Procedures & surgery prices at Holyoke Medical Center

Holyoke, MA · every code in this section with a posted price and a Medicare benchmark.

1511 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,097 $1,097 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $570 $570 0.5×
Ablate inf turbinate submuc (30802) $2,545 $2,545 1.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $3,254.55 $3,254.55 0.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,545 $2,545 1.4×
Acromiopl/Acromionect Partial (23130) $3,410 $3,410 0.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,014 $2,014 0.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,014 $2,014 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,596 $3,596 0.8×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,014 $2,014 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,014 $2,014 0.8×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,014 $2,014 0.8×
Amniocentesis diagnostic (59000) $421 $421 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $6,045 $6,045 1.5×
Amputation foot transmetarsal (28805) $3,410 $3,410 0.9×
Amputation toe interphalangeal joint (28825) $3,410 $3,410 0.9×
Amputation toe metatarsophalangeal joint (28820) $3,410 $3,410 0.9×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $365 $365 1.0×
Anal/Urinary Muscle Study (51784) $349 $349 2.3×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $968 $968 0.9×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $3,035 $3,035 0.9×
Anoscopy diagnostic (46600) $250 $250 1.6×
Anoscopy W/Rmvl Foreign Body (46608) $1,905 $1,905 1.7×
Anoscopy; with biopsy, single or multiple (46606) $1,689 $1,689 1.2×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,274 $1,274 0.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $3,035 $3,035 0.9×
Anterior colporraphy rpr cystocele w/cysto (57240) $5,364 $5,364 0.9×
Anterior Tibial Tubercleplasty (27418) $7,409 $7,409 0.9×
Application cast elbow finger short arm (29075) $420 $420 1.3×
Application Finger Splint Dynamic (29131)
range across 4 matching MRF lines		 $104–$116 $104–$116 varies
Application finger splint static (29130) $440 $440 2.8×
Application long arm splint shoulder hand (29105) $220 $220 1.1×
Application Long Leg Splint (29505) $220 $220 1.1×
Application of cylinder cast (thigh to ankle) (29365) $420 $420 1.3×
Application of long leg cast (29345) $376 $376 1.1×
Application of rigid total contact leg cast (29445) $536 $536 1.6×
Application Patellar Tendon Bearing Cast (29435) $285 $285 0.9×
Application Short Arm Splint Dynamic (29126) $187 $187 1.2×
Application short arm splint forearm-hand static (29125) $187 $187 1.2×
Application short leg splint calf foot (29515) $220 $220 1.1×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $220–$788.65 $220–$788.65 varies
Apply long arm cast (29065) $376 $376 1.1×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $307–$461 $307–$461 varies
Apply Short Leg Cast (29405) $420 $420 1.3×
Apply short leg cast (29425) $420 $420 1.3×
Arrest Epiphyseal Open Distal Tibia (27730) $3,410 $3,410 0.9×
Arterial puncture (36600) $165 $165 1.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $5,689 $5,689 0.9×
Artery-vein autograft (36825) $5,689 $5,689 0.9×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $13,928 $13,928 0.9×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $13,928 $13,928 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $385–$899 $385–$899 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 5 matching MRF lines		 $950–$2,070 $950–$2,070 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $395–$943 $395–$943 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 5 matching MRF lines		 $405–$1,038 $405–$1,038 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $404–$855 $404–$855 varies
Arthrodesis ankle open (27870) $13,928 $13,928 0.9×
Arthrodesis Glenohumeral Joint (23800) $7,409 $7,409 0.9×
Arthrodesis great toe interphalangeal joint (28755) $7,409 $7,409 0.9×
Arthrodesis great toe metatarsophalangeal joint (28750) $7,409 $7,409 0.9×
Arthrodesis subtalar (28725) $13,928 $13,928 0.9×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $13,928 $13,928 0.9×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,410 $3,410 0.9×
Arthroplasty Patella W/Prosthesis (27438) $13,928 $13,928 0.9×
Arthroplasty radial head (24365) $13,928 $13,928 0.9×
Arthroplasty Radial Head W/Implant (24366) $13,928 $13,928 0.9×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $13,928 $13,928 0.9×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,410 $3,410 0.9×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,410 $3,410 0.9×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,410 $3,410 0.9×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $3,410 $3,410 0.9×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,410 $3,410 0.9×
Arthroscopy hip w/femoroplasty (29914) $7,409 $7,409 0.9×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,410 $3,410 0.9×
Arthroscopy Knee Osteochondral Allograft (29867) $13,928 $13,928 0.9×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,410 $3,410 0.9×
Arthroscopy knee synovectomy limited spx (29875) $3,410 $3,410 0.9×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,410 $3,410 0.9×
Arthroscopy shoulder distal claviculectomy (29824) $3,410 $3,410 0.9×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $7,409 $7,409 0.9×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $3,410 $3,410 0.9×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $3,410 $3,410 0.9×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $7,409 $7,409 0.9×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $7,409 $7,409 0.9×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $7,409 $7,409 0.9×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $3,410 $3,410 0.9×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $7,409 $7,409 0.9×
Arthroscopy, knee, surgical; with lateral release (29873) $3,410 $3,410 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,410 $3,410 0.9×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,409 $7,409 0.9×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,410 $3,410 0.9×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,410 $3,410 0.9×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,409 $7,409 0.9×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,410 $3,410 0.9×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,410 $3,410 0.9×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,409 $7,409 0.9×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,410 $3,410 0.9×
Arthrotomy biopsy interphalangeal joint each (26110) $1,707 $1,707 0.9×
Arthrotomy W/Meniscus Repair Knee (27403)
unusually low: confirm this is the full procedure		 $3,410 $3,410 0.4×
Arthrotomy W/Synovectomy Ankle (27625) $3,410 $3,410 0.9×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $3,410 $3,410 0.9×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $13,928 $13,928 0.9×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $3,410 $3,410 0.9×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $7,409 $7,409 0.9×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $3,410 $3,410 0.9×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,410 $3,410 0.9×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,410 $3,410 0.9×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $7,409 $7,409 0.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,410 $3,410 0.9×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $3,410 $3,410 0.9×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $3,410 $3,410 0.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,953 $2,953 1.5×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $3,410 $3,410 0.9×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $3,410 $3,410 0.9×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $3,410 $3,410 0.9×
Aspirate pleura w/ imaging (32555) $980 $980 1.3×
Aspirate Pleura W/O Imaging (32554) $591 $591 0.8×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $247–$500 $247–$500 varies
Aspiration & Injection Treatment Bone Cyst (20615) $422 $422 0.5×
Aspiration and/or injection thyroid cyst (60300) $1,100 $1,100 1.3×
Aspiration bladder insert suprapubic catheter (51102) $3,239 $3,239 1.3×
Av fistula revision (36833) $5,689 $5,689 0.9×
Av Fuse Uppr Arm Basilic (36819) $5,689 $5,689 0.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $281–$407 $281–$407 varies
Axillary lymphadenectomy; complete (38745) $5,975 $5,975 0.8×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $11,371 $11,371 1.5×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $20,871 $20,871 1.6×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
range across 2 matching MRF lines		 $4,870–$18,973 $4,870–$18,973 varies
Biopsy Abdominal Mass (49180) $981 $981 0.5×
Biopsy bone open deep (20245) $5,617 $5,617 1.6×
Biopsy bone open superficial (20240) $5,106 $5,106 1.5×
Biopsy bone trocar/needle deep (20225) $1,373 $1,373 0.7×
Biopsy Bone Trocar/Needle Superficial (20220) $802 $802 0.4×
Biopsy muscle percutaneous needle (20206) $515 $515 0.3×
Biopsy Muscle Superficial (20200) $1,788 $1,788 0.9×
Biopsy nail unit (11755) $1,209 $1,209 1.4×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $981–$1,724 $981–$1,724 varies
Biopsy of penis (54100) $1,788 $1,788 0.9×
Biopsy of rectum (45100) $4,985 $4,985 1.5×
Biopsy of toe joint lining (28054) $3,410 $3,410 0.9×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $3,661 $3,661 0.8×
Biopsy Pleura Percutaneous Needle (32400) $1,761 $1,761 0.9×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $5,402 $5,402 1.3×
Biopsy Salivary Gland Incisional (42405) $2,901 $2,901 1.6×
Biopsy Salivary Gland Needle (42400) $971 $971 1.1×
Biopsy soft tissue back/flank deep (21925) $1,788 $1,788 0.9×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,788 $1,788 0.9×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,788 $1,788 0.9×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $3,092 $3,092 0.9×
Biopsy soft tissue neck/thorax (21550) $1,788 $1,788 0.9×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,788 $1,788 0.9×
Biopsy Soft Tissue Shoulder Deep (23066) $3,092 $3,092 0.9×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,092 $3,092 0.9×
Biopsy soft tissue thigh/knee area superficial (27323) $1,788 $1,788 0.9×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,788 $1,788 0.9×
Biopsy Testis Incisional Separate Procedure (54505) $7,384 $7,384 1.7×
Biopsy Testis Needle Separate Procedure (54500) $4,243 $4,243 1.2×
Biopsy Vaginal Mucosa Simple (57100) $1,554 $1,554 1.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $996 $996 0.9×
Biopsy, vestibule of mouth (40808) $633 $633 1.0×
Biopsy/removal lymph nodes (38510) $3,661 $3,661 0.8×
Bladder instillation anticarcinogenic agent (51720) $373 $373 0.4×
Bladder Irrigation (51700) $391 $391 1.3×
Bladder Scan (51798) $150 $150 2.1×
Blepharotomy drainage abscess eyelid (67700) $566 $566 1.5×
Blood Transfusion Service (36430) $553 $553 1.0×
Bone Graft Any Donor Area Major/Large (20902) $7,409 $7,409 0.9×
Bone Graft Any Donor Area Minor/Small (20900) $7,409 $7,409 0.9×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $1,980–$3,249 $1,980–$3,249 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $1,980–$2,953 $1,980–$2,953 varies
Breast Reduction (19318) $6,390 $6,390 0.8×
Brnchsc Brushing/Protected Brushings (31623) $1,973 $1,973 0.9×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,582 $4,582 1.0×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $4,582 $4,582 1.0×
Bronchoscopy Balloon Occlusion (31634) $6,692 $6,692 0.8×
Bronchoscopy Clear Airways (31645) $1,973 $1,973 0.9×
Bronchoscopy Reclear Airway (31646) $502 $502 1.1×
Bronchoscopy W/Biopsy(S) (31625) $1,973 $1,973 0.9×
Bronchoscopy W/Removal Foreign Body (31635) $1,780 $1,780 0.8×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,948 $3,948 0.9×
Bronchoscopy/Needle Bx Each (31629) $3,563 $3,563 0.8×
Buttock fasciotomy (27027) $7,409 $7,409 0.9×
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $1,791–$2,953 $1,791–$2,953 varies
