Procedures & surgery prices at Lake Chelan Health Hospital
Chelan, WA · every code in this section with a posted price and a Medicare benchmark.
933 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$427.14–$2,496.95 | $427.14–$2,496.95 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$306.45–$334.05 | $306.45–$334.05 | varies |
| Abdomen Surgery Procedure (22999) | $1,655.50 | $1,655.50 | 6.0× |
| Acne surgery (10040) | $192.45 | $192.45 | 0.9× |
| Adding Walker Previously Applied Cast (29440) range across 2 matching MRF lines |
$119.65–$128.03 | $119.65–$128.03 | varies |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $2,215.06 | $2,215.06 | 1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $2,750.06 | $2,750.06 | 1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $2,693 | $2,693 | 0.7× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $3,343.75 | $3,343.75 | 1.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,961.01 | $2,961.01 | 1.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,269.20 | $2,269.20 | 1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $3,177.90 | $3,177.90 | 1.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $3,261.79 | $3,261.79 | 1.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,348.97 | $2,348.97 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 3 matching MRF lines |
$2,636.59–$5,820.69 | $2,636.59–$5,820.69 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,349.50–$6,279.94 | $1,349.50–$6,279.94 | varies |
| Anorectal myomectomy (45108) | $1,392.61 | $1,392.61 | 0.5× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$331.81–$434.74 | $331.81–$434.74 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $377.23 | $377.23 | 0.4× |
| Anoscopy; with biopsy, single or multiple (46606) | $954.98 | $954.98 | 0.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$785.92–$4,679.22 | $785.92–$4,679.22 | varies |
| Anterior Tibial Tubercleplasty (27418) unusually low: confirm this is the full procedure |
$3,291.32 | $3,291.32 | 0.4× |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,632.63 | $2,632.63 | 0.4× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 2 matching MRF lines |
$224.70–$240.43 | $224.70–$240.43 | varies |
| Application cast elbow finger short arm (29075) range across 5 matching MRF lines |
$194.60–$871.78 | $194.60–$871.78 | varies |
| Application Finger Splint Dynamic (29131) | $7,612.57 | $7,612.57 | 115.8× |
| Application finger splint static (29130) range across 6 matching MRF lines |
$84.30–$410.08 | $84.30–$410.08 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$197.20–$295.16 | $197.20–$295.16 | varies |
| Application Long Leg Cast Brace (29358) range across 2 matching MRF lines |
$337.40–$361.02 | $337.40–$361.02 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$313.95–$335.93 | $313.95–$335.93 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$173.70–$238.24 | $173.70–$238.24 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$272.15–$291.20 | $272.15–$291.20 | varies |
| Application of long leg cast (29345) range across 6 matching MRF lines |
$274.99–$915.12 | $274.99–$915.12 | varies |
| Application of rigid total contact leg cast (29445) | $561.75 | $561.75 | 1.8× |
| Application Patellar Tendon Bearing Cast (29435) range across 2 matching MRF lines |
$245.80–$263.01 | $245.80–$263.01 | varies |
| Application Short Arm Splint Dynamic (29126) | $413.66 | $413.66 | 2.8× |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$138.90–$655.75 | $138.90–$655.75 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$154.25–$238.24 | $154.25–$238.24 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$206.90–$221.38 | $206.90–$221.38 | varies |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$211.20–$296.39 | $211.20–$296.39 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $240.43 | $240.43 | 1.3× |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$200.05–$289.33 | $200.05–$289.33 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$215.20–$230.26 | $215.20–$230.26 | varies |
| Arterial puncture (36600) | $215.46 | $215.46 | 1.5× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) range across 2 matching MRF lines |
$2,752.84–$24,653.98 | $2,752.84–$24,653.98 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$139.10–$658.75 | $139.10–$658.75 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$176.98–$192.92 | $176.98–$192.92 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$133.86–$2,009.19 | $133.86–$2,009.19 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$182.60–$993.12 | $182.60–$993.12 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$141.65–$578.44 | $141.65–$578.44 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $8,837.65 | $8,837.65 | 1.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,798.95 | $4,798.95 | 0.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$3,030.35–$10,384.46 | $3,030.35–$10,384.46 | varies |
| Arthroscopy Ankle Surgical Debridement Limited (29897) range across 3 matching MRF lines |
$1,870.36–$11,422.46 | $1,870.36–$11,422.46 | varies |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $1,897.86 | $1,897.86 | 0.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) range across 2 matching MRF lines |
$1,723.72–$6,881.01 | $1,723.72–$6,881.01 | varies |
| Arthroscopy Knee Osteochondral Allograft (29867) range across 2 matching MRF lines |
$3,653.35–$20,625.91 | $3,653.35–$20,625.91 | varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $2,438 | $2,438 | 0.7× |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$1,839.76–$10,734.99 | $1,839.76–$10,734.99 | varies |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $2,303.76 | $2,303.76 | 0.6× |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$3,916.52–$5,969.26 | $3,916.52–$5,969.26 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$3,211.82 | $3,211.82 | 0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) | $1,495.97 | $1,495.97 | 0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$1,920.65–$8,741.42 | $1,920.65–$8,741.42 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$6,915.41–$13,681.77 | $6,915.41–$13,681.77 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$5,703.74–$11,284.38 | $5,703.74–$11,284.38 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$4,731.91–$5,962.58 | $4,731.91–$5,962.58 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$3,548.60–$6,629.93 | $3,548.60–$6,629.93 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$1,752.39–$5,445.50 | $1,752.39–$5,445.50 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$3,141.57–$8,236.16 | $3,141.57–$8,236.16 | varies |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $2,174.56 | $2,174.56 | 0.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$3,249.75–$12,966.42 | $3,249.75–$12,966.42 | varies |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $2,318.05 | $2,318.05 | 0.6× |
| Arthrotomy W/Meniscus Repair Knee (27403) likely a partial charge, not the full procedure |
$1,224.88 | $1,224.88 | 0.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$3,466.80 | $3,466.80 | 0.2× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) range across 2 matching MRF lines |
$9,482.34–$18,761.43 | $9,482.34–$18,761.43 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$8,044.26–$15,916.57 | $8,044.26–$15,916.57 | varies |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) unusually low: confirm this is the full procedure |
$4,531.93 | $4,531.93 | 0.3× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $2,406.54 | $2,406.54 | 0.7× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$3,487.34–$10,700.27 | $3,487.34–$10,700.27 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$2,314.68–$13,734.31 | $2,314.68–$13,734.31 | varies |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) range across 2 matching MRF lines |
$4,482.77–$12,077.73 | $4,482.77–$12,077.73 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$3,225.30–$9,813.08 | $3,225.30–$9,813.08 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $1,433.32 | $1,433.32 | 0.8× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) range across 2 matching MRF lines |
$1,182.19–$4,900.92 | $1,182.19–$4,900.92 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$992.32–$1,081.66 | $992.32–$1,081.66 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$796.29–$2,330.89 | $796.29–$2,330.89 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$136.20–$145.73 | $136.20–$145.73 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $367.38 | $367.38 | 0.5× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$479.79–$1,044 | $479.79–$1,044 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$212.60–$499.10 | $212.60–$499.10 | varies |
| Axillary lymphadenectomy; complete (38745) | $4,060.60 | $4,060.60 | 0.6× |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$233.25–$249.58 | $233.25–$249.58 | varies |
| Biopsy muscle percutaneous needle (20206) | $803.30 | $803.30 | 0.4× |
| Biopsy of breast; open, incisional (19101) | $962.57 | $962.57 | 0.2× |
| Biopsy of lip (40490) | $267.50 | $267.50 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $2,313.29 | $2,313.29 | 1.3× |
| Biopsy Salivary Gland Incisional (42405) | $939 | $939 | 0.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $304.20 | $304.20 | 0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $1,445.09 | $1,445.09 | 0.4× |
| Biopsy, vestibule of mouth (40808) | $450 | $450 | 0.7× |
| Biopsy/removal lymph nodes (38510) | $1,562.20 | $1,562.20 | 0.4× |
| Bladder Irrigation (51700) range across 4 matching MRF lines |
$224–$266.06 | $224–$266.06 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$76.24–$193.75 | $76.24–$193.75 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$300–$508.25 | $300–$508.25 | varies |
| Blood Transfusion Service (36430) | $1,509.45 | $1,509.45 | 3.1× |
| Breast Reduction (19318) | $3,884.10 | $3,884.10 | 0.5× |
| Bx breast 1st lesion us imag (19083) | $2,445.59 | $2,445.59 | 1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) | $522.43 | $522.43 | 0.3× |
| Bx Cervix (57500) range across 3 matching MRF lines |
$335.95–$389.16 | $335.95–$389.16 | varies |
| Bx prostate strtctc saturation sampling img gid (55706) range across 2 matching MRF lines |
