Procedures & surgery prices at Lafayette Surgical Specialty Hospital
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
592 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,223 | $1,223 | 1.5× |
| Abdomen Surgery Procedure (22999) | $3,023 | $3,023 | 13.5× |
| Ablate inf turbinate submuc (30802) | $1,389 | $1,389 | 1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) range across 5 matching MRF lines |
$1,377–$5,531.50 | $1,377–$5,531.50 | varies |
| Acromiopl/Acromionect Partial (23130) | $18,693 | $18,693 | 6.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 3 matching MRF lines |
$872.55–$2,109.66 | $872.55–$2,109.66 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,952 | $1,952 | 1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $2,065.50 | $2,065.50 | 1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$1,981–$4,131 | $1,981–$4,131 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 3 matching MRF lines |
$3,962–$5,732 | $3,962–$5,732 | varies |
| Amputate Metacarpal Bone (26910) | $4,131 | $4,131 | 1.4× |
| Amputation toe interphalangeal joint (28825) | $9,069 | $9,069 | 3.1× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) | $2,778 | $2,778 | 0.6× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) range across 2 matching MRF lines |
$2,746–$3,027.35 | $2,746–$3,027.35 | varies |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) likely a partial charge, not the full procedure |
$1,739.20 | $1,739.20 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$255–$479 | $255–$479 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$479–$1,618 | $479–$1,618 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,148 | $1,148 | 4.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$612–$1,377 | $612–$1,377 | varies |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) range across 2 matching MRF lines |
$3,962–$6,329 | $3,962–$6,329 | varies |
| Arthrodesis Posterior Interbody Lumbar (22630) likely a partial charge, not the full procedure |
$3,501.75 | $3,501.75 | 0.1× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) unusually low: confirm this is the full procedure |
$4,909.20 | $4,909.20 | 0.3× |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 2 matching MRF lines |
$11,063–$13,430 | $11,063–$13,430 | varies |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$5,623 | $5,623 | 0.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$8,660.50–$11,063 | $8,660.50–$11,063 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$3,406.68–$3,926.50 | $3,406.68–$3,926.50 | varies |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) | $5,335 | $5,335 | 3.7× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $6,600 | $6,600 | 2.2× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $6,569.50 | $6,569.50 | 2.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $4,131 | $4,131 | 1.4× |
| Arthroscopy knee synovectomy limited spx (29875) | $3,962 | $3,962 | 1.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $6,600 | $6,600 | 2.2× |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$2,555–$2,898.66 | $2,555–$2,898.66 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $10,220 | $10,220 | 1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$4,984.66–$6,293.50 | $4,984.66–$6,293.50 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$1,739.20–$4,195.66 | $1,739.20–$4,195.66 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$1,739.20–$1,963.25 | $1,739.20–$1,963.25 | varies |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $4,100.50 | $4,100.50 | 1.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,898.68–$4,195.68 | $2,898.68–$4,195.68 | varies |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $3,300 | $3,300 | 1.1× |
| Arthrotomy wrist joint with synovectomy (25105) | $2,151 | $2,151 | 0.7× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 4 matching MRF lines |
$3,962–$13,139 | $3,962–$13,139 | varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $10,670 | $10,670 | 0.9× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) unusually low: confirm this is the full procedure |
$2,555 | $2,555 | 0.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$4,984.68–$6,293.50 | $4,984.68–$6,293.50 | varies |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) | $7,898.50 | $7,898.50 | 0.7× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$4,984.66–$5,335 | $4,984.66–$5,335 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$4,131–$7,853 | $4,131–$7,853 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $3,962 | $3,962 | 1.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) range across 2 matching MRF lines |
$1,981–$2,065.50 | $1,981–$2,065.50 | varies |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $1,981 | $1,981 | 0.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $582 | $582 | 2.1× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $527 | $527 | 0.8× |
| Biopsy of palate, uvula (42100) | $2,778 | $2,778 | 2.0× |
| Biopsy Salivary Gland Incisional (42405) | $4,131 | $4,131 | 2.9× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $938 | $938 | 0.6× |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$3,962–$6,600 | $3,962–$6,600 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$158–$166 | $158–$166 | varies |
| Blepharoplasty upper eyelid (15822) | $3,962 | $3,962 | 2.1× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $3,934 | $3,934 | 2.1× |
| Blood Transfusion Service (36430) | $1,283 | $1,283 | 3.2× |
| Breast Reduction (19318) | $8,696 | $8,696 | 1.4× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) range across 8 matching MRF lines |
$396.85–$1,739.20 | $396.85–$1,739.20 | varies |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) | $872.55 | $872.55 | 0.3× |
| Carpal Tunnel Surgery (64721) range across 6 matching MRF lines |
$1,320.66–$4,131 | $1,320.66–$4,131 | varies |
| Carpectomy All Bones Proximal Row (25215) | $4,100.50 | $4,100.50 | 1.4× |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$2,778–$4,317 | $2,778–$4,317 | varies |
| Catheter aspiration nasotracheal spx (31720) | $270 | $270 | 1.4× |
| Cerv artific diskectomy (22856) unusually low: confirm this is the full procedure |
$7,898.50 | $7,898.50 | 0.5× |
| Cervical lymphadenectomy (complete) (38720) | $9,082 | $9,082 | 1.5× |
| Change Cystostomy Tube Simple (51705) | $2,065.50 | $2,065.50 | 9.1× |
