Procedures & surgery prices at Harlem Hospital Center

New York, NY · every code in this section with a posted price and a Medicare benchmark.

4331 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
"Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using pretransplant peripheral… (0319U) $2,650 — 1.0×
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) $4,081.37 — 0.9×
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $4,081.37 — 0.9×
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,109.47 $2,648.08–$2,763.22 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,109.47 $2,648.08–$2,763.22 1.0×
Abdomen Surgery Procedure (22999) $283.86 $1,486.88 0.9×
Abeta42 & ptau181 eclia cerebral spinal fluid (0445U) $260.50 $651.25 1.0×
Abeta42 & ttau eclia cerebral spinal fluid ratio (0459U) $260.50 $651.25 1.0×
Ablate inf turbinate submuc (30802) $1,752.89 — 0.9×
Ablate Pulm Tumor Perq Crybl (32994) $12,320.22 $14,870.39 0.9×
Ablation 1/> liver tumor perq cryoablation (47383) $12,320.22 $14,870.39 0.9×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $15,226.08 $18,402.86 0.7×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $8,453.60 $18,402.86 0.9×
Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) $15,374.71 $662.17 0.9×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $1,917.33 $355.31 0.9×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,752.89 — 0.9×
Abo gnotyp alys sanger/chain seq abo 7 exons (0180U) $274.83 $824.49 1.0×
Abo gnotyp gene alys next-generation seq abo gen (0221U) $274.83 $824.49 1.0×
Abrasion single lesion (15786) $235.13 $568.70 0.9×
Acetylcholine receptor (AChR), antibody identification by immunofluorescence, using live cells, reported as positive or… (0545U) — $94.33 —
Acne surgery (10040) $235.13 $877.19 0.9×
Acromiopl/Acromionect Partial (23130) $3,839.54 — 0.9×
Adding Walker Previously Applied Cast (29440) $186.72 $470.22 0.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,164.64 $6,326.62 0.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,164.64 — 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,332.25 $10,467.78 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,164.64 $4,992.20 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,164.64 $5,705.38 0.8×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,164.64 $5,558.77 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,164.64 $4,992.20 0.8×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,164.64 $5,705.38 0.8×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $8,453.60 — 0.9×
Ai ds sle alys 10 cytokine sol mdtr bmrk ia plsm (0446U) $840.65 $2,101.63 1.0×
Ai ds sle alys 11 cytokine sol mdtr bmrk ia plsm (0447U) $840.65 $2,101.63 1.0×
Ai psoriasis mrna gen xprsn prfl 50-100 gen alg (0258U) $3,675 $11,025 1.0×
Allogeneic lymphocyte infusions (38242) $1,939.86 $4,792.72 1.0×
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $3,837.72 $8,057.96 0.9×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $1,030.40 $2,151.22–$2,244.76 0.9×
Amniocentesis therapeutic (59001)
range across 2 matching MRF lines		 $359.97 $1,195.32–$1,719.90 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,839.54 $8,020.45 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,839.54 $8,110.96 0.9×
Amputate Metacarpal Bone (26910) $3,839.54 $8,421.47 0.9×
Amputation follow-up surgery (27594) $3,839.54 — 0.9×
Amputation foot transmetarsal (28805) $3,839.54 — 0.9×
Amputation metatarsal with toe single (28810) $3,839.54 $9,153.35 0.9×
Amputation toe interphalangeal joint (28825) $3,839.54 $8,420.56 0.9×
Amputation toe metatarsophalangeal joint (28820) $3,839.54 — 0.9×
Amputation, arm through humerus; secondary closure or scar revision Facility (24925) $3,839.54 — 0.9×
Amputation, forearm, through radius and ulna; re-amputation Facility (25909) $8,453.60 — 0.9×
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $3,839.54 — 0.9×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $3,839.54 — 0.9×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $354.90 — 0.9×
Anal/Urinary Muscle Study (51784) $185.15 $485.32 1.2×
Andrology infertility sperm capacitation assmt (0255U) $31.60 $94.80 1.0×
Ankle Arthroscopy/Surgery (29892) $8,453.60 $17,763.20 0.9×
Ankle disarticulation (27889) $8,453.60 — 0.9×
Anoplasty, plastic operation for stricture; adult Facility (46700) $3,245.23 — 0.9×
Anorectal myomectomy (45108) $3,245.23 — 0.9×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $1,078.88 $2,716.68 0.9×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $3,245.23 $7,211.64 0.9×
Anoscopy Ablation Lesion (46615) $3,245.23 $7,450.15 0.9×
Anoscopy Control Bleeding (46614) $1,395.28 $3,573.40 0.9×
Anoscopy diagnostic (46600) $152.54 $335.10 0.9×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $1,395.28 $3,530.74 0.9×
Anoscopy remove lesion (46610) $3,245.23 $7,211.64 0.9×
Anoscopy W/Rmvl Foreign Body (46608) $1,078.88 $2,716.68 0.9×
Anoscopy; with biopsy, single or multiple (46606) $1,395.28 $3,530.74 0.9×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,395.28 $3,530.74 0.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $3,245.23 $7,926.81 0.9×
Ant Vesicourethropexy/Urethropexy Smpl (51840) — $5,785.45 —
Anterior colporraphy rpr cystocele w/cysto (57240) $5,841.60 $12,941.41 0.9×
Anterior Tibial Tubercleplasty (27418) $8,453.60 — 0.9×
Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes… (0224U) $51.43 $154.29 1.0×
Apc gene mrna sequence analysis (0157U) $282.88 $848.64 1.0×
Apheresis Platelets (36513) $517.34 $1,364.32 0.9×
Appendectomy (44950) $7,383.87 $9,565.55 0.9×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $186.72 $938.04 0.9×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,893.86 $4,169.71 0.9×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $314.28 $808.02 0.9×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $186.72 $448.60 0.9×
Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) $2,164.64 $5,411.59 0.8×
Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017) $2,164.64 $5,411.59 0.8×
Application Body Cast Shoulder Hips (29035) $314.28 $808.02 0.9×
Application Body Cast Shoulder Hips Both Thighs (29046) $314.28 $808.02 0.9×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $314.28 $774.35–$808.02 0.9×
Application Cast Finger (29086) $186.72 $904.54 0.9×
Application Cast Shoulder Spica (29055) $314.28 $808.02 0.9×
Application Finger Splint Dynamic (29131) $70.29 $694.11 1.0×
Application finger splint static (29130) $152.54 $639.25 0.9×
Application Halo Type Body Cast (29000) $314.28 $808.02 0.9×
Application Hip Spica Cast 1 Leg (29305) $314.28 $808.02 0.9×
Application long arm splint shoulder hand (29105) $186.72 $428.05 0.9×
Application Long Leg Cast Brace (29358) $314.28 $673.35 0.9×
Application Long Leg Cast Walker/Ambulatory Type (29355) $314.28 $707.02 0.9×
Application Long Leg Splint (29505) $186.72 $427 0.9×
Application multiplane external fixation system (20692) $15,226.08 — 1.0×
Application of body cast, shoulder to hips; including 1 thigh Facility (29044) $186.72 $470.22 0.9×
Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) $314.28 $808.02 0.9×
Application of cylinder cast (thigh to ankle) (29365) $314.28 $808.02 0.9×
Application of halo, including removal; femoral Facility (20663) $3,839.54 — 0.9×
Application of long leg cast (29345) $314.28 $770.71 0.9×
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) $21,762.05 — 0.6×
Application of pelvis brace (20662) $1,893.86 — 0.9×
Application of rigid total contact leg cast (29445) $314.28 $707.02 0.9×
Application of Risser jacket, localizer, body; including head Facility (29015) $314.28 $808.02 0.9×
Application Patellar Tendon Bearing Cast (29435) $314.28 $707.02 0.9×
Application risser jacket localizer body only (29010) $314.28 $808.02 0.9×
Application Short Arm Splint Dynamic (29126) $152.54 $696 0.9×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $152.54 $611.14–$670.78 0.9×
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $186.72 $450.63–$456.16 0.9×
Application uniplane external fixation system (20690) $8,453.60 $18,402.86 0.9×
Application, cast; figure-of-eight Facility (29049) $314.28 $808.02 0.9×
Apply hand/wrist cast (29085) $186.72 $929.10 0.9×
Apply long arm cast (29065) $314.28 $763.67 0.9×
Apply Multlay Comprs Lwr Leg (29581) $186.72 $802.90 0.9×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $314.28 $774.35–$797.82 0.9×
Apply short leg cast (29425) $314.28 $756.65 0.9×
Apply shoulder cast,plastr velpeau (29058) $314.28 $808.02 0.9×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $6,105.79 $11,576.50 0.9×
Aqueous Shunt Extraocular Reservoir W/O Graft (66179) $6,105.79 — 0.9×
Ar ful seq alys chng delet dupl xpnsj insj vrnts (0230U) $301.35 $904.05 1.0×
Arrest Epiphyseal Distal Femur (27475) $8,453.60 — 0.9×
Arrest Epiphyseal Open Distal Tibia (27730) $3,839.54 — 0.9×
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) $3,839.54 — 0.9×
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) $3,839.54 — 0.9×
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) $8,453.60 — 0.9×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $3,724.63 $8,524.61 0.9×
Arterial puncture (36600)
range across 3 matching MRF lines		 $152.54 $262.40–$329.89 0.9×
Arteriovenous Anastomosis Open Direct (36821) $3,724.63 $9,743.50 0.9×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $6,396.89 $14,139.70 0.9×
Artery-vein autograft (36825) $6,396.89 $14,675.54 0.9×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $15,226.08 $28,256.66 1.0×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $15,226.08 — 1.0×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $8,453.60 — 0.9×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $15,226.08 $37,885.08 1.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $15,226.08 — 1.0×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $8,453.60 — 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $349.32 $881.99–$920.34 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $819.50 $920.34 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $349.32 $881.99–$920.34 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $349.32 $881.99–$920.34 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $349.32 $881.99–$912.27 0.9×
Arthrodesis ankle open (27870) $15,226.08 — 1.0×
Arthrodesis Glenohumeral Joint (23800) $8,453.60 — 0.9×
Arthrodesis great toe interphalangeal joint (28755) $8,453.60 $18,402.86 0.9×
Arthrodesis great toe metatarsophalangeal joint (28750) $8,453.60 $14,917.60 0.9×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $3,839.54 — 0.9×
Arthrodesis Pantalar (28705) $21,762.05 — 1.0×
Arthrodesis Posterior Interbody Lumbar (22630) $21,762.05 — 0.6×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $21,762.05 — 1.0×
Arthrodesis sacroiliac joint percutaneous (27279) $21,762.05 $49,056.45 1.0×
Arthrodesis subtalar (28725) $15,226.08 — 1.0×
Arthrodesis triple (28715) $15,226.08 $36,611.30 1.0×
Arthrodesis Wrist Complete W/O Bone Graft (25800) $8,453.60 — 0.9×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $8,453.60 — 0.9×
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802) $15,226.08 — 1.0×
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) — $48,816.63 —
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $21,762.05 — 1.0×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $15,226.08 — 1.0×
Arthrodesis, wrist; with sliding graft Facility (25805) $8,453.60 — 0.9×
Arthroplasty Ankle (27700) $8,453.60 — 0.9×
Arthroplasty Ankle W/Implant (27702) $21,762.05 — 0.6×
Arthroplasty glenohumeral joint total shoulder (23472) $21,762.05 — 1.0×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $15,226.08 — 1.0×
Arthroplasty interphalangeal joint each (26535) $3,839.54 $9,153.35 0.9×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,839.54 $9,624.54 0.9×
Arthroplasty Patella W/Prosthesis (27438) $15,226.08 — 1.0×
Arthroplasty radial head (24365) $15,226.08 $33,648.23 1.0×
Arthroplasty Radial Head W/Implant (24366) $15,226.08 — 1.0×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) $21,762.05 — 1.0×
Arthroplasty with prosthetic replacement; distal radius Facility (25441) $15,226.08 — 1.0×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442) $21,762.05 — 1.0×
Arthroplasty with prosthetic replacement; lunate Facility (25444) $15,226.08 — 1.0×
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) $8,453.60 — 0.9×
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) $21,762.05 — 1.0×
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) $15,226.08 — 1.0×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) $15,226.08 — 1.0×
Arthroplasty, knee, tibial plateau; Facility (27440) $15,226.08 — 1.0×
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) $15,226.08 — 1.0×
Arthroplasty, patella; without prosthesis (27437) $8,453.60 — 0.9×
Arthroplasty, temporomandibular joint, with allograft Facility (21242) $7,000.36 — 0.9×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) $7,000.36 $14,922.16 0.9×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) $21,762.05 — 0.6×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $1,893.86 — 0.9×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $15,226.08 — 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,839.54 — 0.9×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,839.54 — 0.9×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $8,453.60 — 0.9×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,839.54 — 0.9×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $3,839.54 — 0.9×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,839.54 — 0.9×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $3,839.54 — 0.9×
Arthroscopy hip w/femoroplasty (29914) $8,453.60 — 0.9×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,839.54 — 0.9×
Arthroscopy Knee Osteochondral Allograft (29867) $15,226.08 — 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,839.54 — 0.9×
Arthroscopy knee synovectomy limited spx (29875) $3,839.54 $8,421.47 0.9×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,839.54 — 0.9×
Arthroscopy shoulder distal claviculectomy (29824) $3,839.54 — 0.9×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $8,453.60 — 0.9×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $3,839.54 — 0.9×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $3,839.54 — 0.9×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $8,453.60 — 0.9×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,839.54 — 0.9×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $8,453.60 — 0.9×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $8,453.60 — 0.9×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $8,453.60 — 0.9×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $3,839.54 — 0.9×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $8,453.60 — 0.9×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $8,453.60 — 0.9×
Arthroscopy, knee, surgical; with lateral release (29873) $3,839.54 — 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,839.54 — 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,839.54 — 0.9×
Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) $3,839.54 — 0.9×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) $3,839.54 — 0.9×
Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) $1,893.86 — 0.9×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $8,453.60 $14,021.22 0.9×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,839.54 $6,558.58 0.9×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,839.54 — 0.9×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $8,453.60 — 0.9×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,839.54 — 0.9×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,839.54 — 0.9×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $8,453.60 $14,021.22 0.9×
Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) $3,839.54 — 0.9×
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) $15,226.08 — 1.0×
Arthroscopy, temporomandibular joint, surgical Facility (29804) $3,839.54 — 0.9×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,839.54 $8,421.47 0.9×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) $3,839.54 — 0.9×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $8,453.60 — 0.9×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,839.54 — 0.9×
Arthrotomy biopsy interphalangeal joint each (26110) $1,893.86 $4,169.71 0.9×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $3,839.54 — 0.9×
Arthrotomy W/Biopsy Hip Joint (27052) $1,893.86 $4,501.90 0.9×
Arthrotomy W/Biopsy Sacroiliac Joint (27050) $1,893.86 — 0.9×
Arthrotomy W/Meniscus Repair Knee (27403) $8,453.60 — 0.9×
Arthrotomy W/Synovectomy Ankle (27625) $3,839.54 $8,421.47 0.9×
Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) $3,839.54 — 0.9×
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $3,839.54 — 0.9×
Arthrotomy Wrist Joint With Biopsy (25100) $3,839.54 — 0.9×
Arthrotomy wrist joint with synovectomy (25105) $3,839.54 $9,357.87 0.9×
Arthrotomy, elbow; with synovial biopsy only Facility (24100) $3,839.54 — 0.9×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $3,839.54 — 0.9×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $3,839.54 — 0.9×
Arthrotomy, temporomandibular joint Facility (21010) $3,837.72 — 0.9×
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) $3,839.54 — 0.9×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $3,839.54 — 0.9×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $15,226.08 — 1.0×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $3,839.54 $1,020.24 0.9×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $15,226.08 — 1.0×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $8,453.60 — 0.9×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $3,839.54 — 0.9×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $8,453.60 $18,402.86 0.9×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $15,226.08 — 1.0×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $3,839.54 — 0.9×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,839.54 — 0.9×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,839.54 $8,421.47 0.9×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,839.54 — 0.9×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $8,453.60 — 0.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,839.54 — 0.9×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $3,839.54 — 0.9×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $3,839.54 — 0.9×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $3,839.54 — 0.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,893.86 $4,169.71 0.9×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $3,839.54 $8,020.45 0.9×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $3,839.54 — 0.9×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $3,839.54 — 0.9×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,893.86 — 0.9×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)
range across 2 matching MRF lines		 $3,839.54 $8,928.05–$9,374.45 0.9×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $3,839.54 — 0.9×
Arthrt w/synvct kne ant&post w/pop area (27335) $8,453.60 — 0.9×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $3,839.54 — 0.9×
Artificial insemination intra-cervical (58321) $359.97 $865.94 0.9×
Artificial insemination intra-uterine (58322) $238.06 $510.83 0.9×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $731.62 $2,124.43–$2,216.80 0.9×
Aspirate Pleura W/O Imaging (32554) $731.62 $2,038.68 0.9×
Aspirate/Inj Ganglion Cyst (20612) $349.32 $920.34 0.9×
Aspiration & Injection Treatment Bone Cyst (20615) $832.60 $2,144.74 0.9×
Aspiration and/or injection thyroid cyst (60300) $832.60 $2,144.50 0.9×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,424.12 $5,969.05–$6,228.58 0.9×
Aspiration Bladder Needle (51100) $287.81 $738.42 0.9×
Aspiration bladder trocar/intracatheter (51101) $1,203.94 $3,195.76 1.1×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $2,698.92 $6,593.45 0.9×
ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to… (0136U) $407.43 — 1.0×
Augmentation lower jaw bone (21127) $7,000.36 — 0.9×
Augmentation, mandibular body or angle; prosthetic material Facility (21125) $7,000.36 — 0.9×
Autoimmun ibd mrna gen xprsn prfl 17 gen whl bld (0203U) $760 $2,280 1.0×
Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound… (0312U) $840.65 — 1.0×
Autoinflam ds vexas synd DNA uba1 gene mut alys (0500U) $175.40 $438.50 1.0×
Autologous Chondrocyte Implantation Knee (27412) $8,453.60 — 0.9×
Av fistula revision (36833) $6,396.89 — 0.9×
Av Fistula Revision Open (36832) $6,396.89 $16,159.66 0.9×
Av Fuse Uppr Arm Basilic (36819) $6,396.89 — 0.9×
Av fusion/forearm vein (36820) $6,396.89 $15,413.14 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $235.13 $895.93 0.9×
Axillary lymphadenectomy; complete (38745) $6,904.15 — 0.9×
B brgdrferi antibody detection 24 rprtn grps ia (0580U) — $43.03 —
BCAT1 (Branched chain amino acid transaminase 1) or IKZF1 (IKAROS family zinc finger 1) (eg, colorectal cancer)… (0229U)
range across 2 matching MRF lines		 $384 $576–$1,152 1.0×
Beta amyloid ab42/40 imprcip (0412U) $750 — 1.0×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $7,383.87 — 0.9×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $12,320.22 — 0.9×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $12,320.22 $14,870.39 0.9×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $7,383.87 — 0.9×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $4,176.15 $9,565.55 0.5×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $1,917.33 $4,660.62–$4,825.90 0.9×
Biopsy bone open deep (20245) $3,386.84 $7,133.84 0.9×
Biopsy bone open superficial (20240) $3,386.84 $7,589.64 0.9×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,917.33 $4,825.90–$5,092.03 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $1,917.33 $4,825.90 0.9×
Biopsy External Auditory Canal (69105) $1,752.89 $4,151.10 0.9×
Biopsy external ear (69100) $274.80 $3,735.06 0.9×
Biopsy eye muscle (67346) $4,462.45 $9,620.08 0.9×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $1,917.33 $4,624.82–$4,825.90 0.9×
Biopsy Muscle Superficial (20200) $1,917.33 $4,547.71 0.9×
Biopsy nail unit (11755) $832.60 $2,144.74 0.9×
Biopsy Nasopharynx Visible Lesion Simple (42804) $3,837.72 $8,057.96 0.9×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $4,531.42 $9,320.09–$9,322.19 0.9×
Biopsy of conjunctiva (68100) $2,760.73 $5,953.45 0.9×
Biopsy of cornea (65410) $2,760.73 $5,953.45 0.9×
Biopsy of epididymis (54800) $1,917.33 $4,222.66 0.9×
Biopsy of floor of mouth (41108) $1,917.33 $4,222.66 0.9×
Biopsy of foot joint lining (28052) $3,839.54 $7,812 0.9×
Biopsy of foot joint lining (28050) $3,839.54 — 0.9×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $1,109.47 $2,763.22 1.0×
Biopsy of lacrimal gland (68510) $2,760.73 $6,160.01 0.9×
Biopsy of lip (40490) $274.80 $3,735.06 0.9×
Biopsy of liver, needle; percutaneous (47000) $1,917.33 $4,825.90 0.9×
Biopsy of nerve (64795) $2,310.83 $5,581.98 0.9×
Biopsy of palate, uvula (42100) $1,752.89 $4,151.10 0.9×
Biopsy of penis (54100) $1,917.33 $4,222.66 0.9×
Biopsy of penis; deep structures (54105) $3,386.84 $7,133.84 0.9×
Biopsy of rectum (45100) $3,245.23 $7,516.85 0.9×
Biopsy of tear sac (68525) $2,760.73 $5,953.45 0.9×
Biopsy of toe joint lining (28054) $3,839.54 — 0.9×
Biopsy of upper nose/throat (42806) $3,837.72 — 0.9×
Biopsy of urethra (53200) $2,424.12 $7,846.65 0.9×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $4,531.42 $10,830.33 0.9×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $4,531.42 — 0.9×
Biopsy Oropharynx (42800) $1,752.89 $4,151.10 0.9×
Biopsy ovary uni/bi separate procedure (58900) $3,762.53 — 0.9×
Biopsy Pleura Percutaneous Needle (32400) $1,917.33 $4,222.66 0.9×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $4,081.37 $5,450 0.9×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) — $11,000.45 —
Biopsy Salivary Gland Incisional (42405) $1,752.89 $4,151.10 0.9×
Biopsy Salivary Gland Needle (42400) $832.60 $2,144.74 0.9×
Biopsy soft tissue back/flank deep (21925) $1,917.33 $4,222.66 0.9×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,917.33 $4,222.66 0.9×
Biopsy soft tissue forearm&/wrist deep (25066) $3,386.84 — 0.9×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,917.33 — 0.9×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $3,386.84 $7,133.84 0.9×
Biopsy soft tissue leg/ankle area superficial (27613) $1,917.33 $4,222.66 0.9×
Biopsy soft tissue neck/thorax (21550) $1,917.33 $4,222.66 0.9×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,917.33 $4,222.66 0.9×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,917.33 $4,222.66 0.9×
Biopsy Soft Tissue Shoulder Deep (23066) $3,386.84 $8,135.47 0.9×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,917.33 $4,222.66 0.9×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,386.84 $7,291.10 0.9×
Biopsy soft tissue thigh/knee area superficial (27323) $1,917.33 $4,222.66 0.9×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,917.33 $4,328.50 0.9×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,917.33 $4,222.66 0.9×
Biopsy Testis Incisional Separate Procedure (54505) $4,081.37 — 0.9×
Biopsy Testis Needle Separate Procedure (54500) $3,386.84 $7,133.84 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $602.63 $3,735.06 0.9×
Biopsy Tongue Posterior One-Third (41105) $3,837.72 $8,057.96 0.9×
Biopsy Vaginal Mucosa Extensive (57105) $3,762.53 $7,685.14 0.9×
Biopsy Vaginal Mucosa Simple (57100) $1,030.40 $2,254.08 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,030.40 $2,244.76 0.9×
Biopsy, vestibule of mouth (40808) $602.63 $3,823.40 0.9×
Biopsy/removal lymph nodes (38510) $4,531.42 $9,320.09 0.9×
Bladder instillation anticarcinogenic agent (51720) $789.86 $1,873.12 0.9×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $287.81 $791.46–$825.88 0.9×
Bladder Scan (51798)
range across 2 matching MRF lines		 $70.29 $941.26–$1,000.08 1.0×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $1,939.86 — 1.0×
Blepharoplasty Lower Eyelid (15820) $2,164.64 — 0.8×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $2,164.64 — 0.8×
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines		 $2,164.64 $4,839.42–$6,081.65 0.8×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,164.64 $6,326.62 0.8×
Blepharotomy drainage abscess eyelid (67700) $353.74 $879.85 0.9×
Blood Transfusion Service (36430) $517.34 $1,359.60 0.9×
Blood/Lymph System Procedure (38999) $517.34 $1,438.94 0.9×
Bone Graft Any Donor Area Major/Large (20902) $8,453.60 $18,402.86 0.9×
Bone Graft Any Donor Area Minor/Small (20900) $8,453.60 $18,402.86 0.9×
Bone Marrow Biopsy (38221) $1,917.33 $4,222.66 0.9×
Bone marrow harvest allogen (38230) $1,939.86 — 1.0×
Bone Marrow Harvest Autolog (38232) $5,544.24 — 1.0×
Bone Marrow; Aspiration Only (38220) $1,917.33 $4,222.66 0.9×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (0138U) $468.33 — 1.0×
Breast augmentation with implant (19325) $11,323.63 $22,913.08 1.1×
Breast Reduction (19318) $7,717.23 $14,453.02 0.9×
Brnchsc Brushing/Protected Brushings (31623) $2,040.67 $5,029.86 0.9×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,362.99 $9,132.57 0.9×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $4,362.99 $8,846.28 0.9×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $2,040.67 $4,401.13 0.9×
Brnchsc Removal Bronchial Valve Initial (31648) $4,362.99 $8,604.85 0.9×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $8,191.77 $16,736.69 0.9×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $4,362.99 $6,883.88 0.9×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $2,040.67 $4,401.13 0.9×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $4,362.99 $9,035.09 0.9×
Bronch Thermoplsty 1 Lobe (31660) $8,191.77 $16,736.69 0.9×
Bronchial Valve Init Insert (31647) $8,191.77 $15,939.70 0.9×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $8,191.77 $16,736.69 0.9×
Bronchoscopy Balloon Occlusion (31634) $8,191.77 $16,736.69 0.9×
Bronchoscopy Bronch Stents (31636) $8,191.77 $16,736.69 0.9×
Bronchoscopy Clear Airways (31645) $2,040.67 $4,401.13 0.9×
Bronchoscopy Dilate W/Stent (31631) $8,191.77 $16,736.69 0.9×
Bronchoscopy Reclear Airway (31646) $459.51 $3,519.62 0.9×
Bronchoscopy W/Biopsy(S) (31625) $2,040.67 $4,461.56 0.9×
Bronchoscopy W/Excision Tumor (31640)
range across 2 matching MRF lines		 $4,362.99 $5,341.70–$9,035.09 0.9×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $8,191.77 $12,751.76 0.9×
Bronchoscopy W/Removal Foreign Body (31635) $2,040.67 $4,401.13 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $4,362.99 $6,883.88 0.9×
Bronchoscopy/Needle Bx Each (31629) $4,362.99 $6,883.88 0.9×
Buttock fasciotomy (27027) $8,453.60 — 0.9×
Bx Arm/Elbow Soft Tissue,Deep (24066) $3,386.84 $8,135.47 0.9×
Bx breast 1st lesion mr imag (19085) $1,917.33 $4,825.90 0.9×
Bx breast 1st lesion strtctc (19081) $1,917.33 $4,825.90 0.9×
Bx breast 1st lesion us imag (19083) $1,917.33 $4,391.79 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $1,917.33 $4,215 0.9×
Bx Cervix (57500)
range across 2 matching MRF lines		 $1,030.40 $2,151.22–$2,244.76 0.9×
Bx prostate in-bore CT/MRI trgt les only 1st (55714) — $16,732.60 —
Bx prostate strtctc saturation sampling img gid (55706) $4,081.37 $8,228.44 0.9×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) — $11,000.45 —
Bx prostate transperineal ultrasound-guided (55709) — $11,000.45 —
Bx prostate transrectal MRI-us gid trgt les 1st (55711) — $11,000.45 —
Bx prst8 in-bore CT/MRI bx 1 (55713) — $16,732.60 —
Bx prst8 tprn us w/MRI fus 1 (55710) — $11,000.45 —
Bx prst8 trct us w/MRI fus 1 (55708) — $11,000.45 —
Bx/exc lymph node open deep axillary node (38525) $4,531.42 $7,776.25 0.9×
Bx/exc lymph node open superficial (38500) $4,531.42 $9,779.82 0.9×
Ca vi psp&sp1 antb elisa semiql bld sjogren synd (0472U) — $69.75 —
Cacna1a ful gen aly chng delt dup xpnsj insj vrt (0231U) $846.27 $2,538.81 1.0×
Canthoplasty (67950) $2,760.73 $5,953.45 0.9×
Canthotomy Separate Procedure (67715) $2,760.73 $5,669.95 0.9×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,839.54 $6,416.36 0.9×
Capsular contracture release (23020) $3,839.54 — 0.9×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,893.86 $4,169.71 0.9×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $3,839.54 $9,153.35 0.9×
Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) $3,839.54 — 0.9×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $8,453.60 $18,402.86 0.9×
Capsulorrhaphy Anterior W/Labral Repair (23455) $8,453.60 — 0.9×
Capsulorrhaphy Anterior With Bone Block (23460) $8,453.60 — 0.9×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $8,453.60 — 0.9×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,893.86 — 0.9×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $1,893.86 — 0.9×
Capsulotomy Midtarsal (28264) $1,893.86 — 0.9×
Capsulotomy Posterior Capsular Release Knee (27435) $3,839.54 — 0.9×
Capsulotomy wrist (25085) $3,839.54 — 0.9×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $3,839.54 — 0.9×
Car scr sev inh cond genomic seq alys pnl 5 gen (0449U) — $4,562.20 —
Car-t admn autologous (38228) $392.51 $192.13 1.0×
Cardiac ion channelopathies genomic seq alys pnl (0237U) $584.90 $1,754.70 1.0×
Cardiology (cardiovascular disease), analysis of 4 proteins (nt-probnp, osteopontin, tissue inhibitor of… (0309U) $390.75 — 1.0×
Cardiology (coronary artery disease [cad]), analysis of 3 proteins (high sensitivity [hs] troponin, adiponectin, and… (0308U) $390.75 — 1.0×
Cardiovascular disease (acute coronary syndrome [ACS]), IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by… (0415U) $390.75 — 1.0×
Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance… (0377U) $47.58 $142.74 1.0×
Carpal Tunnel Surgery (64721) $2,310.83 $6,045.04 0.9×
Carpectomy All Bones Proximal Row (25215) $3,839.54 — 0.9×
Cartilage graft; costochondral (20910) $724.37 — 0.8×
Cataract surg w/iol 1 stage (66983) $2,698.92 $6,220.04 0.9×
Cataract surgery complex (66982) $2,698.92 $7,108.62 0.9×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $240.68 $431.18–$458.13 0.9×
Catheterization with bronchial brush biopsy Facility (31717) $459.51 — 0.9×
Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) $287.81 $90.80 0.9×
Cautery Cervix Cryocautery Initial/Repeat (57511) $359.97 $972.60 0.9×
Cautery Cervix Electro/Thermal (57510) $3,762.53 $8,904.50 0.9×
Cdtb & vinculin igg antibodies by immunoassay (0176U) $64.19 $192.57 1.0×
CEP72 (centrosomal protein, 72-Kda) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) gene… (0286U) $134.13 — 1.0×
Cerclage cervix pregnancy vaginal (59320) $3,762.53 $7,685.14 0.9×
Cerclage Uterine Cervix Nonobstetrical (57700) $3,762.53 $7,685.14 0.9×
Cerv artific diskectomy (22856) $21,762.05 — 1.0×
Cervical lymphadenectomy (complete) (38720) $7,717.23 — 0.9×
Cessj Therapy Cath Removal (37214) $3,724.63 $5,447.69 0.9×
Change Cystostomy Tube Complicated (51710) $789.86 $1,695.65 0.9×
Change Cystostomy Tube Simple (51705) $287.81 $743.73 0.9×
Change of Windpipe Airway (31502) $274.80 $971.70 0.9×
Change ureter stent percut (50382)
range across 2 matching MRF lines		 $2,424.12 $5,450–$5,865.88 0.9×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $235.13 $545.52–$579.62 0.9×
Chemical exfoliation for acne (17360) $235.13 $716 0.9×
Chemical peel face dermal (15789) $724.37 $1,579.99 0.8×
Chemical peel nonfacial dermal (15793) $472.79 $1,145.50 0.9×
Chemical peel nonfacial epidermal (15792) $724.37 $1,002.31 0.8×
Chemical peel, facial; epidermal (15788) $472.79 $786.95 0.9×
Chemical Pleurodesis (32560) $731.62 $2,157.12 0.9×
Chemodenerv 1 extrem 5/> mus (64644) $819.50 $2,045.10 0.9×
Chemodenerv 1 extremity 1-4 (64642) $819.50 $2,061.22 0.9×
Chemodenerv Eccrine Glands (64650) $349.32 $920.34 0.9×
Chemodenerv Musc Migraine (64615) $349.32 $685.65 0.9×
Chemodenerv musc neck dyston (64616) $349.32 $920.34 0.9×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $349.32 $970.04 0.9×
Chemodenerv trunk musc 1-5 (64646) $819.50 $2,197.60 0.9×
Chemodenerv trunk musc 6/> (64647) $819.50 $1,831.33 0.9×
Chemodenervation eccrine glands oth area per day (64653) $349.32 $873.30 0.9×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $819.50 $1,656.19 0.9×
Chemodenervation of extraocular muscle (67345) $353.74 $1,175.96 0.9×
Chemodenervation of internal anal sphincter (46505) $1,395.28 — 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $349.32 $920.34 0.9×
Chest tube placement (32551) $1,838.28 $5,014.60 0.9×
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $760 $12 1.0×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,424.12 $6,228.58 0.9×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,176.15 $9,565.55 0.9×
Chorionic Villus Sampling (59015)
range across 2 matching MRF lines		 $1,030.40 $2,308.01–$2,719.73 0.9×
Ciliary body destruction; cryotherapy Facility (66720) $2,760.73 — 0.9×
Ciliary body destruction; cyclodialysis Facility (66740) $2,760.73 — 0.9×
Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) $2,698.92 $6,220.04 0.9×
Ciliary body dstrj cyclophotocoag transsceral (66710) $2,760.73 $5,953.45 0.9×
Circumcision 28 days or older (54161) $2,424.12 $5,450 0.9×
Circumcision Neonate (54160) $789.86 $5,219.27 0.9×
Circumcision w/clamp/oth dev w/block (54150) $2,424.12 $5,450 0.9×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $4,462.45 — 0.9×
Cl Tx Scapular Fx; W Manip (23575) $1,893.86 $3,971.15 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $1,893.86 $3,985.21 0.9×
Claviculectomy partial (23120) $3,839.54 — 0.9×
Claviculectomy; total (23125) $3,839.54 — 0.9×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $152.54 $367.37–$383.34 0.9×
Close mastoid fistula (69700) $1,752.89 — 0.9×
Closed Rx Metacarpal Fx,Percut (26608) $3,839.54 $8,421.47 0.9×
Closed Rx Spontaneous Hip Disloc (27256) $283.86 $1,453.28 0.9×
Closed rx talotarsal disloc,anesth (28575) $3,839.54 $8,421.47 0.9×
Closed Treat Vert Body Fract (22310) $283.86 $969.54 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $283.86 $1,486.88 0.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,893.86 $4,119.77 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $283.86 $1,495.66 0.9×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $283.86 $758.16 0.9×
Closed Treatment Sesamoid Fracture (28530) $283.86 $1,453.28 0.9×
Closed Treatment Sternum Fracture (21820) $283.86 $1,541.77 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $283.86 $1,532.35 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $283.86 $631.80 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,893.86 $4,013.52 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $283.86 $1,539.91 0.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $283.86 $663.39 0.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $283.86 $700.53 0.9×
