx w/us gdn 1st les (10005) $632.32 $1,976 0.9×
Foreskin manipulation (54450) $1,764.80 $5,515 7.1×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $1,038.40 $3,245 0.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,869.12 $5,841 0.9×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,743.36 $5,448 0.9×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,908.48 $5,964 0.9×
Fuse hand bones with graft (25825) $6,562.56 $20,508 0.9×
Fusion Finger Joint (26860) $2,952.64 $9,227 0.9×
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) $6,168.32 $19,276 0.9×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $2,706.24 $8,457 0.4×
Fusion of hand bones (25820) $6,300.16 $19,688 0.9×
Fusion of knuckle (26850) $6,414.72 $20,046 0.9×
Fusion of knuckle joint (26516) $2,977.60 $9,305 0.9×
Fusion of knuckle with graft (26852) $6,562.56 $20,508 0.9×
Fusion of tibiofibular joint (27871)
unusually low: confirm this is the full procedure		 $4,771.52 $14,911 0.4×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $3,113.60 $9,730 0.9×
Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) $3,965.44 $12,392 1.1×
Gastrocnemius recession (27687) $2,428.48 $7,589 0.8×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $4,905.28 $15,329 1.3×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,605.44 $5,017 0.8×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $5,292.80 $16,540 0.9×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $4,080 $12,750 0.6×
Hand tendon reconstruction (26500) $6,414.72 $20,046 0.9×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $2,706.24 $8,457 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,779.84 $5,562 0.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,765.76 $5,518 0.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,737.92 $5,431 0.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $2,447.36 $7,648 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $589.12 $1,841 0.6×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $2,439.04 $7,622 0.9×
Hip arthro acetabuloplasty (29915) $5,972.16 $18,663 0.8×
Hip arthro w/labral repair (29916) $5,982.40 $18,695 0.8×
Hymenotomy Simple Incision (56442) $3,388.48 $10,589 1.1×
Hysteroscopy Biopsy (58558) $3,613.44 $11,292 1.1×
Hysteroscopy Dx Sep Proc (58555) $2,558.40 $7,995 0.8×
Hysteroscopy Endometrial Ablation (58563) $5,027.52 $15,711 1.0×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $4,412.16 $13,788 0.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,664 $11,450 1.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,643.84 $14,512 0.9×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $359.04–$372.80 $1,122–$1,165 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $1,106.56–$1,122.88 $3,458–$3,509 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,579.84 $4,937 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,598.72–$2,752.96 $4,996–$8,603 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,677.12 $8,366 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,096.64 $9,677 1.0×
I&D Intramural Im/Absc Transanal Anes (46045) $1,768.32 $5,526 0.6×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,085.76 $9,643 1.0×
I&d perianal abscess superficial (46050) $831.36 $2,598 0.9×
I&d pilonidal cyst complicated (10081) $754.88 $2,359 1.1×
I&d pilonidal cyst simple (10080) $840.64 $2,627 1.2×
I&d shoulder deep abscess/hematoma (23030) $2,306.56 $7,208 0.8×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,633.28 $5,104 0.6×
I&d vaginal hematoma obstetrical/postpartum (57022) $1,516.80 $4,740 0.5×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $786.56 $2,458 0.9×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,830.40 $5,720 2.0×
Image Cath Fluid Peri/Retro (49406) $1,485.44 $4,642 0.9×
Image Cath Fluid Trns/Vgnl (49407) $1,120 $3,500 0.7×
Immediate breast prosthesis (19340)
unusually low: confirm this is the full procedure		 $2,922.56 $9,133 0.4×
Implant neuroelectrodes (63650) $7,256.96 $22,678 1.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
unusually low: confirm this is the full procedure		 $8,609.28 $26,904 0.4×
Implant temple bone w/stimul (69714)
unusually low: confirm this is the full procedure		 $4,800 $15,000 0.4×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716)
unusually low: confirm this is the full procedure		 $4,800 $15,000 0.4×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729)
unusually low: confirm this is the full procedure		 $4,800 $15,000 0.4×
Incise finger tendon sheath (26055) $1,958.08 $6,119 1.2×
Incise flexor carpi radialis (25001) $2,952.64 $9,227 0.9×
Incise Wrist/Forearm Tendon (25290) $2,977.60 $9,305 0.9×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $531.52–$539.52 $1,661–$1,686 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,240.64 $7,002 0.8×
Incision & removal foreign body subq tiss compl (10121) $1,120.64 $3,502 0.7×
Incision & removal foreign body subq tiss simple (10120) $571.84 $1,787 1.4×
Incision and drainage of vulva or perineal abscess (56405) $302.08 $944 1.0×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,831.68 $5,724 1.2×
Incision bone cortex foot (28005) $1,259.84 $3,937 0.4×
Incision extensor tendon sheath wrist (25000) $1,531.20 $4,785 1.0×
Incision of eardrum (69421) $2,574.08 $8,044 0.8×
Incision of Foot Tendon (28234) $1,579.84 $4,937 1.0×
Incision of labial frenum (frenotomy) (40806)
range across 2 matching MRF lines		 $362.88–$376.96 $1,134–$1,178 varies
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $1,291.52–$1,341.44 $4,036–$4,192 varies
Incision of rectal abscess (46040) $1,306.56 $4,083 1.1×
Incision of urethra (53020) $1,768.32 $5,526 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,437.44 $4,492 0.9×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $335.36–$353.60 $1,048–$1,105 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $855.68 $2,674 1.0×
Inj W/Fluor Eval Cv Device (36598) $487.36 $1,523 2.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $811.52 $2,536 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $278.72 $871 0.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $640 $2,000 0.7×
Injection aa&/strd genicular nrv branches w/img (64454) $635.20 $1,985 0.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $841.28 $2,629 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $600 $1,875 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $823.04 $2,572 0.9×
Injection anesthetic agent suprascapular nerve (64418) $635.20 $1,985 0.9×
Injection for identification of sentinel node (38792) $282.24 $882 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $416 $1,300 1.4×
Injection therapeutic carpal tunnel (20526) $266.88 $834 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $765.76 $2,393 0.9×
Injection, anesthetic agent; femoral nerve, single (64447) $610.88 $1,909 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $610.88 $1,909 0.9×
Ins endovas vena cava filtr (37191) $4,736.32 $14,801 0.9×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines		 $88.32–$152.96 $276–$478 varies
Insert Drug Implant Device (11981) $123.20 $385 0.9×
Insert Gastrostomy Tube Percutaneous (49440) $1,000 $3,125 0.5×
Insert Nasal Septal Button (30220) $1,349.12 $4,216 0.9×
Insert non-tunnel cv cath (36556) $875.52 $2,736 0.3×
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $173.44–$180.16 $542–$563 varies