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines		 $1,977–$2,953 $1,977–$2,953 varies
Bx breast 1st lesion us imag (19083) $1,233 $1,233 0.6×
Bx breast needle core w/o imaging guidance spx (19100) $2,826 $2,826 1.4×
Bx Cervix (57500) $989 $989 0.9×
Bx prostate strtctc saturation sampling img gid (55706) $2,262 $2,262 0.5×
Bx/exc lymph node open deep axillary node (38525) $3,661 $3,661 0.8×
Bx/exc lymph node open superficial (38500) $3,661 $3,661 0.8×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,707 $1,707 0.9×
Capsulorrhaphy Anterior W/Labral Repair (23455) $7,409 $7,409 0.9×
Capsulorrhaphy Anterior With Bone Block (23460) $7,409 $7,409 0.9×
Carpal Tunnel Surgery (64721) $3,161 $3,161 1.4×
Carpectomy All Bones Proximal Row (25215) $3,410 $3,410 0.9×
Cerclage cervix pregnancy vaginal (59320) $852 $852 0.2×
Cessj Therapy Cath Removal (37214) $2,930 $2,930 0.8×
Change Cystostomy Tube Complicated (51710) $1,220 $1,220 1.5×
Change Cystostomy Tube Simple (51705) $355 $355 1.2×
Change of Windpipe Airway (31502) $1,973 $1,973 7.0×
Chemical Cautery Tissue (17250) $249 $249 1.0×
Chemical exfoliation for acne (17360) $434 $434 1.8×
Chemical Pleurodesis (32560) $469 $469 0.6×
Chemodenerv 1 extrem 5/> mus (64644) $1,557 $1,557 1.8×
Chemodenerv 1 extremity 1-4 (64642) $990 $990 1.2×
Chemodenerv Musc Migraine (64615)
range across 3 matching MRF lines		 $513–$650 $513–$650 varies
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines		 $588–$882 $588–$882 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $641 $641 1.7×
Chemodenerv trunk musc 1-5 (64646) $1,557 $1,557 1.8×
Chemodenerv trunk musc 6/> (64647) $1,557 $1,557 1.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 4 matching MRF lines		 $627–$941 $627–$941 varies
Chest tube placement (32551) $1,576 $1,576 0.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $631–$6,064 $631–$6,064 varies
Circumcision 28 days or older (54161) $2,262 $2,262 0.9×
Cl Tx Scapular Fx; W Manip (23575) $3,415 $3,415 1.8×
Cl Tx Tib Shft Fx W Manip (27752) $2,173 $2,173 1.1×
Claviculectomy partial (23120) $3,410 $3,410 0.9×
Clear outer ear canal (69200) $245 $245 1.5×
Closed Rx Metacarpal Fx,Percut (26608) $3,410 $3,410 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $218 $218 0.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $879 $879 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $322 $322 1.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $1,252 $1,252 4.2×
Closed Treatment Sesamoid Fracture (28530) $204 $204 0.7×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $212–$827 $212–$827 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $412–$1,252 $412–$1,252 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,026 $3,026 1.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $505–$879 $505–$879 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $322 $322 1.1×
Closed tx carpal scaphoid fracture w/manj (25624) $574 $574 0.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $322 $322 1.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $574 $574 1.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,026 $3,026 1.6×
Closed tx knee dislocation w/o anesthesia (27550) $1,252 $1,252 4.2×
Closed tx metatarsal fracture w/o manipulation (28470) $322 $322 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,892 $1,892 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,627 $1,627 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,572 $5,572 1.4×
Closed tx patellar dislocation w/anesthesia (27562) $532 $532 1.8×
Closed tx patellar dislocation w/o anesthesia (27560) $483 $483 1.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $212 $212 0.7×
Closed tx radial head/neck fx w/manipulation (24655) $574 $574 0.3×
Closed tx radial head/neck fx w/o manipulation (24650) $322 $322 1.1×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,295–$2,173 $1,295–$2,173 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $204–$500 $204–$500 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,026 $3,026 1.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $322 $322 1.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $204 $204 0.7×
Closed Tx Talus Fracture W/Manipulation (28435) $440 $440 0.2×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $440–$644 $440–$644 varies
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $412–$552 $412–$552 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $180 $180 0.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $218 $218 0.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $322 $322 1.1×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $204–$336 $204–$336 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $234 $234 0.8×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $763 $763 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $574 $574 1.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,146 $1,146 0.6×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $204–$500 $204–$500 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,892 $1,892 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $212 $212 0.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,707 $1,707 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,172 $2,172 1.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $212 $212 0.7×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $218 $218 0.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $212 $212 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $281 $281 1.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,707 $1,707 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $879 $879 3.0×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $476–$879 $476–$879 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $190 $190 0.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $322 $322 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $303 $303 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $718–$4,304 $718–$4,304 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,725 $1,725 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $190 $190 0.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $293 $293 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,146 $1,146 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $532 $532 1.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $483 $483 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $532 $532 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $483 $483 1.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,026 $3,026 1.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $287–$879 $287–$879 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $281 $281 1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $574 $574 1.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,707 $1,707 0.9×
Cltx hip dislocation traumatic req anesthesia (27252) $1,707 $1,707 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $281 $281 1.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $212 $212 0.7×
Cltx humeral condylar fx medial/lateral w/manj (24577) $218 $218 0.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $204 $204 0.7×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $574 $574 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $440 $440 1.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $592 $592 1.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $337 $337 1.1×
Cltx Med Ankle Fx W/Mnpj (27762) $879 $879 0.5×
Cltx Medial Ankle Fx (27760) $879 $879 3.0×
Cltx metacarpal fx w/manipulation each bone (26605) $400 $400 1.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $303 $303 1.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,707 $1,707 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $532 $532 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $483 $483 1.6×
Cltx post hip arthrp dislc req anes (27266) $1,892 $1,892 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $212 $212 0.7×
Cltx prox fibula/shft fx w/manj (27781) $879 $879 0.5×
Cltx prox fibula/shft fx w/o manj (27780) $879 $879 3.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,146 $1,146 0.6×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $218 $218 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $212 $212 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,295 $1,295 0.7×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $3,415 $3,415 1.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $212 $212 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $190 $190 0.6×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $440 $440 1.5×
Cltx tibial fx proximal w/o manipulation (27530) $8,200 $8,200 27.7×
Cltx tibial shaft fx w/o manipulation (27750) $879 $879 3.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $293 $293 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,026 $3,026 1.6×
Cltx trimalleolar ankle fx w/o manipulation (27816) $907 $907 3.1×
Collection of venous blood by venipuncture (36415) $9 $9 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,274 $1,274 0.9×
Colonoscopy stoma w/balloon dilation (44405) $1,274 $1,274 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,274 $1,274 0.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,274 $1,274 0.9×
Colporrhaphy (57200) $6,432 $6,432 1.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $421 $421 1.2×
Colposcopy Cervix Endocervical Curettage (57456) $422 $422 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $216 $216 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $439 $439 1.2×
Colposcopy cervix vag eltrd conization cervix (57461) $3,898 $3,898 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,898 $3,898 1.0×
Colposcopy entire vagina w/cervix if present (57420) $1,618 $1,618 4.4×
Colposcopy of vulva (56820) $260 $260 1.1×
Colposcopy Vulva W/Biopsy (56821) $676 $676 1.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $996 $996 0.9×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,274 $1,274 0.9×
Combined anteroposterior colporrhaphy; (57260) $5,364 $5,364 0.9×
Complex Cystometrogram (51726) $300 $300 1.0×
Complex drainage wound (10180) $3,714 $3,714 1.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,070 $3,070 0.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $141–$251 $141–$251 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $141–$229 $141–$229 varies
Conversion ext bil drg cath (47535)
range across 2 matching MRF lines		 $5,639–$9,440 $5,639–$9,440 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,457 $3,457 1.5×
Convert Nephrostomy Catheter (50434) $1,358 $1,358 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,142 $2,142 1.1×
Correction hammertoe (28285) $3,410 $3,410 0.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,410 $3,410 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,409 $7,409 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,410 $3,410 0.9×
Create Eardrum Opening (69433) $947 $947 1.5×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $9,946 $9,946 0.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $53 $53 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $277 $277 1.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $475 $475 1.7×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) $968 $968 0.9×
Curettage postpartum (59160) $140 $140 0.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,518 $2,518 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $3,068 $3,068 1.2×
Cysto w/complex removal stone & stent (52315) $2,506 $2,506 1.0×
Cysto w/destruction of lesions (52214) $2,262 $2,262 0.5×
Cysto w/insert ureteral stent (52332) $6,731 $6,731 1.6×
Cysto w/irrig & evac multple obstructing clots (52001) $3,068 $3,068 0.7×
Cysto w/removal of lesions small (52224) $3,068 $3,068 0.7×
Cysto w/removal of tumors small (52234) $6,731 $6,731 1.6×
Cysto W/Simple Removal Stone & Stent (52310) $3,068 $3,068 1.2×
Cysto w/up stricture tx (52342) $3,805 $3,805 0.9×
Cysto w/ureter stricture tx (52341) $4,533 $4,533 1.1×