Closed tx carpal scaphoid fracture w/manj (25624) $1,893.86 $3,971.15 0.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $283.86 $1,561.22 0.9×
Closed Tx Craniofacial Separation (21431) — $2,337.18 —
Closed tx femoral fracture prox head w/o manj (27267) $3,839.54 $8,421.47 0.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $283.86 $663.39 0.9×
Closed tx fx orbit except blowout w/manipulation (21401) $1,752.89 — 0.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,893.86 $4,469.48 0.9×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $283.86 $726.57–$731.78 0.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,893.86 $4,169.71 0.9×
Closed tx mandibular fracture w/manipulation (21451) $1,752.89 $3,953.43 0.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $602.63 $1,358.91 0.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $7,000.36 $14,211.58 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $283.86 $1,443.17 0.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,893.86 $3,971.15 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,752.89 $4,016.29 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,837.72 $8,057.96 0.9×
Closed Tx Nasomaxillary Complex Fracture (21345) $1,752.89 $4,151.10 0.9×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $3,837.72 $7,674.25 0.9×
Closed tx patellar dislocation w/anesthesia (27562) $283.86 $2,576.98 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $283.86 $1,530.44 0.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $283.86 $752.15 0.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,893.86 $3,997.53 0.9×
Closed tx radial head/neck fx w/o manipulation (24650) $283.86 $1,549.33 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,893.86 $4,006.76 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $283.86 $1,548.83 0.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,893.86 $3,985.55 0.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $283.86 $1,548.83 0.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $283.86 $1,541.77 0.9×
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $3,837.72 $7,674.25–$8,057.96 0.9×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $283.86 $969.54 0.9×
Closed tx talotarsal joint dislc w/o anes (28570) $283.86 $848.35 0.9×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $1,893.86 $3,865.25–$3,865.35 0.9×
Closed tx talus fracture w/o manipulation (28430) $283.86 $1,453.28 0.9×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $283.86 $2,801.42 0.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $283.86 $818.13 0.9×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,752.89 $4,687.16 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $283.86 $1,493.36 0.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,893.86 $4,022.01 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $283.86 $1,529.53 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $283.86 $1,453.28 0.9×
Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method… (0107U) $16 — 1.0×
Closure Gastrostomy Surg (43870) $4,502.13 $9,477.72 0.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $274.80 $1,914.37 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $602.63 $3,735.06 0.9×
Closure Lacrimal Fistula Spx (68770) $2,760.73 — 0.9×
Closure lacrimal punctum (68760) $353.74 $951 0.9×
Closure of cystostomy (separate procedure) Facility (51880) $4,081.37 — 0.9×
Closure of esophagostomy or fistula; cervical approach Facility (43420) $3,837.72 — 0.9×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $3,762.53 — 0.9×
Closure of salivary fistula (42600) $3,837.72 — 0.9×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $6,015.75 $5,515.94 0.9×
Closure of urethrovaginal fistula; Facility (57310) $8,750.72 — 0.9×
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) $8,750.72 — 0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $283.86 $807.95–$969.54 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $283.86 $1,541.77 0.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,893.86 $3,971.15 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $283.86 $859.72 0.9×
Clsd tx fx orbit except blowout w/o manipulation (21400) $602.63 $3,735.06 0.9×
Clsd Tx Pelvic Ring Fx (27198) $283.86 $4,157.67 0.9×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $283.86 $1,640.89 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,893.86 $4,102.71 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $283.86 $726.57–$758.16 0.9×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,893.86 $4,169.71 0.9×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $3,245.23 — 0.9×
Clsr Lacrimal Punctum Plug Each (68761) $353.74 $912.89 0.9×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $283.86 $758.16 0.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,893.86 $3,971.15 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,893.86 $4,038.59 0.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $283.86 $1,561.22 0.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,893.86 $4,032.15 0.9×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $283.86 $1,710.78 0.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $283.86 $726.57–$754.31 0.9×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,893.86 $4,063.93 0.9×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $283.86 $758.16 0.9×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,893.86 $4,169.71 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $283.86 $645.70 0.9×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $283.86 $726.57–$758.16 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $283.86 $631.80 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $283.86 $797.09–$1,433.75 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $283.86 $1,292.45 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,893.86 $3,929.62 0.9×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432)
range across 2 matching MRF lines		 $1,893.86 $4,169.71–$4,446.84 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,893.86 $4,169.71 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $283.86 $758.16 0.9×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) — $2,490.87 —
Cltx Fem Fx Prox End Nck W/O Manj (27230) $283.86 $663.39 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,893.86 $3,971.15 0.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $283.86 $1,366.63 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $283.86 $1,383.77 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $283.86 $715.43 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $283.86 $1,411.44 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,893.86 $3,971.15 0.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $283.86 $643.05 0.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $283.86 $980.10 0.9×
Cltx Greater Trochanteric Fx W/O Manj (27246) $283.86 $969.54 0.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,893.86 $3,971.15 0.9×
Cltx hip dislocation traumatic req anesthesia (27252) $1,893.86 $4,118.66 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $283.86 $1,524.05 0.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $283.86 $758.16 0.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,893.86 $3,971.15 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,893.86 $3,971.15 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $283.86 $663.39 0.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,893.86 $4,169.71 0.9×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $314.28 $2,705.83 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $283.86 $1,356.83 0.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) — $3,280.47 —
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $314.28 $2,673.55 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $283.86 $1,501.44 0.9×
Cltx Med Ankle Fx W/Mnpj (27762) $1,893.86 $3,971.15 0.9×
Cltx Medial Ankle Fx (27760) $283.86 $1,555.82 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $283.86 $657.81 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $283.86 $1,552.69 0.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,893.86 $4,126.99 0.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,893.86 $4,136.10 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $283.86 $650.37 0.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $283.86 $1,402.81 0.9×
Cltx post hip arthrp dislc req anes (27266) $1,893.86 $4,060.68 0.9×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $283.86 $786.72–$820.92 0.9×
Cltx prox fibula/shft fx w/manj (27781) $1,893.86 $3,971.15 0.9×
Cltx prox fibula/shft fx w/o manj (27780) $283.86 $1,551.91 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,893.86 $3,971.15 0.9×
Cltx prox tibfib jt dislc req anes (27831) $3,839.54 $8,421.47 0.9×
Cltx prox tibfib jt dislc w/o anes (27830) $283.86 $758.16 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $283.86 $1,486.88–$1,596.18 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $283.86 $1,513.71 0.9×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,893.86 $4,005.15 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,893.86 $4,014.49 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,893.86 $4,169.71 0.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,893.86 $3,991.58 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $283.86 $758.16 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,893.86 $4,169.27 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 2 matching MRF lines		 $283.86 $631.80–$758.16 0.9×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $3,839.54 $8,421.47 0.9×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $283.86 $1,384.08 0.9×
Cltx tibial fx proximal w/o manipulation (27530) $283.86 $1,561.22 0.9×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $283.86 $726.57–$758.16 0.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $283.86 $1,486.88 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,893.86 $3,990.10 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $283.86 $631.80 0.9×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $3,839.54 $8,421.47 0.9×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $5,841.60 — 0.9×
Co gnotyp gene analysis aqp1 exon 1 (0181U) $185.20 $555.60 1.0×
Coccygectomy, primary (27080) $3,839.54 — 0.9×
Collect Blood From Catheter Venous Nos (36592) $152.54 $383.34 0.9×
Collection of venous blood by venipuncture (36415) $9.09 $17.33 1.0×
Colonoscopy Flexible With Decompression (45393) $1,395.28 $3,530.74 0.9×
Colonoscopy Stoma Ablation Lesion (44401) $1,395.28 $3,530.74 0.9×
Colonoscopy Stoma Control Bleeding (44391) $1,395.28 $3,530.74 0.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,395.28 $3,530.74 0.9×
Colonoscopy stoma w/balloon dilation (44405) $1,395.28 $3,530.74 0.9×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,395.28 $3,128.73 0.9×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $7,044.32 $14,707.72 0.9×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $1,395.28 $3,530.74 0.9×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,078.88 $2,685.72 0.9×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,395.28 $3,530.74 0.9×
Colonoscopy Through Stoma With Decompression (44408) $1,078.88 $2,685.72 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,395.28 $3,530.74 0.9×
Colonoscopy thru stoma (44388) $1,078.88 $2,685.72 0.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,395.28 $3,516.69 0.9×
Colonoscopy w/ablation (45388) $1,395.28 $3,530.74 0.9×
Colonoscopy W/Band Ligation (45398) $1,395.28 $3,530.74 0.9×
Colonoscopy w/fb removal (45379) $1,395.28 $3,514.57 0.9×
Colonoscopy w/ndl aspir/bx (44407) $1,395.28 $3,530.74 0.9×
Colonoscopy W/Resection (45390) $3,245.23 $6,865.97 0.9×
Colonoscopy w/stent plcmt (45389) $7,044.32 $14,707.72 0.9×
Colonoscopy w/submucosal inj (45381) $1,395.28 $3,530.74 0.9×
Colpocentesis (57020) $5,841.60 — 0.9×
Colpocleisis (le fort type) (57120) $5,841.60 $13,140.94 0.9×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $3,762.53 $7,685.14 0.9×
Colpopexy extraperitoneal (57282) $8,750.72 $15,712.70 0.9×
Colpopexy vaginal intraperitoneal approach (57283) $8,750.72 $20,622.92 0.9×
Colporrhaphy (57200) $3,762.53 $7,685.14 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $359.97 $934.21 0.9×
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $359.97 $926.31–$1,298.21 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $238.06 $1,740.02 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $359.97 $951.82 0.9×
Colposcopy cervix vag eltrd conization cervix (57461) $3,762.53 $7,685.14 0.9×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,762.53 $7,685.14 0.9×
Colposcopy entire vagina w/cervix if present (57420) $359.97 $951.82 0.9×
Colposcopy of vulva (56820) $238.06 $583.80 0.9×
Colposcopy Vulva W/Biopsy (56821) $359.97 $927.26 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,030.40 $2,244.76 0.9×
Colpotomy; with drainage of pelvic abscess (57010)
range across 2 matching MRF lines		 $3,762.53 $7,319.18–$7,685.14 0.9×
Colpotomy; with exploration (57000) $3,762.53 — 0.9×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,395.28 $3,530.74 0.9×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $1,395.28 $3,530.74–$3,862.68 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,395.28 $3,530.74–$3,924.42 0.9×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,395.28 $3,126.92 0.9×
Combined anteroposterior colporrhaphy; (57260) $5,841.60 $11,537.01 0.9×
Complex Cystometrogram (51726) $287.81 $825.88 0.9×
Complex drainage wound (10180) $3,386.84 $7,055.75 0.9×
Composite Skin Graft (15760) $2,164.64 $5,672.11 0.8×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,762.53 $7,685.14 0.9×
Conization of cervix (57520) $3,762.53 $7,685.14 0.9×
Conjunctival Flap Total (68362) $2,760.73 — 0.9×
Conjunctivoplasty W/Buccal Muc Memb Graft (68325) $4,462.45 — 0.9×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $2,760.73 $5,953.45 0.9×
Conjunctivorhinostomy Insj Tube/Stent (68750) $4,462.45 $11,008.44 0.9×
Conjunctivorhinostomy W/O Tube (68745) $4,462.45 — 0.9×
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) $2,760.73 — 0.9×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $2,760.73 — 0.9×
Constj tracheoesophgl fstl&insj sp prosth (31611) $3,837.72 — 0.9×
Construct thumb replacement (26550) $3,839.54 — 0.9×
Construction of artificial vagina; with graft Facility (57292) $5,841.60 — 0.9×
Construction of vagina (57291) $5,841.60 — 0.9×
Contour cranial bone lesion (21181) $7,000.36 — 0.9×
Contour of face bone lesion (21029) $3,837.72 — 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $152.54 $383.34 0.9×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $152.54 $367.37–$383.34 0.9×
Control nose/throat bleeding (42972) $3,837.72 — 0.9×
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $602.63 $3,557.20–$3,735.06 0.9×
Conversion ext bil drg cath (47535) $4,176.15 $9,565.55 0.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,244.82 $4,791.18 0.9×
Convert Nephrostomy Catheter (50434) $2,424.12 $5,450 0.9×
Copy number sequence analysis (0156U) $1,740 $5,220 1.0×
Cordocentesis (59012) $359.97 $1,184.93 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,917.33 $5,078.04 0.9×
Cornea Scraping Diagnostic Smear &/Culture (65430) $472.21 $1,118.54 0.8×
Corneal transplant (65710) $6,105.79 $11,746.70 0.9×
Corneal Transplant,Penetrat,Aphakia (65750) $6,105.79 — 0.9×
Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) $2,760.73 — 0.9×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435)
range across 2 matching MRF lines		 $4,081.37 $8,844.03–$9,286.23 0.9×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $4,081.37 — 0.9×
Correction claw finger, other methods Facility (26499) $3,839.54 $8,707.44 0.9×
Correction Everted Punctum Cautery (68705) $353.74 — 0.9×
Correction hammertoe (28285) $3,839.54 $6,710.04 0.9×
Correction of inverted nipples (19355) $4,531.42 — 0.9×
Correction of lid retraction (67911) $2,760.73 — 0.9×
Correction of trichiasis; epilation, by forceps only (67820) $152.54 $2,329.96 0.9×
Correction Trichiasis Inccision Lid Margin (67830) $1,146.13 — 0.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,839.54 $9,624.54 0.9×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,839.54 $9,153.35 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $15,226.08 — 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $8,453.60 — 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,839.54 — 0.9×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $8,453.60 $15,651.58 0.9×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $2,760.73 $6,467.82 0.9×
Costotransversectomy (separate procedure) Facility (21610) $3,839.54 — 0.9×
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) $8,453.60 — 0.9×
Crd c hrt ds 9 gen 12 vrnts (0401U) $489.68 $1.05 1.0×
Crd cad DNA gwas 564856 snp trgt variant gnotyp (0466U) — $863.58 —
Crd ceramides liq chrom plsm (0119U) $83.76 — 1.0×
Crd chd DNA alys 10 snp 6 DNA mthyltn mrk qpcr (0440U) — $2,135 —
Crd chd DNA alys 5 snp 3 DNA mthyltn mrk qpcr (0439U) — $2,135 —
Create Eardrum Opening (69433) $602.63 $3,735.06 0.9×
Create Tear Sac-Nasal Fistula (68720) $4,462.45 $9,620.08 0.9×
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) $7,578.32 — 0.7×
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) $2,310.83 — 0.9×
Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) $2,310.83 — 0.9×
Cricopharyngeal myotomy (43030) $7,000.36 — 0.9×
Cricotracheal resection (31592) $7,000.36 — 0.9×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $1,146.13 $2,837.22 0.9×
Crom gnotyp gene analysis cd55 exons 1-10 (0182U) $301.35 $904.05 1.0×
Cross Intrinsic Transfer Each Tendon (26510) $3,839.54 — 0.9×
Cross-over vein graft (34520) $6,396.89 — 0.9×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $6,396.89 $16,159.66 0.9×
Cryosurgical Ablation Fibroadenoma, Each (19105) $4,531.42 — 0.9×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $10,942.71 — 0.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $70.29 $1,031.90 1.0×
Csf shunt reprogram (62252) $354.90 — 0.9×
Cstb ful gen aly chng delet dupl xpnsj insj vrnt (0232U) $274.83 $824.49 1.0×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $274.80 — 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $152.54 $346.60 0.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $274.80 $908.36 0.9×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $3,837.72 $8,418.22 0.9×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) $1,078.88 — 0.9×
Curettage postpartum (59160) $3,762.53 $7,685.14 0.9×
Curette/treat cornea (65435) $1,146.13 $2,837.22 0.9×
Cysto Bladder W/Ureteral Catheterization (52005) $2,424.12 $5,488.40 0.9×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $2,424.12 $5,969.05–$6,228.58 0.9×
Cysto w/complex removal stone & stent (52315) $2,424.12 $5,923.29 0.9×
Cysto w/destruction of lesions (52214) $4,081.37 $5,450 0.9×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $6,015.75 — 0.9×
Cysto w/insert ureteral stent (52332) $4,081.37 $9,007.58 0.9×
Cysto w/irrig & evac multple obstructing clots (52001) $4,081.37 $10,582.60 0.9×
Cysto w/removal of lesions small (52224) $4,081.37 $6,228.58 0.9×
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $4,081.37 $9,837.04–$10,612.84 0.9×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $4,081.37 — 0.9×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $2,424.12 $5,969.05–$6,228.58 0.9×
Cysto w/up stricture tx (52342) $4,081.37 — 0.9×
Cysto w/ureter stricture tx (52341) $4,081.37 $9,286.23 0.9×
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines		 $6,015.75 $11,961.53–$13,018.14 0.9×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $4,081.37 $8,060.88 0.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $4,081.37 — 0.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $4,081.37 $7,075.22 0.9×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $6,015.75 — 0.9×
Cysto/uretero w/lithotripsy (52356) $6,015.75 $13,528.19 0.9×
Cysto/uretero w/up stricture (52345) $4,081.37 — 0.9×
Cystolithotomy (51050) $6,015.75 $13,018.14 0.9×
Cystometrogram W/Up (51727) $789.86 $1,712.11 0.9×
Cystometrogram W/Vp (51728) $789.86 $1,712.11 0.9×
Cystometrogram W/Vp&Up (51729) $789.86 $1,712.11 0.9×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $10,942.71 $13,018.14 0.9×
Cystoscopy and radiotracer (52250) $4,081.37 — 0.9×
Cystoscopy implant stent (52282) $4,081.37 $8,887.04 0.9×
Cystoscopy inject material (52327) $6,015.75 $14,959.34 0.9×
Cystostomy Cystotomy W/Drainage (51040) $2,424.12 $5,841.60 0.9×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $4,081.37 — 0.9×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $4,081.37 — 0.9×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $4,081.37 — 0.9×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,424.12 $5,450 0.9×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $4,081.37 — 0.9×
Cystouretero W/Congen Repr (52400) $4,081.37 — 0.9×
Cystouretero w/excise tumor (52355) $6,015.75 — 0.9×
Cystouretero w/renal strict (52346) $6,015.75 — 0.9×
Cystourethroscopy (52000) $789.86 $3,684.14 0.9×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $6,015.75 $11,586.49 0.9×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $4,081.37 $9,286.23 0.9×
Cystourethroscopy inj chemodenervation bladder (52287) $2,424.12 $6,398.02 0.9×
Cystourethroscopy tx female urethral syndrome (52285) $789.86 $1,712.11 0.9×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $4,081.37 $10,612.84 0.9×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $6,015.75 $12,109.92 0.9×
Cystourethroscopy w/dil bladder general anesth (52260) $2,424.12 $5,450 0.9×
Cystourethroscopy w/rmvl ureteral calculus (52320) $4,081.37 $11,514.70 0.9×
Cystourethroscopy with biopsy (52204) $2,424.12 $6,228.58 0.9×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,424.12 $5,450 0.9×
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) $10,942.71 $181.24 0.9×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $4,081.37 $8,844.03 0.9×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) $4,081.37 — 0.9×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,424.12 — 0.9×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $789.86 $1,712.11 0.9×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $2,424.12 — 0.9×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $2,424.12 — 0.9×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $4,081.37 — 0.9×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $2,424.12 $6,182.97 0.9×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $4,081.37 — 0.9×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $6,015.75 $13,018.14 0.9×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $4,081.37 — 0.9×
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) $4,081.37 — 0.9×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $2,424.12 — 0.9×
Cytog const alys interrog gen reg f/copy number (0209U) $787.15 $2,361.45 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,747.48 1.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,386.84 $6,359.77 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $832.60 $2,055.37–$2,117.08 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $832.60 $2,335.79 0.9×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $3,839.54 — 0.9×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $3,839.54 — 0.9×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $3,839.54 $8,421.47 0.9×
Dcmprn fasct leg post compartment only (27601) $3,839.54 — 0.9×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $2,310.83 — 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,747.48 0.8×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $70.29 $273.09–$290.16 1.0×
Debride nail 6 or more (11721) $70.29 $255.95 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,917.33 $4,624.82–$4,825.90 0.9×
Debridement Mastoidectomy Cavity Cmplx (69222) $602.63 $1,553.04 0.9×
Debridement Mastoidectomy Cavity Simple (69220) $235.13 $537.55 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,123.36 0.9×
Declot vascular device (36593) $392.51 $1,088.52 1.0×
Decomp forearm,1 compart,w/o debride (25020) $1,893.86 — 0.9×
Decompress eye socket (61330) $3,837.72 — 0.9×
Decompress Fingers/Hand (26035) $3,839.54 — 0.9×
Decompress Spinal Cord Lmbr (63056) $8,453.60 — 0.9×
Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) $7,000.36 $14,922.16 0.9×
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) $1,893.86 — 0.9×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $1,893.86 — 0.9×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $3,839.54 $8,421.47 0.9×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $8,453.60 $18,402.86 0.9×
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) $8,453.60 — 0.9×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $3,839.54 — 0.9×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) $3,839.54 — 0.9×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $1,893.86 — 0.9×
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) $8,453.60 — 0.9×
Decompression internal auditory canal Facility (69960) $7,000.36 — 0.9×
Decompression of leg (27894) $3,839.54 — 0.9×
Decompression of leg (27892) $3,839.54 — 0.9×
Decompression of tibia nerve (28035) $2,310.83 — 0.9×
Decompressive fasciotomy hand (26037) $3,839.54 — 0.9×
Deep Muscle Biopsy (20205) $3,386.84 $7,291.10 0.9×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,164.64 $5,535.97 0.8×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $2,164.64 $5,535.80 0.8×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $2,164.64 $6,211.75 0.8×
Delay Flap/Sectioning Flap Trunk (15600) $4,332.25 $10,467.78 1.0×
Delivery of placenta (59414) $3,762.53 $7,685.14 0.9×
Denervation of hip joint (27035) $3,839.54 — 0.9×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $4,332.25 $12,383.46 1.0×
Derma-fat-fascia graft (15770)
range across 2 matching MRF lines		 $4,332.25 $8,723.15–$10,467.78 1.0×
Dermabrasion regional other than face (15782) $3,386.84 $7,133.84 0.9×
Dermabrasion segmental face (15781) $832.60 $2,144.74 0.9×
Dermabrasion superficial any site (15783) $472.79 $1,002.31 0.9×
Dermabrasion total face (15780)
range across 2 matching MRF lines		 $3,386.84 $7,133.84–$7,589.64 0.9×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $2,164.64 $6,326.62 0.8×
Design custom breast implant (19396) $4,531.42 — 0.9×
Destr penis lesion(s) (54065) $2,164.64 $5,705.38 0.8×
Destr W Neurolytic; Celiac Plexus (64680) $1,053.53 $2,855.08 1.0×
Destroy cerv/thor facet jnt (64633) $2,310.83 $5,289.41 0.9×
Destroy lumb/sac facet jnt (64635) $2,310.83 $5,218.37 0.9×
Destruc retinal lesn,photocoag (67210) $649.19 $1,782.30 0.9×
Destruct B9 Lesion 1-14 (17110) $235.13 $818.28 0.9×
Destruction Benign Lesions 15/> (17111) $235.13 $716 0.9×
Destruction by neurolytic agent, intercostal nerve (64620) $1,053.53 $2,855.08 1.0×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $2,310.83 — 0.9×
Destruction by neurolytic agent; plantar common digital nerve (64632) $349.32 $920.34 0.9×
Destruction by neurolytic agent; pudendal nerve (64630) $1,053.53 — 1.0×
Destruction ciliary body (66700) $2,698.92 — 0.9×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,395.28 $3,530.74 0.9×
Destruction Lesions Vulva Extensive (56515) $2,164.64 $5,705.38 0.8×
Destruction Lesions Vulva Simple (56501) $2,164.64 $5,705.38 0.8×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $235.13 $1,003.93 0.9×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $235.13 $1,123.36 0.9×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283)
range across 2 matching MRF lines		 $472.79 $565.86–$1,163.76 0.9×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $724.37 $1,747.48 0.8×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $724.37 $1,747.48 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $235.13 $538.70 0.9×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)
range across 2 matching MRF lines		 $235.13 $520.01–$742.57 0.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $235.13 $742.57 0.9×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $472.79 $1,123.36 0.9×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $472.79 $1,123.36 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $235.13 $716 0.9×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $235.13 $742.57 0.9×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $235.13 $742.57 0.9×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $235.13 $569.35 0.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $472.79 $1,123.36 0.9×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $472.79 $1,123.36 0.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $235.13 $716 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $2,310.83 $5,289.41 0.9×
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) $649.19 — 0.9×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $353.74 $966.28 0.9×
Destruction of lesion of lid margin (up to 1 cm) (67850) $1,146.13 $2,837.22 0.9×
Destruction of lesion, conjunctiva (68135) $2,760.73 $7,093.60 0.9×
Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) $4,462.45 — 0.9×
Destruction of rectal tumor transanal approach (45190) $3,245.23 $8,092.08 0.9×
Destruction of skin lesions (17106) $472.79 $994.45 0.9×
Destruction Premalignant Lesion 15/> (17004) $472.79 $1,123.36 0.9×
Destruction premalignant lesion 1st (17000) $235.13 $545.52 0.9×
Destruction Vaginal Lesions Extensive (57065) $3,762.53 $7,685.14 0.9×
Destruction Vaginal Lesions Simple (57061) $3,762.53 $7,685.14 0.9×
Di gnotyp gene analysis slc4a1 exon 19 (0183U) $185.20 $555.60 1.0×
Diagnostic anoscopy (46601) $472.21 $335.42 0.8×
Diagnostic sigmoidoscopy (45330) $1,078.88 $2,685.72 0.9×
Diaphragm or cervical cap fitting with instructions (57170)
range across 2 matching MRF lines		 $238.06 $486.50–$583.80 0.9×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $1,395.28 $3,530.74 0.9×
Dilat female urethra general/cndj spinal anes (53665) $2,424.12 — 0.9×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $185.15 $1,235.40 1.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $152.54 $344.40 0.9×
Dilat rct strix spx under anes oth/thn local (45910) $1,395.28 — 0.9×
Dilat Urethral Strix Dilator Male Sbsq (53601) $152.54 $1,235.40 0.9×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $287.81 $825.88 0.9×
Dilat Xst Trc New Access Rcs (50437) $4,081.37 $9,340.22 0.9×
Dilate Esophagus 1/Mult Pass (43450) $1,109.47 $2,763.22 1.0×
Dilate Urethra Stricture (53620) $789.86 $1,712.11 0.9×
Dilate Urethra Stricture (53600) $287.81 $722.64 0.9×
Dilation & curettage dx&/ther nonobstetric (58120) $3,762.53 $7,685.14 0.9×
Dilation and catheterization of salivary duct, with or without injection (42660) $602.63 $3,735.06 0.9×
Dilation And Curettage Of Cervical Stump (57558) $3,762.53 — 0.9×
Dilation Cervical Canal (57800) $3,762.53 $7,685.14 0.9×
Dilation Esophagus Guide Wire (43453) $2,244.82 $4,791.18 0.9×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $472.21 $1,118.54 0.8×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $4,081.37 — 0.9×
Dilation of vagina (57400) $3,762.53 — 0.9×
Dilation Salivary Duct (42650) $1,752.89 $4,151.10 0.9×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $6,396.89 — 0.9×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $6,396.89 — 0.9×
Disarticulation of shoulder; secondary closure or scar revision Facility (23921) $2,164.64 — 0.8×
Disarticulation through wrist; secondary closure or scar revision Facility (25922) $1,893.86 — 0.9×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $8,453.60 — 0.9×
Discission of vitreous strands (without removal), pars plana approach Facility (67030) $2,698.92 — 0.9×
Discission Secondary Membranous Cataract (66820) $2,698.92 — 0.9×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $2,040.67 $608.08 0.9×
Dissection, deep jugular node(s) Facility (38542) $6,904.15 — 0.9×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $6,396.89 — 0.9×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $7,000.36 — 0.9×
Division of scalenus anticus; without resection of cervical rib Facility (21700) $8,453.60 — 0.9×
Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) $832.60 — 0.9×
Division of stricture of rectum Facility (45150) $1,395.28 — 0.9×
Division of symblepharon (68340) $2,760.73 — 0.9×
Do gnotyp gene analysis art4 exon 2 (0184U) $185.20 $555.60 1.0×
Drain ant chmbr,remv vitreous (65810) $2,698.92 $6,220.04 0.9×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $819.50 $2,106.03–$2,164.55 0.9×
Drain chest lesion (21502) $3,839.54 — 0.9×
Drain Hand Tendon Sheath (26020) $3,839.54 $8,421.47 0.9×
Drain ovary abscess open (58820) $3,762.53 — 0.9×
Drain penis lesion (54015) $1,917.33 $4,222.66 0.9×
Drain shoulder bursa (23031) $3,386.84 — 0.9×
Drain Spinal Cord Cyst (62268)
range across 2 matching MRF lines		 $1,053.53 $2,379.23–$2,855.08 1.0×
Drain/inj small joint/bursa w/us (20604) $349.32 $915.69 0.9×
Drainage abscess parotid simple (42300) $1,752.89 $4,151.10 0.9×
Drainage Abscess/Hematoma Nasal Septum (30020) $602.63 $3,735.06 0.9×
Drainage external auditory canal abscess (69020) $832.60 $2,032.09 0.9×
Drainage external ear abscess/hematoma cmplx (69005) $1,917.33 $4,119.24 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $832.60 $2,055.37–$2,068.44 0.9×
Drainage Finger Abscess Complicated (26011) $1,917.33 $4,081.27 0.9×
Drainage lymph node lesion (38305) $3,386.84 — 0.9×
Drainage Mouth Roof Lesion (42000) $274.80 $577.18 0.9×
Drainage of eye (65800) $2,698.92 $6,220.04 0.9×
Drainage of finger abscess simple (26010) $235.13 $724.98 0.9×
Drainage of gum lesion (41800) $152.54 $321.33 0.9×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $1,917.33 $4,624.82–$4,685.18 0.9×
Drainage of hydrocele (55000) $832.60 $2,144.74 0.9×
Drainage of mouth lesion (41006)
range across 2 matching MRF lines		 $1,752.89 $3,953.43–$4,151.10 0.9×
Drainage of mouth lesion (41017) $3,837.72 $10,091.39 0.9×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $274.80 $686.15–$702.14 0.9×
Drainage of palmar bursa single bursa (26025) $3,839.54 — 0.9×
Drainage of palmar bursa; multiple bursa Facility (26030) $3,839.54 $8,707.44 0.9×
Drainage of perineal urinary extravasation; complicated Facility (53085) $2,424.12 — 0.9×
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $789.86 $1,712.11 0.9×
Drainage of perirenal or renal abscess, open Facility (50020)
range across 2 matching MRF lines		 $2,424.12 $5,190.48–$5,450 0.9×
Drainage of rectal abscess (45020) $3,245.23 $6,867.45 0.9×
Drainage of rectal abscess (45005) $1,395.28 $2,942.28 0.9×
Drainage of salivary cyst (42409) $3,837.72 $8,057.96 0.9×
Drainage of salivary gland (42320) $602.63 — 0.9×
Drainage of salivary gland (42305) $3,837.72 — 0.9×
Drainage of scrotal wall abscess (55100) $1,917.33 $4,155.23 0.9×
Drainage of scrotum (54700) $2,424.12 $5,332.64 0.9×
Drainage of skene's gland abscess or cyst (53060) $2,424.12 $5,450 0.9×
Drainage of throat abscess (42725) $7,000.36 $16,438.59 0.9×
Drainage of urethra abscess (53040) $4,081.37 $5,450 0.9×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $3,762.53 $7,685.14 0.9×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $3,762.53 — 0.9×
Draw Blood Off Venous Device (36591) $152.54 $382.23 0.9×
Dressing Change Under Anesthesia (15852) $724.37 $3,340.52 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $602.63 $3,735.06 0.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $832.60 $1,875.54 0.9×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $602.63 $3,557.20 0.9×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $3,386.84 — 0.9×
Drg privesical/prevesical space absc (51080) $3,386.84 — 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,086.35 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $235.13 $1,388.96 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $235.13 $1,326.22 0.9×
Drug assay, definitive, 120 or more drugs and metabolites, urine, quantitative liquid chromatography with tandem mass… (0328U) $114.43 — 1.0×
Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19,… (0533U) — $1,041.95 —
Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with… (0347U) $1,336.09 — 1.0×
Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with… (0348U) $742.27 — 1.0×
Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with… (0350U) $1,336.09 — 1.0×
Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with… (0349U) $742.27 — 1.0×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $724.37 $1,586.04 0.8×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $2,164.64 $5,705.38 0.8×
Dstrj Extensive Retinopathy (67227) $4,462.45 $9,620.08 0.9×
Dstrj les/scar vestibule mouth physical meths (40820) $3,837.72 $8,677.67 0.9×
Dstrj Lesion Anus Extensive (46924) $3,245.23 $7,211.64 0.9×
Dstrj Lesion Anus Simple Chemical (46900) $472.79 $990.12 0.9×
