Procedures & surgery prices at Livingston Hospital
Salem, KY · every code in this section with a posted price and a Medicare benchmark.
637 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adding Walker Previously Applied Cast (29440) | $302.40 | $504 | 2.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) range across 2 matching MRF lines |
$406.95–$488.40 | $678.25–$814 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$502.50–$602.85 | $837.50–$1,004.75 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,076.70 | $1,794.50 | 0.4× |
| Anoscopy Control Bleeding (46614) range across 3 matching MRF lines |
$87.60–$389.55 | $146–$649.25 | varies |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$57–$235.35 | $95–$392.25 | varies |
| Anoscopy remove lesion (46610) range across 3 matching MRF lines |
$108.60–$511.20 | $181–$852 | varies |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) range across 3 matching MRF lines |
$89.10–$945.45 | $148.50–$1,575.75 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 3 matching MRF lines |
$169.80–$185.70 | $283–$309.50 | varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) range across 2 matching MRF lines |
$143.10–$171.60 | $238.50–$286 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$51–$498.45 | $85–$830.75 | varies |
| Application Finger Splint Dynamic (29131) | $237 | $395 | 4.3× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$23.85–$157.35 | $39.75–$262.25 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$34.20–$229.95 | $57–$383.25 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$85.95–$103.05 | $143.25–$171.75 | varies |
| Application Long Leg Splint (29505) range across 5 matching MRF lines |
$42–$94.95 | $70–$158.25 | varies |
| Application multiplane external fixation system (20692) range across 2 matching MRF lines |
$911.25–$1,093.35 | $1,518.75–$1,822.25 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$70.50–$84.45 | $117.50–$140.75 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$80.55–$96.60 | $134.25–$161 | varies |
| Application Patellar Tendon Bearing Cast (29435) range across 2 matching MRF lines |
$65.25–$78.30 | $108.75–$130.50 | varies |
| Application Short Arm Splint Dynamic (29126) | $397.50 | $662.50 | 3.2× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$32.70–$201.45 | $54.50–$335.75 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$39.90–$201.60 | $66.50–$336 | varies |
| Application, cast; figure-of-eight Facility (29049) range across 2 matching MRF lines |
$167.70–$663.15 | $279.50–$1,105.25 | varies |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$54.45–$499.65 | $90.75–$832.75 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$55.20–$568.05 | $92–$946.75 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$47.10–$56.70 | $78.50–$94.50 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$43.50–$52.35 | $72.50–$87.25 | varies |
| Arterial puncture (36600) range across 5 matching MRF lines |
$27.15–$110.85 | $45.25–$184.75 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$29.85–$273.60 | $49.75–$456 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$36.30–$238.95 | $60.50–$398.25 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$28.50–$248.25 | $47.50–$413.75 | varies |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) range across 2 matching MRF lines |
$1,045.80–$1,255.20 | $1,743–$2,092 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 2 matching MRF lines |
$661.05–$793.35 | $1,101.75–$1,322.25 | varies |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) range across 2 matching MRF lines |
$1,239.90–$1,487.70 | $2,066.50–$2,479.50 | varies |
| Arthroplasty Ankle (27700) range across 2 matching MRF lines |
$496.35–$595.65 | $827.25–$992.75 | varies |
| Arthroplasty ankle revision total ankle (27703) range across 2 matching MRF lines |
$901.50–$1,081.80 | $1,502.50–$1,803 | varies |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) range across 2 matching MRF lines |
$403.20–$483.75 | $672–$806.25 | varies |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) range across 2 matching MRF lines |
$661.65–$793.95 | $1,102.75–$1,323.25 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$484.35–$581.40 | $807.25–$969 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$442.35–$530.85 | $737.25–$884.75 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$840.60–$1,008.90 | $1,401–$1,681.50 | varies |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) range across 2 matching MRF lines |
$479.55–$575.40 | $799.25–$959 | varies |
| Arthrotomy W/Meniscus Repair Knee (27403) range across 2 matching MRF lines |
$527.40–$633 | $879–$1,055 | varies |
| Arthrotomy W/Synovectomy Ankle (27625) range across 2 matching MRF lines |
$465.45–$558.45 | $775.75–$930.75 | varies |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) | $528 | $880 | 0.2× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) | $532.20 | $887 | 0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) range across 2 matching MRF lines |
$586.65–$703.95 | $977.75–$1,173.25 | varies |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) range across 2 matching MRF lines |
$466.20–$559.20 | $777–$932 | varies |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) range across 2 matching MRF lines |
$361.95–$434.40 | $603.25–$724 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $619.05 | $1,031.75 | 0.4× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) range across 2 matching MRF lines |
$299.10–$359.10 | $498.50–$598.50 | varies |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) range across 2 matching MRF lines |
$333.30–$399.90 | $555.50–$666.50 | varies |
| Aspirate pleura w/ imaging (32555) range across 6 matching MRF lines |
$137.70–$708.75 | $229.50–$1,181.25 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
$115.80–$740.85 | $193–$1,234.75 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$33–$79.05 | $55–$131.75 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) range across 2 matching MRF lines |
$130.65–$156.75 | $217.75–$261.25 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$43.05–$95.85 | $71.75–$159.75 | varies |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$103.20–$123.75 | $172–$206.25 | varies |
| Biopsy nail unit (11755) | $112.20 | $187 | 0.2× |
| Biopsy Vaginal Mucosa Simple (57100) | $324.90 | $541.50 | 0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $381.45 | $635.75 | 0.4× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$25.05–$25.80 | $41.75–$43 | varies |
| Blood Transfusion Service (36430) | $813.60 | $1,356 | 2.0× |
| Bone Graft Any Donor Area Major/Large (20902) range across 2 matching MRF lines |
$222.15–$266.55 | $370.25–$444.25 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) range across 2 matching MRF lines |
$146.25–$175.50 | $243.75–$292.50 | varies |
| Brnchsc Brushing/Protected Brushings (31623) range across 3 matching MRF lines |
$173.40–$945.45 | $289–$1,575.75 | varies |
| Bronchoscopy W/Biopsy(S) (31625) range across 3 matching MRF lines |
$204.60–$978.60 | $341–$1,631 | varies |
| Bronchoscopy W/Removal Foreign Body (31635) range across 3 matching MRF lines |
$230.40–$641.55 | $384–$1,069.25 | varies |
| Bx Cervix (57500) | $322.95 | $538.25 | 0.4× |
| Carpal Tunnel Surgery (64721) | $675 | $1,125 | 0.4× |