$1,210–$1,500 | $1,210–$1,500 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $1,996.19 | $1,996.19 | 0.5× |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$1,572.90–$8,046.08 | $1,572.90–$8,046.08 | varies |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 3 matching MRF lines |
$1,144.50–$5,412.49 | $1,144.50–$5,412.49 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$3,495.48–$6,916.05 | $3,495.48–$6,916.05 | varies |
| Catheter aspiration nasotracheal spx (31720) | $422.45 | $422.45 | 1.7× |
| Change Cystostomy Tube Complicated (51710) | $518.65 | $518.65 | 0.7× |
| Change Cystostomy Tube Simple (51705) | $350 | $350 | 1.3× |
| Chemical Cautery Tissue (17250) | $251.25 | $251.25 | 1.1× |
| Chemodenerv 1 extremity 1-4 (64642) | $117.70 | $117.70 | 0.1× |
| Chemodenervation of internal anal sphincter (46505) | $888.10 | $888.10 | 0.7× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$945.13–$1,030.20 | $945.13–$1,030.20 | varies |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$600–$801 | $600–$801 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,120.47 | $2,120.47 | 1.2× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$265.85–$284.46 | $265.85–$284.46 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$1,458.89–$16,345.32 | $1,458.89–$16,345.32 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $863.06 | $863.06 | 3.1× |
| Closed Treat Vert Body Fract (22310) | $635.80 | $635.80 | 2.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,612.54 | $1,612.54 | 0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 3 matching MRF lines |
$1,087–$1,895.45 | $1,087–$1,895.45 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,043.41 | $1,043.41 | 3.8× |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$244.40–$261.51 | $244.40–$261.51 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$701.05–$1,139.82 | $701.05–$1,139.82 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$798.35–$1,246.39 | $798.35–$1,246.39 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,089.90–$1,811.88 | $1,089.90–$1,811.88 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$728.80–$1,297.80 | $728.80–$1,297.80 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $512.70 | $512.70 | 1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$553.95–$592.73 | $553.95–$592.73 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,038.40 | $1,038.40 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$656.70–$697.75 | $656.70–$697.75 | varies |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $1,478.21 | $1,478.21 | 0.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$1,189.75–$2,377.91 | $1,189.75–$2,377.91 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,291.57 | $2,291.57 | 1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$1,123.10–$2,160.87 | $1,123.10–$2,160.87 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 5 matching MRF lines |
$481.85–$3,273.08 | $481.85–$3,273.08 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$1,281.30–$2,443.13 | $1,281.30–$2,443.13 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$514.67–$560.85 | $514.67–$560.85 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $540.20 | $540.20 | 0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,771.76 | $1,771.76 | 6.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$802.30–$1,137.41 | $802.30–$1,137.41 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $706.80 | $706.80 | 2.6× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$987.20–$1,355.69 | $987.20–$1,355.69 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$565.15–$948.18 | $565.15–$948.18 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,134.20–$1,520.42 | $1,134.20–$1,520.42 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$574.90–$615.73 | $574.90–$615.73 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$1,186.85–$1,900.64 | $1,186.85–$1,900.64 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$499.10–$583.15 | $499.10–$583.15 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$505.35–$523.55 | $505.35–$523.55 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$521.90–$558.43 | $521.90–$558.43 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$458.15–$490.22 | $458.15–$490.22 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $450.10 | $450.10 | 1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,517.05 | $1,517.05 | 0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$634.40–$730.17 | $634.40–$730.17 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$558.25–$925.23 | $558.25–$925.23 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $484.75 | $484.75 | 1.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$781.70–$1,216.70 | $781.70–$1,216.70 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$473.55–$492.95 | $473.55–$492.95 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $454 | $454 | 1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,677.17 | $1,677.17 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$666.45–$962.25 | $666.45–$962.25 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $483.35 | $483.35 | 0.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,209.20 | $1,209.20 | 4.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,835.26–$2,000.47 | $1,835.26–$2,000.47 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$839.80–$1,192.19 | $839.80–$1,192.19 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $485.90 | $485.90 | 1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $994.05 | $994.05 | 0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $674.75 | $674.75 | 2.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $741.40 | $741.40 | 2.7× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $1,591.73 | $1,591.73 | 5.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$1,088.14–$2,254.33 | $1,088.14–$2,254.33 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$698.50–$1,236.28 | $698.50–$1,236.28 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$707.90–$1,192.19 | $707.90–$1,192.19 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$395.75–$772.49 | $395.75–$772.49 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$641.55–$1,073.05 | $641.55–$1,073.05 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$1,368.85–$5,141.51 | $1,368.85–$5,141.51 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,475.28 | $2,475.28 | 1.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$1,189.75–$1,981.43 | $1,189.75–$1,981.43 | varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,996.62 | $1,996.62 | 1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,326.80 | $1,326.80 | 4.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $4,120.57 | $4,120.57 | 2.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$359.47–$393.76 | $359.47–$393.76 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$298.45–$326.72 | $298.45–$326.72 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$330.50–$472.99 | $330.50–$472.99 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$255.55–$611.40 | $255.55–$611.40 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,648.17–$1,796.53 | $1,648.17–$1,796.53 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$688.75–$1,110.45 | $688.75–$1,110.45 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $1,366 | $1,366 | 5.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,747.76 | $2,747.76 | 1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$638.68–$1,116.25 | $638.68–$1,116.25 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $728.80 | $728.80 | 2.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $740 | $740 | 0.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $692.75 | $692.75 | 2.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $744.88 | $744.88 | 2.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 3 matching MRF lines |
$238.95–$349.68 | $238.95–$349.68 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$1,360.85–$1,456.11 | $1,360.85–$1,456.11 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$599.75–$852.63 | $599.75–$852.63 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,111.95–$1,769.30 | $1,111.95–$1,769.30 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$735.95–$1,297.80 | $735.95–$1,297.80 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$707.90–$1,330.22 | $707.90–$1,330.22 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$410.56–$581.75 | $410.56–$581.75 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $5,270.87 | $5,270.87 | 2.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $529.06 | $529.06 | 0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$769.10–$1,240.29 | $769.10–$1,240.29 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$422.05–$633.17 | $422.05–$633.17 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,588.95–$2,121.70 | $1,588.95–$2,121.70 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$1,105.31–$2,084.63 | $1,105.31–$2,084.63 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 3 matching MRF lines |
$952.25–$1,560.81 | $952.25–$1,560.81 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$544.68–$653.85 | $544.68–$653.85 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,722.33–$1,877.37 | $1,722.33–$1,877.37 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) | $790.05 | $790.05 | 2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$279.30–$566.08 | $279.30–$566.08 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,637.53 | $1,637.53 | 0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$943.95–$1,311.61 | $943.95–$1,311.61 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,294.67 | $2,294.67 | 1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$821.75–$1,561.40 | $821.75–$1,561.40 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,671.02 | $1,671.02 | 0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $1,810.65 | $1,810.65 | 6.6× |
| Cltx tibial fx proximal w/o manipulation (27530) | $885.60 | $885.60 | 3.2× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$971.83–$1,059.30 | $971.83–$1,059.30 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 2 matching MRF lines |
$1,754.37–$1,912.30 | $1,754.37–$1,912.30 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,584.67 | $1,584.67 | 0.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$692.75–$1,382.01 | $692.75–$1,382.01 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $422.66 | $422.66 | 2.9× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$24.45–$80.86 | $24.45–$80.86 | varies |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$1,605–$4,696.34 | $1,605–$4,696.34 | varies |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$2,193.50–$6,206 | $2,193.50–$6,206 | varies |
