Procedures & surgery prices at Inova Fair Oaks Hospital

Fairfax, VA · every code in this section with a posted price and a Medicare benchmark.

1122 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,445.50 $2,891 1.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $742.50 $1,485 0.8×
Ablate Pulm Tumor Perq Crybl (32994)
range across 2 matching MRF lines		 $8,460–$16,920 $16,920–$33,840 varies
Ablation 1/> liver tumor perq cryoablation (47383) $11,527 $23,054 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 2 matching MRF lines		 $8,261.50–$16,523 $16,523–$33,046 varies
Ablation ire liver 1+ tumors w/img gdn perq (47384) $17,286 $34,572 1.6×
Ablation ire prst8 1 or more tumors percutaneous (55877) $17,286 $34,572 1.6×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
range across 2 matching MRF lines		 $11,418.50–$22,837 $22,837–$45,674 varies
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $2,739.50 $5,479 1.6×
Acne surgery (10040) $471.50 $943 2.3×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,547 $7,094 1.7×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $3,157.50 $6,315 1.5×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,661 $9,322 1.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,714.50 $7,429 1.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,128 $6,256 1.5×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,585 $11,170 2.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $4,386.50 $8,773 2.1×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $9,344.50 $18,689 4.4×
Allogeneic lymphocyte infusions (38242) $2,042 $4,084 1.3×
Amniocentesis diagnostic (59000) $975 $1,950 1.0×
Amniocentesis therapeutic (59001) $2,516 $5,032 8.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $9,410 $18,820 2.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $9,410 $18,820 2.8×
Amputation metatarsal with toe single (28810) $4,857.50 $9,715 1.4×
Amputation toe interphalangeal joint (28825) $7,629 $15,258 2.3×
Amputation toe metatarsophalangeal joint (28820) $3,814.50 $7,629 1.1×
Anoscopy diagnostic (46600) $162.50 $325 1.2×
Apheresis Platelets (36513) $3,560 $7,120 7.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $636–$1,272 $1,272–$2,544 varies
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $368 $736 1.3×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $273–$546 $546–$1,092 varies
Application Cast Finger (29086)
range across 2 matching MRF lines		 $636–$1,272 $1,272–$2,544 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $105.50–$211 $211–$422 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $289–$578 $578–$1,156 varies
Application Halo Cranial Including Removal (20661) $2,202.50 $4,405 1.3×
Application Hip Spica Cast 1 Leg (29305) $353 $706 1.2×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $164.50–$329 $329–$658 varies
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines		 $368–$736 $736–$1,472 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $125.50–$251 $251–$502 varies
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines		 $148–$296 $296–$592 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $227.50–$455 $455–$910 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $412–$824 $824–$1,648 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $145–$290 $290–$580 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $174–$348 $348–$696 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $144–$288 $288–$576 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $423.50–$847 $847–$1,694 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $273–$546 $546–$1,092 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $320–$640 $640–$1,280 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $318–$636 $636–$1,272 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $410–$820 $820–$1,640 varies
Arterial puncture (36600) $36 $72 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $478–$956 $956–$1,912 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $687–$1,374 $1,374–$2,748 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $478–$956 $956–$1,912 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $478–$956 $956–$1,912 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $478–$956 $956–$1,912 varies
Arthrotomy W/Biopsy Sacroiliac Joint (27050)
range across 2 matching MRF lines		 $2,778.50–$5,557 $5,557–$11,114 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $4,971.50–$9,943 $9,943–$19,886 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,161.50–$2,323 $2,323–$4,646 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $834–$1,668 $1,668–$3,336 varies
Aspirate/Inj Ganglion Cyst (20612) $352.50 $705 1.1×
Aspiration & Injection Treatment Bone Cyst (20615) $795 $1,590 1.1×
Aspiration and/or injection thyroid cyst (60300) $819.50 $1,639 1.1×
Aspiration bladder insert suprapubic catheter (51102) $2,456.50 $4,913 1.1×
Aspiration Bladder Needle (51100) $195.50 $391 0.8×
Aspiration bladder trocar/intracatheter (51101) $145 $290 0.2×
Av Fistula Revision Open (36832) $6,941 $13,882 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $379 $758 1.8×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure		 $2,149 $4,298 0.3×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $2,149 $4,298 0.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $2,149 $4,298 0.2×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
unusually low: confirm this is the full procedure		 $2,149 $4,298 0.3×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,149 $4,298 0.3×
Biopsy Abdominal Mass (49180) $2,228 $4,456 1.3×
Biopsy bone open deep (20245) $5,879 $11,758 2.0×
Biopsy bone trocar/needle deep (20225) $1,944.50 $3,889 1.1×
Biopsy Bone Trocar/Needle Superficial (20220) $1,162 $2,324 0.7×
Biopsy muscle percutaneous needle (20206) $1,051 $2,102 0.6×
Biopsy Muscle Superficial (20200) $4,021 $8,042 2.4×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $6,142–$12,284 $12,284–$24,568 varies
Biopsy of liver, needle; percutaneous (47000) $1,679 $3,358 1.0×
Biopsy of penis (54100) $2,005 $4,010 1.2×
Biopsy of penis; deep structures (54105) $3,592.50 $7,185 1.2×
Biopsy of rectum (45100) $5,015 $10,030 1.7×
Biopsy of urethra (53200) $3,200 $6,400 1.5×
Biopsy ovary uni/bi separate procedure (58900) $2,583.50 $5,167 0.8×
Biopsy Pleura Percutaneous Needle (32400) $1,103 $2,206 0.6×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $5,732.50 $11,465 1.6×
Biopsy Salivary Gland Needle (42400) $1,152.50 $2,305 1.6×
Biopsy soft tissue back/flank deep (21925) $5,749 $11,498 3.4×
Biopsy Soft Tissue Back/Flank Superficial (21920) $2,749 $5,498 1.6×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614)
range across 2 matching MRF lines		 $3,209–$6,418 $6,418–$12,836 varies
Biopsy soft tissue leg/ankle area superficial (27613)
range across 2 matching MRF lines		 $1,092–$2,184 $2,184–$4,368 varies
Biopsy soft tissue neck/thorax (21550) $1,187 $2,374 0.7×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)
range across 2 matching MRF lines		 $1,136.50–$2,273 $2,273–$4,546 varies
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041)
range across 2 matching MRF lines		 $1,011.50–$2,023 $2,023–$4,046 varies
Biopsy Soft Tissue Shoulder Deep (23066)
range across 2 matching MRF lines		 $2,998–$5,996 $5,996–$11,992 varies
Biopsy Soft Tissue Shoulder Superficial (23065)
range across 2 matching MRF lines		 $1,020–$2,040 $2,040–$4,080 varies
Biopsy Spinal Cord Percutaneous Needle (62269) $1,557.50 $3,115 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $1,005 $2,010 1.8×
Biopsy Vaginal Mucosa Simple (57100) $2,562 $5,124 2.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $779 $1,558 0.8×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $5,221–$10,442 $10,442–$20,884 varies
Bladder instillation anticarcinogenic agent (51720) $536.50 $1,073 0.7×
Bladder Irrigation (51700) $655 $1,310 2.5×
Bladder Scan (51798) $147 $294 2.4×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $3,379 $6,758 2.1×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $1,353.50–$2,707 $2,707–$5,414 varies
Blood Transfusion Service (36430) $1,062.50 $2,125 2.3×
Blood/Lymph System Procedure (38999) $859.50 $1,719 1.9×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $1,251.50–$2,503 $2,503–$5,006 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $1,251.50–$2,503 $2,503–$5,006 varies
Brnchsc Brushing/Protected Brushings (31623) $2,626 $5,252 1.4×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $7,023.50 $14,047 1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $4,551.50 $9,103 1.2×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $7,011 $14,022 1.8×
Bronchoscopy Clear Airways (31645) $2,626 $5,252 1.4×
Bronchoscopy Dilate W/Stent (31631) $13,177.50 $26,355 1.8×
Bronchoscopy Reclear Airway (31646) $2,512 $5,024 6.2×
Bronchoscopy W/Biopsy(S) (31625) $2,626 $5,252 1.4×
Bronchoscopy W/Removal Foreign Body (31635) $2,626 $5,252 1.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,034.50 $6,069 0.8×
Bronchoscopy/Needle Bx Each (31629) $3,034.50 $6,069 0.8×
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $2,240.50–$4,481 $4,481–$8,962 varies
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $2,579.50–$5,159 $5,159–$10,318 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,974–$3,948 $3,948–$7,896 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $1,680.50–$3,361 $3,361–$6,722 varies
Bx Cervix (57500) $1,772.50 $3,545 1.9×
Bx prst8 trct us w/MRI fus 1 (55708) $5,732.50 $11,465 1.6×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $4,483–$8,966 $8,966–$17,932 varies
