Procedures & surgery prices at HonorHealth John C. Lincoln Medical Center
Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.
742 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $4,540 | $4,540 | 4.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $2,480 | $2,480 | 2.6× |
| Ablate Pulm Tumor Perq Crybl (32994) | $18,300 | $18,300 | 1.6× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $7,835 | $7,835 | 0.7× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $13,014 | $13,014 | 0.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $6,934 | $6,934 | 1.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $7,540 | $7,540 | 3.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $8,690 | $8,690 | 3.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $8,690 | $8,690 | 3.9× |
| Allogeneic lymphocyte infusions (38242) | $7,174 | $7,174 | 4.3× |
| Amniocentesis diagnostic (59000) | $4,464 | $4,464 | 4.5× |
| Amniocentesis therapeutic (59001) | $4,927 | $4,927 | 15.2× |
| Amputation toe interphalangeal joint (28825) | $5,993 | $5,993 | 1.7× |
| Amputation toe metatarsophalangeal joint (28820) | $5,993 | $5,993 | 1.7× |
| Anoscopy diagnostic (46600) range across 4 matching MRF lines |
$141–$915 | $141–$915 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,327 | $1,327 | 1.3× |
| Apheresis Platelets (36513) | $15,040 | $15,040 | 31.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $4,738 | $4,738 | 2.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $497 | $497 | 2.9× |
| Application cast elbow finger short arm (29075) | $1,822 | $1,822 | 6.1× |
| Application Finger Splint Dynamic (29131) | $925 | $925 | 14.7× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$49–$1,381 | $49–$1,381 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$97–$1,088 | $97–$1,088 | varies |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$107–$1,210 | $107–$1,210 | varies |
| Application of long leg cast (29345) | $1,085 | $1,085 | 3.6× |
| Application of rigid total contact leg cast (29445) | $1,292 | $1,292 | 4.3× |
| Application Short Arm Splint Dynamic (29126) | $983 | $983 | 6.9× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$78–$1,088 | $78–$1,088 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$85–$1,164 | $85–$1,164 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $506 | $506 | 2.9× |
| Arterial puncture (36600) | $492 | $492 | 3.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $2,143 | $2,143 | 6.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $2,592 | $2,592 | 3.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $2,599 | $2,599 | 7.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $3,890 | $3,890 | 11.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,428 | $1,428 | 4.4× |
| Aspirate pleura w/ imaging (32555) | $5,748 | $5,748 | 8.6× |
| Aspirate Pleura W/O Imaging (32554) | $5,489 | $5,489 | 8.2× |
| Aspiration bladder insert suprapubic catheter (51102) | $5,994 | $5,994 | 2.7× |
| Aspiration Bladder Needle (51100) | $1,134 | $1,134 | 4.3× |
| Aspiration bladder trocar/intracatheter (51101) | $2,087 | $2,087 | 2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$129–$1,062 | $129–$1,062 | varies |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $8,383 | $8,383 | 1.2× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $11,746 | $11,746 | 1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $6,408 | $6,408 | 0.9× |
| Biopsy Abdominal Mass (49180) | $3,150 | $3,150 | 1.8× |
| Biopsy bone open superficial (20240) | $12,400 | $12,400 | 4.0× |
| Biopsy bone trocar/needle deep (20225) | $3,173 | $3,173 | 1.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,166 | $3,166 | 1.8× |
| Biopsy external ear (69100) | $3,841 | $3,841 | 15.2× |
| Biopsy muscle percutaneous needle (20206) | $4,375 | $4,375 | 2.5× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$15,798–$23,698 | $15,798–$23,698 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $4,710 | $4,710 | 2.7× |
| Biopsy of rectum (45100) | $7,393 | $7,393 | 2.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,350 | $2,350 | 1.3× |
| Biopsy Salivary Gland Needle (42400) | $2,460 | $2,460 | 3.3× |
| Biopsy Testis Needle Separate Procedure (54500) | $8,696 | $8,696 | 2.8× |
| Biopsy Vaginal Mucosa Extensive (57105) | $5,501 | $5,501 | 1.6× |
| Biopsy Vaginal Mucosa Simple (57100) | $2,360 | $2,360 | 2.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $4,340 | $4,340 | 4.4× |
| Biopsy, vestibule of mouth (40808) | $6,529 | $6,529 | 11.3× |
| Bladder instillation anticarcinogenic agent (51720) | $1,627 | $1,627 | 2.2× |
| Bladder Irrigation (51700) | $1,452 | $1,452 | 5.4× |
| Bladder Scan (51798) | $472 | $472 | 7.5× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $12,584 | $12,584 | 7.6× |
| Blepharotomy drainage abscess eyelid (67700) | $2,230 | $2,230 | 6.6× |
| Blood Transfusion Service (36430) | $2,966 | $2,966 | 6.3× |
| Bone Marrow Biopsy (38221) | $5,041 | $5,041 | 2.9× |
| Bone Marrow; Aspiration Only (38220) | $3,598 | $3,598 | 2.0× |
| Bronch Thermoplsty 1 Lobe (31660) | $9,941 | $9,941 | 1.3× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) | $10,561 | $10,561 | 1.4× |
| Bx breast 1st lesion mr imag (19085) range across 2 matching MRF lines |
$5,759–$8,639 | $5,759–$8,639 | varies |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$8,540–$12,811 | $8,540–$12,811 | varies |
| Bx breast 1st lesion us imag (19083) | $5,759 | $5,759 | 3.3× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$7,718–$11,578 | $7,718–$11,578 | varies |
| Bx Cervix (57500) | $6,169 | $6,169 | 6.3× |
| Car-t admn autologous (38228) | $2,531 | $2,531 | 7.2× |
| Catheter aspiration nasotracheal spx (31720) | $469 | $469 | 2.0× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $6,169 | $6,169 | 19.0× |
| Cessj Therapy Cath Removal (37214) | $14,791 | $14,791 | 4.4× |
| Change Cystostomy Tube Complicated (51710) | $3,709 | $3,709 | 5.0× |
| Change Cystostomy Tube Simple (51705) | $2,724 | $2,724 | 10.2× |
| Change of Windpipe Airway (31502) | $1,176 | $1,176 | 4.7× |
| Change ureter stent percut (50382) | $11,279 | $11,279 | 5.1× |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
$96–$1,703 | $96–$1,703 | varies |
| Chemical Pleurodesis (32560) | $4,801 | $4,801 | 7.2× |
| Chemodenerv 1 extrem 5/> mus (64644) | $673 | $673 | 0.9× |
| Chemodenerv 1 extremity 1-4 (64642) | $520 | $520 | 0.7× |
| Chemodenerv Musc Migraine (64615) | $421 | $421 | 1.3× |
| Chemodenerv musc neck dyston (64616) | $529 | $529 | 1.6× |
| Chemodenerv trunk musc 1-5 (64646) | $969 | $969 | 1.3× |
| Chemodenerv trunk musc 6/> (64647) | $969 | $969 | 1.3× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) | $1,390 | $1,390 | 1.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $607 | $607 | 1.9× |
| Chest tube placement (32551) | $6,308 | $6,308 | 3.8× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $4,945 | $4,945 | 2.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $8,148 | $8,148 | 2.1× |
| Cl Tx Scapular Fx; W Manip (23575) range across 4 matching MRF lines |
$487–$6,906 | $487–$6,906 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 4 matching MRF lines |