| Change of Windpipe Airway (31502) | $416 | $416 | 1.9× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,547 | $1,547 | 2.4× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$3,962–$7,003.50 | $3,962–$7,003.50 | varies |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $6,600 | $6,600 | 1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$1,574.63–$3,846 | $1,574.63–$3,846 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,962 | $3,962 | 1.3× |
| Closed tx septal&nose fx (21337) range across 2 matching MRF lines |
$3,962–$6,329 | $3,962–$6,329 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$45–$1,448.50 | $45–$1,448.50 | varies |
| Colpocleisis (le fort type) (57120) | $8,238 | $8,238 | 1.8× |
| Construction of artificial vagina; with graft Facility (57292) | $9,321 | $9,321 | 2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$724.25–$1,448.50 | $724.25–$1,448.50 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) | $1,439 | $1,439 | 11.9× |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$2,778–$2,897 | $2,778–$2,897 | varies |
| Correction hammertoe (28285) | $4,379.66 | $4,379.66 | 1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $4,379.68 | $4,379.68 | 0.7× |
| Create Tear Sac-Nasal Fistula (68720) | $6,600 | $6,600 | 1.9× |
| Csf shunt reprogram (62252) | $878 | $878 | 3.2× |
| Curette/treat cornea (65435) | $2,778 | $2,778 | 3.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,778 | $2,778 | 1.5× |
| Cysto w/destruction of lesions (52214) | $8,238 | $8,238 | 2.6× |
| Cysto w/insert ureteral stent (52332) range across 4 matching MRF lines |
$2,065.50–$6,329 | $2,065.50–$6,329 | varies |
| Cysto w/removal of tumors small (52234) | $4,131 | $4,131 | 1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) | $7,870 | $7,870 | 4.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 2 matching MRF lines |
$2,065.50–$3,300 | $2,065.50–$3,300 | varies |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $2,065.50 | $2,065.50 | 0.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) range across 2 matching MRF lines |
$4,534.50–$7,003.50 | $4,534.50–$7,003.50 | varies |
| Cysto/uretero w/lithotripsy (52356) range across 3 matching MRF lines |
$6,329–$13,430 | $6,329–$13,430 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) range across 2 matching MRF lines |
$1,448.50–$2,778 | $1,448.50–$2,778 | varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $3,962 | $3,962 | 1.2× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $6,600 | $6,600 | 1.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $2,200 | $2,200 | 1.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $3,962 | $3,962 | 1.2× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$2,200–$3,962 | $2,200–$3,962 | varies |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $6,600 | $6,600 | 3.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,320.66 | $1,320.66 | 0.5× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $4,525 | $4,525 | 2.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,898.66 | $2,898.66 | 1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $6,600 | $6,600 | 17.9× |
| Decompress Spinal Cord Lmbr (63056) range across 2 matching MRF lines |
$8,238–$11,063 | $8,238–$11,063 | varies |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,257 | $2,257 | 2.8× |
| Destroy cerv/thor facet jnt (64633) range across 7 matching MRF lines |
$2,797.50–$4,010 | $2,797.50–$4,010 | varies |
| Destroy lumb/sac facet jnt (64635) range across 6 matching MRF lines |
$3,056–$5,703 | $3,056–$5,703 | varies |
| Destruct B9 Lesion 1-14 (17110) | $1,448.50 | $1,448.50 | 8.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $2,022 | $2,022 | 2.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $11,484 | $11,484 | 6.5× |
| Destruction premalignant lesion 1st (17000) | $347.25 | $347.25 | 1.9× |
| Dilation Salivary Duct (42650) | $1,448.50 | $1,448.50 | 1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $2,109.68 | $2,109.68 | 1.3× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$1,432–$1,439 | $1,432–$1,439 | varies |
| Drain Spinal Cord Cyst (62268) range across 2 matching MRF lines |
$998–$2,897 | $998–$2,897 | varies |
| Drainage of hematoma/fluid (10140) | $6,600 | $6,600 | 4.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $3,962 | $3,962 | 21.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 8 matching MRF lines |
$796–$4,525 | $796–$4,525 | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) range across 2 matching MRF lines |
$2,480–$2,491 | $2,480–$2,491 | varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $3,540 | $3,540 | 4.4× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$990.50–$2,065.50 | $990.50–$2,065.50 | varies |
| Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
$990.50–$2,065.50 | $990.50–$2,065.50 | varies |
| Dx laryngoscopy w/oper scope (31526) range across 2 matching MRF lines |
$965.66–$2,065.50 | $965.66–$2,065.50 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $878 | $878 | 3.2× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $878 | $878 | 3.2× |
| Endoscopic injection/implant (51715) | $2,778 | $2,778 | 0.9× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$1,614–$1,692 | $1,614–$1,692 | varies |
| Epidural lysis mult sessions (62263) | $3,540 | $3,540 | 4.4× |
| Esophagoscopy rigid trnso dx (43191) | $990.50 | $990.50 | 0.6× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) range across 8 matching MRF lines |
$919.66–$4,131 | $919.66–$4,131 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $3,164.50 | $3,164.50 | 2.1× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) | $3,054.50 | $3,054.50 | 0.6× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) | $4,660.50 | $4,660.50 | 0.9× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) | $6,600 | $6,600 | 1.2× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $6,600 | $6,600 | 2.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $347.25 | $347.25 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,952 | $1,952 | 3.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $3,962 | $3,962 | 6.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $2,897 | $2,897 | 4.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 4 matching MRF lines |
$1,125.75–$2,778 | $1,125.75–$2,778 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
$1,448.50–$2,897 | $1,448.50–$2,897 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,778 | $2,778 | 1.9× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,389 | $1,389 | 0.9× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $2,151 | $2,151 | 0.8× |
