Procedures & surgery prices at Legent Surgical Hospital Plano

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate inf turbinate submuc (30802) $2,727.64 $8,029 1.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,627.19 $4,419 1.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $6,229.78 $17,863.74 1.8×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,627.19 $6,003.76 1.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,627.19 $5,524 1.8×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,627.19 $4,419 1.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,627.19 $15,750 1.8×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $12,756.24 $25,938.59 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $5,752.09 $12,815.85 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $5,752.09 $17,353.68 1.7×
Amputate Metacarpal Bone (26910) $5,752.09 $17,353.68 1.7×
Amputation foot transmetarsal (28805) $5,752.09 $12,815.85 1.7×
Amputation metatarsal with toe single (28810) $5,752.09 $12,815.85 1.7×
Amputation toe interphalangeal joint (28825) $5,752.09 $12,815.85 1.7×
Amputation toe metatarsophalangeal joint (28820) $5,752.09 $12,815.85 1.7×
Ankle Arthroscopy/Surgery (29892) $12,756.24 $28,192.28 1.8×
Application multiplane external fixation system (20692) $22,570.07 $73,888.56 1.7×
Application of rigid total contact leg cast (29445) $491.69 $6,120 1.7×
Application short arm splint forearm-hand static (29125) $233.90 $6,120 1.8×
Application short leg splint calf foot (29515) $285.67 $6,120 1.8×
Application uniplane external fixation system (20690) $12,756.24 $25,938.59 1.8×
Apply short leg cast (29425) $491.69 $6,120 1.7×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $9,354.72 $15,998.36 1.8×
Arterial puncture (36600) $565 $1,130 4.2×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $22,570.07 $125,398.20 1.7×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $12,756.24 $25,938.59 1.8×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $22,570.07 $73,888.56 1.7×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $22,570.07 $36,944.28 1.7×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $12,756.24 $39,687.78 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $539.61 $2,550–$5,370 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,240.92 $3,807.54 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $539.61 $3,821.05–$10,740 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $539.61 $2,550–$2,685 1.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $539.61 $2,550–$5,370 1.7×
Arthrodesis ankle open (27870) $22,570.07 $75,559.74 1.7×
Arthrodesis great toe interphalangeal joint (28755) $12,756.24 $25,938.59 1.8×
Arthrodesis great toe metatarsophalangeal joint (28750) $12,756.24 $25,938.59 1.8×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $5,752.09 $25,038 1.7×
Arthrodesis Posterior Interbody Lumbar (22630) $47,700.92 $53,268.84 1.7×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $30,824 $71,025.12 1.7×
Arthrodesis Posterior/Posterolateral Thoracic (22610) $30,824 $35,000 1.7×
Arthrodesis sacroiliac joint percutaneous (27279) $30,824 $213,075.36 1.7×
Arthrodesis subtalar (28725) $22,570.07 $36,944.28 1.7×
Arthrodesis triple (28715) $22,570.07 $36,944.28 1.7×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $47,700.92 $55,000 1.7×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $12,756.24 $38,145 1.8×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) $30,824 $40,000 1.7×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $30,824 $95,208.78 1.7×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $30,824 $54,334 1.7×
Arthrodesis, wrist; with sliding graft Facility (25805) $12,756.24 $25,938.59 1.8×
Arthroplasty Ankle W/Implant (27702) $47,700.92 $53,268.84 1.7×
Arthroplasty glenohumeral joint total shoulder (23472) $30,824 $177,562.80 1.7×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $22,570.07 $125,398.20 1.7×
Arthroplasty interphalangeal joint each (26535) $5,752.09 $12,815.85 1.7×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $5,752.09 $12,815.85 1.7×
Arthroplasty Patella W/Prosthesis (27438) $22,570.07 $50,159.28 1.7×
Arthroplasty Radial Head W/Implant (24366) $22,570.07 $75,559.74 1.7×
Arthroplasty, patella; without prosthesis (27437) $12,756.24 $38,145 1.8×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $5,752.09 $12,815.85 1.7×
Arthroscopy Ankle Surgical Debridement Limited (29897) $5,752.09 $12,815.85 1.7×
Arthroscopy ankle w/removal loose/foreign body (29894) $5,752.09 $12,815.85 1.7×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $5,752.09 $12,815.85 1.7×
Arthroscopy Elbow Surgical Debridement Limited (29837) $5,752.09 $17,353.68 1.7×
Arthroscopy hip w/femoroplasty (29914) $12,756.24 $54,434.97 1.8×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $5,752.09 $25,473.60 1.7×
Arthroscopy Knee Osteochondral Allograft (29867) $22,570.07 $36,944.28 1.7×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $5,752.09 $25,473.60 1.7×
Arthroscopy knee synovectomy limited spx (29875) $5,752.09 $22,643.20 1.7×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $5,752.09 $22,643.20 1.7×
Arthroscopy shoulder distal claviculectomy (29824) $5,752.09 $28,304 1.7×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $12,756.24 $25,938.59 1.8×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $5,752.09 $17,353.68 1.7×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $5,752.09 $17,353.68 1.7×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $12,756.24 $40,897.98 1.8×
Arthroscopy, knee, surgical; with lateral release (29873) $5,752.09 $22,643.20 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,752.09 $21,600 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $5,752.09 $16,982.40 1.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $12,756.24 $25,938.59 1.8×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $5,752.09 $22,643.20 1.7×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $5,752.09 $12,815.85 1.7×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $12,756.24 $28,192.28 1.8×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $5,752.09 $36,575 1.7×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $5,752.09 $12,815.85 1.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $12,756.24 $50,119.60 1.8×
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) $22,570.07 $53,599 1.7×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $5,752.09 $12,815.85 1.7×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $12,756.24 $38,145 1.8×
Arthrotomy ankle w/expl drainage/removal fb (27610) $5,752.09 $12,815.85 1.7×
Arthrotomy biopsy interphalangeal joint each (26110) $2,826.81 $5,579.71 1.8×
Arthrotomy W/Meniscus Repair Knee (27403) $12,756.24 $69,050.92 1.8×
Arthrotomy wrist joint with synovectomy (25105) $5,752.09 $12,815.85 1.7×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $5,752.09 $12,815.85 1.7×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $22,570.07 $78,288.48 1.7×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $5,752.09 $18,847 1.7×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $22,570.07 $37,619.46 1.7×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $12,756.24 $38,382.30 1.8×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $12,756.24 $25,938.59 1.8×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $22,570.07 $36,944.28 1.7×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $5,752.09 $12,815.85 1.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $5,752.09 $28,304 1.7×
Arthrs knee debridement/shaving artclr crtlg (29877) $5,752.09 $36,575.10 1.7×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $12,756.24 $25,938.59 1.8×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,752.09 $12,815.85 1.7×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $5,752.09 $12,815.85 1.7×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $5,752.09 $12,815.85 1.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $5,752.09 $18,847 1.7×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $5,752.09 $12,815.85 1.7×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $2,826.81 $8,354.10 1.8×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $5,752.09 $14,152 1.7×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $5,752.09 $12,815.85 1.7×
Arthrt w/synvct kne ant&post w/pop area (27335) $12,756.24 $25,938.59 1.8×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $5,752.09 $12,815.85 1.7×