Dstrj lesion anus simple cryosurgery (46916) $235.13 $3,280.10 0.9×
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $3,245.23 $6,868.23–$8,241.88 0.9×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,164.64 $5,705.38 0.8×
Dstrj lesion choroid pc 1/> sess (67220) $649.19 $1,590.16 0.9×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $649.19 $1,559.51 0.9×
Dstrj Lesion Penis Simple Chemical (54050) $472.79 $982.94 0.9×
Dstrj Lesion Penis Simple Cryosurgery (54056) $235.13 $1,334.11 0.9×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,164.64 $5,705.38 0.8×
Dstrj lesion penis simple laser (54057) $2,164.64 $5,705.38 0.8×
Dstrj lesion penis simple surg excision (54060) $2,164.64 $5,705.38 0.8×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $472.79 $1,123.36 0.9×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $2,310.83 — 0.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,053.53 $2,496.02 1.0×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,053.53 — 1.0×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,053.53 — 1.0×
Duodenal intubat w/imag guided multiple specimen (43757) $1,109.47 — 1.0×
Dx Bone Marrow Bx & Aspir (38222) $3,386.84 $5,435.30 0.9×
Dx Bronchoscope/Lavage (31624) $2,040.67 $3,808.21 0.9×
Dx Bronchoscope/Wash (31622) $2,040.67 $5,029.86 0.9×
Dx duod intub w/asp spec (43756) $1,109.47 — 1.0×
Dx gastr intub w/asp spec (43754) $368.50 $741.55 1.4×
Dx gastr intub w/asp specs (43755) $185.15 — 1.2×
Dx Laryngoscopy Excl Nb (31525) $2,040.67 $4,349.21 0.9×
Dx laryngoscopy w/oper scope (31526)
range across 2 matching MRF lines		 $2,040.67 $4,191.55–$4,401.13 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $819.50 $2,197.36 0.9×
Dynamic Cavernosometry Njx Vasoactive Drugs (54231) $287.81 — 0.9×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,244.82 $4,791.18 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $2,244.82 $5,247.48–$5,475.64 0.9×
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $2,244.82 $4,660.69–$4,791.18 0.9×
Egd control bleeding any (43255) $2,244.82 $5,469.92 0.9×
Egd dilation gastric/duodenal stricture (43245) $2,244.82 $5,475.64 0.9×
Egd endo mucosal resection (43254) $2,244.82 $4,807.87 0.9×
Egd Endoscopic Stent Place (43266) $7,044.32 $14,707.72 0.9×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,109.47 $2,648.08–$2,763.22 1.0×
Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) $2,244.82 $5,484.82 0.9×
Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) $1,109.47 $2,971.19 1.0×
Egd guide wire insertion (43248) $1,109.47 $2,763.22 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,244.82 $4,791.18 0.9×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $2,244.82 $5,475.64 0.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $2,244.82 $4,609.59 0.9×
Egd lesion ablation (43270) $2,244.82 $5,475.64 0.9×
Egd Optical Endomicroscopy (43252) $2,244.82 $9,226.35 0.9×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $12,320.22 $25,882.06 0.9×
Egd place gastrostomy tube (43246) $2,244.82 $5,475.64 0.9×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $2,244.82 $4,509.44–$4,559.10 0.9×
Egd Tube/Cath Insertion (43241) $2,244.82 $4,791.18 0.9×
Egd us exam duodenum/jejunum (43259) $2,244.82 $5,475.64 0.9×
Egd us transmural injxn/mark (43253) $2,244.82 $4,791.18 0.9×
Egd Varices Ligation (43244) $2,244.82 $5,475.64 0.9×
Egd W/Thrml Txmnt Gerd (43257) $4,502.13 $9,226.35 0.9×
Egd W/Transmural Drain Cyst (43240) $7,044.32 $9,226.35 0.9×
Elbow arthroscopy (29830) $3,839.54 — 0.9×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $354.90 $873.79 0.9×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $354.90 $952.50 0.9×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $354.90 $952.50 0.9×
Electrical stimulation bone healing noninvasive (20974) $61.91 — 0.7×
Electro-Uroflowmetry First (51741) $368.50 $1,334.11 1.4×
Electroejaculation (55870) $1,030.40 $2,348.56 0.9×
Electrolysis Epilation Each 30 Minutes (17380) $724.37 $1,747.48 0.8×
Embedded ip cath exit-site (49436) $2,244.82 — 0.9×
Emblc/thrmbc ax brach innominate subcla art (34101) $6,396.89 — 0.9×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $6,396.89 — 0.9×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $6,396.89 — 0.9×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) $6,396.89 — 0.9×
Endocervical curettage (57505) $1,030.40 $2,254.08 0.9×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $5,841.60 — 0.9×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $238.06 $1,325.73–$1,408.59 0.9×
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $5,841.60 — 0.9×
Endoscopic injection/implant (51715) $4,081.37 $9,286.23 0.9×
Endoscopic plantar fasciotomy (29893) $3,839.54 — 0.9×
Endoscopic us exam esoph (43237)
range across 2 matching MRF lines		 $2,244.82 $5,413.62–$5,475.64 0.9×
Endoscopy of ureter (50953) $4,081.37 — 0.9×
Endoscopy Upper Small Intestine (44360) $2,244.82 $4,791.18 0.9×
Endoscopy upper small intestine w/biopsy (44361) $2,244.82 $3,789.01 0.9×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $13,419.98 $30,482.39 0.9×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,724.63 — 0.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,724.63 $8,525.56 0.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,724.63 $6,495.66 0.9×
Endoven ther chem adhes 1st (36482) $6,396.89 — 0.9×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $2,244.82 $4,791.18 0.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376)
range across 2 matching MRF lines		 $2,244.82 $4,791.18–$5,017.95 0.9×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $2,244.82 $4,791.18 0.9×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $2,244.82 $4,790.63 0.9×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $7,044.32 $14,707.72 0.9×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,244.82 $4,791.18 0.9×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $2,244.82 $4,791.18 0.9×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $2,244.82 $4,791.18 0.9×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $2,244.82 $4,791.18 0.9×
Enucleation Eye Implt Musc X Attached Implt (65103) $4,462.45 — 0.9×
Enucleation of Eye W/O Implant (65101) $4,462.45 — 0.9×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,164.64 $5,435.28 0.8×
Epididymectomy bilateral (54861) $4,081.37 — 0.9×
Epididymectomy unilateral (54860) $4,081.37 — 0.9×
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) $4,081.37 — 0.9×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,164.64 $6,211.75 0.8×
Epidural Blood Patch (62273) $819.50 $2,089.93 0.9×
Epidural lysis mult sessions (62263) $1,053.53 — 1.0×
Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) $3,839.54 — 0.9×
Episiotomy or vaginal repair (59300) $3,762.53 $7,685.14 0.9×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $7,044.32 $14,707.72 0.9×
Ercp duct stent placement (43274) $7,044.32 $11,205.88 0.9×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,502.13 $9,226.35 0.9×
Ercp ea duct/ampulla dilate (43277) $4,502.13 $7,029.60 0.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,502.13 $7,029.60 0.9×
Ercp remove forgn body duct (43275) $2,244.82 $7,029.60 0.9×
Ercp Stent Exchange W/Dilate (43276) $7,044.32 $11,205.88 0.9×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $4,502.13 $9,226.35 0.9×
Ercp W/Biopsy Single/Multiple (43261) $4,502.13 $7,029.60 0.9×
Ercp w/pressure measurement sphincter of oddi (43263) $2,244.82 $9,226.35 0.9×
Ercp,Sphincterotomy (43262) $4,502.13 $7,029.60 0.9×
Esc i p ulcer w ostect & flap (15946) $2,164.64 — 0.8×
Escharotomy; initial incision (16035) $472.79 $1,931.59 0.9×
Esoph Optical Endomicroscopy (43206) $2,244.82 $4,791.18 0.9×
Esoph Scope W/Submucous Inj (43201) $2,244.82 $4,791.18 0.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,109.47 $2,763.22 1.0×
Esophagosc Dilate Balloon 30 (43214) $2,244.82 $4,791.18 0.9×
Esophagoscop Mucosal Resect (43211) $2,244.82 $4,791.18 0.9×
Esophagoscop Stent Placement (43212) $7,044.32 $14,707.72 0.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,244.82 $4,791.18 0.9×
Esophagoscopy Flex Transoral Injection Varices (43204) $2,244.82 $4,791.18 0.9×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $4,502.13 $9,226.35 0.9×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $2,244.82 — 0.9×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,244.82 $4,791.18 0.9×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,109.47 $2,763.22 1.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $1,109.47 — 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,109.47 $2,763.22 1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $2,244.82 $4,791.18 0.9×
Esophagoscopy Flexible W/Bleeding Control (43227) $2,244.82 $4,791.18 0.9×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $2,244.82 $4,791.18 0.9×
Esophagoscopy Retro Balloon (43213) $2,244.82 $4,791.18 0.9×
Esophagoscopy rig transoral removal foreign body (43194) $2,244.82 $4,791.18 0.9×
Esophagoscopy Rigid Balloon (43195) $4,502.13 $9,226.35 0.9×
Esophagoscopy rigid trnso dx (43191)
range across 2 matching MRF lines		 $2,244.82 $4,563.03–$4,791.18 0.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,244.82 $4,791.18 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $2,244.82 $4,570.47–$4,791.18 0.9×
Esophagoscp Guide Wire Dilat (43196) $2,244.82 — 0.9×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $7,000.36 $14,922.16 0.9×
Esophagoscp Rig Trnso Biopsy (43193) $2,244.82 — 0.9×
Esophagoscp Rig Trnso Inject (43192) $2,244.82 $4,791.18 0.9×
Esophagotomy, cervical approach, with removal of foreign body Facility (43020)
range across 2 matching MRF lines		 $1,752.89 $3,953.43–$4,151.10 0.9×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $2,244.82 $4,791.18 0.9×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $2,244.82 $4,999.21 0.9×
Ethmoidectomy Extranasal Total (31205) $3,837.72 — 0.9×
Ethmoidectomy Intranasal Anterior (31200) $7,000.36 — 0.9×
Ethmoidectomy; intranasal, total Facility (31201) $1,752.89 — 0.9×
Evacuate mole of uterus (59870) $3,762.53 $7,685.14 0.9×
Evacuation of subungual hematoma (11740) $152.54 $326.62 0.9×
Evaluation of outer surface protein A (OspA) of Borrelia burgdorferi (Lyme disease) in urine specimen (0316U) $18.66 — 1.0×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,917.33 — 0.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,917.33 — 0.9×
Exc abdl tum deep 5 cm/> (22901) $3,386.84 — 0.9×
Exc arm/elbow les sc < 3 cm (24075) $1,917.33 $4,222.66 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $832.60 $1,985.62–$2,144.74 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,917.33 $4,222.66 0.9×
Exc Back Les Sc < 3 Cm (21930) $1,917.33 $4,222.66 0.9×
Exc Back Tum Deep 5 Cm/> (21933) $3,386.84 — 0.9×
Exc back tum deep < 5 cm (21932) $3,386.84 — 0.9×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $7,000.36 — 0.9×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $7,000.36 $14,922.16 0.9×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $7,000.36 $14,922.16 0.9×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $3,837.72 $8,057.96 0.9×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $4,531.42 $6,437.35 0.9×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $2,760.73 $5,953.45 0.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $832.60 $2,110.13 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $832.60 $2,144.74 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,917.33 $4,328.50 0.9×
Exc Face Les Sbq 2 Cm/> (21012) $1,917.33 $4,222.66 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $832.60 $2,144.74 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $832.60 $2,144.74 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $832.60 $2,537.35 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,917.33 $4,222.66 0.9×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,917.33 $4,222.66 0.9×
Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) $1,752.89 $4,289.99 0.9×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $8,453.60 — 0.9×
Exc Forearm Les Sc 3 Cm/> (25071) $1,917.33 $4,461.90 0.9×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,386.84 — 0.9×
Exc Frenum Labial/Buccal (40819) $1,752.89 $4,161.73 0.9×
Exc ganglion wrist recurrent (25112) $1,893.86 — 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,917.33 $1,874.56–$4,217.98 0.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $832.60 $2,144.74 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,917.33 $4,222.66 0.9×
Exc Hand Les Sc < 1.5 Cm (26115) $1,917.33 $4,222.66 0.9×
Exc hand tum deep < 1.5 cm (26116) $1,917.33 $4,222.66 0.9×
Exc hydrocele sprmatic cord uni spx (55500) $4,081.37 — 0.9×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $2,760.73 — 0.9×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,146.13 $3,277.26 0.9×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $3,837.72 $8,057.96 0.9×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $3,837.72 $8,418.22 0.9×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,893.86 $4,169.71 0.9×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,893.86 $4,169.71 0.9×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,837.72 $8,057.96 0.9×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $3,837.72 $8,057.96 0.9×
Exc lesion tongue w/clsr w/local tongue flap (41114) $3,837.72 $8,057.96 0.9×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,837.72 $8,057.96 0.9×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $3,837.72 $8,057.96 0.9×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,837.72 — 0.9×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,310.83 $5,289.41 0.9×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $2,310.83 — 0.9×
Exc neuroma hand/foot xcp digital nerve (64782) $2,310.83 — 0.9×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,310.83 — 0.9×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $7,000.36 $16,816.31 0.9×
Exc Rct Tum Incl Muscularis Propria (45172) $3,245.23 — 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $3,245.23 — 0.9×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,386.84 — 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $832.60 $2,144.74 0.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,917.33 $4,222.66 0.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,386.84 $7,133.84 0.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,917.33 $4,825.90 0.9×
Exc Skin Benig >4cm Face,Facial (11446) $3,386.84 $7,133.84 0.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,917.33 $4,222.66 0.9×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,386.84 $6,885.86 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,917.33 $4,536.86 0.9×
Exc tendon shth lesion leg/ankle (27630) $3,839.54 — 0.9×
Exc thigh/knee les sc 3 cm/> (27337) $3,386.84 $7,133.84 0.9×
Exc thigh/knee tum dep 5cm/> (27339) $3,386.84 — 0.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,395.28 $3,383.62–$3,530.74 0.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $472.79 $1,123.36 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $832.60 $1,246.24–$2,144.74 0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,917.33 $4,222.66 0.9×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,386.84 $8,625.66 0.9×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,386.84 $7,663.61 0.9×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,917.33 — 0.9×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,917.33 $4,222.66 0.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,386.84 — 0.9×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,386.84 — 0.9×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,386.84 — 0.9×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,386.84 $8,467.11 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,386.84 — 0.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $1,917.33 $4,021.58–$4,222.66 0.9×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $3,386.84 — 0.9×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $3,386.84 — 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,917.33 $4,461.60 0.9×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,386.84 $6,117.06 0.9×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $3,386.84 $7,663.60 0.9×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,917.33 — 0.9×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,386.84 — 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,917.33 $4,222.66 0.9×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $3,386.84 $7,291.10 0.9×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $3,386.84 — 0.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,386.84 — 0.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,386.84 $8,135.47 0.9×
Exc urethral diverticulum spx female (53230) $6,015.75 — 0.9×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $4,081.37 $9,286.23 0.9×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $8,453.60 — 0.9×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $8,453.60 — 0.9×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) $8,453.60 — 0.9×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,839.54 — 0.9×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,893.86 — 0.9×
Exc/fulguration urethral caruncle (53265) $2,424.12 — 0.9×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,176.15 $8,708.11 0.9×
Exchange Intraocular Lens (66986) $2,698.92 — 0.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 4 matching MRF lines		 $2,424.12 $5,969.05–$6,228.58 0.9×
Exchange Transfusion (36455) $517.34 $1,243.23 0.9×
Exchange Transfusion Blood Newborn (36450) $517.34 $1,266.02 0.9×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,244.82 $5,475 0.9×
Excis conjunc lesn+adj sclera (68130) $2,760.73 — 0.9×
Excis Mouth Complex,Exc Thru Muscle (40816) $3,837.72 $8,057.96 0.9×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,837.72 $8,057.96 0.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,752.89 $4,151.10 0.9×
Excis penile plaque (54110) $4,081.37 — 0.9×
Excis uppr jaw cyst w/repair (21049) $7,000.36 — 0.9×
Excis urethral prolapse (53275) $4,081.37 — 0.9×
Excise breast duct fistula (19112) $4,531.42 — 0.9×
Excise excessive skin arm (15836) $3,386.84 — 0.9×
Excise intraspinal lesion (63267) $8,453.60 — 0.9×
Excise intraspinl lesion crv (63265) $8,453.60 — 0.9×
Excise mandible lesion (21040) $3,837.72 $8,057.96 0.9×
Excise Neurofibroma Extensive (64792) $7,578.32 — 1.8×
Excise oral mucosa for graft (40818) $602.63 $4,993.55 0.9×
Excise tendon forearm/wrist (25109) $3,839.54 — 0.9×
Excise Wrist Tendon Sheath (25118) $1,893.86 $4,283.42 0.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $832.60 $2,144.74 0.9×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $2,760.73 $6,658.35 0.9×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $2,760.73 $6,467.82 0.9×
Excision Aural Polyp (69540) $1,752.89 $4,151.10 0.9×
Excision Bone Mandible (21025) $7,000.36 $14,922.16 0.9×
Excision Chalazion Multiple Same Lid (67801) $1,146.13 $2,837.22 0.9×
Excision Chalazion Single (67800) $353.74 $903 0.9×
Excision Chest Wall Tumor Including Ribs (21601) $3,386.84 $7,133.02 0.9×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $7,000.36 — 0.9×
Excision Distal Ulna Partial/Complete (25240) $3,839.54 $9,153.35 0.9×
Excision Excessive Skin & Subq Tissue Buttock (15835) $3,386.84 $7,133.84 0.9×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,386.84 $7,133.84 0.9×
Excision exostosis(es), external auditory canal Facility (69140) $7,000.36 — 0.9×
Excision External Ear Partial Simple Repair (69110) $3,386.84 $7,133.84 0.9×
Excision external ear; complete amputation Facility (69120) $7,000.36 — 0.9×
Excision Facial Bone (21026) $7,000.36 — 0.9×
Excision gum each quadrant (41820) $3,837.72 — 0.9×
Excision H/P/P/U Complex Repair (11471) $3,386.84 $7,133.84 0.9×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,386.84 $7,515.80 0.9×
Excision Hidradenitis Axillary Complex Repair (11451) $3,386.84 $7,133.84 0.9×
Excision Hidradenitis Inguinal Complex Repair (11463) $3,386.84 $7,133.84 0.9×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,386.84 $7,133.84 0.9×
Excision Infected Graft Extremity (35903) $3,724.63 — 0.9×
Excision inferior turbinate partial/complete (30130) $3,837.72 — 0.9×
Excision Lacrimal Sac (68520) $4,462.45 — 0.9×
Excision Lesion Conjunctiva </1 Cm (68110) $2,760.73 $5,953.45 0.9×
Excision lesion conjunctiva > 1 cm (68115) $2,760.73 $5,953.45 0.9×
Excision Lesion Cornea Xcp Pterygium (65400) $1,146.13 $2,837.22 0.9×
Excision lesion meniscus/capsule knee (27347) $3,839.54 $8,421.47 0.9×
Excision lesion mouth roof (42104) $3,837.72 $8,677.67 0.9×
Excision lesion tendon sheath forearm&/wrist (25110) $1,893.86 — 0.9×
Excision Lesion Tongue W/O Closure (41110) $3,837.72 — 0.9×
Excision Lingual Frenum Frenectomy (41115) $1,752.89 $4,151.10 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $832.60 $2,537.35 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $832.60 $2,069.72 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $472.79 $1,078.22–$1,356.20 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $832.60 $2,144.74 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $832.60 $2,144.74 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,917.33 $4,222.66 0.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,386.84 $8,135.47 0.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,917.33 $4,222.66 0.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $832.60 $2,091.32 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $832.60 $2,108.60 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,917.33 $4,328.50 0.9×
Excision malignant tumor mandible (21044) $7,000.36 — 0.9×
Excision Malignant Tumor Maxilla/Zygoma (21034) $7,000.36 — 0.9×
Excision Maxillary Torus Palatinus (21032) $3,837.72 — 0.9×
Excision Multiple External Papillae/Tags Anus (46230) $3,245.23 — 0.9×
Excision Nasal Polyp Extensive (30115) $3,837.72 — 0.9×
Excision nasal polyp(s) simple (30110) $1,752.89 $4,289.99 0.9×
Excision of bartholin's gland or cyst (56740) $3,762.53 $7,502.16 0.9×
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) $7,000.36 — 0.9×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $7,000.36 $14,922.16 0.9×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $3,839.54 — 0.9×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) $8,453.60 — 0.9×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) $8,453.60 — 0.9×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $4,081.37 — 0.9×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $5,841.60 — 0.9×
Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) $5,841.60 — 0.9×
Excision of chalazion; multiple, different lids (67805) $353.74 $862.84 0.9×
Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy Facility (21603) — $5,747.57 —
Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy Facility (21602) — $5,244.93 —
Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) $3,839.54 — 0.9×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) $7,717.23 — 0.9×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $4,531.42 — 0.9×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $3,839.54 — 0.9×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $3,839.54 — 0.9×
Excision of extraparenchymal lesion of testis (54512) $4,081.37 — 0.9×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,893.86 $4,169.71 0.9×
Excision of gum flap (41821) $1,752.89 — 0.9×
Excision of gum lesion (41828) $1,752.89 $4,780.03 0.9×
Excision of hydrocele; bilateral (55041) $4,176.15 $9,565.55 0.9×
Excision of hydrocele; unilateral (55040) $4,176.15 $9,565.55 0.9×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) $4,462.45 — 0.9×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) $4,462.45 $10,686.35 0.9×
Excision of lacrimal gland tumor; involving osteotomy Facility (68550) $4,462.45 — 0.9×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $7,000.36 $15,646.71 0.9×
Excision of lingual tonsil (42870) $7,000.36 — 0.9×
Excision of local lesion of epididymis (54830) $4,081.37 — 0.9×
Excision of Mullerian duct cyst Facility (55680) $4,081.37 — 0.9×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $2,310.83 — 0.9×
Excision of neuroma; sciatic nerve Facility (64786) $7,578.32 — 1.8×
Excision of osseous tuberosities, dentoalveolar structures (41823) $7,000.36 $14,922.16 0.9×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $7,000.36 $18,333.28 0.9×
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) $7,000.36 — 0.9×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $7,000.36 — 0.9×
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) $10,942.71 — 0.9×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) $6,015.75 — 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $3,386.84 $6,794.13 0.9×
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) $3,245.23 — 0.9×
Excision of single external papilla or tag, anus (46220) $1,395.28 $3,830.46 0.9×
Excision of sublingual gland (42450) $7,000.36 — 0.9×
Excision of sublingual salivary cyst (ranula) (42408) $3,837.72 $8,057.96 0.9×
Excision of submandibular (submaxillary) gland (42440) $7,000.36 $15,646.71 0.9×
Excision of tonsil tags (42860) $3,837.72 — 0.9×
Excision of tracheal tumor or carcinoma; cervical Facility (31785) $7,000.36 — 0.9×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $6,015.75 $13,018.14 0.9×
Excision of vaginal cyst or tumor (57135) $3,762.53 $7,685.14 0.9×
Excision of vaginal septum (57130) $3,762.53 — 0.9×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) $7,383.87 — 0.9×
Excision olecranon bursa (24105) $3,839.54 — 0.9×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) $8,453.60 — 0.9×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) $3,839.54 — 0.9×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $3,839.54 — 0.9×
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) $8,453.60 — 0.9×
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) $8,453.60 — 0.9×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) $8,453.60 — 0.9×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) $8,453.60 — 0.9×
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) $8,453.60 — 0.9×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $3,839.54 — 0.9×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) $8,453.60 — 0.9×
Excision or fulguration; Skene's glands Facility (53270) $4,081.37 — 0.9×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $4,081.37 — 0.9×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,386.84 — 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,386.84 — 0.9×
Excision prepatellar bursa (27340) $3,839.54 $8,421.47 0.9×
Excision Radial Head (24130) $3,839.54 — 0.9×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $7,717.23 $16,111.97 0.9×
Excision soft tissue lesion, external auditory canal (69145) $3,386.84 $7,515.80 0.9×
Excision spermatocele w/wo epididymectomy (54840) $2,424.12 $5,450 0.9×
Excision synovial cyst popliteal space (27345) $3,839.54 — 0.9×
Excision tendon finger flexor/extensor each (26180) $1,893.86 $4,169.71 0.9×
Excision tendon palm flexor/extensor single each (26170) $1,893.86 $4,283.42 0.9×
Excision Thyroglossal Duct Cyst/Sinus (60280) $6,904.15 — 0.9×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $6,904.15 — 0.9×
Excision Torus Mandibularis (21031) $3,837.72 $8,057.96 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,917.33 $4,328.50 0.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,386.84 — 0.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,917.33 $4,722.56 0.9×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,917.33 $4,793.32 0.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,917.33 — 0.9×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $4,332.25 — 1.0×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $3,386.84 — 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $3,386.84 — 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) $3,386.84 — 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $3,386.84 — 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $3,386.84 — 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $3,386.84 $7,133.84 0.9×
Excision, interdigital (morton) neuroma, single, each (28080) $1,893.86 $4,169.71 0.9×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $4,332.25 — 1.0×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $2,164.64 — 0.8×
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $7,000.36 — 0.9×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $2,164.64 — 0.8×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $3,386.84 — 0.9×
Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) $3,386.84 — 0.9×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $4,332.25 — 1.0×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $4,332.25 — 1.0×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $4,332.25 — 1.0×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $1,917.33 — 0.9×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $2,164.64 — 0.8×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $4,332.25 — 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,386.84 $7,291.10 0.9×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,917.33 $4,222.66 0.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $3,386.84 $7,663.61 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $3,386.84 $8,135.47 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,386.84 $7,133.84 0.9×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,917.33 — 0.9×
Excision/curettage cyst/tumor carpal bones (25130) $3,839.54 — 0.9×
Excision/curettage cyst/tumor phalanx finger (26210) $1,893.86 $4,169.71 0.9×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $3,839.54 — 0.9×
Excision/destruction intranasal lesion int appr (30117) $3,837.72 $8,641.48 0.9×
Excision/destruction lesion pharynx any method (42808) $3,837.72 $8,057.96 0.9×
Excision/surgical planing skin nose rhinophyma (30120) $3,837.72 — 0.9×
Excision/Transposition Pterygium W/Grafg (65426) $2,760.73 $5,953.45 0.9×
Excision/Transposition Pterygium W/O Graft (65420) $2,760.73 $5,953.45 0.9×
Excision; trochanteric bursa or calcification (27062) $3,839.54 — 0.9×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) $4,462.45 — 0.9×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) $4,462.45 — 0.9×
Expl penetrating wound spx abdomen/flank/back (20102) $2,164.64 $5,131.23 0.8×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) — $6,876.68 —
Expl po hemrrg thrombosis/infctj xtr (35860) $3,724.63 $8,525.56 0.9×
Explo/Drain Breast Abscess (19020) $1,917.33 $4,088.76 0.9×
Exploration for undescended testis with abdominal exploration (54560) $2,424.12 — 0.9×
Exploration maxillary sinus (31020) $3,837.72 $8,057.96 0.9×
Exploration of hip joint (27033) $8,453.60 — 0.9×
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $3,839.54 $7,322.22–$8,421.47 0.9×
Exploration penetrating wound spx chest (20101) $2,164.64 $6,031 0.8×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,917.33 $2,126.95–$3,075.65 0.9×
Exploration Penetrating Wound Spx Neck (20100) $602.63 $1,553.04 0.9×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) — $3,134.34 —
Exploratory elbow surgery (24000) $3,839.54 — 0.9×
Explore epididymis (54865) $4,081.37 — 0.9×
Explore eye socket,drainage (67405) $2,760.73 — 0.9×
Explore for undescended testis (54550) $4,176.15 — 0.9×
Explore inner ear (69806) $7,000.36 — 0.9×
Explore inner ear (69805) $7,000.36 — 0.9×
Explore treat shoulder joint (23107) $8,453.60 — 0.9×
Explore/Treat Elbow Joint (24101) $3,839.54 — 0.9×
Explore/Treat Hand Joint (26070)
range across 2 matching MRF lines		 $1,893.86 $3,971.15–$4,169.71 0.9×
Explore/Treat Knee Joint (27331) $3,839.54 — 0.9×
Explore/Treat Wrist Joint (25040) $3,839.54 — 0.9×
Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) $6,015.75 — 0.9×
Expression of conjunctival follicles (eg, for trachoma) Facility (68040) $353.74 — 0.9×
Extensive ear canal surgery (69150) $7,000.36 $14,922.16 0.9×
Extensive mastoid surgery (69511) $7,000.36 — 0.9×
Extensive Retinopathy 1/> Sess Preterm Infant (67229) $649.19 $1,782.30 0.9×
External cephalic version (59412) $3,762.53 $7,623.38 0.9×
Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) $1,893.86 — 0.9×
Extraction of lens (66940) $2,698.92 — 0.9×
Extraction of lens (66920) $2,698.92 — 0.9×
Extraction of lens (66930) $4,760.49 $11,746.70 0.9×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,698.92 $6,220.04 0.9×
Eye surgery procedure (67299) $2,698.92 — 0.9×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $2,164.64 — 0.8×
Fascia lata graft; by stripper Facility (20920) $2,164.64 — 0.8×
Fasciectomy Palm Only (26121) $3,839.54 $8,975.80 0.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,839.54 — 0.9×
Fasciotomy Iliotibial Open (27305) $3,839.54 — 0.9×
Fasciotomy palmar open partial (26045) $3,839.54 — 0.9×
Fasciotomy palmar percutaneous (26040) $1,893.86 $5,866.55 0.9×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,839.54 — 0.9×
Fasciotomy, foot and/or toe (28008) $3,839.54 — 0.9×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,839.54 $10,713.66 0.9×
Fetal aneuploidy (trisomy 13, 18, and 21), DNA sequence analysis of selected regions using maternal plasma, algorithm… (0327U) $795 — 1.0×
Fetal aneuploidy DNA sequencing comparative analysis, fetal DNA from products of conception, reported as normal… (0341U) $1,900.20 — 1.0×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $238.06 $486.50–$583.80 0.9×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $359.97 — 0.9×
Fetal non-stress test (59025) $238.06 $556.20 0.9×
Fetal Scalp Blood Sampling (59030) $359.97 $972.60 0.9×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $359.97 — 0.9×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $2,164.64 $6,343.82 0.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $832.60 $2,144.74 0.9×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $832.60 $1,876.64 0.9×
Fine Needle Aspiration Orbital Contents (67415) $2,760.73 — 0.9×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $472.79 $1,076.55–$1,239.59 0.9×
Finger tendon transfer (26497) $3,839.54 — 0.9×
Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) $4,760.49 — 0.9×
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) $4,760.49 — 0.9×
Fixation contralateral testis separate procedure (54620) $4,081.37 — 0.9×
Flap; neurovascular pedicle (15750) $4,332.25 — 1.0×
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) $8,453.60 — 0.9×
Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) $8,453.60 — 0.9×
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) $8,453.60 — 0.9×
Fluid Pressure Muscle (20950) $832.60 — 0.9×
Fluoro exam of g/colon tube (49465) $286.04 $819.34 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $832.60 $2,144.74 0.9×
Fna bx w/us gdn 1st les (10005) $832.60 $2,144.74 0.9×
Follicle Puncture Oocyte Retrieval Any Method (58970) $1,030.40 $2,227 0.9×
Forehead flap w/vasc pedicle (15731) $4,332.25 — 1.0×
Foreskin manipulation (54450) $287.81 $1,295.99 0.9×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $4,332.25 — 1.0×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $3,837.72 — 0.9×
Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) $8,453.60 — 0.9×
Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970)
range across 2 matching MRF lines		 — $6,754.28–$9,629.14 —
Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) $8,453.60 — 0.9×
Frenulotomy of penis (54164) $2,424.12 $5,515.94 0.9×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,164.64 $5,705.38 0.8×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576)
range across 2 matching MRF lines		 $2,164.64 $5,811.82–$7,945.92 0.8×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $2,698.92 $7,108.62 0.9×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $2,698.92 $6,220.04 0.9×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,164.64 $5,519.34 0.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,164.64 $6,326.62 0.8×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,164.64 $4,992.20 0.8×
Ftl aneuploidy str cmprtv alys ftl DNA prdc cncp (0252U) $759.05 $2,277.15 1.0×
Fuse hand bones with graft (25825) $8,453.60 — 0.9×
Fusion Finger Joint (26860) $3,839.54 $8,421.47 0.9×
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) $8,453.60 — 0.9×
Fusion of elbow joint (24800) $8,453.60 — 0.9×
Fusion of foot bones (28740) $8,453.60 — 0.9×
Fusion of hand bones (25820) $8,453.60 — 0.9×
Fusion of hand joint (26843) $8,453.60 — 0.9×
Fusion of knuckle (26850) $8,453.60 $18,402.86 0.9×
Fusion of knuckle joint (26516) $3,839.54 — 0.9×
Fusion of knuckle joints (26518) $8,453.60 — 0.9×
Fusion of knuckle with graft (26852) $8,453.60 — 0.9×
Fusion of shoulder joint (23802) $15,226.08 — 1.0×
Fusion of spermatic ducts (54900) $2,424.12 — 0.9×
Fusion of tibiofibular joint (27871) $15,226.08 — 1.0×
