Procedures & surgery prices at Mayo Clinic Health System In Eau Claire

Eau Claire, WI · every code in this section with a posted price and a Medicare benchmark.

1100 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 3 matching MRF lines		 $1,409.40–$2,167.20 $1,566–$2,408 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $1,041.30–$1,602 $1,157–$1,780 varies
Ablate Pulm Tumor Perq Crybl (32994) $9,364.50 $10,405 0.9×
Ablation 1/> liver tumor perq cryoablation (47383) $8,037 $8,930 0.7×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $10,347.30 $11,497 0.6×
Acne surgery (10040) $401.40 $446 1.9×
Acromiopl/Acromionect Partial (23130) $4,306.50 $4,785 1.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $7,078.50 $7,865 1.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,917.70 $4,353 1.8×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $4,615.20 $5,128 2.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $5,615.10–$5,832.90 $6,239–$6,481 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $4,476.60–$5,325.30 $4,974–$5,917 varies
Amputation foot transmetarsal (28805) $5,016.60 $5,574 1.5×
Amputation metatarsal with toe single (28810) $3,849.30 $4,277 1.1×
Amputation toe interphalangeal joint (28825) $3,144.60 $3,494 0.9×
Amputation toe metatarsophalangeal joint (28820) $3,954.60 $4,394 1.2×
Ankle Arthroscopy/Surgery (29892) $6,990.30 $7,767 0.9×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $222.30–$329.40 $247–$366 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $897.30 $997 0.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $3,996.90 $4,441 0.8×
Appendectomy (44950) $5,650.20 $6,278 0.8×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $342.90 $381 2.0×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $351.90–$600.30 $391–$667 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $217.80–$219.60 $242–$244 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $398.70–$453.60 $443–$504 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $249.30–$514.80 $277–$572 varies
Application multiplane external fixation system (20692)
unusually low: confirm this is the full procedure		 $5,818.50 $6,465 0.4×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $585–$897.30 $650–$997 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $881.10–$1,030.50 $979–$1,145 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $365.40–$432 $406–$480 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $291.60–$322.20 $324–$358 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $402.30–$462.60 $447–$514 varies
Application uniplane external fixation system (20690)
range across 2 matching MRF lines		 $3,141–$8,982 $3,490–$9,980 varies
Apply hand/wrist cast (29085) $576 $640 3.4×
Apply long arm cast (29065) $716.40 $796 2.5×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $305.10–$441 $339–$490 varies
Apply Short Leg Cast (29405) $749.70 $833 2.6×
Apply short leg cast (29425) $742.50 $825 2.6×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $9,331.20 $10,368 1.7×
Arterial puncture (36600)
range across 4 matching MRF lines		 $116.10–$207.90 $129–$231 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure		 $6,199.20 $6,888 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $413.10–$537.30 $459–$597 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $918.90–$1,027.80 $1,021–$1,142 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $486–$547.20 $540–$608 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $818.10–$1,706.40 $909–$1,896 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $380.70–$468 $423–$520 varies
Arthrodesis ankle open (27870) $9,352.80 $10,392 0.7×
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure		 $3,730.50 $4,145 0.5×
Arthrodesis great toe metatarsophalangeal joint (28750) $5,609.70 $6,233 0.7×
Arthrodesis subtalar (28725) $8,268.30 $9,187 0.6×
Arthroplasty glenohumeral joint total shoulder (23472) $13,872.60 $15,414 0.8×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $6,999.30 $7,777 2.1×
Arthroplasty Patella W/Prosthesis (27438) $7,248.60 $8,054 0.5×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $7,686 $8,540 2.3×
Arthroscopy Ankle Surgical Debridement Limited (29897) $5,552.10 $6,169 1.6×
Arthroscopy ankle w/removal loose/foreign body (29894) $6,216.30 $6,907 1.8×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,589.20 $3,988 1.1×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $7,219.80 $8,022 2.1×
Arthroscopy knee synovectomy limited spx (29875) $6,068.70 $6,743 1.8×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $6,872.40 $7,636 2.0×
Arthroscopy shoulder distal claviculectomy (29824) $4,952.70 $5,503 1.5×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $8,550.90 $9,501 1.1×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $5,830.20 $6,478 1.7×
Arthroscopy, knee, surgical; with lateral release (29873) $5,830.20 $6,478 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $7,681.50 $8,535 2.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,465.50 $8,295 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $6,365.70 $7,073 1.9×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $4,880.70 $5,423 1.4×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $8,859.60 $9,844 1.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $5,239.80 $5,822 1.5×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,598.70 $8,443 1.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $7,913.70 $8,793 2.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $16,358.40 $18,176 1.2×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $7,230.60 $8,034 2.1×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $10,251.90 $11,391 0.8×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $10,772.10 $11,969 1.4×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $7,686 $8,540 2.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $7,589.70 $8,433 2.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $6,762.60 $7,514 2.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $6,877.80 $7,642 2.0×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $5,403.60 $6,004 1.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,340.80 $3,712 2.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $3,326.40 $3,696 1.0×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $2,678.40 $2,976 0.8×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $1,671.30–$2,555.10 $1,857–$2,839 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $1,297.80–$1,671.30 $1,442–$1,857 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $360.90–$468 $401–$520 varies