| Catheter aspiration nasotracheal spx (31720) | $182.10 | $303.50 | 0.9× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $574.95 | $958.25 | 2.0× |
| Cautery Cervix Electro/Thermal (57510) | $601.65 | $1,002.75 | 0.2× |
| Cerv artific diskectomy (22856) range across 2 matching MRF lines |
$1,321.65–$1,585.95 | $2,202.75–$2,643.25 | varies |
| Change Cystostomy Tube Simple (51705) | $80.70 | $134.50 | 0.3× |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$93.45–$112.20 | $155.75–$187 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$85.65–$102.75 | $142.75–$171.25 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$99.75–$119.70 | $166.25–$199.50 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$88.05–$105.75 | $146.75–$176.25 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $6.45 | $10.75 | 0.0× |
| Chest tube placement (32551) | $1,033.95 | $1,723.25 | 0.7× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$405–$486.15 | $675–$810.25 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$110.10–$138.15 | $183.50–$230.25 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$281.10–$337.20 | $468.50–$562 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 3 matching MRF lines |
$342–$1,675.20 | $570–$2,792 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$370.20–$444.15 | $617–$740.25 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,908.30 | $3,180.50 | 8.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$241.95–$290.40 | $403.25–$484 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$256.35–$1,271.10 | $427.25–$2,118.50 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,364.25 | $2,273.75 | 5.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$354.15–$424.80 | $590.25–$708 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$254.55–$305.70 | $424.25–$509.50 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$190.05–$227.85 | $316.75–$379.75 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,810.05 | $3,016.75 | 1.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$237.60–$1,148.70 | $396–$1,914.50 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) range across 2 matching MRF lines |
$362.40–$435 | $604–$725 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$396.15–$475.35 | $660.25–$792.25 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
$519.15–$2,237.10 | $865.25–$3,728.50 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,927.80 | $3,213 | 8.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,873.35 | $3,122.25 | 1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$168.90–$202.50 | $281.50–$337.50 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $653.40 | $1,089 | 0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $653.40 | $1,089 | 0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,858.65 | $3,097.75 | 8.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,389.45 | $2,315.75 | 6.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$251.10–$301.50 | $418.50–$502.50 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,719.90 | $2,866.50 | 1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$205.50–$1,071.15 | $342.50–$1,785.25 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,935.60 | $3,226 | 1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$215.25–$1,097.55 | $358.75–$1,829.25 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,132.85 | $3,554.75 | 1.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$216.45–$1,095.75 | $360.75–$1,826.25 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$202.05–$242.55 | $336.75–$404.25 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 3 matching MRF lines |
$301.95–$1,158.45 | $503.25–$1,930.75 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$174.30–$209.10 | $290.50–$348.50 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $823.35 | $1,372.25 | 3.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $1,079.40 | $1,799 | 4.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
$346.20–$1,830.60 | $577–$3,051 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$223.65–$1,104.45 | $372.75–$1,840.75 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$202.80–$1,050.45 | $338–$1,750.75 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $531.45 | $885.75 | 2.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $771.90 | $1,286.50 | 1.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 3 matching MRF lines |
$269.10–$1,074.15 | $448.50–$1,790.25 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
$198–$808.80 | $330–$1,348 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,255.05 | $2,091.75 | 0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$176.70–$229.05 | $294.50–$381.75 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 2 matching MRF lines |
$108.90–$130.65 | $181.50–$217.75 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$336.60–$1,351.35 | $561–$2,252.25 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$249.45–$1,133.25 | $415.75–$1,888.75 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 3 matching MRF lines |
$199.05–$756.45 | $331.75–$1,260.75 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$338.70–$406.50 | $564.50–$677.50 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$403.35–$1,650.75 | $672.25–$2,751.25 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 3 matching MRF lines |
$279.90–$1,503.15 | $466.50–$2,505.25 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 3 matching MRF lines |
$184.50–$683.85 | $307.50–$1,139.75 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,744.95 | $2,908.25 | 1.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$237.90–$1,199.55 | $396.50–$1,999.25 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,337.85 | $2,229.75 | 5.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 3 matching MRF lines |
$350.25–$1,813.20 | $583.75–$3,022 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$319.35–$383.25 | $532.25–$638.75 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$239.10–$287.10 | $398.50–$478.50 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 3 matching MRF lines |
$229.50–$965.40 | $382.50–$1,609 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$158.85–$202.65 | $264.75–$337.75 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$270.75–$1,202.40 | $451.25–$2,004 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$423.45–$2,114.85 | $705.75–$3,524.75 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$410.40–$492.60 | $684–$821 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$393.30–$472.20 | $655.50–$787 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$616.35–$739.65 | $1,027.25–$1,232.75 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$102.90–$558.15 | $171.50–$930.25 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$117.60–$254.10 | $196–$423.50 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$98.85–$118.65 | $164.75–$197.75 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$405.60–$486.90 | $676–$811.50 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$254.10–$304.80 | $423.50–$508 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$217.20–$1,033.95 | $362–$1,723.25 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 2 matching MRF lines |