$626–$11,288 | $626–$11,288 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$91–$595 | $91–$595 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 4 matching MRF lines |
$364–$1,535 | $364–$1,535 | varies |
| Closed rx talotarsal disloc,anesth (28575) | $13,354 | $13,354 | 3.8× |
| Closed Treat Vert Body Fract (22310) range across 4 matching MRF lines |
$360–$4,675 | $360–$4,675 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 4 matching MRF lines |
$542–$1,356 | $542–$1,356 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 4 matching MRF lines |
$526–$3,954 | $526–$3,954 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 4 matching MRF lines |
$582–$1,456 | $582–$1,456 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 4 matching MRF lines |
$347–$1,806 | $347–$1,806 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 4 matching MRF lines |
$168–$1,138 | $168–$1,138 | varies |
| Closed Treatment Sternum Fracture (21820) range across 4 matching MRF lines |
$179–$888 | $179–$888 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 4 matching MRF lines |
$392–$1,505 | $392–$1,505 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 4 matching MRF lines |
$454–$1,277 | $454–$1,277 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 4 matching MRF lines |
$559–$3,954 | $559–$3,954 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 4 matching MRF lines |
$400–$1,277 | $400–$1,277 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 4 matching MRF lines |
$532–$1,577 | $532–$1,577 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 4 matching MRF lines |
$292–$1,223 | $292–$1,223 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 4 matching MRF lines |
$582–$5,098 | $582–$5,098 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 4 matching MRF lines |
$369–$1,222 | $369–$1,222 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 4 matching MRF lines |
$608–$3,061 | $608–$3,061 | varies |
| Closed tx fx orbit except blowout w/manipulation (21401) range across 4 matching MRF lines |
$580–$8,696 | $580–$8,696 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $8,039 | $8,039 | 4.7× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 4 matching MRF lines |
$600–$1,506 | $600–$1,506 | varies |
| Closed tx mandibular fracture w/manipulation (21451) range across 4 matching MRF lines |
$873–$5,531 | $873–$5,531 | varies |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 4 matching MRF lines |
$670–$2,798 | $670–$2,798 | varies |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $11,813 | $11,813 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 4 matching MRF lines |
$257–$1,277 | $257–$1,277 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 4 matching MRF lines |
$686–$8,012 | $686–$8,012 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 4 matching MRF lines |
$175–$4,912 | $175–$4,912 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 4 matching MRF lines |
$245–$7,733 | $245–$7,733 | varies |
| Closed Tx Nasomaxillary Complex Fracture (21345) range across 4 matching MRF lines |
$914–$10,171 | $914–$10,171 | varies |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) range across 4 matching MRF lines |
$739–$9,576 | $739–$9,576 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $6,467 | $6,467 | 24.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 4 matching MRF lines |
$441–$1,506 | $441–$1,506 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 4 matching MRF lines |
$388–$1,506 | $388–$1,506 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 4 matching MRF lines |
$532–$5,108 | $532–$5,108 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 4 matching MRF lines |
$318–$1,506 | $318–$1,506 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 4 matching MRF lines |
$599–$3,770 | $599–$3,770 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 4 matching MRF lines |
$342–$1,112 | $342–$1,112 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 4 matching MRF lines |
$611–$4,878 | $611–$4,878 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 4 matching MRF lines |
$348–$1,170 | $348–$1,170 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 4 matching MRF lines |
$281–$1,506 | $281–$1,506 | varies |
| Closed tx septal&nose fx (21337) range across 4 matching MRF lines |
$474–$6,130 | $474–$6,130 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $3,032 | $3,032 | 11.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 4 matching MRF lines |
$281–$1,573 | $281–$1,573 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 4 matching MRF lines |
$284–$1,223 | $284–$1,223 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 4 matching MRF lines |
$258–$1,505 | $258–$1,505 | varies |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) range across 4 matching MRF lines |
$1,069–$6,812 | $1,069–$6,812 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $4,126 | $4,126 | 15.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 4 matching MRF lines |
$542–$5,108 | $542–$5,108 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 4 matching MRF lines |
$350–$1,223 | $350–$1,223 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 4 matching MRF lines |
$319–$901 | $319–$901 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $1,366 | $1,366 | 5.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,400 | $1,400 | 2.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 4 matching MRF lines |
$430–$1,506 | $430–$1,506 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 4 matching MRF lines |
$284–$1,114 | $284–$1,114 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 4 matching MRF lines |
$428–$8,015 | $428–$8,015 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 4 matching MRF lines |
$268–$1,223 | $268–$1,223 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$3,850–$5,774 | $3,850–$5,774 | varies |
| Clsd Tx Pelvic Ring Fx (27198) | $13,468 | $13,468 | 51.2× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 4 matching MRF lines |
$152–$1,775 | $152–$1,775 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $7,522 | $7,522 | 4.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$397–$2,924 | $397–$2,924 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $3,012 | $3,012 | 1.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,176 | $1,176 | 4.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $9,295 | $9,295 | 5.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 4 matching MRF lines |
$442–$4,408 | $442–$4,408 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 4 matching MRF lines |
$280–$1,506 | $280–$1,506 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 4 matching MRF lines |
$366–$1,222 | $366–$1,222 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 4 matching MRF lines |
$420–$1,223 | $420–$1,223 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 4 matching MRF lines |
$501–$1,327 | $501–$1,327 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 4 matching MRF lines |
$372–$1,277 | $372–$1,277 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 4 matching MRF lines |
