Procedures & surgery prices at Kenmare Community Hospital

Kenmare, ND · every code in this section with a posted price and a Medicare benchmark.

1305 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 6 matching MRF lines		 $960–$1,564.80 $1,200–$1,956 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $960–$1,602.40 $1,200–$2,003 varies
Ablate Pulm Tumor Perq Crybl (32994) $9,126.40 $11,408 0.8×
Ablation 1/> liver tumor perq cryoablation (47383) $9,447.20 $11,809 0.9×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $11,152 $13,940 0.6×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,520 $1,900 1.0×
Abrasion single lesion (15786) $204 $255 1.0×
Acne surgery (10040) $204 $255 1.0×
Adding Walker Previously Applied Cast (29440) $162.40 $203 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,880 $2,350 0.9×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,880 $2,350 0.9×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,768 $4,710 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,880 $2,350 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,880 $2,350 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,880 $2,350 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,880 $2,350 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,880 $2,350 0.9×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $895.20–$1,144.80 $1,119–$1,431 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $5,244 $6,555 1.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $3,336–$5,244 $4,170–$6,555 varies
Amputation toe interphalangeal joint (28825) $3,336 $4,170 1.0×
Amputation toe metatarsophalangeal joint (28820) $3,336 $4,170 1.0×
Anal/Urinary Muscle Study (51784) $160.80 $201 1.2×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $132.80–$224 $166–$280 varies
Anoscopy W/Rmvl Foreign Body (46608) $1,601.60 $2,002 1.7×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $162.40 $203 1.0×
Appl cranial tong/strtctc frame w/removal spx (20660) $2,658.40 $3,323 1.6×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $272.80–$456.80 $341–$571 varies
Application Cast Finger (29086) $162.40 $203 1.0×
Application Finger Splint Dynamic (29131) $60.80 $76 1.0×
Application finger splint static (29130)
range across 2 matching MRF lines		 $132.80–$191.20 $166–$239 varies
Application Halo Cranial Including Removal (20661) $6,618.40 $8,273 4.0×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $162.40–$275.20 $203–$344 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $272.80 $341 1.0×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $162.40–$275.20 $203–$344 varies
Application of cylinder cast (thigh to ankle) (29365) $272.80 $341 1.0×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $272.80–$480 $341–$600 varies
Application of rigid total contact leg cast (29445) $272.80 $341 1.0×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $132.80–$212 $166–$265 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $107.20–$283.20 $134–$354 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $162.40–$275.20 $203–$344 varies
Application, cast; figure-of-eight Facility (29049) $468.80 $586 1.6×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $162.40–$480 $203–$600 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $272.80–$456.80 $341–$571 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $162.40–$275.20 $203–$344 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $272.80–$456.80 $341–$571 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $272.80–$456.80 $341–$571 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $3,327.20 $4,159 0.6×
Arterial puncture (36600) $201.60 $252 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $303.20–$662.40 $379–$828 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $712–$1,008 $890–$1,260 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $303.20–$762.40 $379–$953 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $303.20–$1,159.20 $379–$1,449 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $303.20–$576 $379–$720 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,612 $3,265 1.6×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,648 $2,060 1.0×
Artificial insemination intra-cervical (58321) $312.80 $391 1.0×
Artificial insemination intra-uterine (58322)
range across 3 matching MRF lines		 $207.20–$380 $259–$475 varies
Aspirate pleura w/ imaging (32555)
range across 7 matching MRF lines		 $636–$1,425.60 $795–$1,782 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $636–$1,240 $795–$1,550 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $303.20–$453.60 $379–$567 varies
Aspiration & Injection Treatment Bone Cyst (20615)
range across 2 matching MRF lines		 $723.20–$1,139.20 $904–$1,424 varies
Aspiration and/or injection thyroid cyst (60300) $1,139.20 $1,424 1.6×
Aspiration bladder insert suprapubic catheter (51102) $3,372.80 $4,216 1.6×
Aspiration Bladder Needle (51100) $1,183.20 $1,479 4.6×
Aspiration bladder trocar/intracatheter (51101) $1,796.80 $2,246 2.0×
Aspiration/Release Vitreous Subretinal/Choroidal (67015)
range across 3 matching MRF lines		 $2,344–$4,163.20 $2,930–$5,204 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $204–$314.40 $255–$393 varies
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $4,000 $5,000 0.6×
Biopsy Abdominal Mass (49180) $2,680.80 $3,351 1.6×
Biopsy bone open deep (20245) $2,944 $3,680 1.0×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $2,944–$4,797.60 $3,680–$5,997 varies
Biopsy bone trocar/needle deep (20225)
range across 3 matching MRF lines		 $1,664–$3,082.40 $2,080–$3,853 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines		 $1,664–$2,680.80 $2,080–$3,351 varies
Biopsy External Auditory Canal (69105) $1,520 $1,900 1.0×
Biopsy external ear (69100) $238.40 $298 1.0×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $1,664–$2,680.80 $2,080–$3,351 varies
Biopsy Muscle Superficial (20200) $1,664 $2,080 1.0×
Biopsy nail unit (11755) $723.20 $904 1.0×
Biopsy Nasopharynx Visible Lesion Simple (42804) $3,336 $4,170 1.0×
Biopsy of breast; open, incisional (19101) $3,936 $4,920 1.0×
Biopsy of conjunctiva (68100) $2,400 $3,000 1.0×
Biopsy of cornea (65410) $2,400 $3,000 1.0×
Biopsy of floor of mouth (41108) $1,664 $2,080 1.0×
Biopsy of lacrimal gland (68510) $1,520 $1,900 0.6×
Biopsy of lip (40490) $238.40 $298 1.0×
Biopsy of liver, needle; percutaneous (47000) $2,680.80 $3,351 1.6×
Biopsy of palate, uvula (42100) $1,520 $1,900 1.0×
Biopsy of penis (54100)
range across 3 matching MRF lines		 $1,515.20–$2,712 $1,894–$3,390 varies
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $2,816–$4,606.40 $3,520–$5,758 varies
Biopsy Oropharynx (42800) $1,520 $1,900 1.0×
Biopsy Pleura Percutaneous Needle (32400) $2,836.80 $3,546 1.7×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $3,148.80 $3,936 0.9×
Biopsy Salivary Gland Incisional (42405) $1,520 $1,900 1.0×
Biopsy Salivary Gland Needle (42400)
range across 4 matching MRF lines		 $723.20–$1,480 $904–$1,850 varies
Biopsy Soft Tissue Back/Flank Superficial (21920)
range across 2 matching MRF lines		 $1,664–$2,680.80 $2,080–$3,351 varies
Biopsy soft tissue forearm&/wrist superficial (25065) $1,664 $2,080 1.0×
Biopsy soft tissue leg/ankle area superficial (27613) $1,664 $2,080 1.0×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $1,664–$2,680.80 $2,080–$3,351 varies
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,664 $2,080 1.0×
Biopsy Soft Tissue Shoulder Superficial (23065)
range across 3 matching MRF lines		 $1,664–$3,470.40 $2,080–$4,338 varies
Biopsy soft tissue thigh/knee area superficial (27323)
range across 2 matching MRF lines		 $1,664–$2,632.80 $2,080–$3,291 varies
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,664 $2,080 1.0×
Biopsy Tongue Anterior Two-Thirds (41100) $523.20 $654 0.9×
Biopsy Tongue Posterior One-Third (41105) $3,336 $4,170 1.0×
Biopsy Vaginal Mucosa Simple (57100) $895.20 $1,119 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $895.20 $1,119 1.0×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $523.20–$1,120 $654–$1,400 varies
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $686.40–$938.40 $858–$1,173 varies
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $250.40–$458.40 $313–$573 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $60.80–$307.20 $76–$384 varies
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines		 $1,880–$2,281.60 $2,350–$2,852 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $1,880–$2,783.20 $2,350–$3,479 varies
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines		 $307.20–$640 $384–$800 varies
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $449.60–$708 $562–$885 varies
Blood/Lymph System Procedure (38999) $2,758.40 $3,448 6.1×
Bone Marrow Biopsy (38221)
range across 5 matching MRF lines		 $1,664–$3,146.40 $2,080–$3,933 varies
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Brnchsc Brushing/Protected Brushings (31623) $2,331.20 $2,914 1.3×
Bx breast 1st lesion mr imag (19085) $2,836.80 $3,546 1.7×
Bx breast 1st lesion strtctc (19081) $2,836.80 $3,546 1.7×
Bx breast 1st lesion us imag (19083) $2,836.80 $3,546 1.7×
Bx breast needle core w/o imaging guidance spx (19100) $1,664 $2,080 1.0×
Bx Cervix (57500) $895.20 $1,119 1.0×
Bx/exc lymph node open superficial (38500) $3,936 $4,920 1.0×
Canthoplasty (67950) $1,568 $1,960 0.6×
Canthotomy Separate Procedure (67715) $3,209.60 $4,012 1.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,336 $4,170 1.0×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,648 $2,060 1.0×
Cataract surgery complex (66982) $1,500.80 $1,876 0.6×
Catheter aspiration nasotracheal spx (31720) $380.80 $476 1.7×
Cautery Cervix Cryocautery Initial/Repeat (57511) $312.80 $391 1.0×
Cautery Cervix Electro/Thermal (57510) $5,056.80 $6,321 1.5×
Cessj Therapy Cath Removal (37214)
range across 3 matching MRF lines		 $3,240–$6,519.20 $4,050–$8,149 varies
Change Cystostomy Tube Complicated (51710)
range across 6 matching MRF lines		 $857.60–$1,124.80 $1,072–$1,406 varies
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $250.40–$458.40 $313–$573 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $238.40–$409.60 $298–$512 varies
Change ureter stent percut (50382) $3,585.60 $4,482 1.7×
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $204–$800 $255–$1,000 varies
Chemical peel, facial; epidermal (15788) $410.40 $513 1.0×
Chemical Pleurodesis (32560) $1,309.60 $1,637 2.0×
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines		 $712–$1,312 $890–$1,640 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $712–$1,140.80 $890–$1,426 varies
Chemodenerv Eccrine Glands (64650) $303.20 $379 1.0×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $303.20–$436 $379–$545 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $303.20–$436 $379–$545 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $303.20 $379 1.0×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $712 $890 1.0×
Chemodenervation of extraocular muscle (67345) $307.20 $384 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $303.20–$436 $379–$545 varies
Chest tube placement (32551) $3,300.80 $4,126 2.1×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $3,520.80 $4,401 1.6×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $6,128.80 $7,661 1.7×
Ciliary body destruction; cryotherapy Facility (66720) $1,624 $2,030 0.7×
Circumcision 28 days or older (54161) $2,104 $2,630 1.0×
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $686.40–$824.80 $858–$1,031 varies
Circumcision w/clamp/oth dev w/block (54150) $2,104 $2,630 1.0×