Cysto w/ureteroscopy w/lithotripsy (52353) $5,227 $5,227 0.8×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,805 $3,805 0.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $3,805 $3,805 0.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,262 $2,262 0.5×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $5,227 $5,227 0.8×
Cysto/uretero w/lithotripsy (52356) $5,227 $5,227 0.8×
Cystolithotomy (51050) $5,227 $5,227 0.8×
Cystometrogram W/Vp (51728) $1,501 $1,501 1.8×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $5,227 $5,227 0.5×
Cystoscopy implant stent (52282) $3,805 $3,805 0.9×
Cystostomy Cystotomy W/Drainage (51040) $2,262 $2,262 0.9×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $2,262 $2,262 0.5×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $3,805 $3,805 0.9×
Cystouretero w/excise tumor (52355) $5,227 $5,227 0.8×
Cystouretero w/renal strict (52346) $5,227 $5,227 0.8×
Cystourethroscopy (52000) $1,373 $1,373 1.6×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $5,227 $5,227 0.8×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $3,805 $3,805 0.9×
Cystourethroscopy inj chemodenervation bladder (52287) $3,068 $3,068 1.2×
Cystourethroscopy tx female urethral syndrome (52285) $731 $731 0.9×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,805 $3,805 0.9×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,227 $5,227 0.8×
Cystourethroscopy w/dil bladder general anesth (52260) $2,262 $2,262 0.9×
Cystourethroscopy w/rmvl ureteral calculus (52320) $3,805 $3,805 0.9×
Cystourethroscopy with biopsy (52204) $2,764 $2,764 1.1×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,262 $2,262 0.9×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $3,805 $3,805 0.9×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,262 $2,262 0.9×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $2,262 $2,262 0.9×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $5,227 $5,227 0.8×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $2,262 $2,262 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $487 $487 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $5,106 $5,106 1.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $781 $781 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $753 $753 0.9×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $3,410 $3,410 0.9×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $3,410 $3,410 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $554–$1,037 $554–$1,037 varies
Debride nail 1-5 (11720) $126 $126 1.8×
Debride nail 6 or more (11721) $136 $136 1.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $2,017–$2,953 $2,017–$2,953 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $487–$674 $487–$674 varies
Declot vascular device (36593) $469 $469 1.2×
Decomp forearm,1 compart,w/o debride (25020) $1,707 $1,707 0.9×
Decompress Fingers/Hand (26035) $3,410 $3,410 0.9×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $1,707 $1,707 0.9×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $3,410 $3,410 0.9×
Decompression of tibia nerve (28035) $2,121 $2,121 0.9×
Deep Muscle Biopsy (20205) $3,092 $3,092 0.9×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $2,014 $2,014 0.8×
Delivery of placenta (59414) $5,794 $5,794 1.5×
Destr penis lesion(s) (54065) $2,014 $2,014 0.8×
Destr W Neurolytic; Celiac Plexus (64680) $1,283 $1,283 1.2×
Destroy cerv/thor facet jnt (64633) $2,737 $2,737 1.2×
Destroy lumb/sac facet jnt (64635) $2,737 $2,737 1.2×
Destruct B9 Lesion 1-14 (17110) $354 $354 1.5×
Destruction Benign Lesions 15/> (17111) $229 $229 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $1,102 $1,102 1.0×
Destruction Lesions Vulva Extensive (56515) $2,014 $2,014 0.8×
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines		 $250–$800 $250–$800 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $229 $229 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $315 $315 1.3×
Destruction neurolytic agt genicular nerve w/img (64624) $2,683 $2,683 1.1×
Destruction of skin lesions (17106) $630 $630 1.3×
Destruction Premalignant Lesion 15/> (17004) $630 $630 1.3×
Destruction premalignant lesion 1st (17000) $273 $273 1.1×
Diagnostic anoscopy (46601) $138 $138 0.3×
Diagnostic sigmoidoscopy (45330) $2,494 $2,494 2.2×
Diaphragm or cervical cap fitting with instructions (57170) $260 $260 1.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $283 $283 1.8×
Dilat Urethral Strix Dilator Male Sbsq (53601) $207 $207 1.3×
Dilate Urethra Stricture (53600) $535 $535 1.8×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $7,409 $7,409 0.9×
Drain Cerebro Spinal Fluid (62272) $863 $863 1.0×
Drain Hand Tendon Sheath (26020) $3,410 $3,410 0.9×
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines		 $507–$761 $507–$761 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $618 $618 1.0×
Drainage external auditory canal abscess (69020) $172 $172 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $264–$970 $264–$970 varies
Drainage Finger Abscess Complicated (26011) $2,953 $2,953 1.5×
Drainage Mouth Roof Lesion (42000) $234 $234 0.8×
Drainage of finger abscess simple (26010) $380 $380 1.6×
Drainage of gum lesion (41800) $207 $207 1.3×
Drainage of hematoma/fluid (10140) $1,584 $1,584 0.8×
Drainage of hydrocele (55000) $1,442 $1,442 1.7×
Drainage of nose lesion (30000) $234 $234 0.8×
Drainage of rectal abscess (45005) $2,542 $2,542 1.8×
Drainage of scrotal wall abscess (55100) $1,204 $1,204 0.6×
Drainage of scrotum (54700) $4,070 $4,070 1.6×
Draw Blood Off Venous Device (36591) $200 $200 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $138 $138 0.2×
Drg privesical/prevesical space absc (51080) $3,092 $3,092 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $680 $680 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $351 $351 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $273 $273 1.1×
Dstrj Lesion Anus Extensive (46924) $3,035 $3,035 0.9×
Dstrj Lesion Anus Simple Chemical (46900) $568 $568 1.2×
Dstrj lesion anus simple cryosurgery (46916) $229 $229 1.0×
Dstrj lesion anus simple surg excision (46922) $2,465 $2,465 0.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,014 $2,014 0.8×
Dstrj Lesion Penis Simple Chemical (54050) $365 $365 0.7×
Dstrj Lesion Penis Simple Cryosurgery (54056) $245 $245 1.0×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,447 $2,447 1.0×
Dstrj lesion penis simple laser (54057) $2,014 $2,014 0.8×
Dstrj lesion penis simple surg excision (54060) $807 $807 0.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,049 $1,049 1.0×
Duodenal intubat w/imag guided multiple specimen (43757) $990 $990 0.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $1,980–$4,473 $1,980–$4,473 varies
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $1,973–$4,796 $1,973–$4,796 varies
Dx Bronchoscope/Wash (31622) $1,973 $1,973 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $975 $975 1.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,928 $1,928 0.8×
Egd cautery tumor polyp (43250) $1,928 $1,928 0.8×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,928 $1,928 0.8×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,928 $1,928 0.8×
Egd place gastrostomy tube (43246) $2,430 $2,430 1.1×
Egd Tube/Cath Insertion (43241) $1,928 $1,928 0.8×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $423 $423 1.1×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $337 $337 0.9×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $530 $530 1.4×
Electro-Uroflowmetry First (51741) $283 $283 1.1×
Emblc/thrmbc ax brach innominate subcla art (34101) $5,689 $5,689 0.9×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) $5,689 $5,689 0.9×
Endocervical curettage (57505) $1,149 $1,149 1.0×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $5,364 $5,364 0.9×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $300–$500 $300–$500 varies
Endoscopic us exam esoph (43237) $1,928 $1,928 0.8×
Endoscopy upper small intestine w/biopsy (44361) $1,928 $1,928 0.8×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $8,938 $8,938 2.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $6,000 $6,000 1.6×
Endoven ther chem adhes 1st (36482) $10,237 $10,237 1.5×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,928 $1,928 0.8×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,928 $1,928 0.8×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,928 $1,928 0.8×
Epididymectomy unilateral (54860) $4,800 $4,800 1.1×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,199 $4,199 1.7×
Epidural Blood Patch (62273) $605 $605 0.7×
Ercp duct stent placement (43274) $5,845 $5,845 0.8×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,672 $3,672 0.8×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,679 $4,679 1.0×
Ercp remove forgn body duct (43275) $3,672 $3,672 1.6×
Ercp Stent Exchange W/Dilate (43276) $5,845 $5,845 0.8×
Ercp,Sphincterotomy (43262) $3,672 $3,672 0.8×
Escharotomy; initial incision (16035) $408 $408 0.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $990 $990 0.9×
Esophagosc Dilate Balloon 30 (43214) $1,928 $1,928 0.8×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,775 $1,775 0.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,928 $1,928 0.8×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,928 $1,928 0.8×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $75–$200 $75–$200 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,788 $1,788 0.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,788 $1,788 0.9×
Exc abdl tum deep 5 cm/> (22901) $3,092 $3,092 0.9×
Exc arm/elbow les sc < 3 cm (24075) $3,329 $3,329 1.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $775–$850 $775–$850 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,290 $2,290 1.2×
Exc Back Les Sc < 3 Cm (21930) $2,953 $2,953 1.5×
Exc Back Tum Deep 5 Cm/> (21933) $5,362 $5,362 1.5×
Exc back tum deep < 5 cm (21932) $5,106 $5,106 1.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $3,661 $3,661 0.8×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $775 $775 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $825 $825 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,788 $1,788 0.9×
Exc Face Les Sbq 2 Cm/> (21012) $3,101 $3,101 1.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $775–$1,244 $775–$1,244 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $825–$1,306 $825–$1,306 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $875–$1,371 $875–$1,371 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,953 $2,953 1.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,101 $3,101 1.6×
Exc Forearm Les Sc 3 Cm/> (25071) $3,101 $3,101 1.6×
Exc Forearm Tum Deep 3 Cm/> (25073) $5,106 $5,106 1.5×
Exc ganglion wrist recurrent (25112) $1,707 $1,707 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,140 $2,140 1.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,190 $2,190 2.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,240 $2,240 1.1×
Exc Hand Les Sc < 1.5 Cm (26115) $3,098 $3,098 1.6×
Exc hand tum deep < 1.5 cm (26116) $3,253 $3,253 1.6×
Exc hydrocele sprmatic cord uni spx (55500) $2,262 $2,262 0.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,707 $1,707 0.9×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,707 $1,707 0.9×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $2,901 $2,901 0.7×
Exc neuroma hand/foot xcp digital nerve (64782) $2,121 $2,121 0.9×
Exc Rct Tum Incl Muscularis Propria (45172) $3,035 $3,035 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $3,035 $3,035 0.9×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,092 $3,092 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $925–$1,200 $925–$1,200 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,340 $2,340 1.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,400 $3,400 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $2,140–$2,400 $2,140–$2,400 varies
Exc Skin Benig >4cm Face,Facial (11446) $5,106 $5,106 1.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,788 $1,788 0.9×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,092 $3,092 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,788 $1,788 0.9×
Exc tendon shth lesion leg/ankle (27630) $3,410 $3,410 0.9×
Exc thigh/knee les sc 3 cm/> (27337) $3,092 $3,092 0.9×