$461–$1,327 | $461–$1,327 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $1,243 | $1,243 | 4.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$406–$1,577 | $406–$1,577 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$635–$3,355 | $635–$3,355 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $3,811 | $3,811 | 2.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 4 matching MRF lines |
$566–$1,506 | $566–$1,506 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 4 matching MRF lines |
$863–$8,148 | $863–$8,148 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 4 matching MRF lines |
$213–$1,300 | $213–$1,300 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 4 matching MRF lines |
$168–$1,247 | $168–$1,247 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 4 matching MRF lines |
$193–$1,300 | $193–$1,300 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 4 matching MRF lines |
$143–$1,247 | $143–$1,247 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 4 matching MRF lines |
$640–$11,521 | $640–$11,521 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,506 | $1,506 | 5.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 4 matching MRF lines |
$324–$1,114 | $324–$1,114 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 4 matching MRF lines |
$456–$6,906 | $456–$6,906 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 4 matching MRF lines |
$452–$9,292 | $452–$9,292 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $11,094 | $11,094 | 6.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 4 matching MRF lines |
$201–$1,676 | $201–$1,676 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 4 matching MRF lines |
$656–$5,108 | $656–$5,108 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 4 matching MRF lines |
$638–$5,108 | $638–$5,108 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 4 matching MRF lines |
$397–$1,506 | $397–$1,506 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 4 matching MRF lines |
$545–$5,108 | $545–$5,108 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 4 matching MRF lines |
$146–$3,114 | $146–$3,114 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $5,533 | $5,533 | 18.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 4 matching MRF lines |
$346–$1,573 | $346–$1,573 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 4 matching MRF lines |
$569–$7,693 | $569–$7,693 | varies |
| Cltx Medial Ankle Fx (27760) range across 4 matching MRF lines |
$398–$1,506 | $398–$1,506 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 4 matching MRF lines |
$393–$1,577 | $393–$1,577 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 4 matching MRF lines |
$361–$1,223 | $361–$1,223 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $6,467 | $6,467 | 3.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
$407–$1,506 | $407–$1,506 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 4 matching MRF lines |
$242–$1,208 | $242–$1,208 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $8,918 | $8,918 | 5.2× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 4 matching MRF lines |
$488–$6,464 | $488–$6,464 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 4 matching MRF lines |
$516–$11,521 | $516–$11,521 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 4 matching MRF lines |
$369–$1,506 | $369–$1,506 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 4 matching MRF lines |
$554–$8,976 | $554–$8,976 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) | $1,506 | $1,506 | 5.7× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 4 matching MRF lines |
$529–$1,505 | $529–$1,505 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 4 matching MRF lines |
$118–$1,223 | $118–$1,223 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) range across 4 matching MRF lines |
$678–$2,813 | $678–$2,813 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 4 matching MRF lines |
$515–$3,954 | $515–$3,954 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 4 matching MRF lines |
$648–$3,954 | $648–$3,954 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 4 matching MRF lines |
$730–$5,108 | $730–$5,108 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 4 matching MRF lines |
$456–$1,139 | $456–$1,139 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 4 matching MRF lines |
$585–$1,463 | $585–$1,463 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $18,245 | $18,245 | 5.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 4 matching MRF lines |
$230–$1,573 | $230–$1,573 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 4 matching MRF lines |
$367–$918 | $367–$918 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 4 matching MRF lines |
$413–$1,506 | $413–$1,506 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 4 matching MRF lines |
$580–$5,108 | $580–$5,108 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 4 matching MRF lines |
$394–$1,277 | $394–$1,277 | varies |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) range across 4 matching MRF lines |
$1,041–$7,342 | $1,041–$7,342 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $407 | $407 | 2.9× |
| Collection of venous blood by venipuncture (36415) | $61 | $61 | 6.5× |
| Colpocentesis (57020) | $6,911 | $6,911 | 1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $4,351 | $4,351 | 13.4× |
| Colposcopy Cervix Endocervical Curettage (57456) | $4,497 | $4,497 | 13.8× |
| Colposcopy cervix upper/adjacent vagina (57452) | $3,506 | $3,506 | 16.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $4,351 | $4,351 | 13.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $4,778 | $4,778 | 1.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $4,778 | $4,778 | 1.4× |
| Colposcopy entire vagina w/cervix if present (57420) | $3,190 | $3,190 | 9.8× |
| Colposcopy of vulva (56820) | $874 | $874 | 4.1× |
| Colposcopy Vulva W/Biopsy (56821) | $4,459 | $4,459 | 13.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $4,276 | $4,276 | 4.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $6,169 | $6,169 | 1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
$272–$1,386 | $272–$1,386 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$176–$1,240 | $176–$1,240 | varies |
| Conversion ext bil drg cath (47535) | $9,349 | $9,349 | 2.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $10,933 | $10,933 | 5.3× |
| Convert Nephrostomy Catheter (50434) | $15,144 | $15,144 | 6.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $7,282 | $7,282 | 4.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 4 matching MRF lines |
$469–$977 | $469–$977 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 4 matching MRF lines |
$426–$1,064 | $426–$1,064 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) | $3,257 | $3,257 | 1.5× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $22,780 | $22,780 | 10.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $3,042 | $3,042 | 3.9× |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
$38–$872 | $38–$872 | varies |
| Debride nail 6 or more (11721) | $1,013 | $1,013 | 16.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $5,444 | $5,444 | 3.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $2,162 | $2,162 | 5.0× |
| Declot vascular device (36593) | $1,703 | $1,703 | 4.8× |
| Delay Flap/Sectioning Flap Trunk (15600) | $7,067 | $7,067 | 1.9× |
