Procedures & surgery prices at Lake Huron Medical Center

Port Huron, MI · every code in this section with a posted price and a Medicare benchmark.

1085 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $899 $3,772.78 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $899 $3,772.78 1.0×
Acne surgery (10040) $198 $185.40 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,045 $3,737.22 1.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,045 $7,310 1.0×
Amniocentesis diagnostic (59000) $913 $895.09 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,244 $4,735.67 1.0×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $3,244 $4,096.53–$7,310 1.0×
Amputation toe metatarsophalangeal joint (28820) $3,244 $7,310 1.0×
Anoscopy diagnostic (46600) $131 $207 1.0×
Anoscopy W/Rmvl Foreign Body (46608) $922 $3,763.80 1.0×
Anoscopy; with biopsy, single or multiple (46606) $1,186 $8,307.50 1.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,186 $8,307.50 1.0×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,752 $7,310 1.0×
Apheresis Platelets (36513) $437 $3,664.25 1.0×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,594 $3,566.25 1.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $161 $345 1.0×
Application cast elbow finger short arm (29075) $277 $1,116.45 1.0×
Application Finger Splint Dynamic (29131) $58 $261.85 1.0×
Application finger splint static (29130) $131 $531.63 1.0×
Application long arm splint shoulder hand (29105) $161 $655.79 1.0×
Application Long Leg Splint (29505) $161 $655.79 1.0×
Application of long leg cast (29345) $277 $1,116.45 1.0×
Application of rigid total contact leg cast (29445) $277 $1,117.72 1.0×
Application Short Arm Splint Dynamic (29126) $131 $261.85 1.0×
Application short arm splint forearm-hand static (29125) $131 $531.63 1.0×
Application short leg splint calf foot (29515) $161 $655.79 1.0×
Apply long arm cast (29065) $277 $658.95 1.0×
Apply Multlay Comprs Lwr Leg (29581) $161 $655.79 1.0×
Apply Short Leg Cast (29405) $277 $658.95 1.0×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $3,130 $1,355.75 1.0×
Arterial puncture (36600) $131 $658.75 1.0×
Arteriovenous Anastomosis Open Direct (36821) $3,130 $11,228.80 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $304 $1,232.67 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $699 $2,535.95 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $304 $674.45 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $304 $1,544 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $304 $1,232.67 1.0×
Arthrodesis great toe interphalangeal joint (28755) $7,194 $9,397.80 1.0×
Arthrodesis great toe metatarsophalangeal joint (28750) $7,194 $10,232.50 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $17,385 $13,571 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,244 $5,684.69 1.0×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,244 $7,310 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,244 $8,165 1.0×
Arthroscopy knee synovectomy limited spx (29875) $3,244 $7,310 1.0×
Arthroscopy shoulder distal claviculectomy (29824) $3,244 $3,505.64 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $3,244 $7,666.25 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,244 $4,186.04 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,244 $5,080 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,194 $3,817.35 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $12,729 $14,695.90 1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $12,729 $14,405.70 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $7,194 $5,080.11 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,244 $9,096.78 1.0×
Aspirate pleura w/ imaging (32555) $621 $3,100.05 1.0×
Aspirate Pleura W/O Imaging (32554) $621 $956.35 1.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,072 $7,547.50–$7,754.10 1.0×
Aspiration Bladder Needle (51100) $247 $1,068.90 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $198 $833.23 1.0×
Biopsy Abdominal Mass (49180) $1,637 $6,747.75 1.0×
Biopsy bone open deep (20245) $2,880 $5,631.75 1.0×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $2,880 $4,988.06–$7,310 1.0×
Biopsy bone trocar/needle deep (20225) $1,637 $6,747.75 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,637 $6,747.75 1.0×
Biopsy muscle percutaneous needle (20206) $1,637 $6,747.75 1.0×
Biopsy Muscle Superficial (20200) $1,637 $4,190.78 1.0×
Biopsy nail unit (11755) $702 $2,368 1.0×
Biopsy of liver, needle; percutaneous (47000) $1,637 $6,747.75 1.0×
Biopsy Pleura Percutaneous Needle (32400) $1,637 $2,500.89 1.0×
Biopsy Salivary Gland Needle (42400) $702 $2,928.24 1.0×
Biopsy soft tissue back/flank deep (21925) $1,637 $3,546.20 1.0×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,637 $2,145 1.0×
Biopsy soft tissue forearm&/wrist deep (25066) $2,880 $3,481.20 1.0×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,637 $3,345 1.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $2,880 $4,543 1.0×
Biopsy soft tissue leg/ankle area superficial (27613) $1,637 $2,522 1.0×
Biopsy soft tissue neck/thorax (21550) $1,637 $2,092.45 1.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,637 $4,132.90 1.0×
Biopsy Soft Tissue Shoulder Deep (23066) $2,880 $4,140.80 1.0×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,637 $3,441 1.0×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $2,880 $4,780.25 1.0×
Biopsy soft tissue thigh/knee area superficial (27323) $1,637 $2,535.70 1.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,637 $4,175 1.0×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,637 $6,877.50 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $913 $1,827.50 1.0×
Bladder instillation anticarcinogenic agent (51720) $691 $3,254.30 1.0×
Bladder Irrigation (51700) $247 $496 1.0×
Bladder Scan (51798) $58 $254.54 1.0×
Blepharotomy drainage abscess eyelid (67700) $314 $1,258.80 1.0×
Blood Transfusion Service (36430) $437 $1,806.71 1.0×
Blood/Lymph System Procedure (38999) $437 $1,914.50 1.0×
Bone Marrow Biopsy (38221) $1,637 $6,747.75 1.0×
Bone Marrow; Aspiration Only (38220) $1,637 $6,747.75 1.0×
Brnchsc Brushing/Protected Brushings (31623) $1,764 $7,064 1.0×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,764 $5,187.50 1.0×
Brnchsc Removal Bronchial Valve Initial (31648) $3,696 $9,959.60 1.0×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $6,997 $15,332.40 1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,696 $9,959.60 1.0×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,764 $5,187.50 1.0×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $3,696 $9,959.60 1.0×
Bronch Thermoplsty 1 Lobe (31660) $6,997 $15,332.40 1.0×
Bronchial Valve Init Insert (31647) $6,997 $15,332.40 1.0×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $6,997 $15,332.40 1.0×
Bronchoscopy Balloon Occlusion (31634) $6,997 $15,332.40 1.0×
Bronchoscopy Bronch Stents (31636) $6,997 $15,332.40 1.0×
Bronchoscopy Clear Airways (31645) $1,764 $2,797.90 1.0×
Bronchoscopy Dilate W/Stent (31631) $6,997 $15,332.40 1.0×
Bronchoscopy Reclear Airway (31646) $387 $1,875.65 1.0×
Bronchoscopy W/Biopsy(S) (31625) $1,764 $7,064 1.0×
Bronchoscopy W/Excision Tumor (31640) $3,696 $9,959.60 1.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $6,997 $15,332.40 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $1,764 $5,275.60 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,696 $5,275.60 1.0×
Bronchoscopy/Needle Bx Each (31629) $3,696 $15,586 1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,880 $3,900 1.0×
Bx breast 1st lesion mr imag (19085) $1,637 $5,263.15 1.0×
Bx breast 1st lesion strtctc (19081) $1,637 $6,747.75 1.0×
Bx breast 1st lesion us imag (19083) $1,637 $15,789.50 1.0×
Bx breast needle core w/o imaging guidance spx (19100) $1,637 $2,436.70 1.0×
Bx/exc lymph node open deep axillary node (38525) $3,882 $8,022.50 1.0×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $3,882 $7,547.50–$14,080 1.0×
Carpal Tunnel Surgery (64721) $1,936 $7,310 1.0×
Catheter aspiration nasotracheal spx (31720) $217 $887.69 1.0×
Cessj Therapy Cath Removal (37214) $3,130 $11,181.40 1.0×
Change Cystostomy Tube Complicated (51710) $691 $1,068.90 1.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $247 $665.75–$7,310 1.0×
Change of Windpipe Airway (31502) $234 $501.35 1.0×
Change ureter stent percut (50382) $2,072 $9,227.15 1.0×
Chemical Cautery Tissue (17250) $198 $833.23 1.0×
Chest tube placement (32551) $1,560 $6,665.54 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,550 $9,012.17 1.0×
Chorionic Villus Sampling (59015) $913 $2,436.25 1.0×
Circumcision 28 days or older (54161) $2,072 $8,022.50 1.0×
Circumcision Neonate (54160) — $1,529.66 —
Cl Tx Scapular Fx; W Manip (23575) $1,594 $1,069.15 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,594 $7,166.30 1.0×
