Procedures & surgery prices at Jackson Hospital

Montgomery, AL · every code in this section with a posted price and a Medicare benchmark.

1895 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $624.53 $3,287 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $573.23 $3,017 0.7×
Ablate inf turbinate submuc (30802) $6,368.79 $33,519.97 4.6×
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure		 $3,854.15 $20,285 0.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $4,655.76 $24,504 0.3×
Abrasion single lesion (15786) $123.50 $650 0.7×
Acne surgery (10040) $38.38 $202 0.2×
Adding Walker Previously Applied Cast (29440)
range across 3 matching MRF lines		 $97.85–$147.25 $515–$775 varies
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,154.03 $11,337 0.7×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,127.65 $5,935 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,127.65 $5,935 0.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,981.07 $20,953 2.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,127.65 $5,935 0.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,127.65 $5,935 0.6×
Amniocentesis diagnostic (59000) $440.80 $2,320 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,193.90 $16,810 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,275.36 $17,238.75 1.1×
Amputate Metacarpal Bone (26910) $1,909.50 $10,050 0.7×
Amputate Thigh,Re-Amputatn (27596) $15,228.46 $80,149.77 5.2×
Amputation follow-up surgery (27594) $1,556.75 $8,193.42 0.5×
Amputation Foot Midtarsal (28800) $525.92 $2,768 0.2×
Amputation foot transmetarsal (28805) $2,599.36 $13,680.83 0.9×
Amputation metatarsal with toe single (28810) $3,362.67 $17,698.27 1.1×
Amputation thigh through femur any level (27590) $15,228.46 $80,149.77 5.2×
Amputation toe interphalangeal joint (28825) $2,524.35 $13,286.05 0.9×
Amputation toe metatarsophalangeal joint (28820) $2,814.95 $14,815.54 1.0×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $13,482.77 $70,961.95 4.6×
Amputation, arm through humerus; secondary closure or scar revision Facility (24925) $4,193.97 $22,073.55 1.4×
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $4,193.97 $22,073.55 1.4×
Amputation, leg, through tibia and fibula; (27880) $3,943.57 $20,755.65 0.6×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $14,649.55 $77,102.90 5.0×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,253.27 $11,859.34 0.8×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,512.42 $13,223.25 0.9×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $14,649.55 $77,102.90 5.0×
Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) $15,228.46 $80,149.77 5.2×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) $15,228.46 $80,149.77 5.2×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $224.01 $1,179 0.8×
Anal/Urinary Muscle Study (51784) $29.83 $157 0.3×
Ankle disarticulation (27889) $14,051.30 $73,954.23 2.2×
Anorectal myomectomy (45108) $12,567.44 $66,144.41 5.0×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $6,251.90 $32,904.75 7.5×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $6,251.90 $32,904.75 2.5×
Anoscopy Control Bleeding (46614) $221.35 $1,165 0.2×
Anoscopy diagnostic (46600) $76.95 $405 0.6×
Anoscopy remove lesion (46610) $6,251.90 $32,904.75 2.5×
Anoscopy; with biopsy, single or multiple (46606) $2,111.93 $11,115.44 2.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $3,036.39 $15,981 2.8×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,487.46 $13,091.89 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240) $4,001.52 $21,060.63 0.9×
Appendectomy (44950) $6,964.49 $36,655.22 1.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $105.64 $556 0.7×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $195.89–$256.50 $1,031–$1,350 varies
Application Cast Finger (29086) $97.85 $515 0.7×
Application Cast Shoulder Spica (29055)
range across 4 matching MRF lines		 $171.95–$256.50 $905–$1,350 varies
Application finger splint static (29130) $42.37 $223 0.4×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $30.21–$147.25 $159–$775 varies
Application Long Leg Splint (29505)
range across 4 matching MRF lines		 $101.27–$147.25 $533–$775 varies
Application multiplane external fixation system (20692) $10,715.51 $56,397.40 0.9×
Application of long leg cast (29345)
range across 4 matching MRF lines		 $171–$256.50 $900–$1,350 varies
Application of rigid total contact leg cast (29445) $340.48 $1,792 1.4×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $79.61–$119.89 $419–$631 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $101.27–$152.38 $533–$802 varies
Application uniplane external fixation system (20690) $10,715.51 $56,397.40 1.6×
Apply long arm cast (29065)
range across 4 matching MRF lines		 $189.24–$256.50 $996–$1,350 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $182.02–$364.42 $958–$1,918 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $194.75–$282.15 $1,025–$1,485 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180)
range across 3 matching MRF lines		 $3,537.20–$3,595.61 $18,616.82–$18,924.28 varies
Aqueous Shunt Extraocular Reservoir W/O Graft (66179)
range across 3 matching MRF lines		 $2,991.46–$12,798.50 $15,744.50–$67,360.51 varies
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $8,069.34 $42,470.23 2.8×
Arterial puncture (36600) $85.12 $448 0.7×
Arteriovenous Anastomosis Open Direct (36821) $4,238.70 $22,308.96 1.5×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $4,292.42 $22,591.66 0.9×
Artery-vein autograft (36825) $5,118.18 $26,937.78 1.0×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $7,372.78 $38,804.12 0.6×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $6,612.66 $34,803.45 0.6×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $13,010.44 $68,476 1.1×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure		 $3,697.02 $19,458 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $180.50 $950 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $451.25 $2,375 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $4,291.95 $22,589.23 15.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $205.77 $1,083 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $180.50–$270.75 $950–$1,425 varies
Arthrodesis great toe interphalangeal joint (28755) $5,864.73 $30,867 0.9×
Arthrodesis great toe metatarsophalangeal joint (28750) $4,421.13 $23,269.08 0.7×
Arthrodesis Posterior Interbody Lumbar (22630) $22,206.71 $116,877.42 0.9×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $13,665.14 $71,921.81 0.9×
Arthrodesis sacroiliac joint percutaneous (27279)
range across 3 matching MRF lines		 $12,489.41–$22,446.68 $65,733.76–$118,140.44 varies
Arthrodesis subtalar (28725)
unusually low: confirm this is the full procedure		 $4,670.93 $24,583.83 0.4×
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) $13,662.16 $71,906.09 1.2×
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) $13,254.78 $69,762 0.8×
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) $13,254.78 $69,762 0.8×
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) $14,801.41 $77,902.14 0.9×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) $17,061.42 $89,796.97 1.1×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) $14,778.60 $77,782.13 1.3×
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) $16,802.07 $88,431.96 1.1×
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) $16,763.60 $88,229.47 1.1×
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) $19,426.71 $102,245.83 1.2×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $13,303.29 $70,017.32 0.8×
Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) $2,629.79 $13,841 0.9×
Arthroplasty glenohumeral joint total shoulder (23472) $11,724.76 $61,709.26 0.7×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $7,451.15 $39,216.57 5.2×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $7,451.15 $39,216.57 2.5×
Arthroscopy knee synovectomy limited spx (29875) $2,245.53 $11,818.57 0.8×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $5,111.09–$6,246.23 $26,900.49–$32,874.88 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806) $4,571.99 $24,063.13 0.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $5,919.39–$9,771.15 $31,154.67–$51,427.13 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,199.95 $16,841.85 1.1×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $10,322.40 $54,328.41 3.5×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $5,111.09–$6,659.24 $26,900.49–$35,048.62 varies
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $9,404.74 $49,498.65 3.2×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $15,123.32 $79,596.40 2.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $15,635.41 $82,291.61 1.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,632.23 $19,117 1.2×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886)
range across 2 matching MRF lines		 $2,865.51–$3,379.86 $15,081.61–$17,788.74 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,072.49 $16,171 1.0×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $9,404.74 $49,498.65 3.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $11,115.79 $58,504.18 7.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $11,115.79 $58,504.18 3.8×
Aspirate pleura w/ imaging (32555) $2,484.66 $13,077.17 4.4×
Aspirate Pleura W/O Imaging (32554) $451.25 $2,375 0.8×
Aspirate/Inj Ganglion Cyst (20612) $180.50 $950 0.7×
Aspiration & Injection Treatment Bone Cyst (20615) $684.76 $3,604 1.1×
Aspiration and/or injection thyroid cyst (60300) $440.80 $2,320 0.7×
Aspiration bladder insert suprapubic catheter (51102) $6,411.39 $33,744.14 3.4×
Av fistula revision (36833) $5,676.08 $29,874.12 1.1×
Av Fistula Revision Open (36832) $4,258.23 $22,411.73 0.9×
Av Fuse Uppr Arm Basilic (36819) $4,592.55 $24,171.33 0.9×
Av fusion/forearm vein (36820) $4,209.55 $22,155.50 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $210.33 $1,107 1.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $8,823.97 $46,441.94 0.9×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $8,823.97 $46,441.94 1.5×
Biopsy Abdominal Mass (49180) $4,402.87 $23,172.99 3.0×
Biopsy bone open deep (20245)
range across 2 matching MRF lines		 $2,657.42–$2,708.83 $13,986.43–$14,257 varies
Biopsy bone open superficial (20240) $3,774.38 $19,865.16 1.4×
Biopsy bone trocar/needle deep (20225) $3,006.61 $15,824.27 2.0×
Biopsy Bone Trocar/Needle Superficial (20220) $4,992.75 $26,277.62 3.4×
Biopsy muscle percutaneous needle (20206) $1,809.75 $9,525 1.2×
Biopsy Muscle Superficial (20200) $15,490.67 $81,529.85 10.5×
Biopsy of breast; open, incisional (19101) $10,313.25 $54,280.27 2.9×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $7,865.22 $41,395.90 9.7×
Biopsy of liver, needle; percutaneous (47000) $1,637.36 $8,617.71 1.1×
Biopsy of penis (54100) $1,719.50 $9,050 1.2×
Biopsy of rectum (45100) $10,228.74 $53,835.46 4.1×
Biopsy of urethra (53200) $2,913.02 $15,331.69 1.6×
Biopsy ovary uni/bi separate procedure (58900) $560.12 $2,948 0.2×
Biopsy Pleura Percutaneous Needle (32400) $9,555.83 $50,293.84 6.5×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $1,369.27 $7,206.67 0.4×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $1,319.42 $6,944.34 0.4×
Biopsy soft tissue back/flank deep (21925) $300.39 $1,581 0.2×
Biopsy Soft Tissue Back/Flank Superficial (21920) $880.65 $4,635 0.6×
Biopsy soft tissue leg/ankle area superficial (27613) $300.39 $1,581 0.2×
Biopsy soft tissue neck/thorax (21550) $1,330.41 $7,002.14 0.9×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,604.74 $18,972.29 1.4×
Biopsy soft tissue thigh/knee area superficial (27323) $1,314.99 $6,921 0.9×
Biopsy Spinal Cord Percutaneous Needle (62269) $4,806.36 $25,296.64 3.2×
Biopsy Vaginal Mucosa Simple (57100) $135.28 $712 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $2,125.28 $11,185.68 2.6×
Biopsy, vestibule of mouth (40808) $96.52 $508 0.2×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $2,364.40–$2,611.62 $12,444.23–$13,745.38 varies
Bladder instillation anticarcinogenic agent (51720) $3,202.35 $16,854.48 5.1×
Bladder Irrigation (51700) $2,745.84 $14,451.78 12.3×
Bladder Scan (51798) $4,278.93 $22,520.70 80.9×
Blepharoplasty upper eyelid (15822) $4,826.95 $25,404.99 2.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $4,998.54 $26,308.10 2.7×
Blepharotomy drainage abscess eyelid (67700) $206.15 $1,085 0.7×
Blood Transfusion Service (36430) $287.66 $1,514 0.7×
Bone Graft Any Donor Area Major/Large (20902) $14,854.15 $78,179.74 2.3×
Bone Graft Any Donor Area Minor/Small (20900) $14,854.15 $78,179.74 2.3×
Bone graft with microvascular anastomosis; iliac crest Facility (20956) $13,303.29 $70,017.32 2.0×
Bone graft with microvascular anastomosis; metatarsal Facility (20957) $13,010.44 $68,476 2.0×
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) $16,358.04 $86,094.93 2.5×
Bone Marrow Biopsy (38221) $1,730.54 $9,108.13 1.2×
Bone Marrow; Aspiration Only (38220) $1,001.30 $5,270 0.7×
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure		 $1,903.23 $10,017 0.3×
Brnchsc Brushing/Protected Brushings (31623) $1,333.87 $7,020.39 0.8×
Bronchial Valve Init Insert (31647) $40,233.04 $211,752.86 6.4×
Bronchoscopy Clear Airways (31645) $23,820.23 $125,369.64 14.9×
Bronchoscopy Reclear Airway (31646) $23,820.23 $125,369.64 67.9×
Bronchoscopy W/Biopsy(S) (31625) $2,109.64 $11,103.36 1.3×
Bronchoscopy W/Removal Foreign Body (31635) $40,822.57 $214,855.65 25.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $14,666.87 $77,194.07 4.4×
Bronchoscopy/Needle Bx Each (31629) $7,989.89 $42,052.06 2.4×
Bx breast 1st lesion mr imag (19085) $1,171.67 $6,166.67 0.8×
Bx breast 1st lesion strtctc (19081) $1,502.79 $7,909.40 1.0×
Bx breast 1st lesion us imag (19083) $1,371.99 $7,221 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $4,218.80 $22,204.21 2.8×
Bx Cervix (57500) $135.28 $712 0.2×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $1,485.27 $7,817.21 0.5×
Bx prst8 trct us w/MRI fus 1 (55708) $1,376.17 $7,243.02 0.4×
Bx/exc lymph node open deep axillary node (38525) $6,619.52 $34,839.57 1.9×
Bx/exc lymph node open superficial (38500) $5,183.20 $27,279.99 1.5×
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines		 $2,226.83–$4,848.60 $11,720.15–$25,518.97 varies
Cataract surgery complex (66982)
range across 3 matching MRF lines		 $2,633.03–$3,812.70 $13,858.04–$20,066.82 varies
Catheter aspiration nasotracheal spx (31720) $45.03 $237 0.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $60.23 $317 0.2×
Cerclage cervix pregnancy vaginal (59320) $2,544.06 $13,389.81 0.9×
Cerv artific diskectomy (22856)
unusually low: confirm this is the full procedure		 $5,727.95 $30,147.11 0.4×
Cessj Therapy Cath Removal (37214) $15,219.63 $80,103.32 5.4×
Change Cystostomy Tube Complicated (51710) $2,106.39 $11,086.26 3.4×
Change Cystostomy Tube Simple (51705) $4,341.01 $22,847.40 19.4×
Change of Windpipe Airway (31502) $128.06 $674 0.6×
Chemical Cautery Tissue (17250) $549.48 $2,892 3.1×
Chemodenerv 1 extrem 5/> mus (64644) $135.47 $713 0.2×
Chemodenerv 1 extremity 1-4 (64642) $3,603.89 $18,967.83 5.7×
Chemodenerv Musc Migraine (64615) $55.86 $294 0.2×
Chemodenerv musc neck dyston (64616) $3,603.89 $18,967.83 13.1×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $55.86 $294 0.2×
Chemodenerv trunk musc 1-5 (64646) $3,603.89 $18,967.83 5.7×
Chemodenerv trunk musc 6/> (64647) $3,603.89 $18,967.83 5.7×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $3,603.89 $18,967.83 5.7×
Chest tube placement (32551) $820.04 $4,316 0.6×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,639.62 $13,892.75 1.4×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,454.83 $7,657 0.5×
Circumcision 28 days or older (54161) $2,667.17 $14,037.76 1.4×
Circumcision Neonate (54160) $122.74 $646 0.2×
Circumcision w/clamp/oth dev w/block (54150) $1,969.50 $10,365.78 1.1×
Cl Tx Scapular Fx; W Manip (23575)
range across 4 matching MRF lines		 $955.70–$1,432.60 $5,030–$7,540 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Clear outer ear canal (69200)
range across 5 matching MRF lines		 $24.13–$119.89 $127–$631 varies
Closed Rx Metacarpal Fx,Percut (26608) $3,714.80 $19,551.57 1.3×
Closed Rx Spontaneous Hip Disloc (27256) $246.05 $1,295 1.1×
Closed rx talotarsal disloc,anesth (28575)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Treatment Sesamoid Fracture (28530)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx femoral fracture prox head w/o manj (27267)
range across 2 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx fx orbit except blowout w/manipulation (21401)
