Procedures & surgery prices at Lackey Memorial Hospital
Forest, MS · every code in this section with a posted price and a Medicare benchmark.
1078 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,558 | $1,558 | 1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 5 matching MRF lines |
$237–$1,558 | $237–$1,558 | varies |
| Acne surgery (10040) | $285 | $285 | 1.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) range across 2 matching MRF lines |
$1,585–$4,364 | $1,585–$4,364 | varies |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) range across 2 matching MRF lines |
$2,626–$4,365 | $2,626–$4,365 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,993–$3,773 | $1,993–$3,773 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$1,794–$4,365 | $1,794–$4,365 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $4,638 | $4,638 | 2.5× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$2,270–$4,365 | $2,270–$4,365 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,003–$3,773 | $2,003–$3,773 | varies |
| Amputation foot transmetarsal (28805) range across 2 matching MRF lines |
$2,416–$5,360 | $2,416–$5,360 | varies |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$930–$4,926 | $930–$4,926 | varies |
| Amputation thigh through femur any level (27590) range across 2 matching MRF lines |
$2,638–$5,603 | $2,638–$5,603 | varies |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$1,178–$5,042 | $1,178–$5,042 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$834–$4,926 | $834–$4,926 | varies |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) range across 2 matching MRF lines |
$2,172–$5,096 | $2,172–$5,096 | varies |
| Amputation, leg, through tibia and fibula; (27880) range across 4 matching MRF lines |
$1,687–$2,555 | $1,687–$2,555 | varies |
| Anal/Urinary Muscle Study (51784) range across 2 matching MRF lines |
$123–$175 | $123–$175 | varies |
| Anoscopy Ablation Lesion (46615) range across 2 matching MRF lines |
$198–$5,301 | $198–$5,301 | varies |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$73.50–$111 | $73.50–$111 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $617 | $617 | 0.2× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $3,881 | $3,881 | 0.9× |
| Appendectomy (44950) range across 4 matching MRF lines |
$1,145–$6,104 | $1,145–$6,104 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$111.30–$169 | $111.30–$169 | varies |
| Application Finger Splint Dynamic (29131) | $72 | $72 | 1.4× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$80.50–$188 | $80.50–$188 | varies |
| Application long arm splint shoulder hand (29105) | $125 | $125 | 0.9× |
| Application Long Leg Splint (29505) | $147 | $147 | 1.0× |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$158.20–$240 | $158.20–$240 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$182–$276 | $182–$276 | varies |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$189–$572 | $189–$572 | varies |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$86.80–$132 | $86.80–$132 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$82–$164 | $82–$164 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$89.60–$140 | $89.60–$140 | varies |
| Application uniplane external fixation system (20690) range across 2 matching MRF lines |
$1,894–$8,199 | $1,894–$8,199 | varies |
| Application, cast; figure-of-eight Facility (29049) | $142 | $142 | 0.6× |
| Apply hand/wrist cast (29085) | $140 | $140 | 1.0× |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$122.50–$185 | $122.50–$185 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$27–$252 | $27–$252 | varies |
| Apply Short Leg Cast (29405) range across 4 matching MRF lines |
$126–$572 | $126–$572 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$154.70–$235 | $154.70–$235 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$43–$61 | $43–$61 | varies |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) range across 2 matching MRF lines |
$2,508–$15,498 | $2,508–$15,498 | varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) range across 2 matching MRF lines |
$2,347–$15,498 | $2,347–$15,498 | varies |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) range across 2 matching MRF lines |
$1,834–$15,498 | $1,834–$15,498 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$85–$582 | $85–$582 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$127–$582 | $127–$582 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $170 | $170 | 0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$82–$582 | $82–$582 | varies |
| Arthrodesis great toe interphalangeal joint (28755) range across 2 matching MRF lines |
$693–$4,926 | $693–$4,926 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 2 matching MRF lines |
$1,255–$13,005 | $1,255–$13,005 | varies |
| Arthrodesis subtalar (28725) range across 2 matching MRF lines |
$1,547–$13,005 | $1,547–$13,005 | varies |
| Arthrodesis triple (28715) range across 2 matching MRF lines |
$2,987–$20,711 | $2,987–$20,711 | varies |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) range across 2 matching MRF lines |
$1,525–$19,773 | $1,525–$19,773 | varies |
| Arthroplasty Ankle (27700) range across 2 matching MRF lines |
$1,898–$9,938 | $1,898–$9,938 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$4,692–$10,674 | $4,692–$10,674 | varies |
| Arthroscopy ankle w/removal loose/foreign body (29894) range across 2 matching MRF lines |
$1,623–$6,861 | $1,623–$6,861 | varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $6,721 | $6,721 | 2.3× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$2,088–$6,861 | $2,088–$6,861 | varies |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$1,570–$6,861 | $1,570–$6,861 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$1,407–$6,609 | $1,407–$6,609 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$3,271–$13,555 | $3,271–$13,555 | varies |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) range across 2 matching MRF lines |
$1,197–$6,609 | $1,197–$6,609 | varies |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) range across 2 matching MRF lines |
$2,565–$12,350 | $2,565–$12,350 | varies |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$1,721–$6,868 | $1,721–$6,868 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$1,754–$6,609 | $1,754–$6,609 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$1,453–$6,609 | $1,453–$6,609 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$1,922–$12,706 | $1,922–$12,706 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$1,307–$12,706 | $1,307–$12,706 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$1,802–$6,721 | $1,802–$6,721 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$2,156–$12,706 | $2,156–$12,706 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,251–$12,706 | $2,251–$12,706 | varies |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) range across 2 matching MRF lines |
$1,086–$6,609 | $1,086–$6,609 | varies |
| Arthrotomy ankle w/expl drainage/removal fb (27610) range across 2 matching MRF lines |
$1,360–$7,222 | $1,360–$7,222 | varies |
| Arthrotomy W/Synovectomy Ankle (27625) range across 2 matching MRF lines |
$1,201–$7,222 | $1,201–$7,222 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$4,525–$10,069 | $4,525–$10,069 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$3,052–$20,711 | $3,052–$20,711 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$1,379–$6,609 | $1,379–$6,609 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$1,294–$6,609 | $1,294–$6,609 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$1,190–$6,609 | $1,190–$6,609 | varies |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) range across 2 matching MRF lines |
$1,444–$8,199 | $1,444–$8,199 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) range across 2 matching MRF lines |
$1,216–$3,981 | $1,216–$3,981 | varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) range across 2 matching MRF lines |
$1,028–$3,981 | $1,028–$3,981 | varies |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) range across 2 matching MRF lines |
$1,169–$7,222 | $1,169–$7,222 | varies |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) range across 2 matching MRF lines |
$636–$4,926 | $636–$4,926 | varies |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) range across 2 matching MRF lines |
$677–$4,926 | $677–$4,926 | varies |
| Aspirate pleura w/ imaging (32555) | $369 | $369 | 0.7× |
| Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
$287–$1,313 | $287–$1,313 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$74.90–$113 | $74.90–$113 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) range across 2 matching MRF lines |
$390–$591 | $390–$591 | varies |
| Aspiration and/or injection thyroid cyst (60300) range across 2 matching MRF lines |
$213–$323 | $213–$323 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$91.70–$197 | $91.70–$197 | varies |
| Axillary lymphadenectomy; complete (38745) range across 2 matching MRF lines |
$2,715–$11,450 | $2,715–$11,450 | varies |
| Biopsy bone open deep (20245) range across 2 matching MRF lines |
$1,844–$5,807 | $1,844–$5,807 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$214–$324 | $214–$324 | varies |
| Biopsy of breast; open, incisional (19101) | $699 | $699 | 0.2× |
| Biopsy of foot joint lining (28052) range across 2 matching MRF lines |
$588–$4,926 | $588–$4,926 | varies |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) range across 2 matching MRF lines |
$189–$286 | $189–$286 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 3 matching MRF lines |
$218–$2,156 | $218–$2,156 | varies |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$544–$824 | $544–$824 | varies |
| Biopsy soft tissue forearm&/wrist deep (25066) range across 3 matching MRF lines |
$338–$5,527 | $338–$5,527 | varies |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) range across 2 matching MRF lines |
$548.10–$830 | $548.10–$830 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,293 | $1,293 | 1.6× |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$886–$5,632 | $886–$5,632 | varies |
| Bladder Irrigation (51700) | $96 | $96 | 0.4× |
| Bladder Scan (51798) | $184 | $184 | 3.5× |
| Blepharoplasty Lower Eyelid (15820) range across 2 matching MRF lines |
$1,071–$4,754 | $1,071–$4,754 | varies |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) range across 2 matching MRF lines |
$1,139–$4,754 | $1,139–$4,754 | varies |
| Blepharoplasty upper eyelid (15822) range across 2 matching MRF lines |
$812–$4,754 | $812–$4,754 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) range across 2 matching MRF lines |
$1,155–$4,754 | $1,155–$4,754 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$410–$637 | $410–$637 | varies |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$70–$1,019 | $70–$1,019 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$617–$908 | $617–$908 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$550–$814 | $550–$814 | varies |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$1,186–$1,797 | $1,186–$1,797 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,185–$1,797 | $1,185–$1,797 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$270–$409 | $270–$409 | varies |
| Bx/exc lymph node open deep axillary node (38525) range across 4 matching MRF lines |
$711.20–$5,632 | $711.20–$5,632 | varies |
| Bx/exc lymph node open superficial (38500) range across 4 matching MRF lines |
$527–$5,632 | $527–$5,632 | varies |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 2 matching MRF lines |
$703–$4,926 | $703–$4,926 | varies |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) range across 2 matching MRF lines |
$1,937–$3,981 | $1,937–$3,981 | varies |
| Capsulotomy Iphal Joint Each Joint Spx (28272) range across 2 matching MRF lines |
$536–$4,926 | $536–$4,926 | varies |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) | $1,094 | $1,094 | 0.4× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$879–$4,209 | $879–$4,209 | varies |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$2,572–$5,579 | $2,572–$5,579 | varies |
| Change Cystostomy Tube Simple (51705) | $109 | $109 | 0.5× |
| Change of Windpipe Airway (31502) | $97 | $97 | 0.5× |
| Chemical Cautery Tissue (17250) range across 5 matching MRF lines |
$77–$334 | $77–$334 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$298–$452 | $298–$452 | varies |