Canthoplasty (67950)
range across 2 matching MRF lines		 $3,069–$6,138 $6,138–$12,276 varies
Canthotomy Separate Procedure (67715)
range across 2 matching MRF lines		 $3,693–$7,386 $7,386–$14,772 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $4,033.50–$8,067 $8,067–$16,134 varies
Capsulotomy Iphal Joint Each Joint Spx (28272)
range across 2 matching MRF lines		 $2,533.50–$5,067 $5,067–$10,134 varies
Car-t admn autologous (38228) $508 $1,016 1.5×
Catheter aspiration nasotracheal spx (31720) $208 $416 0.9×
Cautery Cervix Cryocautery Initial/Repeat (57511) $535 $1,070 1.7×
Cessj Therapy Cath Removal (37214) $2,544.50 $5,089 0.8×
Change Cystostomy Tube Complicated (51710) $2,455 $4,910 3.4×
Change Cystostomy Tube Simple (51705) $558 $1,116 2.2×
Change of Windpipe Airway (31502) $681 $1,362 2.8×
Change ureter stent percut (50382)
range across 2 matching MRF lines		 $2,225.50–$4,451 $4,451–$8,902 varies
Chemical Cautery Tissue (17250) $195.50 $391 0.9×
Chemical Pleurodesis (32560) $498 $996 0.8×
Chemodenerv 1 extrem 5/> mus (64644) $1,340.50 $2,681 1.8×
Chemodenerv 1 extremity 1-4 (64642) $931 $1,862 1.3×
Chemodenerv Musc Migraine (64615) $518 $1,036 1.6×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $440.50–$881 $881–$1,762 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $430.50 $861 1.4×
Chemodenerv trunk musc 1-5 (64646) $918.50 $1,837 1.3×
Chemodenerv trunk musc 6/> (64647) $1,530 $3,060 2.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $201.50–$403 $403–$806 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,811–$3,622 $3,622–$7,244 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 2 matching MRF lines		 $1,347–$2,694 $2,694–$5,388 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,326.50 $8,653 1.2×
Chorionic Villus Sampling (59015) $975 $1,950 1.0×
Circumcision w/clamp/oth dev w/block (54150) $219.50 $439 0.1×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $224–$448 $448–$896 varies
Closed Treat Vert Body Fract (22310) $782 $1,564 3.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $3,156.50–$6,313 $6,313–$12,626 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $566–$1,132 $1,132–$2,264 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $456–$912 $912–$1,824 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $4,763.50–$9,527 $9,527–$19,054 varies
Closed tx fx orbit except blowout w/manipulation (21401)
range across 2 matching MRF lines		 $2,616–$5,232 $5,232–$10,464 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $2,341.50–$4,683 $4,683–$9,366 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $2,533.50–$5,067 $5,067–$10,134 varies
Closed tx metatarsal fracture w/o manipulation (28470) $380 $760 1.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,118 $6,236 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,094.50 $10,189 1.5×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $4,902.50 $9,805 1.4×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $404.50–$809 $809–$1,618 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,096–$2,192 $2,192–$4,384 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $834–$1,668 $1,668–$3,336 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $379.50 $759 1.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,096–$2,192 $2,192–$4,384 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $381 $762 1.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $837.50 $1,675 1.5×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $672.50–$1,345 $1,345–$2,690 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $2,740–$5,480 $5,480–$10,960 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $711.50–$1,423 $1,423–$2,846 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $3,960.50 $7,921 2.4×
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $4,763.50–$9,527 $9,527–$19,054 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $380 $760 1.5×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $705 $1,410 2.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $380 $760 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,680.50–$3,361 $3,361–$6,722 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,630.50 $5,261 1.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $2,454–$4,908 $4,908–$9,816 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $2,454–$4,908 $4,908–$9,816 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $566 $1,132 2.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $3,308.50–$6,617 $6,617–$13,234 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $2,341.50–$4,683 $4,683–$9,366 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $440 $880 1.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $380 $760 1.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $501.50 $1,003 1.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $501.50 $1,003 2.0×
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $4,731–$9,462 $9,462–$18,924 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $379.50–$759 $759–$1,518 varies
Cltx metacarpal fx w/manipulation each bone (26605) $768.50 $1,537 3.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,788 $7,576 2.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $586 $1,172 2.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $380 $760 1.5×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $641–$1,282 $1,282–$2,564 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $2,809.50–$5,619 $5,619–$11,238 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,897–$3,794 $3,794–$7,588 varies
Co gnotyp gene analysis aqp1 exon 1 (0181U) $278 $556 1.5×
Collect Blood From Catheter Venous Nos (36592) $103 $206 0.7×
Collection of venous blood by venipuncture (36415) $10.50 $21 1.1×
Colpocentesis (57020) $4,344.50 $8,689 0.8×
Colporrhaphy (57200) $4,614 $9,228 1.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $515.50 $1,031 1.6×
Colposcopy Cervix Endocervical Curettage (57456) $515.50 $1,031 1.6×
Colposcopy cervix upper/adjacent vagina (57452) $314 $628 1.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $515.50 $1,031 1.6×
Colposcopy cervix vag eltrd conization cervix (57461) $5,215.50 $10,431 1.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $5,215.50 $10,431 1.6×
Colposcopy entire vagina w/cervix if present (57420) $535 $1,070 1.7×
Colposcopy of vulva (56820) $311 $622 1.5×
Colposcopy Vulva W/Biopsy (56821) $535 $1,070 1.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,290 $2,580 1.4×
Complex drainage wound (10180) $3,776 $7,552 1.3×
Composite Skin Graft (15760) $2,816.50 $5,633 1.3×
Conization cervix w/wo d&c rpr eltrd exc (57522) $6,221 $12,442 1.9×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $348.50–$697 $697–$1,394 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $492.50–$985 $985–$1,970 varies
Control oropharyngeal hemorrhage simple (42960) $837.50 $1,675 1.5×
Conversion ext bil drg cath (47535) $4,143 $8,286 1.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,443.50 $2,887 0.7×
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $1,180–$2,360 $2,360–$4,720 varies
Cordocentesis (59012) $1,016.50 $2,033 3.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,809.50 $7,619 2.2×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $6,228–$12,456 $12,456–$24,912 varies
Cryosurgical Ablation Fibroadenoma, Each (19105)
range across 2 matching MRF lines		 $11,914.50–$23,829 $23,829–$47,658 varies
Csf shunt reprogram (62252) $725 $1,450 2.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $589 $1,178 4.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $381 $762 1.6×
Curettage postpartum (59160) $5,187 $10,374 1.5×
Cysto Bladder W/Ureteral Catheterization (52005) $3,274 $6,548 1.5×
Cysto calibration dilat urtl strix/stenosis (52281) $2,845.50 $5,691 1.3×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $3,559.50–$7,119 $7,119–$14,238 varies
Cysto w/irrig & evac multple obstructing clots (52001) $4,646 $9,292 1.3×
Cysto w/removal of lesions small (52224) $6,962.50 $13,925 1.9×
Cysto w/removal of tumors small (52234) $6,962.50 $13,925 1.9×
Cysto W/Simple Removal Stone & Stent (52310) $1,368 $2,736 0.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,864 $5,728 0.8×
Cystometrogram W/Vp (51728) $985 $1,970 1.4×
Cystostomy Cystotomy W/Drainage (51040) $3,027 $6,054 1.4×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $577.50 $1,155 0.3×
Cystourethroscopy (52000) $506.50 $1,013 0.7×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330)
range across 2 matching MRF lines		 $6,308–$12,616 $12,616–$25,232 varies
Cystourethroscopy with biopsy (52204) $4,057.50 $8,115 1.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,286 $2,572 3.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,499.50 $8,999 1.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,190 $2,380 1.6×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,428 $2,856 1.9×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $6,468.50 $12,937 3.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $934 $1,868 1.2×
Debride nail 1-5 (11720) $255 $510 4.2×
Debride nail 6 or more (11721) $266.50 $533 4.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,892.50 $3,785 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $810.50 $1,621 1.9×
Declot vascular device (36593) $344.50 $689 1.0×
Deep Muscle Biopsy (20205) $4,194.50 $8,389 1.4×
Delivery of placenta (59414) $3,618.50 $7,237 1.1×
Destr W Neurolytic; Celiac Plexus (64680) $1,235.50 $2,471 1.4×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,029.50–$2,059 $2,059–$4,118 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $2,201.50–$4,403 $4,403–$8,806 varies