Autologous Chondrocyte Implantation Knee (27412) $12,756.24 $38,145 1.8×
Avulsion nail plate partial/complete simple 1 (11730) $352.71 $2,550 1.7×
Biopsy bone open superficial (20240) $5,106.42 $7,500 1.8×
Biopsy Bone Trocar/Needle Superficial (20220) $2,903.47 $5,747.96 1.8×
Biopsy of breast; open, incisional (19101) $6,883.23 $13,944 1.7×
Biopsy Oropharynx (42800) $2,727.64 $6,872.85 1.8×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $5,106.42 $10,829.40 1.8×
Biopsy Tongue Posterior One-Third (41105) $5,828.49 $13,681.95 1.7×
Biopsy, vestibule of mouth (40808) $948.13 $2,550 1.7×
Biopsy/removal lymph nodes (38510) $6,883.23 $14,209.83 1.7×
Bladder Scan (51798) $547 $1,094 9.2×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $4,500 $9,000 2.9×
Blepharoplasty Lower Eyelid (15820) $3,627.19 $3,916.80 1.8×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $3,627.19 $3,916.80 1.8×
Blepharoplasty upper eyelid (15822) $3,627.19 $7,719.12 1.8×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $3,627.19 $8,518 1.8×
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $1,640–$2,698 $3,280–$5,396 varies
Bone Graft Any Donor Area Major/Large (20902) $12,756.24 $25,938.59 1.8×
Bone Graft Any Donor Area Minor/Small (20900) $12,756.24 $25,938.59 1.8×
Bone marrow harvest allogen (38230) $2,737.92 $5,439.36 1.8×
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $2,903.47 $6,331.50–$11,304 1.8×
Breast augmentation with implant (19325) $14,368.61 $26,417.22 1.8×
Breast Reduction (19318) $11,673.25 $22,135.76 1.7×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $5,752.09 $12,815.85 1.7×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,826.81 $6,265.58 1.8×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $5,752.09 $12,815.85 1.7×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $12,756.24 $25,938.59 1.8×
Capsulotomy Posterior Capsular Release Knee (27435) $5,752.09 $14,352 1.7×
Carpal Tunnel Surgery (64721) $3,432.84 $10,526.34 1.8×
Carpectomy All Bones Proximal Row (25215) $5,752.09 $12,960 1.7×
Cataract surgery complex (66982) $4,057.10 $20,791.60 1.8×
Cerv artific diskectomy (22856) $30,824 $87,590.52 1.7×
Chemical peel, facial; epidermal (15788) $714.64 $9,000 1.7×
Chemodenerv 1 extrem 5/> mus (64644) $1,240.92 $2,625 1.7×
Chemodenerv 1 extremity 1-4 (64642) $1,240.92 $3,808 1.7×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $539.61 $2,550–$2,685 1.7×
Chemodenerv trunk musc 1-5 (64646) $1,240.92 $2,685 1.7×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $6,911.30 $9,089.99 1.8×
Claviculectomy partial (23120) $5,752.09 $12,815.85 1.7×
Claviculectomy; total (23125) $5,752.09 $18,847 1.7×
Closed Rx Metacarpal Fx,Percut (26608) $5,752.09 $12,815.85 1.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,828.49 $9,309 1.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,826.81 $5,690.04 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $433.63 $2,625 1.7×
Cltx post hip arthrp dislc req anes (27266) $2,826.81 $3,465 1.8×
Collection of venous blood by venipuncture (36415) $21.43 $42.86 2.3×
Colonoscopy w/ablation (45388) $4,516.50 $9,033 3.8×
Colonoscopy w/fb removal (45379) $4,516.50 $9,033 3.8×
Colonoscopy w/submucosal inj (45381) $2,103.67 $6,221.76 1.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $4,516.50 $9,033 3.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $4,516.50 $9,033 3.8×
Complex drainage wound (10180) $5,106.42 $7,110.03 1.8×
Correction hammertoe (28285) $5,752.09 $14,871.60 1.7×
Correction of inverted nipples (19355) $6,883.23 $19,555.95 1.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,752.09 $24,786 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $22,570.07 $25,938.59 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $12,756.24 $25,938.59 1.8×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $5,752.09 $12,815.85 1.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $12,756.24 $25,938.59 1.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $714.64 $2,550 1.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $5,106.42 $16,590.07 1.8×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,752.09 $12,815.85 1.7×
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $12,756.24 $38,145 1.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,299.27 $3,366 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,903.47 $3,366 1.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $714.64 $3,366 1.7×
Decompress Spinal Cord Lmbr (63056) $12,756.24 $25,938.59 1.8×
Decompression internal auditory canal Facility (69960) $10,406.91 $21,423 1.7×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $3,432.84 $7,063–$10,526.34 1.8×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $3,627.19 $14,656.04 1.8×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $3,627.19 $7,719.12 1.8×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $3,627.19 $5,247.78 1.8×
Derma-fat-fascia graft (15770) $2,669.90 $10,992.01 0.7×
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $1,554.88 $6,579.68–$17,768 1.8×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $3,432.84 $10,500–$17,548.57 1.8×
Destroy lumb/sac facet jnt (64635)
range across 5 matching MRF lines		 $3,432.84 $10,500–$33,422 1.8×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $1,554.88 $2,550–$17,768 1.8×
Destruction by neurolytic agent; plantar common digital nerve (64632) $539.61 $2,685 1.7×
Destruction by neurolytic agent; pudendal nerve (64630)
range across 2 matching MRF lines		 $1,554.88 $8,551.07–$9,865 1.8×
Destruction neurolytic agt genicular nerve w/img (64624) $3,432.84 $9,210.80 1.8×
Diagnostic sigmoidoscopy (45330) $2,954.50 $5,909 3.2×
Dilation Esophagus Guide Wire (43453) $3,373.39 $4,617.17 1.8×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $12,756.24 $39,687.78 1.8×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $3,129.02 $3,366 1.8×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $10,406.91 $12,000 1.7×
Drain Cerebro Spinal Fluid (62272) $1,240.92 $3,172.95 1.7×
Drainage Abscess/Hematoma Nasal Septum (30020) $948.13 $2,550 1.7×
Drainage Finger Abscess Complicated (26011) $2,903.47 $4,924.50 1.8×
Drainage of finger abscess simple (26010) $352.71 $6,120 1.7×
Drainage of hematoma/fluid (10140) $2,903.47 $4,924.50 1.8×
Drainage of palmar bursa single bursa (26025) $5,752.09 $12,815.85 1.7×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $3,432.84 $10,526.34 1.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $1,554.88 $2,550–$9,865 1.8×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,554.88 $3,366 1.8×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600)
range across 2 matching MRF lines		 $1,554.88 $2,550–$17,768 1.8×
Dx Bronchoscope/Wash (31622) $3,129.02 $3,740.98 1.8×
Dx Laryngoscopy Excl Nb (31525) $3,129.02 $3,740.98 1.8×
Dx laryngoscopy w/oper scope (31526) $3,129.02 $8,029 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,373.39 $8,125.10 1.8×
Egd cautery tumor polyp (43250) $3,373.39 $10,337.20 1.8×
Egd control bleeding any (43255) $3,373.39 $5,687.57 1.8×
Egd dilation gastric/duodenal stricture (43245) $3,373.39 $6,309.45 1.8×
Egd Flexible Foreign Body Removal (43247) $1,594.46 $3,366 1.8×
Egd remove lesion snare (43251) $3,373.39 $5,687.57 1.8×
Egd W/Thrml Txmnt Gerd (43257) $15,064 $30,128 3.9×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $539.94 $2,526–$3,366 1.7×
Endoscopic plantar fasciotomy (29893) $5,752.09 $12,815.85 1.7×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $5,550.77 $14,618.15–$59,825.76 1.7×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $6,528 $13,056 3.4×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,240.92 $3,807.54–$7,022 1.7×
Epidural lysis mult sessions (62263) $1,554.88 $2,550 1.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,594.46 $3,643.20 1.8×
Esophagoscop Stent Placement (43212) $8,034.50 $16,069 1.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $3,373.39 $5,899.72 1.8×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $7,086.50 $14,173 1.8×
Esophagoscopy rigid trnso dx (43191) $3,373.39 $7,857.10 1.8×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,903.47 $7,035 1.8×
Exc arm/elbow les sc < 3 cm (24075) $2,903.47 $5,931 1.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,244.88 $2,550 1.8×
Exc Back Tum Deep 5 Cm/> (21933) $5,106.42 $22,980.36 1.8×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $10,406.91 $16,739.13 1.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,244.88 $4,950 1.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,244.88 $2,798.87 1.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,903.47 $5,998.20 1.8×