Claviculectomy partial (23120) $3,244 $5,991.95 1.0×
Clear outer ear canal (69200) $131 $531.63 1.0×
Closed Rx Spontaneous Hip Disloc (27256) $244 $845.45 1.0×
Closed rx talotarsal disloc,anesth (28575) $3,244 $6,560.90 1.0×
Closed Treat Vert Body Fract (22310) $244 $1,069.15 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $244 $806.61 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,594 $845.45 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $244 $1,485.34 1.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $244 $845.45 1.0×
Closed Treatment Sesamoid Fracture (28530) $244 $845.45 1.0×
Closed Treatment Sternum Fracture (21820) $244 $845.45 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $244 $1,069.15 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $244 $981.48 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,594 $518.10 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $244 $511.80 1.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $244 $3,566.25 1.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $244 $511.80 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $1,594 $567.65 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $244 $511.80 1.0×
Closed Tx Craniofacial Separation (21431) $5,869 $9,731 1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $244 $1,069.15 1.0×
Closed tx fx orbit except blowout w/manipulation (21401) $1,538 $3,233.30 1.0×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,594 $5,753.40 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $244 $337.86 1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,594 $6,560.90 1.0×
Closed tx mandibular fracture w/manipulation (21451) $1,538 $6,334.30 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $534 $618.60 1.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $5,869 $18,650.20 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $244 $511.80 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,594 $1,245.23 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,538 $6,334.30 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,287 $2,542.70 1.0×
Closed Tx Nasomaxillary Complex Fracture (21345) $1,538 $9,731 1.0×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $3,287 $18,650.20 1.0×
Closed tx patellar dislocation w/anesthesia (27562) $244 $3,566.25 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $244 $981.48 1.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $244 $1,069.15 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,594 $1,069.15 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $244 $511.80 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,594 $3,566.25 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $244 $511.80 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,594 $864.20 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $244 $845.45 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $244 $845.45 1.0×
Closed tx septal&nose fx (21337) $3,287 $4,214 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $244 $1,069.15 1.0×
Closed tx talotarsal joint dislc w/o anes (28570) $244 $1,069.15 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,594 $6,560.90 1.0×
Closed tx talus fracture w/o manipulation (28430) $244 $845.45 1.0×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $244 $845.45 1.0×
Closed tx tarsometatarsal dislocation w/o anes (28600) $244 $991.65 1.0×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,538 $9,731 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $244 $618.60 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,594 $1,069.15 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $244 $845.45 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $244 $511.80 1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $234 $618.60 1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $534 $1,125 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $244 $1,069.15 1.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $244 $511.80 1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,594 $3,566.25 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $244 $511.80 1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $534 $2,411.20 1.0×
Clsd Tx Pelvic Ring Fx (27198) $244 $3,566.25 1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $244 $1,069.15 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,594 $4,267.35 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $244 $981.48 1.0×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,594 $6,560.90 1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $244 $845.45 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,594 $576.15 1.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $244 $576.15 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,594 $1,069.15 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $244 $511.80 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $244 $845.45 1.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,594 $575.60 1.0×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $244 $845.45 1.0×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,594 $1,069.15 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $244 $567.65 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $244 $511.80 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $244 $511.80 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $244 $511.80 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $244 $511.80 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,594 $6,689.16 1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,594 $1,069.15 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $244 $1,069.15 1.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,594 $2,235.47 1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $244 $1,069.15 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,594 $560.75 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $244 $1,069.15 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $244 $511.80 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $244 $981.48 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $244 $511.80 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,594 $7,166.30 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $244 $1,069.15 1.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $244 $1,069.15 1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $244 $1,069.15 1.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,594 $6,560.90 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,594 $3,566.25 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $244 $981.48 1.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $244 $1,069.15 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,594 $1,069.15 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,594 $1,069.15 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $244 $845.45 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,594 $1,069.15 1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $277 $1,116.45 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $244 $511.80 1.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,594 $1,069.15 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $277 $1,116.45 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $244 $981.48 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $1,594 $6,560.90 1.0×
Cltx Medial Ankle Fx (27760) $244 $511.80 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $244 $981.48 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $244 $511.80 1.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,594 $1,069.15 1.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,594 $6,560.90 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $244 $614.16 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $244 $563.10 1.0×
Cltx post hip arthrp dislc req anes (27266) $1,594 $5,753.40 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $244 $981.48 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,594 $3,566.25 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $244 $511.80 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,594 $563.10 1.0×
