Procedures & surgery prices at Froedtert Memorial Lutheran Hospital
Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.
1275 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,627.45 | $2,959 | 1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,279.85 | $2,327 | 1.4× |
| Ablate inf turbinate submuc (30802) | $2,039.40 | $3,708 | 1.3× |
| Ablate Pulm Tumor Perq Crybl (32994) | $8,774.70 | $15,954 | 0.8× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $6,729.80 | $12,236 | 0.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) range across 2 matching MRF lines |
$8,778.55–$10,534.70 | $15,961–$19,154 | varies |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $8,062.45 | $14,659 | 1.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $2,039.40 | $3,708 | 1.3× |
| Acne surgery (10040) range across 2 matching MRF lines |
$27.50–$267.85 | $50–$487 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,872.10 | $5,222 | 1.4× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) | $10,945 | $19,900 | 1.5× |
| Allogeneic lymphocyte infusions (38242) | $2,279.75 | $4,145 | 1.4× |
| Amniocentesis diagnostic (59000) | $1,090.10 | $1,982 | 1.2× |
| Amniocentesis therapeutic (59001) | $914.10 | $1,662 | 3.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $3,186.70 | $5,794 | 1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,509.65 | $4,563 | 0.8× |
| Amputation toe interphalangeal joint (28825) | $3,636.05 | $6,611 | 1.1× |
| Amputation toe metatarsophalangeal joint (28820) | $4,533.65 | $8,243 | 1.4× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $643.50 | $1,170 | 2.1× |
| Anal/Urinary Muscle Study (51784) | $231.55 | $421 | 1.8× |
| Anoscopy Control Bleeding (46614) | $1,499.30 | $2,726 | 1.2× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$174.90–$215.05 | $318–$391 | varies |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) range across 2 matching MRF lines |
$1,577.95–$1,931.05 | $2,869–$3,511 | varies |
| Anoscopy remove lesion (46610) range across 2 matching MRF lines |
$3,754.85–$4,340.05 | $6,827–$7,891 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,564.75 | $2,845 | 1.7× |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$1,577.95–$2,323.75 | $2,869–$4,225 | varies |
| Apheresis Platelets (36513) | $1,354.10 | $2,462 | 3.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $169.40 | $308 | 1.0× |
| Application cast elbow finger short arm (29075) | $363.55 | $661 | 1.3× |
| Application finger splint static (29130) | $146.85 | $267 | 1.1× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$284.35–$323.95 | $517–$589 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $472.45 | $859 | 1.7× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$382.25–$419.65 | $695–$763 | varies |
| Application multiplane external fixation system (20692) | $16,930.65 | $30,783 | 1.3× |
| Application of cylinder cast (thigh to ankle) (29365) | $480.70 | $874 | 1.7× |
| Application of long leg cast (29345) | $539.55 | $981 | 1.9× |
| Application of rigid total contact leg cast (29445) | $407 | $740 | 1.4× |
| Application Patellar Tendon Bearing Cast (29435) | $480.70 | $874 | 1.7× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$304.70–$334.40 | $554–$608 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$261.80–$334.95 | $476–$609 | varies |
| Application uniplane external fixation system (20690) | $7,202.80 | $13,096 | 1.0× |
| Apply hand/wrist cast (29085) | $325.60 | $592 | 2.0× |
| Apply long arm cast (29065) | $476.30 | $866 | 1.7× |
| Apply Multlay Comprs Lwr Leg (29581) | $375.65 | $683 | 2.3× |
| Apply Short Leg Cast (29405) range across 5 matching MRF lines |
$385–$422.40 | $700–$768 | varies |
| Apply short leg cast (29425) | $522.50 | $950 | 1.8× |
| Arterial puncture (36600) | $125.40 | $228 | 0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$457.05–$508.20 | $831–$924 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $825.55 | $1,501 | 1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$539.55–$605.55 | $981–$1,101 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $932.80 | $1,696 | 3.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$403.15–$446.60 | $733–$812 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) | $25,549.70 | $46,454 | 1.4× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) | $13,824.25 | $25,135 | 1.1× |
| Artificial insemination intra-cervical (58321) | $476.85 | $867 | 1.5× |
| Artificial insemination intra-uterine (58322) | $340.45 | $619 | 1.7× |
| Aspirate pleura w/ imaging (32555) | $1,310.65 | $2,383 | 2.1× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,068.10–$1,232.55 | $1,942–$2,241 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $440 | $800 | 1.4× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $1,045.55 | $1,901 | 1.5× |
| Aspiration and/or injection thyroid cyst (60300) range across 2 matching MRF lines |
$1,036.20–$1,287 | $1,884–$2,340 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $3,029.40 | $5,508 | 1.4× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) | $5,023.15 | $9,133 | 2.2× |
| Avulsion nail plate partial/complete simple 1 (11730) | $349.80 | $636 | 1.7× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) | $8,470.55 | $15,401 | 0.8× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $6,729.80 | $12,236 | 0.6× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) | $4,946.15 | $8,993 | 0.8× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $5,250.30 | $9,546 | 0.8× |
| Biopsy Abdominal Mass (49180) | $1,751.75 | $3,185 | 1.0× |
| Biopsy bone open deep (20245) | $5,582.50 | $10,150 | 1.9× |
| Biopsy bone open superficial (20240) | $5,269.55 | $9,581 | 1.8× |
| Biopsy bone trocar/needle deep (20225) | $2,409 | $4,380 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$1,184.15–$2,195.60 | $2,153–$3,992 | varies |
| Biopsy External Auditory Canal (69105) | $1,395.90 | $2,538 | 0.9× |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$326.70–$554.40 | $594–$1,008 | varies |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$1,458.60–$2,841.30 | $2,652–$5,166 | varies |
| Biopsy nail unit (11755) | $941.05 | $1,711 | 1.3× |
| Biopsy of breast; open, incisional (19101) | $5,564.90 | $10,118 | 1.4× |
| Biopsy of conjunctiva (68100) | $1,751.75 | $3,185 | 0.7× |
| Biopsy of floor of mouth (41108) | $1,061.50 | $1,930 | 0.6× |
| Biopsy of lip (40490) range across 2 matching MRF lines |
$326.70–$560.45 | $594–$1,019 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $1,821.60 | $3,312 | 1.1× |
| Biopsy of palate, uvula (42100) | $1,078.55 | $1,961 | 0.7× |
| Biopsy of penis (54100) range across 2 matching MRF lines |
$2,168.10–$2,349.05 | $3,942–$4,271 | varies |
| Biopsy of rectum (45100) | $4,340.05 | $7,891 | 1.5× |
| Biopsy of tear sac (68525) | $2,514.05 | $4,571 | 1.0× |
| Biopsy of urethra (53200) | $2,723.60 | $4,952 | 1.3× |
| Biopsy Oropharynx (42800) range across 2 matching MRF lines |
$2,039.40–$3,457.30 | $3,708–$6,286 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $1,518.55 | $2,761 | 0.9× |
| Biopsy Salivary Gland Incisional (42405) | $2,039.40 | $3,708 | 1.3× |
| Biopsy Salivary Gland Needle (42400) | $1,241.90 | $2,258 | 1.7× |
| Biopsy soft tissue back/flank deep (21925) | $3,646.50 | $6,630 | 2.2× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $1,550.45 | $2,819 | 0.9× |
| Biopsy soft tissue forearm&/wrist deep (25066) | $3,362.15 | $6,113 | 1.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $2,812.70 | $5,114 | 1.7× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $3,727.90 | $6,778 | 1.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) range across 2 matching MRF lines |
$1,966.80–$2,542.65 | $3,576–$4,623 | varies |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$3,029.40–$3,282.40 | $5,508–$5,968 | varies |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $2,542.65 | $4,623 | 1.5× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) range across 2 matching MRF lines |
$2,954.05–$3,228.50 | $5,371–$5,870 | varies |
| Biopsy Soft Tissue Shoulder Deep (23066) | $4,459.40 | $8,108 | 1.5× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $2,542.65 | $4,623 | 1.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $4,445.65 | $8,083 | 1.5× |
| Biopsy soft tissue thigh/knee area superficial (27323) range across 2 matching MRF lines |
$1,969.55–$4,395.60 | $3,581–$7,992 | varies |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $2,542.65 | $4,623 | 1.5× |
| Biopsy Testis Needle Separate Procedure (54500) | $2,616.35 | $4,757 | 0.9× |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$758.45–$1,130.25 | $1,379–$2,055 | varies |
| Biopsy Tongue Posterior One-Third (41105) | $2,245.10 | $4,082 | 0.7× |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$1,125.30–$1,211.10 | $2,046–$2,202 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$814.55–$874.50 | $1,481–$1,590 | varies |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$608.85–$762.85 | $1,107–$1,387 | varies |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$643.50–$668.25 | $1,170–$1,215 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$497.75–$540.65 | $905–$983 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$149.60–$266.75 | $272–$485 | varies |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $3,771.90 | $6,858 | 2.4× |
| Blepharoplasty upper eyelid (15822) | $3,263.70 | $5,934 | 1.6× |
| Blepharotomy drainage abscess eyelid (67700) | $521.95 | $949 | 1.6× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$666.05–$923.45 | $1,211–$1,679 | varies |
| Blood/Lymph System Procedure (38999) range across 2 matching MRF lines |
$549.18–$4,729.45 | $998.50–$8,599 | varies |
| Bone Graft Any Donor Area Major/Large (20902) | $7,202.80 | $13,096 | 1.0× |
| Bone Marrow Biopsy (38221) | $1,472.35 | $2,677 | 0.9× |
| Bone Marrow; Aspiration Only (38220) | $1,697.30 | $3,086 | 1.0× |
| Brnchsc Brushing/Protected Brushings (31623) | $2,367.20 | $4,304 | 1.3× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $4,204.20 | $7,644 | 1.1× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $4,783.90 | $8,698 | 1.3× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $4,621.10 | $8,402 | 1.2× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $4,640.90 | $8,438 | 1.2× |
| Bronchoscopy Clear Airways (31645) | $2,241.80 | $4,076 | 1.2× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,940.30 | $5,346 | 1.6× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $12,775.40 | $23,228 | 1.8× |
| Bronchoscopy W/Removal Foreign Body (31635) | $3,002.45 | $5,459 | 1.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $3,011.80 | $5,476 | 0.8× |
| Bronchoscopy/Needle Bx Each (31629) | $3,704.80 | $6,736 | 1.0× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) | $4,395.60 | $7,992 | 1.5× |
| Bx breast 1st lesion mr imag (19085) range across 2 matching MRF lines |
$3,242.25–$3,423.20 | $5,895–$6,224 | varies |
| Bx breast 1st lesion strtctc (19081) | $2,864.40 | $5,208 | 1.7× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$2,317.70–$2,973.85 | $4,214–$5,407 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,272.15 | $2,313 | 0.8× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$1,125.30–$1,155 | $2,046–$2,100 | varies |
| Bx/exc lymph node open superficial (38500) | $5,781.05 | $10,511 | 1.5× |
| Canthoplasty (67950) | $3,102 | $5,640 | 1.3× |
| Canthotomy Separate Procedure (67715) | $4,065.60 | $7,392 | 1.7× |
| Car-t admn autologous (38228) | $565.40 | $1,028 | 1.7× |
| Catheter aspiration nasotracheal spx (31720) | $172.70 | $314 | 0.8× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $363 | $660 | 1.2× |
| Cautery Cervix Electro/Thermal (57510) | $3,175.15 | $5,773 | 1.0× |
| Cessj Therapy Cath Removal (37214) | $3,709.20 | $6,744 | 1.2× |
| Change Cystostomy Tube Complicated (51710) | $1,091.20 | $1,984 | 1.5× |
| Change Cystostomy Tube Simple (51705) | $412.50 | $750 | 1.6× |
| Change of Windpipe Airway (31502) | $363 | $660 | 1.5× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$340.45–$463.10 | $619–$842 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $651.75 | $1,185 | 0.9× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,020.25 | $1,855 | 1.4× |