Exc Forearm Tum Deep 3 Cm/> (25073) $5,106.42 $11,594.95 1.8×
Exc ganglion wrist recurrent (25112) $2,826.81 $4,593.99 1.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,903.47 $4,920 1.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,903.47 $3,500 1.8×
Exc Hand Les Sc < 1.5 Cm (26115) $2,903.47 $4,924.50 1.8×
Exc hand tum deep < 1.5 cm (26116) $2,903.47 $8,442 1.8×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,826.81 $6,265.58 1.8×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,826.81 $6,265.58 1.8×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $5,828.49 $9,577.37 1.7×
Exc lesion tongue w/clsr w/local tongue flap (41114) $5,828.49 $14,225.15 1.7×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $3,432.84 $7,063 1.8×
Exc neuroma hand/foot xcp digital nerve (64782) $3,432.84 $16,645 1.8×
Exc neuroma major peripheral nrv xcp sciatic (64784) $3,432.84 $7,173.24 1.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $5,106.42 $14,220.06 1.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,903.47 $18,006 1.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $5,106.42 $10,333 1.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,903.47 $4,634.25 1.8×
Exc thigh/knee tum dep 5cm/> (27339) $5,106.42 $11,594.45 1.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,244.88 $7,500 1.8×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,903.47 $4,310.97 1.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $5,106.42 $10,395 1.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $2,903.47 $4,924.50 1.8×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,903.47 $7,035 1.8×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $5,106.42 $12,687 1.8×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $5,106.42 $11,891.45 1.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $5,106.42 $8,295.04 1.8×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $5,106.42 $26,419 1.8×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $5,106.42 $8,295.04 1.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $5,106.42 $8,295.04 1.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,903.47 $9,600 1.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $5,106.42 $8,295.04 1.8×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $5,106.42 $7,110.03 1.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,903.47 $4,498.65 1.8×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,106.42 $7,110.03 1.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,903.47 $11,636 1.8×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $5,106.42 $8,295.04 1.8×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $12,756.24 $25,938.59 1.8×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $5,752.09 $14,352 1.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,826.81 $14,352 1.8×
Exchange Intraocular Lens (66986) $4,057.10 $13,049.99 1.8×
Excis Mouth Complex,Exc Thru Muscle (40816) $5,828.49 $11,778 1.7×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,727.64 $5,526.16 1.8×
Excise excessive skin arm (15836) $5,106.42 $10,333 1.8×
Excise intraspinal lesion (63267) $12,756.24 $25,938.59 1.8×
Excise mandible lesion (21040) $5,828.49 $15,750 1.7×
Excise tendon forearm/wrist (25109) $5,752.09 $18,847 1.7×
Excise Wrist Tendon Sheath (25118) $2,826.81 $6,776.95 1.8×
Excision Chest Wall Tumor Including Ribs (21601) $5,106.42 $10,829.40 1.8×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $10,406.91 $21,423 1.7×
Excision Distal Ulna Partial/Complete (25240) $5,752.09 $12,815.85 1.7×
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 2 matching MRF lines		 $5,106.42 $10,333–$10,395 1.8×
Excision exostosis(es), external auditory canal Facility (69140) $10,406.91 $17,845.35 1.7×
Excision External Ear Partial Simple Repair (69110) $5,106.42 $10,395 1.8×
Excision Hidradenitis Axillary Complex Repair (11451) $5,106.42 $7,500 1.8×
Excision Hidradenitis Inguinal Complex Repair (11463) $5,106.42 $7,500 1.8×
Excision inferior turbinate partial/complete (30130) $5,828.49 $11,241 1.7×
Excision Lesion Conjunctiva </1 Cm (68110) $4,179.56 $7,008.23 1.8×
Excision lesion conjunctiva > 1 cm (68115) $4,179.56 $5,506.46 1.8×
Excision lesion meniscus/capsule knee (27347) $5,752.09 $12,815.85 1.7×
Excision Lesion Tongue W/O Closure (41110) $5,828.49 $14,225.15 1.7×
Excision Lingual Frenum Frenectomy (41115) $2,727.64 $4,734.77 1.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,903.47 $5,855.96 1.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $5,106.42 $10,395 1.8×
Excision Nasal Polyp Extensive (30115) $5,828.49 $8,381.94 1.7×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $10,406.91 $17,229.45 1.7×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,826.81 $6,961.75 1.8×
Excision of hydrocele; unilateral (55040) $6,294.25 $14,167.72 1.7×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $3,432.84 $7,063 1.8×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $10,406.91 $17,801.18 1.7×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $10,406.91 $18,468.60 1.7×
Excision of sublingual gland (42450) $10,406.91 $12,312.42 1.7×
Excision of submandibular (submaxillary) gland (42440) $10,406.91 $12,312.42 1.7×
Excision olecranon bursa (24105) $5,752.09 $12,815.85 1.7×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $5,752.09 $12,815.85 1.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $5,106.42 $10,395 1.8×
Excision prepatellar bursa (27340) $5,752.09 $17,353.68 1.7×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $11,673.25 $13,834.85 1.7×
Excision soft tissue lesion, external auditory canal (69145) $5,106.42 $8,122.05 1.8×
Excision tendon finger flexor/extensor each (26180) $2,826.81 $6,265.58 1.8×
Excision tendon palm flexor/extensor single each (26170) $2,826.81 $4,593.99 1.8×
Excision Thyroglossal Duct Cyst/Sinus (60280) $10,627.88 $21,108 1.7×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $10,627.88 $21,108 1.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,903.47 $5,931 1.8×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $5,106.42 $5,925.03 1.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,903.47 $4,221 1.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $5,106.42 $11,594.45 1.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $5,106.42 $12,243 1.8×
Excision, interdigital (morton) neuroma, single, each (28080) $2,826.81 $14,871.60 1.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $5,106.42 $10,395 1.8×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,903.47 $4,924.50 1.8×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $5,106.42 $10,333 1.8×
Excision/curettage cyst/tumor carpal bones (25130) $5,752.09 $18,847 1.7×
Excision/curettage cyst/tumor phalanx finger (26210) $2,826.81 $4,873.23 1.8×
Excision/destruction intranasal lesion int appr (30117) $5,828.49 $9,577.37 1.7×
Excision/destruction lesion pharynx any method (42808) $5,828.49 $16,763.88 1.7×
Excision/Transposition Pterygium W/Grafg (65426) $4,179.56 $5,005.88 1.8×
Excision; trochanteric bursa or calcification (27062) $5,752.09 $12,815.85 1.7×
Explo/Drain Breast Abscess (19020) $2,903.47 $5,747.96 1.8×
Exploration of knee joint (27310) $5,752.09 $12,815.85 1.7×
Exploration of spinal fusion (22830) $12,756.24 $15,000 1.8×
Exploration penetrating wound spx extremity (20103) $2,903.47 $3,731.82 1.8×
Explore treat shoulder joint (23107) $12,756.24 $37,590 1.8×
Explore/Treat Elbow Joint (24101) $5,752.09 $12,815.85 1.7×
Extensive ear canal surgery (69150) $10,406.91 $21,423 1.7×
Extensive mastoid surgery (69511) $4,460.10 $21,423 0.7×
Fasciectomy Palm Only (26121) $5,752.09 $12,815.85 1.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $5,752.09 $12,815.85 1.7×
Fasciotomy palmar open partial (26045) $5,752.09 $12,815.85 1.7×
Fasciotomy, foot and/or toe (28008) $5,752.09 $12,815.85 1.7×
Fasciotomy, hip or thigh, any type (27025) $5,752.09 $26,458.52 1.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $5,752.09 $16,200 1.7×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,627.19 $6,003.76 1.8×
Finger tendon transfer (26497) $5,752.09 $16,424.70 1.7×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $5,828.49 $12,270.48 1.7×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,627.19 $5,177.58 1.8×
Fuse hand bones with graft (25825) $12,756.24 $25,938.59 1.8×