Cl Tx Scapular Fx; W Manip (23575) $2,527.20 $3,159 1.5×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $2,056.80–$2,392 $2,571–$2,990 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $132.80–$227.20 $166–$284 varies
Closed Rx Spontaneous Hip Disloc (27256) $417.60 $522 1.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $390.40 $488 1.5×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,527.20 $3,159 1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $246.40–$417.60 $308–$522 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $246.40 $308 1.0×
Closed Treatment Sesamoid Fracture (28530) $246.40 $308 1.0×
Closed Treatment Sternum Fracture (21820) $246.40 $308 1.0×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $246.40–$1,200 $308–$1,500 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,392 $2,990 1.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,821.60 $2,277 7.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $246.40–$1,656 $308–$2,070 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $246.40 $308 1.0×
Closed tx femoral fracture prox head w/o manj (27267) $3,336 $4,170 1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $246.40–$550.40 $308–$688 varies
Closed tx knee dislocation w/o anesthesia (27550) $458.40 $573 1.8×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,612 $3,265 1.6×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,648–$2,658.40 $2,060–$3,323 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $1,520–$2,720.80 $1,900–$3,401 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $3,336–$5,539.20 $4,170–$6,924 varies
Closed tx patellar dislocation w/anesthesia (27562) $929.60 $1,162 3.7×
Closed tx patellar dislocation w/o anesthesia (27560) $448.80 $561 1.8×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,648–$2,243.20 $2,060–$2,804 varies
Closed tx radial head/neck fx w/o manipulation (24650) $246.40 $308 1.0×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,648–$2,612 $2,060–$3,265 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $246.40 $308 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,243.20 $2,804 1.4×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $246.40 $308 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $437.60 $547 1.7×
Closed tx talotarsal joint dislc w/o anes (28570) $436 $545 1.7×
Closed Tx Talus Fracture W/Manipulation (28435) $2,527.20 $3,159 1.5×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $448.80 $561 1.8×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,648–$2,527.20 $2,060–$3,159 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $246.40 $308 1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $780.80 $976 3.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,388.80 $1,736 2.5×
Closure lacrimal punctum (68760) $307.20 $384 0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $500.80 $626 2.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $246.40 $308 1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,648–$2,507.20 $2,060–$3,134 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $246.40–$436 $308–$545 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,612 $3,265 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $246.40–$1,200 $308–$1,500 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,648 $2,060 1.0×
Clsr Lacrimal Punctum Plug Each (68761) $307.20 $384 0.9×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines		 $246.40–$473.60 $308–$592 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,612 $3,265 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $1,648–$2,243.20 $2,060–$2,804 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $246.40 $308 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,527.20 $3,159 1.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,648 $2,060 1.0×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $448.80 $561 1.8×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $246.40–$1,739.20 $308–$2,174 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $246.40–$1,656 $308–$2,070 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $246.40–$1,821.60 $308–$2,277 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $246.40–$1,656 $308–$2,070 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,648–$2,374.40 $2,060–$2,968 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,637.60 $3,297 1.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $3,072 $3,840 1.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $246.40 $308 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,764 $3,455 1.7×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $308–$458.40 $385–$573 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $246.40–$448.80 $308–$561 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $246.40 $308 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,392 $2,990 1.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $246.40–$420.80 $308–$526 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $246.40 $308 1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $246.40 $308 1.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,648 $2,060 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $3,017.60 $3,772 1.8×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,648 $2,060 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,243.20 $2,804 1.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $246.40 $308 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,648 $2,060 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $448.80 $561 1.8×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,814.40 $3,518 1.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,840 $2,300 6.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $246.40–$1,840 $308–$2,300 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,648–$2,392 $2,060–$2,990 varies
Cltx Medial Ankle Fx (27760) $246.40 $308 1.0×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $246.40–$1,821.60 $308–$2,277 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $246.40–$1,656 $308–$2,070 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,648 $2,060 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $246.40–$1,821.60 $308–$2,277 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $246.40–$1,656 $308–$2,070 varies
Cltx post hip arthrp dislc req anes (27266) $2,392 $2,990 1.5×
Cltx post hip arthrp dislc w/o anes (27265) $420.80 $526 1.7×
Cltx prox fibula/shft fx w/manj (27781) $2,612 $3,265 1.6×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,648–$3,568 $2,060–$4,460 varies
Cltx prox tibfib jt dislc w/o anes (27830) $246.40 $308 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $246.40–$916.80 $308–$1,146 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,352 $4,190 2.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,648–$2,374.40 $2,060–$2,968 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $1,648–$2,527.20 $2,060–$3,159 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,527.20 $3,159 1.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,072 $3,840 1.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 2 matching MRF lines		 $308–$485.60 $385–$607 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $456 $570 1.8×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $246.40–$420.80 $308–$526 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $2,392 $2,990 1.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $246.40 $308 1.0×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $6,134.40 $7,668 1.8×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines		 $132.80–$256 $166–$320 varies
Collection of venous blood by venipuncture (36415)
range across 13 matching MRF lines		 $16–$36 $20–$45 varies
Colonoscopy Flexible With Decompression (45393) $2,291.20 $2,864 1.9×
Colonoscopy Stoma Ablation Lesion (44401) $2,087.20 $2,609 1.7×
Colonoscopy Stoma Control Bleeding (44391) $2,087.20 $2,609 1.7×
Colonoscopy stoma w/balloon dilation (44405) $2,087.20 $2,609 1.7×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $2,400 $3,000 2.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $2,087.20 $2,609 1.7×
Colonoscopy Through Stoma With Decompression (44408) $2,087.20 $2,609 2.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $2,087.20 $2,609 1.7×
Colonoscopy thru stoma (44388) $1,814.40 $2,268 1.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,087.20 $2,609 1.7×
Colonoscopy w/ablation (45388) $2,291.20 $2,864 1.9×
Colonoscopy W/Band Ligation (45398) $2,425.60 $3,032 2.0×
Colonoscopy w/fb removal (45379) $2,545.60 $3,182 2.1×
Colonoscopy W/Resection (45390) $6,090.40 $7,613 2.1×
Colonoscopy w/stent plcmt (45389) $11,735.20 $14,669 1.9×
Colonoscopy w/submucosal inj (45381) $2,545.60 $3,182 2.1×
Colporrhaphy (57200) $4,970.40 $6,213 1.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $312.80 $391 1.0×
Colposcopy Cervix Endocervical Curettage (57456) $312.80 $391 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $207.20 $259 1.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $312.80 $391 1.0×
Colposcopy cervix vag eltrd conization cervix (57461) $3,272 $4,090 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,272 $4,090 1.0×
Colposcopy entire vagina w/cervix if present (57420) $312.80 $391 1.0×
Colposcopy of vulva (56820) $207.20 $259 1.0×
Colposcopy Vulva W/Biopsy (56821) $312.80 $391 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $895.20 $1,119 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,291.20 $2,864 1.9×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $2,291.20 $2,864 1.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,545.60 $3,182 2.1×
Complex Cystometrogram (51726) $460 $575 1.8×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $2,944–$4,731.20 $3,680–$5,914 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,272 $4,090 1.0×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $2,193.60 $2,742 0.9×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $2,400 $3,000 1.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $132.80–$278.40 $166–$348 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $132.80–$278.40 $166–$348 varies
Control oropharyngeal hemorrhage simple (42960) $1,358.40 $1,698 2.5×
Conversion ext bil drg cath (47535) $6,128.80 $7,661 1.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,357.60 $4,197 1.7×
Convert Nephrostomy Catheter (50434) $3,568.80 $4,461 1.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,846.40 $3,558 1.7×
Correction hammertoe (28285) $3,336 $4,170 1.0×
Correction of trichiasis; epilation, by forceps only (67820)
range across 2 matching MRF lines		 $132.80–$216.80 $166–$271 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,336 $4,170 1.0×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $523.20–$853.60 $654–$1,067 varies
Create Tear Sac-Nasal Fistula (68720) $4,887.20 $6,109 1.2×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772)
range across 2 matching MRF lines		 $992–$1,391.20 $1,240–$1,739 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $112.80 $141 1.9×
Csf shunt reprogram (62252) $655.20 $819 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $132.80–$278.40 $166–$348 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $238.40–$409.60 $298–$512 varies
Curettage postpartum (59160) $5,522.40 $6,903 1.7×
Curette/treat cornea (65435)
range across 2 matching MRF lines		 $992–$1,391.20 $1,240–$1,739 varies
Cysto Bladder W/Ureteral Catheterization (52005) $3,575.20 $4,469 1.7×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 3 matching MRF lines		 $2,104–$3,575.20 $2,630–$4,469 varies