range across 4 matching MRF lines		 $931–$1,396.50 $4,900–$7,350 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Closed tx mandibular fracture w/manipulation (21451) $963.68 $5,072 0.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $354.35 $1,865 0.7×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,433.55 $7,545 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $996.17 $5,243 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,624.50 $8,550 0.5×
Closed tx patellar dislocation w/anesthesia (27562)
range across 4 matching MRF lines		 $180.88–$246.05 $952–$1,295 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $182.02–$246.05 $958–$1,295 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,433.55 $7,545 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $246.05 $1,295 1.1×
Closed tx radial shaft fracture w/manipulation (25505) $1,433.55 $7,545 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $246.05 $1,295 1.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,635.55 $8,608.15 1.1×
Closed tx radial&ulnar shaft fractures w/o man (25560) $246.05 $1,295 1.1×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx septal&nose fx (21337) $1,624.50 $8,550 0.5×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx talotarsal joint dislc w/o anes (28570)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $164.35 $865 0.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines		 $989.14–$1,433.55 $5,206–$7,545 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $3,004.96 $15,815.60 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 4 matching MRF lines		 $164.35–$245.10 $865–$1,290 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 4 matching MRF lines		 $955.70–$1,432.60 $5,030–$7,540 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Clsd tx fx orbit except blowout w/o manipulation (21400)
range across 4 matching MRF lines		 $354.35–$532 $1,865–$2,800 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 4 matching MRF lines		 $989.14–$1,433.55 $5,206–$7,545 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $204.06–$246.05 $1,074–$1,295 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 4 matching MRF lines		 $955.70–$1,432.60 $5,030–$7,540 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $3,246.09–$7,316.80 $17,084.69–$38,509.47 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines		 $187.15–$246.05 $985–$1,295 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 4 matching MRF lines		 $164.35–$187.15 $865–$985 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $164.35 $865 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $246.05 $1,295 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,483.71 $7,809 1.0×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,818.52 $14,834.34 2.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines		 $164.35–$175.94 $865–$926 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $164.35 $865 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $164.35–$170.05 $865–$895 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $164.35 $865 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $989.14–$1,433.55 $5,206–$7,545 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx hip dislocation traumatic req anesthesia (27252) $1,433.55 $7,545 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $246.05 $1,295 1.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $171.95 $905 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 4 matching MRF lines		 $164.35–$180.88 $865–$952 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)
range across 3 matching MRF lines		 $752.40–$1,129.55 $3,960–$5,945 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 4 matching MRF lines		 $171–$194.75 $900–$1,025 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 5 matching MRF lines		 $164.35–$187.15 $865–$985 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $180.88–$246.05 $952–$1,295 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines		 $164.35–$187.15 $865–$985 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $164.35 $865 0.7×
Cltx post hip arthrp dislc req anes (27266) $1,433.55 $7,545 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $246.05 $1,295 1.1×
Cltx prox fibula/shft fx w/manj (27781)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 4 matching MRF lines		 $1,146.84–$1,433.55 $6,036–$7,545 varies
Cltx prox tibfib jt dislc req anes (27831)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Cltx prox tibfib jt dislc w/o anes (27830)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $26,007.37 $136,880.91 18.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 4 matching MRF lines		 $989.14–$1,433.55 $5,206–$7,545 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $989.14–$1,433.55 $5,206–$7,545 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $2,957.96 $15,568.21 0.7×
Collect Blood From Catheter Venous Nos (36592) $79.04 $416 0.7×
Collection of venous blood by venipuncture (36415) $9.31 $49 1.0×
Colonoscopy Stoma Ablation Lesion (44401) $16,544.41 $87,075.86 15.4×
Colonoscopy Stoma Control Bleeding (44391) $993.89 $5,231 0.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $7,572.69 $39,856.26 7.1×
Colonoscopy stoma w/balloon dilation (44405) $11,033.88 $58,073.05 10.3×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $7,579.27 $39,890.90 7.1×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $9,975.41 $52,502.17 9.3×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $11,005.57 $57,924.05 13.2×
Colonoscopy Stoma W/Submucosal Injection (44404) $993.89 $5,231 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $913.85 $4,809.75 0.9×
Colonoscopy thru stoma (44388) $866.59 $4,561 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $925.73 $4,872.25 0.9×
Colonoscopy w/ablation (45388) $1,061.34 $5,586 1.0×
Colonoscopy W/Band Ligation (45398) $891.56 $4,692.43 0.8×
Colonoscopy w/fb removal (45379) $1,415.50 $7,450 1.3×
Colonoscopy W/Resection (45390) $1,124.17 $5,916.71 0.5×
Colonoscopy w/stent plcmt (45389) $3,518.15 $18,516.56 0.6×
Colonoscopy w/submucosal inj (45381) $1,146.12 $6,032.19 1.1×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $2,899.25 $15,259.21 0.4×
Colpopexy vaginal intraperitoneal approach (57283) $3,439.77 $18,104.07 0.5×
Colporrhaphy (57200) $3,160.91 $16,636.38 1.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $60.23 $317 0.2×
Colposcopy Cervix Endocervical Curettage (57456) $60.23 $317 0.2×
Colposcopy cervix upper/adjacent vagina (57452) $36.29 $191 0.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $2,720.46 $14,318.20 10.0×
Colposcopy cervix vag eltrd conization cervix (57461) $2,387.13 $12,563.82 0.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,796.99 $14,721.02 1.0×
Colposcopy entire vagina w/cervix if present (57420) $60.23 $317 0.2×
Colposcopy Vulva W/Biopsy (56821) $60.23 $317 0.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $135.28 $712 0.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,234.95 $6,499.72 1.2×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,167.36 $6,144 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $964.14 $5,074.43 0.9×
Combined anteroposterior colporrhaphy; (57260) $2,787.57 $14,671.43 0.6×
Complex drainage wound (10180) $1,774.22 $9,338 0.7×
Composite Skin Graft (15760) $1,127.65 $5,935 0.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,591 $13,636.86 0.9×
Conization of cervix (57520) $2,921.33 $15,375.44 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $3,853.64 $20,282.33 32.3×
Control Nasal Hemorrhage Anterior Simple (30901) $2,484.81 $13,077.95 20.8×
Control oropharyngeal hemorrhage simple (42960) $2,893.83 $15,230.67 6.0×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $15,635.41 $82,291.61 1.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,144.58 $6,024.09 0.8×
Corneal transplant (65710)
range across 2 matching MRF lines		 $8,839.53–$10,451.79 $46,523.85–$55,009.40 varies
Correction hammertoe (28285) $3,904.73 $20,551.21 1.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,735.22 $19,659.06 1.3×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $12,872.04 $67,747.58 4.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $6,091.04 $32,058.12 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $5,132.51 $27,013.21 0.8×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,757.15 $25,037.65 1.6×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $4,153.61 $21,861.12 0.6×
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) $13,441.32 $70,743.81 2.1×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $5,871.57 $30,903.02 1.2×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $4,348.11 $22,884.78 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $80.56 $424 0.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $150.10 $790 0.7×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $2,479.88 $13,052 0.8×
Curettage postpartum (59160) $3,327.22 $17,511.66 1.1×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 4 matching MRF lines		 $2,096.64–$5,684.90 $11,034.95–$29,920.53 varies
Cysto calibration dilat urtl strix/stenosis (52281) $2,524.11 $13,284.80 1.3×
Cysto w/complex removal stone & stent (52315) $1,655.79 $8,714.69 0.9×
Cysto w/destruction of lesions (52214) $3,180.47 $16,739.31 1.0×
Cysto w/insert ureteral stent (52332) $3,813.71 $20,072.14 1.2×
Cysto w/irrig & evac multple obstructing clots (52001) $9,253.95 $48,705.01 2.9×
Cysto w/removal of lesions small (52224) $3,016.23 $15,874.91 1.0×
Cysto w/removal of tumors small (52234) $3,032.16 $15,958.72 1.0×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $8,708 $45,831.58 2.8×
Cysto W/Simple Removal Stone & Stent (52310) $2,429.82 $12,788.54 1.3×
Cysto w/up stricture tx (52342) $7,827.20 $41,195.79 2.5×
Cysto w/ureter stricture tx (52341) $3,194.41 $16,812.69 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $2,797.66 $14,724.55 0.6×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,834.93 $20,183.82 1.2×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,960.29 $15,580.47 0.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,937.18 $15,458.86 0.9×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $3,131.48 $16,481.45 0.7×
Cysto/uretero w/lithotripsy (52356) $3,617.96 $19,041.91 0.8×
Cysto/uretero w/up stricture (52345) $7,829.77 $41,209.33 2.5×
Cystolithotomy (51050) $3,921.83 $20,641.23 0.8×
Cystometrogram W/Vp (51728) $122.74 $646 0.2×
Cystometrogram W/Vp&Up (51729) $122.74 $646 0.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $6,051.55 $31,850.26 0.7×
Cystoscopy and radiotracer (52250) $9,183.46 $48,333.98 2.9×
Cystoscopy implant stent (52282) $9,718.48 $51,149.87 3.1×
Cystostomy Cystotomy W/Drainage (51040) $2,915.51 $15,344.80 1.6×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $10,737.07 $56,510.91 5.7×
Cystouretero W/Congen Repr (52400) $656.26 $3,454 0.2×
Cystouretero w/renal strict (52346) $7,827.20 $41,195.79 1.6×
Cystourethroscopy (52000) $3,295.99 $17,347.32 5.3×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $6,753.61 $35,545.33 1.4×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $7,859.61 $41,366.39 2.5×
Cystourethroscopy inj chemodenervation bladder (52287) $3,005.61 $15,818.98 1.6×
Cystourethroscopy tx female urethral syndrome (52285) $2,882.49 $15,171.01 4.6×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,339.28 $17,575.18 1.1×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $2,745.49 $14,449.96 0.6×
Cystourethroscopy w/dil bladder general anesth (52260) $2,819.84 $14,841.28 1.5×
Cystourethroscopy w/rmvl ureteral calculus (52320) $4,472.43 $23,539.11 1.4×
Cystourethroscopy with biopsy (52204) $2,712.64 $14,277.05 1.4×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,460.80 $12,951.57 1.3×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $7,827.20 $41,195.79 2.5×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) $4,966.70 $26,140.55 1.6×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $382.28 $2,012 0.2×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $6,721.88 $35,378.34 10.7×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $2,872.35 $15,117.64 1.5×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $12,191.31 $64,164.81 3.9×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $7,862.79 $41,383.08 1.6×
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) $6,882.79 $36,225.20 2.2×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $7,272.51 $38,276.36 3.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $351.50 $1,850 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,935.77 $25,977.76 1.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $421.80 $2,220 0.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $13,633.49 $71,755.19 21.5×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,533.16 $29,121.92 1.9×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $5,533.16 $29,121.92 1.9×
Dcmprn fasct leg post compartment only (27601) $5,533.16 $29,121.92 1.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,726.86 $14,351.91 4.1×
Debride nail 1-5 (11720) $75.05 $395 1.4×
Debride nail 6 or more (11721) $42.37 $223 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $5,011.54 $26,376.52 3.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,500.26 $13,159.26 6.9×
Declot vascular device (36593) $231.04 $1,216 0.8×
Decompress Fingers/Hand (26035) $5,479.02 $28,836.93 1.9×
Decompress Spinal Cord Lmbr (63056) $11,799.81 $62,104.26 1.8×
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) $13,839.09 $72,837.32 9.6×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $14,152.42 $74,486.44 4.8×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) $14,152.42 $74,486.44 4.8×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $14,152.42 $74,486.44 9.8×
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) $14,152.42 $74,486.44 2.2×
Deep Muscle Biopsy (20205) $2,666.68 $14,035.17 1.0×
Delivery of placenta (59414) $4,596.02 $24,189.60 1.6×
Dermabrasion regional other than face (15782) $9,053.81 $47,651.62 3.5×
Dermabrasion superficial any site (15783) $9,053.81 $47,651.62 24.8×
Destr W Neurolytic; Celiac Plexus (64680) $1,329.43 $6,997 1.7×
Destruct B9 Lesion 1-14 (17110) $38.38 $202 0.2×
Destruction Lesions Vulva Simple (56501) $1,866.24 $9,822.29 1.0×
Destruction of rectal tumor transanal approach (45190) $521.55 $2,745 0.2×
Destruction of skin lesions (17106) $228.95 $1,205 0.6×
Destruction Premalignant Lesion 15/> (17004) $73.72 $388 0.2×
Destruction premalignant lesion 1st (17000) $123.50 $650 0.7×
Destruction Vaginal Lesions Simple (57061) $560.12 $2,948 0.2×
Diagnostic anoscopy (46601) $9,975.41 $52,502.17 24.9×
Diagnostic sigmoidoscopy (45330) $842.65 $4,435.01 1.0×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $1,455.97 $7,663 1.4×
Dilat female urethra general/cndj spinal anes (53665) $5,058.39 $26,623.09 2.7×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $29.83 $157 0.3×
Dilat rct strix spx under anes oth/thn local (45910) $1,313.85 $6,915 1.2×
Dilat Urethral Strix Dilator Male Sbsq (53601) $8,923.31 $46,964.81 74.8×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $9,052.75 $47,646.04 40.4×
Dilat Xst Trc New Access Rcs (50437) $7,988.96 $42,047.16 2.5×
Dilate Esophagus 1/Mult Pass (43450) $1,433.95 $7,547.13 1.8×
Dilate Urethra Stricture (53620) $122.74 $646 0.2×
Dilate Urethra Stricture (53600) $56.81 $299 0.3×
Dilation & curettage dx&/ther nonobstetric (58120) $3,577.68 $18,829.91 1.2×
Dilation And Curettage Of Cervical Stump (57558) $6,890.76 $36,267.15 2.4×
Dilation Cervical Canal (57800) $560.12 $2,948 0.2×
Dilation Esophagus Guide Wire (43453) $7,058.71 $37,151.08 4.1×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $9,052.26 $47,643.47 2.9×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $3,055.29 $16,080.46 0.6×
Disarticulation At Knee (27598) $11,334.74 $59,656.51 3.9×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $14,247.18 $74,985.14 2.9×
Division of stricture of rectum Facility (45150) $1,421.01 $7,479 1.3×
Drain Cerebro Spinal Fluid (62272) $7,750.77 $40,793.50 12.2×
Drain chest lesion (21502) $7,854.14 $41,337.60 2.7×
Drain Hand Tendon Sheath (26020) $6,051.99 $31,852.56 2.1×
Drain ovary abscess open (58820) $7,014.78 $36,919.87 2.4×
Drain/inj small joint/bursa w/us (20604) $180.50 $950 0.7×
Drainage external auditory canal abscess (69020) $421.80 $2,220 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $1,071.41 $5,639 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $467.02 $2,458 0.7×
Drainage Finger Abscess Complicated (26011) $8,483.52 $44,650.09 5.7×
Drainage Mouth Roof Lesion (42000) $150.10 $790 0.7×
Drainage of finger abscess simple (26010) $5,117.65 $26,935.01 28.4×