Fusion Finger Joint (26860) $5,752.09 $12,815.85 1.7×
Fusion of foot bones (28740) $12,756.24 $25,938.59 1.8×
Fusion of knuckle (26850) $12,756.24 $38,145 1.8×
Fusion of knuckle with graft (26852) $12,756.24 $25,938.59 1.8×
Fusion/graft of hand joint (26844) $12,756.24 $38,145 1.8×
Gastrocnemius recession (27687) $5,752.09 $19,812.80 1.7×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $10,406.91 $21,423 1.7×
Goniotomy (65820) $7,266.45 $11,753.22 1.7×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $4,460.10 $12,715.13 0.7×
Grafting of autologous fat by lipo 25 cc or less (15773) $3,627.19 $5,212.59 1.8×
Grafting of autologous fat by lipo 50 cc or less (15771) $6,229.78 $21,132.90 1.8×
Grafting of autologous soft tiss by direct exc (15769) $6,229.78 $14,088.60 1.8×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $12,756.24 $28,192.28 1.8×
Hand tendon reconstruction (26500) $12,756.24 $25,938.59 1.8×
Hip arthro acetabuloplasty (29915) $12,756.24 $54,434.97 1.8×
Hip arthro w/labral repair (29916) $12,756.24 $64,435 1.8×
I&d abscess simple (10060) $352.71 $2,550 1.7×
I&D Below Fascia Foot 1 Bursal Space (28002) $2,826.81 $8,535.06 1.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,106.42 $10,333 1.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $5,106.42 $8,122.05 1.8×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $5,752.09 $16,982.40 1.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,752.09 $12,815.85 1.7×
Immediate breast prosthesis (19340) $14,368.61 $19,555.95 1.8×
Implant cochlear device (69930) $24,841.78 $319,514 0.8×
Implant neuroelectrodes (63650) $11,203.56 $26,065.12 1.7×
Implant Periph/Gastric Neurostim/Receiver (64590) $34,104.91 $250,114.08 1.8×
Implant Spine Infusion Pump (62362) $31,685.47 $85,159.50 1.7×
Implant temple bone w/stimul (69714) $9,672.89 $98,518.08 0.7×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $22,570.07 $53,599 1.7×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) $22,570.07 $37,619.46 1.7×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $12,756.24 $28,192.28 1.8×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $15,427.72 $41,062.28 1.8×
Incise finger tendon sheath (26055) $2,826.81 $8,354.10 1.8×
Incision & drainage abscess complicated/multiple (10061) $714.64 $2,550 1.7×
Incision & drainage leg/ankle abscess/hematoma (27603) $5,106.42 $7,264.65 1.8×
Incision & removal foreign body subq tiss compl (10121) $2,903.47 $5,998.20 1.8×
Incision & removal foreign body subq tiss simple (10120) $714.64 $2,550 1.7×
Incision bone cortex foot (28005) $5,752.09 $12,815.85 1.7×
Incision extensor tendon sheath wrist (25000) $2,826.81 $8,354.10 1.8×
Incision of eardrum (69421) $5,828.49 $7,500 1.7×
Incision of Foot Tendon (28234) $2,826.81 $8,201 1.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,903.47 $4,924.50 1.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $1,554.88 $6,426–$19,730 1.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,554.88 $17,768 1.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines		 $1,554.88 $2,550–$14,044 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $539.61 $2,550–$5,370 1.7×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $1,554.88 $2,550–$7,022 1.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,554.88 $9,865 1.8×
Injection aa&/strd genicular nrv branches w/img (64454) $1,240.92 $2,550 1.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $1,554.88 $2,550–$14,044 1.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,240.92 $3,808 1.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $1,240.92 $2,855.66–$14,044 1.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,554.88 $9,865 1.8×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $539.61 $2,550–$2,685 1.7×
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $1,554.88 $3,366–$9,865 1.8×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $1,240.92 $3,172.95–$7,022 1.7×
Injection Into Brain Canal (61055) $539.61 $7,022 1.7×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $539.61 $2,550–$5,370 1.7×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $539.61 $2,685–$6,426 1.7×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $539.61 $2,550–$2,685 1.7×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $539.61 $2,550–$5,370 1.7×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $1,554.88 $2,625–$9,865 1.8×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $1,240.92 $6,120–$7,022 1.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $1,240.92 $2,538.36–$8,142 1.7×
Injection, intralesional; up to and including 7 lesions (11900) $352.71 $2,550 1.7×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,554.88 $17,768 1.8×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,554.88 $17,768 1.8×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,554.88 $9,865 1.8×
Inner ear surgery proc unlisted (69949) $416.38 $2,550 1.8×
Insert Drug Implant Device (11981) $233.90 $2,550 1.8×
Insert spine infusion device (62360) $31,685.47 $104,431.86 1.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $5,175 $10,350 3.3×
Insj Stablj Dev W/Dcmprn (22867) $30,824 $99,080.16 1.7×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $22,570.07 $55,416.42 1.7×
Insj/rplcmt breast implant sep day mastectomy (19342) $14,368.61 $26,760.12 1.8×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) $54,247.05 $89,103 1.8×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $54,247.05 $310,656.05 1.8×
Knee arthroscopy/drainage (29871) $5,752.09 $17,353.68 1.7×
Knee Arthroscopy/Surgery (29885) $12,756.24 $25,938.59 1.8×
Knee Arthroscopy/Surgery (29874) $5,752.09 $36,575.10 1.7×
Labyrinthectomy; with mastoidectomy Facility (69910) $10,406.91 $21,423 1.7×
Lam facetec & foramot lumbar (63047) $12,756.24 $25,938.59 1.8×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $12,756.24 $25,938.59 1.8×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $12,756.24 $53,592 1.8×
Laminotomy Single Lumbar (63042) $12,756.24 $25,938.59 1.8×
Lap paraesoph her rpr w/mesh (43282) $18,686.98 $22,269.15 1.8×
Lap paraesophag hern repair (43281) $18,686.98 $22,269.15 1.8×
Laparoscopy Enterolysis Separate Procedure (44180) $10,627.88 $79,281.84 1.7×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $10,627.88 $30,362.64 1.7×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $18,686.98 $25,000 1.8×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $18,686.98 $25,000 1.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $10,627.88 $31,006.14 1.7×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $10,627.88 $20,695 1.7×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $10,627.88 $22,771.98 1.7×
Laps Gastric Restrictive Px Remove Device & Port (43774) $6,777.82 $13,863.56 1.8×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $6,554.34 $9,294.06 1.7×
Laryngoscopy flexible diagnostic (31575) $350.90 $3,366 1.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,129.02 $4,851.42 1.8×
Laryngoscopy W/Biopsy (31535) $6,554.34 $13,941.09 1.7×
Laryngoscopy w/biopsy microscope/telescope (31536) $6,554.34 $7,745.05 1.7×
Larynscop w/tumr exc + scope (31541) $6,554.34 $9,294.06 1.7×
Late closure of wound (13160) $6,229.78 $6,480 1.8×
Ligamentous Reconstruction Knee Extra-Articular (27427) $12,756.24 $25,938.59 1.8×
Ligate leg veins open (37761) $5,550.77 $11,915.88 1.7×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $5,550.77 $14,618.15 1.7×
Low Back Disk Surgery (63030) $12,756.24 $25,938.59 1.8×
Lumbar spine fusion combined (22633) $47,700.92 $88,781.40 1.7×
Lysis Intranasal Synechia (30560) $948.13 $4,950 1.7×
Manipulation Ankle Under General Anesthesia (27860) $5,752.09 $12,815.85 1.7×
Manipulation Elbow Under Anesthesia (24300) $2,826.81 $4,873.23 1.8×
Manipulation knee joint under general anesthesia (27570) $2,826.81 $4,873.23 1.8×
Manipulation wrist under anesthesia (25259) $2,826.81 $3,828.96 1.8×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,826.81 $8,354.10 1.8×
Mastectomy for gynecomastia (19300) $6,883.23 $12,745.43 1.7×
Mastectomy partial (19301) $6,883.23 $13,655.82 1.7×
Mastoidectomy; complete (69502) $4,460.10 $16,739.13 0.7×
Mastopexy (19316) $11,673.25 $23,772.60 1.7×
Middle ear expl thru postaur/ear canal inc (69440) $2,497.93 $9,202.86 0.8×
Middle ear surgery proc unlisted (69799) $416.38 $2,625 1.8×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $3,627.19 $10,292.16 1.8×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,669.90 $10,566.45 0.7×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $12,756.24 $25,938.59 1.8×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $6,229.78 $10,254.78 1.8×