| Exc Frenum Labial/Buccal (40819) | $694.50 | $694.50 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $2,898.66 | $2,898.66 | 1.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $3,164.50 | $3,164.50 | 4.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $4,131 | $4,131 | 2.8× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,320.66 | $1,320.66 | 0.9× |
| Exc hand tum deep < 1.5 cm (26116) range across 4 matching MRF lines |
$1,124.50–$3,962 | $1,124.50–$3,962 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$2,778–$2,897 | $2,778–$2,897 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $2,897 | $2,897 | 1.0× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) | $2,158.50 | $2,158.50 | 0.7× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $7,395 | $7,395 | 4.2× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) | $4,317 | $4,317 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $3,023 | $3,023 | 4.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,501.75 | $3,501.75 | 2.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,582.25 | $1,582.25 | 0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,065.50 | $2,065.50 | 1.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $4,131 | $4,131 | 11.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,962 | $3,962 | 1.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $2,065.50 | $2,065.50 | 0.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $1,389 | $1,389 | 0.9× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) range across 2 matching MRF lines |
$4,131–$6,329 | $4,131–$6,329 | varies |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $4,131 | $4,131 | 1.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $2,065.50 | $2,065.50 | 0.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $4,131 | $4,131 | 1.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $3,846 | $3,846 | 1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $6,329 | $6,329 | 4.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $4,131 | $4,131 | 1.6× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) range across 2 matching MRF lines |
$11,063–$14,007 | $11,063–$14,007 | varies |
| Exc/fulguration urethral caruncle (53265) | $2,778 | $2,778 | 1.5× |
| Exchange Intraocular Lens (66986) | $2,778 | $2,778 | 1.3× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $2,897 | $2,897 | 2.1× |
| Excise intraspinal lesion (63267) range across 2 matching MRF lines |
$6,054.68–$8,696 | $6,054.68–$8,696 | varies |
| Excise tendon forearm/wrist (25109) | $694.50 | $694.50 | 0.2× |
| Excise Wrist Tendon Sheath (25118) range across 3 matching MRF lines |
$1,389–$2,897 | $1,389–$2,897 | varies |
| Excision Aural Polyp (69540) range across 4 matching MRF lines |
$1,377–$2,897 | $1,377–$2,897 | varies |
| Excision Distal Ulna Partial/Complete (25240) | $3,300 | $3,300 | 1.1× |
| Excision External Ear Partial Simple Repair (69110) | $2,897 | $2,897 | 1.1× |
| Excision inferior turbinate partial/complete (30130) range across 2 matching MRF lines |
$2,174–$2,765.75 | $2,174–$2,765.75 | varies |
| Excision Lesion Cornea Xcp Pterygium (65400) range across 2 matching MRF lines |
$2,778–$2,897 | $2,778–$2,897 | varies |
| Excision lesion meniscus/capsule knee (27347) | $4,100.50 | $4,100.50 | 1.4× |
| Excision lesion mouth roof (42104) | $2,897 | $2,897 | 1.0× |
| Excision Lesion Tongue W/O Closure (41110) | $2,267.25 | $2,267.25 | 0.8× |
| Excision Lingual Frenum Frenectomy (41115) range across 2 matching MRF lines |
$694.50–$2,778 | $694.50–$2,778 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $6,600 | $6,600 | 10.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $4,534.50 | $4,534.50 | 3.0× |
| Excision nasal polyp(s) simple (30110) | $1,650 | $1,650 | 1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$1,981–$2,778 | $1,981–$2,778 | varies |
| Excision of gum flap (41821) | $2,884.50 | $2,884.50 | 2.1× |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$2,158.50–$6,329 | $2,158.50–$6,329 | varies |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $1,320.66 | $1,320.66 | 0.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) range across 2 matching MRF lines |
$8,696–$11,063 | $8,696–$11,063 | varies |
| Excision of submandibular (submaxillary) gland (42440) range across 2 matching MRF lines |
$8,636–$8,696 | $8,636–$8,696 | varies |
| Excision olecranon bursa (24105) | $7,853 | $7,853 | 2.7× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines |
$6,843.67–$12,366.68 | $6,843.67–$12,366.68 | varies |
| Excision soft tissue lesion, external auditory canal (69145) | $4,131 | $4,131 | 1.6× |
| Excision spermatocele w/wo epididymectomy (54840) | $4,348 | $4,348 | 2.3× |
| Excision tendon finger flexor/extensor each (26180) range across 2 matching MRF lines |
$1,192–$1,981 | $1,192–$1,981 | varies |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $6,329 | $6,329 | 1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $4,379.66 | $4,379.66 | 2.9× |
| Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$2,778–$4,131 | $2,778–$4,131 | varies |
| Excision/destruction lesion pharynx any method (42808) | $965.66 | $965.66 | 0.3× |
| Excision/surgical planing skin nose rhinophyma (30120) | $6,600 | $6,600 | 2.2× |
| Excision/Transposition Pterygium W/Grafg (65426) range across 2 matching MRF lines |
$2,778–$4,503 | $2,778–$4,503 | varies |
| Excision; trochanteric bursa or calcification (27062) | $3,300 | $3,300 | 1.1× |
| Exploration of spinal fusion (22830) range across 2 matching MRF lines |
$2,368.12–$14,007 | $2,368.12–$14,007 | varies |
| Exploratory elbow surgery (24000) | $2,617.66 | $2,617.66 | 0.9× |
| Fasciotomy Iliotibial Open (27305) | $3,300 | $3,300 | 1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 7 matching MRF lines |
$1,054.85–$4,100.50 | $1,054.85–$4,100.50 | varies |
| Fine needle aspiration without imaging guidance (10021) | $926 | $926 | 2.5× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) range across 5 matching MRF lines |
$724.25–$2,174 | $724.25–$2,174 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,952 | $1,952 | 1.0× |
| Fusion of knuckle joint (26516) range across 2 matching MRF lines |
$3,556.66–$6,600 | $3,556.66–$6,600 | varies |
| Fusion of knuckle with graft (26852) | $3,406.66 | $3,406.66 | 0.5× |
| Gastrocnemius recession (27687) | $3,937.60 | $3,937.60 | 1.3× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) unusually low: confirm this is the full procedure |
$1,650 | $1,650 | 0.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) | $3,159.40 | $3,159.40 | 1.0× |
| Grafting of autologous soft tiss by direct exc (15769) range across 2 matching MRF lines |
$5,769–$7,003.50 | $5,769–$7,003.50 | varies |