Cltx prox tibfib jt dislc w/o anes (27830) $244 $845.45 1.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $244 $1,069.15 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $244 $981.48 1.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,594 $1,069.15 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,594 $3,566.25 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,594 $1,069.15 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,594 $1,764.25 1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $244 $511.80 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,594 $1,069.15 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $244 $1,069.15 1.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $3,244 $10,213.30 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $244 $845.45 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $244 $511.80 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $244 $511.80 1.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $244 $845.45 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,594 $567.65 1.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $244 $511.80 1.0×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $3,244 $6,560.90 1.0×
Collect Blood From Catheter Venous Nos (36592) $131 $394.10 1.0×
Collection of venous blood by venipuncture (36415) $9 $41.06 1.0×
Colonoscopy Flexible With Decompression (45393) $1,186 $4,911.42 1.0×
Colonoscopy Stoma Ablation Lesion (44401) $1,186 $2,546.70 1.0×
Colonoscopy Stoma Control Bleeding (44391) $1,186 $3,763.80 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,186 $4,911.42 1.0×
Colonoscopy stoma w/balloon dilation (44405) $1,186 $3,763.80 1.0×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,186 $3,763.80 1.0×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $6,019 $18,067.80 1.0×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $922 $3,763.80 1.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,186 $3,763.80 1.0×
Colonoscopy Through Stoma With Decompression (44408) $922 $3,763.80 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,186 $4,911.42 1.0×
Colonoscopy thru stoma (44388) $922 $3,803.84 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,186 $3,763.80 1.0×
Colonoscopy w/ablation (45388) $1,186 $4,911.42 1.0×
Colonoscopy W/Band Ligation (45398) $1,186 $4,911.42 1.0×
Colonoscopy w/fb removal (45379) $1,186 $3,763.80 1.0×
Colonoscopy W/Resection (45390) $2,752 $3,763.80 1.0×
Colonoscopy w/stent plcmt (45389) $6,019 $18,067.80 1.0×
Colonoscopy w/submucosal inj (45381) $1,186 $4,911.42 1.0×
Colporrhaphy (57200) $3,209 $8,073.05 1.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $302 $7,310 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $913 $7,310 1.0×
Colpotomy; with drainage of pelvic abscess (57010) $3,209 $6,500 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,186 $4,911.42 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,186 $3,763.80 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,186 $4,911.42 1.0×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,186 $8,307.50 1.0×
Complex drainage wound (10180) $2,880 $9,397.80 1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,209 $7,381.25 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $131 $364.25 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $131 $531.63 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,902 $5,324.30 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,637 $6,747.75 1.0×
Correction hammertoe (28285) $3,244 $5,489.60 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,244 $1,844.51 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $12,729 $10,160.24 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,194 $9,047.37 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $7,194 $5,358.33 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $131 $531.63 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,072 $7,310 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $2,072 $7,310 1.0×
Cysto w/destruction of lesions (52214) $3,495 $8,335.79 1.0×
Cysto w/insert ureteral stent (52332) $3,495 $7,310 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $3,495 $5,348.34 1.0×
Cysto w/removal of lesions small (52224) $3,495 $8,563.15 1.0×
Cysto w/removal of tumors small (52234) $3,495 $8,563.15 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,072 $7,310 1.0×
Cysto w/ureter stricture tx (52341) $3,495 $2,555.41 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $5,316 $8,563.15 1.0×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,495 $3,019.77 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,495 $10,232.50 1.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $5,316 $2,579.59 1.0×
Cysto/uretero w/lithotripsy (52356) $5,316 $10,184.20 1.0×
Cysto/uretero w/up stricture (52345) $3,495 $2,674.16 1.0×
Cystostomy Cystotomy W/Drainage (51040) $2,072 $8,478.40 1.0×
Cystourethroscopy (52000) $691 $7,205.58 1.0×
Cystourethroscopy inj chemodenervation bladder (52287) $2,072 $7,240.38 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,495 $8,688 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,316 $10,023.80 1.0×
Cystourethroscopy w/dil bladder general anesth (52260) $2,072 $7,310 1.0×
Cystourethroscopy with biopsy (52204) $2,072 $7,310 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $403 $2,067 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $702 $4,132.90 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $732 $2,613.90–$7,518.86 1.0×
Debride nail 1-5 (11720) $58 $254.54 1.0×
Debride nail 6 or more (11721) $58 $254.54 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,637 $6,747.75 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $403 $1,945–$7,700.31 1.0×
Declot vascular device (36593) $327 $947.38 1.0×
Deep Muscle Biopsy (20205) $2,880 $5,012.70 1.0×
Destr W Neurolytic; Celiac Plexus (64680) $876 $4,112.30 1.0×
Destroy cerv/thor facet jnt (64633) $1,936 $6,253.68 1.0×
Destroy lumb/sac facet jnt (64635) $1,936 $5,570.24 1.0×
Destruc retinal lesn,photocoag (67210) $545 $2,201.90 1.0×
Destruct B9 Lesion 1-14 (17110) $198 $4,873.34 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,186 $2,462.25 1.0×
Destruction Premalignant Lesion 15/> (17004) $403 $552.26 1.0×
Destruction premalignant lesion 1st (17000) $198 $212.96 1.0×
Diagnostic sigmoidoscopy (45330) $922 $3,803.84 1.0×
Dilat Xst Trc New Access Rcs (50437) $3,495 $14,634.30 1.0×
Dilate Esophagus 1/Mult Pass (43450) $899 $3,728 1.0×
Drain Cerebro Spinal Fluid (62272) $699 $1,495.90 1.0×
Drain Hand Tendon Sheath (26020) $3,244 $2,674.16 1.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $534 $1,051.14 1.0×
Drainage external auditory canal abscess (69020) $702 $806.34 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $702 $2,928.24 1.0×
Drainage Finger Abscess Complicated (26011) $1,637 $3,472.95 1.0×
Drainage Mouth Roof Lesion (42000) $234 $1,260.30 1.0×
Drainage of finger abscess simple (26010) $198 $449.30 1.0×
Drainage of gum lesion (41800) $131 $531.63 1.0×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,637 $6,747.75–$8,022.50 1.0×
Drainage of palmar bursa single bursa (26025) $3,244 $6,749.70 1.0×
Drainage of scrotal wall abscess (55100) $1,637 $4,329.80 1.0×
Drainage of scrotum (54700) $2,072 $7,310 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $702 $2,695.55 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $403 $486.15 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $198 $315.50 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $198 $833.23 1.0×
Dstrj lesion anus simple surg excision (46922) $2,752 $7,310 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $876 $2,698.50 1.0×
Dx Bone Marrow Bx & Aspir (38222) $2,880 $11,826.30 1.0×
Dx Bronchoscope/Lavage (31624) $1,764 $7,064 1.0×
Dx Bronchoscope/Wash (31622) $1,764 $7,064 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,764 $4,600.30 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $699 $3,125.25 1.0×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,902 $7,919.51 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,902 $7,919.51 1.0×
Egd cautery tumor polyp (43250) $1,902 $2,400.15 1.0×
Egd control bleeding any (43255) $1,902 $7,919.51 1.0×
Egd dilation gastric/duodenal stricture (43245) $1,902 $7,919.51 1.0×
Egd endo mucosal resection (43254) $1,902 $5,440 1.0×
Egd Endoscopic Stent Place (43266) $6,019 $15,875.40 1.0×
Egd Flexible Foreign Body Removal (43247) $899 $3,772.78 1.0×
Egd guide wire insertion (43248) $899 $3,728 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,902 $2,400.15 1.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,902 $5,440 1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,902 $5,440 1.0×
Egd lesion ablation (43270) $1,902 $2,400.15 1.0×
Egd place gastrostomy tube (43246) $1,902 $7,919.51 1.0×
Egd remove lesion snare (43251) $1,902 $7,919.51 1.0×
Egd Tube/Cath Insertion (43241) $1,902 $8,294.05 1.0×
Egd us exam duodenum/jejunum (43259) $1,902 $5,440 1.0×
Egd us transmural injxn/mark (43253) $1,902 $5,440 1.0×
Egd Varices Ligation (43244) $1,902 $2,400.15 1.0×
Egd W/Transmural Drain Cyst (43240) $6,019 $9,902.15 1.0×
Endoscopic plantar fasciotomy (29893) $3,244 $7,936.58 1.0×
Endoscopic us exam esoph (43237) $1,902 $5,440 1.0×