| Delivery of placenta (59414) | $7,716 | $7,716 | 2.2× |
| Destr W Neurolytic; Celiac Plexus (64680) | $9,221 | $9,221 | 9.8× |
| Destroy cerv/thor facet jnt (64633) | $3,631 | $3,631 | 1.7× |
| Destruction Lesions Vulva Extensive (56515) | $7,502 | $7,502 | 3.4× |
| Destruction Lesions Vulva Simple (56501) | $4,897 | $4,897 | 2.2× |
| Destruction Vaginal Lesions Extensive (57065) | $5,501 | $5,501 | 1.6× |
| Destruction Vaginal Lesions Simple (57061) | $5,473 | $5,473 | 1.6× |
| Diagnostic sigmoidoscopy (45330) | $2,618 | $2,618 | 2.6× |
| Dilat Xst Trc New Access Rcs (50437) | $20,401 | $20,401 | 5.4× |
| Dilate Urethra Stricture (53620) | $2,797 | $2,797 | 3.8× |
| Dilation Cervical Canal (57800) | $6,438 | $6,438 | 1.9× |
| Drain Cerebro Spinal Fluid (62272) | $3,568 | $3,568 | 4.7× |
| Drain Spinal Cord Cyst (62268) | $2,192 | $2,192 | 2.3× |
| Drain/inj small joint/bursa w/us (20604) | $1,190 | $1,190 | 3.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $1,484 | $1,484 | 2.6× |
| Drainage external ear abscess/hematoma cmplx (69005) | $10,595 | $10,595 | 6.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
$208–$1,555 | $208–$1,555 | varies |
| Drainage Finger Abscess Complicated (26011) | $6,296 | $6,296 | 3.6× |
| Drainage Mouth Roof Lesion (42000) | $1,577 | $1,577 | 6.2× |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$379–$1,693 | $379–$1,693 | varies |
| Drainage of gum lesion (41800) range across 4 matching MRF lines |
$341–$893 | $341–$893 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$192–$7,615 | $192–$7,615 | varies |
| Drainage of mouth lesion (41006) | $9,485 | $9,485 | 5.7× |
| Drainage of nose lesion (30000) | $1,176 | $1,176 | 4.7× |
| Drainage of scrotal wall abscess (55100) | $3,551 | $3,551 | 2.0× |
| Drainage of skene's gland abscess or cyst (53060) | $4,897 | $4,897 | 2.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $13,890 | $13,890 | 4.0× |
| Draw Blood Off Venous Device (36591) | $515 | $515 | 3.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $5,527 | $5,527 | 9.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 4 matching MRF lines |
$277–$1,555 | $277–$1,555 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $2,609 | $2,609 | 6.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $2,258 | $2,258 | 10.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$97–$1,330 | $97–$1,330 | varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,992 | $2,992 | 3.2× |
| Duodenal intubat w/imag guided multiple specimen (43757) | $4,828 | $4,828 | 5.0× |
| Dx Bone Marrow Bx & Aspir (38222) | $6,070 | $6,070 | 2.0× |
| Dx Bronchoscope/Wash (31622) | $5,334 | $5,334 | 2.8× |
| Dx duod intub w/asp spec (43756) | $4,615 | $4,615 | 4.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $3,568 | $3,568 | 4.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $5,458 | $5,458 | 2.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $6,148 | $6,148 | 18.8× |
| Endocervical curettage (57505) | $6,169 | $6,169 | 6.3× |
| Endometrial Biopsy (58100) | $1,396 | $1,396 | 6.5× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $21,282 | $21,282 | 1.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $21,284 | $21,284 | 6.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $32,321 | $32,321 | 9.6× |
| Endoven ther chem adhes 1st (36482) | $29,267 | $29,267 | 4.9× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) | $5,481 | $5,481 | 2.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,305 | $3,305 | 1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,365 | $3,365 | 1.5× |
| Epidural Blood Patch (62273) | $5,000 | $5,000 | 6.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $8,555 | $8,555 | 2.1× |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
$66–$1,110 | $66–$1,110 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,587 | $1,587 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $3,785 | $3,785 | 5.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $4,562 | $4,562 | 2.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $4,186 | $4,186 | 5.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $5,348 | $5,348 | 3.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $7,068 | $7,068 | 5.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $3,662 | $3,662 | 8.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $3,836 | $3,836 | 5.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $4,709 | $4,709 | 2.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $8,992 | $8,992 | 2.4× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $9,880 | $9,880 | 4.4× |
| Exchange Transfusion (36455) | $9,604 | $9,604 | 20.4× |
| Exchange Transfusion Blood Newborn (36450) | $8,332 | $8,332 | 17.7× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $9,283 | $9,283 | 4.5× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) | $3,938 | $3,938 | 1.6× |
| External cephalic version (59412) | $4,603 | $4,603 | 1.3× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $2,987 | $2,987 | 9.2× |
| Fetal non-stress test (59025) | $1,576 | $1,576 | 7.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $4,709 | $4,709 | 6.2× |
| Fine needle aspiration without imaging guidance (10021) | $1,633 | $1,633 | 3.8× |
| Fluoro exam of g/colon tube (49465) | $5,855 | $5,855 | 23.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $4,709 | $4,709 | 6.2× |
| Fna bx w/us gdn 1st les (10005) | $4,709 | $4,709 | 6.2× |
| Foreskin manipulation (54450) | $3,360 | $3,360 | 12.6× |
| Guide Cathet Fluid Drainage (10030) | $6,282 | $6,282 | 8.3× |
| I&d abscess peritonsillar (42700) | $4,351 | $4,351 | 17.2× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$145–$1,350 | $145–$1,350 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $5,453 | $5,453 | 1.8× |
| I&D Mouth/Tong Intra,Masticator (41009) | $1,608 | $1,608 | 2.8× |
| I&d perianal abscess superficial (46050) range across 4 matching MRF lines |
$319–$5,140 | $319–$5,140 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$278–$1,970 | $278–$1,970 | varies |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $5,489 | $5,489 | 1.8× |
| Icd Pocket Revision (33223) | $4,245 | $4,245 | 1.9× |
| Image Cath Fluid Colxn Visc (49405) | $6,877 | $6,877 | 3.9× |
| Image Cath Fluid Peri/Retro (49406) | $10,460 | $10,460 | 5.9× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $26,826 | $26,826 | 2.9× |
| Incise external hemorrhoid (46083) | $5,869 | $5,869 | 22.0× |
| Incise/Drain Conjunctiva (68020) | $2,239 | $2,239 | 2.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$292–$2,908 | $292–$2,908 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $6,516 | $6,516 | 3.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$172–$2,977 | $172–$2,977 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $1,577 | $1,577 | 7.3× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) | $5,489 | $5,489 | 1.8× |
| Incision and drainage of vulva or perineal abscess (56405) | $3,908 | $3,908 | 12.0× |
| Incision of rectal abscess (46040) | $8,449 | $8,449 | 6.6× |
| Incisional biopsy skin single lesion (11106) | $1,117 | $1,117 | 1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
$91–$1,266 | $91–$1,266 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $8,522 | $8,522 | 9.0× |
