Procedures & surgery prices at Maniilaq Health Center
Kotzebue, AK · every code in this section with a posted price and a Medicare benchmark.
564 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$889–$2,441 | $889–$2,441 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$612–$1,660 | $612–$1,660 | varies |
| Acne surgery (10040) range across 2 matching MRF lines |
$438–$889 | $438–$889 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,996–$12,783 | $2,996–$12,783 | varies |
| Anal/Urinary Muscle Study (51784) | $448 | $448 | 3.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$333–$840 | $333–$840 | varies |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $2,011 | $2,011 | 11.2× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$503–$694 | $503–$694 | varies |
| Application Cast Finger (29086) | $618 | $618 | 3.4× |
| Application Finger Splint Dynamic (29131) | $407 | $407 | 6.2× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$245–$338 | $245–$338 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$284–$661 | $284–$661 | varies |
| Application Long Leg Cast Brace (29358) | $2,063 | $2,063 | 6.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $1,263 | $1,263 | 4.1× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$323–$688 | $323–$688 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$714–$991 | $714–$991 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$820–$1,100 | $820–$1,100 | varies |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$840–$1,063 | $840–$1,063 | varies |
| Application Patellar Tendon Bearing Cast (29435) range across 2 matching MRF lines |
$671–$927 | $671–$927 | varies |
| Application Short Arm Splint Dynamic (29126) | $582 | $582 | 3.9× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$244–$520 | $244–$520 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$267–$574 | $267–$574 | varies |
| Application, cast; figure-of-eight Facility (29049) range across 2 matching MRF lines |
$571–$797 | $571–$797 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$548–$766 | $548–$766 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$559–$771 | $559–$771 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$455–$646 | $455–$646 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$217–$666 | $217–$666 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$189–$247 | $189–$247 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$309–$427 | $309–$427 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$435–$686 | $435–$686 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$377–$506 | $377–$506 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $495 | $495 | 1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$30–$413 | $30–$413 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$663–$2,525 | $663–$2,525 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,897 | $1,897 | 2.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $808 | $808 | 2.4× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $3,170 | $3,170 | 4.0× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$449–$897 | $449–$897 | varies |
| Biopsy External Auditory Canal (69105) | $747 | $747 | 0.4× |
| Biopsy external ear (69100) | $586 | $586 | 2.2× |
| Biopsy nail unit (11755) | $1,776 | $1,776 | 2.3× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $1,334 | $1,334 | 0.4× |
| Biopsy of conjunctiva (68100) | $1,151 | $1,151 | 0.4× |
| Biopsy of floor of mouth (41108) | $1,077 | $1,077 | 0.6× |
| Biopsy of lip (40490) | $874 | $874 | 3.3× |
| Biopsy of rectum (45100) | $3,582 | $3,582 | 1.2× |
| Biopsy Oropharynx (42800) | $1,321 | $1,321 | 0.8× |
| Biopsy Salivary Gland Incisional (42405) | $2,678 | $2,678 | 1.6× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$1,276–$2,140 | $1,276–$2,140 | varies |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,280 | $1,280 | 2.1× |
| Biopsy Vaginal Mucosa Extensive (57105) range across 2 matching MRF lines |
$1,122–$1,301 | $1,122–$1,301 | varies |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$544–$788 | $544–$788 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$501–$743 | $501–$743 | varies |
| Biopsy, vestibule of mouth (40808) | $1,292 | $1,292 | 2.2× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$258–$612 | $258–$612 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$84–$250 | $84–$250 | varies |
| Blepharoplasty Lower Eyelid (15820) | $7,624 | $7,624 | 3.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $8,174 | $8,174 | 3.6× |
| Blood Transfusion Service (36430) | $1,583 | $1,583 | 3.2× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$621–$1,173 | $621–$1,173 | varies |
| Bx/exc lymph node open superficial (38500) | $3,037 | $3,037 | 0.7× |
| Canthotomy Separate Procedure (67715) range across 2 matching MRF lines |
$394–$8,752 | $394–$8,752 | varies |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 2 matching MRF lines |
$1,160–$1,426 | $1,160–$1,426 | varies |
| Cautery Cervix Electro/Thermal (57510) range across 2 matching MRF lines |
$940–$1,236 | $940–$1,236 | varies |
| Change Cystostomy Tube Simple (51705) | $627 | $627 | 2.3× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$176–$773 | $176–$773 | varies |
| Chemical peel, facial; epidermal (15788) | $5,783 | $5,783 | 12.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $1,396 | $1,396 | 4.1× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$782–$1,301 | $782–$1,301 | varies |