Muscle-skin graft trunk (15734) $6,229.78 $10,566.45 1.8×
Myelography Lumbar Injection (62305) $1,378.11 $3,366 1.8×
Myringoplasty (69620) $2,497.93 $11,778 0.8×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $1,554.88 $2,550–$9,865 1.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $1,240.92 $2,855.66–$7,022 1.7×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $1,240.92 $3,172.95–$7,022 1.7×
N Block Inj Paracervical (64435) $1,240.92 $2,625 1.7×
N Block Inj Plantar Digit (64455) $539.61 $2,625 1.7×
N Block Inj Pudendal (64430) $1,554.88 $7,022 1.8×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $1,554.88 $2,550–$7,022 1.8×
Nasal Endoscopy Dx (31231) $350.90 $4,950 1.7×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $6,554.34 $18,588.12 1.7×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $12,406.83 $14,556.90 1.7×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,129.02 $12,847 1.8×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $3,129.02 $8,978.34 1.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,129.02 $6,733.76 1.8×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $12,406.83 $14,556.90 1.7×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $12,406.83 $23,291.04 1.7×
Nasal/sinus ndsc total with sphenoidotomy (31257) $12,406.83 $15,000 1.7×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $12,406.83 $14,453 1.7×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $12,406.83 $23,291.04 1.7×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $12,406.83 $46,582.08 1.7×
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) $12,756.24 $25,938.59 1.8×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,826.81 $11,138.80 1.8×
Neck spine disk surgery (63020) $12,756.24 $39,687.78 1.8×
Neck spine fusion (22600) $30,824 $45,000 1.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $57 $114 2.0×
Nerve repair w/conduit each nerve (64910) $15,427.72 $17,100.87 1.8×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,432.84 $10,526.34 1.8×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $3,432.84 $14,035.12 1.8×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $3,432.84 $7,063 1.8×
Nipple/areola reconstruction (19350) $6,883.23 $10,895.37 1.7×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $1,554.88 $2,550–$7,022 1.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $539.61 $2,550–$2,685 1.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $1,554.88 $6,426–$19,730 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,554.88 $4,112.30 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $1,240.92 $2,550–$7,022 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $1,240.92 $2,550–$7,022 1.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,554.88 $9,865 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 2 matching MRF lines		 $1,554.88 $4,934.76–$9,865 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $1,240.92 $2,550–$7,022 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 4 matching MRF lines		 $1,554.88 $2,625–$9,865 1.8×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,627.19 $8,746.30 1.8×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,627.19 $8,746.30 1.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $714.64 $2,550–$14,618.15 1.7×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $12,406.83 $14,453 1.7×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $12,406.83 $16,059 1.7×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $539.61 $2,550–$8,142 1.7×
Ocular Surface Reconstruction Amniotic Membrane (65780) $6,911.30 $9,916.35 1.8×
Omntc Epiploectomy Rescj Omentum Spx (49255) $11,380.81 $14,325.35 1.8×
Open Implantation Nea Peripheral Nerve (64575) $19,588.57 $77,873.70 1.7×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $78,750.88 $95,000 1.8×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $54,247.05 $295,863 1.8×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $12,756.24 $25,938.59 1.8×
Open Repair of Rotator Cuff Acute (23410) $12,756.24 $31,324.75 1.8×
Open Treatment Bimalleolar Ankle Fracture (27814) $12,756.24 $25,938.59 1.8×
Open treatment calcaneal fracture (28415) $12,756.24 $35,891.70 1.8×
Open Treatment Fracture Distal Tibia & Fibula (27828) $22,570.07 $75,238.92 1.7×
Open treatment fracture distal tibia only (27827) $22,570.07 $75,235.74 1.7×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $12,756.24 $25,938.59 1.8×
Open Treatment Humeral Condylar Fracture (24579) $22,570.07 $78,288.48 1.7×
Open Treatment Lunate Dislocation (25695) $12,756.24 $25,938.59 1.8×
Open Treatment Medial Malleolus Fracture (27766) $12,756.24 $37,589.70 1.8×
Open treatment metatarsal fracture each (28485) $12,756.24 $25,938.59 1.8×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $12,756.24 $72,580 1.8×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $12,756.24 $25,938.59 1.8×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $12,756.24 $25,938.59 1.8×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $22,570.07 $25,000 1.7×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $12,756.24 $39,687.78 1.8×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $22,570.07 $36,447.60 1.7×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $5,828.49 $12,313.76 1.7×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $5,752.09 $12,815.85 1.7×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $12,756.24 $39,687.78 1.8×
Open Treatment of Ulnar Shaft Fracture (25545) $12,756.24 $25,938.59 1.8×
Open treatment of ulnar styloid fracture (25652) $12,756.24 $25,938.59 1.8×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $12,756.24 $25,938.59 1.8×
Open Treatment Proximal Humeral Fracture (23615) $22,570.07 $36,447.60 1.7×
Open Tx Acute/Chronic Elbow Dislocation (24615) $12,756.24 $38,382.30 1.8×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $5,752.09 $12,815.85 1.7×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $5,752.09 $22,566.55 1.7×
Open tx carpal scaphoid navicular fracture (25628) $12,756.24 $35,891.70 1.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $12,756.24 $25,938.59 1.8×
Open Tx Distal Phalangeal Fracture Each (26765) $5,752.09 $12,815.85 1.7×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $12,756.24 $15,000 1.8×
Open Tx Distal Tibiofibular Joint Disruption (27829) $12,756.24 $25,938.59 1.8×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $5,752.09 $16,982.40 1.7×
Open tx interphalangeal joint dislocation (26785) $5,752.09 $12,815.85 1.7×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $5,752.09 $12,815.85 1.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $5,752.09 $12,815.85 1.7×
Open Tx Radial Head/Neck Fracture (24665) $12,756.24 $25,938.59 1.8×
Open Tx Radial Head/Neck Fracture Prosth (24666) $22,570.07 $75,235.74 1.7×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $12,756.24 $25,938.59 1.8×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $12,756.24 $37,589.70 1.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $12,756.24 $25,938.59 1.8×
Open tx ulnar fx proximal end (24685) $12,756.24 $38,382.30 1.8×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $12,756.24 $25,938.59 1.8×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $12,756.24 $37,589.70 1.8×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $22,570.07 $73,888.56 1.7×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $22,570.07 $50,159.28 1.7×
Ostc compl all metar heads w/prtl prox phalangc (28114) $5,752.09 $17,353.68 1.7×
Ostc prtl exostc/condylc metar head (28288) $5,752.09 $12,815.85 1.7×
Ostectomy calcaneus (28118) $5,752.09 $12,815.85 1.7×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $5,752.09 $16,228.62 1.7×
Ostectomy, complete excision; fifth metatarsal head (28113) $5,752.09 $12,815.85 1.7×
Ostectomy, complete excision; first metatarsal head (28111) $5,752.09 $16,228.62 1.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $5,752.09 $12,815.85 1.7×
Osteochondral allograft knee open (27415) $22,570.07 $78,288.48 1.7×
Osteochondral talus autogrft (28446) $12,756.24 $25,938.59 1.8×
Osteoplasty Radius/Ulna Shortening (25390) $12,756.24 $39,687.78 1.8×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $12,756.24 $25,938.59 1.8×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $5,752.09 $12,815.85 1.7×
Osteotomy calcaneus w/wo internal fixation (28300) $12,756.24 $25,938.59 1.8×