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $63.36–$140.48 $198–$439 varies
Insert tissue expander(s) (11960) $3,161.60 $9,880 0.9×
Insert tun ip cath perc (49418) $3,965.44 $12,392 1.1×
Insert tunneled cv cath (36561) $1,762.24 $5,507 0.6×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $63.36–$105.92 $198–$331 varies
Insertion indwelling tunneled pleural catheter (32550) $3,364.80 $10,515 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 5 matching MRF lines		 $473.28–$736.32 $1,479–$2,301 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,475.84 $23,362 0.9×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,407.68 $10,649 1.0×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $12,427.84 $38,837 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,764.16 $5,513 0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
unusually low: confirm this is the full procedure		 $13,532.16 $42,288 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $140.48 $439 0.0×
Intraoral i&d tongue/floor submental space (41007) $1,439.68 $4,499 0.9×
Intraoral i&d tongue/floor submndblr space (41008) $2,323.52 $7,261 0.7×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $231.68–$338.24 $724–$1,057 varies
Island pedicle flap graft (15740) $1,666.24 $5,207 0.8×
Knee arthroscopy/drainage (29871) $3,172.80 $9,915 1.0×
Knee Arthroscopy/Surgery (29874) $3,177.92 $9,931 1.0×
Labyrinthotomy Transcanal (69801) $615.68 $1,924 0.4×
Lam facetec & foramot lumbar (63047)
unusually low: confirm this is the full procedure		 $3,290.24 $10,282 0.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $3,985.60 $12,455 0.6×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $3,816 $11,925 0.5×
Laminotomy Single Lumbar (63042) $3,985.60 $12,455 0.6×
Lap insert tunnel ip cath (49324) $5,230.72 $16,346 0.9×
Lap paraesoph her rpr w/mesh (43282) $9,104.96 $28,453 0.9×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $5,231.36 $16,348 0.5×
Laparo-vag hyst incl t/o (58552) $5,262.08 $16,444 0.5×
Laparoscopic myomectomy (58545) $5,249.28 $16,404 0.9×
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure		 $2,104.64 $6,577 0.4×
Laparoscopy Enterolysis Separate Procedure (44180) $5,236.80 $16,365 0.9×
Laparoscopy fulguration oviducts (58670) $3,627.20 $11,335 0.6×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $4,800 $15,000 0.8×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $6,065.60 $18,955 0.6×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $6,018.24 $18,807 0.6×
Laparoscopy W/Lysis Of Adhesions (58660) $5,173.12 $16,166 0.9×
Laparoscopy w/rmvl adnexal structures (58661) $3,779.84 $11,812 0.6×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674)
unusually low: confirm this is the full procedure		 $5,120 $16,000 0.5×
Laparoscopy, surgical, appendectomy (44970) $3,048 $9,525 0.5×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $5,110.40 $15,970 0.5×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
unusually low: confirm this is the full procedure		 $4,173.44 $13,042 0.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $5,949.12 $18,591 0.6×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $5,255.04 $16,422 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $9,104.96 $28,453 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,249.92 $16,406 0.9×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $4,800 $15,000 0.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure		 $2,099.84 $6,562 0.4×
Laparoscopy, Tubal Block (58671) $3,619.20 $11,310 0.6×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $5,188.48 $16,214 0.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,639.68 $11,374 0.6×
Laps Gastric Restrictive Px Remove Device & Port (43774) $3,826.88 $11,959 1.0×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $3,664.96 $11,453 0.6×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $6,059.20 $18,935 0.6×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $1,896.96 $5,928 0.5×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $1,888.64 $5,902 0.5×
Laryngoscopy diagnostic (31505) $303.36 $948 1.5×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $1,916.80 $5,990 0.5×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $198.40–$303.36 $620–$948 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511) $1,784.64 $5,577 9.0×
Laryngoscopy W/Biopsy (31535) $1,899.84 $5,937 0.5×
Laryngoscopy w/biopsy microscope/telescope (31536) $1,886.72 $5,896 0.5×
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $1,210.88–$1,480.32 $3,784–$4,626 varies
Larynscop w/tumr exc + scope (31541) $1,887.04 $5,897 0.5×
Laser vaporization of prostate (52648)
unusually low: confirm this is the full procedure		 $1,778.56 $5,558 0.3×
Late closure of wound (13160) $1,843.52 $5,761 0.5×
Lateral retinacular release open (27425) $1,259.84 $3,937 0.4×
Lengthen metacarpal/finger (26568) $6,168.32 $19,276 0.9×
Lengthen radius or ulna (25391) $12,814.40 $40,045 1.0×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $2,952.64 $9,227 0.9×
Lig&div long saph vein saphfem junct/interrupj (37700) $2,035.20 $6,360 0.7×
Ligamentous Reconstruction Knee Extra-Articular (27427) $5,976 $18,675 0.8×
Ligamentous reconstruction knee intra-articular (27428) $12,058.56 $37,683 0.9×
Ligate/strip short leg vein (37718) $1,213.44 $3,792 0.4×
Ligation Major Artery Abdomen (37617) $3,733.12 $11,666 0.7×
Ligation of a-v fistula (37607) $2,893.12 $9,041 0.9×
Ligation or biopsy temporal artery (37609) $1,633.28 $5,104 1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,840 $5,750 0.6×
Litholapaxy comp/lg > 2.5 cm (52318) $4,235.84 $13,237 1.2×
Litholapaxy smpl/sm <2.5 cm (52317) $3,172.80 $9,915 0.9×
Lithotripsy, extracorporeal shock wave (50590) $9,012.16 $28,163 2.6×
Low Back Disk Surgery (63030)
unusually low: confirm this is the full procedure		 $2,987.20 $9,335 0.4×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $5,512 $17,225 0.2×
Lysis Intranasal Synechia (30560) $477.44 $1,492 0.9×
Lysis of labial adhesions (56441) $2,381.12 $7,441 0.7×
Manipulation Elbow Under Anesthesia (24300) $1,633.28 $5,104 1.0×
Manipulation knee joint under general anesthesia (27570) $1,773.44 $5,542 1.1×
Manipulation wrist under anesthesia (25259) $1,575.04 $4,922 1.0×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,808.32 $5,651 1.1×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,621.76 $5,068 1.0×
Mast mod rad (19307) $3,963.52 $12,386 0.6×
Mastectomy for gynecomastia (19300) $1,440 $4,500 0.4×
Mastectomy partial (19301) $218.56 $683 0.1×
Mastectomy partial w/axillary lymphadenectomy (19302) $5,616 $17,550 0.9×
Mastectomy simple complete (19303) $5,613.12 $17,541 0.9×
Mastopexy (19316)
likely a partial charge, not the full procedure		 $558.08 $1,744 0.1×
Metatarsectomy (28140) $2,945.28 $9,204 0.9×
Middle ear expl thru postaur/ear canal inc (69440) $1,026.88 $3,209 0.3×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $1,765.44 $5,517 0.9×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $6,300.16 $19,688 0.9×
Muscle-skin graft trunk (15734) $3,172.80 $9,915 0.9×
Muscle/tendon transfer upper arm/elbow single (24301) $6,414.72 $20,046 0.9×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $3,663.36 $11,448 1.1×
Myringoplasty (69620) $1,936 $6,050 0.6×
N Block Inj Celiac Pelus (64530) $841.28 $2,629 1.0×
N Block Inj Ilio-Ing/Hypogi (64425) $864 $2,700 1.2×
N block inj intercost sng (64420) $648.96 $2,028 0.9×