| Hyoid myotomy and suspension Facility (21685) | $4,476.68 | $4,476.68 | 0.8× |
| I&d abscess simple (10060) | $4,131 | $4,131 | 22.7× |
| Implant neuroelectrodes (63650) range across 4 matching MRF lines |
$2,616–$5,232 | $2,616–$5,232 | varies |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$6,600–$11,063 | $6,600–$11,063 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$3,962 | $3,962 | 0.2× |
| Implant Spine Infusion Pump (62362) range across 2 matching MRF lines |
$7,525–$9,069 | $7,525–$9,069 | varies |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $11,846 | $11,846 | 1.5× |
| Incise finger tendon sheath (26055) range across 7 matching MRF lines |
$1,124.50–$4,131 | $1,124.50–$4,131 | varies |
| Incision & drainage abscess complicated/multiple (10061) | $3,962 | $3,962 | 10.8× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$2,508–$4,131 | $2,508–$4,131 | varies |
| Incision extensor tendon sheath wrist (25000) range across 3 matching MRF lines |
$694.50–$1,389 | $694.50–$1,389 | varies |
| Incision of eardrum (69421) range across 2 matching MRF lines |
$926–$1,448.50 | $926–$1,448.50 | varies |
| Incision of labial frenum (frenotomy) (40806) | $926 | $926 | 1.9× |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$926–$2,778 | $926–$2,778 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 8 matching MRF lines |
$2,081–$3,753 | $2,081–$3,753 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $612 | $612 | 0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 4 matching MRF lines |
$1,569–$2,134 | $1,569–$2,134 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$523–$1,096.50 | $523–$1,096.50 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $612 | $612 | 0.8× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $612 | $612 | 0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,724 | $1,724 | 2.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$1,033.50–$1,356 | $1,033.50–$1,356 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$2,150–$3,234 | $2,150–$3,234 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $612 | $612 | 2.2× |
| Injection Anes Superior Hypogastric Plexus (64517) | $2,377 | $2,377 | 3.0× |
| Injection anesthetic agent suprascapular nerve (64418) | $612 | $612 | 1.0× |
| Injection into disk lesion (62292) | $998 | $998 | 0.6× |
| Injection into spinal artery (62294) | $998 | $998 | 1.2× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$292–$953.50 | $292–$953.50 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$557–$1,669.50 | $557–$1,669.50 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$608–$612 | $608–$612 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$681–$716 | $681–$716 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$612–$2,150 | $612–$2,150 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$1,167–$3,867.50 | $1,167–$3,867.50 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $612 | $612 | 2.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $1,732 | $1,732 | 2.2× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $1,732 | $1,732 | 2.2× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $1,732 | $1,732 | 2.2× |
| Insert Bladder Cath Complex (51703) | $1,981 | $1,981 | 17.0× |
| Insert multi-comp penis pros (54405) | $11,063 | $11,063 | 0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $154 | $154 | 0.1× |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) | $3,701 | $3,701 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,162 | $2,162 | 1.5× |
| Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) | $1,448.50 | $1,448.50 | 0.7× |
| Insj/rplcmt breast implant sep day mastectomy (19342) range across 3 matching MRF lines |
$3,159.40–$6,600 | $3,159.40–$6,600 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) unusually low: confirm this is the full procedure |
$8,696 | $8,696 | 0.3× |
| Intubation endotracheal emergency procedure (31500) | $420 | $420 | 2.0× |
| Island pedicle flap graft (15740) | $1,449.33 | $1,449.33 | 0.8× |
| Lam facetec & foramot lumbar (63047) range across 2 matching MRF lines |
$6,054.66–$11,063 | $6,054.66–$11,063 | varies |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) range across 2 matching MRF lines |
$2,212.60–$13,176 | $2,212.60–$13,176 | varies |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) range across 2 matching MRF lines |
$2,898.68–$4,479.57 | $2,898.68–$4,479.57 | varies |
| Laminotomy Single Lumbar (63042) range across 2 matching MRF lines |
$3,300–$9,069 | $3,300–$9,069 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) | $6,600 | $6,600 | 1.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $4,131 | $4,131 | 1.2× |
| Laryngoscopy W/Biopsy (31535) | $3,962 | $3,962 | 1.2× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $8,696 | $8,696 | 2.6× |
| Larynscop w/tumr exc + scope (31541) | $3,962 | $3,962 | 1.2× |
| Lateral retinacular release open (27425) | $6,569.50 | $6,569.50 | 2.2× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $8,201 | $8,201 | 1.2× |
| Ligation or biopsy temporal artery (37609) | $9,069 | $9,069 | 6.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) range across 2 matching MRF lines |
$3,054.50–$5,769 | $3,054.50–$5,769 | varies |
| Litholapaxy smpl/sm <2.5 cm (52317) range across 2 matching MRF lines |
$4,131–$4,534.50 | $4,131–$4,534.50 | varies |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$12,843–$15,740 | $12,843–$15,740 | varies |
| Low Back Disk Surgery (63030) range across 3 matching MRF lines |
$7,003.50–$25,265 | $7,003.50–$25,265 | varies |
| Lumbar spine fusion combined (22633) likely a partial charge, not the full procedure |
$3,159.40 | $3,159.40 | 0.1× |
| Lysis Intranasal Synechia (30560) range across 3 matching MRF lines |
$1,377–$6,329 | $1,377–$6,329 | varies |
| Manipulation knee joint under general anesthesia (27570) | $6,293.50 | $6,293.50 | 4.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $2,778 | $2,778 | 1.9× |
| Mastopexy (19316) | $4,534.50 | $4,534.50 | 0.8× |
| Myelography Lumbar Injection (62305) | $2,103 | $2,103 | 3.0× |
| Myelography via lumbar injection rs&i cervical (62302) range across 2 matching MRF lines |
$1,661–$1,740 | $1,661–$1,740 | varies |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,718 | $1,718 | 2.4× |
| Myringoplasty (69620) range across 5 matching MRF lines |
$1,389–$4,317 | $1,389–$4,317 | varies |
| N Block Inj Celiac Pelus (64530) range across 3 matching MRF lines |
$1,889–$1,980 | $1,889–$1,980 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $612 | $612 | 1.0× |
| N block inj intercost sng (64420) range across 4 matching MRF lines |