Osteotomy Clavicle W Bone Graft (23485) $22,570.07 $73,888.56 1.7×
Osteotomy radius distal third (25350) $12,756.24 $25,938.59 1.8×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $12,756.24 $25,938.59 1.8×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $12,756.24 $23,400 1.8×
Osteotomy, iliac, acetabular or innominate bone; Facility (27146) $12,756.24 $15,000 1.8×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $12,756.24 $25,938.59 1.8×
Palatopharyngoplasty (42145) $10,406.91 $12,715.13 1.7×
Part remv talus or calcaneus (28120) $5,752.09 $14,152 1.7×
Partial excision bone metacarpal (26230) $5,752.09 $18,847 1.7×
Partial Excision Distal Phalanx Finger (26236) $2,826.81 $6,265.58 1.8×
Partial excision of lip (40520) $5,828.49 $14,225.15 1.7×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,826.81 $4,593.99 1.8×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $5,752.09 $7,389 1.7×
Partial removal of rib (21600) $12,756.24 $38,145 1.8×
Partial removal of thyroid (60220) $10,627.88 $30,362.64 1.7×
Partial removal of tibia (27640) $5,752.09 $12,815.85 1.7×
Partial removal of toe (28160) $5,752.09 $12,815.85 1.7×
Partical Excision Bone Phalanx Toe (28124) $5,752.09 $12,815.85 1.7×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) $19,588.57 $47,810.36 1.7×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $5,752.09 $12,815.85 1.7×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $5,752.09 $12,815.85 1.7×
Peri-Implant Capsulectomy Breast Complete (19371) $6,883.23 $9,473.22 1.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $12,756.24 $25,938.59 1.8×
Perq Vertebral Augmentation (22513) $12,756.24 $25,938.59 1.8×
Phleb Veins - Extrem 20+ (37766) $5,550.77 $11,915.88 1.7×
Pin Finger Dislocation (26776) $5,752.09 $12,815.85 1.7×
Pin hand dislocation (26676) $5,752.09 $12,815.85 1.7×
Place Amniotic Membrane Ocular Surface Sutured (65779) $6,911.30 $20,260.08 1.8×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $10,406.91 $40,688.40 1.7×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $11,203.56 $52,130.24 1.7×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264)
range across 2 matching MRF lines		 $1,554.88 $4,934.76–$9,865 1.8×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $5,752.09 $12,815.85 1.7×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $5,752.09 $12,815.85 1.7×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,240.92 $2,855.66 1.7×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,240.92 $2,550 1.7×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $12,756.24 $38,382.30 1.8×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,826.81 $6,961.75 1.8×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $5,752.09 $13,479 1.7×
Rad resect elbow caps/sr bone w rels (24149) $12,756.24 $25,938.59 1.8×
Rad resect hand tumor 3 cm/> (26118) $5,106.42 $8,295.04 1.8×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $5,106.42 $13,913.34 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $5,106.42 $7,110.03 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $5,106.42 $18,930.45 1.8×
Radical styloidectomy separate procedure (25230) $5,752.09 $14,640 1.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,432.84 $7,894.76 1.8×
Rcnstj angular dfrm toe soft tiss px only (28313) $5,752.09 $16,228.62 1.7×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $5,752.09 $12,815.85 1.7×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $5,752.09 $17,353.68 1.7×
Rcnstj Dislocating Patella (27420) $12,756.24 $26,458.52 1.8×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $12,756.24 $25,938.59 1.8×
Realignment extensor tendon hand each tendon (26437) $5,752.09 $17,353.68 1.7×
Reconstruct elbow med ligmnt (24346) $22,570.07 $36,944.28 1.7×
Reconstruct finger joint (26545) $5,752.09 $12,736.80 1.7×
Reconstruct Finger Joint (26548) $5,752.09 $12,736.80 1.7×
Reconstruct ulna/radioulnar (25337) $12,756.24 $25,938.59 1.8×
Reconstruct wrist joint (25445) $12,756.24 $25,938.59 1.8×
Reconstruction Nail Bed W/Graft (11762) $3,627.19 $7,719.12 1.8×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $12,756.24 $25,938.59 1.8×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $4,460.10 $16,739.13 0.7×
Release foot/toe nerve (64726) $3,432.84 $10,526.34 1.8×
Release of big toe (28240) $5,752.09 $18,847 1.7×
Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) $5,752.09 $18,847 1.7×
Removal Foreign Body Deep Thigh/Knee (27372) $5,106.42 $15,499.50 1.8×
Removal Foreign Body Foot Complicated (28193) $2,903.47 $6,331.50 1.8×
Removal foreign body foot deep (28192) $2,903.47 $4,924.50 1.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,903.47 $5,931 1.8×
Removal foreign body, intranasal; requiring general anesthesia (30310) $5,828.49 $11,778 1.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $103.71 $2,550 1.8×
Removal Implant Deep (20680) $5,106.42 $11,850.05 1.8×
Removal Implant Superficial Separate Procedure (20670) $2,903.47 $3,840 1.8×
Removal intact breast implant (19328) $6,883.23 $9,777.99 1.7×
Removal of adenoids (42831) $1,500 $9,577.37 0.5×
Removal of adenoids (42830) $1,500 $9,577.37 0.5×
Removal of ankle implant (27704) $5,752.09 $12,815.85 1.7×
Removal of anterior instrumentation (22855) $12,756.24 $15,000 1.8×
Removal of heel spur (28119) $5,752.09 $12,815.85 1.7×
Removal of implant from finger or hand (26320) $2,903.47 $12,539.82 1.8×
Removal of mammary implant material (19330) $6,883.23 $12,900 1.7×
Removal of nail bed (11750) $714.64 $2,550 1.7×
Removal of posterior segmental instrumentation Facility (22852) $12,756.24 $30,822 1.8×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $12,756.24 $15,000 1.8×
Removal of sesamoid bone (28315) $5,752.09 $12,815.85 1.7×
Removal of skin wrinkles (15829) $6,229.78 $10,254.78 1.8×
Removal of sperm cord lesion (55520) $6,196.83 $12,753 1.8×
Removal of thyroid (60271) $10,406.91 $31,165.62 1.7×
Removal of tonsils (42826) $1,200 $21,891.12 0.4×
Removal of wrist bone (25210) $5,752.09 $12,960 1.7×
Removal shoulder foreign body deep subfascial/im (23333) $5,106.42 $10,395 1.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $352.71 $2,550 1.7×
Removal Submand Stone,Complicated (42335) $5,828.49 $14,225.15 1.7×
Removal, under anesthesia, of external fixation system (20694) $2,826.81 $8,354.10 1.8×
Remove & graft wrist lesion (25135) $12,756.24 $25,938.59 1.8×
Remove Ankle Joint Lining (27626) $5,752.09 $12,815.85 1.7×
Remove ear lesion (69552) $4,460.10 $16,739.13 0.7×
Remove ear lesion (69550) $4,460.10 $21,423 0.7×
Remove Elbow Joint Lining (24102) $5,752.09 $12,815.85 1.7×
Remove elbow lesion (24120) $5,752.09 $18,847 1.7×
Remove Forearm Foreign Body (25248) $2,826.81 $4,593.99 1.8×
Remove Gastric Port Open (43887) $3,627.19 $4,500 1.8×
Remove groin lymph nodes (38760) $11,673.25 $12,960.81 1.7×
Remove knee joint lining (27334) $5,752.09 $12,815.85 1.7×
Remove Lower Leg Bone Lesion (27635) $5,752.09 $16,403 1.7×
Remove spine eltrd plate (63662) $6,146.07 $9,725.70 1.8×
Remove spine fixation device (22850) $12,756.24 $35,100 1.8×
Remove Tendon Sheath Lesion (26160) $2,826.81 $9,720 1.8×
Remove tissue expander (11971) $5,106.42 $8,122.05 1.8×
Remove vc lesion w/scope (31545) $6,554.34 $6,661 1.7×
Remove/graft finger lesion (26215) $5,752.09 $12,815.85 1.7×
Remove/graft foot lesion (28107) $12,756.24 $38,145 1.8×
Remove/graft forearm lesion (25125) $2,826.81 $6,125.32 1.8×
Remove/graft leg bone lesion (27637) $12,756.24 $25,938.59 1.8×
Remv cartilage for graft nasal (20912) $6,229.78 $13,124 1.8×
Repair Achilles Tendon (27650) $12,756.24 $39,687.78 1.8×
Repair arm/leg nerve (64857) $6,005.50 $45,602.32 1.7×
Repair Blood Vessel Direct Hand Finger (35207) $5,550.77 $17,169.96 1.7×
Repair Blood Vessel Direct Upper Extremity (35206) $5,550.77 $34,339.92 1.7×
Repair brow ptosis (67900) $4,179.56 $12,014.10 1.8×
Repair Collat Ankle Ligmnt,Secondary (27698) $12,756.24 $37,589.70 1.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,299.27 $3,916.80 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $714.64 $3,916.80 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $714.64 $3,664 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $714.64 $3,916.80 1.7×
Repair complex trunk 1.1-2.5 cm (13100) $1,299.27 $3,366 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $1,299.27 $5,496.03 1.7×
Repair Ectropion Extensive (67917) $4,179.56 $20,712 1.8×
Repair Elbow Perc (24357) $5,752.09 $17,353.68 1.7×