N Block Inj Pudendal (64430) $800.96 $2,503 0.9×
N Block Lumbar/Thoracic (64520) $841.28 $2,629 1.0×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $364.48–$378.88 $1,139–$1,184 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $355.20–$369.28 $1,110–$1,154 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $1,764.80 $5,515 0.5×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $389.44 $1,217 0.1×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $5,110.08 $15,969 0.9×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $5,110.08 $15,969 0.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,562.56 $4,883 0.9×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $1,568 $4,900 0.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,536 $4,800 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $3,700.80 $11,565 0.5×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure		 $1,283.20 $4,010 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $1,262.40 $3,945 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $1,259.84 $3,937 0.2×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $6,059.20 $18,935 0.9×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $5,200 $16,250 0.7×
Nasal/sinus ndsc total with sphenoidotomy (31257) $5,683.52 $17,761 0.8×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
unusually low: confirm this is the full procedure		 $2,270.40 $7,095 0.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $400.32 $1,251 0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
unusually low: confirm this is the full procedure		 $2,274.88 $7,109 0.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,703.68 $5,324 1.1×
Neck spine disk surgery (63020)
unusually low: confirm this is the full procedure		 $3,307.20 $10,335 0.5×
Neck spine fusion (22600)
likely a partial charge, not the full procedure		 $4,070.40 $12,720 0.2×
Needle Biopsy Lymph Nodes (38505) $1,485.44 $4,642 0.9×
Needle Biopsy Pancreas (48102) $509.44 $1,592 0.3×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) $5,208.32 $16,276 0.6×
Nerve repair w/conduit each nerve (64910) $5,139.20 $16,060 0.6×
Neurectomy, Intrinsic Musculature Of Foot (28055) $2,271.36 $7,098 1.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,473.60 $7,730 1.3×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,983.04 $6,197 1.0×
Nipple Exploration (19110) $1,633.28 $5,104 0.4×
Nipple/areola reconstruction (19350) $2,340.48 $7,314 0.6×
Njx anes stellate ganglion crv sympathetic (64510) $823.04 $2,572 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $258.56 $808 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,299.20 $4,060 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $855.68 $2,674 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $635.20 $1,985 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $800.96 $2,503 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $635.20 $1,985 0.9×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,007.36 $3,148 2.5×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $1,306.56 $4,083 0.2×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
unusually low: confirm this is the full procedure		 $2,146.56 $6,708 0.3×
Obstructive material removal from gi tube (49460) $810.56 $2,533 0.9×
Occipital Nerve Block (64405) $800 $2,500 2.6×
Occlusion flp tube dev vag/suprapubic appr (58615) $2,683.52 $8,386 0.8×
Open biopsy/excision inguinofemoral nodes (38531) $3,286.08 $10,269 0.8×
Open bowel to skin (44300) $5,003.84 $15,637 2.6×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $6,414.72 $20,046 0.9×
Open Repair of Rotator Cuff Acute (23410) $6,414.72 $20,046 0.9×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
unusually low: confirm this is the full procedure		 $4,409.60 $13,780 0.3×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
unusually low: confirm this is the full procedure		 $4,579.20 $14,310 0.4×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
unusually low: confirm this is the full procedure		 $4,494.40 $14,045 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $2,618.24 $8,182 0.4×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×
Open Treatment Fracture Distal Tibia & Fibula (27828) $11,809.28 $36,904 0.9×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $4,725.12 $14,766 0.4×
Open treatment greater trochanteric fracture (27248)
unusually low: confirm this is the full procedure		 $2,838.72 $8,871 0.4×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure		 $1,283.20 $4,010 0.2×
Open Treatment Humeral Condylar Fracture (24579) $11,393.28 $35,604 0.9×
Open Treatment Lunate Dislocation (25695) $6,519.04 $20,372 0.9×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×
Open treatment metatarsal fracture each (28485) $3,924.16 $12,263 0.5×
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) $7,518.72 $23,496 1.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
unusually low: confirm this is the full procedure		 $2,696.96 $8,428 0.4×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $6,224.64 $19,452 0.9×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,671.36 $8,348 0.4×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $6,268.48 $19,589 0.9×
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		 $2,006.40 $6,270 0.3×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $12,058.56 $37,683 0.9×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $3,684.80 $11,515 0.5×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $7,209.60 $22,530 0.6×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $6,309.76 $19,718 0.9×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $6,224.64 $19,452 0.9×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $6,519.04 $20,372 0.9×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) $6,414.72 $20,046 0.9×
Open Treatment of Ulnar Shaft Fracture (25545) $6,414.72 $20,046 0.9×
Open treatment of ulnar styloid fracture (25652) $6,562.56 $20,508 0.9×
Open treatment posterior malleolus fracture (27769) $6,414.72 $20,046 0.9×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
unusually low: confirm this is the full procedure		 $2,671.36 $8,348 0.4×
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Open Treatment Radial Shaft Fracture (25515) $6,168.32 $19,276 0.9×
Open Treatment Tarsal Bone Dislocation (28555) $6,533.12 $20,416 0.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,305.92 $7,206 0.7×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $2,977.60 $9,305 0.9×
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure		 $2,618.24 $8,182 0.4×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $2,327.36 $7,273 0.7×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $3,139.52 $9,811 0.4×
Open Tx Distal Phalangeal Fracture Each (26765) $3,096.64 $9,677 1.0×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $4,748.80 $14,840 0.7×
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $2,618.24 $8,182 0.4×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $2,146.56 $6,708 0.2×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $1,306.56 $4,083 0.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $3,085.76 $9,643 1.0×
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Open tx humeral supracondylar fracture w/o xtn (24545) $12,058.56 $37,683 0.9×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure		 $1,865.60 $5,830 0.3×