$318.90–$382.65 | $531.50–$637.75 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,527.75 | $2,546.25 | 1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$613.95–$736.80 | $1,023.25–$1,228 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$261.45–$1,191.15 | $435.75–$1,985.25 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,108.70 | $3,514.50 | 1.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,996.20 | $3,327 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$246.45–$1,197.15 | $410.75–$1,995.25 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 2 matching MRF lines |
$384.90–$461.70 | $641.50–$769.50 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$101.10–$121.35 | $168.50–$202.25 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 3 matching MRF lines |
$295.65–$1,317.90 | $492.75–$2,196.50 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 4 matching MRF lines |
$208.05–$262.35 | $346.75–$437.25 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$255–$306 | $425–$510 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$248.40–$1,293 | $414–$2,155 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$239.40–$943.05 | $399–$1,571.75 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 3 matching MRF lines |
$329.40–$1,467.60 | $549–$2,446 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$253.80–$1,060.35 | $423–$1,767.25 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$158.10–$585.45 | $263.50–$975.75 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$478.80–$574.50 | $798–$957.50 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$237.60–$285.15 | $396–$475.25 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$354.15–$1,848.90 | $590.25–$3,081.50 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 3 matching MRF lines |
$371.70–$1,369.50 | $619.50–$2,282.50 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$363–$709.50 | $605–$1,182.50 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,593 | $2,655 | 1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$412.65–$1,989.45 | $687.75–$3,315.75 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$470.55–$2,428.80 | $784.25–$4,048 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$292.95–$1,461.75 | $488.25–$2,436.25 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$409.05–$490.95 | $681.75–$818.25 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$143.40–$171.90 | $239–$286.50 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$241.05–$289.35 | $401.75–$482.25 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$268.80–$322.65 | $448–$537.75 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 3 matching MRF lines |
$437.85–$1,703.25 | $729.75–$2,838.75 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$364.05–$436.65 | $606.75–$727.75 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$244.35–$293.25 | $407.25–$488.75 | varies |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) range across 2 matching MRF lines |
$630.15–$756.30 | $1,050.25–$1,260.50 | varies |
| Collection of venous blood by venipuncture (36415) | $12.60 | $21 | 1.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) range across 3 matching MRF lines |
$259.50–$772.50 | $432.50–$1,287.50 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 3 matching MRF lines |
$222–$613.80 | $370–$1,023 | varies |
| Colonoscopy thru stoma (44388) range across 3 matching MRF lines |
$203.40–$679.35 | $339–$1,132.25 | varies |
| Colonoscopy W/Band Ligation (45398) range across 3 matching MRF lines |
$115.80–$1,387.35 | $193–$2,312.25 | varies |
| Colonoscopy W/Resection (45390) range across 3 matching MRF lines |
$386.40–$420.60 | $644–$701 | varies |
| Colonoscopy w/stent plcmt (45389) range across 3 matching MRF lines |
$366.60–$742.80 | $611–$1,238 | varies |
| Colonoscopy w/submucosal inj (45381) range across 6 matching MRF lines |
$256.80–$341.10 | $428–$568.50 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 3 matching MRF lines |
$294–$1,232.25 | $490–$2,053.75 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$144.60–$173.70 | $241–$289.50 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $516.60 | $861 | 4.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$275.70–$408.75 | $459.50–$681.25 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $808.20 | $1,347 | 6.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $854.55 | $1,424.25 | 3.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 3 matching MRF lines |
$197.40–$810.30 | $329–$1,350.50 | varies |
| Cystourethroscopy with biopsy (52204) range across 12 matching MRF lines |
$183.60–$891.30 | $306–$1,485.50 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$334.65–$401.55 | $557.75–$669.25 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,564.95 | $2,608.25 | 2.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$199.58–$761.85 | $332.63–$1,269.75 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$11.55–$116.10 | $19.25–$193.50 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$19.05–$181.35 | $31.75–$302.25 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 5 matching MRF lines |
$118.65–$1,024.65 | $197.75–$1,707.75 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$80.10–$303 | $133.50–$505 | varies |
| Decompress Fingers/Hand (26035) range across 2 matching MRF lines |
$703.20–$843.75 | $1,172–$1,406.25 | varies |
| Delivery of placenta (59414) | $465.60 | $776 | 0.2× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$153.15–$183.75 | $255.25–$306.25 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$153.45–$184.05 | $255.75–$306.75 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$54.30–$65.10 | $90.50–$108.50 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$66.45–$79.65 | $110.75–$132.75 | varies |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 2 matching MRF lines |
$53.55–$64.50 | $89.25–$107.50 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) range across 6 matching MRF lines |
$219.30–$498 | $365.50–$830 | varies |
| Destruction Lesions Vulva Extensive (56515) | $724.95 | $1,208.25 | 0.4× |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$97.95–$480.75 | $163.25–$801.25 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$116.85–$140.10 | $194.75–$233.50 | varies |
| Destruction premalignant lesion 1st (17000) | $97.35 | $162.25 | 0.5× |
| Destruction Vaginal Lesions Extensive (57065) | $910.20 | $1,517 | 0.3× |
| Destruction Vaginal Lesions Simple (57061) | $453.60 | $756 | 0.1× |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$76.80–$740.85 | $128–$1,234.75 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $284.85 | $474.75 | 1.5× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) range across 3 matching MRF lines |
$54–$303.90 | $90–$506.50 | varies |
| Drain shoulder bursa (23031) | $926.25 | $1,543.75 | 0.3× |
| Drainage external auditory canal abscess (69020) | $442.20 | $737 | 0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) | $634.50 | $1,057.50 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$98.25–$420.15 | $163.75–$700.25 | varies |
| Drainage Finger Abscess Complicated (26011) range across 6 matching MRF lines |
$124.05–$389.55 | $206.75–$649.25 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$170.10–$224.10 | $283.50–$373.50 | varies |