Cysto w/insert ureteral stent (52332) $3,544 $4,430 1.0×
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $4,432.80–$6,179.20 $5,541–$7,724 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $2,104–$3,575.20 $2,630–$4,469 varies
Cysto w/ureter stricture tx (52341) $6,179.20 $7,724 1.7×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,544 $4,430 1.0×
Cystometrogram W/Up (51727) $686.40 $858 1.0×
Cystometrogram W/Vp (51728) $686.40 $858 1.0×
Cystometrogram W/Vp&Up (51729) $686.40 $858 1.0×
Cystoscopy implant stent (52282) $6,179.20 $7,724 1.7×
Cystostomy Cystotomy W/Drainage (51040) $3,553.60 $4,442 1.7×
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $686.40–$1,394.40 $858–$1,743 varies
Cystourethroscopy inj chemodenervation bladder (52287) $2,104 $2,630 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $629.60–$961.60 $787–$1,202 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $2,944–$4,731.20 $3,680–$5,914 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $723.20–$1,436 $904–$1,795 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $723.20–$1,436 $904–$1,795 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $652–$961.60 $815–$1,202 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $60.80–$648 $76–$810 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $60.80–$720 $76–$900 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $523.20 $654 0.9×
Debridement Mastoidectomy Cavity Simple (69220) $204 $255 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $410.40–$699.20 $513–$874 varies
Declot vascular device (36593)
range across 5 matching MRF lines		 $340.80–$560 $426–$700 varies
Decompressive fasciotomy hand (26037)
range across 2 matching MRF lines		 $3,336–$5,522.40 $4,170–$6,903 varies
Deep Muscle Biopsy (20205) $2,944 $3,680 1.0×
Delivery of placenta (59414) $4,696.80 $5,871 1.4×
Dermabrasion regional other than face (15782) $2,944 $3,680 1.0×
Dermabrasion segmental face (15781)
range across 2 matching MRF lines		 $723.20–$1,225.60 $904–$1,532 varies
Dermabrasion superficial any site (15783) $410.40 $513 1.0×
Dermabrasion total face (15780) $2,944 $3,680 1.0×
Destr W Neurolytic; Celiac Plexus (64680) $1,907.20 $2,384 2.1×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,888–$2,008 $2,360–$2,510 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $1,888–$2,008 $2,360–$2,510 varies
Destruc retinal lesn,photocoag (67210) $564 $705 1.0×
Destruct B9 Lesion 1-14 (17110) $204 $255 1.0×
Destruction Benign Lesions 15/> (17111) $204 $255 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $915.20 $1,144 1.0×
Destruction Lesions Vulva Extensive (56515) $1,880 $2,350 0.9×
Destruction Lesions Vulva Simple (56501) $1,880 $2,350 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $204 $255 1.0×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $204 $255 1.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $410.40 $513 1.0×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $629.60 $787 0.8×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $629.60 $787 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $204 $255 1.0×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $204 $255 1.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $204 $255 1.0×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $410.40 $513 1.0×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $410.40 $513 1.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $204 $255 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $204 $255 1.0×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $204 $255 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $204 $255 1.0×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $410.40 $513 1.0×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $410.40 $513 1.0×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $204 $255 1.0×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $410.40–$1,019.20 $513–$1,274 varies
Destruction Premalignant Lesion 15/> (17004) $410.40 $513 1.0×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $204–$314.40 $255–$393 varies
Destruction Vaginal Lesions Extensive (57065) $3,272 $4,090 1.0×
Destruction Vaginal Lesions Simple (57061) $3,272 $4,090 1.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $937.60–$1,742.40 $1,172–$2,178 varies
Diaphragm or cervical cap fitting with instructions (57170) $207.20 $259 1.0×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $1,216 $1,520 1.0×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $160.80 $201 1.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $132.80 $166 1.0×
Dilat Urethral Strix Dilator Male Sbsq (53601) $132.80 $166 1.0×
Dilate Esophagus 1/Mult Pass (43450) $1,601.60 $2,002 1.7×
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $686.40–$2,267.20 $858–$2,834 varies
Dilate Urethra Stricture (53600) $426.40 $533 1.7×
Dilation & curettage dx&/ther nonobstetric (58120) $3,272 $4,090 1.0×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $410.40 $513 0.9×
Dilation Salivary Duct (42650) $1,520 $1,900 1.0×
Discission of vitreous strands (without removal), pars plana approach Facility (67030) $2,358.40 $2,948 1.0×
Drain Cerebro Spinal Fluid (62272) $1,091.20 $1,364 1.5×
Drain Hand Tendon Sheath (26020) $5,738.40 $7,173 1.7×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $303.20–$876 $379–$1,095 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $723.20–$1,051.20 $904–$1,314 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $723.20–$1,051.20 $904–$1,314 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Drainage lymph node lesion (38305) $2,601.60 $3,252 0.9×
Drainage Mouth Roof Lesion (42000) $409.60 $512 1.7×
Drainage of eye (65800)
range across 3 matching MRF lines		 $2,344–$4,163.20 $2,930–$5,204 varies
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines		 $204–$408.80 $255–$511 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $132.80–$253.60 $166–$317 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Drainage of hydrocele (55000) $723.20 $904 1.0×
Drainage of nose lesion (30000) $400.80 $501 1.7×
Drainage of salivary gland (42305) $5,020 $6,275 1.5×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Drainage of scrotum (54700) $3,460 $4,325 1.6×
Drainage of skene's gland abscess or cyst (53060) $3,496.80 $4,371 1.6×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $132.80–$256 $166–$320 varies
Dressing Change Under Anesthesia (15852) $629.60 $787 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,051.20 $1,314 1.5×
Drg Absc Submaxillary/Sublingual Intraoral (42310)
range across 2 matching MRF lines		 $523.20–$1,117.60 $654–$1,397 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 4 matching MRF lines		 $410.40–$1,296 $513–$1,620 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 4 matching MRF lines		 $204–$403.20 $255–$504 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $204–$350.40 $255–$438 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $629.60 $787 0.8×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,880 $2,350 0.9×
Dstrj les/scar vestibule mouth physical meths (40820)
range across 2 matching MRF lines		 $3,336–$4,674.40 $4,170–$5,843 varies
Dstrj Lesion Penis Simple Cryosurgery (54056) $204 $255 1.0×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $1,880 $2,350 0.9×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $410.40 $513 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $915.20–$1,336.80 $1,144–$1,671 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $915.20 $1,144 1.0×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $2,944–$4,320 $3,680–$5,400 varies
Dx Bronchoscope/Lavage (31624) $2,331.20 $2,914 1.3×
Dx Bronchoscope/Wash (31622) $2,331.20 $2,914 1.3×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $1,776–$2,816 $2,220–$3,520 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,243.20 $1,554 1.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,199.20 $3,999 1.6×
Egd cautery tumor polyp (43250) $3,199.20 $3,999 1.6×
Egd control bleeding any (43255) $3,199.20 $3,999 1.6×
Egd dilation gastric/duodenal stricture (43245) $3,199.20 $3,999 1.6×
Egd endo mucosal resection (43254) $3,199.20 $3,999 1.6×
Egd Endoscopic Stent Place (43266) $8,527.20 $10,659 1.4×
Egd Flexible Foreign Body Removal (43247) $1,704 $2,130 1.8×
Egd guide wire insertion (43248) $1,672.80 $2,091 1.8×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $3,199.20 $3,999 1.6×
Egd lesion ablation (43270) $4,362.40 $5,453 2.2×
Egd place gastrostomy tube (43246) $3,199.20 $3,999 1.6×
Egd remove lesion snare (43251) $3,199.20 $3,999 1.6×
Egd Tube/Cath Insertion (43241) $3,199.20 $3,999 1.6×
Egd Varices Ligation (43244) $3,199.20 $3,999 1.6×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $308 $385 1.0×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)
range across 2 matching MRF lines		 $308–$532 $385–$665 varies
Electro-Uroflowmetry First (51741) $320 $400 1.5×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $11,008 $13,760 1.9×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $895.20–$1,239.20 $1,119–$1,549 varies
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $207.20–$486.40 $259–$608 varies
Endoscopy Upper Small Intestine (44360)
range across 2 matching MRF lines		 $1,952–$3,357.60 $2,440–$4,197 varies
Endoscopy upper small intestine w/biopsy (44361) $3,357.60 $4,197 1.7×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $5,248 $6,560 1.6×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,240 $4,050 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $3,240–$5,248 $4,050–$6,560 varies
Endoven ther chem adhes 1st (36482) $8,000 $10,000 1.4×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $3,357.60 $4,197 1.7×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $3,357.60 $4,197 1.7×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $3,357.60 $4,197 1.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $3,357.60 $4,197 1.7×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,880 $2,350 0.9×
Epidural Blood Patch (62273)
range across 5 matching MRF lines		 $712–$1,374.40 $890–$1,718 varies
Episiotomy or vaginal repair (59300)
range across 3 matching MRF lines		 $3,272–$5,310.40 $4,090–$6,638 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $8,527.20 $10,659 1.4×
Ercp duct stent placement (43274) $8,527.20 $10,659 1.4×
Ercp Dx Collection Specimen Brushing/Washing (43260) $5,356.80 $6,696 1.4×
Ercp ea duct/ampulla dilate (43277) $5,356.80 $6,696 1.4×
Ercp remove calculi/debris biliary/pancreas duct (43264) $6,064.80 $7,581 1.5×
Ercp remove forgn body duct (43275) $5,356.80 $6,696 2.7×
Ercp Stent Exchange W/Dilate (43276) $8,527.20 $10,659 1.4×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $5,356.80 $6,696 1.4×
Ercp W/Biopsy Single/Multiple (43261) $5,356.80 $6,696 1.4×
Ercp,Sphincterotomy (43262) $5,356.80 $6,696 1.4×
Esoph Scope W/Submucous Inj (43201) $3,199.20 $3,999 1.6×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,172 $2,715 2.3×
Esophagosc Dilate Balloon 30 (43214) $3,199.20 $3,999 1.6×
Esophagoscop Mucosal Resect (43211) $3,199.20 $3,999 1.6×
Esophagoscop Stent Placement (43212) $8,527.20 $10,659 1.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $3,199.20 $3,999 1.6×
Esophagoscopy Flex Transoral Injection Varices (43204) $3,199.20 $3,999 1.6×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $3,357.60 $4,197 1.7×
Esophagoscopy Flexible Guide Wire Dilation (43226) $3,199.20 $3,999 1.6×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,444 $1,805 1.6×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $1,444 $1,805 1.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,593.60 $1,992 1.7×