| Chemodenerv Eccrine Glands (64650) | $378.40 | $688 | 1.2× |
| Chemodenerv Musc Migraine (64615) | $487.30 | $886 | 1.6× |
| Chemodenerv musc neck dyston (64616) | $606.10 | $1,102 | 2.0× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) range across 2 matching MRF lines |
$438.35–$440 | $797–$800 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $1,020.25 | $1,855 | 1.4× |
| Chemodenerv trunk musc 6/> (64647) | $1,020.25 | $1,855 | 1.4× |
| Chemodenervation eccrine glands oth area per day (64653) | $440 | $800 | 1.4× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) | $924.55 | $1,681 | 1.3× |
| Chemodenervation of extraocular muscle (67345) | $521.95 | $949 | 1.6× |
| Chemodenervation of internal anal sphincter (46505) | $1,679.15 | $3,053 | 1.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$522.50–$613.25 | $950–$1,115 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$1,046.65–$1,481.15 | $1,903–$2,693 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $2,038.30 | $3,706 | 1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,796.10 | $6,902 | 1.0× |
| Chorionic Villus Sampling (59015) | $1,002.65 | $1,823 | 1.1× |
| Ciliary body destruction; cyclodialysis Facility (66740) | $4,105.20 | $7,464 | 1.7× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) | $3,422.10 | $6,222 | 1.4× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$178.75–$2,723.60 | $325–$4,952 | varies |
| Circumcision Neonate (54160) | $178.75 | $325 | 0.3× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$187.55–$2,247.85 | $341–$4,087 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,780.80 | $5,056 | 1.7× |
| Clear outer ear canal (69200) | $208.45 | $379 | 1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $411.40 | $748 | 1.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,186.35 | $2,157 | 0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $501.60 | $912 | 2.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $522.50 | $950 | 2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $344.30 | $626 | 1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $390.50 | $710 | 1.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,039.50 | $1,890 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $536.25 | $975 | 2.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $2,460.70 | $4,474 | 9.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $564.85 | $1,027 | 2.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,186.35 | $2,157 | 0.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $462.55 | $841 | 1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) | $551.65 | $1,003 | 2.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,565.30 | $2,846 | 1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $817.30 | $1,486 | 1.5× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $7,934.30 | $14,426 | 1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $345.40 | $628 | 1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,780.80 | $5,056 | 1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,361.70 | $4,294 | 1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,490.85 | $6,347 | 1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $6,488.90 | $11,798 | 1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $522.50 | $950 | 2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $492.25 | $895 | 2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,186.35 | $2,157 | 0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $411.95 | $749 | 1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,142.35 | $2,077 | 0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $376.75 | $685 | 1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,186.35 | $2,157 | 0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $350.35 | $637 | 1.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $421.85 | $767 | 1.7× |
| Closed tx septal&nose fx (21337) | $2,468.40 | $4,488 | 0.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $409.20 | $744 | 1.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,616.45 | $2,939 | 1.0× |
| Closed tx talus fracture w/o manipulation (28430) | $414.70 | $754 | 1.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $411.40 | $748 | 1.6× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $1,469.05 | $2,671 | 0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $288.20 | $524 | 1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,050.50 | $1,910 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $400.95 | $729 | 1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $295.90 | $538 | 1.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $536.25 | $975 | 2.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $817.30 | $1,486 | 1.5× |
| Closure lacrimal punctum (68760) | $662.75 | $1,205 | 2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $350.35 | $637 | 1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $392.70 | $714 | 1.6× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $411.40 | $748 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,584 | $2,880 | 1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $378.95 | $689 | 1.5× |
| Clsr Lacrimal Punctum Plug Each (68761) | $432.30 | $786 | 1.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $383.35 | $697 | 1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,186.35 | $2,157 | 0.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $387.20 | $704 | 1.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,507 | $2,740 | 0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $481.80 | $876 | 1.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $444.40 | $808 | 1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $522.50 | $950 | 2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $349.25 | $635 | 1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $458.15 | $833 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $306.35 | $557 | 1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $535.15 | $973 | 2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,036.75 | $1,885 | 0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,186.35 | $2,157 | 0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $547.80 | $996 | 2.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $411.40 | $748 | 1.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,544.30 | $4,626 | 1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $522.50 | $950 | 2.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $327.80 | $596 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $441.65 | $803 | 1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $295.90 | $538 | 1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,780.80 | $5,056 | 1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $458.15 | $833 | 1.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $410.85 | $747 | 1.6× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $383.35 | $697 | 1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $2,126.85 | $3,867 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $802.45 | $1,459 | 3.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $314.60 | $572 | 1.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,500.85 | $4,547 | 1.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $350.35 | $637 | 1.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $435.60 | $792 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $350.35 | $637 | 1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $408.10 | $742 | 1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,780.80 | $5,056 | 1.7× |
| Cltx Medial Ankle Fx (27760) | $350.35 | $637 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $563.75 | $1,025 | 2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $350.35 | $637 | 1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $491.15 | $893 | 2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $300.85 | $547 | 1.2× |
| Cltx post hip arthrp dislc req anes (27266) | $2,254.45 | $4,099 | 1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) | $584.65 | $1,063 | 2.3× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,780.80 | $5,056 | 1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) | $426.25 | $775 | 1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,531 | $6,420 | 2.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $376.75 | $685 | 1.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $427.35 | $777 | 1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $331.10 | $602 | 1.3× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $2,388.10 | $4,342 | 1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,186.35 | $2,157 | 0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $994.40 | $1,808 | 0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,186.35 | $2,157 | 0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $433.95 | $789 | 1.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $833.25 | $1,515 | 3.3× |
| Cltx tibial fx proximal w/o manipulation (27530) | $497.20 | $904 | 2.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $477.40 | $868 | 1.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $411.40 | $748 | 1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,507 | $2,740 | 0.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $446.60 | $812 | 1.8× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $2,370.50 | $4,310 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) range across 7 matching MRF lines |
$111.65–$518.10 | $203–$942 | varies |
| Collection of venous blood by venipuncture (36415) | $23.10 | $42 | 2.5× |
| Colpocentesis (57020) | $6,871.15 | $12,493 | 1.4× |
| Colporrhaphy (57200) | $2,681.80 | $4,876 | 0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$691.90–$718.85 | $1,258–$1,307 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $713.35 | $1,297 | 2.3× |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$377.30–$462.55 | $686–$841 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $713.35 | $1,297 | 2.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) range across 2 matching MRF lines |
$2,204.95–$2,681.80 | $4,009–$4,876 | varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 2 matching MRF lines |
$2,204.95–$2,783.55 | $4,009–$5,061 | varies |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$552.75–$589.05 | $1,005–$1,071 | varies |
| Colposcopy of vulva (56820) range across 2 matching MRF lines |
$353.65–$403.15 | $643–$733 | varies |
| Colposcopy Vulva W/Biopsy (56821) range across 2 matching MRF lines |
$373.45–$430.65 | $679–$783 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$828.85–$864.05 | $1,507–$1,571 | varies |
| Complex Cystometrogram (51726) | $330.55 | $601 | 1.3× |
| Complex drainage wound (10180) | $3,956.70 | $7,194 | 1.3× |
| Composite Skin Graft (15760) | $4,238.85 | $7,707 | 2.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$4,139.30–$4,150.30 | $7,526–$7,546 | varies |
| Conization of cervix (57520) | $3,801.05 | $6,911 | 1.2× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) | $2,789.05 | $5,071 | 1.2× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) | $4,308.15 | $7,833 | 1.1× |
| Constj tracheoesophgl fstl&insj sp prosth (31611) | $3,463.35 | $6,297 | 1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $548.90 | $998 | 4.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$441.10–$453.20 | $802–$824 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $559.35 | $1,017 | 1.0× |
| Conversion ext bil drg cath (47535) | $3,170.20 | $5,764 | 0.9× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,769.35 | $3,217 | 0.9× |
| Convert Nephrostomy Catheter (50434) | $1,996.50 | $3,630 | 0.9× |
| Cordocentesis (59012) | $562.10 | $1,022 | 1.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,217.60 | $4,032 | 1.3× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $368.50 | $670 | 0.8× |
| Correction Everted Punctum Cautery (68705) | $499.95 | $909 | 1.6× |
| Correction of lid retraction (67911) | $3,570.60 | $6,492 | 1.5× |
| Correction of trichiasis; epilation, by forceps only (67820) | $100.65 | $183 | 0.7× |