Open tx interphalangeal joint dislocation (26785) $1,238.40 $3,870 0.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,266.24 $7,082 0.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,196.16 $9,988 1.0×
Open Tx Radial Head/Neck Fracture (24665)
unusually low: confirm this is the full procedure		 $2,709.12 $8,466 0.4×
Open Tx Radial Head/Neck Fracture Prosth (24666) $11,393.28 $35,604 0.9×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $6,224.64 $19,452 0.9×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $2,099.84 $6,562 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $2,624.64 $8,202 0.4×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,711.68 $8,474 0.4×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $2,831.68 $8,849 0.9×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $2,848.64 $8,902 0.9×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $2,709.44 $8,467 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $3,924.48 $12,264 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure		 $1,633.28 $5,104 0.2×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $2,550.40 $7,970 0.4×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
unusually low: confirm this is the full procedure		 $6,054.72 $18,921 0.5×
Orchiectomy partial (54522) $3,156.16 $9,863 0.9×
Orchiectomy radical tumor inguinal approach (54530) $1,828.16 $5,713 0.5×
Orchiopexy Ingun/Scrot Appr (54640) $1,782.08 $5,569 0.5×
Ostc prtl exostc/condylc metar head (28288) $1,262.40 $3,945 0.4×
Ostectomy calcaneus (28118) $1,306.56 $4,083 0.4×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $2,276.16–$2,432.32 $7,113–$7,601 varies
Ostectomy of sternum, partial Facility (21620) $2,945.28 $9,204 0.9×
Ostectomy, complete excision; fifth metatarsal head (28113) $2,349.44 $7,342 0.7×
Ostectomy, complete excision; first metatarsal head (28111) $2,835.52 $8,861 0.9×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,458.88 $4,559 0.5×
Osteochondral allograft knee open (27415) $12,322.24 $38,507 1.0×
Osteochondral knee autograft (27416) $3,733.12 $11,666 0.5×
Osteoplasty Humerus (24420) $6,224.64 $19,452 0.9×
Osteoplasty Radius/Ulna Shortening (25390)
unusually low: confirm this is the full procedure		 $2,647.68 $8,274 0.4×
Osteoplasty, carpal bone, shortening Facility (25394) $2,894.08 $9,044 0.9×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure		 $2,624.64 $8,202 0.4×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,850.88 $5,784 0.6×
Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140) $4,795.20 $14,985 0.7×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,647.68 $8,274 0.4×
Osteotomy Clavicle W Bone Graft (23485) $11,393.28 $35,604 0.9×
Osteotomy Metacarpal Each (26565) $2,977.60 $9,305 0.9×
Osteotomy Phalanx Finger Each (26567) $2,997.44 $9,367 0.9×
Osteotomy radius distal third (25350) $6,168.32 $19,276 0.9×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
unusually low: confirm this is the full procedure		 $2,650.24 $8,282 0.4×
Osteotomy Ulna (25360) $6,309.76 $19,718 0.9×
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure		 $2,029.76 $6,343 0.3×
Part exc bone femur prox tibia (27360) $2,977.60 $9,305 0.9×
Part remv talus or calcaneus (28120) $2,280.32 $7,126 0.7×
Partial Excision Bone Humerus (24140) $2,945.28 $9,204 0.9×
Partial excision bone metacarpal (26230) $2,977.60 $9,305 0.9×
Partial excision bone olecranon process (24147) $2,952.64 $9,227 0.9×
Partial Excision Distal Phalanx Finger (26236) $1,478.08 $4,619 0.9×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,478.08 $4,619 0.9×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $1,353.60 $4,230 0.4×
Partial hymenectomy or revision of hymenal ring (56700) $2,706.24 $8,457 0.8×
Partial removal of thyroid (60220) $5,159.68 $16,124 0.9×
Partial removal of tibia (27640) $2,952.64 $9,227 0.9×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $5,173.12 $16,166 0.9×
Partical Excision Bone Phalanx Toe (28124) $1,773.44 $5,542 0.5×
Patellectomy or hemipatellectomy (27350)
unusually low: confirm this is the full procedure		 $2,239.36 $6,998 0.3×
Pelvic examination under anesthesia (other than local) (57410) $2,718.40 $8,495 0.8×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $2,952.64 $9,227 0.9×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,259.84 $3,937 0.4×
Peri-Implant Capsulectomy Breast Complete (19371) $3,247.04 $10,147 0.8×
Perq dev breast 1st strtctc (19283) $755.84 $2,362 1.1×
Perq dev breast 1st us imag (19285) $932.80 $2,915 1.3×
Perq device breast 1st imag (19281) $755.20 $2,360 0.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $129.28 $404 0.2×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,285.12 $7,141 0.7×
Phalangectomy toe each toe (28150) $2,964.48 $9,264 0.9×
Phleb Veins - Extrem 20+ (37766) $2,916.16 $9,113 0.9×
Pin Finger Dislocation (26776) $2,835.52 $8,861 0.9×
Pin hand dislocation (26676) $2,962.88 $9,259 0.9×
Place Duod/Jej Tube Perc (49441) $1,665.60 $5,205 0.9×
Placement of seton (46020) $1,120.64 $3,502 0.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,172.80 $9,915 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $809.60 $2,530 0.9×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $2,281.60 $7,130 0.8×
Prostate laser enucleation (52649)
unusually low: confirm this is the full procedure		 $1,790.08 $5,594 0.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,276.80 $10,240 0.9×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,096.64 $9,677 1.0×
Prq skel fixj femoral fx prox end neck (27235) $4,062.72 $12,696 0.6×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $2,962.88 $9,259 0.9×
Prq skel fixj metar fx w/manj (28476) $2,962.88 $9,259 0.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $6,309.76 $19,718 0.9×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $3,172.80 $9,915 1.0×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $2,835.52 $8,861 0.9×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $6,473.92 $20,231 0.9×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $1,865.60 $5,830 0.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,944.96 $6,078 0.6×
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $188.16–$198.40 $588–$620 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $740.80–$828.80 $2,315–$2,590 varies
Puncture Aspiration Cyst Breast (19000) $1,017.60 $3,180 1.5×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $6,519.04 $20,372 0.9×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $1,519.68 $4,749 1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $3,126.72 $9,771 1.0×
Rad resect elbow caps/sr bone w rels (24149) $6,268.48 $19,589 0.9×
Rad resect hand tumor 3 cm/> (26118) $2,423.04 $7,572 0.8×
Rad resect tumor soft tissue hand/finger <3cm (26117) $2,466.24 $7,707 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $2,160 $6,750 0.8×
Radical resection of tumor, distal phalanx of finger Facility (26262) $1,478.08 $4,619 0.9×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $2,952.64 $9,227 0.9×
Radical styloidectomy separate procedure (25230) $3,114.88 $9,734 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,712.32 $5,351 0.9×
Rcnstj angular dfrm toe soft tiss px only (28313) $2,482.24 $7,757 0.8×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $3,126.72 $9,771 1.0×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure		 $2,620.48 $8,189 0.4×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,266.56 $10,208 0.9×