| Circumcision 28 days or older (54161) range across 4 matching MRF lines |
$350–$4,802 | $350–$4,802 | varies |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$452–$4,802 | $452–$4,802 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$299–$1,194 | $299–$1,194 | varies |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$763–$1,136 | $763–$1,136 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,028 | $1,028 | 0.7× |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$1,794–$8,199 | $1,794–$8,199 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$133–$232 | $133–$232 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$1,453–$6,405 | $1,453–$6,405 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $678 | $678 | 3.0× |
| Closed rx talotarsal disloc,anesth (28575) | $669 | $669 | 0.2× |
| Closed Treat Vert Body Fract (22310) | $580 | $580 | 2.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,173 | $1,173 | 5.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $932 | $932 | 4.2× |
| Closed Treatment Sesamoid Fracture (28530) range across 3 matching MRF lines |
$184–$280 | $184–$280 | varies |
| Closed Treatment Sternum Fracture (21820) | $293 | $293 | 1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $611 | $611 | 2.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $757 | $757 | 3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$888–$1,463 | $888–$1,463 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$553–$917 | $553–$917 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$729–$4,271 | $729–$4,271 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$399–$606 | $399–$606 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $880 | $880 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $562 | $562 | 2.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $988 | $988 | 4.4× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,775 | $1,775 | 1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) | $949 | $949 | 4.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $982 | $982 | 0.7× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,303 | $1,303 | 0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,004 | $1,004 | 2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$354–$537 | $354–$537 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,650 | $1,650 | 1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $322 | $322 | 0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $986 | $986 | 0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) | $987 | $987 | 4.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $965 | $965 | 4.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $601 | $601 | 2.7× |
| Closed tx radial head/neck fx w/manipulation (24655) | $822 | $822 | 0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $486 | $486 | 2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$947–$1,429 | $947–$1,429 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $504 | $504 | 2.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$553–$1,437 | $553–$1,437 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $503 | $503 | 2.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $485 | $485 | 2.2× |
| Closed tx septal&nose fx (21337) | $622 | $622 | 0.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $710 | $710 | 3.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $293 | $293 | 1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $540 | $540 | 0.4× |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$378–$573 | $378–$573 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $586 | $586 | 2.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $386 | $386 | 1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $68 | $68 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $857 | $857 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $533 | $533 | 2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$346–$732 | $346–$732 | varies |
| Closure Gastrostomy Surg (43870) range across 2 matching MRF lines |
$2,347–$6,095 | $2,347–$6,095 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $349 | $349 | 1.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $473 | $473 | 1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $627 | $627 | 2.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $461 | $461 | 2.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $674 | $674 | 0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $451 | $451 | 2.0× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $984 | $984 | 4.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 5 matching MRF lines |
$645–$3,445 | $645–$3,445 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $856 | $856 | 3.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $471 | $471 | 0.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,085 | $1,085 | 4.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,022 | $1,022 | 0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $688 | $688 | 0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $435 | $435 | 2.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $837 | $837 | 0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $571 | $571 | 2.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $617 | $617 | 2.8× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $975 | $975 | 4.4× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $1,417 | $1,417 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$677–$1,027 | $677–$1,027 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$506–$767 | $506–$767 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $562 | $562 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $373 | $373 | 1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$549.50–$833 | $549.50–$833 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,270–$1,613 | $1,270–$1,613 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,904 | $1,904 | 1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,017 | $1,017 | 4.6× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,597 | $1,597 | 1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $970 | $970 | 4.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,622 | $1,622 | 1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$285–$433 | $285–$433 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$232–$352 | $232–$352 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$259–$392 | $259–$392 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$198–$302 | $198–$302 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,394 | $1,394 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $622 | $622 | 2.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $522 | $522 | 2.3× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $797 | $797 | 3.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $720 | $720 | 0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $410 | $410 | 1.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $617 | $617 | 2.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,024 | $1,024 | 0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $994 | $994 | 0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $582 | $582 | 2.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $947 | $947 | 0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 3 matching MRF lines |
$252–$382 | $252–$382 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 3 matching MRF lines |
$185–$285 | $185–$285 | varies |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $1,997 | $1,997 | 1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,348 | $1,348 | 5.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$445–$753 | $445–$753 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $910 | $910 | 0.6× |
| Cltx Medial Ankle Fx (27760) | $624 | $624 | 2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $842 | $842 | 3.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $557 | $557 | 2.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 3 matching MRF lines |
$286–$433 | $286–$433 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$335–$626 | $335–$626 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$315–$478 | $315–$478 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,177 | $1,177 | 5.3× |
| Cltx prox fibula/shft fx w/manj (27781) range across 3 matching MRF lines |
$672–$1,020 | $672–$1,020 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$488–$741 | $488–$741 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$877–$3,986 | $877–$3,986 | varies |
| Cltx prox tibfib jt dislc req anes (27831) | $814 | $814 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $716 | $716 | 3.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $840 | $840 | 3.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$191–$336 | $191–$336 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,095 | $1,095 | 0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$810–$3,445 | $810–$3,445 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,410 | $1,410 | 1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$1,136–$1,172 | $1,136–$1,172 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $702 | $702 | 3.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,665 | $1,665 | 1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $1,029 | $1,029 | 4.6× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $522 | $522 | 0.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $382 | $382 | 1.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $585 | $585 | 2.6× |
| Cltx tibial shaft fx w/o manipulation (27750) | $648 | $648 | 2.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,491 | $1,491 | 6.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $906 | $906 | 0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $585 | $585 | 2.6× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $8,262 | $8,262 | 1.8× |
| Collect Blood From Catheter Venous Nos (36592) | $117 | $117 | 1.0× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$5.60–$21 | $5.60–$21 | varies |
| Colonoscopy Flexible With Decompression (45393) range across 2 matching MRF lines |
$959–$2,515 | $959–$2,515 | varies |
| Colonoscopy Stoma Ablation Lesion (44401) | $882 | $882 | 0.8× |
| Colonoscopy Stoma Control Bleeding (44391) range across 2 matching MRF lines |
$799–$2,201 | $799–$2,201 | varies |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) range across 2 matching MRF lines |
$718–$2,201 | $718–$2,201 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$396–$2,088 | $396–$2,088 | varies |
| Colonoscopy thru stoma (44388) range across 4 matching MRF lines |
$355–$2,088 | $355–$2,088 | varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) range across 2 matching MRF lines |
$813–$2,201 | $813–$2,201 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$1,316–$1,995 | $1,316–$1,995 | varies |
| Colonoscopy w/fb removal (45379) range across 2 matching MRF lines |
$580–$2,088 | $580–$2,088 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$527–$2,088 | $527–$2,088 | varies |
| Colporrhaphy (57200) | $3,714 | $3,714 | 1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$427–$712 | $427–$712 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$166.60–$252 | $166.60–$252 | varies |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$165.20–$250 | $165.20–$250 | varies |
| Colposcopy of vulva (56820) range across 2 matching MRF lines |
$156.10–$237 | $156.10–$237 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 4 matching MRF lines |
$707–$2,088 | $707–$2,088 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 4 matching MRF lines |
$579–$2,088 | $579–$2,088 | varies |
| Combined anteroposterior colporrhaphy; (57260) | $3,956 | $3,956 | 0.9× |
| Complex drainage wound (10180) range across 4 matching MRF lines |
$318.50–$4,584 | $318.50–$4,584 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$730–$9,206 | $730–$9,206 | varies |
| Conization of cervix (57520) range across 2 matching MRF lines |
$846–$9,206 | $846–$9,206 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $219 | $219 | 1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $159 | $159 | 1.3× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$778–$4,926 | $778–$4,926 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$1,103–$7,290 | $1,103–$7,290 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) range across 2 matching MRF lines |