| Circumcision Neonate (54160) | $1,722 | $1,722 | 2.2× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$1,177–$2,086 | $1,177–$2,086 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$2,908–$3,159 | $2,908–$3,159 | varies |
| Clear outer ear canal (69200) | $561 | $561 | 3.8× |
| Closed Treat Vert Body Fract (22310) range across 2 matching MRF lines |
$2,390–$2,482 | $2,390–$2,482 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$3,292–$3,631 | $3,292–$3,631 | varies |
| Closed Treatment Sesamoid Fracture (28530) | $1,231 | $1,231 | 4.5× |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$1,185–$1,193 | $1,185–$1,193 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $3,543 | $3,543 | 12.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$1,856–$3,092 | $1,856–$3,092 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$3,479–$3,845 | $3,479–$3,845 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$2,482–$2,731 | $2,482–$2,731 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $823 | $823 | 3.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $3,294 | $3,294 | 12.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $6,800 | $6,800 | 24.8× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$3,983–$4,292 | $3,983–$4,292 | varies |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) range across 2 matching MRF lines |
$6,993–$8,186 | $6,993–$8,186 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $2,422 | $2,422 | 8.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $3,536 | $3,536 | 2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,581 | $1,581 | 0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$2,819–$3,063 | $2,819–$3,063 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $4,164 | $4,164 | 15.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $2,838 | $2,838 | 10.4× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$3,768–$4,133 | $3,768–$4,133 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $2,961 | $2,961 | 10.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$3,816–$4,236 | $3,816–$4,236 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $2,975 | $2,975 | 10.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $3,001 | $3,001 | 11.0× |
| Closed tx talus fracture w/o manipulation (28430) | $3,088 | $3,088 | 11.3× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$1,513–$1,766 | $1,513–$1,766 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$264–$953 | $264–$953 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $3,102 | $3,102 | 11.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $2,810 | $2,810 | 10.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$1,382–$2,277 | $1,382–$2,277 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $4,416 | $4,416 | 7.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $2,925 | $2,925 | 10.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$1,804–$1,840 | $1,804–$1,840 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$1,311–$1,647 | $1,311–$1,647 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,319 | $3,319 | 1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$2,385–$2,620 | $2,385–$2,620 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) | $994 | $994 | 2.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$3,488–$3,537 | $3,488–$3,537 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$2,750–$3,049 | $2,750–$3,049 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$1,783–$1,883 | $1,783–$1,883 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $3,323 | $3,323 | 12.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $3,652 | $3,652 | 13.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$3,167–$3,483 | $3,167–$3,483 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$2,354–$2,571 | $2,354–$2,571 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$2,244–$2,601 | $2,244–$2,601 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $2,395 | $2,395 | 8.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$2,584–$2,712 | $2,584–$2,712 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$4,201–$4,443 | $4,201–$4,443 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $5,852 | $5,852 | 21.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$3,902–$3,962 | $3,902–$3,962 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$1,213–$1,456 | $1,213–$1,456 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,486 | $1,486 | 5.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,688 | $1,688 | 6.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $1,424 | $1,424 | 5.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$4,064–$4,484 | $4,064–$4,484 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $3,612 | $3,612 | 13.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $3,468 | $3,468 | 12.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$2,885–$3,120 | $2,885–$3,120 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$2,076–$6,222 | $2,076–$6,222 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$913–$1,521 | $913–$1,521 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $3,612 | $3,612 | 13.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$4,035–$4,407 | $4,035–$4,407 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $4,143 | $4,143 | 15.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$749–$977 | $749–$977 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$2,114–$2,305 | $2,114–$2,305 | varies |