| Inj W/Fluor Eval Cv Device (36598) | $4,004 | $4,004 | 17.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $6,026 | $6,026 | 6.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $883 | $883 | 2.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $3,908 | $3,908 | 4.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $3,568 | $3,568 | 4.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $6,169 | $6,169 | 6.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $3,568 | $3,568 | 4.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $3,911 | $3,911 | 5.2× |
| Injection anesthetic agent suprascapular nerve (64418) | $3,908 | $3,908 | 5.2× |
| Injection for identification of sentinel node (38792) | $1,699 | $1,699 | 4.0× |
| Injection Into Brain Canal (61055) | $7,609 | $7,609 | 23.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $768 | $768 | 2.3× |
| Injection single/mlt trigger point 3/> muscles (20553) | $860 | $860 | 2.6× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $3,205 | $3,205 | 1.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $3,750 | $3,750 | 4.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $2,345 | $2,345 | 3.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,682 | $1,682 | 2.2× |
| Injection, anesthetic agent; vagus nerve (64408) | $1,934 | $1,934 | 5.9× |
| Ins cath ren art 1st bilat (36252) | $17,791 | $17,791 | 5.3× |
| Ins cath ren art 1st unilat (36251) | $12,936 | $12,936 | 3.8× |
| Ins cath ren art 2nd+ bilat (36254) | $27,258 | $27,258 | 8.1× |
| Ins cath ren art 2nd+ unilat (36253) | $22,201 | $22,201 | 3.7× |
| Ins endovas vena cava filtr (37191) | $23,924 | $23,924 | 4.0× |
| Ins/Rep Subq Defibrillator (33270) | $40,715 | $40,715 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $11,247 | $11,247 | 1.3× |
| Insert Bladder Cath Complex (51703) | $1,746 | $1,746 | 12.7× |
| Insert cath pleura w/ image (32557) | $6,716 | $6,716 | 4.0× |
| Insert cath pleura w/o image (32556) | $4,632 | $4,632 | 2.3× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $8,083 | $8,083 | 6.3× |
| Insert cervical dilator (59200) | $1,608 | $1,608 | 4.9× |
| Insert Gastrostomy Tube Percutaneous (49440) | $7,992 | $7,992 | 3.9× |
| Insert Heart Pm Atrial (33206) | $20,841 | $20,841 | 1.9× |
| Insert Heart Pm Ventricular (33207) | $20,841 | $20,841 | 1.9× |
| Insert hepatic shunt (tips) (37182) | $57,544 | $57,544 | 2.9× |
| Insert non-tunnel cv cath (36556) | $7,595 | $7,595 | 2.3× |
| Insert Pacing Lead & Connect (33224) | $26,066 | $26,066 | 2.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $8,012 | $8,012 | 4.8× |
| Insert pulse gen mult leads (33221) | $23,743 | $23,743 | 1.2× |
| Insert Temp Bladder Cath (51702) | $821 | $821 | 5.8× |
| Insert tun ip cath perc (49418) | $19,348 | $19,348 | 5.1× |
| Insert tunneled cv cath (36561) | $23,063 | $23,063 | 6.8× |
| Insert tunneled cv cath (36563) | $23,063 | $23,063 | 3.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $12,210 | $12,210 | 2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $780 | $780 | 5.5× |
| Insertion indwelling tunneled pleural catheter (32550) | $10,860 | $10,860 | 2.8× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) | $27,672 | $27,672 | 3.0× |
| Insertion phrenic nerve stimulator system (33276) | $60,818 | $60,818 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $8,885 | $8,885 | 5.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $28,411 | $28,411 | 3.2× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) | $12,023 | $12,023 | 2.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $18,725 | $18,725 | 2.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $7,595 | $7,595 | 2.3× |
| Insj Picc Rs&I <5 Yr (36572) | $4,740 | $4,740 | 7.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $15,266 | $15,266 | 4.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $7,370 | $7,370 | 4.4× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $9,410 | $9,410 | 1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $13,361 | $13,361 | 4.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $15,638 | $15,638 | 2.6× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $23,063 | $23,063 | 6.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $15,175 | $15,175 | 4.5× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $33,071 | $33,071 | 1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $12,851 | $12,851 | 1.5× |
| Insrt heart pm atrial & vent (33208) | $29,304 | $29,304 | 2.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,270 | $2,270 | 1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 4 matching MRF lines |
$678–$3,839 | $678–$3,839 | varies |
| Intraoral i&d tongue/floor lingual (41000) | $3,628 | $3,628 | 6.3× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $2,173 | $2,173 | 8.6× |
| Intraoral i&d tongue/floor submental space (41007) | $3,857 | $3,857 | 2.3× |
| Intraoral i&d tongue/floor submndblr space (41008) range across 4 matching MRF lines |
$454–$5,113 | $454–$5,113 | varies |
| Intro cath dialysis circuit (36901) | $6,490 | $6,490 | 3.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $37,141 | $37,141 | 3.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $14,723 | $14,723 | 2.4× |
| Intro Gastrointestinal Tube (44500) | $3,673 | $3,673 | 3.8× |
| Intubation endotracheal emergency procedure (31500) | $3,335 | $3,335 | 13.2× |
| Irrigation of corpora cavernosa for priapism (54220) | $2,650 | $2,650 | 9.9× |
| Laryngoscopy flexible diagnostic (31575) | $1,483 | $1,483 | 7.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $2,347 | $2,347 | 5.6× |
| Late closure of wound (13160) | $11,549 | $11,549 | 3.1× |
| Lateral Canthopexy (21282) | $6,310 | $6,310 | 1.8× |
| Lyse chest fibrin init day (32561) | $2,203 | $2,203 | 3.3× |
| Lyse Chest Fibrin Subq Day (32562) | $2,079 | $2,079 | 3.1× |
| Marsupialization of bartholin's gland cyst (56440) | $6,143 | $6,143 | 1.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $7,142 | $7,142 | 4.3× |
| Mech remov tunneled cv cath (36595) | $13,135 | $13,135 | 3.9× |
| Myelography Lumbar Injection (62305) | $5,335 | $5,335 | 6.4× |
| Myelography Lumbar Injection (62304) | $6,137 | $6,137 | 7.3× |
| Myelography via lumbar injection rs&i cervical (62302) | $4,267 | $4,267 | 5.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $4,267 | $4,267 | 5.1× |
| N Block Inj Celiac Pelus (64530) | $2,329.50 | $2,329.50 | 2.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $4,008 | $4,008 | 5.3× |
| N block inj intercost sng (64420) | $3,654 | $3,654 | 4.9× |
| N Block Inj Paracervical (64435) | $2,345 | $2,345 | 3.1× |
| N Block Inj Plantar Digit (64455) | $1,974 | $1,974 | 6.0× |
| N Block Inj Pudendal (64430) | $2,718 | $2,718 | 2.9× |
| Nasal Endoscopy Dx (31231) | $2,073 | $2,073 | 9.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $4,775 | $4,775 | 10.0× |
| Needle Biopsy Lymph Nodes (38505) | $7,718 | $7,718 | 4.4× |