| Drainage of gum lesion (41800) | $259.20 | $432 | 2.1× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$95.10–$408.75 | $158.50–$681.25 | varies |
| Drainage of palmar bursa single bursa (26025) | $2,019.15 | $3,365.25 | 0.7× |
| Drainage of scrotum (54700) | $1,281.75 | $2,136.25 | 0.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $397.50 | $662.50 | 0.6× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $616.95 | $1,028.25 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $608.40 | $1,014 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $486 | $810 | 2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $248.25 | $413.75 | 1.3× |
| Dstrj Lesion Anus Simple Chemical (46900) range across 2 matching MRF lines |
$103.05–$623.70 | $171.75–$1,039.50 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $626.70 | $1,044.50 | 3.3× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $653.40 | $1,089 | 0.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$94.80–$113.70 | $158–$189.50 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 6 matching MRF lines |
$91.20–$600.60 | $152–$1,001 | varies |
| Dx Bronchoscope/Wash (31622) range across 7 matching MRF lines |
$174.60–$847.50 | $291–$1,412.50 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 9 matching MRF lines |
$196.80–$978.60 | $328–$1,631 | varies |
| Egd control bleeding any (43255) range across 3 matching MRF lines |
$255.90–$1,497.15 | $426.50–$2,495.25 | varies |
| Egd dilation gastric/duodenal stricture (43245) range across 3 matching MRF lines |
$226.80–$978.60 | $378–$1,631 | varies |
| Egd endo mucosal resection (43254) range across 3 matching MRF lines |
$342.90–$1,365 | $571.50–$2,275 | varies |
| Egd Endoscopic Stent Place (43266) range across 3 matching MRF lines |
$278.40–$810.30 | $464–$1,350.50 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$227.10–$992.70 | $378.50–$1,654.50 | varies |
| Egd guide wire insertion (43248) range across 6 matching MRF lines |
$213.60–$978.60 | $356–$1,631 | varies |
| Egd lesion ablation (43270) range across 6 matching MRF lines |
$286.20–$1,080.60 | $477–$1,801 | varies |
| Egd Optical Endomicroscopy (43252) range across 3 matching MRF lines |
$216.60–$3,646.50 | $361–$6,077.50 | varies |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$258–$742.80 | $430–$1,238 | varies |
| Egd Tube/Cath Insertion (43241) range across 6 matching MRF lines |
$183–$891.30 | $305–$1,485.50 | varies |
| Egd Varices Ligation (43244) range across 6 matching MRF lines |
$312–$945.45 | $520–$1,575.75 | varies |
| Endocervical curettage (57505) | $392.10 | $653.50 | 0.5× |
| Endometrial Biopsy (58100) | $270.60 | $451 | 1.4× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$90.60–$108.45 | $151–$180.75 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 6 matching MRF lines |
$178.20–$945.45 | $297–$1,575.75 | varies |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) range across 3 matching MRF lines |
$252.60–$1,417.50 | $421–$2,362.50 | varies |
| Esophagoscp Rig Trnso Inject (43192) range across 6 matching MRF lines |
$211.80–$341.10 | $353–$568.50 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$112.05–$149.70 | $186.75–$249.50 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$129–$132.90 | $215–$221.50 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$194.85–$206.85 | $324.75–$344.75 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $186.45 | $310.75 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $244.05 | $406.75 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $328.80 | $548 | 0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $221.25 | $368.75 | 0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $283.05 | $471.75 | 0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$345.90–$415.20 | $576.50–$692 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 5 matching MRF lines |
$116.70–$182.10 | $194.50–$303.50 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $202.05 | $336.75 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $251.55 | $419.25 | 0.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $515.55 | $859.25 | 0.3× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) range across 2 matching MRF lines |
$567.30–$680.70 | $945.50–$1,134.50 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$204.60–$216.30 | $341–$360.50 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $224.25 | $373.75 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $345.45 | $575.75 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $309 | $515 | 0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) | $407.10 | $678.50 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $266.55 | $444.25 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $370.05 | $616.75 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$254.40–$305.40 | $424–$509 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $151.05 | $251.75 | 0.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $163.05 | $271.75 | 0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $201.75 | $336.25 | 0.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) range across 2 matching MRF lines |
$425.70–$510.75 | $709.50–$851.25 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$258.75–$310.50 | $431.25–$517.50 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $2,117.70 | $3,529.50 | 0.8× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$330.45–$396.75 | $550.75–$661.25 | varies |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) range across 2 matching MRF lines |
$608.25–$730.05 | $1,013.75–$1,216.75 | varies |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) range across 2 matching MRF lines |
$285.60–$342.75 | $476–$571.25 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $246 | $410 | 0.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) range across 2 matching MRF lines |
$286.20–$343.50 | $477–$572.50 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $149.40 | $249 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $186.15 | $310.25 | 0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $204.90 | $341.50 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $270.60 | $451 | 0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $94.20 | $157 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $151.05 | $251.75 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $187.20 | $312 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$136.05–$163.35 | $226.75–$272.25 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $302.25 | $503.75 | 0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) | $1,001.10 | $1,668.50 | 0.4× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) range across 2 matching MRF lines |
$342–$410.55 | $570–$684.25 | varies |
| Excision tendon finger flexor/extensor each (26180) range across 2 matching MRF lines |
$370.35–$444.45 | $617.25–$740.75 | varies |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) | $2,064.60 | $3,441 | 0.8× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) | $2,309.10 | $3,848.50 | 0.8× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) | $1,986.45 | $3,310.75 | 1.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 2 matching MRF lines |
$268.05–$321.60 | $446.75–$536 | varies |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) range across 2 matching MRF lines |
