Procedures & surgery prices at Legent Orthopedic Hospital

Carrollton, TX · every code in this section with a posted price and a Medicare benchmark.

1291 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,140.77 $2,977.20 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,140.77 $2,977.20 1.2×
Ablate inf turbinate submuc (30802) $1,951.53 $8,029 1.3×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $22,053.42 $53,599 1.2×
Acne surgery (10040) $507.60 $1,015.20 2.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,595.12 $4,419 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,457.17 $17,863.74 1.2×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,595.12 $6,003.76 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,595.12 $5,524 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,595.12 $4,419 1.2×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $9,126.61 $25,938.59 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $4,115.41 $12,016.80–$12,815.85 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $4,115.41 $15,292.80–$17,353.68 1.2×
Amputate Metacarpal Bone (26910) $4,115.41 $17,353.68 1.2×
Amputation foot transmetarsal (28805) $4,115.41 $12,815.85 1.2×
Amputation metatarsal with toe single (28810) $4,115.41 $12,815.85 1.2×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $4,115.41 $7,500–$12,815.85 1.2×
Amputation toe metatarsophalangeal joint (28820) $4,115.41 $12,815.85 1.2×
Amputation, leg, through tibia and fibula; (27880) $9,126.61 $12,000 1.2×
Ankle Arthroscopy/Surgery (29892) $9,126.61 $28,192.28 1.2×
Anoscopy diagnostic (46600) $167.34 $414 1.3×
Anoscopy W/Rmvl Foreign Body (46608) $1,169.67 $2,274 1.3×
Anoscopy; with biopsy, single or multiple (46606) $1,505.09 $2,500 1.3×
Application cast elbow finger short arm (29075) $351.79 $930.60 1.3×
Application Finger Splint Dynamic (29131) $74.20 $468 1.3×
Application finger splint static (29130) $167.34 $468 1.3×
Application long arm splint shoulder hand (29105) $204.39 $1,082.40 1.3×
Application Long Leg Splint (29505) $204.39 $1,082.40 1.3×
Application multiplane external fixation system (20692) $16,148.04 $73,888.56 1.3×
Application of rigid total contact leg cast (29445) $351.79 $6,120 1.3×
Application Short Arm Splint Dynamic (29126) $167.34 $1,237.20 1.3×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $167.34 $930.60–$6,120 1.3×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $204.39 $993–$6,120 1.3×
Application uniplane external fixation system (20690) $9,126.61 $25,938.59 1.2×
Apply hand/wrist cast (29085) $204.39 $930.60 1.3×
Apply long arm cast (29065) $351.79 $1,082.40 1.3×
Apply Short Leg Cast (29405) $351.79 $993 1.3×
Apply short leg cast (29425) $351.79 $6,120 1.3×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $6,692.95 $15,998.36 1.3×
Arterial puncture (36600) $167.34 $400 1.3×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $6,998.82 $25,196 1.3×
Artery-vein autograft (36825) $6,998.82 $20,167 1.3×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $16,148.04 $125,398.20 1.3×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $16,148.04 $53,599 1.3×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $9,126.61 $25,938.59 1.2×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $16,148.04 $73,888.56 1.3×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $16,148.04 $36,944.28 1.3×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $9,126.61 $39,687.78 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $386.07 $823.80–$2,550 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $887.83 $1,331.40–$3,807.54 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $386.07 $1,290.60–$6,426 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $386.07 $1,331.40–$2,550 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $386.07 $823.80–$2,550 1.2×
Arthrodesis ankle open (27870) $16,148.04 $75,559.74 1.3×
Arthrodesis great toe interphalangeal joint (28755) $9,126.61 $25,938.59 1.2×
Arthrodesis great toe metatarsophalangeal joint (28750) $9,126.61 $25,938.59 1.2×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $4,115.41 $25,038 1.2×
Arthrodesis Posterior Interbody Lumbar (22630) $34,128.22 $53,268.84 1.2×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $22,053.42 $71,025.12 1.2×
Arthrodesis sacroiliac joint percutaneous (27279) $22,053.42 $51,131 1.2×
Arthrodesis subtalar (28725) $16,148.04 $36,944.28 1.3×
Arthrodesis triple (28715) $16,148.04 $36,944.28 1.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $34,128.22 $50,000 1.2×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $22,053.42 $95,208.78 1.2×
Arthrodesis, wrist; with sliding graft Facility (25805) $9,126.61 $25,938.59 1.2×
Arthroplasty Ankle W/Implant (27702) $34,128.22 $53,268.84 1.2×
Arthroplasty glenohumeral joint total shoulder (23472) $22,053.42 $177,562.80 1.2×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $16,148.04 $125,398.20 1.3×
Arthroplasty interphalangeal joint each (26535) $4,115.41 $12,815.85 1.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $4,115.41 $12,815.85 1.2×
Arthroplasty Patella W/Prosthesis (27438) $16,148.04 $50,159.28 1.3×
Arthroplasty Radial Head W/Implant (24366) $16,148.04 $75,559.74 1.3×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
unusually low: confirm this is the full procedure		 $5,776.80 $11,553.60 0.4×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $4,115.41 $12,815.85 1.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $4,115.41 $12,815.85 1.2×
Arthroscopy ankle w/removal loose/foreign body (29894) $4,115.41 $12,815.85 1.2×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $4,115.41 $12,815.85 1.2×
Arthroscopy Elbow Surgical Debridement Limited (29837) $4,115.41 $17,353.68 1.2×
Arthroscopy hip w/femoroplasty (29914) $9,126.61 $54,434.97 1.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $4,115.41 $25,473.60 1.2×
Arthroscopy Knee Osteochondral Allograft (29867) $16,148.04 $36,944 1.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $4,115.41 $25,473.60 1.2×
Arthroscopy knee synovectomy limited spx (29875) $4,115.41 $22,643.20 1.2×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,115.41 $22,643.20 1.2×
Arthroscopy shoulder distal claviculectomy (29824) $4,115.41 $28,304 1.2×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $9,126.61 $25,938.59 1.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $4,115.41 $17,353.68 1.2×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $4,115.41 $17,353.68 1.2×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $9,126.61 $40,897.98 1.2×
Arthroscopy, knee, surgical; with lateral release (29873) $4,115.41 $22,643.20 1.2×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,115.41 $21,600 1.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,115.41 $16,982.40 1.2×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $9,126.61 $25,938.59 1.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,115.41 $22,643.20 1.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $4,115.41 $12,815.85 1.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $9,126.61 $28,192.28 1.2×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $4,115.41 $36,575 1.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $4,115.41 $12,815.85 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $9,126.61 $50,119.60 1.2×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $4,115.41 $12,815.85 1.2×
Arthrotomy ankle w/expl drainage/removal fb (27610) $4,115.41 $12,815.85 1.2×
Arthrotomy biopsy interphalangeal joint each (26110) $2,022.48 $5,579.71 1.3×
Arthrotomy W/Meniscus Repair Knee (27403) $9,126.61 $69,050.92 1.2×
Arthrotomy wrist joint with synovectomy (25105) $4,115.41 $12,815.85 1.2×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $4,115.41 $12,815.85 1.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $16,148.04 $78,288.48 1.3×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $4,115.41 $18,847 1.2×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $16,148.04 $37,619.46 1.3×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $9,126.61 $38,382.30 1.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $9,126.61 $25,938.59 1.2×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $16,148.04 $36,944.28 1.3×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $4,115.41 $12,815.85 1.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $4,115.41 $28,304 1.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,115.41 $36,575.10 1.2×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $9,126.61 $25,938.59 1.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,115.41 $12,815.85 1.2×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $4,115.41 $12,815.85 1.2×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $4,115.41 $12,815.85 1.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,247.60 $4,495.20 1.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $1,923.60 $3,847.20 0.6×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $4,115.41 $12,815.85 1.2×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $2,022.48 $8,354.10 1.3×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $4,115.41 $14,152 1.2×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $4,115.41 $12,815.85 1.2×
Arthrt w/synvct kne ant&post w/pop area (27335) $9,126.61 $25,938.59 1.2×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $4,115.41 $12,815.85 1.2×
Aspirate pleura w/ imaging (32555) $789 $2,224.80 1.3×
Aspirate Pleura W/O Imaging (32554) $789 $2,224.80 1.3×
Aspirate/Inj Ganglion Cyst (20612) $386.07 $1,584.60 1.2×
Aspiration bladder insert suprapubic catheter (51102) $2,629.21 $12,232.80 1.2×
Aspiration Bladder Needle (51100) $314.25 $1,515 1.3×
Aspiration bladder trocar/intracatheter (51101) $1,080.09 $5,448 1.3×
Av Fuse Uppr Arm Basilic (36819) $6,998.82 $20,167 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $252.35 $798.60–$2,550 1.3×
Biopsy bone open deep (20245) $3,653.45 $10,428 1.2×
Biopsy bone open superficial (20240) $3,653.45 $4,825.15 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $2,077.32 $5,747.96 1.2×
Biopsy of foot joint lining (28050) $4,115.41 $18,847 1.2×
Biopsy Oropharynx (42800) $1,951.53 $6,872.85 1.3×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,653.45 $10,829.40 1.2×
Biopsy Tongue Posterior One-Third (41105) $4,170.07 $13,681.95 1.3×
Biopsy, vestibule of mouth (40808) $678.35 $2,550 1.3×
Biopsy/removal lymph nodes (38510) $4,924.70 $14,209.83 1.2×
Bladder Irrigation (51700) $314.25 $849.60 1.3×
Bladder Scan (51798) $74.20 $681.60 1.3×
Blepharoplasty Lower Eyelid (15820) $2,595.12 $3,916.80 1.2×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $2,595.12 $3,916.80 1.2×
Blepharoplasty upper eyelid (15822) $2,595.12 $7,719.12 1.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,595.12 $8,518 1.2×
Blepharotomy drainage abscess eyelid (67700) $399.22 $1,094.40 1.2×
Blood Transfusion Service (36430)
range across 6 matching MRF lines		 $164.40–$3,463.20 $328.80–$6,926.40 varies
Bone Graft Any Donor Area Major/Large (20902) $9,126.61 $25,938.59 1.2×
Bone Graft Any Donor Area Minor/Small (20900) $9,126.61 $25,938.59 1.2×
Bone marrow harvest allogen (38230) $1,958.88 $5,439.36 1.3×
Bone Marrow; Aspiration Only (38220) $2,077.32 $6,331.50 1.2×
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure		 $1,000 $26,417.22 0.1×
