Procedures & surgery prices at Madison Memorial Hospital

Rexburg, ID · every code in this section with a posted price and a Medicare benchmark.

1747 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $1,356.75–$1,413 $1,809–$1,884 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,527.75 $2,037 1.7×
Abdomen Surgery Procedure (22999) $295.50 $394 1.2×
Acetabuloplasty resection femoral head (27122) $18,828.75 $25,105 2.6×
Acromiopl/Acromionect Partial (23130) $4,164.75 $5,553 1.3×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)
range across 2 matching MRF lines		 $2,165.25–$2,368.50 $2,887–$3,158 varies
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,653.75 $6,205 1.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $1,137–$2,529.75 $1,516–$3,373 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,582.50 $2,110 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,299.50 $3,066 1.1×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,467.50 $3,290 1.2×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $9,244.50 $12,326 1.3×
Amniocentesis therapeutic (59001) $502.50 $670 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $4,164.75 $5,553 1.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $3,282.75–$4,001.25 $4,377–$5,335 varies
Amputate Metacarpal Bone (26910) $8,328 $11,104 2.6×
Amputation follow-up surgery (27594) $4,380.75 $5,841 1.4×
Amputation foot transmetarsal (28805) $4,164.75 $5,553 1.3×
Amputation metatarsal with toe single (28810) $4,164.75 $5,553 1.3×
Amputation toe interphalangeal joint (28825)
range across 3 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Amputation, leg, through tibia and fibula; (27880) $9,314.25 $12,419 1.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,325.75 $3,101 0.7×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $4,380.75 $5,841 1.4×
Ankle Arthroscopy/Surgery (29892)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $4,200 $5,600 1.5×
Anoscopy Ablation Lesion (46615) $4,200 $5,600 1.5×
Anoscopy diagnostic (46600) $191.25 $255 1.5×
Anoscopy remove lesion (46610) $4,200 $5,600 1.5×
Anoscopy; with biopsy, single or multiple (46606) $1,845 $2,460 1.6×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604)
range across 2 matching MRF lines		 $1,858.50–$1,934.25 $2,478–$2,579 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $4,200 $5,600 1.5×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $6,625.50 $8,834 1.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $6,625.50 $8,834 1.3×
Anterior Tibial Tubercleplasty (27418) $7,389.75 $9,853 1.0×
Appendectomy (44950) $4,958.25 $6,611 0.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $194.25–$201.75 $259–$269 varies
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $361.50 $482 1.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $93 $124 0.6×
Application cast elbow finger short arm (29075) $473.25 $631 1.7×
Application finger splint static (29130) $156 $208 1.2×
Application Hip Spica Cast 1 Leg (29305) $333 $444 1.2×
Application long arm splint shoulder hand (29105) $213 $284 1.3×
Application Long Leg Splint (29505) $326.25 $435 2.0×
Application multiplane external fixation system (20692) $18,828.75 $25,105 1.5×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $361.50–$565.50 $482–$754 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $445.50–$463.50 $594–$618 varies
Application Short Arm Splint Dynamic (29126) $168 $224 1.3×
Application short arm splint forearm-hand static (29125) $326.25 $435 2.5×
Application short leg splint calf foot (29515) $326.25 $435 2.0×
Application uniplane external fixation system (20690)
range across 2 matching MRF lines		 $7,389.75–$9,157.50 $9,853–$12,210 varies
Apply hand/wrist cast (29085) $221.25 $295 1.4×
Apply long arm cast (29065) $552.75 $737 2.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $225–$234 $300–$312 varies
Apply Short Leg Cast (29405) $575.25 $767 2.1×
Arrest Epiphyseal Distal Femur (27475) $9,577.50 $12,770 1.3×
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) $9,021.75 $12,029 1.3×
Arterial puncture (36600)
range across 4 matching MRF lines		 $158.25–$194.25 $211–$259 varies
Arteriovenous Anastomosis Open Direct (36821) $4,161 $5,548 1.3×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $7,130.25 $9,507 1.3×
Artery-vein autograft (36825) $7,130.25 $9,507 1.3×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $10,068 $13,424 0.8×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $17,758.50 $23,678 1.4×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $7,389.75 $9,853 1.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $9,772.50–$10,173 $13,030–$13,564 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $318.75–$421.50 $425–$562 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $963 $1,284 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $318.75–$871.50 $425–$1,162 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $404.25–$421.50 $539–$562 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $318.75–$404.25 $425–$539 varies
Arthrodesis ankle open (27870) $18,828.75 $25,105 1.5×
Arthrodesis great toe interphalangeal joint (28755) $7,389.75 $9,853 1.0×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $4,381.50 $5,842 1.4×
Arthrodesis Posterior Interbody Lumbar (22630) $22,875 $30,500 0.9×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $16,745.25 $22,327 1.0×
Arthrodesis sacroiliac joint percutaneous (27279) $24,263.25 $32,351 1.4×
Arthrodesis subtalar (28725) $10,173 $13,564 0.8×
Arthrodesis triple (28715) $18,828.75 $25,105 1.5×
Arthrodesis Wrist Complete W/O Bone Graft (25800) $9,577.50 $12,770 1.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $24,261.75 $32,349 0.9×
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) $10,062.75 $13,417 0.6×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure		 $1,890.75 $2,521 0.1×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $17,758.50 $23,678 1.4×
Arthrodesis, wrist; with sliding graft Facility (25805) $9,577.50 $12,770 1.3×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines		 $16,885.50–$17,577.75 $22,514–$23,437 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $17,901.75–$18,635.25 $23,869–$24,847 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $25,192.50 $33,590 2.0×
Arthroplasty interphalangeal joint each (26535) $3,916.50 $5,222 1.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $3,917.25–$4,077.75 $5,223–$5,437 varies
Arthroplasty Patella W/Prosthesis (27438) $18,828.75 $25,105 1.5×
Arthroplasty Radial Head W/Implant (24366) $18,828.75 $25,105 1.5×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240)
range across 2 matching MRF lines		 $7,554–$11,331.75 $10,072–$15,109 varies
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
unusually low: confirm this is the full procedure		 $9,314.25 $12,419 0.3×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $2,166 $2,888 1.4×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Arthroscopy Ankle Surgical Debridement Limited (29897) $4,164.75 $5,553 1.3×
Arthroscopy ankle w/removal loose/foreign body (29894) $4,164.75 $5,553 1.3×
Arthroscopy Elbow Surgical Debridement Limited (29837) $4,326.75 $5,769 1.3×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $4,164.75 $5,553 1.3×
Arthroscopy hip w/femoroplasty (29914) $7,389.75 $9,853 1.0×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $4,164.75 $5,553 1.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 3 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,164.75 $5,553 1.3×
Arthroscopy shoulder distal claviculectomy (29824)
range across 3 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 3 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $4,164.75 $5,553 1.3×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $7,389.75 $9,853 1.0×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $4,164.75 $5,553 1.3×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $7,389.75 $9,853 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $4,122.75 $5,497 1.3×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,164.75 $5,553 1.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 3 matching MRF lines		 $3,083.25–$4,164.75 $4,111–$5,553 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 3 matching MRF lines		 $6,063.75–$7,389.75 $8,085–$9,853 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines		 $3,083.25–$4,164.75 $4,111–$5,553 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $4,164.75 $5,553 1.3×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 4 matching MRF lines		 $5,470.50–$7,313.25 $7,294–$9,751 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $8,328 $11,104 2.6×
Arthrotomy biopsy interphalangeal joint each (26110) $2,166 $2,888 1.4×
Arthrotomy W/Meniscus Repair Knee (27403) $7,389.75 $9,853 1.0×
Arthrotomy W/Synovectomy Ankle (27625) $4,164.75 $5,553 1.3×
Arthrotomy wrist joint with synovectomy (25105) $4,164.75 $5,553 1.3×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $4,164.75 $5,553 1.3×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $4,157.25 $5,543 1.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $17,901.75–$18,635.25 $23,869–$24,847 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $4,160.25 $5,547 1.3×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $17,901.75–$18,635.25 $23,869–$24,847 varies
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $9,079.50 $12,106 1.3×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $4,164.75 $5,553 1.3×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $6,102.75–$7,389.75 $8,137–$9,853 varies
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $18,828.75 $25,105 1.5×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $3,417–$4,164.75 $4,556–$5,553 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $4,164.75 $5,553 1.3×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $4,164.75 $5,553 1.3×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $7,389.75 $9,853 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $4,164.75 $5,553 1.3×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $4,077.75 $5,437 1.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,166 $2,888 1.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $4,164.75 $5,553 1.3×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $4,164.75 $5,553 1.3×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)
range across 2 matching MRF lines		 $3,075–$4,157.25 $4,100–$5,543 varies
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $4,157.25 $5,543 1.3×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $4,347 $5,796 1.3×
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines		 $816–$1,417.50 $1,088–$1,890 varies
Aspirate Pleura W/O Imaging (32554) $907.50 $1,210 1.5×
Aspiration & Injection Treatment Bone Cyst (20615) $921.75 $1,229 1.3×
Aspiration and/or injection thyroid cyst (60300) $1,054.50 $1,406 1.5×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $1,853.25–$1,929 $2,471–$2,572 varies
Augmentation lower jaw bone (21127) $7,584.75 $10,113 1.3×
Av fistula revision (36833) $7,130.25 $9,507 1.3×
Av Fistula Revision Open (36832) $7,130.25 $9,507 1.3×
Avulsion nail plate partial/complete simple 1 (11730) $308.25 $411 1.6×
Axillary lymphadenectomy; complete (38745) $8,487.75 $11,317 1.4×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $2,536.50–$2,537.25 $3,382–$3,383 varies
Biopsy bone open deep (20245)
range across 2 matching MRF lines		 $3,694.50–$3,845.25 $4,926–$5,127 varies
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $3,481.50–$3,624 $4,642–$4,832 varies
Biopsy bone trocar/needle deep (20225) $2,127 $2,836 1.3×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $2,219.25–$5,143.50 $2,959–$6,858 varies
Biopsy external ear (69100) $375.75 $501 1.6×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $2,127–$2,218.50 $2,836–$2,958 varies
Biopsy nail unit (11755) $844.50 $1,126 1.2×
Biopsy Nasopharynx Visible Lesion Simple (42804) $4,788 $6,384 1.5×
Biopsy of breast; open, incisional (19101) $5,540.25 $7,387 1.4×
Biopsy of conjunctiva (68100) $3,501.75 $4,669 1.5×
Biopsy of lip (40490) $375.75 $501 1.6×
Biopsy of liver, needle; percutaneous (47000)
range across 5 matching MRF lines		 $2,336.25–$3,215.25 $3,115–$4,287 varies
Biopsy of rectum (45100) $4,200 $5,600 1.5×
Biopsy of upper nose/throat (42806) $3,939 $5,252 1.2×
Biopsy Oropharynx (42800) $2,353.50 $3,138 1.5×
Biopsy Salivary Gland Needle (42400) $1,099.50 $1,466 1.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $2,076.75 $2,769 1.3×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $3,669 $4,892 1.3×
Biopsy soft tissue neck/thorax (21550) $2,127 $2,836 1.3×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,625.50 $4,834 1.3×
Biopsy soft tissue thigh/knee area superficial (27323) $2,105.25 $2,807 1.3×
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines		 $3,785.25–$3,939.75 $5,047–$5,253 varies
Biopsy Vaginal Mucosa Extensive (57105) $4,614 $6,152 1.4×
Biopsy Vaginal Mucosa Simple (57100) $1,131 $1,508 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $1,086.75–$1,131 $1,449–$1,508 varies
Biopsy, vestibule of mouth (40808) $806.25 $1,075 1.5×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $5,322.75–$5,540.25 $7,097–$7,387 varies
Bladder instillation anticarcinogenic agent (51720) $842.25 $1,123 1.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $449.25–$467.25 $599–$623 varies
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines		 $2,529.75–$2,997 $3,373–$3,996 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,529.75 $3,373 1.2×
Blepharotomy drainage abscess eyelid (67700) $462 $616 1.5×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $777–$1,554 $1,036–$2,072 varies
Blood/Lymph System Procedure (38999) $709.50 $946 1.6×
Bone Graft Any Donor Area Major/Large (20902)
range across 3 matching MRF lines		 $6,063.75–$9,577.50 $8,085–$12,770 varies
Bone Graft Any Donor Area Minor/Small (20900)
range across 4 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $2,430.75–$2,431.50 $3,241–$3,242 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $2,335.50–$2,430.75 $3,114–$3,241 varies
Breast augmentation with implant (19325)
range across 2 matching MRF lines		 $8,695.50–$23,379.75 $11,594–$31,173 varies
Brnchsc Brushing/Protected Brushings (31623) $2,154 $2,872 1.2×
Brnchsc Removal Bronchial Valve Initial (31648)
range across 2 matching MRF lines		 $6,153.75–$6,405.75 $8,205–$8,541 varies
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $2,550–$2,654.25 $3,400–$3,539 varies
Bronchoscopy W/Removal Foreign Body (31635) $2,654.25 $3,539 1.5×
Bx breast 1st lesion us imag (19083) $2,431.50 $3,242 1.5×
Bx Cervix (57500) $1,131 $1,508 1.2×
Bx prostate strtctc saturation sampling img gid (55706)
range across 2 matching MRF lines		 $6,435.75–$6,699 $8,581–$8,932 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $5,268.75–$5,484.75 $7,025–$7,313 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $5,078.25–$5,540.25 $6,771–$7,387 varies
Canthotomy Separate Procedure (67715) $1,469.25 $1,959 0.6×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $4,164.75 $5,553 1.3×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,175 $2,900 1.4×
Capsulorrhaphy Anterior W/Labral Repair (23455) $7,389.75 $9,853 1.0×
Capsulorrhaphy Anterior With Bone Block (23460) $9,030.75 $12,041 1.3×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $9,157.50 $12,210 1.3×