| Colonoscopy w/submucosal inj (45381) | $1,665.88 | $1,665.88 | 1.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $1,027.15 | $1,027.15 | 3.0× |
| Colposcopy entire vagina w/cervix if present (57420) | $334.96 | $334.96 | 1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $461.38 | $461.38 | 0.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$1,337.50–$4,540.17 | $1,337.50–$4,540.17 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$1,285.55–$4,540.17 | $1,285.55–$4,540.17 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$605.35–$647.72 | $605.35–$647.72 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$388.52–$432.33 | $388.52–$432.33 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$255.68–$404.05 | $255.68–$404.05 | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) unusually low: confirm this is the full procedure |
$4,497.75 | $4,497.75 | 0.3× |
| Correction hammertoe (28285) range across 3 matching MRF lines |
$1,293.35–$5,829.36 | $1,293.35–$5,829.36 | varies |
| Correction of trichiasis; epilation, by forceps only (67820) | $150 | $150 | 1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $1,759.80 | $1,759.80 | 0.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$2,054.05–$23,764.91 | $2,054.05–$23,764.91 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$1,696.80 | $1,696.80 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $1,663.75 | $1,663.75 | 0.5× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure |
$1,987.90 | $1,987.90 | 0.2× |
| Create Eardrum Opening (69433) | $500 | $500 | 0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $518.04 | $518.04 | 3.5× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) | $791.21 | $791.21 | 0.8× |
| Curette/treat cornea (65435) | $260.60 | $260.60 | 0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$700–$980 | $700–$980 | varies |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$1,118–$1,574 | $1,118–$1,574 | varies |
| Cysto w/removal of tumors small (52234) range across 2 matching MRF lines |
$838–$1,272 | $838–$1,272 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) range across 2 matching MRF lines |
$1,320–$1,954 | $1,320–$1,954 | varies |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 2 matching MRF lines |
$1,160–$1,663 | $1,160–$1,663 | varies |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $918 | $918 | 0.2× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) range across 2 matching MRF lines |
$1,410–$1,881 | $1,410–$1,881 | varies |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$1,308–$1,845 | $1,308–$1,845 | varies |
| Cystostomy Cystotomy W/Drainage (51040) range across 2 matching MRF lines |
$980–$1,480 | $980–$1,480 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$600–$800 | $600–$800 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) range across 2 matching MRF lines |
$940–$1,330 | $940–$1,330 | varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) range across 2 matching MRF lines |
$1,039–$1,610 | $1,039–$1,610 | varies |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) range across 2 matching MRF lines |
$1,465–$2,200 | $1,465–$2,200 | varies |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$978–$1,510 | $978–$1,510 | varies |
| Cystourethroscopy with direct vision internal urethrotomy (52276) range across 2 matching MRF lines |
$911–$1,202 | $911–$1,202 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$98.20–$198.86 | $98.20–$198.86 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $857.85 | $857.85 | 1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 5 matching MRF lines |
$242.82–$2,528.46 | $242.82–$2,528.46 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$49.60–$65.25 | $49.60–$65.25 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$82.70–$97.30 | $82.70–$97.30 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$755.25–$914.53 | $755.25–$914.53 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) | $255 | $255 | 1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$158.05–$459.24 | $158.05–$459.24 | varies |
| Deep Muscle Biopsy (20205) | $954.98 | $954.98 | 0.3× |
| Delivery of placenta (59414) | $522.43 | $522.43 | 0.1× |
| Destroy cerv/thor facet jnt (64633) | $821.28 | $821.28 | 0.4× |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,196.25–$1,299.25 | $1,196.25–$1,299.25 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$294.50–$561.80 | $294.50–$561.80 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$348.55–$372.95 | $348.55–$372.95 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,106.65 | $1,106.65 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $354.25 | $354.25 | 1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $410.90 | $410.90 | 1.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $277.85 | $277.85 | 1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $341.70 | $341.70 | 1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 2 matching MRF lines |
$377.70–$404.14 | $377.70–$404.14 | varies |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $470.75 | $470.75 | 1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $275.05 | $275.05 | 1.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $370.85 | $370.85 | 1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$206.90–$221.38 | $206.90–$221.38 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$492.68–$7,174.35 | $492.68–$7,174.35 | varies |
| Destruction of skin lesions (17106) | $866.40 | $866.40 | 1.9× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$455.55–$487.44 | $455.55–$487.44 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$215.20–$250.27 | $215.20–$250.27 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $556.61 | $556.61 | 0.2× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$662.87–$2,996 | $662.87–$2,996 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $636.49 | $636.49 | 0.5× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) range across 2 matching MRF lines |
$226–$281 | $226–$281 | varies |
| Drain Hand Tendon Sheath (26020) range across 2 matching MRF lines |
$946.85–$1,500.73 | $946.85–$1,500.73 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$167.99–$183.13 | $167.99–$183.13 | varies |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$503.60–$538.85 | $503.60–$538.85 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) range across 3 matching MRF lines |
$467.60–$502.53 | $467.60–$502.53 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
$348.55–$427.14 | $348.55–$427.14 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$966.30–$1,455.20 | $966.30–$1,455.20 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$623.50–$998.10 | $623.50–$998.10 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$360.55–$385.79 | $360.55–$385.79 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$192.45–$456.78 | $192.45–$456.78 | varies |
| Drainage of hydrocele (55000) range across 2 matching MRF lines |
$362–$500 | $362–$500 | varies |
| Drainage of rectal abscess (45020) | $1,853.78 | $1,853.78 | 0.6× |
| Drainage of rectal abscess (45005) | $1,011.15 | $1,011.15 | 0.8× |
| Drainage of scrotal wall abscess (55100) range across 3 matching MRF lines |
$565.40–$604.98 | $565.40–$604.98 | varies |
| Draw Blood Off Venous Device (36591) | $85.65 | $85.65 | 0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$406.90–$435.38 | $406.90–$435.38 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $572.18 | $572.18 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$338.80–$478.24 | $338.80–$478.24 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$183.99–$200.57 | $183.99–$200.57 | varies |
| Dstrj lesion anus simple surg excision (46922) | $870.71 | $870.71 | 0.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$338.76–$3,153.13 | $338.76–$3,153.13 | varies |
| Dx gastr intub w/asp specs (43755) | $200.84 | $200.84 | 1.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $379.74 | $379.74 | 0.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,214.45–$3,850.93 | $1,214.45–$3,850.93 | varies |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$1,096.75–$3,830.60 | $1,096.75–$3,830.60 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$722.25–$4,124.85 | $722.25–$4,124.85 | varies |
| Egd place gastrostomy tube (43246) | $731.77 | $731.77 | 0.3× |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$1,123.50–$3,787.80 | $1,123.50–$3,787.80 | varies |
| Endometrial Biopsy (58100) range across 4 matching MRF lines |
$270.70–$4,067.07 | $270.70–$4,067.07 | varies |
| Endoscopic injection/implant (51715) range across 2 matching MRF lines |
$785–$1,054 | $785–$1,054 | varies |
| Epidural Blood Patch (62273) | $240.05 | $240.05 | 0.3× |
| Episiotomy or vaginal repair (59300) | $1,745.01 | $1,745.01 | 0.5× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$105.65–$236.10 | $105.65–$236.10 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $1,560.54 | $1,560.54 | 0.8× |
| Exc abdl tum deep 5 cm/> (22901) | $2,024.55 | $2,024.55 | 0.6× |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$2,287.18–$5,322.88 | $2,287.18–$5,322.88 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$324.26–$347.30 | $324.26–$347.30 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$490.20–$5,982.53 | $490.20–$5,982.53 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$1,386.99–$8,266.61 | $1,386.99–$8,266.61 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,188.15 | $2,188.15 | 0.7× |
| Exc back tum deep < 5 cm (21932) | $2,000 | $2,000 | 0.6× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$1,805.46–$2,022.89 | $1,805.46–$2,022.89 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$508.20–$543.77 | $508.20–$543.77 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$577.45–$684.80 | $577.45–$684.80 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$852.40–$963 | $852.40–$963 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,008.64 | $1,008.64 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$293–$313.51 | $293–$313.51 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$359.70–$479.73 | $359.70–$479.73 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$402.60–$642.11 | $402.60–$642.11 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$490.20–$650.51 | $490.20–$650.51 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$620.65–$664.10 | $620.65–$664.10 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$1,484.14–$6,451.83 | $1,484.14–$6,451.83 | varies |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $1,455.20 | $1,455.20 | 0.4× |