| Cltx Medial Ankle Fx (27760) | $4,323 | $4,323 | 15.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$2,411–$2,661 | $2,411–$2,661 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $3,786 | $3,786 | 13.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$3,144–$3,451 | $3,144–$3,451 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$2,491–$2,781 | $2,491–$2,781 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$1,518–$1,615 | $1,518–$1,615 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $5,319 | $5,319 | 19.4× |
| Cltx prox fibula/shft fx w/o manj (27780) | $3,951 | $3,951 | 14.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$2,932–$3,170 | $2,932–$3,170 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$2,044–$3,406 | $2,044–$3,406 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$646–$825 | $646–$825 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $5,527 | $5,527 | 3.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$2,962–$3,257 | $2,962–$3,257 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $6,746 | $6,746 | 3.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $4,906 | $4,906 | 17.9× |
| Cltx tibial fx proximal w/o manipulation (27530) | $3,323 | $3,323 | 12.1× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$2,620–$2,827 | $2,620–$2,827 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$3,577–$3,990 | $3,577–$3,990 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$2,385–$2,671 | $2,385–$2,671 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $227 | $227 | 1.5× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$36–$52 | $36–$52 | varies |
| Colonoscopy w/fb removal (45379) range across 2 matching MRF lines |
$1,973–$3,466 | $1,973–$3,466 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,634–$3,434 | $1,634–$3,434 | varies |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $569 | $569 | 0.2× |
| Colporrhaphy (57200) | $2,615 | $2,615 | 0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$1,110–$1,344 | $1,110–$1,344 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
$347–$862 | $347–$862 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$753–$985 | $753–$985 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$911–$1,268 | $911–$1,268 | varies |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,904 | $1,904 | 0.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 2 matching MRF lines |
$1,330–$2,504 | $1,330–$2,504 | varies |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$749–$1,031 | $749–$1,031 | varies |
| Colposcopy of vulva (56820) | $354 | $354 | 1.6× |
| Colposcopy Vulva W/Biopsy (56821) | $323 | $323 | 1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$1,013–$1,387 | $1,013–$1,387 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$2,134–$5,709 | $2,134–$5,709 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$1,883–$3,860 | $1,883–$3,860 | varies |
| Complex Cystometrogram (51726) | $776 | $776 | 2.8× |
| Complex drainage wound (10180) | $742 | $742 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$651–$1,853 | $651–$1,853 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$469–$1,167 | $469–$1,167 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,349 | $1,349 | 2.3× |
| Correction of trichiasis; epilation, by forceps only (67820) | $505 | $505 | 3.4× |
| Correction Trichiasis Inccision Lid Margin (67830) | $1,637 | $1,637 | 1.5× |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$314–$938 | $314–$938 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $711 | $711 | 10.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $1,247 | $1,247 | 8.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $4,444 | $4,444 | 16.9× |
| Cystometrogram W/Vp&Up (51729) | $4,433 | $4,433 | 5.7× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$666–$1,709 | $666–$1,709 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $338 | $338 | 0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,091 | $1,091 | 1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $750 | $750 | 0.9× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$122–$267 | $122–$267 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$207–$370 | $207–$370 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $991 | $991 | 0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$407–$428 | $407–$428 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$501–$1,020 | $501–$1,020 | varies |
| Declot vascular device (36593) | $656 | $656 | 1.8× |
| Destr penis lesion(s) (54065) range across 2 matching MRF lines |
$1,399–$1,789 | $1,399–$1,789 | varies |
| Destruc retinal lesn,photocoag (67210) | $5,907 | $5,907 | 9.7× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$546–$905 | $546–$905 | varies |
| Destruction Benign Lesions 15/> (17111) | $1,694 | $1,694 | 7.6× |
| Destruction Lesions Vulva Extensive (56515) | $719 | $719 | 0.3× |
| Destruction Lesions Vulva Simple (56501) | $2,135 | $2,135 | 0.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $2,325 | $2,325 | 10.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $2,678 | $2,678 | 12.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $3,221 | $3,221 | 7.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $3,694 | $3,694 | 4.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $4,759 | $4,759 | 5.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $1,856 | $1,856 | 8.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $2,278 | $2,278 | 10.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $2,495 | $2,495 | 11.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $2,668 | $2,668 | 5.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $3,049 | $3,049 | 6.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $1,826 | $1,826 | 8.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $1,957 | $1,957 | 8.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $2,128 | $2,128 | 9.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $2,722 | $2,722 | 6.0× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $3,232 | $3,232 | 7.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $1,241 | $1,241 | 5.6× |