Fusion/graft of hand joint (26844) $8,453.60 — 0.9×
Fut1 gnotyp gene analysis fut1 exon 4 (0185U) $185.20 $555.60 1.0×
Fut2 gnotyp gene analysis fut2 exon 2 (0186U) $185.20 $555.60 1.0×
Fxn gene alys chng delet dupl xpnsj insj vrnts (0233U) $274.83 $824.49 1.0×
Fy gnotyp gene analysis ackr1 exons 1-2 (0187U) $274.83 $824.49 1.0×
Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate,… (0106U) $874.49 — 1.0×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $4,332.25 — 1.0×
Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) $4,332.25 — 1.0×
Gastrocnemius recession (27687) $3,839.54 — 0.9×
Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as… (0114U) $1,938.01 — 1.0×
Gastroenterology (BarrettSQUOTEs esophagus), whole slideûdigital imaging, including morphometric analysis,… (0108U) $4,950 — 1.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $2,244.82 — 0.9×
Gastrostomy, open; neonatal, for feeding Facility (43831) $1,109.47 — 1.0×
Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) $1,109.47 — 1.0×
Ge gnotyp gene analysis gypc exons 1-4 (0188U) $274.83 $824.49 1.0×
Gene analysis for detection of infectious agent and drug resistance gene (0112U) $356.13 — 1.0×
Genioplasty Sliding Osteotomy Single Piece (21121) $3,837.72 — 0.9×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $7,000.36 — 0.9×
Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) $7,000.36 — 0.9×
Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) $3,837.72 — 0.9×
Genome rapid seq analysis each comparator genome (0425U) — $10,235.98 —
Genome ultra-rapid sequence analysis (0426U) — $18,955.50 —
Gi baret esph DNA mthyln aly (0398U) $1,755 $1.05 1.0×
Gi barretts esophgl cell DNA mthyltn alys ngs 89 (0506U) $1,938.01 $4,845.03 1.0×
Gi ibd ia quan deter adl levels venous serum (0514U) $38.57 $96.43 1.0×
Gi ibd ia quan deter ifx levels venous serum (0515U) $38.57 $96.43 1.0×
Gi ibs ia anti-cdtb&anti-vinculin antb plsm alg (0164U) $112.02 $336.06 1.0×
Gi ibs igg antbs 18 food items mbia whl bld/srm (0598U) — $750 —
Gi malabs eval aat calprotectin pncrtc elastase (0430U) $61.54 $324.59 1.0×
Glaucoma surgery (66160) $2,698.92 — 0.9×
Glial fibrillary acidic protein (GFAP), chemiluminescent enzyme immunoassay, using plasma 13,999 or fewer assigned… (0548U) — $290.58 —
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $36.57 $324.59 1.0×
Goniotomy (65820) $4,760.49 $8,949.86 0.9×
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) $3,245.23 — 0.9×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $7,000.36 $14,922.16 0.9×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $7,000.36 $16,128.95 0.9×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $4,332.25 — 1.0×
Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) $2,164.64 — 0.8×
Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) $4,332.25 — 1.0×
Graft for facial nerve paralysis; regional muscle transfer Facility (15845) $4,332.25 — 1.0×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $7,000.36 $14,922.16 0.9×
Grafting of autologous fat by lipo 25 cc or less (15773) $2,164.64 $5,704.74 0.8×
Grafting of autologous fat by lipo 50 cc or less (15771) $4,332.25 $10,466.64 1.0×
Grafting of autologous soft tiss by direct exc (15769) $4,332.25 $10,466.64 1.0×
Guide Cathet Fluid Drainage (10030) $832.60 $2,144.74 0.9×
Gum graft (41870) $1,752.89 — 0.9×
Gypa gnotyp gene alys gypa introns 1 5 exon 2 (0189U) $274.83 $824.49 1.0×
Gypb gnotyp alys gypb intron 1 5 pseudoexon 3 (0190U) $274.83 $824.49 1.0×
Hair xplant punch grft 1-15 (15775) $472.79 — 0.9×
Hair xplant punch grft >15 (15776) $472.79 — 0.9×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $8,453.60 — 0.9×
Hand tendon reconstruction (26500) $8,453.60 — 0.9×
Harvesting conjunctival allograft, living donor Facility (68371) $2,760.73 $6,975.56 0.9×
Head Surgery Procedure (21499) $274.80 $7,176.31 0.9×
Hem atyp hemolytic uremc synd gen seq aly 15 gen (0268U) $608.17 $1,824.51 1.0×
Hem cgen coagj do genomic seq alys 20 genes (0270U) $608.17 $1,824.51 1.0×
Hem cgen neutropenia gen seq alys 24 genes (0271U) $608.17 $1,824.51 1.0×
Hem gen hyprfibrnlysis dlyd bld seq alys 8 gen (0273U) $608.17 $1,824.51 1.0×
Hem gen pltlt do 43 genes (0274U) $608.17 $1,824.51 1.0×
Hem gen thrombosis gen seq alys 14 genes (0278U) $608.17 $1,824.51 1.0×
Hem genetic bld do 60 genes (0272U) $608.17 $1,824.51 1.0×
Hem heprn nduc trmbctpna srm (0275U) $18.37 $55.11 1.0×
Hem inh thrombocytopenia 42 (0276U) $2,448.56 $7,345.68 1.0×
Hem vw ds vw factor & collagen IV binding elisa (0280U) $17.27 $51.81 1.0×
Hem vw factor&clgn iii bndg (0279U) $11.53 $34.59 1.0×
Hem Vwd Propeptide Ag Lvl (0281U) $17.27 $51.81 1.0×
Hematology (autosomal dominant congenital thrombocytopenia), genomic sequence analysis of 14 genes, blood, buccal swab,… (0269U) $608.17 $1,824.51 1.0×
Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic… (0277U) $608.17 $1,824.51 1.0×
Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment,… (0303U) $2,201.62 — 1.0×
Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment,… (0304U) $2,075.80 — 1.0×
Hematology, red blood cell (RBC) functionality and deformity as a function of shear stress, whole blood, reported as a… (0305U) $662.58 — 1.0×
Hemiepiphyseal Arrest (24470) $3,839.54 — 0.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,245.23 — 0.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,245.23 — 0.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,245.23 — 0.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $3,245.23 — 0.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $3,245.23 — 0.9×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $3,245.23 — 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,078.88 $2,685.72 0.9×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $3,245.23 $7,210.82 0.9×
Hemorrhoidopexy by stapling (46947) $3,245.23 — 0.9×
Hep nash mir-34a-5p a2m ykl40 hba1c srm&whl bld (0468U) $251.70 $629.25 1.0×
Hepatology (nonalcoholic fatty liver disease [nafld]), semiquantitative evaluation of 28 lipid markers by liquid… (0344U) $792.17 — 1.0×
Hepcidin-25 elisa serum or plasma (0251U) $17.27 $51.81 1.0×
Hered colon ca targeted mrna sequence alys panel (0162U) $486.54 $1,459.62 1.0×
Hered pan ca gsap 88 genes 20dup/del ngs bld/slv (0474U) $1,303.95 $3,259.88 1.0×
Hered prst8 ca-rltd do gsap ngs cgh eval 23 gene (0475U) $1,303.95 $3,259.88 1.0×
Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary… (0102U) $1,303.95 — 1.0×
Hereditary breast cancerûrelated disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary… (0129U) $1,303.95 — 1.0×
Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis… (0101U) $1,743.95 — 1.0×
Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis… (0130U) $584.90 — 1.0×
Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis… (0103U) $1,743.95 $4,359.88 1.0×
Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal… (0134U) $748.39 — 1.0×
Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in… (0133U) $690.29 — 1.0×
Hip arthro acetabuloplasty (29915) $8,453.60 — 0.9×
Hip arthro w/labral repair (29916) $8,453.60 — 0.9×
Hpv e6/e7 mrk hi-rsk type crv cll bcc hybrdztn (0502U) $35.09 $87.73 1.0×
Hpv oropharyngeal swab 14 high-risk types (0429U) $35.09 $203.60 1.0×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $3,245.23 — 0.9×
Hrv skin for skin cell ssp agrft 1st 25 sq cm/< (15011) $2,164.64 $5,411.59 0.8×
Hymenotomy Simple Incision (56442) $3,762.53 — 0.9×
Hyoid myotomy and suspension Facility (21685) $7,000.36 — 0.9×
Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and… (0382U) $51.64 — 1.0×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $5,841.60 — 0.9×
Hysteroscopy Biopsy (58558) $3,762.53 $8,783.02 0.9×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $5,841.60 — 0.9×
Hysteroscopy Dx Sep Proc (58555) $3,762.53 $7,685.14 0.9×
Hysteroscopy Endometrial Ablation (58563) $5,841.60 $13,140.94 0.9×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $5,841.60 — 0.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,762.53 $8,318.76 0.9×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $5,841.60 $13,140.94 0.9×
Hysterotomy Abdominal (59100) $5,841.60 — 0.9×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $3,837.72 — 0.9×
I&d abscess peritonsillar (42700) $274.80 $636.47 0.9×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $235.13 $588.74–$614.34 0.9×
I&D Below Fascia Foot 1 Bursal Space (28002) $1,893.86 — 0.9×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $3,386.84 $6,794.13–$7,133.84 0.9×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,386.84 $6,936.08 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,839.54 $8,421.47 0.9×
I&d forearm/wrist bursa (25031) $1,893.86 $4,169.71 0.9×
I&D Intramural Im/Absc Transanal Anes (46045) $3,245.23 $6,868.23 0.9×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $3,245.23 $8,193.83 0.9×
I&D Mouth/Tong Intra,Masticator (41009) $602.63 $1,553.04 0.9×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,839.54 $8,421.47 0.9×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,078.88 $2,573.82–$2,685.72 0.9×
I&d pilonidal cyst complicated (10081) $832.60 $1,885.48 0.9×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $832.60 $2,055.37–$2,075.57 0.9×
I&d shoulder deep abscess/hematoma (23030) $3,386.84 $7,133.84 0.9×
I&d thyroglossal duct cyst infected (60000) $1,752.89 $3,953.43 0.9×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,386.84 $7,133.84 0.9×
I&d vaginal hematoma obstetrical/postpartum (57022) $3,386.84 $7,133.84 0.9×
Iadna vag pthgn pnl 27 org amp probe vag swab (0330U) $416.78 — 1.0×
Icd Pocket Revision (33223) $2,164.64 — 0.8×
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $674.24 $1,685.60 1.0×
Ileoscopy Stoma W/Balloon Dilation (44381) $2,244.82 — 0.9×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,109.47 $2,763.22 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,109.47 — 1.0×
Image Cath Fluid Colxn Visc (49405) $1,917.33 $4,222.66 0.9×
Image Cath Fluid Peri/Retro (49406) $1,917.33 $5,005.80 0.9×
Image Cath Fluid Trns/Vgnl (49407) $1,917.33 $4,222.66 0.9×
Immediate breast prosthesis (19340) $7,717.23 $15,111.08 0.8×
Implant cochlear device (69930) $37,640.10 — 0.9×
Implant eye drug system (67027) $18,182.13 $46,174.78 1.0×
Implant neuroelectrodes (63650) $7,766.27 $15,433.17 1.0×
Implant Neuroelectrodes (64561) $7,766.27 — 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $25,376.43 $45,189.42 1.0×
Implant Spine Infusion Pump (62362) $20,914.85 $50,811.11 0.9×
Implant temple bone w/stimul (69714) $15,226.08 — 1.0×
Implantation intrastromal corneal ring segments (65785) $4,760.49 — 0.9×
Implantation iris prosthesis (66683) $19,426.56 $851.26 0.9×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) $20,914.85 — 0.9×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $15,226.08 $39,854.64 1.0×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) $15,226.08 — 1.0×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $8,453.60 — 0.9×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $7,578.32 $16,947.89 0.7×
Impression & Preparation Auricular Prosthesis (21086) $3,837.72 — 0.9×
Impression & Preparation Nasal Prosthesis (21087) $7,000.36 — 0.9×
Impression & Preparation Oral Surgical Splint (21085) $274.80 $715.98 0.9×
Impression & Prepj Palatal Augmentation Prosthes (21082) $3,837.72 — 0.9×
Impression and custom preparation; definitive obturator prosthesis Facility (21080) $3,837.72 — 0.9×
Impression and custom preparation; facial prosthesis Facility (21088) $3,837.72 $9,594.30 0.9×
Impression and custom preparation; interim obturator prosthesis Facility (21079) $3,837.72 — 0.9×
Impression and custom preparation; mandibular resection prosthesis Facility (21081) $7,000.36 — 0.9×
Impression and custom preparation; orbital prosthesis Facility (21077) $7,000.36 — 0.9×
Impression and custom preparation; palatal lift prosthesis Facility (21083) $3,837.72 — 0.9×
Impression and custom preparation; speech aid prosthesis Facility (21084) $3,837.72 — 0.9×
Impression&Preparation Surg Obturator Prosthes (21076) $1,752.89 — 0.9×
In gnotyp gene analysis cd44 exons 2 3 6 (0191U) $274.83 $824.49 1.0×
Incise external hemorrhoid (46083) $287.81 $3,231.14 0.9×
Incise finger tendon sheath (26055) $1,893.86 $4,765.38 0.9×
Incise flexor carpi radialis (25001) $3,839.54 — 0.9×
Incise sperm duct pouch (55600) $2,424.12 — 0.9×
Incise tendon(s) & muscle(s) (23406) $8,453.60 — 0.9×
Incise Wrist/Forearm Tendon (25290) $3,839.54 — 0.9×
Incise/Drain Conjunctiva (68020) $1,146.13 $2,837.22 0.9×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,122.30 0.9×
Incision & drainage leg/ankle abscess/hematoma (27603) $3,386.84 $7,014.64 0.9×
Incision & drainage leg/ankle infected bursa (27604) $3,839.54 $8,421.47 0.9×
Incision & removal foreign body subq tiss compl (10121) $1,917.33 $4,207.67 0.9×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $472.79 $1,076.55–$1,400.02 0.9×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $238.06 $736.86–$920.19 0.9×
Incision and drainage of the tear gland (68400) $1,146.13 $2,837.22 0.9×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $3,386.84 $8,135.47 0.9×
Incision and drainage of vulva or perineal abscess (56405) $359.97 $878.62 0.9×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,893.86 — 0.9×
Incision bone cortex foot (28005) $3,839.54 — 0.9×
Incision Drainage Lacrimal Sac (68420) $2,760.73 $5,953.45 0.9×
Incision extensor tendon sheath wrist (25000) $1,893.86 $4,169.71 0.9×
Incision of eardrum (69421) $3,837.72 $10,091.39 0.9×
Incision of eardrum (69420) $274.80 $711.44 0.9×
Incision of eye (65850) $2,698.92 — 0.9×
Incision of fibula (27707) $3,839.54 — 0.9×
Incision of Foot Tendon (28234) $1,893.86 $4,517.76 0.9×
Incision of hip tendon (27001) $3,839.54 — 0.9×
Incision of iris (66500) $2,698.92 — 0.9×
Incision of labial frenum (frenotomy) (40806) $602.63 $1,506.57 0.9×
Incision of lingual frenum (frenotomy) (41010) $1,752.89 $4,151.10 0.9×
Incision of lymph channels (38308) $4,531.42 — 0.9×
Incision of rectal abscess (46040) $1,395.28 $3,360.40 0.9×
Incision of sperm duct (55200) $4,081.37 — 0.9×
Incision of thigh tendons (27392) $3,839.54 — 0.9×
Incision of tibia & fibula (27709) $15,226.08 — 1.0×
Incision of urethra (53010) $6,015.75 — 0.9×
Incision of urethra (53025) $2,424.12 $5,450 0.9×
Incision of urethra (53000) $2,424.12 — 0.9×
Incision of urethra (53020) $2,424.12 $5,450 0.9×
Incision&drainage bursa foot (28001) $1,917.33 $4,222.66 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,917.33 $4,021.58 0.9×
Incision, anal septum (infant) Facility (46070) $3,245.23 — 0.9×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) $1,893.86 — 0.9×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $3,839.54 — 0.9×
Incisional biopsy eyelid skin & lid margin (67810) $353.74 $2,329.96 0.9×
Incisional biopsy skin single lesion (11106) $724.37 $1,145.50 0.8×
Induced abortion dilation and curettage (59840) $3,762.53 $7,685.14 0.9×
Induced abortion, by dilation and evacuation (59841) $3,762.53 $7,685.14 0.9×
Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay, severe acute respiratory syndrome… (0408U) $14.13 — 1.0×
Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital… (0302U) $361.37 — 1.0×
Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital… (0301U) $262.72 — 1.0×
Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogen, semiquantitative identification, DNA… (0371U) $416.78 $1,250.34 1.0×
Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogens, identification of 20 bacterial and… (0321U) $634.84 — 1.0×
Infectious agent detection by nucleic acid (DNA/RNA), central nervous system pathogen, metagenomic next-generation… (0323U) $2,126.20 — 1.0×
Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus,… (0109U) $142.63 — 1.0×
Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory… (0311U) $8.08 — 1.0×
Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe… (0372U) $416.78 $1,250.34 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $235.13 $1,371.70 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,053.53 $2,855.08 1.0×
Inj W/Fluor Eval Cv Device (36598) $249.32 $1,446.78 0.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,053.53 $2,855.08 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,053.53 $2,689.81 1.0×
Inject Intravitreal Pharmcologic (67028) $392.51 $951.25 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $349.32 $881.99–$920.34 0.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,053.53 $2,855.08 1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,053.53 $2,854.74 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $819.50 $2,197.60 0.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,053.53 $2,855.08 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,053.53 $2,855.08 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $819.50 $2,197.60 0.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $819.50 $2,197.60 0.9×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,053.53 $2,855.08 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $349.32 $833.25 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $1,053.53 — 1.0×
Injection anesthetic agent suprascapular nerve (64418) $819.50 $2,195.89 0.9×
Injection enzyme palmar fascial cord (20527) $349.32 — 0.9×
Injection for identification of sentinel node (38792) $475.51 $1,294.30 1.0×
Injection Into Brain Canal (61055) $349.32 — 0.9×
Injection into disk lesion (62292) $2,310.83 — 0.9×
Injection into spinal artery (62294) $1,053.53 — 1.0×
Injection medication/other subst tenon capsule (67515) $353.74 $870.45 0.9×
Injection of sclerosing solution, hemorrhoids (46500) $1,078.88 $2,685.72 0.9×
Injection procedure for peyronie disease (54200) $287.81 $825.88 0.9×
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) $6,015.75 — 0.9×
Injection single tendon origin/insertion (20551) $349.32 $920.34 0.9×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $349.32 $881.99–$920.34 0.9×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $349.32 $881.99–$920.34 0.9×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,752.89 $4,151.10 0.9×
Injection therapeutic carpal tunnel (20526) $349.32 $920.34 0.9×
Injection Turbinate Therapeutic (30200) $602.63 $3,735.06 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $1,053.53 $2,855.08 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $819.50 $2,197.60 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $819.50 $1,831.33–$2,197.60 0.9×
Injection, anesthetic agent; vagus nerve (64408) $349.32 — 0.9×
Injection, Intralesional; More Than 7 Lesions (11901) $235.13 $716 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $235.13 $818.28 0.9×
Injx anterior chamber eye air/liquid spx (66020) $2,698.92 $6,747.30 0.9×
Injx Anterior Chamber Eye Medication Spx (66030) $2,698.92 $6,220.04 0.9×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,053.53 $2,855.08 1.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,053.53 $2,855.08 1.0×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,053.53 $2,855.08 1.0×
Inner ear surgery proc unlisted (69949) $274.80 $706.17 0.9×
Ins cath ren art 1st bilat (36252) $3,724.63 $8,525.56 0.9×
Ins cath ren art 1st unilat (36251) $3,724.63 $8,525.56 0.9×
Ins cath ren art 2nd+ bilat (36254) $3,724.63 $8,525.56 0.9×
Ins cath ren art 2nd+ unilat (36253) $6,396.89 $14,139.70 0.9×
Ins endovas vena cava filtr (37191) $6,396.89 $12,380.02 0.9×
Ins Vag Brachytx Device (57156) $359.97 $972.60 0.9×
Ins/Rep Subq Defibrillator (33270) $37,940.39 — 1.0×
Insert 1 Electrode Pm-Defib (33216) $9,793.46 — 0.9×
Insert and remove bone pin (20650) $3,839.54 $8,421.47 0.9×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $4,760.49 — 0.9×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $185.15 $941.26–$1,000.08 1.2×
Insert cath pleura w/ image (32557) $1,838.28 $5,014.63 0.9×
Insert cath pleura w/o image (32556) $2,244.82 $4,757.51 0.9×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,395.28 $3,530.74 0.9×
Insert cervical dilator (59200) $359.97 $2,309.95 0.9×
Insert Drug Implant Device (11981) $152.54 $1,691.42 0.9×
Insert eye socket implant (67550) $4,462.45 $9,620.08 0.9×
Insert Gastrostomy Tube Percutaneous (49440) $2,244.82 $4,789.54 0.9×
Insert Heart Pm Atrial (33206) $12,384.25 — 0.9×
Insert Heart Pm Ventricular (33207) $12,384.25 $24,029.72 0.9×
Insert hepatic shunt (tips) (37182) — $7,902.98 —
Insert heyman uteri capsule (58346) $5,841.60 — 0.9×
Insert multi-comp penis pros (54405) $23,819.33 $54,064.45 0.9×
Insert Nasal Septal Button (30220) $1,752.89 — 0.9×
Insert non-tunnel cv cath (36556)
range across 6 matching MRF lines		 $3,724.63 $3,823.24–$4,062.19 0.9×
Insert ocular implant (65135) $4,462.45 — 0.9×
Insert Pacing Lead & Connect (33224) $12,384.25 — 0.9×
Insert pessary/other device (57160)
range across 3 matching MRF lines		 $238.06 $559.48–$577.84 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,838.28 $2,260.37 0.9×
Insert prost urethral stent (53855) $2,424.12 — 0.9×
Insert pulse gen dual leads (33213) $12,384.25 $31,539.01 0.9×
Insert pulse gen mult leads (33221) $22,568.05 — 0.9×
Insert Pulse Gen Sngl Lead (33212) $9,793.46 $23,509.34 0.9×
Insert self-contd prosthesis (54401) $23,819.33 — 0.9×
Insert semi-rigid prosthesis (54400) $15,374.71 $54,064.45 0.9×
Insert spine infusion device (62360) $20,914.85 — 0.9×
Insert tandem cuff (53444) $23,819.33 — 0.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $152.54 $1,074.18–$1,141.32 0.9×
Insert testicular prosthesis (54660) $6,015.75 — 0.9×
Insert tissue expander(s) (11960) $4,332.25 $10,467.78 1.0×
Insert tun ip cath perc (49418) $4,176.15 $9,565.55 0.9×
Insert tunneled cv cath (36561) $3,724.63 $8,683.35 0.9×
Insert tunneled cv cath (36563) $6,396.89 $14,675.54 0.9×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $6,396.89 $14,139.70 0.9×
Insert Uro/Ves Nck Sphincter (53445) $23,819.33 — 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $152.54 $941.26–$1,000.08 0.9×
Insertion indwelling tunneled pleural catheter (32550) $4,176.15 $9,131.45 0.9×
Insertion of cannula (36800) $6,396.89 $16,186.74 0.9×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) $3,724.63 $8,525.56 0.9×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) $6,396.89 $4,012.23 0.9×
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) $6,396.89 — 0.9×
Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) $4,462.45 — 0.9×
Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) $4,462.45 — 0.9×
Insertion of pin-retained palatal prosthesis Facility (42281) $7,000.36 — 0.9×
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) $7,578.32 — 0.7×
Insertion of Thomas shunt (separate procedure) Facility (36835) $3,724.63 — 0.9×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) $14,756.87 — 1.1×
Insertion phrenic nerve stimulator system (33276) $53,251.79 — 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,838.28 $5,492.38 0.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,793.46 $23,509.34 0.9×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,176.15 $10,095.26 0.9×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $6,396.89 $14,139.70 0.9×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 2 matching MRF lines		 $5,841.60 $7,281.75–$13,140.94 0.9×
Insertion Vascular Pedicle Carpal Bone (25430) $3,839.54 — 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $9,793.46 — 0.9×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,698.92 $6,220.04 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,724.63 $5,018 0.9×
Insj Picc Rs&I <5 Yr (36572) $731.62 $2,179.42 0.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,724.63 $8,525.56 0.9×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570)
range across 2 matching MRF lines		 $3,724.63 $8,119.58–$8,525.56 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,838.28 $5,017.69 0.9×
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $2,760.73 $1,177.80 0.9×
Insj Stablj Dev W/Dcmprn (22867) $21,762.05 — 1.0×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $15,226.08 — 1.0×
Insj Subq Impltbl Dfb Elctrd (33271) $9,793.46 — 0.9×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,724.63 $8,525.56 0.9×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $6,396.89 $14,139.70 0.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $3,724.63 $8,119.58 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,724.63 $7,427.44 0.9×
Insj/rplcmt breast implant sep day mastectomy (19342) $11,323.63 $19,069.10 1.1×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) $36,061.23 — 0.9×
Insj/Rplcmt Defib W/Lead(S) (33249) $37,940.39 $75,667.92 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $36,061.23 $68,252 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,793.46 $23,509.34 0.9×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $9,793.46 — 0.9×
Insrt heart pm atrial & vent (33208) $12,384.25 $25,496.79 0.9×
Insrt Pulse Gen W/Dual Leads (33230) $26,561.92 — 1.0×
Insrt Pulse Gen W/Mult Leads (33231) $37,940.39 — 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $26,561.92 — 1.0×
Insrt/Redo Neurostim 1 Array (61885) $25,376.43 — 0.7×
Install spinal shunt (63741) $7,578.32 — 0.7×
Instlj ther agent renal pelvis&/ureter via tub (50391) $287.81 $2,458.47 0.9×
Int hrhc by ligation single hroid w/o img gdn (46945) $3,245.23 $7,211.64 0.9×
Interdental fixation (21110) $1,752.89 $3,953.43 0.9×
Interdental Wiring Other Than Fracture (21497) $1,752.89 $4,026.75 0.9×
Intersex surgery; female to male (55980) $4,081.37 — 0.9×
Intersex surgery; male to female (55970) $5,841.60 — 0.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,619.14 — 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $472.79 $2,039.60 0.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $472.79 $2,083.70 0.9×
Intranasal Biopsy (30100) $1,752.89 $4,151.10 0.9×
Intraoral i&d tongue/floor lingual (41000) $602.63 $3,557.20 0.9×
Intraoral i&d tongue/floor sublngl supfc (41005) $274.80 $3,735.06 0.9×
Intraoral i&d tongue/floor submental space (41007) $1,752.89 $4,151.10 0.9×
Intraoral i&d tongue/floor submndblr space (41008) $3,837.72 $7,749.53 0.9×
Intro cath dialysis circuit (36901) $1,838.28 $5,734.86 0.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $13,419.98 $30,482.39 0.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $6,746.95 $13,148.95 0.9×
Intro Gastrointestinal Tube (44500) $1,109.47 $2,988.94 1.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $274.80 $1,346.91–$1,431.09 0.9×
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $2,698.92 $6,220.04 0.9×
Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) $2,698.92 — 0.9×
Iridoplasty photocoagulation 1/> sessions (66762) $649.19 $1,720.46 0.9×
Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) $2,698.92 — 0.9×
Iridotomy/irridectomy laser surg per session (66761) $649.19 $1,687.74 0.9×
Irrigation maxillary sinus (31000) $274.80 $3,735.06 0.9×
Irrigation of corpora cavernosa for priapism (54220) $287.81 $715.36 0.9×
Island pedicle flap graft (15740) $2,164.64 — 0.8×
IV injection test vascular flow flap/graft (15860) $472.21 — 0.8×
Jaw arthroscopy/surgery (29800) $3,839.54 — 0.9×
Jk gnotyp gene analysis slc14a1 gen prmtr exon 9 (0192U) $274.83 $824.49 1.0×
Jr gnotyp gene analysis abcg2 exons 2-26 (0193U) $282.88 $848.64 1.0×
Kel gnotyp gene analysis kel exon 8 (0194U) $185.20 $555.60 1.0×
Keratoplasty (corneal transplant); endothelial (65756) $4,760.49 $11,517.56 0.9×
Keratoplasty Penetrating Pseudophakia (65755) $4,760.49 $11,746.70 0.9×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $4,760.49 $11,746.70 0.9×
Kidney endoscopy (50575) $6,015.75 — 0.9×
Kidney endoscopy (50553) $6,015.75 $13,018.14 0.9×
Kidney endoscopy (50570) $4,081.37 — 0.9×
Kidney endoscopy (50551) $6,015.75 — 0.9×
Klf1 targeted sequencing (0195U) $375.25 $1,125.75 1.0×
Klhl11 antb serum/csf cell binding assay qual (0432U) $36.57 $324.59 1.0×
Knee arthroscopy/drainage (29871) $3,839.54 — 0.9×
Knee Arthroscopy/Surgery (29885) $8,453.60 — 0.9×
Knee Arthroscopy/Surgery (29874) $3,839.54 — 0.9×
Knee Arthroscopy/Surgery (29850) $1,893.86 $4,169.71 0.9×
Labyrinthectomy; with mastoidectomy Facility (69910) $7,000.36 — 0.9×
Labyrinthotomy Transcanal (69801) $1,752.89 $4,151.10 0.9×
Lam facetec & foramot lumbar (63047) $8,453.60 — 0.9×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) $8,453.60 — 0.9×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $8,453.60 — 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $8,453.60 $19,273.46 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $8,453.60 — 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) $8,453.60 — 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $8,453.60 — 0.9×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $8,453.60 — 0.9×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $8,453.60 — 0.9×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) $8,453.60 — 0.9×
Laminotomy Single Lumbar (63042) $8,453.60 — 0.9×
Lap impl electrode antrum (43647) $14,756.87 — 1.1×
Lap insert tunnel ip cath (49324) $6,904.15 — 0.9×
Lap paraesoph her rpr w/mesh (43282) $12,320.22 $32,283.52 0.9×
Lap paraesophag hern repair (43281) $12,320.22 — 0.9×
Lap replace gastr adj device (43773) $6,904.15 — 0.9×
Lap revision perm ip cath (49325) $6,904.15 — 0.9×
Laparo ablate liver tumor rf (47370) $12,320.22 — 0.9×
Laparo ablate renal cyst (50541) $12,320.22 — 0.9×
Laparo ablate renal mass (50542) $12,320.22 — 0.9×
Laparo ligate spermatic vein (55550) $6,904.15 — 0.9×
Laparo new ureter/bladder (50947) $12,320.22 — 0.9×
Laparo-vag hyst incl t/o (58552) $12,320.22 $25,882.06 0.9×
Laparoscope proc ureter (50949) $6,904.15 — 0.9×
Laparoscopic myomectomy (58545) $6,904.15 $14,870.39 0.9×
Laparoscopy aspiration (49322) $6,904.15 $14,870.39 0.9×
Laparoscopy Enterolysis Separate Procedure (44180) $6,904.15 — 0.9×
Laparoscopy fimbrioplasty (58672) $6,904.15 $14,870.39 0.9×
Laparoscopy fulguration oviducts (58670) $6,904.15 $14,870.39 0.9×
Laparoscopy gastrostomy (43653) $6,904.15 — 0.9×
Laparoscopy salpingostomy (58673) $12,320.22 — 0.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $6,904.15 $14,871.75 0.9×
Laparoscopy surgical orchiectomy (54690) $6,904.15 — 0.9×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $12,320.22 $25,882.06 0.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $12,320.22 $19,719.66 0.9×
Laparoscopy W/Lysis Of Adhesions (58660) $6,904.15 $14,870.39 0.9×
Laparoscopy w/rmvl adnexal structures (58661) $6,904.15 $15,825.81 0.9×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $6,904.15 — 0.9×
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) $12,320.22 — 0.9×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) $12,320.22 — 0.9×
Laparoscopy, surgical, appendectomy (44970) $6,904.15 $16,994.74 0.9×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $12,320.22 $19,719.66 0.9×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) $12,320.22 — 0.9×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $12,320.22 — 0.9×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $12,320.22 — 0.9×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $4,502.13 — 0.9×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $12,320.22 $25,882.06 0.9×
Laparoscopy, surgical, splenectomy (38120) $12,320.22 — 0.9×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $12,320.22 $25,882.06 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $6,904.15 $14,870.39 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $12,320.22 — 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,904.15 $14,870.39 0.9×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $12,320.22 — 0.9×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $6,904.15 — 0.9×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) $6,904.15 — 0.9×
Laparoscopy, surgical; partial nephrectomy (50543) $12,320.22 — 0.9×
Laparoscopy, surgical; pyeloplasty (50544) $12,320.22 — 0.9×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $6,904.15 — 0.9×
Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648) $12,320.22 — 0.9×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $6,904.15 — 0.9×
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) $6,904.15 — 0.9×
Laparoscopy, surgical; ureterolithotomy Facility (50945) $6,904.15 — 0.9×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) $12,320.22 — 0.9×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $6,904.15 — 0.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $12,320.22 $11,000.72 0.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $12,320.22 — 0.9×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,904.15 $11,956.30 0.9×
Laparoscopy, Tubal Block (58671) $6,904.15 $14,870.39 0.9×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,904.15 $14,870.39 0.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,904.15 $14,870.39 0.9×
Laps Gastric Restrictive Px Remove Device & Port (43774) $4,502.13 $9,226.35 0.9×
Laps pelvic lymphadec (38573) $12,320.22 — 0.9×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $12,320.22 $19,719.66 0.9×
Laps surg prst8ect smpl stot robotic assistance (55867) $12,320.22 — 0.9×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $6,904.15 — 0.9×
Laps Surg Trnsxj Vagus Nrv Truncal (43651) $6,904.15 — 0.9×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $6,904.15 $14,870.39 0.9×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $12,320.22 $25,882.06 0.9×
Largsc Arytenoidectomy Microscope/Telescope (31561) $8,191.77 — 0.9×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $4,362.99 $6,763.12 0.9×
Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) $7,000.36 — 0.9×
Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) $7,000.36 — 0.9×
Laryngoplasty Medialization Unliateral (31591) $7,000.36 — 0.9×
Laryngoplasty, cricoid split, without graft placement Facility (31587) $7,000.36 — 0.9×
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) $7,000.36 — 0.9×
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) $7,000.36 — 0.9×
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) $7,000.36 — 0.9×
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) $7,000.36 — 0.9×
Laryngoscop w/arytenoidectom (31560) $8,191.77 — 0.9×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $4,362.99 $9,035.09 0.9×
Laryngoscopy and dilation (31528) $4,362.99 $8,750.44 0.9×
Laryngoscopy diagnostic (31505) $229.74 $714.29 0.9×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $4,362.99 — 0.9×
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) $4,362.99 $11,635.08 0.9×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $4,362.99 $9,035.09 0.9×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $4,362.99 $9,034.07 0.9×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $229.74 $527.48–$550.42 0.9×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $4,362.99 — 0.9×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $2,040.67 — 0.9×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,040.67 $4,401.13 0.9×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $2,040.67 $4,404.28 0.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $459.51 $1,217.36 0.9×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $459.51 $1,114.55 0.9×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $4,362.99 $9,824.48 0.9×
Laryngoscopy Indirect W/Biopsy (31510) $4,362.99 $9,035.09 0.9×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $229.74 $1,040.90 0.9×
Laryngoscopy Indirect W/Removal Lesion (31512) $4,362.99 $9,035.09 0.9×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $459.51 $1,328.62 0.9×
Laryngoscopy W/Biopsy (31535) $4,362.99 $9,035.09 0.9×
Laryngoscopy w/biopsy microscope/telescope (31536) $4,362.99 $9,035.09 0.9×
Laryngoscopy W/Foreign Body Removal (31530) $2,040.67 $4,258.23 0.9×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $459.51 $1,307.36 0.9×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $459.51 $1,328.50 0.9×
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $3,837.72 — 0.9×
Larynscop w/tumr exc + scope (31541) $4,362.99 — 0.9×
Laser Surgery Anal Lesions (46917) $3,245.23 — 0.9×
Laser Surgery of Cervix (57513) $3,762.53 — 0.9×
Laser Surgery,Sever Vitreous Strands (67031) $649.19 $1,728.59 0.9×
Laser treatment of retina (67040) $4,760.49 $11,746.70 0.9×
Laser vaporization of prostate (52648) $6,015.75 — 0.9×
Late closure of wound (13160) $2,164.64 $4,992.20 0.5×
Lateral Canthopexy (21282) $3,837.72 $8,057.96 0.9×
Lateral retinacular release open (27425) $3,839.54 — 0.9×
Lavage cannulation sphenoid sinus (31002) $1,752.89 $4,151.10 0.9×
Lengthen metacarpal/finger (26568) $8,453.60 — 0.9×
Lengthen radius or ulna (25391) $15,226.08 — 1.0×
Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) $8,453.60 — 0.9×
Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) $3,839.54 — 0.9×
Lengthening of hamstring tendon; single tendon Facility (27393) $8,453.60 — 0.9×