| Create Eardrum Opening (69433) | $735.90 | $1,338 | 1.3× |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) | $2,449.70 | $4,454 | 2.4× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) | $4,729.45 | $8,599 | 1.2× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) | $12,369.50 | $22,490 | 1.3× |
| Csf shunt reprogram (62252) | $427.35 | $777 | 1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $491.15 | $893 | 3.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $328.90 | $598 | 1.4× |
| Curettage postpartum (59160) | $4,386.25 | $7,975 | 1.3× |
| Curette/treat cornea (65435) | $1,748.45 | $3,179 | 1.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$4,644.20–$4,924.70 | $8,444–$8,954 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,657.05 | $4,831 | 1.3× |
| Cysto w/complex removal stone & stent (52315) | $2,723.60 | $4,952 | 1.3× |
| Cysto w/destruction of lesions (52214) range across 2 matching MRF lines |
$2,961.20–$3,850 | $5,384–$7,000 | varies |
| Cysto w/insert ureteral stent (52332) | $4,661.80 | $8,476 | 1.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $3,523.30 | $6,406 | 1.0× |
| Cysto w/removal of lesions small (52224) range across 2 matching MRF lines |
$2,640–$3,432 | $4,800–$6,240 | varies |
| Cysto w/removal of tumors small (52234) range across 2 matching MRF lines |
$4,661.80–$6,841.45 | $8,476–$12,439 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$2,741.75–$3,367.65 | $4,985–$6,123 | varies |
| Cysto w/ureter stricture tx (52341) | $4,661.80 | $8,476 | 1.3× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $4,661.80 | $8,476 | 1.3× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$3,021.15–$3,927 | $5,493–$7,140 | varies |
| Cystometrogram W/Up (51727) | $909.15 | $1,653 | 1.3× |
| Cystometrogram W/Vp (51728) | $913.55 | $1,661 | 1.3× |
| Cystometrogram W/Vp&Up (51729) | $875.60 | $1,592 | 1.2× |
| Cystourethroscopy (52000) | $1,077.45 | $1,959 | 1.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,723.60 | $4,952 | 1.3× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $7,291.35 | $13,257 | 2.0× |
| Cystourethroscopy with biopsy (52204) | $2,723.60 | $4,952 | 1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $651.75 | $1,185 | 1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,949.65 | $5,363 | 1.0× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,359.60 | $2,472 | 1.9× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) | $4,412.65 | $8,023 | 1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$796.95–$1,133.55 | $1,449–$2,061 | varies |
| Debride nail 1-5 (11720) | $117.15 | $213 | 2.0× |
| Debride nail 6 or more (11721) | $116.60 | $212 | 2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,752.85–$3,228.50 | $3,187–$5,870 | varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $735.90 | $1,338 | 1.3× |
| Debridement Mastoidectomy Cavity Simple (69220) | $318.45 | $579 | 1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$625.90–$664.95 | $1,138–$1,209 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$485.65–$503.80 | $883–$916 | varies |
| Deep Muscle Biopsy (20205) | $2,683.45 | $4,879 | 0.9× |
| Delivery of placenta (59414) | $3,432 | $6,240 | 1.0× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) | $3,816.45 | $6,939 | 1.1× |
| Destr penis lesion(s) (54065) | $2,438.70 | $4,434 | 1.2× |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,299.55 | $4,181 | 2.6× |
| Destroy cerv/thor facet jnt (64633) | $3,042.60 | $5,532 | 1.5× |
| Destroy lumb/sac facet jnt (64635) | $2,901.25 | $5,275 | 1.5× |
| Destruc retinal lesn,photocoag (67210) | $1,411.30 | $2,566 | 2.5× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$27.50–$204.60 | $50–$372 | varies |
| Destruction Benign Lesions 15/> (17111) | $267.85 | $487 | 1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,829.30 | $3,326 | 2.0× |
| Destruction by neurolytic agent; pudendal nerve (64630) | $1,696.20 | $3,084 | 1.9× |
| Destruction ciliary body (66700) | $3,281.30 | $5,966 | 1.4× |
| Destruction Lesions Vulva Extensive (56515) range across 2 matching MRF lines |
$2,438.70–$4,344.45 | $4,434–$7,899 | varies |
| Destruction Lesions Vulva Simple (56501) range across 3 matching MRF lines |
$2,438.70–$3,906.65 | $109–$7,103 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $533.50 | $970 | 2.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$267.85–$274.45 | $487–$499 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $269.50 | $490 | 1.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $275 | $500 | 1.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $267.85 | $487 | 1.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $267.85 | $487 | 1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $267.85 | $487 | 1.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $267.85 | $487 | 1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $253.55 | $461 | 1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $2,975.50 | $5,410 | 1.5× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $1,504.25 | $2,735 | 1.5× |
| Destruction of lesion, conjunctiva (68135) | $1,893.10 | $3,442 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $533.50 | $970 | 1.3× |
| Destruction premalignant lesion 1st (17000) | $182.05 | $331 | 0.9× |
| Destruction Vaginal Lesions Simple (57061) | $59.95 | $109 | 0.0× |
| Diagnostic anoscopy (46601) | $245.30 | $446 | 0.5× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,054.90–$1,371.15 | $1,918–$2,493 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $199.65 | $363 | 1.0× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $2,815.45 | $5,119 | 2.3× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) range across 2 matching MRF lines |
$209–$305.80 | $380–$556 | varies |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) range across 2 matching MRF lines |
$158.95–$162.80 | $289–$296 | varies |
| Dilat Urethral Strix Dilator Male Sbsq (53601) range across 2 matching MRF lines |
$158.95–$162.80 | $289–$296 | varies |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$330.55–$584.65 | $601–$1,063 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $3,942.95 | $7,169 | 1.2× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $735.90 | $1,338 | 1.3× |
| Dilation Cervical Canal (57800) | $3,942.95 | $7,169 | 1.2× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $400.40 | $728 | 0.9× |
| Division of symblepharon (68340) | $3,570.60 | $6,492 | 1.5× |
| Drain Cerebro Spinal Fluid (62272) | $1,153.35 | $2,097 | 1.6× |
| Drain Hand Tendon Sheath (26020) | $4,540.80 | $8,256 | 1.4× |
| Drain Spinal Cord Cyst (62268) | $1,498.20 | $2,724 | 1.7× |
| Drain/inj small joint/bursa w/us (20604) | $563.20 | $1,024 | 1.8× |
| Drainage abscess parotid simple (42300) | $2,133.45 | $3,879 | 1.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $817.30 | $1,486 | 1.5× |
| Drainage external auditory canal abscess (69020) | $705.65 | $1,283 | 1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,168.10 | $3,942 | 1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $906.95 | $1,649 | 1.3× |
| Drainage Finger Abscess Complicated (26011) | $2,531.10 | $4,602 | 1.5× |
| Drainage Mouth Roof Lesion (42000) | $449.35 | $817 | 1.9× |
| Drainage of eye (65800) | $3,430.90 | $6,238 | 1.5× |
| Drainage of finger abscess simple (26010) | $344.85 | $627 | 1.7× |
| Drainage of gum lesion (41800) | $342.65 | $623 | 2.5× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,852.95–$1,947 | $3,369–$3,540 | varies |
| Drainage of hydrocele (55000) | $1,021.35 | $1,857 | 1.4× |
| Drainage of mouth lesion (41017) | $8,265.68 | $15,028.50 | 2.5× |
| Drainage of nose lesion (30000) | $363 | $660 | 1.5× |
| Drainage of scrotal wall abscess (55100) | $1,431.10 | $2,602 | 0.9× |
| Drainage of scrotum (54700) | $4,299.90 | $7,818 | 2.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $3,929.20 | $7,144 | 1.2× |
| Draw Blood Off Venous Device (36591) range across 9 matching MRF lines |
$119.35–$735.35 | $217–$1,337 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $859.10 | $1,562 | 1.2× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $861.85 | $1,567 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $612.15 | $1,113 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $443.85 | $807 | 2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $287.65 | $523 | 1.4× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) range across 2 matching MRF lines |
$68.75–$839.85 | $125–$1,527 | varies |
| Dstrj les/scar vestibule mouth physical meths (40820) | $3,654.20 | $6,644 | 1.1× |
| Dstrj Lesion Anus Simple Chemical (46900) range across 2 matching MRF lines |
$473–$651.75 | $860–$1,185 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $267.85 | $487 | 1.3× |
| Dstrj lesion anus simple surg excision (46922) | $3,754.85 | $6,827 | 1.3× |
| Dstrj lesion choroid pc 1/> sess (67220) | $864.05 | $1,571 | 1.6× |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) | $1,013.65 | $1,843 | 1.8× |
| Dstrj Lesion Penis Simple Chemical (54050) range across 2 matching MRF lines |
$377.85–$386.65 | $687–$703 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $267.85 | $487 | 1.3× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $2,438.70 | $4,434 | 1.2× |
| Dstrj lesion penis simple surg excision (54060) range across 2 matching MRF lines |
$2,438.70–$3,275.25 | $4,434–$5,955 | varies |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $2,966.15 | $5,393 | 1.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,275.35 | $4,137 | 2.5× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $1,354.10 | $2,462 | 1.5× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$1,748.45–$2,175.25 | $3,179–$3,955 | varies |
| Dx Bronchoscope/Lavage (31624) | $2,812.70 | $5,114 | 1.6× |
| Dx Bronchoscope/Wash (31622) | $2,647.15 | $4,813 | 1.5× |
| Dx gastr intub w/asp specs (43755) | $190.30 | $346 | 1.5× |
| Dx Laryngoscopy Excl Nb (31525) | $3,369.85 | $6,127 | 1.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,439.35 | $2,617 | 2.0× |
| Egd dilation gastric/duodenal stricture (43245) | $2,645.50 | $4,810 | 1.4× |
| Egd Endoscopic Stent Place (43266) | $7,428.30 | $13,506 | 1.2× |
| Egd Flexible Foreign Body Removal (43247) | $1,554.30 | $2,826 | 1.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $2,669.15 | $4,853 | 1.4× |
| Egd place gastrostomy tube (43246) | $2,827 | $5,140 | 1.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $713.35 | $1,297 | 2.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $644.05 | $1,171 | 2.1× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $443.85 | $807 | 1.4× |
| Electro-Uroflowmetry First (51741) range across 2 matching MRF lines |
$206.80–$211.75 | $376–$385 | varies |
| Electroejaculation (55870) | $1,125.30 | $2,046 | 1.2× |
| Endocervical curettage (57505) | $1,298.55 | $2,361 | 1.4× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$376.20–$427.35 | $684–$777 | varies |
| Endoscopic injection/implant (51715) | $4,661.80 | $8,476 | 1.3× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $7,967.85 | $14,487 | 0.7× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) | $3,887.40 | $7,068 | 1.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,605.15 | $8,373 | 1.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $3,818.10 | $6,942 | 1.2× |
| Endoven ther chem adhes 1st (36482) | $6,769.40 | $12,308 | 1.2× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $2,827 | $5,140 | 1.5× |
| Epidural Blood Patch (62273) | $1,512.50 | $2,750 | 2.1× |
| Episiotomy or vaginal repair (59300) | $3,048.10 | $5,542 | 0.9× |
| Ercp duct stent placement (43274) | $4,076.05 | $7,411 | 0.7× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $4,621.65 | $8,403 | 1.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $3,279.65 | $5,963 | 0.8× |
| Ercp w/pressure measurement sphincter of oddi (43263) | $2,552 | $4,640 | 1.3× |
| Ercp,Sphincterotomy (43262) | $3,491.40 | $6,348 | 0.9× |