| Exc Frenum Labial/Buccal (40819) | $900 | $900 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$297.46–$324.26 | $297.46–$324.26 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$331.95–$2,359.46 | $331.95–$2,359.46 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$402.60–$502.47 | $402.60–$502.47 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,213.97 | $1,213.97 | 0.7× |
| Exc hand tum deep < 1.5 cm (26116) range across 2 matching MRF lines |
$1,575.15–$5,337.37 | $1,575.15–$5,337.37 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$655–$700.85 | $655–$700.85 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$957.95–$1,403.25 | $957.95–$1,403.25 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) range across 2 matching MRF lines |
$877.30–$978.03 | $877.30–$978.03 | varies |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $1,567.55 | $1,567.55 | 0.7× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $3,113.81 | $3,113.81 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$541.26–$551.40 | $541.26–$551.40 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$499.90–$797.15 | $499.90–$797.15 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$720.50–$1,006.66 | $720.50–$1,006.66 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$803.04–$818.05 | $803.04–$818.05 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$832.95–$891.26 | $832.95–$891.26 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$612.35–$684.80 | $612.35–$684.80 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$877.30–$1,005.80 | $877.30–$1,005.80 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 3 matching MRF lines |
$880.15–$5,189.18 | $880.15–$5,189.18 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$1,270.41–$5,627.08 | $1,270.41–$5,627.08 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) | $2,746.42 | $2,746.42 | 0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$693.79–$3,809.52 | $693.79–$3,809.52 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$419.07–$426.90 | $419.07–$426.90 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$391.65–$515.69 | $391.65–$515.69 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$594.06–$605.20 | $594.06–$605.20 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$1,353.82–$19,190.40 | $1,353.82–$19,190.40 | varies |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $1,547.06 | $1,547.06 | 0.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $1,863 | $1,863 | 1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,690.87 | $1,690.87 | 0.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $1,659.78 | $1,659.78 | 0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $1,655.50 | $1,655.50 | 0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$2,702.87–$5,350.37 | $2,702.87–$5,350.37 | varies |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $1,190.70 | $1,190.70 | 0.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$1,154.96–$1,283 | $1,154.96–$1,283 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
$1,307.25–$1,398.76 | $1,307.25–$1,398.76 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$1,404.38–$5,206.57 | $1,404.38–$5,206.57 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 2 matching MRF lines |
$2,157.71–$4,294.07 | $2,157.71–$4,294.07 | varies |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $1,848.43 | $1,848.43 | 0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,151.05 | $1,151.05 | 0.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $1,210.65 | $1,210.65 | 0.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $500 | $500 | 0.1× |
| Excise breast duct fistula (19112) | $1,553.80 | $1,553.80 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$563.70–$767.73 | $563.70–$767.73 | varies |
| Excision Chalazion Single (67800) range across 2 matching MRF lines |
$173.15–$185.27 | $173.15–$185.27 | varies |
| Excision External Ear Partial Simple Repair (69110) range across 2 matching MRF lines |
$967.45–$1,035.17 | $967.45–$1,035.17 | varies |
| Excision H/P/P/U Complex Repair (11471) | $1,181.92 | $1,181.92 | 0.4× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $1,264.21 | $1,264.21 | 0.4× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $1,427.70 | $1,427.70 | 0.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) range across 2 matching MRF lines |
$887.03–$9,672.85 | $887.03–$9,672.85 | varies |
| Excision inferior turbinate partial/complete (30130) | $3,488 | $3,488 | 0.9× |
| Excision lesion meniscus/capsule knee (27347) | $1,959.65 | $1,959.65 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$391.45–$617.93 | $391.45–$617.93 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$487.30–$650.03 | $487.30–$650.03 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$522.80–$692.83 | $522.80–$692.83 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$626.05–$853.33 | $626.05–$853.33 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$404.05–$432.33 | $404.05–$432.33 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$681.60–$802.50 | $681.60–$802.50 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$1,136.85–$1,160.31 | $1,136.85–$1,160.31 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$391.45–$418.85 | $391.45–$418.85 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$482.14–$491.60 | $482.14–$491.60 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$515.05–$556.40 | $515.05–$556.40 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$699.65–$878.84 | $699.65–$878.84 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $1,024.63 | $1,024.63 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $978.03 | $978.03 | 0.5× |
| Excision of hydrocele; bilateral (55041) range across 2 matching MRF lines |
$1,548–$2,184 | $1,548–$2,184 | varies |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$1,022–$1,349 | $1,022–$1,349 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$581.75–$971.29 | $581.75–$971.29 | varies |
| Excision of single external papilla or tag, anus (46220) | $822.40 | $822.40 | 0.6× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$1,297.64–$10,734.99 | $1,297.64–$10,734.99 | varies |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $2,210.78 | $2,210.78 | 0.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,304.57 | $2,304.57 | 0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 3 matching MRF lines |
$1,138.25–$9,281.61 | $1,138.25–$9,281.61 | varies |
| Excision prepatellar bursa (27340) | $10,734.99 | $10,734.99 | 2.9× |
| Excision soft tissue lesion, external auditory canal (69145) | $1,060.85 | $1,060.85 | 0.3× |
| Excision spermatocele w/wo epididymectomy (54840) range across 2 matching MRF lines |
$1,025–$1,499 | $1,025–$1,499 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$3,003.70–$5,164.52 | $3,003.70–$5,164.52 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$1,278–$1,454.93 | $1,278–$1,454.93 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$1,143.19–$3,371.68 | $1,143.19–$3,371.68 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,256.85 | $1,256.85 | 0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
$1,221.24–$8,990.03 | $1,221.24–$8,990.03 | varies |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,123.50 | $1,123.50 | 0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $1,113.55 | $1,113.55 | 0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$1,140.94–$2,873.91 | $1,140.94–$2,873.91 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $2,580.14 | $2,580.14 | 0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,651.81 | $1,651.81 | 0.9× |
| Excision/destruction intranasal lesion int appr (30117) | $2,064 | $2,064 | 0.6× |
| Excision/destruction lesion pharynx any method (42808) | $676 | $676 | 0.2× |
| Excision; trochanteric bursa or calcification (27062) | $1,632.82 | $1,632.82 | 0.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,909.95 | $1,909.95 | 0.8× |
| Exploration of knee joint (27310) range across 2 matching MRF lines |
$797.15–$8,741.42 | $797.15–$8,741.42 | varies |
| Exploration penetrating wound spx extremity (20103) | $1,267.04 | $1,267.04 | 0.7× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) | $4,178.30 | $4,178.30 | 0.6× |
| Explore/Treat Hand Joint (26070) | $1,064.49 | $1,064.49 | 0.6× |
| Explore/Treat Knee Joint (27331) | $1,723.72 | $1,723.72 | 0.5× |
| External cephalic version (59412) | $9,950.63 | $9,950.63 | 2.8× |
| Fasciotomy Iliotibial Open (27305) | $1,457 | $1,457 | 0.4× |
| Fasciotomy palmar open partial (26045) | $1,702.37 | $1,702.37 | 0.5× |
| Fasciotomy, foot and/or toe (28008) | $12,473.10 | $12,473.10 | 3.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 2 matching MRF lines |
$4,748.18–$6,293.95 | $4,748.18–$6,293.95 | varies |
| Fetal Contraction Stress Test (59020) | $489.85 | $489.85 | 2.2× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$105.65–$630.05 | $105.65–$630.05 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$190.85–$337.05 | $190.85–$337.05 | varies |
| Foreskin manipulation (54450) | $166 | $166 | 0.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,568 | $2,568 | 1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $2,409.64 | $2,409.64 | 1.0× |
| Fusion Finger Joint (26860) | $2,063.87 | $2,063.87 | 0.6× |
| Fusion of foot bones (28740) range across 2 matching MRF lines |
$2,126.80–$23,764.91 | $2,126.80–$23,764.91 | varies |
| Gastrocnemius recession (27687) | $1,544.80 | $1,544.80 | 0.4× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $1,968.64 | $1,968.64 | 0.9× |
| Hand tendon reconstruction (26500) range across 2 matching MRF lines |
$1,796.21–$22,691.28 | $1,796.21–$22,691.28 | varies |
| Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$3,054.85 | $3,054.85 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,946.49 | $1,946.49 | 0.6× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,566.43 | $1,566.43 | 0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$2,557.67–$4,622.77 | $2,557.67–$4,622.77 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $1,563.91 | $1,563.91 | 0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) | $2,032.68 | $2,032.68 | 0.7× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $1,159.18 | $1,159.18 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$1,029.98–$2,896.70 | $1,029.98–$2,896.70 | varies |