$1,063–$7,290 | $1,063–$7,290 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$1,262–$7,290 | $1,262–$7,290 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) range across 2 matching MRF lines |
$1,430–$7,290 | $1,430–$7,290 | varies |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) range across 2 matching MRF lines |
$1,116–$1,692 | $1,116–$1,692 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) range across 2 matching MRF lines |
$92–$140 | $92–$140 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $218 | $218 | 1.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $284 | $284 | 1.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$430.50–$652 | $430.50–$652 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) range across 2 matching MRF lines |
$616–$3,898 | $616–$3,898 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$467–$3,601 | $467–$3,601 | varies |
| Cystometrogram W/Vp (51728) range across 2 matching MRF lines |
$680–$972 | $680–$972 | varies |
| Cystometrogram W/Vp&Up (51729) range across 2 matching MRF lines |
$723–$1,033 | $723–$1,033 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$270–$2,063 | $270–$2,063 | varies |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$453–$6,390 | $453–$6,390 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$70–$106 | $70–$106 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$1,387–$2,631 | $1,387–$2,631 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $590 | $590 | 0.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) range across 2 matching MRF lines |
$942–$1,428 | $942–$1,428 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$282.10–$615 | $282.10–$615 | varies |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
$32–$197 | $32–$197 | varies |
| Debride nail 6 or more (11721) range across 4 matching MRF lines |
$55–$197 | $55–$197 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$420.70–$1,844 | $420.70–$1,844 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$126–$615 | $126–$615 | varies |
| Declot vascular device (36593) range across 4 matching MRF lines |
$48–$514 | $48–$514 | varies |
| Decompression of tibia nerve (28035) range across 2 matching MRF lines |
$748–$4,209 | $748–$4,209 | varies |
| Decompressive fasciotomy hand (26037) | $1,186 | $1,186 | 0.4× |
| Delivery of placenta (59414) | $1,967 | $1,967 | 0.7× |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$191–$315 | $191–$315 | varies |
| Destruction Benign Lesions 15/> (17111) range across 4 matching MRF lines |
$150.50–$466 | $150.50–$466 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) range across 2 matching MRF lines |
$461–$1,506 | $461–$1,506 | varies |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$366–$5,653 | $366–$5,653 | varies |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) range across 2 matching MRF lines |
$388–$589 | $388–$589 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$148.40–$225 | $148.40–$225 | varies |
| Destruction of skin lesions (17106) range across 3 matching MRF lines |
$538–$852 | $538–$852 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 4 matching MRF lines |
$278–$615 | $278–$615 | varies |
| Destruction premalignant lesion 1st (17000) range across 4 matching MRF lines |
$93.10–$197 | $93.10–$197 | varies |
| Destruction Vaginal Lesions Simple (57061) range across 2 matching MRF lines |
$301–$430 | $301–$430 | varies |
| Diagnostic sigmoidoscopy (45330) range across 4 matching MRF lines |
$135–$1,389 | $135–$1,389 | varies |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) range across 2 matching MRF lines |
$88–$248 | $88–$248 | varies |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) range across 2 matching MRF lines |
$86–$248 | $86–$248 | varies |
| Dilat rct strix spx under anes oth/thn local (45910) range across 2 matching MRF lines |
$408–$5,439 | $408–$5,439 | varies |
| Dilat Urethral Strix Dilator Male Sbsq (53601) range across 2 matching MRF lines |
$114–$248 | $114–$248 | varies |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) range across 2 matching MRF lines |
$154–$435 | $154–$435 | varies |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$190–$1,467 | $190–$1,467 | varies |
| Dilate Urethra Stricture (53620) range across 2 matching MRF lines |
$187–$4,557 | $187–$4,557 | varies |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$137–$711 | $137–$711 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$649–$9,206 | $649–$9,206 | varies |
| Dilation Esophagus Guide Wire (43453) range across 2 matching MRF lines |
$206–$1,467 | $206–$1,467 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $337 | $337 | 0.7× |
| Drainage external auditory canal abscess (69020) | $304 | $304 | 0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $253 | $253 | 0.4× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$383–$2,926 | $383–$2,926 | varies |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$108–$317 | $108–$317 | varies |
| Drainage of gum lesion (41800) | $300 | $300 | 2.5× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$246–$2,926 | $246–$2,926 | varies |
| Drainage of rectal abscess (45005) range across 3 matching MRF lines |
$328–$768 | $328–$768 | varies |
| Drainage of scrotal wall abscess (55100) | $353 | $353 | 0.2× |
| Drainage of scrotum (54700) | $455 | $455 | 0.2× |
| Dressing Change Under Anesthesia (15852) range across 2 matching MRF lines |
$86–$130 | $86–$130 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $274 | $274 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$279–$334 | $279–$334 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$200.90–$334 | $200.90–$334 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
$113–$334 | $113–$334 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) range across 2 matching MRF lines |
$1,015–$1,540 | $1,015–$1,540 | varies |
| Dstrj Lesion Anus Simple Chemical (46900) | $1,188 | $1,188 | 3.2× |
| Dstrj lesion anus simple surg excision (46922) range across 3 matching MRF lines |
$281–$4,829 | $281–$4,829 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) range across 2 matching MRF lines |
$400–$1,245 | $400–$1,245 | varies |
| Dstrj lesion penis simple surg excision (54060) range across 2 matching MRF lines |
$306.60–$465 | $306.60–$465 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$900–$1,313 | $900–$1,313 | varies |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$561–$850 | $561–$850 | varies |
| Dx gastr intub w/asp spec (43754) | $67 | $67 | 0.3× |
| Dx gastr intub w/asp specs (43755) range across 2 matching MRF lines |
$123–$209 | $123–$209 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $343 | $343 | 0.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) range across 4 matching MRF lines |
$394–$3,285 | $394–$3,285 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$372–$2,821 | $372–$2,821 | varies |
| Egd cautery tumor polyp (43250) range across 4 matching MRF lines |
$404–$2,821 | $404–$2,821 | varies |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$604–$2,821 | $604–$2,821 | varies |
| Egd dilation gastric/duodenal stricture (43245) range across 4 matching MRF lines |
$402–$2,821 | $402–$2,821 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 4 matching MRF lines |
$429–$1,883 | $429–$1,883 | varies |
| Egd guide wire insertion (43248) range across 4 matching MRF lines |
$403–$1,883 | $403–$1,883 | varies |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) range across 2 matching MRF lines |
$572–$1,883 | $572–$1,883 | varies |
| Egd lesion ablation (43270) range across 2 matching MRF lines |
$622–$5,862 | $622–$5,862 | varies |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) | $5,786 | $5,786 | 0.6× |
| Egd place gastrostomy tube (43246) range across 4 matching MRF lines |
$387–$2,821 | $387–$2,821 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$467–$2,821 | $467–$2,821 | varies |
| Egd Tube/Cath Insertion (43241) range across 2 matching MRF lines |
$333–$1,883 | $333–$1,883 | varies |
| Egd Varices Ligation (43244) range across 2 matching MRF lines |
$632–$2,821 | $632–$2,821 | varies |
| Egd W/Transmural Drain Cyst (43240) range across 2 matching MRF lines |
$849–$2,821 | $849–$2,821 | varies |
| Electro-Uroflowmetry First (51741) range across 2 matching MRF lines |
$27–$38 | $27–$38 | varies |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) range across 2 matching MRF lines |
$2,126.60–$3,223 | $2,126.60–$3,223 | varies |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$288–$480 | $288–$480 | varies |
| Endoscopic injection/implant (51715) | $10,264 | $10,264 | 3.2× |
| Endoscopy Upper Small Intestine (44360) range across 4 matching MRF lines |
$312–$2,390 | $312–$2,390 | varies |
| Endoscopy upper small intestine w/biopsy (44361) range across 2 matching MRF lines |
$545–$2,390 | $545–$2,390 | varies |
| Enterorrhaphy single perforation (44602) range across 2 matching MRF lines |
$2,252–$4,570 | $2,252–$4,570 | varies |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) range across 2 matching MRF lines |
$657–$2,390 | $657–$2,390 | varies |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) range across 2 matching MRF lines |
$622–$3,527 | $622–$3,527 | varies |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) range across 2 matching MRF lines |
$697–$3,527 | $697–$3,527 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$1,399–$2,121 | $1,399–$2,121 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$242–$1,666 | $242–$1,666 | varies |
| Episiotomy or vaginal repair (59300) | $408 | $408 | 0.1× |
| Esoph Scope W/Submucous Inj (43201) range across 2 matching MRF lines |
$276–$2,821 | $276–$2,821 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 2 matching MRF lines |
$375–$1,883 | $375–$1,883 | varies |
| Esophagoscop Stent Placement (43212) | $6,513 | $6,513 | 1.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) range across 2 matching MRF lines |
$272–$2,821 | $272–$2,821 | varies |
| Esophagoscopy Flex Transoral Injection Varices (43204) range across 2 matching MRF lines |
$470–$1,883 | $470–$1,883 | varies |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $5,786 | $5,786 | 1.7× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) range across 2 matching MRF lines |
$365–$2,821 | $365–$2,821 | varies |
| Esophagoscopy Flexible Guide Wire Dilation (43226) range across 2 matching MRF lines |
$303–$2,821 | $303–$2,821 | varies |
| Esophagoscopy Flexible Transoral Diagnostic (43200) range across 3 matching MRF lines |
$224–$1,883 | $224–$1,883 | varies |
| Esophagoscopy Flexible W/Bleeding Control (43227) range across 2 matching MRF lines |
$453–$2,821 | $453–$2,821 | varies |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) range across 3 matching MRF lines |
$248–$1,883 | $248–$1,883 | varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
$331–$2,821 | $331–$2,821 | varies |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) range across 2 matching MRF lines |
$309–$5,786 | $309–$5,786 | varies |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) range across 2 matching MRF lines |
$482–$2,821 | $482–$2,821 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$78.18–$118 | $78.18–$118 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 2 matching MRF lines |
$1,348–$2,865 | $1,348–$2,865 | varies |
| Exc abdl tum deep 5 cm/> (22901) | $4,666 | $4,666 | 1.8× |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$1,039–$3,649 | $1,039–$3,649 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 5 matching MRF lines |
$164–$986 | $164–$986 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
$327–$3,790 | $327–$3,790 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$762–$3,790 | $762–$3,790 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$2,350–$5,286 | $2,350–$5,286 | varies |
| Exc back tum deep < 5 cm (21932) range across 3 matching MRF lines |
$1,176.70–$4,727 | $1,176.70–$4,727 | varies |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) | $11,346 | $11,346 | 2.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$978–$1,482 | $978–$1,482 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 4 matching MRF lines |
$278.60–$986 | $278.60–$986 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 4 matching MRF lines |
$327.60–$986 | $327.60–$986 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$603–$3,790 | $603–$3,790 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines |
$1,104–$2,631 | $1,104–$2,631 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 4 matching MRF lines |
$212–$986 | $212–$986 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 4 matching MRF lines |
$272–$986 | $272–$986 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 4 matching MRF lines |
$303–$1,844 | $303–$1,844 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 4 matching MRF lines |
$372–$1,844 | $372–$1,844 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 4 matching MRF lines |
$474–$1,844 | $474–$1,844 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$932–$5,807 | $932–$5,807 | varies |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $3,686 | $3,686 | 1.4× |
| Exc ganglion wrist recurrent (25112) range across 4 matching MRF lines |
$689–$5,217 | $689–$5,217 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$170–$1,844 | $170–$1,844 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$231–$1,844 | $231–$1,844 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$281–$1,844 | $281–$1,844 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 4 matching MRF lines |
$699–$3,790 | $699–$3,790 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$487–$739 | $487–$739 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$646–$4,926 | $646–$4,926 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) range across 2 matching MRF lines |
$566–$4,926 | $566–$4,926 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 2 matching MRF lines |
$614–$931 | $614–$931 | varies |
| Exc neuroma hand/foot xcp digital nerve (64782) range across 2 matching MRF lines |
$948–$4,209 | $948–$4,209 | varies |
| Exc Rct Tum Not Incl Muscularis Propria (45171) range across 2 matching MRF lines |
$1,377–$5,823 | $1,377–$5,823 | varies |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $4,849 | $4,849 | 1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 4 matching MRF lines |
$304–$1,844 | $304–$1,844 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 4 matching MRF lines |
$373–$3,790 | $373–$3,790 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 4 matching MRF lines |
$569–$5,186 | $569–$5,186 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 4 matching MRF lines |
$506–$3,790 | $506–$3,790 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 4 matching MRF lines |
$676–$5,186 | $676–$5,186 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 4 matching MRF lines |
$445–$3,790 | $445–$3,790 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$621–$5,186 | $621–$5,186 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$666–$3,790 | $666–$3,790 | varies |
| Exc tendon shth lesion leg/ankle (27630) range across 3 matching MRF lines |
$900–$4,920 | $900–$4,920 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$916–$5,807 | $916–$5,807 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) | $5,283 | $5,283 | 2.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 4 matching MRF lines |
$231–$5,439 | $231–$5,439 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines |
$215–$986 | $215–$986 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$237–$986 | $237–$986 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 4 matching MRF lines |
$334–$3,790 | $334–$3,790 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 4 matching MRF lines |
$730–$5,527 | $730–$5,527 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $8,365 | $8,365 | 3.2× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $2,381 | $2,381 | 0.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $1,554 | $1,554 | 0.6× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $4,870 | $4,870 | 1.9× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $8,365 | $8,365 | 3.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$1,082–$4,270 | $1,082–$4,270 | varies |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) range across 2 matching MRF lines |
$1,113–$3,649 | $1,113–$3,649 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$1,029–$4,270 | $1,029–$4,270 | varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $4,727 | $4,727 | 1.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) range across 2 matching MRF lines |
$1,506–$3,649 | $1,506–$3,649 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
$645–$3,790 | $645–$3,790 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $5,175 | $5,175 | 2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 4 matching MRF lines |
$662–$3,570 | $662–$3,570 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $3,605 | $3,605 | 1.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) range across 2 matching MRF lines |
$1,954–$3,570 | $1,954–$3,570 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 4 matching MRF lines |
$733–$5,286 | $733–$5,286 | varies |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) range across 2 matching MRF lines |
$846–$13,005 | $846–$13,005 | varies |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) range across 2 matching MRF lines |
$1,086–$5,042 | $1,086–$5,042 | varies |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) range across 2 matching MRF lines |
$601–$4,926 | $601–$4,926 | varies |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $270 | $270 | 0.1× |
| Excise excessive skin arm (15836) range across 2 matching MRF lines |
$2,626–$3,568 | $2,626–$3,568 | varies |
| Excise mandible lesion (21040) range across 2 matching MRF lines |
$756.70–$1,146 | $756.70–$1,146 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 4 matching MRF lines |
$346.50–$1,844 | $346.50–$1,844 | varies |
| Excision Chest Wall Tumor Including Ribs (21601) range across 2 matching MRF lines |
$3,649–$3,860 | $3,649–$3,860 | varies |
| Excision External Ear Partial Simple Repair (69110) range across 4 matching MRF lines |
$823–$1,246 | $823–$1,246 | varies |
| Excision H/P/P/U Complex Repair (11471) | $719 | $719 | 0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $577 | $577 | 0.2× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $666 | $666 | 0.3× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $671 | $671 | 0.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) range across 2 matching MRF lines |
$496–$5,286 | $496–$5,286 | varies |
| Excision Infected Graft Extremity (35903) | $9,060 | $9,060 | 3.2× |
| Excision inferior turbinate partial/complete (30130) | $1,114 | $1,114 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 5 matching MRF lines |
$213–$1,844 | $213–$1,844 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 4 matching MRF lines |
$264.60–$986 | $264.60–$986 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
$290.50–$986 | $290.50–$986 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 4 matching MRF lines |
$383.60–$1,844 | $383.60–$1,844 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 4 matching MRF lines |
$223.30–$986 | $223.30–$986 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 4 matching MRF lines |
$412.30–$1,844 | $412.30–$1,844 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 4 matching MRF lines |
$828.80–$5,186 | $828.80–$5,186 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 4 matching MRF lines |
$216.30–$1,844 | $216.30–$1,844 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 4 matching MRF lines |
$315–$986 | $315–$986 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 4 matching MRF lines |
$304.50–$1,844 | $304.50–$1,844 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$504–$3,790 | $504–$3,790 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$360–$5,439 | $360–$5,439 | varies |
| Excision of bartholin's gland or cyst (56740) range across 2 matching MRF lines |
$872–$9,826 | $872–$9,826 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 4 matching MRF lines |
$575–$4,920 | $575–$4,920 | varies |
| Excision of hydrocele; unilateral (55040) range across 4 matching MRF lines |
$224.70–$2,200 | $224.70–$2,200 | varies |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) range across 2 matching MRF lines |
$817–$4,209 | $817–$4,209 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$380–$5,186 | $380–$5,186 | varies |
| Excision of single external papilla or tag, anus (46220) range across 4 matching MRF lines |
$327.60–$643 | $327.60–$643 | varies |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$1,090–$4,951 | $1,090–$4,951 | varies |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) range across 2 matching MRF lines |
$850–$4,926 | $850–$4,926 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 3 matching MRF lines |
$1,103–$3,752 | $1,103–$3,752 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$1,335–$5,186 | $1,335–$5,186 | varies |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines |
$2,566–$8,807 | $2,566–$8,807 | varies |
| Excision soft tissue lesion, external auditory canal (69145) range across 2 matching MRF lines |
$791–$3,570 | $791–$3,570 | varies |
| Excision synovial cyst popliteal space (27345) range across 2 matching MRF lines |
$1,572–$5,285 | $1,572–$5,285 | varies |
| Excision Thyroglossal Duct Cyst/Sinus (60280) range across 2 matching MRF lines |
$732–$1,110 | $732–$1,110 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,495–$3,291 | $1,495–$3,291 | varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) range across 2 matching MRF lines |
$755–$5,186 | $755–$5,186 | varies |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 2 matching MRF lines |
$557–$3,790 | $557–$3,790 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 4 matching MRF lines |
$682–$5,527 | $682–$5,527 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $5,186 | $5,186 | 3.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) | $1,482 | $1,482 | 0.6× |
| Excision, interdigital (morton) neuroma, single, each (28080) range across 2 matching MRF lines |
$758–$4,926 | $758–$4,926 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 4 matching MRF lines |
$707–$5,286 | $707–$5,286 | varies |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines |
$457.10–$693 | $457.10–$693 | varies |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 2 matching MRF lines |
$1,308–$5,286 | $1,308–$5,286 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 4 matching MRF lines |
$764–$5,527 | $764–$5,527 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $5,080 | $5,080 | 1.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 2 matching MRF lines |
$644–$3,649 | $644–$3,649 | varies |
| Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$1,564–$2,370 | $1,564–$2,370 | varies |
| Excision/Transposition Pterygium W/Grafg (65426) range across 2 matching MRF lines |
$983–$3,459 | $983–$3,459 | varies |
| Excision/Transposition Pterygium W/O Graft (65420) range across 2 matching MRF lines |
$768–$3,701 | $768–$3,701 | varies |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$702–$4,480 | $702–$4,480 | varies |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$898–$5,206 | $898–$5,206 | varies |
| Exploration penetrating wound spx chest (20101) range across 2 matching MRF lines |
$647–$4,754 | $647–$4,754 | varies |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$737–$2,310 | $737–$2,310 | varies |
| Exploratory elbow surgery (24000) range across 2 matching MRF lines |
$1,460–$8,199 | $1,460–$8,199 | varies |
| Explore/Treat Hand Joint (26070) range across 2 matching MRF lines |
$642–$3,831 | $642–$3,831 | varies |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) range across 2 matching MRF lines |
$474–$7,222 | $474–$7,222 | varies |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$744–$4,926 | $744–$4,926 | varies |
| Fasciotomy palmar open partial (26045) range across 2 matching MRF lines |
$1,470–$7,094 | $1,470–$7,094 | varies |
| Fasciotomy Plantar Fascia Radical Spx (28062) range across 2 matching MRF lines |
$860–$4,926 | $860–$4,926 | varies |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
$621–$4,926 | $621–$4,926 | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 2 matching MRF lines |
$2,585–$6,569 | $2,585–$6,569 | varies |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $2,909 | $2,909 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$223–$391 | $223–$391 | varies |
| Fluid Pressure Muscle (20950) | $189 | $189 | 0.3× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines |
$2,396–$4,133 | $2,396–$4,133 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $3,486 | $3,486 | 1.9× |
| Fusion Finger Joint (26860) range across 2 matching MRF lines |