Carpal Tunnel Surgery (64721)
range across 4 matching MRF lines		 $2,018.25–$4,672.50 $2,691–$6,230 varies
Carpectomy All Bones Proximal Row (25215) $4,164.75 $5,553 1.3×
Cataract surgery complex (66982) $3,225.75 $4,301 1.4×
Catheter aspiration nasotracheal spx (31720) $278.25 $371 1.3×
Cautery Cervix Electro/Thermal (57510) $4,614 $6,152 1.4×
Cerclage cervix pregnancy vaginal (59320) $4,614 $6,152 1.4×
Cerv artific diskectomy (22856) $24,263.25 $32,351 1.4×
Cervical lymphadenectomy (complete) (38720) $8,826.75 $11,769 1.3×
Change Cystostomy Tube Complicated (51710) $1,803 $2,404 2.6×
Change Cystostomy Tube Simple (51705) $368.25 $491 1.5×
Chemodenervation of internal anal sphincter (46505) $1,845 $2,460 1.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $460.50 $614 1.5×
Chest tube placement (32551)
range across 3 matching MRF lines		 $1,981.50–$2,232.75 $2,642–$2,977 varies
Circumcision 28 days or older (54161) $2,864.25 $3,819 1.4×
Circumcision w/clamp/oth dev w/block (54150) $4,953.75 $6,605 2.4×
Cl Tx Tib Shft Fx W Manip (27752) $2,081.25 $2,775 1.3×
Claviculectomy partial (23120)
range across 4 matching MRF lines		 $3,417–$6,248.25 $4,556–$8,331 varies
Claviculectomy; total (23125) $4,164.75 $5,553 1.3×
Clear outer ear canal (69200) $260.25 $347 2.0×
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Closed Treat Vert Body Fract (22310) $136.50 $182 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $271.50 $362 1.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,051.25 $2,735 1.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $271.50 $362 1.1×
Closed Treatment Ulnar Styloid Fracture (25650) $309.75 $413 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $522 $696 2.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,175.25 $1,567 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $309.75 $413 1.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $1,734–$1,804.50 $2,312–$2,406 varies
Closed tx carpal scaphoid fracture w/manj (25624) $2,166 $2,888 1.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $309.75–$321.75 $413–$429 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $4,851.75 $6,469 3.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $529.50 $706 2.2×
Closed tx knee dislocation w/o anesthesia (27550) $529.50 $706 2.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,191 $1,588 0.7×
Closed tx mandibular fracture w/manipulation (21451) $1,896.75 $2,529 1.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $165.75 $221 0.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $7,554 $10,072 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $309.75 $413 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,174.75 $4,233 2.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,978.50 $2,638 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,025.25 $5,367 1.2×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $4,190.25 $5,587 1.3×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $309.75–$321.75 $413–$429 varies
Closed tx patellar dislocation w/o anesthesia (27560) $521.25 $695 2.1×
Closed tx radial head/neck fx w/manipulation (24655) $2,081.25 $2,775 1.3×
Closed tx radial head/neck fx w/o manipulation (24650) $405 $540 1.7×
Closed tx radial shaft fracture w/manipulation (25505) $2,081.25 $2,775 1.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $521.25 $695 2.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $2,004.75–$2,081.25 $2,673–$2,775 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $180.75 $241 0.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $83.25 $111 0.3×
Closed tx septal&nose fx (21337) $4,190.25 $5,587 1.3×
Closed tx talotarsal joint dislc w/o anes (28570) $552.75 $737 2.3×
Closed Tx Talus Fracture W/Manipulation (28435) $2,081.25 $2,775 1.3×
Closed tx talus fracture w/o manipulation (28430) $321.75 $429 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $309.75 $413 1.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $157.50 $210 0.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $168.75 $225 0.7×
Closure Gastrostomy Surg (43870) $4,737 $6,316 1.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $361.50 $482 1.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $945 $1,260 1.8×
Closure Lacrimal Fistula Spx (68770) $3,501.75 $4,669 1.5×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $4,614 $6,152 1.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $83.25 $111 0.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $882 $1,176 0.6×
Clsd tx clavicular fracture w/o manipulation (23500) $389.25 $519 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,081.25 $2,775 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $522 $696 2.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,081.25 $2,775 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,081.25 $2,775 1.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,968 $2,624 1.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $127.50 $170 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $147 $196 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $309.75 $413 1.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $309.75 $413 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $309.75 $413 1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $314.25 $419 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $309.75 $413 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $2,004.75–$2,166 $2,673–$2,888 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,166 $2,888 1.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,081.25 $2,775 1.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,081.25 $2,775 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $321.75 $429 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $309.75 $413 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,166 $2,888 1.4×
Cltx greater humeral tuberosity fx w/o manj (23620) $306.75 $409 1.3×
Cltx hip dislocation traumatic req anesthesia (27252) $2,003.25 $2,671 1.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $368.25 $491 1.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $197.25 $263 0.8×
Cltx humeral condylar fx medial/lateral w/manj (24577) $307.50 $410 0.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $96.75 $129 0.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $346.50 $462 1.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $278.25 $371 1.1×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,043.75 $2,725 1.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $521.25 $695 2.1×
Cltx Med Ankle Fx W/Mnpj (27762) $2,081.25 $2,775 1.3×
Cltx Medial Ankle Fx (27760) $338.25 $451 1.4×
Cltx metacarpal fx w/manipulation each bone (26605) $309.75 $413 1.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,166 $2,888 1.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,890.75 $2,521 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $309.75 $413 1.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $321.75 $429 1.3×
Cltx post hip arthrp dislc req anes (27266) $2,081.25 $2,775 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $623.25 $831 2.6×
Cltx prox fibula/shft fx w/manj (27781) $2,081.25 $2,775 1.3×
Cltx prox fibula/shft fx w/o manj (27780) $309.75 $413 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,081.25 $2,775 1.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $213 $284 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $584.25 $779 2.4×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,166 $2,888 1.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,043.75 $2,725 1.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $108 $144 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $708.75–$1,980 $945–$2,640 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $520.50 $694 2.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $695.25 $927 0.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $306.75 $409 1.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $4,164.75 $5,553 1.3×
Cltx tibial fx proximal w/o manipulation (27530) $321.75 $429 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $309.75 $413 1.3×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $306.75 $409 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,081.25 $2,775 1.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $489 $652 2.0×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $4,159.50 $5,546 1.3×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $6,625.50 $8,834 1.3×
Coccygectomy, primary (27080) $4,989.75 $6,653 1.5×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $26.25–$52.50 $35–$70 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,845 $2,460 1.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,845 $2,460 1.6×
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $1,361.25–$1,416.75 $1,815–$1,889 varies
Colonoscopy w/ablation (45388) $1,845 $2,460 1.6×
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $1,773–$1,845 $2,364–$2,460 varies
Colonoscopy w/fb removal (45379) $1,845 $2,460 1.6×
Colonoscopy W/Resection (45390) $3,481.50 $4,642 1.3×
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $1,273.50–$2,469 $1,698–$3,292 varies
Colpocleisis (le fort type) (57120) $6,625.50 $8,834 1.3×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $4,614 $6,152 1.4×
Colpopexy extraperitoneal (57282) $9,615 $12,820 1.3×
Colpopexy vaginal intraperitoneal approach (57283) $8,962.50 $11,950 1.2×
Colporrhaphy (57200) $4,432.50 $5,910 1.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $400.50 $534 1.3×
Colposcopy cervix vag eltrd conization cervix (57461) $4,614 $6,152 1.4×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $4,614 $6,152 1.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $966.75 $1,289 1.1×
Colpotomy; with drainage of pelvic abscess (57010) $6,843 $9,124 2.1×
Colpotomy; with exploration (57000) $4,614 $6,152 1.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,845 $2,460 1.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,845 $2,460 1.6×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 5 matching MRF lines		 $1,273.50–$3,652.50 $1,698–$4,870 varies
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,845 $2,460 1.6×
Combined anteroposterior colporrhaphy; (57260)
range across 2 matching MRF lines		 $6,300–$6,558 $8,400–$8,744 varies
Complex drainage wound (10180) $3,979.50 $5,306 1.4×
Conization cervix w/wo d&c rpr eltrd exc (57522) $4,614 $6,152 1.4×
Conization of cervix (57520) $4,614 $6,152 1.4×
Contour of face bone lesion (21029) $4,190.25 $5,587 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $191.25 $255 1.5×
Control Nasal Hemorrhage Anterior Simple (30901) $191.25 $255 1.5×
Control oropharyngeal hemorrhage simple (42960) $774.75 $1,033 1.5×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure		 $6,235.50 $8,314 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,431.50 $3,242 1.5×
Correction hammertoe (28285)
range across 4 matching MRF lines		 $3,282.75–$4,122.75 $4,377–$5,497 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,164.75 $5,553 1.3×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,164.75 $5,553 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $7,389.75 $9,853 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,389.75 $9,853 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,164.75 $5,553 1.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines		 $6,791.25–$9,079.50 $9,055–$12,106 varies
Crd ceramides liq chrom plsm (0119U) $157.05 $209.40 1.9×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $7,130.25 $9,507 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $191.25 $255 1.5×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962)
range across 2 matching MRF lines		 $4,599.75–$4,788 $6,133–$6,384 varies
Curettage postpartum (59160)
range across 2 matching MRF lines		 $4,228.50–$4,432.50 $5,638–$5,910 varies
Curette/treat cornea (65435) $1,350 $1,800 1.4×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $2,523.75–$2,626.50 $3,365–$3,502 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $5,396.25–$5,617.50 $7,195–$7,490 varies
Cysto w/insert ureteral stent (52332)
range across 3 matching MRF lines		 $4,893.75–$5,152.50 $6,525–$6,870 varies
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $4,248–$4,422 $5,664–$5,896 varies
Cysto w/removal of tumors small (52234) $4,247.25 $5,663 1.2×
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $2,864.25–$2,981.25 $3,819–$3,975 varies
Cysto w/ureter stricture tx (52341) $5,617.50 $7,490 1.6×
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines		 $6,230.25–$6,485.25 $8,307–$8,647 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines		 $11,431.50–$11,899.50 $15,242–$15,866 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $6,435.75–$6,699 $8,581–$8,932 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $4,893.75–$5,094 $6,525–$6,792 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $6,485.25 $8,647 1.2×
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $4,455–$4,637.25 $5,940–$6,183 varies
Cysto/uretero w/up stricture (52345) $4,248 $5,664 1.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $7,354.50 $9,806 0.8×
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $5,396.25–$5,617.50 $7,195–$7,490 varies
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $978.75–$1,192.50 $1,305–$1,590 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 2 matching MRF lines		 $1,789.50–$1,862.25 $2,386–$2,483 varies
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
range across 2 matching MRF lines		 $6,230.25–$6,485.25 $8,307–$8,647 varies
Cystourethroscopy w/dil bladder general anesth (52260)
range across 2 matching MRF lines		 $2,864.25–$2,981.25 $3,819–$3,975 varies
Cystourethroscopy w/rmvl ureteral calculus (52320) $4,247.25 $5,663 1.2×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $2,981.25–$3,683.25 $3,975–$4,911 varies
Cystourethroscopy with direct vision internal urethrotomy (52276)
range across 2 matching MRF lines		 $5,396.25–$5,617.50 $7,195–$7,490 varies
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,981.25 $3,975 1.4×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $3,683.25 $4,911 1.8×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $5,396.25 $7,195 2.6×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,979.50 $5,306 1.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,013.25 $1,351 1.4×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,054.50 $1,406 1.5×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $4,164.75 $5,553 1.3×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $4,164.75 $5,553 1.3×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $4,164.75 $5,553 1.3×
Dcmprn fasct leg post compartment only (27601) $4,326 $5,768 1.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $879.75 $1,173 1.2×
Debride nail 1-5 (11720) $95.25 $127 1.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $235.50 $314 0.1×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $439.50–$593.25 $586–$791 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $532.50–$555 $710–$740 varies
Decompress Spinal Cord Lmbr (63056) $8,445 $11,260 1.2×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $2,051.25 $2,735 1.3×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $9,157.50 $12,210 1.3×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $2,004.75 $2,673 1.3×