$412.65–$495.15 | $687.75–$825.25 | varies |
| Exploration of knee joint (27310) range across 2 matching MRF lines |
$598.80–$718.50 | $998–$1,197.50 | varies |
| Exploration penetrating wound spx extremity (20103) | $1,466.85 | $2,444.75 | 0.9× |
| Explore/Treat Elbow Joint (24101) range across 2 matching MRF lines |
$414.45–$497.55 | $690.75–$829.25 | varies |
| Explore/Treat Knee Joint (27331) range across 2 matching MRF lines |
$391.80–$470.10 | $653–$783.50 | varies |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $381.45 | $635.75 | 0.2× |
| Fasciotomy Iliotibial Open (27305) range across 2 matching MRF lines |
$397.20–$476.70 | $662–$794.50 | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $1,302.75 | $2,171.25 | 0.4× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) range across 2 matching MRF lines |
$544.65–$653.55 | $907.75–$1,089.25 | varies |
| Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889) | $9,834.60 | $16,391 | 1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) range across 2 matching MRF lines |
$391.35–$469.35 | $652.25–$782.25 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 9 matching MRF lines |
$235.35–$312.60 | $392.25–$521 | varies |
| I&d abscess peritonsillar (42700) | $550.80 | $918 | 2.5× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$85.20–$209.70 | $142–$349.50 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 2 matching MRF lines |
$112.50–$134.85 | $187.50–$224.75 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$414.90–$2,412.60 | $691.50–$4,021 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 3 matching MRF lines |
$273.45–$1,138.50 | $455.75–$1,897.50 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) range across 3 matching MRF lines |
$568.95–$1,779.90 | $948.25–$2,966.50 | varies |
| I&d forearm/wrist bursa (25031) | $1,435.05 | $2,391.75 | 1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) range across 3 matching MRF lines |
$557.10–$2,608.35 | $928.50–$4,347.25 | varies |
| I&d perianal abscess superficial (46050) | $521.10 | $868.50 | 0.6× |
| I&d pilonidal cyst complicated (10081) | $735.60 | $1,226 | 1.1× |
| I&d pilonidal cyst simple (10080) | $400.20 | $667 | 0.6× |
| I&d shoulder deep abscess/hematoma (23030) range across 3 matching MRF lines |
$207.15–$1,191.15 | $345.25–$1,985.25 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 3 matching MRF lines |
$175.50–$1,050.45 | $292.50–$1,750.75 | varies |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$332.55–$398.85 | $554.25–$664.75 | varies |
| Incise external hemorrhoid (46083) | $645.60 | $1,076 | 2.8× |
| Incise finger tendon sheath (26055) | $450.30 | $750.50 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 6 matching MRF lines |
$148.20–$616.95 | $247–$1,028.25 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 3 matching MRF lines |
$318.90–$2,121 | $531.50–$3,535 | varies |
| Incision & drainage leg/ankle infected bursa (27604) | $1,556.55 | $2,594.25 | 0.5× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$231.60–$680.55 | $386–$1,134.25 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$85.20–$216.45 | $142–$360.75 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $481.65 | $802.75 | 2.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $486 | $810 | 1.7× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) range across 2 matching MRF lines |
$789.45–$947.55 | $1,315.75–$1,579.25 | varies |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) range across 2 matching MRF lines |
$775.95–$931.35 | $1,293.25–$1,552.25 | varies |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $2,136.30 | $3,560.50 | 1.4× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$535.65–$675 | $892.75–$1,125 | varies |
| Incision&drainage bursa foot (28001) | $850.65 | $1,417.75 | 0.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $745.05 | $1,241.75 | 0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$58.80–$259.80 | $98–$433 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$84–$100.80 | $140–$168 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$31.50–$85.50 | $52.50–$142.50 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$65.55–$78.60 | $109.25–$131 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$19.65–$23.40 | $32.75–$39 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$65.25–$78.30 | $108.75–$130.50 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$84.30–$101.10 | $140.50–$168.50 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
$101.10–$121.35 | $168.50–$202.25 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$44.70–$53.55 | $74.50–$89.25 | varies |
| Injection enzyme palmar fascial cord (20527) range across 2 matching MRF lines |
$53.10–$63.60 | $88.50–$106 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$31.50–$37.65 | $52.50–$62.75 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$29.85–$129 | $49.75–$215 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$34.20–$455.40 | $57–$759 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$46.05–$55.20 | $76.75–$92 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$50.55–$60.45 | $84.25–$100.75 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$33.60–$40.35 | $56–$67.25 | varies |
| Insert Bladder Cath Complex (51703) | $169.50 | $282.50 | 1.4× |
| Insert Drug Implant Device (11981) | $221.70 | $369.50 | 1.8× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$431.55–$552.75 | $719.25–$921.25 | varies |
| Insert pessary/other device (57160) | $274.20 | $457 | 1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $842.85 | $1,404.75 | 0.6× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$65.40–$143.10 | $109–$238.50 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $65.40 | $109 | 0.5× |
| Insertion indwelling tunneled pleural catheter (32550) | $622.80 | $1,038 | 0.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $6,200.10 | $10,333.50 | 0.8× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $566.10 | $943.50 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$842.85–$912.90 | $1,404.75–$1,521.50 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $132.45 | $220.75 | 0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,390.20 | $2,317 | 3.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,776.15 | $2,960.25 | 4.7× |
| Intro Gastrointestinal Tube (44500) range across 3 matching MRF lines |
$24–$70.95 | $40–$118.25 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$600.30–$622.80 | $1,000.50–$1,038 | varies |
| Laryngoscopy diagnostic (31505) range across 7 matching MRF lines |
$63–$847.50 | $105–$1,412.50 | varies |
| Laryngoscopy Indirect W/Biopsy (31510) range across 6 matching MRF lines |
$151.20–$978.60 | $252–$1,631 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $1,030.20 | $1,717 | 0.6× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $580.20 | $967 | 1.6× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$643.50–$772.20 | $1,072.50–$1,287 | varies |
| Maniplatn palar fascial crd post inj single cord (26341) range across 2 matching MRF lines |
$63.90–$76.65 | $106.50–$127.75 | varies |
| Manipulation hip joint general anesthesia (27275) range across 2 matching MRF lines |