Exc thigh/knee tum dep 5cm/> (27339) $3,092 $3,092 0.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,183 $2,183 1.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $825–$900 $825–$900 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $875–$950 $875–$950 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,100 $2,100 1.1×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,426 $3,426 1.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $4,652 $4,652 1.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $3,256 $3,256 1.6×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $3,101 $3,101 1.6×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,092 $3,092 0.9×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,092 $3,092 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,092 $3,092 0.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,788 $1,788 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,953 $2,953 1.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $3,092 $3,092 0.9×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,788 $1,788 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,981 $1,981 1.0×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $3,092 $3,092 0.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,092 $3,092 0.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,092 $3,092 0.9×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $3,805 $3,805 0.9×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,707 $1,707 0.9×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,791 $6,791 1.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,358 $1,358 0.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,291 $1,291 0.6×
Excis penile plaque (54110) $3,805 $3,805 0.9×
Excis urethral prolapse (53275) $2,262 $2,262 0.5×
Excise Wrist Tendon Sheath (25118) $1,707 $1,707 0.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $925 $925 1.1×
Excision Aural Polyp (69540) $2,545 $2,545 1.4×
Excision Distal Ulna Partial/Complete (25240) $3,410 $3,410 0.9×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,092 $3,092 0.9×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,092 $3,092 0.9×
Excision Hidradenitis Axillary Complex Repair (11451) $5,617 $5,617 1.6×
Excision Hidradenitis Inguinal Complex Repair (11463) $3,092 $3,092 0.9×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,092 $3,092 0.9×
Excision Infected Graft Extremity (35903) $3,434 $3,434 0.9×
Excision inferior turbinate partial/complete (30130) $5,572 $5,572 1.4×
Excision lesion meniscus/capsule knee (27347) $3,410 $3,410 0.9×
Excision lesion tendon sheath forearm&/wrist (25110) $1,707 $1,707 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $775 $775 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $825 $825 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $875 $875 1.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $975 $975 1.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,100 $1,100 1.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,788 $1,788 0.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,092 $3,092 0.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,940 $1,940 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,990 $1,990 2.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,040 $2,040 2.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,788 $1,788 0.9×
Excision Multiple External Papillae/Tags Anus (46230) $3,035 $3,035 0.9×
Excision of bartholin's gland or cyst (56740) $3,070 $3,070 0.8×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $3,410 $3,410 0.9×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
unusually low: confirm this is the full procedure		 $3,410 $3,410 0.4×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $3,410 $3,410 0.9×
Excision of extraparenchymal lesion of testis (54512) $3,805 $3,805 0.9×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,707 $1,707 0.9×
Excision of hydrocele; bilateral (55041) $3,832 $3,832 0.9×
Excision of hydrocele; unilateral (55040) $3,832 $3,832 0.9×
Excision of local lesion of epididymis (54830) $4,533 $4,533 1.1×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $5,751 $5,751 0.8×
Excision of pilonidal cyst or sinus; simple (11770) $3,426 $3,426 1.0×
Excision of single external papilla or tag, anus (46220) $1,274 $1,274 0.9×
Excision of submandibular (submaxillary) gland (42440) $5,751 $5,751 0.8×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $5,227 $5,227 0.8×
Excision of vaginal cyst or tumor (57135) $3,070 $3,070 0.8×
Excision olecranon bursa (24105) $3,410 $3,410 0.9×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $3,410 $3,410 0.9×
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) $7,409 $7,409 0.9×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) $7,409 $7,409 0.9×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,092 $3,092 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,092 $3,092 0.9×
Excision prepatellar bursa (27340) $3,410 $3,410 0.9×
Excision spermatocele w/wo epididymectomy (54840) $2,262 $2,262 0.9×
Excision synovial cyst popliteal space (27345) $3,410 $3,410 0.9×
Excision tendon finger flexor/extensor each (26180) $1,707 $1,707 0.9×
Excision tendon palm flexor/extensor single each (26170) $869 $869 0.5×
Excision Thyroglossal Duct Cyst/Sinus (60280) $5,975 $5,975 0.8×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $5,975 $5,975 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,101 $3,101 1.6×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,092 $3,092 0.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,788 $1,788 0.9×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,788 $1,788 0.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $4,243 $4,243 2.1×
Excision, interdigital (morton) neuroma, single, each (28080) $1,707 $1,707 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,092 $3,092 0.9×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,953 $2,953 1.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $3,092 $3,092 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $3,092 $3,092 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,092 $3,092 0.9×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,981 $1,981 1.0×
Excision/curettage cyst/tumor carpal bones (25130) $3,410 $3,410 0.9×
Excision/destruction intranasal lesion int appr (30117) $5,820 $5,820 1.5×
Excision; trochanteric bursa or calcification (27062) $3,410 $3,410 0.9×
Expl po hemrrg thrombosis/infctj xtr (35860) $3,434 $3,434 0.9×
Explo/Drain Breast Abscess (19020) $1,981 $1,981 1.0×
Exploration of hip joint (27033)
unusually low: confirm this is the full procedure		 $3,410 $3,410 0.4×
Exploration penetrating wound spx extremity (20103) $1,066 $1,066 0.5×
Explore/Treat Elbow Joint (24101) $3,410 $3,410 0.9×
Explore/Treat Hand Joint (26070) $4,304 $4,304 2.2×
Explore/Treat Knee Joint (27331) $3,410 $3,410 0.9×
External cephalic version (59412) $3,216 $3,216 0.8×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $2,014 $2,014 0.8×
Fasciectomy Palm Only (26121) $3,410 $3,410 0.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,410 $3,410 0.9×
Fasciotomy Iliotibial Open (27305) $3,410 $3,410 0.9×
Fasciotomy palmar open partial (26045) $3,410 $3,410 0.9×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,410 $3,410 0.9×
Fetal Contraction Stress Test (59020) $319 $319 1.3×
Fetal non-stress test (59025) $260 $260 1.1×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $2,014 $2,014 0.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,060 $1,060 1.2×
Fine needle aspiration without imaging guidance (10021) $180 $180 0.4×
Fluid Pressure Muscle (20950) $835 $835 1.0×
Fluoro exam of g/colon tube (49465) $425 $425 1.5×
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines		 $190–$1,060 $190–$1,060 varies
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $196–$1,060 $196–$1,060 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $361–$653 $361–$653 varies
Frenulotomy of penis (54164) $3,068 $3,068 1.2×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,014 $2,014 0.8×
Fuse hand bones with graft (25825) $7,409 $7,409 0.9×
Fusion Finger Joint (26860) $3,410 $3,410 0.9×
Fusion of elbow joint (24800) $7,409 $7,409 0.9×
Fusion of foot bones (28740) $7,409 $7,409 0.9×
Fusion of hand bones (25820) $7,409 $7,409 0.9×
Fusion of knuckle joint (26516) $3,410 $3,410 0.9×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,928 $1,928 0.8×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $55 $55 1.5×
Guide Cathet Fluid Drainage (10030) $1,112 $1,112 1.3×
Hand tendon reconstruction (26500) $7,409 $7,409 0.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,035 $3,035 0.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,035 $3,035 0.9×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $3,035 $3,035 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $714 $714 0.6×
Hemorrhoidopexy by stapling (46947) $3,035 $3,035 0.9×
Hip arthro acetabuloplasty (29915) $7,409 $7,409 0.9×
Hysteroscopy Biopsy (58558) $3,898 $3,898 1.0×
Hysteroscopy Dx Sep Proc (58555) $3,070 $3,070 0.8×
Hysteroscopy Endometrial Ablation (58563) $6,670 $6,670 1.1×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 2 matching MRF lines		 $247–$3,898 $247–$3,898 varies
I&d abscess peritonsillar (42700) $234 $234 0.8×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $243–$407 $243–$407 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,707 $1,707 0.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,698 $3,698 1.1×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,092 $3,092 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,410 $3,410 0.9×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $3,035 $3,035 0.9×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,410 $3,410 0.9×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $872–$1,716 $872–$1,716 varies
I&d pilonidal cyst complicated (10081) $1,400 $1,400 1.6×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $195–$1,050 $195–$1,050 varies
I&d shoulder deep abscess/hematoma (23030) $3,092 $3,092 0.9×
I&d upper arm/elbow deep abscess/hematoma (23930) $7,751 $7,751 2.2×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $990 $990 0.9×
Image Cath Fluid Colxn Visc (49405) $2,195 $2,195 1.1×
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $2,130–$2,310 $2,130–$2,310 varies
Image Cath Fluid Trns/Vgnl (49407) $2,310 $2,310 1.2×
Implant neuroelectrodes (63650) $9,448 $9,448 1.2×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $15,162–$22,743 $15,162–$22,743 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
unusually low: confirm this is the full procedure		 $7,370 $7,370 0.3×
Implant Spine Infusion Pump (62362) $27,000 $27,000 1.2×
Incise external hemorrhoid (46083) $439 $439 1.5×
Incise finger tendon sheath (26055) $2,632 $2,632 1.4×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $361–$728 $361–$728 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $4,243 $4,243 1.2×
Incision & drainage leg/ankle infected bursa (27604) $4,243 $4,243 1.1×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $2,382–$2,655 $2,382–$2,655 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $335–$674 $335–$674 varies
Incision and drainage of bartholin's gland abscess (56420) $350 $350 1.4×
Incision and drainage of vulva or perineal abscess (56405) $427 $427 1.2×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,707 $1,707 0.9×
Incision extensor tendon sheath wrist (25000) $2,430 $2,430 1.3×
Incision of eardrum (69420) $416 $416 1.5×
Incision of fibula (27707) $3,410 $3,410 0.9×
Incision of Foot Tendon (28234) $1,707 $1,707 0.9×
Incision of rectal abscess (46040) $2,471 $2,471 1.7×
Incision of tibia & fibula (27709) $13,928 $13,928 0.9×
Incision of urethra (53010) $5,227 $5,227 0.8×
Incision of urethra (53020) $2,262 $2,262 0.9×
Incision&drainage bursa foot (28001) $1,788 $1,788 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,758 $1,758 0.9×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $351–$500 $351–$500 varies
Induced abortion dilation and curettage (59840) $4,093 $4,093 1.1×