Endoscopy Upper Small Intestine (44360) $1,902 $3,726.80 1.0×
Endoscopy upper small intestine w/biopsy (44361) $1,902 $5,440 1.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $11,446 $28,883.60 1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,130 $11,798 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,130 $7,919.72 1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,902 $5,440 1.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,902 $4,262.15 1.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,902 $5,440 1.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,902 $5,440 1.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $6,019 $18,067.80 1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,902 $5,440 1.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,902 $5,440 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,902 $5,440 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,902 $5,440 1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,045 $3,002.39 1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,045 $5,260.50 1.0×
Epidural Blood Patch (62273) $699 $1,424.35 1.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $6,019 $9,902.15 1.0×
Ercp duct stent placement (43274) $6,019 $8,002.90 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,822 $15,939.40 1.0×
Ercp ea duct/ampulla dilate (43277) $3,822 $15,939.40 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,822 $15,939.40 1.0×
Ercp remove forgn body duct (43275) $1,902 $12,576.60 1.0×
Ercp Stent Exchange W/Dilate (43276) $6,019 $9,668.45 1.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $3,822 $9,765.30 1.0×
Ercp W/Biopsy Single/Multiple (43261) $3,822 $5,539.60 1.0×
Ercp,Sphincterotomy (43262) $3,822 $15,939.40 1.0×
Escharotomy; initial incision (16035) $403 $2,067.20 1.0×
Esoph Scope W/Submucous Inj (43201) $1,902 $5,324.30 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $899 $3,728 1.0×
Esophagosc Dilate Balloon 30 (43214) $1,902 $5,440 1.0×
Esophagoscop Mucosal Resect (43211) $1,902 $5,440 1.0×
Esophagoscop Stent Placement (43212) $6,019 $15,875.40 1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,902 $2,400.15 1.0×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,902 $3,728 1.0×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $3,822 $9,575.75 1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,902 $7,919.51 1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,902 $5,324.30 1.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $899 $3,726.80 1.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $899 $3,726.80 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $899 $3,772.78 1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,902 $5,440 1.0×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,902 $7,919.51 1.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,902 $5,440 1.0×
Esophagoscopy Retro Balloon (43213) $1,902 $2,400.15 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,902 $7,919.51 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,902 $5,440 1.0×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,902 $9,575.75 1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,902 $2,400.15 1.0×
Evacuation of subungual hematoma (11740) $131 $531.63 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,637 $3,737.22–$7,310 1.0×
Exc Back Les Sc < 3 Cm (21930) $1,637 $2,168.33 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $2,880 $8,378.75 1.0×
Exc back tum deep < 5 cm (21932) $2,880 $9,447.50 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $3,882 $7,310 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,637 $7,310 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $702 $1,892.80 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $702 $1,892.80 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $702 $4,132.90 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,637 $4,132.90 1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,637 $4,132.90 1.0×
Exc Forearm Les Sc 3 Cm/> (25071) $1,637 $7,310 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,637 $2,757.80–$7,310 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $702 $2,209.50–$7,310 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,637 $2,855–$7,310 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,594 $7,310 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,752 $7,666.25 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,880 $8,022.50 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $702 $7,310 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,637 $6,707.05–$7,310 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,880 $9,121.55 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,637 $7,723.75 1.0×
Exc Skin Benig >4cm Face,Facial (11446) $2,880 $9,121.55 1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,637 $4,847.55 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,880 $9,121.55 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,637 $7,071.40 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $2,880 $8,022.50 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,186 $1,042.85–$7,310 1.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $403 $7,310 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $702 $4,132.90–$7,310 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,637 $7,310 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,880 $7,310 1.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,880 $9,447.50 1.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,880 $5,348.34 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,637 $7,310 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,637 $7,310 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,880 $7,310 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,637 $7,310 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,880 $7,310 1.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,244 $8,022.50 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,550 $4,170.32 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,072 $2,881.83 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,902 $9,064.95 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $702 $4,709.90 1.0×
Excision Chest Wall Tumor Including Ribs (21601) $2,880 $7,310 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $702 $4,709.90 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $702 $2,403.20 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $403 $2,403.20 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $702 $4,709.90 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,637 $4,847.55 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $702 $11,621 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $702 $4,847.55–$7,310 1.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,637 $6,707.05 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $2,752 $8,307.50 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,594 $8,304.15 1.0×
Excision of hydrocele; bilateral (55041) $3,550 $8,022.50 1.0×
Excision of hydrocele; unilateral (55040) $3,550 $7,666.25 1.0×
Excision of local lesion of epididymis (54830) $3,495 $8,735 1.0×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $2,880 $8,022.50–$9,121.55 1.0×
Excision of single external papilla or tag, anus (46220) $1,186 $8,022.50 1.0×
Excision olecranon bursa (24105) $3,244 $8,735 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,880 $11,624 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,880 $7,785 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,637 $7,547.50 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,637 $7,547.50 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,637 $3,655 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,594 $5,348.34 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,880 $3,653.47 1.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,880 $2,361.87 1.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,880 $8,735 1.0×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,637 $2,361.87 1.0×
Expl penetrating wound spx abdomen/flank/back (20102) $2,045 $5,414.20 1.0×
Explo/Drain Breast Abscess (19020) $1,637 $6,991.40 1.0×
Exploration penetrating wound spx extremity (20103) $1,637 $1,418.20 1.0×
Explore treat shoulder joint (23107) $7,194 $10,160 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,244 $7,310 1.0×
Fetal non-stress test (59025) — $654.90 —
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $702 $2,896.70 1.0×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $702 $2,896.70 1.0×
Fine needle aspiration without imaging guidance (10021) $403 $606.15 1.0×
Fluoro exam of g/colon tube (49465) $236 $794.30 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $702 $2,896.70 1.0×