Decompression of leg (27894) $4,157.25 $5,543 1.3×
Decompression of leg (27892) $4,157.25 $5,543 1.3×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $2,618.25–$2,725.50 $3,491–$3,634 varies
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $3,481.50–$3,624 $4,642–$4,832 varies
Delivery of placenta (59414) $4,062 $5,416 1.3×
Dermabrasion segmental face (15781) $1,054.50 $1,406 1.5×
Destruct B9 Lesion 1-14 (17110) $308.25 $411 1.6×
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 2 matching MRF lines		 $1,773–$1,845 $2,364–$2,460 varies
Destruction Lesions Vulva Simple (56501) $1,582.50 $2,110 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $320.25 $427 1.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $320.25 $427 1.6×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $617.25 $823 1.5×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $320.25 $427 1.6×
Destruction of skin lesions (17106) $339 $452 0.8×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $978–$1,416.75 $1,304–$1,889 varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $1,845 $2,460 1.6×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $1,356.75–$1,412.25 $1,809–$1,883 varies
Dilation & curettage dx&/ther nonobstetric (58120) $4,614 $6,152 1.4×
Dilation and catheterization of salivary duct, with or without injection (42660) $806.25 $1,075 1.5×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $438.75 $585 1.0×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $6,865.50 $9,154 1.2×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $1,059–$1,101.75 $1,412–$1,469 varies
Drain Hand Tendon Sheath (26020) $4,164.75 $5,553 1.3×
Drain penis lesion (54015) $2,412.75 $3,217 1.5×
Drain shoulder bursa (23031) $3,624 $4,832 1.3×
Drainage abscess parotid simple (42300) $2,353.50 $3,138 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,013.25 $1,351 1.4×
Drainage Finger Abscess Complicated (26011) $2,127 $2,836 1.3×
Drainage lymph node lesion (38305) $4,142.25 $5,523 1.4×
Drainage Mouth Roof Lesion (42000) $291.75 $389 1.2×
Drainage of finger abscess simple (26010) $123 $164 0.6×
Drainage of gum lesion (41800) $191.25 $255 1.5×
Drainage of hematoma/fluid (10140) $2,335.50 $3,114 1.4×
Drainage of rectal abscess (45005) $1,773 $2,364 1.5×
Drainage of scrotal wall abscess (55100) $2,025.75 $2,701 1.2×
Drainage of scrotum (54700) $2,545.50 $3,394 1.2×
Drainage of skene's gland abscess or cyst (53060) $2,981.25 $3,975 1.4×
Drainage of throat abscess (42725) $8,633.25 $11,511 1.5×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $209.25–$225.75 $279–$301 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,054.50 $1,406 1.5×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $4,142.25 $5,523 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $693.75 $925 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $351.75 $469 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $308.25 $411 1.6×
Dstrj lesion anus simple surg excision (46922) $4,200 $5,600 1.5×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,582.50 $2,110 0.8×
Dstrj lesion penis simple surg excision (54060) $2,344.50 $3,126 1.2×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $2,933.25–$3,053.25 $3,911–$4,071 varies
Dx Bronchoscope/Wash (31622) $2,654.25 $3,539 1.5×
Dx Laryngoscopy Excl Nb (31525) $2,550 $3,400 1.5×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,337.75 $3,117 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,812.75–$2,626.50 $2,417–$3,502 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $1,812.75–$2,626.50 $2,417–$3,502 varies
Egd control bleeding any (43255) $2,626.50 $3,502 1.4×
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $1,812.75–$2,626.50 $2,417–$3,502 varies
Egd Flexible Foreign Body Removal (43247) $1,356.75 $1,809 1.5×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,626.50 $3,502 1.4×
Egd place gastrostomy tube (43246) $2,626.50 $3,502 1.4×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $2,523.75–$2,626.50 $3,365–$3,502 varies
Egd Tube/Cath Insertion (43241) $2,314.50 $3,086 1.2×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $6,625.50 $8,834 1.3×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $291.75–$303 $389–$404 varies
Endoscopic injection/implant (51715) $5,094 $6,792 1.5×
Endoscopic plantar fasciotomy (29893)
range across 2 matching MRF lines		 $3,741–$3,894 $4,988–$5,192 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,161 $5,548 1.3×
Enterorrhaphy single perforation (44602) $4,737 $6,316 1.2×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,337.75 $3,117 1.2×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,368.50 $3,158 1.2×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,059–$1,101.75 $1,412–$1,469 varies
Episiotomy or vaginal repair (59300) $3,657 $4,876 1.1×
Ercp remove forgn body duct (43275) $2,575.50 $3,434 1.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,412.25 $1,883 1.6×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,626.50 $3,502 1.4×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,626.50 $3,502 1.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,132.50 $1,510 1.3×
Esophagoscopy rig transoral removal foreign body (43194) $2,626.50 $3,502 1.4×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,626.50 $3,502 1.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,523.75 $3,365 1.3×
Evacuate mole of uterus (59870) $4,614 $6,152 1.4×
Evacuation of subungual hematoma (11740) $191.25 $255 1.5×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 2 matching MRF lines		 $1,539–$2,058 $2,052–$2,744 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,127 $2,836 1.3×
Exc abdl tum deep 5 cm/> (22901) $3,624 $4,832 1.3×
Exc arm/elbow les sc < 3 cm (24075) $2,127 $2,836 1.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,054.50 $1,406 1.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,430.75 $3,241 1.5×
Exc Back Les Sc < 3 Cm (21930) $2,127 $2,836 1.3×
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $3,481.50–$3,624 $4,642–$4,832 varies
Exc back tum deep < 5 cm (21932) $3,624 $4,832 1.3×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $7,554 $10,072 1.3×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046)
range across 2 matching MRF lines		 $7,554–$11,664 $10,072–$15,552 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 3 matching MRF lines		 $3,822.75–$5,540.25 $5,097–$7,387 varies
Exc Chalazion Anes Req Hospization Single/Mult (67808)
range across 2 matching MRF lines		 $3,501.75–$5,252.25 $4,669–$7,003 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,054.50 $1,406 1.5×
Exc Face Les Sbq 2 Cm/> (21012) $2,127 $2,836 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,013.25 $1,351 1.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,054.50 $1,406 1.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,054.50 $1,406 1.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,430.75 $3,241 1.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,430.75 $3,241 1.5×
Exc Forearm Les Sc 3 Cm/> (25071) $2,127 $2,836 1.3×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,414.75 $4,553 1.2×
Exc Frenum Labial/Buccal (40819)
range across 2 matching MRF lines		 $2,261.25–$2,353.50 $3,015–$3,138 varies
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $2,081.25–$2,166 $2,775–$2,888 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,663.50–$2,430.75 $2,218–$3,241 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $1,013.25–$1,054.50 $1,351–$1,406 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $2,335.50–$2,430.75 $3,114–$3,241 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $2,043.75–$2,127 $2,725–$2,836 varies
Exc hand tum deep < 1.5 cm (26116)
range across 2 matching MRF lines		 $1,677–$2,127 $2,236–$2,836 varies
Exc hydrocele sprmatic cord uni spx (55500) $5,094 $6,792 1.5×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,404.75 $1,873 1.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $2,081.25–$2,166 $2,775–$2,888 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,166 $2,888 1.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $4,788 $6,384 1.5×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $4,788 $6,384 1.5×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $7,599 $10,132 2.3×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $4,788 $6,384 1.5×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,616.75 $3,489 1.4×
Exc neuroma hand/foot xcp digital nerve (64782) $3,114.75 $4,153 1.6×
Exc Rct Tum Not Incl Muscularis Propria (45171) $4,200 $5,600 1.5×
Exc Shoulder Tum Deep 5 Cm/> (23073) $5,661.75 $7,549 2.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $1,054.50–$1,443 $1,406–$1,924 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,430.75 $3,241 1.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,142.25 $5,523 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,430.75 $3,241 1.5×
Exc Skin Benig >4cm Face,Facial (11446) $4,142.25 $5,523 1.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,430.75 $3,241 1.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,142.25 $5,523 1.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,058 $2,744 1.3×
Exc tendon shth lesion leg/ankle (27630) $4,164.75 $5,553 1.3×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $2,973.75–$3,624 $3,965–$4,832 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,177.50–$1,491.75 $1,570–$1,989 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $617.25 $823 1.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $721.50–$1,054.50 $962–$1,406 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,430.75 $3,241 1.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $3,481.50–$3,624 $4,642–$4,832 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,624 $4,832 1.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $2,076.75 $2,769 1.3×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,127 $2,836 1.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,624 $4,832 1.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,624 $4,832 1.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $3,727.50–$4,553.25 $4,970–$6,071 varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,378.75 $4,505 1.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,624 $4,832 1.3×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,127 $2,836 1.3×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $3,545.25 $4,727 1.2×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045)
range across 2 matching MRF lines		 $2,652.75–$3,545.25 $3,537–$4,727 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,127 $2,836 1.3×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,545.25 $4,727 1.2×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $3,545.25 $4,727 1.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,127 $2,836 1.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,669 $4,892 1.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,127 $2,836 1.3×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $3,669 $4,892 1.3×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,790.50 $5,054 1.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $2,856.75–$3,624 $3,809–$4,832 varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530)
range across 3 matching MRF lines		 $4,893.75–$5,499 $6,525–$7,332 varies
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $9,683.25 $12,911 1.4×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) $7,098.75 $9,465 1.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $4,164.75 $5,553 1.3×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $1,710–$2,166 $2,280–$2,888 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $2,958–$3,078.75 $3,944–$4,105 varies
Exchange Transfusion Blood Newborn (36450) $735 $980 1.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,740.50 $3,654 1.4×
Excis uppr jaw cyst w/repair (21049) $7,554 $10,072 1.3×
Excise intraspinal lesion (63267) $8,445 $11,260 1.2×
Excise mandible lesion (21040) $4,190.25 $5,587 1.3×
Excise Wrist Tendon Sheath (25118) $2,166 $2,888 1.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $915–$952.50 $1,220–$1,270 varies
Excision Bone Mandible (21025) $7,584.75 $10,113 1.3×
Excision Chalazion Single (67800) $462 $616 1.5×
Excision Chest Wall Tumor Including Ribs (21601) $3,545.25 $4,727 1.2×
Excision Distal Ulna Partial/Complete (25240) $4,164.75 $5,553 1.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $4,142.25 $5,523 1.4×
Excision Facial Bone (21026) $7,554 $10,072 1.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,414.75 $4,553 1.2×
Excision inferior turbinate partial/complete (30130) $4,788 $6,384 1.5×
Excision Lesion Conjunctiva </1 Cm (68110) $3,501.75 $4,669 1.5×
Excision lesion conjunctiva > 1 cm (68115) $3,632.25 $4,843 1.5×
Excision Lesion Cornea Xcp Pterygium (65400) $1,404.75 $1,873 1.4×
Excision lesion meniscus/capsule knee (27347) $4,164.75 $5,553 1.3×
Excision lesion mouth roof (42104) $3,876 $5,168 1.2×
Excision lesion tendon sheath forearm&/wrist (25110) $2,166 $2,888 1.4×
Excision Lesion Tongue W/O Closure (41110) $1,717.50 $2,290 0.5×
Excision Lingual Frenum Frenectomy (41115) $2,353.50 $3,138 1.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,054.50 $1,406 1.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,054.50 $1,406 1.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $648 $864 1.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $894 $1,192 1.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,430.75 $3,241 1.5×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,185.25 $4,247 1.1×
Excision malignant tumor mandible (21044) $7,584.75 $10,113 1.3×
Excision Maxillary Torus Palatinus (21032) $4,190.25 $5,587 1.3×
Excision Multiple External Papillae/Tags Anus (46230) $4,200 $5,600 1.5×
Excision of bartholin's gland or cyst (56740) $4,614 $6,152 1.4×
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) $7,323.75 $9,765 1.3×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $7,554 $10,072 1.3×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $4,086 $5,448 1.3×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $6,625.50 $8,834 1.3×
Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) $6,625.50 $8,834 1.3×
Excision of chalazion; multiple, different lids (67805) $462 $616 1.5×
Excision of extraparenchymal lesion of testis (54512)
range across 2 matching MRF lines		 $4,225.50–$4,398 $5,634–$5,864 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,605–$2,166 $2,140–$2,888 varies
Excision of hydrocele; unilateral (55040)
range across 2 matching MRF lines		 $4,763.25–$4,958.25 $6,351–$6,611 varies
Excision of lingual tonsil (42870) $8,633.25 $11,511 1.5×
Excision of local lesion of epididymis (54830) $5,094 $6,792 1.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $3,114.75 $4,153 1.6×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $8,633.25 $11,511 1.5×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $2,832.75–$4,142.25 $3,777–$5,523 varies
Excision of single external papilla or tag, anus (46220) $1,845 $2,460 1.6×
Excision of sublingual gland (42450) $8,633.25 $11,511 1.5×