Initial Tx 1st Degree Burn Local Tx (16000) $280 $280 1.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $872–$1,311 $872–$1,311 varies
Inj W/Fluor Eval Cv Device (36598) $393 $393 1.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,049 $1,049 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $247–$574 $247–$574 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,170 $1,170 1.1×
Injection aa&/strd genicular nrv branches w/img (64454) $975 $975 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,428 $1,428 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $111–$975 $111–$975 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,305 $1,305 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $528 $528 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $1,102 $1,102 1.0×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $161–$800 $161–$800 varies
Injection enzyme palmar fascial cord (20527) $641 $641 1.7×
Injection of sclerosing solution, hemorrhoids (46500) $872 $872 0.8×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $247–$576 $247–$576 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $265–$384 $265–$384 varies
Injection single/mlt trigger point 3/> muscles (20553) $404 $404 1.1×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $259–$389 $259–$389 varies
Injection, anesthetic agent; brachial plexus, single (64415) $1,935 $1,935 1.8×
Injection, anesthetic agent; femoral nerve, single (64447) $863 $863 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $423–$933 $423–$933 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $264–$350 $264–$350 varies
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $4,324–$9,131 $4,324–$9,131 varies
Ins cath ren art 1st unilat (36251) $6,087 $6,087 1.6×
Ins cath ren art 2nd+ unilat (36253)
range across 2 matching MRF lines		 $1,546–$10,085 $1,546–$10,085 varies
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure		 $1,537 $1,537 0.2×
Ins/Rep Subq Defibrillator (33270) $55,090 $55,090 1.5×
Insert Bladder Cath Complex (51703) $283 $283 1.8×
Insert cath pleura w/ image (32557) $1,439 $1,439 0.8×
Insert cath pleura w/o image (32556) $2,430 $2,430 1.1×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $170–$220 $170–$220 varies
Insert Gastrostomy Tube Percutaneous (49440) $1,775 $1,775 0.8×
Insert Heart Pm Atrial (33206) $17,983 $17,983 1.4×
Insert Heart Pm Ventricular (33207) $17,983 $17,983 1.4×
Insert hepatic shunt (tips) (37182) $23,472 $23,472 1.1×
Insert multi-comp penis pros (54405) $21,215 $21,215 0.9×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $3,508–$5,018 $3,508–$5,018 varies
Insert Pacing Lead & Connect (33224) $17,983 $17,983 1.4×
Insert pessary/other device (57160) $247 $247 1.0×
Insert pulse gen dual leads (33213) $17,983 $17,983 1.4×
Insert Pulse Gen Sngl Lead (33212) $14,221 $14,221 1.4×
Insert semi-rigid prosthesis (54400) $21,215 $21,215 1.3×
Insert tandem cuff (53444) $21,215 $21,215 0.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $120–$200 $120–$200 varies
Insert tun ip cath perc (49418) $2,911 $2,911 0.7×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,121–$2,800 $2,121–$2,800 varies
Insert Uro/Ves Nck Sphincter (53445) $21,215 $21,215 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $166 $166 1.0×
Insertion indwelling tunneled pleural catheter (32550) $3,878 $3,878 0.9×
Insertion of cannula (36800) $5,689 $5,689 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,723 $1,723 0.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $14,221 $14,221 1.4×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,832 $3,832 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $14,220 $14,220 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,084 $1,084 0.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,246 $1,246 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,534 $1,534 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $1,184–$5,671 $1,184–$5,671 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $9,683 $9,683 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $55,090 $55,090 1.5×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $43,514 $43,514 1.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $14,221 $14,221 1.4×
Insrt heart pm atrial & vent (33208) $17,983 $17,983 1.4×
Instlj ther agent renal pelvis&/ureter via tub (50391) $367 $367 1.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $3,035 $3,035 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $650 $650 1.3×
Intro cath dialysis circuit (36901) $1,525 $1,525 0.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,783 $12,783 0.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $8,255 $8,255 1.2×
Intubation endotracheal emergency procedure (31500) $316 $316 1.1×
Irrigation of corpora cavernosa for priapism (54220) $439 $439 1.5×
Knee arthroscopy/drainage (29871) $3,410 $3,410 0.9×
Knee Arthroscopy/Surgery (29885) $7,409 $7,409 0.9×
Knee Arthroscopy/Surgery (29874) $3,410 $3,410 0.9×
Labyrinthotomy Transcanal (69801) $2,724 $2,724 1.5×
Lam facetec & foramot lumbar (63047) $7,409 $7,409 0.9×
Laminotomy Single Lumbar (63042) $7,409 $7,409 0.9×
Lap insert tunnel ip cath (49324) $5,975 $5,975 0.8×
Lap paraesoph her rpr w/mesh (43282) $10,064 $10,064 0.8×
Laparo ablate renal mass (50542) $10,064 $10,064 0.8×
Laparo-vag hyst incl t/o (58552) $10,064 $10,064 0.8×
Laparoscopy aspiration (49322) $5,975 $5,975 0.8×
Laparoscopy Enterolysis Separate Procedure (44180) $5,975 $5,975 0.8×
Laparoscopy gastrostomy (43653) $5,975 $5,975 0.8×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $5,975 $5,975 0.8×
Laparoscopy surgical orchiectomy (54690) $5,975 $5,975 0.8×
Laparoscopy W/Lysis Of Adhesions (58660) $5,975 $5,975 0.8×
Laparoscopy w/rmvl adnexal structures (58661) $5,975 $5,975 0.8×
Laparoscopy, surgical, splenectomy (38120) $10,064 $10,064 0.8×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $5,975 $5,975 0.8×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $10,064 $10,064 0.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,975 $5,975 0.8×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $5,975 $5,975 0.5×
Laparoscopy, surgical; partial nephrectomy (50543) $10,064 $10,064 0.8×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $5,975 $5,975 0.8×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $5,975 $5,975 0.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $5,975 $5,975 0.8×
Laparoscopy, Tubal Block (58671) $5,975 $5,975 0.8×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $5,975 $5,975 0.8×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,975 $5,975 0.8×
Laps Gastric Restrictive Px Remove Device & Port (43774) $3,672 $3,672 0.8×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $5,975 $5,975 0.8×
Laryngoscopy diagnostic (31505) $324 $324 1.4×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $140–$400 $140–$400 varies
Laryngoscopy W/Foreign Body Removal (31530) $1,943 $1,943 0.9×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $502 $502 1.1×
Laser Surgery Anal Lesions (46917) $3,035 $3,035 0.9×
Laser vaporization of prostate (52648) $7,785 $7,785 1.2×
Late closure of wound (13160) $2,676 $2,676 0.6×
Lateral retinacular release open (27425) $3,410 $3,410 0.9×
Lig&div long saph vein saphfem junct/interrupj (37700) $3,434 $3,434 0.9×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $13,928 $13,928 0.9×
Ligamentous Reconstruction Knee Extra-Articular (27427) $7,409 $7,409 0.9×
Ligate/strip long leg vein (37722) $3,434 $3,434 0.9×
Ligate/strip short leg vein (37718) $3,434 $3,434 0.9×
Ligation of a-v fistula (37607) $3,434 $3,434 0.9×
Ligation of hemorrhoids (46946) $3,035 $3,035 0.9×
Ligation or biopsy temporal artery (37609) $2,044 $2,044 1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $3,991 $3,991 1.1×
Lip Surgery Procedure (40799) $322 $322 1.1×
Litholapaxy smpl/sm <2.5 cm (52317) $3,805 $3,805 0.9×
Lithotripsy, extracorporeal shock wave (50590) $3,805 $3,805 0.9×
Low Back Disk Surgery (63030) $7,409 $7,409 0.9×
Lyse chest fibrin init day (32561) $1,028 $1,028 1.4×
Lyse Chest Fibrin Subq Day (32562) $1,028 $1,028 1.4×
Lysis of labial adhesions (56441) $3,070 $3,070 0.8×
Lysis/excision penile postcircumcision adhesions (54162) $2,262 $2,262 0.9×
Male sling procedure (53440) $9,946 $9,946 0.6×
Maniplatn palar fascial crd post inj single cord (26341) $505 $505 1.7×
Manipulation Ankle Under General Anesthesia (27860) $3,410 $3,410 0.9×
Manipulation Elbow Under Anesthesia (24300) $1,707 $1,707 0.9×
Manipulation hip joint general anesthesia (27275) $1,707 $1,707 0.9×
Manipulation knee joint under general anesthesia (27570) $1,707 $1,707 0.9×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,707 $1,707 0.9×
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines		 $254–$3,897 $254–$3,897 varies
Mast mod rad (19307) $6,390 $6,390 0.8×
Mastectomy for gynecomastia (19300) $3,661 $3,661 0.8×
Mastectomy partial (19301) $4,672 $4,672 1.0×
Mastectomy partial w/axillary lymphadenectomy (19302) $6,390 $6,390 0.8×
Mastectomy simple complete (19303) $6,390 $6,390 0.8×
Mastopexy (19316) $6,390 $6,390 0.8×
Mech remov tunneled cv cath (36595) $1,246 $1,246 0.3×
Metatarsectomy (28140) $3,410 $3,410 0.9×
Muscle-skin graft trunk (15734) $3,596 $3,596 0.8×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $1,700–$1,701 $1,700–$1,701 varies
Myelography Lumbar Injection (62304) $1,701 $1,701 1.8×
Myelography via lumbar injection rs&i cervical (62302) $1,790 $1,790 1.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,701 $1,701 1.8×
N Block Inj Celiac Pelus (64530) $1,530 $1,530 1.4×
N Block Inj Ilio-Ing/Hypogi (64425) $1,680 $1,680 2.0×
N block inj intercost sng (64420) $975 $975 1.2×
N Block Inj Plantar Digit (64455)
range across 4 matching MRF lines		 $247–$371 $247–$371 varies
N Block Inj Pudendal (64430) $1,680 $1,680 1.6×
N Block Lumbar/Thoracic (64520) $2,018 $2,018 1.9×
Nasal Endoscopy Dx (31231) $334 $334 1.4×
Nasal surgery procedure (30999) $227 $227 0.8×
Nasal/Orogastric W/Tube Plmt (43752) $666 $666 1.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,963 $2,963 1.4×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $968 $968 0.9×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,707 $1,707 0.9×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,112–$1,724 $1,112–$1,724 varies
Needle Biopsy Pancreas (48102) $1,032 $1,032 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $85 $85 2.5×
Needle insertion w/o injection 3 or more muscles (20561) $85 $85 2.5×
Nerve repair w/conduit each nerve (64910) $5,936 $5,936 0.6×
Neuroeltrd Stim Post Tibial (64566) $528 $528 1.4×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,121 $2,121 0.9×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,121 $2,121 0.9×
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) $300 $300 0.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $300 $300 0.7×
Nipple Exploration (19110) $3,661 $3,661 0.8×
Nipple/areola reconstruction (19350) $3,661 $3,661 0.8×
Njx anes stellate ganglion crv sympathetic (64510) $1,049 $1,049 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $247–$728 $247–$728 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $911 $911 0.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,639 $5,639 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $776–$1,512 $776–$1,512 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $900 $900 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,190 $1,190 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $960 $960 1.1×
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 2 matching MRF lines		 $2,986–$4,976 $2,986–$4,976 varies
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $2,986 $2,986 1.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 4 matching MRF lines		 $1,358–$2,037 $1,358–$2,037 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,358 $1,358 1.6×
Njx Sclrsnt 1 Incmptnt Vein (36470) $674 $674 1.4×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,088 $1,088 2.2×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $373–$560 $373–$560 varies
Open biopsy/excision inguinofemoral nodes (38531) $3,661 $3,661 0.8×
Open Implantation Nea Peripheral Nerve (64575) $17,531 $17,531 1.3×