Lengthening of palate (42227) $7,000.36 — 0.9×
Lengthening of palate, and pharyngeal flap Facility (42226) $7,000.36 — 0.9×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $3,839.54 — 0.9×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $3,839.54 — 0.9×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $3,724.63 — 0.9×
Lig&div long saph vein saphfem junct/interrupj (37700) $3,724.63 — 0.9×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $15,226.08 — 1.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $8,453.60 — 0.9×
Ligamentous reconstruction knee intra-articular (27428) $15,226.08 — 1.0×
Ligate leg veins open (37761) $3,724.63 — 0.9×
Ligate/strip long leg vein (37722) $3,724.63 $8,525.56 0.9×
Ligate/strip short leg vein (37718) $3,724.63 — 0.9×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $3,724.63 — 0.9×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $3,724.63 — 0.9×
Ligation External Carotid Artery (37600) $3,724.63 — 0.9×
Ligation Internal/Common Carotid Artery (37605) $3,724.63 — 0.9×
Ligation Major Artery Abdomen (37617) — $8,803.60 —
Ligation nasal sinus artery (30915) $3,724.63 — 0.9×
Ligation of a-v fistula (37607) $3,724.63 $9,743.50 0.9×
Ligation of femoral vein (37650) $3,724.63 $8,525.56 0.9×
Ligation of hemorrhoids (46946) $3,245.23 $7,211.64 0.9×
Ligation Of Inf Vena Cava (37619) $6,396.89 — 0.9×
Ligation Of Neck Artery (37615) $3,724.63 — 0.9×
Ligation or biopsy temporal artery (37609) $1,917.33 $4,222.66 0.9×
Ligation salivary duct, intraoral Facility (42665) $3,837.72 — 0.9×
Ligation, internal jugular vein Facility (37565) $3,724.63 — 0.9×
Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) $3,724.63 — 0.9×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $3,724.63 $8,525.56 0.9×
Limited pharyngectomy Facility (42890) $7,000.36 — 0.9×
Lip Surgery Procedure (40799) $274.80 $3,557.20 0.9×
Litholapaxy comp/lg > 2.5 cm (52318) $4,081.37 $12,211.97 0.9×
Litholapaxy smpl/sm <2.5 cm (52317) $4,081.37 $9,286.23 0.9×
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines		 $4,081.37 $10,752.05–$11,502.30 0.9×
Liver disease 10 biochemical assays serum alg (0166U) $503.40 $1,510.20 1.0×
Low Back Disk Surgery (63030) $8,453.60 — 0.9×
Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) $28.98 — 0.8×
Low-density lipoprotein receptor-related protein 4 (LRP4), antibody identification by immunofluorescence, using live… (0546U) — $94.33 —
Lsh uterus 250 g or less (58541) $12,320.22 — 0.9×
Lsh uterus above 250 g (58543) $12,320.22 — 0.9×
Lsh w/t/o uterus above 250 g (58544) $12,320.22 $25,882.06 0.9×
Lu gnotyp gene analysis bcam exon 3 (0196U) $185.20 $555.60 1.0×
Lumbar spine fusion combined (22633) $21,762.05 — 0.6×
Lw gnotyp gene analysis icam4 exon 1 (0197U) $185.20 $555.60 1.0×
Lyse chest fibrin init day (32561) $731.62 $2,150.34 0.9×
Lyse Chest Fibrin Subq Day (32562) $731.62 $2,179.42 0.9×
Lysis Intranasal Synechia (30560) $602.63 — 0.9×
Lysis of labial adhesions (56441) $3,762.53 $7,685.14 0.9×
Lysis/excision penile postcircumcision adhesions (54162) $2,424.12 $5,450 0.9×
Malar Augmentation Prosthetic Material (21270) $7,000.36 — 0.9×
Male sling procedure (53440) $15,374.71 — 0.9×
Maniplatn palar fascial crd post inj single cord (26341) $283.86 — 0.9×
Manipulation Ankle Under General Anesthesia (27860) $3,839.54 — 0.9×
Manipulation Elbow Under Anesthesia (24300) $1,893.86 — 0.9×
Manipulation hip joint general anesthesia (27275) $1,893.86 $3,971.15 0.9×
Manipulation knee joint under general anesthesia (27570) $1,893.86 $4,765.38 0.9×
Manipulation spine requiring anesthesia (22505) $1,893.86 — 0.9×
Manipulation tmj therapeutic require anesthesia (21073) $1,752.89 $4,161.73 0.9×
Manipulation wrist under anesthesia (25259) $1,893.86 — 0.9×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,893.86 $4,878.84 0.9×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,893.86 $4,169.71 0.9×
Manometric stds thru tube/ndwellg urtrl cath (50396) $789.86 — 0.9×
Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) $185.15 — 1.2×
Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of… (0381U) $44.12 — 1.0×
Marsupialization of bartholin's gland cyst (56440) $3,762.53 $7,685.14 0.9×
Marsupialization of urethral diverticulum, male or female Facility (53240) $4,081.37 — 0.9×
Mast mod rad (19307) $7,717.23 — 0.9×
Mastectomy for gynecomastia (19300) $4,531.42 $9,320.09 0.9×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $4,531.42 $5,005.24–$10,651.54 0.9×
Mastectomy partial w/axillary lymphadenectomy (19302) $7,717.23 — 0.9×
Mastectomy simple complete (19303) $7,717.23 — 0.9×
Mastoid obliteration separate procedure (69670) $7,000.36 — 0.9×
Mastoidectomy (69501) $7,000.36 — 0.9×
Mastoidectomy; complete (69502) $7,000.36 — 0.9×
Mastopexy (19316) $7,717.23 $16,111.97 0.9×
Maternity Care Procedure (59899) $238.06 $2,200.11 0.9×
Maxillary impression for palatal prosthesis Facility (42280) $602.63 — 0.9×
Maxillofacial fixation (21100) $7,000.36 — 0.9×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,838.28 — 0.9×
Mech remov tunneled cv cath (36595) $3,724.63 $8,525.56 0.9×
Mechanical fragility, RBC, shear stress and spectral analysis profiling 13,999 or fewer assigned members (0123U) $357.63 — 1.0×
Mecp2 ful gen alys changes delet dupl insj vrnts (0234U) $527.87 $1,583.61 1.0×
Medial Canthopexy Separate Procedure (21280) $3,837.72 — 0.9×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) $6,904.15 $14,870.39 0.9×
Mediastinoscpy w/lmph nod bx (39402) $6,904.15 — 0.9×
Melatonin lvl test sleep study 7/9 sample elisa (0462U) $17.27 $43.18 1.0×
Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) $7,000.36 — 0.9×
Metatarsectomy (28140) $3,839.54 — 0.9×
Middle ear expl thru postaur/ear canal inc (69440) $3,837.72 $8,057.96 0.9×
Middle ear surgery proc unlisted (69799) $274.80 — 0.9×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $4,332.25 — 1.0×
Mlh1 gene mrna sequence analysis (0158U) $282.88 $848.64 1.0×
Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) $2,760.73 — 0.9×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $724.37 $1,635.82 0.8×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $724.37 $3,340.52 0.8×
Monocyte distribution width whole blood (0427U) $4.48 $325.60 1.0×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $14,756.87 $1,433.10 1.1×
Msh2 gene mrna sequence analysis (0159U) $282.88 $848.64 1.0×
Msh6 gene mrna sequence analysis (0160U) $282.88 $848.64 1.0×
Multifetal Pregnancy Reduction (59866) $359.97 — 0.9×
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) $15,226.08 — 1.0×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) $3,839.54 — 0.9×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) $3,839.54 — 0.9×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $2,760.73 $5,953.45 0.9×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $2,164.64 $5,705.38 0.8×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $4,332.25 — 1.0×
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) $8,453.60 — 0.9×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $8,453.60 — 0.9×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $4,332.25 — 1.0×
Muscle-skin graft trunk (15734) $4,332.25 — 1.0×
Muscle/tendon transfer upper arm/elbow single (24301) $8,453.60 — 0.9×
Myelography Lumbar Injection (62305) $934.93 $1,994.73 1.0×
Myelography Lumbar Injection (62304) $934.93 $2,094.47 1.0×
Myelography via lumbar injection rs&i cervical (62302) $934.93 $2,094.47 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $934.93 $2,094.47 1.0×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $3,762.53 $7,685.14 0.9×
Myringoplasty (69620) $3,837.72 $8,959.90 0.9×
N Block Inj Celiac Pelus (64530) $1,053.53 $2,855.08 1.0×
N Block Inj Ilio-Ing/Hypogi (64425) $819.50 $2,197.60 0.9×
N block inj intercost sng (64420) $819.50 $2,197.60 0.9×
N Block Inj Paracervical (64435) $819.50 $2,197.60 0.9×
N Block Inj Plantar Digit (64455) $349.32 $816.64 0.9×
N Block Inj Pudendal (64430) $1,053.53 $2,855.08 1.0×
N Block Lumbar/Thoracic (64520) $1,053.53 $2,855.08 1.0×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $229.74 $550.42–$816.34 0.9×
Nasal sinus therapy (30210) $1,752.89 $4,151.10 0.9×
Nasal surgery procedure (30999) $274.80 $3,557.20 0.9×
Nasal/Orogastric W/Tube Plmt (43752) $472.21 $1,118.42 0.8×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $459.51 $1,162.54 0.9×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $4,362.99 $7,774.01 0.9×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $8,191.77 — 0.9×
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) $8,191.77 — 0.9×
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) $8,191.77 — 0.9×
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) $8,191.77 $19,485.08 0.9×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $7,000.36 — 0.9×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $7,000.36 — 0.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,040.67 $4,401.13 0.9×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,040.67 — 0.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $2,040.67 $4,401.13–$4,409.39 0.9×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $4,362.99 — 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $8,191.77 — 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $8,191.77 — 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $8,191.77 — 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $8,191.77 — 0.9×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $8,191.77 — 0.9×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $8,191.77 $12,751.76 0.9×
Nasal/sinus ndsc total with sphenoidotomy (31257) $8,191.77 — 0.9×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $2,040.67 — 0.9×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $8,191.77 — 0.9×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $8,191.77 — 0.9×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $8,191.77 — 0.9×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $2,040.67 $4,401.13 0.9×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $287.81 $825.88 0.9×
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) $8,453.60 — 0.9×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,078.88 — 0.9×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,078.88 $2,685.72 0.9×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,893.86 — 0.9×
Neck spine disk surgery (63020) $8,453.60 — 0.9×
Needle Biopsy Lymph Nodes (38505) $1,917.33 $4,825.90 0.9×
Needle Biopsy Pancreas (48102) $1,917.33 $4,222.66 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $28.98 $163.74 0.8×
Needle insertion w/o injection 3 or more muscles (20561) $28.98 $163.74 0.8×
Nephrology (chronic kidney disease), apolipoprotein A4 (ApoA4), CD5 antigen-like (CD5L), and insulin-like growth factor… (0385U) $390.75 $1,172.25 1.0×
Nephrology (chronic kidney disease), carboxymethyllysine, methylglyoxal hydroimidazolone, and carboxyethyl lysine by… (0384U) $750 $2,250 1.0×
Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor… (0105U) $950 — 1.0×
Nephrology (diabetic chronic kidney disease [CKD]), multiplex electrochemiluminescent immunoassay (ECLIA) of soluble… (0407U) $950 — 1.0×
Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral… (0320U) $2,650 — 1.0×
Nephrology ckd nuclear mrs meas gfr srm quan (0259U) $52.71 $158.13 1.0×
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) $7,578.32 — 0.7×
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) $7,578.32 — 0.7×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) $7,578.32 — 0.7×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) $7,578.32 — 0.7×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) $7,578.32 — 0.7×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) $7,578.32 — 0.7×
Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) $7,578.32 $16,140.85 1.8×
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) $7,578.32 — 0.7×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) $7,578.32 — 0.7×
Nerve graft arm/leg <4 cm (64892) $7,578.32 — 0.7×
Nerve Pedicle Transfer First Stage (64905) $7,578.32 — 0.7×
Nerve pedicle transfer; second stage Facility (64907) $7,578.32 — 0.7×
Nerve repair w/conduit each nerve (64910) $7,578.32 — 0.7×
Nerve Repair W/Nerve Allograft First Strand (64912) $7,578.32 — 0.7×
Neu prksn msfl a-syncln prtn (0393U) $540.99 $1,622.97 1.0×
Neurectomy Popliteal (27326) $2,310.83 — 0.9×
Neurectomy, hamstring muscle Facility (27325) $2,310.83 — 0.9×
Neurectomy, Intrinsic Musculature Of Foot (28055) $2,310.83 — 0.9×
Neuro alys b-amyl 1-42&1-40 (0358U) $260.50 $12 1.0×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $750 $1,875 1.0×
Neuro asd RNA next-gnrj seq saliva alg alys (0170U) $1,950 $5,265 1.0×
Neuro autism quan meas 16 ctr carbon metabolites (0263U) $750 $2,250 1.0×
Neuro cere folate defncy srm (0399U) $300 $1.05 1.0×
Neuro csf detcj prion prtn quakg conf conv qual (0584U) — $1,352.48 —
Neuro inh ataxia genomic DNA seq alys 12 bld/slv (0216U) $1,537.02 $4,611.06 1.0×
Neuro inh ataxia genomic DNA seq alys 51 bld/slv (0217U) $2,198.35 $6,595.05 1.0×
Neuro muscular dystrophy dmd seq alys bld/saliva (0218U) $2,279 $6,837 1.0×
Neuroeltrd Stim Post Tibial (64566) $349.32 $917.96 0.9×
Neurofilament light chain (NfL), chemiluminescent enzyme immunoassay, plasma, quantitative 13,999 or fewer assigned… (0547U) — $290.58 —
Neurofilament light chain ultrsens ia serum/csf (0443U) — $321.04 —
Neurology (Alzheimer Disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm… (0289U) $760 — 1.0×
Neurology (autism spectrum disorder [ASD]), quantitative measurements of 14 acyl carnitines and microbiome-derived… (0322U) $750 — 1.0×
Neurology Alzheimer Disease Cell Aggregation (0206U) $2,215.40 $6,646.20 1.0×
Neurology Alzheimer Disease Quantitative Imaging (0207U) — $1,533.60 —
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $2,310.83 — 0.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,310.83 $6,045.04 0.9×
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) $2,310.83 — 0.9×
Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or… (0419U) $1,336.09 — 1.0×
Neurorraphy w/vein autograft (64911) $7,578.32 — 0.7×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,310.83 — 0.9×
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $2,310.83 — 0.9×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $2,310.83 $4,881.93 0.9×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $725 $2,175 1.0×
Nfct agt sti chlmyd gonorr trich mult amp prb ur (0455U) $142.63 $321.04 1.0×
Nfct agt sti mult amp prb tq vag endocrv/male ur (0402U) $142.63 — 1.0×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $156.75 $470.25 1.0×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $156.75 $470.25 1.0×
Nfct ds bct fngl/vir infctj semiq biomchn assmt (0441U) — $1,110.20 —
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) $416.78 $1,250.34 1.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $416.78 $1,250.34 1.0×
Nfct ds bct/viral 32 genes immune response mrna (0588U) — $1,900 —
Nfct ds bct/viral trail ip-10 c-react prtn srm (0351U) $260.50 — 1.0×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,126.20 $5,315.50 1.0×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $416.78 — 1.0×
Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) $156.75 $470.25 1.0×
Nfct ds gu pthgns DNA 46 trgts rt-PCR amp prb tq (0593U) — $1,587.10 —
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,126.20 $6,378.60 1.0×
Nfct ds mgen 23s rrna point mut orl/rct/vag swab (0484U) — $87.73 —
Nfct ds ng gyra s91f point mut orl/rct/vag swab (0483U) — $87.73 —
Nfct ds respiratory infctj mxa&crp fs whl blood (0442U) $41.38 $103.45 1.0×
Nfct ds tfp vctrbrne&zoonotic pthgn 2vir 1bctrum (0595U) — $657.48 —
Nfct ds uti id 17 path organisms urine rtpcr (0504U) $416.78 $1,041.95 1.0×
Nfct ds vag infctj id 32 pthgnc orgs swab rtpcr (0505U) $679.77 $1,699.43 1.0×
Nfro dbtc ckd elisa apoa4 cd5l egfr age plsm alg (0579U) — $976.88 —
Nipple Exploration (19110) $4,531.42 — 0.9×
Nipple/areola reconstruction (19350) $4,531.42 $9,320.09 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $1,053.53 $2,855.08 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $349.32 $772.04 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,176.15 $8,924.36 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,176.15 $9,565.55 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,053.53 $2,855.08 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,053.53 — 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $819.50 $2,197.60 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $819.50 $2,197.60 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,053.53 $2,855.08 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,053.53 — 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $819.50 $2,197.60 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,053.53 — 1.0×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $2,164.64 — 0.8×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $2,164.64 — 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $789.86 $1,712.11 0.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $789.86 $1,712.11 0.9×
Njx Sclrsnt 1 Incmptnt Vein (36470) $472.79 $3,156.02 0.9×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $472.79 $3,156.02 0.9×
Njx Sclrsnt Spider Veins (36468) $472.79 $3,156.02 0.9×
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) $287.81 $825.88 0.9×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $8,191.77 — 0.9×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $8,191.77 — 0.9×
Nudt15 & tpmt gene analysis common variants (0169U) $466.17 $1,398.51 1.0×
Ob ftl ag nipt cfdna seq alys detcj ftl presence (0488U) — $1,897.63 —
Ob pe biochem asy plcntl grwth factr mat srm alg (0243U) $64.41 $193.23 1.0×
Ob pe kdr eng&rbp4 ia alg (0390U) $64.41 $193.23 1.0×
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $128.82 $322.05 1.0×
Ob preterm birth ibp4 shbg quan meas mat srm prs (0247U) $750 $2,250 1.0×
Ob sgnipt cfdna seq alys 1+ trgt id pthgnc vrnt (0489U) — $2,884.05 —
Ob xpnd car scr 145 genes (0400U) — $1.05 —
Obstructive material removal from gi tube (49460) $1,109.47 $2,763.22 1.0×
Occipital Nerve Block (64405) $349.32 $869.78 0.9×
Occlusion flp tube dev vag/suprapubic appr (58615) $3,762.53 — 0.9×
Ocular Surface Reconstruction Amniotic Membrane (65780) $4,462.45 — 0.9×
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) $4,462.45 — 0.9×
Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781) $6,105.79 — 0.9×
Onc bladder mthyl penk DNA detcj lte-qmsp urine (0452U) $192 $480 1.0×
Onc bldr DNA ngs 60 gen&whl genome aneup ur alg (0467U) $1,519.06 $3,797.65 1.0×
Onc breast ca s100 a8&a9 elisa tear fluid alg (0458U) $260.50 $651.25 1.0×
Onc breast mrna gene expression prfl 101 genes (0153U) $3,159.42 $9,478.26 1.0×
Onc brst ca DNA pik3ca gen alys 11 gen vrnt plsm (0177U) $274.83 $739.56 1.0×
Onc brst ca DNA pik3ca gene (0155U) $274.83 — 1.0×
Onc brst ca image alys w/ai assmt 12 features (0220U) $706.25 $2,118.75 1.0×
Onc brst semiq alys 32 phsprtn&prtn analyte alg (0249U) $2,219.13 $6,657.39 1.0×
Onc cervix mrna genxprsn 14 bmrk e6&e7 hpv nasba (0463U) — $1,900 —
Onc chemo cytox asy csc rx rspse min 14 rx/cmbn (0435U) $3,033.86 $345 1.0×
Onc clrct ca cfdna mthyltn bsd quan PCR asy plsm (0453U) $192 $480 1.0×
Onc clrct ca img analysis w/ai assmt 4 features (0261U) $2,513.25 $7,539.75 1.0×
Onc clrct ca qual rt-PCR 35 vrnt kras&nras genes (0471U) $760 $1,900 1.0×
Onc clrct cfdna 8gens mut 7gens mthyltn rt-PCR (0496U) — $1,214.65 —
Onc clrct ngs mut detcj 43gen&mthyltn ptrn 45gen (0498U) — $3,363.28 —
Onc clrct scr biochem elisa 3 plsm/srm prtn alg (0163U) — $1,172.25 —
Onc clrct scr qrtsa mthyl DNA mrk w/stool alg (0464U) $591.92 $1,479.80 1.0×
Onc clrct scr quan rt trgt & sgl amp 8 RNA mrk (0421U) — $1,272.18 —
Onc clrct&lng DNA ffpe tiss ngs 8genes mut detcj (0499U) $597.91 $1,494.78 1.0×
Onc colorectal blood quantitative meas cfdna (0501U) — $480 —
Onc cutan mlnma RNA gen xprsn rtqpcr 10gens ffpe (0578U) — $9,682.50 —
Onc cutan/uveal mlnma ctc slctn mc&enum cd146 (0490U) $2,435 $6,087.50 1.0×
Onc Hl Neo Gen Seq Alys Alg (0364U) $2,007.25 — 1.0×
Onc hl neoplasm DNA tgs 417gens interrog gen fus (0592U) — $7,299 —
Onc lng multiomics plsm alg (0395U) $797.45 $1.05 1.0×
Onc lng plsm alys 388 prtn aptmr bsd prtomc tech (0436U) — $3,760.60 —
Onc lung elisa 7 autoant alg (0360U) $782.93 $12 0.9×
Onc Lung Mrna Quan Pcr 11&3 (0288U) $3,873 — 1.0×
Onc lynch syndrome genomic DNA sequence analysis (0238U) $584.90 $1,754.70 1.0×
Onc mlnma ambra1&amlo (0387U) $948.50 $2,845.50 1.0×
Onc mrna gene xprsn prflg 216gens RNA xprsn alys (0586U) — $7,299 —
Onc nonsm cll lng ca 37 gen (0388U) $3,500 $1.05 1.0×
Onc nonsm cll lng ca cell free DNA alys 23 gen (0179U) $1,943.21 $5,829.63 1.0×
Onc nsclc DNA&RNA dpcr alys 9 genes ffpe tissue (0478U) — $1,382.48 —
Onc orop detcj mrd ngs quan eval 8dna cfhpv16&18 (0470U) — $1,494.78 —
Onc ovarian DNA whole genome seq w/5hmc nrchmt (0507U) $1,160 $2,900 1.0×
Onc ovarian serum alys 39 gps lc-ms/ms mrm mode (0577U) — $617.13 —
Onc pan cancer analysis mrd from plasma (0340U) $3,920 — 1.1×
Onc pan sol tum ngs alys tum mthyltn mrk cfctdna (0486U) — $4,110.63 —
Onc pan solid tum alys DNA bmrk rspse antca ther (0422U) — $4,858.03 —
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $8,455 $11,025 1.0×
Onc pancreatic cancer multi immunoassay serum (0599U) — $2,242.50 —
Onc pap thyr ca RNA 82&10 (0362U) $3,600 $12 1.0×
Onc pncrs DNA&mrna seq 74 (0313U) $3,600 — 1.0×
Onc pncrtc ca augmnt alg alys 16gen prev seq RNA (0510U) — $1,184.78 —
Onc prostate 5 DNA reg mrk quan PCR whl bld alg (0433U) $760 $1,900 1.0×
Onc prst8 alys crcg plsm prtns germline polyg rs (0495U) $760 $1,900 1.0×
Onc prst8 augmnt alg alys dgtz whl-slide img msi (0512U) $706.25 $1,765.63 1.0×
Onc prst8 augmnt alg alys img hlog feat msi&hrd (0513U) $706.25 $1,765.63 1.0×
Onc prst8 ca biochem alys 3 protein plasma serum (0591U) — $1,900 —
Onc prst8 mrna gen xprsn prfl rt-PCR 6gen ffpe (0497U) $3,873 $9,682.50 1.0×
Onc prst8 multianal molec prfl photometric detcj (0228U) $173.03 $519.09 1.0×
Onc prst8 xome based alys 53 sncrna rt-qpcr ur (0424U) $760 $1,900 1.0×
Onc rx-genomic alys snp gnotyp rt-PCR 24 genes (0461U) — $2,292.70 —
Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) $2,919.60 $8,758.80 1.0×
Onc sld orgn neo tgsap 361 gen interrog DNA ffpe (0444U) $2,919.60 $7,299 1.0×
Onc sld tum DNA&RNA 437 gen (0391U) $3,600 $10,800 1.0×
Onc sld tum somatic mut alys brca1 brca2 alg (0172U) $3,030 $9,090 1.0×
Onc sol tum cell cul 3d microenvir 36+ rx panel (0511U) $3,033.86 $7,584.65 1.0×
Onc sol tum cfcdna tgsap 84gen interrog seq vrnt (0487U) $2,919.60 $7,299 1.0×
Onc sol tum cfdna&RNA ngs ir gm chip tum-drv snv (0485U) — $9,123.70 —
Onc sol tum ctc slctn cd45&quan pd-l1 prtn bmrk (0492U) $2,435 $6,087.50 1.0×
Onc solid orgn DNA compre genomic prflg 257 gene (0244U) $3,500 $10,500 1.0×
Onc solid tum gen xprsn prfl rt-PCR 7 gen pthwy (0262U) $3,200 $9,600 1.0×
Onc solid tum mass spectrometric 30 protein trgt (0174U) $1,305.37 $3,916.11 1.0×
Onc solid tumor ctc slctn cd45&quan er prtn bmrk (0491U) $2,435 $6,087.50 1.0×
Onc solid tumor ngs DNA ffpe tiss bld/slv 648gen (0473U) $4,500 $11,250 1.0×
Onc thyr mut alys 10 gen 37 RNA fsn xprsn 4 mrna (0245U) $1,266.07 $3,798.21 1.0×
Onc urothelial cancer RNA rt-PCR fgfr3 gene alys (0154U) $482.14 — 1.0×
Onc urothelial carc DNA qmsp 2 genes alg alys (0465U) $1,938.01 $4,845.03 1.0×
Onc urthl mrna 5 gen alg (0363U) $760 $12 1.0×
Onc urthl mrna xprsn prfl rt quan PCR ddpcr 6snp (0420U) — $4,858.03 —
Onc whl bld/buccal DNA snp gnotyp rt-PCR 24 gene (0460U) — $2,292.70 —
Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58… (0120U) $2,510.21 — 1.0×
Oncology (bladder), analysis of 10 protein biomarkers (a1at, ang, apoe, ca9, il8, mmp9, mmp10, pai1, sdc1 and vegfa) by… (0365U) $897 $2,691 1.0×
Oncology (bladder), analysis of 10 protein biomarkers (A1AT, ANG, APOE, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) by… (0367U) $902.18 $2,706.54 1.0×
Oncology (bladder), analysis of 10 protein biomarkers (a1at, ang, apoe, ca9, il8, mmp9, mmp10, pai1, sdc1 and vegfa) by… (0366U) $897 $2,691 1.0×
Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2,… (0295U) $5,435 — 1.0×
Oncology (breast), augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and… (0418U) $706.25 — 1.0×
Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of… (0404U) $322.96 — 1.0×
Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis,… (0111U) $682.29 — 1.0×
Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, nextgeneration sequencing, >2500… (0537U) — $3,737.50 —
Oncology (cutaneous melanoma), mrna gene expression profiling by rt-PCR of 35 genes (32 content and 3 housekeeping),… (0314U) $1,950 — 1.0×
Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6… (0315U) $8,500 — 1.0×
Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements… (0331U) $1,863.22 — 1.0×
Oncology (hematolymphoid neoplasm), optical genome mapping for ocpy number alterations, aneuploidy, and… (0413U) $1,263.53 — 1.0×
Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high-risk patients, analysis of methylation… (0333U) $662.32 — 1.0×
Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive… (0317U) $2,030 — 1.0×
Oncology (lung), augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK, BRAF, EGFR,… (0414U) $706.25 — 1.0×
Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm… (0406U) $760 — 1.0×
Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis of a patient-specific panel,… (0307U) $794.49 — 1.0×
Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis, cell-free DNA, initial… (0306U) $3,878.45 — 1.0×
Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications… (0329U) $3,437.98 — 1.0×
Oncology (oral and/or oropharyngeal cancer), gene expression profiling by RNA sequencing of at least 20 molecular… (0296U) $1,950 — 1.0×
Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4,… (0375U) $897 $2,691 1.0×
Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed… (0297U) $2,919.60 — 1.0×
Oncology (pan tumor), whole genome optical genome mapping of paired malignant and normal DNA specimens, fresh frozen… (0299U) $1,863.22 — 1.0×
Oncology (pan tumor), whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens,… (0300U) $4,183.13 — 1.0×
Oncology (pan tumor), whole transcriptome sequencing of paired malignant and normal RNA specimens, fresh or… (0298U) $2,919.60 — 1.0×
Oncology (pan-tumor), genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain… (0332U) $1,142.06 — 1.0×
Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, plasma, reported as cancer… (0405U) $1,770.48 — 1.0×
Oncology (pancreatic), DNA, whole genome sequencing with 5-hydrosymethylcytosine enrichment, whole blood or plasma,… (0410U) $1,160 — 1.0×
Oncology (plasma cell disorders and myeloma), circulating plasma cell immunologic selection, identification,… (0337U) $2,435 — 1.0×
Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic… (0376U) $706.25 $2,118.75 1.0×
Oncology (prostate), exosome-based analysis of 442 small noncoding rnas (sncrnas) by quantitative reverse transcription… (0343U) $760 — 1.0×
Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA… (0113U) $760 — 1.0×
Oncology (prostate), mrna expression profiling of hoxc6 and dlx1, reverse transcription polymerase chain reaction… (0339U) $760 — 1.0×
Oncology (prostate), mRNA, gene expression profiling of 18 genes, first-catch post-digital rectal examination urine (or… (0403U) $760 — 1.0×
Oncology (solid organ), targeted genomic sequence analysis, formalin-fixed paraffin-embedded (FFPE) tumor tissue, DNA… (0334U) $3,500 — 1.0×
Oncology (solid tumor), cell-free circulating tumor DNA (ctDNA), 152 genes, next-generation sequencing, interrogation… (0539U) — $8,221.28 —
Oncology (solid tumor), circulating tumor cell selection, identification, morphological characterization, detection and… (0338U) $2,435 — 1.0×
Oncology (solid tumor), DNA (80 genes) and RNA (36 genes), by next-generation sequencing from plasma, including single… (0409U) $2,919.60 — 1.0×
Oncology (solid tumor), next-generation sequencing of DNA from formalin-fixed paraffinembedded (FFPE) tissue of 517… (0543U) — $7,473.88 —
Oncology (solid tumor), nextgeneration targeted sequencing analysis, formalin-fixed paraffinembedded (FFPE) tumor… (0538U) — $7,473.88 —
Oncology (thyroid), DNA and mRNA, next-generation sequencing analysis of 112 genes, fine needle aspirate or… (0287U) $3,600 — 1.0×
Oncology (urothelial), DNA, quantitative methylated real-time PCR of TRNA-Cys, SIM2, and NKX1-1, using urine,… (0549U) — $1,900 —
Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic… (0356U) $1,800 $12 1.0×
Oncology, disease progression and response monitoring to radiation, chemotherapy, or other systemic cancer treatments,… (0285U) $443.31 — 1.0×
Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug 13,999 or… (0248U) $3,033.86 $9,101.58 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $4,531.42 $8,819.73 0.9×
Open bone biopsy (20251) $8,453.60 — 0.9×
Open bone biopsy (20250) $3,839.54 — 0.9×
Open Implantation Nea Peripheral Nerve (64575) $14,756.87 — 1.1×
Open Implantation Nea Sacral Nerve (64581) $7,766.27 — 1.0×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $36,061.23 $89,580.75 0.7×
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) $25,376.43 — 1.0×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $36,061.23 $72,490.26 0.9×
Open nasoethmoid fx w/o fixj (21338) $7,000.36 — 0.9×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $8,453.60 $21,134 0.9×
Open Repair of Rotator Cuff Acute (23410) $8,453.60 — 0.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $8,453.60 $18,402.86 0.9×
Open treatment calcaneal fracture (28415) $8,453.60 $18,402.86 0.9×
Open Treatment Fracture Distal Tibia & Fibula (27828) $15,226.08 $36,611.30 1.0×
Open treatment fracture distal tibia only (27827) $15,226.08 — 1.0×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $8,453.60 $20,831.57 0.9×
Open Treatment Humeral Condylar Fracture (24579) $15,226.08 — 1.0×
Open treatment interphalangeal joint dislocation (28675) $3,839.54 $9,662.27 0.9×
Open Treatment Lunate Dislocation (25695) $8,453.60 — 0.9×
Open Treatment Medial Malleolus Fracture (27766) $8,453.60 — 0.9×
Open treatment metacarpophalangeal dislocation (26715) $3,839.54 $8,421.47 0.9×
Open treatment metatarsal fracture each (28485) $8,453.60 $18,402.86 0.9×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $8,453.60 — 0.9×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $8,453.60 — 0.9×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $8,453.60 $20,831.57 0.9×
Open treatment of coccygeal fracture Facility (27202) $3,839.54 — 0.9×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) $7,000.36 — 0.9×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $7,000.36 $14,922.16 0.9×
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) — $15,646.71 —
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $7,000.36 $16,438.59 0.9×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $7,000.36 — 0.9×
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) $7,000.36 — 0.9×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $7,000.36 — 0.9×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $7,000.36 — 0.9×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $8,453.60 — 0.9×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $15,226.08 — 1.0×
Open treatment of mandibular condylar fracture Facility (21465) $7,000.36 $14,922.16 0.9×
Open treatment of mandibular fracture with external fixation Facility (21454) $7,000.36 — 0.9×
Open treatment of nasal fracture; uncomplicated Facility (21325) $3,837.72 $8,057.96 0.9×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $3,837.72 — 0.9×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $3,839.54 — 0.9×
Open treatment of nasoethmoid fracture; with external fixation Facility (21339) $7,000.36 — 0.9×
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) $7,000.36 — 0.9×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $7,000.36 — 0.9×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $7,000.36 — 0.9×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) $7,000.36 — 0.9×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $7,000.36 $14,922.16 0.9×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $7,000.36 — 0.9×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $7,000.36 — 0.9×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $8,453.60 $19,273.46 0.9×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $8,453.60 — 0.9×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) $8,453.60 — 0.9×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) $8,453.60 — 0.9×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) $1,893.86 — 0.9×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $8,453.60 — 0.9×
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) $8,453.60 — 0.9×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) $8,453.60 — 0.9×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) $8,453.60 — 0.9×
Open treatment of temporomandibular dislocation Facility (21490) $3,837.72 — 0.9×
Open Treatment of Ulnar Shaft Fracture (25545) $8,453.60 — 0.9×
Open treatment of ulnar styloid fracture (25652) $8,453.60 — 0.9×
Open treatment posterior malleolus fracture (27769) $8,453.60 — 0.9×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $8,453.60 $18,402.86 0.9×
Open Treatment Proximal Humeral Fracture (23615) $15,226.08 $36,611.30 1.0×
Open Treatment Radial Shaft Fracture (25515) $8,453.60 — 0.9×
Open Treatment Tarsal Bone Dislocation (28555) $8,453.60 — 0.9×
Open tx acute shoulder dislocation (23660) $8,453.60 $19,273.46 0.9×
Open Tx Acute/Chronic Elbow Dislocation (24615)
range across 2 matching MRF lines		 $8,453.60 $18,355.68–$19,273.46 0.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,839.54 $8,421.47 0.9×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $3,839.54 — 0.9×
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines		 $8,453.60 $10,079.15–$18,402.86 0.9×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $3,839.54 — 0.9×
Open Tx Depressed Malar Fracture (21360) $7,000.36 $14,922.16 0.9×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $8,453.60 $18,402.86 0.9×
Open Tx Distal Phalangeal Fracture Each (26765) $3,839.54 $8,020.45 0.9×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $8,453.60 — 0.9×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $8,453.60 $9,966.74–$18,402.86 0.9×
Open tx femoral supracondylar fracture w/o xtn (27511) — $8,767.04 —
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $3,839.54 — 0.9×
Open Tx Humeral Epicondylar Fracture (24575) $15,226.08 — 1.0×
Open tx humeral supracondylar fracture w/o xtn (24545) $15,226.08 — 1.0×
Open tx interphalangeal joint dislocation (26785) $3,839.54 $8,201.98 0.9×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $7,000.36 $14,922.16 0.9×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $7,000.36 — 0.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,839.54 $8,322.46 0.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,839.54 $8,421.47 0.9×
Open Tx Radial Head/Neck Fracture (24665) $8,453.60 — 0.9×
Open Tx Radial Head/Neck Fracture Prosth (24666) $15,226.08 — 1.0×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) $8,453.60 — 0.9×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $8,453.60 — 0.9×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) $8,453.60 $18,402.86 0.9×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $8,453.60 $18,402.86 0.9×
Open tx ulnar fx proximal end (24685) $8,453.60 $19,337.90 0.9×
Open/Perq Place Stent 1St (37236) $13,419.98 $23,224.68 0.9×
Open/Perq Place Stent Same (37238) $13,419.98 $23,224.68 0.9×
Oph age-related mac degeneration alys 3 gen vrnt (0205U) $47 $141 1.0×
Opn tx orbit fx combined (21387) $7,000.36 — 0.9×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $3,839.54 — 0.9×
Opponensplasty; hypothenar muscle transfer Facility (26494) $3,839.54 — 0.9×
Optic Nerve Decompression (67570) $4,462.45 $9,620.08 0.9×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $3,839.54 $8,707.44 0.9×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $8,453.60 $18,402.86 0.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $8,453.60 $17,389.83 0.9×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $15,226.08 $14,074.27 1.0×
Optx tibial fx prox bicondylar w/wo int fixj (27536) — $7,883.72 —
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $15,226.08 $36,611.30 1.0×
Orbital implant removal/revision (67560) $4,462.45 — 0.9×