Fna bx w/us gdn 1st les (10005) $702 $2,928.24 1.0×
Foreskin manipulation (54450) $247 $777.30 1.0×
Gastrocnemius recession (27687) $3,244 $7,310 1.0×
Guide Cathet Fluid Drainage (10030) $702 $4,329.80 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,752 $7,547.50 1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $2,752 $8,307.50–$10,160 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,752 $7,785 1.0×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $2,752 $7,310 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $922 $2,462.25 1.0×
Hemorrhoidopexy by stapling (46947) $2,752 $8,141.25 1.0×
Hysteroscopy Biopsy (58558) $3,209 $7,412.89 1.0×
Hysteroscopy Endometrial Ablation (58563) $4,960 $7,399.06 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,209 $7,310 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,960 $7,310 1.0×
I&d abscess peritonsillar (42700) $234 $1,192.50 1.0×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $198 $833.23–$7,310 1.0×
I&D Below Fascia Foot 1 Bursal Space (28002) $1,594 $7,276.30 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,880 $8,036.25 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,880 $4,134 1.0×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,244 $4,955 1.0×
I&d forearm/wrist bursa (25031) $1,594 $7,073.04 1.0×
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $3,244 $5,428–$10,160 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $922 $4,404.55–$8,022.50 1.0×
I&d pilonidal cyst complicated (10081) $702 $3,472.95 1.0×
I&d pilonidal cyst simple (10080) $702 $2,928.24 1.0×
I&d shoulder deep abscess/hematoma (23030) $2,880 $4,687 1.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,880 $4,615 1.0×
Icd Pocket Revision (33223) $2,045 $5,986.90 1.0×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,902 $3,726.80 1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $899 $3,726.80 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $899 $3,726.80 1.0×
Image Cath Fluid Colxn Visc (49405) $1,637 $6,747.75 1.0×
Image Cath Fluid Peri/Retro (49406) $1,637 $4,126.50 1.0×
Implant neuroelectrodes (63650) $6,318 $7,623 1.0×
Implant Neuroelectrodes (64561) $6,318 $7,780.46 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $19,235 $3,573.23 1.0×
Incise external hemorrhoid (46083) $247 $743.10 1.0×
Incise finger tendon sheath (26055) $1,594 $7,310 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $403 $1,659.54–$7,310 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $2,880 $4,200 1.0×
Incision & drainage leg/ankle infected bursa (27604) $3,244 $7,867.83 1.0×
Incision & removal foreign body subq tiss simple (10120) $403 $1,659.54 1.0×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $200 $829.33–$7,310 1.0×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $302 $1,335.15–$7,310 1.0×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,594 $7,073.04 1.0×
Incision of hip tendon (27001) $3,244 $13,010.70 1.0×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,186 $5,382.10–$7,310 1.0×
Incision&drainage bursa foot (28001) $1,637 $4,709.90 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,637 $6,369.85 1.0×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $3,244 $1,500 1.0×
Incisional biopsy skin single lesion (11106) $732 $1,570.40 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $198 $833.23 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $876 $2,649.45 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $876 $7,350.15 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $876 $3,360.30 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $304 $1,232.67–$7,310 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $876 $1,863.80 1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $876 $3,360.30 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $699 $3,172.95 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $876 $3,360.30 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $876 $3,360.30 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $699 $3,360.30 1.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $876 $3,360.30 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $304 $1,334.15 1.0×
Injection anesthetic agent suprascapular nerve (64418) $699 $1,863.80 1.0×
Injection for identification of sentinel node (38792) $396 $356.50 1.0×
Injection Into Brain Canal (61055) $304 $1,154.44 1.0×
Injection of sclerosing solution, hemorrhoids (46500) $922 $2,462.25 1.0×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $304 $517–$5,848 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $304 $1,232.67 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $304 $782.54 1.0×
Injection therapeutic carpal tunnel (20526) $304 $569.78 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $876 $3,793.56 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $699 $2,878.21 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $699 $2,878.21 1.0×
Injection, anesthetic agent; vagus nerve (64408) $304 $1,056.05 1.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $876 $2,555.72 1.0×
Ins cath ren art 1st bilat (36252) $3,130 $12,463.70 1.0×
Ins cath ren art 1st unilat (36251) $3,130 $12,463.70 1.0×
Ins cath ren art 2nd+ bilat (36254) $3,130 $12,463.70 1.0×
Ins cath ren art 2nd+ unilat (36253) $5,517 $11,622 1.0×
Ins endovas vena cava filtr (37191) $5,517 $22,871.60 1.0×
Ins/Rep Subq Defibrillator (33270) $31,122 $74,446.90 1.0×
Insert 1 Electrode Pm-Defib (33216) $8,205 $19,636 1.0×
Insert Bladder Cath Complex (51703) $127 $345.15 1.0×
Insert cath pleura w/ image (32557) $1,560 $2,446.75 1.0×
Insert cath pleura w/o image (32556) $1,902 $2,446.75 1.0×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,186 $7,275.80 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $1,902 $7,919.51 1.0×
Insert Heart Pm Atrial (33206) $10,363 $23,011.80 1.0×
Insert Heart Pm Ventricular (33207) $10,363 $23,011.80 1.0×
Insert hepatic shunt (tips) (37182) $18,176 $14,292 1.0×
Insert non-tunnel cv cath (36556) $3,130 $13,266.30 1.0×
Insert Pacing Lead & Connect (33224) $10,363 $48,739.90 1.0×
Insert pessary/other device (57160) $200 $301 1.0×
Insert pulse gen dual leads (33213) $10,363 $22,025.10 1.0×
Insert pulse gen mult leads (33221) $19,098 $49,222.20 1.0×
Insert Pulse Gen Sngl Lead (33212) $8,205 $17,734 1.0×
Insert Temp Bladder Cath (51702) $131 $658.75 1.0×
Insert tun ip cath perc (49418) $3,550 $5,338 1.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $3,130 $8,124.29–$13,266.30 1.0×
Insert tunneled cv cath (36563) $5,517 $8,850.73 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,517 $8,850.73 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $131 $658.70 1.0×
Insertion indwelling tunneled pleural catheter (32550) $3,550 $5,338 1.0×
Insertion of cannula (36800) $5,517 $12,117.50 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,560 $6,665.54 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,205 $37,020.60 1.0×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $5,517 $8,850.73 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $8,205 $18,328.80 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,130 $3,045.68 1.0×
Insj Picc Rs&I <5 Yr (36572) $621 $3,100.05 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,130 $8,850.73 1.0×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $3,130 $8,077.80 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $1,560 $4,217.50–$6,665.54 1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,517 $23,851.80 1.0×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $3,130 $8,077.80 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,130 $13,266.30 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $31,122 $74,446.90 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,205 $35,358.90 1.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $8,205 $19,636 1.0×
Insrt heart pm atrial & vent (33208) $10,363 $44,442.80 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $22,054 $54,946.90 1.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,752 $8,307.50 1.0×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,372 $6,841.30 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $403 $843 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $403 $1,099.65 1.0×
Intraoral i&d tongue/floor lingual (41000) $534 $3,233.30 1.0×
Intro cath dialysis circuit (36901) $1,560 $6,665.54 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $5,643 $24,126 1.0×
Intubation endotracheal emergency procedure (31500) $234 $1,016.58 1.0×
Irrigation maxillary sinus (31000) $234 $1,420.75 1.0×
Irrigation of corpora cavernosa for priapism (54220) $247 $1,068.90 1.0×
Laparo-vag hyst incl t/o (58552) $10,539 $13,153.70 1.0×