$708–$1,033.50 | $708–$1,033.50 | varies |
| N Block Inj Paracervical (64435) | $612 | $612 | 1.0× |
| N Block Inj Pudendal (64430) | $1,808 | $1,808 | 2.3× |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$2,021–$2,031 | $2,021–$2,031 | varies |
| Nasal Endoscopy Dx (31231) | $1,389 | $1,389 | 7.7× |
| Nasal sinus therapy (30210) range across 2 matching MRF lines |
$926–$1,320.66 | $926–$1,320.66 | varies |
| Nasal surgery procedure (30999) range across 2 matching MRF lines |
$1,389–$4,476.66 | $1,389–$4,476.66 | varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 4 matching MRF lines |
$1,582.25–$3,164.50 | $1,582.25–$3,164.50 | varies |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) likely a partial charge, not the full procedure |
$1,650 | $1,650 | 0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 3 matching MRF lines |
$3,023–$3,501.75 | $3,023–$3,501.75 | varies |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) range across 3 matching MRF lines |
$904.14–$2,200 | $904.14–$2,200 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 6 matching MRF lines |
$694.50–$2,897 | $694.50–$2,897 | varies |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) range across 2 matching MRF lines |
$1,648.28–$3,687.66 | $1,648.28–$3,687.66 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $3,846 | $3,846 | 0.6× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) range across 3 matching MRF lines |
$990.50–$3,687.68 | $990.50–$3,687.68 | varies |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) range across 4 matching MRF lines |
$1,054.83–$1,843.83 | $1,054.83–$1,843.83 | varies |
| Nasal/sinus ndsc total with sphenoidotomy (31257) range across 4 matching MRF lines |
$1,054.83–$2,884.50 | $1,054.83–$2,884.50 | varies |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 3 matching MRF lines |
$904.14–$2,109.68 | $904.14–$2,109.68 | varies |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) range across 5 matching MRF lines |
$1,582.25–$2,884.50 | $1,582.25–$2,884.50 | varies |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 3 matching MRF lines |
$1,582.25–$1,923 | $1,582.25–$1,923 | varies |
| Neck spine disk surgery (63020) range across 3 matching MRF lines |
$4,534.50–$7,138 | $4,534.50–$7,138 | varies |
| Nerve Pedicle Transfer First Stage (64905) unusually low: confirm this is the full procedure |
$2,555 | $2,555 | 0.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 5 matching MRF lines |
$1,320.66–$6,293.50 | $1,320.66–$6,293.50 | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) range across 3 matching MRF lines |
$694.50–$6,329 | $694.50–$6,329 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) range across 5 matching MRF lines |
$1,787–$1,934 | $1,787–$1,934 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $612 | $612 | 2.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 8 matching MRF lines |
$1,046.50–$2,260 | $1,046.50–$2,260 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$1,669.50–$2,757 | $1,669.50–$2,757 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$1,733–$1,742 | $1,733–$1,742 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,439 | $1,439 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,595 | $1,595 | 2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$2,164.50–$2,757 | $2,164.50–$2,757 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 3 matching MRF lines |
$2,150–$2,579 | $2,150–$2,579 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 3 matching MRF lines |
$792.40–$2,898.68 | $792.40–$2,898.68 | varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) range across 4 matching MRF lines |
$1,054.83–$1,843.83 | $1,054.83–$1,843.83 | varies |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$905–$3,690.50 | $905–$3,690.50 | varies |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) likely a partial charge, not the full procedure |
$11,538 | $11,538 | 0.3× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) unusually low: confirm this is the full procedure |
$11,063 | $11,063 | 0.4× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) | $4,348 | $4,348 | 0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$5,335–$7,055.50 | $5,335–$7,055.50 | varies |
| Open treatment metatarsal fracture each (28485) range across 3 matching MRF lines |
$3,846–$5,773.68 | $3,846–$5,773.68 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $10,220 | $10,220 | 1.6× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) | $17,321 | $17,321 | 1.5× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) range across 2 matching MRF lines |
$6,600–$9,069 | $6,600–$9,069 | varies |
| Open Treatment of Ulnar Shaft Fracture (25545) | $5,335 | $5,335 | 0.8× |
| Open treatment of ulnar styloid fracture (25652) unusually low: confirm this is the full procedure |
$3,164.50 | $3,164.50 | 0.5× |
| Open Treatment Proximal Humeral Fracture (23615) | $12,587 | $12,587 | 1.1× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) range across 3 matching MRF lines |
$3,962–$7,853 | $3,962–$7,853 | varies |
| Open tx carpal scaphoid navicular fracture (25628) | $3,962 | $3,962 | 0.6× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) | $1,433 | $1,433 | 0.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$8,696–$10,220 | $8,696–$10,220 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 3 matching MRF lines |
$1,320.68–$3,962 | $1,320.68–$3,962 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$5,335–$7,055.50 | $5,335–$7,055.50 | varies |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $9,069 | $9,069 | 0.8× |
| Open Tx Humeral Epicondylar Fracture (24575) unusually low: confirm this is the full procedure |
$5,732 | $5,732 | 0.5× |
| Open tx interphalangeal joint dislocation (26785) | $6,329 | $6,329 | 2.1× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) | $6,715 | $6,715 | 1.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 5 matching MRF lines |
$1,433–$7,853 | $1,433–$7,853 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 5 matching MRF lines |
$3,300–$6,600 | $3,300–$6,600 | varies |
| Open Tx Radial Head/Neck Fracture (24665) | $7,853 | $7,853 | 1.2× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) | $7,804 | $7,804 | 0.7× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $10,670 | $10,670 | 1.6× |
| Open tx ulnar fx proximal end (24685) | $9,069 | $9,069 | 1.4× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$3,926.50–$7,853 | $3,926.50–$7,853 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$3,164.50–$6,329 | $3,164.50–$6,329 | varies |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) unusually low: confirm this is the full procedure |