Excision of submandibular (submaxillary) gland (42440) $8,633.25 $11,511 1.5×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Excision of vaginal septum (57130)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355) $4,164.75 $5,553 1.3×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $4,164.75 $5,553 1.3×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) $9,157.50 $12,210 1.3×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $2,832.75–$4,142.25 $3,777–$5,523 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $2,832.75–$4,142.25 $3,777–$5,523 varies
Excision prepatellar bursa (27340) $4,164.75 $5,553 1.3×
Excision Radial Head (24130) $4,164.75 $5,553 1.3×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $9,234 $12,312 1.4×
Excision soft tissue lesion, external auditory canal (69145) $6,900 $9,200 2.4×
Excision spermatocele w/wo epididymectomy (54840) $4,954.50 $6,606 2.4×
Excision synovial cyst popliteal space (27345) $4,157.25 $5,543 1.3×
Excision tendon finger flexor/extensor each (26180) $2,166 $2,888 1.4×
Excision Torus Mandibularis (21031) $4,190.25 $5,587 1.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,127 $2,836 1.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,624 $4,832 1.3×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $2,043.75–$2,127 $2,725–$2,836 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,127 $2,836 1.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $2,043.75–$2,127 $2,725–$2,836 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $2,081.25–$2,166 $2,775–$2,888 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,624 $4,832 1.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $3,624 $4,832 1.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $3,624 $4,832 1.3×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,417 $4,556 1.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,127 $2,836 1.3×
Excision/curettage cyst/tumor carpal bones (25130)
range across 2 matching MRF lines		 $3,217.50–$4,077.75 $4,290–$5,437 varies
Excision/curettage cyst/tumor phalanx finger (26210) $2,166 $2,888 1.4×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $4,164.75 $5,553 1.3×
Excision/destruction intranasal lesion int appr (30117) $4,788 $6,384 1.5×
Excision/destruction lesion pharynx any method (42808) $4,788 $6,384 1.5×
Excision/Transposition Pterygium W/Grafg (65426) $3,501.75 $4,669 1.5×
Excision; trochanteric bursa or calcification (27062) $4,157.25 $5,543 1.3×
Expl penetrating wound spx abdomen/flank/back (20102) $2,621.25 $3,495 1.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $6,151.50 $8,202 1.1×
Explo/Drain Breast Abscess (19020) $2,430.75 $3,241 1.5×
Exploration maxillary sinus (31020) $3,939 $5,252 1.2×
Exploration of knee joint (27310) $4,164.75 $5,553 1.3×
Exploration of spinal fusion (22830) $5,613.75 $7,485 0.8×
Exploration penetrating wound spx chest (20101) $2,621.25 $3,495 1.3×
Exploration penetrating wound spx extremity (20103) $885.75 $1,181 0.5×
Exploratory elbow surgery (24000) $4,164.75 $5,553 1.3×
Explore eye socket,drainage (67405) $3,501.75 $4,669 1.5×
Explore/Treat Elbow Joint (24101) $4,035 $5,380 1.2×
Explore/Treat Hand Joint (26070) $2,166 $2,888 1.4×
Explore/Treat Knee Joint (27331) $4,164.75 $5,553 1.3×
Explore/Treat Wrist Joint (25040)
range across 2 matching MRF lines		 $3,997.50–$4,161 $5,330–$5,548 varies
External cephalic version (59412) $4,614 $6,152 1.4×
Eye Surg Ant Sgmt Proc Unlisted (66999) $3,099 $4,132 1.4×
Fasciectomy Palm Only (26121) $4,164.75 $5,553 1.3×
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $3,180.75–$4,085.25 $4,241–$5,447 varies
Fasciotomy palmar open partial (26045) $4,164.75 $5,553 1.3×
Fasciotomy palmar percutaneous (26040) $2,166 $2,888 1.4×
Fasciotomy, foot and/or toe (28008) $4,164.75 $5,553 1.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Fetal Contraction Stress Test (59020) $288.75 $385 1.4×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $288.75–$577.50 $385–$770 varies
Fine needle aspiration without imaging guidance (10021) $593.25 $791 1.5×
Finger tendon transfer (26497) $4,164.75 $5,553 1.3×
Fixation contralateral testis separate procedure (54620) $5,094 $6,792 1.5×
Fluid Pressure Muscle (20950) $225.75 $301 0.3×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $411–$427.50 $548–$570 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $1,054.50–$1,099.50 $1,406–$1,466 varies
Foreskin manipulation (54450) $564.75 $753 2.3×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $4,788 $6,384 1.5×
Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) $9,157.50 $12,210 1.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,529.75 $3,373 1.2×
Fuse hand bones with graft (25825) $7,389.75 $9,853 1.0×
Fusion Finger Joint (26860)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Fusion of foot bones (28740) $7,389.75 $9,853 1.0×
Fusion of hand bones (25820) $8,504.25 $11,339 1.2×
Fusion of hand joint (26843)
likely a partial charge, not the full procedure		 $1,854.75 $2,473 0.3×
Fusion of knuckle (26850) $7,389.75 $9,853 1.0×
Fusion of knuckle joint (26516) $4,326 $5,768 1.3×
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Genioplasty Sliding Osteotomy Single Piece (21121) $4,157.25 $5,543 1.3×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $7,554 $10,072 1.3×
Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) $4,190.25 $5,587 1.3×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $7,554 $10,072 1.3×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $7,554 $10,072 1.3×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $7,554 $10,072 1.3×
Grafting of autologous soft tiss by direct exc (15769) $1,339.50 $1,786 0.4×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $7,389.75 $9,853 1.0×
Head Surgery Procedure (21499) $330 $440 1.4×
Hemiarthroplasty hip partial (27125) $18,828.75 $25,105 1.5×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $4,200 $5,600 1.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $4,035–$4,200 $5,380–$5,600 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $2,898–$4,200 $3,864–$5,600 varies
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $3,517.50 $4,690 1.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $978–$1,416.75 $1,304–$1,889 varies
Hip arthro acetabuloplasty (29915) $7,389.75 $9,853 1.0×
Hip arthro w/labral repair (29916) $7,389.75 $9,853 1.0×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $3,800.25 $5,067 1.4×
Hyoid myotomy and suspension Facility (21685) $7,554 $10,072 1.3×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $4,386.75–$4,566 $5,849–$6,088 varies
Hysteroscopy Div/Rescj Intrauterine Septum (58560)
range across 2 matching MRF lines		 $6,365.25–$6,625.50 $8,487–$8,834 varies
Hysteroscopy Dx Sep Proc (58555) $4,566 $6,088 1.4×
Hysteroscopy Endometrial Ablation (58563) $6,558 $8,744 1.3×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $6,625.50 $8,834 1.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $4,566 $6,088 1.4×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
range across 2 matching MRF lines		 $6,365.25–$6,625.50 $8,487–$8,834 varies
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $4,788 $6,384 1.5×
I&d abscess peritonsillar (42700) $361.50 $482 1.5×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $308.25–$320.25 $411–$427 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,166 $2,888 1.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,481.50 $4,642 1.2×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $3,481.50–$3,624 $4,642–$4,832 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
I&D Intramural Im/Absc Transanal Anes (46045) $4,200 $5,600 1.5×
I&D Ischiorct/Intramural Absc W/WO Seton (46060)
range across 2 matching MRF lines		 $2,898–$4,200 $3,864–$5,600 varies
I&d pelvis/hip jt area deep abscess/hematoma (26990) $4,164.75 $5,553 1.3×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,361.25–$1,416.75 $1,815–$1,889 varies
I&d pilonidal cyst complicated (10081) $1,013.25 $1,351 1.4×
I&d pilonidal cyst simple (10080) $1,054.50 $1,406 1.5×
I&d shoulder deep abscess/hematoma (23030) $3,481.50 $4,642 1.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,624 $4,832 1.3×
Image Cath Fluid Peri/Retro (49406) $2,430.75 $3,241 1.5×
Immediate breast prosthesis (19340) $9,234 $12,312 1.1×
Implant cochlear device (69930) $52,641 $70,188 1.6×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $5,248.50–$10,084.50 $6,998–$13,446 varies
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $18,850.50–$19,623 $25,134–$26,164 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines		 $33,381–$34,749 $44,508–$46,332 varies
Implant Spine Infusion Pump (62362)
unusually low: confirm this is the full procedure		 $7,851 $10,468 0.4×
Implant temple bone w/stimul (69714)
range across 2 matching MRF lines		 $11,626.50–$32,279.25 $15,502–$43,039 varies
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $17,912.25 $23,883 1.4×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $7,244.25 $9,659 0.8×
Impression & Preparation Oral Surgical Splint (21085) $63.75 $85 0.3×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $323.25–$449.25 $431–$599 varies
Incise finger tendon sheath (26055)
range across 4 matching MRF lines		 $1,710–$2,166 $2,280–$2,888 varies
Incise Wrist/Forearm Tendon (25290) $4,164.75 $5,553 1.3×
Incision & drainage abscess complicated/multiple (10061) $593.25 $791 1.5×
Incision & drainage leg/ankle abscess/hematoma (27603) $3,481.50 $4,642 1.2×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $1,731–$2,335.50 $2,308–$3,114 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $497.25–$593.25 $663–$791 varies
Incision and drainage of bartholin's gland abscess (56420) $291.75 $389 1.5×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $3,378.75 $4,505 1.2×
Incision and drainage of vulva or perineal abscess (56405) $483 $644 1.6×
Incision bone cortex foot (28005) $4,164.75 $5,553 1.3×
Incision extensor tendon sheath wrist (25000)
range across 3 matching MRF lines		 $1,710–$2,166 $2,280–$2,888 varies
Incision of eardrum (69421) $4,788 $6,384 1.5×
Incision of Foot Tendon (28234) $2,166 $2,888 1.4×
Incision of labial frenum (frenotomy) (40806) $651 $868 1.2×
Incision of lingual frenum (frenotomy) (41010) $2,353.50 $3,138 1.5×
Incision of lymph channels (38308) $5,540.25 $7,387 1.4×
Incision of rectal abscess (46040) $1,773 $2,364 1.5×
Incision of tibia & fibula (27709) $18,662.25 $24,883 1.5×
Incision&drainage bursa foot (28001) $4,005 $5,340 2.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,043.75 $2,725 1.3×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $4,157.25 $5,543 1.3×
Incisional biopsy skin single lesion (11106) $753.75 $1,005 1.0×
Induced abortion, by dilation and evacuation (59841) $3,777.75 $5,037 1.2×
Initial Tx 1st Degree Burn Local Tx (16000) $221.25 $295 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,491 $1,988 1.7×
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $334.50–$348 $446–$464 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $1,359.75–$1,415.25 $1,813–$1,887 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,491 $1,988 1.7×
Injection 1 tendon sheath/ligament aponeurosis (20550) $356.25 $475 1.2×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $1,374–$1,430.25 $1,832–$1,907 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 2 matching MRF lines		 $571.50–$1,430.25 $762–$1,907 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,359.75 $1,813 1.6×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $571.50 $762 0.7×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,150.50 $1,534 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $759.75–$1,141.50 $1,013–$1,522 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $503.25 $671 0.6×
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines		 $578.25–$603 $771–$804 varies
Injection Into Brain Canal (61055) $460.50 $614 1.5×
Injection single tendon origin/insertion (20551) $404.25 $539 1.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $321–$602.25 $428–$803 varies
Injection single/mlt trigger point 3/> muscles (20553) $602.25 $803 2.0×
Injection therapeutic carpal tunnel (20526) $388.50 $518 1.3×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $1,359.75–$1,415.25 $1,813–$1,887 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $759.75–$1,091.25 $1,013–$1,455 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,059 $1,412 1.5×
Insert and remove bone pin (20650) $1,095.75 $1,461 0.3×
Insert cath pleura w/ image (32557) $2,062.50 $2,750 1.3×
Insert cath pleura w/o image (32556) $3,542.25 $4,723 1.9×
Insert cervical dilator (59200) $502.50 $670 1.7×
Insert Gastrostomy Tube Percutaneous (49440) $2,626.50 $3,502 1.4×
Insert multi-comp penis pros (54405)
range across 2 matching MRF lines		 $24,791.25–$25,807.50 $33,055–$34,410 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $3,997.50–$4,161 $5,330–$5,548 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,062.50 $2,750 1.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $191.25–$198.75 $255–$265 varies
Insert testicular prosthesis (54660) $3,825 $5,100 0.7×
Insert tunneled cv cath (36561)
range across 4 matching MRF lines		 $2,871–$4,312.50 $3,828–$5,750 varies
Insert tunneled cv cath (36563) $7,130.25 $9,507 1.3×
Insert Uro/Ves Nck Sphincter (53445)
range across 2 matching MRF lines		 $24,791.25–$25,807.50 $33,055–$34,410 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $191.25–$198.75 $255–$265 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $2,259–$2,351.25 $3,012–$3,135 varies
Insertion Vascular Pedicle Carpal Bone (25430) $4,164.75 $5,553 1.3×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $3,225.75 $4,301 1.4×
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $944.25–$985.50 $1,259–$1,314 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $4,161 $5,548 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,981.50–$2,062.50 $2,642–$2,750 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $3,997.50–$4,161.75 $5,330–$5,549 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $8,695.50 $11,594 1.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 3 matching MRF lines		 $35,262–$45,021.75 $47,016–$60,029 varies
Int hrhc by ligation single hroid w/o img gdn (46945) $4,200 $5,600 1.5×
Interdental fixation (21110) $2,059.50 $2,746 1.3×
Interdental Wiring Other Than Fracture (21497) $2,059.50 $2,746 1.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $593.25 $791 1.5×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $593.25 $791 1.5×
Intraoral i&d tongue/floor submndblr space (41008) $4,788 $6,384 1.5×
Intro Gastrointestinal Tube (44500) $1,356.75 $1,809 1.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $312.75–$345.75 $417–$461 varies
Irrigation of corpora cavernosa for priapism (54220) $478.50 $638 1.9×
Knee arthroscopy/drainage (29871) $4,164.75 $5,553 1.3×
Knee Arthroscopy/Surgery (29885) $7,389.75 $9,853 1.0×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $3,667.50–$4,164.75 $4,890–$5,553 varies
Knee Arthroscopy/Surgery (29850) $2,596.50 $3,462 1.6×
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines		 $8,029.50–$8,358 $10,706–$11,144 varies
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $9,021.75 $12,029 1.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $8,445 $11,260 1.2×
Laminotomy Single Lumbar (63042) $8,445 $11,260 1.2×
Lap insert tunnel ip cath (49324) $8,487.75 $11,317 1.4×