$150–$180.15 | $250–$300.25 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$160.05–$192 | $266.75–$320 | varies |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$75.90–$91.05 | $126.50–$151.75 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$46.95–$56.25 | $78.25–$93.75 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$26.85–$32.10 | $44.75–$53.50 | varies |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$43.95–$52.65 | $73.25–$87.75 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$67.50–$81 | $112.50–$135 | varies |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) range across 2 matching MRF lines |
$874.35–$1,049.25 | $1,457.25–$1,748.75 | varies |
| Nerve Repair W/Nerve Allograft First Strand (64912) range across 2 matching MRF lines |
$725.85–$871.05 | $1,209.75–$1,451.75 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$61.50–$73.80 | $102.50–$123 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $79.65 | $132.75 | 0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $283.35 | $472.25 | 0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$72.45–$86.85 | $120.75–$144.75 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$85.35–$102.45 | $142.25–$170.75 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$79.05–$94.95 | $131.75–$158.25 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$42.45–$51.15 | $70.75–$85.25 | varies |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) range across 2 matching MRF lines |
$637.50–$765.15 | $1,062.50–$1,275.25 | varies |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$496.65–$595.95 | $827.75–$993.25 | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
$469.20–$563.10 | $782–$938.50 | varies |
| Open treatment of ulnar styloid fracture (25652) range across 2 matching MRF lines |
$511.20–$613.50 | $852–$1,022.50 | varies |
| Open treatment posterior malleolus fracture (27769) range across 2 matching MRF lines |
$592.80–$711.30 | $988–$1,185.50 | varies |
| Open Treatment Proximal Humeral Fracture (23615) range across 2 matching MRF lines |
$720–$864 | $1,200–$1,440 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$414–$496.80 | $690–$828 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$578.40–$694.20 | $964–$1,157 | varies |
| Open tx femoral supracondylar fracture w/o xtn (27511) range across 2 matching MRF lines |
$807.90–$969.60 | $1,346.50–$1,616 | varies |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) range across 2 matching MRF lines |
$664.80–$797.85 | $1,108–$1,329.75 | varies |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 4 matching MRF lines |
$472.50–$895.05 | $787.50–$1,491.75 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $925.35 | $1,542.25 | 0.3× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) range across 2 matching MRF lines |
$499.35–$599.25 | $832.25–$998.75 | varies |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) range across 2 matching MRF lines |
$601.20–$721.50 | $1,002–$1,202.50 | varies |
| Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
$535.35–$642.45 | $892.25–$1,070.75 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$858–$1,029.45 | $1,430–$1,715.75 | varies |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) range across 2 matching MRF lines |
$963–$1,155.45 | $1,605–$1,925.75 | varies |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) range across 2 matching MRF lines |
$729.75–$875.55 | $1,216.25–$1,459.25 | varies |
| Osteoplasty Radius/Ulna Shortening (25390) range across 2 matching MRF lines |
$628.05–$753.60 | $1,046.75–$1,256 | varies |
| Osteotomy radius distal third (25350) range across 2 matching MRF lines |
$552.60–$663.30 | $921–$1,105.50 | varies |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) range across 2 matching MRF lines |
$403.35–$484.05 | $672.25–$806.75 | varies |
| Perq device breast 1st imag (19281) | $347.10 | $578.50 | 0.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$383.10–$459.75 | $638.50–$766.25 | varies |
| Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$410.40–$492.60 | $684–$821 | varies |
| Pin Finger Dislocation (26776) range across 2 matching MRF lines |
$371.70–$446.10 | $619.50–$743.50 | varies |
| Pin hand dislocation (26676) range across 2 matching MRF lines |
$420.75–$504.90 | $701.25–$841.50 | varies |
| Placement of needle for intraosseous infusion (36680) | $131.55 | $219.25 | 0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 6 matching MRF lines |
$64.80–$740.85 | $108–$1,234.75 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 3 matching MRF lines |
$98.70–$847.50 | $164.50–$1,412.50 | varies |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) range across 2 matching MRF lines |
$917.70–$1,101.30 | $1,529.50–$1,835.50 | varies |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) range across 2 matching MRF lines |
$351.15–$421.35 | $585.25–$702.25 | varies |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) range across 2 matching MRF lines |
$142.80–$171.30 | $238–$285.50 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) range across 2 matching MRF lines |
$397.65–$477.30 | $662.75–$795.50 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$37.65–$45.30 | $62.75–$75.50 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $219.45 | $365.75 | 0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$155.70–$186.90 | $259.50–$311.50 | varies |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) range across 2 matching MRF lines |
$686.25–$823.50 | $1,143.75–$1,372.50 | varies |
| Rcnstj Dislocating Patella (27420) range across 2 matching MRF lines |
$609.60–$731.55 | $1,016–$1,219.25 | varies |
| Realignment of knee (27455) range across 2 matching MRF lines |
$783.15–$939.60 | $1,305.25–$1,566 | varies |
| Reconstruct finger joint (26545) range across 2 matching MRF lines |
$604.65–$725.70 | $1,007.75–$1,209.50 | varies |
| Reconstruct Finger Joint (26548) range across 2 matching MRF lines |
$659.70–$791.70 | $1,099.50–$1,319.50 | varies |
| Reconstruct ulna/radioulnar (25337) range across 2 matching MRF lines |
$725.40–$870.45 | $1,209–$1,450.75 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $821.85 | $1,369.75 | 2.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,728.30 | $2,880.50 | 0.6× |
| Removal Foreign Body Foot Complicated (28193) | $1,719.90 | $2,866.50 | 1.1× |
| Removal foreign body foot deep (28192) | $1,487.25 | $2,478.75 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) | $780.90 | $1,301.50 | 1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $738.90 | $1,231.50 | 0.5× |
| Removal Foreign Body Scrotum (55120) | $1,267.80 | $2,113 | 0.6× |
| Removal foreign body upper arm/elbow deep (24201) range across 3 matching MRF lines |
$300.45–$1,629.30 | $500.75–$2,715.50 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $16.50 | $27.50 | 0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$64.95–$213.45 | $108.25–$355.75 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$340.20–$408.30 | $567–$680.50 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$117.30–$140.85 | $195.50–$234.75 | varies |
| Removal implantable contraceptive capsules (11976) | $538.80 | $898 | 0.8× |
| Removal of ankle implant (27704) range across 2 matching MRF lines |
$463.05–$555.75 | $771.75–$926.25 | varies |
| Removal of foreign body from pharynx (42809) | $601.05 | $1,001.75 | 1.4× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$81–$451.35 | $135–$752.25 | varies |