Drainage of gum lesion (41800) $93.48 $492 0.8×
Drainage of hematoma/fluid (10140) $3,008.40 $15,833.66 2.0×
Drainage of hydrocele (55000) $132.81 $699 0.2×
Drainage of mouth lesion (41017) $10,085.84 $53,083.35 3.4×
Drainage of nose lesion (30000) $160.55 $845 0.8×
Drainage of perineal urinary extravasation; complicated Facility (53085) $6,728.32 $35,412.22 3.6×
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $6,728.32 $35,412.22 10.8×
Drainage of perirenal or renal abscess, open Facility (50020) $9,593.50 $50,492.08 5.1×
Drainage of rectal abscess (45020) $9,252.89 $48,699.43 3.7×
Drainage of rectal abscess (45005) $5,779.70 $30,419.46 5.4×
Drainage of scrotal wall abscess (55100) $1,978.01 $10,410.60 1.3×
Drainage of scrotum (54700) $1,803.06 $9,489.79 1.0×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $7,014.78 $36,919.87 2.4×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $7,014.78 $36,919.87 2.4×
Draw Blood Off Venous Device (36591) $79.04 $416 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $354.35 $1,865 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $467.02 $2,458 0.7×
Drg privesical/prevesical space absc (51080) $10,737.07 $56,510.91 4.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $253.46 $1,334 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $534.28 $2,812 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $132.81 $699 0.7×
Dstrj Lesion Anus Extensive (46924) $1,991.21 $10,480.03 0.8×
Dstrj lesion anus simple surg excision (46922) $3,279.86 $17,262.41 1.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $38.38 $202 0.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $365.56 $1,924 0.2×
Dstrj lesion penis simple surg excision (54060) $1,706.64 $8,982.29 0.9×
Dx Bone Marrow Bx & Aspir (38222) $1,923.27 $10,122.45 0.7×
Dx Bronchoscope/Lavage (31624) $1,349.63 $7,103.34 0.8×
Dx Bronchoscope/Wash (31622) $1,254.61 $6,603.19 0.8×
Dx gastr intub w/asp specs (43755) $4,530.57 $23,845.10 39.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,653.09 $13,963.62 4.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,820.01 $9,579 1.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,418.33 $7,464.91 0.8×
Egd cautery tumor polyp (43250) $1,123.73 $5,914.39 0.7×
Egd control bleeding any (43255) $1,498.86 $7,888.72 0.9×
Egd dilation gastric/duodenal stricture (43245) $1,470.26 $7,738.23 0.9×
Egd endo mucosal resection (43254) $7,402.37 $38,959.85 4.3×
Egd Endoscopic Stent Place (43266) $7,363.41 $38,754.78 1.4×
Egd Flexible Foreign Body Removal (43247) $2,799.58 $14,734.64 3.4×
Egd guide wire insertion (43248) $1,621.91 $8,536.39 2.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $7,356.79 $38,719.93 4.3×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $7,582.59 $39,908.35 4.4×
Egd intrmural us needle aspirate/biopsy esophags (43238) $7,582.59 $39,908.35 4.4×
Egd lesion ablation (43270) $1,525.75 $8,030.25 0.9×
Egd Optical Endomicroscopy (43252) $7,582.59 $39,908.35 4.4×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $7,355.89 $38,715.21 0.8×
Egd place gastrostomy tube (43246) $2,527.43 $13,302.28 1.5×
Egd remove lesion snare (43251) $1,460.82 $7,688.55 0.8×
Egd Tube/Cath Insertion (43241) $7,582.59 $39,908.35 4.4×
Egd us exam duodenum/jejunum (43259) $7,582.59 $39,908.35 4.4×
Egd us transmural injxn/mark (43253) $7,353.84 $38,704.44 4.3×
Egd Varices Ligation (43244) $1,328.94 $6,994.44 0.8×
Egd W/Thrml Txmnt Gerd (43257) $7,355.89 $38,715.21 2.1×
Egd W/Transmural Drain Cyst (43240) $7,355.89 $38,715.21 1.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $224.01 $1,179 0.8×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $224.01 $1,179 0.8×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $224.01 $1,179 0.8×
Electro-Uroflowmetry First (51741) $29.83 $157 0.2×
Embedded ip cath exit-site (49436) $10,734.38 $56,496.74 6.2×
Emblc/thrmbc ax brach innominate subcla art (34101) $13,777.74 $72,514.44 2.8×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $17,447.85 $91,830.80 3.5×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $21,421.40 $112,744.20 4.3×
Endocervical curettage (57505) $135.28 $712 0.2×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $832.20 $4,380 0.2×
Endometrial Biopsy (58100) $36.29 $191 0.2×
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $6,890.76 $36,267.15 1.5×
Endoscopic injection/implant (51715) $2,334.12 $12,284.83 0.7×
Endoscopic plantar fasciotomy (29893)
range across 3 matching MRF lines		 $1,987.37–$2,700.86 $10,459.86–$14,215.03 varies
Endoscopic us exam esoph (43237) $7,355.89 $38,715.21 4.3×
Endoscopy of ureter (50953) $7,863.58 $41,387.27 2.5×
Endoscopy Upper Small Intestine (44360) $8,162.63 $42,961.20 4.7×
Endoscopy upper small intestine w/biopsy (44361) $2,346.24 $12,348.64 1.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,505.04 $18,447.57 1.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,902.92 $20,541.66 1.4×
Endoven ther chem adhes 1st (36482) $3,505.04 $18,447.57 0.7×
Enterorrhaphy single perforation (44602) $20,041.19 $105,479.96 5.8×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,626.66 $8,561.39 0.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $8,820.65 $46,424.47 5.1×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $17,196.05 $90,505.54 10.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $5,803.53 $30,544.87 3.4×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $6,294.86 $33,130.82 3.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $9,635.22 $50,711.67 5.6×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $9,635.22 $50,711.67 5.6×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $531.05 $2,795 0.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $529.34 $2,786 0.3×
Epidural Blood Patch (62273) $893.77 $4,704.03 1.4×
Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) $12,073.35 $63,543.95 4.1×
Episiotomy or vaginal repair (59300) $4,624.32 $24,338.53 1.6×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $7,640.59 $40,213.64 1.4×
Ercp duct stent placement (43274) $6,521.55 $34,323.93 1.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,397.38 $23,144.11 1.3×
Ercp ea duct/ampulla dilate (43277) $9,724.37 $51,180.90 2.8×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,952.42 $15,539.04 0.9×
Ercp remove forgn body duct (43275) $2,759.49 $14,523.61 1.6×
Ercp Stent Exchange W/Dilate (43276) $2,887.62 $15,198 0.5×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $9,724.37 $51,180.90 2.8×
Ercp W/Biopsy Single/Multiple (43261) $7,893.10 $41,542.63 2.3×
Ercp w/pressure measurement sphincter of oddi (43263) $6,521.55 $34,323.93 3.8×
Ercp,Sphincterotomy (43262) $3,029.59 $15,945.22 0.9×
Esc i p ulcer w ostect & flap (15946) $12,931.71 $68,061.63 7.0×
Escharotomy; initial incision (16035) $228.95 $1,205 0.6×
Esoph Optical Endomicroscopy (43206) $8,162.63 $42,961.20 4.7×
Esoph Scope W/Submucous Inj (43201) $6,417.27 $33,775.09 3.7×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,537.49 $8,092.04 1.9×
Esophagosc Dilate Balloon 30 (43214) $7,406.23 $38,980.17 4.3×
Esophagoscop Mucosal Resect (43211) $8,162.63 $42,961.20 4.7×
Esophagoscop Stent Placement (43212) $8,139.32 $42,838.55 1.5×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $7,058.71 $37,151.08 4.1×
Esophagoscopy Flexible Guide Wire Dilation (43226) $7,058.71 $37,151.08 4.1×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $8,162.63 $42,961.20 10.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $7,831.80 $41,219.99 9.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $8,225.13 $43,290.17 10.1×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $8,172.03 $43,010.71 4.7×
Esophagoscopy Flexible W/Bleeding Control (43227) $6,417.27 $33,775.09 3.7×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $7,846.56 $41,297.66 4.6×
Esophagoscopy Retro Balloon (43213) $7,406.23 $38,980.17 4.3×
Esophagoscopy rig transoral removal foreign body (43194) $5,088.89 $26,783.65 3.0×
Esophagoscopy Rigid Balloon (43195) $8,162.63 $42,961.20 2.4×
Esophagoscopy rigid trnso dx (43191) $8,162.63 $42,961.20 4.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $7,831.80 $41,219.99 4.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $5,088.89 $26,783.65 3.0×
Esophagoscp Guide Wire Dilat (43196) $7,543.40 $39,702.13 4.4×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure		 $1,085.66 $5,714 0.2×
Esophagoscp Rig Trnso Biopsy (43193) $7,846.56 $41,297.66 4.6×
Evacuate mole of uterus (59870) $4,714.04 $24,810.73 1.6×
Evacuation of subungual hematoma (11740) $96.71 $509 0.8×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $300.39 $1,581 0.2×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $7,060.76 $37,161.88 4.8×
Exc abdl tum deep 5 cm/> (22901) $13,448.19 $70,779.94 5.2×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $1,819.88–$2,084.79 $9,578.29–$10,972.56 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,243.93 $11,810.14 3.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,473.94 $13,020.74 1.7×
Exc Back Les Sc < 3 Cm (21930) $2,297.76 $12,093.48 1.6×
Exc Back Tum Deep 5 Cm/> (21933) $3,699.67 $19,471.97 1.4×
Exc back tum deep < 5 cm (21932) $2,696.84 $14,193.87 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $3,309.12–$4,273.29 $17,416.40–$22,491 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $132.81 $699 0.2×
Exc Face Les Sbq 2 Cm/> (21012) $3,134.27 $16,496.18 2.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $2,043.62 $10,755.88 3.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $132.81 $699 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $2,941.60 $15,482.09 4.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,806.48 $14,770.95 1.9×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $6,612.17 $34,800.92 1.0×
Exc Forearm Tum Deep 3 Cm/> (25073) $4,140.67 $21,793 1.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,733.03 $14,384.35 1.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,913.65 $15,335.02 4.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,528.43 $13,307.54 1.7×
Exc Hand Les Sc < 1.5 Cm (26115) $7,060.76 $37,161.88 4.8×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,382 $12,536.84 1.7×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $15,477.79 $81,462.05 10.7×
Exc Rct Tum Incl Muscularis Propria (45172) $2,297.32 $12,091.18 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,005.83 $10,557 0.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,723.30 $9,070 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,263.17 $11,911.42 3.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,335.03 $17,552.80 2.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,187.25 $16,775 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,103.88 $16,336.19 2.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $10,556.16 $55,558.72 7.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $10,556.16 $55,558.72 4.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,760.54 $14,529.16 1.9×
Exc tendon shth lesion leg/ankle (27630) $9,498.74 $49,993.35 3.2×
Exc thigh/knee les sc 3 cm/> (27337) $12,830.30 $67,527.89 4.9×
Exc thigh/knee tum dep 5cm/> (27339) $3,290.84 $17,320.21 1.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $6,233.03 $32,805.43 5.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $3,002.88 $15,804.63 8.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $2,534.90 $13,341.57 4.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,342.22 $12,327.47 1.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,804.23 $14,759.08 1.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,173.22 $11,438 0.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $8,328.31 $43,833.19 5.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,460.04 $18,210.73 1.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $2,065.73–$3,819.38 $10,872.28–$20,102.02 varies
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $4,463.58 $23,492.55 1.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,519.47 $18,523.50 1.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,248.75 $22,361.83 2.9×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $9,969.88 $52,473.07 3.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $9,969.88 $52,473.07 3.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $4,510.43 $23,739.11 1.7×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $13,071.49 $68,797.30 5.0×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,009.50 $10,576.29 1.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,531.45 $18,586.57 1.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,794.38 $9,444.11 1.2×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $13,839.09 $72,837.32 5.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $2,865.64–$2,917.01 $15,082.29–$15,352.67 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $12,830.30 $67,527.89 4.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,462.36 $12,959.79 0.9×
Exc urethral diverticulum spx female (53230) $2,490.49 $13,107.82 0.5×
Exc Varicocele/Ligation Spermatic Veins Spx (55530)
range across 2 matching MRF lines		 $3,811.07–$4,126.61 $20,058.26–$21,718.98 varies
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $12,736.59 $67,034.68 2.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $12,973.93 $68,283.82 4.4×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $11,072.84 $58,278.08 7.7×
Exc/fulguration urethral caruncle (53265) $2,768.17 $14,569.30 1.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 5 matching MRF lines		 $1,167.55–$2,142.25 $6,145–$11,275 varies
Exchange Transfusion Blood Newborn (36450) $273.60 $1,440 0.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,080.15 $5,685 0.6×
Excis penile plaque (54110) $6,205.23 $32,659.10 2.0×
Excise intraspinal lesion (63267)
range across 2 matching MRF lines		 $3,799.01–$4,408.33 $19,994.81–$23,201.74 varies
Excise intraspinl lesion crv (63265) $4,320 $22,736.83 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $4,089.50 $21,523.70 6.4×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $7,768.46 $40,886.64 3.6×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $7,768.46 $40,886.64 3.6×
Excision Aural Polyp (69540) $3,081.42 $16,218.01 2.2×
Excision H/P/P/U Complex Repair (11471) $13,448.19 $70,779.94 5.2×
Excision Hidradenitis Axillary Complex Repair (11451) $6,025.81 $31,714.79 2.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 2 matching MRF lines		 $2,883.60–$10,195.94 $15,176.83–$53,662.83 varies
Excision Infected Graft Extremity (35903) $2,693.59 $14,176.81 1.0×
Excision lesion mouth roof (42104) $2,513.01 $13,226.38 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $421.80 $2,220 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $421.80 $2,220 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $4,089.50 $21,523.70 11.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,692.52 $8,908 2.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $4,091.72 $21,535.38 2.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $10,556.16 $55,558.72 7.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $132.81 $699 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $10,556.16 $55,558.72 16.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $10,556.16 $55,558.72 7.1×
Excision Multiple External Papillae/Tags Anus (46230) $3,168.22 $16,674.84 1.3×
Excision of bartholin's gland or cyst (56740) $5,589.40 $29,417.89 1.9×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) $13,922.88 $73,278.33 2.1×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $12,872.04 $67,747.58 4.4×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $6,612.17 $34,800.92 2.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,102.89 $16,331 2.2×
Excision of hydrocele; bilateral (55041) $2,993.36 $15,754.53 0.9×
Excision of hydrocele; unilateral (55040)
range across 3 matching MRF lines		 $2,759.53–$2,936.83 $14,523.83–$15,457.02 varies
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $7,108.47 $37,413 1.3×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $3,514.11 $18,495.31 0.7×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) $7,870.03 $41,421.23 1.6×
Excision of pilonidal cyst or sinus; simple (11770) $3,500.17 $18,421.94 1.3×
Excision of single external papilla or tag, anus (46220) $2,052.86 $10,804.50 1.9×
Excision of submandibular (submaxillary) gland (42440) $4,270.74 $22,477.57 0.8×
Excision of vaginal cyst or tumor (57135) $2,477.69 $13,040.46 0.9×
Excision of vaginal septum (57130) $2,879.56 $15,155.56 1.0×