| Evacuation of subungual hematoma (11740) | $152.35 | $277 | 1.1× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,738.55 | $3,161 | 1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$697.40–$795.30 | $1,268–$1,446 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$2,272.05–$2,326.50 | $4,131–$4,230 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$906.95–$1,172.05 | $1,649–$2,131 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$914.10–$1,694 | $1,662–$3,080 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$1,918.68–$2,542.65 | $3,488.50–$4,623 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$876.15–$1,045.55 | $1,593–$1,901 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$990–$1,287 | $1,800–$2,340 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,102.75 | $2,005 | 1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,310 | $4,200 | 1.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,483.25 | $4,515 | 1.5× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $3,228.50 | $5,870 | 1.9× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $4,739.35 | $8,617 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$1,225.95–$1,590.60 | $2,229–$2,892 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$1,250.70–$1,385.45 | $2,274–$2,519 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,738.55 | $3,161 | 1.0× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,504.25 | $2,735 | 1.5× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 2 matching MRF lines |
$2,686.20–$2,750 | $4,884–$5,000 | varies |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $4,783.90 | $8,698 | 1.4× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $3,829.10 | $6,962 | 1.9× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) | $3,829.10 | $6,962 | 1.9× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $5,582.50 | $10,150 | 1.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$941.05–$1,335.40 | $1,711–$2,428 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,483.25 | $4,515 | 1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$4,010.05–$4,765.20 | $7,291–$8,664 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,168.10–$2,386.45 | $3,942–$4,339 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $3,799.95 | $6,909 | 1.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$1,918.68–$2,406.25 | $3,488.50–$4,375 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $3,362.70 | $6,114 | 1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$1,918.68–$2,363.35 | $3,488.50–$4,297 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$4,359.30–$5,582.50 | $7,926–$10,150 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) | $5,582.50 | $10,150 | 1.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $2,490.95 | $4,529 | 2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$499.95–$894.85 | $909–$1,627 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$691.35–$898.70 | $1,257–$1,634 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$2,168.10–$2,287.45 | $3,942–$4,159 | varies |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $2,103.75 | $3,825 | 1.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $5,532.45 | $10,059 | 1.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $5,582.50 | $10,150 | 1.9× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $5,582.50 | $10,150 | 1.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $3,535.95 | $6,429 | 1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,954.05 | $5,371 | 1.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,944.80 | $3,536 | 1.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $4,602.40 | $8,368 | 1.6× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $5,582.50 | $10,150 | 1.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,738.55 | $3,161 | 1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $4,395.60 | $7,992 | 1.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $3,005.75 | $5,465 | 1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $5,582.50 | $10,150 | 1.9× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) | $12,991 | $23,620 | 1.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,483.70 | $6,334 | 1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $3,278.55 | $5,961 | 1.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,932.15 | $3,513 | 1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$2,039.40–$3,208.70 | $3,708–$5,834 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$809.60–$1,193.50 | $1,472–$2,170 | varies |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) | $3,276.35 | $5,957 | 1.4× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) | $3,531.55 | $6,421 | 1.5× |
| Excision Bone Mandible (21025) | $10,441.75 | $18,985 | 1.7× |
| Excision Chalazion Multiple Same Lid (67801) | $1,504.25 | $2,735 | 1.5× |
| Excision Chalazion Single (67800) | $431.20 | $784 | 1.3× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $3,853.30 | $7,006 | 1.3× |
| Excision External Ear Partial Simple Repair (69110) | $5,132.60 | $9,332 | 1.7× |
| Excision H/P/P/U Complex Repair (11471) | $3,799.95 | $6,909 | 1.3× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $3,799.95 | $6,909 | 1.3× |
| Excision Lesion Conjunctiva </1 Cm (68110) | $2,475 | $4,500 | 1.0× |
| Excision lesion conjunctiva > 1 cm (68115) | $3,051.95 | $5,549 | 1.3× |
| Excision Lesion Cornea Xcp Pterygium (65400) | $2,324.85 | $4,227 | 2.3× |
| Excision lesion mouth roof (42104) | $4,305.40 | $7,828 | 1.3× |
| Excision Lesion Tongue W/O Closure (41110) range across 2 matching MRF lines |
$4,026–$5,051.20 | $7,320–$9,184 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$611.60–$795.30 | $1,112–$1,446 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$691.35–$898.70 | $1,257–$1,634 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$716.65–$1,045.55 | $1,303–$1,901 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$832.70–$1,348.60 | $1,514–$2,452 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$802.45–$1,045.55 | $1,459–$1,901 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$1,654.95–$1,739.65 | $3,009–$3,163 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,362.70 | $6,114 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$996.05–$1,342 | $1,811–$2,440 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$941.05–$1,487.20 | $1,711–$2,704 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$941.05–$2,168.10 | $1,711–$3,942 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$1,918.68–$2,833.05 | $3,488.50–$5,151 | varies |
| Excision malignant tumor mandible (21044) | $6,344.80 | $11,536 | 1.1× |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$3,301.65–$3,630 | $6,003–$6,600 | varies |
| Excision nasal polyp(s) simple (30110) | $2,039.40 | $3,708 | 1.3× |
| Excision of chalazion; multiple, different lids (67805) | $521.95 | $949 | 1.6× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) | $9,667.35 | $17,577 | 1.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $3,799.95 | $6,909 | 1.3× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$1,577.95–$2,978.25 | $2,869–$5,415 | varies |
| Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
$3,604.70–$3,922.05 | $6,554–$7,131 | varies |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $4,848.25 | $8,815 | 1.5× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) | $10,534.70 | $19,154 | 1.4× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) | $10,534.70 | $19,154 | 1.4× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) | $10,534.70 | $19,154 | 1.4× |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) | $10,534.70 | $19,154 | 1.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $3,799.95 | $6,909 | 1.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,799.95 | $6,909 | 1.3× |
| Excision soft tissue lesion, external auditory canal (69145) | $5,132.60 | $9,332 | 1.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,263.80 | $4,116 | 1.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,572.45 | $2,859 | 0.9× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $3,228.50 | $5,870 | 1.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,999.05 | $7,271 | 1.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $4,497.90 | $8,178 | 1.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $5,582.50 | $10,150 | 1.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $5,582.50 | $10,150 | 1.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $3,228.50 | $5,870 | 1.9× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) | $3,314.85 | $6,027 | 1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,451.35 | $4,457 | 1.2× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$1,916.20–$1,921.15 | $3,484–$3,493 | varies |
| Exploration penetrating wound spx extremity (20103) | $1,961.30 | $3,566 | 1.2× |
| Explore eye socket,drainage (67405) | $3,350.60 | $6,092 | 1.4× |
| External cephalic version (59412) | $3,432 | $6,240 | 1.0× |
| Fasciotomy palmar percutaneous (26040) | $3,059.65 | $5,563 | 1.9× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $530.20 | $964 | 1.7× |
| Fetal non-stress test (59025) | $295.90 | $538 | 1.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 2 matching MRF lines |
$2,762.65–$2,921.05 | $5,023–$5,311 | varies |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) range across 2 matching MRF lines |
$2,593.25–$2,719.75 | $4,715–$4,945 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$363–$491.15 | $660–$893 | varies |
| Fluid Pressure Muscle (20950) | $705.65 | $1,283 | 1.0× |
| Fluoro exam of g/colon tube (49465) | $459.80 | $836 | 1.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) range across 2 matching MRF lines |
$1,184.15–$1,241.90 | $2,153–$2,258 | varies |
| Fna bx w/us gdn 1st les (10005) | $1,328.80 | $2,416 | 1.9× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) | $870.65 | $1,583 | 0.9× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) | $22 | $40 | 0.6× |
| Guide Cathet Fluid Drainage (10030) | $1,045.55 | $1,901 | 1.5× |
| Hem heprn nduc trmbctpna srm (0275U) | $376.75 | $685 | 20.5× |
| Hem vw factor&clgn iii bndg (0279U) | $167.20 | $304 | 14.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $3,754.85 | $6,827 | 1.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$1,222.10–$1,362.35 | $2,222–$2,477 | varies |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $7,634.55 | $13,881 | 1.5× |
| Hysteroscopy Biopsy (58558) | $6,422.35 | $11,677 | 2.0× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) | $5,018.75 | $9,125 | 1.0× |
| Hysteroscopy Dx Sep Proc (58555) | $3,961.65 | $7,203 | 1.2× |
| Hysteroscopy Endometrial Ablation (58563) | $7,654.35 | $13,917 | 1.5× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) | $4,168.45 | $7,579 | 0.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $2,710.40 | $4,928 | 0.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $8,386.95 | $15,249 | 1.7× |
| I&d abscess peritonsillar (42700) | $524.15 | $953 | 2.2× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$354.20–$382.80 | $644–$696 | varies |
| I&d forearm/wrist bursa (25031) | $2,427.70 | $4,414 | 1.5× |
| I&D Mouth/Tong Intra,Masticator (41009) | $1,042.25 | $1,895 | 1.9× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$2,532.20–$2,970.55 | $4,604–$5,401 | varies |
| I&d pilonidal cyst complicated (10081) | $941.05 | $1,711 | 1.3× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$875.60–$906.95 | $1,592–$1,649 | varies |
| I&d thyroglossal duct cyst infected (60000) | $2,139.50 | $3,890 | 1.4× |
| Icd Pocket Revision (33223) | $3,697.10 | $6,722 | 1.8× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $1,302.95 | $2,369 | 1.4× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $1,104.95 | $2,009 | 1.2× |
| Image Cath Fluid Colxn Visc (49405) | $2,313.30 | $4,206 | 1.4× |
| Image Cath Fluid Peri/Retro (49406) | $2,734.05 | $4,971 | 1.6× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,621.40 | $2,948 | 1.0× |
| Implant neuroelectrodes (63650) | $10,161.80 | $18,476 | 1.6× |
| Implant Neuroelectrodes (64561) | $10,793.20 | $19,624 | 1.7× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$350.35–$391.05 | $637–$711 | varies |
| Incise/Drain Conjunctiva (68020) | $1,515.25 | $2,755 | 1.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$464.20–$491.15 | $844–$893 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $3,207.60 | $5,832 | 1.9× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$661.10–$737.55 | $1,202–$1,341 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $295.90 | $538 | 1.4× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$510.13–$529.65 | $927.50–$963 | varies |