Esophagoscopy Flexible W/Bleeding Control (43227) $3,199.20 $3,999 1.6×
Esophagoscopy Retro Balloon (43213) $3,199.20 $3,999 1.6×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $3,199.20 $3,999 1.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,199.20 $3,999 1.6×
Esophagoscp Guide Wire Dilat (43196) $5,951.20 $7,439 3.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $3,199.20 $3,999 1.6×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $132.80–$212 $166–$265 varies
Exc arm/elbow les sc < 3 cm (24075) $1,664 $2,080 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $723.20–$1,368 $904–$1,710 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,664 $2,080 1.0×
Exc Back Les Sc < 3 Cm (21930) $1,664 $2,080 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $3,936 $4,920 1.0×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $3,260 $4,075 1.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $723.20–$1,235.20 $904–$1,544 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $723.20–$1,470.40 $904–$1,838 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,664 $2,080 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $1,664 $2,080 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $723.20–$1,368 $904–$1,710 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $723.20–$1,504.80 $904–$1,881 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $723.20–$1,656 $904–$2,070 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,664 $2,080 1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,664 $2,080 1.0×
Exc Forearm Les Sc 3 Cm/> (25071) $1,664 $2,080 1.0×
Exc Frenum Labial/Buccal (40819) $2,544.80 $3,181 1.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,664–$2,641.60 $2,080–$3,302 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $723.20–$2,641.60 $904–$3,302 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,664–$2,875.20 $2,080–$3,594 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 2 matching MRF lines		 $992–$1,606.40 $1,240–$2,008 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,648 $2,060 1.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,648 $2,060 1.0×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,336 $4,170 1.0×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,336 $4,170 1.0×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,336 $4,170 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $2,008 $2,510 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $723.20 $904 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,664 $2,080 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,944 $3,680 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Exc Skin Benig >4cm Face,Facial (11446) $2,944 $3,680 1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,664 $2,080 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,944 $3,680 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,664 $2,080 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $2,944 $3,680 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,216–$2,088 $1,520–$2,610 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $410.40–$1,504.80 $513–$1,881 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $723.20–$1,655.20 $904–$2,069 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,664 $2,080 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,944 $3,680 1.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,944 $3,680 1.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,664 $2,080 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,664 $2,080 1.0×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,664 $2,080 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,664 $2,080 1.0×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,944 $3,680 1.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,336 $4,170 1.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,648 $2,060 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,128.80 $7,661 1.7×
Exchange Intraocular Lens (66986) $1,710.40 $2,138 0.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,372.80 $4,216 1.6×
Exchange Transfusion Blood Newborn (36450) $752.80 $941 1.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 3 matching MRF lines		 $3,003.20–$3,004.80 $3,754–$3,756 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $3,336 $4,170 1.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 3 matching MRF lines		 $1,520–$2,676 $1,900–$3,345 varies
Excise breast duct fistula (19112) $3,936 $4,920 1.0×
Excise excessive skin arm (15836) $2,944 $3,680 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $723.20 $904 1.0×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $2,400 $3,000 1.0×
Excision Aural Polyp (69540) $1,520 $1,900 1.0×
Excision Chalazion Multiple Same Lid (67801) $992 $1,240 1.0×
Excision Chalazion Single (67800)
range across 2 matching MRF lines		 $307.20–$473.60 $384–$592 varies
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,944 $3,680 1.0×
Excision External Ear Partial Simple Repair (69110) $2,944 $3,680 1.0×
Excision H/P/P/U Complex Repair (11471) $2,944 $3,680 1.0×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,944 $3,680 1.0×
Excision Hidradenitis Axillary Complex Repair (11451) $2,944 $3,680 1.0×
Excision Hidradenitis Inguinal Complex Repair (11463) $2,944 $3,680 1.0×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,944 $3,680 1.0×
Excision Lesion Conjunctiva </1 Cm (68110)
range across 2 matching MRF lines		 $2,400–$3,260 $3,000–$4,075 varies
Excision lesion conjunctiva > 1 cm (68115) $2,400 $3,000 1.0×
Excision Lesion Cornea Xcp Pterygium (65400)
range across 2 matching MRF lines		 $992–$1,391.20 $1,240–$1,739 varies
Excision lesion mouth roof (42104) $3,336 $4,170 1.0×
Excision Lesion Tongue W/O Closure (41110) $3,336 $4,170 1.0×
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $1,520–$2,113.60 $1,900–$2,642 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $723.20 $904 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $723.20 $904 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $410.40 $513 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $723.20 $904 1.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $723.20–$1,152 $904–$1,440 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,664 $2,080 1.0×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,944 $3,680 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,664 $2,080 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $723.20 $904 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $723.20 $904 1.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,664 $2,080 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $4,644 $5,805 1.6×
Excision nasal polyp(s) simple (30110) $1,520 $1,900 1.0×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) $7,360 $9,200 1.0×
Excision of chalazion; multiple, different lids (67805) $307.20 $384 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $2,944 $3,680 1.0×
Excision of vaginal cyst or tumor (57135) $3,272 $4,090 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,944 $3,680 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,944 $3,680 1.0×
Excision soft tissue lesion, external auditory canal (69145) $2,944 $3,680 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,664 $2,080 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,944 $3,680 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,664 $2,080 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,664 $2,080 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,664 $2,080 1.0×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $2,944 $3,680 1.0×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $2,944 $3,680 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,648 $2,060 1.0×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $1,880 $2,350 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,944 $3,680 1.0×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,664 $2,080 1.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,944 $3,680 1.0×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,664 $2,080 1.0×
Excision/destruction intranasal lesion int appr (30117) $3,336 $4,170 1.0×
Excision/destruction lesion pharynx any method (42808) $3,336 $4,170 1.0×
Excision/Transposition Pterygium W/Grafg (65426)
range across 2 matching MRF lines		 $2,400–$2,980 $3,000–$3,725 varies
Excision/Transposition Pterygium W/O Graft (65420) $1,624 $2,030 0.7×
Expl penetrating wound spx abdomen/flank/back (20102) $2,888 $3,610 1.4×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,664–$3,512.80 $2,080–$4,391 varies
Exploration penetrating wound spx chest (20101) $3,080.80 $3,851 1.5×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,664–$2,891.20 $2,080–$3,614 varies
Extensive Retinopathy 1/> Sess Preterm Infant (67229)
range across 2 matching MRF lines		 $880–$1,598.40 $1,100–$1,998 varies
External cephalic version (59412) $4,970.40 $6,213 1.5×
Extraction of lens (66940)
range across 2 matching MRF lines		 $2,344–$2,532.80 $2,930–$3,166 varies
Extraction of lens (66930) $3,893.60 $4,867 0.9×
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 2 matching MRF lines		 $2,344–$3,553.60 $2,930–$4,442 varies
Eye surgery procedure (67299) $2,010.40 $2,513 0.9×
Fasciotomy palmar percutaneous (26040) $1,648 $2,060 1.0×
Fetal Contraction Stress Test (59020) $207.20 $259 1.0×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $207.20–$400 $259–$500 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,472.80 $4,341 1.6×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $723.20–$1,252.80 $904–$1,566 varies
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $723.20 $904 1.0×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $308.80–$1,198.40 $386–$1,498 varies
Fluid Pressure Muscle (20950) $1,172.80 $1,466 1.6×
Fluoro exam of g/colon tube (49465) $462.40 $578 1.9×
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines		 $723.20–$1,252.80 $904–$1,566 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $723.20–$1,252.80 $904–$1,566 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $250.40–$458.40 $313–$573 varies
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170)
range across 2 matching MRF lines		 $2,344–$2,989.60 $2,930–$3,737 varies
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $3,327.20 $4,159 1.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $1,880–$2,909.60 $2,350–$3,637 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,880 $2,350 0.9×
Fusion of foot bones (28740) $9,528 $11,910 1.3×
Goniotomy (65820) $5,309.60 $6,637 1.3×
Guide Cathet Fluid Drainage (10030) $1,139.20 $1,424 1.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $5,588 $6,985 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $937.60–$2,972.80 $1,172–$3,716 varies
Hysteroscopy Biopsy (58558) $3,272 $4,090 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,272 $4,090 1.0×
I&d abscess peritonsillar (42700)
range across 3 matching MRF lines		 $238.40–$1,119.20 $298–$1,399 varies
I&d abscess simple (10060)
range across 5 matching MRF lines		 $204–$468 $255–$585 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $4,731.20 $5,914 1.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,944 $3,680 1.0×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,336 $4,170 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $937.60–$2,016 $1,172–$2,520 varies
I&d pilonidal cyst complicated (10081) $723.20 $904 1.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $723.20–$1,051.20 $904–$1,314 varies