Lap paraesoph her rpr w/mesh (43282) $15,130.50 $20,174 1.4×
Lap paraesophag hern repair (43281) $14,246.25 $18,995 1.4×
Lap revision perm ip cath (49325) $8,487.75 $11,317 1.4×
Laparo-vag hyst incl t/o (58552) $14,098.50 $18,798 1.3×
Laparoscopic myomectomy (58545)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Laparoscopy Enterolysis Separate Procedure (44180) $8,487.75 $11,317 1.4×
Laparoscopy fimbrioplasty (58672) $8,487.75 $11,317 1.4×
Laparoscopy fulguration oviducts (58670) $8,487.75 $11,317 1.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 3 matching MRF lines		 $8,448.75–$13,192.50 $11,265–$17,590 varies
Laparoscopy surgical orchiectomy (54690) $8,487.75 $11,317 1.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
range across 2 matching MRF lines		 $13,685.25–$14,246.25 $18,247–$18,995 varies
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $13,543.50–$14,098.50 $18,058–$18,798 varies
Laparoscopy W/Lysis Of Adhesions (58660) $8,487.75 $11,317 1.4×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $8,070–$8,400.75 $10,760–$11,201 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $8,070–$8,400.75 $10,760–$11,201 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $14,246.25 $18,995 1.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 2 matching MRF lines		 $13,685.25–$14,246.25 $18,247–$18,995 varies
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $4,476 $5,968 1.2×
Laparoscopy, surgical, splenectomy (38120) $14,246.25 $18,995 1.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
range across 3 matching MRF lines		 $11,984.25–$14,246.25 $15,979–$18,995 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $8,487.75 $11,317 1.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $8,070–$8,400.75 $10,760–$11,201 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $6,869.25 $9,159 0.7×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $8,487.75 $11,317 1.4×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $8,487.75 $11,317 1.4×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $8,487.75 $11,317 1.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $8,487.75 $11,317 1.4×
Laparoscopy, Tubal Block (58671) $8,487.75 $11,317 1.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $7,472.25–$8,448.75 $9,963–$11,265 varies
Laps Gastric Restrictive Px Remove Device & Port (43774) $4,737 $6,316 1.2×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $14,246.25 $18,995 1.4×
Laps surg prst8ect smpl stot robotic assistance (55867) $13,347.75 $17,797 1.3×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $8,487.75 $11,317 1.4×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $14,246.25 $18,995 1.4×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $5,401.50 $7,202 1.5×
Laryngoscopy flexible diagnostic (31575) $282 $376 1.4×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,654.25 $3,539 1.5×
Laryngoscopy W/Biopsy (31535) $5,401.50 $7,202 1.5×
Laryngoscopy w/biopsy microscope/telescope (31536) $5,401.50 $7,202 1.5×
Laryngoscopy W/Foreign Body Removal (31530) $1,909.50 $2,546 1.1×
Late closure of wound (13160)
range across 2 matching MRF lines		 $2,430.75–$2,529.75 $3,241–$3,373 varies
Lateral Canthopexy (21282) $4,157.25 $5,543 1.3×
Lateral retinacular release open (27425) $4,326 $5,768 1.3×
Lig&div long saph vein saphfem junct/interrupj (37700) $4,161 $5,548 1.3×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $16,497 $21,996 1.3×
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Ligamentous reconstruction knee intra-articular (27428) $18,828.75 $25,105 1.5×
Ligate leg veins open (37761) $4,161 $5,548 1.3×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $4,161 $5,548 1.3×
Ligation of a-v fistula (37607) $4,089 $5,452 1.3×
Ligation of hemorrhoids (46946) $4,200 $5,600 1.5×
Ligation or biopsy temporal artery (37609) $2,335.50 $3,114 1.4×
Litholapaxy comp/lg > 2.5 cm (52318)
range across 2 matching MRF lines		 $6,532.50–$6,800.25 $8,710–$9,067 varies
Litholapaxy smpl/sm <2.5 cm (52317) $8,560.50 $11,414 2.5×
Low Back Disk Surgery (63030) $8,358 $11,144 1.2×
Lsh w/t/o uterus above 250 g (58544) $14,246.25 $18,995 1.4×
Lumbar spine fusion combined (22633)
range across 2 matching MRF lines		 $18,087.75–$18,828.75 $24,117–$25,105 varies
Lysis of labial adhesions (56441) $4,614 $6,152 1.4×
Lysis/excision penile postcircumcision adhesions (54162) $5,617.50 $7,490 2.7×
Malar Augmentation Prosthetic Material (21270) $7,554 $10,072 1.3×
Maniplatn palar fascial crd post inj single cord (26341) $282.75 $377 1.2×
Manipulation Ankle Under General Anesthesia (27860) $4,164.75 $5,553 1.3×
Manipulation Elbow Under Anesthesia (24300) $2,004.75 $2,673 1.3×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $2,081.25–$2,166 $2,775–$2,888 varies
Manipulation spine requiring anesthesia (22505) $2,166 $2,888 1.4×
Manipulation, finger joint, under anesthesia, each joint (26340)
range across 2 matching MRF lines		 $3,279.75–$4,425.75 $4,373–$5,901 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $1,710–$2,166 $2,280–$2,888 varies
Marsupialization of bartholin's gland cyst (56440) $4,614 $6,152 1.4×
Mast mod rad (19307) $9,234 $12,312 1.4×
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $5,540.25–$8,275.50 $7,387–$11,034 varies
Mastectomy partial (19301)
range across 3 matching MRF lines		 $5,515.50–$8,226.75 $7,354–$10,969 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $8,779.50–$9,138.75 $11,706–$12,185 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $9,191.25–$9,567.75 $12,255–$12,757 varies
Maternity Care Procedure (59899) $243.75 $325 1.2×
Mediastinoscpy w/lmph nod bx (39402) $8,487.75 $11,317 1.4×
Metatarsectomy (28140) $4,164.75 $5,553 1.3×
Middle ear expl thru postaur/ear canal inc (69440) $3,905.25 $5,207 1.2×
Middle ear surgery proc unlisted (69799) $375.75 $501 1.6×
Muscle/tendon transfer upper arm/elbow single (24301) $9,157.50 $12,210 1.3×
Myelography Lumbar Injection (62305) $1,118.25 $1,491 1.4×
Myelography Lumbar Injection (62304) $1,118.25 $1,491 1.4×
Myelography via lumbar injection rs&i cervical (62302) $1,118.25 $1,491 1.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 2 matching MRF lines		 $1,072.50–$1,118.25 $1,430–$1,491 varies
Myringoplasty (69620) $4,788 $6,384 1.5×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $799.50–$955.50 $1,066–$1,274 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $1,059–$1,101.75 $1,412–$1,469 varies
N Block Inj Pudendal (64430) $1,374 $1,832 1.6×
Nasal Endoscopy Dx (31231) $249.75 $333 1.3×
Nasal surgery procedure (30999) $361.50 $482 1.5×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $421.50–$438.75 $562–$585 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $5,401.50 $7,202 1.5×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $8,965.50 $11,954 1.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,654.25 $3,539 1.5×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $2,654.25–$3,981.75 $3,539–$5,309 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,654.25 $3,539 1.5×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $4,459.50 $5,946 1.2×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $8,965.50 $11,954 1.3×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $8,965.50 $11,954 1.3×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 2 matching MRF lines		 $8,965.50–$10,174.50 $11,954–$13,566 varies
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $8,965.50 $11,954 1.3×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $2,654.25 $3,539 1.5×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 3 matching MRF lines		 $8,613–$15,261.75 $11,484–$20,349 varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $8,965.50 $11,954 1.3×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,485.75 $1,981 1.6×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $2,081.25–$2,166 $2,775–$2,888 varies
Neck spine disk surgery (63020) $9,079.50 $12,106 1.3×
Neck spine fusion (22600) $9,314.25 $12,419 0.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $2,335.50–$2,431.50 $3,114–$3,242 varies
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) $8,455.50 $11,274 1.0×
Nerve graft arm/leg <4 cm (64892) $7,244.25 $9,659 0.8×
Nerve repair w/conduit each nerve (64910) $8,593.50 $11,458 1.0×
Nerve Repair W/Nerve Allograft First Strand (64912) $8,481 $11,308 1.0×
Neurectomy, Intrinsic Musculature Of Foot (28055) $3,813.75 $5,085 2.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $2,148.75–$3,114.75 $2,865–$4,153 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines		 $2,992.50–$3,114.75 $3,990–$4,153 varies
Nipple Exploration (19110)
range across 2 matching MRF lines		 $5,322.75–$5,540.25 $7,097–$7,387 varies
Njx anes stellate ganglion crv sympathetic (64510) $1,430.25 $1,907 1.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $442.50 $590 1.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,171.25 $6,895 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,430.25 $1,907 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $1,101.75–$1,150.50 $1,469–$1,534 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $1,101.75–$1,431 $1,469–$1,908 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,430.25 $1,907 1.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $1,059–$1,150.50 $1,412–$1,534 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines		 $1,062–$1,646.25 $1,416–$2,195 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $617.25 $823 1.5×
Njx Sclrsnt Spider Veins (36468) $617.25 $823 1.5×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $8,965.50 $11,954 1.3×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $8,965.50 $11,954 1.3×
Occlusion flp tube dev vag/suprapubic appr (58615)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Omntc Epiploectomy Rescj Omentum Spx (49255) $4,958.25 $6,611 0.8×
Open biopsy/excision inguinofemoral nodes (38531) $5,540.25 $7,387 1.4×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $7,389.75 $9,853 1.0×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) $18,828.75 $25,105 1.5×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Open Treatment Fracture Distal Tibia & Fibula (27828)
range across 2 matching MRF lines		 $18,087.75–$18,828.75 $24,117–$25,105 varies
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $18,087.75–$18,828.75 $24,117–$25,105 varies
Open treatment greater trochanteric fracture (27248) $5,721.75 $7,629 0.8×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $9,246.75 $12,329 1.3×
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $18,087.75–$18,828.75 $24,117–$25,105 varies
Open treatment interphalangeal joint dislocation (28675) $3,843.75 $5,125 1.2×
Open Treatment Lunate Dislocation (25695) $7,389.75 $9,853 1.0×
Open Treatment Medial Malleolus Fracture (27766)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Open treatment metacarpophalangeal dislocation (26715) $4,989.75 $6,653 1.5×
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $7,025.25–$7,313.25 $9,367–$9,751 varies
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $6,063.75–$7,389.75 $8,085–$9,853 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $8,675.25–$9,030.75 $11,567–$12,041 varies
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $7,554 $10,072 1.3×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $7,554 $10,072 1.3×
Open treatment of depressed frontal sinus fracture Facility (21343)
likely a partial charge, not the full procedure		 $175.50 $234 0.0×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $7,554 $10,072 1.3×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $7,389.75 $9,853 0.6×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $7,584.75 $10,113 1.3×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $7,554 $10,072 1.3×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $24,263.25 $32,351 1.9×
Open treatment of mandibular condylar fracture Facility (21465) $7,554 $10,072 1.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $4,157.25 $5,543 1.3×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $4,157.25 $5,543 1.3×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $4,164.75 $5,553 1.3×
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) $7,584.75 $10,113 1.3×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $7,554 $10,072 1.3×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $7,554 $10,072 1.3×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $7,584.75 $10,113 1.3×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $7,554 $10,072 1.3×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $7,389.75 $9,853 1.0×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) $9,157.50 $12,210 1.3×
Open treatment of sternum fracture with or without skeletal fixation Facility (21825) $7,389.75 $9,853 1.0×
Open Treatment of Ulnar Shaft Fracture (25545) $7,389.75 $9,853 1.0×
Open treatment of ulnar styloid fracture (25652) $7,389.75 $9,853 1.0×
Open treatment posterior malleolus fracture (27769) $7,389.75 $9,853 1.0×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $18,087.75–$18,828.75 $24,117–$25,105 varies
Open Treatment Radial Shaft Fracture (25515) $7,389.75 $9,853 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,164.75 $5,553 1.3×
Open tx carpal bone fracture oth/thn scaphoid ea (25645)
range across 2 matching MRF lines		 $3,897–$4,056.75 $5,196–$5,409 varies
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $4,085.25 $5,447 1.3×
Open Tx Depressed Malar Fracture (21360) $7,775.25 $10,367 1.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $7,389.75 $9,853 0.6×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $530.25 $707 0.0×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $4,164.75 $5,553 1.3×
Open Tx Humeral Epicondylar Fracture (24575)
range across 2 matching MRF lines		 $14,844–$18,828.75 $19,792–$25,105 varies
Open tx humeral supracondylar fracture w/o xtn (24545) $18,828.75 $25,105 1.5×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $7,389.75 $9,853 1.0×
Open tx interphalangeal joint dislocation (26785) $4,164.75 $5,553 1.3×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $7,554 $10,072 1.3×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $7,554 $10,072 1.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 3 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Open Tx Radial Head/Neck Fracture (24665) $7,389.75 $9,853 1.0×
Open Tx Radial Head/Neck Fracture Prosth (24666) $18,828.75 $25,105 1.5×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $7,389.75 $9,853 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Opn tx orbit fx combined (21387) $7,584.75 $10,113 1.3×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $4,989.75 $6,653 1.5×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $5,470.50–$7,389.75 $7,294–$9,853 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $7,389.75 $9,853 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 3 matching MRF lines		 $18,087.75–$18,828.75 $24,117–$25,105 varies
Optx tibial fx prox bicondylar w/wo int fixj (27536) $4,175.25 $5,567 0.6×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $18,828.75 $25,105 1.5×
Orchiectomy radical tumor inguinal approach (54530)
range across 3 matching MRF lines		 $4,682.25–$4,958.25 $6,243–$6,611 varies
Orchiopexy Ingun/Scrot Appr (54640)
range across 2 matching MRF lines		 $4,763.25–$4,958.25 $6,351–$6,611 varies