Destruc retinal lesn,photocoag (67210)
range across 2 matching MRF lines		 $793–$1,586 $1,586–$3,172 varies
Destruct B9 Lesion 1-14 (17110) $150.50 $301 0.7×
Destruction Benign Lesions 15/> (17111) $191 $382 0.9×
Destruction by neurolytic agent, intercostal nerve (64620) $2,466.50 $4,933 2.7×
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 2 matching MRF lines		 $498.50–$997 $997–$1,994 varies
Destruction by neurolytic agent; pudendal nerve (64630) $1,562.50 $3,125 1.7×
Destruction Lesions Vulva Extensive (56515) $3,164.50 $6,329 1.5×
Destruction Lesions Vulva Simple (56501) $3,164.50 $6,329 1.5×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $602 $1,204 2.9×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $768 $1,536 3.7×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $1,152.50 $2,305 2.7×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $1,284 $2,568 1.7×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $1,810 $3,620 2.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $325 $650 1.6×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $335.50 $671 1.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $354 $708 1.7×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $817 $1,634 1.9×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $1,152.50 $2,305 2.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $463 $926 2.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $463 $926 2.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $602 $1,204 2.9×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $618.50 $1,237 3.0×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $976 $1,952 2.3×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $1,010.50 $2,021 2.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $316 $632 1.5×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $5,454.50–$10,909 $10,909–$21,818 varies
Destruction of skin lesions (17106) $821 $1,642 2.0×
Destruction Premalignant Lesion 15/> (17004) $627.50 $1,255 1.5×
Destruction premalignant lesion 1st (17000) $120 $240 0.6×
Destruction Vaginal Lesions Extensive (57065) $6,221 $12,442 1.9×
Destruction Vaginal Lesions Simple (57061) $6,221 $12,442 1.9×
Diagnostic sigmoidoscopy (45330) $1,443.50 $2,887 1.5×
Dilat Xst Trc New Access Rcs (50437)
range across 2 matching MRF lines		 $3,864–$7,728 $7,728–$15,456 varies
Dilate Urethra Stricture (53620) $3,826 $7,652 5.3×
Dilate Urethra Stricture (53600) $971 $1,942 3.8×
Dilation & curettage dx&/ther nonobstetric (58120) $6,672.50 $13,345 2.0×
Dilation and catheterization of salivary duct, with or without injection (42660) $750 $1,500 1.3×
Dilation Esophagus Guide Wire (43453) $1,563.50 $3,127 0.8×
Drain Cerebro Spinal Fluid (62272) $744.50 $1,489 1.0×
Drain Hand Tendon Sheath (26020) $5,671 $11,342 1.7×
Drain Spinal Cord Cyst (62268) $776.50 $1,553 0.8×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $478–$956 $956–$1,912 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $1,005 $2,010 1.8×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $1,190–$2,380 $2,380–$4,760 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $4,503–$9,006 $9,006–$18,012 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $1,190–$2,380 $2,380–$4,760 varies
Drainage Finger Abscess Complicated (26011) $4,056 $8,112 2.4×
Drainage Mouth Roof Lesion (42000) $381 $762 1.6×
Drainage of finger abscess simple (26010) $543.50 $1,087 2.6×
Drainage of gum lesion (41800) $630.50 $1,261 4.6×
Drainage of hematoma/fluid (10140) $3,399 $6,798 2.0×
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $950–$1,900 $1,900–$3,800 varies
Drainage of nose lesion (30000) $381 $762 1.6×
Drainage of rectal abscess (45020) $5,178 $10,356 1.8×
Drainage of rectal abscess (45005) $3,572 $7,144 2.9×
Drainage of scrotal wall abscess (55100) $4,812 $9,624 2.8×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $3,401–$6,802 $6,802–$13,604 varies
Drainage of skene's gland abscess or cyst (53060) $3,494 $6,988 1.6×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,261.50 $2,523 0.4×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $2,930 $5,860 0.9×
Draw Blood Off Venous Device (36591) $100 $200 0.7×
Dressing Change Under Anesthesia (15852) $1,077.50 $2,155 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,190 $2,380 1.6×
Drg privesical/prevesical space absc (51080) $1,101.50 $2,203 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $416.50 $833 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $403 $806 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $396 $792 1.9×
Dstrj Lesion Penis Simple Cryosurgery (54056) $453 $906 2.2×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $1,152.50 $2,305 2.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $1,110–$2,220 $2,220–$4,440 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $2,466.50 $4,933 2.7×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $2,466.50 $4,933 2.7×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $1,605.50–$3,211 $3,211–$6,422 varies
Dx Bronchoscope/Lavage (31624) $2,626 $5,252 1.4×
Dx Bronchoscope/Wash (31622) $2,626 $5,252 1.4×
Dx Laryngoscopy Excl Nb (31525) $3,404 $6,808 1.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,826.50 $3,653 2.5×
Dynamic Cavernosometry Njx Vasoactive Drugs (54231) $4,094 $8,188 15.8×
Egd place gastrostomy tube (43246) $1,426 $2,852 0.7×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $537 $1,074 1.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $557 $1,114 1.8×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $522.50 $1,045 1.6×
Electro-Uroflowmetry First (51741) $353.50 $707 1.6×
Embedded ip cath exit-site (49436) $1,288 $2,576 0.6×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201)
range across 2 matching MRF lines		 $8,557.50–$17,115 $17,115–$34,230 varies
Endocervical curettage (57505) $2,029 $4,058 2.1×
Endometrial Biopsy (58100) $608 $1,216 2.9×
Endovasc Temp Balloon Occlus,Head/Nck (61623)
unusually low: confirm this is the full procedure		 $4,457 $8,914 0.4×
Endoven abltj incmptnt vein mchnchem 1st vein (36473)
range across 2 matching MRF lines		 $5,662.50–$11,325 $11,325–$22,650 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $3,271–$6,542 $6,542–$13,084 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $2,169–$4,338 $4,338–$8,676 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $10,192–$20,384 $20,384–$40,768 varies
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,210 $2,420 0.6×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $902.50 $1,805 0.5×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $4,645.50 $9,291 2.2×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $3,155 $6,310 1.5×
Epidural Blood Patch (62273) $695.50 $1,391 1.0×
Episiotomy or vaginal repair (59300) $6,998 $13,996 2.1×
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure		 $2,849 $5,698 0.5×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,862.50 $3,725 0.5×
Ercp remove forgn body duct (43275) $2,720 $5,440 1.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,296 $2,592 1.4×
Evacuation of subungual hematoma (11740) $168.50 $337 1.2×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $4,600 $9,200 2.7×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $6,764–$13,528 $13,528–$27,056 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $561.50 $1,123 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,812 $9,624 2.8×
Exc Back Les Sc < 3 Cm (21930) $3,399.50 $6,799 2.0×
Exc back tum deep < 5 cm (21932) $5,453 $10,906 1.8×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $2,379.50 $4,759 3.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $2,435 $4,870 3.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $3,542 $7,084 2.1×
Exc Face Les Sbq 2 Cm/> (21012) $4,800 $9,600 2.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,191.50 $2,383 1.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,227.50 $2,455 1.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,587 $3,174 2.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,851.50 $9,703 2.8×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $4,998 $9,996 2.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,812 $9,624 2.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,622 $5,244 3.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $3,809.50 $7,619 2.2×
Exc hand tum deep < 1.5 cm (26116) $3,000 $6,000 1.8×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $5,134 $10,268 1.5×
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $5,453–$10,906 $10,906–$21,812 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,653 $5,306 3.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $4,812 $9,624 2.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $5,389 $10,778 1.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,745 $9,490 2.8×
Exc Skin Benig >4cm Face,Facial (11446) $8,622 $17,244 2.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $3,734 $7,468 2.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $8,622 $17,244 2.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,232.50 $8,465 2.5×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $8,299–$16,598 $16,598–$33,196 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,985.50 $3,971 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $765.50 $1,531 1.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $915.50 $1,831 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,542 $7,084 2.1×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $8,299 $16,598 2.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $6,107 $12,214 2.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,800 $9,600 2.8×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $4,874.50–$9,749 $9,749–$19,498 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045)