| Destruction of skin lesions (17106) | $4,519 | $4,519 | 10.0× |
| Destruction Premalignant Lesion 15/> (17004) | $1,957 | $1,957 | 4.3× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$438–$529 | $438–$529 | varies |
| Destruction Vaginal Lesions Extensive (57065) range across 2 matching MRF lines |
$1,484–$1,818 | $1,484–$1,818 | varies |
| Destruction Vaginal Lesions Simple (57061) range across 2 matching MRF lines |
$883–$1,157 | $883–$1,157 | varies |
| Diagnostic sigmoidoscopy (45330) | $2,113 | $2,113 | 2.0× |
| Diaphragm or cervical cap fitting with instructions (57170) | $552 | $552 | 2.5× |
| Dilate Urethra Stricture (53620) | $407 | $407 | 0.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$1,872–$2,305 | $1,872–$2,305 | varies |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $1,381 | $1,381 | 2.8× |
| Drain Cerebro Spinal Fluid (62272) | $135 | $135 | 0.2× |
| Drain/inj small joint/bursa w/us (20604) | $377 | $377 | 1.1× |
| Drainage abscess parotid simple (42300) | $1,809 | $1,809 | 1.1× |
| Drainage external auditory canal abscess (69020) | $2,964 | $2,964 | 3.8× |
| Drainage external ear abscess/hematoma cmplx (69005) | $1,838 | $1,838 | 1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$486–$1,405 | $486–$1,405 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$1,518–$3,556 | $1,518–$3,556 | varies |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$411–$871 | $411–$871 | varies |
| Drainage of eye (65800) | $1,081 | $1,081 | 0.4× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$1,133–$2,459 | $1,133–$2,459 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$1,247–$2,390 | $1,247–$2,390 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$973–$1,385 | $973–$1,385 | varies |
| Drainage of nose lesion (30000) range across 2 matching MRF lines |
$965–$2,050 | $965–$2,050 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,367–$1,370 | $1,367–$1,370 | varies |
| Drainage of scrotum (54700) | $1,764 | $1,764 | 0.8× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$501–$726 | $501–$726 | varies |
| Dressing Change Under Anesthesia (15852) | $384 | $384 | 0.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,579 | $1,579 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$1,096–$1,582 | $1,096–$1,582 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,955 | $1,955 | 8.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$446–$671 | $446–$671 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $5,715 | $5,715 | 7.0× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $8,507 | $8,507 | 3.7× |
| Dstrj Lesion Anus Simple Chemical (46900) | $1,630 | $1,630 | 3.6× |
| Dstrj lesion anus simple cryosurgery (46916) | $1,718 | $1,718 | 7.7× |
| Dstrj Lesion Penis Simple Chemical (54050) | $1,263 | $1,263 | 2.8× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $3,758 | $3,758 | 8.3× |
| Dx gastr intub w/asp spec (43754) range across 2 matching MRF lines |
$295–$1,480 | $295–$1,480 | varies |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$1,410–$3,523 | $1,410–$3,523 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$1,615–$3,873 | $1,615–$3,873 | varies |
| Electro-Uroflowmetry First (51741) | $51 | $51 | 0.2× |
| Endocervical curettage (57505) | $891 | $891 | 0.9× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$531–$823 | $531–$823 | varies |
| Epidural Blood Patch (62273) | $1,394 | $1,394 | 1.8× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$258–$435 | $258–$435 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $3,768 | $3,768 | 2.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$666–$1,020 | $666–$1,020 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$1,270–$1,658 | $1,270–$1,658 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $412 | $412 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $221 | $221 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $3,400 | $3,400 | 1.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,226 | $1,226 | 1.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,560 | $1,560 | 2.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,722 | $1,722 | 2.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,110 | $2,110 | 1.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,695 | $2,695 | 1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$669–$1,028 | $669–$1,028 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,305 | $1,305 | 1.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,623 | $1,623 | 0.9× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,867 | $1,867 | 1.7× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $3,026 | $3,026 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,756 | $1,756 | 2.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,135 | $2,135 | 1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,280 | $3,280 | 1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $2,942 | $2,942 | 1.6× |