Ostc prtl exostc/condylc metar head (28288) $4,164.75 $5,553 1.3×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Ostectomy of sternum, partial Facility (21620) $3,174.75 $4,233 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $4,164.75 $5,553 1.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $4,164.75 $5,553 1.3×
Osteochondral allograft knee open (27415) $18,828.75 $25,105 1.5×
Osteochondral knee autograft (27416) $7,389.75 $9,853 1.0×
Osteochondral talus autogrft (28446)
range across 3 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Osteoplasty Radius/Ulna Shortening (25390) $9,157.50 $12,210 1.3×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) $7,554 $10,072 1.3×
Osteoplasty, femur; shortening (excluding 64876) Facility (27465)
unusually low: confirm this is the full procedure		 $3,162 $4,216 0.4×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $9,157.50 $12,210 1.3×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $7,389.75 $9,853 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $8,559.75 $11,413 1.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 3 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 3 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $8,019–$18,828.75 $10,692–$25,105 varies
Osteotomy radius distal third (25350) $7,389.75 $9,853 1.0×
Osteotomy talus (28302) $9,157.50 $12,210 1.3×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $7,389.75 $9,853 1.0×
Osteotomy Tibia (27705) $9,159.75 $12,213 1.3×
Osteotomy Ulna (25360) $7,389.75 $9,853 1.0×
Osteotomy, clavicle, with or without internal fixation; Facility (23480) $9,079.50 $12,106 1.3×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)
range across 2 matching MRF lines		 $2,503.50–$9,577.50 $3,338–$12,770 varies
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $7,554 $10,072 1.3×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $9,157.50 $12,210 1.3×
Ovarian cystectomy, unilateral or bilateral (58925) $6,625.50 $8,834 1.3×
Palatop cl palate soft&/hard palate only (42200) $7,329 $9,772 1.3×
Palatopharyngoplasty (42145) $8,633.25 $11,511 1.5×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $8,633.25–$13,330.50 $11,511–$17,774 varies
Part remv talus or calcaneus (28120)
range across 3 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Partial Excision Bone Humerus (24140)
range across 2 matching MRF lines		 $3,282.75–$4,077 $4,377–$5,436 varies
Partial excision bone metacarpal (26230)
range across 2 matching MRF lines		 $3,996.75–$4,160.25 $5,329–$5,547 varies
Partial Excision Bone Radius (25151) $4,157.25 $5,543 1.3×
Partial Excision Bone Ulna (25150) $4,164.75 $5,553 1.3×
Partial Excision Distal Phalanx Finger (26236) $2,081.25 $2,775 1.3×
Partial excision of lip (40520) $4,788 $6,384 1.5×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) $7,389.75 $9,853 1.0×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,602.75 $2,137 1.0×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Partial removal of fibula (27641)
range across 2 matching MRF lines		 $3,417–$4,164.75 $4,556–$5,553 varies
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Partial removal of tibia (27640) $4,164.75 $5,553 1.3×
Partial removal of toe (28160) $4,164.75 $5,553 1.3×
Partial thyroid excision (60212) $8,487.75 $11,317 1.4×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $8,487.75 $11,317 1.4×
Partical Excision Bone Phalanx Toe (28124)
range across 3 matching MRF lines		 $4,164.75–$6,248.25 $5,553–$8,331 varies
Patellectomy or hemipatellectomy (27350) $7,389.75 $9,853 1.0×
Pelvic examination under anesthesia (other than local) (57410)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Percut Drain/Inject Renal Cyst (50390) $1,054.50 $1,406 1.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $4,037.25 $5,383 1.2×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) $9,157.50 $12,210 1.3×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $2,051.25 $2,735 1.3×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) $7,389.75 $9,853 1.0×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $2,166 $2,888 1.4×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $4,085.25 $5,447 1.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $4,614 $6,152 1.4×
Perq Cervicothoracic Inject (22510) $4,165.50 $5,554 1.3×
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines		 $1,054.50–$1,133.25 $1,406–$1,511 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $1,054.50–$1,581.75 $1,406–$2,109 varies
Perq Lumbosacral Injection (22511) $4,165.50 $5,554 1.3×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $25,455.75 $33,941 2.7×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 3 matching MRF lines		 $6,505.50–$8,870.25 $8,674–$11,827 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $7,389.75–$8,870.25 $9,853–$11,827 varies
Pin hand dislocation (26676) $4,326 $5,768 1.3×
Placement of needle for intraosseous infusion (36680) $256.50 $342 0.6×
Placement of seton (46020)
range across 2 matching MRF lines		 $2,887.50–$3,517.50 $3,850–$4,690 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,111 $4,148 1.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $6,300–$6,558 $8,400–$8,744 varies
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $3,501.75 $4,669 1.5×
Probe nasolacrimal duct w/wo irrig req gen anes (68811)
range across 2 matching MRF lines		 $2,416.50–$3,501.75 $3,222–$4,669 varies
Probing nasolacrimal duct (68810) $462 $616 1.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,416.75 $1,889 1.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $4,200 $5,600 1.5×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $3,345 $4,460 1.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,099.50 $1,466 1.6×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,164.75 $5,553 1.3×
Prq skel fixj femoral fx prox end neck (27235) $9,157.50 $12,210 1.3×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $4,077 $5,436 1.3×
Prq skel fixj metar fx w/manj (28476) $4,164.75 $5,553 1.3×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $4,381.50 $5,842 1.4×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $4,164.75 $5,553 1.3×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $7,389.75 $9,853 1.0×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $5,143.50 $6,858 1.6×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $7,389.75 $9,853 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $3,417–$4,164.75 $4,556–$5,553 varies
Punch biopsy skin single lesion (11104) $491.25 $655 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $593.25–$617.25 $791–$823 varies
Puncture Aspiration Cyst Breast (19000) $1,054.50 $1,406 1.5×
Pvb thoracic cont infusion (64463) $955.50 $1,274 1.4×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $955.50 $1,274 1.4×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,175 $2,900 1.4×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116)
range across 2 matching MRF lines		 $2,594.25–$8,328 $3,459–$11,104 varies
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $3,534 $4,712 1.2×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $7,926.75 $10,569 2.8×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $3,669 $4,892 1.3×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $3,414.75 $4,553 1.2×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $3,669 $4,892 1.3×
Radical resection of tumor, radius or ulna (25170) $7,389.75 $9,853 1.0×
Radical resection of tumor; clavicle Facility (23200) $8,418.75 $11,225 1.2×
Radical styloidectomy separate procedure (25230) $4,164.75 $5,553 1.3×
Rcnstj angular dfrm toe soft tiss px only (28313)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $4,157.25 $5,543 1.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $4,164.75 $5,553 1.3×
Rcnstj Dislocating Patella (27420) $7,389.75 $9,853 1.0×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $7,554 $10,072 1.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $7,389.75 $9,853 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $4,382.25 $5,843 1.3×
Re-explore parathyroids (60502) $8,633.25 $11,511 1.5×
Realignment extensor tendon hand each tendon (26437)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Realignment of knee (27457) $7,389.75 $9,853 1.0×
Realignment of knee (27455) $5,172 $6,896 0.7×
Reconst lwr jaw w/fixation (21196)
range across 2 matching MRF lines		 $7,554–$11,331.75 $10,072–$15,109 varies
Reconst lwr jaw w/o fixation (21195) $7,584.75 $10,113 1.3×
Reconstr lwr jaw segment (21198) $7,554 $10,072 1.3×
Reconstruct cleft palate (42210) $8,633.25 $11,511 1.5×
Reconstruct extra finger (26587) $4,085.25 $5,447 1.3×
Reconstruct finger joint (26545) $4,161 $5,548 1.3×
Reconstruct Finger Joint (26548) $4,164.75 $5,553 1.3×
Reconstruct midface lefort (21143) $7,554 $10,072 1.3×
Reconstruct ulna/radioulnar (25337) $7,389.75 $9,853 1.0×
Reconstruct upper jaw bone (21206) $7,584.75 $10,113 1.3×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $7,554 $10,072 1.3×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) $7,554 $10,072 1.3×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $7,554 $10,072 1.3×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $7,554 $10,072 1.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $7,329 $9,772 1.3×
Reconstruction Toe Polydactyly (28344) $4,157.25 $5,543 1.3×
Reinforce tibia (27745)
range across 2 matching MRF lines		 $9,789.75–$10,191 $13,053–$13,588 varies
Reinforce ulna (25491) $16,497 $21,996 1.3×
Reinsert spinal fixation (22849) $24,263.25 $32,351 1.9×
Release foot/toe nerve (64726) $2,527.50 $3,370 1.3×
Release of big toe (28240) $4,157.25 $5,543 1.3×
Relieve Pressure on Nerve(S) (64722) $5,130 $6,840 2.7×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
range across 2 matching MRF lines		 $47,130–$49,062 $62,840–$65,416 varies
Removal Embedded Foreign Body Eyelid (67938) $462 $616 1.5×
Removal Foreign Body Deep Thigh/Knee (27372) $3,624 $4,832 1.3×
Removal Foreign Body Foot Complicated (28193) $2,127 $2,836 1.3×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,677–$2,127 $2,236–$2,836 varies
Removal Foreign Body Foot Subcutaneous (28190) $885.75 $1,181 1.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,043.75 $2,725 1.3×
Removal foreign body upper arm/elbow deep (24201) $3,624 $4,832 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $87.75–$99 $117–$132 varies
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $2,682.75–$3,481.50 $3,577–$4,642 varies
Removal Implant Superficial Separate Procedure (20670) $2,043.75 $2,725 1.3×
Removal implantable contraceptive capsules (11976) $1,054.50 $1,406 1.5×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $5,540.25–$8,275.50 $7,387–$11,034 varies
Removal of adenoids (42835) $4,788 $6,384 1.5×
Removal of adenoids (42831) $4,788 $6,384 1.5×
Removal of adenoids (42830) $4,788 $6,384 1.5×
Removal of anal fissure (46200) $4,200 $5,600 1.5×
Removal of anterior instrumentation (22855) $6,261.75 $8,349 0.9×
Removal of bladder cyst (51500) $8,487.75 $11,317 1.4×
Removal of bone lesion (23140) $4,164.75 $5,553 1.3×
Removal of calcium deposits (23000) $3,624 $4,832 1.3×
Removal of cervix (57530)
range across 2 matching MRF lines		 $6,365.25–$6,625.50 $8,487–$8,834 varies
Removal of foot joint lining (28072) $3,996 $5,328 1.2×
Removal of foreign body from pharynx (42809) $421.50 $562 1.0×
Removal of heel spur (28119) $4,164.75 $5,553 1.3×
Removal of humerus lesion (23150) $4,164.75 $5,553 1.3×
Removal of implant from finger or hand (26320)
range across 2 matching MRF lines		 $1,946.25–$2,025.75 $2,595–$2,701 varies
Removal of infusion pump (36262) $5,259.75 $7,013 1.4×
Removal of kidney stone (50081)
range across 2 matching MRF lines		 $18,864–$19,637.25 $25,152–$26,183 varies
Removal of mammary implant material (19330) $5,540.25 $7,387 1.4×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $588–$612 $784–$816 varies
Removal of posterior segmental instrumentation Facility (22852) $18,828.75 $25,105 2.6×
Removal of sesamoid bone (28315) $4,164.75 $5,553 1.3×
Removal of sperm cord lesion (55520) $5,094 $6,792 1.5×
Removal of tendon for graft (20924) $9,244.50 $12,326 1.3×
Removal of testis (54520)
range across 2 matching MRF lines		 $4,893.75–$5,094 $6,525–$6,792 varies
Removal of thyroid (60271) $8,633.25 $11,511 1.5×
Removal of tonsils (42825) $8,633.25 $11,511 1.5×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $4,552.50–$4,738.50 $6,070–$6,318 varies
Removal of tunneled intraperitoneal catheter (49422) $4,161 $5,548 1.3×
Removal of wrist bone (25210) $4,164.75 $5,553 1.3×
Removal shoulder foreign body deep subfascial/im (23333) $3,624 $4,832 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $247.50 $330 1.2×
Removal subcutaneous cardiac rhythm monitor (33286) $755.25 $1,007 1.1×
Removal Submand Stone,Complicated (42335) $4,788 $6,384 1.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,275.50 $3,034 1.1×
Removal, under anesthesia, of external fixation system (20694) $1,968 $2,624 1.2×
Remove Ankle Joint Lining (27626) $4,164.75 $5,553 1.3×
Remove brain canal fluid (61050) $460.50 $614 1.5×
Remove cerclage suture (59871) $2,280.75 $3,041 0.7×
Remove coronoid process (21070) $7,554 $10,072 1.3×
Remove drug implant device (11982) $438.75 $585 1.0×
Remove eye/attach implant (65105) $5,485.50 $7,314 1.4×
Remove Forearm Foreign Body (25248) $2,081.25 $2,775 1.3×
Remove foreign body from eye (65235) $3,225.75 $4,301 1.4×
Remove foreign body from eye (65205) $191.25 $255 1.5×
Remove Gastric Port Open (43887) $2,368.50 $3,158 1.2×
Remove Hand Bone Lesion (26200) $2,166 $2,888 1.4×
Remove humerus lesion (24110) $4,164.75 $5,553 1.3×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $483–$502.50 $644–$670 varies
Remove lamina/facets lumbar (63012) $9,159.75 $12,213 1.3×
Remove Lower Leg Bone Lesion (27635)
range across 3 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Remove Nasal Foreign Body (30300) $260.25 $347 2.0×
Remove palate/lesion (42120) $7,119 $9,492 1.2×
Remove Peritoneal Foreign Body (49402) $4,958.25 $6,611 1.4×
Remove prostate regrowth (52630) $6,800.25 $9,067 1.3×
Remove renal tube w/fluoro (50389) $1,018.50 $1,358 1.5×
Remove Skin Nerve Lesion (64774) $3,114.75 $4,153 1.6×
Remove spine fixation device (22850) $18,828.75 $25,105 2.6×
Remove Tendon Sheath Lesion (26160)
range across 3 matching MRF lines		 $2,081.25–$2,166 $2,775–$2,888 varies
Remove wrist joint cartilage (25107) $4,164.75 $5,553 1.3×
Remove/graft finger lesion (26215) $6,424.50 $8,566 2.0×
Remove/graft foot lesion (28102) $8,499.75 $11,333 1.2×
Remove/graft forearm lesion (25125) $2,051.25 $2,735 1.3×
Remove/graft leg bone lesion (27637) $7,389.75 $9,853 1.0×
Remove/Insert Drug Implant (11983) $438.75 $585 1.0×
Remv cartilage for graft nasal (20912) $4,071.75 $5,429 1.2×
Remv&replc pm gen dual lead (33228) $14,456.25 $19,275 1.4×
Reopen fallopian tube (58350)
range across 2 matching MRF lines		 $6,558–$9,837.75 $8,744–$13,117 varies
Repair Achilles Tendon (27650)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Repair arm/leg nerve (64857) $10,938.75 $14,585 3.2×
Repair Blood Vessel Direct Hand Finger (35207) $4,362 $5,816 1.4×
Repair Blood Vessel Direct Upper Extremity (35206) $4,161 $5,548 1.3×