Breast Reduction (19318)
likely a partial charge, not the full procedure		 $1,675 $22,135.76 0.3×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $1,170 $2,340 0.3×
Bx Arm/Elbow Soft Tissue,Deep (24066) $3,653.45 $10,428 1.2×
Canthotomy Separate Procedure (67715) $2,990.32 $11,150.40 1.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $4,115.41 $12,815.85 1.2×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,022.48 $6,265.58 1.3×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $4,115.41 $12,815.85 1.2×
Capsulorrhaphy Anterior With Bone Block (23460) $9,126.61 $38,145 1.2×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $9,126.61 $25,938.59 1.2×
Capsulotomy Midtarsal (28264) $2,022.48 $5,898 1.3×
Capsulotomy Posterior Capsular Release Knee (27435) $4,115.41 $14,352 1.2×
Carpal Tunnel Surgery (64721) $2,456.07 $10,526.34 1.2×
Carpectomy All Bones Proximal Row (25215) $4,115.41 $12,960 1.2×
Cataract surgery complex (66982) $2,902.70 $20,791.60 1.3×
Catheter aspiration nasotracheal spx (31720) $275.42 $455.40 1.2×
Cerv artific diskectomy (22856) $22,053.42 $87,590.52 1.2×
Change Cystostomy Tube Simple (51705) $314.25 $922.20 1.3×
Change of Windpipe Airway (31502) $297.90 $1,572 1.3×
Chemical Cautery Tissue (17250) $252.35 $868.80 1.3×
Chemodenerv 1 extrem 5/> mus (64644) $887.83 $2,625 1.2×
Chemodenerv 1 extremity 1-4 (64642) $887.83 $3,808 1.2×
Chemodenerv Musc Migraine (64615) $1,186.80 $2,373.60 3.8×
Chemodenerv musc neck dyston (64616) $386.07 $3,750 1.2×
Chest tube placement (32551) $1,979.92 $2,467.20 1.3×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $4,944.77 $9,089.99 1.2×
Cl Tx Scapular Fx; W Manip (23575) $2,022.48 $3,000 1.3×
Cl Tx Tib Shft Fx W Manip (27752) $2,022.48 $5,016.60 1.3×
Claviculectomy partial (23120) $4,115.41 $12,815.85 1.2×
Claviculectomy; total (23125) $4,102.80 $8,205.60 1.2×
Clear outer ear canal (69200) $167.34 $598.20 1.3×
Closed Rx Metacarpal Fx,Percut (26608) $4,115.41 $12,815.85 1.2×
Closed Treat Vert Body Fract (22310) $1,632 $3,264 6.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $310.25 $1,303.80 1.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,022.48 $3,000 1.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $310.25 $1,043.40 1.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $310.25 $2,085.60 1.3×
Closed Treatment Sternum Fracture (21820) $310.25 $1,740 1.3×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $310.25 $2,320.80–$9,000 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $310.25 $1,581 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,022.48 $3,000 1.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $310.25 $2,251.20 1.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $310.25 $6,403.20 1.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $310.25 $1,677.60 1.3×
Closed tx carpal scaphoid fracture w/manj (25624) $2,022.48 $3,110.40 1.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $310.25 $2,186.40 1.3×
Closed tx femoral fracture prox head w/o manj (27267) $4,115.41 $5,474.40 1.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $310.25 $3,628.80 1.3×
Closed tx knee dislocation w/o anesthesia (27550) $310.25 $849.60 1.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,022.48 $5,016.60 1.3×
Closed tx mandibular fracture w/manipulation (21451) $1,951.53 $4,812 1.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $2,925.60 $5,851.20 5.4×
Closed tx metatarsal fracture w/o manipulation (28470) $310.25 $1,416 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,022.48 $5,016.60 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,951.53 $4,666.80 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $4,170.07 $5,500–$9,309 1.3×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $4,170.07 $6,484.20 1.3×
Closed tx patellar dislocation w/o anesthesia (27560) $310.25 $849.60 1.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $310.25 $779.40 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $2,022.48 $3,000 1.3×
Closed tx radial head/neck fx w/o manipulation (24650) $310.25 $1,744.80 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $2,022.48 $3,000 1.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $310.25 $1,785.60 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,022.48 $3,000 1.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $310.25 $1,876.80 1.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $310.25 $642 1.3×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $2,054.40 $4,108.80 8.3×
Closed tx talotarsal joint dislc w/o anes (28570) $310.25 $1,874.40 1.3×
Closed Tx Talus Fracture W/Manipulation (28435) $2,022.48 $3,000 1.3×
Closed tx talus fracture w/o manipulation (28430) $310.25 $1,581.60 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $310.25 $658.80 1.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $310.25 $1,874.40 1.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,364.40 $2,728.80 5.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $297.90 $869.40 1.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $678.35 $4,282.20 1.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,782 $3,564 7.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $310.25 $589.20 1.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,915.20 $3,830.40 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $310.25 $642 1.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $678.35 $5,224.80 1.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $310.25 $2,757.60 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,022.48 $4,280.40 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $310.25 $642 1.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $310.25 $2,304 1.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,022.48 $3,927.60 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,022.48 $3,000 1.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $310.25 $1,867.20 1.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,022.48 $3,000 1.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $310.25 $2,006.40 1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $310.25 $849.60 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $310.25 $849.60 1.3×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $310.25 $2,109.60–$3,750 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $310.25 $642 1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $310.25 $1,164 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $310.25 $1,581 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $2,022.48 $3,000–$5,690.04 1.3×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,022.48 $11,584.80 1.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,022.48 $3,000 1.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $310.25 $1,202.40 1.3×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,022.48 $84,000 1.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $310.25 $3,292.80 1.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,022.48 $5,016.60 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $310.25 $642 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $310.25 $856.80 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $310.25 $642 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $310.25 $751.20 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,856 $5,712 1.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $310.25 $1,934.40 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $310.25 $1,953.60 1.3×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,022.48 $5,016.60 1.3×
Cltx hip dislocation traumatic req anesthesia (27252) $2,022.48 $4,280.40 1.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $310.25 $849.60 1.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $310.25 $2,056.80 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $310.25 $1,891.20 1.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,022.48 $5,397.60 1.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $310.25 $642 1.3×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,022.48 $84,000 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $351.79 $4,280.40 1.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $310.25 $642 1.3×
Cltx Med Ankle Fx W/Mnpj (27762) $2,022.48 $5,016.60 1.3×
Cltx Medial Ankle Fx (27760) $310.25 $2,191.20 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $310.25 $849.60 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $310.25 $1,694.40 1.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,022.48 $3,000 1.3×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,022.48 $4,435.20 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $310.25 $642 1.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $310.25 $1,260–$2,625 1.3×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $2,022.48 $3,465–$8,880 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $310.25 $779.40 1.3×
Cltx prox fibula/shft fx w/manj (27781) $2,022.48 $5,016.60 1.3×
Cltx prox fibula/shft fx w/o manj (27780) $310.25 $1,932 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,022.48 $5,016.60 1.3×
Cltx prox tibfib jt dislc w/o anes (27830) $310.25 $1,874.40 1.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $310.25 $1,768.80 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $310.25 $849.60 1.3×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,022.48 $6,398.40 1.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,022.48 $3,000 1.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,022.48 $3,000 1.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,022.48 $3,000 1.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $310.25 $849.60 1.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $310.25 $4,248 1.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $310.25 $1,050 1.3×
Cltx tibial fx proximal w/o manipulation (27530) $310.25 $2,030.40 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $310.25 $2,604 1.3×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $310.25 $1,792.80 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,022.48 $3,000 1.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $310.25 $2,059.20 1.3×
Coccygectomy, primary (27080) $4,115.41 $18,847 1.2×
Collection of venous blood by venipuncture (36415) $35.40 $70.80 3.8×
Colonoscopy w/submucosal inj (45381) $1,505.09 $6,221.76 1.3×
Complex drainage wound (10180) $3,653.45 $7,110.03 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $167.34 $793.20 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $167.34 $862.80 1.3×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $2,416.80 $4,833.60 0.7×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $4,090.80 $8,181.60 1.2×
Correction hammertoe (28285) $4,115.41 $14,871.60 1.2×
Correction of inverted nipples (19355) $4,924.70 $19,555.95 1.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,115.41 $24,786 1.2×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $16,148.04 $25,938.59 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $9,126.61 $25,938.59 1.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,115.41 $12,815.85 1.2×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $9,126.61 $25,938.59 1.2×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $6,998.82 $20,167 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $167.34 $862.80 1.3×