Laparoscopy aspiration (49322) $5,994 $10,649.80 1.0×
Laparoscopy fulguration oviducts (58670) $5,994 $3,132.60 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $5,994 $15,362.60 1.0×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $10,539 $17,744.30 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $10,539 $14,405.70 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $5,994 $3,279.19 1.0×
Laparoscopy, surgical, appendectomy (44970) $5,994 $7,905.80 1.0×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $10,539 $8,275.05 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $5,994 $4,173.25 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,994 $12,402.50 1.0×
Laparoscopy, surgical; partial nephrectomy (50543) $10,539 $16,676.03 1.0×
Laparoscopy, surgical; pyeloplasty (50544) $10,539 $8,346.50 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $5,994 $7,145.51 1.0×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $10,539 $14,611.70 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $5,994 $6,785.53 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $5,994 $10,232.50 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,994 $2,974.59 1.0×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $10,539 $18,579 1.0×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $10,539 $3,374.70 1.0×
Laryngoscopy diagnostic (31505) $197 $239.05 1.0×
Laryngoscopy flexible diagnostic (31575) $197 $471 1.0×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,764 $6,919.90 1.0×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $387 $1,875.65 1.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $387 $6,297.75 1.0×
Laser treatment of retina (67040) $4,098 $16,903.80 1.0×
Laser vaporization of prostate (52648) $5,316 $10,816.70 1.0×
Late closure of wound (13160)
range across 2 matching MRF lines		 $3,513 $2,150.60–$8,022.50 1.0×
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $3,130 $7,310–$13,207.60 1.0×
Ligation of hemorrhoids (46946) $2,752 $8,307.50 1.0×
Ligation Of Inf Vena Cava (37619) $5,517 $21,324.80 1.0×
Ligation or biopsy temporal artery (37609) $1,637 $8,022.50 1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $3,130 $11,236.70 1.0×
Litholapaxy comp/lg > 2.5 cm (52318) $3,495 $9,397.80 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $3,495 $8,387.93 1.0×
Lithotripsy, extracorporeal shock wave (50590) $3,495 $12,000 1.0×
Manipulation knee joint under general anesthesia (27570) $1,594 $3,148.92 1.0×
Mastectomy for gynecomastia (19300) $3,882 $5,348.34 1.0×
Mastectomy partial (19301) $3,882 $7,310 1.0×
Mastectomy simple complete (19303) $6,583 $11,067.10 1.0×
Myelography Lumbar Injection (62305) $777 $3,332.38 1.0×
Myelography Lumbar Injection (62304) $777 $3,071.40 1.0×
Myelography via lumbar injection rs&i cervical (62302) $777 $3,071.40 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $777 $3,071.40 1.0×
N Block Inj Celiac Pelus (64530) $876 $4,112.30 1.0×
N Block Inj Ilio-Ing/Hypogi (64425) $699 $2,878.21 1.0×
N block inj intercost sng (64420) $699 $674.45 1.0×
N Block Inj Paracervical (64435) $699 $794.88 1.0×
N Block Inj Plantar Digit (64455) $304 $896.90 1.0×
N Block Inj Pudendal (64430) $876 $3,360.30 1.0×
N Block Lumbar/Thoracic (64520) $876 $2,002.58 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $442 $1,658.28 1.0×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $387 $1,932.50 1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $922 $3,763.80 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $922 $3,763.80 1.0×
Needle Biopsy Lymph Nodes (38505) $1,637 $6,747.75 1.0×
Needle Biopsy Pancreas (48102) $1,637 $2,500.89 1.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $416 $2,083.90 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $304 $1,232.67 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,550 $16,481.70 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,550 $1,018 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $876 $3,793.56 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $876 $3,193.30 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $699 $2,534.90 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $699 $3,360.30 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $876 $2,466.30 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $876 $3,193.30 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $699 $2,878.21 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $876 $2,466.30 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $691 $1,717.45 1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $403 $350.75 1.0×
Obstructive material removal from gi tube (49460) $899 $1,031.30 1.0×
Occipital Nerve Block (64405) $304 $1,863.80 1.0×
Onc thyr mut alys 10 gen 37 RNA fsn xprsn 4 mrna (0245U) $1,266 $1,266.07 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $3,882 $6,865.64 1.0×
Open Implantation Nea Sacral Nerve (64581) $6,318 $6,298.34 1.0×
Open Repair of Rotator Cuff Acute (23410) $7,194 $13,571.05 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,194 $12,736.40 1.0×
Open treatment fracture distal tibia only (27827) $12,729 $5,080.11 1.0×
Open treatment metatarsal fracture each (28485) $7,194 $10,510.70 1.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $7,194 $2,436.66 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,194 $13,546.90 1.0×
Open Treatment Proximal Humeral Fracture (23615) $12,729 $13,571 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,194 $8,556.88 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $3,244 $9,637.95 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829) $7,194 $4,920.44 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,244 $9,637.95 1.0×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $7,194 $3,967.25 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $7,194 $11,901.80 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $7,194 $13,571.05 1.0×
Open/Perq Place Stent 1St (37236) $11,446 $28,883.60 1.0×
Open/Perq Place Stent Same (37238) $11,446 $28,883.60 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $7,194 $11,901.75 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $7,194 $4,523.68 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,244 $2,498.87 1.0×
Part exc bone femur prox tibia (27360) $3,244 $5,364 1.0×
Partial hymenectomy or revision of hymenal ring (56700) $3,209 $7,310 1.0×
Partial removal of thyroid (60220) $5,994 $12,388.60 1.0×
Partial removal of tibia (27640) $3,244 $6,390.66 1.0×
Partical Excision Bone Phalanx Toe (28124) $3,244 $12,191.70 1.0×
Pelvic examination under anesthesia (other than local) (57410) $3,209 $7,310 1.0×
Penile Injection (54235) $247 $1,157.10 1.0×
Percut Cath Occlusn Non Cns Lesn (61626) $11,446 $12,576.60 1.0×
Percut Drain/Inject Renal Cyst (50390) $702 $2,928.24 1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,130 $13,207.60 1.0×
Pericardiocentesis W/Imaging (33016) $1,560 $7,767.20 1.0×
Perm Occlusion/Embolization,Percut,Cns (61624) $18,176 $1,557 1.0×
Perq Cervicothoracic Inject (22510) $3,244 $13,010.70 1.0×
Perq dev breast 1st mr guide (19287) $702 $707.28 1.0×
Perq dev breast 1st strtctc (19283) $702 $1,060.92 1.0×
Perq dev breast 1st us imag (19285) $702 $707.28 1.0×
Perq device breast 1st imag (19281) $1,637 $6,747.75 1.0×
Perq dilation xst trc endourologic px w/img (50436) $3,495 $8,698.75 1.0×
Perq Lumbosacral Injection (22511) $3,244 $13,010.70 1.0×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
range across 2 matching MRF lines		 $9,386 $12,334.70–$43,887.10 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $11,446 $49,542.40 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $5,643 $23,392.70 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,194 $18,736.70 1.0×
Perq Vertebral Augmentation (22513) $7,194 $18,736.70 1.0×
Place Cath Subclavian Art (36225) $3,130 $8,505.98 1.0×
Place Cath Thoracic Aorta (36221) $3,130 $8,505.98 1.0×
Place Cath Vertebral Art (36226) $5,517 $15,973.80 1.0×
Place Duod/Jej Tube Perc (49441) $1,902 $5,324.30 1.0×
Place Rt Device/Marker Pros (55876) $1,372 $1,010 1.0×
Placement of needle for intraosseous infusion (36680) $442 $439.70 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,072 $8,477.18 1.0×
Plmt Nephroureteral Catheter (50433) $3,495 $16,607.90 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,495 $14,509.40 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,495 $16,607.90 1.0×
Prim art mech thrombectomy (37184) $18,176 $15,252.50 1.0×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,357 $11,664.80 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $922 $2,238.10 1.0×
Proctosgmdsc Rigid Control Bleeding (45317) $1,186 $4,683.45 1.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,186 $5,348.34 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,550 $14,399.10 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,244 $9,447.50 1.0×