$4,669 | $4,669 | 0.4× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $10,670 | $10,670 | 1.6× |
| Orchiectomy radical tumor inguinal approach (54530) range across 2 matching MRF lines |
$8,696–$9,069 | $8,696–$9,069 | varies |
| Ostectomy calcaneus (28118) | $4,119 | $4,119 | 1.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $8,238 | $8,238 | 2.8× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) | $5,773.66 | $5,773.66 | 0.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) | $3,937.60 | $3,937.60 | 0.6× |
| Osteotomy Clavicle W Bone Graft (23485) | $9,069 | $9,069 | 0.8× |
| Palatopharyngoplasty (42145) | $4,348 | $4,348 | 0.8× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $6,600 | $6,600 | 1.2× |
| Part remv talus or calcaneus (28120) | $7,477 | $7,477 | 2.5× |
| Partial excision bone olecranon process (24147) | $4,100.50 | $4,100.50 | 1.4× |
| Partial Excision Bone Radius (25151) | $1,828.68 | $1,828.68 | 0.6× |
| Partial Excision Distal Phalanx Finger (26236) range across 8 matching MRF lines |
$396.85–$1,788 | $396.85–$1,788 | varies |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) | $6,600 | $6,600 | 1.0× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) range across 2 matching MRF lines |
$396.85–$1,981 | $396.85–$1,981 | varies |
| Partial removal of thyroid (60220) range across 2 matching MRF lines |
$8,696–$11,538 | $8,696–$11,538 | varies |
| Partial removal of tongue (41120) | $9,082 | $9,082 | 1.7× |
| Patellectomy or hemipatellectomy (27350) | $10,220 | $10,220 | 1.6× |
| Penis plastic surgery (54360) | $6,109 | $6,109 | 1.9× |
| Peri-Implant Capsulectomy Breast Complete (19371) | $3,164.50 | $3,164.50 | 0.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $7,003.50 | $7,003.50 | 2.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $4,131 | $4,131 | 1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $3,962 | $3,962 | 0.6× |
| Perq Vertebral Augmentation (22513) | $4,348 | $4,348 | 0.7× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $6,329 | $6,329 | 2.9× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) | $1,648.28 | $1,648.28 | 0.8× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) range across 2 matching MRF lines |
$3,138–$3,153 | $3,138–$3,153 | varies |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $2,778 | $2,778 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,595 | $1,595 | 4.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $670 | $670 | 1.0× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) | $6,569.50 | $6,569.50 | 1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $1,981 | $1,981 | 1.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) range across 4 matching MRF lines |
$694.50–$2,778 | $694.50–$2,778 | varies |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) | $4,503 | $4,503 | 0.8× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) | $1,389 | $1,389 | 0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$3,122–$4,371 | $3,122–$4,371 | varies |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $3,556.68 | $3,556.68 | 1.2× |
| Realignment extensor tendon hand each tendon (26437) | $5,486 | $5,486 | 1.9× |
| Reconst lwr jaw w/fixation (21196) | $11,941.50 | $11,941.50 | 2.2× |
| Reconstruct elbow med ligmnt (24346) unusually low: confirm this is the full procedure |
$4,195.68 | $4,195.68 | 0.4× |
| Reconstruct Finger Joint (26548) | $6,600 | $6,600 | 2.2× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) | $11,941.50 | $11,941.50 | 2.2× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) | $18,945 | $18,945 | 3.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) | $5,335 | $5,335 | 0.8× |
| Reinsert spinal fixation (22849) likely a partial charge, not the full procedure |
$2,632.83 | $2,632.83 | 0.2× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) unusually low: confirm this is the full procedure |
$8,238 | $8,238 | 0.4× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) | $18,945 | $18,945 | 1.0× |
| Removal Foreign Body Foot Complicated (28193) | $16,476 | $16,476 | 11.0× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$3,962–$4,348 | $3,962–$4,348 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $4,348 | $4,348 | 6.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $4,131 | $4,131 | 2.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) range across 2 matching MRF lines |
$1,448.50–$2,778 | $1,448.50–$2,778 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$965.66–$1,389 | $965.66–$1,389 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$926–$2,897 | $926–$2,897 | varies |
| Removal Implant Deep (20680) range across 4 matching MRF lines |
$1,377–$6,600 | $1,377–$6,600 | varies |
| Removal of adenoids (42835) | $1,389 | $1,389 | 0.5× |
| Removal of adenoids (42831) range across 2 matching MRF lines |
$1,389–$2,778 | $1,389–$2,778 | varies |
| Removal of adenoids (42830) | $1,389 | $1,389 | 0.5× |
| Removal of adenoids (42836) | $1,981 | $1,981 | 0.7× |
| Removal of anterior instrumentation (22855) | $4,541 | $4,541 | 0.7× |
| Removal of implant from finger or hand (26320) range across 3 matching MRF lines |
$1,739.20–$4,131 | $1,739.20–$4,131 | varies |
| Removal of infusion pump (36262) | $2,244 | $2,244 | 0.7× |
| Removal of testis (54520) | $9,069 | $9,069 | 2.8× |
| Removal of tonsils (42825) range across 2 matching MRF lines |
$2,158.50–$2,778 | $2,158.50–$2,778 | varies |
| Removal of tonsils (42826) | $2,778 | $2,778 | 0.9× |
| Removal of wrist bone (25210) | $2,778 | $2,778 | 0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$926–$1,448.50 | $926–$1,448.50 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $6,600 | $6,600 | 3.5× |
| Removal, under anesthesia, of external fixation system (20694) | $4,131 | $4,131 | 2.8× |
| Remove Ankle Joint Lining (27626) | $4,119 | $4,119 | 1.4× |
| Remove Elbow Joint Lining (24102) | $4,100.50 | $4,100.50 | 1.4× |
| Remove elbow lesion (24120) | $8,201 | $8,201 | 2.8× |
| Remove Forearm Foreign Body (25248) | $5,335 | $5,335 | 3.7× |
| Remove Hand Bone Lesion (26200) | $2,249 | $2,249 | 1.5× |
| Remove Lower Leg Bone Lesion (27635) | $3,164.50 | $3,164.50 | 1.1× |
| Remove part thorax vertebra (22101) | $6,600 | $6,600 | 1.0× |
| Remove prostate regrowth (52630) | $6,329 | $6,329 | 1.3× |
| Remove spine eltrd plate (63662) | $4,348 | $4,348 | 1.4× |
| Remove spine fixation device (22850) | $4,579.60 | $4,579.60 | 0.7× |
| Remove Tendon Sheath Lesion (26160) range across 10 matching MRF lines |