Repair cleft lip/nasal (40720) $4,788 $6,384 1.5×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $879.75 $1,173 1.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $879.75 $1,173 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $593.25 $791 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $879.75 $1,173 2.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $931.50 $1,242 2.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $879.75 $1,173 2.2×
Repair complex trunk 1.1-2.5 cm (13100) $879.75 $1,173 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $879.75 $1,173 1.2×
Repair defect w/autograft radius/ulna (25425) $9,157.50 $12,210 1.3×
Repair detached retina (67105) $900 $1,200 1.7×
Repair Ectropion Excision Tarsal Wedge (67916) $3,501.75 $4,669 1.5×
Repair Ectropion Extensive (67917) $3,501.75 $4,669 1.5×
Repair Elbow Perc (24357) $4,164.75 $5,553 1.3×
Repair Entropion Extensive (67924) $3,501.75 $4,669 1.5×
Repair Entropion Suture (67921) $3,501.75 $4,669 1.5×
Repair Extensor Tendon Finger W/Graft Each (26420) $4,164.75 $5,553 1.3×
Repair extensor tendon finger w/o graft each (26418)
range across 4 matching MRF lines		 $2,081.25–$2,596.50 $2,775–$3,462 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $4,164.75 $5,553 1.3×
Repair Eyelid Wound (67935) $2,901.75 $3,869 1.2×
Repair Finger Tendon (26433) $4,164.75 $5,553 1.3×
Repair Finger/Hand Tendon (26350) $4,164.75 $5,553 1.3×
Repair Fistula Oromaxillary (30580) $8,633.25 $11,511 1.5×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Repair Foot Dislocation (28615) $7,389.75 $9,853 1.0×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Repair Hand Joint (26540) $4,001.25 $5,335 1.2×
Repair Hand Tendon (26410) $2,081.25 $2,775 1.3×
Repair humerus with graft (24435)
range across 2 matching MRF lines		 $18,087.75–$18,828.75 $24,117–$25,105 varies
Repair incomplete circumcision (54163)
range across 2 matching MRF lines		 $2,451.75–$2,552.25 $3,269–$3,403 varies
Repair inguinal hernia, sliding, any age (49525) $4,958.25 $6,611 1.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $4,958.25 $6,611 1.4×
Repair initial femoral hernia, any age; reducible (49550) $4,958.25 $6,611 1.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $4,763.25–$4,958.25 $6,351–$6,611 varies
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $4,958.25 $6,611 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $593.25 $791 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $593.25 $791 1.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $593.25 $791 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $593.25 $791 1.5×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $593.25 $791 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $879.75 $1,173 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $593.25 $791 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $593.25 $791 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $879.75 $1,173 1.2×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $329.25 $439 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $593.25 $791 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $593.25 $791 1.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $593.25 $791 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $879.75 $1,173 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $593.25–$990 $791–$1,320 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,430.75 $3,241 1.2×
Repair iris ciliary body (66680) $3,225.75 $4,301 1.4×
Repair Leg Fascia Defect (27656) $5,677.50 $7,570 1.8×
Repair lower leg tendons (27676) $7,389.75 $9,853 1.0×
Repair nasal septal perforations (30630) $4,788 $6,384 1.5×
Repair Nasal Vestibular Stenosis (30465) $8,633.25 $11,511 1.5×
Repair Non/Malunion Humerus W/O Graft (24430) $18,087.75 $24,117 1.4×
Repair Nonunion Carpal Bone Each Bone (25431) $7,389.75 $9,853 1.0×
Repair Nonunion Hand (26546) $7,389.75 $9,853 1.0×
Repair Nonunion/Malunion Tarsal Bones (28320) $16,497 $21,996 1.3×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $7,389.75 $9,853 1.0×
Repair of biceps tendon (24340) $9,030.75 $12,041 1.3×
Repair of enterocele, vaginal approach (separate procedure) (57268) $6,625.50 $8,834 1.3×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $4,157.25 $5,543 1.3×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $7,389.75 $9,853 1.0×
Repair of hammertoe (28286) $4,157.25 $5,543 1.3×
Repair of knee ligaments (27409) $7,389.75 $9,853 1.0×
Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) $3,501.75 $4,669 1.5×
Repair of metatarsals (28322) $7,389.75 $9,853 1.0×
Repair of nail bed (11760) $879.75 $1,173 1.2×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $9,157.50 $12,210 1.3×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $7,389.75 $9,853 1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $9,157.50 $12,210 1.3×
Repair of rectocele (45560) $4,200 $5,600 1.5×
Repair of Ruptured Tendon (24342)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Repair of shoulder (23420) $7,389.75 $9,853 1.0×
Repair radius & ulna (25415) $7,098.75 $9,465 1.0×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $4,958.25 $6,611 0.8×
Repair Rotator Cuff Chronic (23412) $7,950.75 $10,601 1.1×
Repair secondary achilles tendon w/wo graft (27654)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Repair shoulder capsule (23462) $7,389.75 $9,853 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,380.75 $5,841 1.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,098.75 $9,465 1.0×
Repair Toe Dislocation (28645) $2,310 $3,080 0.7×
Repair tongue laceration (41252) $375.75 $501 1.6×
Repair tongue laceration (41250) $375 $500 0.8×
Repair webbed toe(s) (28345) $2,051.25 $2,735 1.3×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) $8,841.75 $11,789 1.5×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $4,157.25 $5,543 1.3×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $4,164.75 $5,553 1.3×
Repair/graft achilles tendon (27652) $9,021.75 $12,029 1.3×
Repair/graft finger tendon (26428) $4,077 $5,436 1.3×
Repair/Graft Wrist Bone (25440) $7,389.75 $9,853 1.0×
Repair/Revise Wrist Joint (25320)
range across 3 matching MRF lines		 $7,551–$9,030.75 $10,068–$12,041 varies
Replace duodenostomy/jejunostomy tube perq (49451) $3,984.75 $5,313 4.4×
Replace elbow joint (24363) $24,263.25 $32,351 1.4×
Replacement Tissue Expander W/Permanent Implant (11970) $8,445 $11,260 1.2×
Replantation digit complete (20822)
range across 2 matching MRF lines		 $2,081.25–$2,166 $2,775–$2,888 varies
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $3,225.75 $4,301 1.4×
Repr elbow lat ligmnt w/tiss (24343) $4,164.75 $5,553 1.3×
Repr Elbw Med Ligmnt W/Tiss (24345)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Rerepair ing hernia reduce (49520) $4,958.25 $6,611 1.4×
Resect hip/pelv tum < 5 cm (27049) $3,669 $4,892 1.3×
Resect shoulder tumor < 5 cm (23077) $3,669 $4,892 1.3×
Resect thigh/knee tum < 5 cm (27329) $3,669 $4,892 1.3×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $4,381.50 $5,842 1.4×
Resection, partial or complete, phalangeal base, each toe (28126) $4,157.25 $5,543 1.3×
Revis reconst shoulder joint (23473) $18,828.75 $25,105 1.5×
Revise eye with implant (65093) $5,485.50 $7,314 1.4×
Revise Hand/Foot Nerve (64704)
range across 3 matching MRF lines		 $2,992.50–$3,114.75 $3,990–$4,153 varies
Revise knuckle joint (26530)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Revise lower leg tendon (27690) $17,835 $23,780 2.5×
Revise Lower Leg Tendons (27686) $4,164.75 $5,553 1.3×
Revise Spine Eltrd Plate (63664) $19,634.25 $26,179 1.8×
Revise ulnar nerve at wrist (64719) $3,114.75 $4,153 1.6×
Revise/Implant Finger Joint (26536)
range across 2 matching MRF lines		 $8,667–$9,021.75 $11,556–$12,029 varies
Revise/Repair Finger/Toe Nerve (64702) $5,130 $6,840 2.7×
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) $8,962.50 $11,950 1.2×
Revision including removal of prosthetic vaginal graft vaginal approach (57295)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Revision of big toe (28310) $9,157.50 $12,210 1.3×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $4,866.75 $6,489 1.4×
Revision of foot (28116)
range across 2 matching MRF lines		 $3,075–$4,157.25 $4,100–$5,543 varies
Revision of foot and ankle (28262) $9,157.50 $12,210 1.3×
Revision of foot bones (28737) $16,745.25 $22,327 1.3×
Revision of knee joint (27442) $18,828.75 $25,105 1.5×
Revision of lower leg tendon (27685)
range across 3 matching MRF lines		 $4,001.25–$6,248.25 $5,335–$8,331 varies
Revision of nose (30462) $7,323.75 $9,765 1.3×
Revision of penis (54300) $3,295.50 $4,394 0.9×
Revision of reconstructed breast (19380) $9,234 $12,312 1.4×
Revision of stapedectomy or stapedotomy Facility (69662) $8,633.25 $11,511 1.5×
Revision of toe (28312) $4,164.75 $5,553 1.3×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $10,173 $13,564 0.8×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $10,173 $13,564 0.8×
Revision of urethra (57220) $6,625.50 $8,834 1.3×
Revision of wrist joint (25450) $4,326 $5,768 1.3×
Revision Peri-Implant Capsule Breast (19370) $5,540.25 $7,387 1.4×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $7,389.75 $9,853 1.0×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $5,304 $7,072 0.8×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $10,197.75 $13,597 0.8×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $18,828.75 $25,105 1.1×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $10,173 $13,564 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,917.75 $6,557 1.4×
Rhinoplasty primary w/major septal repair (30420) $8,633.25 $11,511 1.5×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $7,329 $9,772 1.3×
Rib cartilage graft (21230) $7,584.75 $10,113 1.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,412.25 $1,883 1.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,430.75 $3,241 1.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $421.50 $562 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $260.25 $347 2.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $156 $208 0.4×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $462 $616 1.5×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $1,773–$1,845 $2,364–$2,460 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,481.50 $4,642 1.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,127 $2,836 1.3×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $3,225.75 $4,301 1.4×
Rmvl Lens Material Phacofragmentation Aspir (66850) $3,225.75 $4,301 1.4×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $3,114.75 $4,153 1.6×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $3,114.75 $4,153 1.6×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $7,244.25 $9,659 2.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $1,422–$2,062.50 $1,896–$2,750 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $944.25 $1,259 1.5×
Rmvl Vitreous Ant Appr Partial Removal (67005) $3,225.75 $4,301 1.4×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $3,225.75 $4,301 1.4×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $375.75 $501 1.4×
Rmvl/revj sling stress incontinence (57287)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $4,788 $6,384 1.5×
Rplc Gtube No Revj Trc (43762) $467.25 $623 1.9×
Rplcmt cath ctr vad subq port/pmp (36578) $3,942 $5,256 1.3×
Rplcmt compl tun ctr vad w/subq port (36582) $4,161 $5,548 1.3×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $6,540.75–$7,154.25 $8,721–$9,539 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $4,671–$4,862.25 $6,228–$6,483 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $4,862.25 $6,483 0.8×
Rpr aa hernia recr 3-10 cm reducible (49615) $4,862.25 $6,483 0.8×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $7,153.50 $9,538 1.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines		 $4,671–$4,862.25 $6,228–$6,483 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $4,671–$4,862.25 $6,228–$6,483 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $6,873–$7,154.25 $9,164–$9,539 varies
Rpr blood vessel direct lower extremity (35226) $1,920.75 $2,561 2.7×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $7,389.75 $9,853 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $308.25 $411 1.6×
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Rpr Ing Hernia Baby, Reduc (49495) $4,958.25 $6,611 1.4×
Rpr ing hernia init reduce (49500) $4,958.25 $6,611 0.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $303.75 $405 0.4×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $3,501.75 $4,669 1.5×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $5,812.50 $7,750 1.1×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $5,485.50 $7,314 1.4×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $5,812.50 $7,750 1.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,353.50 $3,138 1.5×
Rpr Nsl Vlv Collapse W/Implt (30468) $7,775.25 $10,367 1.3×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,389.75 $9,853 1.0×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $3,225.75 $4,301 1.4×
Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) $5,485.50 $7,314 1.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,001.25 $5,335 1.2×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,001.25 $5,335 1.2×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
range across 3 matching MRF lines		 $4,164.75–$9,080.25 $5,553–$12,107 varies
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $4,164.75 $5,553 1.3×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $7,389.75 $9,853 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $4,164.75–$12,003.75 $5,553–$16,005 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $4,164.75 $5,553 1.3×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $4,164.75 $5,553 1.3×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372)
unusually low: confirm this is the full procedure		 $2,422.50 $3,230 0.3×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $4,157.25 $5,543 1.3×
Scrotal exploration (55110) $4,167.75 $5,557 1.2×
Scrotoplasty Simple (55175)
range across 2 matching MRF lines		 $4,248–$4,422 $5,664–$5,896 varies
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $3,827.25–$3,984 $5,103–$5,312 varies
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) $3,078.75 $4,105 1.0×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $3,225.75 $4,301 1.4×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $3,225.75 $4,301 1.4×
Shoulder arthroscopy (29820) $8,504.25 $11,339 1.2×
Shoulder arthroscopy diagnostic (29805) $4,164.75 $5,553 1.3×
Shoulder Arthroscopy/Surgery (29825) $4,164.75 $5,553 1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $258 $344 1.3×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $4,788 $6,384 1.5×
Sigmoidoscopy & Polypectomy (45333) $1,416.75 $1,889 1.5×
Sigmoidoscopy w/fb removal (45332) $1,845 $2,460 1.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,416.75 $1,889 1.5×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,845 $2,460 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $361.50 $482 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $308.25 $411 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $308.25 $411 1.6×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $366.75 $489 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $399.75 $533 2.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $391.50 $522 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $308.25 $411 1.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $153.75 $205 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $308.25 $411 1.6×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $7,323.75 $9,765 1.3×