Realignment extensor tendon hand each tendon (26437) $1,579.84 $4,937 0.5×
Reconstruct elbow joint (24360) $6,473.92 $20,231 0.9×
Reconstruct elbow lat ligmnt (24344) $6,300.16 $19,688 0.9×
Reconstruct elbow med ligmnt (24346) $12,879.36 $40,248 1.0×
Reconstruct finger joint (26545) $2,952.64 $9,227 0.9×
Reconstruct Finger Joint (26548) $2,977.60 $9,305 0.9×
Reconstruct ulna/radioulnar (25337) $6,309.76 $19,718 0.9×
Reconstruction Nail Bed W/Graft (11762) $1,830.08 $5,719 0.9×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $6,268.48 $19,589 0.9×
Reconstruction Tongue Fold (41520) $3,663.36 $11,448 1.1×
Reinforce hip bones (27187) $6,268.48 $19,589 0.9×
Reinsert spinal fixation (22849)
unusually low: confirm this is the full procedure		 $4,070.40 $12,720 0.3×
Release Intrinsic Muscles Hand Each Muscle (26593) $2,952.64 $9,227 0.9×
Rem Endovas Vena Cava Filter (37193) $2,998.72 $9,371 1.0×
Removal Anal Seton Other Marker (46030) $1,308.48 $4,089 1.1×
Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) $1,440 $4,500 0.4×
Removal entire oi implt skl perq attachment esp (69726) $1,440 $4,500 0.4×
Removal Foreign Body Deep Thigh/Knee (27372) $2,509.44 $7,842 0.9×
Removal foreign body foot deep (28192) $1,777.60 $5,555 1.1×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $301.76–$635.20 $943–$1,985 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $699.84 $2,187 0.4×
Removal Foreign Body Scrotum (55120) $1,917.12 $5,991 0.9×
Removal foreign body upper arm/elbow deep (24201) $3,037.76 $9,493 1.1×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,880.64 $5,877 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $54.40–$109.44 $170–$342 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $63.36–$137.60 $198–$430 varies
Removal Implant Deep (20680) $2,712.32 $8,476 0.9×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $1,468.80–$1,633.28 $4,590–$5,104 varies
Removal implantable contraceptive capsules (11976) $651.52 $2,036 0.9×
Removal intact breast implant (19328) $1,304.96 $4,078 0.3×
Removal of a lesion from the floor of the mouth (41116) $2,323.52 $7,261 0.7×
Removal of adenoids (42835) $1,026.88 $3,209 0.3×
Removal of adenoids (42831) $2,566.40 $8,020 0.8×
Removal of adenoids (42830) $1,038.40 $3,245 0.3×
Removal of adenoids (42836) $2,720 $8,500 0.8×
Removal of anterior instrumentation (22855)
unusually low: confirm this is the full procedure		 $3,392 $10,600 0.5×
Removal of calcium deposits (23000) $2,381.12 $7,441 0.8×
Removal of foot joint lining (28072) $1,259.84 $3,937 0.4×
Removal of heel spur (28119) $3,088.96 $9,653 1.0×
Removal of hip prosthesis; (separate procedure) Facility (27090) $6,300.16 $19,688 0.9×
Removal of implant from finger or hand (26320) $1,578.24 $4,932 1.0×
Removal of implanted material, anterior segment of eye (65920) $1,248.96 $3,903 0.5×
Removal of knee prosthesis (27488)
likely a partial charge, not the full procedure		 $3,499.52 $10,936 0.3×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $398.08–$419.84 $1,244–$1,312 varies
Removal of nose lesion (30124) $1,611.20 $5,035 1.0×
Removal of posterior segmental instrumentation Facility (22852)
unusually low: confirm this is the full procedure		 $2,204.80 $6,890 0.3×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
unusually low: confirm this is the full procedure		 $2,525.44 $7,892 0.4×
Removal of sesamoid bone (28315) $2,441.92 $7,631 0.8×
Removal of sperm cord lesion (55520) $3,266.56 $10,208 0.9×
Removal of testis (54520) $1,818.56 $5,683 0.5×
Removal of tonsils (42825)
unusually low: confirm this is the full procedure		 $2,239.68 $6,999 0.4×
Removal of tonsils (42826) $1,265.60 $3,955 0.4×
Removal of tunneled intraperitoneal catheter (49422) $2,998.72 $9,371 1.0×
Removal of vein clot (34490) $2,669.12 $8,341 0.9×
Removal of wrist bone (25210) $2,952.64 $9,227 0.9×
Removal of wrist prosthesis; (separate procedure) Facility (25250) $1,904.96 $5,953 1.2×
Removal of wrist prosthesis; complicated, including total wrist Facility (25251) $2,835.52 $8,861 0.9×
Removal shoulder foreign body deep subfascial/im (23333) $1,865.60 $5,830 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $222.72–$673.60 $696–$2,105 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $1,644.16 $5,138 0.8×
Removal sweat gland lesion (11450) $2,869.76 $8,968 1.0×
Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69728) $1,440 $4,500 0.4×
Removal, under anesthesia, of external fixation system (20694) $1,586.56 $4,958 1.0×
Remove Ankle Joint Lining (27626) $1,633.28 $5,104 0.5×
Remove drug implant device (11982) $1,166.40 $3,645 2.6×
Remove Elbow Joint Lining (24102) $2,835.52 $8,861 0.9×
Remove elbow lesion (24120) $3,032.32 $9,476 0.9×
Remove Forearm Foreign Body (25248) $1,351.36 $4,223 0.8×
Remove foreign body from eye (65235) $2,033.60 $6,355 0.9×
Remove Gastric Port Open (43887) $3,032.32 $9,476 1.5×
Remove groin lymph nodes (38760) $7,693.12 $24,041 1.2×
Remove Hand Bone Lesion (26200) $1,410.24 $4,407 0.9×
Remove humerus lesion (23174) $6,093.44 $19,042 0.8×
Remove humerus lesion (24110) $3,163.52 $9,886 1.0×
Remove Intrauterine Device (58301) $3,636.16 $11,363 12.1×
Remove knee joint lining (27334) $3,131.20 $9,785 1.0×
Remove lamina/facets lumbar (63012) $3,646.40 $11,395 0.5×
Remove Lower Leg Bone Lesion (27635) $3,117.12 $9,741 1.0×
Remove Peritoneal Foreign Body (49402) $1,920 $6,000 0.5×
Remove prostate regrowth (52630) $4,340.16 $13,563 0.8×
Remove radius head implant (24164) $2,962.88 $9,259 0.9×
Remove renal tube w/fluoro (50389) $632.64 $1,977 0.9×
Remove spine eltrd plate (63662) $3,766.08 $11,769 1.1×
Remove sympathetic nerves (64821) $2,952.64 $9,227 0.9×
Remove Tendon Sheath Lesion (26160) $2,977.60 $9,305 1.9×
Remove thigh pressure sore (15956) $1,756.48 $5,489 0.9×
Remove thyroid lesion (60200)
unusually low: confirm this is the full procedure		 $2,095.36 $6,548 0.4×
Remove tissue expander (11971) $2,706.24 $8,457 0.9×
Remove wrist joint cartilage (25107) $3,096.64 $9,677 1.0×
Remove/graft finger lesion (26215) $2,952.64 $9,227 0.9×
Remove/graft forearm lesion (25126) $2,848.64 $8,902 0.9×
Remove/Insert Drug Implant (11983) $277.44 $867 0.6×
Renal Biopsy Perq (50200) $629.76 $1,968 0.4×
Reopen fallopian tube (58350) $5,133.12 $16,041 1.0×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,263.68 $7,074 0.3×
Repair arm/leg nerve (64857) $2,160 $6,750 0.6×
Repair Blood Vessel Direct Hand Finger (35207) $2,973.12 $9,291 1.0×
Repair Blood Vessel Direct Upper Extremity (35206) $2,973.12 $9,291 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $3,889.60 $12,155 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $543.36 $1,698 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $509.12 $1,591 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $419.84 $1,312 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $634.56 $1,983 1.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $543.36 $1,698 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $238.08 $744 0.6×
Repair complex trunk 1.1-2.5 cm (13100) $848 $2,650 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $569.92 $1,781 0.8×
Repair defect w/autograft radius/ulna (25425) $4,396.16 $13,738 0.6×
Repair Extensor Tendon Finger W/Graft Each (26420) $1,865.60 $5,830 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,582.40 $4,945 1.0×