| Hysteroscopy Dx Sep Proc (58555) | $1,133.88 | $1,133.88 | 0.3× |
| Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$2,000.95–$3,770.25 | $2,000.95–$3,770.25 | varies |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$1,102.42 | $1,102.42 | 0.2× |
| I&d abscess peritonsillar (42700) | $609.90 | $609.90 | 2.3× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$481.70–$515.42 | $481.70–$515.42 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 3 matching MRF lines |
$1,067.55–$1,157.63 | $1,067.55–$1,157.63 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$1,531.06–$9,072.37 | $1,531.06–$9,072.37 | varies |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) range across 2 matching MRF lines |
$3,469.64–$5,227.11 | $3,469.64–$5,227.11 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$829.14–$903.78 | $829.14–$903.78 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$548.90–$754.08 | $548.90–$754.08 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$355.45–$407.51 | $355.45–$407.51 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $1,525.98 | $1,525.98 | 0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $1,196.47 | $1,196.47 | 0.4× |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$2,250–$3,325 | $2,250–$3,325 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) range across 2 matching MRF lines |
$759–$1,086 | $759–$1,086 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$648.90–$756.81 | $648.90–$756.81 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$2,529.27–$5,002.84 | $2,529.27–$5,002.84 | varies |
| Incise Wrist/Forearm Tendon (25290) | $1,312.84 | $1,312.84 | 0.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$717.65–$942.35 | $717.65–$942.35 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$542.60–$737.55 | $542.60–$737.55 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$299.25–$413.02 | $299.25–$413.02 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $505.20 | $505.20 | 2.2× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$361–$364 | $361–$364 | varies |
| Incision bone cortex foot (28005) | $1,964.80 | $1,964.80 | 0.5× |
| Incision extensor tendon sheath wrist (25000) | $1,031.96 | $1,031.96 | 0.6× |
| Incision of eardrum (69420) range across 2 matching MRF lines |
$413.50–$442.45 | $413.50–$442.45 | varies |
| Incision of hip tendon (27001) | $606.69 | $606.69 | 0.2× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,578.79–$1,720.88 | $1,578.79–$1,720.88 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$449.13–$5,337.37 | $449.13–$5,337.37 | varies |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$282.65–$583.55 | $282.65–$583.55 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$139.64–$162.55 | $139.64–$162.55 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$240.05–$3,216.05 | $240.05–$3,216.05 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $171.36 | $171.36 | 0.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 7 matching MRF lines |
$148.80–$660.62 | $148.80–$660.62 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $240.05 | $240.05 | 0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$660.62–$2,459.88 | $660.62–$2,459.88 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $96.62 | $96.62 | 0.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $494.34 | $494.34 | 0.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $390.02 | $390.02 | 0.5× |
| Injection anesthetic agent suprascapular nerve (64418) | $277.67 | $277.67 | 0.4× |
| Injection single tendon origin/insertion (20551) range across 5 matching MRF lines |
$80.89–$146 | $80.89–$146 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
$145.95–$220.15 | $145.95–$220.15 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$141.65–$183.13 | $141.65–$183.13 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$180.60–$230.32 | $180.60–$230.32 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $240.05 | $240.05 | 0.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$347.32–$749 | $347.32–$749 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$328.06–$2,371.39 | $328.06–$2,371.39 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $149.80 | $149.80 | 0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$108.50–$186.18 | $108.50–$186.18 | varies |
| Insert Bladder Cath Complex (51703) | $380.28 | $380.28 | 2.7× |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$1,091.19–$4,814.04 | $1,091.19–$4,814.04 | varies |
| Insert Drug Implant Device (11981) | $485.90 | $485.90 | 3.3× |
| Insert non-tunnel cv cath (36556) range across 6 matching MRF lines |
$646.01–$5,390.55 | $646.01–$5,390.55 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$126.47–$239.47 | $126.47–$239.47 | varies |
| Insert tunneled cv cath (36561) | $2,915.48 | $2,915.48 | 0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$179.15–$385.63 | $179.15–$385.63 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,202.15 | $1,202.15 | 0.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 3 matching MRF lines |
$567.37–$618.46 | $567.37–$618.46 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $1,320.11 | $1,320.11 | 1.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,463.06–$3,268.21 | $1,463.06–$3,268.21 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$875.47–$954.28 | $875.47–$954.28 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $791.21 | $791.21 | 0.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$880.15–$1,250.08 | $880.15–$1,250.08 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$1,124.50–$1,583.44 | $1,124.50–$1,583.44 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$899.07–$980.01 | $899.07–$980.01 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $629 | $629 | 2.3× |
| Knee arthroscopy/drainage (29871) range across 2 matching MRF lines |
$1,560.81–$10,384.46 | $1,560.81–$10,384.46 | varies |
| Knee Arthroscopy/Surgery (29885) unusually low: confirm this is the full procedure |
$2,789.92 | $2,789.92 | 0.3× |
| Knee Arthroscopy/Surgery (29874) | $1,549.57 | $1,549.57 | 0.4× |
| Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$4,550 | $4,550 | 0.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $4,049.09 | $4,049.09 | 0.6× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$1,017.68 | $1,017.68 | 0.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) unusually low: confirm this is the full procedure |
$3,171.37 | $3,171.37 | 0.5× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$1,847.89–$2,014.22 | $1,847.89–$2,014.22 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$2,675.64–$15,342.36 | $2,675.64–$15,342.36 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$5,888–$21,147.37 | $5,888–$21,147.37 | varies |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) unusually low: confirm this is the full procedure |
$3,717.39 | $3,717.39 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$2,017.27 | $2,017.27 | 0.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$902.17 | $902.17 | 0.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) unusually low: confirm this is the full procedure |
$2,029.04 | $2,029.04 | 0.3× |
| Laryngoscopy flexible diagnostic (31575) | $320 | $320 | 1.4× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $685.50 | $685.50 | 0.2× |
| Late closure of wound (13160) range across 3 matching MRF lines |
$1,851.80–$2,909.33 | $1,851.80–$2,909.33 | varies |
| Lateral retinacular release open (27425) range across 2 matching MRF lines |
$3,668.50–$7,258.83 | $3,668.50–$7,258.83 | varies |
| Ligamentous Reconstruction Knee Extra-Articular (27427) unusually low: confirm this is the full procedure |
$2,534.08 | $2,534.08 | 0.3× |
| Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$4,122.98 | $4,122.98 | 0.3× |
| Ligate/strip short leg vein (37718) | $1,376.88 | $1,376.88 | 0.4× |
| Ligation or biopsy temporal artery (37609) | $1,045.98 | $1,045.98 | 0.6× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$1,907–$2,800 | $1,907–$2,800 | varies |
| Manipulation knee joint under general anesthesia (27570) | $453.63 | $453.63 | 0.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$1,122.11–$1,443.32 | $1,122.11–$1,443.32 | varies |
| Marsupialization of bartholin's gland cyst (56440) range across 2 matching MRF lines |
$607.81–$10,423.46 | $607.81–$10,423.46 | varies |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
$1,693.70–$1,897.59 | $1,693.70–$1,897.59 | varies |
| Mastectomy partial (19301) | $4,143.47 | $4,143.47 | 0.9× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,839.67 | $2,839.67 | 0.4× |
| Middle ear expl thru postaur/ear canal inc (69440) | $1,620 | $1,620 | 0.4× |
| Muscle-skin graft trunk (15734) | $4,999.58 | $4,999.58 | 1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $356.31 | $356.31 | 0.5× |
| N block inj intercost sng (64420) | $288.74 | $288.74 | 0.4× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$212.34–$774.95 | $212.34–$774.95 | varies |
| N Block Lumbar/Thoracic (64520) | $770.40 | $770.40 | 0.8× |
| Nasal Endoscopy Dx (31231) | $461 | $461 | 2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
$353.90–$1,993.84 | $353.90–$1,993.84 | varies |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $1,829.06 | $1,829.06 | 1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$3,169.98–$7,579.29 | $3,169.98–$7,579.29 | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $1,780.21 | $1,780.21 | 0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) | $487.92 | $487.92 | 0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$180.67–$787.04 | $180.67–$787.04 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$541.53–$3,216.05 | $541.53–$3,216.05 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $240.05 | $240.05 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $695.50 | $695.50 | 0.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $794.48 | $794.48 | 1.0× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$175.27–$191.05 | $175.27–$191.05 | varies |