Aspiration and/or injection thyroid cyst (60300) $986.40 $1,096 1.3×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,851.20–$3,480.30 $3,168–$3,867 varies
Autologous Chondrocyte Implantation Knee (27412) $19,940.40 $22,156 2.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $290.70–$441 $323–$490 varies
Axillary lymphadenectomy; complete (38745) $7,285.50 $8,095 1.2×
Biopsy Abdominal Mass (49180) $5,272.20 $5,858 3.1×
Biopsy bone open superficial (20240) $1,500.30 $1,667 0.5×
Biopsy bone trocar/needle deep (20225) $2,872.80 $3,192 1.7×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $1,101.60–$3,411.90 $1,224–$3,791 varies
Biopsy external ear (69100) $612.90 $681 2.5×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $1,073.70–$1,101.60 $1,193–$1,224 varies
Biopsy of liver, needle; percutaneous (47000) $5,436.90 $6,041 3.2×
Biopsy of rectum (45100) $2,051.10 $2,279 0.7×
Biopsy of toe joint lining (28054) $2,696.40 $2,996 0.8×
Biopsy Pleura Percutaneous Needle (32400) $1,057.50 $1,175 0.6×
Biopsy Salivary Gland Needle (42400) $1,052.10 $1,169 1.4×
Biopsy soft tissue neck/thorax (21550) $2,298.60 $2,554 1.3×
Biopsy Testis Needle Separate Procedure (54500) $3,535.20 $3,928 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $720.90 $801 0.8×
Biopsy/removal lymph nodes (38510) $3,587.40 $3,986 0.9×
Bladder instillation anticarcinogenic agent (51720) $1,069.20 $1,188 1.5×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $378–$397.80 $420–$442 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $127.80–$144.90 $142–$161 varies
Blepharoplasty Lower Eyelid (15820) $3,759.30 $4,177 1.8×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $3,844.80 $4,272 1.8×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $5,654.70 $6,283 2.6×
Blood Transfusion Service (36430) $446.40 $496 1.0×
Bone Graft Any Donor Area Minor/Small (20900)
unusually low: confirm this is the full procedure		 $2,743.20 $3,048 0.4×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $758.70–$3,070.80 $843–$3,412 varies
Breast Reduction (19318) $11,046.60 $12,274 1.6×
Brnchsc Brushing/Protected Brushings (31623) $2,738.70 $3,043 1.5×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $5,744.70 $6,383 1.5×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $6,116.40 $6,796 1.6×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $2,014.20–$2,341.80 $2,238–$2,602 varies
Bronchoscopy Reclear Airway (31646) $2,284.20 $2,538 5.6×
Bronchoscopy W/Biopsy(S) (31625) $2,412 $2,680 1.3×
Bronchoscopy W/Removal Foreign Body (31635) $3,649.50 $4,055 2.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,601 $2,890 0.7×
Bronchoscopy/Needle Bx Each (31629) $2,810.70 $3,123 0.7×
Bx breast 1st lesion mr imag (19085) $3,622.50 $4,025 2.1×
Bx breast 1st lesion strtctc (19081) $1,508.40 $1,676 0.9×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,069.20–$2,648.70 $1,188–$2,943 varies
Bx Cervix (57500) $907.20 $1,008 1.0×
Bx/exc lymph node open deep axillary node (38525) $4,018.50 $4,465 1.0×
Bx/exc lymph node open superficial (38500) $2,069.10 $2,299 0.5×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,885.50 $2,095 0.6×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,901.70 $2,113 1.1×
Carpal Tunnel Surgery (64721) $4,150.80 $4,612 2.1×
Carpectomy All Bones Proximal Row (25215) $5,799.60 $6,444 1.7×
Cataract surgery complex (66982) $7,361.10 $8,179 3.1×
Catheter aspiration nasotracheal spx (31720) $341.10 $379 1.5×
Cerclage cervix pregnancy vaginal (59320) $1,884.60 $2,094 0.6×
Cessj Therapy Cath Removal (37214) $4,830.30 $5,367 1.5×
Change Cystostomy Tube Complicated (51710) $911.70 $1,013 1.3×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $312.30–$616.50 $347–$685 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $597.60–$643.50 $664–$715 varies
Change ureter stent percut (50382) $3,646.80 $4,052 1.7×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $390.60–$458.10 $434–$509 varies
Chemodenerv Musc Migraine (64615) $586.80 $652 1.8×
Chemodenerv musc neck dyston (64616) $595.80 $662 1.9×
Chemodenerv trunk musc 1-5 (64646) $1,037.70 $1,153 1.4×
Chemodenerv trunk musc 6/> (64647) $1,489.50 $1,655 2.0×
Chemodenervation of internal anal sphincter (46505) $1,958.40 $2,176 1.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,040.40 $1,156 3.3×
Chest tube placement (32551)
range across 3 matching MRF lines		 $1,864.80–$2,320.20 $2,072–$2,578 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,411.10 $2,679 1.1×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,495.50 $4,995 1.2×
Ciliary body dstrj cyclophotocoag transsceral (66710) $3,077.10 $3,419 1.3×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $489.60–$1,128.60 $544–$1,254 varies
Cl Tx Tib Shft Fx W Manip (27752) $2,894.40 $3,216 1.7×
Claviculectomy partial (23120) $4,770.90 $5,301 1.4×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $215.10–$549.90 $239–$611 varies
Closed Rx Metacarpal Fx,Percut (26608) $4,155.30 $4,617 1.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $762.30–$1,675.80 $847–$1,862 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,282.30 $3,647 2.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $2,211.30–$2,974.50 $2,457–$3,305 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines		 $1,015.20–$1,860.30 $1,128–$2,067 varies
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines		 $630–$864.90 $700–$961 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $941.40–$2,271.60 $1,046–$2,524 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $895.50–$1,962 $995–$2,180 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $2,307.60–$3,310.20 $2,564–$3,678 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $736.20–$2,349.90 $818–$2,611 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $621.90–$1,927.80 $691–$2,142 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $3,191.40–$3,324.60 $3,546–$3,694 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $828–$2,160.90 $920–$2,401 varies
Closed tx femoral fracture prox head w/o manj (27267)
range across 2 matching MRF lines		 $3,850.20–$5,026.50 $4,278–$5,585 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,240.20 $1,378 4.9×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $2,375.10–$3,316.50 $2,639–$3,685 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $555.30–$1,567.80 $617–$1,742 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $2,488.50–$3,051.90 $2,765–$3,391 varies