Repair Extensor Tendon Finger W/Graft Each (26420) $5,752.09 $17,353.68 1.7×
Repair extensor tendon finger w/o graft each (26418) $2,826.81 $6,265.58 1.8×
Repair Finger Tendon (26433) $5,752.09 $12,815.85 1.7×
Repair Finger/Hand Tendon (26350) $5,752.09 $12,815.85 1.7×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $5,752.09 $12,815.85 1.7×
Repair Foot Dislocation (28615) $12,756.24 $37,589.70 1.8×
Repair Forearm Tendon Sheath (25275) $5,752.09 $17,353.68 1.7×
Repair Hallux Rigidus (28289) $5,752.09 $12,815.85 1.7×
Repair Hand Joint (26540) $5,752.09 $22,256 1.7×
Repair Hand Tendon (26410) $2,826.81 $6,265.58 1.8×
Repair inguinal hernia, sliding, any age (49525) $6,294.25 $12,656 1.7×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $6,294.25 $12,656 1.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $6,294.25 $19,100.46 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $714.64 $2,550 1.7×
Repair nasal septal perforations (30630) $5,828.49 $9,202.86 1.7×
Repair Nasal Vestibular Stenosis (30465) $10,406.91 $17,929.40 1.7×
Repair Nonunion Carpal Bone Each Bone (25431) $12,756.24 $40,897.98 1.8×
Repair Nonunion Hand (26546) $12,756.24 $25,938.59 1.8×
Repair Nonunion/Malunion Tarsal Bones (28320) $22,570.07 $37,619.46 1.7×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $5,752.09 $12,736.80 1.7×
Repair of nail bed (11760) $1,299.27 $5,241.70 1.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $12,756.24 $25,588.20 1.8×
Repair of Ruptured Tendon (24342) $12,756.24 $25,938.59 1.8×
Repair oval window fistula (69666) $2,497.93 $5,450.22 0.8×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $6,294.25 $12,656 1.7×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $11,380.81 $27,676 1.8×
Repair Rotator Cuff Chronic (23412) $12,756.24 $31,324.75 1.8×
Repair round window fistula (69667) $2,497.93 $25,203.57 0.8×
Repair secondary achilles tendon w/wo graft (27654) $12,756.24 $25,938.59 1.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,752.09 $12,815.85 1.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $12,756.24 $25,938.59 1.8×
Repair webbed toe(s) (28345) $2,826.81 $5,738.08 1.8×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $12,756.24 $39,687.78 1.8×
Repair, primary, disrupted ligament, ankle; collateral (27695) $12,756.24 $25,938.59 1.8×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $12,756.24 $25,938.59 1.8×
Repair/graft achilles tendon (27652) $12,756.24 $25,938.59 1.8×
Repair/Graft Wrist Bone (25440) $12,756.24 $25,938.59 1.8×
Repair/Revise Wrist Joint (25320) $12,756.24 $25,938.59 1.8×
Repair/transpose nerve (64856) $15,427.72 $46,642.30 1.8×
Replace elbow joint (24363) $30,824 $53,268.84 1.7×
Replace/Revise Brain Shunt (62230) $15,427.72 $24,369 1.8×
Replacement Tissue Expander W/Permanent Implant (11970) $12,756.24 $25,938.59 1.8×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $4,057.10 $5,717.69 1.8×
Repr elbow lat ligmnt w/tiss (24343) $5,752.09 $12,736.80 1.7×
Repr torn cruciate knee ligam (27407) $12,756.24 $38,145 1.8×
Rerepair ing hernia reduce (49520) $6,294.25 $14,167.72 1.7×
Resect forarm/wrist tum 3cm> (25078) $5,106.42 $18,960.08 1.8×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $5,752.09 $12,815.85 1.7×
Rev/rmv prph sac/gstr npg/r (64595) $6,146.07 $20,074.38 1.8×
Revise external ear (69300) $5,828.49 $11,778 1.7×
Revise Hand/Foot Nerve (64704) $3,432.84 $10,526.34 1.8×
Revise knuckle joint (26530) $12,756.24 $39,687.78 1.8×
Revise radius & ulna (25365) $22,570.07 $36,447.60 1.7×
Revise Spine Eltrd Plate (63664) $19,588.57 $40,116.62 1.7×
Revise ulnar nerve at wrist (64719) $3,432.84 $6,140.37 1.8×
Revise/Implant Finger Joint (26536) $12,756.24 $31,985.25 1.8×
Revise/Repair Finger/Toe Nerve (64702) $3,432.84 $8,771.95 1.8×
Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) $10,406.91 $21,423 1.7×
Revision of big toe (28310) $12,756.24 $25,938.59 1.8×
Revision of foot (28116) $5,752.09 $16,982.40 1.7×
Revision of foot fascia (28250) $5,752.09 $17,353.68 1.7×
Revision of lower leg tendon (27685) $5,752.09 $12,815.85 1.7×
Revision of reconstructed breast (19380) $11,673.25 $33,203.64 1.7×
Revision of stapedectomy or stapedotomy Facility (69662) $10,406.91 $21,423 1.7×
Revision Peri-Implant Capsule Breast (19370) $6,883.23 $19,370 1.7×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $4,057.10 $8,483.44 1.8×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $11,203.56 $52,130.24 1.7×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $22,570.07 $53,599 1.7×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $30,824 $38,878.86 1.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $6,146.07 $25,090.91 1.8×
Revj/rmvl peripheral neurostimulator electrode (64585) $6,146.07 $20,074.38 1.8×
Revj/rpr oprative wound anterior segment (66250) $4,179.56 $8,174.80 1.8×
Rhinoplasty primary w/major septal repair (30420) $10,406.91 $16,739.13 1.7×
Rhinoplasty Secondary Major Revision (30450) $10,406.91 $22,318.84 1.7×
Rhinoplasty Secondary Minor Revision (30430) $10,406.91 $21,423 1.7×
Rhinp Prim Complete Xtrnl Parts (30410) $10,406.91 $16,739.13 1.7×
Rhytidectomy Neck W/Platysmal Tightening (15825) $6,229.78 $13,124 1.8×
Rib cartilage graft (21230) $10,406.91 $12,715.13 1.7×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,727.64 $4,734.77 1.8×
Rmvl embedded fb vestibule mouth comp (40805) $948.13 $3,366 1.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,903.47 $8,997.30 1.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,106.42 $22,800 1.8×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $4,057.10 $11,600 1.8×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $3,432.84 $6,140.37 1.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $3,432.84 $15,789.51 1.8×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $6,005.50 $17,100.87 1.7×
Rmvl Vitreous Ant Appr Partial Removal (67005) $4,057.10 $8,483.44 1.8×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $4,057.10 $5,717.69 1.8×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $5,828.49 $14,225.15 1.7×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $10,627.88 $21,175 1.7×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $6,294.25 $17,709.65 1.7×
Rpr aa hernia recr 3-10 cm reducible (49615) $11,380.81 $13,500 1.8×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $10,627.88 $16,492.77 1.7×
Rpr aa hrn 1st 3-10 rdc (49593) $11,380.81 $14,167.72 1.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $10,627.88 $10,845.44 1.7×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $4,179.56 $12,014.10 1.8×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $4,179.56 $12,014.10 1.8×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $5,752.09 $12,815.85 1.7×
Rpr flexor tendon leg secondary w/o graft each (27659) $12,756.24 $37,589.70 1.8×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,727.64 $5,526.16 1.8×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $10,406.91 $16,739.13 1.7×
Rpr Nsl Vlv Collapse W/Implt (30468) $10,406.91 $20,777.08 1.7×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $12,756.24 $25,938.59 1.8×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $5,752.09 $12,815.85 1.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,752.09 $12,815.85 1.7×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $5,752.09 $16,424.70 1.7×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $12,756.24 $25,938.59 1.8×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $5,752.09 $12,815.85 1.7×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $12,756.24 $39,687.78 1.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $5,752.09 $12,736.80 1.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $5,752.09 $18,847 1.7×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $5,752.09 $16,982.40 1.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $5,828.49 $19,154.73 1.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,954.50 $5,909 3.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $4,516.50 $9,033 3.8×
Shoulder arthroscopy (29820) $12,756.24 $25,938.59 1.8×
Shoulder arthroscopy diagnostic (29805) $5,752.09 $36,575.10 1.7×
Shoulder Arthroscopy/Surgery (29825) $5,752.09 $22,643.20 1.7×
Sigmoidoscopy & Polypectomy (45333) $2,954.50 $5,909 3.2×
Sigmoidoscopy w/fb removal (45332) $4,516.50 $9,033 3.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,954.50 $5,909 3.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $4,516.50 $9,033 3.8×
Skin Full Grft Face/Genit/Hf (15240) $3,627.19 $4,717.24 1.8×