| Exc Skin Benig >4cm Face,Facial (11446) | $3,865 | $3,865 | 1.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,534 | $2,534 | 1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $3,505 | $3,505 | 1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $3,823 | $3,823 | 2.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$920–$1,613 | $920–$1,613 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,235 | $1,235 | 2.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$934–$1,379 | $934–$1,379 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,929 | $1,929 | 1.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$1,473–$5,065 | $1,473–$5,065 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $3,768 | $3,768 | 2.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $1,524 | $1,524 | 0.4× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $2,359 | $2,359 | 1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $2,338 | $2,338 | 3.0× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) | $7,755 | $7,755 | 2.9× |
| Excision Chalazion Multiple Same Lid (67801) | $1,579 | $1,579 | 1.4× |
| Excision exostosis(es), external auditory canal Facility (69140) | $10,228 | $10,228 | 1.6× |
| Excision External Ear Partial Simple Repair (69110) | $3,814 | $3,814 | 1.2× |
| Excision Lesion Conjunctiva </1 Cm (68110) | $1,756 | $1,756 | 0.7× |
| Excision Lesion Tongue W/O Closure (41110) range across 2 matching MRF lines |
$1,065–$1,795 | $1,065–$1,795 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,424 | $1,424 | 1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,772 | $1,772 | 2.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,949 | $1,949 | 4.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $2,570 | $2,570 | 3.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,490 | $1,490 | 1.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $2,743 | $2,743 | 1.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $4,707 | $4,707 | 1.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,441 | $1,441 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,784 | $1,784 | 2.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $2,041 | $2,041 | 2.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,868 | $2,868 | 1.6× |
| Excision Multiple External Papillae/Tags Anus (46230) | $2,064 | $2,064 | 0.7× |
| Excision of chalazion; multiple, different lids (67805) | $1,941 | $1,941 | 5.5× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$1,524–$2,544 | $1,524–$2,544 | varies |
| Excision of vaginal cyst or tumor (57135) | $795 | $795 | 0.2× |
| Excision soft tissue lesion, external auditory canal (69145) | $2,905 | $2,905 | 0.9× |
| Excision/destruction lesion pharynx any method (42808) | $1,913 | $1,913 | 0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$2,119–$4,203 | $2,119–$4,203 | varies |
| Exploration penetrating wound spx chest (20101) range across 2 matching MRF lines |
$1,740–$3,910 | $1,740–$3,910 | varies |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$2,855–$4,725 | $2,855–$4,725 | varies |
| Exploration Penetrating Wound Spx Neck (20100) range across 2 matching MRF lines |
$2,905–$4,983 | $2,905–$4,983 | varies |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) | $271 | $271 | 0.8× |
| External cephalic version (59412) | $286 | $286 | 0.1× |
| Fetal non-stress test (59025) | $327 | $327 | 1.5× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$457–$800 | $457–$800 | varies |
| Foreskin manipulation (54450) | $698 | $698 | 2.5× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$1,137–$5,000 | $1,137–$5,000 | varies |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $5,042 | $5,042 | 0.9× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$1,102–$1,558 | $1,102–$1,558 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$820–$983 | $820–$983 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$2,673–$3,830 | $2,673–$3,830 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$814–$1,789 | $814–$1,789 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$1,407–$2,474 | $1,407–$2,474 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$843–$1,709 | $843–$1,709 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$894–$1,576 | $894–$1,576 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$1,487–$1,704 | $1,487–$1,704 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$3,203–$4,371 | $3,203–$4,371 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,521–$2,214 | $1,521–$2,214 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$840–$1,231 | $840–$1,231 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$848–$1,276 | $848–$1,276 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$979–$1,052 | $979–$1,052 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$3,469–$4,486 | $3,469–$4,486 | varies |
| Incision of urethra (53020) | $1,167 | $1,167 | 0.5× |
| Incision&drainage bursa foot (28001) | $2,004 | $2,004 | 1.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,646 | $3,646 | 2.0× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$259–$2,573 | $259–$2,573 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$381–$597 | $381–$597 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$325–$446 | $325–$446 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$1,197–$1,299 | $1,197–$1,299 | varies |
| Injection medication/other subst tenon capsule (67515) | $1,051 | $1,051 | 3.0× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$329–$457 | $329–$457 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$318–$455 | $318–$455 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$357–$520 | $357–$520 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) range across 2 matching MRF lines |