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $2,716.20–$3,252.60 $3,018–$3,614 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $387–$1,440.90 $430–$1,601 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $2,243.70–$3,492 $2,493–$3,880 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $1,577.70–$3,969 $1,753–$4,410 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,226.60 $2,474 0.6×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $1,656.90–$2,080.80 $1,841–$2,312 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $606.60–$1,433.70 $674–$1,593 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $604.80–$2,036.70 $672–$2,263 varies
Closed tx radial head/neck fx w/manipulation (24655) $2,367 $2,630 1.4×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $602.10–$1,667.70 $669–$1,853 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $2,273.40–$3,539.70 $2,526–$3,933 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $603–$1,782.90 $670–$1,981 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $2,597.40–$3,896.10 $2,886–$4,329 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $573.30–$1,944.90 $637–$2,161 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $511.20–$1,674.90 $568–$1,861 varies
Closed Tx Talus Fracture W/Manipulation (28435) $2,802.60 $3,114 1.7×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $569.70–$1,630.80 $633–$1,812 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $888.30 $987 3.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $661.50–$915.30 $735–$1,017 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,338.20 $2,598 1.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $684.90–$1,767.60 $761–$1,964 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $527.40–$1,782.90 $586–$1,981 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $568.80–$653.40 $632–$726 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,550.70 $1,723 2.8×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $813.60–$2,035.80 $904–$2,262 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $526.50–$1,541.70 $585–$1,713 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,477.80–$4,826.70 $1,642–$5,363 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $607.50–$1,347.30 $675–$1,497 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $2,695.50–$3,556.80 $2,995–$3,952 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $701.10–$1,882.80 $779–$2,092 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines		 $740.70–$3,506.40 $823–$3,896 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $2,340–$3,814.20 $2,600–$4,238 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $2,271.60–$2,858.40 $2,524–$3,176 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $703.80–$1,767.60 $782–$1,964 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $602.10–$1,952.10 $669–$2,169 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $1,029.60–$2,992.50 $1,144–$3,325 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $531.90–$1,751.40 $591–$1,946 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $679.50–$1,360.80 $755–$1,512 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $468–$824.40 $520–$916 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $519.30–$2,052 $577–$2,280 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $2,437.20–$3,786.30 $2,708–$4,207 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,974.50 $3,305 1.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,052.90 $2,281 1.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $810–$3,194.10 $900–$3,549 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $750.60–$3,074.40 $834–$3,416 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,785.40 $4,206 2.3×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $576.90–$990 $641–$1,100 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $429.30–$812.70 $477–$903 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $779.40–$991.80 $866–$1,102 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $468–$926.10 $520–$1,029 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $3,358.80–$4,204.80 $3,732–$4,672 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $771.30–$2,231.10 $857–$2,479 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $600.30–$1,796.40 $667–$1,996 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $821.70–$3,028.50 $913–$3,365 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $2,298.60–$5,170.50 $2,554–$5,745 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $694.80–$2,423.70 $772–$2,693 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $539.10–$2,050.20 $599–$2,278 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $507.60–$1,815.30 $564–$2,017 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $1,927.80–$2,856.60 $2,142–$3,174 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $903.60–$1,007.10 $1,004–$1,119 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $486–$843.30 $540–$937 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $1,249.20–$2,442.60 $1,388–$2,714 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $427.50–$1,360.80 $475–$1,512 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $2,400.30–$3,210.30 $2,667–$3,567 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $598.50–$2,231.10 $665–$2,479 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $939.60–$2,351.70 $1,044–$2,613 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $586.80–$1,425.60 $652–$1,584 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $645.30–$1,903.50 $717–$2,115 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $476.10–$1,054.80 $529–$1,172 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $2,637.90–$4,710.60 $2,931–$5,234 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $804.60–$2,871.90 $894–$3,191 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $2,647.80–$3,028.50 $2,942–$3,365 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $636.30–$1,705.50 $707–$1,895 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,352.60 $2,614 1.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $498.60–$3,078.90 $554–$3,421 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $534.60–$809.10 $594–$899 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,367 $2,630 1.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,925.90 $3,251 1.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $666–$2,545.20 $740–$2,828 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $587.70–$2,640.60 $653–$2,934 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $699.30–$2,355.30 $777–$2,617 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $2,307.60–$3,679.20 $2,564–$4,088 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $755.10–$2,107.80 $839–$2,342 varies