Excision olecranon bursa (24105) $3,137.82 $16,514.86 1.1×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $12,736.59 $67,034.68 4.3×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) $12,973.93 $68,283.82 2.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $4,816.83 $25,351.72 1.8×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,250.83 $17,109.64 1.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $7,115.63 $37,450.69 1.2×
Excision soft tissue lesion, external auditory canal (69145) $1,503.96 $7,915.56 0.6×
Excision spermatocele w/wo epididymectomy (54840) $4,163.14 $21,911.26 2.2×
Excision tendon palm flexor/extensor single each (26170) $6,612.17 $34,800.92 4.6×
Excision Thyroglossal Duct Cyst/Sinus (60280) $3,488.47 $18,360.38 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,142.35 $16,538.66 2.1×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $9,172.71 $48,277.42 3.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $9,172.71 $48,277.42 6.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $2,491.82–$2,911.81 $13,114.84–$15,325.31 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $12,830.30 $67,527.89 8.7×
Excision, interdigital (morton) neuroma, single, each (28080)
range across 3 matching MRF lines		 $2,383.49–$2,619.63 $12,544.66–$13,787.55 varies
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $12,878.63 $67,782.25 4.1×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $12,931.71 $68,061.63 7.0×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $13,092.92 $68,910.09 7.1×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $13,092.92 $68,910.09 5.0×
Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) $14,459.69 $76,103.65 5.6×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $17,193.24 $90,490.76 5.4×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $13,922.88 $73,278.33 4.4×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $13,922.88 $73,278.33 9.4×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $13,922.88 $73,278.33 7.5×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $13,922.88 $73,278.33 4.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,031.04 $15,952.83 1.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,525.29 $13,291 1.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,420.52 $12,739.57 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $13,922.88 $73,278.33 5.3×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,020.87 $15,899.29 1.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $3,124.17 $16,443 2.1×
Excision/Transposition Pterygium W/Grafg (65426) $2,605.95 $13,715.54 1.2×
Expl penetrating wound spx abdomen/flank/back (20102) $4,255.32 $22,396.40 2.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $8,433.56 $44,387.18 1.7×
Expl po hemrrg thrombosis/infctj xtr (35860) $15,565.28 $81,922.54 5.5×
Explo/Drain Breast Abscess (19020) $4,506.27 $23,717.20 3.0×
Exploration of hip joint (27033) $13,167.86 $69,304.54 2.0×
Exploration of knee joint (27310) $9,137.25 $48,090.78 3.1×
Exploration of spinal fusion (22830) $8,616.18 $45,348.30 1.3×
Exploration penetrating wound spx chest (20101) $1,127.65 $5,935 0.6×
Exploration penetrating wound spx extremity (20103) $451.25 $2,375 0.3×
Exploration Penetrating Wound Spx Neck (20100) $354.35 $1,865 0.7×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $20,980.33 $110,422.80 3.6×
Exploratory elbow surgery (24000) $5,882.46 $30,960.32 2.0×
Explore/Treat Hand Joint (26070) $8,632.44 $45,433.88 6.0×
Explore/Treat Knee Joint (27331) $9,137.25 $48,090.78 3.1×
External cephalic version (59412) $1,718.55 $9,045 0.6×
Extraction of lens (66920)
range across 2 matching MRF lines		 $2,267.97–$2,570.05 $11,936.68–$13,526.58 varies
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $15,225.97 $80,136.67 8.2×
Fascia lata graft; by stripper Facility (20920) $15,225.97 $80,136.67 8.2×
Fasciectomy Palm Only (26121) $7,060.76 $37,161.88 2.4×
Fasciectomy Plantar Fascia Partial Spx (28060) $9,172.71 $48,277.42 3.1×
Fasciotomy palmar open partial (26045) $5,479.02 $28,836.93 1.9×
Fasciotomy Plantar Fascia Radical Spx (28062) $2,362.24 $12,432.84 0.8×
Fasciotomy, foot and/or toe (28008)
range across 4 matching MRF lines		 $1,709.91–$2,146.75 $8,999.55–$11,298.70 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $7,060.76 $37,161.88 2.4×
Fetal Contraction Stress Test (59020) $120.65 $635 0.7×
Fetal non-stress test (59025) $134.33 $707 0.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $418 $2,200 0.7×
Fine needle aspiration without imaging guidance (10021) $3,382.81 $17,804.24 9.3×
Fixation contralateral testis separate procedure (54620) $4,156.84 $21,878.09 1.3×
Fluoro exam of g/colon tube (49465) $11,255.13 $59,237.55 52.6×
Fna Bx W/Fluor Gdn 1St Les (10007) $132.81 $699 0.2×
Fna bx w/us gdn 1st les (10005) $455.97 $2,399.84 0.7×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $4,712.40 $24,802.09 1.6×
Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) $11,072.84 $58,278.08 1.7×
Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) $13,303.29 $70,017.32 2.0×
Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) $13,010.44 $68,476 2.0×
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) $16,668.93 $87,731.22 2.6×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $3,234.75 $17,025 1.6×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $5,076.95 $26,720.77 2.7×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,127.65 $5,935 0.6×
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) $13,303.29 $70,017.32 2.0×
Fusion of foot bones (28740) $4,898.55 $25,781.84 0.8×
Gastrocnemius recession (27687) $15,158.70 $79,782.61 5.2×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $19,826.73 $104,351.20 5.7×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $4,202.53 $22,118.60 2.4×
Gastrostomy, open; neonatal, for feeding Facility (43831) $12,003.74 $63,177.59 14.8×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $13,303.29 $70,017.32 2.5×
Grafting of autologous soft tiss by direct exc (15769) $5,311.46 $27,955.06 1.7×
Guide Cathet Fluid Drainage (10030) $421.80 $2,220 0.7×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $13,010.44 $68,476 2.0×
Hemiarthroplasty hip partial (27125) $13,142.49 $69,170.99 1.1×
Hemiepiphyseal Arrest (24470) $14,181.15 $74,637.62 4.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,601.54 $13,692.33 1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,645.43 $19,186.49 1.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,669.40 $14,049.49 1.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $6,660.70 $35,056.31 2.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $6,233.03 $32,805.43 2.5×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,955.75 $10,293.44 0.8×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $6,660.70 $35,056.31 2.7×
Hymenotomy Simple Incision (56442) $560.12 $2,948 0.2×
Hysteroscopy Biopsy (58558) $2,591.28 $13,638.29 0.9×
Hysteroscopy Endometrial Ablation (58563) $4,576.67 $24,087.72 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,403.64 $12,650.75 0.8×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $3,371.58 $17,745.15 1.1×
I&d abscess peritonsillar (42700) $166.25 $875 0.8×
I&d abscess simple (10060) $3,076.68 $16,193.04 17.1×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,695.75 $8,925 0.7×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,655.15 $13,974.49 1.0×
I&D Intramural Im/Absc Transanal Anes (46045) $9,453.57 $49,755.61 3.8×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $9,119.58 $47,997.79 3.7×
I&D Mouth/Tong Intra,Masticator (41009) $10,085.84 $53,083.35 20.9×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $8,785.64 $46,240.23 3.0×
I&d perianal abscess superficial (46050) $3,624.48 $19,076.21 4.3×
I&d pilonidal cyst complicated (10081) $5,323.13 $28,016.48 8.4×
I&d pilonidal cyst simple (10080) $2,830.10 $14,895.26 4.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $5,482.21 $28,853.73 2.1×
I&d vaginal hematoma obstetrical/postpartum (57022) $983.25 $5,175 0.4×
Ileoscopy Stoma W/Balloon Dilation (44381) $6,004.55 $31,602.90 3.5×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,641.79 $8,641 2.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $8,162.63 $42,961.20 10.0×
Image Cath Fluid Colxn Visc (49405) $1,044.24 $5,496 0.7×
Image Cath Fluid Peri/Retro (49406) $1,098.20 $5,780 0.7×
Implant neuroelectrodes (63650) $20,811.90 $109,536.32 3.6×
Implant Neuroelectrodes (64561) $5,735.84 $30,188.62 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $11,888.52 $62,571.15 0.7×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $6,050.71 $31,845.82 0.8×
Incise external hemorrhoid (46083) $174.04 $916 0.8×
Incise finger tendon sheath (26055) $1,666.38 $8,770.42 1.2×
Incision & drainage abscess complicated/multiple (10061) $4,301.09 $22,637.31 11.8×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,149.12 $6,048 0.4×
Incision & removal foreign body subq tiss compl (10121) $2,427.88 $12,778.34 1.6×
Incision & removal foreign body subq tiss simple (10120) $2,053.61 $10,808.49 5.6×
Incision and drainage of bartholin's gland abscess (56420) $3,528.39 $18,570.46 19.5×
Incision and drainage of vulva or perineal abscess (56405) $4,560.48 $24,002.50 16.7×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
unusually low: confirm this is the full procedure		 $2,815.48 $14,818.30 0.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $3,526.22 $18,559.05 0.5×
Incision bone cortex foot (28005) $2,774.95 $14,605 0.9×
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $1,621.68–$1,657.43 $8,535.18–$8,723.33 varies
Incision of rectal abscess (46040) $4,659.20 $24,522.11 4.3×
Incisional biopsy skin single lesion (11106) $1,630.39 $8,581 2.5×
Induced abortion dilation and curettage (59840) $3,584.25 $18,864.49 1.2×
Initial Tx 1st Degree Burn Local Tx (16000) $159.22 $838 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $556.70–$835.05 $2,930–$4,395 varies
Inj W/Fluor Eval Cv Device (36598) $492.10 $2,590 2.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $556.70–$835.05 $2,930–$4,395 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $180.50 $950 0.7×
Injection Anes Superior Hypogastric Plexus (64517) $626.43 $3,297 0.8×
Injection Into Brain Canal (61055) $2,696.31 $14,191.13 9.8×
Injection into spinal artery (62294) $2,696.31 $14,191.13 3.4×
Injection procedure for peyronie disease (54200) $56.81 $299 0.3×
Injection single tendon origin/insertion (20551) $2,146.75 $11,298.70 7.8×
Injection single/mlt trigger point 1/2 muscles (20552) $2,932.66 $15,435.07 10.7×
Injection single/mlt trigger point 3/> muscles (20553) $2,393.72 $12,598.52 8.7×
Injection therapeutic carpal tunnel (20526) $3,603.89 $18,967.83 13.1×
Injection, anesthetic agent; femoral nerve, single (64447) $6,692.97 $35,226.15 10.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $451.25 $2,375 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $3,002.88 $15,804.63 16.7×
Injx anterior chamber eye air/liquid spx (66020) $3,280.83 $17,267.50 1.6×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $2,696.31 $14,191.13 3.4×
Ins cath ren art 1st bilat (36252) $4,628.24 $24,359.17 1.6×
Ins cath ren art 1st unilat (36251) $2,167.90 $11,410 0.8×
Ins endovas vena cava filtr (37191) $5,665.39 $29,817.84 1.1×
Ins Vag Brachytx Device (57156) $2,438.84 $12,836 8.9×
Ins/Rep Subq Defibrillator (33270) $34,988.98 $184,152.53 1.2×
Insert 1 Electrode Pm-Defib (33216) $7,097.90 $37,357.35 1.0×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $2,888.84 $15,204.44 0.8×
Insert Bladder Cath Complex (51703) $2,318.36 $12,201.88 20.1×
Insert cath pleura w/ image (32557) $851.77 $4,483 0.6×
Insert cath pleura w/o image (32556) $1,154.82 $6,078 0.7×
Insert cervical dilator (59200) $195.70 $1,030 0.7×
Insert Drug Implant Device (11981) $24.13 $127 0.2×
Insert Gastrostomy Tube Percutaneous (49440) $976.22 $5,138 0.6×
Insert Heart Pm Atrial (33206) $9,191.37 $48,375.61 1.0×
Insert Heart Pm Ventricular (33207) $10,775.15 $56,711.32 1.1×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $1,147.98 $6,042 0.1×
Insert multi-comp penis pros (54405) $11,149.69 $58,682.58 0.6×
Insert non-tunnel cv cath (36556) $8,586.30 $45,191.05 3.0×
Insert Pacing Lead & Connect (33224) $16,978.41 $89,360.05 1.8×
Insert pessary/other device (57160) $36.29 $191 0.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $451.25 $2,375 0.3×
Insert pulse gen dual leads (33213) $12,851.03 $67,637 1.4×
Insert pulse gen mult leads (33221) $14,896.79 $78,404.15 0.9×
Insert Pulse Gen Sngl Lead (33212) $15,202.01 $80,010.56 2.0×
Insert self-contd prosthesis (54401)
unusually low: confirm this is the full procedure		 $7,870.03 $41,421.23 0.4×
Insert semi-rigid prosthesis (54400) $7,870.03 $41,421.23 0.7×
Insert spine infusion device (62360) $14,774.70 $77,761.59 0.9×
Insert Temp Bladder Cath (51702) $6,416.77 $33,772.47 53.8×
Insert tun ip cath perc (49418) $1,822.10 $9,590 0.6×
Insert tunneled cv cath (36561) $3,110.75 $16,372.39 1.1×
Insert tunneled cv cath (36563) $13,211.01 $69,531.64 2.6×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $11,607.63 $61,092.78 2.3×
Insert Uro/Ves Nck Sphincter (53445) $14,293.38 $75,228.29 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $6,505.83 $34,241.23 54.5×
Insertion indwelling tunneled pleural catheter (32550) $2,865.20 $15,079.98 0.9×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) $13,535.53 $71,239.65 4.8×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) $12,729.13 $66,995.41 2.6×
Insertion of Thomas shunt (separate procedure) Facility (36835) $12,683.95 $66,757.63 4.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $796.10 $4,190 0.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,447.59 $49,724.16 1.3×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $2,417.04 $12,721.26 0.8×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $3,218.11 $16,937.42 0.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $10,809.44 $56,891.80 1.5×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,353.40 $12,386.30 1.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $796.10 $4,190 0.3×
Insj Picc Rs&I <5 Yr (36572) $7,750.93 $40,794.39 13.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,186.21 $16,769.50 1.1×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $7,766.13 $40,874.38 2.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,318.38 $22,728.29 3.1×
Insj Stablj Dev W/Dcmprn (22867) $27,749.03 $146,047.54 1.8×
Insj Subq Impltbl Dfb Elctrd (33271) $52,314.02 $275,336.96 7.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $13,211.01 $69,531.64 4.7×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $14,138.90 $74,415.28 2.8×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $14,138.90 $74,415.28 5.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,968.93 $36,678.56 2.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $27,241.53 $143,376.46 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $18,397.69 $96,829.93 0.7×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,389.35 $28,365 0.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $17,330.20 $91,211.57 2.3×
Insrt heart pm atrial & vent (33208) $8,302.40 $43,696.84 0.9×
Insrt Pulse Gen W/Dual Leads (33230) $33,906.17 $178,453.51 1.7×
Insrt Pulse Gen W/Mult Leads (33231) $33,906.17 $178,453.51 1.2×
Insrt Pulse Gen W/Singl Lead (33240) $33,906.17 $178,453.51 1.7×
Instlj ther agent renal pelvis&/ureter via tub (50391) $180.50 $950 0.8×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $822.51 $4,329 0.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $228.95 $1,205 0.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $244.91 $1,289 0.7×
Intranasal Biopsy (30100) $3,853.64 $20,282.33 2.8×
Intraoral i&d tongue/floor sublngl supfc (41005) $10,085.84 $53,083.35 47.5×
Intraoral i&d tongue/floor submental space (41007) $10,085.84 $53,083.35 7.2×
Intro cath dialysis circuit (36901) $2,688.85 $14,151.85 1.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,019.45 $63,260.25 1.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $6,700.42 $35,265.35 1.3×
Intubation endotracheal emergency procedure (31500) $186.39 $981 0.9×
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $3,595.61–$3,857.19 $18,924.28–$20,301.01 varies
Irrigation of corpora cavernosa for priapism (54220) $174.04 $916 0.8×
Island pedicle flap graft (15740) $323.19 $1,701 0.2×
IV injection test vascular flow flap/graft (15860) $240.35 $1,265 0.6×
Keratoplasty (corneal transplant); endothelial (65756)
range across 3 matching MRF lines		 $2,539.69–$15,683.38 $13,366.80–$82,544.08 varies
Keratoplasty Penetrating Pseudophakia (65755) $7,408.44 $38,991.79 2.0×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730)