range across 2 matching MRF lines		 $4,874.50–$9,749 $9,749–$19,498 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $4,800–$9,600 $9,600–$19,200 varies
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634)
range across 2 matching MRF lines		 $4,338.50–$8,677 $8,677–$17,354 varies
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619)
range across 2 matching MRF lines		 $4,874.50–$9,749 $9,749–$19,498 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $4,812–$9,624 $9,624–$19,248 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,758 $3,516 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $7,018–$14,036 $14,036–$28,072 varies
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,143 $8,286 1.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $1,923–$3,846 $3,846–$7,692 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,354.50 $2,709 0.7×
Excis Mouth Complex,Exc Thru Muscle (40816) $7,787.50 $15,575 2.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $2,515 $5,030 3.4×
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $8,299–$16,598 $16,598–$33,196 varies
Excision lesion mouth roof (42104) $7,787.50 $15,575 2.3×
Excision Lingual Frenum Frenectomy (41115) $6,038.50 $12,077 3.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,196 $2,392 1.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,223 $2,446 1.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,230.50 $2,461 2.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,818 $5,636 3.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $2,368 $4,736 3.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $3,333.50 $6,667 2.0×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $6,107 $12,214 2.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,441.50 $4,883 1.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $2,515 $5,030 3.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,818 $5,636 3.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $4,998 $9,996 2.9×
Excision of pilonidal cyst or sinus; simple (11770) $5,879 $11,758 2.0×
Excision of vaginal cyst or tumor (57135) $5,033.50 $10,067 1.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,800 $9,600 2.8×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $4,874.50–$9,749 $9,749–$19,498 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $4,800–$9,600 $9,600–$19,200 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $4,800–$9,600 $9,600–$19,200 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $4,800–$9,600 $9,600–$19,200 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $4,800 $9,600 2.8×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $8,299–$16,598 $16,598–$33,196 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $8,299–$16,598 $16,598–$33,196 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $4,600–$9,200 $9,200–$18,400 varies
Expl penetrating wound spx abdomen/flank/back (20102) $3,164.50 $6,329 1.5×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $5,512–$11,024 $11,024–$22,048 varies
Exploration penetrating wound spx extremity (20103) $3,671.50 $7,343 2.1×
Explore epididymis (54865) $3,482 $6,964 1.0×
External cephalic version (59412) $124 $248 0.0×
Fetal Contraction Stress Test (59020) $579 $1,158 2.8×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $668.50 $1,337 2.1×
Fetal non-stress test (59025) $648 $1,296 3.1×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $668.50 $1,337 2.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,076 $4,152 2.8×
Fine needle aspiration without imaging guidance (10021) $580 $1,160 1.4×
Fluid Pressure Muscle (20950) $1,190 $2,380 1.6×
Fluoro exam of g/colon tube (49465) $323.50 $647 1.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $2,076 $4,152 2.8×
Fna bx w/us gdn 1st les (10005) $1,092.50 $2,185 1.5×
Foreskin manipulation (54450) $394 $788 1.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,896 $5,792 1.4×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,469 $4,938 1.2×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $55 $110 1.5×
Guide Cathet Fluid Drainage (10030) $896 $1,792 1.2×
Head Surgery Procedure (21499) $373 $746 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,540.50 $5,081 2.6×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $5,523 $11,046 1.6×
I&d abscess peritonsillar (42700) $1,201 $2,402 4.9×
I&d abscess simple (10060) $431.50 $863 2.1×
I&D Below Fascia Foot 1 Bursal Space (28002) $2,441 $4,882 1.5×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $2,467–$4,934 $4,934–$9,868 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,130 $4,260 0.7×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $9,063.50–$18,127 $18,127–$36,254 varies
I&D Intramural Im/Absc Transanal Anes (46045) $4,711 $9,422 1.6×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $6,885.50 $13,771 2.0×
I&d perianal abscess superficial (46050) $1,530.50 $3,061 1.6×
I&d pilonidal cyst complicated (10081) $1,872 $3,744 2.6×
I&d pilonidal cyst simple (10080) $890 $1,780 1.2×
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $7,589–$15,178 $15,178–$30,356 varies
I&d vaginal hematoma obstetrical/postpartum (57022) $6,173 $12,346 2.1×
Icd Pocket Revision (33223) $1,548 $3,096 0.7×
Image Cath Fluid Colxn Visc (49405) $2,376.50 $4,753 1.4×
Image Cath Fluid Peri/Retro (49406) $2,542 $5,084 1.5×
Image Cath Fluid Trns/Vgnl (49407) $1,576 $3,152 0.9×
Implant neuroelectrodes (63650) $7,636 $15,272 1.2×
Incise external hemorrhoid (46083) $640.50 $1,281 2.5×
Incise finger tendon sheath (26055) $3,179 $6,358 1.9×
Incision & drainage abscess complicated/multiple (10061) $441.50 $883 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $7,589–$15,178 $15,178–$30,356 varies
Incision & removal foreign body subq tiss compl (10121) $1,671 $3,342 1.0×
Incision & removal foreign body subq tiss simple (10120) $561.50 $1,123 1.3×
Incision and drainage of bartholin's gland abscess (56420) $825 $1,650 3.9×
Incision and drainage of vulva or perineal abscess (56405) $882 $1,764 2.8×
Incision of lingual frenum (frenotomy) (41010) $2,509 $5,018 1.6×
Incision of rectal abscess (46040) $4,827 $9,654 3.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $2,447–$4,894 $4,894–$9,788 varies
Incisional biopsy skin single lesion (11106) $777 $1,554 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $560.50 $1,121 2.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,494.50–$2,989 $2,989–$5,978 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $130.50–$261 $261–$522 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $2,250–$4,500 $4,500–$9,000 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,508.50–$3,017 $3,017–$6,034 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $410.50–$821 $821–$1,642 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $2,250–$4,500 $4,500–$9,000 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 2 matching MRF lines		 $2,250–$4,500 $4,500–$9,000 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $2,031.50–$4,063 $4,063–$8,126 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $2,372.50–$4,745 $4,745–$9,490 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $2,148–$4,296 $4,296–$8,592 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $1,701.50–$3,403 $3,403–$6,806 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 2 matching MRF lines		 $2,250–$4,500 $4,500–$9,000 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $874–$1,748 $1,748–$3,496 varies
Injection Anes Superior Hypogastric Plexus (64517) $461 $922 0.5×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $708.50–$1,417 $1,417–$2,834 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $362–$724 $724–$1,448 varies
Injection Into Brain Canal (61055) $3,222.50 $6,445 10.1×
Injection single tendon origin/insertion (20551) $285 $570 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $410.50 $821 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $429 $858 1.4×
Injection Sinus Tract Therapeutic Separate Proc (20500) $441.50 $883 0.3×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $483.50–$967 $967–$1,934 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $2,250–$4,500 $4,500–$9,000 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $1,701.50–$3,403 $3,403–$6,806 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $586–$1,172 $1,172–$2,344 varies
Injection, Intralesional; More Than 7 Lesions (11901) $782.50 $1,565 3.8×
Injection, intralesional; up to and including 7 lesions (11900) $264 $528 1.3×
Ins cath ren art 1st bilat (36252) $3,764 $7,528 1.2×
Ins cath ren art 1st unilat (36251) $2,666 $5,332 0.8×
Ins cath ren art 2nd+ bilat (36254) $2,666 $5,332 0.8×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure		 $2,666 $5,332 0.5×
Ins endovas vena cava filtr (37191) $3,087 $6,174 0.5×
Ins Vag Brachytx Device (57156) $1,082 $2,164 3.4×
Ins/Rep Subq Defibrillator (33270) $35,655 $71,310 1.1×
Insert 1 Electrode Pm-Defib (33216) $6,693 $13,386 0.8×
Insert Bladder Cath Complex (51703) $255 $510 1.9×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,250–$2,500 $2,500–$5,000 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $741.50–$1,483 $1,483–$2,966 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,290 $4,580 1.8×
Insert cervical dilator (59200) $342 $684 1.1×
Insert Drug Implant Device (11981) $564.50 $1,129 4.1×