Collect Blood From Catheter Venous Nos (36592) $140.40 $156 1.0×
Collection of venous blood by venipuncture (36415) $30.60 $34 3.3×
Colonoscopy Flexible With Decompression (45393) $2,853 $3,170 2.3×
Colonoscopy Stoma Ablation Lesion (44401) $1,862.10 $2,069 1.5×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,650.60 $1,834 1.3×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $2,474.10–$2,951.10 $2,749–$3,279 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $2,439.90–$2,481.30 $2,711–$2,757 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $2,811.60–$3,222.90 $3,124–$3,581 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $2,608.20–$3,382.20 $2,898–$3,758 varies
Colonoscopy w/fb removal (45379) $3,072.60 $3,414 2.5×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $3,670.20–$3,792.60 $4,078–$4,214 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $2,613.60–$3,314.70 $2,904–$3,683 varies
Colpocleisis (le fort type) (57120) $5,706 $6,340 1.1×
Colpopexy vaginal intraperitoneal approach (57283) $5,406.30 $6,007 0.7×
Colporrhaphy (57200) $2,351.70 $2,613 0.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $983.70 $1,093 3.1×
Colposcopy Cervix Endocervical Curettage (57456) $618.30 $687 2.0×
Colposcopy cervix upper/adjacent vagina (57452) $778.50 $865 3.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $803.70 $893 2.5×
Colposcopy cervix vag eltrd conization cervix (57461) $2,700.90 $3,001 0.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,467.80 $2,742 0.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,147.50 $1,275 1.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,663.90 $4,071 3.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $2,896.20–$3,568.50 $3,218–$3,965 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $2,898.90–$3,255.30 $3,221–$3,617 varies
Complex drainage wound (10180) $4,180.50 $4,645 1.4×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,929.50 $3,255 0.9×
Conization of cervix (57520) $2,522.70 $2,803 0.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $459–$853.20 $510–$948 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $264.60–$578.70 $294–$643 varies
Control oropharyngeal hemorrhage simple (42960) $5,428.80 $6,032 9.7×
Conversion ext bil drg cath (47535) $5,494.50 $6,105 1.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,520.90 $2,801 1.3×
Convert Nephrostomy Catheter (50434) $4,143.60 $4,604 1.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,288.70 $2,543 1.3×
Correction hammertoe (28285) $3,517.20 $3,908 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,940 $6,600 1.8×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
unusually low: confirm this is the full procedure		 $5,455.80 $6,062 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $5,160.60 $5,734 0.7×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,878 $5,420 1.4×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $6,373.80 $7,082 0.8×
Crd ceramides liq chrom plsm (0119U) $168.30 $187 2.0×
Create Eardrum Opening (69433) $1,728.90 $1,921 3.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $519.30–$1,548.90 $577–$1,721 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $475.20–$1,450.80 $528–$1,612 varies
Curettage postpartum (59160) $1,809.90 $2,011 0.5×
Cysto Bladder W/Ureteral Catheterization (52005) $1,884.60 $2,094 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $3,394.80 $3,772 1.6×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $3,123.90–$5,121 $3,471–$5,690 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $1,728.90–$6,181.20 $1,921–$6,868 varies
Cysto w/removal of lesions small (52224) $2,955.60 $3,284 0.8×
Cysto w/removal of tumors small (52234) $2,804.40 $3,116 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $1,948.50 $2,165 0.9×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $999–$1,004.40 $1,110–$1,116 varies
Cystourethroscopy w/dil bladder general anesth (52260) $1,751.40 $1,946 0.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $4,063.50–$4,289.40 $4,515–$4,766 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,665.90 $1,851 2.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $594–$1,607.40 $660–$1,786 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $95.40–$128.70 $106–$143 varies
Debride nail 6 or more (11721) $191.70 $213 3.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,798.90 $4,221 2.2×
Debridement Mastoidectomy Cavity Simple (69220) $374.40 $416 1.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $580.50–$873 $645–$970 varies
Declot vascular device (36593) $257.40 $286 0.8×
Decompression of tibia nerve (28035) $4,645.80 $5,162 2.3×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $1,045.80–$3,778.20 $1,162–$4,198 varies
Destr W Neurolytic; Celiac Plexus (64680) $1,277.10 $1,419 1.4×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $3,147.30–$5,396.40 $3,497–$5,996 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $2,742.30–$5,396.40 $3,047–$5,996 varies
Destruct B9 Lesion 1-14 (17110) $559.80 $622 2.7×
Destruction Benign Lesions 15/> (17111) $657 $730 3.2×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $2,491.20–$3,541.50 $2,768–$3,935 varies
Destruction premalignant lesion 1st (17000) $320.40 $356 1.5×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $1,090.80–$1,895.40 $1,212–$2,106 varies
Dilat Xst Trc New Access Rcs (50437) $5,267.70 $5,853 1.4×
Dilation & curettage dx&/ther nonobstetric (58120) $2,139.30 $2,377 0.6×
Dilation Cervical Canal (57800) $475.20 $528 0.1×
Drain ant chmbr,remv vitreous (65810) $3,340.80 $3,712 1.4×
Drain Hand Tendon Sheath (26020) $3,997.80 $4,442 1.2×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $747.90–$1,597.50 $831–$1,775 varies
Drainage external ear abscess/hematoma cmplx (69005) $3,091.50 $3,435 1.8×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $689.40–$1,199.70 $766–$1,333 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $2,142–$2,160.90 $2,380–$2,401 varies