Punch biopsy skin single lesion (11104) $403 $1,659.54 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $403 $1,659.54 1.0×
Puncture Aspiration Cyst Breast (19000) $702 $1,040.50 1.0×
Rcnstj Dislocating Patella (27420) $7,194 $14,435 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,495 $9,060.90 1.0×
Reconstruction of dislocating patella; with patellectomy Facility (27424) $7,194 $8,563.15 1.0×
Redo Endovas Vena Cava Filtr (37192) $3,130 $12,463.70 1.0×
Relocation Pocket Pacemaker (33222) $2,045 $5,962.25 1.0×
Rem Endovas Vena Cava Filter (37193) $3,130 $11,236.70 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $899 $4,318.45 1.0×
Removal Embedded Foreign Body Eyelid (67938) $314 $1,491.75 1.0×
Removal foreign body foot deep (28192) $1,637 $4,462.85 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $702 $1,234.30 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,637 $1,234.30 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $58 $279.70 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $58 $254.54 1.0×
Removal Implant Deep (20680) $2,880 $7,310 1.0×
Removal of foreign body from pharynx (42809) $442 $182.60 1.0×
Removal of kidney stone (50081) $9,386 $14,544.80 1.0×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $403 $1,659.54–$7,310 1.0×
Removal of sperm cord lesion (55520) $3,495 $10,232.50 1.0×
Removal of testis (54520) $3,495 $8,022.50 1.0×
Removal of tunneled intraperitoneal catheter (49422) $3,130 $7,081.80 1.0×
Removal or bivalving full arm or full leg cast (29705) $277 $321.45 1.0×
Removal Pacemaker Electrode (33235) $3,705 $7,204.40 1.0×
Removal ppm generator only (33233) $8,205 $7,204.40 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $198 $315.50 1.0×
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $702 $2,928.24–$3,050.05 1.0×
Removal, under anesthesia, of external fixation system (20694) $1,594 $7,310 1.0×
Removal/bivalving gauntlet boot/body cast (29700) $277 $387.75 1.0×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $2,072 $9,368.40 1.0×
Remove elbow lesion (24120) $3,244 $2,911.66 1.0×
Remove Elctrd Transvenously (33244) $3,705 $7,204.40 1.0×
Remove foreign body from eye (65205) $131 $531.63 1.0×
Remove Int Dwell Ureteral Stent Transurethral (50386) $2,072 $9,368.40 1.0×
Remove Intrauterine Device (58301) $302 $708.35 1.0×
Remove intrvas foreign body (37197) $3,130 $2,628.78 1.0×
Remove knee joint lining (27334) $3,244 $6,677.20 1.0×
Remove lung catheter (32552) $621 $2,446.75 1.0×
Remove Nasal Foreign Body (30300) $131 $531.63 1.0×
Remove Pulse Generator (33241) $3,705 $8,555.20 1.0×
Remove renal tube w/fluoro (50389) $691 $2,843.06 1.0×
Remove&replace pm gen singl (33227) $8,205 $19,636 1.0×
Remv&replc cvd gen dual lead (33263) $22,054 $68,749.80 1.0×
Remv&replc cvd gen mult lead (33264) $31,122 $133,574 1.0×
Remv&replc cvd gen sing lead (33262) $22,054 $68,749.80 1.0×
Remv&replc pm gen dual lead (33228) $10,363 $44,442.80 1.0×
Remv&replc pm gen mult leads (33229) $19,098 $93,056.30 1.0×
Renal Biopsy Perq (50200) $1,637 $6,747.75 1.0×
Repair Achilles Tendon (27650) $7,194 $11,901.80 1.0×
Repair Blood Vessel Direct Upper Extremity (35206) $3,130 $12,463.70 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $732 $1,597.75 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $732 $1,578.55 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $403 $369.28 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $403 $461.60 1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $403 $369.28 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $403 $461.60 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $732 $1,262.84 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $732 $1,578.55 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,594 $4,653.65 1.0×
Repair Hallux Rigidus (28289) $3,244 $8,022.50 1.0×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,550 $9,397.80 1.0×
Repair initial femoral hernia, any age; reducible (49550) $3,550 $8,563.15 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,550 $9,564.73 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $403 $1,659.54 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $403 $369.28 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $403 $461.60 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $403 $553.92 1.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $403 $1,099.65 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $732 $1,159.40 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $403 $1,659.54 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $403 $461.60 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $732 $461.60 1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,045 $2,150.60 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $403 $553.92 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $403 $1,659.54 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $403 $1,659.54 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $732 $670.40 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $403 $461.60 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,045 $2,150.60 1.0×
Repair lead pace-defib dual (33220) $3,705 $11,736.20 1.0×
Repair Lead Pace-Defib One (33218) $3,705 $18,328.80 1.0×
Repair of enterocele, vaginal approach (separate procedure) (57268) $4,960 $2,540.05 1.0×
Repair of nail bed (11760) $732 $2,613.90 1.0×
Repair of shoulder (23420) $7,194 $8,563.15 1.0×
Repair Rotator Cuff Chronic (23412) $7,194 $5,818.74 1.0×
Repair Toe Dislocation (28645) $3,244 $7,310 1.0×
Repair tongue laceration (41252) $234 $2,411.20 1.0×
Repair tongue laceration (41250) $442 $440 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $7,194 $6,940.02 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $899 $2,438.95 1.0×
Replace G-J Tube Perc (49452) $899 $2,438.95 1.0×
Replace g/c tube perc (49450) $899 $3,772.78 1.0×
Reposition Gastrostomy Tube (43761) $247 $2,881.83 1.0×
Reposition L Ventric Lead (33226) $3,130 $7,880.25 1.0×
Reposition Pacing-Defib Lead (33215) $3,130 $7,880.25 1.0×
Reposition Venous Catheter (36597) $1,560 $3,428.95 1.0×
Rerepair ing hernia reduce (49520) $3,550 $9,583.28 1.0×
Rev/rmv prph sac/gstr npg/r (64595) $3,466 $2,210.14 1.0×
Revis reconst shoulder joint (23473) $12,729 $11,480.40 1.0×
Revision of big toe (28310) $7,194 $5,080.11 1.0×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,466 $7,310 1.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,538 $9,731 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $899 $182.60 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $442 $1,658.28 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $131 $368.30 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $442 $1,658.28 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $1,186 $1,709.60 1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,637 $1,605.25 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,705 $16,344.20 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,560 $3,990.30–$5,848 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $621 $2,614.56 1.0×
Rmvl/revj sling stress incontinence (57287) $3,209 $8,022.50 1.0×
Rplc Gtube No Revj Trc (43762) $247 $1,157.10 1.0×
Rplc gtube revj gstrst trc (43763) $247 $1,157.10 1.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,130 $8,850.73 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,560 $6,665.54 1.0×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $3,130 $7,666.25–$14,890.40 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,130 $13,266.30 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $5,994 $15,156.90 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,550 $9,564.73 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $6,418 $13,571 1.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $5,994 $8,563.15 1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,550 $12,736.40 1.0×
Rpr aa hrn 1st 3-10 rdc (49593) $6,418 $12,319.10 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $5,994 $10,879.30 1.0×
Rpr blood vessel direct lower extremity (35226) $702 $3,018.40 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $198 $833.23 1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $732 $1,099.65 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $534 $2,411.20 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $534 $2,411.20 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,538 $6,763.95 1.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,194 $8,490.94 1.0×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $4,098 $4,000 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $621 $3,100.05 1.0×