range across 2 matching MRF lines		 $7,833.43–$8,049.83 $41,228.59–$42,367.53 varies
Kidney endoscopy (50575) $8,256.38 $43,454.64 1.7×
Kidney endoscopy (50553) $7,863.58 $41,387.27 1.6×
Kidney endoscopy (50551) $7,859.61 $41,366.39 1.6×
Knee Arthroscopy/Surgery (29850) $7,451.15 $39,216.57 5.2×
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819) $33,467.10 $176,142.63 2.1×
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818) $33,467.10 $176,142.63 2.1×
Lam facetec & foramot lumbar (63047) $5,323.79 $28,019.93 0.8×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) $17,193.24 $90,490.76 2.6×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $4,878.43 $25,675.97 0.7×
Laminotomy Single Lumbar (63042) $4,070.64 $21,424.42 0.6×
Lap insert tunnel ip cath (49324) $2,859.48 $15,049.90 0.5×
Lap paraesoph her rpr w/mesh (43282) $7,511.90 $39,536.34 0.8×
Lap paraesophag hern repair (43281) $6,354.38 $33,444.11 0.7×
Lap replace gastr adj device (43773) $7,355.89 $38,715.21 1.4×
Lap revision perm ip cath (49325) $2,956.68 $15,561.49 0.5×
Laparo new ureter/bladder (50947) $6,041.51 $31,797.44 0.6×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $3,707.72 $19,514.32 0.4×
Laparoscopic myomectomy (58545) $4,389.12 $23,100.64 0.8×
Laparoscopy aspiration (49322) $4,780.78 $25,162 0.9×
Laparoscopy Enterolysis Separate Procedure (44180) $5,170.05 $27,210.80 1.0×
Laparoscopy fulguration oviducts (58670) $3,353.07 $17,647.76 0.6×
Laparoscopy gastrostomy (43653) $7,445.54 $39,187.04 1.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $4,427.19 $23,301.02 0.8×
Laparoscopy surgical orchiectomy (54690) $7,929.44 $41,733.89 1.5×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $5,343.98 $28,126.20 0.6×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure		 $4,710.96 $24,794.52 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $3,808.87 $20,046.67 0.7×
Laparoscopy, surgical, appendectomy (44970) $4,809.36 $25,312.44 0.9×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure		 $4,493.87 $23,651.94 0.5×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) $12,835.40 $67,554.76 1.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $6,913.91 $36,389 0.7×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $7,342.30 $38,643.71 0.8×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $7,360.42 $38,739.05 2.1×
Laparoscopy, surgical, splenectomy (38120) $22,018.42 $115,886.40 2.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $4,866.53 $25,613.33 0.5×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $5,390.70 $28,372.08 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $5,390.70 $28,372.08 0.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $14,596.98 $76,826.21 2.7×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $4,822.89 $25,383.63 0.5×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $4,289.89 $22,578.35 0.8×
Laparoscopy, surgical; partial nephrectomy (50543) $10,365.94 $54,557.59 1.1×
Laparoscopy, surgical; pyeloplasty (50544) $6,684.29 $35,180.46 0.7×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $5,283.12 $27,805.88 1.0×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) $5,486.13 $28,874.35 0.6×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $9,464.88 $49,815.18 1.0×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $6,520.54 $34,318.63 0.7×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $3,916.32 $20,612.20 0.7×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $4,266.33 $22,454.37 0.8×
Laps Gastric Restrictive Px Remove Device & Port (43774) $7,360.42 $38,739.05 2.1×
Laps pelvic lymphadec (38573) $9,464.88 $49,815.18 1.0×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $5,537.22 $29,143.25 0.6×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $5,099.37 $26,838.77 0.9×
Laryngoscopy diagnostic (31505) $119.70 $630 0.7×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $2,726.93 $14,352.26 0.8×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $8,155.83 $42,925.40 2.4×
Laryngoscopy flexible diagnostic (31575) $119.70 $630 0.7×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $6,678.56 $35,150.31 4.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $8,155.83 $42,925.40 5.1×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $6,678.56 $35,150.31 4.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $281.20 $1,480 0.8×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $8,155.83 $42,925.40 23.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $119.70 $630 0.7×
Laryngoscopy w/biopsy microscope/telescope (31536) $1,796.97 $9,457.75 0.5×
Laryngoscopy W/Foreign Body Removal (31530) $996.55 $5,245 0.6×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $8,155.83 $42,925.40 23.2×
Laser vaporization of prostate (52648) $3,341.85 $17,588.66 0.7×
Late closure of wound (13160) $2,526.81 $13,299 0.8×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $12,349.56 $64,997.69 4.4×
Lig&div long saph vein saphfem junct/interrupj (37700) $2,523.68 $13,282.50 0.9×
Ligate leg veins open (37761) $12,349.56 $64,997.69 4.4×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $4,054.70 $21,340.50 1.4×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $1,574.53 $8,287 0.6×
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $3,364.09–$5,710.82 $17,705.75–$30,056.97 varies
Ligation of hemorrhoids (46946) $2,165.38 $11,396.76 0.9×
Ligation or biopsy temporal artery (37609) $4,454.08 $23,442.50 3.0×
Litholapaxy comp/lg > 2.5 cm (52318) $3,161.89 $16,641.55 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $2,938.31 $15,464.78 0.9×
Lithotripsy, extracorporeal shock wave (50590)
range across 3 matching MRF lines		 $4,097.88–$5,025.12 $21,567.77–$26,447.98 varies
Low Back Disk Surgery (63030) $4,033.95 $21,231.32 0.6×
Lsh uterus 250 g or less (58541) $5,636.08 $29,663.58 0.6×
Lsh uterus above 250 g (58543) $5,636.08 $29,663.58 0.6×
Lsh w/t/o uterus above 250 g (58544) $7,260.89 $38,215.22 0.8×
Lumbar spine fusion combined (22633) $26,120.73 $137,477.55 1.1×
Lysis of labial adhesions (56441) $560.12 $2,948 0.2×
Manipulation knee joint under general anesthesia (27570) $1,810.84 $9,530.74 1.3×
Marsupialization of bartholin's gland cyst (56440) $7,267.71 $38,251.13 2.5×
Mast mod rad (19307) $6,825.08 $35,921.48 1.1×
Mastectomy partial (19301)
range across 3 matching MRF lines		 $5,121.13–$5,849.80 $26,953.32–$30,788.41 varies
Mastectomy simple complete (19303) $9,825.79 $51,714.71 1.6×
Maternity Care Procedure (59899) $5,620.52 $29,581.69 31.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $22,980.94 $120,952.31 16.3×
Mech remov tunneled cv cath (36595) $22,980.94 $120,952.31 8.1×
Metatarsectomy (28140) $13,663.50 $71,913.14 4.7×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $10,556.16 $55,558.72 15.9×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $14,038.23 $73,885.42 21.2×
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) $20,595.22 $108,395.91 1.8×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,013.05 $10,595 0.6×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $2,986.53 $15,718.58 0.9×
Myelography Lumbar Injection (62305) $610.85 $3,215 0.9×
Myelography Lumbar Injection (62304) $610.85 $3,215 0.9×
Myelography via lumbar injection rs&i cervical (62302) $610.85 $3,215 0.9×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $6,054.57 $31,866.16 2.1×
N Block Inj Celiac Pelus (64530) $421.42 $2,218 0.5×
N Block Inj Ilio-Ing/Hypogi (64425) $135.47 $713 0.2×
N Block Inj Paracervical (64435) $135.47 $713 0.2×
N Block Inj Pudendal (64430) $511.86 $2,694 0.6×
N Block Lumbar/Thoracic (64520)
range across 4 matching MRF lines		 $556.70–$835.05 $2,930–$4,395 varies
Nasal surgery procedure (30999) $9,873.69 $51,966.79 46.5×
Nasal/Orogastric W/Tube Plmt (43752) $253.65 $1,335 0.6×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $5,165.26–$6,230.87 $27,185.59–$32,794.05 varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $5,211.26 $27,427.69 0.8×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines		 $4,263.71–$5,849.75 $22,440.58–$30,788.15 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $5,849.75 $30,788.15 0.9×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $1,344.31 $7,075.29 6.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $8,162.63 $42,961.20 9.8×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $9,878.88 $51,994.13 11.8×
Neck spine fusion (22600)
unusually low: confirm this is the full procedure		 $6,054 $31,863.18 0.4×
Needle Biopsy Lymph Nodes (38505) $2,401.26 $12,638.23 1.6×
Needle Biopsy Pancreas (48102) $578.74 $3,046 0.4×
Nerve repair w/conduit each nerve (64910) $4,126.61 $21,718.98 0.5×
Neuroeltrd Stim Post Tibial (64566) $55.86 $294 0.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $2,967.08–$3,395.63 $15,616.23–$17,871.73 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $374.87 $1,973 0.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $998.83 $5,257 2.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $224.20 $1,180 0.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,413 $12,700 0.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $808.45 $4,255 0.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $835.05 $4,395 1.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $578.55 $3,045 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $592.99 $3,121 0.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 5 matching MRF lines		 $241.49–$693.12 $1,271–$3,648 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 5 matching MRF lines		 $412.30–$693.12 $2,170–$3,648 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $73.72 $388 0.2×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $4,897.11 $25,774.25 0.8×
Ocular Surface Reconstruction Amniotic Membrane (65780)
range across 2 matching MRF lines		 $3,918.13–$6,241.60 $20,621.76–$32,850.51 varies
Omntc Epiploectomy Rescj Omentum Spx (49255) $9,392.86 $49,436.08 1.6×
Open biopsy/excision inguinofemoral nodes (38531) $2,626.47 $13,823.50 0.7×
Open bone biopsy (20250) $4,831.53 $25,429.13 1.6×
Open Implantation Nea Sacral Nerve (64581) $17,820.54 $93,792.29 3.1×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $10,446.69 $54,982.59 1.6×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $6,613.63–$7,217.68 $34,808.57–$37,987.79 varies
Open Treatment Fracture Distal Tibia & Fibula (27828) $11,205.92 $58,978.55 1.0×
Open treatment fracture distal tibia only (27827) $11,752.87 $61,857.21 1.0×
Open treatment greater trochanteric fracture (27248) $11,807.36 $62,143.98 1.8×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $16,330.37 $85,949.30 2.5×
Open Treatment Humeral Condylar Fracture (24579) $14,181.15 $74,637.62 1.2×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure		 $3,056.57 $16,087.21 0.5×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $11,560.67 $60,845.62 1.8×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) $13,303.29 $70,017.32 2.5×
Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal… (21436) $10,330.72 $54,372.21 1.9×
Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435) $10,330.72 $54,372.21 1.9×
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) $10,330.72 $54,372.21 1.9×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
likely a partial charge, not the full procedure		 $959.88 $5,052 0.2×
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) $13,209.09 $69,521.55 2.0×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) $11,232.71 $59,119.55 1.7×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $13,209.09 $69,521.55 1.1×
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) $13,303.29 $70,017.32 2.5×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $10,710.73 $56,372.27 1.6×
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $11,807.36 $62,143.98 1.8×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $14,795.21 $77,869.53 1.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $3,317.69 $17,461.53 1.1×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $583.87 $3,073 0.2×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $2,857.37 $15,038.80 1.0×
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) $10,330.72 $54,372.21 1.9×
Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)… (21348) $11,817.01 $62,194.77 2.2×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $10,330.72 $54,372.21 1.9×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
likely a partial charge, not the full procedure		 $959.88 $5,052 0.2×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) $13,303.29 $70,017.32 2.5×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) $10,330.72 $54,372.21 1.9×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $10,330.72 $54,372.21 1.9×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $10,446.69 $54,982.59 1.6×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $10,446.69 $54,982.59 1.6×
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) $11,232.71 $59,119.55 3.8×
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) $11,232.71 $59,119.55 1.7×
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) $11,268.23 $59,306.49 1.7×
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) $11,185.80 $58,872.65 3.8×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) $11,590.05 $61,000.28 1.8×
Open Treatment of Ulnar Shaft Fracture (25545) $9,236.54 $48,613.35 1.4×
Open treatment of ulnar styloid fracture (25652) $9,236.54 $48,613.35 1.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $10,710.73 $56,372.27 1.6×
Open Treatment Proximal Humeral Fracture (23615) $7,162.31 $37,696.36 0.6×
Open Treatment Radial Shaft Fracture (25515) $11,311.09 $59,532.04 1.7×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $4,824.51–$6,395.78 $25,392.16–$33,662.02 varies
Open Tx Distal Phalangeal Fracture Each (26765) $4,935.77 $25,977.76 1.7×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $10,715.51 $56,397.40 1.6×
Open Tx Distal Tibiofibular Joint Disruption (27829) $11,752.87 $61,857.21 1.8×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $13,209.09 $69,521.55 1.1×
Open tx femoral supracondylar fracture w/o xtn (27511) $13,209.09 $69,521.55 1.1×
Open Tx Humeral Epicondylar Fracture (24575) $14,795.21 $77,869.53 1.3×
Open tx humeral supracondylar fracture w/o xtn (24545) $14,795.21 $77,869.53 1.3×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $11,752.87 $61,857.21 1.8×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $4,004.44–$6,147.91 $21,076–$32,357.42 varies
Open Tx Radial Head/Neck Fracture (24665) $11,410.35 $60,054.48 1.8×
Open Tx Radial Head/Neck Fracture Prosth (24666) $11,410.35 $60,054.48 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $11,752.87 $61,857.21 1.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $9,046.50 $47,613.14 1.4×
Open tx ulnar fx proximal end (24685) $6,474.21 $34,074.77 1.0×
Open/Perq Place Stent 1St (37236) $13,968.89 $73,520.45 1.3×
Open/Perq Place Stent Same (37238) $15,261.07 $80,321.42 1.5×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $7,070.49 $37,213.08 1.1×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $6,395.56 $33,660.85 1.0×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $11,807.36 $62,143.98 1.8×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $10,216.32 $53,770.11 0.9×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $11,752.87 $61,857.21 1.8×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $11,291.92 $59,431.18 1.0×
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach… (21268) $13,303.29 $70,017.32 2.5×
Orchiectomy partial (54522) $2,877.99 $15,147.34 0.9×
Orchiectomy radical tumor inguinal approach (54530) $2,653.57 $13,966.14 0.8×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $10,691.37 $56,270.36 3.4×
Orchiopexy Ingun/Scrot Appr (54640) $3,290.43 $17,318.05 1.0×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $4,156.84 $21,878.09 1.3×
Ostc compl all metar heads w/prtl prox phalangc (28114) $12,872.04 $67,747.58 4.4×
Ostc prtl exostc/condylc metar head (28288) $13,010.44 $68,476 4.4×
Ostectomy calcaneus (28118) $4,131.51 $21,744.81 1.4×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $2,148.14 $11,306 0.7×
Ostectomy, complete excision; fifth metatarsal head (28113) $2,520.60 $13,266.29 0.9×
Ostectomy, complete excision; first metatarsal head (28111) $13,010.44 $68,476 4.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $4,477.80 $23,567.39 1.5×
Osteoplasty, femur; shortening (excluding 64876) Facility (27465) $11,969.55 $62,997.64 1.8×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $13,010.44 $68,476 2.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $13,010.44 $68,476 2.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,920.21 $15,369.55 1.0×