| Removal of posterior segmental instrumentation Facility (22852) range across 2 matching MRF lines |
$577.95–$693.60 | $963.25–$1,156 | varies |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) range across 2 matching MRF lines |
$1,026.90–$1,232.25 | $1,711.50–$2,053.75 | varies |
| Removal of wrist bone (25210) range across 2 matching MRF lines |
$405.60–$486.90 | $676–$811.50 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $233.85 | $389.75 | 0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $111.90 | $186.50 | 0.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 4 matching MRF lines |
$108.60–$1,145.55 | $181–$1,909.25 | varies |
| Remove drug implant device (11982) | $252.30 | $420.50 | 0.6× |
| Remove Forearm Foreign Body (25248) | $1,802.10 | $3,003.50 | 1.2× |
| Remove foreign body from eye (65235) | $2,268.30 | $3,780.50 | 1.0× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$64.95–$274.20 | $108.25–$457 | varies |
| Remove hip pressure sore (15940) | $2,398.65 | $3,997.75 | 0.9× |
| Remove Intrauterine Device (58301) | $84.90 | $141.50 | 0.3× |
| Remove Nasal Foreign Body (30300) | $132.90 | $221.50 | 1.1× |
| Remove Shoulder Foreign Body (23330) | $724.95 | $1,208.25 | 0.5× |
| Remove Tendon Sheath Lesion (26160) | $491.10 | $818.50 | 0.3× |
| Remove/graft foot lesion (28102) range across 2 matching MRF lines |
$500.10–$600.30 | $833.50–$1,000.50 | varies |
| Remove/Insert Drug Implant (11983) | $361.35 | $602.25 | 0.9× |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$535.65–$642.75 | $892.75–$1,071.25 | varies |
| Repair Blood Vessel Direct Upper Extremity (35206) | $1,147.95 | $1,913.25 | 0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,356 | $2,260 | 2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,961.55 | $3,269.25 | 2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,101.60 | $1,836 | 2.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$243–$1,752.30 | $405–$2,920.50 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $948.15 | $1,580.25 | 2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$206.40–$1,260.30 | $344–$2,100.50 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $886.50 | $1,477.50 | 1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,121.10 | $1,868.50 | 1.6× |
| Repair defect w/autograft radius/ulna (25425) range across 2 matching MRF lines |
$784.95–$942 | $1,308.25–$1,570 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $955.05 | $1,591.75 | 0.6× |
| Repair Eyelid Wound (67935) | $2,447.55 | $4,079.25 | 1.1× |
| Repair Finger/Hand Tendon (26350) range across 3 matching MRF lines |
$1,146.30–$1,234.50 | $1,910.50–$2,057.50 | varies |
| Repair Hand Tendon (26410) range across 3 matching MRF lines |
$923.70–$976.95 | $1,539.50–$1,628.25 | varies |
| Repair humerus with graft (24435) range across 2 matching MRF lines |
$878.25–$1,053.90 | $1,463.75–$1,756.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $331.20 | $552 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $333.45 | $555.75 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $337.50 | $562.50 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $338.70 | $564.50 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,964.40 | $3,274 | 5.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $568.95 | $948.25 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$117.15–$382.05 | $195.25–$636.75 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $428.40 | $714 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$381.60–$513.45 | $636–$855.75 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,580.10 | $2,633.50 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $465 | $775 | 1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$122.25–$281.10 | $203.75–$468.50 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$123.15–$700.95 | $205.25–$1,168.25 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $550.05 | $916.75 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $313.05 | $521.75 | 0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $636.45 | $1,060.75 | 0.3× |
| Repair Non/Malunion Humerus W/O Graft (24430) range across 2 matching MRF lines |
$858.45–$1,030.05 | $1,430.75–$1,716.75 | varies |
| Repair Nonunion Hand (26546) range across 2 matching MRF lines |
$853.35–$1,023.90 | $1,422.25–$1,706.50 | varies |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) range across 2 matching MRF lines |
$711–$853.20 | $1,185–$1,422 | varies |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) range across 2 matching MRF lines |
$655.65–$786.75 | $1,092.75–$1,311.25 | varies |
| Repair radius & ulna (25415) range across 2 matching MRF lines |
$788.55–$946.20 | $1,314.25–$1,577 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) unusually low: confirm this is the full procedure |
$2,538 | $4,230 | 0.4× |
| Repair tongue laceration (41250) | $608.40 | $1,014 | 1.5× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$394.80–$473.70 | $658–$789.50 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) range across 2 matching MRF lines |
$552.60–$663.30 | $921–$1,105.50 | varies |
| Repair/Revise Wrist Joint (25320) range across 2 matching MRF lines |
$806.85–$968.25 | $1,344.75–$1,613.75 | varies |
| Replace elbow joint (24363) range across 2 matching MRF lines |
$1,173.75–$1,408.65 | $1,956.25–$2,347.75 | varies |
| Reposition Gastrostomy Tube (43761) | $476.10 | $793.50 | 2.0× |
| Repr elbow lat ligmnt w/tiss (24343) range across 2 matching MRF lines |
$585–$701.85 | $975–$1,169.75 | varies |
| Revise lower leg tendon (27690) range across 2 matching MRF lines |
$519–$622.65 | $865–$1,037.75 | varies |
| Revision of lower leg tendon (27685) range across 2 matching MRF lines |
$378.75–$454.50 | $631.25–$757.50 | varies |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
$1,417.05–$1,700.55 | $2,361.75–$2,834.25 | varies |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
$1,136.85–$1,364.25 | $1,894.75–$2,273.75 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $440.70 | $734.50 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$120.30–$281.85 | $200.50–$469.75 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $659.25 | $1,098.75 | 5.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $639.75 | $1,066.25 | 1.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $711 | $1,185 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $709.50 | $1,182.50 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $373.05 | $621.75 | 0.3× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$50.10–$536.70 | $83.50–$894.50 | varies |
| Rpr blood vessel direct lower extremity (35226) | $1,349.25 | $2,248.75 | 2.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) range across 2 matching MRF lines |
$404.85–$485.70 | $674.75–$809.50 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $470.25 | $783.75 | 2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $717.75 | $1,196.25 | 1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $736.20 | $1,227 | 3.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,332.60 | $2,221 | 2.6× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) range across 2 matching MRF lines |
$687.60–$824.70 | $1,146–$1,374.50 | varies |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $1,234.50 | $2,057.50 | 0.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 3 matching MRF lines |