| Incision Drainage Lacrimal Sac (68420) | $3,102 | $5,640 | 1.3× |
| Incision of eardrum (69420) | $326.70 | $594 | 1.4× |
| Incision of lingual frenum (frenotomy) (41010) | $2,039.40 | $3,708 | 1.3× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$4,132.15–$4,422 | $7,513–$8,040 | varies |
| Incision of urethra (53020) | $3,995.75 | $7,265 | 1.9× |
| Incisional biopsy eyelid skin & lid margin (67810) | $526.90 | $958 | 1.6× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$609.95–$737.55 | $1,109–$1,341 | varies |
| Induced abortion dilation and curettage (59840) | $3,104.75 | $5,645 | 0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $281.60 | $512 | 1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,696.20 | $3,084 | 1.9× |
| Inj W/Fluor Eval Cv Device (36598) | $368.50 | $670 | 1.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $4,387.35 | $7,977 | 4.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,662.10 | $3,022 | 1.9× |
| Inject Intravitreal Pharmcologic (67028) | $630.30 | $1,146 | 1.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $536.25 | $975 | 1.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$1,447.60–$2,068 | $2,632–$3,760 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $3,144.90 | $5,718 | 3.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,463.55–$1,464.10 | $2,661–$2,662 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,354.10 | $2,462 | 1.5× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $1,477.30 | $2,686 | 1.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,729.75 | $3,145 | 2.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,383.25 | $2,515 | 1.9× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $3,102 | $5,640 | 3.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $594 | $1,080 | 1.9× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,696.20 | $3,084 | 1.9× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,027.40 | $1,868 | 1.4× |
| Injection enzyme palmar fascial cord (20527) | $440 | $800 | 1.4× |
| Injection for identification of sentinel node (38792) | $514.80 | $936 | 1.3× |
| Injection medication/other subst tenon capsule (67515) | $521.95 | $949 | 1.6× |
| Injection of sclerosing solution, hemorrhoids (46500) | $1,357.95 | $2,469 | 1.4× |
| Injection procedure for peyronie disease (54200) | $330.55 | $601 | 1.3× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$443.85–$448.25 | $807–$815 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $478.50 | $870 | 1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) | $728.75 | $1,325 | 2.3× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $997.15 | $1,813 | 0.6× |
| Injection therapeutic carpal tunnel (20526) | $438.35 | $797 | 1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,354.10 | $2,462 | 1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $2,518.45 | $4,579 | 3.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,201.75–$1,203.40 | $2,185–$2,188 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $396 | $720 | 1.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$239.80–$245.30 | $436–$446 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$216.15–$231 | $393–$420 | varies |
| Injx anterior chamber eye air/liquid spx (66020) | $3,239.50 | $5,890 | 1.4× |
| Injx Anterior Chamber Eye Medication Spx (66030) | $3,237.85 | $5,887 | 1.4× |
| Ins cath ren art 1st bilat (36252) | $7,150.55 | $13,001 | 2.2× |
| Ins cath ren art 1st unilat (36251) | $5,631.45 | $10,239 | 1.8× |
| Ins cath ren art 2nd+ bilat (36254) | $6,642.35 | $12,077 | 2.1× |
| Ins cath ren art 2nd+ unilat (36253) | $5,772.25 | $10,495 | 1.0× |
| Ins endovas vena cava filtr (37191) | $7,206.65 | $13,103 | 1.3× |
| Ins Vag Brachytx Device (57156) | $880 | $1,600 | 2.9× |
| Ins/Rep Subq Defibrillator (33270) | $47,339.60 | $86,072 | 1.5× |
| Insert 1 Electrode Pm-Defib (33216) | $7,647.75 | $13,905 | 0.9× |
| Insert and remove bone pin (20650) | $4,232.25 | $7,695 | 1.3× |
| Insert Bladder Cath Complex (51703) | $642.40 | $1,168 | 4.9× |
| Insert cath pleura w/ image (32557) | $1,471.25 | $2,675 | 0.9× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$1,661–$1,667.60 | $3,020–$3,032 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $2,333.10 | $4,242 | 1.9× |
| Insert cervical dilator (59200) | $363 | $660 | 1.2× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$173.25–$239.25 | $315–$435 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,604.90 | $2,918 | 0.8× |
| Insert Heart Pm Atrial (33206) | $14,202.65 | $25,823 | 1.3× |
| Insert Heart Pm Ventricular (33207) | $15,654.10 | $28,462 | 1.5× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$8,825.30 | $16,046 | 0.5× |
| Insert Nasal Septal Button (30220) | $2,039.40 | $3,708 | 1.3× |
| Insert non-tunnel cv cath (36556) | $2,609.20 | $4,744 | 0.8× |
| Insert Pacing Lead & Connect (33224) | $12,104.95 | $22,009 | 1.1× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$295.90–$328.90 | $538–$598 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,235.30 | $2,246 | 0.8× |
| Insert pulse gen dual leads (33213) | $11,896.50 | $21,630 | 1.1× |
| Insert pulse gen mult leads (33221) | $13,495.35 | $24,537 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$275.55–$410.30 | $501–$746 | varies |
| Insert tun ip cath perc (49418) | $3,611.30 | $6,566 | 1.0× |
| Insert tunneled cv cath (36561) | $4,651.90 | $8,458 | 1.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $4,039.75 | $7,345 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$253.55–$263.45 | $461–$479 | varies |
| Insertion indwelling tunneled pleural catheter (32550) range across 2 matching MRF lines |
$4,217.95–$4,915.90 | $7,669–$8,938 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,695.55 | $4,901 | 1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $8,349 | $15,180 | 1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $7,040.55 | $12,801 | 1.4× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $6,921.75 | $12,585 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $4,471.50 | $8,130 | 1.4× |
| Insj Picc Rs&I <5 Yr (36572) | $1,081.30 | $1,966 | 1.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,672.45 | $4,859 | 0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,492.15–$1,727 | $2,713–$3,140 | varies |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,816 | $5,120 | 0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,030.50 | $5,510 | 0.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$28,811.75–$29,323.25 | $52,385–$53,315 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $46,137.85 | $83,887 | 1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $8,010.75 | $14,565 | 1.0× |
| Insrt heart pm atrial & vent (33208) | $13,727.45 | $24,959 | 1.3× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) | $330.55 | $601 | 1.3× |
| Interdental fixation (21110) | $1,467.95 | $2,669 | 0.9× |
| Interdental Wiring Other Than Fracture (21497) | $1,209.45 | $2,199 | 0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $688.60 | $1,252 | 1.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$555.50–$715 | $1,010–$1,300 | varies |
| Intranasal Biopsy (30100) range across 2 matching MRF lines |
$1,540–$2,002 | $2,800–$3,640 | varies |
| Intraoral i&d tongue/floor lingual (41000) | $1,092.85 | $1,987 | 2.0× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $363 | $660 | 1.5× |
| Intraoral i&d tongue/floor submndblr space (41008) | $4,783.90 | $8,698 | 1.4× |
| Intro cath dialysis circuit (36901) | $1,830.95 | $3,329 | 1.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $14,175.15 | $25,773 | 1.2× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $7,458 | $13,560 | 1.3× |
| Intro Gastrointestinal Tube (44500) | $1,165.45 | $2,119 | 1.3× |
| Intubation endotracheal emergency procedure (31500) | $500.50 | $910 | 2.1× |
| Iridoplasty photocoagulation 1/> sessions (66762) | $864.05 | $1,571 | 1.6× |
| Iridotomy/irridectomy laser surg per session (66761) | $1,380.50 | $2,510 | 2.5× |
| Irrigation of corpora cavernosa for priapism (54220) | $619.85 | $1,127 | 2.5× |
| Labyrinthotomy Transcanal (69801) | $2,039.40 | $3,708 | 1.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $8,104.80 | $14,736 | 1.3× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$211.75–$275.55 | $385–$501 | varies |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) | $5,007.75 | $9,105 | 1.3× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$386.10–$424.05 | $702–$771 | varies |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) | $5,007.75 | $9,105 | 1.3× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) | $2,269.85 | $4,127 | 1.3× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) range across 2 matching MRF lines |
$2,269.85–$2,786.85 | $4,127–$5,067 | varies |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) | $2,269.85 | $4,127 | 1.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) range across 2 matching MRF lines |
$704–$756.25 | $1,280–$1,375 | varies |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $546.15 | $993 | 1.4× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $249.15 | $453 | 1.2× |
| Laryngoscopy W/Foreign Body Removal (31530) | $2,269.85 | $4,127 | 1.3× |
| Larynscop w/tumr exc + scope (31541) | $5,007.75 | $9,105 | 1.3× |
| Laser Surgery of Cervix (57513) | $2,686.75 | $4,885 | 0.8× |
| Laser Surgery,Sever Vitreous Strands (67031) | $958.10 | $1,742 | 1.7× |
| Late closure of wound (13160) | $3,111.90 | $5,658 | 0.9× |
| Ligation of a-v fistula (37607) | $6,263.40 | $11,388 | 2.0× |
| Ligation of hemorrhoids (46946) range across 2 matching MRF lines |
$3,754.85–$5,176.60 | $6,827–$9,412 | varies |
| Ligation or biopsy temporal artery (37609) | $3,447.95 | $6,269 | 2.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $4,667.85 | $8,487 | 1.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $4,661.80 | $8,476 | 1.3× |
| Lyse chest fibrin init day (32561) | $968.55 | $1,761 | 1.5× |
| Lyse Chest Fibrin Subq Day (32562) range across 2 matching MRF lines |
$933.35–$1,081.30 | $1,697–$1,966 | varies |
| Lysis of labial adhesions (56441) | $2,710.40 | $4,928 | 0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) | $2,723.60 | $4,952 | 1.3× |
| Maniplatn palar fascial crd post inj single cord (26341) | $442.75 | $805 | 1.8× |
| Marsupialization of bartholin's gland cyst (56440) | $3,104.75 | $5,645 | 0.9× |
| Mech remov tunneled cv cath (36595) | $2,460.70 | $4,474 | 0.8× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) | $19,446.90 | $35,358 | 1.7× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $3,634.95 | $6,609 | 1.7× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $6,391 | $11,620 | 1.8× |
| Myelography Lumbar Injection (62305) | $1,233.65 | $2,243 | 1.6× |
| Myelography Lumbar Injection (62304) | $1,566.95 | $2,849 | 2.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,491.60 | $2,712 | 1.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,491.60 | $2,712 | 1.9× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) | $3,886.85 | $7,067 | 1.2× |
| Myringoplasty (69620) | $4,305.40 | $7,828 | 1.3× |
| N Block Inj Celiac Pelus (64530) | $1,696.20 | $3,084 | 1.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $848.10 | $1,542 | 1.2× |
| N block inj intercost sng (64420) | $1,027.40 | $1,868 | 1.4× |
| N Block Inj Paracervical (64435) | $961.40 | $1,748 | 1.3× |
| N Block Inj Plantar Digit (64455) | $440 | $800 | 1.4× |
| N Block Inj Pudendal (64430) | $1,354.10 | $2,462 | 1.5× |
| N Block Lumbar/Thoracic (64520) | $1,950.30 | $3,546 | 2.2× |
| Nasal Endoscopy Dx (31231) | $440 | $800 | 2.2× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$438.90–$817.85 | $798–$1,487 | varies |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) | $7,830.90 | $14,238 | 1.3× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) | $8,701.55 | $15,821 | 1.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$2,269.85–$2,510.75 | $4,127–$4,565 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,859.35 | $7,017 | 2.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $661.65 | $1,203 | 2.6× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $1,114.30 | $2,026 | 1.2× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $1,274.90 | $2,318 | 1.4× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,500.95–$1,680.80 | $2,729–$3,056 | varies |