Osteotomy calcaneus w/wo internal fixation (28300) $5,106.65 $26,877.12 0.8×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) $7,213.17 $37,964.07 1.1×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) $20,396.78 $107,351.49 3.1×
Osteotomy, femoral neck (separate procedure) Facility (27161) $11,232.71 $59,119.55 1.7×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $12,899.35 $67,891.29 2.0×
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Facility (27151) $13,303.29 $70,017.32 2.0×
Osteotomy, pelvis, bilateral (eg, congenital malformation) Facility (27158) $13,303.29 $70,017.32 2.0×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $13,010.44 $68,476 2.0×
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) $10,106.06 $53,189.79 0.9×
Ovarian cystectomy, unilateral or bilateral (58925) $6,865.63 $36,134.90 1.5×
Parathyroidectomy or exploration of parathyroid(s); (60500) $5,603.68 $29,493.05 1.1×
Part remv talus or calcaneus (28120) $12,736.59 $67,034.68 4.3×
Partial hymenectomy or revision of hymenal ring (56700) $2,414.90 $12,710 0.8×
Partial removal of fibula (27641) $604.58 $3,182 0.2×
Partial removal of penis (54120) $3,691.33 $19,428.03 1.2×
Partial removal of thyroid (60220) $5,279.80 $27,788.42 1.0×
Partial removal of toe (28160) $11,072.84 $58,278.08 3.8×
Partial thyroid excision (60212) $4,403.39 $23,175.76 0.8×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $5,339.80 $28,104.23 1.0×
Partical Excision Bone Phalanx Toe (28124) $3,152 $16,589.48 1.1×
Pelvic examination under anesthesia (other than local) (57410) $1,750.45 $9,212.88 0.6×
Penile Injection (54235) $186.20 $980 0.8×
Penis plastic surgery (54360) $12,187.20 $64,143.14 3.9×
Perc Cryo Ablate Renal Tum (50593)
likely a partial charge, not the full procedure		 $2,537.45 $13,355 0.3×
Percut Drain/Inject Renal Cyst (50390) $975.84 $5,136 1.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $13,161.60 $69,271.57 4.6×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $1,909.50 $10,050 0.7×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
range across 3 matching MRF lines		 $4,148.65–$6,222.50 $21,835–$32,750 varies
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546)
range across 3 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Percutaneous skeletal fixation of ulnar styloid fracture (25651)
range across 4 matching MRF lines		 $2,100.45–$2,864.25 $11,055–$15,075 varies
Peri-Implant Capsulectomy Breast Complete (19371) $10,962.45 $57,697.10 3.1×
Pericardiocentesis W/Imaging (33016) $1,203.08 $6,332 0.9×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) $13,303.29 $70,017.32 2.5×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) $13,303.29 $70,017.32 2.5×
Peritoneal Lavage (49084) $553.85 $2,915 0.7×
Perq av fistula creation uxtr single access (36836)
unusually low: confirm this is the full procedure		 $6,766.74 $35,614.41 0.4×
Perq Cervicothoracic Inject (22510) $2,580.58 $13,582 0.9×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $4,097.92–$5,314.51 $21,568.02–$27,971.11 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $1,707.31–$3,366.71 $8,985.85–$17,719.54 varies
Perq dilation xst trc endourologic px w/img (50436) $7,992.25 $42,064.48 2.5×
Perq Lumbosacral Injection (22511) $2,411.86 $12,694 0.8×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $10,176.73 $53,561.72 1.2×
Perq p-art revsc st 1st nml native connj bi (33901)
likely a partial charge, not the full procedure		 $1,519.62 $7,998 0.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $7,164.52 $37,708 2.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $9,895.71 $52,082.68 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $8,311.61 $43,745.31 1.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $5,221.22 $27,480.08 0.8×
Perq Vertebral Augmentation (22513) $4,873.07 $25,647.73 0.7×
Phalangectomy toe each toe (28150) $2,619.63 $13,787.55 0.9×
Phleb Veins - Extrem 20+ (37766)
range across 3 matching MRF lines		 $5,604.05–$5,977.50 $29,495–$31,460.50 varies
Pin Finger Dislocation (26776)
range across 3 matching MRF lines		 $1,909.50–$2,043.26 $10,050–$10,754 varies
Pin hand dislocation (26676)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Pin knuckle dislocation (26706)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $6,415.27–$8,772.59 $33,764.60–$46,171.50 varies
Place Cath Thoracic Aorta (36221) $10,670.30 $56,159.46 3.8×
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines		 $7,983.23–$8,384.42 $42,017–$44,128.50 varies
Place ndl musc/tis for rt (20555) $2,352.96 $12,384 0.8×
Place Rt Device/Marker Pros (55876) $269.61 $1,419 0.2×
Placement of needle for intraosseous infusion (36680) $3,906.15 $20,558.67 9.7×
Placement of seton (46020) $3,482.67 $18,329.85 1.4×
Plastic Repair Introitus (56800) $4,624.32 $24,338.53 1.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $3,705.57 $19,503 0.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $6,195.70 $32,608.94 3.3×
Plmt Nephroureteral Catheter (50433) $6,429.97 $33,841.95 2.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 5 matching MRF lines		 $1,427.85–$2,142.25 $7,515–$11,275 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,024.95 $15,920.79 0.7×
Prescrl Fuse W/ Instr L5/S1 (22586) $23,289.87 $122,578.24 1.5×
Prim art mech thrombectomy (37184) $19,213.27 $101,122.46 1.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $10,245.70 $53,924.74 12.3×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $7,701.45 $40,533.94 7.2×
Proctosgmdsc rigid w/dilation (45303) $6,956.82 $36,614.85 6.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,699.55 $8,945 0.7×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $9,975.41 $52,502.17 9.3×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $6,597.16 $34,721.89 2.6×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) $16,028.77 $84,361.95 2.9×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) $12,073.35 $63,543.95 1.9×
Prostate laser enucleation (52649) $9,238.35 $48,622.88 1.9×
Prostatic microwave thermotx (53850) $9,478.96 $49,889.25 3.0×
Prostatic Rf Thermotx (53852) $7,736.78 $40,719.89 2.4×
Prosthesis Removal Humeral/Glenoid Component (23334) $12,066.32 $63,506.97 1.9×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $397.29 $2,091 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,328.64 $12,256 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $679.06 $3,574 0.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,909.50 $10,050 0.7×
Prq skel fixj femoral fx prox end neck (27235) $12,020.89 $63,267.86 1.8×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $1,909.50 $10,050 0.7×
Prq skel fixj metar fx w/manj (28476) $2,459.28 $12,943.56 0.8×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $14,795.21 $77,869.53 2.3×
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Prq Skel Fixj Tars Jt Dislc W/Manj (28606)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
range across 3 matching MRF lines		 $4,148.65–$6,222.50 $21,835–$32,750 varies
Prq Skeletal Fixj Femoral Fx Distal End (27509) $6,222.50 $32,750 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,520.60 $13,266.29 0.9×
Pseudoaneurysm Injection Trt (36002) $3,368.34 $17,728.11 6.0×
Punch biopsy skin single lesion (11104) $141.74 $746 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,130.31 $5,949 3.1×
Puncture Aspiration Cyst Breast (19000) $222.11 $1,169 0.3×
Push Transfusion Blood 2 Yr/Under (36440) $8,111.88 $42,694.11 20.5×
Rad resect hand tumor 3 cm/> (26118) $7,060.76 $37,161.88 2.7×
Rad resect tumor soft tissue hand/finger <3cm (26117) $7,060.76 $37,161.88 2.7×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $13,071.49 $68,797.30 5.0×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $3,905.84 $20,557.05 1.5×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $13,448.19 $70,779.94 5.2×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $5,684.90 $29,920.53 2.2×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $12,015.37 $63,238.80 4.6×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $8,328.31 $43,833.19 3.2×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $10,955.34 $57,659.70 4.2×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $10,955.34 $57,659.70 4.2×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $12,830.30 $67,527.89 4.9×
Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Facility (27076) $13,303.29 $70,017.32 2.0×
Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078) $13,303.29 $70,017.32 2.0×
Radical resection of tumor; phalanx of toe Facility (28175) $11,072.84 $58,278.08 7.7×
Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) $12,736.59 $67,034.68 4.3×
Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) $13,303.29 $70,017.32 2.0×
Radical Resection Tumor Metatarsal (28173) $13,010.44 $68,476 4.4×
Rcnstj angular dfrm toe soft tiss px only (28313) $4,089.05 $21,521.29 1.4×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $10,330.72 $54,372.21 1.9×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $4,192.70 $22,066.84 0.6×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,496.65 $18,403.40 1.1×
Re-explore parathyroids (60502) $21,431.72 $112,798.50 4.0×
Realignment of knee (27455) $11,291.92 $59,431.18 1.7×
Reconstruct midface lefort (21143) $10,330.72 $54,372.21 1.9×
Reconstruct upper jaw bone (21206) $10,330.72 $54,372.21 1.9×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $10,330.72 $54,372.21 1.9×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) $10,330.72 $54,372.21 1.9×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $10,330.72 $54,372.21 1.9×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $11,817.01 $62,194.77 2.2×
Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) $10,330.72 $54,372.21 1.9×
Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) Facility (21188) $13,303.29 $70,017.32 2.5×
Reconstruction Nail Bed W/Graft (11762) $1,167.17 $6,143 0.6×
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) $13,303.29 $70,017.32 2.5×
Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) $13,303.29 $70,017.32 2.5×
Reinforce hip bones (27187) $10,811.70 $56,903.71 1.7×
Reinsert spinal fixation (22849) $15,249.30 $80,259.49 1.3×
Release or recession, hamstring, proximal Facility (27097) $13,078.88 $68,836.20 4.5×
Relieve Pressure on Nerve(S) (64722) $12,399.84 $65,262.29 7.1×
Relocation Pocket Pacemaker (33222) $10,071.59 $53,008.37 5.4×
Rem Endovas Vena Cava Filter (37193) $4,536.69 $23,877.29 1.6×
Removal Anal Seton Other Marker (46030) $10,182.50 $53,592.13 9.5×
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) $10,287.83 $54,146.47 0.6×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $14,443.49 $76,018.36 0.8×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416)
unusually low: confirm this is the full procedure		 $7,870.03 $41,421.23 0.4×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) $9,725.72 $51,187.99 0.5×
Removal Embedded Foreign Body Eyelid (67938)
range across 3 matching MRF lines		 $206.15–$309.70 $1,085–$1,630 varies
Removal Foreign Body Deep Thigh/Knee (27372) $1,730.90 $9,110 0.7×
Removal Foreign Body Foot Complicated (28193)
range across 3 matching MRF lines		 $1,001.30–$1,501 $5,270–$7,900 varies
Removal foreign body foot deep (28192) $5,070.93 $26,689.12 3.4×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,951.30–$3,252.18 $10,270–$17,116.72 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,001.30 $5,270 0.7×
Removal Foreign Body Pelvis/Hip Deep (27087) $8,506.09 $44,768.91 2.9×
Removal foreign body upper arm/elbow deep (24201)
range across 3 matching MRF lines		 $1,730.90–$2,596.35 $9,110–$13,665 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $11.97–$62.89 $63–$331 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $1,406.05–$2,007.44 $7,400.25–$10,565.45 varies
Removal Implant Deep (20680) $3,611.39 $19,007.29 1.4×
Removal intact breast implant (19328) $10,962.45 $57,697.10 3.1×
Removal of adenoids (42831) $9,452.72 $49,751.18 3.2×
Removal of ankle implant (27704) $10,724.96 $56,447.16 3.7×
Removal of bladder cyst (51500) $10,729.88 $56,473.03 2.0×
Removal of bone lesion (23140) $604.58 $3,182 0.2×
Removal of cervix (57530) $4,798.26 $25,254.02 1.1×
Removal of foreign body from pharynx (42809) $253.65 $1,335 0.6×
Removal of heel spur (28119) $12,736.59 $67,034.68 4.3×
Removal of kidney stone (50081) $6,288.39 $33,096.77 0.7×
Removal of knee prosthesis (27488) $17,437.82 $91,778.02 1.5×
Removal of mammary implant material (19330) $10,962.45 $57,697.10 3.1×
Removal of nail bed (11750) $2,316.70 $12,193.17 6.4×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $12,066.32 $63,506.97 1.9×
Removal of sperm cord lesion (55520) $3,983.03 $20,963.29 1.3×
Removal of tendon for graft (20924) $13,178.15 $69,358.70 2.0×
Removal of testis (54520) $3,418.86 $17,994 1.1×
Removal of tonsils (42825) $9,452.72 $49,751.18 1.8×
Removal of tonsils (42826) $9,452.72 $49,751.18 3.2×
Removal of tunneled intraperitoneal catheter (49422) $1,847.58 $9,724.12 0.7×
Removal or bivalving full arm or full leg cast (29705)
range across 4 matching MRF lines		 $171–$256.50 $900–$1,350 varies
Removal peritoneal-venous shunt (49429) $10,734.38 $56,496.74 3.8×
Removal ppm generator only (33233) $9,973.08 $52,489.89 1.3×
Removal shoulder foreign body deep subfascial/im (23333) $2,364.28 $12,443.56 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $3,168.22 $16,674.84 17.6×
Removal subcutaneous cardiac rhythm monitor (33286) $990.52 $5,213.28 1.6×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,967.82 $15,620.12 1.6×
Removal sweat gland lesion (11450) $4,405.31 $23,185.84 1.7×
Removal, under anesthesia, of external fixation system (20694) $1,071.29 $5,638.38 0.7×
Removal/bivalving gauntlet boot/body cast (29700)
range across 4 matching MRF lines		 $171–$256.50 $900–$1,350 varies
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $4,899.08 $25,784.64 2.6×
Remove brain canal fluid (61050) $1,120.05 $5,895 4.1×
Remove drug implant device (11982) $2,757.59 $14,513.63 6.9×
Remove Elctrd Transvenously (33244) $6,687.26 $35,196.10 2.0×
Remove Forearm Foreign Body (25248) $2,873.18 $15,122.02 2.0×
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $2,868.89–$3,047.42 $15,099.42–$16,039.06 varies
Remove foreign body from eye (65205)
range across 4 matching MRF lines		 $77.90–$115.90 $410–$610 varies
Remove hip pressure sore (15941) $12,931.71 $68,061.63 5.0×
Remove hip pressure sore (15940) $12,878.63 $67,782.25 4.9×
Remove Int Dwell Ureteral Stent Transurethral (50386) $7,255.93 $38,189.13 3.9×
Remove Intrauterine Device (58301) $3,550.35 $18,686.06 13.0×
Remove intrvas foreign body (37197) $1,746.86 $9,194 0.6×
Remove lung catheter (32552) $452.77 $2,383 0.8×
Remove muti-comp penis pros (54406) $4,661.87 $24,536.14 1.5×
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines		 $80.56–$115.90 $424–$610 varies
Remove Peritoneal Foreign Body (49402) $27,245.37 $143,396.68 8.5×
Remove prostate regrowth (52630) $3,429.41 $18,049.53 0.7×
Remove Pulse Generator (33241) $7,598.93 $39,994.39 2.3×
Remove renal tube w/fluoro (50389) $693.12 $3,648 1.1×
Remove sacrum pressure sore (15937) $14,459.69 $76,103.65 7.8×
Remove self-contd penis pros (54415) $10,096.85 $53,141.34 3.2×
Remove Shoulder Foreign Body (23330)
range across 3 matching MRF lines		 $421.80–$632.70 $2,220–$3,330 varies
Remove spine eltrd plate (63662) $4,077.44 $21,460.20 1.3×
Remove spine lamina 1/2 lmbr (63005) $4,242.15 $22,327.11 0.7×
Remove thigh pressure sore (15951) $13,922.88 $73,278.33 5.3×
Remove thigh pressure sore (15956) $13,922.88 $73,278.33 7.5×
Remove&replace pm gen singl (33227) $14,403.45 $75,807.61 1.9×
Remove/graft foot lesion (28102) $12,736.59 $67,034.68 2.0×
Remove/graft foot lesion (28107) $12,973.93 $68,283.82 2.0×
Remove/Insert Drug Implant (11983) $57.95 $305 0.1×
Remove/replace penis prosth (54410) $13,287.14 $69,932.33 0.7×
Remv cartilage for graft nasal (20912) $5,823.68 $30,650.95 1.8×
Remv&replc cvd gen dual lead (33263) $23,523.43 $123,807.51 1.2×
Remv&replc cvd gen mult lead (33264) $23,893.63 $125,755.95 0.8×
Remv&replc cvd gen sing lead (33262) $24,295.61 $127,871.61 1.2×
Remv&replc pm gen dual lead (33228) $7,558.50 $39,781.59 0.8×
Remv&replc pm gen mult leads (33229) $21,842.56 $114,960.85 1.3×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $4,428.86 $23,309.77 0.9×
Renal Biopsy Perq (50200) $975.84 $5,136 0.7×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) $7,788.11 $40,990.03 1.6×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) $7,859.61 $41,366.39 12.6×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) $10,049.15 $52,890.26 1.2×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $9,949.73 $52,367.01 2.1×