Skin sub graft face/nk/hf/g (15275) $1,299.27 $6,003.76 1.7×
Skin sub graft trnk/arm/leg (15271) $1,299.27 $10,292.16 1.7×
Skin Tissue Procedure (17999) $352.71 $2,625 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $707 $1,414 3.5×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,240.92 $2,550–$7,022 1.7×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,669.90 $12,523 0.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $5,550.77 $14,618.15 1.7×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $10,406.91 $16,739.13 1.7×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $4,460.10 $13,986.64 0.7×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $5,828.49 $6,840.98 1.7×
Subtalar arthro w/exc (29905) $12,756.24 $25,938.59 1.8×
Suction assisted lipectomy; head and neck (15876) $6,229.78 $8,162.25 1.8×
Suction assisted lipectomy; trunk (15877) $6,229.78 $12,243.40 1.8×
Suction assisted lipectomy; upper extremity (15878) $3,627.19 $12,243 1.8×
Suction Lipectomy Lwr Extrem (15879) $6,229.78 $8,500 1.8×
Surg Implnt Neuroelect,Epidural (63655) $34,104.91 $104,214.20 1.8×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $10,406.91 $10,583.05 1.7×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $10,406.91 $16,739.13 1.7×
Surg tx anal fistula subq (46270) $4,879.54 $7,485.12 1.7×
Suture 1 nerve hand/foot common sensory nerve (64834) $6,005.50 $17,471.85 1.7×
Suture 1 Nerve Median Motor Thenar (64835) $6,005.50 $17,471.85 1.7×
Suture 1 Nerve Ulnar Motor (64836) $6,005.50 $23,295.80 1.7×
Suture digital nerve hand/foot 1 nerve (64831) $3,432.84 $14,035.12 1.8×
Suture infrapatellar tendon primary (27380) $12,756.24 $25,938.59 1.8×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $4,057.10 $5,717.69 1.8×
Suture of quadriceps or hamstring muscle rupture primary (27385) $12,756.24 $25,938.59 1.8×
Sympathectomy; digital arteries, each digit Facility (64820) $3,432.84 $9,198.15 1.8×
Sympathectomy; ulnar artery (64822) $5,752.09 $12,815.85 1.7×
Syndactylization toes (28280) $5,752.09 $12,815.85 1.7×
Synovectomy carpometacarpal joint (26130) $5,752.09 $14,580 1.7×
Synovectomy Tendon Sheath Foot Flexor (28086) $5,752.09 $12,815.85 1.7×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $5,752.09 $13,200 1.7×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,826.81 $8,354.10 1.8×
Tangential biopsy skin single lesion (11102) $714.64 $3,750 1.7×
Tattooing incl micropigmentation 6.0 cm/< (11920) $1,299.27 $5,144 1.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $5,752.09 $13,479 1.7×
Tenodesis long tendon biceps (23430) $12,756.24 $50,119.60 1.8×
Tenodesis Wrist Extensors Fingers (25301) $5,752.09 $22,566.55 1.7×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $5,752.09 $12,815.85 1.7×
Tenolysis flexor foot single tendon (28220) $2,826.81 $8,535.06 1.8×
Tenolysis flexor tendon palm&finger each tendo (26442) $5,752.09 $12,815.85 1.7×
Tenolysis flexor tendon palm/finger each tendon (26440) $2,826.81 $6,265.58 1.8×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $5,752.09 $12,815.85 1.7×
Tenolysis Triceps (24332) $5,752.09 $12,815.85 1.7×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $5,752.09 $25,038 1.7×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $5,752.09 $15,120 1.7×
Tenotomy extensor hand/finger open each tendon (26460) $2,826.81 $4,593.99 1.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,826.81 $5,879 1.8×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $5,752.09 $12,815.85 1.7×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $5,752.09 $17,353.68 1.7×
Tenotomy shoulder area single tendon (23405) $12,756.24 $25,938.59 1.8×
Tenotomy, hip flexor(s), open (27005) $5,752.09 $19,527 1.7×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $22,570.07 $50,159.28 1.7×
Thyroidectomy Post Prev Thyr Surg (60260) $10,406.91 $50,000 1.7×
Thyroidectomy, total or complete (60240) $10,627.88 $40,483.52 1.7×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $10,406.91 $15,258.15 1.7×
Tissue Expander Placement Breast Reconstruction (19357) $24,226.56 $50,370.03 1.7×
Tnot elbow lateral/medial debride open (24358) $5,752.09 $35,000 1.7×
Tnot elbow lateral/medial debride open tdn rpr (24359) $5,752.09 $12,815.85 1.7×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $5,828.49 $21,891.12 1.7×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $30,824 $57,310 1.7×
Total Knee Arthroplasty (27447) $22,570.07 $37,619.46 1.7×
Transection or avulsion of; greater occipital nerve Facility (64744) $3,432.84 $8,987.60 1.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $3,432.84 $8,987.60 1.8×
Transfer/transplant tendon palmar w/o graft each (26485) $5,752.09 $18,847 1.7×
Translum Dil Eye Canal (66174) $7,266.45 $15,982.32 1.7×
Transplant hand tendon (26480) $5,752.09 $12,815.85 1.7×
Treat ankle fracture (28445) $12,756.24 $25,938.59 1.8×
Treat Big Toe Fracture (28505) $5,752.09 $12,815.85 1.7×
Treat elbow fracture (24586) $22,570.07 $78,288.48 1.7×
Treat Finger Fracture Each (26727) $5,752.09 $12,815.85 1.7×
Treat fracture radius/ulna (25575) $12,756.24 $25,938.59 1.8×
Treat Fx Rad Extra-Articul (25607) $12,756.24 $39,687.78 1.8×
Treat Hand Bone Lesion (26034) $2,826.81 $5,879 1.8×
Treat Kneecap Fracture (27524) $12,756.24 $25,938.59 1.8×
Treat Knuckle Dislocation (26700) $433.63 $6,120 1.7×
Treat metacarpal fracture (26607) $5,752.09 $17,353.68 1.7×
Treat scapula fracture (23585) $12,756.24 $25,938.59 1.8×
Treat thumb fracture (26665) $5,752.09 $12,815.85 1.7×
Treatment of ankle fracture (27823) $12,756.24 $40,897.98 1.8×
Treatment of nose fracture (21330) $10,406.91 $22,318.84 1.7×
Tx open tendon flexor toe 1 tendon spx (28232) $2,826.81 $4,873.23 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,299.27 $2,550 1.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $433.63 $2,550 1.7×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $22,570.07 $37,619.46 1.7×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,727.64 $6,087.56 1.8×
Tympanoplasty (69631) $4,460.10 $12,715.13 0.7×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $4,460.10 $16,739.13 0.7×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $10,406.91 $16,739.13 1.7×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $10,406.91 $16,739.13 1.7×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $10,406.91 $21,423 1.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $4,460.10 $15,258.15 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $4,460.10 $15,258.15 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $4,460.10 $28,534 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $10,406.91 $16,739.13 1.7×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $4,460.10 $12,715.13 0.7×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $4,460.10 $16,739.13 0.7×
Tympanostomy general anesthesia (69436) $1,168.99 $8,718.30 0.8×
Unlisted laparoscopic procedure liver (47379) $10,627.88 $11,221.70 1.7×
Unlisted laparoscopy procedure stomach (43659) $10,627.88 $20,241.76 1.7×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $10,627.88 $15,181.32 1.7×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $10,627.88 $12,500 1.7×
Unlisted procedure arthroscopy (29999) $433.63 $3,213 1.7×
Unlisted procedure femur or knee (27599) $433.63 $3,750 1.7×
Unlisted procedure foot or toes (28899) $433.63 $2,550 1.7×
Unlisted procedure forearm or wrist (25999) $433.63 $2,550 1.7×
Unlisted Procedure Intestine (44799) $1,594.46 $3,302.04 1.8×
Unlisted Procedure Leg/Ankle (27899) $433.63 $2,625 1.7×
Unlisted Procedure Muscskeletal System General (20999) $433.63 $3,750 1.7×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $539.61 $2,550–$7,705 1.7×
Unlisted procedure pelvis/hip joint (27299) $433.63 $2,550 1.7×
Unlisted procedure shoulder (23929) $433.63 $2,550 1.7×
Unlisted procedure spine (22899) $433.63 $17,463 1.7×
Unlisted procedure stomach (43999) $1,594.46 $5,500 1.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,594.46 $4,425.75 1.8×
Ventilating tube removal requiring general anesthesia (69424) $5,828.49 $9,577.37 1.7×
Wedge excision skin nail fold (11765) $714.64 $6,002 1.7×
Wrist arthroscopy (29840) $5,752.09 $12,815.85 1.7×
Wrist arthroscopy with partial removal of joint lining (29844) $5,752.09 $12,815.85 1.7×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $9,354.72 $17,002 1.8×
Xfer Single Deep Low Leg Tendon (27691) $12,756.24 $25,938.59 1.8×

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.