$1,722–$6,576 | $1,722–$6,576 | varies |
| Gastrocnemius recession (27687) range across 2 matching MRF lines |
$955–$7,222 | $955–$7,222 | varies |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) range across 2 matching MRF lines |
$2,240–$3,395 | $2,240–$3,395 | varies |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) range across 2 matching MRF lines |
$2,311–$6,095 | $2,311–$6,095 | varies |
| Guide Cathet Fluid Drainage (10030) range across 4 matching MRF lines |
$490–$721 | $490–$721 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$1,085–$5,439 | $1,085–$5,439 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 4 matching MRF lines |
$834–$6,077 | $834–$6,077 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 4 matching MRF lines |
$776.30–$5,439 | $776.30–$5,439 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$394–$1,240 | $394–$1,240 | varies |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$646–$9,824 | $646–$9,824 | varies |
| Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$705–$14,644 | $705–$14,644 | varies |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 2 matching MRF lines |
$618–$9,206 | $618–$9,206 | varies |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) range across 2 matching MRF lines |
$1,000–$15,253 | $1,000–$15,253 | varies |
| I&d abscess peritonsillar (42700) | $292 | $292 | 1.4× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$170.80–$317 | $170.80–$317 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 2 matching MRF lines |
$696–$4,920 | $696–$4,920 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$1,039–$1,595 | $1,039–$1,595 | varies |
| I&D Intramural Im/Absc Transanal Anes (46045) range across 2 matching MRF lines |
$704–$1,067 | $704–$1,067 | varies |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,289 | $1,289 | 0.4× |
| I&d perianal abscess superficial (46050) range across 4 matching MRF lines |
$202–$1,240 | $202–$1,240 | varies |
| I&d pilonidal cyst complicated (10081) | $357 | $357 | 0.6× |
| I&d pilonidal cyst simple (10080) range across 5 matching MRF lines |
$210–$424 | $210–$424 | varies |
| I&d shoulder deep abscess/hematoma (23030) range across 3 matching MRF lines |
$530–$1,055 | $530–$1,055 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $450 | $450 | 0.2× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) range across 2 matching MRF lines |
$258–$2,390 | $258–$2,390 | varies |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) range across 2 matching MRF lines |
$214–$2,390 | $214–$2,390 | varies |
| Image Cath Fluid Peri/Retro (49406) | $617 | $617 | 0.4× |
| Immediate breast prosthesis (19340) unusually low: confirm this is the full procedure |
$2,512 | $2,512 | 0.3× |
| Implant Neuroelectrodes (64561) | $4,484 | $4,484 | 0.8× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$1,391 | $1,391 | 0.1× |
| Incise external hemorrhoid (46083) range across 6 matching MRF lines |
$222–$1,289 | $222–$1,289 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$632–$3,831 | $632–$3,831 | varies |
| Incise/Drain Conjunctiva (68020) range across 2 matching MRF lines |
$229–$693 | $229–$693 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 7 matching MRF lines |
$317–$507 | $317–$507 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$818–$4,584 | $818–$4,584 | varies |
| Incision & drainage leg/ankle infected bursa (27604) range across 2 matching MRF lines |
$703–$7,222 | $703–$7,222 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 5 matching MRF lines |
$331.80–$3,790 | $331.80–$3,790 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$193–$615 | $193–$615 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$194–$623 | $194–$623 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$229–$720 | $229–$720 | varies |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $1,089 | $1,089 | 0.8× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$1,020–$4,951 | $1,020–$4,951 | varies |
| Incision of Foot Tendon (28234) range across 2 matching MRF lines |
$558–$4,926 | $558–$4,926 | varies |
| Incision of rectal abscess (46040) range across 5 matching MRF lines |
$515–$4,631 | $515–$4,631 | varies |
| Incision&drainage bursa foot (28001) range across 2 matching MRF lines |
$358–$2,926 | $358–$2,926 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $329 | $329 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $174 | $174 | 0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
$98–$197 | $98–$197 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$116–$623 | $116–$623 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$87–$582 | $87–$582 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$223–$1,127 | $223–$1,127 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$232–$2,141 | $232–$2,141 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$228–$2,133 | $228–$2,133 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$66–$101 | $66–$101 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $427 | $427 | 0.5× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$104.30–$158 | $104.30–$158 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$79–$144 | $79–$144 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$107.80–$164 | $107.80–$164 | varies |
| Injection therapeutic carpal tunnel (20526) range across 5 matching MRF lines |
$119–$644 | $119–$644 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$209–$1,127 | $209–$1,127 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$211–$1,127 | $211–$1,127 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$129–$1,127 | $129–$1,127 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$56–$84 | $56–$84 | varies |
| Insert Bladder Cath Complex (51703) | $175 | $175 | 1.5× |
| Insert cath pleura w/o image (32556) | $389 | $389 | 0.2× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$304–$507 | $304–$507 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) range across 2 matching MRF lines |
$743–$3,390 | $743–$3,390 | varies |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$261–$2,471 | $261–$2,471 | varies |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$136–$207 | $136–$207 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $206 | $206 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$64–$203 | $64–$203 | varies |
| Insert tunneled cv cath (36561) range across 5 matching MRF lines |
$758–$6,765 | $758–$6,765 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$59–$132 | $59–$132 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $263 | $263 | 0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 4 matching MRF lines |
$684–$5,633 | $684–$5,633 | varies |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) range across 2 matching MRF lines |
$1,860.60–$2,820 | $1,860.60–$2,820 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$197–$2,471 | $197–$2,471 | varies |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) range across 2 matching MRF lines |
$635.60–$963 | $635.60–$963 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$1,240–$5,961 | $1,240–$5,961 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$386 | $386 | 0.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $622 | $622 | 1.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $775 | $775 | 2.1× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $394 | $394 | 1.8× |
| Intro Gastrointestinal Tube (44500) | $52 | $52 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$236–$498 | $236–$498 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $739 | $739 | 1.5× |
| Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$1,119–$6,609 | $1,119–$6,609 | varies |
| Lap paraesoph her rpr w/mesh (43282) unusually low: confirm this is the full procedure |
$4,352 | $4,352 | 0.5× |
| Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$3,868 | $3,868 | 0.4× |
| Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$1,171–$8,690 | $1,171–$8,690 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 4 matching MRF lines |
$1,663–$10,699 | $1,663–$10,699 | varies |
| Laparoscopy fulguration oviducts (58670) range across 2 matching MRF lines |
$1,035–$18,028 | $1,035–$18,028 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 4 matching MRF lines |
$762–$10,689 | $762–$10,689 | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) range across 2 matching MRF lines |
$3,403–$32,172 | $3,403–$32,172 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$2,533–$32,172 | $2,533–$32,172 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
$1,916–$18,029 | $1,916–$18,029 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 4 matching MRF lines |
$1,090–$18,029 | $1,090–$18,029 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 4 matching MRF lines |
$1,069–$10,699 | $1,069–$10,699 | varies |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) range across 2 matching MRF lines |
$2,721–$32,172 | $2,721–$32,172 | varies |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines |
$1,933–$2,930 | $1,933–$2,930 | varies |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) | $3,123 | $3,123 | 0.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 2 matching MRF lines |
$2,255–$32,172 | $2,255–$32,172 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 4 matching MRF lines |
$1,273–$10,699 | $1,273–$10,699 | varies |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) range across 4 matching MRF lines |
$2,021–$10,689 | $2,021–$10,689 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 4 matching MRF lines |
$992–$10,689 | $992–$10,689 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 4 matching MRF lines |
$570.50–$18,029 | $570.50–$18,029 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 4 matching MRF lines |
$540–$10,613 | $540–$10,613 | varies |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$1,994–$18,029 | $1,994–$18,029 | varies |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) likely a partial charge, not the full procedure |
$1,490 | $1,490 | 0.3× |
| Laryngoscopy diagnostic (31505) | $105 | $105 | 0.6× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $278 | $278 | 1.5× |
| Laryngoscopy W/Biopsy (31535) | $587 | $587 | 0.2× |
| Laryngoscopy W/Foreign Body Removal (31530) range across 2 matching MRF lines |
$504–$2,753 | $504–$2,753 | varies |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $236 | $236 | 0.7× |
| Ligation of hemorrhoids (46946) range across 2 matching MRF lines |
$464–$5,439 | $464–$5,439 | varies |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$443–$3,790 | $443–$3,790 | varies |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) range across 2 matching MRF lines |
$880–$6,912 | $880–$6,912 | varies |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$473–$3,676 | $473–$3,676 | varies |
| Manipulation spine requiring anesthesia (22505) range across 2 matching MRF lines |
$202–$307 | $202–$307 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$617–$3,675 | $617–$3,675 | varies |
| Marsupialization of bartholin's gland cyst (56440) range across 2 matching MRF lines |
$579–$9,826 | $579–$9,826 | varies |
| Mast mod rad (19307) range across 4 matching MRF lines |
$1,949–$10,299 | $1,949–$10,299 | varies |
| Mastectomy partial (19301) range across 4 matching MRF lines |
$1,173–$5,684 | $1,173–$5,684 | varies |
| Mastectomy partial w/axillary lymphadenectomy (19302) range across 2 matching MRF lines |
$1,618–$2,452 | $1,618–$2,452 | varies |
| Mastectomy simple complete (19303) range across 3 matching MRF lines |
$2,499–$7,445 | $2,499–$7,445 | varies |
| Mastopexy (19316) likely a partial charge, not the full procedure |
$1,675 | $1,675 | 0.3× |
| Metatarsectomy (28140) range across 2 matching MRF lines |
$942–$4,926 | $942–$4,926 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$161.70–$245 | $161.70–$245 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$78–$582 | $78–$582 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 5 matching MRF lines |
$70–$282 | $70–$282 | varies |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) range across 2 matching MRF lines |
$339–$2,201 | $339–$2,201 | varies |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) range across 2 matching MRF lines |
$406–$2,201 | $406–$2,201 | varies |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 2 matching MRF lines |
$1,057–$6,609 | $1,057–$6,609 | varies |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$1,870–$4,406 | $1,870–$4,406 | varies |