Renal scope w/tumor resect (50562) $10,365.94 $54,557.59 1.2×
Reopen fallopian tube (58350) $4,613.07 $24,279.34 1.0×
Repair Achilles Tendon (27650) $3,917.86 $20,620.32 0.6×
Repair Blood Vessel Direct Hand Finger (35207) $1,922.80 $10,120 0.7×
Repair blood vessel direct neck (35201) $7,230.33 $38,054.37 1.4×
Repair Blood Vessel Direct Upper Extremity (35206) $2,873.18 $15,122.02 1.0×
Repair blood vessel lesion (35190) $13,104.46 $68,970.85 2.6×
Repair brow ptosis (67900) $4,912.74 $25,856.54 2.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $418.76 $2,204 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $4,584.34 $24,128.08 6.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $228.95 $1,205 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $363.85 $1,915 1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $351.50 $1,850 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $363.85 $1,915 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $351.50 $1,850 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $4,309.44 $22,681.26 6.5×
Repair Entropion Suture (67921) $2,576.58 $13,560.96 1.2×
Repair extensor tendon finger w/o graft each (26418) $6,147.91 $32,357.42 4.3×
Repair Eyelid Wound (67935) $3,396.49 $17,876.26 1.6×
Repair Finger Tendon (26433) $1,909.50 $10,050 0.7×
Repair Finger/Hand Tendon (26350) $1,909.50 $10,050 0.7×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,777.60 $19,882.13 1.3×
Repair Hand Joint (26540) $3,841.34 $20,217.57 1.3×
Repair Hand Tendon (26410) $955.70 $5,030 0.7×
Repair humerus with graft (24435) $13,303.29 $70,017.32 1.2×
Repair incomplete circumcision (54163) $382.28 $2,012 0.2×
Repair inguinal hernia, sliding, any age (49525) $6,435.18 $33,869.36 2.0×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,795 $19,973.66 1.2×
Repair initial femoral hernia, any age; reducible (49550) $6,890.16 $36,264 2.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $6,108.23 $32,148.56 1.9×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $8,510.37 $44,791.42 2.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $2,471.13 $13,005.96 6.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $237.69 $1,251 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $228.95 $1,205 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $228.95 $1,205 0.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $228.95 $1,205 0.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $351.50 $1,850 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $2,301.60 $12,113.66 6.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $4,194.50 $22,076.34 11.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $376.20 $1,980 0.6×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,127.65 $5,935 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $253.46 $1,334 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,630.39 $8,581 4.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $2,907.66 $15,303.49 8.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $363.85 $1,915 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $3,880.75 $20,425 10.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,206.50 $6,350 0.7×
Repair lead pace-defib dual (33220) $4,603.40 $24,228.42 1.4×
Repair Lead Pace-Defib One (33218) $4,603.40 $24,228.42 1.4×
Repair Nasal Vestibular Stenosis (30465) $6,418.30 $33,780.51 1.2×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $11,752.87 $61,857.21 1.8×
Repair of anal sphincter (46760) $3,109.68 $16,366.72 1.2×
Repair of enterocele, vaginal approach (separate procedure) (57268) $2,431.05 $12,795 0.5×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $10,710.73 $56,372.27 1.6×
Repair of hammertoe (28286) $3,697.02 $19,458 1.3×
Repair of hydrocele (55060) $2,157.66 $11,356.09 0.7×
Repair of nail bed (11760) $363.85 $1,915 0.5×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $10,865.49 $57,186.79 1.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $10,422.25 $54,853.97 1.6×
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) $11,752.87 $61,857.21 1.8×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $11,752.87 $61,857.21 1.8×
Repair of Ruptured Tendon (24342) $4,731.06 $24,900.31 0.7×
Repair of traumatic corporeal tear(s) (54437) $4,766.72 $25,088 1.5×
Repair paravag defect lap (57423) $5,047.17 $26,564.05 0.5×
Repair paravag defect vag (57285)
unusually low: confirm this is the full procedure		 $2,835.84 $14,925.46 0.4×
Repair penis post injury (54440) $4,056.83 $21,351.74 1.3×
Repair radius & ulna (25415) $10,422.25 $54,853.97 1.6×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $6,890.16 $36,264 2.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $5,775.37 $30,396.67 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,586.50 $18,876.29 1.2×
Repair tongue laceration (41252) $150.10 $790 0.7×
Repair tongue laceration (41250) $77.90 $410 0.2×
Repair umbilical lesion (49600) $11,513.04 $60,594.94 3.6×
Repair webbed toe(s) (28345) $9,172.71 $48,277.42 6.4×
Repair, congenital arteriovenous fistula; extremities Facility (35184) $13,104.46 $68,970.85 4.6×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) $8,510.37 $44,791.42 2.7×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) $8,510.37 $44,791.42 1.6×
Repair/Revise Wrist Joint (25320) $8,476.09 $44,611 1.3×
Replace duodenostomy/jejunostomy tube perq (49451) $5,798.40 $30,517.89 7.1×
Replace G-J Tube Perc (49452) $5,798.40 $30,517.89 7.1×
Replace g/c tube perc (49450) $5,798.40 $30,517.89 7.1×
Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) $228.95 $1,205 0.2×
Reposition Gastrostomy Tube (43761) $168.15 $885 0.8×
Reposition L Ventric Lead (33226) $4,603.40 $24,228.42 1.6×
Reposition Pacing-Defib Lead (33215) $4,985.75 $26,240.79 1.8×
Reposition Venous Catheter (36597) $490.39 $2,581 0.3×
Rerepair ing hernia reduce (49520) $4,493.70 $23,651.03 1.4×
Resect back tum < 5 cm (21935) $12,015.37 $63,238.80 4.6×
Resect enlarged toe (28341) $14,988.35 $78,886.05 5.1×
Resect leg/ankle tum < 5 cm (27615) $12,830.30 $67,527.89 4.9×
Resection of scrotum (55150) $8,782.53 $46,223.83 2.8×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,019.16 $15,890.29 1.0×
Resection, partial or complete, phalangeal base, each toe (28126) $2,023.31 $10,649 0.7×
Rev/rmv prph sac/gstr npg/r (64595) $5,854.87 $30,815.09 1.9×
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure		 $4,975.13 $26,184.92 0.4×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $13,943.73 $73,388.06 1.2×
Revise Abdomen-Venous Shunt (49426) $8,498.57 $44,729.33 2.6×
Revise hernia & sperm veins (55540) $3,983.03 $20,963.29 1.2×
Revision of big toe (28310) $11,072.84 $58,278.08 1.7×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $19,400.03 $102,105.40 6.1×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $19,400.03 $102,105.40 6.1×
Revision of humerus (24400) $14,181.15 $74,637.62 2.2×
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure		 $1,181.23 $6,217 0.2×
Revision of toe (28312) $11,072.84 $58,278.08 3.8×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $15,422.55 $81,171.34 1.3×
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) $7,846.79 $41,298.90 1.6×
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) $13,694.53 $72,076.46 2.7×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $22,678.07 $119,358.26 4.0×
Revj Shunt Extraocular Reservoir W/O Graft (66184) $3,622.50 $19,065.78 1.8×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $19,071.04 $100,373.92 1.7×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $10,575.25 $55,659.22 0.7×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $10,753.88 $56,599.36 0.9×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $3,741.67 $19,693 0.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,799.37 $19,996.67 1.2×
Revj/rmvl peripheral neurostimulator electrode (64585) $7,764.11 $40,863.76 2.5×
Revj/rpr oprative wound anterior segment (66250) $3,280.83 $17,267.50 1.5×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 3 matching MRF lines		 $5,428.07–$7,799.67 $28,568.81–$41,050.89 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
unusually low: confirm this is the full procedure		 $5,919.14 $31,153.36 0.4×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $24,566.91 $129,299.50 1.5×
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 2 matching MRF lines		 $4,391.35–$4,987.22 $23,112.35–$26,248.50 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $26,718.57 $140,624.07 2.6×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 3 matching MRF lines		 $10,446.76–$14,703.96 $54,982.96–$77,389.26 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $4,756.58–$7,905.95 $25,034.61–$41,610.24 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $24,566.91 $129,299.50 1.5×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $3,381.02 $17,794.82 0.6×
Rmvl embedded fb vestibule mouth comp (40805) $354.35 $1,865 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $553.85 $2,915 0.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,337.63 $7,040.15 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 4 matching MRF lines		 $288.80–$380 $1,520–$2,000 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 4 matching MRF lines		 $77.90–$115.90 $410–$610 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 4 matching MRF lines		 $253.65–$380 $1,335–$2,000 varies
Rmvl fecal impaction/fb spx under anes (45915) $5,545.97 $29,189.29 5.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,730.90 $9,110 0.7×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $11,175.91 $58,820.59 4.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,516.85 $13,246.57 1.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,737 $14,405.26 1.6×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $2,341.22 $12,322.22 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,373.91 $12,494.27 1.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,004.96 $15,815.58 5.3×
Rmvl Vitreous Ant Appr Partial Removal (67005)
range across 2 matching MRF lines		 $3,472.43–$3,812.70 $18,275.95–$20,066.82 varies
Rmvl/revj sling stress incontinence (57287) $2,325.15 $12,237.63 0.8×
Rplc Gtube No Revj Trc (43762) $787.93 $4,147 3.5×
Rplc gtube revj gstrst trc (43763) $168.15 $885 0.8×
Rplcmt cath ctr vad subq port/pmp (36578) $2,520.54 $13,266 0.9×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $4,510.32 $23,738.50 3.2×
Rplcmt compl tun ctr vad w/subq pmp (36583) $7,160.21 $37,685.29 1.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,244.88 $17,078.31 1.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $5,662.54 $29,802.86 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,785.72 $25,187.99 1.5×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $6,664.25 $35,075.01 1.1×
Rpr aa hernia recr 3-10 cm reducible (49615) $5,458 $28,726.32 0.9×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $12,098.03 $63,673.84 2.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $4,728.67 $24,887.76 1.5×
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $4,723.72–$4,934.98 $24,861.66–$25,973.57 varies
Rpr aa hrn 1st < 3 ncr/strn (49592) $4,851.20 $25,532.63 0.9×
Rpr blood vessel direct lower extremity (35226) $9,016.68 $47,456.20 14.2×
Rpr Component Inflatable Penile Prosthesis (54408) $15,892.38 $83,644.09 3.3×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,885.81 $15,188.49 2.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $141.93 $747 0.8×
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure		 $2,104.44 $11,076 0.3×
Rpr ing hern premie blocked (49492) $8,510.37 $44,791.42 2.7×
Rpr Ing Hernia Baby, Reduc (49495) $8,510.37 $44,791.42 2.7×
Rpr ing hernia init reduce (49500) $8,510.37 $44,791.42 1.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $2,467.97 $12,989.29 3.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $150.10 $790 0.7×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285)
range across 2 matching MRF lines		 $3,551.15–$5,003.79 $18,690.26–$26,335.76 varies
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $3,113.58 $16,387.25 0.7×
Rpr Lip Full Thickness Vermilion Only (40650) $366.70 $1,930 0.8×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $11,852.90 $62,383.67 1.8×
Rpr Nsl Vlv Collapse W/Implt (30468) $5,579.35 $29,364.99 1.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,644.46 $13,918.21 0.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,909.50 $10,050 0.7×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $15,477.79 $81,462.05 2.4×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $15,477.79 $81,462.05 2.4×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) $15,477.79 $81,462.05 2.4×
Sclerotx Fluid Collection (49185) $421.80 $2,220 0.3×
Scrotal exploration (55110) $4,001.25 $21,059.21 1.3×
Secondary revision of orbitocraniofacial reconstruction Facility (21275) $13,303.29 $70,017.32 2.5×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $3,853.64 $20,282.33 0.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $6,138.33 $32,306.99 2.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $871.34 $4,586 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $4,701.28 $24,743.58 4.4×
Shave skin lesion 0.5 cm/< (11300) $73.72 $388 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $38.38 $202 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $10,556.16 $55,558.72 58.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $10,556.16 $55,558.72 58.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $10,556.16 $55,558.72 58.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $12,803.37 $67,386.14 35.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $38.38 $202 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $73.72 $388 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $38.38 $202 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $14,038.23 $73,885.42 38.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $38.38 $202 0.2×
Sigmoidoscopy & Polypectomy (45333) $7,701.45 $40,533.94 9.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,174.39 $6,181 1.1×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $9,603.42 $50,544.32 8.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $890.34 $4,686 0.8×
Sigmoidoscopy w/fb removal (45332) $713.45 $3,755 0.7×
Sigmoidoscopy w/plcmt stent (45347) $16,028.77 $84,361.95 2.9×
Sigmoidoscopy W/Resection (45349) $892.72 $4,698.50 0.4×
Sigmoidoscopy W/Ultrasound (45341) $9,975.41 $52,502.17 12.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $997.91 $5,252.14 1.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $577.03 $3,037 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $236.93 $1,247 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $2,627.21 $13,827.43 14.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $132.81 $699 0.7×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $228.95 $1,205 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $159.22 $838 0.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $128.25 $675 0.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $2,087.20 $10,985.25 11.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $137.18 $722 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $132.81 $699 0.7×
Skin Full Grft Face/Genit/Hf (15240) $4,641.58 $24,429.37 2.5×
Skin graft, harvest cultured tissue (15040) $12,455.47 $65,555.10 6.7×
Skin Pinch Graft (15050) $356.25 $1,875 0.5×
Skin sub graft face/nk/hf/g (15275) $9,645.59 $50,766.24 14.6×
Skin sub graft trnk/arm/leg (15271) $6,335.65 $33,345.53 9.6×
Skin sub grft t/arm/lg child (15273) $2,026.35 $10,665 1.1×
Skin Tissue Procedure (17999) $128.25 $675 0.7×
Skn sub grft f/n/hf/g child (15277) $951.71 $5,009 0.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $7,668.06 $40,358.22 1.5×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,115.08 $11,132 0.7×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines		 $4,299.51–$8,384.42 $22,629–$44,128.50 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,065.60 $21,397.87 0.9×
Slitting of prepuce (54000) $656.26 $3,454 0.2×
Small bowel endoscopy (44366) $990.85 $5,215 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $132.81 $699 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $236.93 $1,247 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $236.93 $1,247 0.6×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $2,456.96 $12,931.39 1.0×
Sphincterotomy anal division sphincter spx (46080) $2,969.02 $15,626.43 1.2×