Insert Gastrostomy Tube Percutaneous (49440) $1,443.50 $2,887 0.7×
Insert Heart Pm Atrial (33206) $8,925 $17,850 0.8×
Insert Heart Pm Ventricular (33207) $10,723 $21,446 1.0×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $1,569.50 $3,139 0.1×
Insert non-tunnel cv cath (36556) $1,871 $3,742 0.6×
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure		 $4,736.50 $9,473 0.4×
Insert pessary/other device (57160) $467.50 $935 2.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,790 $3,580 1.1×
Insert pulse gen dual leads (33213) $7,115 $14,230 0.7×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $7,472 $14,944 0.4×
Insert Pulse Gen Sngl Lead (33212) $6,489 $12,978 0.8×
Insert Temp Bladder Cath (51702) $168 $336 1.2×
Insert tun ip cath perc (49418) $5,377 $10,754 1.5×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $5,059–$10,118 $10,118–$20,236 varies
Insert tunneled cv cath (36563) $4,294 $8,588 0.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines		 $3,414–$6,828 $6,828–$13,656 varies
Insert,Non-Indwelling Bladder Catheter (51701) $159 $318 1.2×
Insertion indwelling tunneled pleural catheter (32550) $5,670.50 $11,341 1.5×
Insertion of cannula (36800) $7,279.50 $14,559 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,609 $5,218 1.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,332.50 $18,665 1.1×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,745.50 $9,491 1.3×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $6,288.50 $12,577 1.1×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $7,575 $15,150 1.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,693 $13,386 0.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,325.50 $2,651 0.4×
Insj Picc Rs&I <5 Yr (36572) $1,194 $2,388 1.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $3,414–$6,828 $6,828–$13,656 varies
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570)
range across 2 matching MRF lines		 $3,414–$6,828 $6,828–$13,656 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,790 $3,580 1.1×
Insj Subq Impltbl Dfb Elctrd (33271) $5,074.50 $10,149 0.6×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
range across 2 matching MRF lines		 $13,892.50–$27,785 $27,785–$55,570 varies
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)
range across 2 matching MRF lines		 $4,479.50–$8,959 $8,959–$17,918 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $3,414–$6,828 $6,828–$13,656 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $30,737 $61,474 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $4,249.50 $8,499 0.5×
Insrt heart pm atrial & vent (33208) $11,016.50 $22,033 1.0×
Insrt Pulse Gen W/Dual Leads (33230) $24,696 $49,392 1.1×
Insrt Pulse Gen W/Mult Leads (33231) $34,864 $69,728 1.1×
Insrt Pulse Gen W/Singl Lead (33240) $33,204 $66,408 1.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,445.50 $2,891 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,106 $2,212 2.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,156 $2,312 2.7×
Intro cath dialysis circuit (36901) $2,540.50 $5,081 1.6×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,260.50 $36,521 1.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $8,761 $17,522 1.5×
Intro Gastrointestinal Tube (44500) $1,311.50 $2,623 1.4×
Intubation endotracheal emergency procedure (31500) $653 $1,306 2.7×
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines		 $419–$838 $838–$1,676 varies
Irrigation of corpora cavernosa for priapism (54220) $686.50 $1,373 2.7×
Kidney endoscopy (50553)
range across 2 matching MRF lines		 $2,864–$5,728 $5,728–$11,456 varies
Laparo ablate liver tumor rf (47370) $14,833 $29,666 1.3×
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) $9,163 $18,326 0.8×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $10,893.50 $21,787 1.7×
Laryngoscopy flexible diagnostic (31575) $338 $676 1.6×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $4,552.50 $9,105 2.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $614.50 $1,229 1.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $832 $1,664 2.1×
Laryngoscopy W/Foreign Body Removal (31530) $2,822 $5,644 1.5×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $674 $1,348 1.7×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $874 $1,748 2.2×
Late closure of wound (13160) $6,416.50 $12,833 1.8×
Ligate/strip long leg vein (37722)
range across 2 matching MRF lines		 $3,754.50–$7,509 $7,509–$15,018 varies
Ligate/strip short leg vein (37718)
range across 2 matching MRF lines		 $3,754.50–$7,509 $7,509–$15,018 varies
Ligation of a-v fistula (37607) $907 $1,814 0.3×
Ligation Of Inf Vena Cava (37619) $5,275.50 $10,551 0.9×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)
range across 2 matching MRF lines		 $9,306.50–$18,613 $18,613–$37,226 varies
Lyse chest fibrin init day (32561) $493.50 $987 0.8×
Lyse Chest Fibrin Subq Day (32562) $472 $944 0.7×
Manometric stds thru tube/ndwellg urtrl cath (50396)
range across 2 matching MRF lines		 $354–$708 $708–$1,416 varies
Marsupialization of bartholin's gland cyst (56440) $5,363 $10,726 1.6×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $5,819.50–$11,639 $11,639–$23,278 varies
Maternity Care Procedure (59899) $389 $778 1.9×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,325.50 $2,651 0.8×
Mech remov tunneled cv cath (36595) $3,414 $6,828 1.0×
Multifetal Pregnancy Reduction (59866) $327 $654 1.0×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $2,896 $5,792 1.4×
Myelography Lumbar Injection (62305) $2,355 $4,710 2.9×
Myelography Lumbar Injection (62304) $2,355 $4,710 2.9×
Myelography via lumbar injection rs&i cervical (62302) $2,355 $4,710 2.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,355 $4,710 2.9×
N Block Inj Celiac Pelus (64530) $914.50 $1,829 1.0×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $461–$922 $922–$1,844 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $1,718–$3,436 $3,436–$6,872 varies
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $2,409.50–$4,819 $4,819–$9,638 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $534–$1,068 $1,068–$2,136 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $327.50–$655 $655–$1,310 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $1,823–$3,646 $3,646–$7,292 varies
Nasal Endoscopy Dx (31231) $372 $744 1.8×
Nasal surgery procedure (30999) $367.50 $735 1.5×
Nasal/Orogastric W/Tube Plmt (43752) $454 $908 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $3,538.50–$7,077 $7,077–$14,154 varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $240.50 $481 0.9×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,111–$2,222 $2,222–$4,444 varies
Needle Biopsy Pancreas (48102) $1,081 $2,162 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $68 $136 2.3×
Needle insertion w/o injection 3 or more muscles (20561) $68 $136 2.3×
Neuro alys b-amyl 1-42&1-40 (0358U) $1,814.50 $3,629 7.0×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $1,131 $2,262 1.5×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $291 $582 1.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $611.50 $1,223 1.5×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,340 $4,680 1.1×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,246.50 $4,493 1.1×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $1,291–$2,582 $2,582–$5,164 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $649–$1,298 $1,298–$2,596 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,829.50 $3,659 0.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,935.50 $7,871 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,508.50–$3,017 $3,017–$6,034 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,681 $3,362 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,932.50 $3,865 2.6×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,329 $2,658 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,681 $3,362 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,681 $3,362 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,710 $3,420 2.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,633 $3,266 1.8×
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 2 matching MRF lines		 $4,040–$8,080 $8,080–$16,160 varies
Njx Noncmpnd Sclrsnt Mlt Vn (36466)
range across 2 matching MRF lines		 $5,706–$11,412 $11,412–$22,824 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $1,338–$2,676 $2,676–$5,352 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $1,417.50–$2,835 $2,835–$5,670 varies
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $307–$614 $614–$1,228 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $307–$614 $614–$1,228 varies
Njx Sclrsnt Spider Veins (36468) $125 $250 0.3×
Obstructive material removal from gi tube (49460) $316.50 $633 0.3×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $447.50–$895 $895–$1,790 varies
Onc pan cancer analysis mrd from plasma (0340U) $10,160.50 $20,321 2.8×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $5,496 $10,992 0.7×
Open bone biopsy (20251)
unusually low: confirm this is the full procedure		 $2,570.50 $5,141 0.3×
Open bowel to skin (44300) $1,830.50 $3,661 0.9×
Open treatment metacarpophalangeal dislocation (26715) $6,549 $13,098 1.9×
Open treatment of nasal fracture; uncomplicated Facility (21325) $7,512 $15,024 2.2×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,445 $12,890 1.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $7,859 $15,718 2.3×
Open Tx Distal Phalangeal Fracture Each (26765) $9,658 $19,316 2.9×
Open tx interphalangeal joint dislocation (26785) $5,457.50 $10,915 1.6×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $8,051 $16,102 2.4×