| Needle Biopsy Pancreas (48102) | $2,366 | $2,366 | 1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $446 | $446 | 14.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $446 | $446 | 14.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$834–$1,026 | $834–$1,026 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$127–$1,027 | $127–$1,027 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $5,910 | $5,910 | 1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $8,989 | $8,989 | 2.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $6,628 | $6,628 | 7.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $6,508 | $6,508 | 6.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $5,801 | $5,801 | 7.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $4,798 | $4,798 | 6.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,733 | $1,733 | 2.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $4,765 | $4,765 | 5.0× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $8,662 | $8,662 | 3.9× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $9,058 | $9,058 | 4.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $2,507 | $2,507 | 3.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $6,037 | $6,037 | 8.1× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $1,763 | $1,763 | 4.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $2,045 | $2,045 | 4.7× |
| Obstructive material removal from gi tube (49460) | $6,029 | $6,029 | 6.2× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$85–$1,418 | $85–$1,418 | varies |
| Onc Hl Neo Gen Seq Alys Alg (0364U) | $430 | $430 | 0.2× |
| Open/Perq Place Stent 1St (37236) | $21,220 | $21,220 | 1.7× |
| Open/Perq Place Stent Same (37238) | $18,796 | $18,796 | 1.5× |
| Partial removal of toe (28160) | $8,081 | $8,081 | 2.3× |
| Partical Excision Bone Phalanx Toe (28124) | $4,553 | $4,553 | 1.3× |
| Penile Injection (54235) | $1,580 | $1,580 | 5.9× |
| Perc Cryo Ablate Renal Tum (50593) | $17,710 | $17,710 | 1.6× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $2,783 | $2,783 | 1.9× |
| Perc Rf Ablate Renal Tumor (50592) | $11,263 | $11,263 | 1.7× |
| Percut Ablate Liver Rf (47382) | $7,835 | $7,835 | 1.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $43,852 | $43,852 | 3.6× |
| Percut Drain/Inject Renal Cyst (50390) | $4,003 | $4,003 | 5.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $19,036 | $19,036 | 5.6× |
| Pericardiocentesis W/Imaging (33016) | $9,882 | $9,882 | 5.9× |
| Peritoneal Lavage (49084) | $2,152 | $2,152 | 2.2× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $30,506 | $30,506 | 1.6× |
| Perq Cervicothoracic Inject (22510) | $13,943 | $13,943 | 4.0× |
| Perq dev breast 1st mr guide (19287) range across 2 matching MRF lines |
$2,426–$3,640 | $2,426–$3,640 | varies |
| Perq dev breast 1st strtctc (19283) range across 2 matching MRF lines |
$2,426–$3,640 | $2,426–$3,640 | varies |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$2,426–$3,640 | $2,426–$3,640 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$2,426–$3,640 | $2,426–$3,640 | varies |
| Perq Lumbosacral Injection (22511) | $13,943 | $13,943 | 4.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $13,966 | $13,966 | 2.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $3,532 | $3,532 | 4.7× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $28,050 | $28,050 | 2.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $9,304 | $9,304 | 1.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $23,524 | $23,524 | 3.0× |
| Perq Vertebral Augmentation (22513) | $19,076 | $19,076 | 2.5× |
| Phleb Veins - Extrem 20+ (37766) | $20,792 | $20,792 | 6.2× |
| Photopheresis extracorporeal (36522) | $15,821 | $15,821 | 3.4× |
| Place Cath Subclavian Art (36225) | $25,009 | $25,009 | 7.4× |
| Place Cath Thoracic Aorta (36221) | $16,330 | $16,330 | 4.8× |
| Place Cath Vertebral Art (36226) | $22,492 | $22,492 | 3.8× |
| Place Duod/Jej Tube Perc (49441) | $8,083 | $8,083 | 3.9× |
| Place Rt Device/Marker Pros (55876) | $3,353 | $3,353 | 2.3× |
| Placement of needle for intraosseous infusion (36680) | $899 | $899 | 1.9× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $14,376 | $14,376 | 2.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $11,498 | $11,498 | 5.2× |
| Plmt Nephroureteral Catheter (50433) | $16,790 | $16,790 | 4.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $35,425 | $35,425 | 9.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $20,236 | $20,236 | 5.4× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $20,296 | $20,296 | 5.4× |
| Prim art mech thrombectomy (37184) | $21,876 | $21,876 | 1.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,500 | $1,500 | 1.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $5,789 | $5,789 | 2.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $10,921 | $10,921 | 14.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $15,907 | $15,907 | 4.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $25,717 | $25,717 | 6.7× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $8,081 | $8,081 | 2.3× |
| Pseudoaneurysm Injection Trt (36002) | $1,385 | $1,385 | 2.1× |
| Punch biopsy skin single lesion (11104) | $666 | $666 | 1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 6 matching MRF lines |
$148–$2,303.38 | $148–$2,303.38 | varies |
| Puncture Aspiration Cyst Breast (19000) | $3,252 | $3,252 | 4.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $3,131 | $3,131 | 4.2× |
| Redo Endovas Vena Cava Filtr (37192) | $7,900 | $7,900 | 2.3× |
| Relocation Pocket Pacemaker (33222) | $4,408 | $4,408 | 2.0× |
| Rem Endovas Vena Cava Filter (37193) | $10,956 | $10,956 | 3.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $4,274 | $4,274 | 4.4× |
| Removal Embedded Foreign Body Eyelid (67938) | $1,018 | $1,018 | 3.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $16,218 | $16,218 | 5.2× |
| Removal Foreign Body Foot Complicated (28193) | $6,992 | $6,992 | 4.0× |
| Removal foreign body foot deep (28192) | $11,858 | $11,858 | 6.7× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$269–$3,720 | $269–$3,720 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $3,686 | $3,686 | 2.1× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $6,271 | $6,271 | 1.8× |
| Removal Foreign Body Scrotum (55120) | $12,157 | $12,157 | 5.5× |
| Removal foreign body upper arm/elbow deep (24201) | $7,103 | $7,103 | 2.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$18–$475 | $18–$475 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$54–$407 | $54–$407 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $4,037 | $4,037 | 1.2× |
| Removal Implant Deep (20680) | $7,754 | $7,754 | 2.5× |
| Removal Implant Superficial Separate Procedure (20670) | $4,781 | $4,781 | 2.7× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$182–$2,810 | $182–$2,810 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $17,651 | $17,651 | 5.2× |
| Removal Pacemaker Electrode (33235) | $7,696 | $7,696 | 1.9× |
| Removal phrenic nerve stimulator system (33278) | $9,551 | $9,551 | 2.6× |
| Removal ppm generator only (33233) | $9,452 | $9,452 | 1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $2,224 | $2,224 | 2.9× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 4 matching MRF lines |
$91–$682 | $91–$682 | varies |
| Remove brain canal fluid (61050) | $2,813 | $2,813 | 8.6× |
| Remove Elctrd Transvenously (33244) | $6,503 | $6,503 | 1.6× |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$32–$409 | $32–$409 | varies |