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,748 $2,185 2.6×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,591.20 $1,989 1.7×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,591.20 $1,989 1.7×
Image Cath Fluid Colxn Visc (49405) $2,785.60 $3,482 1.7×
Image Cath Fluid Peri/Retro (49406) $2,836.80 $3,546 1.7×
Image Cath Fluid Trns/Vgnl (49407) $2,836.80 $3,546 1.7×
Implant neuroelectrodes (63650) $6,720 $8,400 1.0×
Implant Neuroelectrodes (64561) $6,720 $8,400 1.0×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $250.40–$2,721.60 $313–$3,402 varies
Incise/Drain Conjunctiva (68020)
range across 2 matching MRF lines		 $992–$1,537.60 $1,240–$1,922 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $410.40–$577.60 $513–$722 varies
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $1,664–$2,883.20 $2,080–$3,604 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $410.40–$608 $513–$760 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $207.20–$400 $259–$500 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $312.80–$543.20 $391–$679 varies
Incision Drainage Lacrimal Sac (68420) $3,121.60 $3,902 1.3×
Incision of eardrum (69420) $238.40 $298 1.0×
Incision of Foot Tendon (28234) $1,648 $2,060 1.0×
Incision of lingual frenum (frenotomy) (41010)
range across 3 matching MRF lines		 $1,520–$2,676 $1,900–$3,345 varies
Incision of rectal abscess (46040) $2,351.20 $2,939 1.9×
Incision of urethra (53020) $3,629.60 $4,537 1.7×
Incisional biopsy eyelid skin & lid margin (67810) $307.20 $384 0.9×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $652–$1,060.80 $815–$1,326 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $204–$350.40 $255–$438 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 6 matching MRF lines		 $915.20–$2,673.60 $1,144–$3,342 varies
Inj W/Fluor Eval Cv Device (36598) $521.60 $652 2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 6 matching MRF lines		 $915.20–$2,673.60 $1,144–$3,342 varies
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $340.80–$641.60 $426–$802 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $303.20–$486.40 $379–$608 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $915.20–$1,521.60 $1,144–$1,902 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $915.20–$1,336.80 $1,144–$1,671 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $712–$1,443.20 $890–$1,804 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $915.20 $1,144 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $303.20–$428.80 $379–$536 varies
Injection Anes Superior Hypogastric Plexus (64517) $915.20 $1,144 1.0×
Injection anesthetic agent suprascapular nerve (64418)
range across 4 matching MRF lines		 $712–$1,081.60 $890–$1,352 varies
Injection enzyme palmar fascial cord (20527) $303.20 $379 1.0×
Injection for identification of sentinel node (38792) $695.20 $869 1.7×
Injection medication/other subst tenon capsule (67515) $307.20 $384 0.9×
Injection procedure for peyronie disease (54200) $250.40 $313 1.0×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $303.20–$486.40 $379–$608 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 6 matching MRF lines		 $303.20–$576 $379–$720 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $303.20–$662.40 $379–$828 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $2,264 $2,830 1.4×
Injection therapeutic carpal tunnel (20526) $303.20 $379 1.0×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $915.20–$1,521.60 $1,144–$1,902 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 5 matching MRF lines		 $712–$1,152.80 $890–$1,441 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 7 matching MRF lines		 $712–$2,400.80 $890–$3,001 varies
Injection, anesthetic agent; vagus nerve (64408) $303.20 $379 1.0×
Injection, Intralesional; More Than 7 Lesions (11901) $204 $255 1.0×
Injection, intralesional; up to and including 7 lesions (11900) $204 $255 1.0×
Injx anterior chamber eye air/liquid spx (66020) $2,344 $2,930 1.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $2,762.40 $3,453 3.1×
Ins cath ren art 1st bilat (36252) $5,368.80 $6,711 1.7×
Ins cath ren art 1st unilat (36251) $5,368.80 $6,711 1.7×
Ins cath ren art 2nd+ bilat (36254) $5,368.80 $6,711 1.7×
Ins cath ren art 2nd+ unilat (36253) $5,368.80 $6,711 0.9×
Ins endovas vena cava filtr (37191) $8,976.80 $11,221 1.6×
Ins Vag Brachytx Device (57156) $440.80 $551 1.4×
Insert 1 Electrode Pm-Defib (33216) $17,727.20 $22,159 2.1×
Insert and remove bone pin (20650)
range across 2 matching MRF lines		 $3,336–$5,310.40 $4,170–$6,638 varies
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $3,302.40 $4,128 0.8×
Insert Bladder Cath Complex (51703) $160.80 $201 1.2×
Insert cath pleura w/ image (32557) $2,601.60 $3,252 1.6×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $312.80–$560 $391–$700 varies
Insert Drug Implant Device (11981) $132.80 $166 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $3,008.80 $3,761 1.5×
Insert hepatic shunt (tips) (37182) $18,032 $22,540 1.0×
Insert Nasal Septal Button (30220) $1,520 $1,900 1.0×
Insert non-tunnel cv cath (36556)
range across 6 matching MRF lines		 $3,240–$4,888 $4,050–$6,110 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $207.20–$343.20 $259–$429 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 5 matching MRF lines		 $1,600–$2,401.60 $2,000–$3,002 varies
Insert Temp Bladder Cath (51702) $132.80 $166 1.0×
Insert tun ip cath perc (49418) $5,791.20 $7,239 1.6×
Insert tunneled cv cath (36561) $4,957.60 $6,197 1.5×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $8,483.20 $10,604 1.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $132.80–$227.20 $166–$284 varies
Insertion indwelling tunneled pleural catheter (32550) $5,791.20 $7,239 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 6 matching MRF lines		 $1,600–$2,601.60 $2,000–$3,252 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,042.40 $10,053 1.0×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985)
range across 2 matching MRF lines		 $2,344–$2,363.20 $2,930–$2,954 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 4 matching MRF lines		 $3,240–$4,888 $4,050–$6,110 varies
Insj Picc Rs&I <5 Yr (36572)
range across 6 matching MRF lines		 $636–$1,670.40 $795–$2,088 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 5 matching MRF lines		 $1,600–$2,401.60 $2,000–$3,002 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,957.60 $6,197 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 3 matching MRF lines		 $39,605.60–$43,566.40 $49,507–$54,458 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,321.60 $5,402 0.5×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $7,366.40–$8,042.40 $9,208–$10,053 varies
Int hrhc by ligation single hroid w/o img gdn (46945) $4,526.40 $5,658 1.6×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,944 $2,430 1.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $410.40–$1,825.60 $513–$2,282 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $410.40–$2,592 $513–$3,240 varies
Intranasal Biopsy (30100) $1,520 $1,900 1.0×
Intraoral i&d tongue/floor lingual (41000) $1,696.80 $2,121 3.1×
Intraoral i&d tongue/floor submndblr space (41008) $4,438.40 $5,548 1.3×
Intro cath dialysis circuit (36901) $3,371.20 $4,214 2.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $13,219.20 $16,524 1.1×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $12,004 $15,005 2.1×
Intro Gastrointestinal Tube (44500) $1,479.20 $1,849 1.6×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $440.80–$640 $551–$800 varies
Iridoplasty photocoagulation 1/> sessions (66762) $564 $705 1.0×
Iridotomy/irridectomy laser surg per session (66761) $564 $705 1.0×
Irrigation maxillary sinus (31000) $238.40 $298 1.0×
Irrigation of corpora cavernosa for priapism (54220) $458.40 $573 1.8×
Keratoplasty (corneal transplant); endothelial (65756) $2,980 $3,725 0.7×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $4,136 $5,170 1.0×
Kidney endoscopy (50553) $6,138.40 $7,673 1.1×
Labyrinthotomy Transcanal (69801) $1,520 $1,900 1.0×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $200–$344.80 $250–$431 varies
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $200–$276 $250–$345 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $399.20 $499 1.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $344.80 $431 1.7×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,792 $4,740 1.0×
Laryngoscopy W/Foreign Body Removal (31530) $3,464 $4,330 1.9×
Laser Surgery of Cervix (57513) $3,272 $4,090 1.0×
Laser Surgery,Sever Vitreous Strands (67031) $564 $705 1.0×
Laser treatment of retina (67040) $6,868.80 $8,586 1.6×
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,880–$3,023.20 $2,350–$3,779 varies
Ligation of a-v fistula (37607) $3,240 $4,050 1.0×
Ligation of hemorrhoids (46946) $2,816 $3,520 1.0×
Ligation or biopsy temporal artery (37609) $1,664 $2,080 1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $3,240 $4,050 1.0×
Lip Surgery Procedure (40799) $1,347.20 $1,684 5.6×
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines		 $6,689.60–$11,188.80 $8,362–$13,986 varies
Lyse chest fibrin init day (32561) $887.20 $1,109 1.4×
Lyse Chest Fibrin Subq Day (32562) $887.20 $1,109 1.4×
Maniplatn palar fascial crd post inj single cord (26341) $246.40 $308 1.0×
Maternity Care Procedure (59899) $596 $745 2.9×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,601.60 $3,252 1.6×
Mech remov tunneled cv cath (36595) $4,957.60 $6,197 1.5×
Middle ear surgery proc unlisted (69799) $238.40 $298 1.0×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $629.60 $787 0.8×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $629.60 $787 0.8×
Myelography Lumbar Injection (62305) $1,240 $1,550 1.5×
Myelography Lumbar Injection (62304) $1,240 $1,550 1.5×
Myelography via lumbar injection rs&i cervical (62302) $1,240 $1,550 1.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,240 $1,550 1.5×
Myringoplasty (69620) $3,336 $4,170 1.0×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $915.20–$1,336.80 $1,144–$1,671 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines		 $712–$1,019.20 $890–$1,274 varies
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $712–$1,081.60 $890–$1,352 varies
N Block Inj Paracervical (64435) $712 $890 1.0×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $303.20–$453.60 $379–$567 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $915.20–$1,020 $1,144–$1,275 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $915.20–$2,752 $1,144–$3,440 varies
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $200–$315.20 $250–$394 varies
Nasal surgery procedure (30999) $1,347.20 $1,684 5.6×
Nasal/Orogastric W/Tube Plmt (43752) $656.80 $821 1.4×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,776 $2,220 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 3 matching MRF lines		 $1,776–$3,081.60 $2,220–$3,852 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $7,120 $8,900 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $7,120 $8,900 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $7,120 $8,900 1.0×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $9,400 $11,750 1.3×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $2,331.20 $2,914 1.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $250.40 $313 1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,601.60 $2,002 1.7×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,842.40 $2,303 1.9×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Needle Biopsy Pancreas (48102) $2,785.60 $3,482 1.7×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 3 matching MRF lines		 $24.80–$40 $31–$50 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $52.80–$60 $66–$75 varies