Curette/treat cornea (65435) $1,253.84 $2,500 1.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,838 $5,676 1.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $511.30 $2,550 1.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,653.45 $16,590.07 1.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $890.66 $4,848.60 1.2×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $4,115.41 $12,815.85 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $929.58 $3,366–$3,848.40 1.3×
Debride nail 1-5 (11720) $74.20 $529.20 1.3×
Debride nail 6 or more (11721) $74.20 $1,909.20 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $2,077.32 $3,366–$4,310.40 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $511.30 $3,366–$3,388.80 1.3×
Decompress Spinal Cord Lmbr (63056) $9,126.61 $25,938.59 1.2×
Decompression of tibia nerve (28035) $2,456.07 $10,526.34 1.2×
Deep Muscle Biopsy (20205) $3,653.45 $10,428 1.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,595.12 $14,656.04 1.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $2,595.12 $7,719.12 1.2×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $2,595.12 $5,247.78 1.2×
Delivery of placenta (59414) $529.20 $1,058.40 0.2×
Derma-fat-fascia graft (15770) $300 $10,992.01 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $1,112.46 $6,579.68 1.2×
Destroy cerv/thor facet jnt (64633) $2,456.07 $17,548.57 1.2×
Destroy lumb/sac facet jnt (64635) $2,456.07 $17,576.65 1.2×
Destruct B9 Lesion 1-14 (17110) $252.35 $350 1.3×
Destruction by neurolytic agent, intercostal nerve (64620) $1,112.46 $2,550 1.2×
Destruction by neurolytic agent; pudendal nerve (64630) $1,112.46 $8,551.07 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $2,456.07 $9,210.80 1.2×
Destruction premalignant lesion 1st (17000) $252.35 $418.20 1.3×
Dilation And Curettage Of Cervical Stump (57558) $4,071.54 $14,491.20 1.3×
Dilation Esophagus Guide Wire (43453) $2,413.53 $4,617.17 1.2×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $9,126.61 $39,687.78 1.2×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $2,238.69 $3,366 1.2×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $7,445.75 $10,092.98 1.3×
Drain Cerebro Spinal Fluid (62272) $887.83 $3,172.95 1.2×
Drain Hand Tendon Sheath (26020) $4,115.41 $14,332.80 1.2×
Drain penis lesion (54015) $2,077.32 $4,894.80 1.2×
Drainage abscess parotid simple (42300) $1,951.53 $7,106.40 1.3×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $678.35 $2,550–$7,202.40 1.3×
Drainage external auditory canal abscess (69020) $890.66 $2,200 1.2×
Drainage external ear abscess/hematoma cmplx (69005) $916.80 $1,833.60 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $890.66 $2,000 1.2×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $2,077.32 $3,194.40–$4,924.50 1.2×
Drainage Mouth Roof Lesion (42000) $297.90 $869.40 1.3×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $252.35 $782.40–$6,120 1.3×
Drainage of gum lesion (41800) $167.34 $658.80 1.3×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $2,077.32 $3,247.80–$4,924.50 1.2×
Drainage of hydrocele (55000) $890.66 $4,231.20 1.2×
Drainage of mouth lesion (41006) $1,951.53 $11,186.40 1.3×
Drainage of nose lesion (30000) $297.90 $1,290 1.3×
Drainage of palmar bursa single bursa (26025) $4,115.41 $12,815.85 1.2×
Drainage of rectal abscess (45005) $1,505.09 $3,099.60 1.3×
Drainage of scrotal wall abscess (55100) $2,077.32 $3,194.40 1.2×
Drainage of scrotum (54700) $2,629.21 $15,651 1.2×
Drainage of skene's gland abscess or cyst (53060) $2,629.21 $12,435 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $678.35 $6,480 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $890.66 $1,500 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $511.30 $1,737.60 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $252.35 $744.60 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $252.35 $744.60 1.3×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $2,456.07 $10,526.34 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,112.46 $2,550 1.2×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,112.46 $3,366 1.2×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,112.46 $2,550 1.2×
Dx Bronchoscope/Wash (31622) $2,238.69 $3,740.98 1.2×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $2,238.69 $3,740.98–$12,734.40 1.2×
Dx laryngoscopy w/oper scope (31526) $2,238.69 $8,029 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,413.53 $8,125.10 1.2×
Egd cautery tumor polyp (43250) $2,413.53 $10,337.20 1.2×
Egd control bleeding any (43255) $2,413.53 $5,687.57 1.2×
Egd dilation gastric/duodenal stricture (43245) $2,413.53 $6,309.45 1.2×
Egd Flexible Foreign Body Removal (43247) $1,140.77 $3,366 1.2×
Egd place gastrostomy tube (43246) $1,228.80 $2,457.60 0.6×
Egd remove lesion snare (43251) $2,413.53 $5,687.57 1.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $386.31 $3,366 1.2×
Endoscopic plantar fasciotomy (29893) $4,115.41 $12,815.85 1.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,971.37 $14,618.15 1.3×
Epidural Blood Patch (62273) $887.83 $3,807.54 1.2×
Epidural lysis mult sessions (62263) $1,112.46 $2,550 1.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,140.77 $3,643.20 1.2×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,413.53 $5,899.72 1.2×
Esophagoscopy rigid trnso dx (43191) $2,413.53 $7,857.10 1.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,413.53 $4,500 1.2×
Ethmoidectomy Intranasal Anterior (31200) $3,298.80 $6,597.60 0.6×
Ethmoidectomy; intranasal, total Facility (31201) $4,274.40 $8,548.80 2.7×
Evacuation of subungual hematoma (11740) $167.34 $294 1.3×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,077.32 $7,035 1.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $890.66 $2,550 1.2×
Exc Back Tum Deep 5 Cm/> (21933) $3,653.45 $22,980.36 1.2×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $7,445.75 $16,739.13 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $890.66 $1,735.80 1.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $890.66 $2,798.87 1.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,077.32 $5,998.20 1.2×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,653.45 $11,594.95 1.2×
Exc ganglion wrist recurrent (25112) $2,022.48 $4,593.99 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,077.32 $4,920 1.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $476.40 $952.80 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,077.32 $2,704.75 1.2×
Exc Hand Les Sc < 1.5 Cm (26115) $2,077.32 $4,924.50 1.2×
Exc hand tum deep < 1.5 cm (26116) $2,077.32 $8,442 1.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $2,022.48 $3,000–$6,265.58 1.3×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,022.48 $6,265.58 1.3×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $4,170.07 $9,577.37 1.3×
Exc lesion tongue w/clsr w/local tongue flap (41114) $4,170.07 $14,225.15 1.3×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,456.07 $7,086 1.2×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $2,456.07 $7,086 1.2×
Exc neuroma hand/foot xcp digital nerve (64782) $2,456.07 $16,645 1.2×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,456.07 $7,173.24 1.2×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,653.45 $14,220.06 1.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $891.60 $1,783.20 1.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,077.32 $18,006 1.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,653.45 $10,333 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,077.32 $4,634.25 1.2×
Exc tendon shth lesion leg/ankle (27630) $4,115.41 $18,847 1.2×
Exc thigh/knee tum dep 5cm/> (27339) $3,653.45 $11,594.45 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,505.09 $5,820 1.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $890.66 $7,500 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,077.32 $4,310.97 1.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $2,077.32 $4,924.50 1.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,077.32 $7,035 1.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,653.45 $12,687 1.2×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,653.45 $11,891.45 1.2×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,653.45 $8,295.04 1.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,653.45 $26,419 1.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $3,653.45 $8,295.04 1.2×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $3,653.45 $8,295.04 1.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,077.32 $9,600 1.2×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,653.45 $8,295.04 1.2×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $3,653.45 $7,110.03 1.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,077.32 $4,498.65 1.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,653.45 $7,110.03 1.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,077.32 $11,636 1.2×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,653.45 $8,295.04 1.2×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $9,126.61 $25,938.59 1.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $4,115.41 $14,352 1.2×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,022.48 $14,352 1.3×
Exchange Intraocular Lens (66986) $2,902.70 $13,049.99 1.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $409.20 $818.40 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,951.53 $5,526.16 1.3×
Excise excessive skin arm (15836) $1,440 $10,333 0.5×
Excise intraspinal lesion (63267) $9,126.61 $25,938.59 1.2×
Excise Wrist Tendon Sheath (25118) $2,022.48 $6,776.95 1.3×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $2,990.32 $13,562.40 1.3×
Excision Chalazion Single (67800) $597.60 $1,195.20 1.9×
Excision Chest Wall Tumor Including Ribs (21601) $3,653.45 $10,829.40 1.2×
Excision Distal Ulna Partial/Complete (25240) $4,115.41 $12,815.85 1.2×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,000 $10,333 1.0×
Excision exostosis(es), external auditory canal Facility (69140) $7,445.75 $17,845.35 1.3×
Excision External Ear Partial Simple Repair (69110) $3,653.45 $14,318.40 1.2×
Excision Hidradenitis Axillary Complex Repair (11451) $3,653.45 $4,825.15 1.2×
Excision Hidradenitis Inguinal Complex Repair (11463) $3,653.45 $4,825.15 1.2×
Excision inferior turbinate partial/complete (30130) $4,170.07 $11,241 1.3×
Excision Lesion Conjunctiva </1 Cm (68110) $2,990.32 $7,008.23 1.3×
Excision lesion conjunctiva > 1 cm (68115) $2,990.32 $5,506.46 1.3×
Excision lesion meniscus/capsule knee (27347) $4,115.41 $12,815.85 1.2×
Excision lesion mouth roof (42104) $4,170.07 $14,270.40 1.3×
Excision lesion tendon sheath forearm&/wrist (25110) $2,022.48 $4,593.99 1.3×
Excision Lesion Tongue W/O Closure (41110) $4,170.07 $14,225.15 1.3×
Excision Lingual Frenum Frenectomy (41115) $1,951.53 $4,734.77 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,245.60 $2,491.20 1.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $846 $1,692 1.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,077.32 $5,855.96 1.2×
Excision Nasal Polyp Extensive (30115) $4,170.07 $8,381.94 1.3×
Excision of bartholin's gland or cyst (56740) $4,071.54 $18,854.40 1.3×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $7,445.75 $17,229.45 1.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,022.48 $6,961.75 1.3×