Repair Extensor Tendon Hand W/Graft Each (26412) $2,945.28 $9,204 0.9×
Repair Finger Tendon (26433) $2,962.88 $9,259 0.9×
Repair Finger/Hand Tendon (26350) $2,952.64 $9,227 0.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,440 $7,625 0.8×
Repair Foot Dislocation (28615) $6,556.48 $20,489 0.9×
Repair Forearm Tendon Sheath (25275) $2,952.64 $9,227 0.9×
Repair Hallux Rigidus (28289) $2,417.92 $7,556 0.7×
Repair Hand Joint (26540) $2,977.60 $9,305 0.9×
Repair Hand Tendon (26410) $1,726.40 $5,395 1.1×
Repair inguinal hernia, sliding, any age (49525) $3,989.44 $12,467 1.1×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,978.24 $12,432 1.1×
Repair initial femoral hernia, any age; reducible (49550) $3,499.52 $10,936 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,942.40 $12,320 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $379.20 $1,185 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $459.20–$476.80 $1,435–$1,490 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $553.28 $1,729 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $362.24 $1,132 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $481.28 $1,504 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $610.56 $1,908 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $332.80 $1,040 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $476.16 $1,488 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $309.44 $967 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $480.64 $1,502 1.2×
Repair intrinsic muscles hand each muscle (26591) $2,952.64 $9,227 0.9×
Repair Leg Fascia Defect (27656) $2,254.08 $7,044 0.7×
Repair lower leg tendons (27676) $6,400.96 $20,003 0.9×
Repair Nasal Vestibular Stenosis (30465) $5,078.40 $15,870 0.9×
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $2,562.56 $8,008 0.2×
Repair Nonunion Carpal Bone Each Bone (25431) $6,473.92 $20,231 0.9×
Repair Nonunion Hand (26546) $6,414.72 $20,046 0.9×
Repair Nonunion/Malunion Tarsal Bones (28320) $12,058.56 $37,683 0.9×
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×
Repair of enterocele, vaginal approach (separate procedure) (57268) $1,065.28 $3,329 0.2×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $6,414.72 $20,046 0.9×
Repair of hydrocele (55060) $1,983.04 $6,197 0.6×
Repair of metatarsals (28322) $6,309.76 $19,718 0.9×
Repair of nail bed (11760) $840.64 $2,627 1.1×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $6,400.96 $20,003 0.9×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $6,309.76 $19,718 0.9×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $6,309.76 $19,718 0.9×
Repair of rectocele (45560) $2,713.60 $8,480 1.0×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $2,696.96 $8,428 0.4×
Repair of shoulder (23420)
unusually low: confirm this is the full procedure		 $2,718.40 $8,495 0.4×
Repair of web finger (26560) $1,519.68 $4,749 1.0×
Repair paravag defect vag (57285) $6,798.72 $21,246 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $3,250.88 $10,159 0.5×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $2,706.24 $8,457 0.4×
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×
Repair shoulder capsule (23462) $6,224.64 $19,452 0.9×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,962.88 $9,259 0.9×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $6,168.32 $19,276 0.9×
Repair Toe Dislocation (28645) $2,952.64 $9,227 0.9×
Repair webbed toe(s) (28345) $1,773.44 $5,542 1.1×
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $12,879.36 $40,248 1.8×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $12,879.36 $40,248 1.8×
Repair, primary, disrupted ligament, ankle; collateral (27695) $3,924.16 $12,263 0.5×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $6,414.72 $20,046 0.9×
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure		 $3,200 $10,000 0.4×
Repair/graft finger tendon (26428) $2,848.64 $8,902 0.9×
Repair/Graft Wrist Bone (25440) $6,309.76 $19,718 0.9×
Repair/Revise Wrist Joint (25320)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×
Replace elbow joint (24363) $17,335.36 $54,173 1.0×
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69730)
unusually low: confirm this is the full procedure		 $4,800 $15,000 0.4×
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719)
unusually low: confirm this is the full procedure		 $4,800 $15,000 0.4×
Replacement Tissue Expander W/Permanent Implant (11970) $6,540.48 $20,439 0.9×
Reposition Venous Catheter (36597) $1,120 $3,500 0.7×
Repr elbow lat ligmnt w/tiss (24343) $2,977.60 $9,305 0.9×
Repr Elbw Med Ligmnt W/Tiss (24345) $6,414.72 $20,046 0.9×
Rerepair ing hernia reduce (49520) $3,965.44 $12,392 1.1×
Resect forarm/wrist tum 3cm> (25078) $3,296.96 $10,303 1.1×
Resection, partial or complete, phalangeal base, each toe (28126) $1,775.68 $5,549 0.5×
Rev/rmv prph sac/gstr npg/r (64595) $3,665.92 $11,456 1.1×
Revis reconst shoulder joint (23473) $11,849.28 $37,029 0.9×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $7,363.20 $23,010 0.6×
Revise finger joint each (26140) $1,478.08 $4,619 0.9×
Revise Hand/Foot Nerve (64704) $1,836.48 $5,739 1.0×
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure		 $3,096.64 $9,677 0.4×
Revise lower leg tendon (27690) $6,268.48 $19,589 0.9×
Revise reconst elbow joint (24371) $17,335.36 $54,173 1.0×
Revise Spine Eltrd Plate (63664) $13,532.16 $42,288 1.2×
Revise thumb tendon (26496) $2,883.20 $9,010 0.9×
Revise ulnar nerve at wrist (64719) $1,988.16 $6,213 1.0×
Revise Wrist/Forearm Tendon (25280) $2,945.28 $9,204 0.9×
Revise/Implant Finger Joint (26536) $6,414.72 $20,046 0.9×
Revise/Repair Finger/Toe Nerve (64702) $1,836.48 $5,739 1.0×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $2,693.12 $8,416 0.8×
Revision mastoidectomy; resulting in tympanoplasty Facility (69604)
unusually low: confirm this is the full procedure		 $2,096 $6,550 0.4×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,832.64 $5,727 0.3×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $1,356.80 $4,240 0.4×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $1,000 $3,125 0.3×
Revision of foot bones (28737)
likely a partial charge, not the full procedure		 $2,524.48 $7,889 0.2×
Revision of humerus (24400) $6,414.72 $20,046 0.9×
Revision of lower leg tendon (27685) $2,480.32 $7,751 0.8×
Revision of reconstructed breast (19380)
unusually low: confirm this is the full procedure		 $2,883.20 $9,010 0.4×
Revision of toe (28312) $2,831.68 $8,849 0.9×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure		 $3,096.64 $9,677 0.2×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $7,352.64 $22,977 0.6×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $6,519.04 $20,372 0.9×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $3,113.60 $9,730 0.9×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,913.60 $5,980 0.5×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
unusually low: confirm this is the full procedure		 $2,035.20 $6,360 0.3×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $7,407.04 $23,147 0.6×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $5,133.12 $16,041 0.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure		 $4,136.96 $12,928 0.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,639.68 $11,374 1.1×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,663.04 $11,447 1.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,171.52 $3,661 0.7×