| Needle Biopsy Pancreas (48102) | $1,720.40 | $3,128 | 1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 4 matching MRF lines |
$16.50–$27.50 | $30–$50 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) | $27.50 | $50 | 0.9× |
| Neuroeltrd Stim Post Tibial (64566) | $421.30 | $766 | 1.4× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $3,829.10 | $6,962 | 1.9× |
| Nfct ds bct fngl/vir infctj semiq biomchn assmt (0441U) | $110 | $200 | 0.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $283.80 | $516 | 0.7× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $1,906.30 | $3,466 | 0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,354.10 | $2,462 | 1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $743.05 | $1,351 | 2.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,683.45 | $4,879 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,887.40 | $7,068 | 1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,101.55 | $3,821 | 2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,354.10 | $2,462 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,399.75–$1,750.65 | $2,545–$3,183 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 3 matching MRF lines |
$1,039.50–$1,060.40 | $1,890–$1,928 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,716 | $3,120 | 1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,354.10 | $2,462 | 1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,153.90–$1,641.75 | $2,098–$2,985 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,696.75 | $3,085 | 1.9× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $2,939.75 | $5,345 | 1.4× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $2,993.65 | $5,443 | 1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,387.10 | $2,522 | 2.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,419.55 | $2,581 | 2.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $376.75 | $685 | 0.9× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $382.25 | $695 | 0.9× |
| Njx Sclrsnt Spider Veins (36468) | $385.55 | $701 | 0.9× |
| Obstructive material removal from gi tube (49460) | $914.65 | $1,663 | 1.0× |
| Occipital Nerve Block (64405) | $1,065.35 | $1,937 | 3.4× |
| Onc urothelial cancer RNA rt-PCR fgfr3 gene alys (0154U) | $1,229.25 | $2,235 | 2.5× |
| Open Repair of Rotator Cuff Acute (23410) | $8,329.20 | $15,144 | 1.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $13,290.75 | $24,165 | 1.8× |
| Open Treatment Medial Malleolus Fracture (27766) | $11,654.50 | $21,190 | 1.6× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) | $8,586.60 | $15,612 | 1.2× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) | $8,586.60 | $15,612 | 1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $12,543.30 | $22,806 | 1.7× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) | $8,248.35 | $14,997 | 1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) | $16,221.15 | $29,493 | 1.2× |
| Open treatment of sternum fracture with or without skeletal fixation Facility (21825) | $5,120.50 | $9,310 | 0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $7,772.05 | $14,131 | 1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,997.85 | $9,087 | 1.5× |
| Open tx humeral supracondylar fracture w/o xtn (24545) | $25,146 | $45,720 | 1.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $4,809.75 | $8,745 | 1.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $11,123.20 | $20,224 | 1.5× |
| Open/Perq Place Stent 1St (37236) | $13,494.80 | $24,536 | 1.2× |
| Open/Perq Place Stent Same (37238) | $13,713.15 | $24,933 | 1.2× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) | $19,803.30 | $36,006 | 1.5× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) | $9,617.30 | $17,486 | 1.3× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) | $13,539.90 | $24,618 | 1.0× |
| Orbital implant removal/revision (67560) | $3,988.60 | $7,252 | 1.0× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) | $6,286.50 | $11,430 | 1.6× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) | $4,769.60 | $8,672 | 2.0× |
| Part exc bone femur prox tibia (27360) | $4,220.70 | $7,674 | 1.3× |
| Partial Excision Bone Humerus (24140) | $4,365.35 | $7,937 | 1.3× |
| Partial excision bone olecranon process (24147) | $3,746.05 | $6,811 | 1.1× |
| Partial Excision Distal Phalanx Finger (26236) | $2,906.75 | $5,285 | 1.8× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) | $5,505.50 | $10,010 | 1.7× |
| Partial hymenectomy or revision of hymenal ring (56700) | $3,955.05 | $7,191 | 1.2× |
| Partial removal of radius (24145) | $10,534.70 | $19,154 | 1.4× |
| Partial removal of tibia (27640) | $6,156.70 | $11,194 | 1.9× |
| Penile Injection (54235) | $458.70 | $834 | 1.8× |
| Perc Cryo Ablate Renal Tum (50593) | $7,827.60 | $14,232 | 0.7× |
| Perc Rf Ablate Renal Tumor (50592) | $4,255.90 | $7,738 | 0.7× |
| Percut Ablate Liver Rf (47382) | $6,185.30 | $11,246 | 1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $11,653.40 | $21,188 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $1,656.05 | $3,011 | 2.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $3,260.40 | $5,928 | 1.0× |
| Pericardiocentesis W/Imaging (33016) | $1,920.05 | $3,491 | 1.2× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $4,645.30 | $8,446 | 1.4× |
| Peritoneal Lavage (49084) | $1,287 | $2,340 | 1.4× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $14,115.75 | $25,665 | 0.8× |
| Perq av fistula creation uxtr single access (36836) | $26,577.65 | $48,323 | 1.4× |
| Perq Cervicothoracic Inject (22510) | $5,350.40 | $9,728 | 1.6× |
| Perq dev breast 1st mr guide (19287) | $4,160.20 | $7,564 | 5.8× |
| Perq dev breast 1st strtctc (19283) | $1,931.60 | $3,512 | 2.7× |
| Perq dev breast 1st us imag (19285) | $1,308.45 | $2,379 | 1.8× |
| Perq device breast 1st imag (19281) | $1,351.90 | $2,458 | 0.8× |
| Perq Lumbosacral Injection (22511) | $5,095.75 | $9,265 | 1.5× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $14,141.60 | $25,712 | 1.5× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $8,094.35 | $14,717 | 1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,157.75 | $2,105 | 1.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $13,051.50 | $23,730 | 1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $6,768.85 | $12,307 | 1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $13,039.95 | $23,709 | 1.8× |
| Perq Vertebral Augmentation (22513) | $13,039.95 | $23,709 | 1.8× |
| Phleb Veins - Extrem 20+ (37766) | $3,683.90 | $6,698 | 1.2× |
| Photopheresis extracorporeal (36522) range across 2 matching MRF lines |
$2,950.20–$9,322.50 | $5,364–$16,950 | varies |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) | $2,319.90 | $4,218 | 2.3× |
| Place Cath Subclavian Art (36225) | $6,613.75 | $12,025 | 2.1× |
| Place Cath Thoracic Aorta (36221) | $5,161.75 | $9,385 | 1.6× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$9,827.95–$10,088.65 | $17,869–$18,343 | varies |
| Place Duod/Jej Tube Perc (49441) | $2,037.75 | $3,705 | 1.0× |
| Place Rt Device/Marker Pros (55876) | $1,852.95 | $3,369 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $336.05 | $611 | 0.7× |
| Placement of seton (46020) range across 2 matching MRF lines |
$3,630.55–$3,717.45 | $6,601–$6,759 | varies |
| Plastic Repair Canaliculi (68700) | $2,929.85 | $5,327 | 1.2× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $4,528.70 | $8,234 | 0.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $9,211.40 | $16,748 | 1.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $5,478 | $9,960 | 0.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $8,772.50 | $15,950 | 1.4× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,453.45 | $6,279 | 1.6× |
| Plmt Nephroureteral Catheter (50433) | $4,278.45 | $7,779 | 1.2× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $5,224.45 | $9,499 | 1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $4,779.50 | $8,690 | 1.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $3,268.10 | $5,942 | 0.9× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) | $7,831.45 | $14,239 | 1.3× |
| Prim art mech thrombectomy (37184) | $11,463.65 | $20,843 | 0.6× |
| Probe lacrimal canaliculi w/wo irrigation (68840) | $432.30 | $786 | 1.3× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $2,980.45 | $5,419 | 1.2× |
| Probing nasolacrimal duct (68810) | $634.70 | $1,154 | 2.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$1,107.15–$1,438.80 | $2,013–$2,616 | varies |
| Proctosgmdsc Rigid Control Bleeding (45317) | $1,753.40 | $3,188 | 1.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $3,938.55 | $7,161 | 1.4× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 2 matching MRF lines |
$1,577.95–$2,124.65 | $2,869–$3,863 | varies |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) | $3,787.85 | $6,887 | 1.3× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $1,455.30 | $2,646 | 2.6× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) | $19,803.30 | $36,006 | 1.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,244.65 | $2,263 | 1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $4,512.75 | $8,205 | 1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $3,748.80 | $6,816 | 1.0× |
| Prq skel fixj femoral fx prox end neck (27235) | $13,376.55 | $24,321 | 1.8× |
| Pseudoaneurysm Injection Trt (36002) | $894.30 | $1,626 | 1.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$391.60–$496.10 | $712–$902 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $493.35 | $897 | 1.2× |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$996.05–$1,062.60 | $1,811–$1,932 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,095.60 | $1,992 | 1.5× |
| Pvb thoracic cont infusion (64463) | $1,267.20 | $2,304 | 1.8× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,283.15 | $2,333 | 1.8× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) | $5,582.50 | $10,150 | 1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) | $2,542.65 | $4,623 | 0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) | $5,582.50 | $10,150 | 1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) | $5,582.50 | $10,150 | 1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) | $4,395.60 | $7,992 | 1.5× |
| Radical resection of tumor, radius or ulna (25170) | $10,534.70 | $19,154 | 1.4× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) | $10,534.70 | $19,154 | 1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $2,632.30 | $4,786 | 1.3× |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $459.25 | $835 | 0.6× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) | $3,581.05 | $6,511 | 1.5× |
| Reconstruction Nail Bed W/Graft (11762) | $2,709.85 | $4,927 | 1.3× |
| Reconstruction of throat (42950) | $5,649.60 | $10,272 | 0.9× |
| Reduction of rectal prolapse (45900) | $1,282.05 | $2,331 | 1.4× |
| Reduction Overcorrection Ptosis (67909) | $3,287.90 | $5,978 | 1.4× |
| Reinforce hip bones (27187) | $5,505.50 | $10,010 | 0.7× |
| Reinforce humerus (24498) | $13,539.90 | $24,618 | 1.0× |
| Reinforce tibia (27745) | $10,534.70 | $19,154 | 1.4× |
| Relocation Pocket Pacemaker (33222) | $3,697.10 | $6,722 | 1.8× |
| Rem Endovas Vena Cava Filter (37193) | $4,880.70 | $8,874 | 1.5× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,028.50 | $1,870 | 1.1× |
| Removal Embedded Foreign Body Eyelid (67938) | $648.45 | $1,179 | 2.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $3,985.85 | $7,247 | 1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,577.40 | $2,868 | 2.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,441 | $2,620 | 0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $107.25 | $195 | 1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$151.80–$196.35 | $276–$357 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $4,181.10 | $7,602 | 1.3× |
| Removal Implant Deep (20680) | $5,095.75 | $9,265 | 1.7× |