Drainage Mouth Roof Lesion (42000) $847.80 $942 3.5×
Drainage of eye (65800) $983.70 $1,093 0.4×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $466.20–$842.40 $518–$936 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $523.80–$926.10 $582–$1,029 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $667.80–$2,384.10 $742–$2,649 varies
Drainage of hydrocele (55000) $1,125 $1,250 1.5×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $711.90–$2,330.10 $791–$2,589 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $1,648.80–$4,203 $1,832–$4,670 varies
Draw Blood Off Venous Device (36591) $131.40 $146 1.0×
Dressing Change Under Anesthesia (15852) $388.80 $432 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $864.90–$1,015.20 $961–$1,128 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $652.50–$992.70 $725–$1,103 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $525.60–$667.80 $584–$742 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $416.70–$420.30 $463–$467 varies
Dstrj lesion anus simple surg excision (46922) $1,422.90 $1,581 0.5×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,313.10 $1,459 0.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $1,278–$1,282.50 $1,420–$1,425 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,477.80 $1,642 1.6×
Dx Bone Marrow Bx & Aspir (38222)
range across 4 matching MRF lines		 $468.90–$3,605.40 $521–$4,006 varies
Dx Bronchoscope/Lavage (31624) $2,788.20 $3,098 1.5×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $2,222.10–$2,878.20 $2,469–$3,198 varies
Dx Laryngoscopy Excl Nb (31525) $3,645 $4,050 2.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $900 $1,000 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $2,835.90–$2,862.90 $3,151–$3,181 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $2,341.80–$3,411 $2,602–$3,790 varies
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $2,936.70–$3,248.10 $3,263–$3,609 varies
Egd endo mucosal resection (43254) $3,154.50 $3,505 1.6×
Egd Endoscopic Stent Place (43266) $7,695 $8,550 1.2×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $2,602.80–$3,100.50 $2,892–$3,445 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $2,497.50–$2,517.30 $2,775–$2,797 varies
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,267.90 $3,631 1.6×
Egd intrmural us needle aspirate/biopsy esophags (43238) $3,570.30 $3,967 1.8×
Egd lesion ablation (43270) $3,469.50 $3,855 1.7×
Egd place gastrostomy tube (43246) $3,303.90 $3,671 1.7×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $2,437.20–$3,026.70 $2,708–$3,363 varies
Egd Tube/Cath Insertion (43241) $3,062.70 $3,403 1.5×
Egd us exam duodenum/jejunum (43259) $3,463.20 $3,848 1.7×
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $2,238.30–$3,557.70 $2,487–$3,953 varies
Egd W/Transmural Drain Cyst (43240) $7,562.70 $8,403 1.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $367.20 $408 1.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $801 $890 2.5×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $5,826.60 $6,474 1.1×
Endometrial Biopsy (58100) $761.40 $846 3.6×
Endoscopic plantar fasciotomy (29893) $2,709 $3,010 0.8×
Endoscopic us exam esoph (43237) $3,894.30 $4,327 2.0×
Endoscopy Upper Small Intestine (44360) $3,199.50 $3,555 1.6×
Endoscopy upper small intestine w/biopsy (44361) $3,282.30 $3,647 1.7×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $7,715.70–$9,002.70 $8,573–$10,003 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $4,822.20–$8,140.50 $5,358–$9,045 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $6,887.70–$9,189.90 $7,653–$10,211 varies
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $1,439.10–$1,915.20 $1,599–$2,128 varies
Episiotomy or vaginal repair (59300) $1,303.20 $1,448 0.4×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $7,562.70 $8,403 1.2×
Ercp duct stent placement (43274) $7,979.40 $8,866 1.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,791.60 $5,324 1.2×
Ercp ea duct/ampulla dilate (43277) $4,949.10 $5,499 1.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $6,026.40 $6,696 1.5×
Ercp remove forgn body duct (43275) $6,026.40 $6,696 3.0×
Ercp Stent Exchange W/Dilate (43276) $8,186.40 $9,096 1.3×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $4,869.90 $5,411 1.2×
Ercp W/Biopsy Single/Multiple (43261) $6,026.40 $6,696 1.5×
Ercp,Sphincterotomy (43262) $6,026.40 $6,696 1.5×
Esoph Scope W/Submucous Inj (43201) $3,000.60 $3,334 1.5×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $2,586.60–$2,602.80 $2,874–$2,892 varies
Esophagoscop Stent Placement (43212) $5,934.60 $6,594 0.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)
range across 2 matching MRF lines		 $2,167.20–$3,494.70 $2,408–$3,883 varies
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $1,685.70–$1,923.30 $1,873–$2,137 varies
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $2,999.70 $3,333 1.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,502.90 $2,781 1.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,543.30 $3,937 1.8×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $197.10–$243.90 $219–$271 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $5,141.70 $5,713 3.0×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $4,133.70 $4,593 2.4×
Exc arm/elbow les sc < 3 cm (24075) $2,994.30 $3,327 1.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $954.90 $1,061 1.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,356.30 $1,507 0.8×
Exc Back Les Sc < 3 Cm (21930) $3,548.70 $3,943 2.1×
Exc Back Tum Deep 5 Cm/> (21933) $6,362.10 $7,069 2.1×
Exc back tum deep < 5 cm (21932) $4,536.90 $5,041 1.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $3,989.70 $4,433 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $2,086.20 $2,318 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $789.30 $877 1.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,044.90 $1,161 1.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,194.30 $1,327 1.6×
Exc Forearm Les Sc 3 Cm/> (25071) $3,708 $4,120 2.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $663.30 $737 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $854.10 $949 1.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,074.60 $1,194 0.6×
Exc Hand Les Sc < 1.5 Cm (26115) $3,611.70 $4,013 2.1×
Exc hand tum deep < 1.5 cm (26116) $4,293 $4,770 2.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $3,063.60 $3,404 1.8×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,777.40 $3,086 1.7×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $3,408.30 $3,787 1.7×