| Nipple/areola reconstruction (19350) | $1,327 | $1,327 | 0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $582 | $582 | 2.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $3,221 | $3,221 | 4.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,034 | $2,034 | 3.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$307–$2,034 | $307–$2,034 | varies |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$130–$322 | $130–$322 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) range across 2 matching MRF lines |
$2,596–$4,231 | $2,596–$4,231 | varies |
| Open Implantation Nea Sacral Nerve (64581) | $4,444 | $4,444 | 0.8× |
| Open nasoethmoid fx w/o fixj (21338) likely a partial charge, not the full procedure |
$1,578 | $1,578 | 0.3× |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$1,710–$10,579 | $1,710–$10,579 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$1,611–$11,124 | $1,611–$11,124 | varies |
| Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
$3,401–$16,043 | $3,401–$16,043 | varies |
| Open treatment interphalangeal joint dislocation (28675) | $857 | $857 | 0.3× |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$1,265–$11,124 | $1,265–$11,124 | varies |
| Open treatment metacarpophalangeal dislocation (26715) | $1,180 | $1,180 | 0.4× |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$1,104–$11,124 | $1,104–$11,124 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $11,818 | $11,818 | 1.8× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) likely a partial charge, not the full procedure |
$1,874 | $1,874 | 0.3× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$2,618 | $2,618 | 0.2× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $986 | $986 | 0.3× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) | $1,363 | $1,363 | 0.5× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) likely a partial charge, not the full procedure |
$400 | $400 | 0.1× |
| Open treatment of sternum fracture with or without skeletal fixation Facility (21825) likely a partial charge, not the full procedure |
$1,163 | $1,163 | 0.2× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) range across 3 matching MRF lines |
$1,474–$6,502 | $1,474–$6,502 | varies |
| Open treatment of temporomandibular dislocation Facility (21490) | $1,944 | $1,944 | 0.6× |
| Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
$1,965–$13,128 | $1,965–$13,128 | varies |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) likely a partial charge, not the full procedure |
$1,486 | $1,486 | 0.2× |
| Open Treatment Proximal Humeral Fracture (23615) range across 2 matching MRF lines |
$2,724–$17,136 | $2,724–$17,136 | varies |
| Open Treatment Radial Shaft Fracture (25515) range across 2 matching MRF lines |
$3,133–$11,980 | $3,133–$11,980 | varies |
| Open Tx Acute/Chronic Elbow Dislocation (24615) likely a partial charge, not the full procedure |
$1,476 | $1,476 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$1,365–$11,124 | $1,365–$11,124 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$1,023–$5,832 | $1,023–$5,832 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$1,418–$11,124 | $1,418–$11,124 | varies |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) range across 2 matching MRF lines |
$3,051–$5,027 | $3,051–$5,027 | varies |
| Open tx femoral supracondylar fracture w/o xtn (27511) likely a partial charge, not the full procedure |
$2,098 | $2,098 | 0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $838 | $838 | 0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$1,791–$11,981 | $1,791–$11,981 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$1,884–$5,832 | $1,884–$5,832 | varies |
| Open Tx Radial Head/Neck Fracture Prosth (24666) range across 2 matching MRF lines |
$2,322–$17,136 | $2,322–$17,136 | varies |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) range across 2 matching MRF lines |
$1,294–$11,124 | $1,294–$11,124 | varies |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$1,883 | $1,883 | 0.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,758 | $1,758 | 0.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$2,531–$15,186 | $2,531–$15,186 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$3,319–$17,136 | $3,319–$17,136 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
$3,754–$7,998 | $3,754–$7,998 | varies |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$2,485 | $2,485 | 0.4× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) range across 2 matching MRF lines |
$2,840–$13,128 | $2,840–$13,128 | varies |
| Ostc compl all metar heads w/prtl prox phalangc (28114) range across 2 matching MRF lines |
$1,754–$4,926 | $1,754–$4,926 | varies |
| Ostc prtl exostc/condylc metar head (28288) range across 2 matching MRF lines |
$906–$4,926 | $906–$4,926 | varies |
| Ostectomy calcaneus (28118) range across 2 matching MRF lines |
$865–$4,926 | $865–$4,926 | varies |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) range across 2 matching MRF lines |
$662–$4,926 | $662–$4,926 | varies |
| Ostectomy, complete excision; fifth metatarsal head (28113) range across 2 matching MRF lines |
$894–$4,926 | $894–$4,926 | varies |
| Ostectomy, complete excision; first metatarsal head (28111) range across 2 matching MRF lines |
$702–$4,926 | $702–$4,926 | varies |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) range across 2 matching MRF lines |
$607–$4,926 | $607–$4,926 | varies |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) range across 2 matching MRF lines |
$2,036–$15,498 | $2,036–$15,498 | varies |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) range across 2 matching MRF lines |
$1,864–$13,005 | $1,864–$13,005 | varies |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) range across 2 matching MRF lines |
$852–$4,926 | $852–$4,926 | varies |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$784–$4,926 | $784–$4,926 | varies |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 2 matching MRF lines |
$2,097–$15,498 | $2,097–$15,498 | varies |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) range across 2 matching MRF lines |
$1,252–$13,005 | $1,252–$13,005 | varies |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) likely a partial charge, not the full procedure |
$742 | $742 | 0.1× |
| Ovarian cystectomy, unilateral or bilateral (58925) range across 2 matching MRF lines |
$2,416–$8,029 | $2,416–$8,029 | varies |
| Part exc bone femur prox tibia (27360) range across 2 matching MRF lines |
$1,771–$7,222 | $1,771–$7,222 | varies |
| Part remv talus or calcaneus (28120) range across 2 matching MRF lines |
$1,027–$4,926 | $1,027–$4,926 | varies |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$1,367–$3,773 | $1,367–$3,773 | varies |
| Partial hymenectomy or revision of hymenal ring (56700) range across 2 matching MRF lines |
$578–$9,206 | $578–$9,206 | varies |
| Partial removal of fibula (27641) range across 2 matching MRF lines |
$2,136–$8,199 | $2,136–$8,199 | varies |
| Partial removal of thyroid (60220) range across 2 matching MRF lines |
$2,332–$8,995 | $2,332–$8,995 | varies |
| Partial removal of toe (28160) range across 2 matching MRF lines |
$570–$4,926 | $570–$4,926 | varies |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) range across 2 matching MRF lines |
$1,169.70–$1,773 | $1,169.70–$1,773 | varies |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
$695–$4,926 | $695–$4,926 | varies |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $6,502 | $6,502 | 2.2× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$327–$1,545 | $327–$1,545 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$386–$586 | $386–$586 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$2,106–$5,832 | $2,106–$5,832 | varies |
| Phalangectomy toe each toe (28150) range across 2 matching MRF lines |
$598–$4,926 | $598–$4,926 | varies |
| Placement of needle for intraosseous infusion (36680) | $168 | $168 | 0.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $3,727 | $3,727 | 0.8× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 2 matching MRF lines |
$261–$2,633 | $261–$2,633 | varies |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) range across 2 matching MRF lines |
$1,345–$6,502 | $1,345–$6,502 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) range across 2 matching MRF lines |
$1,490–$6,405 | $1,490–$6,405 | varies |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines |
$941–$4,926 | $941–$4,926 | varies |
| Punch biopsy skin single lesion (11104) | $334 | $334 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$199–$351 | $199–$351 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$853–$1,293 | $853–$1,293 | varies |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) range across 2 matching MRF lines |
$1,882–$5,217 | $1,882–$5,217 | varies |
| Radical styloidectomy separate procedure (25230) range across 2 matching MRF lines |
$895–$7,222 | $895–$7,222 | varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) range across 2 matching MRF lines |
$751–$4,926 | $751–$4,926 | varies |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) range across 2 matching MRF lines |
$1,041–$13,005 | $1,041–$13,005 | varies |
| Reconstruction Nail Bed W/Graft (11762) | $392 | $392 | 0.2× |
| Reconstruction, cleft foot Facility (28360) range across 2 matching MRF lines |
$2,224–$13,005 | $2,224–$13,005 | varies |
| Reduction of rectal prolapse (45900) | $856 | $856 | 1.0× |
| Release of big toe (28240) range across 2 matching MRF lines |
$922–$5,360 | $922–$5,360 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $240 | $240 | 0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$1,262–$5,527 | $1,262–$5,527 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 5 matching MRF lines |
$786–$2,041 | $786–$2,041 | varies |
| Removal foreign body foot deep (28192) range across 4 matching MRF lines |
$666–$3,790 | $666–$3,790 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$282–$1,844 | $282–$1,844 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 4 matching MRF lines |
$304–$986 | $304–$986 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$22.40–$48 | $22.40–$48 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$83.30–$127 | $83.30–$127 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $3,950 | $3,950 | 1.4× |
| Removal Implant Deep (20680) range across 4 matching MRF lines |
$886–$5,186 | $886–$5,186 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 4 matching MRF lines |
$337–$3,570 | $337–$3,570 | varies |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$253–$384 | $253–$384 | varies |
| Removal of anal fissure (46200) range across 4 matching MRF lines |
$661–$5,439 | $661–$5,439 | varies |
| Removal of ankle implant (27704) range across 2 matching MRF lines |
$1,200–$4,920 | $1,200–$4,920 | varies |
| Removal of cervix (57530) | $1,986 | $1,986 | 0.4× |
| Removal of foreign body from pharynx (42809) | $282 | $282 | 0.7× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$760–$4,926 | $760–$4,926 | varies |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$230–$986 | $230–$986 | varies |
| Removal of sesamoid bone (28315) range across 2 matching MRF lines |
$1,015–$4,926 | $1,015–$4,926 | varies |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$1,426–$5,402 | $1,426–$5,402 | varies |
| Removal of testis (54520) range across 2 matching MRF lines |
$986–$2,241 | $986–$2,241 | varies |
| Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines |
$1,143–$2,266 | $1,143–$2,266 | varies |
| Removal of wrist bone (25210) range across 2 matching MRF lines |
$1,530–$8,199 | $1,530–$8,199 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $99 | $99 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$129.50–$197 | $129.50–$197 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 4 matching MRF lines |
$146–$2,732 | $146–$2,732 | varies |
| Removal sweat gland lesion (11450) range across 2 matching MRF lines |
$514–$5,286 | $514–$5,286 | varies |
| Removal, under anesthesia, of external fixation system (20694) range across 2 matching MRF lines |
$1,067–$5,217 | $1,067–$5,217 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $73 | $73 | 0.3× |
| Remove Ankle Joint Lining (27626) range across 2 matching MRF lines |
$1,324–$7,222 | $1,324–$7,222 | varies |
| Remove armpit lymph nodes (38740) | $11,450 | $11,450 | 2.1× |