Excision of hydrocele; unilateral (55040) $4,503.30 $14,167.72 1.3×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $7,445.75 $17,801.18 1.3×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $7,445.75 $18,468.60 1.3×
Excision of pilonidal cyst or sinus; simple (11770) $1,064.40 $2,128.80 0.4×
Excision of sublingual gland (42450) $7,445.75 $12,312.42 1.3×
Excision of submandibular (submaxillary) gland (42440) $7,445.75 $12,312.42 1.3×
Excision olecranon bursa (24105) $4,115.41 $12,815.85 1.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $4,115.41 $12,815.85 1.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,479.20 $4,958.40 0.8×
Excision prepatellar bursa (27340) $4,115.41 $17,353.68 1.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
likely a partial charge, not the full procedure		 $1,560 $13,834.85 0.2×
Excision soft tissue lesion, external auditory canal (69145) $3,653.45 $8,122.05 1.2×
Excision tendon finger flexor/extensor each (26180) $2,022.48 $6,265.58 1.3×
Excision tendon palm flexor/extensor single each (26170) $2,022.48 $4,593.99 1.3×
Excision Thyroglossal Duct Cyst/Sinus (60280) $7,603.85 $21,175 1.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,653.45 $5,925.03 1.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,077.32 $4,221 1.2×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $3,653.45 $11,594.45 1.2×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $2,500 $12,243 0.9×
Excision, interdigital (morton) neuroma, single, each (28080) $2,022.48 $14,871.60 1.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,077.32 $4,924.50 1.2×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,653.45 $10,333 1.2×
Excision/curettage cyst/tumor phalanx finger (26210) $2,022.48 $4,873.23 1.3×
Excision/destruction intranasal lesion int appr (30117) $4,170.07 $9,577.37 1.3×
Excision/destruction lesion pharynx any method (42808) $4,170.07 $16,763.88 1.3×
Excision/Transposition Pterygium W/Grafg (65426) $2,990.32 $5,005.88 1.3×
Excision; trochanteric bursa or calcification (27062) $4,115.41 $12,815.85 1.2×
Explo/Drain Breast Abscess (19020) $2,077.32 $5,747.96 1.2×
Exploration of knee joint (27310) $4,115.41 $12,815.85 1.2×
Exploration of spinal fusion (22830) $9,126.61 $12,000 1.2×
Exploration penetrating wound spx extremity (20103) $2,077.32 $3,731.82 1.2×
Explore treat shoulder joint (23107) $9,126.61 $37,590 1.2×
Explore/Treat Elbow Joint (24101) $4,115.41 $12,815.85 1.2×
Explore/Treat Hand Joint (26070) $1,824 $3,648 1.1×
Fasciectomy Palm Only (26121) $4,115.41 $12,815.85 1.2×
Fasciectomy Plantar Fascia Partial Spx (28060) $4,115.41 $12,815.85 1.2×
Fasciotomy palmar open partial (26045) $4,115.41 $12,815.85 1.2×
Fasciotomy, foot and/or toe (28008) $4,115.41 $12,815.85 1.2×
Fasciotomy, hip or thigh, any type (27025) $4,115.41 $26,458.52 1.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $4,115.41 $16,200 1.2×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $2,595.12 $6,003.76 1.2×
Fine Needle Aspiration Orbital Contents (67415) $2,990.32 $13,600.80 1.3×
Fine needle aspiration without imaging guidance (10021) $511.30 $850 1.3×
Finger tendon transfer (26497) $4,115.41 $16,424.70 1.2×
Fluid Pressure Muscle (20950) $525.60 $1,051.20 0.7×
Foreskin manipulation (54450) $314.25 $511.20 1.3×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $4,170.07 $12,270.48 1.3×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,595.12 $5,177.58 1.2×
Fuse hand bones with graft (25825) $9,126.61 $25,938.59 1.2×
Fusion Finger Joint (26860) $4,115.41 $12,815.85 1.2×
Fusion of foot bones (28740) $9,126.61 $25,938.59 1.2×
Fusion of knuckle with graft (26852) $9,126.61 $25,938.59 1.2×
Fusion of tibiofibular joint (27871) $16,148.04 $53,599 1.3×
Gastrocnemius recession (27687) $4,115.41 $19,812.80 1.2×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $7,827.60 $15,655.20 2.0×
Goniotomy (65820) $5,198.87 $11,753.22 1.2×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $7,445.75 $12,715.13 1.3×
Grafting of autologous fat by lipo 25 cc or less (15773) $2,595.12 $5,212.59 1.2×
Grafting of autologous fat by lipo 50 cc or less (15771) $4,457.17 $21,132.90 1.2×
Grafting of autologous soft tiss by direct exc (15769) $500 $14,088.60 0.1×
Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889) $13,369.83 $37,776 1.2×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $9,126.61 $28,192.28 1.2×
Hand tendon reconstruction (26500)
range across 2 matching MRF lines		 $9,126.61 $12,000–$25,938.59 1.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,491.13 $7,411.80 1.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,491.13 $16,144.80 1.3×
Hip arthro acetabuloplasty (29915) $9,126.61 $54,434.97 1.2×
Hip arthro w/labral repair (29916) $9,126.61 $64,435 1.2×
I&d abscess peritonsillar (42700) $297.90 $858.60 1.3×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $252.35 $1,420.80–$2,550 1.3×
I&D Below Fascia Foot 1 Bursal Space (28002) $2,022.48 $8,535.06 1.3×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $3,653.45 $10,333–$13,999.80 1.2×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,653.45 $8,122.05 1.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $4,115.41 $16,982.40 1.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $4,115.41 $9,231.60–$12,815.85 1.2×
I&d perianal abscess superficial (46050) $1,169.67 $3,099.60 1.3×
I&d pilonidal cyst complicated (10081) $890.66 $3,247.80 1.2×
I&d pilonidal cyst simple (10080) $890.66 $1,250 1.2×
I&d thyroglossal duct cyst infected (60000) $835.20 $1,670.40 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,653.45 $13,575 1.2×
Immediate breast prosthesis (19340) $10,280.20 $19,555.95 1.3×
Implant cochlear device (69930) $41,471.18 $191,708.40 1.3×
Implant neuroelectrodes (63650) $8,015.73 $26,065.12 1.3×
Implant Periph/Gastric Neurostim/Receiver (64590) $24,400.78 $250,114.08 1.2×
Implant Spine Infusion Pump (62362) $22,669.77 $85,159.50 1.2×
Implant temple bone w/stimul (69714) $16,148.04 $98,518.08 1.3×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) $16,148.04 $37,619.46 1.3×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $9,126.61 $28,192.28 1.2×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $11,037.96 $41,062.28 1.2×
Impression & Preparation Oral Surgical Splint (21085) $297.90 $6,763.20 1.3×
Incise external hemorrhoid (46083) $314.25 $978.60 1.3×
Incise finger tendon sheath (26055) $2,022.48 $8,354.10 1.3×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $511.30 $2,467.20–$2,550 1.3×
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $3,653.45 $4,894.80–$7,264.65 1.2×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $2,077.32 $4,119.60–$5,998.20 1.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $511.30 $782.40–$2,550 1.3×
Incision and drainage of bartholin's gland abscess (56420) $254.28 $931.20 1.2×
Incision and drainage of vulva or perineal abscess (56405) $383.28 $931.20 1.3×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $9,126.61 $12,000 1.2×
Incision bone cortex foot (28005) $4,115.41 $12,815.85 1.2×
Incision extensor tendon sheath wrist (25000) $2,022.48 $8,354.10 1.3×
Incision of eardrum (69421) $4,170.07 $5,450.22 1.3×
Incision of fibula (27707) $4,115.41 $18,847 1.2×
Incision of Foot Tendon (28234) $2,022.48 $8,201 1.3×
Incision of hip tendon (27001) $4,115.41 $18,847 1.2×
Incision of rectal abscess (46040) $1,505.09 $5,820 1.3×
Incision of thigh tendons (27392) $4,115.41 $18,847 1.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $2,077.32 $4,894.80–$4,924.50 1.2×
Initial Tx 1st Degree Burn Local Tx (16000) $252.35 $1,159.20 1.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,112.46 $6,426 1.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,112.46 $2,550 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $386.07 $823.80–$2,550 1.2×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,112.46 $2,550 1.2×
Injection aa&/strd genicular nrv branches w/img (64454) $887.83 $2,550 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,112.46 $2,550 1.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $887.83 $3,808 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $887.83 $2,855.66 1.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $386.07 $2,550 1.2×
Injection Anes Superior Hypogastric Plexus (64517) $1,112.46 $3,366 1.2×
Injection anesthetic agent suprascapular nerve (64418) $887.83 $3,172.95 1.2×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $386.07 $1,706.40–$2,550 1.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $386.07 $1,497–$6,426 1.2×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $386.07 $2,150.40–$2,550 1.2×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $386.07 $750–$2,550 1.2×
Injection, anesthetic agent; brachial plexus, single (64415) $1,112.46 $2,625 1.2×
Injection, anesthetic agent; femoral nerve, single (64447) $887.83 $6,120 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $887.83 $2,538.36 1.2×
Injection, intralesional; up to and including 7 lesions (11900) $252.35 $2,550 1.3×
Inner ear surgery proc unlisted (69949) $297.90 $2,550 1.3×
Insert Bladder Cath Complex (51703) $161.84 $1,138.20 1.3×
Insert Drug Implant Device (11981) $167.34 $2,550 1.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $1,138.80–$4,225.50 $2,277.60–$8,451 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $583.20–$4,225.50 $1,166.40–$8,451 varies
Insert spine infusion device (62360) $22,669.77 $104,431.86 1.2×
Insert Temp Bladder Cath (51702) $167.34 $432.60 1.3×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,062.80–$5,648.10 $4,125.60–$11,296.20 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines		 $1,909.20–$4,716.30 $3,818.40–$9,432.60 varies
Insert,Non-Indwelling Bladder Catheter (51701) $167.34 $436.80 1.3×
Insertion indwelling tunneled pleural catheter (32550) $4,503.30 $12,014.40 1.3×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810)
range across 2 matching MRF lines		 $1,251.60–$12,208.80 $2,503.20–$24,417.60 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $687.60–$4,225.50 $1,375.20–$8,451 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $1,884–$4,716.30 $3,768–$9,432.60 varies
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570)
range across 2 matching MRF lines		 $1,803.60–$8,546.40 $3,607.20–$17,092.80 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,979.92 $8,451 1.3×
Insj Stablj Dev W/Dcmprn (22867) $22,053.42 $99,080.16 1.2×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $16,148.04 $55,416.42 1.3×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565)
range across 2 matching MRF lines		 $2,022–$10,693.20 $4,044–$21,386.40 varies
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
range across 2 matching MRF lines		 $2,247.60–$15,804 $4,495.20–$31,608 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $1,627.20–$4,716.30 $3,254.40–$9,432.60 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $10,280.20 $26,760.12 1.3×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $38,811.73 $310,656.05 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $511.30 $948.60 1.3×
Intraoral i&d tongue/floor lingual (41000) $678.35 $4,666.80 1.3×
Intraoral i&d tongue/floor submndblr space (41008) $4,170.07 $9,910.80 1.3×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,158.65 $20,976 1.3×