Skin sub graft face/nk/hf/g (15275) $4,876.50 $6,502 6.7×
Skin Tissue Procedure (17999) $308.25 $411 1.6×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $6,300 $8,400 1.3×
Slitting of prepuce (54001) $2,981.25 $3,975 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $308.25–$320.25 $411–$427 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $593.25 $791 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $593.25 $791 1.5×
Snip Incision Lacrimal Punctum (68440) $462 $616 1.5×
Sphincterotomy anal division sphincter spx (46080)
range across 2 matching MRF lines		 $4,035–$4,200 $5,380–$5,600 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,059–$1,101.75 $1,412–$1,469 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,653.75 $6,205 1.3×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,529.75 $3,373 1.2×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $8,633.25 $11,511 1.5×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311)
range across 2 matching MRF lines		 $2,416.50–$3,501.75 $3,222–$4,669 varies
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $5,485.50 $7,314 1.4×
Strapping ankle (29540) $56.25 $75 0.4×
Strapping elbow or wrist (29260) $69 $92 1.2×
Strapping hand/finger (29280) $171 $228 2.9×
Strapping knee (29530) $67.50 $90 0.5×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $84–$154.50 $112–$206 varies
Strapping thorax (29200) $202.50 $270 1.3×
Strapping toes (29550) $77.25 $103 1.3×
Strapping Unna Boot (29580) $134.25 $179 0.8×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 3 matching MRF lines		 $4,765.50–$7,441.50 $6,354–$9,922 varies
Subtalar arthro w/deb (29906) $4,164.75 $5,553 1.3×
Suction assisted lipectomy; head and neck (15876) $4,653.75 $6,205 1.3×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $7,323.75 $9,765 1.3×
Surg Tx Anal Fistula 2nd Stage (46285) $4,200 $5,600 1.5×
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $4,035–$4,200 $5,380–$5,600 varies
Surgery to stop leg growth (27477) $7,389.75 $9,853 1.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275)
range across 2 matching MRF lines		 $2,898–$4,200 $3,864–$5,600 varies
Suture 1 nerve hand/foot common sensory nerve (64834) $7,244.25 $9,659 2.1×
Suture 1 Nerve Ulnar Motor (64836)
range across 2 matching MRF lines		 $6,959.25–$7,244.25 $9,279–$9,659 varies
Suture digital nerve hand/foot 1 nerve (64831) $3,114.75 $4,153 1.6×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $3,225.75 $4,301 1.4×
Suture of facial nerve; extracranial Facility (64864) $7,244.25 $9,659 0.8×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $7,389.75 $9,853 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385) $7,389.75 $9,853 1.0×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $9,079.50 $12,106 1.3×
Suture pharynx for wound or injury (42900)
range across 3 matching MRF lines		 $2,370.75–$3,123 $3,161–$4,164 varies
Suture/repair testicular injury (54670)
range across 2 matching MRF lines		 $3,760.50–$3,914.25 $5,014–$5,219 varies
Syndactylization toes (28280) $4,157.25 $5,543 1.3×
Synovectomy carpometacarpal joint (26130) $4,164.75 $5,553 1.3×
Synovectomy Tendon Sheath Foot Extensor (28088) $4,160.25 $5,547 1.3×
Synovectomy Tendon Sheath Foot Flexor (28086)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $8,928 $11,904 1.2×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,166 $2,888 1.4×
Tangential biopsy skin single lesion (11102) $320.25 $427 0.8×
Tendon lengthening upper arm/elbow ea tendon (24305) $4,989.75 $6,653 1.5×
Tendon transfer with graft (26492) $4,157.25 $5,543 1.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,844.50 $5,126 1.2×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $4,164.75 $5,553 1.3×
Tenodesis long tendon biceps (23430)
range across 3 matching MRF lines		 $5,825.25–$7,098.75 $7,767–$9,465 varies
Tenolysis flexor tendon palm&finger each tendo (26442) $4,157.25 $5,543 1.3×
Tenolysis flexor tendon palm/finger each tendon (26440) $2,166 $2,888 1.4×
Tenolysis Triceps (24332) $4,085.25 $5,447 1.3×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $4,164.75 $5,553 1.3×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $3,392.25 $4,523 1.0×
Tenotomy extensor hand/finger open each tendon (26460) $2,166 $2,888 1.4×
Tenotomy Flexor Finger Open Each Tendon (26455) $2,166 $2,888 1.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,175 $2,900 1.4×
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 2 matching MRF lines		 $4,001.25–$4,164.75 $5,335–$5,553 varies
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,166 $2,888 1.4×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $4,164.75 $5,553 1.3×
Tenotomy shoulder area single tendon (23405) $7,389.75 $9,853 1.0×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,968 $2,624 1.2×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $7,130.25 $9,507 1.3×
Thyroid biopsy (60100) $1,099.50 $1,466 1.6×
Thyroidectomy Post Prev Thyr Surg (60260) $8,633.25 $11,511 1.5×
Thyroidectomy, total or complete (60240)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $8,633.25 $11,511 1.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,466 $3,288 1.2×
Tissue Expander Placement Breast Reconstruction (19357) $9,932.25 $13,243 0.7×
Tlh uterus over 250 g (58572)
range across 2 matching MRF lines		 $12,394.50–$12,902.25 $16,526–$17,203 varies
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $3,282.75–$4,164.75 $4,377–$5,553 varies
Tongue suspension (41512) $8,633.25 $11,511 1.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,788 $6,384 1.5×
Tooth extraction (41899) $358.50 $478 1.5×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $9,314.25 $12,419 0.5×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $13,649.25–$14,208.75 $18,199–$18,945 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $8,487.75 $11,317 1.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $4,614 $6,152 1.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $955.50 $1,274 0.6×
Transplant hand tendon (26480) $4,164.75 $5,553 1.3×
Transplant/graft hand tendon (26483) $4,157.25 $5,543 1.3×
Transplant/graft palm tendon (26489) $4,381.50 $5,842 1.4×
Transur electr resection of prostate (52601)
range across 2 matching MRF lines		 $4,569.75–$4,756.50 $6,093–$6,342 varies
Transurethral resection bladder neck (52500)
range across 2 matching MRF lines		 $4,248–$4,422 $5,664–$5,896 varies
Treat Ankle Dislocation (27846) $9,021.75 $12,029 1.3×
Treat ankle fracture (28445)
range across 3 matching MRF lines		 $5,825.25–$7,389.75 $7,767–$9,853 varies
Treat Big Toe Fracture (28505) $4,164.75 $5,553 1.3×
Treat Dental Ridge Fracture (21440) $4,157.25 $5,543 1.3×
Treat dislocation/fracture (23670) $9,157.50 $12,210 1.3×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Treat elbow fracture (24586) $20,236.50 $26,982 1.6×
Treat Elbow Fracture (24635) $9,157.50 $12,210 1.3×
Treat Finger Fracture Each (26727) $4,164.75 $5,553 1.3×
Treat fracture radius/ulna (25575) $7,389.75 $9,853 1.0×
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Treat humerus fracture (24500) $623.25 $831 2.6×
Treat Humerus Fracture (24505) $741 $988 0.5×
Treat humerus fracture (23616) $24,263.25 $32,351 1.4×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $286.50–$321.75 $382–$429 varies
Treat knee fracture (27532) $4,001.25 $5,335 1.2×
Treat kneecap dislocation (27566) $8,819.25 $11,759 1.2×
Treat Kneecap Fracture (27524) $7,389.75 $9,853 1.0×
Treat Knuckle Dislocation (26700) $521.25 $695 2.1×
Treat lower leg bone lesion (27607) $4,157.25 $5,543 1.3×
Treat Metatarsal Fracture (28475) $271.50 $362 1.1×
Treat midfoot fracture (28456) $7,389.75 $9,853 1.0×
Treat scapula fracture (23585)
range across 2 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies
Treat Tail Bone Fracture (27200) $306.75 $409 1.3×
Treat Thumb Dislocation (26641) $321.75 $429 1.3×
Treat Thumb Fracture (26645) $2,081.25 $2,775 1.3×
Treat thumb fracture (26665) $4,164.75 $5,553 1.3×
Treat toe dislocation (28630) $273.75 $365 1.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,189.50 $1,586 0.7×
Treatment closed elbow dislocation w/o anes (24600) $284.25 $379 1.2×
Treatment extensive retinopathy photocoagulation (67228) $900 $1,200 1.7×
Treatment of ankle fracture (27823) $7,389.75 $9,853 1.0×
Treatment of foot infection (28003)
range across 2 matching MRF lines		 $3,398.25–$3,537 $4,531–$4,716 varies
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $7,389.75 $9,853 1.0×
Treatment of nose fracture (21330) $7,554 $10,072 1.3×
Treatment of tibia fracture (27756) $7,389.75 $9,853 1.0×
Trim skin lesion (11055) $258 $344 1.3×
Trim skin lesions over 4 (11057) $320.25 $427 1.6×
Trurl rescj postop bladder neck contracture (52640)
range across 2 matching MRF lines		 $5,130–$5,340 $6,840–$7,120 varies
Tubal ligation (58600) $4,614 $6,152 1.4×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $3,526.50 $4,702 1.3×
Tx Gastro Intub W/Asp (43753) $239.25 $319 1.1×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $16,497 $21,996 1.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $4,432.50 $5,910 1.4×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $7,389.75 $9,853 1.0×
Tx Missed Abortion First Trimester Surgical (59820) $4,386.75 $5,849 1.4×
Tx Missed Abortion Second Trimester Surgical (59821) $4,614 $6,152 1.4×
Tx open tendon flexor toe 1 tendon spx (28232) $2,166 $2,888 1.4×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,051.25 $2,735 1.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,081.25 $2,775 1.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $879.75 $1,173 1.2×
Tx superficial wound dehiscence w/packing (12021) $497.25 $663 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,166 $2,888 1.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $306.75 $409 1.3×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $18,828.75 $25,105 1.5×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,353.50 $3,138 1.5×
Tympanolysis transcanal (69450) $4,788 $6,384 1.5×
Tympanoplasty (69631) $8,544 $11,392 1.5×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $8,633.25 $11,511 1.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $8,633.25 $11,511 1.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $8,633.25 $11,511 1.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $8,633.25 $11,511 1.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $8,633.25 $11,511 1.5×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $8,633.25 $11,511 1.5×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $8,633.25 $11,511 1.5×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $2,261.25–$2,353.50 $3,015–$3,138 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250)
range across 2 matching MRF lines		 $3,558.75–$4,958.25 $4,745–$6,611 varies
Unlisted Craniofacial & Maxillofacial Procedure (21299) $330 $440 1.4×
Unlisted hysteroscopy procedure, uterus (58579) $303 $404 1.5×
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Unlisted laparoscopy procedure appendix (44979) $8,487.75 $11,317 1.4×
Unlisted laparoscopy procedure oviduct ovary (58679) $8,487.75 $11,317 1.4×
Unlisted laparoscopy procedure stomach (43659) $7,810.50 $10,414 1.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $8,487.75–$8,896.50 $11,317–$11,862 varies
Unlisted laparoscopy procedure, biliary tract (47579) $7,287.75 $9,717 1.2×
Unlisted laparoscopy procedure, bladder (51999) $8,487.75 $11,317 1.4×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $8,487.75 $11,317 1.4×
Unlisted laparoscopy procedure, rectum (45499) $7,479.75 $9,973 1.3×
Unlisted laparoscopy procedure, spermatic cord (55559)
range across 3 matching MRF lines		 $6,947.25–$7,231.50 $9,263–$9,642 varies
Unlisted laparoscopy procedure, uterus (58578)
range across 2 matching MRF lines		 $8,154–$8,487.75 $10,872–$11,317 varies
Unlisted Procedure Accessory Sinuses (31299) $375.75 $501 1.6×
Unlisted procedure anus (46999) $1,416.75 $1,889 1.5×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $253.50–$321.75 $338–$429 varies
Unlisted procedure breast (19499) $5,020.50 $6,694 1.3×
Unlisted Procedure Casting/Strapping (29799) $169.50 $226 1.1×
Unlisted procedure colon (45399) $1,416.75 $1,889 1.5×
Unlisted Procedure Conjunctiva (68399) $462 $616 1.5×
Unlisted Procedure Esophagus (43499) $1,356.75 $1,809 1.5×
Unlisted Procedure External Ear (69399) $156 $208 0.7×
Unlisted procedure femur or knee (27599)
range across 4 matching MRF lines		 $253.50–$6,660.75 $338–$8,881 varies
Unlisted procedure foot or toes (28899) $321.75 $429 1.3×
Unlisted procedure forearm or wrist (25999) $321.75 $429 1.3×
Unlisted Procedure Hands/Fingers (26989) $309.75 $413 1.3×
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $269.25–$309.75 $359–$413 varies
Unlisted Procedure Intestine (44799) $1,412.25 $1,883 1.6×
Unlisted procedure lacrimal system (68899) $444 $592 1.4×
Unlisted Procedure Leg/Ankle (27899) $321.75 $429 1.3×
Unlisted Procedure Male Genital System (55899) $2,006.25 $2,675 8.1×
Unlisted Procedure Muscskeletal System General (20999) $309.75 $413 1.3×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $303.75–$460.50 $405–$614 varies
Unlisted procedure pelvis/hip joint (27299) $321.75 $429 1.3×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $441 $588 1.9×
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $1,361.25–$1,417.50 $1,815–$1,890 varies
Unlisted procedure shoulder (23929) $321.75 $429 1.3×
Unlisted procedure spine (22899) $306.75 $409 1.3×
Unlisted procedure stomach (43999) $1,412.25 $1,883 1.6×
Unlisted Procedure Tongue Floor Mouth (41599) $361.50 $482 1.5×
Unlisted Procedure Trachea Bronchi (31899) $297.75 $397 1.5×
Unlisted Procedure Vascular Surgery (37799) $944.25 $1,259 1.5×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,356.75 $1,809 1.5×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $449.25–$467.25 $599–$623 varies
Unlisted px female genital system nonobstetrical (58999) $291.75 $389 1.5×
Uvulectomy excision of uvula (42140) $4,788 $6,384 1.5×
Vag hyst complex (58290) $9,715.50 $12,954 1.3×
Vag hyst incl t/o complex (58291) $6,625.50 $8,834 1.3×
Vaginal Delivery After Cesarean Delivery (59612) $4,614 $6,152 1.4×
Vaginal delivery only (59409) $4,614 $6,152 1.4×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $6,625.50 $8,834 1.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $6,558 $8,744 1.3×
Vaginectomy, partial removal of vaginal wall; (57106) $4,614 $6,152 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $2,625.75–$2,864.25 $3,501–$3,819 varies
Ventilating tube removal requiring general anesthesia (69424) $4,788 $6,384 1.5×
Vestibuloplasty Anterior (40840) $8,633.25 $11,511 1.5×
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $4,432.50–$4,614 $5,910–$6,152 varies
Wedge excision skin nail fold (11765) $593.25 $791 1.5×
Wedging of cast (29740) $375.75 $501 1.4×
Wound Prep F/N/Hf/G (15004) $783.75 $1,045 2.0×
Wound Prep Trk/Arm/Leg (15002) $2,997 $3,996 4.1×
Wrist arthroscopy (29840) $4,381.50 $5,842 1.4×
Xfer Single Deep Low Leg Tendon (27691)
range across 3 matching MRF lines		 $7,098.75–$7,389.75 $9,465–$9,853 varies

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.