| Occlusion flp tube dev vag/suprapubic appr (58615) | $9,749.47 | $9,749.47 | 2.7× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$3,409.56 | $3,409.56 | 0.5× |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$1,429.09–$11,978.38 | $1,429.09–$11,978.38 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$4,159.79–$19,039.42 | $4,159.79–$19,039.42 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) likely a partial charge, not the full procedure |
$3,815 | $3,815 | 0.3× |
| Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
$6,455.36–$8,094.87 | $6,455.36–$8,094.87 | varies |
| Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,816.16 | $1,816.16 | 0.2× |
| Open treatment metatarsal fracture each (28485) range across 3 matching MRF lines |
$1,852.20–$4,227.57 | $1,852.20–$4,227.57 | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
$1,999.56–$6,666.37 | $1,999.56–$6,666.37 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$2,187.19 | $2,187.19 | 0.3× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) unusually low: confirm this is the full procedure |
$3,345.09 | $3,345.09 | 0.4× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) unusually low: confirm this is the full procedure |
$3,053.94 | $3,053.94 | 0.4× |
| Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$1,892.24 | $1,892.24 | 0.2× |
| Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$2,305.69 | $2,305.69 | 0.3× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$2,683.19 | $2,683.19 | 0.2× |
| Open Treatment Radial Shaft Fracture (25515) unusually low: confirm this is the full procedure |
$2,478.71 | $2,478.71 | 0.3× |
| Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$2,571.69 | $2,571.69 | 0.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$3,631.15–$19,091.85 | $3,631.15–$19,091.85 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$2,557.67–$8,073.85 | $2,557.67–$8,073.85 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$3,841.25–$13,056.09 | $3,841.25–$13,056.09 | varies |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$3,443.53 | $3,443.53 | 0.2× |
| Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$2,663.23 | $2,663.23 | 0.2× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) unusually low: confirm this is the full procedure |
$3,243.12 | $3,243.12 | 0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$1,996.19–$4,597.47 | $1,996.19–$4,597.47 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$2,101.21–$10,182.39 | $2,101.21–$10,182.39 | varies |
| Open Tx Radial Head/Neck Fracture (24665) likely a partial charge, not the full procedure |
$2,406.27 | $2,406.27 | 0.3× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 2 matching MRF lines |
$5,574.70–$5,853.70 | $5,574.70–$5,853.70 | varies |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$3,130.93 | $3,130.93 | 0.4× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,883.84 | $1,883.84 | 0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$3,050.89 | $3,050.89 | 0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$6,277.26–$16,445.85 | $6,277.26–$16,445.85 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $4,391.49 | $4,391.49 | 0.5× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $4,349.66 | $4,349.66 | 0.5× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) likely a partial charge, not the full procedure |
$2,716.89 | $2,716.89 | 0.2× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $5,047.24 | $5,047.24 | 1.4× |
| Osteochondral allograft knee open (27415) unusually low: confirm this is the full procedure |
$4,944.26 | $4,944.26 | 0.3× |
| Osteochondral knee autograft (27416) range across 2 matching MRF lines |
$4,009.24–$15,719.26 | $4,009.24–$15,719.26 | varies |
| Osteoplasty Radius/Ulna Shortening (25390) unusually low: confirm this is the full procedure |
$2,746.42 | $2,746.42 | 0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $1,293.35 | $1,293.35 | 0.4× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) unusually low: confirm this is the full procedure |
$2,889 | $2,889 | 0.4× |
| Part exc bone femur prox tibia (27360) range across 2 matching MRF lines |
$5,001.82–$6,524.43 | $5,001.82–$6,524.43 | varies |
| Part remv talus or calcaneus (28120) | $1,700.20 | $1,700.20 | 0.5× |
| Partial excision bone olecranon process (24147) | $2,285.79 | $2,285.79 | 0.6× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) unusually low: confirm this is the full procedure |
$2,653.44 | $2,653.44 | 0.4× |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
$1,131.40–$1,210.60 | $1,131.40–$1,210.60 | varies |
| Patellectomy or hemipatellectomy (27350) range across 2 matching MRF lines |
$2,181.30–$24,959.62 | $2,181.30–$24,959.62 | varies |
| Penile Injection (54235) | $260.43 | $260.43 | 0.9× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $1,344.83 | $1,344.83 | 0.4× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) | $968.85 | $968.85 | 0.3× |
| Peri-Implant Capsulectomy Breast Complete (19371) | $12,641.30 | $12,641.30 | 2.9× |
| Pericardiocentesis W/Imaging (33016) | $841.50 | $841.50 | 0.5× |
| Peritoneal Lavage (49084) | $392.85 | $392.85 | 0.4× |
| Perq device breast 1st imag (19281) | $1,460.44 | $1,460.44 | 0.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$3,627.51–$10,706.37 | $3,627.51–$10,706.37 | varies |
| Placement of needle for intraosseous infusion (36680) | $151.89 | $151.89 | 0.3× |
| Placement of seton (46020) | $1,578.79 | $1,578.79 | 0.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) unusually low: confirm this is the full procedure |
$1,946.49 | $1,946.49 | 0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $373 | $373 | 0.4× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $774.95 | $774.95 | 0.6× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $2,658.95 | $2,658.95 | 0.7× |
| Prq skel fixj femoral fx prox end neck (27235) unusually low: confirm this is the full procedure |
$2,452.44 | $2,452.44 | 0.3× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) unusually low: confirm this is the full procedure |
$2,748.08 | $2,748.08 | 0.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 3 matching MRF lines |
$1,135.05–$10,736.75 | $1,135.05–$10,736.75 | varies |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$235.08–$803.14 | $235.08–$803.14 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$222.90–$293.93 | $222.90–$293.93 | varies |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) unusually low: confirm this is the full procedure |
$2,704 | $2,704 | 0.3× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $2,157.12 | $2,157.12 | 1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $2,144.23 | $2,144.23 | 0.6× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) | $3,098.72 | $3,098.72 | 1.0× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) | $2,214.90 | $2,214.90 | 0.7× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) | $25,386.61 | $25,386.61 | 7.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$1,112.80–$5,856.86 | $1,112.80–$5,856.86 | varies |
| Rcnstj Dislocating Patella (27420) range across 2 matching MRF lines |
$4,478.27–$5,181.58 | $4,478.27–$5,181.58 | varies |
| Realignment of knee (27457) unusually low: confirm this is the full procedure |
$3,499.44 | $3,499.44 | 0.4× |
| Realignment of knee (27455) unusually low: confirm this is the full procedure |
$3,265.48 | $3,265.48 | 0.4× |
| Reconstruct elbow lat ligmnt (24344) unusually low: confirm this is the full procedure |
$3,885.92 | $3,885.92 | 0.5× |
| Reconstruction Nail Bed W/Graft (11762) | $540.80 | $540.80 | 0.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) range across 2 matching MRF lines |
$2,260.75–$11,220.82 | $2,260.75–$11,220.82 | varies |
| Release of shoulder ligament (23415) unusually low: confirm this is the full procedure |
$2,553.98 | $2,553.98 | 0.3× |
| Removal Embedded Foreign Body Eyelid (67938) range across 4 matching MRF lines |
$350–$620.01 | $350–$620.01 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,404.90 | $1,404.90 | 0.4× |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$1,134.20–$1,469.86 | $1,134.20–$1,469.86 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$1,002.35–$1,252.97 | $1,002.35–$1,252.97 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$500.60–$520.75 | $500.60–$520.75 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$448.40–$1,001.20 | $448.40–$1,001.20 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) range across 2 matching MRF lines |
$1,486.75–$2,238.60 | $1,486.75–$2,238.60 | varies |
| Removal Foreign Body Scrotum (55120) | $1,335.57 | $1,335.57 | 0.6× |
| Removal foreign body upper arm/elbow deep (24201) | $1,315.57 | $1,315.57 | 0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) range across 2 matching MRF lines |
$1,787.38–$3,262.27 | $1,787.38–$3,262.27 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$61.26–$70.78 | $61.26–$70.78 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$114.20–$159.86 | $114.20–$159.86 | varies |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$3,219.30–$10,619.43 | $3,219.30–$10,619.43 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$1,019–$5,337.37 | $1,019–$5,337.37 | varies |
| Removal implantable contraceptive capsules (11976) | $334.80 | $334.80 | 0.4× |
| Removal intact breast implant (19328) | $1,816.43 | $1,816.43 | 0.4× |
| Removal of adenoids (42831) | $866 | $866 | 0.2× |
| Removal of adenoids (42830) | $725 | $725 | 0.2× |
| Removal of anal fissure (46200) | $1,211.72 | $1,211.72 | 0.4× |
| Removal of ankle implant (27704) | $2,147.28 | $2,147.28 | 0.6× |
| Removal of foot joint lining (28072) | $2,928.06 | $2,928.06 | 0.8× |
| Removal of foreign body from pharynx (42809) | $604.44 | $604.44 | 1.2× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$1,237.15–$9,593.67 | $1,237.15–$9,593.67 | varies |
| Removal of implant from finger or hand (26320) | $1,011.15 | $1,011.15 | 0.5× |
| Removal of knee prosthesis (27488) likely a partial charge, not the full procedure |
$3,238.36 | $3,238.36 | 0.2× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$347.30–$496.27 | $347.30–$496.27 | varies |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$1,698.73–$7,365.08 | $1,698.73–$7,365.08 | varies |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$1,050 | $1,050 | 0.2× |
| Removal of tonsils (42826) | $950 | $950 | 0.3× |
| Removal of tunneled intraperitoneal catheter (49422) | $1,029.34 | $1,029.34 | 0.3× |
| Removal of wrist bone (25210) | $1,806.59 | $1,806.59 | 0.5× |