Exc neuroma hand/foot xcp digital nerve (64782) $3,176.10 $3,529 1.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $5,142.60 $5,714 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,344.60 $1,494 1.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,598.40 $1,776 0.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,200.50 $2,445 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,387.70 $2,653 1.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,632.50 $2,925 1.5×
Exc tendon shth lesion leg/ankle (27630) $3,078.90 $3,421 0.9×
Exc thigh/knee les sc 3 cm/> (27337) $3,362.40 $3,736 1.1×
Exc thigh/knee tum dep 5cm/> (27339) $6,135.30 $6,817 2.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,022.40 $1,136 0.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,068.30 $1,187 2.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,138.50 $1,265 1.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,463.40 $1,626 0.9×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,340.80 $3,712 1.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,730.50 $4,145 1.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $2,800.80 $3,112 1.6×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $5,445.90 $6,051 3.2×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $4,803.30 $5,337 1.6×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,692.70 $4,103 1.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,746.80 $3,052 1.6×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $3,340.80 $3,712 1.1×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,749.50 $3,055 0.9×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $3,825 $4,250 1.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,482.20 $2,758 1.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $6,520.50 $7,245 2.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,532.60 $2,814 1.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,258.90 $3,621 1.1×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,708.90 $4,121 1.1×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $3,071.70 $3,413 1.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,028.20 $6,698 1.6×
Exchange Intraocular Lens (66986) $7,110 $7,900 3.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,497.50 $2,775 1.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $5,576.40 $6,196 2.8×
Excise Wrist Tendon Sheath (25118) $3,906 $4,340 2.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,354.50 $1,505 1.8×
Excision Excessive Skin & Subq Tissue Other Area (15839) $6,064.20 $6,738 2.0×
Excision Lesion Conjunctiva </1 Cm (68110) $1,337.40 $1,486 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,159.20 $1,288 2.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,693.80 $1,882 2.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,038.40 $3,376 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,327.50 $1,475 1.8×
Excision Multiple External Papillae/Tags Anus (46230) $1,582.20 $1,758 0.6×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,345.30 $3,717 2.0×
Excision of hydrocele; unilateral (55040) $3,599.10 $3,999 1.0×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $2,381.40 $2,646 1.2×
Excision of pilonidal cyst or sinus; simple (11770) $1,970.10 $2,189 0.7×
Excision of single external papilla or tag, anus (46220) $1,040.40 $1,156 0.8×
Excision of vaginal cyst or tumor (57135) $2,282.40 $2,536 0.7×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $6,491.70 $7,213 1.9×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,810.60 $4,234 1.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,538.80 $3,932 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,563.10 $3,959 2.1×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,159 $3,510 1.1×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,075.40 $2,306 1.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,521.80 $2,802 1.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $3,186.90 $3,541 1.9×
Excision, interdigital (morton) neuroma, single, each (28080) $3,162.60 $3,514 1.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,301.20 $3,668 1.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,519.20 $1,688 0.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,979.90 $3,311 1.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $3,521.70 $3,913 1.2×
Excision/curettage cyst/tumor phalanx finger (26210) $3,997.80 $4,442 2.4×
Excision/Transposition Pterygium W/Grafg (65426) $4,012.20 $4,458 1.6×
Expl penetrating wound spx abdomen/flank/back (20102) $4,669.20 $5,188 2.2×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,935–$2,874.60 $2,150–$3,194 varies
Exploration of knee joint (27310) $7,089.30 $7,877 2.1×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $3,332.70–$3,791.70 $3,703–$4,213 varies
Explore/Treat Wrist Joint (25040) $4,652.10 $5,169 1.4×
External cephalic version (59412)
range across 2 matching MRF lines		 $1,305–$3,126.60 $1,450–$3,474 varies
Fasciotomy, foot and/or toe (28008) $2,874.60 $3,194 0.8×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $9,308.70 $10,343 2.7×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $143.10–$306 $159–$340 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $4,040.10 $4,489 5.5×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $572.40–$862.20 $636–$958 varies
Fluid Pressure Muscle (20950) $1,089 $1,210 1.5×
Fluoro exam of g/colon tube (49465) $712.80 $792 2.9×
Fna bx w/us gdn 1st les (10005) $1,506.60 $1,674 2.1×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $561.60–$1,170 $624–$1,300 varies
Fusion Finger Joint (26860) $4,946.40 $5,496 1.5×
Fusion of foot bones (28740) $6,370.20 $7,078 0.8×
Gastrocnemius recession (27687) $3,951.90 $4,391 1.2×
Gi malabs eval aat calprotectin pncrtc elastase (0430U) $531 $590 8.6×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $122.40 $136 3.3×
Goniotomy (65820) $4,556.70 $5,063 1.1×
Guide Cathet Fluid Drainage (10030) $2,414.70 $2,683 3.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,501 $3,890 1.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,980.80 $3,312 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,737.60 $5,264 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $491.40–$1,226.70 $546–$1,363 varies
Hysteroscopy Biopsy (58558) $2,870.10 $3,189 0.9×
Hysteroscopy Dx Sep Proc (58555) $2,212.20 $2,458 0.7×