Intubation endotracheal emergency procedure (31500) $297.90 $1,788.60 1.3×
Irrigation maxillary sinus (31000) $297.90 $6,213.60 1.3×
Irrigation of corpora cavernosa for priapism (54220) $314.25 $1,389.60 1.3×
Knee arthroscopy/drainage (29871) $4,115.41 $17,353.68 1.2×
Knee Arthroscopy/Surgery (29885) $9,126.61 $25,938.59 1.2×
Knee Arthroscopy/Surgery (29874) $4,115.41 $36,575.10 1.2×
Lam facetec & foramot lumbar (63047) $9,126.61 $25,938.59 1.2×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $9,126.61 $38,145 1.2×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $9,126.61 $38,145 1.2×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $9,126.61 $38,145 1.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $9,126.61 $25,938.59 1.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $9,126.61 $38,145 1.2×
Laminotomy Single Lumbar (63042) $9,126.61 $25,938.59 1.2×
Lap paraesoph her rpr w/mesh (43282) $13,369.83 $22,269.15 1.2×
Lap paraesophag hern repair (43281) $13,369.83 $22,269.15 1.2×
Laparoscopy Enterolysis Separate Procedure (44180) $7,603.85 $79,281.84 1.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $7,603.85 $30,362.64 1.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $13,369.83 $17,506 1.2×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $13,369.83 $17,506 1.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,603.85 $31,006.14 1.3×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $7,603.85 $20,695 1.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $7,603.85 $22,771.98 1.3×
Laps Gastric Restrictive Px Remove Device & Port (43774) $4,849.28 $13,863.56 1.3×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $4,689.38 $9,294.06 1.2×
Laryngoscopy diagnostic (31505) $251.06 $734.40 1.2×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $251.06 $493.80–$3,366 1.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,238.69 $4,851.42 1.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $491.94 $2,944.20 1.3×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $4,689.38 $20,752.80 1.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $251.06 $2,006.40 1.2×
Laryngoscopy W/Biopsy (31535) $4,689.38 $13,941.09 1.2×
Laryngoscopy w/biopsy microscope/telescope (31536) $4,689.38 $7,745.05 1.2×
Laryngoscopy W/Foreign Body Removal (31530) $2,238.69 $6,609 1.2×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $491.94 $8,220 1.3×
Larynscop w/tumr exc + scope (31541) $4,689.38 $9,294.06 1.2×
Late closure of wound (13160) $4,457.17 $6,480 1.2×
Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) $4,115.41 $18,847 1.2×
Ligamentous Reconstruction Knee Extra-Articular (27427) $9,126.61 $25,938.59 1.2×
Ligate leg veins open (37761) $3,971.37 $11,915.88 1.3×
Ligate/strip long leg vein (37722) $3,971.37 $15,750 1.3×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $3,971.37 $14,618.15 1.3×
Ligation Major Artery Abdomen (37617) $7,810.80 $15,621.60 1.4×
Ligation Of Inf Vena Cava (37619) $9,489.60 $18,979.20 1.7×
Ligation or biopsy temporal artery (37609) $2,077.32 $5,950 1.2×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $728.40 $1,456.80 0.2×
Low Back Disk Surgery (63030) $9,126.61 $25,938.59 1.2×
Lumbar spine fusion combined (22633) $34,128.22 $88,781.40 1.2×
Manipulation Ankle Under General Anesthesia (27860) $4,115.41 $12,815.85 1.2×
Manipulation Elbow Under Anesthesia (24300) $2,022.48 $4,873.23 1.3×
Manipulation knee joint under general anesthesia (27570) $2,022.48 $4,873.23 1.3×
Manipulation wrist under anesthesia (25259) $2,022.48 $3,828.96 1.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,022.48 $8,354.10 1.3×
Mastectomy for gynecomastia (19300) $3,000 $12,745.43 0.8×
Mastectomy partial (19301) $4,924.70 $13,655.82 1.2×
Mastoidectomy; complete (69502) $7,445.75 $16,739.13 1.3×
Mastopexy (19316)
likely a partial charge, not the full procedure		 $1,675 $23,772.60 0.3×
Middle ear expl thru postaur/ear canal inc (69440) $4,170.07 $9,202.86 1.3×
Middle ear surgery proc unlisted (69799) $297.90 $2,625 1.3×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $2,595.12 $10,292.16 1.2×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $4,457.17 $10,566.45 1.2×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $9,126.61 $25,938.59 1.2×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $4,457.17 $10,254.78 1.2×
Muscle-skin graft trunk (15734) $4,457.17 $10,566.45 1.2×
Muscle/tendon transfer upper arm/elbow single (24301) $9,126.61 $38,145 1.2×
Myelography Lumbar Injection (62305) $985.99 $3,366 1.3×
N Block Inj Celiac Pelus (64530) $1,112.46 $2,550 1.2×
N Block Inj Ilio-Ing/Hypogi (64425) $887.83 $2,855.66 1.2×
N block inj intercost sng (64420) $887.83 $3,172.95 1.2×
N Block Inj Paracervical (64435) $887.83 $2,625 1.2×
N Block Inj Plantar Digit (64455) $386.07 $2,625 1.2×
N Block Inj Pudendal (64430) $486 $972 0.5×
N Block Lumbar/Thoracic (64520) $1,112.46 $2,550 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $561.87 $1,521 1.2×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $4,689.38 $18,588.12 1.2×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $8,876.62 $14,556.90 1.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,238.69 $12,847 1.2×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,238.69 $8,978.34 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,238.69 $6,733.76 1.2×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $8,876.62 $14,556.90 1.2×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $8,876.62 $23,291.04 1.2×
Nasal/sinus ndsc total with sphenoidotomy (31257) $8,876.62 $11,418.16 1.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $8,876.62 $14,453 1.2×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $8,876.62 $23,291.04 1.2×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $8,876.62 $46,582.08 1.2×
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) $9,126.61 $25,938.59 1.2×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,022.48 $11,138.80 1.3×
Neck spine disk surgery (63020) $9,126.61 $39,687.78 1.2×
Neck spine fusion (22600) $22,053.42 $28,000 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $57 $114 2.0×
Needle insertion w/o injection 3 or more muscles (20561) $85.50 $171 2.9×
Nerve repair w/conduit each nerve (64910) $11,037.96 $17,100.87 1.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,456.07 $10,526.34 1.2×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,456.07 $14,035.12 1.2×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $2,456.07 $7,086 1.2×
Nipple/areola reconstruction (19350) $4,924.70 $10,895.37 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,112.46 $2,550 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $386.07 $2,550 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,112.46 $6,426 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,112.46 $4,112.30 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $887.83 $2,550 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $887.83 $2,550 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,112.46 $4,934.76 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $887.83 $2,550 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,112.46 $2,625 1.2×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $2,595.12 $8,746.30 1.2×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $2,595.12 $8,746.30 1.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $511.30 $2,550 1.3×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $8,876.62 $14,453 1.2×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $8,876.62 $16,059 1.2×
Occipital Nerve Block (64405) $386.07 $2,550 1.2×
Ocular Surface Reconstruction Amniotic Membrane (65780) $4,944.77 $9,916.35 1.2×
Omntc Epiploectomy Rescj Omentum Spx (49255) $8,142.54 $14,325.35 1.2×
Open bowel to skin (44300) $2,413.53 $15,664.80 1.2×
Open Implantation Nea Peripheral Nerve (64575) $14,014.89 $77,873.70 1.3×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $55,400.12 $73,611.30 1.3×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $38,811.73 $295,863 1.2×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $9,126.61 $25,938.59 1.2×
Open Repair of Rotator Cuff Acute (23410) $9,126.61 $31,324.75 1.2×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $8,690.40 $17,380.80 0.7×
Open Treatment Bimalleolar Ankle Fracture (27814) $9,126.61 $25,938.59 1.2×
Open treatment calcaneal fracture (28415) $9,126.61 $35,891.70 1.2×
Open Treatment Fracture Distal Tibia & Fibula (27828) $16,148.04 $75,238.92 1.3×
Open treatment fracture distal tibia only (27827) $16,148.04 $75,235.74 1.3×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $9,126.61 $25,938.59 1.2×
Open Treatment Humeral Condylar Fracture (24579) $16,148.04 $78,288.48 1.3×
Open Treatment Lunate Dislocation (25695) $9,126.61 $25,938.59 1.2×
Open Treatment Medial Malleolus Fracture (27766) $9,126.61 $37,589.70 1.2×
Open treatment metatarsal fracture each (28485) $9,126.61 $25,938.59 1.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $9,126.61 $72,580 1.2×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $9,126.61 $25,938.59 1.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $9,126.61 $25,938.59 1.2×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $16,148.04 $22,092 1.3×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $9,126.61 $39,687.78 1.2×
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $7,366.80 $14,733.60 1.0×
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) $4,115.41 $6,750 1.2×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $16,148.04 $36,447.60 1.3×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $4,170.07 $12,313.76 1.3×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $4,115.41 $12,815.85 1.2×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $3,963.60 $7,927.20 0.7×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $9,126.61 $39,687.78 1.2×
Open Treatment of Ulnar Shaft Fracture (25545) $9,126.61 $25,938.59 1.2×
Open treatment of ulnar styloid fracture (25652) $9,126.61 $25,938.59 1.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $9,126.61 $25,938.59 1.2×
Open Treatment Proximal Humeral Fracture (23615) $16,148.04 $36,447.60 1.3×
Open Tx Acute/Chronic Elbow Dislocation (24615) $9,126.61 $38,382.30 1.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,115.41 $12,815.85 1.2×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $4,115.41 $22,566.55 1.2×
Open tx carpal scaphoid navicular fracture (25628) $9,126.61 $35,891.70 1.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $9,126.61 $25,938.59 1.2×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $4,115.41 $10,529.40–$12,815.85 1.2×
Open Tx Distal Tibiofibular Joint Disruption (27829) $9,126.61 $25,938.59 1.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $4,115.41 $16,982.40–$19,550.40 1.2×
Open tx humeral supracondylar fracture w/o xtn (24545) $16,148.04 $53,599 1.3×
Open tx interphalangeal joint dislocation (26785) $4,115.41 $12,815.85 1.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,115.41 $12,815.85 1.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,115.41 $12,815.85 1.2×
Open Tx Radial Head/Neck Fracture (24665) $9,126.61 $25,938.59 1.2×