| Remove Intrauterine Device (58301) | $1,806 | $1,806 | 5.6× |
| Remove intrvas foreign body (37197) | $19,030 | $19,030 | 5.6× |
| Remove lung catheter (32552) | $7,982 | $7,982 | 11.9× |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
$234–$856 | $234–$856 | varies |
| Remove Peritoneal Foreign Body (49402) | $9,076 | $9,076 | 2.4× |
| Remove Pulse Generator (33241) | $7,299 | $7,299 | 1.8× |
| Remove renal tube w/fluoro (50389) | $3,014 | $3,014 | 4.1× |
| Remove ureter stent percut (50384) | $6,792 | $6,792 | 3.0× |
| Remove&replace pm gen singl (33227) | $25,482 | $25,482 | 2.9× |
| Remv&replc cvd gen dual lead (33263) | $47,431 | $47,431 | 2.0× |
| Remv&replc cvd gen mult lead (33264) | $50,771 | $50,771 | 1.5× |
| Remv&replc cvd gen sing lead (33262) | $45,364 | $45,364 | 1.9× |
| Remv&replc pm gen dual lead (33228) | $27,777 | $27,777 | 2.5× |
| Remv&replc pm gen mult leads (33229) | $28,020 | $28,020 | 1.4× |
| Renal Biopsy Perq (50200) | $3,155 | $3,155 | 1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $5,435 | $5,435 | 6.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $5,598 | $5,598 | 7.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $2,419 | $2,419 | 5.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $5,533 | $5,533 | 12.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $3,234 | $3,234 | 7.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $3,839 | $3,839 | 8.8× |
| Repair complex trunk 1.1-2.5 cm (13100) | $4,075 | $4,075 | 5.2× |
| Repair complex trunk 2.6-7.5 cm (13101) | $4,253 | $4,253 | 5.4× |
| Repair incomplete circumcision (54163) | $10,583 | $10,583 | 4.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $2,764 | $2,764 | 6.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$427–$3,053 | $427–$3,053 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 5 matching MRF lines |
$491–$3,839 | $491–$3,839 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 4 matching MRF lines |
$516–$3,839 | $516–$3,839 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$356–$1,176 | $356–$1,176 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$350–$3,252 | $350–$3,252 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 4 matching MRF lines |
$518–$3,654 | $518–$3,654 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $3,839 | $3,839 | 8.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$354–$2,314 | $354–$2,314 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$343–$2,945 | $343–$2,945 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $3,839 | $3,839 | 4.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$452–$3,449 | $452–$3,449 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $4,506 | $4,506 | 2.0× |
| Repair lead pace-defib dual (33220) | $7,455 | $7,455 | 1.9× |
| Repair Lead Pace-Defib One (33218) | $6,247 | $6,247 | 1.6× |
| Repair of nail bed (11760) range across 4 matching MRF lines |
$209–$1,337 | $209–$1,337 | varies |
| Repair tongue laceration (41252) | $3,252 | $3,252 | 12.9× |
| Repair tongue laceration (41250) range across 4 matching MRF lines |
$384–$1,577 | $384–$1,577 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $6,577 | $6,577 | 6.8× |
| Replace G-J Tube Perc (49452) | $7,652 | $7,652 | 7.9× |
| Replace g/c tube perc (49450) | $6,577 | $6,577 | 6.8× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $5,247 | $5,247 | 1.3× |
| Reposition Gastrostomy Tube (43761) | $4,531 | $4,531 | 17.0× |
| Reposition L Ventric Lead (33226) | $5,338 | $5,338 | 1.6× |
| Reposition Pacing-Defib Lead (33215) | $7,496 | $7,496 | 2.2× |
| Reposition Venous Catheter (36597) | $4,991 | $4,991 | 3.0× |
| Repositioning phrenic nrv stimulator transvns ld (33281) | $9,551 | $9,551 | 2.6× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $42,308 | $42,308 | 7.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $9,031 | $9,031 | 4.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $17,360 | $17,360 | 10.5× |
| Rmvl embedded fb vestibule mouth comp (40805) | $5,201 | $5,201 | 9.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 4 matching MRF lines |
$224–$2,016 | $224–$2,016 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$68–$1,018 | $68–$1,018 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$76–$1,018 | $76–$1,018 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $1,018 | $1,018 | 2.1× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $9,732 | $9,732 | 3.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $4,120 | $4,120 | 2.3× |
| Rmvl of subq implantable defibrillator electrode (33272) | $6,205 | $6,205 | 1.6× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) | $9,551 | $9,551 | 2.6× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) | $9,551 | $9,551 | 2.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $6,190 | $6,190 | 1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $6,624 | $6,624 | 3.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $5,208 | $5,208 | 7.8× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) | $51,384 | $51,384 | 1.6× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) | $16,771 | $16,771 | 1.4× |
| Rplc Gtube No Revj Trc (43762) | $8,396 | $8,396 | 31.5× |
| Rplc gtube revj gstrst trc (43763) | $8,396 | $8,396 | 31.5× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $11,234 | $11,234 | 3.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $5,726 | $5,726 | 3.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $4,614 | $4,614 | 2.7× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $13,072 | $13,072 | 2.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $10,918 | $10,918 | 3.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $11,654 | $11,654 | 3.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $7,142 | $7,142 | 4.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 4 matching MRF lines |
$195–$1,626 | $195–$1,626 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,874 | $1,874 | 7.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $4,436 | $4,436 | 7.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $4,436 | $4,436 | 7.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $4,972 | $4,972 | 3.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $6,833 | $6,833 | 10.2× |
| Sclerotx Fluid Collection (49185) | $8,360 | $8,360 | 4.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 4 matching MRF lines |
$299–$1,626 | $299–$1,626 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$127–$1,567 | $127–$1,567 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$132–$1,567 | $132–$1,567 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 4 matching MRF lines |
$206–$1,626 | $206–$1,626 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 5 matching MRF lines |
$160–$1,626 | $160–$1,626 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 4 matching MRF lines |
$233–$3,265 | $233–$3,265 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$106–$1,452 | $106–$1,452 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 4 matching MRF lines |
$310–$2,689 | $310–$2,689 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
$150–$1,668 | $150–$1,668 | varies |
| Skin graft, harvest cultured tissue (15040) | $2,646 | $2,646 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) | $2,641 | $2,641 | 3.3× |