Neuro csf detcj prion prtn quakg conf conv qual (0584U) $16 $20 0.0×
Neuroeltrd Stim Post Tibial (64566) $303.20 $379 1.0×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,740 $2,175 2.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $368–$528 $460–$660 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,060 $3,825 1.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines		 $915.20–$4,444 $1,144–$5,555 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $303.20–$640 $379–$800 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $6,268.80 $7,836 1.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $6,268.80 $7,836 1.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 6 matching MRF lines		 $915.20–$2,673.60 $1,144–$3,342 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines		 $712–$1,081.60 $890–$1,352 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 3 matching MRF lines		 $712–$1,212 $890–$1,515 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $915.20–$1,521.60 $1,144–$1,902 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines		 $712–$1,081.60 $890–$1,352 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $915.20–$1,603.20 $1,144–$2,004 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,918.40 $4,898 1.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,150.40 $1,438 1.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,150.40 $1,438 1.6×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $410.40–$936 $513–$1,170 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $410.40–$1,029.60 $513–$1,287 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $410.40–$1,520 $513–$1,900 varies
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) $250.40 $313 1.0×
Occipital Nerve Block (64405)
range across 5 matching MRF lines		 $303.20–$800 $379–$1,000 varies
Onc urothelial cancer RNA rt-PCR fgfr3 gene alys (0154U) $1,463.20 $1,829 3.0×
Open Tx Distal Phalangeal Fracture Each (26765) $4,940.80 $6,176 1.5×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $6,606.40 $8,258 2.0×
Open tx interphalangeal joint dislocation (26785) $5,217.60 $6,522 1.6×
Open/Perq Place Stent 1St (37236) $13,219.20 $16,524 1.1×
Open/Perq Place Stent Same (37238) $13,219.20 $16,524 1.1×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $2,519.20 $3,149 1.0×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $2,519.20 $3,149 1.0×
Ostc prtl exostc/condylc metar head (28288) $3,336 $4,170 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,336 $4,170 1.0×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $1,297.60 $1,622 0.6×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,648–$2,612 $2,060–$3,265 varies
Partial removal of toe (28160)
range across 2 matching MRF lines		 $3,336–$5,217.60 $4,170–$6,522 varies
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $3,336–$5,522.40 $4,170–$6,903 varies
Pelvic examination under anesthesia (other than local) (57410) $4,779.20 $5,974 1.4×
Penile Injection (54235) $250.40 $313 1.0×
Penile Plethysmography (54240) $320 $400 1.5×
Perc Cryo Ablate Renal Tum (50593) $15,108 $18,885 1.4×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,932.80 $2,416 1.4×
Perc Rf Ablate Renal Tumor (50592) $8,928 $11,160 1.4×
Percut Ablate Liver Rf (47382) $9,447.20 $11,809 1.5×
Percut Cath Occlusn Non Cns Lesn (61626) $12,629.60 $15,787 1.1×
Percut Drain/Inject Renal Cyst (50390) $1,139.20 $1,424 1.6×
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,519.20 $8,149 2.0×
Pericardiocentesis W/Imaging (33016) $3,371.20 $4,214 2.1×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $960–$1,602.40 $1,200–$2,003 varies
Perm Occlusion/Embolization,Percut,Cns (61624) $27,865.60 $34,832 1.5×
Perq Cervicothoracic Inject (22510) $5,568 $6,960 1.7×
Perq dev breast 1st mr guide (19287) $1,243.20 $1,554 1.7×
Perq dev breast 1st strtctc (19283) $1,243.20 $1,554 1.7×
Perq dev breast 1st us imag (19285) $2,080.80 $2,601 2.9×
Perq device breast 1st imag (19281) $2,460.80 $3,076 1.5×
Perq Lumbosacral Injection (22511) $5,568 $6,960 1.7×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $9,126.40 $11,408 1.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,184.80 $1,481 1.6×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $13,219.20 $16,524 1.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $12,004 $15,005 2.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $15,766.40 $19,708 2.1×
Perq Vertebral Augmentation (22513) $15,766.40 $19,708 2.1×
Phleb Veins - Extrem 20+ (37766) $4,957.60 $6,197 1.5×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $992 $1,240 1.0×
Place Cath Subclavian Art (36225) $5,368.80 $6,711 1.7×
Place Cath Thoracic Aorta (36221) $5,368.80 $6,711 1.7×
Place Cath Vertebral Art (36226) $9,255.20 $11,569 1.6×
Place Duod/Jej Tube Perc (49441) $3,008.80 $3,761 1.5×
Place Rt Device/Marker Pros (55876) $2,496.80 $3,121 1.8×
Placement Needle Pelvic Organ Radioelement Appl (55920) $4,699.20 $5,874 0.9×
Placement of needle for intraosseous infusion (36680) $692.80 $866 1.5×
Placement of seton (46020) $2,816 $3,520 1.0×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $5,600 $7,000 0.8×
Plmt Bile Duct Stent Prq Existing Access (47538) $8,176.80 $10,221 1.3×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $9,447.20 $11,809 1.5×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $9,447.20 $11,809 1.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,568.80 $4,461 1.7×
Plmt Nephroureteral Catheter (50433) $5,562.40 $6,953 1.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $5,924.80 $7,406 1.6×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,675.20 $4,594 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $5,924.80 $7,406 1.6×
Prim art mech thrombectomy (37184) $10,703.20 $13,379 0.6×
Probe lacrimal canaliculi w/wo irrigation (68840)
range across 2 matching MRF lines		 $307.20–$400 $384–$500 varies
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815)
range across 2 matching MRF lines		 $2,400–$3,427.20 $3,000–$4,284 varies
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $1,397.60 $1,747 0.6×
Probing nasolacrimal duct (68810)
range across 3 matching MRF lines		 $307.20–$510.40 $384–$638 varies
Proctopexy Perineal Approach (45541) $5,914.40 $7,393 2.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,742.40 $2,178 1.8×
Proctosgmdsc Rigid Control Bleeding (45317) $2,545.60 $3,182 2.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $5,459.20 $6,824 1.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $2,545.60 $3,182 2.1×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 2 matching MRF lines		 $564–$880 $705–$1,100 varies
Prostatic Rf Thermotx (53852) $3,544 $4,430 1.0×
Prostatotomy external drg abscess simple (55720) $3,148.80 $3,936 0.9×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,139.20 $1,424 1.6×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $6,720 $8,400 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $5,304 $6,630 1.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,304 $6,630 1.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,336 $4,170 1.0×
Pseudoaneurysm Injection Trt (36002) $1,445.60 $1,807 2.3×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $410.40–$608 $513–$760 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 6 matching MRF lines		 $410.40–$618.40 $513–$773 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $723.20–$1,047.20 $904–$1,309 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,081.60 $1,352 1.5×
Push Transfusion Blood 2 Yr/Under (36440) $651.20 $814 1.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,008 $2,510 1.0×
Reconstruction Nail Bed W/Graft (11762) $1,880 $2,350 0.9×
Redo Endovas Vena Cava Filtr (37192) $5,884.80 $7,356 1.8×
Reduction of rectal prolapse (45900) $1,480.80 $1,851 1.6×
Rem Endovas Vena Cava Filter (37193) $5,884.80 $7,356 1.8×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,564.80 $1,956 1.7×
Removal Embedded Foreign Body Eyelid (67938)
range across 3 matching MRF lines		 $307.20–$620.80 $384–$776 varies
Removal Foreign Body Deep Thigh/Knee (27372) $4,731.20 $5,914 1.6×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,664–$2,778.40 $2,080–$3,473 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $723.20–$1,775.20 $904–$2,219 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,664–$2,736 $2,080–$3,420 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $60.80–$114.40 $76–$143 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $60.80–$97.60 $76–$122 varies
Removal Implant Deep (20680) $2,944 $3,680 1.0×
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $1,664–$2,881.60 $2,080–$3,602 varies
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $723.20–$1,152 $904–$1,440 varies
Removal of brow wrinkles (15826) $3,768 $4,710 1.0×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $410.40–$692.80 $513–$866 varies
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) $1,016 $1,270 0.4×
Removal of heel spur (28119) $3,336 $4,170 1.0×
Removal of implanted material, anterior segment of eye (65920)
range across 2 matching MRF lines		 $1,297.60–$2,344 $1,622–$2,930 varies
Removal of lens material (66852) $3,596 $4,495 0.9×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $410.40–$813.60 $513–$1,017 varies
Removal of sesamoid bone (28315) $3,336 $4,170 1.0×
Removal of skin wrinkles (15829) $3,768 $4,710 1.0×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $6,741.60–$11,152 $8,427–$13,940 varies
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $272.80–$468.80 $341–$586 varies
Removal Pacemaker Electrode (33235) $7,795.20 $9,744 2.0×
Removal peritoneal-venous shunt (49429) $5,609.60 $7,012 1.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $204–$350.40 $255–$438 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,771.20 $2,214 2.4×
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $1,880–$2,504.80 $2,350–$3,131 varies
Removal sweat gland lesion (11450) $2,944 $3,680 1.0×
Removal tong/halo applied by another individual (20665) $410.40 $513 0.9×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $272.80–$464.80 $341–$581 varies
Remove Brain Cavity Fluid (61020) $1,443.20 $1,804 1.6×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $410.40–$692.80 $513–$866 varies
Remove eye lesion (66130) $1,235.20 $1,544 0.5×
Remove eye/attach implant (65105) $3,508.80 $4,386 0.9×
Remove Forearm Foreign Body (25248) $1,648 $2,060 1.0×
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $2,019.20–$2,344 $2,524–$2,930 varies
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $132.80–$224 $166–$280 varies
Remove hip pressure sore (15941) $2,944 $3,680 1.0×
Remove hip pressure sore (15940) $2,944 $3,680 1.0×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $312.80–$486.40 $391–$608 varies
Remove intrvas foreign body (37197) $6,519.20 $8,149 2.0×
Remove lung catheter (32552)
range across 3 matching MRF lines		 $636–$1,219.20 $795–$1,524 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $132.80–$227.20 $166–$284 varies
Remove renal tube w/fluoro (50389) $1,191.20 $1,489 1.7×
Remove Shoulder Foreign Body (23330) $2,891.20 $3,614 1.7×
Remove Skin Nerve Lesion (64774) $2,008 $2,510 1.0×
Remove Tendon Sheath Lesion (26160) $1,648 $2,060 1.0×
Remove ureter stent percut (50384) $3,372.80 $4,216 1.6×
Remove/Insert Drug Implant (11983) $410.40 $513 0.9×