Open/Perq Place Stent 1St (37236) $13,964.50 $27,929 1.2×
Open/Perq Place Stent Same (37238) $13,763.50 $27,527 1.2×
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $4,942–$9,884 $9,884–$19,768 varies
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $4,729–$9,458 $9,458–$18,916 varies
Partial Excision Distal Phalanx Finger (26236) $2,757 $5,514 1.7×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $4,942–$9,884 $9,884–$19,768 varies
Pelvic examination under anesthesia (other than local) (57410) $8,156.50 $16,313 2.4×
Penile Injection (54235) $327.50 $655 1.3×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines		 $7,919–$15,838 $15,838–$31,676 varies
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,220 $2,440 0.9×
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines		 $8,843–$17,686 $17,686–$35,372 varies
Percut Ablate Liver Rf (47382) $4,014 $8,028 0.6×
Percut Cath Occlusn Non Cns Lesn (61626) $18,773 $37,546 1.6×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $670–$1,340 $1,340–$2,680 varies
Percut Mech Thrombectomy, Venous, Repeat (37188)
range across 2 matching MRF lines		 $2,726–$5,452 $5,452–$10,904 varies
Pericardiocentesis W/Imaging (33016) $4,861.50 $9,723 3.0×
Perm Occlusion/Embolization,Percut,Cns (61624) $29,810.50 $59,621 1.6×
Perq Cervicothoracic Inject (22510) $4,848.50 $9,697 1.4×
Perq dev breast 1st mr guide (19287)
range across 2 matching MRF lines		 $410–$820 $820–$1,640 varies
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $407–$814 $814–$1,628 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $410–$820 $820–$1,640 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $377–$754 $754–$1,508 varies
Perq dilation xst trc endourologic px w/img (50436)
range across 2 matching MRF lines		 $2,297–$4,594 $4,594–$9,188 varies
Perq Lumbosacral Injection (22511) $4,848.50 $9,697 1.4×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
range across 2 matching MRF lines		 $11,767.50–$23,535 $23,535–$47,070 varies
Perq p-art revsc 1 nm nt uni (33900) $21,287.50 $42,575 1.8×
Perq p-art revsc st 1st abnor connj unilateral (33902) $34,447.50 $68,895 1.8×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $21,287.50 $42,575 1.8×
Perq p-art revsc st 1st nml native connj bi (33901) $21,287.50 $42,575 1.8×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
range across 2 matching MRF lines		 $7,598.50–$15,197 $15,197–$30,394 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $1,099–$2,198 $2,198–$4,396 varies
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $7,859–$15,718 $15,718–$31,436 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $17,706 $35,412 1.5×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $11,942.50 $23,885 2.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $11,780 $23,560 1.6×
Perq Vertebral Augmentation (22513) $11,780 $23,560 1.6×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $4,096–$8,192 $8,192–$16,384 varies
Photopheresis extracorporeal (36522) $7,921.50 $15,843 1.8×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $4,137.50–$8,275 $8,275–$16,550 varies
Place Cath Thoracic Aorta (36221) $4,137.50 $8,275 1.3×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $7,086.50–$14,173 $14,173–$28,346 varies
Place Duod/Jej Tube Perc (49441) $1,443.50 $2,887 0.7×
Place Rt Device/Marker Pros (55876) $997.50 $1,995 0.7×
Placement Needle Pelvic Organ Radioelement Appl (55920) $8,331 $16,662 1.6×
Placement of needle for intraosseous infusion (36680) $680.50 $1,361 1.5×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,143 $8,286 0.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $11,224 $22,448 1.8×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $8,325 $16,650 1.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $8,325 $16,650 1.3×
Plmt expandable cath brst following prtl mast (19296)
range across 2 matching MRF lines		 $17,078–$34,156 $34,156–$68,312 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $2,866.50–$5,733 $5,733–$11,466 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $2,866.50–$5,733 $5,733–$11,466 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $6,497.50–$12,995 $12,995–$25,990 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $6,116–$12,232 $12,232–$24,464 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $6,307–$12,614 $12,614–$25,228 varies
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $7,222–$14,444 $14,444–$28,888 varies
Probe nl duct w/balloon (68816)
range across 2 matching MRF lines		 $1,938.50–$3,877 $3,877–$7,754 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,400 $2,800 1.9×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $12,467.50 $24,935 1.9×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $2,639 $5,278 2.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $6,306 $12,612 1.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $6,306 $12,612 1.7×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 2 matching MRF lines		 $11,186–$22,372 $22,372–$44,744 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $4,729–$9,458 $9,458–$18,916 varies
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $283–$566 $566–$1,132 varies
Punch biopsy skin single lesion (11104) $436 $872 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $525.50 $1,051 1.2×
Puncture Aspiration Cyst Breast (19000) $1,106 $2,212 1.5×
Puncture shunt tube/reservoir aspiration/inj px (61070) $3,222.50 $6,445 4.4×
Pvb thoracic cont infusion (64463)
range across 2 matching MRF lines		 $2,236–$4,472 $4,472–$8,944 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $2,236–$4,472 $4,472–$8,944 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $3,955–$7,910 $7,910–$15,820 varies
Reconstruction Nail Bed W/Graft (11762) $3,164.50 $6,329 1.5×
Redo Endovas Vena Cava Filtr (37192) $2,622 $5,244 0.8×
Relocation Pocket Pacemaker (33222) $1,548 $3,096 0.7×
Rem Endovas Vena Cava Filter (37193) $3,457.50 $6,915 1.1×
Removal bat modulation system total system (64657)
range across 2 matching MRF lines		 $5,555.50–$11,111 $11,111–$22,222 varies
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $919 $1,838 1.0×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $404.50–$809 $809–$1,618 varies
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $2,749–$5,498 $5,498–$10,996 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $2,749–$5,498 $5,498–$10,996 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $846.50–$1,693 $1,693–$3,386 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,749 $5,498 1.6×
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $8,261.50–$16,523 $16,523–$33,046 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $105.50–$211 $211–$422 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $263.50 $527 4.3×
Removal Implant Deep (20680) $4,531 $9,062 1.5×
Removal Implant Superficial Separate Procedure (20670) $2,781 $5,562 1.6×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $6,842–$13,684 $13,684–$27,368 varies
Removal of foreign body from pharynx (42809) $692.50 $1,385 1.5×
Removal of kidney stone (50081)
range across 2 matching MRF lines		 $16,758.50–$33,517 $33,517–$67,034 varies
Removal of nail bed (11750) $1,422 $2,844 3.4×
Removal of tunneled intraperitoneal catheter (49422) $4,787 $9,574 1.5×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $197.50–$395 $395–$790 varies
Removal Pacemaker Electrode (33235) $2,325 $4,650 0.6×
Removal ppm generator only (33233) $5,509.50 $11,019 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $316 $632 1.5×
Removal subcutaneous cardiac rhythm monitor (33286) $768.50 $1,537 1.0×
Removal/bivalving gauntlet boot/body cast (29700) $462 $924 1.6×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385)
range across 2 matching MRF lines		 $1,963.50–$3,927 $3,927–$7,854 varies
Remove cerclage suture (59871) $7,619 $15,238 2.3×
Remove drug implant device (11982) $533 $1,066 1.2×
Remove Elctrd Transvenously (33244) $1,849 $3,698 0.5×
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $3,761.50–$7,523 $7,523–$15,046 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $177.50–$355 $355–$710 varies
Remove Int Dwell Ureteral Stent Transurethral (50386)
range across 2 matching MRF lines		 $464–$928 $928–$1,856 varies
Remove Intrauterine Device (58301) $532.50 $1,065 1.7×
Remove intrvas foreign body (37197) $3,232.50 $6,465 1.0×
Remove lung catheter (32552) $480 $960 0.7×
Remove Nasal Foreign Body (30300) $213 $426 1.5×
Remove Peritoneal Foreign Body (49402) $2,339.50 $4,679 0.6×
Remove Pulse Generator (33241) $2,325 $4,650 0.6×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $366.50–$733 $733–$1,466 varies
Remove self-contd penis pros (54415) $6,913.50 $13,827 1.9×
Remove spine eltrd plate (63662) $2,359.50 $4,719 0.7×
Remove Tendon Sheath Lesion (26160) $4,583.50 $9,167 2.8×
Remove tissue expander (11971)
range across 2 matching MRF lines		 $4,690.50–$9,381 $9,381–$18,762 varies
Remove ureter stent percut (50384)
range across 2 matching MRF lines		 $1,762–$3,524 $3,524–$7,048 varies
Remove&replace pm gen singl (33227) $7,162 $14,324 0.8×
Remove/Insert Drug Implant (11983) $533 $1,066 1.2×
Remv&replc cvd gen dual lead (33263) $30,181.50 $60,363 1.3×
Remv&replc cvd gen mult lead (33264) $34,798.50 $69,597 1.1×
Remv&replc cvd gen sing lead (33262) $34,564 $69,128 1.5×
Remv&replc pm gen dual lead (33228) $14,260.50 $28,521 1.3×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure		 $7,855 $15,710 0.4×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $1,871.50–$3,743 $3,743–$7,486 varies
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)