Hysteroscopy Endometrial Ablation (58563) $8,952.30 $9,947 1.7×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $3,982.50 $4,425 0.8×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,375 $3,750 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $5,529.60 $6,144 1.1×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $864–$977.40 $960–$1,086 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $381.60–$557.10 $424–$619 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,442.60 $2,714 0.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,777.40 $3,086 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,853 $3,170 0.8×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,085.40–$3,089.70 $1,206–$3,433 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,547.10–$2,112.30 $1,719–$2,347 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $864–$987.30 $960–$1,097 varies
Icd Pocket Revision (33223) $2,700.90 $3,001 1.3×
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,440 $1,600 2.1×
Ileoscopy Stoma W/Bx Single/Multiple (44382)
range across 2 matching MRF lines		 $2,211.30–$2,820.60 $2,457–$3,134 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $1,790.10–$2,820.60 $1,989–$3,134 varies
Image Cath Fluid Colxn Visc (49405) $3,416.40 $3,796 2.0×
Image Cath Fluid Peri/Retro (49406) $4,614.30 $5,127 2.7×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $7,371–$8,360.10 $8,190–$9,289 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $519.30–$819.90 $577–$911 varies
Incise finger tendon sheath (26055) $3,961.80 $4,402 2.4×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $465.30–$1,149.30 $517–$1,277 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,027.80–$2,389.50 $1,142–$2,655 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $573.30–$584.10 $637–$649 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $608.40–$957.60 $676–$1,064 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $648.90–$957.60 $721–$1,064 varies
Incision extensor tendon sheath wrist (25000) $3,594.60 $3,994 2.2×
Incision of eardrum (69420) $1,228.50 $1,365 5.0×
Incision of Foot Tendon (28234) $2,459.70 $2,733 1.5×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $447.30–$1,114.20 $497–$1,238 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,562.30–$3,464.10 $2,847–$3,849 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,079 $2,310 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $260.10–$331.20 $289–$368 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,619.10–$1,854 $1,799–$2,060 varies
Inj W/Fluor Eval Cv Device (36598) $832.50 $925 3.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $4,596.30 $5,107 5.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,943.10–$1,961.10 $2,159–$2,179 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $354.60–$449.10 $394–$499 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $1,703.70–$2,179.80 $1,893–$2,422 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $1,404.90–$1,737.90 $1,561–$1,931 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,161 $1,290 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $1,395.90–$1,855.80 $1,551–$2,062 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $1,581.30–$2,396.70 $1,757–$2,663 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 3 matching MRF lines		 $471.60–$777.60 $524–$864 varies
Injection Anes Superior Hypogastric Plexus (64517) $1,477.80 $1,642 1.6×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $905.40–$1,273.50 $1,006–$1,415 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $596.70–$884.70 $663–$983 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $412.20–$524.70 $458–$583 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $387.90–$461.70 $431–$513 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $283.50–$891 $315–$990 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $589.50 $655 0.4×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $405.90–$503.10 $451–$559 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $1,261.80–$2,142 $1,402–$2,380 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $1,388.70–$1,463.40 $1,543–$1,626 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $719.10–$794.70 $799–$883 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $237.60–$301.50 $264–$335 varies
Injx anterior chamber eye air/liquid spx (66020) $814.50 $905 0.3×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,477.80 $1,642 1.6×
Ins cath ren art 1st bilat (36252) $8,765.10 $9,739 2.7×
Ins cath ren art 1st unilat (36251) $9,394.20 $10,438 2.9×
Ins cath ren art 2nd+ unilat (36253) $8,052.30 $8,947 1.4×
Ins endovas vena cava filtr (37191) $11,597.40 $12,886 2.0×
Ins/Rep Subq Defibrillator (33270) $38,536.20 $42,818 1.2×
Insert 1 Electrode Pm-Defib (33216) $12,766.50 $14,185 1.5×
Insert and remove bone pin (20650) $4,861.80 $5,402 1.4×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $9,187.20 $10,208 2.1×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $372.60–$631.80 $414–$702 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $2,366.10–$2,590.20 $2,629–$2,878 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $2,356.20–$2,734.20 $2,618–$3,038 varies
Insert cervical dilator (59200) $609.30 $677 1.9×
Insert Drug Implant Device (11981) $693 $770 5.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,682.90 $2,981 1.4×
Insert Heart Pm Atrial (33206) $17,388.90 $19,321 1.6×
Insert Heart Pm Ventricular (33207) $15,543.90 $17,271 1.4×
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $6,960.60 $7,734 0.4×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $1,235.70–$3,822.30 $1,373–$4,247 varies
Insert pulse gen dual leads (33213) $17,013.60 $18,904 1.6×
Insert Pulse Gen Sngl Lead (33212) $16,011.90 $17,791 1.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $300.60–$450.90 $334–$501 varies
Insert tun ip cath perc (49418) $6,807.60 $7,564 1.8×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $4,278.60–$4,496.40 $4,754–$4,996 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $193.50–$350.10 $215–$389 varies
Insertion indwelling tunneled pleural catheter (32550) $4,471.20 $4,968 1.2×
Insertion phrenic nerve stimulator system (33276) $85,210.20 $94,678 1.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,705.40 $3,006 1.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $13,122.90 $14,581 1.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $4,330.80 $4,812 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,189.80–$2,332.80 $1,322–$2,592 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,942 $4,380 1.2×