Rmvl fecal impaction/fb spx under anes (45915) $1,051.20 $3,285 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,428.48 $4,464 0.9×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $2,335.68 $7,299 1.0×
Rmvl Lens Material Phacofragmentation Aspir (66850) $2,248.96 $7,028 1.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,120.32 $6,626 1.1×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) $6,400.96 $20,003 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $792.64 $2,477 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $476.80 $1,490 0.8×
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,239.68 $6,999 1.0×
Rmvl/revj sling stress incontinence (57287) $2,612.80 $8,165 0.8×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $247.36–$250.88 $773–$784 varies
Rplc gtube revj gstrst trc (43763) $240.96 $753 1.0×
Rplcmt compl tun ctr vad w/subq port (36582) $2,998.72 $9,371 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,789.44 $5,592 0.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $4,964.16 $15,513 0.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,373.76 $10,543 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $3,373.76 $10,543 0.5×
Rpr aa hernia recr 3-10 cm reducible (49615) $3,373.76 $10,543 0.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $4,967.04 $15,522 0.8×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,373.76 $10,543 1.0×
Rpr aa hrn 1st 3-10 rdc (49593) $3,373.76 $10,543 0.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $4,964.16 $15,513 0.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,436.80 $4,490 0.9×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $2,962.88 $9,259 0.9×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $6,533.12 $20,416 0.9×
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure		 $2,671.36 $8,348 0.4×
Rpr ing hernia init reduce (49500) $3,965.44 $12,392 0.6×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $3,659.20 $11,435 0.7×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
unusually low: confirm this is the full procedure		 $2,239.68 $6,999 0.3×
Rpr Nsl Vlv Collapse W/Implt (30468)
range across 2 matching MRF lines		 $1,020.80–$5,078.40 $3,190–$15,870 varies
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $6,533.12 $20,416 0.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,259.84 $3,937 0.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,096.64 $9,677 1.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,085.76 $9,643 1.0×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $6,540.48 $20,439 0.9×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $2,952.64 $9,227 0.9×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $6,224.64 $19,452 0.9×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)
unusually low: confirm this is the full procedure		 $2,952.64 $9,227 0.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,096.64 $9,677 1.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $3,161.28 $9,879 1.0×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $2,945.28 $9,204 0.9×
Scrotal exploration (55110) $1,978.88 $6,184 0.6×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,932.48 $6,039 0.6×
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) $6,519.04 $20,372 0.9×
Sequestrectomy Olecranon Process (24138) $6,168.32 $19,276 0.9×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $414.40 $1,295 0.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $591.68 $1,849 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $187.20 $585 0.9×
Shoulder arthroscopy (29820)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×
Shoulder arthroscopy diagnostic (29805) $2,945.28 $9,204 0.9×
Shoulder Arthroscopy/Surgery (29825) $3,093.76 $9,668 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $198.40 $620 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $172.48 $539 0.9×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,026.88 $3,209 0.3×
Sigmoidoscopy & Polypectomy (45333) $601.60 $1,880 0.7×
Sigmoidoscopy w/fb removal (45332) $1,664 $5,200 1.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $812.48 $2,539 0.9×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,520 $4,750 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $545.92–$575.68 $1,706–$1,799 varies
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $5,047.36 $15,773 0.9×
Skin Full Grft Face/Genit/Hf (15240) $1,905.60 $5,955 0.9×
Skin Pinch Graft (15050) $538.56 $1,683 0.7×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $829.12–$1,756.48 $2,591–$5,489 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $829.12–$1,754.88 $2,591–$5,484 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $1,302.40–$2,993.92 $4,070–$9,356 varies
Skn sub grft f/n/hf/g child (15277) $1,302.40 $4,070 0.6×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,655.04 $11,422 0.7×
Slitting of prepuce (54001) $1,775.36 $5,548 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $164.80–$174.72 $515–$546 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $435.20 $1,360 1.1×
Sphincterotomy anal division sphincter spx (46080) $2,710.40 $8,470 1.0×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $54.72–$89.60 $171–$280 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,098.24 $9,682 0.9×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,765.44 $5,517 0.9×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,166.40 $3,645 0.4×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $4,838.40 $15,120 0.8×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $147.52–$296.96 $461–$928 varies
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $362.24 $1,132 0.5×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,031.04 $3,222 0.3×
Suprahyoid lymphadenectomy (38700)
unusually low: confirm this is the full procedure		 $3,200 $10,000 0.5×
Surg Implnt Neuroelect,Epidural (63655) $13,532.16 $42,288 0.7×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $4,160 $13,000 0.7×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $3,731.20 $11,660 0.6×
Surg Tx Anal Fistula 2nd Stage (46285) $2,268.48 $7,089 0.8×
Surg tx anal fistula subq (46270) $2,439.04 $7,622 0.9×
Suture 1 nerve hand/foot common sensory nerve (64834) $4,941.76 $15,443 1.5×
Suture 1 Nerve Median Motor Thenar (64835) $5,827.52 $18,211 1.7×
Suture 1 Nerve Ulnar Motor (64836) $4,941.76 $15,443 1.5×
Suture digital nerve hand/foot 1 nerve (64831) $5,417.28 $16,929 2.8×
Suture infrapatellar tendon primary (27380) $3,924.16 $12,263 0.5×
Suture of quadriceps or hamstring muscle rupture primary (27385) $3,924.16 $12,263 0.5×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $6,300.16 $19,688 0.9×
Suture/repair testicular injury (54670) $1,789.44 $5,592 0.5×
Syndactylization toes (28280) $2,120 $6,625 0.7×
Synovectomy Tendon Sheath Foot Flexor (28086) $1,306.56 $4,083 0.4×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $2,962.88 $9,259 0.9×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,574.08 $4,919 1.0×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $180.80–$183.36 $565–$573 varies
Temple bone implant revision (69717)
unusually low: confirm this is the full procedure		 $2,688 $8,400 0.4×
Tendon lengthening upper arm/elbow ea tendon (24305) $2,952.64 $9,227 0.9×
Tendon shortening (26477) $2,838.72 $8,871 0.9×
Tendon transfer with graft (26492) $2,204.80 $6,890 0.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $1,306.56 $4,083 0.4×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $5,128.64 $16,027 1.6×