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) $7,000.36 — 0.9×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $4,462.45 — 0.9×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $4,462.45 $9,620.08 0.9×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $2,760.73 — 0.9×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $2,760.73 — 0.9×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $4,462.45 — 0.9×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) $4,462.45 — 0.9×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $4,462.45 — 0.9×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) $4,462.45 — 0.9×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $4,462.45 — 0.9×
Orchiectomy partial (54522) $4,081.37 — 0.9×
Orchiectomy radical tumor inguinal approach (54530) $4,176.15 $9,565.55 0.9×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $4,081.37 — 0.9×
Orchiopexy Ingun/Scrot Appr (54640) $4,176.15 $9,565.55 0.9×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $4,176.15 — 0.9×
Ostc compl all metar heads w/prtl prox phalangc (28114) $3,839.54 — 0.9×
Ostc prtl exostc/condylc metar head (28288) $3,839.54 — 0.9×
Ostectomy calcaneus (28118) $3,839.54 — 0.9×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,839.54 — 0.9×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,839.54 — 0.9×
Ostectomy, complete excision; first metatarsal head (28111) $3,839.54 — 0.9×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,839.54 — 0.9×
Osteochondral allograft knee open (27415) $15,226.08 — 1.0×
Osteochondral knee autograft (27416) $8,453.60 $10,991.78 0.9×
Osteochondral talus autogrft (28446) $8,453.60 — 0.9×
Osteoplasty Humerus (24420) $8,453.60 — 0.9×
Osteoplasty Radius/Ulna Shortening (25390) $8,453.60 $18,402.86 0.9×
Osteoplasty, carpal bone, shortening Facility (25394) $3,839.54 — 0.9×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) $7,000.36 — 0.9×
Osteoplasty, facial bones; reduction (21209) $7,000.36 $15,646.71 0.9×
Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) $8,453.60 — 0.9×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $8,453.60 — 0.9×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $8,453.60 — 0.9×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $8,453.60 — 0.9×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,839.54 — 0.9×
Osteotomy calcaneus w/wo internal fixation (28300) $8,453.60 $11,201.25 0.9×
Osteotomy Clavicle W Bone Graft (23485) $15,226.08 — 1.0×
Osteotomy Metacarpal Each (26565) $3,839.54 — 0.9×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) — $5,285.94 —
Osteotomy Phalanx Finger Each (26567) $3,839.54 $8,421.47 0.9×
Osteotomy radius distal third (25350) $8,453.60 — 0.9×
Osteotomy Radius Middle/Proximal Third (25355) $3,839.54 — 0.9×
Osteotomy talus (28302) $8,453.60 — 0.9×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $8,453.60 — 0.9×
Osteotomy Tibia (27705) $8,453.60 — 0.9×
Osteotomy Ulna (25360) $8,453.60 — 0.9×
Osteotomy, clavicle, with or without internal fixation; Facility (23480) $8,453.60 — 0.9×
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $7,000.36 — 0.9×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $8,453.60 — 0.9×
Ovarian cystectomy, unilateral or bilateral (58925)
range across 2 matching MRF lines		 $5,841.60 $13,140.94–$14,066.99 0.9×
Pain management, analysis of 11 endogenous analytes (methylmalonic acid, xanthurenic acid, homocysteine, pyroglutamic… (0117U) $840.65 — 1.0×
Pain management, mRNA, gene expression profiling by RNA sequencing of 36 genes, whole blood, algorithm reported as… (0290U) $760 — 1.0×
Palatop cl palate soft&/hard palate only (42200) $7,000.36 — 0.9×
Palatopharyngoplasty (42145) $7,000.36 — 0.9×
Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) $3,837.72 — 0.9×
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) $7,000.36 — 0.9×
Palatoplasty for cleft palate; major revision Facility (42215) $7,000.36 — 0.9×
PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in… (0137U) $282.88 — 1.0×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $2,698.92 $6,220.04 0.9×
Parathyroidectomy or exploration of parathyroid(s); (60500) $7,000.36 $14,922.16 0.9×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $5,841.60 — 0.9×
Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) $7,000.36 — 0.9×
Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) $7,000.36 — 0.9×
Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) $3,837.72 — 0.9×
Part exc bone femur prox tibia (27360) $3,839.54 — 0.9×
Part remv talus or calcaneus (28120) $3,839.54 — 0.9×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $8,453.60 — 0.9×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) $8,453.60 — 0.9×
Partial excision bone clavicle (23180) $8,453.60 — 0.9×
Partial Excision Bone Humerus (24140) $3,839.54 — 0.9×
Partial excision bone metacarpal (26230) $3,839.54 — 0.9×
Partial excision bone olecranon process (24147) $3,839.54 — 0.9×
Partial Excision Bone Radius (25151) $3,839.54 — 0.9×
Partial Excision Bone Ulna (25150) $3,839.54 — 0.9×
Partial Excision Distal Phalanx Finger (26236) $1,893.86 $4,048.88 0.9×
Partial excision of lip (40520) $3,837.72 — 0.9×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) $8,453.60 — 0.9×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,893.86 — 0.9×
Partial hymenectomy or revision of hymenal ring (56700) $3,762.53 $7,685.14 0.9×
Partial removal of fibula (27641) $3,839.54 — 0.9×
Partial removal of lip (40530) $3,837.72 — 0.9×
Partial removal of nose (30150) $7,000.36 — 0.9×
Partial removal of penis (54120) $4,081.37 $10,752.05 0.9×
Partial removal of radius (24145) $8,453.60 — 0.9×
Partial removal of rib (21600) $8,453.60 — 0.9×
Partial removal of scapula (23190) $3,839.54 — 0.9×
Partial removal of thyroid (60220) $6,904.15 — 0.9×
Partial removal of tibia (27640) $3,839.54 — 0.9×
Partial removal of toe (28160) $3,839.54 — 0.9×
Partial removal of tongue (41120) $7,000.36 $14,922.16 0.9×
Partial thyroid excision (60212) $6,904.15 — 0.9×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $6,904.15 — 0.9×
Partical Excision Bone Phalanx Toe (28124) $3,839.54 $8,421.47 0.9×
Patellectomy or hemipatellectomy (27350) $8,453.60 — 0.9×
Peanut allg asmt epi prb all (0165U) $463.76 — 1.0×
Peanut allg spec asmt mlt epi elisa bld clin rxn (0178U) $459.86 $1,379.58 1.0×
Ped fbrl kd ifi27&mcemp1 RNA (0389U) $70.20 $1.05 1.0×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $1,770.48 — 1.0×
Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake),… (0310U) $390.75 — 1.0×
Pelvic examination under anesthesia (other than local) (57410) $3,762.53 $7,685.14 0.9×
Penile Injection (54235) $287.81 $825.88 0.9×
Penile Plethysmography (54240) $368.50 $1,235.40 1.4×
Penile venous occlusive procedure Facility (37790) $4,081.37 — 0.9×
Penis plastic surgery (54360) $4,081.37 $9,755.71 0.9×
Perc Cryo Ablate Renal Tum (50593) $12,320.22 — 0.9×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,619.14 $4,319.48 0.9×
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines		 $6,904.15 $14,870.39–$15,938.45 0.9×
Percut Ablate Liver Rf (47382) $6,904.15 $12,336.55 0.9×
Percut Cath Occlusn Non Cns Lesn (61626) $13,419.98 $33,430.98 0.9×
Percut Drain/Inject Renal Cyst (50390) $832.60 $2,917.35 0.9×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,724.63 $8,525.56 0.9×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) $14,756.87 — 1.1×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $3,839.54 — 0.9×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) $8,453.60 — 0.9×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $1,893.86 — 0.9×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $3,839.54 — 0.9×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) $8,453.60 — 0.9×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $1,893.86 — 0.9×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $3,839.54 — 0.9×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $3,837.72 — 0.9×
Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) $3,837.72 — 0.9×
Pereyra procedure, including anterior colporrhaphy Facility (57289) $8,750.72 — 0.9×
Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography… (0535U) — $155.35 —
Peri-Implant Capsulectomy Breast Complete (19371) $4,531.42 — 0.9×
Pericardiocentesis W/Imaging (33016) $1,838.28 $5,017.46 0.9×
Perineoplasty rpr perineum nonobstetrical spx (56810) $3,762.53 $7,685.14 0.9×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) $7,000.36 — 0.9×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) $7,000.36 — 0.9×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) $7,000.36 — 0.9×
Perirectal inj sclerosing solution prolapse (45520) $1,078.88 — 0.9×
Peritoneal Lavage (49084) $1,109.47 $2,763.22 1.0×
Periurethral tprnl adjtbl balo cntnc dev adjmt (53454) $287.81 $860.09 0.9×
Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) $4,081.37 $9,937.46 0.9×
Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451) $15,374.71 $37,122.41 0.9×
Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and… (53452) $10,942.71 $14,260.03 0.9×
Perm Occlusion/Embolization,Percut,Cns (61624) — $3,693.22 —
Perq av fistula creation uxtr sep access sites (36837) $21,249.26 — 0.9×
Perq av fistula creation uxtr single access (36836) $21,249.26 — 0.9×
Perq Cervicothoracic Inject (22510) $3,839.54 $8,421.47 0.9×
Perq dev breast 1st mr guide (19287) $832.60 $1,876.64 0.9×
Perq dev breast 1st strtctc (19283) $832.60 $1,876.64 0.9×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $832.60 $765.72–$2,144.74 0.9×
Perq device breast 1st imag (19281) $1,917.33 $2,144.74 0.9×
Perq dilation xst trc endourologic px w/img (50436) $4,081.37 $5,551.91 0.9×
Perq Lumbosacral Injection (22511) $3,839.54 $8,421.47 0.9×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $10,942.71 — 0.9×
Perq p-art revsc 1 nm nt uni (33900) $13,419.98 — 0.9×
Perq p-art revsc st 1st abnor connj unilateral (33902) $21,249.26 — 0.9×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $13,419.98 — 0.9×
Perq p-art revsc st 1st nml native connj bi (33901) $13,419.98 — 0.9×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $6,904.15 — 0.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $832.60 $2,140.52 0.9×
Perq skel fixj distal radial fx/epiphysl sep (25606) $3,839.54 $8,975.80 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $13,419.98 $30,478.98 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,746.95 $15,240.17 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,453.60 $14,021.22 0.9×
Perq Vertebral Augmentation (22513) $8,453.60 $14,630.88 0.9×
Petrous apicectomy including radical mastoidectomy Facility (69530) $7,000.36 — 0.9×
Pfas 16 pfas compnd lc ms/ms (0394U) $198.74 $596.22 1.0×
Pfas 24 compounds hi-perf lc-ms/ms plsm/srm quan (0589U) — $496.85 —
Pfas 9 pfas compounds lc-ms/ms plasma/serum quan (0457U) $198.74 $324.59 1.0×
Phalangectomy toe each toe (28150) $3,839.54 — 0.9×
Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) $1,752.89 — 0.9×
Phleb Veins - Extrem 20+ (37766) $3,724.63 — 0.9×
Photopheresis extracorporeal (36522) $5,544.24 — 1.0×
Pin Finger Dislocation (26776) $3,839.54 $8,421.47 0.9×
Pin hand dislocation (26676) $3,839.54 — 0.9×
Pin knuckle dislocation (26706) $3,839.54 — 0.9×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $1,146.13 $2,482.57 0.9×
Place Amniotic Membrane Ocular Surface Sutured (65779) $4,462.45 — 0.9×
Place breast rad tube/caths (19298)
unusually low: confirm this is the full procedure		 $7,717.23 — 0.4×
Place Cath Subclavian Art (36225) $3,724.63 $8,524.61 0.9×
Place Cath Thoracic Aorta (36221) $3,724.63 $8,525.56 0.9×
Place Cath Vertebral Art (36226) $6,396.89 $10,771.90 0.9×
Place Duod/Jej Tube Perc (49441) $2,244.82 $4,791.18 0.9×
Place ndl musc/tis for rt (20555) $3,839.54 $10,145.38 0.9×
Place Rt Device/Marker Pros (55876) $1,619.14 $4,378.48 0.9×
Placement needle head/neck radioelement applicat (41019) $7,000.36 — 0.9×
Placement Needle Pelvic Organ Radioelement Appl (55920) $5,841.60 — 0.9×
Placement of needle for intraosseous infusion (36680) $472.21 $1,116.42 0.8×
Placement of seton (46020) $3,245.23 $7,748.51 0.9×
Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) $2,424.12 — 0.9×
Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) $2,424.12 — 0.9×
Plastic Repair Canaliculi (68700) $2,760.73 $6,323.39 0.9×
Plastic Repair Introitus (56800) $3,762.53 — 0.9×
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) $7,000.36 — 0.9×
Plastic Repair Of Urethrocele (57230) $3,762.53 — 0.9×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $7,383.87 $9,565.55 0.9×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,904.15 $14,870.39 0.9×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,904.15 $14,870.39 0.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,904.15 $14,870.39 0.9×
Plmt expandable cath brst following prtl mast (19296) $11,323.63 — 1.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,424.12 $6,228.58 0.9×
Plmt Nephroureteral Catheter (50433) $4,081.37 $9,286.23 0.9×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,081.37 $9,286.23 0.9×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,081.37 $9,286.23 0.9×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,081.37 $9,286.23 0.9×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $7,000.36 — 0.9×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $7,000.36 — 0.9×
Pms2 gene mrna sequence analysis (0161U) $282.88 $848.64 1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $5,841.60 $11,461.07 0.9×
Preparation skin cell ssp agrft 1st 25 sq cm/< (15013) $7,396.59 $21,449.88 0.8×
Prepare face/oral prosthesis (21089) $274.80 — 0.9×
Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm… (0116U) $246.92 — 1.0×
Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry… (0110U) $27.11 — 1.0×
Prim art mech thrombectomy (37184) $21,249.26 $30,482.39 0.9×
Probe lacrimal canaliculi w/wo irrigation (68840) $353.74 $2,329.96 0.9×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,760.73 $6,348.49 0.9×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $2,760.73 $5,953.45 0.9×
Probe nl duct w/balloon (68816) $2,760.73 — 0.9×
Probing nasolacrimal duct (68810) $353.74 $877.38 0.9×
Proctopexy Perineal Approach (45541) $3,245.23 $7,211.64 0.9×
Proctoplasty Stenosis (45500) $3,245.23 — 0.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $1,078.88 $2,573.82–$2,685.72 0.9×
Proctosgmdsc Rigid Control Bleeding (45317) $1,395.28 $3,530.74 0.9×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $3,245.23 $7,211.64 0.9×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $1,395.28 $3,530.74 0.9×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $1,395.28 $3,530.74 0.9×
Proctosgmdsc rigid w/dilation (45303) $1,395.28 $3,530.74 0.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $3,245.23 $7,211.64 0.9×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $3,245.23 $7,211.64 0.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,395.28 $3,530.74 0.9×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $3,245.23 — 0.9×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) $7,044.32 $14,707.72 0.9×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $649.19 $1,612.89 0.9×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) $15,226.08 — 1.0×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) $3,839.54 — 0.9×
Prostate laser enucleation (52649) $6,015.75 — 0.9×
Prostatic microwave thermotx (53850) $4,081.37 $9,286.23 0.9×
Prostatic Rf Thermotx (53852) $4,081.37 $9,286.23 0.9×
Prostatotomy external drg abscess simple (55720) $4,081.37 — 0.9×
Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) $4,081.37 — 0.9×
Prosthesis Removal Humeral/Glenoid Component (23334)
unusually low: confirm this is the full procedure		 $3,386.84 — 0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $832.60 $2,144.74 0.9×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $7,766.27 $19,034.06 1.0×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,053.53 — 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,176.15 $9,565.55 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,176.15 $9,565.55 0.9×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,839.54 — 0.9×
Prq skel fixj femoral fx prox end neck (27235) $8,453.60 $17,322.48 0.9×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $3,839.54 — 0.9×
Prq skel fixj metar fx w/manj (28476) $3,839.54 — 0.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $8,453.60 — 0.9×
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) $8,453.60 — 0.9×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $3,839.54 — 0.9×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $3,839.54 $8,421.47 0.9×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $8,453.60 $18,402.86 0.9×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $3,839.54 — 0.9×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $8,453.60 — 0.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,839.54 — 0.9×
Prtl Exchange Transfuse Nb (36456) $517.34 — 0.9×
Pseudoaneurysm Injection Trt (36002) $731.62 — 0.9×
Psyc anxiety do mrna gen xprsn prfl RNA 15 bmrk (0437U) $760 $1,900 1.0×
Psyc genomic alys pnl vrnt alys 26 gen bucc swab (0423U) — $1,041.95 —
Psychiatry (eg, depression, anxiety, attention deficit hyperactivity disorder [adhd]), genomic analysis panel, variant… (0411U) $1,336.09 — 1.0×
Psychiatry (eg, depression, anxiety, attention deficit hyperactivity disorder [adhd]), genomic analysis panel, variant… (0345U) $1,336.09 — 1.0×
Psychiatry (mood disorders), mRNA, gene expression profiling by RNA sequencing of 144 genes, whole blood, algorithm… (0291U) $1,755 — 1.0×
Psychiatry (stress disorders), mRNA, gene expression profiling by RNA sequencing of 72 genes, whole blood, algorithm… (0292U) $1,755 — 1.0×
Psychiatry (suicidial ideation), mRNA, gene expression profiling by RNA sequencing of 54 genes, whole blood, algorithm… (0293U) $760 — 1.0×
Psychiatry gen alys pnl w/variant alys 14 genes (0173U) $466.17 $1,398.51 1.0×
Psychiatry gen alys pnl w/variant alys 15 genes (0175U) $1,336.09 $4,008.27 1.0×
Pten full gen alys changes delet dupl insj vrnts (0235U) $600 $1,800 1.0×
Pterygomaxillary fossa surgery, any approach Facility (31040) $7,000.36 — 0.9×
Punch biopsy skin single lesion (11104) $472.79 $643.54 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,123.36 0.9×
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $832.60 $2,055.37–$2,144.74 0.9×
Puncture shunt tube/reservoir aspiration/inj px (61070) $819.50 — 0.9×
Push Transfusion Blood 2 Yr/Under (36440) $517.34 $1,364.32 0.9×
Pvb thoracic cont infusion (64463) $819.50 — 0.9×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $819.50 $2,197.60 0.9×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $8,453.60 — 0.9×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $1,893.86 $4,734.65 0.9×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $3,839.54 $9,374.45 0.9×
Rad resect elbow caps/sr bone w rels (24149) $8,453.60 — 0.9×
Rad resect hand tumor 3 cm/> (26118) $3,386.84 — 0.9×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,386.84 — 0.9×
Rad resect tumor soft tissue hand/finger <3cm (26117) $3,386.84 $7,291.10 0.9×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $3,386.84 — 0.9×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $3,386.84 — 0.9×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $3,386.84 — 0.9×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) $7,000.36 — 0.9×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) $7,000.36 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $3,386.84 — 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $3,386.84 — 0.9×
Radical resection of tumor, distal phalanx of finger Facility (26262) $1,893.86 — 0.9×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $3,839.54 — 0.9×
Radical resection of tumor, radial head or neck Facility (24152) $8,453.60 — 0.9×
Radical resection of tumor, radius or ulna (25170) $8,453.60 — 0.9×
Radical resection of tumor, shaft or distal humerus Facility (24150) $8,453.60 — 0.9×
Radical resection of tumor; phalanx of toe Facility (28175) $1,893.86 — 0.9×
Radical resection of tumor; talus or calcaneus Facility (27647) $3,839.54 — 0.9×
Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) $3,839.54 — 0.9×
Radical Resection Tumor Metacarpal (26250) $3,839.54 — 0.9×
Radical Resection Tumor Metatarsal (28173) $3,839.54 — 0.9×
Radical styloidectomy separate procedure (25230) $3,839.54 — 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,310.83 $5,289.41 0.9×
Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen… (0265U) $5,475.80 $16,427.40 1.0×
Rare diseases (constitutional disease/hereditary disorders), rapid whole genome and mitochondrial DNA sequencing for… (0532U) — $12,578 —
Rare diseases (constitutional/heritable disorders), whole genome sequence analysis, including small sequence changes,… (0336U) $2,574.65 — 1.0×
Rare diseases (constitutional/heritable disorders), whole genome sequence analysis, including small sequence changes,… (0335U) $5,224.60 — 1.0×
Rare diseases (constitutional/heritable disorders), whole mitochondrial genome sequence with heteroplasmy detection and… (0417U) $2,842.53 — 1.0×
Rare do id variations opt gen map&whl gen seq (0267U) $6,739.33 $20,217.99 1.0×
Rare ds id vrtj invrj insj tlcj opt genome mapg (0260U) $1,263.53 $3,790.59 1.0×
Rare ds id vrtj invrj insj tlcj opt genome mapg (0264U) $1,263.53 $3,790.59 1.0×
Rare ds id vrtj invrj insj tlcj opt genome mapg (0454U) $1,263.53 $3,158.83 1.0×
Rare ds rpd whl gen cmptr DNA seq vrnts proband (0583U) — $9,477.75 —
Rare ds rpd whl gen DNA seq snvs indels variants (0582U) — $18,955.50 —
Rare ds whl gen&mitochdrl DNA seq alys ea cmprtr (0213U) $2,709.95 $8,129.85 1.0×
Rare ds whl gen&mitochdrl DNA seq alys proband (0212U) $5,475.20 $16,425.60 1.0×
Rare ds whl genom seq alys chrmoml abnr ftl samp (0469U) $1,197.94 $2,994.85 1.0×
Rare ds whl xom&mitochdrl DNA seq alys ea cmprtr (0215U) $2,574.65 $7,723.95 1.0×
Rare ds whl xom&mitochdrl DNA seq alys proband (0214U) $5,224.60 $15,673.80 1.0×
Rbc antigen ftl rhd gene alys ngs crcg cfdna bld (0494U) $759.05 $1,897.63 1.0×
Rbc DNA gnotyp 16 bld grp phnt predict 51 rbc ag (0246U) $720 $2,160 1.0×
Rbc DNA gntyp 12 bld grp gen (0282U) $720 $2,160 1.0×
Rcnstj angular dfrm toe soft tiss px only (28313) $3,839.54 — 0.9×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $3,839.54 — 0.9×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $3,839.54 — 0.9×
Rcnstj Dislocating Patella (27420) $8,453.60 — 0.9×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $2,760.73 — 0.9×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $2,760.73 $5,953.45 0.9×
Rcnstj Eyelid Full Thickness Second Stage (67975) $2,760.73 $6,349.88 0.9×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $7,000.36 $15,646.71 0.9×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $7,000.36 — 0.9×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $8,453.60 — 0.9×
Rdctj torsion tstis w/wo fixj clat testis (54600) $4,081.37 $9,286.23 0.9×
Re-explore parathyroids (60502) $7,000.36 — 0.9×
Realignment extensor tendon hand each tendon (26437) $3,839.54 $8,928.05 0.9×
Realignment of hand (25335) $3,839.54 — 0.9×
Reconst lwr jaw w/fixation (21196) $7,000.36 — 0.9×
Reconst lwr jaw w/o fixation (21195) $7,000.36 — 0.9×
Reconstr lwr jaw segment (21198) $7,000.36 — 0.9×
Reconstruct cleft palate (42220) $7,000.36 — 0.9×
Reconstruct cleft palate (42210) $7,000.36 — 0.9×
Reconstruct elbow joint (24360) $8,453.60 — 0.9×
Reconstruct elbow lat ligmnt (24344) $8,453.60 $19,273.46 0.9×
Reconstruct elbow med ligmnt (24346) $15,226.08 — 1.0×
Reconstruct extra finger (26587) $3,839.54 $8,421.47 0.9×
Reconstruct finger joint (26545) $3,839.54 — 0.9×
Reconstruct Finger Joint (26548) $3,839.54 — 0.9×
Reconstruct lip with flap (40525) $3,837.72 — 0.9×
Reconstruct lip with flap (40527) $7,000.36 — 0.9×
Reconstruct midface lefort (21143) $7,000.36 — 0.9×
Reconstruct ulna/radioulnar (25337) $8,453.60 $10,774.45 0.9×
Reconstruct upper jaw bone (21206) $7,000.36 — 0.9×
Reconstruct wrist joint (25445) $8,453.60 — 0.9×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $7,000.36 — 0.9×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $7,000.36 $4,455.51 0.9×
Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) $7,000.36 — 0.9×
Reconstruction Nail Bed W/Graft (11762) $2,164.64 $5,180.73 0.8×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $8,453.60 — 0.9×
Reconstruction of dislocating patella; with patellectomy Facility (27424) $8,453.60 — 0.9×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $7,000.36 — 0.9×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) $4,462.45 — 0.9×
Reconstruction of jaw (21249) $7,000.36 $15,646.71 0.9×
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) $7,000.36 $16,816.32 0.9×
Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) $7,000.36 — 0.9×
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) $7,000.36 — 0.9×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) $7,000.36 — 0.9×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $7,000.36 — 0.9×
Reconstruction of mouth (40844) $7,000.36 $14,922.16 0.9×
Reconstruction of mouth (40842) $7,000.36 $14,922.16 0.9×
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) $7,000.36 — 0.9×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $3,839.54 $8,421.47 0.9×
Reconstruction of throat (42950) $7,000.36 — 0.9×
Reconstruction of urethra (54326) $4,081.37 — 0.9×
Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) $7,000.36 — 0.9×
Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) $7,000.36 — 0.9×
Reconstruction Toe Polydactyly (28344) $3,839.54 — 0.9×
Reconstruction Tongue Fold (41520) $3,837.72 — 0.9×
Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) $7,000.36 — 0.9×
Reconstruction, cleft foot Facility (28360) $8,453.60 — 0.9×
Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) $3,839.54 — 0.9×
Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without… (21742) $3,839.54 — 0.9×
Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole… (0536U) — $480 —
Redo Endovas Vena Cava Filtr (37192) $3,724.63 $8,525.56 0.9×
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) $7,000.36 $16,438.58 0.9×
Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) $7,000.36 $16,438.58 0.9×
Reduction forehead; contouring only Facility (21137) $3,837.72 $8,842.26 0.9×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) $1,752.89 — 0.9×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) $3,837.72 — 0.9×
Reduction of rectal prolapse (45900) $1,078.88 $2,238.10 0.9×
Reduction Overcorrection Ptosis (67909) $2,760.73 — 0.9×
Reinforce clavicle (23490) $8,453.60 — 0.9×
Reinforce humerus (24498) $15,226.08 — 1.0×
Reinforce radius (25490) $8,453.60 — 0.9×
Reinforce tibia (27745) $8,453.60 — 0.9×
Reinforce ulna (25491) $15,226.08 — 1.0×
Reinnervate larynx (31590) $7,000.36 — 0.9×
Reinsert ocular implant (65150) $4,462.45 — 0.9×
Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) $4,462.45 — 0.9×
Release encircling material (67115) $4,760.49 — 0.9×
Release eye tissue (67343) $2,760.73 — 0.9×
Release facial nerve (69955) $7,000.36 — 0.9×
Release facial nerve (69720) $7,000.36 — 0.9×
Release foot/toe nerve (64726) $2,310.83 — 0.9×
Release Intrinsic Muscles Hand Each Muscle (26593) $3,839.54 — 0.9×
Release of big toe (28240) $3,839.54 — 0.9×
Release of shoulder ligament (23415) $8,453.60 — 0.9×
Release or recession, hamstring, proximal Facility (27097) $3,839.54 — 0.9×
Release Thenar Muscle (26508) $3,839.54 $8,707.44 0.9×
Relieve Pressure on Nerve(S) (64722) $2,310.83 $5,289.41 0.9×
Relocation Pocket Pacemaker (33222) $2,164.64 — 0.8×
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $3,724.63 $9,371.24–$9,743.50 0.9×
Removal Anal Seton Other Marker (46030) $1,395.28 — 0.9×
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) $23,819.33 — 0.9×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $23,819.33 — 0.9×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) $23,819.33 — 0.9×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) $15,374.71 — 0.6×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,109.47 $2,417.81 1.0×
Removal Embedded Foreign Body Eyelid (67938) $353.74 $2,219.01 0.9×
Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) $3,839.54 $9,153.35 0.9×
Removal entire oi implt skl perq attachment esp (69726) $3,839.54 $9,153.35 0.9×
Removal Foreign Body Deep Thigh/Knee (27372) $3,386.84 $7,133.84 0.9×
Removal Foreign Body Foot Complicated (28193) $1,917.33 $5,653.31 0.9×
Removal foreign body foot deep (28192) $1,917.33 $4,222.66 0.9×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $832.60 $2,499.32–$2,900.36 0.9×
Removal foreign body jawbone (41806) $1,752.89 — 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,917.33 $4,160.57 0.9×
Removal Foreign Body Pelvis/Hip Deep (27087) $3,839.54 $8,421.47 0.9×
Removal Foreign Body Scrotum (55120) $2,424.12 $5,450 0.9×
Removal foreign body upper arm/elbow deep (24201) $3,386.84 $7,133.84 0.9×
Removal foreign body, intranasal; requiring general anesthesia (30310) $3,837.72 $8,057.96 0.9×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $7,578.32 $18,431.36 1.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $70.29 $471.14 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $70.29 $407.63 1.0×
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,762.53 $7,557.55 0.9×
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $3,386.84 $4,566.82–$8,152.96 0.9×
Removal Implant Superficial Separate Procedure (20670) $1,917.33 $4,203.33 0.9×
Removal implantable contraceptive capsules (11976) $832.60 $1,876.64 0.9×
Removal intact breast implant (19328) $4,531.42 — 0.9×
Removal of a lesion from the floor of the mouth (41116) $3,837.72 — 0.9×
Removal of adenoids (42835) $3,837.72 — 0.9×
Removal of adenoids (42831) $3,837.72 — 0.9×
Removal of adenoids (42830) $3,837.72 — 0.9×
Removal of adenoids (42836) $3,837.72 — 0.9×
Removal of anal fissure (46200) $3,245.23 — 0.9×
Removal of ankle implant (27704) $3,839.54 $8,421.47 0.9×
Removal of anterior instrumentation (22855) — $9,535.29 —
Removal of bladder cyst (51500) $6,904.15 — 0.9×
Removal of bone lesion (23140) $3,839.54 — 0.9×
Removal of brow wrinkles (15826) $4,332.25 $12,446.43 1.0×
Removal of calcium deposits (23000) $3,386.84 — 0.9×
Removal of cervix (57530) $5,841.60 $13,140.94 0.9×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $7,578.32 $16,947.89 1.8×
Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) $2,310.83 — 0.9×
Removal of epiglottis (31420) $7,000.36 — 0.9×
Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) $2,698.92 — 0.9×
Removal of esophageal sphincter augmentation device (43285) $6,904.15 — 0.9×
Removal of eye (65110) $4,462.45 — 0.9×
Removal of foot joint lining (28072) $3,839.54 — 0.9×
Removal of foreign body from pharynx (42809) $472.21 $1,067.58 0.8×
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) $2,698.92 — 0.9×
Removal of heel spur (28119) $3,839.54 — 0.9×
Removal of humerus lesion (23150) $3,839.54 — 0.9×
Removal of humerus lesion (23156) $8,453.60 — 0.9×
Removal of implant from finger or hand (26320) $1,917.33 $4,021.58 0.9×
Removal of implanted material, anterior segment of eye (65920) $2,698.92 $6,468.99 0.9×
Removal of infusion pump (36262) $4,306.60 — 0.9×
Removal of intranasal lesion (30118) $3,837.72 — 0.9×
Removal of iris (66635) $2,698.92 — 0.9×
Removal of iris (66630) $2,698.92 — 0.9×
Removal of ischial bursa (27060) $8,453.60 — 0.9×
Removal of jaw joint (21050) $7,000.36 — 0.9×
Removal of kidney stone (50081)
range across 2 matching MRF lines		 $10,942.71 $23,638.23–$24,820.14 0.9×
Removal of lens material (66852) $4,760.49 — 0.9×
Removal of mammary implant material (19330) $4,531.42 $8,657.39 0.9×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,088.16 0.9×
Removal of nose (30160) $7,000.36 — 0.9×
Removal of nose lesion (30124) $1,752.89 — 0.9×
Removal of ocular implant (65175) $4,462.45 — 0.9×
Removal of residual cervix (57550) $5,841.60 — 0.9×
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) $2,698.92 — 0.9×
Removal of sesamoid bone (28315) $3,839.54 — 0.9×
Removal of skin wrinkles (15829) $4,332.25 — 1.0×
Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Facility (61892) $3,839.54 — 0.9×
Removal of sperm cord lesion (55520) $4,081.37 — 0.9×
Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) $3,839.54 — 0.9×
Removal of tendon for graft (20924) $8,453.60 — 0.9×
Removal of testis (54520) $4,081.37 $9,286.23 0.9×
Removal of Thiersch wire or suture, anal canal Facility (46754) $3,245.23 — 0.9×
Removal of thymus gland (60520) $7,000.36 — 0.9×
Removal of thyroid (60271) $7,000.36 — 0.9×
Removal of tonsils (42825) $7,000.36 — 0.9×
Removal of tonsils (42826) $3,837.72 — 0.9×
Removal of tumor, temporal bone Facility (69970) $7,000.36 — 0.9×
Removal of tunneled intraperitoneal catheter (49422) $3,724.63 $8,141.21 0.9×
Removal of urethra (53210) $4,081.37 — 0.9×
Removal of vein clot (34490) $3,724.63 — 0.9×
Removal of wrist bone (25210) $3,839.54 — 0.9×
Removal of wrist prosthesis; (separate procedure) Facility (25250) $1,893.86 — 0.9×
Removal of wrist prosthesis; complicated, including total wrist Facility (25251) $3,839.54 — 0.9×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $314.28 $774.35–$808.02 0.9×
Removal or destruction of bladder canal (urethra) malignancy (53220) $4,081.37 — 0.9×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) $6,015.75 — 0.9×
Removal Pacemaker Electrode (33235) $4,306.60 — 0.9×
Removal parotid stone (42340) $3,837.72 — 0.9×
Removal peritoneal-venous shunt (49429) $3,724.63 — 0.9×
Removal phrenic nerve stimulator system (33278) $4,069.59 — 0.9×
Removal ppm generator only (33233) $9,793.46 $17,911.88 0.9×
Removal shoulder foreign body deep subfascial/im (23333) $3,386.84 $7,133.84 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $235.13 $1,181.33 0.9×
Removal subcutaneous cardiac rhythm monitor (33286) $832.60 $5,928.54 0.9×
Removal Submand Stone,Complicated (42335) $3,837.72 — 0.9×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,164.64 $6,031 0.8×
Removal sweat gland lesion (11450) $3,386.84 — 0.9×
Removal tong/halo applied by another individual (20665) $472.21 — 0.8×
Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69728) $3,839.54 — 0.9×
Removal, under anesthesia, of external fixation system (20694) $1,893.86 $4,856.37 0.9×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $314.28 $774.35–$808.02 0.9×
Remove & graft wrist lesion (25136) $8,453.60 — 0.9×
Remove & graft wrist lesion (25135) $8,453.60 — 0.9×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $2,424.12 $5,450 0.9×
Remove Ankle Joint Lining (27626) $3,839.54 — 0.9×
Remove armpit lymph nodes (38740) $6,904.15 — 0.9×
Remove blood clot from eye (65930) $2,698.92 — 0.9×
Remove brain canal fluid (61050) $349.32 — 0.9×
Remove Brain Cavity Fluid (61020) $1,053.53 $2,379.23 1.0×
Remove cerclage suture (59871) $3,762.53 $7,646.56 0.9×
Remove coronoid process (21070) $7,000.36 $14,922.16 0.9×
Remove cranial cavity fluid (61000) $819.50 — 0.9×
Remove drug implant device (11982) $472.21 $1,118.31 0.8×
Remove ear lesion (69552) $7,000.36 — 0.9×
Remove ear lesion (69550) $7,000.36 — 0.9×
Remove elbow joint implant (24160) $3,839.54 — 0.9×
Remove Elbow Joint Lining (24102) $3,839.54 — 0.9×
Remove elbow lesion (24120) $3,839.54 — 0.9×
Remove Elctrd Transvenously (33244) $4,306.60 — 0.9×
Remove eye lesion (66130) $2,760.73 — 0.9×
Remove eye/attach implant (65105) $4,462.45 $9,620.08 0.9×
Remove femur lesion/graft (27356) $15,226.08 — 1.0×
Remove finger bone (26185) $1,893.86 — 0.9×
Remove Forearm Foreign Body (25248) $1,893.86 $4,169.71 0.9×
Remove foreign body from eye (65265) $2,698.92 — 0.9×
Remove foreign body from eye (65235) $2,698.92 $5,923.85 0.9×
Remove foreign body from eye (65205) $152.54 $321.17 0.9×
Remove Gastric Port Open (43887) $2,164.64 — 0.8×
Remove groin lymph nodes (38760) $7,717.23 — 0.9×
Remove Hand Bone Lesion (26200) $1,893.86 — 0.9×
Remove hip pressure sore (15941) $3,386.84 — 0.9×
Remove hip pressure sore (15940) $3,386.84 — 0.9×
Remove humerus lesion (23174) $8,453.60 — 0.9×
Remove humerus lesion (24110) $3,839.54 — 0.9×
Remove inner ear (69905) $7,000.36 — 0.9×
Remove Int Dwell Ureteral Stent Transurethral (50386) $2,424.12 $5,450 0.9×
Remove Intrauterine Device (58301) $359.97 $832.43 0.9×
Remove intrvas foreign body (37197) $3,724.63 $8,525.56 0.9×
Remove iris and lesion (66600) $4,760.49 — 0.9×
Remove knee joint lining (27334) $3,839.54 — 0.9×
Remove lamina/facets lumbar (63012) $8,453.60 — 0.9×
Remove Lower Leg Bone Lesion (27635) $3,839.54 — 0.9×
Remove lung catheter (32552) $731.62 $2,216.80 0.9×
Remove mastoid structures (69505) $7,000.36 — 0.9×
Remove middle ear nerve (69676) $3,837.72 — 0.9×
Remove muti-comp penis pros (54406) $4,081.37 — 0.9×
Remove Nasal Foreign Body (30300) $152.54 $340.03 0.9×
Remove palate/lesion (42120) $7,000.36 — 0.9×
Remove part lumbar vertebra (22102) $8,453.60 — 0.9×
Remove part thorax vertebra (22101) $8,453.60 — 0.9×
Remove Peritoneal Foreign Body (49402) $4,176.15 — 0.9×
Remove prostate regrowth (52630) $6,015.75 — 0.9×