range across 2 matching MRF lines		 $2,864–$5,728 $5,728–$11,456 varies
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $5,231.50–$10,463 $10,463–$20,926 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $4,982.50–$9,965 $9,965–$19,930 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $514.50 $1,029 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $527 $1,054 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $564 $1,128 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $874.50 $1,749 2.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,336 $2,672 3.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,367 $2,734 3.3×
Repair complex trunk 1.1-2.5 cm (13100) $1,421 $2,842 1.9×
Repair complex trunk 2.6-7.5 cm (13101) $1,844.50 $3,689 2.4×
Repair extensor tendon finger w/o graft each (26418) $9,116.50 $18,233 5.5×
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $3,069–$6,138 $6,138–$12,276 varies
Repair Hand Tendon (26410) $5,572 $11,144 3.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $648 $1,296 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $699.50 $1,399 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $742 $1,484 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $837 $1,674 2.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,206.50 $2,413 2.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,650 $3,300 2.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $377 $754 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $720.50 $1,441 1.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,293 $2,586 1.7×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $6,083 $12,166 2.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,427 $2,854 3.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $363 $726 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $620.50 $1,241 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,499 $2,998 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $971.50 $1,943 2.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $6,083 $12,166 2.8×
Repair intrinsic muscles hand each muscle (26591) $4,942 $9,884 1.5×
Repair lead pace-defib dual (33220) $2,114.50 $4,229 0.5×
Repair Lead Pace-Defib One (33218) $1,499 $2,998 0.4×
Repair of nail bed (11760) $1,065 $2,130 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,552.50 $11,105 1.6×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $27,449–$54,898 $54,898–$109,796 varies
Repair tongue laceration (41252) $2,297.50 $4,595 9.4×
Repair tongue laceration (41250) $692.50 $1,385 1.5×
Replace duodenostomy/jejunostomy tube perq (49451) $620.50 $1,241 0.7×
Replace G-J Tube Perc (49452) $720 $1,440 0.8×
Replace g/c tube perc (49450) $720 $1,440 0.8×
Replace/Revise Brain Shunt (62230) $10,170.50 $20,341 1.1×
Replantation digit complete (20822) $2,533.50 $5,067 1.5×
Repos Previously Implanted Subq Implantable Dfb (33273) $3,833.50 $7,667 1.0×
Reposition Gastrostomy Tube (43761) $1,499 $2,998 5.8×
Reposition L Ventric Lead (33226) $1,933 $3,866 0.6×
Reposition Pacing-Defib Lead (33215) $1,933 $3,866 0.6×
Reposition Venous Catheter (36597) $1,325.50 $2,651 0.8×
Revise Spine Eltrd Plate (63664)
likely a partial charge, not the full procedure		 $2,359.50 $4,719 0.2×
Revise/Repair Finger/Toe Nerve (64702) $5,846 $11,692 2.9×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $4,203.50–$8,407 $8,407–$16,814 varies
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
unusually low: confirm this is the full procedure		 $2,359.50 $4,719 0.4×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $7,622 $15,244 1.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,120.50 $8,241 1.1×
Revj/rplcmt bat mod sys lead (64655)
range across 2 matching MRF lines		 $5,685.50–$11,371 $11,371–$22,742 varies
Revj/rplcmt bat mod sys pg (64656)
range across 2 matching MRF lines		 $50,180.50–$100,361 $100,361–$200,722 varies
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 2 matching MRF lines		 $9,255.50–$18,511 $18,511–$37,022 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines		 $9,255.50–$18,511 $18,511–$37,022 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 2 matching MRF lines		 $9,255.50–$18,511 $18,511–$37,022 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 2 matching MRF lines		 $9,255.50–$18,511 $18,511–$37,022 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $18,773–$37,546 $37,546–$75,092 varies
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 2 matching MRF lines		 $29,810.50–$59,621 $59,621–$119,242 varies
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $10,456.50 $20,913 1.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $1,591–$3,182 $3,182–$6,364 varies
Rmvl bat modul sys lead only (64658)
range across 2 matching MRF lines		 $5,685.50–$11,371 $11,371–$22,742 varies
Rmvl bat modulj sys pg only (64659)
range across 2 matching MRF lines		 $5,685.50–$11,371 $11,371–$22,742 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,514 $3,028 1.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $2,749–$5,498 $5,498–$10,996 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $577–$1,154 $1,154–$2,308 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $177.50–$355 $355–$710 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $577–$1,154 $1,154–$2,308 varies
Rmvl fecal impaction/fb spx under anes (45915) $1,985.50 $3,971 1.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $4,736.50 $9,473 1.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $2,749–$5,498 $5,498–$10,996 varies
Rmvl of subq implantable defibrillator electrode (33272) $1,688 $3,376 0.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,359.50 $4,719 1.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,325 $4,650 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,871 $3,742 1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,387 $2,774 2.1×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710)
range across 2 matching MRF lines		 $432–$864 $864–$1,728 varies
Rplc Gtube No Revj Trc (43762) $381.50 $763 1.5×
Rplc gtube revj gstrst trc (43763) $482.50 $965 1.9×
Rplcmt cath ctr vad subq port/pmp (36578) $3,564.50 $7,129 1.1×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,325.50 $2,651 0.8×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,564.50 $7,129 1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,472.50 $2,945 0.9×
Rplcmt compl tun ctr vad w/subq pmp (36583) $4,479.50 $8,959 0.8×
Rplcmt compl tun ctr vad w/subq port (36582) $4,294 $8,588 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,414 $6,828 1.0×
Rplcmt/irrigation ventricular catheter (62225) $10,083.50 $20,167 2.9×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,089.50–$2,179 $2,179–$4,358 varies
Rpr blvsl w/grf other/than vein lower extremity (35286)
range across 2 matching MRF lines		 $11,359–$22,718 $22,718–$45,436 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,383 $2,766 0.8×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $14,553.50 $29,107 1.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $674.50 $1,349 3.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,655 $3,310 2.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $837.50 $1,675 1.5×
Rpr Lip Full Thickness Vermilion Only (40650) $2,688.50 $5,377 4.8×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,856.50 $3,713 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,457.50 $10,915 1.6×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $6,549 $13,098 1.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,325.50 $2,651 2.0×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $9,809.50 $19,619 2.9×
Sclerotx Fluid Collection (49185) $2,921.50 $5,843 1.7×
Shave skin lesion 0.5 cm/< (11300) $316 $632 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $639.50 $1,279 3.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $1,152.50 $2,305 2.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $342 $684 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $427 $854 2.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $627 $1,254 3.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $1,152.50 $2,305 2.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $653 $1,306 3.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $1,058 $2,116 2.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $331 $662 1.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $471.50 $943 1.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $342 $684 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $866.50 $1,733 2.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $377 $754 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $647.50 $1,295 3.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,118.50 $2,237 2.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $657.50 $1,315 3.2×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,124 $2,248 5.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $363 $726 1.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $886 $1,772 4.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $534 $1,068 2.6×
Skin Full Grft Face/Genit/Hf (15240) $3,221.50 $6,443 1.5×
Skin sub graft face/nk/hf/g (15275) $3,232 $6,464 4.2×
Skin sub graft trnk/arm/leg (15271) $2,950.50 $5,901 3.9×
Skin sub grft t/arm/lg child (15273) $7,657 $15,314 3.6×
Skin Tissue Procedure (17999)
range across 10 matching MRF lines		 $486.50–$584 $973–$1,168 varies