Tenodesis long tendon biceps (23430) $5,938.24 $18,557 0.8×
Tenodesis proximal interphalangeal joint each (26471) $2,945.28 $9,204 0.9×
Tenolysis Flexor Foot Multiple Tendons (28222) $2,848.64 $8,902 0.9×
Tenolysis flexor foot single tendon (28220) $1,579.84 $4,937 1.0×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,519.68 $4,749 1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $2,952.64 $9,227 0.9×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $2,977.60 $9,305 0.9×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $1,519.68 $4,749 0.5×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,952.64 $9,227 0.9×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,402.24 $4,382 0.9×
Tenotomy Hip Abd/Ext Open (27006) $2,266.88 $7,084 0.7×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $608.32–$641.28 $1,901–$2,004 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,131.20 $9,785 1.0×
Tenotomy shoulder area single tendon (23405) $6,224.64 $19,452 0.9×
Tenotomy, hip flexor(s), open (27005) $2,962.88 $9,259 0.9×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 2 matching MRF lines		 $1,392.96–$2,872.64 $4,353–$8,977 varies
Thumb fusion with graft (26842) $6,242.56 $19,508 0.9×
Thyroid biopsy (60100) $642.56 $2,008 0.9×
Thyroidectomy Post Prev Thyr Surg (60260) $5,078.40 $15,870 0.9×
Thyroidectomy, total or complete (60240) $3,431.04 $10,722 0.6×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $5,248.64 $16,402 0.9×
Tibial Arthroscopy/Surgery (29855) $6,540.48 $20,439 0.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,915.52 $5,986 0.9×
Tissue Expander Placement Breast Reconstruction (19357)
unusually low: confirm this is the full procedure		 $5,366.40 $16,770 0.4×
Tnot elbow lateral/medial debride open (24358) $3,096.64 $9,677 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359) $2,235.20 $6,985 0.7×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,428.48 $7,589 0.7×
Tooth extraction (41899) $1,633.28 $5,104 7.0×
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure		 $5,278.08 $16,494 0.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $3,663.04 $11,447 1.1×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,581.44 $4,942 3.0×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $369.28 $1,154 1.2×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $2,374.40 $7,420 0.7×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,812.48 $5,664 0.9×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $2,835.52 $8,861 0.9×
Transfer/transplant tendon palmar w/o graft each (26485) $2,962.88 $9,259 0.9×
Transmetacarpal amputation; Facility (25927) $2,824.64 $8,827 0.9×
Transplant hand tendon (26480) $1,236.80 $3,865 0.4×
Transplant/graft palm tendon (26489) $2,945.28 $9,204 0.9×
Transur electr resection of prostate (52601) $4,213.44 $13,167 0.8×
Transurethral resection bladder neck (52500) $3,041.92 $9,506 0.9×
Treat ankle fracture (28445) $3,924.48 $12,264 0.5×
Treat Big Toe Fracture (28505) $2,962.88 $9,259 0.9×
Treat ectopic pregnancy (59151) $3,701.12 $11,566 0.6×
Treat elbow fracture (24586)
unusually low: confirm this is the full procedure		 $4,794.56 $14,983 0.4×
Treat Elbow Fracture (24635) $6,093.44 $19,042 0.8×
Treat elbow fracture (24587) $12,814.40 $40,045 1.0×
Treat Finger Fracture Each (26727) $2,236.80 $6,990 0.7×
Treat forearm bone lesion (25035)
likely a partial charge, not the full procedure		 $1,360 $4,250 0.2×
Treat fracture radius/ulna (25575) $4,502.08 $14,069 0.6×
Treat Fx Rad Extra-Articul (25607) $3,924.16 $12,263 0.5×
Treat Humerus Fracture (24505) $1,586.56 $4,958 1.0×
Treat humerus fracture (23616) $20,856.96 $65,178 1.2×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $240.96–$241.28 $753–$754 varies
Treat knee fracture (27532) $2,754.88 $8,609 0.9×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,618.24 $8,182 0.4×
Treat Knuckle Dislocation (26700) $243.84 $762 1.0×
Treat lower leg bone lesion (27607) $3,133.12 $9,791 1.0×
Treat scapula fracture (23585) $6,562.56 $20,508 0.9×
Treat thumb fracture (26665) $2,952.64 $9,227 0.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,703.68 $5,324 1.1×
Treatment of ankle fracture (27823) $6,224.64 $19,452 0.9×
Treatment of foot infection (28003) $2,080 $6,500 0.6×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $7,344 $22,950 1.0×
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure		 $3,307.20 $10,335 0.5×
Trim skin lesion (11055) $120.64 $377 0.6×
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $464.64–$489.92 $1,452–$1,531 varies
Trim skin lesions over 4 (11057) $120.64 $377 0.6×
Trimming Nondystrophic Nails Any Number (11719) $91.84 $287 1.6×
Trurl rescj postop bladder neck contracture (52640) $3,219.84 $10,062 0.9×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,710.40 $8,470 1.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $12,455.36 $38,923 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,893.12 $9,041 0.9×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $2,284.48 $7,139 0.3×
Tx Missed Abortion First Trimester Surgical (59820) $3,644.16 $11,388 1.1×
Tx Missed Abortion Second Trimester Surgical (59821) $2,706.24 $8,457 0.8×
Tx open tendon flexor toe 1 tendon spx (28232) $629.76 $1,968 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $699.84 $2,187 1.0×
Tx superficial wound dehiscence w/packing (12021) $409.28 $1,279 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure		 $4,783.36 $14,948 0.4×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,872.96 $5,853 1.2×
Tympanoplasty (69631)
unusually low: confirm this is the full procedure		 $2,025.92 $6,331 0.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low: confirm this is the full procedure		 $2,046.08 $6,394 0.3×
Tympanostomy general anesthesia (69436) $853.12 $2,666 0.6×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $3,373.76 $10,543 1.0×
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure		 $2,099.84 $6,562 0.4×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $3,659.52 $11,436 0.6×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure		 $2,281.92 $7,131 0.4×
Unlisted Procedure Leg/Ankle (27899) $485.76 $1,518 2.0×
Unlisted procedure shoulder (23929) $466.88 $1,459 1.9×
Uvulectomy excision of uvula (42140) $1,877.76 $5,868 0.6×
Vag hyst complex (58290) $6,603.52 $20,636 0.9×
Vag hyst incl t/o complex (58291) $4,817.92 $15,056 1.0×
Vag hyst w/t/o & vag repair (58263) $4,212.80 $13,165 0.9×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $4,797.12 $14,991 1.0×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $4,506.24 $14,082 0.9×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $4,796.16 $14,988 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,978.56 $6,183 1.0×
Ventilating tube removal requiring general anesthesia (69424) $1,800.96 $5,628 0.5×
Vulvectomy simple partial (56620) $2,660.48 $8,314 0.8×
Wedge excision skin nail fold (11765) $409.28 $1,279 1.0×
Wound Prep F/N/Hf/G (15004) $517.44 $1,617 1.3×
Wrist arthroscopy (29840) $2,945.28 $9,204 0.9×
Wrist arthroscopy with partial removal of joint lining (29844) $1,306.56 $4,083 0.4×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $4,253.12 $13,291 0.8×
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $2,660.16 $8,313 0.4×

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.