Remove Pulse Generator (33241) $4,306.60 — 0.9×
Remove radius head implant (24164) $3,839.54 — 0.9×
Remove renal tube w/fluoro (50389) $789.86 $1,712.11 0.9×
Remove sacrum pressure sore (15937) $2,164.64 — 0.8×
Remove self-contd penis pros (54415) $4,081.37 — 0.9×
Remove Shoulder Foreign Body (23330) $1,917.33 $1,876.64 0.9×
Remove shoulder joint lining (23105) $8,453.60 — 0.9×
Remove Skin Nerve Lesion (64774) $2,310.83 — 0.9×
Remove spine eltrd plate (63662) $4,069.59 $9,686.04 0.9×
Remove spine lamina 1/2 lmbr (63005) $8,453.60 $18,402.86 0.9×
Remove spine lamina 1/2 thrc (63003) $8,453.60 — 0.9×
Remove spine lamina >2 thrc (63016) $8,453.60 — 0.9×
Remove sympathetic nerves (64821) $3,839.54 — 0.9×
Remove Tendon Sheath Lesion (26160) $1,893.86 $4,765.38 0.9×
Remove thigh pressure sore (15951) $3,386.84 — 0.9×
Remove thigh pressure sore (15956) $2,164.64 — 0.8×
Remove thyroid lesion (60200) $6,904.15 $14,870.39 0.9×
Remove tissue expander (11971) $3,386.84 $7,133.84 0.9×
Remove ureter stent percut (50384) $2,424.12 $5,450 0.9×
Remove vc lesion scope/graft (31546) $8,191.77 — 0.9×
Remove vc lesion w/scope (31545) $4,362.99 $9,035.09 0.9×
Remove wrist joint cartilage (25107) $3,839.54 — 0.9×
Remove&replace pm gen singl (33227) $9,793.46 — 0.9×
Remove/graft bone lesion (24125) $3,839.54 — 0.9×
Remove/graft finger lesion (26215) $3,839.54 — 0.9×
Remove/graft foot lesion (28102) $8,453.60 — 0.9×
Remove/graft foot lesion (28107) $8,453.60 — 0.9×
Remove/graft forearm lesion (25126) $3,839.54 — 0.9×
Remove/graft forearm lesion (25125) $1,893.86 — 0.9×
Remove/graft leg bone lesion (27637) $8,453.60 — 0.9×
Remove/Insert Drug Implant (11983) $472.21 $1,118.54 0.8×
Remove/replace penis prosth (54410) $23,819.33 $54,064.45 0.9×
Remv cartilage for graft nasal (20912) $4,332.25 — 1.0×
Remv&replc cvd gen dual lead (33263) $26,561.92 — 1.0×
Remv&replc cvd gen mult lead (33264) $37,940.39 — 1.0×
Remv&replc cvd gen sing lead (33262) $26,561.92 $56,623.70 1.0×
Remv&replc pm gen dual lead (33228) $12,384.25 $25,209.42 0.9×
Remv&replc pm gen mult leads (33229) $22,568.05 — 0.9×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $6,015.75 — 0.9×
Renal Biopsy Perq (50200) $1,917.33 $4,825.38 0.9×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) $10,942.71 — 0.9×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) $10,942.71 — 0.9×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) $6,015.75 — 0.9×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) $789.86 — 0.9×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) $10,942.71 — 0.9×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) $4,081.37 — 0.9×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $6,015.75 — 0.9×
Renal scope w/tumor resect (50562) $10,942.71 — 0.9×
Reopen fallopian tube (58350) $5,841.60 $13,140.94 0.9×
Repair Achilles Tendon (27650) $8,453.60 — 0.9×
Repair Anorectal Fistula Plug (46707) $3,245.23 — 0.9×
Repair arm/leg nerve (64857) $7,578.32 $16,947.89 1.8×
Repair bladder neck (51845) $5,841.60 $13,140.94 0.9×
Repair Bladder-Vagina Lesion (57320) $5,841.60 — 0.9×
Repair Blood Vessel Direct Hand Finger (35207) $3,724.63 $8,932.30 0.9×
Repair blood vessel direct neck (35201) $6,396.89 $14,139.70 0.9×
Repair Blood Vessel Direct Upper Extremity (35206) $3,724.63 $8,525.56 0.9×
Repair blood vessel lesion (35190) $6,396.89 $14,922.16 0.9×
Repair blood vessel lesion (35236) $6,396.89 — 0.9×
Repair blood vessel lesion (35266) $6,396.89 — 0.9×
Repair blood vessel with graft other than vein; neck Facility (35261) $3,724.63 — 0.9×
Repair blood vessel with vein graft; lower extremity Facility (35256) $6,396.89 — 0.9×
Repair blood vessel with vein graft; neck Facility (35231) $3,724.63 — 0.9×
Repair brow ptosis (67900) $2,760.73 $5,953.45 0.9×
Repair Choanal Atresia Intranasal (30540) $7,000.36 — 0.9×
Repair choanal atresia; transpalatine Facility (30545) $7,000.36 — 0.9×
Repair cleft hand deformity (26580) $3,839.54 — 0.9×
Repair cleft lip/nasal (40720) $3,837.72 — 0.9×
Repair cleft lip/nasal (40702) $7,000.36 — 0.9×
Repair cleft lip/nasal (40761) $7,000.36 — 0.9×
Repair cleft lip/nasal (40700) $7,000.36 $14,922.16 0.9×
Repair clitoris (56805) $3,762.53 — 0.9×
Repair Collat Ankle Ligmnt,Secondary (27698) $8,453.60 $7,484.40 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $724.37 $1,568.08 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $724.37 $3,396.17 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $472.79 $1,064.47 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,747.48 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,747.48 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,747.48 1.4×
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,709.63 0.8×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,747.48 0.8×
Repair defect w/autograft radius/ulna (25425) $8,453.60 — 0.9×
Repair Detached Retina (67101) $2,698.92 $6,800.77 0.9×
Repair detached retina (67105)
range across 2 matching MRF lines		 $649.19 $1,634.77–$3,634.45 0.9×
Repair Ectropion Excision Tarsal Wedge (67916) $2,760.73 — 0.9×
Repair Ectropion Extensive (67917) $2,760.73 $5,953.45 0.9×
Repair Ectropion Suture (67914) $2,760.73 $5,953.45 0.9×
Repair Ectropion Thermocauterization (67915) $2,760.73 — 0.9×
Repair Elbow Perc (24357) $3,839.54 — 0.9×
Repair Entropion Excision Tarsal Wedge (67923) $2,760.73 — 0.9×
Repair Entropion Extensive (67924) $2,760.73 $5,953.45 0.9×
Repair Entropion Suture (67921) $2,760.73 $5,953.45 0.9×
Repair Extensor Tendon Finger W/Graft Each (26420) $3,839.54 — 0.9×
Repair extensor tendon finger w/o graft each (26418) $1,893.86 $4,040.74 0.9×
Repair Extensor Tendon Hand W/Graft Each (26412) $3,839.54 $10,145.38 0.9×
Repair Eyelid Wound (67935) $2,760.73 $5,953.45 0.9×
Repair facial nerve (69740) $7,000.36 — 0.9×
Repair finger deformity (26590) $1,893.86 — 0.9×
Repair Finger Tendon (26433) $3,839.54 $8,707.44 0.9×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $3,839.54 $8,148.50–$8,684.86 0.9×
Repair Fistula Oromaxillary (30580) $7,000.36 $14,922.16 0.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,839.54 — 0.9×
Repair Foot Dislocation (28615) $8,453.60 — 0.9×
Repair Forearm Tendon Sheath (25275) $3,839.54 $10,145.38 0.9×
Repair forearm tendon/muscle (25265) $3,839.54 — 0.9×
Repair gum (41872) $3,837.72 $8,418.22 0.9×
Repair Hallux Rigidus (28289) $3,839.54 $9,624.54 0.9×
Repair Hand Joint (26540) $3,839.54 $8,421.47 0.9×
Repair Hand Tendon (26410) $1,893.86 $4,169.71 0.9×
Repair humerus with graft (24435) $15,226.08 $36,611.30 1.0×
Repair incomplete circumcision (54163) $2,424.12 $5,685.96 0.9×
Repair inguinal hernia, sliding, any age (49525) $4,176.15 — 0.9×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $4,176.15 — 0.9×
Repair initial femoral hernia, any age; reducible (49550) $4,176.15 — 0.9×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,176.15 — 0.9×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $4,176.15 — 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,123.36 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $472.79 $1,028.14 0.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $472.79 $1,044.75 0.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $472.79 $960.12 0.9×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $472.79 $1,123.36 0.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $724.37 $1,984.48 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $472.79 $974.80 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,123.36 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $724.37 $1,674.66–$1,747.48 0.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,164.64 $6,326.62 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $472.79 $2,042.65 0.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,107.64 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $472.79 $1,076.55–$1,123.36 0.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $724.37 $1,524.34 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $472.79 $2,059.08 0.9×
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $2,164.64 $5,467.65–$5,687.01 0.8×
Repair intrinsic muscles hand each muscle (26591) $3,839.54 — 0.9×
Repair iris ciliary body (66680)
range across 2 matching MRF lines		 $2,698.92 $6,800.77–$8,378.36 0.9×
Repair Laceration Palate </2 Cm (42180) $602.63 $3,735.06 0.9×
Repair Laceration Palate >2 Cm/Complex (42182) $7,000.36 $14,922.16 0.9×
Repair lead pace-defib dual (33220) $4,306.60 — 0.9×
Repair Lead Pace-Defib One (33218) $4,306.60 — 0.9×
Repair Leg Fascia Defect (27656) $3,839.54 — 0.9×
Repair lower leg epiphyses (27734) $3,839.54 — 0.9×
Repair lower leg tendons (27676) $8,453.60 — 0.9×
Repair lumbar hernia (49540) $6,904.15 — 0.9×
Repair mouth/nose fistula (30600) $7,000.36 $14,922.16 0.9×
Repair nasal septal perforations (30630) $3,837.72 — 0.9×
Repair Nasal Vestibular Stenosis (30465) $7,000.36 — 0.9×
Repair Non/Malunion Humerus W/O Graft (24430) $15,226.08 — 1.0×
Repair Nonunion Carpal Bone Each Bone (25431) $8,453.60 — 0.9×
Repair Nonunion Hand (26546) $8,453.60 $21,134 0.9×
Repair Nonunion/Malunion Tarsal Bones (28320) $15,226.08 — 1.0×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $8,453.60 — 0.9×
Repair nose to lip fistula (42260) $7,000.36 — 0.9×
Repair of anal fistula with fibrin glue (46706) $3,245.23 $7,211.64 0.9×
Repair of anal sphincter (46760) $3,245.23 — 0.9×
Repair of arm tendon (24320) $8,453.60 — 0.9×
Repair of biceps tendon (24340) $8,453.60 $18,402.86 0.9×
Repair of defect with autograft; radius AND ulna Facility (25426) $3,839.54 — 0.9×
Repair of enterocele, vaginal approach (separate procedure) (57268) $5,841.60 — 0.9×
Repair of entropion; thermocauterization (67922) $2,760.73 — 0.9×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $3,839.54 — 0.9×
Repair of fibula epiphysis (27732) $3,839.54 — 0.9×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $8,453.60 — 0.9×
Repair of hammertoe (28286) $3,839.54 — 0.9×
Repair of hydrocele (55060) $4,081.37 — 0.9×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) $4,081.37 — 0.9×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) $6,015.75 — 0.9×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) $10,942.71 — 0.9×
Repair of knee ligaments (27409) $8,453.60 — 0.9×
Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) $2,760.73 — 0.9×
Repair of leg nerve (64840) $7,578.32 — 0.7×
Repair of metatarsals (28322) $8,453.60 $17,526.53 0.9×
Repair of nail bed (11760) $724.37 $1,515.50 0.8×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $8,453.60 — 0.9×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $8,453.60 $18,789.84 0.9×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $8,453.60 $18,402.86 0.9×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $8,453.60 — 0.9×
Repair of rectocele (45560) $3,245.23 — 0.9×
Repair of rectum (45505) $3,245.23 — 0.9×
Repair of Ruptured Tendon (24342) $8,453.60 — 0.9×
Repair of scleral staphyloma with graft Facility (66225) $6,105.79 — 0.9×
Repair of shoulder (23420) $8,453.60 — 0.9×
Repair of traumatic corporeal tear(s) (54437) $4,081.37 — 0.9×
Repair of urethra injury (53502) $4,081.37 — 0.9×
Repair of web finger (26562) $3,839.54 — 0.9×
Repair of web finger (26560) $1,893.86 — 0.9×
Repair of web finger (26561) $3,839.54 — 0.9×
Repair of windpipe (31755) $7,000.36 — 0.9×
Repair of windpipe (31750) $7,000.36 — 0.9×
Repair of windpipe defect (31825) $3,837.72 — 0.9×
Repair oval window fistula (69666) $3,837.72 — 0.9×
Repair palate (42235) $7,000.36 — 0.9×
Repair paravag defect lap (57423) $12,320.22 — 0.9×
Repair paravag defect vag (57285) $8,750.72 — 0.9×
Repair penis post injury (54440) $4,081.37 — 0.9×
Repair radius & ulna (25415) $8,453.60 $20,831.57 0.9×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $4,176.15 — 0.9×
Repair recurrent femoral hernia; reducible Facility (49555) $4,176.15 — 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $7,383.87 — 0.9×
Repair retinal detach cplx (67113) $6,105.79 $11,746.70 0.9×
Repair Retinal Detachment Scleral Buckling (67107) $4,760.49 $11,746.70 0.9×
Repair Rotator Cuff Chronic (23412) $8,453.60 $18,402.86 0.9×
Repair round window fistula (69667) $3,837.72 — 0.9×
Repair secondary achilles tendon w/wo graft (27654) $8,453.60 — 0.9×
Repair shoulder capsule (23462) $8,453.60 — 0.9×
Repair shoulder capsule (23466) $8,453.60 — 0.9×
Repair Spica/Body/Jacket Cast (29720) $186.72 $938.04 0.9×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,839.54 $8,707.44 0.9×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $8,453.60 $17,526.53 0.9×
Repair Toe Dislocation (28645) $3,839.54 — 0.9×
Repair tongue laceration (41252) $274.80 $635.06 0.9×
Repair tongue laceration (41250) $472.21 $332.19 0.8×
Repair Tooth Socket (41874) $3,837.72 $8,057.96 0.9×
Repair umbilical lesion (49600) $4,176.15 — 0.9×
Repair uro sphincter (53449) $10,942.71 — 0.9×
Repair webbed toe(s) (28345) $1,893.86 — 0.9×
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $6,396.89 — 0.9×
Repair, congenital arteriovenous fistula; extremities Facility (35184) $3,724.63 — 0.9×
Repair, congenital arteriovenous fistula; head and neck Facility (35180) $1,838.28 — 0.9×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $8,453.60 — 0.9×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) $4,176.15 $10,510.13 0.9×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) $6,904.15 — 0.9×
Repair, primary, disrupted ligament, ankle; collateral (27695) $8,453.60 $7,026.48 0.9×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $8,453.60 $17,526.53 0.9×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $3,839.54 $10,145.38 0.9×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $3,839.54 — 0.9×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $8,453.60 — 0.9×
Repair/graft achilles tendon (27652) $8,453.60 — 0.9×
Repair/graft finger tendon (26428) $3,839.54 — 0.9×
Repair/Graft Wrist Bone (25440) $8,453.60 — 0.9×
Repair/Revise Wrist Joint (25320) $8,453.60 $18,402.86 0.9×
Repair/transpose nerve (64856) $7,578.32 — 0.7×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,109.47 $2,648.08–$2,763.22 1.0×
Replace elbow joint (24363) $21,762.05 — 1.0×
Replace eye fluid (67025) $2,698.92 $6,220.04 0.9×
Replace G-J Tube Perc (49452) $1,109.47 $2,668.02 1.0×
Replace g/c tube perc (49450) $1,109.47 $2,763.22 1.0×
Replace/Revise Brain Shunt (62230) $7,578.32 — 0.7×
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69730) $15,226.08 — 1.0×
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719) $15,226.08 $39,854.64 1.0×
Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) $2,310.83 — 0.9×
Replacement Tissue Expander W/Permanent Implant (11970) $8,453.60 $14,021.22 0.9×
Replantation digit complete (20822) $1,893.86 $4,758.45 0.9×
Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) — $8,086.61 —
Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827)
range across 2 matching MRF lines		 — $5,629.40–$6,213.30 —
Repos Previously Implanted Subq Implantable Dfb (33273) $4,306.60 — 0.9×
Reposition Gastrostomy Tube (43761) $287.81 $1,547.57 0.9×
Reposition L Ventric Lead (33226) $3,724.63 — 0.9×
Reposition Pacing-Defib Lead (33215) $3,724.63 — 0.9×
Reposition Venous Catheter (36597)
range across 2 matching MRF lines		 $1,838.28 $2,164.08–$5,017.46 0.9×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $2,698.92 $6,220.04 0.9×
Repositioning phrenic nrv stimulator transvns ld (33281) $4,069.59 — 0.9×
Repr elbow lat ligmnt w/tiss (24343) $3,839.54 $7,621.43 0.9×
Repr Elbw Med Ligmnt W/Tiss (24345) $8,453.60 — 0.9×
Repr torn cruciate knee ligam (27407) $8,453.60 — 0.9×
Reprdtve med alys 24 chrmsm embry& mitochdrl DNA (0254U) $759.05 $2,277.15 1.0×
Reprdtve med RNA 238 gen nxt gen seq endmt tiss (0253U) $3,159.42 $9,478.26 1.0×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $4,176.15 $9,110.05–$10,932.06 0.9×
Resect back tum < 5 cm (21935) $3,386.84 — 0.9×
Resect enlarged toe (28341) $3,839.54 — 0.9×
Resect enlarged toe tissue (28340) $3,839.54 — 0.9×
Resect forarm/wrist tum 3cm> (25078) $3,386.84 — 0.9×
Resect hip/pelv tum 5 cm/> (27059) $3,386.84 — 0.9×
Resect hip/pelv tum < 5 cm (27049) $3,386.84 — 0.9×
Resect leg/ankle tum < 5 cm (27615) $3,386.84 — 0.9×
Resect Shoulder Tumor 5 Cm/> (23078) $3,386.84 — 0.9×
Resect shoulder tumor < 5 cm (23077) $3,386.84 — 0.9×
Resect thigh/knee tum < 5 cm (27329) $3,386.84 — 0.9×
Resection of elbow joint (arthrectomy) Facility (24155) $3,839.54 — 0.9×
Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) $7,000.36 — 0.9×
Resection of scrotum (55150) $4,081.37 — 0.9×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,839.54 — 0.9×
Resection, humeral head Facility (23195) $8,453.60 — 0.9×
Resection, partial or complete, phalangeal base, each toe (28126) $3,839.54 — 0.9×
Resection/transplantation long tendon biceps (23440) $8,453.60 — 0.9×
Respir iadna 18 viral&2 bact (0115U) $275.35 — 1.0×
Retrobulbar inject,alcohol (67505) $353.74 $832.13 0.9×
Retrobulbar injection (67500) $353.74 $951 0.9×
Rev/rmv prph sac/gstr npg/r (64595) $4,069.59 — 0.9×
Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) $15,226.08 — 1.0×
Revis reconst shoulder joint (23473) $15,226.08 — 1.0×
Revise Abdomen-Venous Shunt (49426) $4,176.15 — 0.9×
Revise cornea with implant (65770) $16,909.40 — 0.9×
Revise external ear (69300) $3,837.72 $8,057.96 0.9×
Revise eye (65091) $4,462.45 — 0.9×
Revise eye with implant (65093) $4,462.45 — 0.9×
Revise eyelashes (67835) $2,760.73 — 0.9×
Revise eyelashes (67825) $353.74 $2,329.96 0.9×
Revise eyelid lining (68360) $4,462.45 — 0.9×
Revise finger joint each (26140) $1,893.86 — 0.9×
Revise graft w/vein (35884) $6,396.89 — 0.9×
Revise Hand/Foot Nerve (64704) $2,310.83 — 0.9×
Revise hernia & sperm veins (55540) $4,176.15 — 0.9×
Revise knuckle joint (26530) $8,453.60 — 0.9×
Revise lower leg tendon (27690) $8,453.60 — 0.9×
Revise Lower Leg Tendons (27686) $3,839.54 — 0.9×
Revise palsy hand tendon(s) (25315) $8,453.60 — 0.9×
Revise penis/urethra (54328) $4,081.37 $10,078.67 0.9×
Revise penis/urethra (54332) $4,081.37 — 0.9×
Revise penis/urethra (54336) $4,081.37 — 0.9×
Revise radius & ulna (25365) $15,226.08 — 1.0×
Revise reconst elbow joint (24371) $21,762.05 — 1.0×
Revise Spine Eltrd Plate (63664) $14,756.87 $59,311.12 1.1×
Revise thumb tendon (26496) $3,839.54 $8,707.44 0.9×
Revise ulnar nerve at wrist (64719) $2,310.83 — 0.9×
Revise ureter (50727) $4,081.37 — 0.9×
Revise Wrist/Forearm Tendon (25280) $3,839.54 — 0.9×
Revise/Implant Finger Joint (26536) $8,453.60 $19,273.46 0.9×
Revise/remove neuroelectrode (61880) $4,069.59 — 0.9×
Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) $4,069.59 — 0.9×
Revise/Repair Finger/Toe Nerve (64702) $2,310.83 — 0.9×
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) $8,750.72 — 0.9×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $3,762.53 — 0.9×
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) $7,000.36 — 0.9×
Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) $7,000.36 — 0.9×
Revision mastoidectomy; resulting in tympanoplasty Facility (69604) $7,000.36 — 0.9×
Revision of big toe (28310) $8,453.60 — 0.9×
Revision of eyelid (67880) $2,760.73 $6,658.35 0.9×
Revision of foot (28116) $3,839.54 — 0.9×
Revision of foot and ankle (28262) $8,453.60 — 0.9×
Revision of foot bones (28737) $15,226.08 — 1.0×
Revision of foot fascia (28250) $3,839.54 — 0.9×
Revision of humerus (24400) $8,453.60 — 0.9×
Revision of implanted intra-arterial infusion pump Facility (36261) $4,306.60 — 0.9×
Revision of knee joint (27442) $15,226.08 — 1.0×
Revision of larynx (31400) $7,000.36 — 0.9×
Revision of leg vein (37780) $3,724.63 — 0.9×
Revision of lower leg tendon (27685) $3,839.54 — 0.9×
Revision of neck muscle (21720) $3,839.54 — 0.9×
Revision of nose (30462) $7,000.36 — 0.9×
Revision of penis (54300) $4,081.37 — 0.9×
Revision of penis (54304) $4,081.37 — 0.9×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) $6,015.75 — 0.9×
Revision of reconstructed breast (19380) $7,717.23 $12,275.78 0.9×
Revision of scrotum (55180) $6,015.75 — 0.9×
Revision of stapedectomy or stapedotomy Facility (69662) $7,000.36 — 0.9×
Revision of toe (28312) $3,839.54 — 0.9×
Revision of tracheostomy scar (31830) $3,837.72 — 0.9×
Revision of urethra (53460) $4,081.37 — 0.9×
Revision of urethra (57220) $5,841.60 — 0.9×
Revision of wrist joint (25450) $3,839.54 — 0.9×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) $14,756.87 $36,342.05 1.1×
Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth… (61891) $25,376.43 — 0.7×
Revision Peri-Implant Capsule Breast (19370) $4,531.42 $9,320.09 0.9×
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) $6,396.89 — 0.9×
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) $6,396.89 — 0.9×
Revision/replmt neurostimlator eltrd cranial nrv (64569) $14,756.87 $19,034.06 1.1×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $2,698.92 $6,220.04 0.9×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $8,453.60 — 0.9×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $4,332.25 — 1.0×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $4,332.25 — 1.0×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $7,766.27 $19,034.06 1.0×
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) $6,396.89 — 0.9×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) $7,000.36 — 0.9×
Revj Shunt Extraocular Reservoir W/O Graft (66184) $2,698.92 $6,220.04 0.9×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $6,746.95 $15,240.17 0.9×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,069.59 $9,686.04 0.9×
Revj/rmvl neurostimulator pulse generator (61888) $14,756.87 — 1.1×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,069.59 — 0.9×
Revj/rpr oprative wound anterior segment (66250) $2,760.73 $6,803.94 0.9×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) — $17,761.73 —
Revsc evasc ivt angiop uni sf les 1st vsl (37254) — $17,761.73 —
Rfc1 (replication factor c subunit 1), repeat expansion variant analysis by traditional and repeat-primed PCR, blood,… (0378U) $137 $411 1.0×
Rhd&rhce gnotyp next-gnrj seq rh prox promoter (0222U) $282.88 $848.64 1.0×
Rhd&rhce gnotyp sanger/chain seq rhd 1-10&rhce 5 (0198U) $282.88 $848.64 1.0×
Rhinoplasty primary w/major septal repair (30420) $7,000.36 — 0.9×
Rhinoplasty Secondary Intermediate Revision (30435) $7,000.36 — 0.9×
Rhinoplasty Secondary Major Revision (30450) $7,000.36 — 0.9×
Rhinoplasty Secondary Minor Revision (30430) $7,000.36 $16,438.59 0.9×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $7,000.36 $14,922.16 0.9×
Rhinp Prim Complete Xtrnl Parts (30410) $7,000.36 $14,922.16 0.9×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $7,000.36 — 0.9×
Rhytidectomy Cheek Chin & Neck (15828) $4,332.25 $10,467.78 1.0×
Rhytidectomy Forehead (15824) $2,164.64 $6,211.75 0.8×
Rhytidectomy Neck W/Platysmal Tightening (15825) $4,332.25 — 1.0×
Rib cartilage graft (21230) $7,000.36 — 0.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,424.12 $6,228.58 0.9×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,760.73 — 0.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,752.89 $4,417.09 0.9×
Rmvl embedded fb vestibule mouth comp (40805) $602.63 $3,735.06 0.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,109.47 $2,397.39 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,917.33 $4,033.78 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $472.21 $1,077.97 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $152.54 $327.85 0.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $472.21 $1,118.54 0.8×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $353.74 $951 0.9×
Rmvl fecal impaction/fb spx under anes (45915) $1,395.28 $3,530.74 0.9×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $1,752.89 $3,953.43 0.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,386.84 $7,133.84 0.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $3,386.84 $7,133.84 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,917.33 $4,203.57 0.9×
Rmvl implnt matl posterior segment extraocular (67120) $2,698.92 — 0.9×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $2,698.92 — 0.9×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $2,698.92 $6,220.04 0.9×
Rmvl Lens Material Phacofragmentation Aspir (66850) $2,698.92 $6,220.04 0.9×
Rmvl of subq implantable defibrillator electrode (33272) $4,306.60 — 0.9×
Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) $4,069.59 — 0.9×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $4,069.59 — 0.9×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,310.83 $5,289.41 0.9×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,310.83 $5,289.41 0.9×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $7,578.32 $16,947.89 1.8×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) $8,453.60 — 0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,306.60 $10,583.95 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,838.28 $2,124.43–$2,216.80 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $731.62 $2,216.80 0.9×
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,698.92 $6,220.04 0.9×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,698.92 — 0.9×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) $36,061.23 — 0.9×
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) $14,756.87 — 1.1×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $314.28 $808.02 0.9×
Rmvl/revj sling stress incontinence (57287) $3,762.53 — 0.9×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $3,837.72 — 0.9×
Rplc Gtube No Revj Trc (43762) $287.81 $755.59 0.9×
Rplc gtube revj gstrst trc (43763) $287.81 $738.52 0.9×
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $3,724.63 $8,119.58–$8,525.56 0.9×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,838.28 $2,176.07 0.9×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,724.63 $8,119.58 0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,838.28 $4,875.32 0.9×
Rplcmt compl tun ctr vad w/subq pmp (36583) $6,396.89 $13,466.38 0.9×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $3,724.63 $8,525.56–$9,252.58 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,724.63 $8,119.58 0.9×
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $7,578.32 — 1.8×
Rplcmt/irrigation ventricular catheter (62225) $7,578.32 — 1.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $6,904.15 — 0.9×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,176.15 — 0.9×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $7,383.87 — 0.9×
Rpr aa hernia recr 3-10 cm reducible (49615) $7,383.87 — 0.9×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $6,904.15 — 0.9×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $4,176.15 — 0.9×
Rpr aa hrn 1st 3-10 rdc (49593) $7,383.87 — 0.9×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,904.15 $17,260.37 0.9×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $4,462.45 — 0.9×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $2,760.73 $6,658.35 0.9×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $2,760.73 — 0.9×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $2,760.73 $6,803.94 0.9×
Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) $4,462.45 — 0.9×
Rpr blood vessel direct lower extremity (35226) $832.60 $7,210.33 0.9×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,760.73 $5,953.45 0.9×
Rpr blvsl w/grf other/than vein lower extremity (35286) $6,396.89 $14,139.70 0.9×
Rpr Component Inflatable Penile Prosthesis (54408) $6,015.75 $13,018.14 0.9×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,838.28 $4,779.05 0.9×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $3,839.54 — 0.9×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $8,453.60 — 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $235.13 $1,387.69 0.9×
Rpr flexor tendon leg secondary w/o graft each (27659) $8,453.60 — 0.9×
Rpr ing hern premie blocked (49492) $4,176.15 — 0.9×
Rpr Ing Hernia Baby, Reduc (49495) $4,176.15 $9,565.55 0.9×
Rpr ing hernia init reduce (49500) $7,383.87 $9,565.55 0.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $724.37 $3,478.39 0.8×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $274.80 $596.65 0.9×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $2,698.92 $6,220.04 0.9×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $2,760.73 $5,953.45 0.9×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $6,105.79 $11,746.70 0.9×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $4,462.45 $9,620.08 0.9×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $6,105.79 $11,746.70 0.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $602.63 $3,557.20 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $602.63 $3,557.20 0.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,752.89 $4,085.98 0.9×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) — $4,286.97 —
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $7,000.36 $16,816.32 0.9×
Rpr Nsl Vlv Collapse W/Implt (30468) $7,000.36 $16,061.64 0.9×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $8,453.60 — 0.9×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $2,698.92 $6,184.88 0.9×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $4,760.49 $13,424.80 0.9×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $2,698.92 — 0.9×
Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) $4,462.45 — 0.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,839.54 — 0.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,839.54 $8,020.45 0.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $3,839.54 $8,020.45–$8,421.47 0.9×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $8,453.60 — 0.9×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $8,453.60 — 0.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $731.62 $2,043.87 0.9×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $4,462.45 — 0.9×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $3,839.54 — 0.9×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $8,453.60 $18,402.86 0.9×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $8,453.60 — 0.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,839.54 $8,421.47 0.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $3,839.54 $8,421.47 0.9×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $3,839.54 — 0.9×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) $8,453.60 $18,402.86 0.9×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $3,839.54 — 0.9×
Rx assay prsmv 30+rx/metablt ur lc-ms/ms mrm (0227U) $62.14 $186.42 1.0×
Rx metab advrs rx rxn&rspse variant alys 25 gen (0434U) $416.78 $1,041.95 1.0×
Rx metab advrs rx rxn&rspse vrnt alys 33 genes (0438U) $416.78 $1,041.95 1.0×
Rx metab genrx ia 16 genes (0392U) $1,336.09 $4,008.27 1.0×
Rx metab psy gnotyp 14gen&cyp2d6 impct gen-rx ia (0477U) $416.78 $1,041.95 1.0×
Rx metab psyc rx-genomic gnotyp 14gen&cyp2d6 cnv (0476U) $416.78 $1,041.95 1.0×
Rx metab whl bld rxgenomic gnotyp 40genes&cyp2d6 (0516U) $416.78 $1,041.95 1.0×
Salpingostomy (salpingoneostomy) (58770) $3,762.53 — 0.9×
Saphenopopliteal vein anastomosis Facility (34530) $3,724.63 — 0.9×
Sc gnotyp gene analysis ermap exons 4 12 (0199U) $274.83 $824.49 1.0×
Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) $8,453.60 — 0.9×
Scleral reinforcement (separate procedure); without graft Facility (67250) $2,760.73 — 0.9×
Scleral Reinforcement Spx W/Graft (67255) $4,760.49 — 0.9×
Sclerotx Fluid Collection (49185) $1,917.33 $1,876.64 0.9×
Scrotal exploration (55110) $4,081.37 — 0.9×
Scrotoplasty Simple (55175) $4,081.37 — 0.9×
Secondary revision of orbitocraniofacial reconstruction Facility (21275) $7,000.36 — 0.9×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $7,000.36 $14,922.16 0.9×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,837.72 $8,329.25 0.9×
Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) $3,839.54 — 0.9×
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) $3,839.54 — 0.9×
Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) $3,839.54 — 0.9×
Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) $3,839.54 — 0.9×
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) $8,453.60 — 0.9×
Sequestrectomy Olecranon Process (24138) $8,453.60 — 0.9×
Sever cranial nerve (64771) $2,310.83 — 0.9×
Severing Adhesions Anterior Segment Laser Spx (65860) $649.19 — 0.9×
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) $4,760.49 — 0.9×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $2,698.92 — 0.9×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $2,698.92 — 0.9×
Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) $2,698.92 $6,396.32 0.9×
Severing tarsorrhaphy (67710) $1,146.13 $2,837.22 0.9×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,078.88 $2,685.72 0.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,395.28 $3,530.74 0.9×
Shave skin lesion 0.5 cm/< (11300) $472.79 $1,181.33 0.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $235.13 $594.30 0.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $472.79 $1,093.30 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $235.13 $716 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $235.13 $716 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $235.13 $614.34 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $472.79 $982.94 0.9×
Shorten radius & ulna (25392) $8,453.60 — 0.9×
Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) $3,839.54 — 0.9×
Shoulder arthroscopy (29820) $8,453.60 — 0.9×
Shoulder arthroscopy diagnostic (29805) $3,839.54 — 0.9×
Shoulder Arthroscopy/Surgery (29825) $3,839.54 — 0.9×
Shoulder joint surgery (23101) $3,839.54 — 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $235.13 $594.30 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $472.79 $1,093.30 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $235.13 $716 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $472.79 $982.94 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $235.13 $716 0.9×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,837.72 $8,057.96 0.9×
Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood 13,999 or fewer assigned members (0122U) $526.23 — 1.0×
Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood 13,999 or fewer assigned members (0121U) $509.20 — 1.0×
Sigmoidoscopy & decompress (45337) $1,078.88 $2,685.72 0.9×
Sigmoidoscopy & Polypectomy (45333) $1,078.88 $2,685.72 0.9×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,395.28 $3,519.66 0.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,395.28 $3,530.74 0.9×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,395.28 $3,530.74 0.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,395.28 $3,530.74 0.9×
Sigmoidoscopy w/fb removal (45332) $1,395.28 $3,530.74 0.9×
Sigmoidoscopy w/plcmt stent (45347) $7,044.32 $14,707.72 0.9×
Sigmoidoscopy W/Resection (45349) $3,245.23 $7,211.64 0.9×
Sigmoidoscopy W/Ultrasound (45341) $1,078.88 $2,685.72 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $1,078.88 $2,614.98–$2,685.72 0.9×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,395.28 $3,530.74 0.9×
Simple Cystometrogram (51725) $287.81 $825.88 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $472.79 $951.68 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $235.13 $1,196.61 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $235.13 $1,164.96 0.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $472.79 $936.13 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $235.13 $1,390.40 0.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $235.13 $1,430.43 0.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $235.13 $1,101.98–$1,157.96 0.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $235.13 $1,413.40 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $235.13 $1,429.07 0.9×
Sinusotomy frontal; external, simple (trephine operation) Facility (31070) $7,000.36 — 0.9×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) $7,000.36 — 0.9×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) $7,000.36 — 0.9×
Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) $7,000.36 — 0.9×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $7,000.36 — 0.9×
Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) $7,000.36 $14,922.16 0.9×
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) $7,000.36 — 0.9×
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) $7,000.36 — 0.9×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $7,000.36 $16,816.32 0.9×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $7,000.36 $16,816.32 0.9×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) $7,000.36 — 0.9×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) $7,000.36 — 0.9×
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) $7,000.36 — 0.9×
Skin Full Grft Face/Genit/Hf (15240) $2,164.64 $4,992.20 0.8×
Skin graft, harvest cultured tissue (15040) $2,164.64 — 0.8×
Skin Pedicle Flap Trunk (15570) $2,164.64 — 0.8×