| Removal or bivalving full arm or full leg cast (29705) | $154.25 | $154.25 | 0.5× |
| Removal shoulder foreign body deep subfascial/im (23333) | $1,688.46 | $1,688.46 | 0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$209.20–$223.84 | $209.20–$223.84 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $228.66 | $228.66 | 0.1× |
| Removal sweat gland lesion (11450) | $1,182.51 | $1,182.51 | 0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$140.25–$150.07 | $140.25–$150.07 | varies |
| Remove Ankle Joint Lining (27626) | $2,080.60 | $2,080.60 | 0.6× |
| Remove armpit lymph nodes (38740) likely a partial charge, not the full procedure |
$1,982.44 | $1,982.44 | 0.3× |
| Remove drug implant device (11982) | $325.05 | $325.05 | 0.7× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$123.65–$167.78 | $123.65–$167.78 | varies |
| Remove groin lymph nodes (38760) unusually low: confirm this is the full procedure |
$3,247.18 | $3,247.18 | 0.4× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$241.85–$258.78 | $241.85–$258.78 | varies |
| Remove Lower Leg Bone Lesion (27635) | $2,088.05 | $2,088.05 | 0.6× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$350.50–$375.04 | $350.50–$375.04 | varies |
| Remove Shoulder Foreign Body (23330) | $489.31 | $489.31 | 0.3× |
| Remove Tendon Sheath Lesion (26160) | $614.29 | $614.29 | 0.3× |
| Remove/Insert Drug Implant (11983) | $802.90 | $802.90 | 1.6× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$1,920.33 | $1,920.33 | 0.2× |
| Repair Collat Ankle Ligmnt,Secondary (27698) likely a partial charge, not the full procedure |
$2,339.39 | $2,339.39 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$519.06–$880.15 | $519.06–$880.15 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,186.85 | $1,186.85 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$774.55–$812.24 | $774.55–$812.24 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,016.77–$1,192.60 | $1,016.77–$1,192.60 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$485.89–$707.90 | $485.89–$707.90 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$809.20–$865.84 | $809.20–$865.84 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$681.60–$934.11 | $681.60–$934.11 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$828.95–$2,074.03 | $828.95–$2,074.03 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 3 matching MRF lines |
$1,952.38–$5,091.22 | $1,952.38–$5,091.22 | varies |
| Repair Finger Tendon (26433) | $1,911.07 | $1,911.07 | 0.5× |
| Repair Finger/Hand Tendon (26350) range across 2 matching MRF lines |
$2,646.97–$10,384.14 | $2,646.97–$10,384.14 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $1,273.40 | $1,273.40 | 0.3× |
| Repair Foot Dislocation (28615) range across 2 matching MRF lines |
$2,723.10–$24,960.32 | $2,723.10–$24,960.32 | varies |
| Repair Hallux Rigidus (28289) | $1,584.45 | $1,584.45 | 0.4× |
| Repair Hand Joint (26540) | $1,890.58 | $1,890.58 | 0.5× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,638.06–$1,785.51 | $1,638.06–$1,785.51 | varies |
| Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines |
$3,898.81–$9,325.69 | $3,898.81–$9,325.69 | varies |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $2,073.45 | $2,073.45 | 0.5× |
| Repair initial femoral hernia, any age; reducible (49550) | $2,324.25 | $2,324.25 | 0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $2,810.73 | $2,810.73 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$556.85–$560.31 | $556.85–$560.31 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$596.90–$783.78 | $596.90–$783.78 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$644.10–$879.27 | $644.10–$879.27 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$702.45–$963.80 | $702.45–$963.80 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,645.66 | $1,645.66 | 3.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$837.25–$1,350.18 | $837.25–$1,350.18 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$463.63–$659.60 | $463.63–$659.60 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$390.66–$679.05 | $390.66–$679.05 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$739.10–$925.55 | $739.10–$925.55 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,403.41 | $1,403.41 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$816.40–$967.17 | $816.40–$967.17 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$454.10–$1,212.10 | $454.10–$1,212.10 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$579.73–$712.30 | $579.73–$712.30 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,027.25–$1,231.41 | $1,027.25–$1,231.41 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$673–$680.89 | $673–$680.89 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,111.65–$1,418.39 | $1,111.65–$1,418.39 | varies |
| Repair lower leg tendons (27676) range across 2 matching MRF lines |
$2,203.45–$9,076.70 | $2,203.45–$9,076.70 | varies |
| Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$2,236.89 | $2,236.89 | 0.3× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) unusually low: confirm this is the full procedure |
$2,743.05 | $2,743.05 | 0.5× |
| Repair of hydrocele (55060) range across 2 matching MRF lines |
$1,080–$1,215 | $1,080–$1,215 | varies |
| Repair of metatarsals (28322) unusually low: confirm this is the full procedure |
$2,894.99 | $2,894.99 | 0.4× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$424.95–$454.64 | $424.95–$454.64 | varies |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) range across 2 matching MRF lines |
$5,433.83–$6,096.70 | $5,433.83–$6,096.70 | varies |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$2,877.02–$22,691.28 | $2,877.02–$22,691.28 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$3,402.81 | $3,402.81 | 0.5× |
| Repair Rotator Cuff Chronic (23412) unusually low: confirm this is the full procedure |
$2,461 | $2,461 | 0.3× |
| Repair Spica/Body/Jacket Cast (29720) range across 2 matching MRF lines |
$176.60–$188.96 | $176.60–$188.96 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) range across 2 matching MRF lines |
$1,682.65–$1,800.44 | $1,682.65–$1,800.44 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$2,052.63 | $2,052.63 | 0.3× |
| Repair tongue laceration (41252) | $760.50 | $760.50 | 2.9× |
| Repair tongue laceration (41250) | $558.75 | $558.75 | 1.1× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$2,623.64–$3,761.48 | $2,623.64–$3,761.48 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) range across 2 matching MRF lines |
$2,053.49–$4,861.55 | $2,053.49–$4,861.55 | varies |
| Repair/graft achilles tendon (27652) range across 2 matching MRF lines |
$2,537.13–$10,874.36 | $2,537.13–$10,874.36 | varies |
| Replace g/c tube perc (49450) | $2,324.09 | $2,324.09 | 2.3× |
| Rerepair ing hernia reduce (49520) | $2,707.37 | $2,707.37 | 0.7× |
| Rev/rmv prph sac/gstr npg/r (64595) range across 2 matching MRF lines |
$759–$1,093 | $759–$1,093 | varies |
| Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$4,545 | $4,545 | 0.3× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$4,989 | $4,989 | 0.3× |
| Revise hernia & sperm veins (55540) range across 2 matching MRF lines |
$1,534.97–$12,075.59 | $1,534.97–$12,075.59 | varies |
| Revision of foot (28116) | $1,987.90 | $1,987.90 | 0.5× |
| Revision of lower leg tendon (27685) | $1,584.45 | $1,584.45 | 0.4× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) likely a partial charge, not the full procedure |
$3,948.30 | $3,948.30 | 0.3× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) unusually low: confirm this is the full procedure |
$4,305.25 | $4,305.25 | 0.3× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) unusually low: confirm this is the full procedure |
$5,125.30 | $5,125.30 | 0.4× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure |
$4,719.24 | $4,719.24 | 0.2× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) likely a partial charge, not the full procedure |
$3,785.66 | $3,785.66 | 0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) range across 3 matching MRF lines |
$692.75–$763.87 | $692.75–$763.87 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $431.75 | $431.75 | 0.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $282.64 | $282.64 | 0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$125.10–$168.74 | $125.10–$168.74 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$175.15–$187.41 | $175.15–$187.41 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$151.40–$212.18 | $151.40–$212.18 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,196.26 | $1,196.26 | 0.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 4 matching MRF lines |
$843.40–$8,796.36 | $843.40–$8,796.36 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $608.35 | $608.35 | 0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
$472.15–$793.57 | $472.15–$793.57 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$937.86–$972.10 | $937.86–$972.10 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$712.30–$733.70 | $712.30–$733.70 | varies |
| Rmvl/revj sling stress incontinence (57287) | $1,953.02 | $1,953.02 | 0.5× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$126.69–$138.14 | $126.69–$138.14 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $663.72 | $663.72 | 0.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $372.36 | $372.36 | 0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $410.99 | $410.99 | 0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,968.80 | $1,968.80 | 0.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$845–$2,878.30 | $845–$2,878.30 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) unusually low: confirm this is the full procedure |
$3,372.48 | $3,372.48 | 0.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $1,113.87 | $1,113.87 | 0.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,549.36 | $1,549.36 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$1,407.25–$1,505.76 | $1,407.25–$1,505.76 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$392.21–$590.05 | $392.21–$590.05 | varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) range across 2 matching MRF lines |
$1,823.44–$9,076.70 | $1,823.44–$9,076.70 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$974.60–$1,287.37 | $974.60–$1,287.37 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $665.01 | $665.01 | 2.5× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $29,473.80 | $29,473.80 | 8.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,322.40 | $1,322.40 | 1.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 2 matching MRF lines |