Sphnctrop Anal Levator Musc Imbrcj (46761) $3,109.68 $16,366.72 1.2×
Spinal puncture lumbar diagnostic (62270) $5,964.56 $31,392.44 9.4×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,915.11 $15,342.67 0.9×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $4,834.45–$9,645.59 $25,444.48–$50,766.24 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $4,410.21–$4,705.78 $23,211.64–$24,767.25 varies
Strapping ankle (29540)
range across 4 matching MRF lines		 $111.53–$147.25 $587–$775 varies
Strapping elbow or wrist (29260)
range across 4 matching MRF lines		 $27.17–$38.76 $143–$204 varies
Strapping hand/finger (29280)
range across 15 matching MRF lines		 $11.97–$35.15 $63–$185 varies
Strapping Hip (29520)
range across 4 matching MRF lines		 $40.85–$60.80 $215–$320 varies
Strapping knee (29530)
range across 4 matching MRF lines		 $87.78–$115.90 $462–$610 varies
Strapping shoulder (29240)
range across 4 matching MRF lines		 $87.78–$115.90 $462–$610 varies
Strapping toes (29550)
range across 11 matching MRF lines		 $40.85–$45.03 $215–$237 varies
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $101.27–$222.87 $533–$1,173 varies
Subconjunctival injection (68200) $3,448.69 $18,151.02 8.6×
Subcutaneous Hormone Pellet Implantation (11980) $57.95 $305 0.1×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $4,579.56–$6,591.66 $24,102.95–$34,692.96 varies
Surg Implnt Neuroelect,Epidural (63655) $18,567.26 $97,722.40 1.1×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure		 $944.87 $4,973 0.2×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
likely a partial charge, not the full procedure		 $1,085.66 $5,714 0.2×
Surgery to stop leg growth (27477) $13,303.29 $70,017.32 2.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $3,314.31 $17,443.75 1.3×
Suture 1 nerve hand/foot common sensory nerve (64834) $3,324.05 $17,495 1.1×
Suture 1 Nerve Ulnar Motor (64836) $3,324.05 $17,495 1.1×
Suture digital nerve hand/foot 1 nerve (64831) $3,324.05 $17,495 1.9×
Suture infrapatellar tendon primary (27380) $4,876.73 $25,667 0.7×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $3,591.89 $18,904.66 1.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) $3,788.25 $19,938.18 0.6×
Synovectomy Tendon Sheath Foot Extensor (28088) $15,477.79 $81,462.05 5.3×
Synovectomy Tendon Sheath Foot Flexor (28086) $15,477.79 $81,462.05 5.3×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $2,025.97 $10,663 0.7×
Talectomy (astragalectomy) Facility (28130) $12,736.59 $67,034.68 2.0×
Tangential biopsy skin single lesion (11102) $129.20 $680 0.4×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $22,211.19 $116,901 0.9×
Tcat Insj/Rpl Perm Ldls Pm (33274) $16,373.41 $86,175.83 0.9×
Tenolysis flexor foot single tendon (28220) $2,681.85 $14,115 1.9×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $15,287.66 $80,461.38 5.2×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $15,287.66 $80,461.38 5.2×
Tenotomy extensor hand/finger open each tendon (26460) $6,332.08 $33,326.74 4.4×
Tenotomy Flexor Finger Open Each Tendon (26455) $6,051.99 $31,852.56 4.2×
Tenotomy Flexor Palm Open Each Tendon (26450) $6,332.08 $33,326.74 2.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $2,129.80 $11,209.47 3.4×
Therapeutic plasma exchange (36514) $907.25 $4,775 0.6×
Thoracoscopy w/bx nodule (32608) $11,142.76 $58,646.09 1.2×
Thoracoscopy w/bx pleura (32609) $9,555.83 $50,293.84 1.8×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) $11,142.76 $58,646.09 1.2×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $27,754.05 $146,073.97 5.1×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $8,433.56 $44,387.18 1.7×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $10,021 $52,742.09 2.0×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $2,986.99 $15,721 1.1×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $4,316.50 $22,718.41 0.9×
Thrmbc/Nfs Dialysis Circuit (36906) $15,612.16 $82,169.28 0.9×
Thromblytic art/ven therapy (37213) $15,219.63 $80,103.32 5.4×
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) $1,017.83 $5,357 0.2×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $18,573.36 $97,754.51 3.7×
Thrombolytic Art Therapy (37211) $27,781.99 $146,220.99 5.6×
Thrombolytic Therapy Stroke (37195) $209.95 $1,105 0.7×
Thrombolytic Venous Therapy (37212) $1,818.30 $9,570 0.6×
Thumb fusion with graft (26842) $13,303.29 $70,017.32 2.0×
Thyroidectomy, total or complete (60240) $6,076.26 $31,980.31 1.1×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $5,730.88 $30,162.54 1.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,719.82 $19,578 2.0×
Tissue Expander Placement Breast Reconstruction (19357)
likely a partial charge, not the full procedure		 $3,184.59 $16,761 0.3×
Tlh uterus over 250 g (58572) $5,636.08 $29,663.58 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $9,452.72 $49,751.18 3.2×
Tooth extraction (41899) $150.10 $790 0.7×
Total Knee Arthroplasty (27447) $7,173.44 $37,754.97 0.6×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
range across 3 matching MRF lines		 $5,059.46–$8,676.33 $26,628.74–$45,664.87 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,198.68 $11,572 0.8×
Tracheobrnchsc Thru Est Trachs Inc (31615) $19,549.61 $102,892.68 40.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $150.10 $790 0.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $963.68 $5,072 0.7×
Tracheostomy Fenestration W/Skin Flaps (31610) $99,681.79 $524,641.02 18.8×
Tracheostomy planned (31600) $99,681.79 $524,641.02 33.5×
Tracheostomy Planned Under 2 Years Spx (31601) $99,681.79 $524,641.02 18.8×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $2,213.11 $11,647.94 8.1×
Transcatheter biopsy (37200) $3,633.75 $19,125 0.7×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $1,166.41 $6,139 0.4×
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) $14,293.84 $75,230.76 2.2×
Transfer iliopsoas; to femoral neck Facility (27111) $14,293.84 $75,230.76 4.9×
Transfer of iliopsoas muscle (27110) $14,293.84 $75,230.76 2.2×
Transmetacarpal amputation; Facility (25927) $7,368.53 $38,781.75 2.5×
Transmetacarpal amputation; re-amputation Facility (25931) $7,368.53 $38,781.75 2.5×
Transmetacarpal amputation; secondary closure or scar revision Facility (25929) $6,368.55 $33,518.66 3.4×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $13,441.32 $70,743.81 2.1×
Transrectal abltj mal prst8 tissue hifu w/us (55880) $7,736.78 $40,719.89 0.9×
Transrectal Drainage of Pelvic Abscess (45000) $9,557.22 $50,301.17 8.9×
Transur electr resection of prostate (52601) $3,955.99 $20,821.01 0.8×
Transurethral incision of prostate (52450) $2,398.75 $12,625 0.8×
Transurethral resection bladder neck (52500) $2,738.22 $14,411.69 0.9×
Transvesical ureterolithotomy Facility (51060) $10,737.07 $56,510.91 5.7×
Treat dislocation/fracture (23670) $16,330.37 $85,949.30 2.5×
Treat dislocation/fracture (23680) $16,330.37 $85,949.30 1.4×
Treat ectopic pregnancy (59151) $4,246.39 $22,349.40 0.8×
Treat Elbow Fracture (24635) $10,422.25 $54,853.97 1.6×
Treat elbow fracture (24587) $10,422.25 $54,853.97 0.9×
Treat Finger Fracture Each (26727) $1,909.50 $10,050 0.7×
Treat fracture radius/ulna (25575) $14,620.92 $76,952.23 2.2×
Treat Fx Rad Extra-Articul (25607) $6,962.33 $36,643.82 1.1×
Treat humerus fracture (24500)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treat Humerus Fracture (24505)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Treat humerus fracture (23600)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treat knee fracture (27532)
range across 3 matching MRF lines		 $1,909.50–$2,864.25 $10,050–$15,075 varies
Treat Knee Fracture(S) (27538)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treat Kneecap Fracture (27524) $8,513.88 $44,809.88 1.3×
Treat Knuckle Dislocation (26700)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treat lower leg dislocation (27832) $11,291.92 $59,431.18 1.7×
Treat Metatarsal Fracture (28475)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treat midfoot fracture (28456)
range across 3 matching MRF lines		 $4,148.65–$6,222.50 $21,835–$32,750 varies
Treat Tail Bone Fracture (27200) $175.94 $926 0.8×
Treat Thumb Dislocation (26641)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treat Thumb Fracture (26645)
range across 4 matching MRF lines		 $955.70–$1,433.55 $5,030–$7,545 varies
Treat toe dislocation (28630)
range across 3 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treat vagina infection (57150) $11.97 $63 0.2×
Treat Vaginal Bleeding (57180) $1,525.89 $8,031 8.4×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 4 matching MRF lines		 $1,058.30–$1,433.55 $5,570–$7,545 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 4 matching MRF lines		 $164.35–$246.05 $865–$1,295 varies
Treatment of anal fissure (46940) $2,637.24 $13,880.20 1.1×
Treatment of ankle fracture (27823) $12,972.44 $68,276.01 2.0×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $11,807.36 $62,143.98 1.8×
Treatment of nose fracture (21330)
unusually low: confirm this is the full procedure		 $2,627.21 $13,827.43 0.5×
Treatment of penis lesion (54115) $10,096.85 $53,141.34 3.9×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $12,073.35 $63,543.95 4.1×
Treatment of tibia fracture (27756) $6,222.50 $32,750 1.0×
Trim skin lesion (11055) $140.41 $739 0.8×
Trim skin lesions 2 to 4 (11056) $223.06 $1,174 1.2×
Trim skin lesions over 4 (11057) $102.79 $541 0.6×
Trimming Nondystrophic Nails Any Number (11719) $40.85 $215 0.8×
Trluml Balo Angiop 1St Art (37246) $8,583.38 $45,175.66 1.7×
Trluml Balo Angiop 1St Vein (37248) $9,365.73 $49,293.30 1.8×
Trurl drainage prostatic abscess (52700) $12,229.26 $64,364.53 3.9×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $7,736.78 $40,719.89 2.4×
Trurl rescj postop bladder neck contracture (52640) $8,569.11 $45,100.58 2.7×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $3,985.19 $20,974.68 1.6×
Tx Gastro Intub W/Asp (43753) $203.11 $1,069 1.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $8,655.17 $45,553.55 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,081.81 $16,220.05 1.1×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $11,807.36 $62,143.98 1.8×
Tx Missed Abortion First Trimester Surgical (59820) $2,308.29 $12,148.92 0.8×
Tx Missed Abortion Second Trimester Surgical (59821) $2,229.23 $11,732.81 0.8×
Tx open tendon flexor toe 1 tendon spx (28232) $2,483.96 $13,073.46 1.7×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,393.72 $12,598.52 1.7×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,433.55 $7,545 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $389.31 $2,049 0.6×
Tx superficial wound dehiscence w/packing (12021) $228.95 $1,205 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $955.70 $5,030 0.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 3 matching MRF lines		 $164.35–$1,433.55 $865–$7,545 varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643)
likely a partial charge, not the full procedure		 $1,085.66 $5,714 0.2×
Tympanostomy general anesthesia (69436) $1,692.17 $8,906.18 1.2×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $5,536.03 $29,137 1.7×
Unlisted Cardiac Surgery (33999) $47,949.21 $252,364.28 85.2×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $6,641.39 $34,954.66 31.3×
Unlisted fetal invasive px w/ultrasound (59897) $2,758.07 $14,516.14 15.2×
Unlisted hysteroscopy procedure, uterus (58579) $2,768.55 $14,571.29 15.3×
Unlisted laparoscopic procedure liver (47379) $4,250.08 $22,368.84 0.8×
Unlisted laparoscopy procedure appendix (44979) $10,430.67 $54,898.27 1.9×
Unlisted laparoscopy procedure oviduct ovary (58679) $7,650.60 $40,266.32 1.4×
Unlisted laparoscopy procedure stomach (43659) $7,360.42 $38,739.05 1.4×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $6,199.16 $32,627.16 1.1×
Unlisted laparoscopy procedure, bladder (51999) $6,721.88 $35,378.34 1.2×
Unlisted laparoscopy procedure, esophagus (43289)
likely a partial charge, not the full procedure		 $1,603.60 $8,440 0.3×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $10,236.56 $53,876.64 1.9×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $13,538.61 $71,255.83 2.5×
Unlisted Procedure Accessory Sinuses (31299) $39,780.57 $209,371.43 187.3×
Unlisted procedure anus (46999) $3,053.30 $16,070 3.7×
Unlisted Procedure Biliary Tract (47999) $17,669.55 $92,997.65 21.7×
Unlisted procedure breast (19499) $5,100.22 $26,843.26 1.5×
Unlisted procedure colon (45399) $6,405.92 $33,715.37 7.7×
Unlisted Procedure Esophagus (43499) $7,180.05 $37,789.76 8.8×
Unlisted procedure excision pressure ulcer (15999) $11,641.35 $61,270.25 18.3×
Unlisted procedure femur or knee (27599) $6,659.97 $35,052.48 30.1×
Unlisted Procedure Hands/Fingers (26989) $164.35 $865 0.7×
Unlisted procedure humerus/elbow (24999) $16,330.37 $85,949.30 73.8×
Unlisted Procedure Intestine (44799) $553.85 $2,915 0.7×
Unlisted Procedure Leg/Ankle (27899) $14,872.47 $78,276.17 67.2×
Unlisted procedure liver (47399) $2,758.07 $14,516.14 4.3×
Unlisted procedure lungs and pleura (32999) $19,095.90 $100,504.75 33.9×
Unlisted Procedure Male Genital System (55899) $2,220.98 $11,689.36 9.9×
Unlisted Procedure Muscskeletal System General (20999) $11,826.83 $62,246.46 53.5×
Unlisted procedure nervous system (64999) $10,819.19 $56,943.11 39.3×
Unlisted procedure pancreas (48999) $14,704.53 $77,392.24 23.2×
Unlisted procedure pelvis/hip joint (27299) $6,641.39 $34,954.66 30.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $2,264.75 $11,919.74 10.7×
Unlisted Procedure Rectum (45999) $542.45 $2,855 0.7×
Unlisted procedure spine (22899) $16,763.60 $88,229.47 75.8×
Unlisted procedure stomach (43999) $12,620.53 $66,423.82 15.5×
Unlisted Procedure Tongue Floor Mouth (41599) $12,551.96 $66,062.94 59.1×
Unlisted Procedure Trachea Bronchi (31899) $25,408.37 $133,728.28 141.9×
Unlisted Procedure Vascular Surgery (37799) $4,387.63 $23,092.77 7.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,100.73 $16,319.65 3.8×
Unlisted Procedure, Urinary System (53899) $10,321.11 $54,321.61 46.1×
Unlisted px female genital system nonobstetrical (58999) $3,388.35 $17,833.43 18.7×
Unlisted vascular endoscopy procedure (37501) $8,458.44 $44,518.10 15.0×
Upgrade of pacemaker system (33214) $16,678.38 $87,780.97 1.8×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $8,223.25 $43,280.26 1.7×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $7,863.58 $41,387.27 2.5×
Urethrlys Transvag W/ Scope (53500) $2,283.86 $12,020.34 0.7×
Urethromeatoplasty W/Mucosal Advancement (53450) $2,843.77 $14,967.20 0.9×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $4,641.58 $24,429.37 1.0×
Urethroplasty, reconstruction of female urethra Facility (53430) $2,468.69 $12,993.11 0.5×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $2,261.36 $11,901.91 0.5×
Urinary Reflex Study (51792) $11.97 $63 0.2×
Vaginal Delivery After Cesarean Delivery (59612) $2,759.36 $14,522.95 1.0×
Vaginal delivery only (59409) $1,718.55 $9,045 0.6×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $3,697.28 $19,459.39 0.8×
Vaginectomy, partial removal of vaginal wall; (57106) $2,576.02 $13,558 0.9×
Vasc embolize/occlude artery (37242) $16,244.26 $85,496.13 1.0×
Vasc Embolize/Occlude Bleed (37244) $6,920.75 $36,425 0.7×
Vasc Embolize/Occlude Organ (37243) $23,784.45 $125,181.32 2.3×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure		 $3,741.67 $19,693 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,136.73 $11,245.95 1.1×
Venous Mech Thrombectomy (37187) $9,316.87 $49,036.14 0.9×
Vitrectomy mechanical pars plana (67036) $3,406.80 $17,930.55 0.9×
Vulvectomy simple partial (56620) $3,035.25 $15,975 1.0×
Vulvectomy simple; complete (56625) $8,658.62 $45,571.67 3.0×
Vulvectomy, radical, partial; Facility (56630) $10,411.14 $54,795.49 2.3×
Wedge excision skin nail fold (11765) $244.91 $1,289 0.7×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) $6,452.24 $33,959.18 1.0×
Wedging of cast (29740)
range across 4 matching MRF lines		 $171–$256.50 $900–$1,350 varies
Windowing of cast (29730)
range across 4 matching MRF lines		 $97.85–$147.25 $515–$775 varies
Wound Prep F/N/Hf/G (15004) $4,134.41 $21,760.06 11.3×
Wound Prep Trk/Arm/Leg (15002) $5,361.56 $28,218.73 8.1×
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $2,520.60 $13,266.29 0.4×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $17,005.19 $89,500.98 3.4×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $15,219.63 $80,103.32 10.8×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $10,085.84 $53,083.35 20.9×
Xtroral I&D Floor Masticator Space (41018) $10,085.84 $53,083.35 7.2×

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.