Open Tx Radial Head/Neck Fracture Prosth (24666) $16,148.04 $75,235.74 1.3×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $9,126.61 $25,938.59 1.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $9,126.61 $37,589.70 1.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $9,126.61 $25,938.59 1.2×
Open tx ulnar fx proximal end (24685) $9,126.61 $38,382.30 1.2×
Open/Perq Place Stent 1St (37236) $14,519.88 $30,320 1.3×
Open/Perq Place Stent Same (37238) $14,519.88 $30,320 1.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $9,126.61 $25,938.59 1.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $9,126.61 $37,589.70 1.2×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $16,148.04 $73,888.56 1.3×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $9,126.61 $12,000 1.2×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $16,148.04 $50,159.28 1.3×
Ostc compl all metar heads w/prtl prox phalangc (28114) $4,115.41 $17,353.68 1.2×
Ostc prtl exostc/condylc metar head (28288) $4,115.41 $12,815.85 1.2×
Ostectomy calcaneus (28118) $4,115.41 $12,815.85 1.2×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $4,115.41 $16,228.62 1.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $4,115.41 $12,815.85 1.2×
Ostectomy, complete excision; first metatarsal head (28111) $4,115.41 $16,228.62 1.2×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $4,115.41 $12,815.85 1.2×
Osteochondral allograft knee open (27415) $16,148.04 $78,288.48 1.3×
Osteochondral talus autogrft (28446) $9,126.61 $25,938.59 1.2×
Osteoplasty Radius/Ulna Shortening (25390) $9,126.61 $39,687.78 1.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $9,126.61 $25,938.59 1.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $4,115.41 $12,815.85 1.2×
Osteotomy calcaneus w/wo internal fixation (28300) $9,126.61 $25,938.59 1.2×
Osteotomy Clavicle W Bone Graft (23485) $16,148.04 $73,888.56 1.3×
Osteotomy radius distal third (25350) $9,126.61 $25,938.59 1.2×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $9,126.61 $25,938.59 1.2×
Osteotomy Tibia (27705) $9,126.61 $38,145 1.2×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $9,126.61 $23,400 1.2×
Osteotomy, iliac, acetabular or innominate bone; Facility (27146) $9,126.61 $12,000 1.2×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $9,126.61 $25,938.59 1.2×
Palatopharyngoplasty (42145) $7,445.75 $12,715.13 1.3×
Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) $4,950 $9,900 0.8×
Part remv talus or calcaneus (28120) $4,115.41 $14,152 1.2×
Partial excision bone olecranon process (24147) $4,115.41 $18,847 1.2×
Partial Excision Distal Phalanx Finger (26236) $2,022.48 $6,265.58 1.3×
Partial excision of lip (40520) $4,170.07 $14,225.15 1.3×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,022.48 $4,593.99 1.3×
Partial removal of fibula (27641) $4,115.41 $18,847 1.2×
Partial removal of thyroid (60220) $7,603.85 $30,362.64 1.3×
Partial removal of tibia (27640) $4,115.41 $12,815.85 1.2×
Partial removal of toe (28160) $4,115.41 $12,815.85 1.2×
Partical Excision Bone Phalanx Toe (28124) $4,115.41 $12,815.85 1.2×
Penile Injection (54235) $314.25 $1,173 1.3×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) $14,014.89 $47,810.36 1.3×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $4,115.41 $12,815.85 1.2×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $4,115.41 $12,815.85 1.2×
Peri-Implant Capsulectomy Breast Complete (19371) $900 $9,473.22 0.2×
Peritoneal Lavage (49084) $1,140.77 $2,977.20 1.2×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $14,519.88 $40,373 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,126.61 $25,938.59 1.2×
Perq Vertebral Augmentation (22513) $9,126.61 $25,938.59 1.2×
Phleb Veins - Extrem 20+ (37766) $3,971.37 $11,915.88 1.3×
Pin Finger Dislocation (26776)
range across 2 matching MRF lines		 $4,115.41 $12,815.85–$15,597.60 1.2×
Pin hand dislocation (26676) $4,115.41 $12,815.85 1.2×
Place Amniotic Membrane Ocular Surface Sutured (65779) $4,944.77 $20,260.08 1.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $299.10–$342 $598.20–$684 varies
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $7,445.75 $40,688.40 1.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $8,015.73 $52,130.24 1.3×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,112.46 $4,934.76 1.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,115.41 $12,815.85 1.2×
Prq skel fixj metar fx w/manj (28476) $4,115.41 $18,847 1.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $9,126.61 $21,002.40 1.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $4,115.41 $17,541.60 1.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,115.41 $12,815.85 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $511.30 $782.40 1.3×
Puncture Aspiration Cyst Breast (19000) $890.66 $1,132.20 1.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $887.83 $2,855.66 1.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $887.83 $2,550 1.2×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $9,126.61 $38,382.30 1.2×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,022.48 $6,961.75 1.3×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $4,115.41 $13,479 1.2×
Rad resect elbow caps/sr bone w rels (24149) $9,126.61 $25,938.59 1.2×
Rad resect hand tumor 3 cm/> (26118) $3,653.45 $8,295.04 1.2×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,653.45 $13,913.34 1.2×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $3,653.45 $7,110.03 1.2×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $3,653.45 $18,930.45 1.2×
Radical styloidectomy separate procedure (25230) $4,115.41 $14,640 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,456.07 $7,894.76 1.2×
Rcnstj angular dfrm toe soft tiss px only (28313) $4,115.41 $16,228.62 1.2×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $4,115.41 $12,815.85 1.2×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $4,115.41 $17,353.68 1.2×
Rcnstj Dislocating Patella (27420) $9,126.61 $26,458.52 1.2×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $9,126.61 $25,938.59 1.2×
Realignment extensor tendon hand each tendon (26437) $4,115.41 $17,353.68 1.2×
Reconstruct elbow med ligmnt (24346) $16,148.04 $36,944.28 1.3×
Reconstruct finger joint (26545) $4,115.41 $12,736.80 1.2×
Reconstruct Finger Joint (26548) $4,115.41 $12,736.80 1.2×
Reconstruct ulna/radioulnar (25337) $9,126.61 $25,938.59 1.2×
Reconstruct wrist joint (25445) $9,126.61 $25,938.59 1.2×
Reconstruction Nail Bed W/Graft (11762) $2,595.12 $7,719.12 1.2×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $9,126.61 $25,938.59 1.2×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $7,445.75 $16,739.13 1.3×
Reduction of rectal prolapse (45900) $1,183.20 $2,366.40 1.3×
Release foot/toe nerve (64726) $2,456.07 $10,526.34 1.2×
Relieve Pressure on Nerve(S) (64722) $2,456.07 $7,086 1.2×
Removal Embedded Foreign Body Eyelid (67938) $399.22 $1,094.40 1.2×
Removal Foreign Body Deep Thigh/Knee (27372) $3,653.45 $15,499.50 1.2×
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $2,077.32 $3,000–$6,331.50 1.2×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $2,077.32 $4,119.60–$4,924.50 1.2×
Removal Foreign Body Foot Subcutaneous (28190) $890.66 $2,107.80 1.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,077.32 $3,000 1.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,188 $2,376 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $74.20 $411 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $74.20 $411–$2,550 1.3×
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,071.54 $6,291.60 1.3×
Removal Implant Deep (20680) $3,653.45 $11,850.05 1.2×
Removal Implant Superficial Separate Procedure (20670) $2,077.32 $3,840 1.2×
Removal implantable contraceptive capsules (11976) $890.66 $3,750 1.2×
Removal intact breast implant (19328) $500 $9,777.99 0.1×
Removal of adenoids (42831) $4,170.07 $9,577.37 1.3×
Removal of adenoids (42830) $4,170.07 $9,577.37 1.3×
Removal of ankle implant (27704) $4,115.41 $12,815.85 1.2×
Removal of anterior instrumentation (22855) $9,126.61 $12,000 1.2×
Removal of foreign body from pharynx (42809) $561.87 $950 1.2×
Removal of heel spur (28119) $4,115.41 $12,815.85 1.2×
Removal of implant from finger or hand (26320) $2,077.32 $12,539.82 1.2×
Removal of mammary implant material (19330) $4,924.70 $12,900 1.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $511.30 $1,558.80–$2,550 1.3×
Removal of posterior segmental instrumentation Facility (22852) $9,126.61 $30,822 1.2×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $9,126.61 $12,000 1.2×
Removal of sesamoid bone (28315) $4,115.41 $12,815.85 1.2×
Removal of skin wrinkles (15829) $4,457.17 $10,254.78 1.2×
Removal of thyroid (60271) $7,445.75 $31,165.62 1.3×
Removal of tonsils (42826) $4,170.07 $21,891.12 1.3×
Removal of wrist bone (25210) $4,115.41 $12,960 1.2×
Removal or bivalving full arm or full leg cast (29705) $351.79 $1,384.80 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $252.35 $696–$2,550 1.3×
Removal Submand Stone,Complicated (42335) $4,170.07 $14,225.15 1.3×
Removal, under anesthesia, of external fixation system (20694) $2,022.48 $8,354.10 1.3×
Removal/bivalving gauntlet boot/body cast (29700) $351.79 $1,267.20 1.3×
Remove & graft wrist lesion (25135) $9,126.61 $25,938.59 1.2×
Remove Ankle Joint Lining (27626) $4,115.41 $12,815.85 1.2×
Remove drug implant device (11982) $561.87 $3,750 1.2×
Remove ear lesion (69552) $7,445.75 $16,739.13 1.3×
Remove Elbow Joint Lining (24102) $4,115.41 $12,815.85 1.2×
Remove Forearm Foreign Body (25248) $2,022.48 $4,593.99 1.3×
Remove foreign body from eye (65205) $167.34 $1,030.20 1.3×
Remove Gastric Port Open (43887) $2,595.12 $3,376.60 1.2×
Remove groin lymph nodes (38760) $8,351.77 $12,960.81 1.2×
Remove Intrauterine Device (58301) $383.28 $665.40 1.3×
Remove knee joint lining (27334) $4,115.41 $12,815.85 1.2×
Remove Lower Leg Bone Lesion (27635) $4,115.41 $16,403 1.2×
Remove lung catheter (32552) $934.80 $1,869.60 1.5×
Remove Nasal Foreign Body (30300) $167.34 $658.80 1.3×
Remove part of neck vertebra (22110) $9,126.61 $12,000 1.2×
Remove Shoulder Foreign Body (23330) $885.60 $1,771.20 0.5×
Remove spine eltrd plate (63662) $4,397.28 $9,725.70 1.3×
Remove spine fixation device (22850) $9,126.61 $35,100 1.2×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $2,022.48 $2,740.80–$9,720 1.3×
Remove tissue expander (11971) $3,653.45 $8,122.05 1.2×
Remove vc lesion w/scope (31545) $4,689.38 $6,661 1.2×
Remove/graft finger lesion (26215) $4,115.41 $12,815.85 1.2×
Remove/graft forearm lesion (25125) $2,022.48 $6,125.32 1.3×
Remove/graft leg bone lesion (27637) $9,126.61 $25,938.59 1.2×
Remove/Insert Drug Implant (11983) $561.87 $3,750 1.2×
Repair Achilles Tendon (27650) $9,126.61 $39,687.78 1.2×
Repair arm/leg nerve (64857) $4,296.71 $45,602.32 1.2×
Repair Blood Vessel Direct Hand Finger (35207) $3,971.37 $17,169.96 1.3×
Repair Blood Vessel Direct Upper Extremity (35206) $3,971.37 $34,339.92 1.3×
Repair brow ptosis (67900) $2,990.32 $12,014.10 1.3×
Repair Collat Ankle Ligmnt,Secondary (27698) $9,126.61 $37,589.70 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $929.58 $1,454.40–$3,916.80 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $929.58 $1,479.60 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $511.30 $1,454.40 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $511.30 $1,454.40–$3,916.80 1.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $511.30 $1,454.40–$3,664 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $511.30 $1,454.40–$3,916.80 1.3×