Open Implantation Nea Sacral Nerve (64581) $7,773 $7,773 1.0×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $7,409 $7,409 0.9×
Open Repair of Rotator Cuff Acute (23410) $7,409 $7,409 0.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,409 $7,409 0.9×
Open treatment calcaneal fracture (28415) $7,409 $7,409 0.9×
Open Treatment Fracture Distal Tibia & Fibula (27828) $13,928 $13,928 0.9×
Open treatment fracture distal tibia only (27827) $13,928 $13,928 0.9×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $7,409 $7,409 0.9×
Open Treatment Humeral Condylar Fracture (24579) $13,928 $13,928 0.9×
Open Treatment Medial Malleolus Fracture (27766) $7,409 $7,409 0.9×
Open treatment metacarpophalangeal dislocation (26715) $3,410 $3,410 0.9×
Open treatment metatarsal fracture each (28485) $7,409 $7,409 0.9×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $7,409 $7,409 0.9×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,409 $7,409 0.9×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $7,409 $7,409 0.9×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $20,023 $20,023 1.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $7,409 $7,409 0.9×
Open treatment of temporomandibular dislocation Facility (21490) $3,214 $3,214 0.8×
Open Treatment of Ulnar Shaft Fracture (25545) $7,409 $7,409 0.9×
Open treatment of ulnar styloid fracture (25652) $7,409 $7,409 0.9×
Open treatment posterior malleolus fracture (27769) $7,409 $7,409 0.9×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $7,409 $7,409 0.9×
Open Treatment Radial Shaft Fracture (25515) $7,409 $7,409 0.9×
Open Treatment Tarsal Bone Dislocation (28555) $7,409 $7,409 0.9×
Open Tx Acute/Chronic Elbow Dislocation (24615) $7,409 $7,409 0.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,410 $3,410 0.9×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $3,410 $3,410 0.9×
Open tx carpal scaphoid navicular fracture (25628) $7,409 $7,409 0.9×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $3,410 $3,410 0.9×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,409 $7,409 0.9×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $7,409 $7,409 0.9×
Open Tx Distal Tibiofibular Joint Disruption (27829) $7,409 $7,409 0.9×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $3,090 $3,090 0.2×
Open Tx Humeral Epicondylar Fracture (24575) $13,928 $13,928 0.9×
Open tx humeral supracondylar fracture w/o xtn (24545) $13,928 $13,928 0.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,410 $3,410 0.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,410 $3,410 0.9×
Open Tx Radial Head/Neck Fracture (24665) $7,409 $7,409 0.9×
Open Tx Radial Head/Neck Fracture Prosth (24666) $13,928 $13,928 0.9×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670)
unusually low: confirm this is the full procedure		 $3,410 $3,410 0.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $7,409 $7,409 0.9×
Open tx ulnar fx proximal end (24685) $7,409 $7,409 0.9×
Open/Perq Place Stent 1St (37236) $13,680 $13,680 1.0×
Open/Perq Place Stent Same (37238) $18,239 $18,239 1.3×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $3,410 $3,410 0.9×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $7,409 $7,409 0.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $7,409 $7,409 0.9×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $13,928 $13,928 0.9×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $13,928 $13,928 0.9×
Orchiectomy radical tumor inguinal approach (54530) $3,832 $3,832 0.9×
Orchiopexy Ingun/Scrot Appr (54640) $3,832 $3,832 0.9×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $3,832 $3,832 0.9×
Ostectomy calcaneus (28118) $3,410 $3,410 0.9×
Ostectomy, complete excision; first metatarsal head (28111) $3,410 $3,410 0.9×
Osteochondral allograft knee open (27415) $13,928 $13,928 0.9×
Osteochondral knee autograft (27416) $7,409 $7,409 0.9×
Osteoplasty Radius/Ulna Shortening (25390) $7,409 $7,409 0.9×
Osteoplasty, carpal bone, shortening Facility (25394) $3,410 $3,410 0.9×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,410 $3,410 0.9×
Osteotomy Clavicle W Bone Graft (23485) $13,928 $13,928 0.9×
Osteotomy Metacarpal Each (26565) $3,410 $3,410 0.9×
Osteotomy Phalanx Finger Each (26567) $3,410 $3,410 0.9×
Osteotomy talus (28302) $7,409 $7,409 0.9×
Osteotomy Tibia (27705) $7,409 $7,409 0.9×
Osteotomy Ulna (25360) $7,409 $7,409 0.9×
Ovarian cystectomy, unilateral or bilateral (58925) $5,364 $5,364 0.9×
Parathyroidectomy or exploration of parathyroid(s); (60500) $5,751 $5,751 0.8×
Part exc bone femur prox tibia (27360) $3,410 $3,410 0.9×
Part remv talus or calcaneus (28120) $3,410 $3,410 0.9×
Partial excision bone metacarpal (26230) $3,410 $3,410 0.9×
Partial Excision Distal Phalanx Finger (26236) $1,887 $1,887 1.0×
Partial removal of thyroid (60220) $5,975 $5,975 0.8×
Partial removal of tibia (27640) $3,410 $3,410 0.9×
Partial thyroid excision (60212) $5,975 $5,975 0.8×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $5,975 $5,975 0.8×
Partical Excision Bone Phalanx Toe (28124) $3,410 $3,410 0.9×
Patellectomy or hemipatellectomy (27350)
unusually low: confirm this is the full procedure		 $3,410 $3,410 0.4×
Pelvic examination under anesthesia (other than local) (57410) $3,070 $3,070 0.8×
Penile Injection (54235) $381 $381 1.3×
Penis plastic surgery (54360) $3,805 $3,805 0.9×
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure		 $4,627 $4,627 0.4×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,549 $1,549 0.9×
Perc Rf Ablate Renal Tumor (50592) $15,744 $15,744 2.2×
Percut Cath Occlusn Non Cns Lesn (61626) $22,280 $22,280 1.6×
Percut Drain/Inject Renal Cyst (50390) $390 $390 0.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $8,374.24 $8,374.24 2.2×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $3,410 $3,410 0.9×
Pericardiocentesis W/Imaging (33016) $2,669 $2,669 1.4×
Perineoplasty rpr perineum nonobstetrical spx (56810) $3,898 $3,898 1.0×
Perirectal inj sclerosing solution prolapse (45520) $968 $968 0.9×
Perq Cervicothoracic Inject (22510) $3,016 $3,016 0.8×
Perq dev breast 1st mr guide (19287)
range across 2 matching MRF lines		 $1,217–$2,419 $1,217–$2,419 varies
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $1,217–$2,199 $1,217–$2,199 varies
Perq dev breast 1st us imag (19285)
range across 5 matching MRF lines		 $1,217–$2,999 $1,217–$2,999 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines		 $1,352–$2,953 $1,352–$2,953 varies
Perq dilation xst trc endourologic px w/img (50436) $2,764 $2,764 0.7×
Perq Lumbosacral Injection (22511) $3,016 $3,016 0.8×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $9,946 $9,946 0.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $514 $514 0.6×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $12,783–$20,760 $12,783–$20,760 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 2 matching MRF lines		 $8,255–$10,045 $8,255–$10,045 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $8,339–$9,775 $8,339–$9,775 varies
Perq Vertebral Augmentation (22513) $8,339 $8,339 1.0×
Phleb Veins - Extrem 20+ (37766) $5,983 $5,983 1.6×
Pin Finger Dislocation (26776) $3,410 $3,410 0.9×
Pin hand dislocation (26676) $3,410 $3,410 0.9×
Pin knuckle dislocation (26706) $3,410 $3,410 0.9×
Place breast rad tube/caths (19298)
unusually low: confirm this is the full procedure		 $6,390 $6,390 0.4×
Place Cath Subclavian Art (36225) $5,550 $5,550 1.5×
Place Cath Thoracic Aorta (36221) $5,550 $5,550 1.5×
Place Cath Vertebral Art (36226) $9,076 $9,076 1.4×
Place Duod/Jej Tube Perc (49441) $1,928 $1,928 0.8×
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $1,549–$2,351 $1,549–$2,351 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $80–$190 $80–$190 varies
Placement of seton (46020) $3,035 $3,035 0.9×
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure		 $3,128 $3,128 0.4×
Plmt expandable cath brst following prtl mast (19296) $8,590 $8,590 0.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,902 $3,902 1.6×
Plmt Nephroureteral Catheter (50433) $3,902 $3,902 0.9×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $2,581 $2,581 0.6×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $5,364 $5,364 0.9×
Prim art mech thrombectomy (37184) $15,669 $15,669 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,091 $1,091 1.0×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $1,274 $1,274 0.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $3,035 $3,035 0.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,274 $1,274 0.9×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $3,035 $3,035 0.9×
Prostate laser enucleation (52649) $5,227 $5,227 0.8×
Prosthesis Removal Humeral/Glenoid Component (23334)
unusually low: confirm this is the full procedure		 $3,092 $3,092 0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,209 $1,209 1.4×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines		 $1,479–$12,050 $1,479–$12,050 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 3 matching MRF lines		 $5,639–$6,791 $5,639–$6,791 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)
range across 3 matching MRF lines		 $5,639–$7,471 $5,639–$7,471 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,410 $3,410 0.9×
Prq skel fixj femoral fx prox end neck (27235) $8,747 $8,747 1.0×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $3,410 $3,410 0.9×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $7,409 $7,409 0.9×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $3,410 $3,410 0.9×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $7,409 $7,409 0.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,410 $3,410 0.9×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $262–$1,714 $262–$1,714 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $303–$400 $303–$400 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $508 $508 1.0×
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $568–$1,050 $568–$1,050 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $975 $975 1.2×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $7,409 $7,409 0.9×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,092 $3,092 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $5,630 $5,630 1.6×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $3,092 $3,092 0.9×
Radical styloidectomy separate procedure (25230) $3,410 $3,410 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,683 $2,683 1.1×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $3,410 $3,410 0.9×
Rdctj torsion tstis w/wo fixj clat testis (54600) $2,262 $2,262 0.5×
Realignment extensor tendon hand each tendon (26437) $3,410 $3,410 0.9×
Reconstruct elbow lat ligmnt (24344) $7,409 $7,409 0.9×
Reconstruct extra finger (26587) $3,410 $3,410 0.9×
Reconstruct finger joint (26545) $3,410 $3,410 0.9×
Reconstruct Finger Joint (26548) $3,410 $3,410 0.9×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $7,409 $7,409 0.9×
Redo Endovas Vena Cava Filtr (37192) $3,171 $3,171 0.8×
Release of shoulder ligament (23415) $7,409 $7,409 0.9×
Relieve Pressure on Nerve(S) (64722) $2,121 $2,121 0.9×
Relocation Pocket Pacemaker (33222) $3,143 $3,143 1.3×
Rem Endovas Vena Cava Filter (37193) $3,013 $3,013 0.8×
Removal Anal Seton Other Marker (46030) $1,567 $1,567 1.1×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $21,215 $21,215 0.9×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) $21,215 $21,215 0.9×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,728 $2,728 2.5×
Removal Embedded Foreign Body Eyelid (67938) $614 $614 1.6×
Removal Foreign Body Deep Thigh/Knee (27372) $3,329 $3,329 1.0×
Removal foreign body foot deep (28192) $1,445 $1,445 0.7×
Removal Foreign Body Foot Subcutaneous (28190) $1,112 $1,112 1.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $392–$2,953 $392–$2,953 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $3,410 $3,410 0.9×
Removal foreign body upper arm/elbow deep (24201) $1,445 $1,445 0.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $5,910 $5,910 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $168–$315 $168–$315 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $107–$347 $107–$347 varies