| Removal Implant Superficial Separate Procedure (20670) | $2,556.40 | $4,648 | 1.5× |
| Removal implantable contraceptive capsules (11976) | $1,118.15 | $2,033 | 1.6× |
| Removal of foreign body from pharynx (42809) | $400.40 | $728 | 0.9× |
| Removal of humerus lesion (23150) | $4,848.25 | $8,815 | 1.5× |
| Removal of humerus lesion (23156) | $10,534.70 | $19,154 | 1.4× |
| Removal of implant from finger or hand (26320) | $2,822.60 | $5,132 | 1.7× |
| Removal of implanted material, anterior segment of eye (65920) | $4,264.15 | $7,753 | 1.8× |
| Removal of nail bed (11750) | $881.65 | $1,603 | 2.1× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,236.65 | $7,703 | 1.3× |
| Removal or bivalving full arm or full leg cast (29705) | $363.55 | $661 | 1.3× |
| Removal Pacemaker Electrode (33235) | $4,266.35 | $7,757 | 1.1× |
| Removal peritoneal-venous shunt (49429) | $3,428.15 | $6,233 | 1.1× |
| Removal ppm generator only (33233) | $8,294.55 | $15,081 | 1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$27.50–$318.45 | $50–$579 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $2,229.70 | $4,054 | 3.1× |
| Removal sweat gland lesion (11450) | $3,799.95 | $6,909 | 1.3× |
| Removal, under anesthesia, of external fixation system (20694) | $3,082.75 | $5,605 | 1.9× |
| Removal/bivalving gauntlet boot/body cast (29700) | $363.55 | $661 | 1.3× |
| Remove brain canal fluid (61050) | $1,499.30 | $2,726 | 4.8× |
| Remove cerclage suture (59871) | $4,057.35 | $7,377 | 1.2× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$657.25–$660.55 | $1,195–$1,201 | varies |
| Remove elbow lesion (24120) | $4,848.25 | $8,815 | 1.5× |
| Remove Elctrd Transvenously (33244) | $4,063.95 | $7,389 | 1.1× |
| Remove femur lesion/graft (27356) | $19,802.75 | $36,005 | 1.5× |
| Remove foreign body from eye (65205) | $168.85 | $307 | 1.3× |
| Remove humerus lesion (24110) | $3,617.90 | $6,578 | 1.1× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$462.55–$466.95 | $841–$849 | varies |
| Remove intrvas foreign body (37197) | $3,910.50 | $7,110 | 1.2× |
| Remove Lower Leg Bone Lesion (27635) | $5,079.25 | $9,235 | 1.5× |
| Remove lung catheter (32552) | $894.30 | $1,626 | 1.4× |
| Remove Nasal Foreign Body (30300) | $144.10 | $262 | 1.1× |
| Remove palate/lesion (42120) | $7,831.45 | $14,239 | 1.3× |
| Remove Pulse Generator (33241) | $6,196.85 | $11,267 | 1.6× |
| Remove renal tube w/fluoro (50389) | $767.80 | $1,396 | 1.1× |
| Remove Shoulder Foreign Body (23330) | $1,013.65 | $1,843 | 0.6× |
| Remove tissue expander (11971) | $3,985.85 | $7,247 | 1.4× |
| Remove ureter stent percut (50384) | $1,996.50 | $3,630 | 0.9× |
| Remove&replace pm gen singl (33227) | $16,281.65 | $29,603 | 1.9× |
| Remove/graft bone lesion (24125) | $4,848.25 | $8,815 | 1.5× |
| Remove/graft forearm lesion (25126) | $4,848.25 | $8,815 | 1.5× |
| Remove/graft forearm lesion (25125) | $2,427.70 | $4,414 | 1.5× |
| Remove/graft leg bone lesion (27637) | $10,534.70 | $19,154 | 1.4× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$655.60–$660.55 | $1,192–$1,201 | varies |
| Remv&replc cvd gen dual lead (33263) | $36,203.75 | $65,825 | 1.6× |
| Remv&replc cvd gen mult lead (33264) | $33,631.40 | $61,148 | 1.1× |
| Remv&replc cvd gen sing lead (33262) | $34,510.85 | $62,747 | 1.5× |
| Remv&replc pm gen dual lead (33228) | $12,665.95 | $23,029 | 1.2× |
| Remv&replc pm gen mult leads (33229) | $19,060.25 | $34,655 | 1.0× |
| Renal Biopsy Perq (50200) | $1,577.95 | $2,869 | 0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $15,885.10 | $28,882 | 5.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$610.50–$759 | $1,110–$1,380 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$914.65–$1,009.80 | $1,663–$1,836 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$702.35–$796.95 | $1,277–$1,449 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$900.90–$932.80 | $1,638–$1,696 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $759 | $1,380 | 1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$893.20–$932.80 | $1,624–$1,696 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $932.80 | $1,696 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$906.95–$932.80 | $1,649–$1,696 | varies |
| Repair detached retina (67105) | $2,232.45 | $4,059 | 4.0× |
| Repair Ectropion Suture (67914) | $3,939.10 | $7,162 | 1.6× |
| Repair Ectropion Thermocauterization (67915) | $2,926 | $5,320 | 1.2× |
| Repair Entropion Suture (67921) | $3,509 | $6,380 | 1.5× |
| Repair extensor tendon finger w/o graft each (26418) | $3,186.70 | $5,794 | 2.0× |
| Repair Eyelid Wound (67935) | $2,183.50 | $3,970 | 0.9× |
| Repair Finger/Hand Tendon (26350) | $6,175.40 | $11,228 | 1.9× |
| Repair Hand Joint (26540) | $5,603.40 | $10,188 | 1.7× |
| Repair Hand Tendon (26410) | $2,946.90 | $5,358 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$421.85–$579.70 | $767–$1,054 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$440.55–$608.85 | $801–$1,107 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$554.95–$592.35 | $1,009–$1,077 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$612.70–$620.40 | $1,114–$1,128 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$705.65–$742.50 | $1,283–$1,350 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$825.55–$932.80 | $1,501–$1,696 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$384.45–$399.85 | $699–$727 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$563.75–$613.25 | $1,025–$1,115 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$636.35–$693 | $1,157–$1,260 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$2,709.85–$2,800.60 | $4,927–$5,092 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$613.80–$804.65 | $1,116–$1,463 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$405.90–$578.60 | $738–$1,052 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$491.43–$592.35 | $893.50–$1,077 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,003.20–$1,133.55 | $1,824–$2,061 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$552.20–$712.25 | $1,004–$1,295 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$2,896.30–$3,555.75 | $5,266–$6,465 | varies |
| Repair Laceration Palate </2 Cm (42180) | $771.65 | $1,403 | 1.4× |
| Repair Laceration Palate >2 Cm/Complex (42182) | $8,214.80 | $14,936 | 1.4× |
| Repair mouth/nose fistula (30600) | $9,673.40 | $17,588 | 1.6× |
| Repair of nail bed (11760) | $796.95 | $1,449 | 1.1× |
| Repair Rotator Cuff Chronic (23412) | $10,534.70 | $19,154 | 1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $3,674.55 | $6,681 | 1.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $10,035.85 | $18,247 | 1.4× |
| Repair tongue laceration (41252) | $724.90 | $1,318 | 3.0× |
| Repair tongue laceration (41250) | $602.25 | $1,095 | 1.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,082.40 | $1,968 | 1.2× |
| Replace eye fluid (67025) | $5,061.65 | $9,203 | 2.2× |
| Replace G-J Tube Perc (49452) | $1,136.85 | $2,067 | 1.2× |
| Replace g/c tube perc (49450) | $1,191.85 | $2,167 | 1.3× |
| Reposition Gastrostomy Tube (43761) | $1,134.10 | $2,062 | 4.5× |
| Reposition Pacing-Defib Lead (33215) | $4,726.15 | $8,593 | 1.5× |
| Reposition Venous Catheter (36597) | $1,349.70 | $2,454 | 0.8× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) | $3,955.05 | $7,191 | 1.7× |
| Resect forarm/wrist tum 3cm> (25078) | $5,582.50 | $10,150 | 1.9× |
| Resect hip/pelv tum 5 cm/> (27059) | $5,582.50 | $10,150 | 1.9× |
| Resect hip/pelv tum < 5 cm (27049) | $5,582.50 | $10,150 | 1.9× |
| Resect leg/ankle tum < 5 cm (27615) | $4,395.60 | $7,992 | 1.5× |
| Resect Shoulder Tumor 5 Cm/> (23078) | $4,395.60 | $7,992 | 1.5× |
| Resect shoulder tumor < 5 cm (23077) | $4,395.60 | $7,992 | 1.5× |
| Resect thigh/knee tum < 5 cm (27329) | $3,320.90 | $6,038 | 1.1× |
| Retrobulbar injection (67500) | $606.65 | $1,103 | 1.9× |
| Revise Abdomen-Venous Shunt (49426) | $5,722.20 | $10,404 | 1.6× |
| Revise eyelashes (67825) | $521.95 | $949 | 1.6× |
| Revision of eyelid (67880) | $3,388 | $6,160 | 1.4× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $10,161.80 | $18,476 | 1.6× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $7,313.35 | $13,297 | 1.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $5,055.60 | $9,192 | 1.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $5,199.70 | $9,454 | 1.5× |
| Revj/rpr oprative wound anterior segment (66250) | $4,804.80 | $8,736 | 2.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $3,154.25 | $5,735 | 1.5× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) | $3,422.10 | $6,222 | 1.4× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $3,512.85 | $6,387 | 2.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,212.20 | $2,204 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $260.15 | $473 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $226.05 | $411 | 1.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $249.15 | $453 | 0.6× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) | $521.95 | $949 | 1.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $3,985.85 | $7,247 | 1.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,272.70 | $2,314 | 0.8× |
| Rmvl of subq implantable defibrillator electrode (33272) | $6,536.75 | $11,885 | 1.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $2,868.80 | $5,216 | 1.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $5,634.75 | $10,245 | 1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,912.35–$3,241.70 | $3,477–$5,894 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$1,387.10–$1,706.65 | $2,522–$3,103 | varies |
| Rmvl/revj sling stress incontinence (57287) | $4,094.20 | $7,444 | 1.2× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$465.85–$640.20 | $847–$1,164 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$480.15–$652.85 | $873–$1,187 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,471.25 | $2,675 | 0.9× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $4,286.70 | $7,794 | 1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,307.80 | $4,196 | 1.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $3,938 | $7,160 | 1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,030.50 | $5,510 | 0.9× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) | $3,808.75 | $6,925 | 1.6× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) | $4,174.50 | $7,590 | 1.7× |
| Rpr blood vessel direct lower extremity (35226) | $1,281.50 | $2,330 | 1.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $2,102.65 | $3,823 | 1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $508.75 | $925 | 2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$932.80–$946 | $1,696–$1,720 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $342.65 | $623 | 1.4× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) | $1,523.50 | $2,770 | 0.7× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $3,350.60 | $6,092 | 1.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $817.30 | $1,486 | 1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $920.70 | $1,674 | 1.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,079 | $3,780 | 1.3× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) | $2,701.60 | $4,912 | 1.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $5,095.75 | $9,265 | 1.5× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $5,095.75 | $9,265 | 1.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $933.35 | $1,697 | 1.5× |
| Sclerotx Fluid Collection (49185) | $1,792.45 | $3,259 | 1.1× |
| Scrotoplasty Simple (55175) | $5,509.35 | $10,017 | 1.5× |
| Severing tarsorrhaphy (67710) | $1,013.10 | $1,842 | 1.0× |
| Shave skin lesion 0.5 cm/< (11300) | $533.50 | $970 | 1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $281.60 | $512 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $267.85 | $487 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $267.85 | $487 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $267.85 | $487 | 1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $267.85 | $487 | 1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $533.50 | $970 | 1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $267.85 | $487 | 1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $533.50 | $970 | 1.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $267.85 | $487 | 1.3× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) range across 2 matching MRF lines |