| Skin sub graft trnk/arm/leg (15271) | $2,663 | $2,663 | 3.4× |
| Skin sub grft t/arm/lg child (15273) | $4,795 | $4,795 | 2.2× |
| Skn sub grft f/n/hf/g child (15277) | $2,693 | $2,693 | 1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $27,360 | $27,360 | 4.6× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $21,593 | $21,593 | 6.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $44,462.40 | $44,462.40 | 7.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$129–$1,591 | $129–$1,591 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 4 matching MRF lines |
$200–$1,792 | $200–$1,792 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 4 matching MRF lines |
$278–$2,455 | $278–$2,455 | varies |
| Spinal puncture lumbar diagnostic (62270) | $2,164 | $2,164 | 2.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $6,221 | $6,221 | 2.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $19,571 | $19,571 | 5.8× |
| Strapping Unna Boot (29580) | $1,085 | $1,085 | 6.3× |
| T-cell depletion of harvest (38210) range across 2 matching MRF lines |
$2,602–$4,049 | $2,602–$4,049 | varies |
| Tangential biopsy skin single lesion (11102) | $636 | $636 | 1.5× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $112,579 | $112,579 | 3.7× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $58,914 | $58,914 | 2.9× |
| Tcat Rmvl Perm Ldls Pm (33275) | $11,654 | $11,654 | 3.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $4,450 | $4,450 | 2.6× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $8,322 | $8,322 | 4.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $4,628 | $4,628 | 2.7× |
| Thaw preserved stem cells (38208) range across 2 matching MRF lines |
$1,393–$2,167 | $1,393–$2,167 | varies |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) | $23,245 | $23,245 | 5.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $4,772 | $4,772 | 6.3× |
| Therapeutic Apheresis White Blood Cells (36511) | $14,714 | $14,714 | 8.9× |
| Therapeutic plasma exchange (36514) | $12,107 | $12,107 | 7.3× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) | $12,242 | $12,242 | 3.6× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $35,586 | $35,586 | 1.8× |
| Thromblytic art/ven therapy (37213) | $14,791 | $14,791 | 4.4× |
| Thrombolytic Art Therapy (37211) | $17,580 | $17,580 | 3.0× |
| Thrombolytic Therapy Stroke (37195) | $7,655 | $7,655 | 21.7× |
| Thrombolytic Venous Therapy (37212) | $17,424 | $17,424 | 5.2× |
| Thyroid biopsy (60100) | $2,728 | $2,728 | 3.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $7,540 | $7,540 | 3.4× |
| Tooth extraction (41899) | $3,106 | $3,106 | 12.3× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) | $13,783 | $13,783 | 3.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $3,711 | $3,711 | 6.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $7,726 | $7,726 | 30.6× |
| Tracheostomy planned (31600) | $4,804 | $4,804 | 1.4× |
| Transcatheter biopsy (37200) | $8,822 | $8,822 | 1.5× |
| Transfusion Intrauterine Fetal (36460) | $11,827 | $11,827 | 25.1× |
| Treat Dental Ridge Fracture (21440) | $4,873 | $4,873 | 1.4× |
| Treat humerus fracture (24500) range across 4 matching MRF lines |
$432–$1,223 | $432–$1,223 | varies |
| Treat Humerus Fracture (24505) range across 4 matching MRF lines |
$594–$4,765 | $594–$4,765 | varies |
| Treat humerus fracture (23600) range across 4 matching MRF lines |
$399–$1,223 | $399–$1,223 | varies |
| Treat knee fracture (27532) range across 4 matching MRF lines |
$723–$13,354 | $723–$13,354 | varies |
| Treat Knee Fracture(S) (27538) range across 4 matching MRF lines |
$569–$1,422 | $569–$1,422 | varies |
| Treat Knuckle Dislocation (26700) range across 4 matching MRF lines |
$405–$1,223 | $405–$1,223 | varies |
| Treat Metatarsal Fracture (28475) range across 4 matching MRF lines |
$306–$1,506 | $306–$1,506 | varies |
| Treat Tail Bone Fracture (27200) | $1,506 | $1,506 | 5.7× |
| Treat Thumb Fracture (26645) range across 4 matching MRF lines |
$512–$4,570 | $512–$4,570 | varies |
| Treat toe dislocation (28630) range across 4 matching MRF lines |
$178–$1,277 | $178–$1,277 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$7,579–$11,369 | $7,579–$11,369 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $1,223 | $1,223 | 4.6× |
| Trim skin lesion (11055) | $792 | $792 | 3.7× |
| Trim skin lesions 2 to 4 (11056) | $792 | $792 | 3.7× |
| Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
$16–$686 | $16–$686 | varies |
| Trluml Balo Angiop 1St Art (37246) | $18,027 | $18,027 | 3.0× |
| Trluml Balo Angiop 1St Vein (37248) | $16,070 | $16,070 | 2.6× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) range across 2 matching MRF lines |
$659–$1,026 | $659–$1,026 | varies |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) range across 2 matching MRF lines |
$2,089–$3,250 | $2,089–$3,250 | varies |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) range across 2 matching MRF lines |
$2,691–$4,187 | $2,691–$4,187 | varies |
| Trnsplj allogeneic hematopoietic cells per donor (38240) | $64,745 | $64,745 | 1.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $15,186 | $15,186 | 9.1× |
| Trnsplj Hematopoietic Cell Boost (38243) | $5,449 | $5,449 | 3.3× |
| Tx Gastro Intub W/Asp (43753) | $4,150 | $4,150 | 18.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $10,334 | $10,334 | 6.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $5,108 | $5,108 | 3.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 4 matching MRF lines |
$300–$1,506 | $300–$1,506 | varies |
| Unlisted Cardiac Surgery (33999) | $64,366 | $64,366 | 96.2× |
| Unlisted procedure femur or knee (27599) | $3,991 | $3,991 | 15.2× |
| Unlisted Procedure Intestine (44799) | $4,470 | $4,470 | 4.6× |
| Unlisted procedure liver (47399) | $5,946 | $5,946 | 7.9× |
| Unlisted procedure nervous system (64999) | $2,728 | $2,728 | 8.3× |
| Unlisted procedure pelvis/hip joint (27299) | $2,882 | $2,882 | 10.9× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $1,662 | $1,662 | 6.6× |
| Unlisted Procedure Trachea Bronchi (31899) | $2,893 | $2,893 | 13.6× |
| Unlisted Procedure Vascular Surgery (37799) | $1,644 | $1,644 | 2.5× |
| Unlisted Procedure, Urinary System (53899) | $4,032 | $4,032 | 15.1× |
| Upgrade of pacemaker system (33214) | $27,163 | $27,163 | 2.4× |
| Vaginal delivery only (59409) | $9,655 | $9,655 | 2.8× |
| Vasc embolize/occlude artery (37242) | $34,096 | $34,096 | 1.7× |
| Vasc Embolize/Occlude Bleed (37244) | $34,096 | $34,096 | 2.8× |
| Vasc Embolize/Occlude Organ (37243) | $34,096 | $34,096 | 2.8× |
| Vasc embolize/occlude venous (37241) | $34,096 | $34,096 | 2.8× |
| Venous Mech Thrombectomy (37187) | $20,130 | $20,130 | 1.6× |
| Ventricular puncture previous burr hole w/inj (61026) | $2,550 | $2,550 | 3.4× |
| Wash harvest stem cells (38209) range across 2 matching MRF lines |
$702–$1,092 | $702–$1,092 | varies |
| Wedge excision skin nail fold (11765) range across 4 matching MRF lines |
$187–$1,591 | $187–$1,591 | varies |
| Wound Prep F/N/Hf/G (15004) | $2,393 | $2,393 | 5.5× |
| Wound Prep Trk/Arm/Leg (15002) | $3,378 | $3,378 | 4.3× |
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.