$712–$927 | $712–$927 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$923–$2,891 | $923–$2,891 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$541–$2,891 | $541–$2,891 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$390–$563 | $390–$563 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$249–$446 | $249–$446 | varies |
| Insert Bladder Cath Complex (51703) | $637 | $637 | 4.5× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$531–$846 | $531–$846 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$702–$1,736 | $702–$1,736 | varies |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$387–$561 | $387–$561 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$213–$497 | $213–$497 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$218–$366 | $218–$366 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$698–$1,527 | $698–$1,527 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$812–$1,353 | $812–$1,353 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$2,471–$3,970 | $2,471–$3,970 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$3,167–$4,661 | $3,167–$4,661 | varies |
| Intranasal Biopsy (30100) | $800 | $800 | 0.5× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$710–$1,182 | $710–$1,182 | varies |
| Laryngoscopy diagnostic (31505) | $1,064 | $1,064 | 4.8× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$544–$997 | $544–$997 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) range across 2 matching MRF lines |
$965–$2,177 | $965–$2,177 | varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $3,548 | $3,548 | 8.2× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) range across 2 matching MRF lines |
$1,082–$1,723 | $1,082–$1,723 | varies |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) range across 2 matching MRF lines |
$639–$1,063 | $639–$1,063 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $2,393 | $2,393 | 1.0× |
| Marsupialization of bartholin's gland cyst (56440) | $1,068 | $1,068 | 0.3× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) | $4,054 | $4,054 | 1.5× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$267–$1,241 | $267–$1,241 | varies |
| N Block Inj Plantar Digit (64455) | $415 | $415 | 1.2× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$520–$1,564 | $520–$1,564 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $338 | $338 | 0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $125 | $125 | 3.9× |
| Neuroeltrd Stim Post Tibial (64566) | $1,616 | $1,616 | 4.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $842 | $842 | 2.5× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $461 | $461 | 1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $917 | $917 | 2.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 2 matching MRF lines |
$1,304–$2,172 | $1,304–$2,172 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$444–$591 | $444–$591 | varies |
| Penile Injection (54235) | $884 | $884 | 3.2× |
| Place Rt Device/Marker Pros (55876) | $1,209 | $1,209 | 0.8× |
| Placement of needle for intraosseous infusion (36680) | $497 | $497 | 1.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $2,620 | $2,620 | 1.0× |
| Probe nl duct w/balloon (68816) | $1,862 | $1,862 | 0.7× |
| Probing nasolacrimal duct (68810) | $1,515 | $1,515 | 4.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$394–$1,006 | $394–$1,006 | varies |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) range across 2 matching MRF lines |
$698–$1,498 | $698–$1,498 | varies |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) range across 2 matching MRF lines |
$743–$1,549 | $743–$1,549 | varies |
| Proctosgmdsc rigid w/dilation (45303) range across 2 matching MRF lines |
$700–$7,770 | $700–$7,770 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 2 matching MRF lines |
$600–$1,321 | $600–$1,321 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$401–$1,020 | $401–$1,020 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$773–$1,060 | $773–$1,060 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,456 | $1,456 | 1.9× |
| Reconstruction Nail Bed W/Graft (11762) range across 2 matching MRF lines |
$1,564–$2,409 | $1,564–$2,409 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $1,379 | $1,379 | 3.9× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,100–$2,075 | $1,100–$2,075 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$2,662–$4,870 | $2,662–$4,870 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $388 | $388 | 5.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $390 | $390 | 6.0× |
| Removal Implant Superficial Separate Procedure (20670) | $4,780 | $4,780 | 2.6× |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$780–$1,185 | $780–$1,185 | varies |
| Removal of a lesion from the floor of the mouth (41116) | $2,624 | $2,624 | 0.7× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$1,586–$1,643 | $1,586–$1,643 | varies |
| Removal of implant from finger or hand (26320) | $4,116 | $4,116 | 2.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$832–$1,270 | $832–$1,270 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $561 | $561 | 1.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$600–$721 | $600–$721 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$275–$510 | $275–$510 | varies |
| Remove cerclage suture (59871) | $917 | $917 | 0.3× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$626–$961 | $626–$961 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$297–$524 | $297–$524 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$559–$832 | $559–$832 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$922–$1,541 | $922–$1,541 | varies |