| Remove drug implant device (11982) range across 4 matching MRF lines |
$210–$1,174 | $210–$1,174 | varies |
| Remove foreign body from eye (65205) | $92 | $92 | 0.8× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$117–$720 | $117–$720 | varies |
| Remove Lower Leg Bone Lesion (27635) range across 2 matching MRF lines |
$1,232–$7,222 | $1,232–$7,222 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$327–$554 | $327–$554 | varies |
| Remove Peritoneal Foreign Body (49402) range across 2 matching MRF lines |
$2,385–$10,905 | $2,385–$10,905 | varies |
| Remove Shoulder Foreign Body (23330) | $316 | $316 | 0.2× |
| Remove Skin Nerve Lesion (64774) range across 2 matching MRF lines |
$1,364–$4,406 | $1,364–$4,406 | varies |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$771–$1,826 | $771–$1,826 | varies |
| Remove thyroid lesion (60200) range across 2 matching MRF lines |
$1,092–$1,655 | $1,092–$1,655 | varies |
| Remove tissue expander (11971) range across 2 matching MRF lines |
$1,041–$2,251 | $1,041–$2,251 | varies |
| Remove/graft foot lesion (28102) range across 2 matching MRF lines |
$1,001–$13,005 | $1,001–$13,005 | varies |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$1,392–$10,579 | $1,392–$10,579 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) range across 2 matching MRF lines |
$2,405–$10,413 | $2,405–$10,413 | varies |
| Repair brow ptosis (67900) | $1,396 | $1,396 | 0.7× |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$1,350–$7,222 | $1,350–$7,222 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$771–$1,108 | $771–$1,108 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$891–$1,108 | $891–$1,108 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$577–$727 | $577–$727 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 4 matching MRF lines |
$841–$1,275 | $841–$1,275 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$518–$701 | $518–$701 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$685–$727 | $685–$727 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $491 | $491 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$679–$1,233 | $679–$1,233 | varies |
| Repair Ectropion Excision Tarsal Wedge (67916) range across 2 matching MRF lines |
$901–$2,920 | $901–$2,920 | varies |
| Repair Elbow Perc (24357) range across 2 matching MRF lines |
$1,386–$8,199 | $1,386–$8,199 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,175 | $1,175 | 0.8× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) range across 2 matching MRF lines |
$1,187–$5,217 | $1,187–$5,217 | varies |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$1,156–$4,926 | $1,156–$4,926 | varies |
| Repair Hand Joint (26540) range across 2 matching MRF lines |
$2,010–$3,981 | $2,010–$3,981 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,153–$3,831 | $1,153–$3,831 | varies |
| Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines |
$1,188–$7,339 | $1,188–$7,339 | varies |
| Repair initial femoral hernia, any age; reducible (49550) range across 2 matching MRF lines |
$1,194–$7,339 | $1,194–$7,339 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 4 matching MRF lines |
$958–$7,339 | $958–$7,339 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
$361–$727 | $361–$727 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$433–$727 | $433–$727 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$456–$692 | $456–$692 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$480–$731 | $480–$731 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $843 | $843 | 2.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $553 | $553 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 5 matching MRF lines |
$278.60–$634 | $278.60–$634 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$420–$727 | $420–$727 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $449 | $449 | 0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $708 | $708 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$501–$727 | $501–$727 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$319–$727 | $319–$727 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 5 matching MRF lines |
$385–$727 | $385–$727 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$588–$727 | $588–$727 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$431–$727 | $431–$727 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $685 | $685 | 0.4× |
| Repair lower leg tendons (27676) range across 2 matching MRF lines |
$1,289–$7,222 | $1,289–$7,222 | varies |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) range across 2 matching MRF lines |
$2,997–$13,128 | $2,997–$13,128 | varies |
| Repair of hammertoe (28286) range across 2 matching MRF lines |
$635–$4,926 | $635–$4,926 | varies |
| Repair of metatarsals (28322) range across 2 matching MRF lines |
$1,806–$15,498 | $1,806–$15,498 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$267–$279 | $267–$279 | varies |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$2,389–$12,036 | $2,389–$12,036 | varies |
| Repair of shoulder (23420) range across 2 matching MRF lines |
$2,018–$10,579 | $2,018–$10,579 | varies |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) range across 2 matching MRF lines |
$1,501–$7,339 | $1,501–$7,339 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines |
$1,490–$7,339 | $1,490–$7,339 | varies |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$2,715–$12,036 | $2,715–$12,036 | varies |
| Repair secondary achilles tendon w/wo graft (27654) range across 2 matching MRF lines |
$1,485–$10,579 | $1,485–$10,579 | varies |
| Repair Spica/Body/Jacket Cast (29720) | $92 | $92 | 0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) range across 2 matching MRF lines |
$988–$5,360 | $988–$5,360 | varies |
| Repair Toe Dislocation (28645) range across 4 matching MRF lines |
$1,011–$5,832 | $1,011–$5,832 | varies |
| Repair tongue laceration (41252) | $580 | $580 | 2.7× |
| Repair tongue laceration (41250) | $319 | $319 | 0.8× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$1,010–$7,222 | $1,010–$7,222 | varies |
| Repair/graft achilles tendon (27652) range across 2 matching MRF lines |
$1,465–$19,773 | $1,465–$19,773 | varies |
| Reposition Gastrostomy Tube (43761) | $514 | $514 | 2.3× |
| Reposition Venous Catheter (36597) range across 2 matching MRF lines |
$132–$2,471 | $132–$2,471 | varies |
| Rerepair ing hernia reduce (49520) range across 4 matching MRF lines |
$1,034.60–$7,339 | $1,034.60–$7,339 | varies |
| Resect hip/pelv tum < 5 cm (27049) range across 2 matching MRF lines |
$2,444.40–$3,705 | $2,444.40–$3,705 | varies |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) range across 2 matching MRF lines |
$557–$4,926 | $557–$4,926 | varies |
| Resection, partial or complete, phalangeal base, each toe (28126) range across 2 matching MRF lines |
$525–$4,926 | $525–$4,926 | varies |
| Rev/rmv prph sac/gstr npg/r (64595) | $10,015 | $10,015 | 3.2× |
| Revise external ear (69300) | $1,257 | $1,257 | 0.4× |
| Revise Hand/Foot Nerve (64704) range across 2 matching MRF lines |
$1,011–$4,406 | $1,011–$4,406 | varies |
| Revise lower leg tendon (27690) range across 2 matching MRF lines |
$1,323–$10,579 | $1,323–$10,579 | varies |
| Revise/Repair Finger/Toe Nerve (64702) range across 2 matching MRF lines |
$1,564–$4,406 | $1,564–$4,406 | varies |
| Revision of big toe (28310) range across 2 matching MRF lines |
$1,131–$5,360 | $1,131–$5,360 | varies |
| Revision of foot (28116) range across 2 matching MRF lines |
$1,802–$5,360 | $1,802–$5,360 | varies |
| Revision of foot bones (28737) range across 2 matching MRF lines |
$1,439–$13,005 | $1,439–$13,005 | varies |
| Revision of foot fascia (28250) range across 2 matching MRF lines |
$840–$4,926 | $840–$4,926 | varies |
| Revision of lower leg tendon (27685) range across 2 matching MRF lines |
$974–$7,222 | $974–$7,222 | varies |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) range across 2 matching MRF lines |
$4,746–$10,578 | $4,746–$10,578 | varies |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) range across 2 matching MRF lines |
$1,025–$1,554 | $1,025–$1,554 | varies |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
$5,671–$12,604 | $5,671–$12,604 | varies |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $10,015 | $10,015 | 3.2× |
| Rhytidectomy Forehead (15824) | $1,675 | $1,675 | 0.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $281 | $281 | 0.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$166–$252 | $166–$252 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $90 | $90 | 0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $122 | $122 | 1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $113 | $113 | 0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) | $467 | $467 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 4 matching MRF lines |
$522–$5,186 | $522–$5,186 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $309 | $309 | 0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $288 | $288 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 4 matching MRF lines |
$528–$2,502 | $528–$2,502 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 4 matching MRF lines |
$297–$1,385 | $297–$1,385 | varies |
| Rmvl Vitreous Ant Appr Partial Removal (67005) range across 2 matching MRF lines |
$994–$4,810 | $994–$4,810 | varies |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $166 | $166 | 0.7× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$105–$418 | $105–$418 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $142 | $142 | 0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $16,989 | $16,989 | 3.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$981–$10,185 | $981–$10,185 | varies |
| Rpr aa hernia recr 3-10 cm reducible (49615) unusually low: confirm this is the full procedure |
$1,790 | $1,790 | 0.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) unusually low: confirm this is the full procedure |
$1,790 | $1,790 | 0.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,367 | $1,367 | 0.3× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) range across 2 matching MRF lines |
$1,028–$4,920 | $1,028–$4,920 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $265 | $265 | 1.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $630 | $630 | 0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $751 | $751 | 1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $624 | $624 | 1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $904 | $904 | 0.6× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) range across 2 matching MRF lines |
$1,183–$7,222 | $1,183–$7,222 | varies |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 2 matching MRF lines |
$1,011–$5,360 | $1,011–$5,360 | varies |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) range across 2 matching MRF lines |
$1,361–$5,360 | $1,361–$5,360 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $77 | $77 | 0.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $4,114 | $4,114 | 1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines |
$197–$1,389 | $197–$1,389 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$302–$1,389 | $302–$1,389 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
$63–$127 | $63–$127 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$84.70–$129 | $84.70–$129 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 4 matching MRF lines |
$175–$305 | $175–$305 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 3 matching MRF lines |
$72–$264 | $72–$264 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 4 matching MRF lines |
$167–$325 | $167–$325 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 4 matching MRF lines |
$119–$200 | $119–$200 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 4 matching MRF lines |
$168–$254 | $168–$254 | varies |
| Shoulder arthroscopy (29820) range across 2 matching MRF lines |
$1,716–$13,555 | $1,716–$13,555 | varies |
| Shoulder Arthroscopy/Surgery (29825) range across 2 matching MRF lines |
$1,802–$13,874 | $1,802–$13,874 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 4 matching MRF lines |
$116.90–$234 | $116.90–$234 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 4 matching MRF lines |
$140.70–$245 | $140.70–$245 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 4 matching MRF lines |
$95.20–$175 | $95.20–$175 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 4 matching MRF lines |