$396.85–$4,131 | $396.85–$4,131 | varies |
| Remove vc lesion w/scope (31545) range across 2 matching MRF lines |
$4,131–$6,600 | $4,131–$6,600 | varies |
| Remv cartilage for graft nasal (20912) | $1,032.75 | $1,032.75 | 0.3× |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$10,220–$13,139 | $10,220–$13,139 | varies |
| Repair brow ptosis (67900) | $7,003.50 | $7,003.50 | 3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $3,846 | $3,846 | 10.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $3,300 | $3,300 | 9.0× |
| Repair Entropion Extensive (67924) | $4,131 | $4,131 | 1.9× |
| Repair Entropion Suture (67921) | $4,131 | $4,131 | 1.9× |
| Repair extensor tendon finger w/o graft each (26418) range across 4 matching MRF lines |
$2,876.87–$4,131 | $2,876.87–$4,131 | varies |
| Repair Finger Tendon (26433) | $4,131 | $4,131 | 1.4× |
| Repair Finger/Hand Tendon (26350) | $2,876.87 | $2,876.87 | 1.0× |
| Repair Fistula Oromaxillary (30580) unusually low: confirm this is the full procedure |
$2,109.66 | $2,109.66 | 0.4× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $4,348 | $4,348 | 1.5× |
| Repair Foot Dislocation (28615) likely a partial charge, not the full procedure |
$1,574.63 | $1,574.63 | 0.2× |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$8,238–$9,069 | $8,238–$9,069 | varies |
| Repair Hand Joint (26540) range across 3 matching MRF lines |
$1,806.34–$7,853 | $1,806.34–$7,853 | varies |
| Repair Hand Tendon (26410) | $2,617.68 | $2,617.68 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $347.25 | $347.25 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$1,125.75–$2,158.50 | $1,125.75–$2,158.50 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,448.50 | $1,448.50 | 3.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$1,543–$3,023 | $1,543–$3,023 | varies |
| Repair nasal septal perforations (30630) | $9,921 | $9,921 | 3.3× |
| Repair Nasal Vestibular Stenosis (30465) range across 3 matching MRF lines |
$1,377–$4,534.50 | $1,377–$4,534.50 | varies |
| Repair of metatarsals (28322) | $4,348 | $4,348 | 0.7× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$1,320.66–$4,131 | $1,320.66–$4,131 | varies |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$6,293.50–$7,853 | $6,293.50–$7,853 | varies |
| Repair paravag defect vag (57285) | $11,538 | $11,538 | 1.7× |
| Repair secondary achilles tendon w/wo graft (27654) range across 2 matching MRF lines |
$6,569.50–$7,477 | $6,569.50–$7,477 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 3 matching MRF lines |
$2,109.66–$10,670 | $2,109.66–$10,670 | varies |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 3 matching MRF lines |
$3,937.60–$10,220 | $3,937.60–$10,220 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) | $6,569.50 | $6,569.50 | 1.0× |
| Repair/Graft Wrist Bone (25440) | $11,063 | $11,063 | 1.7× |
| Repair/transpose nerve (64856) | $4,348 | $4,348 | 0.5× |
| Replace/Revise Brain Shunt (62230) | $10,213 | $10,213 | 1.3× |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) | $627 | $627 | 0.4× |
| Replacement Tissue Expander W/Permanent Implant (11970) range across 2 matching MRF lines |
$3,687.66–$4,348 | $3,687.66–$4,348 | varies |
| Repr elbow lat ligmnt w/tiss (24343) | $7,804 | $7,804 | 2.6× |
| Repr Elbw Med Ligmnt W/Tiss (24345) unusually low: confirm this is the full procedure |
$2,109.68 | $2,109.68 | 0.3× |
| Repr torn cruciate knee ligam (27407) | $12,587 | $12,587 | 1.9× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $10,670 | $10,670 | 0.9× |
| Revise external ear (69300) | $1,389 | $1,389 | 0.5× |
| Revise Hand/Foot Nerve (64704) | $4,348 | $4,348 | 2.5× |
| Revise ulnar nerve at wrist (64719) range across 3 matching MRF lines |
$2,555–$3,962 | $2,555–$3,962 | varies |
| Revise Wrist/Forearm Tendon (25280) range across 2 matching MRF lines |
$3,926.50–$4,669 | $3,926.50–$4,669 | varies |
| Revise/Repair Finger/Toe Nerve (64702) | $1,981 | $1,981 | 1.1× |
| Revision of implanted intra-arterial infusion pump Facility (36261) | $3,481 | $3,481 | 1.0× |
| Revision of reconstructed breast (19380) range across 4 matching MRF lines |
$2,109.68–$3,846 | $2,109.68–$3,846 | varies |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) | $16,476 | $16,476 | 1.6× |
| Revision Peri-Implant Capsule Breast (19370) | $2,065.50 | $2,065.50 | 0.6× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) | $11,538 | $11,538 | 1.0× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) | $12,587 | $12,587 | 0.8× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $6,329 | $6,329 | 2.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $4,131 | $4,131 | 1.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 4 matching MRF lines |
$926–$2,778 | $926–$2,778 | varies |
| Rmvl Lens Material Phacofragmentation Aspir (66850) | $2,897 | $2,897 | 1.4× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $4,348 | $4,348 | 2.5× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) | $3,540 | $3,540 | 1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $3,501.75 | $3,501.75 | 2.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,754 | $2,754 | 4.8× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $1,389 | $1,389 | 0.7× |
| Rmvl/revj sling stress incontinence (57287) | $9,069 | $9,069 | 3.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $6,843.67 | $6,843.67 | 2.1× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $3,846 | $3,846 | 0.7× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) | $4,131 | $4,131 | 1.9× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) range across 2 matching MRF lines |
$3,962–$4,131 | $3,962–$4,131 | varies |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) | $3,300 | $3,300 | 0.6× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $2,876.87 | $2,876.87 | 1.0× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) | $13,139 | $13,139 | 2.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 2 matching MRF lines |
$3,300–$5,110 | $3,300–$5,110 | varies |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $3,300 | $3,300 | 1.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 2 matching MRF lines |
$1,843.85–$2,109.68 | $1,843.85–$2,109.68 | varies |
| Sever cranial nerve (64771) | $2,743 | $2,743 | 1.6× |
| Severing tarsorrhaphy (67710) | $3,962 | $3,962 | 4.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $2,251.50 | $2,251.50 | 12.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $965.66 | $965.66 | 5.3× |
| Skin sub graft face/nk/hf/g (15275) | $2,065.50 | $2,065.50 | 3.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $8,696 | $8,696 | 1.9× |