| Remove Peritoneal Foreign Body (49402) | $10,252 | $10,252 | 2.6× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$861–$1,185 | $861–$1,185 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$2,309–$3,459 | $2,309–$3,459 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$2,778–$4,096 | $2,778–$4,096 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$2,008–$3,170 | $2,008–$3,170 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$2,513–$3,876 | $2,513–$3,876 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$1,906–$2,893 | $1,906–$2,893 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$2,140–$3,492 | $2,140–$3,492 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$1,658–$2,774 | $1,658–$2,774 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$2,037–$3,254 | $2,037–$3,254 | varies |
| Repair Entropion Excision Tarsal Wedge (67923) | $10,498 | $10,498 | 4.0× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$2,916–$4,858 | $2,916–$4,858 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$2,834–$4,722 | $2,834–$4,722 | varies |
| Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines |
$2,694–$11,130 | $2,694–$11,130 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$1,385–$2,205 | $1,385–$2,205 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$1,638–$2,474 | $1,638–$2,474 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$1,768–$2,898 | $1,768–$2,898 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$1,812–$3,058 | $1,812–$3,058 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$3,502–$4,955 | $3,502–$4,955 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$2,214–$3,317 | $2,214–$3,317 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$1,205–$2,052 | $1,205–$2,052 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$1,609–$2,437 | $1,609–$2,437 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$1,758–$3,024 | $1,758–$3,024 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$2,891–$4,400 | $2,891–$4,400 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$1,980–$3,147 | $1,980–$3,147 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$1,245–$2,045 | $1,245–$2,045 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$1,558–$2,452 | $1,558–$2,452 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$2,325–$3,520 | $2,325–$3,520 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$1,686–$2,636 | $1,686–$2,636 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$2,719–$3,995 | $2,719–$3,995 | varies |
| Repair Laceration Palate </2 Cm (42180) range across 2 matching MRF lines |
$1,507–$2,045 | $1,507–$2,045 | varies |
| Repair Laceration Palate >2 Cm/Complex (42182) likely a partial charge, not the full procedure |
$1,517 | $1,517 | 0.2× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$940–$1,584 | $940–$1,584 | varies |
| Repair Spica/Body/Jacket Cast (29720) range across 2 matching MRF lines |
$362–$680 | $362–$680 | varies |
| Repair tongue laceration (41252) | $4,187 | $4,187 | 15.9× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$1,264–$2,277 | $1,264–$2,277 | varies |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$861–$1,000 | $861–$1,000 | varies |
| Revise eyelashes (67825) | $1,438 | $1,438 | 4.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,367 | $1,367 | 1.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$321–$1,181 | $321–$1,181 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$501–$502 | $501–$502 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$516–$572 | $516–$572 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $627 | $627 | 1.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$2,029–$3,889 | $2,029–$3,889 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,281 | $2,281 | 1.3× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) range across 2 matching MRF lines |
$688–$993 | $688–$993 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$315–$1,821 | $315–$1,821 | varies |
| Rpr blood vessel direct lower extremity (35226) range across 2 matching MRF lines |
$4,135–$6,892 | $4,135–$6,892 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$794–$1,382 | $794–$1,382 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$2,591–$4,006 | $2,591–$4,006 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $2,222 | $2,222 | 8.5× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $1,668 | $1,668 | 0.6× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) | $5,453 | $5,453 | 1.2× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) | $7,921 | $7,921 | 1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$2,916–$4,147 | $2,916–$4,147 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$2,508–$3,786 | $2,508–$3,786 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$3,469–$4,715 | $3,469–$4,715 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$2,898–$5,185 | $2,898–$5,185 | varies |