Remv&replc pm gen dual lead (33228) $31,382.40 $39,228 2.9×
Renal Biopsy Perq (50200) $2,680.80 $3,351 1.6×
Repair Blood Vessel Direct Hand Finger (35207) $6,236 $7,795 1.9×
Repair brow ptosis (67900)
range across 2 matching MRF lines		 $1,824.80–$2,400 $2,281–$3,000 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $629.60–$924 $787–$1,155 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $629.60–$1,062.40 $787–$1,328 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $410.40–$624 $513–$780 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $629.60–$924 $787–$1,155 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $629.60–$1,368 $787–$1,710 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $629.60–$1,504.80 $787–$1,881 varies
Repair complex trunk 1.1-2.5 cm (13100) $629.60 $787 0.8×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $629.60–$1,023.20 $787–$1,279 varies
Repair detached retina (67105) $564 $705 1.0×
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines		 $1,520–$2,400 $1,900–$3,000 varies
Repair Ectropion Suture (67914) $2,400 $3,000 1.0×
Repair Entropion Excision Tarsal Wedge (67923)
range across 2 matching MRF lines		 $1,520–$2,400 $1,900–$3,000 varies
Repair Entropion Extensive (67924) $2,400 $3,000 1.0×
Repair Entropion Suture (67921) $2,400 $3,000 1.0×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,648–$2,507.20 $2,060–$3,134 varies
Repair Eyelid Wound (67935)
range across 3 matching MRF lines		 $2,400–$4,076 $3,000–$5,095 varies
Repair Finger/Hand Tendon (26350) $5,244 $6,555 1.6×
Repair Hallux Rigidus (28289) $3,336 $4,170 1.0×
Repair Hand Tendon (26410) $2,637.60 $3,297 1.6×
Repair incomplete circumcision (54163) $4,156.80 $5,196 1.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $410.40–$1,368 $513–$1,710 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $410.40–$1,504.80 $513–$1,881 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $410.40–$1,655.20 $513–$2,069 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $410.40–$1,738.40 $513–$2,173 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $410.40 $513 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $629.60–$1,738.40 $787–$2,173 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $410.40–$1,368 $513–$1,710 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $410.40–$1,504.80 $513–$1,881 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $629.60–$1,655.20 $787–$2,069 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $1,880–$3,040.80 $2,350–$3,801 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $410.40–$1,738.40 $513–$2,173 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $399.20–$1,368 $499–$1,710 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $410.40–$1,504.80 $513–$1,881 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $629.60–$1,825.60 $787–$2,282 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $410.40–$1,655.20 $513–$2,069 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,880–$2,592 $2,350–$3,240 varies
Repair iris ciliary body (66680)
range across 2 matching MRF lines		 $1,297.60–$2,344 $1,622–$2,930 varies
Repair Laceration Palate </2 Cm (42180) $1,117.60 $1,397 2.0×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $712–$1,281.60 $890–$1,602 varies
Repair paravag defect vag (57285) $13,353.60 $16,692 1.8×
Repair retinal detach cplx (67113) $4,240 $5,300 0.8×
Repair Retinal Detachment Scleral Buckling (67107) $2,903.20 $3,629 0.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,217.60 $6,522 1.6×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $12,752 $15,940 1.7×
Repair tongue laceration (41252) $1,471.20 $1,839 6.1×
Repair tongue laceration (41250) $664.80 $831 1.5×
Replace duodenostomy/jejunostomy tube perq (49451) $1,479.20 $1,849 1.6×
Replace G-J Tube Perc (49452) $1,479.20 $1,849 1.6×
Replace g/c tube perc (49450) $1,479.20 $1,849 1.6×
Replantation digit complete (20822) $5,026.40 $6,283 3.1×
Reposition Gastrostomy Tube (43761) $456.80 $571 1.8×
Reposition Pacing-Defib Lead (33215) $6,741.60 $8,427 2.1×
Reposition Venous Catheter (36597) $2,601.60 $3,252 1.6×
Repositioning Io Lens Prosthesis Req Inc Spx (66825)
range across 2 matching MRF lines		 $1,710.40–$2,344 $2,138–$2,930 varies
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,336 $4,170 1.0×
Resection, partial or complete, phalangeal base, each toe (28126) $3,336 $4,170 1.0×
Retrobulbar injection (67500) $307.20 $384 0.9×
Revise Abdomen-Venous Shunt (49426) $6,629.60 $8,287 1.8×
Revise eye (65091) $2,519.20 $3,149 0.6×
Revise eyelashes (67825) $307.20 $384 0.9×
Revision of eyelid (67880) $2,400 $3,000 1.0×
Revision of lower leg tendon (27685) $3,336 $4,170 1.0×
Revj Shunt Extraocular Reservoir W/O Graft (66184)
range across 2 matching MRF lines		 $835.20–$2,344 $1,044–$2,930 varies
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $11,613.60 $14,517 2.0×
Revj/rpr oprative wound anterior segment (66250)
range across 2 matching MRF lines		 $2,400–$2,542.40 $3,000–$3,178 varies
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $12,455.20 $15,569 2.1×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $12,455.20 $15,569 2.1×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $40,116.80 $50,146 2.1×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $40,116.80 $50,146 2.1×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $40,116.80 $50,146 2.1×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $40,116.80 $50,146 2.1×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $25,263.20 $31,579 2.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $25,263.20 $31,579 2.1×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $25,261.60 $31,577 2.1×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $25,261.60 $31,577 2.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $12,455.20 $15,569 2.1×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $12,455.20 $15,569 2.1×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $25,263.20 $31,579 2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $25,263.20 $31,579 2.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $25,263.20 $31,579 2.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $25,263.20 $31,579 2.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $40,116.80 $50,146 2.1×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $40,116.80 $50,146 2.1×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $40,116.80 $50,146 2.1×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $40,116.80 $50,146 2.1×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $40,116.80 $50,146 2.1×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $40,116.80 $50,146 2.1×
Rhytidectomy Cheek Chin & Neck (15828) $3,768 $4,710 1.0×
Rhytidectomy Forehead (15824) $1,880 $2,350 0.9×
Rhytidectomy Neck W/Platysmal Tightening (15825) $3,768 $4,710 1.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,372.80 $4,216 1.6×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,400 $3,000 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,380.80 $1,726 1.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $1,664–$2,770.40 $2,080–$3,463 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $410.40–$612 $513–$765 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $132.80–$718.40 $166–$898 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines		 $410.40–$728 $513–$910 varies
Rmvl fecal impaction/fb spx under anes (45915) $2,525.60 $3,157 2.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $2,944–$4,731.20 $3,680–$5,914 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $4,693.60 $5,867 1.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,664 $2,080 1.0×
Rmvl implnt matl posterior segment extraocular (67120) $1,854.40 $2,318 0.8×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $2,331.20 $2,914 1.0×
Rmvl Lens Material Aspir Tq 1/> Stages (66840)
range across 2 matching MRF lines		 $1,710.40–$2,344 $2,138–$2,930 varies
Rmvl Lens Material Phacofragmentation Aspir (66850)
range across 2 matching MRF lines		 $1,601.60–$3,842.40 $2,002–$4,803 varies
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $7,795.20 $9,744 2.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 5 matching MRF lines		 $1,600–$2,401.60 $2,000–$3,002 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines		 $636–$1,309.60 $795–$1,637 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $1,560.80 $1,951 0.7×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,190.40 $2,738 0.9×
Rplc Gtube No Revj Trc (43762)
range across 6 matching MRF lines		 $250.40–$481.60 $313–$602 varies
Rplc gtube revj gstrst trc (43763)
range across 4 matching MRF lines		 $250.40–$583.20 $313–$729 varies
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $3,240–$4,803.20 $4,050–$6,004 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $1,600–$3,300.80 $2,000–$4,126 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 4 matching MRF lines		 $1,600–$2,601.60 $2,000–$3,252 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 3 matching MRF lines		 $3,240–$4,957.60 $4,050–$6,197 varies
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 2 matching MRF lines		 $1,520–$2,400 $1,900–$3,000 varies
Rpr blood vessel direct lower extremity (35226) $2,124 $2,655 2.9×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908)
range across 2 matching MRF lines		 $1,520–$2,400 $1,900–$3,000 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 2 matching MRF lines		 $1,600–$2,601.60 $2,000–$3,252 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $204–$533.60 $255–$667 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $629.60–$1,825.60 $787–$2,282 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $780.80 $976 3.2×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286)
range across 2 matching MRF lines		 $3,846.40–$4,163.20 $4,808–$5,204 varies
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $4,076 $5,095 1.7×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285)
range across 2 matching MRF lines		 $5,280–$7,560 $6,600–$9,450 varies
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275)
range across 2 matching MRF lines		 $3,880–$5,430.40 $4,850–$6,788 varies
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280)
range across 2 matching MRF lines		 $5,280–$7,200 $6,600–$9,000 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,388.80 $1,736 2.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,544.80 $3,181 1.6×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $2,344 $2,930 1.0×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $4,960 $6,200 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,217.60 $6,522 1.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 3 matching MRF lines		 $636–$1,670.40 $795–$2,088 varies
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $6,738.40 $8,423 1.7×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $5,244 $6,555 1.6×
Sclerotx Fluid Collection (49185) $1,144.80 $1,431 0.7×
Severing Adhesions Anterior Segment Laser Spx (65860) $564 $705 1.0×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $2,344 $2,930 1.0×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $1,297.60 $1,622 0.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,003.20 $2,504 2.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,003.20 $2,504 1.6×