Removal Implant Deep (20680) $1,918 $1,918 0.6×
Removal Implant Superficial Separate Procedure (20670) $1,445 $1,445 0.7×
Removal implantable contraceptive capsules (11976) $753 $753 0.9×
Removal of anal fissure (46200) $3,035 $3,035 0.9×
Removal of bladder cyst (51500) $5,975 $5,975 0.8×
Removal of bone lesion (23140) $3,410 $3,410 0.9×
Removal of cervix (57530) $3,070 $3,070 0.5×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $267–$829 $267–$829 varies
Removal of heel spur (28119) $3,410 $3,410 0.9×
Removal of implant from finger or hand (26320) $1,788 $1,788 0.9×
Removal of kidney stone (50081) $9,946 $9,946 0.9×
Removal of nail bed (11750) $547 $547 1.1×
Removal of sperm cord lesion (55520) $2,262 $2,262 0.5×
Removal of tendon for graft (20924) $7,409 $7,409 0.9×
Removal of testis (54520) $2,262 $2,262 0.5×
Removal of thyroid (60271) $5,751 $5,751 0.8×
Removal of tunneled intraperitoneal catheter (49422) $8,697 $8,697 2.3×
Removal of wrist bone (25210) $3,410 $3,410 0.9×
Removal Pacemaker Electrode (33235) $6,254 $6,254 1.4×
Removal ppm generator only (33233) $14,221 $14,221 1.4×
Removal shoulder foreign body deep subfascial/im (23333) $1,788 $1,788 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $273–$400 $273–$400 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,209 $1,209 1.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,014 $2,014 0.8×
Removal sweat gland lesion (11450) $5,106 $5,106 1.5×
Removal, under anesthesia, of external fixation system (20694) $1,707 $1,707 0.9×
Removal/bivalving gauntlet boot/body cast (29700) $624 $624 1.9×
Remove armpit lymph nodes (38740) $5,975 $5,975 0.8×
Remove drug implant device (11982) $399 $399 0.7×
Remove elbow lesion (24120) $3,410 $3,410 0.9×
Remove Elctrd Transvenously (33244) $6,253 $6,253 1.4×
Remove Forearm Foreign Body (25248) $3,092 $3,092 1.6×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $143–$245 $143–$245 varies
Remove groin lymph nodes (38760) $6,390 $6,390 0.8×
Remove Hand Bone Lesion (26200) $1,707 $1,707 0.9×
Remove Intrauterine Device (58301) $422 $422 1.2×
Remove intrvas foreign body (37197) $2,544 $2,544 0.7×
Remove knee joint lining (27334) $3,410 $3,410 0.9×
Remove Lower Leg Bone Lesion (27635) $3,410 $3,410 0.9×
Remove lung catheter (32552) $1,575 $1,575 2.1×
Remove muti-comp penis pros (54406) $3,805 $3,805 0.9×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $64–$245 $64–$245 varies
Remove Peritoneal Foreign Body (49402) $3,832 $3,832 0.9×
Remove prostate regrowth (52630) $5,791 $5,791 0.9×
Remove Pulse Generator (33241) $6,253 $6,253 1.4×
Remove radius head implant (24164) $3,410 $3,410 0.9×
Remove renal tube w/fluoro (50389) $868 $868 1.0×
Remove Tendon Sheath Lesion (26160) $2,632 $2,632 1.4×
Remove ureter stent percut (50384) $5,558 $5,558 2.2×
Remove wrist joint cartilage (25107) $3,410 $3,410 0.9×
Remove&replace pm gen singl (33227) $14,220 $14,220 1.4×
Remove/Insert Drug Implant (11983) $453 $453 0.8×
Remove/replace penis prosth (54410) $21,215 $21,215 0.9×
Remv&replc cvd gen dual lead (33263) $38,568 $38,568 1.4×
Remv&replc cvd gen mult lead (33264) $55,090 $55,090 1.5×
Remv&replc cvd gen sing lead (33262) $38,568 $38,568 1.4×
Remv&replc pm gen dual lead (33228) $17,982 $17,982 1.4×
Remv&replc pm gen mult leads (33229) $32,769 $32,769 1.4×
Renal Biopsy Perq (50200) $981 $981 0.5×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
unusually low: confirm this is the full procedure		 $5,227 $5,227 0.5×
Repair Bladder-Vagina Lesion (57320) $5,364 $5,364 0.9×
Repair Blood Vessel Direct Hand Finger (35207) $2,186 $2,186 0.6×
Repair Blood Vessel Direct Upper Extremity (35206) $2,186 $2,186 0.6×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,409 $7,409 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $520 $520 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $570 $570 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $400 $400 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $950 $950 1.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $950 $950 1.9×
Repair complex trunk 2.6-7.5 cm (13101) $696 $696 0.8×
Repair Elbow Perc (24357) $3,410 $3,410 0.9×
Repair extensor tendon finger w/o graft each (26418) $1,815 $1,815 0.9×
Repair Extensor Tendon Hand W/Graft Each (26412) $3,410 $3,410 0.9×
Repair Finger Tendon (26433) $3,410 $3,410 0.9×
Repair Finger/Hand Tendon (26350) $3,410 $3,410 0.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,410 $3,410 0.9×
Repair Foot Dislocation (28615) $7,409 $7,409 0.9×
Repair Forearm Tendon Sheath (25275) $3,410 $3,410 0.9×
Repair forearm tendon/muscle (25265) $3,410 $3,410 0.9×
Repair Hallux Rigidus (28289) $3,410 $3,410 0.9×
Repair Hand Joint (26540) $3,410 $3,410 0.9×
Repair humerus with graft (24435) $13,928 $13,928 0.9×
Repair inguinal hernia, sliding, any age (49525) $3,832 $3,832 0.9×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,832 $3,832 0.9×
Repair initial femoral hernia, any age; reducible (49550) $3,832 $3,832 0.9×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,832 $3,832 0.9×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $3,832 $3,832 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $475 $475 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $500 $500 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $550 $550 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $600 $600 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $850 $850 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $450–$550 $450–$550 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $650 $650 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $750 $750 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $781–$1,076 $781–$1,076 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $674 $674 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $708 $708 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,037 $1,037 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $743 $743 1.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,326 $3,326 1.3×
Repair Laceration Palate </2 Cm (42180) $757 $757 1.2×
Repair Nonunion Hand (26546) $7,409 $7,409 0.9×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $7,409 $7,409 0.9×
Repair of biceps tendon (24340) $7,409 $7,409 0.9×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $7,409 $7,409 0.9×
Repair of metatarsals (28322) $7,409 $7,409 0.9×
Repair of nail bed (11760) $1,116 $1,116 1.3×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $7,409 $7,409 0.9×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $7,409 $7,409 0.9×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $7,409 $7,409 0.9×
Repair of Ruptured Tendon (24342) $7,409 $7,409 0.9×
Repair of shoulder (23420) $7,409 $7,409 0.9×
Repair of traumatic corporeal tear(s) (54437) $3,805 $3,805 0.9×
Repair paravag defect vag (57285) $8,248 $8,248 0.9×
Repair radius & ulna (25415) $7,409 $7,409 0.9×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $3,832 $3,832 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $3,832 $3,832 0.5×
Repair Rotator Cuff Chronic (23412) $7,409 $7,409 0.9×
Repair secondary achilles tendon w/wo graft (27654) $7,409 $7,409 0.9×
Repair shoulder capsule (23462) $7,409 $7,409 0.9×
Repair shoulder capsule (23466) $7,409 $7,409 0.9×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,409 $7,409 0.9×
Repair Toe Dislocation (28645) $3,410 $3,410 0.9×
Repair tongue laceration (41252) $1,718 $1,718 6.1×
Repair tongue laceration (41250) $188 $188 0.4×
Repair umbilical lesion (49600) $3,832 $3,832 0.9×
Repair, primary, disrupted ligament, ankle; collateral (27695) $7,409 $7,409 0.9×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $7,409 $7,409 0.9×
Repair/Graft Wrist Bone (25440) $7,409 $7,409 0.9×
Repair/Revise Wrist Joint (25320) $7,409 $7,409 0.9×
Replace duodenostomy/jejunostomy tube perq (49451) $1,097 $1,097 1.0×
Replace G-J Tube Perc (49452) $610 $610 0.6×
Replace g/c tube perc (49450) $856 $856 0.8×
Reposition Gastrostomy Tube (43761) $301 $301 1.0×
Reposition L Ventric Lead (33226) $5,408 $5,408 1.4×
Reposition Pacing-Defib Lead (33215) $5,409 $5,409 1.4×
Reposition Venous Catheter (36597) $1,084 $1,084 0.6×
Repr elbow lat ligmnt w/tiss (24343) $3,410 $3,410 0.9×
Repr Elbw Med Ligmnt W/Tiss (24345) $7,409 $7,409 0.9×
Repr torn cruciate knee ligam (27407) $7,409 $7,409 0.9×
Rerepair ing hernia reduce (49520) $3,832 $3,832 0.9×
Resection of scrotum (55150) $2,262 $2,262 0.5×
Rev/rmv prph sac/gstr npg/r (64595) $3,744 $3,744 0.9×
Revise Hand/Foot Nerve (64704) $2,121 $2,121 0.9×
Revise ulnar nerve at wrist (64719) $2,121 $2,121 0.9×
Revise ureter (50727) $3,805 $3,805 0.9×
Revise/Repair Finger/Toe Nerve (64702) $2,121 $2,121 0.9×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $3,070 $3,070 0.8×
Revision of penis (54300) $3,805 $3,805 0.9×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $3,596 $3,596 0.8×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $9,448 $9,448 1.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $15,648 $15,648 2.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,744 $3,744 0.9×
Revj/rmvl peripheral neurostimulator electrode (64585) $5,910 $5,910 1.4×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $8,723 $8,723 1.3×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $28,094 $28,094 1.3×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $28,094 $28,094 1.3×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $8,723 $8,723 0.6×
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 2 matching MRF lines		 $8,720–$13,080 $8,720–$13,080 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $17,692 $17,692 1.3×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $17,692 $17,692 1.3×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $28,094 $28,094 1.3×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $28,094 $28,094 1.3×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,227 $1,227 0.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,984 $1,984 1.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $432–$882 $432–$882 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $245 $245 1.5×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $802 $802 1.5×
Rmvl fecal impaction/fb spx under anes (45915) $2,543 $2,543 1.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $7,753 $7,753 2.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,415 $3,415 1.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,121 $2,121 0.9×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $8,895 $8,895 2.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $6,254 $6,254 1.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,575–$1,723 $1,575–$1,723 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $856 $856 1.1×
Rmvl/revj sling stress incontinence (57287) $3,070 $3,070 0.8×
Rplc Gtube No Revj Trc (43762) $362 $362 1.2×
Rplc gtube revj gstrst trc (43763) $367 $367 1.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,030 $1,030 0.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,030 $1,030 0.5×
Rplcmt compl tun ctr vad w/subq port (36582) $8,697 $8,697 2.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,184 $1,184 0.3×
Rpr blood vessel direct lower extremity (35226) $844 $844 1.0×
Rpr Component Inflatable Penile Prosthesis (54408) $5,227 $5,227 0.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,669 $2,669 1.4×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $3,410 $3,410 0.9×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $7,409 $7,409 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $215–$413 $215–$413 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $950 $950 1.1×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $234 $234 0.8×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,409 $7,409 0.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,410 $3,410 0.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,410 $3,410 0.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,062 $1,062 1.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,410 $3,410 0.9×
Rx assay prsmv 30+rx/metablt ur lc-ms/ms mrm (0227U) $300 $300 4.8×