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $929.58 $1,833.60–$3,366 1.3×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $929.58 $1,479.60–$5,496.03 1.3×
Repair Ectropion Extensive (67917) $2,990.32 $20,712 1.3×
Repair Elbow Perc (24357) $4,115.41 $17,353.68 1.2×
Repair Extensor Tendon Finger W/Graft Each (26420) $4,115.41 $17,353.68 1.2×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $2,022.48 $4,395–$6,265.58 1.3×
Repair Eyelid Wound (67935) $2,990.32 $10,548 1.3×
Repair Finger Tendon (26433)
range across 2 matching MRF lines		 $4,115.41 $12,815.85–$13,576.80 1.2×
Repair Finger/Hand Tendon (26350) $4,115.41 $12,815.85 1.2×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $4,115.41 $12,815.85 1.2×
Repair Foot Dislocation (28615) $9,126.61 $37,589.70 1.2×
Repair Forearm Tendon Sheath (25275) $4,115.41 $17,353.68 1.2×
Repair Hallux Rigidus (28289) $4,115.41 $12,815.85 1.2×
Repair Hand Joint (26540) $4,115.41 $22,256 1.2×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $2,022.48 $6,265.58–$11,498.40 1.3×
Repair humerus with graft (24435) $16,148.04 $53,599 1.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,503.30 $19,100.46 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $511.30 $948.60 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $511.30 $948.60–$2,550 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $511.30 $948.60 1.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $511.30 $948.60 1.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $929.58 $1,200 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $511.30 $948.60 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $511.30 $948.60 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $929.58 $1,200 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $511.30 $948.60 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $511.30 $948.60 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $511.30 $948.60 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $929.58 $1,200 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $511.30 $948.60 1.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,595.12 $4,702.20 1.2×
Repair Laceration Palate </2 Cm (42180) $678.35 $4,464 1.3×
Repair lower leg tendons (27676) $9,126.61 $38,145 1.2×
Repair nasal septal perforations (30630) $4,170.07 $9,202.86 1.3×
Repair Nasal Vestibular Stenosis (30465) $7,445.75 $17,929.40 1.3×
Repair Nonunion Carpal Bone Each Bone (25431) $9,126.61 $40,897.98 1.2×
Repair Nonunion Hand (26546) $9,126.61 $25,938.59 1.2×
Repair Nonunion/Malunion Tarsal Bones (28320) $16,148.04 $37,619.46 1.3×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $4,115.41 $12,736.80 1.2×
Repair of metatarsals (28322) $9,126.61 $38,145 1.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $929.58 $1,200–$5,241.70 1.3×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $9,126.61 $25,588.20 1.2×
Repair of Ruptured Tendon (24342) $9,126.61 $25,938.59 1.2×
Repair oval window fistula (69666) $4,170.07 $5,450.22 1.3×
Repair Rotator Cuff Chronic (23412) $9,126.61 $31,324.75 1.2×
Repair secondary achilles tendon w/wo graft (27654) $9,126.61 $25,938.59 1.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $4,115.41 $12,815.85–$17,820 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $9,126.61 $25,938.59 1.2×
Repair Toe Dislocation (28645) $4,115.41 $16,231.20 1.2×
Repair tongue laceration (41252) $297.90 $4,666.80 1.3×
Repair tongue laceration (41250) $561.87 $900 1.2×
Repair webbed toe(s) (28345) $2,022.48 $5,738.08 1.3×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $9,126.61 $39,687.78 1.2×
Repair, primary, disrupted ligament, ankle; collateral (27695) $9,126.61 $25,938.59 1.2×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $9,126.61 $25,938.59 1.2×
Repair/graft achilles tendon (27652) $9,126.61 $25,938.59 1.2×
Repair/Graft Wrist Bone (25440) $9,126.61 $25,938.59 1.2×
Repair/Revise Wrist Joint (25320) $9,126.61 $25,938.59 1.2×
Repair/transpose nerve (64856) $11,037.96 $46,642.30 1.2×
Replace duodenostomy/jejunostomy tube perq (49451) $1,140.77 $2,115 1.2×
Replace elbow joint (24363) $22,053.42 $53,268.84 1.2×
Replace g/c tube perc (49450) $1,140.77 $1,976.40 1.2×
Replacement Tissue Expander W/Permanent Implant (11970) $9,126.61 $25,938.59 1.2×
Reposition Gastrostomy Tube (43761) $314.25 $2,177.40 1.3×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $2,902.70 $5,717.69 1.3×
Repr elbow lat ligmnt w/tiss (24343) $4,115.41 $12,736.80 1.2×
Rerepair ing hernia reduce (49520) $4,503.30 $14,167.72 1.3×
Resect forarm/wrist tum 3cm> (25078) $3,653.45 $18,960.08 1.2×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $4,115.41 $12,815.85 1.2×
Resection/transplantation long tendon biceps (23440) $9,126.61 $38,145 1.2×
Rev/rmv prph sac/gstr npg/r (64595) $4,397.28 $20,074.38 1.3×
Revise Hand/Foot Nerve (64704) $2,456.07 $10,526.34 1.2×
Revise knuckle joint (26530) $9,126.61 $39,687.78 1.2×
Revise radius & ulna (25365) $16,148.04 $36,447.60 1.3×
Revise Spine Eltrd Plate (63664) $14,014.89 $40,116.62 1.3×
Revise ulnar nerve at wrist (64719) $2,456.07 $6,140.37 1.2×
Revise/Implant Finger Joint (26536) $9,126.61 $31,985.25 1.2×
Revise/Repair Finger/Toe Nerve (64702) $2,456.07 $8,771.95 1.2×
Revision of big toe (28310) $9,126.61 $25,938.59 1.2×
Revision of foot (28116) $4,115.41 $16,982.40 1.2×
Revision of foot fascia (28250) $4,115.41 $17,353.68 1.2×
Revision of humerus (24400) $9,126.61 $38,145 1.2×
Revision of lower leg tendon (27685) $4,115.41 $12,815.85 1.2×
Revision of reconstructed breast (19380) $8,351.77 $33,203.64 1.2×
Revision Peri-Implant Capsule Breast (19370) $4,924.70 $19,370 1.2×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $2,902.70 $8,483.44 1.3×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $9,126.61 $38,145 1.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $8,015.73 $52,130.24 1.3×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $22,053.42 $38,878.86 1.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $16,148.04 $45,690 1.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,397.28 $25,090.91 1.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,397.28 $20,074.38 1.3×
Revj/rpr oprative wound anterior segment (66250) $2,990.32 $8,174.80 1.3×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $23,056.89 $48,263 1.3×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $23,056.89 $48,263 1.3×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $23,056.89 $48,776 1.3×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $23,056.89 $48,776 1.3×
Rhinoplasty primary w/major septal repair (30420) $7,445.75 $16,739.13 1.3×
Rhinoplasty Secondary Major Revision (30450) $7,445.75 $22,318.84 1.3×
Rhinp Prim Complete Xtrnl Parts (30410) $7,445.75 $16,739.13 1.3×
Rib cartilage graft (21230) $7,445.75 $12,715.13 1.3×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 2 matching MRF lines		 $1,951.53 $4,734.77–$6,239.40 1.3×
Rmvl embedded fb vestibule mouth comp (40805) $678.35 $3,366 1.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,140.77 $2,200 1.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 3 matching MRF lines		 $2,077.32 $3,500–$35,000 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $561.87 $1,030.20 1.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $167.34 $1,030.20 1.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $561.87 $1,000 1.2×
Rmvl fecal impaction/fb spx under anes (45915) $1,505.09 $3,099.60 1.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $3,653.45 $5,000–$22,800 1.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,077.32 $2,590.20 1.2×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $2,902.70 $11,600 1.3×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,456.07 $6,140.37 1.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,456.07 $15,789.51 1.2×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $4,296.71 $17,100.87 1.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $810–$2,979 $1,620–$5,958 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,902.70 $8,483.44 1.3×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,902.70 $5,717.69 1.3×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $4,170.07 $14,225.15 1.3×
Rplc Gtube No Revj Trc (43762) $314.25 $1,540.80 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $1,155.60–$4,716.30 $2,311.20–$9,432.60 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,603.85 $21,175 1.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,503.30 $17,709.65 1.3×
Rpr aa hernia recr 3-10 cm reducible (49615) $8,142.54 $9,889.02 1.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $7,603.85 $16,492.77 1.3×
Rpr aa hrn 1st 3-10 rdc (49593) $8,142.54 $14,167.72 1.2×
Rpr aa hrn 1st < 3 ncr/strn (49592) $7,603.85 $10,845.44 1.3×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $2,990.32 $12,014.10 1.3×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,990.32 $12,014.10 1.3×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $4,115.41 $12,815.85 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $252.35 $948.60 1.3×
Rpr flexor tendon leg secondary w/o graft each (27659) $9,126.61 $37,589.70 1.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $929.58 $1,350 1.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $297.90 $2,587.20 1.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $678.35 $4,666.80 1.3×
Rpr Lip Full Thickness Vermilion Only (40650) $678.35 $4,666.80 1.3×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,951.53 $5,526.16 1.3×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $7,445.75 $16,739.13 1.3×
Rpr Nsl Vlv Collapse W/Implt (30468) $7,445.75 $20,777.08 1.3×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $9,126.61 $25,938.59 1.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $4,115.41 $12,815.85 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,115.41 $12,815.85 1.2×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,115.41 $16,424.70 1.2×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $9,126.61 $25,938.59 1.2×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $4,115.41 $12,815.85 1.2×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $9,126.61 $39,687.78 1.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,115.41 $12,736.80 1.2×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $4,115.41 $16,982.40 1.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $4,170.07 $19,154.73 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $226.80 $453.60 1.1×
Shoulder arthroscopy (29820) $9,126.61 $25,938.59 1.2×
Shoulder arthroscopy diagnostic (29805) $4,115.41 $36,575.10 1.2×
Shoulder Arthroscopy/Surgery (29825) $4,115.41 $22,643.20 1.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $4,170.07 $16,353.60 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $511.30 $948.60 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $252.35 $948.60 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $252.35 $948.60 1.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $511.30 $948.60 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $252.35 $948.60 1.3×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $252.35 $2,148 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $252.35 $948.60 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $252.35 $948.60 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $252.35 $948.60 1.3×