| Severing Adhesions Anterior Segment Laser Spx (65860) | $2,992 | $2,992 | 4.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$991–$2,302 | $991–$2,302 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $287 | $287 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $337 | $337 | 1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $560 | $560 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $297 | $297 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $365 | $365 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $430 | $430 | 1.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $461 | $461 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $341 | $341 | 1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $481 | $481 | 1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $357 | $357 | 1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $467 | $467 | 1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $418 | $418 | 1.9× |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$773–$2,544 | $773–$2,544 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$589–$2,234 | $589–$2,234 | varies |
| Simple Cystometrogram (51725) | $1,723 | $1,723 | 6.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$489–$1,758 | $489–$1,758 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$467–$899 | $467–$899 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$492–$940 | $492–$940 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,279 | $1,279 | 2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$628–$1,142 | $628–$1,142 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,450 | $1,450 | 6.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$372–$738 | $372–$738 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$1,207–$1,878 | $1,207–$1,878 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$614–$1,052 | $614–$1,052 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$495–$903 | $495–$903 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$800–$1,394 | $800–$1,394 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$979–$1,643 | $979–$1,643 | varies |
| Snip Incision Lacrimal Punctum (68440) | $1,171 | $1,171 | 3.3× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$126–$1,020 | $126–$1,020 | varies |
| Strapping ankle (29540) | $217 | $217 | 1.2× |
| Strapping elbow or wrist (29260) | $234 | $234 | 3.6× |
| Strapping hand/finger (29280) | $243 | $243 | 3.7× |
| Strapping knee (29530) range across 2 matching MRF lines |
$156–$249 | $156–$249 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$156–$252 | $156–$252 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$156–$267 | $156–$267 | varies |
| Strapping toes (29550) | $138 | $138 | 2.1× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$227–$515 | $227–$515 | varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $2,838 | $2,838 | 1.1× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$321–$811 | $321–$811 | varies |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$3,705–$7,819 | $3,705–$7,819 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$1,660–$2,768 | $1,660–$2,768 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$1,593–$2,653 | $1,593–$2,653 | varies |
| Tracheostomy planned (31600) range across 2 matching MRF lines |
$1,522–$2,536 | $1,522–$2,536 | varies |
| Translum Dil Eye Canal (66174) | $11,171 | $11,171 | 2.4× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) | $11,696 | $11,696 | 2.0× |
| Treat humerus fracture (24500) | $4,619 | $4,619 | 16.9× |
| Treat Humerus Fracture (24505) | $6,475 | $6,475 | 3.6× |
| Treat humerus fracture (23600) | $4,197 | $4,197 | 15.3× |
| Treat Knuckle Dislocation (26700) | $3,582 | $3,582 | 13.1× |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$1,518–$1,541 | $1,518–$1,541 | varies |
| Treat Thumb Dislocation (26641) | $4,121 | $4,121 | 15.1× |
| Treat Thumb Fracture (26645) | $4,659 | $4,659 | 2.6× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$913–$1,283 | $913–$1,283 | varies |
| Treat vagina infection (57150) range across 2 matching MRF lines |
$224–$442 | $224–$442 | varies |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
$948–$1,418 | $948–$1,418 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$2,770–$3,041 | $2,770–$3,041 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$132–$510 | $132–$510 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$193–$600 | $193–$600 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$245–$661 | $245–$661 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$65–$116 | $65–$116 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 3 matching MRF lines |
$2,558–$4,227 | $2,558–$4,227 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$1,549–$2,399 | $1,549–$2,399 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$1,145–$1,399 | $1,145–$1,399 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $3,067 | $3,067 | 1.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $2,267 | $2,267 | 8.3× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) range across 2 matching MRF lines |
$3,848–$4,616 | $3,848–$4,616 | varies |
| Unlisted procedure nervous system (64999) | $467 | $467 | 1.4× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $587 | $587 | 2.2× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$4,276–$5,592 | $4,276–$5,592 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $113 | $113 | 0.8× |
| Venous Cutdown >1 Y/O (36425) | $452 | $452 | 0.9× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$753–$1,370 | $753–$1,370 | varies |
| Wedging of cast (29740) range across 2 matching MRF lines |
$576–$805 | $576–$805 | varies |
| Wedging of clubfoot cast (29750) range across 2 matching MRF lines |
$646–$874 | $646–$874 | varies |
| Windowing of cast (29730) range across 2 matching MRF lines |
$357–$503 | $357–$503 | varies |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) | $4,224 | $4,224 | 0.6× |
| Xtroral I&D Floor Masticator Space (41018) | $4,968 | $4,968 | 2.9× |
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.