Skn sub grft f/n/hf/g child (15277) $4,645.50 $9,291 2.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $5,841.50–$11,683 $11,683–$23,366 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $3,958–$7,916 $7,916–$15,832 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $9,553.50–$19,107 $19,107–$38,214 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $422 $844 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $805 $1,610 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $854.50 $1,709 2.0×
Spinal puncture lumbar diagnostic (62270) $838 $1,676 1.1×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $5,309 $10,618 1.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $3,923.50–$7,847 $7,847–$15,694 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $105.50–$211 $211–$422 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $245–$490 $490–$980 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $207.50–$415 $415–$830 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $285.50–$571 $571–$1,142 varies
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $5,134 $10,268 1.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $3,069–$6,138 $6,138–$12,276 varies
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $3,296–$6,592 $6,592–$13,184 varies
T-cell depletion of harvest (38210) $830.50 $1,661 1.8×
Tangential biopsy skin single lesion (11102) $410.50 $821 1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $36,985.50 $73,971 1.2×
Tcat Insj/Rpl Perm Ldls Pm (33274) $26,483.50 $52,967 1.3×
Tcat Rmvl Perm Ldls Pm (33275) $4,060.50 $8,121 1.2×
Tenolysis flexor tendon palm/finger each tendon (26440) $4,659.50 $9,319 2.8×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $7,553 $15,106 2.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $8,657.50 $17,315 5.2×
Thaw preserved stem cells (38208) $815 $1,630 1.8×
Ther Apheresis,Red Blood Cells (36512) $3,348.50 $6,697 2.1×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,826.50 $3,653 2.5×
Therapeutic Apheresis White Blood Cells (36511) $3,411.50 $6,823 2.1×
Therapeutic plasma exchange (36514) $3,411.50 $6,823 2.1×
Therapeutic pneumothorax (32960) $785 $1,570 1.2×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $19,745 $39,490 1.5×
Thoracoscopy w/bx nodule (32608)
unusually low: confirm this is the full procedure		 $4,897 $9,794 0.4×
Thoracoscopy w/bx pleura (32609) $4,897 $9,794 0.8×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607)
unusually low: confirm this is the full procedure		 $4,897 $9,794 0.4×
Thrmbc/Nfs Dialysis Circuit (36906) $36,582.50 $73,165 1.9×
Thromblytic art/ven therapy (37213) $2,544.50 $5,089 0.8×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $7,222–$14,444 $14,444–$28,888 varies
Thrombolytic Therapy Stroke (37195) $249 $498 0.7×
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $1,888–$3,776 $3,776–$7,552 varies
Thyroid biopsy (60100) $631 $1,262 0.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,665 $7,330 1.7×
Tooth extraction (41899) $614.50 $1,229 2.5×
Tprnl Plmt Biodegrdabl Matrl (55874) $5,905.50 $11,811 1.1×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,630 $3,260 2.9×
Tracheostoma revj smpl w/o flap rotation (31613) $9,913 $19,826 2.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $452.50 $905 1.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,504.50 $5,009 1.6×
Tracheostomy planned (31600) $1,804 $3,608 0.5×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $668.50 $1,337 2.1×
Transcatheter biopsy (37200) $3,144.50 $6,289 0.5×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345)
range across 2 matching MRF lines		 $4,631–$9,262 $9,262–$18,524 varies
Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) $18,633.50 $37,267 2.4×
Transfusion Intrauterine Fetal (36460) $1,247 $2,494 2.7×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $6,203 $12,406 1.1×
Transrectal abltj mal prst8 tissue hifu w/us (55880) $9,919.50 $19,839 1.0×
Transrectal Drainage of Pelvic Abscess (45000) $921.50 $1,843 0.7×
Treat Dental Ridge Fracture (21440) $4,643 $9,286 1.4×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $404.50–$809 $809–$1,618 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $5,457.50–$10,915 $10,915–$21,830 varies
Treat Knuckle Dislocation (26700) $380 $760 1.5×
Treat Metatarsal Fracture (28475) $380 $760 1.5×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $2,630.50–$5,261 $5,261–$10,522 varies
Treat toe dislocation (28630) $820 $1,640 3.2×
Treat vagina infection (57150) $126.50 $253 2.1×
Treat Vaginal Bleeding (57180) $392 $784 1.9×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $3,156.50–$6,313 $6,313–$12,626 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $380–$760 $760–$1,520 varies
Treatment of nose fracture (21330) $11,111.50 $22,223 1.8×
Trim skin lesion (11055) $191.50 $383 0.9×
Trim skin lesions 2 to 4 (11056) $198.50 $397 1.0×
Trim skin lesions over 4 (11057) $258.50 $517 1.2×
Trimming Nondystrophic Nails Any Number (11719) $177.50 $355 2.9×
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $9,558–$19,116 $19,116–$38,232 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $9,558–$19,116 $19,116–$38,232 varies
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $1,149.50 $2,299 2.5×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $830.50 $1,661 1.8×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $1,614 $3,228 3.5×
Trnspl Prepj Hematop Progen Pltlt Deplj (38213) $1,361 $2,722 3.0×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $1,361 $2,722 3.0×
Trnspl prepj hematop progen tum cell deplj (38211) $830.50 $1,661 1.8×
Trnsplj allogeneic hematopoietic cells per donor (38240) $100,001.50 $200,003 1.5×
Trnsplj autologous hematopoietic cells per donor (38241) $2,583.50 $5,167 1.6×
Trnsplj Hematopoietic Cell Boost (38243) $2,652 $5,304 1.6×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $1,295 $2,590 0.7×
Tx Gastro Intub W/Asp (43753) $513.50 $1,027 2.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,766.50 $15,533 2.3×
Tx Missed Abortion First Trimester Surgical (59820) $7,780 $15,560 2.3×
Tx open tendon flexor toe 1 tendon spx (28232) $1,985 $3,970 1.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $3,156.50–$6,313 $6,313–$12,626 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,322.50 $2,645 1.7×
Tx superficial wound dehiscence w/packing (12021) $1,242.50 $2,485 3.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,156.50 $6,313 1.9×
Umbilical cord occlud w/us (59072) $569.50 $1,139 1.8×
Unlisted Cardiac Surgery (33999) $1,406.50 $2,813 2.2×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $365 $730 1.5×
Unlisted fetal invasive px w/ultrasound (59897) $304.50 $609 1.5×
Unlisted procedure anus (46999) $750.50 $1,501 0.8×
Unlisted Procedure Biliary Tract (47999) $1,236.50 $2,473 1.3×
Unlisted procedure breast (19499)
range across 8 matching MRF lines		 $6,175–$12,350 $12,350–$24,700 varies
Unlisted Procedure Casting/Strapping (29799) $250 $500 1.5×
Unlisted procedure colon (45399) $1,640 $3,280 1.7×
Unlisted Procedure Endocrine System (60699) $5,515.50 $11,031 0.9×
Unlisted Procedure Esophagus (43499) $1,215.50 $2,431 1.3×
Unlisted procedure eyelids (67999)
range across 2 matching MRF lines		 $416.50–$833 $833–$1,666 varies
Unlisted procedure femur or knee (27599)
range across 4 matching MRF lines		 $463.50–$927 $927–$1,854 varies
Unlisted procedure foot or toes (28899) $463.50 $927 1.8×
Unlisted procedure humerus/elbow (24999)
range across 4 matching MRF lines		 $360–$720 $720–$1,440 varies
Unlisted Procedure Intestine (44799) $1,819.50 $3,639 1.9×
Unlisted procedure larynx (31599) $516.50 $1,033 2.1×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines		 $405.50–$811 $811–$1,622 varies
Unlisted procedure liver (47399) $941.50 $1,883 1.3×
Unlisted procedure lungs and pleura (32999) $1,216.50 $2,433 1.9×
Unlisted Procedure Male Genital System (55899) $175.50 $351 0.7×
Unlisted Procedure Muscskeletal System General (20999) $421 $842 1.6×
Unlisted procedure neck or thorax (21899) $435 $870 1.8×
Unlisted procedure nervous system (64999) $591.50 $1,183 1.9×
Unlisted procedure pelvis/hip joint (27299)
range across 4 matching MRF lines		 $463.50–$927 $927–$1,854 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $577.50 $1,155 2.4×
Unlisted Procedure Rectum (45999)
range across 3 matching MRF lines		 $1,306.50–$1,395.50 $2,613–$2,791 varies
Unlisted procedure shoulder (23929) $587.50 $1,175 2.3×
Unlisted procedure spine (22899) $463.50 $927 1.8×
Unlisted procedure stomach (43999) $1,819.50 $3,639 1.9×
Unlisted Procedure Trachea Bronchi (31899) $388.50 $777 1.9×
Unlisted Procedure Vascular Surgery (37799)
range across 23 matching MRF lines		 $1,339.50–$1,406.50 $2,679–$2,813 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,819.50 $3,639 1.9×
Unlisted Procedure, Urinary System (53899) $518.50 $1,037 2.0×
Unlisted px female genital system nonobstetrical (58999) $32 $64 0.2×
Upgrade of pacemaker system (33214) $11,016.50 $22,033 1.0×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $5,882.50 $11,765 1.1×
Vaginal delivery only (59409) $4,614 $9,228 1.4×
Vasc embolize/occlude artery (37242) $21,866 $43,732 1.2×
Vasc Embolize/Occlude Bleed (37244) $23,233 $46,466 1.9×
Vasc Embolize/Occlude Organ (37243) $23,184 $46,368 1.9×
Vasc embolize/occlude venous (37241) $23,233 $46,466 1.9×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $6,623–$13,246 $13,246–$26,492 varies
Wash harvest stem cells (38209) $815 $1,630 1.8×
Wedge excision skin nail fold (11765) $1,057 $2,114 2.5×
Windowing of cast (29730) $204 $408 1.2×
Wound Prep F/N/Hf/G (15004) $1,144 $2,288 2.7×
Wound Prep Trk/Arm/Leg (15002) $1,144 $2,288 1.5×

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.