Sclerotx Fluid Collection (49185) $1,112 $1,112 0.6×
Scrotal exploration (55110) $3,805 $3,805 0.9×
Scrotoplasty Simple (55175) $3,805 $3,805 0.9×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $264–$728 $264–$728 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $267 $267 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $264 $264 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $297 $297 1.2×
Shoulder arthroscopy (29820) $7,409 $7,409 0.9×
Shoulder arthroscopy diagnostic (29805) $3,410 $3,410 0.9×
Shoulder Arthroscopy/Surgery (29825) $3,410 $3,410 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $765 $765 3.2×
Sigmoidoscopy & decompress (45337) $1,274 $1,274 1.1×
Sigmoidoscopy & Polypectomy (45333) $968 $968 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,192 $1,192 1.1×
Simple Cystometrogram (51725) $418 $418 1.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $400 $400 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $273–$379 $273–$379 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $210–$398 $210–$398 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $410 $410 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $210–$392 $210–$392 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $250–$379 $250–$379 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $743 $743 3.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $210–$418 $210–$418 varies
Skin graft, harvest cultured tissue (15040) $2,014 $2,014 0.8×
Skin Pinch Graft (15050) $628 $628 0.7×
Skin sub graft face/nk/hf/g (15275) $2,500 $2,500 2.8×
Skin sub graft trnk/arm/leg (15271) $2,824 $2,824 3.2×
Skin sub grft t/arm/lg child (15273) $4,880 $4,880 2.0×
Skin Tissue Procedure (17999) $500 $500 2.1×
Skn sub grft f/n/hf/g child (15277) $2,824 $2,824 1.1×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $5,550–$9,768 $5,550–$9,768 varies
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,550 $5,550 1.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $9,076 $9,076 1.4×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,364 $5,364 0.9×
Slitting of prepuce (54001) $4,520 $4,520 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $205–$398 $205–$398 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $674 $674 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $708 $708 1.5×
Sphincterotomy anal division sphincter spx (46080) $3,035 $3,035 0.9×
Spinal puncture lumbar diagnostic (62270) $432 $432 0.5×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,596 $3,596 0.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,014 $2,014 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $5,600 $5,600 1.5×
Strapping ankle (29540) $122 $122 0.6×
Strapping elbow or wrist (29260) $116 $116 1.6×
Strapping hand/finger (29280) $114 $114 1.6×
Strapping knee (29530) $122 $122 0.8×
Strapping toes (29550)
range across 2 matching MRF lines		 $102–$122 $102–$122 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $307–$461 $307–$461 varies
Subconjunctival injection (68200) $652 $652 1.2×
Subcutaneous Hormone Pellet Implantation (11980) $330 $330 0.6×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $5,572 $5,572 1.4×
Subtalar arthro w/exc (29905)
unusually low: confirm this is the full procedure		 $3,410 $3,410 0.4×
Surg Tx Anal Fistula 2nd Stage (46285) $3,035 $3,035 0.9×
Surg tx anal fistula subq (46270) $3,035 $3,035 0.9×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $3,035 $3,035 0.9×
Suture infrapatellar tendon primary (27380) $7,409 $7,409 0.9×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $7,409 $7,409 0.9×
Suture of quadriceps or hamstring muscle rupture primary (27385) $7,409 $7,409 0.9×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $7,409 $7,409 0.9×
Suture/repair testicular injury (54670) $2,262 $2,262 0.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,707 $1,707 0.9×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $303–$400 $303–$400 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $48,847 $48,847 1.4×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $32,769–$32,770 $32,769–$32,770 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,410 $3,410 0.9×
Tenodesis long tendon biceps (23430) $7,409 $7,409 0.9×
Tenodesis Wrist Extensors Fingers (25301) $3,410 $3,410 0.9×
Tenolysis flexor tendon palm&finger each tendo (26442) $3,410 $3,410 0.9×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,707 $1,707 0.9×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $3,410 $3,410 0.9×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,410 $3,410 0.9×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $3,410 $3,410 0.9×
Tenotomy Hip Abd/Ext Open (27006) $3,410 $3,410 0.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,750 $2,750 1.4×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,750 $2,750 1.4×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $22,108 $22,108 1.4×
Thoracoscopy w/bx pleura (32609) $5,975 $5,975 0.8×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) $5,975 $5,975 0.8×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)
unusually low: confirm this is the full procedure		 $5,975 $5,975 0.5×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $5,975 $5,975 0.8×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $5,689 $5,689 0.9×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $3,434 $3,434 0.9×
Thrmbc/Nfs Dialysis Circuit (36906)
range across 2 matching MRF lines		 $12,293–$32,967 $12,293–$32,967 varies
Thromblytic art/ven therapy (37213) $2,930 $2,930 0.8×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,930 $2,930 0.4×
Thrombolytic Therapy Stroke (37195) $620 $620 1.6×
Thrombolytic Venous Therapy (37212) $2,930 $2,930 0.8×
Thyroid biopsy (60100) $344 $344 0.4×
Thyroidectomy Post Prev Thyr Surg (60260) $5,751 $5,751 0.8×
Thyroidectomy, total or complete (60240) $5,975 $5,975 0.8×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $5,751 $5,751 0.8×
Tibial Arthroscopy/Surgery (29855) $7,409 $7,409 0.9×
Tnot elbow lateral/medial debride open (24358) $3,410 $3,410 0.9×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,410 $3,410 0.9×
Tooth extraction (41899) $330 $330 1.2×
Total Knee Arthroplasty (27447) $13,928 $13,928 0.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $637 $637 1.0×
Tracheostoma revj smpl w/o flap rotation (31613) $2,901 $2,901 0.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $399 $399 1.4×
Tracheostomy planned (31600) $2,901 $2,901 0.7×
Transcatheter biopsy (37200) $14,955 $14,955 2.2×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,121 $2,121 0.9×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $5,227 $5,227 0.8×
Transplant hand tendon (26480) $3,410 $3,410 0.9×
Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) $2,262 $2,262 0.5×
Transur electr resection of prostate (52601) $5,227 $5,227 0.8×
Transurethral incision of prostate (52450) $3,805 $3,805 0.9×
Transurethral resection bladder neck (52500) $3,805 $3,805 0.9×
Treat ankle dislocation (27848) $7,409 $7,409 0.9×
Treat ankle fracture (28445) $7,409 $7,409 0.9×
Treat dislocation/fracture (23670) $7,409 $7,409 0.9×
Treat dislocation/fracture (23680) $13,928 $13,928 0.9×
Treat ectopic pregnancy (59151) $5,975 $5,975 0.8×
Treat elbow fracture (24586) $13,928 $13,928 0.9×
Treat Elbow Fracture (24635) $7,409 $7,409 0.9×
Treat Finger Fracture Each (26727) $3,410 $3,410 0.9×
Treat fracture radius/ulna (25575) $7,409 $7,409 0.9×
Treat Fx Rad Extra-Articul (25607) $7,409 $7,409 0.9×
Treat Hand Bone Lesion (26034) $1,707 $1,707 0.9×
Treat humerus fracture (24500) $212 $212 0.7×
Treat Humerus Fracture (24505) $161 $161 0.1×
Treat humerus fracture (23616) $20,023 $20,023 1.0×
Treat humerus fracture (23600) $212 $212 0.7×
Treat knee fracture (27532) $3,410 $3,410 0.9×
Treat Knee Fracture(S) (27538) $546 $546 1.8×
Treat Kneecap Fracture (27524) $7,409 $7,409 0.9×
Treat Knuckle Dislocation (26700) $212 $212 0.7×
Treat lower leg bone lesion (27607) $3,410 $3,410 0.9×
Treat Metatarsal Fracture (28475) $440 $440 1.5×
Treat Tail Bone Fracture (27200) $204 $204 0.7×
Treat Thumb Dislocation (26641) $190 $190 0.6×
Treat thumb fracture (26665) $3,410 $3,410 0.9×
Treat toe dislocation (28630) $440 $440 1.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,415 $3,415 1.8×
Treatment closed elbow dislocation w/o anes (24600) $212 $212 0.7×
Treatment of ankle fracture (27823) $7,409 $7,409 0.9×
Treatment of foot infection (28003) $3,410 $3,410 0.9×
Treatment of penis lesion (54115) $4,243 $4,243 1.2×
Trim skin lesion (11055) $300 $300 1.2×
Trim skin lesions 2 to 4 (11056) $325 $325 1.4×
Trim skin lesions over 4 (11057) $371 $371 1.5×
Trimming Nondystrophic Nails Any Number (11719) $126 $126 1.8×
Trluml Balo Angiop 1St Art (37246) $8,255 $8,255 1.2×
Trluml Balo Angiop 1St Vein (37248) $8,255 $8,255 1.2×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $498 $498 0.9×
Trurl rescj postop bladder neck contracture (52640) $3,805 $3,805 0.9×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $3,035 $3,035 0.9×
Tx Gastro Intub W/Asp (43753) $171 $171 0.7×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $13,928 $13,928 0.9×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,093 $2,093 0.5×
Tx Missed Abortion Second Trimester Surgical (59821) $3,898 $3,898 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $507–$775 $507–$775 varies
Tx superficial wound dehiscence w/packing (12021) $547 $547 1.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $440 $440 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $440 $440 1.5×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $13,928 $13,928 0.9×
Unlisted laparoscopy procedure stomach (43659) $5,975 $5,975 0.8×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $7,541 $7,541 1.0×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $5,975 $5,975 0.8×
Unlisted procedure arthroscopy (29999) $293 $293 1.0×
Unlisted Procedure Casting/Strapping (29799) $122 $122 0.6×
Unlisted Procedure Hands/Fingers (26989) $322 $322 1.1×
Unlisted procedure humerus/elbow (24999) $322 $322 1.1×
Unlisted Procedure Intestine (44799) $1,097 $1,097 1.0×
Unlisted procedure lungs and pleura (32999) $562 $562 0.7×
Unlisted Procedure Male Genital System (55899) $439 $439 1.5×
Unlisted procedure nervous system (64999) $387 $387 1.1×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $227 $227 0.8×
Unlisted Procedure Rectum (45999) $680 $680 0.6×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $1,097–$4,391 $1,097–$4,391 varies
Unlisted Procedure Vascular Surgery (37799) $930 $930 1.2×
Unlisted Procedure, Urinary System (53899) $301 $301 1.0×
Unlisted px female genital system nonobstetrical (58999) $22 $22 0.1×
Unlisted Px Salivary Glands/Ducts (42699) $227 $227 0.8×
Upgrade of pacemaker system (33214) $17,983 $17,983 1.4×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $5,227 $5,227 0.8×
Urethrlys Transvag W/ Scope (53500) $3,805 $3,805 0.9×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $5,227 $5,227 0.8×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $5,227 $5,227 0.8×
Vag hyst incl t/o complex (58291) $5,364 $5,364 0.9×
Vaginal delivery only (59409) $4,093 $4,093 1.1×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $5,364 $5,364 0.9×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $13,926–$15,054 $13,926–$15,054 varies
Vasc Embolize/Occlude Bleed (37244) $17,685 $17,685 1.3×
Vasc Embolize/Occlude Organ (37243) $17,685 $17,685 1.3×
Vasc embolize/occlude venous (37241)
range across 2 matching MRF lines		 $10,775–$22,280 $10,775–$22,280 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $3,000 $3,000 1.2×
Vasovasostomy vasovasorrhaphy (55400) $6,731 $6,731 1.6×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $8,374–$8,374.24 $8,374–$8,374.24 varies
Wedge excision skin nail fold (11765) $125 $125 0.3×
Windowing of cast (29730) $220 $220 1.1×
Wound Prep F/N/Hf/G (15004) $628 $628 1.3×
Wound Prep Trk/Arm/Leg (15002) $2,014 $2,014 2.3×
Wrist arthroscopy (29840) $3,410 $3,410 0.9×
Wrist arthroscopy with partial removal of joint lining (29844) $3,410 $3,410 0.9×

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.