$3,157.62–$10,384.14 | $3,157.62–$10,384.14 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $2,208 | $2,208 | 0.6× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$192.45–$205.44 | $192.45–$205.44 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$162–$188.96 | $162–$188.96 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 4 matching MRF lines |
$192.45–$629.75 | $192.45–$629.75 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$186.15–$214 | $186.15–$214 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$216.60–$294.25 | $216.60–$294.25 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$267.50–$304.95 | $267.50–$304.95 | varies |
| Shoulder Arthroscopy/Surgery (29825) | $1,781.34 | $1,781.34 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$202.65–$236.36 | $202.65–$236.36 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$216.60–$252.63 | $216.60–$252.63 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$235.75–$267.50 | $235.75–$267.50 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$258.60–$288.90 | $258.60–$288.90 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$208.95–$278.20 | $208.95–$278.20 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $983.06 | $983.06 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$507.93–$699.65 | $507.93–$699.65 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$216.19–$362.55 | $216.19–$362.55 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$254.77–$398.65 | $254.77–$398.65 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$520.77–$723.65 | $520.77–$723.65 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$301.37–$470.75 | $301.37–$470.75 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$636.54–$793.15 | $636.54–$793.15 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$148.52–$341.70 | $148.52–$341.70 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$666.24–$1,125.16 | $666.24–$1,125.16 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$289.33–$426.35 | $289.33–$426.35 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $2,200.99 | $2,200.99 | 1.0× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$324.20–$858.68 | $324.20–$858.68 | varies |
| Skin sub graft trnk/arm/leg (15271) | $858.68 | $858.68 | 1.0× |
| Skin sub grft t/arm/lg child (15273) | $1,717.35 | $1,717.35 | 0.7× |
| Skn sub grft f/n/hf/g child (15277) | $1,717.35 | $1,717.35 | 0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$252.79–$363.70 | $252.79–$363.70 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$373.80–$533.10 | $373.80–$533.10 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$342.94–$661 | $342.94–$661 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $649.12 | $649.12 | 0.2× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$379.74–$413.93 | $379.74–$413.93 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,289.61 | $3,289.61 | 1.4× |
| Strapping ankle (29540) range across 4 matching MRF lines |
$91.90–$154.35 | $91.90–$154.35 | varies |
| Strapping elbow or wrist (29260) | $166.87 | $166.87 | 2.5× |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$118.25–$137.50 | $118.25–$137.50 | varies |
| Strapping knee (29530) | $113.31 | $113.31 | 0.8× |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$143.10–$177.57 | $143.10–$177.57 | varies |
| Strapping thorax (29200) | $67.36 | $67.36 | 0.4× |
| Strapping toes (29550) | $143.33 | $143.33 | 2.2× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$99.19–$370.15 | $99.19–$370.15 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $244.40 | $244.40 | 0.5× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $4,675 | $4,675 | 1.3× |
| Subtalar arthro w/deb (29906) | $2,694.15 | $2,694.15 | 0.7× |
| Surg tx anal fistula subq (46270) | $1,557.76 | $1,557.76 | 0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $1,606.61 | $1,606.61 | 0.5× |
| Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$2,184.94 | $2,184.94 | 0.3× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) unusually low: confirm this is the full procedure |
$3,174.85 | $3,174.85 | 0.4× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) likely a partial charge, not the full procedure |
$1,793.69 | $1,793.69 | 0.2× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) unusually low: confirm this is the full procedure |
$3,078.12 | $3,078.12 | 0.4× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$165.40–$393.23 | $165.40–$393.23 | varies |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$2,263–$12,967.01 | $2,263–$12,967.01 | varies |
| Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,811.51 | $1,811.51 | 0.2× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) | $1,761.65 | $1,761.65 | 0.5× |
| Thrombolytic Therapy Stroke (37195) | $219.24 | $219.24 | 0.6× |
| Thyroid biopsy (60100) | $444.64 | $444.64 | 0.6× |
| Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$2,690.25 | $2,690.25 | 0.4× |
| Tibial Arthroscopy/Surgery (29855) likely a partial charge, not the full procedure |
$2,257.11 | $2,257.11 | 0.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $3,156.50 | $3,156.50 | 1.4× |
| Tnot elbow lateral/medial debride open (24358) | $1,914.71 | $1,914.71 | 0.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $2,444.74 | $2,444.74 | 0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $1,150 | $1,150 | 0.3× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$3,459.31 | $3,459.31 | 0.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $911.43 | $911.43 | 3.5× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $766.85 | $766.85 | 2.3× |
| Transur electr resection of prostate (52601) range across 2 matching MRF lines |
$2,349–$3,000 | $2,349–$3,000 | varies |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$2,365.24–$7,589.78 | $2,365.24–$7,589.78 | varies |
| Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
$5,364.18–$14,573.72 | $5,364.18–$14,573.72 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$2,235.23–$7,667.46 | $2,235.23–$7,667.46 | varies |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$473.30–$1,237.19 | $473.30–$1,237.19 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,132.80–$1,923.59 | $1,132.80–$1,923.59 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$812.56–$832.95 | $812.56–$832.95 | varies |
| Treat Knee Fracture(S) (27538) | $1,062.10 | $1,062.10 | 3.9× |
| Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$2,750.06 | $2,750.06 | 0.3× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$741.40–$1,250.67 | $741.40–$1,250.67 | varies |
| Treat Metatarsal Fracture (28475) | $898.91 | $898.91 | 3.3× |
| Treat scapula fracture (23585) unusually low: confirm this is the full procedure |
$3,572.20 | $3,572.20 | 0.4× |
| Treat Tail Bone Fracture (27200) | $391.45 | $391.45 | 1.4× |
| Treat Thumb Dislocation (26641) | $801.15 | $801.15 | 2.9× |
| Treat thumb fracture (26665) | $2,238.01 | $2,238.01 | 0.6× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$323.65–$346.31 | $323.65–$346.31 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,569.69 | $1,569.69 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$787.73–$846.95 | $787.73–$846.95 | varies |
| Treatment of foot infection (28003) | $2,019.52 | $2,019.52 | 0.6× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$3,312.72 | $3,312.72 | 0.4× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$144.90–$229.19 | $144.90–$229.19 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$76.15–$166.95 | $76.15–$166.95 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$265.90–$265.95 | $265.90–$265.95 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $43.25 | $43.25 | 0.7× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$106.84–$328.06 | $106.84–$328.06 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $9,950.63 | $9,950.63 | 2.8× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) unusually low: confirm this is the full procedure |
$3,474.99 | $3,474.99 | 0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,479.65 | $1,479.65 | 0.4× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $891.20 | $891.20 | 0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,312.25 | $1,312.25 | 0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$330.50–$779.17 | $330.50–$779.17 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$354.25–$461.38 | $354.25–$461.38 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$479–$512.53 | $479–$512.53 | varies |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,831.81 | $2,831.81 | 0.2× |
| Tympanolysis transcanal (69450) | $1,650 | $1,650 | 0.4× |
| Tympanostomy general anesthesia (69436) | $1,175 | $1,175 | 0.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) unusually low: confirm this is the full procedure |
$2,396.80 | $2,396.80 | 0.4× |
| Unlisted Procedure Casting/Strapping (29799) | $105 | $105 | 0.6× |
| Unlisted procedure excision pressure ulcer (15999) | $347.15 | $347.15 | 0.4× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$535–$554.26 | $535–$554.26 | varies |
| Unlisted procedure pelvis/hip joint (27299) | $2,300 | $2,300 | 8.4× |
| Unlisted Procedure Rectum (45999) | $915.39 | $915.39 | 0.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $2,273.96 | $2,273.96 | 2.2× |
| Vaginal Delivery After Cesarean Delivery (59612) | $9,475.60 | $9,475.60 | 2.6× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$2,964.65–$10,423.14 | $2,964.65–$10,423.14 | varies |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $3,357.87 | $3,357.87 | 0.6× |
| Vaginectomy, partial removal of vaginal wall; (57106) | $1,586.65 | $1,586.65 | 0.4× |
| Vasc Embolize/Occlude Bleed (37244) likely a partial charge, not the full procedure |
$2,440.08 | $2,440.08 | 0.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
$944.50–$1,457 | $944.50–$1,457 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $253.22 | $253.22 | 1.7× |
| Venous Cutdown >1 Y/O (36425) | $174.20 | $174.20 | 0.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$347.95–$372.95 | $347.95–$372.95 | varies |
| Windowing of cast (29730) range across 2 matching MRF lines |
$151.40–$162 | $151.40–$162 | varies |
| Wound Prep Trk/Arm/Leg (15002) | $1,120.72 | $1,120.72 | 1.4× |
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.