Shave skin lesion 0.5 cm/< (11300) $410.40 $513 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $204 $255 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $410.40 $513 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $204 $255 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 3 matching MRF lines		 $204–$314.40 $255–$393 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $204 $255 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $410.40 $513 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $204 $255 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $410.40 $513 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $204 $255 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $410.40–$657.60 $513–$822 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $204 $255 1.0×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 3 matching MRF lines		 $3,336–$5,012 $4,170–$6,265 varies
Sigmoidoscopy & decompress (45337) $2,003.20 $2,504 2.1×
Sigmoidoscopy & Polypectomy (45333) $2,003.20 $2,504 2.1×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,304 $2,880 1.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $2,003.20 $2,504 1.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $2,003.20 $2,504 1.6×
Sigmoidoscopy w/fb removal (45332) $2,003.20 $2,504 1.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $937.60–$2,003.20 $1,172–$2,504 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,003.20 $2,504 1.6×
Simple Cystometrogram (51725) $320 $400 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $410.40–$613.60 $513–$767 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $204–$371.20 $255–$464 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines		 $204–$403.20 $255–$504 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $410.40–$705.60 $513–$882 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $204–$464 $255–$580 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $204–$810.40 $255–$1,013 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $204–$350.40 $255–$438 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $204–$705.60 $255–$882 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $204–$464 $255–$580 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $2,351.20–$3,202.40 $2,939–$4,003 varies
Skin sub graft face/nk/hf/g (15275) $1,880 $2,350 2.5×
Skin sub graft trnk/arm/leg (15271) $1,880 $2,350 2.5×
Skin sub grft t/arm/lg child (15273) $3,768 $4,710 1.8×
Skin Tissue Procedure (17999)
range across 4 matching MRF lines		 $204–$350.40 $255–$438 varies
Skn sub grft f/n/hf/g child (15277) $1,880 $2,350 0.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,255.20 $11,569 1.6×
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,368.80 $6,711 1.7×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $9,255.20 $11,569 1.6×
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $2,632.80–$3,496.80 $3,291–$4,371 varies
Small bowel endoscopy (44366) $3,357.60 $4,197 1.7×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $3,357.60 $4,197 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $204–$403.20 $255–$504 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $410.40–$576 $513–$720 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $410.40–$613.60 $513–$767 varies
Snip Incision Lacrimal Punctum (68440) $307.20 $384 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 6 matching MRF lines		 $712–$1,081.60 $890–$1,352 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,768 $4,710 1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $4,957.60–$9,915.20 $6,197–$12,394 varies
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $1,932 $2,415 0.8×
Strabismus Recession/Rescj 1 Ver Musc (67314) $1,932 $2,415 0.8×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $1,932 $2,415 0.5×
Strapping elbow or wrist (29260) $169.60 $212 2.8×
Strapping shoulder (29240) $212 $265 1.6×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $162.40–$275.20 $203–$344 varies
Subcutaneous Hormone Pellet Implantation (11980) $410.40 $513 0.9×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $204 $255 1.0×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $629.60 $787 0.8×
Suprachoroidal space njx pharmacologic agent (67516) $426.40 $533 1.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $1,742.40–$2,400 $2,178–$3,000 varies
Suture digital nerve hand/foot 1 nerve (64831) $9,083.20 $11,354 4.6×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $1,235.20 $1,544 0.5×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $368–$404 $460–$505 varies
Tattooing incl micropigmentation 6.0 cm/< (11920) $629.60 $787 0.8×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $629.60 $787 0.8×
Tcat Insj/Rpl Perm Ldls Pm (33274) $22,252 $27,815 1.1×
Tcat Rmvl Perm Ldls Pm (33275) $7,621.60 $9,527 2.4×
Temporary Closure Eyelids Suture (67875)
range across 2 matching MRF lines		 $992–$1,420 $1,240–$1,775 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $1,648 $2,060 1.0×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,648 $2,060 1.0×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,648 $2,060 1.0×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,212 $1,515 1.7×
Thrmbc/Nfs Dialysis Circuit (36906) $16,467.20 $20,584 0.9×
Thromblytic art/ven therapy (37213)
range across 3 matching MRF lines		 $3,240–$6,519.20 $4,050–$8,149 varies
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $5,520–$8,976.80 $6,900–$11,221 varies
Thrombolytic Therapy Stroke (37195) $656.80 $821 1.9×
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $3,240–$6,519.20 $4,050–$8,149 varies
Thyroid biopsy (60100)
range across 3 matching MRF lines		 $723.20–$1,119.20 $904–$1,399 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,880 $2,350 0.9×
Tooth extraction (41899) $1,848.80 $2,311 7.6×
Trabeculoplasty by laser surgery (65855) $564 $705 1.0×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,712.80 $2,141 3.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $2,016.80 $2,521 8.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,692.80 $3,366 1.7×
Tracheostomy planned (31600) $6,399.20 $7,999 1.9×
Transcatheter biopsy (37200) $6,720 $8,400 1.2×
Translum Dil Eye Canal (66174) $6,646.40 $8,308 1.6×
Transoral lower esophageal myotomy (43497) $7,827.20 $9,784 1.3×
Treat Hip Socket Fracture (27222) $493.60 $617 2.0×
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,648–$2,527.20 $2,060–$3,159 varies
Treat humerus fracture (23600) $246.40 $308 1.0×
Treat knee fracture (27532) $5,217.60 $6,522 1.6×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Treat metacarpal fracture (26607) $3,336 $4,170 1.0×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $246.40–$528 $308–$660 varies
Treat Tail Bone Fracture (27200) $246.40 $308 1.0×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $1,648–$2,527.20 $2,060–$3,159 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $246.40–$458.40 $308–$573 varies
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $207.20–$456.80 $259–$571 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $2,612 $3,265 1.6×
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $246.40–$618.40 $308–$773 varies
Treatment extensive retinopathy photocoagulation (67228)
range across 2 matching MRF lines		 $564–$880 $705–$1,100 varies
Treatment of gum lesion (41850) $1,520 $1,900 1.0×
Trim skin lesion (11055) $204 $255 1.0×
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $204–$314.40 $255–$393 varies
Trim skin lesions over 4 (11057) $204 $255 1.0×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $60.80–$111.20 $76–$139 varies
Trluml Balo Angiop 1St Art (37246) $12,004 $15,005 2.1×
Trluml Balo Angiop 1St Vein (37248) $12,004 $15,005 2.1×
Tx Gastro Intub W/Asp (43753) $501.60 $627 2.3×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $3,272–$4,779.20 $4,090–$5,974 varies
Tx open tendon flexor toe 1 tendon spx (28232) $1,648 $2,060 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,612 $3,265 1.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $652–$924 $815–$1,155 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $410.40–$624 $513–$780 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $246.40 $308 1.0×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,520 $1,900 1.0×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $1,520–$1,712.80 $1,900–$2,141 varies
Unlisted Cardiac Surgery (33999) $2,124 $2,655 3.3×
Unlisted procedure anus (46999) $1,567.20 $1,959 1.6×
Unlisted Procedure Biliary Tract (47999) $6,476.80 $8,096 7.0×
Unlisted procedure breast (19499)
range across 3 matching MRF lines		 $3,936–$5,742.40 $4,920–$7,178 varies
Unlisted Procedure Casting/Strapping (29799) $275.20 $344 1.7×
Unlisted Procedure Endocrine System (60699) $9,447.20 $11,809 1.5×
Unlisted procedure excision pressure ulcer (15999) $723.20 $904 1.0×
Unlisted Procedure External Ear (69399) $433.60 $542 1.8×
Unlisted procedure foot or toes (28899) $246.40 $308 1.0×
Unlisted Procedure Hands/Fingers (26989) $621.60 $777 2.5×
Unlisted Procedure Intestine (44799)
range across 4 matching MRF lines		 $1,204.80–$5,199.20 $1,506–$6,499 varies
Unlisted Procedure Leg/Ankle (27899) $473.60 $592 1.9×
Unlisted procedure lungs and pleura (32999) $1,450.40 $1,813 2.3×
Unlisted Procedure Male Genital System (55899) $1,886.40 $2,358 7.4×
Unlisted Procedure Muscskeletal System General (20999) $246.40 $308 1.0×
Unlisted procedure nervous system (64999)
range across 11 matching MRF lines		 $303.20–$578.40 $379–$723 varies
Unlisted Procedure Palate Uvula (42299)
range across 2 matching MRF lines		 $238.40–$1,108.80 $298–$1,386 varies
Unlisted procedure pelvis/hip joint (27299) $423.20 $529 1.7×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,806.40 $2,258 7.5×
Unlisted Procedure Rectum (45999) $1,567.20 $1,959 1.6×
Unlisted procedure stomach (43999) $2,761.60 $3,452 3.0×
Unlisted Procedure Tongue Floor Mouth (41599) $1,347.20 $1,684 5.6×
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines		 $636–$6,060 $795–$7,575 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $5,201.60 $6,502 5.6×
Unlisted Procedure, Urinary System (53899) $1,374.40 $1,718 5.4×
Unlisted procedure, vestibule of mouth (40899) $1,108.80 $1,386 4.6×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $207.20–$453.60 $259–$567 varies
Urethromeatoplasty W/Mucosal Advancement (53450) $4,432.80 $5,541 1.2×
Urinary Reflex Study (51792) $460 $575 7.6×
Urine Flow Measurement (51736) $132.80 $166 1.0×
Uvulectomy excision of uvula (42140) $3,336 $4,170 1.0×
Vaginal delivery only (59409) $4,970.40 $6,213 1.5×
Vasc embolize/occlude artery (37242) $12,629.60 $15,787 0.7×
Vasc Embolize/Occlude Bleed (37244) $12,629.60 $15,787 1.1×
Vasc Embolize/Occlude Organ (37243) $12,629.60 $15,787 1.1×
Vasc embolize/occlude venous (37241) $12,629.60 $15,787 1.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,104 $2,630 1.0×
Venous Cutdown >1 Y/O (36425) $692.80 $866 1.5×
Venous Mech Thrombectomy (37187) $10,703.20 $13,379 0.9×
Ventilating tube removal requiring general anesthesia (69424) $3,336 $4,170 1.0×
Vitrectomy mechanical pars plana (67036)
range across 2 matching MRF lines		 $5,972.80–$8,616.80 $7,466–$10,771 varies
Vitrectomy pars plana remove int memb retina (67042) $7,899.20 $9,874 1.9×
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $6,868.80 $8,586 1.6×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $6,868.80 $8,586 1.6×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $410.40–$657.60 $513–$822 varies
Wedging of cast (29740) $272.80 $341 1.0×
Windowing of cast (29730) $162.40 $203 1.0×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $3,036 $3,795 0.6×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $3,036 $3,795 0.6×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $9,600 $12,000 1.6×

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.