$89.10–$341.10 | $148.50–$568.50 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 3 matching MRF lines |
$156.60–$424.65 | $261–$707.75 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $86.55 | $144.25 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $92.70 | $154.50 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$134.40–$521.10 | $224–$868.50 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $78.30 | $130.50 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $47.85 | $79.75 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $103.65 | $172.75 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $109.50 | $182.50 | 0.3× |
| Shoulder arthroscopy diagnostic (29805) range across 2 matching MRF lines |
$384–$460.65 | $640–$767.75 | varies |
| Shoulder Arthroscopy/Surgery (29825) range across 2 matching MRF lines |
$479.55–$575.40 | $799.25–$959 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $42 | $70 | 0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $115.35 | $192.25 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $85.95 | $143.25 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $112.20 | $187 | 0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $100.95 | $168.25 | 0.5× |
| Sigmoidoscopy W/Resection (45349) range across 3 matching MRF lines |
$253.50–$386.40 | $422.50–$644 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$95.40–$847.50 | $159–$1,412.50 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,168.95 | $1,948.25 | 3.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$261.15–$268.95 | $435.25–$448.25 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$73.80–$317.55 | $123–$529.25 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,540.35 | $2,567.25 | 4.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$95.10–$384.30 | $158.50–$640.50 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,879.95 | $3,133.25 | 10.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$261.15–$272.55 | $435.25–$454.25 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $738.90 | $1,231.50 | 3.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$92.55–$303.90 | $154.25–$506.50 | varies |
| Skin sub graft face/nk/hf/g (15275) | $90.30 | $150.50 | 0.1× |
| Skin sub graft trnk/arm/leg (15271) | $108 | $180 | 0.2× |
| Skin sub grft t/arm/lg child (15273) | $156 | $260 | 0.1× |
| Skn sub grft f/n/hf/g child (15277) | $163.50 | $272.50 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$255.30–$327.60 | $425.50–$546 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$120.90–$482.55 | $201.50–$804.25 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $567.45 | $945.75 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$85.20–$468.90 | $142–$781.50 | varies |
| Strapping ankle (29540) | $154.05 | $256.75 | 1.0× |
| Strapping knee (29530) | $119.85 | $199.75 | 1.0× |
| Strapping shoulder (29240) | $189.30 | $315.50 | 1.5× |
| Strapping toes (29550) | $141.30 | $235.50 | 2.6× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$21.15–$245.55 | $35.25–$409.25 | varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $1,525.20 | $2,542 | 0.7× |
| Suture infrapatellar tendon primary (27380) range across 3 matching MRF lines |
$512.10–$2,524.95 | $853.50–$4,208.25 | varies |
| Suture/repair testicular injury (54670) | $1,755.60 | $2,926 | 0.5× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$96.45–$302.40 | $160.75–$504 | varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) range across 2 matching MRF lines |
$509.70–$611.55 | $849.50–$1,019.25 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$167.85–$201.30 | $279.75–$335.50 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 2 matching MRF lines |
$224.85–$269.85 | $374.75–$449.75 | varies |
| Tibial Arthroscopy/Surgery (29855) range across 2 matching MRF lines |
$636.45–$763.65 | $1,060.75–$1,272.75 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $970.65 | $1,617.75 | 4.4× |
| Transplant of thigh tendon (27396) range across 2 matching MRF lines |
$507–$608.40 | $845–$1,014 | varies |
| Treat Finger Fracture Each (26727) | $738.60 | $1,231 | 0.2× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$278.40–$1,319.55 | $464–$2,199.25 | varies |
| Treat Humerus Fracture (24505) range across 3 matching MRF lines |
$374.85–$2,090.40 | $624.75–$3,484 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$263.70–$1,149.30 | $439.50–$1,915.50 | varies |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$475.50–$570.75 | $792.50–$951.25 | varies |
| Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$372.45–$447 | $620.75–$745 | varies |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$615–$738 | $1,025–$1,230 | varies |
| Treat Knuckle Dislocation (26700) | $1,054.95 | $1,758.25 | 4.6× |
| Treat lower leg bone lesion (27607) range across 2 matching MRF lines |
$486.15–$583.20 | $810.25–$972 | varies |
| Treat metacarpal fracture (26607) | $1,802.10 | $3,003.50 | 0.6× |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$186.30–$223.65 | $310.50–$372.75 | varies |
| Treat scapula fracture (23585) range across 2 matching MRF lines |
$794.40–$953.40 | $1,324–$1,589 | varies |
| Treat Tail Bone Fracture (27200) range across 3 matching MRF lines |
$156.15–$651 | $260.25–$1,085 | varies |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$317.40–$1,398.75 | $529–$2,331.25 | varies |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$327.90–$1,641.60 | $546.50–$2,736 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$89.85–$107.85 | $149.75–$179.75 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,497.90 | $2,496.50 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,566.90 | $2,611.50 | 6.8× |
| Treatment of foot infection (28003) range across 2 matching MRF lines |
$209.10–$250.95 | $348.50–$418.25 | varies |
| Treatment of tibia fracture (27756) range across 2 matching MRF lines |
$473.10–$567.60 | $788.50–$946 | varies |
| Trim skin lesion (11055) | $77.55 | $129.25 | 0.4× |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$77.55–$128.25 | $129.25–$213.75 | varies |
| Trim skin lesions over 4 (11057) | $121.80 | $203 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
$5.85–$78.15 | $9.75–$130.25 | varies |
| Tx Gastro Intub W/Asp (43753) | $101.70 | $169.50 | 0.5× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$194.10–$232.80 | $323.50–$388 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$152.40–$765 | $254–$1,275 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $530.25 | $883.75 | 1.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$157.35–$188.70 | $262.25–$314.50 | varies |
| Vaginal delivery only (59409) | $3,532.50 | $5,887.50 | 1.2× |
| Vein Access Cutdown < 1 Yr (36420) | $248.25 | $413.75 | 2.0× |
| Venous Cutdown >1 Y/O (36425) | $382.05 | $636.75 | 0.9× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$230.10–$237 | $383.50–$395 | varies |
| Wedging of cast (29740) range across 2 matching MRF lines |
$55.50–$66.75 | $92.50–$111.25 | varies |
| Windowing of cast (29730) range across 3 matching MRF lines |
$35.85–$224.10 | $59.75–$373.50 | varies |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) | $1,045.20 | $1,742 | 2.1× |
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.