| Slitting of prepuce (54001) | $2,897 | $2,897 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) | $873 | $873 | 1.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,164.50 | $3,164.50 | 1.7× |
| Submucosal abltj tongue rf 1/> sites pr session (41530) | $2,267.25 | $2,267.25 | 0.8× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 4 matching MRF lines |
$1,389–$2,109.66 | $1,389–$2,109.66 | varies |
| Suction assisted lipectomy; trunk (15877) range across 2 matching MRF lines |
$3,501.75–$4,348 | $3,501.75–$4,348 | varies |
| Surg Implnt Neuroelect,Epidural (63655) likely a partial charge, not the full procedure |
$3,300 | $3,300 | 0.2× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) range across 3 matching MRF lines |
$1,133.62–$1,448.50 | $1,133.62–$1,448.50 | varies |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) range across 2 matching MRF lines |
$1,389–$2,251.50 | $1,389–$2,251.50 | varies |
| Suture 1 nerve hand/foot common sensory nerve (64834) range across 3 matching MRF lines |
$1,389–$5,110 | $1,389–$5,110 | varies |
| Suture 1 Nerve Ulnar Motor (64836) | $5,335 | $5,335 | 1.7× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $10,670 | $10,670 | 1.6× |
| Synovectomy carpometacarpal joint (26130) | $2,743 | $2,743 | 0.9× |
| Synovectomy Tendon Sheath Foot Extensor (28088) | $2,898.68 | $2,898.68 | 1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) range across 4 matching MRF lines |
$1,054.83–$3,164.50 | $1,054.83–$3,164.50 | varies |
| Temporary Closure Eyelids Suture (67875) range across 2 matching MRF lines |
$4,131–$4,317 | $4,131–$4,317 | varies |
| Tendon shortening (26477) | $872.55 | $872.55 | 0.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $2,109.66 | $2,109.66 | 0.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) range across 2 matching MRF lines |
$3,406.66–$3,926.50 | $3,406.66–$3,926.50 | varies |
| Tenodesis long tendon biceps (23430) | $8,660.50 | $8,660.50 | 1.3× |
| Tenolysis flexor tendon palm&finger each tendo (26442) range across 2 matching MRF lines |
$1,739.20–$2,065.50 | $1,739.20–$2,065.50 | varies |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $872.55 | $872.55 | 0.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) range across 2 matching MRF lines |
$2,667.50–$3,937.60 | $2,667.50–$3,937.60 | varies |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) range across 4 matching MRF lines |
$1,377–$1,981 | $1,377–$1,981 | varies |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) | $3,949.25 | $3,949.25 | 1.3× |
| Thyroidectomy, total or complete (60240) | $11,063 | $11,063 | 2.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) | $11,449 | $11,449 | 2.1× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$2,778–$4,317 | $2,778–$4,317 | varies |
| Tissue Expander Placement Breast Reconstruction (19357) range across 2 matching MRF lines |
$2,109.66–$3,164.50 | $2,109.66–$3,164.50 | varies |
| Tnot elbow lateral/medial debride open (24358) | $3,962 | $3,962 | 1.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) range across 2 matching MRF lines |
$5,732–$7,853 | $5,732–$7,853 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) range across 2 matching MRF lines |
$1,439–$2,174 | $1,439–$2,174 | varies |
| Tooth extraction (41899) | $1,439 | $1,439 | 6.7× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$8,696–$12,587 | $8,696–$12,587 | varies |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 3 matching MRF lines |
$1,981–$4,100.50 | $1,981–$4,100.50 | varies |
| Translum Dil Eye Canal (66174) | $1,389 | $1,389 | 0.4× |
| Transur electr resection of prostate (52601) range across 2 matching MRF lines |
$5,769–$8,696 | $5,769–$8,696 | varies |
| Treat Finger Fracture Each (26727) | $2,897 | $2,897 | 1.0× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$5,335–$10,220 | $5,335–$10,220 | varies |
| Treat kneecap dislocation (27566) | $7,853 | $7,853 | 1.2× |
| Treat Kneecap Fracture (27524) | $6,569.50 | $6,569.50 | 1.0× |
| Treatment of ankle fracture (27823) range across 2 matching MRF lines |
$6,569.50–$20,546 | $6,569.50–$20,546 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $9,069 | $9,069 | 13.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,574.63 | $1,574.63 | 7.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) range across 4 matching MRF lines |
$1,389–$2,897 | $1,389–$2,897 | varies |
| Tympanoplasty (69631) range across 5 matching MRF lines |
$5,769–$13,430 | $5,769–$13,430 | varies |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) range across 2 matching MRF lines |
$13,430–$16,476 | $13,430–$16,476 | varies |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) | $22,898 | $22,898 | 4.3× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) | $18,945 | $18,945 | 3.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) | $9,321 | $9,321 | 1.7× |
| Tympanostomy general anesthesia (69436) range across 6 matching MRF lines |
$965.66–$2,897 | $965.66–$2,897 | varies |
| Unlisted Procedure Accessory Sinuses (31299) range across 2 matching MRF lines |
$1,813.80–$2,174 | $1,813.80–$2,174 | varies |
| Unlisted procedure femur or knee (27599) | $3,807 | $3,807 | 17.0× |
| Unlisted Procedure Hands/Fingers (26989) | $1,320.66 | $1,320.66 | 5.9× |
| Unlisted Procedure Intestine (44799) | $1,981 | $1,981 | 2.4× |
| Unlisted procedure nervous system (64999) range across 7 matching MRF lines |
$608–$7,003.50 | $608–$7,003.50 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $990.50 | $990.50 | 4.6× |
| Unlisted Px Salivary Glands/Ducts (42699) | $1,448.50 | $1,448.50 | 6.8× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) | $15,797 | $15,797 | 3.3× |
| Uvulectomy excision of uvula (42140) | $1,650 | $1,650 | 0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$3,962–$4,317 | $3,962–$4,317 | varies |
| Vasovasostomy vasovasorrhaphy (55400) | $20,531 | $20,531 | 6.4× |
| Ventilating tube removal requiring general anesthesia (69424) range across 5 matching MRF lines |
$965.66–$2,897 | $965.66–$2,897 | varies |
| Wound Prep Trk/Arm/Leg (15002) | $3,164.50 | $3,164.50 | 4.7× |
| Wrist arthroscopy with partial removal of joint lining (29844) | $5,486 | $5,486 | 1.9× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $1,389 | $1,389 | 0.3× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) range across 2 matching MRF lines |
$1,389–$2,158.50 | $1,389–$2,158.50 | varies |
| Xfer Single Deep Low Leg Tendon (27691) | $3,937.60 | $3,937.60 | 0.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.