$133–$320 | $133–$320 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 4 matching MRF lines |
$175–$378 | $175–$378 | varies |
| Sigmoidoscopy & decompress (45337) range across 2 matching MRF lines |
$304–$1,389 | $304–$1,389 | varies |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$235–$1,389 | $235–$1,389 | varies |
| Sigmoidoscopy w/fb removal (45332) range across 2 matching MRF lines |
$237–$1,389 | $237–$1,389 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$284–$439 | $284–$439 | varies |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 2 matching MRF lines |
$351–$2,468 | $351–$2,468 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $300 | $300 | 0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$157–$275 | $157–$275 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$164–$347 | $164–$347 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $346 | $346 | 0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $211 | $211 | 1.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $400 | $400 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$126–$275 | $126–$275 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $334 | $334 | 1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$205–$311 | $205–$311 | varies |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$334–$3,618 | $334–$3,618 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,239 | $1,239 | 1.9× |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$227–$2,986 | $227–$2,986 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $5,213 | $5,213 | 1.2× |
| Small bowel endoscopy (44366) range across 2 matching MRF lines |
$820–$3,527 | $820–$3,527 | varies |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) range across 2 matching MRF lines |
$839–$3,527 | $839–$3,527 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 5 matching MRF lines |
$165–$314 | $165–$314 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$266–$406 | $266–$406 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $274 | $274 | 0.7× |
| Sphincterotomy anal division sphincter spx (46080) range across 4 matching MRF lines |
$397.60–$4,071 | $397.60–$4,071 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$165–$870 | $165–$870 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 4 matching MRF lines |
$1,377.60–$7,325 | $1,377.60–$7,325 | varies |
| Strabismus Any Superior Oblique Muscle (67318) range across 2 matching MRF lines |
$1,412–$5,547 | $1,412–$5,547 | varies |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) range across 2 matching MRF lines |
$1,245–$5,547 | $1,245–$5,547 | varies |
| Strabismus Recession/Rescj 1 Ver Musc (67314) range across 2 matching MRF lines |
$1,401–$5,547 | $1,401–$5,547 | varies |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) range across 2 matching MRF lines |
$1,505–$5,547 | $1,505–$5,547 | varies |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) range across 2 matching MRF lines |
$1,693–$5,547 | $1,693–$5,547 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$56–$91 | $56–$91 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$78–$228 | $78–$228 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$76–$228 | $76–$228 | varies |
| Strapping Hip (29520) | $76 | $76 | 0.6× |
| Strapping knee (29530) | $79 | $79 | 0.7× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$91–$228 | $91–$228 | varies |
| Strapping thorax (29200) | $83 | $83 | 0.6× |
| Strapping toes (29550) range across 3 matching MRF lines |
$42–$75 | $42–$75 | varies |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$76–$252 | $76–$252 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $325 | $325 | 0.8× |
| Suction assisted lipectomy; head and neck (15876) | $1,119 | $1,119 | 0.3× |
| Suction assisted lipectomy; trunk (15877) | $4,754 | $4,754 | 1.5× |
| Suction assisted lipectomy; upper extremity (15878) | $1,675 | $1,675 | 0.9× |
| Suction Lipectomy Lwr Extrem (15879) | $1,675 | $1,675 | 0.5× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) range across 2 matching MRF lines |
$780–$1,182 | $780–$1,182 | varies |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$1,898–$5,290 | $1,898–$5,290 | varies |
| Suture of quadriceps or hamstring muscle rupture primary (27385) range across 2 matching MRF lines |
$1,761–$8,199 | $1,761–$8,199 | varies |
| Syndactylization toes (28280) range across 2 matching MRF lines |
$752–$4,926 | $752–$4,926 | varies |
| Synovectomy Tendon Sheath Foot Extensor (28088) range across 2 matching MRF lines |
$623–$4,926 | $623–$4,926 | varies |
| Synovectomy Tendon Sheath Foot Flexor (28086) range across 2 matching MRF lines |
$749–$4,926 | $749–$4,926 | varies |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) | $9,530 | $9,530 | 3.2× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) range across 2 matching MRF lines |
$1,126–$5,360 | $1,126–$5,360 | varies |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) range across 2 matching MRF lines |
$1,561–$3,981 | $1,561–$3,981 | varies |
| Tangential biopsy skin single lesion (11102) | $192 | $192 | 0.5× |
| Tenolysis flexor foot single tendon (28220) range across 2 matching MRF lines |
$955–$5,360 | $955–$5,360 | varies |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) range across 2 matching MRF lines |
$901–$7,222 | $901–$7,222 | varies |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) range across 2 matching MRF lines |
$1,120–$7,222 | $1,120–$7,222 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$440–$4,926 | $440–$4,926 | varies |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
$601–$4,920 | $601–$4,920 | varies |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $4,547 | $4,547 | 3.1× |
| Tenotomy shoulder area single tendon (23405) range across 2 matching MRF lines |
$1,306–$7,222 | $1,306–$7,222 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 2 matching MRF lines |
$621–$4,926 | $621–$4,926 | varies |
| Thrombolytic Therapy Stroke (37195) | $1,212 | $1,212 | 4.1× |
| Thyroidectomy, total or complete (60240) range across 4 matching MRF lines |
$1,527–$10,613 | $1,527–$10,613 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 3 matching MRF lines |
$1,204.70–$3,773 | $1,204.70–$3,773 | varies |
| Tlh uterus over 250 g (58572) range across 2 matching MRF lines |
$2,909–$32,172 | $2,909–$32,172 | varies |
| Tnot elbow lateral/medial debride open (24358) range across 2 matching MRF lines |
$1,661–$7,222 | $1,661–$7,222 | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) range across 2 matching MRF lines |
$2,090–$8,199 | $2,090–$8,199 | varies |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$4,366–$10,868 | $4,366–$10,868 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $390 | $390 | 1.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $476 | $476 | 0.3× |
| Tracheostomy planned (31600) range across 2 matching MRF lines |
$665–$1,008 | $665–$1,008 | varies |
| Transfer skin pedicle flap (15650) range across 2 matching MRF lines |
$1,205–$4,806 | $1,205–$4,806 | varies |
| Treat Ankle Dislocation (27846) range across 2 matching MRF lines |
$2,333–$13,128 | $2,333–$13,128 | varies |
| Treat ankle fracture (28445) unusually low: confirm this is the full procedure |
$2,240 | $2,240 | 0.3× |
| Treat Big Toe Fracture (28505) range across 2 matching MRF lines |
$1,043–$5,832 | $1,043–$5,832 | varies |
| Treat clavicle dislocation (23530) likely a partial charge, not the full procedure |
$1,167 | $1,167 | 0.2× |
| Treat Elbow Fracture (24635) likely a partial charge, not the full procedure |
$1,426 | $1,426 | 0.2× |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$1,454–$6,076 | $1,454–$6,076 | varies |
| Treat fracture radius/ulna (25575) | $16,043 | $16,043 | 2.4× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$2,291–$16,043 | $2,291–$16,043 | varies |
| Treat Hip Socket Fracture (27222) | $2,038 | $2,038 | 9.2× |
| Treat humerus fracture (24500) | $661 | $661 | 3.0× |
| Treat Humerus Fracture (24505) | $1,274 | $1,274 | 0.9× |
| Treat humerus fracture (23600) | $616 | $616 | 2.8× |
| Treat knee fracture (27532) | $1,195 | $1,195 | 0.4× |
| Treat Knee Fracture(S) (27538) | $910 | $910 | 4.1× |
| Treat Knuckle Dislocation (26700) range across 3 matching MRF lines |
$614–$955 | $614–$955 | varies |
| Treat lower leg bone lesion (27607) range across 2 matching MRF lines |
$1,281–$4,920 | $1,281–$4,920 | varies |
| Treat metacarpal fracture (26607) | $937 | $937 | 0.3× |
| Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
$416–$631 | $416–$631 | varies |
| Treat Tail Bone Fracture (27200) | $380 | $380 | 1.7× |
| Treat Thumb Dislocation (26641) | $681 | $681 | 3.1× |
| Treat Thumb Fracture (26645) | $1,117 | $1,117 | 0.8× |
| Treat toe dislocation (28630) range across 3 matching MRF lines |
$229–$387 | $229–$387 | varies |
| Treat vagina infection (57150) range across 2 matching MRF lines |
$75–$112 | $75–$112 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,473 | $1,473 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $975 | $975 | 4.4× |
| Treatment of foot infection (28003) range across 2 matching MRF lines |
$1,190–$4,920 | $1,190–$4,920 | varies |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) range across 2 matching MRF lines |
$3,942–$8,176 | $3,942–$8,176 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$44–$197 | $44–$197 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$50–$197 | $50–$197 | varies |
| Trim skin lesions over 4 (11057) range across 4 matching MRF lines |
$79–$334 | $79–$334 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 5 matching MRF lines |
$22–$167 | $22–$167 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$44–$146 | $44–$146 | varies |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) range across 2 matching MRF lines |
$2,652–$17,136 | $2,652–$17,136 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$1,093–$9,206 | $1,093–$9,206 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$521–$4,926 | $521–$4,926 | varies |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) range across 2 matching MRF lines |
$598–$4,926 | $598–$4,926 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$340.20–$516 | $340.20–$516 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$252–$382 | $252–$382 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 3 matching MRF lines |
$484–$734 | $484–$734 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
$347–$527 | $347–$527 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) range across 2 matching MRF lines |
$1,442–$5,845 | $1,442–$5,845 | varies |
| Unlisted laparoscopy procedure stomach (43659) | $8,666 | $8,666 | 1.6× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 4 matching MRF lines |
$560–$8,690 | $560–$8,690 | varies |
| Unlisted procedure anus (46999) range across 3 matching MRF lines |
$339–$1,399 | $339–$1,399 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $252 | $252 | 1.7× |
| Unlisted procedure foot or toes (28899) | $335 | $335 | 1.5× |
| Unlisted procedure neck or thorax (21899) | $1,074 | $1,074 | 5.0× |
| Unlisted procedure nervous system (64999) | $158 | $158 | 0.6× |
| Unlisted procedure shoulder (23929) range across 2 matching MRF lines |
$1,802–$6,721 | $1,802–$6,721 | varies |
| Unlisted procedure stomach (43999) range across 2 matching MRF lines |
$523–$790 | $523–$790 | varies |
| Vaginal Delivery After Cesarean Delivery (59612) | $1,959 | $1,959 | 0.7× |
| Vaginal delivery only (59409) | $2,223 | $2,223 | 0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $5,517 | $5,517 | 1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 4 matching MRF lines |
$673–$5,523 | $673–$5,523 | varies |
| Venous Cutdown >1 Y/O (36425) | $85 | $85 | 0.2× |
| Vulvectomy simple partial (56620) range across 2 matching MRF lines |
$1,665–$9,206 | $1,665–$9,206 | varies |
| Wedge excision skin nail fold (11765) range across 5 matching MRF lines |
$165.90–$380 | $165.90–$380 | varies |
| Wedging of cast (29740) | $137 | $137 | 0.5× |
| Wedging of clubfoot cast (29750) | $162 | $162 | 0.6× |
| Windowing of cast (29730) | $95 | $95 | 0.6× |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$572–$727 | $572–$727 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 3 matching MRF lines |
$478–$1,108 | $478–$1,108 | varies |
| Xfer Single Deep Low Leg Tendon (27691) range across 2 matching MRF lines |
$1,568–$10,579 | $1,568–$10,579 | varies |
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.