Skin Full Grft Face/Genit/Hf (15240) $2,595.12 $4,717.24 1.2×
Skin Pinch Graft (15050) $1,676.40 $3,352.80 2.3×
Skin sub graft face/nk/hf/g (15275) $929.58 $6,003.76 1.3×
Skin sub graft trnk/arm/leg (15271) $929.58 $10,292.16 1.3×
Skin Tissue Procedure (17999) $252.35 $2,625 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $252.35 $948.60 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $511.30 $948.60 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $511.30 $948.60 1.3×
Spinal puncture lumbar diagnostic (62270) $887.83 $2,550 1.2×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,457.17 $12,523 1.2×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,595.12 $6,692 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,971.37 $14,618.15 1.3×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $7,445.75 $16,739.13 1.3×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $7,445.75 $13,986.64 1.3×
Strapping ankle (29540) $105.60 $211.20 0.6×
Strapping elbow or wrist (29260) $112.80 $225.60 1.9×
Strapping knee (29530) $108 $216 0.8×
Strapping shoulder (29240) $167.34 $468 1.3×
Strapping toes (29550) $68.40 $136.80 1.2×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $4,170.07 $6,840.98 1.3×
Subtalar arthro w/exc (29905) $9,126.61 $25,938.59 1.2×
Suction assisted lipectomy; head and neck (15876) $4,457.17 $8,162.25 1.2×
Suction assisted lipectomy; trunk (15877) $250 $12,243.40 0.1×
Suction assisted lipectomy; upper extremity (15878) $2,595.12 $12,243 1.2×
Suction Lipectomy Lwr Extrem (15879) $4,457.17 $6,195.15 1.2×
Surg Implnt Neuroelect,Epidural (63655) $24,400.78 $62,528.52 1.2×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $7,445.75 $10,583.05 1.3×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $7,445.75 $16,739.13 1.3×
Surg tx anal fistula subq (46270) $3,491.13 $7,485.12 1.3×
Suture 1 nerve hand/foot common sensory nerve (64834) $4,296.71 $17,471.85 1.2×
Suture 1 Nerve Median Motor Thenar (64835) $4,296.71 $17,471.85 1.2×
Suture 1 Nerve Ulnar Motor (64836) $4,296.71 $23,295.80 1.2×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $2,456.07 $7,086–$14,035.12 1.2×
Suture infrapatellar tendon primary (27380) $9,126.61 $25,938.59 1.2×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $2,902.70 $5,717.69 1.3×
Suture of quadriceps or hamstring muscle rupture primary (27385) $9,126.61 $25,938.59 1.2×
Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) $2,366.40 $4,732.80 0.7×
Sympathectomy; digital arteries, each digit Facility (64820) $2,456.07 $9,198.15 1.2×
Sympathectomy; ulnar artery (64822) $4,115.41 $12,815.85 1.2×
Syndactylization toes (28280) $4,115.41 $12,815.85 1.2×
Synovectomy carpometacarpal joint (26130) $4,115.41 $14,580 1.2×
Synovectomy Tendon Sheath Foot Flexor (28086) $4,115.41 $12,815.85 1.2×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $4,115.41 $13,200 1.2×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $9,126.61 $38,145 1.2×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,022.48 $8,354.10 1.3×
Talectomy (astragalectomy) Facility (28130) $9,126.61 $38,145 1.2×
Tangential biopsy skin single lesion (11102) $283.20 $566.40 0.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $4,115.41 $13,479 1.2×
Tenodesis long tendon biceps (23430) $9,126.61 $50,119.60 1.2×
Tenodesis Wrist Extensors Fingers (25301) $4,115.41 $22,566.55 1.2×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $4,115.41 $12,815.85 1.2×
Tenolysis flexor foot single tendon (28220) $2,022.48 $8,535.06 1.3×
Tenolysis flexor tendon palm&finger each tendo (26442) $4,115.41 $12,815.85 1.2×
Tenolysis flexor tendon palm/finger each tendon (26440) $2,022.48 $6,265.58 1.3×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $4,115.41 $12,815.85 1.2×
Tenolysis Triceps (24332) $4,115.41 $12,815.85 1.2×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $4,115.41 $25,038 1.2×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $4,115.41 $15,120 1.2×
Tenotomy extensor hand/finger open each tendon (26460) $2,022.48 $4,593.99 1.3×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $4,115.41 $12,815.85 1.2×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $4,115.41 $17,353.68 1.2×
Tenotomy shoulder area single tendon (23405) $9,126.61 $25,938.59 1.2×
Therapeutic pneumothorax (32960) $537.60 $1,075.20 0.9×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $16,148.04 $50,159.28 1.3×
Thrombolytic Therapy Stroke (37195) $1,531.20 $3,062.40 4.6×
Thyroidectomy Post Prev Thyr Surg (60260) $7,445.75 $50,000 1.3×
Thyroidectomy, total or complete (60240) $7,603.85 $40,483.52 1.3×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $7,445.75 $15,258.15 1.3×
Tibial Arthroscopy/Surgery (29855) $4,548 $9,096 0.6×
Tissue Expander Placement Breast Reconstruction (19357) $17,333.20 $50,370.03 1.3×
Tnot elbow lateral/medial debride open (24358) $4,115.41 $35,000 1.2×
Tnot elbow lateral/medial debride open tdn rpr (24359) $4,115.41 $12,815.85 1.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,170.07 $21,891.12 1.3×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $22,053.42 $57,310 1.2×
Total Knee Arthroplasty (27447) $16,148.04 $37,619.46 1.3×
Tracheostomy Emergency Cricothyroid Membrane (31605) $297.90 $5,923.20 1.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,951.53 $7,375.20 1.3×
Tracheostomy planned (31600) $2,300.40 $4,600.80 0.7×
Transection or avulsion of; greater occipital nerve Facility (64744) $2,456.07 $8,987.60 1.2×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,456.07 $8,987.60 1.2×
Transfusion Intrauterine Fetal (36460) $2,018.40 $4,036.80 4.5×
Translum Dil Eye Canal (66174) $5,198.87 $15,982.32 1.2×
Transplant hand tendon (26480) $4,115.41 $12,815.85 1.2×
Treat Ankle Dislocation (27846) $4,245.60 $8,491.20 0.6×
Treat ankle fracture (28445) $9,126.61 $25,938.59 1.2×
Treat Big Toe Fracture (28505) $4,115.41 $12,815.85 1.2×
Treat elbow fracture (24586) $16,148.04 $78,288.48 1.3×
Treat Elbow Fracture (24635) $3,888 $7,776 0.5×
Treat Finger Fracture Each (26727) $4,115.41 $12,815.85 1.2×
Treat fracture radius/ulna (25575) $9,126.61 $25,938.59 1.2×
Treat Fx Rad Extra-Articul (25607) $9,126.61 $39,687.78 1.2×
Treat humerus fracture (24500) $310.25 $2,301.60 1.3×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $2,022.48 $3,000–$5,898 1.3×
Treat humerus fracture (23600) $310.25 $849.60 1.3×
Treat knee fracture (27532)
range across 2 matching MRF lines		 $4,115.41 $5,016.60–$18,847 1.2×
Treat Knee Fracture(S) (27538) $310.25 $1,905.60 1.3×
Treat Kneecap Fracture (27524) $9,126.61 $25,938.59 1.2×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $310.25 $642–$6,120 1.3×
Treat metacarpal fracture (26607)
range across 2 matching MRF lines		 $4,115.41 $9,420–$17,353.68 1.2×
Treat Metatarsal Fracture (28475) $310.25 $1,605.60 1.3×
Treat scapula fracture (23585) $9,126.61 $25,938.59 1.2×
Treat Tail Bone Fracture (27200) $310.25 $1,264.80 1.3×
Treat Thumb Dislocation (26641) $310.25 $849.60 1.3×
Treat Thumb Fracture (26645) $2,022.48 $3,000 1.3×
Treat thumb fracture (26665)
range across 2 matching MRF lines		 $4,115.41 $12,815.85–$28,687.20 1.2×
Treat toe dislocation (28630) $310.25 $642 1.3×
Treat Vaginal Bleeding (57180) $254.28 $931.20 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,022.48 $4,280.40 1.3×
Treatment closed elbow dislocation w/o anes (24600) $310.25 $849.60 1.3×
Treatment of ankle fracture (27823) $9,126.61 $40,897.98 1.2×
Treatment of nose fracture (21330) $7,445.75 $22,318.84 1.3×
Treatment of penis lesion (54115) $2,461.20 $4,922.40 0.8×
Treatment of tibia fracture (27756) $9,126.61 $27,290.40 1.2×
Trim skin lesion (11055) $252.35 $1,082.40 1.3×
Trim skin lesions 2 to 4 (11056) $158.40 $316.80 0.8×
Trim skin lesions over 4 (11057) $252.35 $3,750 1.3×
Trimming Nondystrophic Nails Any Number (11719) $74.20 $456 1.3×
Trluml Balo Angiop 1St Art (37246) $7,158.65 $17,132 1.3×
Trluml Balo Angiop 1St Vein (37248) $7,158.65 $20,976 1.3×
Tx Gastro Intub W/Asp (43753) $100.80 $201.60 0.5×
Tx open tendon flexor toe 1 tendon spx (28232) $2,022.48 $4,873.23 1.3×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $929.58 $1,161.60–$2,550 1.3×
Tx superficial wound dehiscence w/packing (12021) $511.30 $1,161.60 1.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,022.48 $5,474.40 1.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $310.25 $1,996.80–$2,550 1.3×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $16,148.04 $37,619.46 1.3×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,951.53 $6,087.56 1.3×
Tympanoplasty (69631) $7,445.75 $12,715.13 1.3×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $7,445.75 $16,739.13 1.3×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $7,445.75 $16,739.13 1.3×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $7,445.75 $16,739.13 1.3×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $7,445.75 $21,491 1.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $7,445.75 $15,258.15 1.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $7,445.75 $15,258.15 1.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $7,445.75 $28,534 1.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $7,445.75 $16,739.13 1.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $7,445.75 $12,715.13 1.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $7,445.75 $16,739.13 1.3×
Tympanostomy general anesthesia (69436) $1,951.53 $8,718.30 1.3×
Unlisted laparoscopic procedure liver (47379) $7,603.85 $11,221.70 1.3×
Unlisted laparoscopy procedure stomach (43659) $7,603.85 $20,241.76 1.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $7,603.85 $15,181.32 1.3×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $7,603.85 $10,327.10 1.3×
Unlisted procedure arthroscopy (29999) $310.25 $3,213 1.3×
Unlisted procedure femur or knee (27599) $310.25 $3,750 1.3×
Unlisted procedure foot or toes (28899) $310.25 $2,550 1.3×
Unlisted procedure forearm or wrist (25999) $310.25 $2,550 1.3×
Unlisted Procedure Intestine (44799) $1,140.77 $3,302.04 1.2×
Unlisted Procedure Leg/Ankle (27899) $310.25 $2,625 1.3×
Unlisted procedure nervous system (64999) $386.07 $2,550 1.2×
Unlisted procedure pelvis/hip joint (27299) $310.25 $2,550 1.3×
Unlisted procedure shoulder (23929) $310.25 $2,550 1.3×
Unlisted procedure spine (22899) $310.25 $3,750 1.3×
Unlisted procedure stomach (43999) $1,140.77 $5,500 1.2×
Unlisted Procedure Tongue Floor Mouth (41599) $1,584 $3,168 6.6×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $789 $2,322–$4,950 1.3×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,140.77 $4,425.75 1.2×
Vaginal delivery only (59409) $4,056 $8,112 1.2×
Ventilating tube removal requiring general anesthesia (69424) $4,170.07 $9,577.37 1.3×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $511.30 $696–$6,002 1.3×
Wound Prep Trk/Arm/Leg (15002) $929.58 $17,213 1.3×
Wrist arthroscopy (29840) $4,115.41 $12,815.85 1.2×
Wrist arthroscopy with partial removal of joint lining (29844) $4,115.41 $12,815.85 1.2×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $6,692.95 $17,002 1.3×
Xfer Single Deep Low Leg Tendon (27691) $9,126.61 $25,938.59 1.2×

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.