$3,356.65–$5,237.65 | $6,103–$9,523 | varies |
| Sigmoidoscopy & decompress (45337) | $1,585.10 | $2,882 | 1.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$1,054.90–$1,371.15 | $1,918–$2,493 | varies |
| Simple Cystometrogram (51725) | $367.40 | $668 | 1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $514.80 | $936 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$440.55–$497.75 | $801–$905 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $454.85 | $827 | 2.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $533.50 | $970 | 1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $466.40 | $848 | 2.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $550 | $1,000 | 2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $441.65 | $803 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $777.70 | $1,414 | 3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $508.20 | $924 | 2.5× |
| Skin Full Grft Face/Genit/Hf (15240) | $2,438.70 | $4,434 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$2,467.85–$2,494.80 | $4,487–$4,536 | varies |
| Skin sub graft trnk/arm/leg (15271) | $2,419.45 | $4,399 | 3.2× |
| Skin sub grft t/arm/lg child (15273) | $3,988.05 | $7,251 | 1.9× |
| Skn sub grft f/n/hf/g child (15277) | $2,906.75 | $5,285 | 1.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $6,613.75 | $12,025 | 1.2× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $6,613.75 | $12,025 | 2.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$10,413.70–$10,690.35 | $18,934–$19,437 | varies |
| Slitting of prepuce (54001) | $2,723.60 | $4,952 | 1.3× |
| Small bowel endoscopy (44384) | $3,377 | $6,140 | 1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $484 | $880 | 2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $588.50 | $1,070 | 1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $688.05 | $1,251 | 1.7× |
| Snip Incision Lacrimal Punctum (68440) | $539.55 | $981 | 1.7× |
| Spinal puncture lumbar diagnostic (62270) | $1,027.40 | $1,868 | 1.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $3,030.50 | $5,510 | 0.9× |
| Strapping Hip (29520) | $179.30 | $326 | 1.3× |
| Strapping toes (29550) | $139.15 | $253 | 2.3× |
| Strapping Unna Boot (29580) | $224.95 | $409 | 1.4× |
| Subconjunctival injection (68200) | $344.85 | $627 | 0.8× |
| Subcutaneous Hormone Pellet Implantation (11980) | $532.95 | $969 | 1.2× |
| Suprachoroidal space njx pharmacologic agent (67516) | $503.25 | $915 | 1.5× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) range across 2 matching MRF lines |
$4,079.35–$4,913.70 | $7,417–$8,934 | varies |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$3,389.65–$3,969.35 | $6,163–$7,217 | varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $1,970.10 | $3,582 | 0.8× |
| Suture digital nerve hand/foot 1 nerve (64831) | $6,519.15 | $11,853 | 3.3× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) | $4,499.55 | $8,181 | 1.9× |
| Suture of sciatic nerve (64858) | $7,306.75 | $13,285 | 3.7× |
| T-cell depletion of harvest (38210) range across 9 matching MRF lines |
$830.50–$18,150 | $1,510–$33,000 | varies |
| Tangential biopsy skin single lesion (11102) | $297.55 | $541 | 0.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $51,143.95 | $92,989 | 1.8× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $15,352.15 | $27,913 | 0.8× |
| Tcat Rmvl Perm Ldls Pm (33275) | $5,464.25 | $9,935 | 1.7× |
| Temporary Closure Eyelids Suture (67875) | $1,835.90 | $3,338 | 1.8× |
| Thaw preserved stem cells (38208) | $1,999.80 | $3,636 | 4.5× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) | $6,876.10 | $12,502 | 1.6× |
| Ther Apheresis,Red Blood Cells (36512) | $2,224.20 | $4,044 | 1.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,368.95 | $2,489 | 1.9× |
| Therapeutic Apheresis White Blood Cells (36511) | $2,224.20 | $4,044 | 1.4× |
| Therapeutic plasma exchange (36514) range across 3 matching MRF lines |
$2,290.48–$2,730.75 | $4,164.50–$4,965 | varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $18,461.85 | $33,567 | 1.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $16,451.60 | $29,912 | 0.9× |
| Thromblytic art/ven therapy (37213) | $4,081.55 | $7,421 | 1.3× |
| Thrombolytic Art Therapy (37211) | $5,021.50 | $9,130 | 0.9× |
| Thrombolytic Therapy Stroke (37195) | $564.30 | $1,026 | 1.7× |
| Thrombolytic Venous Therapy (37212) | $2,550.90 | $4,638 | 0.8× |
| Thyroid biopsy (60100) | $1,045.55 | $1,901 | 1.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,945.35 | $3,537 | 0.9× |
| Tooth extraction (41899) range across 4 matching MRF lines |
$149.05–$2,456.30 | $271–$4,466 | varies |
| Trabeculoplasty by laser surgery (65855) | $985.05 | $1,791 | 1.8× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) | $4,305.40 | $7,828 | 1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) range across 2 matching MRF lines |
$903.65–$1,458.60 | $1,643–$2,652 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $670.45 | $1,219 | 2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,156.10 | $2,102 | 0.7× |
| Tracheostomy planned (31600) | $4,531.45 | $8,239 | 1.4× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $562.10 | $1,022 | 1.8× |
| Transcatheter biopsy (37200) | $3,179.28 | $5,780.50 | 0.6× |
| Transfer of embryo (58974) | $723.25 | $1,315 | 0.8× |
| Transfusion Intrauterine Fetal (36460) | $645.15 | $1,173 | 1.4× |
| Treat Dental Ridge Fracture (21440) | $4,138.75 | $7,525 | 1.2× |
| Treat Hip Socket Fracture (27222) | $1,420.10 | $2,582 | 5.7× |
| Treat humerus fracture (24500) | $484 | $880 | 1.9× |
| Treat Humerus Fracture (24505) | $1,186.35 | $2,157 | 0.7× |
| Treat humerus fracture (23616) | $23,724.25 | $43,135 | 1.3× |
| Treat humerus fracture (23600) | $522.50 | $950 | 2.1× |
| Treat knee fracture (27532) | $3,207.05 | $5,831 | 1.0× |
| Treat Knuckle Dislocation (26700) | $452.65 | $823 | 1.8× |
| Treat Metatarsal Fracture (28475) | $522.50 | $950 | 2.1× |
| Treat scapula fracture (23585) | $11,475.75 | $20,865 | 1.6× |
| Treat Thumb Dislocation (26641) | $411.40 | $748 | 1.6× |
| Treat Thumb Fracture (26645) | $2,290.20 | $4,164 | 1.4× |
| Treat toe dislocation (28630) | $350.35 | $637 | 1.4× |
| Treat Vaginal Bleeding (57180) | $279.40 | $508 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,944.80 | $3,536 | 1.2× |
| Treatment closed elbow dislocation w/o anes (24600) | $531.30 | $966 | 2.1× |
| Treatment extensive retinopathy photocoagulation (67228) | $1,572.45 | $2,859 | 2.8× |
| Treatment of ankle fracture (27823) | $13,275.35 | $24,137 | 1.8× |
| Treatment of gum lesion (41850) | $2,039.40 | $3,708 | 1.3× |
| Treatment of penis lesion (54115) | $3,799.95 | $6,909 | 1.3× |
| Treatment of retina (67141) | $805.20 | $1,464 | 2.5× |
| Trim skin lesion (11055) | $141.35 | $257 | 0.7× |
| Trim skin lesions 2 to 4 (11056) | $216.15 | $393 | 1.1× |
| Trim skin lesions over 4 (11057) | $307.45 | $559 | 1.5× |
| Trimming Nondystrophic Nails Any Number (11719) | $128.15 | $233 | 2.1× |
| Trluml Balo Angiop 1St Art (37246) | $7,052.65 | $12,823 | 1.2× |
| Trluml Balo Angiop 1St Vein (37248) | $9,899.45 | $17,999 | 1.7× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) range across 5 matching MRF lines |
$3,187.25–$12,993.20 | $5,795–$23,624 | varies |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) | $4,551.80 | $8,276 | 10.2× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) | $1,806.20 | $3,284 | 4.0× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) | $36,360.78 | $66,110.50 | 0.6× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $3,850 | $7,000 | 2.4× |
| Trnsplj Hematopoietic Cell Boost (38243) | $2,528.35 | $4,597 | 1.6× |
| Tx Gastro Intub W/Asp (43753) | $226.05 | $411 | 1.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $13,539.90 | $24,618 | 1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $3,104.75 | $5,645 | 0.9× |
| Tx Missed Abortion First Trimester Surgical (59820) | $3,259.85 | $5,927 | 1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,500.85 | $4,547 | 1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $759 | $1,380 | 1.0× |
| Tx superficial wound dehiscence w/packing (12021) | $597.30 | $1,086 | 1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $2,409.55 | $4,381 | 1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $376.20 | $684 | 1.5× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $19,803.30 | $36,006 | 1.5× |
| Unlisted Cardiac Surgery (33999) | $27,415.85 | $49,847 | 43.2× |
| Unlisted fetal invasive px w/ultrasound (59897) | $301.40 | $548 | 1.5× |
| Unlisted procedure anus (46999) range across 2 matching MRF lines |
$1,225.95–$1,357.95 | $2,229–$2,469 | varies |
| Unlisted Procedure Biliary Tract (47999) | $2,975.50 | $5,410 | 3.2× |
| Unlisted Procedure Endocrine System (60699) range across 2 matching MRF lines |
$4,255.90–$4,409.90 | $7,738–$8,018 | varies |
| Unlisted procedure femur or knee (27599) | $2,615.25 | $4,755 | 10.5× |
| Unlisted procedure foot or toes (28899) | $4,772.35 | $8,677 | 19.1× |
| Unlisted procedure humerus/elbow (24999) | $433.95 | $789 | 1.7× |
| Unlisted procedure larynx (31599) | $1,373.35 | $2,497 | 5.7× |
| Unlisted procedure liver (47399) | $1,612.60 | $2,932 | 2.3× |
| Unlisted procedure lungs and pleura (32999) | $1,373.35 | $2,497 | 2.2× |
| Unlisted Procedure Male Genital System (55899) | $523.05 | $951 | 2.1× |
| Unlisted Procedure Muscskeletal System General (20999) | $2,350.70 | $4,274 | 9.4× |
| Unlisted procedure neck or thorax (21899) | $3,320.90 | $6,038 | 13.9× |
| Unlisted procedure nervous system (64999) range across 15 matching MRF lines |
$452.65–$4,387.35 | $823–$7,977 | varies |
| Unlisted Procedure Palate Uvula (42299) | $275 | $500 | 1.1× |
| Unlisted procedure pelvis/hip joint (27299) range across 4 matching MRF lines |
$1,550.45–$9,460 | $2,819–$17,200 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) range across 2 matching MRF lines |
$216.15–$493.35 | $393–$897 | varies |
| Unlisted Procedure Rectum (45999) | $611.05 | $1,111 | 0.6× |
| Unlisted procedure shoulder (23929) range across 2 matching MRF lines |
$2,615.25–$9,384.10 | $4,755–$17,062 | varies |
| Unlisted procedure spine (22899) | $9,352.75 | $17,005 | 37.5× |
| Unlisted procedure stomach (43999) range across 3 matching MRF lines |
$46.75–$794.20 | $85–$1,444 | varies |
| Unlisted Procedure Tongue Floor Mouth (41599) range across 2 matching MRF lines |
$149.05–$216.15 | $271–$393 | varies |
| Unlisted Procedure Vascular Surgery (37799) range across 7 matching MRF lines |
$57.75–$30,388.60 | $105–$55,252 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $3,396.80 | $6,176 | 3.7× |
| Unlisted px female genital system nonobstetrical (58999) range across 3 matching MRF lines |
$134.75–$842.05 | $245–$1,531 | varies |
| Upgrade of pacemaker system (33214) | $12,392.05 | $22,531 | 1.2× |
| Uvulectomy excision of uvula (42140) | $4,783.90 | $8,698 | 1.4× |
| Vaginal delivery only (59409) | $2,099.90 | $3,818 | 0.6× |
| Vasc embolize/occlude artery (37242) | $18,645 | $33,900 | 1.0× |
| Vasc Embolize/Occlude Bleed (37244) | $18,917.80 | $34,396 | 1.6× |
| Vasc Embolize/Occlude Organ (37243) | $17,402 | $31,640 | 1.5× |
| Vasc embolize/occlude venous (37241) | $18,917.80 | $34,396 | 1.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $3,356.65 | $6,103 | 1.6× |
| Venous Mech Thrombectomy (37187) | $7,191.80 | $13,076 | 0.6× |
| Vulvectomy simple partial (56620) | $3,922.05 | $7,131 | 1.2× |
| Vw factor type 2n eval plsm (0284U) | $347.60 | $632 | 20.1× |
| Wash harvest stem cells (38209) range across 4 matching MRF lines |
$361.90–$2,996.40 | $658–$5,448 | varies |
| Wedge excision skin nail fold (11765) | $533.50 | $970 | 1.3× |
| Windowing of cast (29730) | $223.30 | $406 | 1.4× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $1,797.95 | $3,269 | 1.1× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) | $5,559.95 | $10,109 | 0.9× |
| Xtroral I&D Floor Masticator Space (41018) | $2,479.95 | $4,509 | 1.6× |
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.