Sclerotx Fluid Collection (49185) $1,637 $2,500.89 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,287 $10,995.30 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $922 $3,803.84 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,186 $3,763.80 1.0×
Sigmoidoscopy & decompress (45337) $922 $1,401.05 1.0×
Sigmoidoscopy & Polypectomy (45333) $922 $2,462.25 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,186 $3,763.80 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,186 $3,763.80 1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,186 $3,763.80 1.0×
Sigmoidoscopy w/fb removal (45332) $1,186 $3,763.80 1.0×
Sigmoidoscopy w/plcmt stent (45347) $6,019 $18,067.80 1.0×
Sigmoidoscopy W/Resection (45349) $2,752 $3,763.80 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $922 $2,370.10 1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,186 $2,370.10 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $403 $631 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $198 $833.23 1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $403 $730.70 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $198 $461.60 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $198 $730.70 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $198 $833.23 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $198 $498.30 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $198 $833.23 1.0×
Skin Full Grft Face/Genit/Hf (15240) $2,045 $2,137.50 1.0×
Skin sub graft face/nk/hf/g (15275) $732 $1,527 1.0×
Skin sub graft trnk/arm/leg (15271) $732 $7,589.87 1.0×
Skin sub grft t/arm/lg child (15273) $2,045 $1,926.70 1.0×
Skn sub grft f/n/hf/g child (15277) $2,045 $10,687.50 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $5,517 $8,505.98 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $3,130 $8,505.98 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $5,517 $25,517.90 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,960 $8,022.50 1.0×
Slitting of prepuce (54001) $2,072 $8,143.80 1.0×
Small bowel endoscopy (44384) $1,902 $18,067.80 1.0×
Small bowel endoscopy (44366) $1,902 $5,440 1.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,902 $5,440 1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $6,019 $18,067.80 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $198 $833.23 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $403 $1,659.54 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $403 $1,659.54 1.0×
Sphincterotomy anal division sphincter spx (46080) $2,752 $7,666.25 1.0×
Spinal puncture lumbar diagnostic (62270) $699 $2,878.21 1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,130 $10,325.50 1.0×
Strabismus Any Superior Oblique Muscle (67318) $2,357 $11,132.40 1.0×
Strapping ankle (29540) $161 $655.79 1.0×
Strapping elbow or wrist (29260) $58 $355.95 1.0×
Strapping hand/finger (29280) $58 $357.20 1.0×
Strapping Hip (29520) $131 $279.25 1.0×
Strapping knee (29530) $131 $531.63 1.0×
Strapping shoulder (29240) $131 $352.20 1.0×
Strapping toes (29550) $58 $321.45 1.0×
Strapping Unna Boot (29580) $161 $639.35 1.0×
Surg tx anal fistula subq (46270) $2,752 $7,310 1.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,752 $1,827.50 1.0×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,594 $1,574.58 1.0×
Tangential biopsy skin single lesion (11102) $403 $882.25 1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $28,440 $146,704 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $19,098 $76,772.50 1.0×
Tcat Rmvl Perm Ldls Pm (33275) $3,130 $13,207.60 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,594 $4,709.90 1.0×
Tenotomy shoulder area single tendon (23405) $7,194 $5,792.50 1.0×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,594 $6,785.53 1.0×
Ther Apheresis,Red Blood Cells (36512) $1,544 $5,277 1.0×
Therapeutic Apheresis White Blood Cells (36511) $1,544 $5,277 1.0×
Therapeutic plasma exchange (36514) $1,544 $5,277 1.0×
Thoracoscopy w/bx nodule (32608) $10,539 $15,764.60 1.0×
Thoracoscopy w/bx pleura (32609) $5,994 $15,764.60 1.0×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) $10,539 $15,764.60 1.0×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) $5,994 $15,764.60 1.0×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) $10,539 $15,764.60 1.0×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $5,994 $15,764.60 1.0×
Thrmbc/Nfs Dialysis Circuit (36906) $18,176 $77,672 1.0×
Thromblytic art/ven therapy (37213) $3,130 $11,181.40 1.0×
Thrombolytic Art Therapy (37211) $5,517 $6,266.47 1.0×
Thrombolytic Therapy Stroke (37195) $327 $1,409.51 1.0×
Thrombolytic Venous Therapy (37212) $3,130 $4,115 1.0×
Thyroid biopsy (60100) $702 $1,040.50 1.0×
Thyroidectomy, total or complete (60240) $5,994 $14,896.70 1.0×
Tooth extraction (41899) $234 $1,163.65 1.0×
Total Knee Arthroplasty (27447) $12,729 $14,529.80 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $234 $3,233.30 1.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,538 $2,320.75 1.0×
Tracheostomy planned (31600) $3,287 $8,084.50 1.0×
Transur electr resection of prostate (52601) $5,316 $14,405.70 1.0×
Transurethral resection bladder neck (52500) $3,495 $7,310 1.0×
Treat ankle fracture (28445) $7,194 $8,490.94 1.0×
Treat Dental Ridge Fracture (21440) $3,287 $9,731 1.0×
Treat Elbow Fracture (24635) $7,194 $16,708.40 1.0×
Treat Hip Socket Fracture (27222) $244 $2,958.33 1.0×
Treat humerus fracture (24500) $244 $511.80 1.0×
Treat Humerus Fracture (24505) $1,594 $614.80 1.0×
Treat humerus fracture (23600) $244 $511.80 1.0×
Treat knee fracture (27532) $3,244 $6,560.90 1.0×
Treat Knee Fracture(S) (27538) $244 $1,069.15 1.0×
Treat Knuckle Dislocation (26700) $244 $614.16 1.0×
Treat Metatarsal Fracture (28475) $244 $1,069.15 1.0×
Treat Tail Bone Fracture (27200) $244 $845.45 1.0×
Treat Thumb Dislocation (26641) $244 $618.15 1.0×
Treat Thumb Fracture (26645) $1,594 $1,069.15 1.0×
Treat toe dislocation (28630) $244 $257.65 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,594 $4,914.55 1.0×
Treatment closed elbow dislocation w/o anes (24600) $244 $511.80 1.0×
Treatment of ankle fracture (27823) $7,194 $17,744.30 1.0×
Treatment of foot infection (28003) $3,244 $7,276.30 1.0×
Trim skin lesion (11055) $198 $251 1.0×
Trim skin lesions 2 to 4 (11056) $198 $244 1.0×
Trim skin lesions over 4 (11057) $198 $252.42 1.0×
Trimming Nondystrophic Nails Any Number (11719) $58 $223.55 1.0×
Trluml Balo Angiop 1St Art (37246) $5,643 $24,115.80 1.0×
Trluml Balo Angiop 1St Vein (37248) $5,643 $24,115.80 1.0×
Tx Gastro Intub W/Asp (43753) $214 $423.55 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $3,209 $5,584.28–$7,310 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,594 $4,914.55 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $732 $2,150.60–$10,160 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,594 $845.45 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $244 $511.80 1.0×
Unlisted laparoscopic procedure liver (47379) $5,994 $9,397.80 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $5,994 $8,563.15 1.0×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $5,994 $5,475.27 1.0×
Unlisted procedure anus (46999) $922 $7,310 1.0×
Unlisted Procedure Casting/Strapping (29799) $161 $357.20 1.0×
Unlisted Procedure Endocrine System (60699) $5,994 $21,198 1.0×
Unlisted procedure foot or toes (28899) $244 $15,240.40 1.0×
Unlisted Procedure Intestine (44799) $899 $3,807.75 1.0×
Unlisted Procedure Male Genital System (55899) $247 $7,310 1.0×
Unlisted Procedure Muscskeletal System General (20999) $244 $7,934.50 1.0×
Unlisted procedure nervous system (64999) $304 $1,232.67 1.0×
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $922 $4,354.05–$7,310 1.0×
Unlisted procedure shoulder (23929) $244 $5,007.90 1.0×
Unlisted procedure stomach (43999) $899 $4,048 1.0×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $621 $4,476.05–$9,020 1.0×
Unlisted px female genital system nonobstetrical (58999) $200 $5,848 1.0×
Upgrade of pacemaker system (33214) $10,363 $26,904.20 1.0×
Vaginal delivery only (59409) $3,209 $3,688.02 1.0×
Vasc embolize/occlude artery (37242) $18,176 $28,883.60 1.0×
Vasc Embolize/Occlude Bleed (37244) $11,446 $28,883.60 1.0×
Vasc Embolize/Occlude Organ (37243) $11,446 $28,883.60 1.0×
Vasc embolize/occlude venous (37241) $11,446 $28,883.60 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,072 $7,411.79 1.0×
Venous Mech Thrombectomy (37187) $11,446 $16,104.30 1.0×
Wedge excision skin nail fold (11765) $403 $486.15 1.0×
Wedging of cast (29740) $277 $321.45 1.0×
Windowing of cast (29730) $161 $321.45 1.0×
Wound Prep F/N/Hf/G (15004) $403 $1,771 1.0×
Wound Prep Trk/Arm/Leg (15002) $732 $7,589.87 1.0×

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.