Skin Pinch Graft (15050) $724.37 $1,747.48 0.8×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $2,164.64 $5,467.65–$5,705.38 2.3×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $2,164.64 $5,705.38–$6,211.75 2.3×
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $4,332.25 $10,467.78–$11,708.41 1.7×
Skin Tissue Procedure (17999) $235.13 $707.47 0.9×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $2,164.64 $5,148.88–$5,605.86 0.8×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $6,396.89 $10,773.10 0.9×
Slctv cath carotid/innom art angio xtrcranl art (36222) $3,724.63 $8,525.56 0.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $6,396.89 $10,771.90 0.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,841.60 $13,522.91 0.9×
Slitting of prepuce (54001) $2,424.12 $5,450 0.9×
Slitting of prepuce (54000) $4,081.37 — 0.9×
Small bowel endoscopy (44384) $2,244.82 — 0.9×
Small bowel endoscopy (44366) $2,244.82 $4,791.18 0.9×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $2,244.82 $4,791.18 0.9×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $7,044.32 $14,707.72 0.9×
Smn1&smn2 ful gen alys chng dupl&delet&insj (0236U) $602.70 $1,808.10 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $235.13 $1,089.85–$1,157.96 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $472.79 $960.98 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $472.79 $965.81 0.9×
Snip Incision Lacrimal Punctum (68440) $353.74 $895.25 0.9×
So Apol1 Risk Variants G1 G2 (0355U) $137 $12 1.0×
Sperm washing artificial insemination (58323) $238.06 $598.84 0.9×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $3,245.23 $7,211.64 0.9×
Sphincterotomy anal division sphincter spx (46080) $3,245.23 — 0.9×
Sphnctrop Anal Levator Musc Imbrcj (46761) $3,245.23 — 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $819.50 $2,106.03–$2,197.60 0.9×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,332.25 $10,467.78 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,164.64 $5,705.38 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,724.63 $8,525.56 0.9×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $7,000.36 $14,922.16 0.9×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $7,000.36 — 0.9×
Stapes mobilization (69650) $3,837.72 — 0.9×
Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) $7,578.32 — 1.8×
Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) $2,310.83 — 0.9×
Strabismus Any Superior Oblique Muscle (67318) $2,760.73 — 0.9×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $2,760.73 $6,803.94 0.9×
Strabismus Recession/Rescj 1 Ver Musc (67314) $2,760.73 $6,803.94 0.9×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $4,462.45 $9,620.08 0.9×
Strabismus Recession/Rescj 2/More Ver Musc (67316) $2,760.73 $5,953.45 0.9×
Strapping ankle (29540) $186.72 $422.11 0.9×
Strapping elbow or wrist (29260) $70.29 $699.99 1.0×
Strapping hand/finger (29280) $70.29 $701.09 1.0×
Strapping Hip (29520) $152.54 $710.44 0.9×
Strapping knee (29530) $152.54 $682.34 0.9×
Strapping shoulder (29240) $152.54 $697.57 0.9×
Strapping thorax (29200) $186.72 $470.22 0.9×
Strapping toes (29550) $70.29 $701.16 1.0×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $186.72 $778.10–$811.93 0.9×
Stump elongation, upper extremity Facility (24935) $8,453.60 — 0.9×
Subconjunctival injection (68200) $472.21 $663.99 0.8×
Subcutaneous Hormone Pellet Implantation (11980) $472.21 $1,118.54 0.8×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $235.13 $1,932.78 0.9×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $724.37 $1,747.48 0.8×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $724.37 $3,708.95 0.8×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $724.37 $1,747.48 0.8×
Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) $819.50 — 0.9×
Submucosal abltj tongue rf 1/> sites pr session (41530) $3,837.72 — 0.9×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $3,837.72 $7,019.08 0.9×
Subtalar arthro w/deb (29906) $3,839.54 — 0.9×
Subtalar arthro w/exc (29905) $8,453.60 — 0.9×
Suction assisted lipectomy; head and neck (15876) $4,332.25 $12,446.43 1.0×
Suction assisted lipectomy; trunk (15877) $4,332.25 $10,467.78 1.0×
Suction assisted lipectomy; upper extremity (15878) $2,164.64 $6,326.62 0.8×
Suction Lipectomy Lwr Extrem (15879) $4,332.25 $10,467.78 1.0×
Suprachoroidal space njx pharmacologic agent (67516) $392.51 $1,340.91 1.0×
Suprahyoid lymphadenectomy (38700) $7,717.23 — 0.9×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,837.72 $8,842.26 0.9×
Surg Implnt Neuroelect,Epidural (63655) $25,376.43 $59,311.12 1.0×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $7,000.36 $16,061.64 0.9×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $7,000.36 $16,061.64 0.9×
Surg Tx Anal Fistula 2nd Stage (46285) $3,245.23 — 0.9×
Surg tx anal fistula subq (46270) $3,245.23 — 0.9×
Surgery to stop leg growth (27479) $8,453.60 — 0.9×
Surgery to stop leg growth (27477) $8,453.60 — 0.9×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $3,245.23 — 0.9×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,760.73 $5,953.45 0.9×
Suture 1 nerve hand/foot common sensory nerve (64834) $7,578.32 $16,947.89 1.8×
Suture 1 Nerve Median Motor Thenar (64835) $7,578.32 — 1.8×
Suture 1 Nerve Ulnar Motor (64836) $7,578.32 — 1.8×
Suture digital nerve hand/foot 1 nerve (64831) $2,310.83 — 0.9×
Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) $7,000.36 — 0.9×
Suture infrapatellar tendon primary (27380) $8,453.60 — 0.9×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $2,698.92 — 0.9×
Suture of facial nerve; extracranial Facility (64864) $7,578.32 — 0.7×
Suture of facial nerve; infratemporal, with or without grafting Facility (64865) $7,578.32 — 1.8×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $8,453.60 — 0.9×
Suture of quadriceps or hamstring muscle rupture primary (27385) $8,453.60 — 0.9×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $8,453.60 — 0.9×
Suture of sciatic nerve (64858) $2,310.83 — 0.9×
Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) $3,837.72 $9,308.08 0.9×
Suture of; brachial plexus Facility (64861) $2,310.83 — 0.9×
Suture of; lumbar plexus Facility (64862) $7,578.32 — 1.8×
Suture pharynx for wound or injury (42900) $1,752.89 — 0.9×
Suture/repair testicular injury (54670) $4,081.37 $5,450 0.9×
Svnt sarscov2 elisa plsm srm (0226U) $42.28 $424.81 1.0×
Sympathectomy cervical (64802) $2,310.83 — 0.9×
Sympathectomy, cervicothoracic Facility (64804) $2,310.83 — 0.9×
Sympathectomy; digital arteries, each digit Facility (64820) $2,310.83 — 0.9×
Sympathectomy; superficial palmar arch (64823) $3,839.54 — 0.9×
Sympathectomy; ulnar artery (64822) $3,839.54 — 0.9×
Syndactylization toes (28280) $3,839.54 — 0.9×
Synovectomy carpometacarpal joint (26130) $3,839.54 — 0.9×
Synovectomy Tendon Sheath Foot Extensor (28088) $3,839.54 — 0.9×
Synovectomy Tendon Sheath Foot Flexor (28086) $3,839.54 — 0.9×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $3,839.54 — 0.9×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $3,839.54 — 0.9×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $8,453.60 — 0.9×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,893.86 $3,784.37 0.9×
Syphilis tst non-treponemal antibody ia quan rpr (0210U) $18.63 $55.89 1.0×
T-cell depletion of harvest (38210) $517.34 — 0.9×
Talectomy (astragalectomy) Facility (28130) $8,453.60 — 0.9×
Tangential biopsy skin single lesion (11102) $235.13 $643.54 0.5×
Targeted genomic sequence alys pnl DNA 23 genes (0171U) $1,519.06 $4,557.18 1.0×
Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes,… (0326U) $5,000 — 1.0×
Tattooing incl micropigmentation 6.0 cm/< (11920) $724.37 $1,747.48 0.8×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $724.37 — 0.8×
Tau phosphorylated ptau217 (0479U) $17.27 $43.18 1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $33,640.95 $66,852.18 0.9×
Tcat Insj/Rpl Perm Ldls Pm (33274) $22,568.05 $44,105.53 0.9×
Tcat Rmvl Perm Ldls Pm (33275) $3,724.63 $8,429.66 0.9×
Temple bone implant revision (69717) $8,453.60 — 0.9×
Temporary Closure Eyelids Suture (67875) $1,146.13 $2,837.22 0.9×
Tendon lengthening upper arm/elbow ea tendon (24305) $3,839.54 — 0.9×
Tendon shortening (26477) $3,839.54 — 0.9×
Tendon transfer with graft (26492) $3,839.54 — 0.9×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,839.54 $9,153.35 0.9×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $3,839.54 — 0.9×
Tenodesis distal joint each (26474) $1,893.86 — 0.9×
Tenodesis long tendon biceps (23430) $8,453.60 — 0.9×
Tenodesis proximal interphalangeal joint each (26471) $3,839.54 $8,421.47 0.9×
Tenodesis Wrist Extensors Fingers (25301) $3,839.54 — 0.9×
Tenodesis Wrist Flexors Fingers (25300) $3,839.54 — 0.9×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $3,839.54 — 0.9×
Tenolysis extensor foot single tendon (28225) $3,839.54 $8,421.47 0.9×
Tenolysis Flexor Foot Multiple Tendons (28222) $3,839.54 — 0.9×
Tenolysis flexor foot single tendon (28220) $1,893.86 — 0.9×
Tenolysis flexor tendon palm&finger each tendo (26442) $3,839.54 — 0.9×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,893.86 $4,169.71 0.9×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $3,839.54 $8,020.45 0.9×
Tenolysis Triceps (24332) $3,839.54 — 0.9×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,839.54 $8,421.47 0.9×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $3,839.54 — 0.9×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $3,839.54 — 0.9×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $3,839.54 — 0.9×
Tenotomy Adductor Hip Percutaneous Spx (27000) $1,893.86 — 0.9×
Tenotomy extensor hand/finger open each tendon (26460) $1,893.86 — 0.9×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,893.86 — 0.9×
Tenotomy Flexor Palm Open Each Tendon (26450) $3,839.54 — 0.9×
Tenotomy Hip Abd/Ext Open (27006) $3,839.54 — 0.9×
Tenotomy Percutaneous Single Each Digit (26060) $1,893.86 — 0.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,893.86 $4,283.42 0.9×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,839.54 $9,374.45 0.9×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,893.86 $4,517.76 0.9×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $3,839.54 — 0.9×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $3,839.54 — 0.9×
Tenotomy shoulder area single tendon (23405) $8,453.60 — 0.9×
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) $8,453.60 — 0.9×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $3,839.54 — 0.9×
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) $3,839.54 — 0.9×
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) $3,839.54 — 0.9×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,893.86 — 0.9×
Tgsap sld org neo DNA 523&RNA 55 next gnrj seq (0379U) $3,288.51 — 1.0×
Tgsap so neo cfdna alys plsm 521 genes interrog (0585U) — $7,299 —
Thaw preserved stem cells (38208) $517.34 — 0.9×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $5,544.24 $13,424.92 1.0×
Ther Apheresis,Red Blood Cells (36512) $1,939.86 $4,653.70 1.0×
Ther rx mntr 200+ rx/sbsts lc-ms/ms plasma (0520U) $246.92 $617.30 1.0×
Ther rx mntr 60-150 rx&metablts ur slv lc-ms/ms (0587U) — $286.08 —
Ther rx mntr 80+ psycactiv rx/sbst lc-ms/ms plsm (0517U) $246.92 $617.30 1.0×
Ther rx mntr 90+ pain&mtl hlth rx/sbsts lc-ms/ms (0518U) $246.92 $617.30 1.0×
Ther rx mntr meds pn/deprsn/anxiety 110+ rx/sbst (0519U) $246.92 $617.30 1.0×
Ther Spi Pnxr Csf Fluor/Ct (62329) $819.50 $2,128.14 0.9×
Therapeutic Apheresis White Blood Cells (36511) $1,939.86 $4,653.70 1.0×
Therapeutic plasma exchange (36514) $1,939.86 $4,653.70 1.0×
Therapeutic pneumothorax (32960) $731.62 — 0.9×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $15,226.08 $39,854.64 1.0×
Thoracoscopy w/bx nodule (32608) $12,320.22 $14,868.74 0.9×
Thoracoscopy w/bx pleura (32609) $6,904.15 — 0.9×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) $12,320.22 — 0.9×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) $6,904.15 — 0.9×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) $12,320.22 — 0.9×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $6,904.15 — 0.9×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $6,396.89 $14,139.70 0.9×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $6,396.89 — 0.9×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $3,724.63 — 0.9×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $6,396.89 — 0.9×
Thrmbc/Nfs Dialysis Circuit (36906) $21,249.26 $49,037.66 0.9×
Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) $731.62 — 0.9×
Thromblytic art/ven therapy (37213) $3,724.63 $5,018 0.9×
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) $6,396.89 — 0.9×
Thrombolytic Art Therapy (37211) $6,396.89 $14,139.70 0.9×
Thrombolytic Therapy Stroke (37195) $392.51 $932.69 1.0×
Thrombolytic Venous Therapy (37212) $3,724.63 $8,525.56 0.9×
Thumb fusion with graft (26842) $8,453.60 — 0.9×
Thyroid biopsy (60100) $832.60 $2,144.74 0.9×
Thyroidectomy Post Prev Thyr Surg (60260) $7,000.36 — 0.9×
Thyroidectomy, total or complete (60240) $6,904.15 $16,994.74 0.9×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $7,000.36 — 0.9×
Tibial Arthroscopy/Surgery (29855) $8,453.60 — 0.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,164.64 $5,705.38 0.8×
Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155)
range across 2 matching MRF lines		 $4,332.25 $4,754.48–$5,705.38 1.0×
Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) $2,164.64 — 0.8×
Tissue Expander Placement Breast Reconstruction (19357) $20,588.51 $32,471.10 1.2×
Tlh uterus over 250 g (58572) $12,320.22 $25,882.06 0.9×
Tma/tmao profile ms/ms urine alg alys&report (0256U) $159.95 $479.85 1.0×
Tnot elbow lateral/medial debride open (24358) $3,839.54 — 0.9×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,839.54 — 0.9×
Tongue suspension (41512) $7,000.36 $14,920.48 0.9×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,837.72 $8,057.96 0.9×
Tooth extraction (41899)
range across 2 matching MRF lines		 $274.80 $686.15–$715.98 0.9×
Total Knee Arthroplasty (27447) $15,226.08 $27,894.32 1.0×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $6,904.15 — 0.9×
Tprnl Plmt Biodegrdabl Matrl (55874) $6,015.75 — 0.9×
Trabeculoplasty by laser surgery (65855) $649.19 $1,782.30 0.9×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $3,837.72 — 0.9×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $3,762.53 $7,685.14 0.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $602.63 $3,519.62 0.9×
Tracheostoma Revj Cplx W/Flap Rotation (31614) $7,000.36 — 0.9×
Tracheostoma revj smpl w/o flap rotation (31613) $3,837.72 $8,057.96 0.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $274.80 $5,913.60 0.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,752.89 $4,151.10 0.9×
Tracheostomy Fenestration W/Skin Flaps (31610) $7,000.36 — 0.9×
Tracheostomy planned (31600) $3,837.72 $8,057.96 0.9×
Tracheostomy Planned Under 2 Years Spx (31601) $7,000.36 — 0.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $359.97 — 0.9×
Transcatheter biopsy (37200) $6,396.89 $10,773.10 0.9×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $3,762.53 $7,685.14 0.9×
Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) $8,750.72 — 0.9×
Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) $2,310.83 — 0.9×
Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) $2,310.83 — 0.9×
Transection or avulsion of; greater occipital nerve Facility (64744) $2,310.83 — 0.9×
Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) $2,310.83 — 0.9×
Transection or avulsion of; infraorbital nerve Facility (64734) $2,310.83 — 0.9×
Transection or avulsion of; lingual nerve Facility (64740) $2,310.83 — 0.9×
Transection or avulsion of; mental nerve Facility (64736) $2,310.83 — 0.9×
Transection or avulsion of; phrenic nerve Facility (64746) $2,310.83 — 0.9×
Transection or avulsion of; supraorbital nerve Facility (64732) $2,310.83 — 0.9×
Transection/Avulsion Facial Nrv Different/Cmpl (64742) $2,310.83 — 0.9×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,310.83 $5,289.41 0.9×
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) $8,453.60 — 0.9×
Transfer iliopsoas; to femoral neck Facility (27111) $3,839.54 — 0.9×
Transfer of embryo (58976) $359.97 — 0.9×
Transfer of embryo (58974) $1,030.40 — 0.9×
Transfer of iliopsoas muscle (27110) $8,453.60 — 0.9×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $3,839.54 $8,707.44 0.9×
Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) $3,839.54 — 0.9×
Transfer skin pedicle flap (15650) $2,164.64 — 0.8×
Transfer, adductor to ischium Facility (27098) $3,839.54 — 0.9×
Transfer, finger to another position without microvascular anastomosis Facility (26555) $8,453.60 — 0.9×
Transfer, free toe joint, with microvascular anastomosis Facility (26556) — $19,273.46 —
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) $8,453.60 — 0.9×
Transfer/transplant tendon palmar w/o graft each (26485) $3,839.54 — 0.9×
Transfusion Intrauterine Fetal (36460) $517.34 $1,364.32 0.9×
Translum Dil Eye Canal (66174) $4,760.49 — 0.9×
Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) $6,105.79 — 0.9×
Transmetacarpal amputation; re-amputation Facility (25931) $3,839.54 — 0.9×
Transmetacarpal amputation; secondary closure or scar revision Facility (25929) $2,164.64 — 0.8×
Transoral lower esophageal myotomy (43497) $7,044.32 $11,342.10 0.9×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $8,453.60 — 0.9×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $6,015.75 — 0.9×
Transplant hand tendon (26480) $3,839.54 $9,153.35 0.9×
Transplant of thigh tendon (27396) $8,453.60 — 0.9×
Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) $8,453.60 — 0.9×
Transplant/graft hand tendon (26483) $3,839.54 $8,421.47 0.9×
Transplant/graft palm tendon (26489) $3,839.54 — 0.9×
Transplantation medicine, quantification of donorderived cell-free DNA using next-generation sequencing analysis of… (0540U) — $6,883.13 —
Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) $4,081.37 — 0.9×
Transrectal abltj mal prst8 tissue hifu w/us (55880) $10,942.71 $15,930.30 0.9×
Transrectal Drainage of Pelvic Abscess (45000) $1,395.28 $2,942.28 0.9×
Transur electr resection of prostate (52601) $6,015.75 $12,708.06 0.9×
Transurethral incision of prostate (52450) $4,081.37 $9,286.23 0.9×
Transurethral resection bladder neck (52500) $4,081.37 $9,286.23 0.9×
Transvesical ureterolithotomy Facility (51060) $2,424.12 — 0.9×
Treat ankle dislocation (27848) $8,453.60 $18,402.86 0.9×
Treat Ankle Dislocation (27846) $8,453.60 $18,920.15 0.9×
Treat ankle fracture (28445) $8,453.60 $18,402.86 0.9×
Treat Big Toe Fracture (28505) $3,839.54 $8,707.44 0.9×
Treat clavicle dislocation (23530) $8,453.60 — 0.9×
Treat Dental Ridge Fracture (21440) $3,837.72 $7,674.25 0.9×
Treat dental ridge fracture (21445) $7,000.36 $16,128.95 0.9×
Treat dislocation/fracture (23670) $8,453.60 — 0.9×
Treat dislocation/fracture (23680) $15,226.08 — 1.0×
Treat ectopic pregnancy (59151) $6,904.15 $14,870.39 0.9×
Treat elbow fracture (24586) $15,226.08 $34,867.90 1.0×
Treat Elbow Fracture (24635) $8,453.60 $18,402.86 0.9×
Treat elbow fracture (24587) $15,226.08 — 1.0×
Treat Finger Fracture Each (26727) $3,839.54 $8,421.47 0.9×
Treat forearm bone lesion (25035) $8,453.60 — 0.9×
Treat fracture radius/ulna (25575) $8,453.60 $18,402.86 0.9×
Treat Fx Rad Extra-Articul (25607) $8,453.60 $19,273.46 0.9×
Treat Hand Bone Lesion (26034) $1,893.86 $4,169.71 0.9×
Treat Hip Socket Fracture (27222) — $3,399.72 —
Treat humerus fracture (24500) $283.86 $1,167.52 0.9×
Treat Humerus Fracture (24505) $1,893.86 $3,977.95 0.9×
Treat humerus fracture (23616) $21,762.05 $48,816.63 1.0×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $283.86 $726.57–$758.16 0.9×
Treat knee fracture (27532) $3,839.54 $8,020.45 0.9×
Treat Knee Fracture(S) (27538) $283.86 $758.16 0.9×
Treat kneecap dislocation (27566) $8,453.60 — 0.9×
Treat Kneecap Fracture (27524) $8,453.60 $17,526.53 0.9×
Treat Knuckle Dislocation (26700) $283.86 $661.72 0.9×
Treat lower jaw fracture (21452) $7,000.36 $14,211.58 0.9×
Treat lower leg bone lesion (27607) $3,839.54 — 0.9×
Treat lower leg dislocation (27832) $8,453.60 — 0.9×
Treat metacarpal fracture (26607)
range across 2 matching MRF lines		 $3,839.54 $8,020.45–$8,421.47 0.9×
Treat Metatarsal Fracture (28475) $283.86 $1,390.37 0.9×
Treat midfoot fracture (28456) $8,453.60 — 0.9×
Treat scapula fracture (23585) $8,453.60 $18,402.86 0.9×
Treat skull fracture (62000) $3,837.72 — 0.9×
Treat Tail Bone Fracture (27200) $283.86 $1,411.44 0.9×
Treat Thumb Dislocation (26641) $283.86 $1,519.68 0.9×
Treat Thumb Fracture (26645) $1,893.86 $3,971.15 0.9×
Treat thumb fracture (26665) $3,839.54 — 0.9×
Treat toe dislocation (28630) $283.86 $1,344.23 0.9×
Treat Trigeminal Nerve (61790) $2,310.83 — 0.9×
Treat vagina infection (57150) $70.29 $521.05 1.0×
Treat Vaginal Bleeding (57180) $238.06 $598.84 0.9×
Treat/graft heel fracture (28420) $15,226.08 — 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,893.86 $4,054.30 0.9×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $283.86 $726.57–$747.42 0.9×
Treatment extensive retinopathy photocoagulation (67228) $649.19 $1,188.20 0.9×
Treatment mouth roof lesion (42160) $3,837.72 — 0.9×
Treatment of anal fissure (46940) $3,245.23 — 0.9×
Treatment of ankle fracture (27823) $8,453.60 — 0.9×
Treatment of foot infection (28003) $3,839.54 — 0.9×
Treatment of gum lesion (41850) $1,752.89 — 0.9×
Treatment of nose fracture (21330) $7,000.36 — 0.9×
Treatment of penis lesion (54115) $3,386.84 $7,133.84 0.9×
Treatment of retina (67141) $353.74 $1,035.07 0.9×
Treatment of retinal lesion (67208) $353.74 $3,201.14 0.9×
Treatment of tibia fracture (27756) $8,453.60 $18,402.86 0.9×
Trgt gen seq alys pnl solid orgn neo DNA 55-74 (0242U) $5,000 $15,000 1.0×
Trgt gen seq alys sld orgn neo cll-fr DNA 311+ (0239U) $3,500 $10,500 1.0×
Trim skin lesion (11055) $235.13 $900.06 0.9×
Trim skin lesions 2 to 4 (11056) $235.13 $900.06 0.9×
Trim skin lesions over 4 (11057) $235.13 $614.34 0.9×
Trimming Nondystrophic Nails Any Number (11719) $70.29 $330.22 1.0×
Trluml Balo Angiop 1St Art (37246) $6,746.95 $15,240.17 0.9×
Trluml Balo Angiop 1St Vein (37248) $6,746.95 $11,611.56 0.9×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $517.34 — 0.9×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $517.34 — 0.9×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $517.34 — 0.9×
Trnspl Prepj Hematop Progen Pltlt Deplj (38213) $517.34 — 0.9×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $517.34 — 0.9×
Trnspl prepj hematop progen tum cell deplj (38211) $517.34 — 0.9×
Trnsplj allogeneic hematopoietic cells per donor (38240) $69,986.67 — 0.9×
Trnsplj autologous hematopoietic cells per donor (38241) $1,939.86 — 1.0×
Trnsplj Don-Drv Cll-Fr Dna (0118U) $2,753.25 — 1.0×
Trnsplj Hematopoietic Cell Boost (38243) $1,939.86 — 1.0×
Trnsplj med antb nonhla bld spec fcm sabt 39trgt (0581U) — $814.50 —
Trnsplj med liver algrft rej mirna rtpcr 4 genes (0575U) — $950 —
Trnsplj med lvr algrft rej quan ddcfdna whlgenom (0576U) — $8,100 —
Trnsplj med quantification dd-cfdna ngs plasma (0493U) $2,753.25 $6,883.13 1.0×
Trurl drainage prostatic abscess (52700) $4,081.37 $10,752.05 0.9×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $4,081.37 $5,450 0.9×
Trurl rescj postop bladder neck contracture (52640) $4,081.37 $9,286.23 0.9×
Trurl Rf Female Bladder Neck Strs Urin Incont (53860) $2,424.12 — 0.9×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $2,040.67 $4,745.06 0.9×
Tubal ligation (58600) $3,762.53 $7,685.14 0.9×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $3,245.23 — 0.9×
Tx Gastro Intub W/Asp (43753) $368.50 $770.70 1.4×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $15,226.08 — 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,762.53 $7,451.80 0.9×
Tx Missed Abortion First Trimester Surgical (59820) $3,762.53 $7,685.14 0.9×
Tx Missed Abortion Second Trimester Surgical (59821) $3,762.53 $7,685.14 0.9×
Tx open tendon flexor toe 1 tendon spx (28232) $1,893.86 — 0.9×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,893.86 — 0.9×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,893.86 $3,971.15 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $724.37 $1,648.65 0.8×
Tx superficial wound dehiscence w/packing (12021) $472.79 $1,123.36 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,893.86 $4,169.71 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $283.86 $754.86 0.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $15,226.08 $36,611.30 1.0×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,752.89 $4,371.70 0.9×
Tympanolysis transcanal (69450) $3,837.72 $7,674.25 0.9×
Tympanoplasty (69631) $7,000.36 $14,922.16 0.9×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $7,000.36 — 0.9×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $7,000.36 — 0.9×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $7,000.36 — 0.9×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $7,000.36 — 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $7,000.36 — 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $7,000.36 — 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $7,000.36 — 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $7,000.36 — 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $7,000.36 — 0.9×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $7,000.36 — 0.9×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $7,000.36 — 0.9×
Tympanostomy general anesthesia (69436) $1,752.89 $4,151.10 0.9×
Tyrosinemia typr I monitoring by patient-collected blood card sample, quantitative measurement of tyrosine,… (0383U) $52.05 — 1.0×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $4,176.15 — 0.9×
Umbilical cord occlud w/us (59072) $359.97 — 0.9×
Unlisted Cardiac Surgery (33999) $731.62 — 0.9×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $274.80 $7,535.13 0.9×
Unlisted fetal invasive px w/ultrasound (59897) $238.06 $785.38 0.9×
Unlisted hysteroscopy procedure, uterus (58579) $238.06 — 0.9×
Unlisted laparoscopic procedure liver (47379) $6,904.15 — 0.9×
Unlisted laparoscopy procedure appendix (44979) $6,904.15 $14,870.39 0.9×
Unlisted laparoscopy procedure oviduct ovary (58679) $6,904.15 — 0.9×
Unlisted laparoscopy procedure stomach (43659) $6,904.15 $14,870.39 0.9×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $6,904.15 $14,870.39 0.9×
Unlisted laparoscopy procedure, biliary tract (47579) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, bladder (51999) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, endocrine system (60659) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, esophagus (43289) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, lymphatic system (38589) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, maternity care and delivery (59898) $6,904.15 $14,870.39 0.9×
Unlisted laparoscopy procedure, rectum (45499) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, renal (50549) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, spermatic cord (55559) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, spleen (38129) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, testis (54699) $6,904.15 — 0.9×
Unlisted laparoscopy procedure, uterus (58578) $6,904.15 — 0.9×
Unlisted Procedure Accessory Sinuses (31299)
range across 2 matching MRF lines		 $274.80 $3,557.20–$3,735.06 0.9×
Unlisted procedure anus (46999) $1,078.88 $2,238.10 0.9×
Unlisted procedure arthroscopy (29999) $283.86 — 0.9×
Unlisted Procedure Biliary Tract (47999) $1,109.47 — 1.0×
Unlisted procedure breast (19499) $4,531.42 $8,876.28 0.9×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $186.72 $365.59–$407.33 0.9×
Unlisted procedure colon (45399) $1,078.88 $2,685.72 0.9×
Unlisted Procedure Conjunctiva (68399) $353.74 $4,647.65 0.9×
Unlisted Procedure Endocrine System (60699) $6,904.15 $14,870.39 0.9×
Unlisted Procedure Esophagus (43499) $1,109.47 — 1.0×
Unlisted procedure excision pressure ulcer (15999) $832.60 — 0.9×
Unlisted Procedure External Ear (69399) $274.80 $3,823.40 0.9×
Unlisted procedure eyelids (67999) $353.74 $2,329.96 0.9×
Unlisted procedure femur or knee (27599) $283.86 $1,732.19 0.9×
Unlisted procedure foot or toes (28899) $283.86 $1,344.23 0.9×
Unlisted procedure forearm or wrist (25999) $283.86 $1,561.22 0.9×
Unlisted Procedure Hands/Fingers (26989) $283.86 $1,411.44 0.9×
Unlisted procedure humerus/elbow (24999) $283.86 $1,468.35 0.9×
Unlisted Procedure Intestine (44799) $1,109.47 $2,763.22 1.0×
Unlisted procedure lacrimal system (68899) $353.74 $2,329.96 0.9×
Unlisted procedure larynx (31599)
range across 2 matching MRF lines		 $274.80 $3,557.20–$3,735.06 0.9×
Unlisted Procedure Leg/Ankle (27899) $283.86 $1,724.47 0.9×
Unlisted procedure liver (47399) $832.60 $2,440.89 0.9×
Unlisted procedure lungs and pleura (32999) $731.62 $2,013.37 0.9×
Unlisted Procedure Male Genital System (55899) $287.81 $3,803.01 0.9×
Unlisted Procedure Muscskeletal System General (20999) $283.86 $4,506.97 0.9×
Unlisted procedure neck or thorax (21899) $274.80 — 0.9×
Unlisted procedure nervous system (64999) $349.32 $1,199.77 0.9×
Unlisted Procedure Palate Uvula (42299) $274.80 — 0.9×
Unlisted procedure pancreas (48999) $832.60 $2,298.66 0.9×
Unlisted procedure pelvis/hip joint (27299) $283.86 — 0.9×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $274.80 $4,106.46 0.9×
Unlisted Procedure Rectum (45999) $1,078.88 $2,354.92 0.9×
Unlisted procedure shoulder (23929) $283.86 — 0.9×
Unlisted procedure spine (22899) $283.86 $9,535.29 0.9×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $1,109.47 $2,648.08–$2,763.22 1.0×
Unlisted Procedure Tongue Floor Mouth (41599) $274.80 $3,735.06 0.9×
Unlisted Procedure Trachea Bronchi (31899) $229.74 $3,443.23 0.9×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $731.62 $7,210.33–$7,570.85 0.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,109.47 $2,763.22 1.0×
Unlisted procedure, orbit (67599) $353.74 — 0.9×
Unlisted procedure, temporal bone, middle fossa approach (69979) $274.80 — 0.9×
Unlisted Procedure, Urinary System (53899) $287.81 $3,299.66 0.9×
Unlisted procedure, vestibule of mouth (40899) $274.80 $3,735.06 0.9×
Unlisted px extraocular musc (67399) $353.74 — 0.9×
Unlisted px female genital system nonobstetrical (58999) $238.06 $1,698.59 0.9×
Unlisted Px Salivary Glands/Ducts (42699) $274.80 — 0.9×
Unlisted vascular endoscopy procedure (37501) $731.62 — 0.9×
Unxplaind const/oth heritable do/synd gen xprsn (0266U) $3,200 $9,600 1.0×
Upgrade of pacemaker system (33214) $12,384.25 — 0.9×
Ureter endoscopy (50970) $4,081.37 — 0.9×
Ureter endoscopy & biopsy (50955) $6,015.75 — 0.9×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $6,015.75 $11,732.10 0.9×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $6,015.75 — 0.9×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) $6,015.75 — 0.9×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) $6,015.75 — 0.9×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $4,081.37 — 0.9×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) $6,015.75 — 0.9×
Ureteral endoscopy via ureterostomy (50951) $4,081.37 — 0.9×
Urethrectomy, total, including cystostomy; male Facility (53215) $6,015.75 — 0.9×
Urethrlys Transvag W/ Scope (53500) $4,081.37 — 0.9×
Urethromeatoplasty W/Mucosal Advancement (53450) $4,081.37 — 0.9×
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) $10,942.71 — 0.9×
Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) $4,081.37 — 0.9×
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) $6,015.75 — 0.9×
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) $4,081.37 — 0.9×
Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) $6,015.75 — 0.9×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $6,015.75 — 0.9×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) $6,015.75 — 0.9×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) $6,015.75 — 0.9×
Urethroplasty, reconstruction of female urethra Facility (53430) $6,015.75 — 0.9×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $6,015.75 — 0.9×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) $6,015.75 — 0.9×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $6,015.75 $13,018.14 0.9×
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) $6,015.75 — 0.9×
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) $6,015.75 — 0.9×
Urinary Reflex Study (51792) $70.29 $1,334.11 1.0×
Urine Flow Measurement (51736) $152.54 $1,235.40 0.9×
Uvulectomy excision of uvula (42140) $3,837.72 — 0.9×
Vag hyst complex (58290) $8,750.72 — 0.9×
Vag hyst incl t/o complex (58291) $5,841.60 — 0.9×
Vag hyst w/t/o & vag repair (58263) $5,841.60 $13,140.94 0.9×
Vaginal Delivery After Cesarean Delivery (59612) $3,762.53 $7,319.18 0.9×
Vaginal delivery only (59409) $3,762.53 $7,319.18 0.9×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $5,841.60 $13,140.94 0.9×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $5,841.60 — 0.9×
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) $8,750.72 — 0.9×
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) $5,841.60 — 0.9×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $5,841.60 $13,092.27 0.9×
Vaginectomy, partial removal of vaginal wall; (57106) $3,762.53 — 0.9×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $3,762.53 — 0.9×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) $3,762.53 — 0.9×
Vaginoplasty for intersex state Facility (57335) $5,841.60 — 0.9×
Valvuloplasty Femoral Vein (34501) $6,396.89 — 0.9×
Vasc embolize/occlude artery (37242) $21,249.26 $23,224.68 0.9×
Vasc Embolize/Occlude Bleed (37244) $13,419.98 $30,482.39 0.9×
Vasc Embolize/Occlude Organ (37243) $13,419.98 $23,224.68 0.9×
Vasc embolize/occlude venous (37241) $13,419.98 $30,482.39 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,424.12 $5,450 0.9×
Vasovasostomy vasovasorrhaphy (55400) $4,081.37 $9,286.23 0.9×
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $152.54 $161.18–$169.24 0.9×
Venous Cutdown >1 Y/O (36425) $472.21 $1,118.54 0.8×
Venous Mech Thrombectomy (37187) $13,419.98 $15,240.17 0.9×
Venous valve transposition, any vein donor Facility (34510) $6,396.89 — 0.9×
Ventilating tube removal requiring general anesthesia (69424) $3,837.72 — 0.9×
Ventricular puncture previous burr hole w/inj (61026) $819.50 — 0.9×
Vermilionectomy lip shv w/mucosal advmnt (40500) $3,837.72 $7,674.25 0.9×
Vestibular nerve section, translabyrinthine approach Facility (69915) $3,837.72 — 0.9×
Vestibuloplasty Anterior (40840) $7,000.36 $14,922.16 0.9×
Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) $7,000.36 — 0.9×
Vestibuloplasty Posterior Bilateral (40843) $7,000.36 $14,922.16 0.9×
Vit for membrane dissect (67043) $4,760.49 — 0.9×
Vitrectomy mechanical pars plana (67036)
range across 2 matching MRF lines		 $4,760.49 $9,289.64–$11,240.58 0.9×
Vitrectomy pars plana remove int memb retina (67042) $4,760.49 $13,424.80 0.9×
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $4,760.49 $12,250.50 0.9×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $4,760.49 $11,746.70 0.9×
Vlcad leukocyte enzyme activity whole blood (0257U) $712.47 $2,137.41 1.0×
Von willebrand factor type 2b plasma (0283U) $18.40 $55.20 1.0×
Vulvectomy simple partial (56620) $3,762.53 $7,685.14 0.9×
Vulvectomy simple; complete (56625) $3,762.53 — 0.9×
Vulvectomy, radical, partial; Facility (56630) — $3,290.22 —
Vw factor type 2n eval plsm (0284U) $17.27 $51.81 1.0×
Wash harvest stem cells (38209) $517.34 — 0.9×
Wedge excision skin nail fold (11765) $472.79 $973.77 0.9×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) $8,750.72 — 0.9×
Wedging of cast (29740) $314.28 $707.02 0.9×
Wedging of clubfoot cast (29750) $314.28 $808.02 0.9×
Windowing of cast (29730) $186.72 $938.04 0.9×
Wound Prep F/N/Hf/G (15004) $724.37 $4,154.30 1.4×
Wound Prep Trk/Arm/Leg (15002) $2,164.64 $5,530.24 2.3×
Wrist arthroscopy (29840) $3,839.54 — 0.9×
Wrist arthroscopy with partial removal of joint lining (29844) $3,839.54 — 0.9×
Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) $4,760.49 $11,746.70 0.9×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $6,105.79 $10,248.98 0.9×
Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) $4,760.49 $11,746.70 0.9×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $6,105.79 $13,451.79 0.9×
Xfer Single Deep Low Leg Tendon (27691) $8,453.60 — 0.9×
Xk gnotyp gene analysis xk exons 1-3 (0200U) $274.83 $824.49 1.0×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $6,396.89 — 0.9×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $1,838.28 — 0.9×
Xtrnl fixj w/strtctc adjustment exchange strut (20697) $1,893.86 — 0.9×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $602.63 — 0.9×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $7,000.36 — 0.9×
Xtroral I&D Floor Masticator Space (41018) $1,752.89 $4,371.70 0.9×
Yt gnotyp gene analysis ache exon 2 (0201U) $185.20 $555.60 1.0×

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.