Insj/Rplcmt Defib W/Lead(S) (33249) $39,337.20 $43,708 1.2×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $5,078.70 $5,643 0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $11,765.70 $13,073 1.4×
Insrt heart pm atrial & vent (33208) $16,894.80 $18,772 1.6×
Insrt Pulse Gen W/Mult Leads (33231) $47,746.80 $53,052 1.5×
Int hrhc by ligation single hroid w/o img gdn (46945) $821.70 $913 0.3×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,119.40 $3,466 2.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $856.80 $952 2.0×
Intro cath dialysis circuit (36901) $1,564.20 $1,738 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,869.40 $20,966 1.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $9,072.90 $10,081 1.5×
Intro Gastrointestinal Tube (44500) $614.70 $683 0.7×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $402.30–$1,071 $447–$1,190 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $691.20–$1,544.40 $768–$1,716 varies
Keratoplasty (corneal transplant); endothelial (65756) $4,781.70 $5,313 1.1×
Keratoplasty Penetrating Pseudophakia (65755) $8,400.60 $9,334 2.0×
Klhl11 antb serum/csf cell binding assay qual (0432U) $117.90 $131 3.2×
Knee Arthroscopy/Surgery (29874) $6,068.70 $6,743 1.8×
Laparoscopy aspiration (49322) $4,491.90 $4,991 0.7×
Laparoscopy fulguration oviducts (58670) $3,718.80 $4,132 0.6×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $3,630.60 $4,034 0.6×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $8,259.30 $9,177 0.8×
Laparoscopy W/Lysis Of Adhesions (58660) $6,178.50 $6,865 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $5,925.60 $6,584 0.9×
Laparoscopy, surgical, appendectomy (44970) $6,581.70 $7,313 1.1×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $6,870.60 $7,634 0.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,889.60 $6,544 0.9×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $4,724.10 $5,249 0.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $4,134.60 $4,594 0.7×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $3,782.70 $4,203 0.6×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,872.40 $7,636 1.1×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $6,012.90 $6,681 1.0×
Laryngoscopy diagnostic (31505) $521.10 $579 2.5×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $376.20–$735.30 $418–$817 varies
Late closure of wound (13160)
range across 2 matching MRF lines		 $3,058.20–$4,610.70 $3,398–$5,123 varies
Lateral Canthopexy (21282) $5,202 $5,780 1.5×
Ligate leg veins open (37761) $4,049.10 $4,499 1.2×
Ligation of hemorrhoids (46946) $1,034.10 $1,149 0.4×
Ligation or biopsy temporal artery (37609) $2,149.20 $2,388 1.3×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $6,473.70 $7,193 2.0×
Lrt iad 18bct/8vir&7arg RNA (0528U) $778.50 $865 1.2×
Manipulation knee joint under general anesthesia (27570) $2,096.10 $2,329 1.3×
Manometric stds thru tube/ndwellg urtrl cath (50396) $1,084.50 $1,205 1.5×
Mast mod rad (19307) $7,224.30 $8,027 1.1×
Mastectomy partial (19301) $2,651.40 $2,946 0.7×
Mastectomy partial w/axillary lymphadenectomy (19302) $5,985 $6,650 0.9×
Mastectomy simple complete (19303) $4,616.10 $5,129 0.7×
Mech remov tunneled cv cath (36595) $1,998.90 $2,221 0.6×
Medial Canthopexy Separate Procedure (21280) $6,582.60 $7,314 1.9×
Myelography Lumbar Injection (62305) $2,718.90 $3,021 3.3×
Myelography Lumbar Injection (62304) $1,845.90 $2,051 2.3×
Myelography via lumbar injection rs&i cervical (62302) $1,945.80 $2,162 2.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,004.30 $2,227 2.5×
N Block Inj Celiac Pelus (64530) $1,854 $2,060 2.0×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $776.70–$945.90 $863–$1,051 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $971.10–$1,282.50 $1,079–$1,425 varies
N Block Inj Plantar Digit (64455) $604.80 $672 1.9×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $1,194.30–$1,703.70 $1,327–$1,893 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $1,558.80–$1,887.30 $1,732–$2,097 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $449.10–$983.70 $499–$1,093 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines		 $295.20–$609.30 $328–$677 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,222.10 $2,469 1.2×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)
range across 2 matching MRF lines		 $2,227.50–$2,239.20 $2,475–$2,488 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 2 matching MRF lines		 $2,587.50–$3,134.70 $2,875–$3,483 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,245.60–$3,483 $1,384–$3,870 varies
Needle Biopsy Pancreas (48102) $2,424.60 $2,694 1.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $46.80 $52 1.6×
Needle insertion w/o injection 3 or more muscles (20561) $69.30 $77 2.3×
Nerve repair w/conduit each nerve (64910) $5,823 $6,470 0.6×
Neuro csf detcj prion prtn quakg conf conv qual (0584U) $973.80 $1,082 1.8×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $5,293.80 $5,882 2.6×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,435.50 $1,595 2.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $750.60 $834 1.8×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,985.30 $3,317 1.4×
Nipple Exploration (19110) $2,925.90 $3,251 0.7×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $1,422.90–$1,521.90 $1,581–$1,691 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $498.60–$815.40 $554–$906 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,637.80 $4,042 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,024.70 $5,583 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,312.20–$1,873.80 $1,458–$2,082 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $1,510.20–$1,887.30 $1,678–$2,097 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,269 $1,410 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $1,325.70–$1,791.90 $1,473–$1,991 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,464.30 $1,627 1.6×
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 2 matching MRF lines		 $2,148.30–$5,814.90 $2,387–$6,461 varies
Njx Noncmpnd Sclrsnt Mlt Vn (36466)
range across 2 matching MRF lines		 $2,148.30–$5,679.90 $2,387–$6,311 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,774.80 $1,972 2.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $3,691.80 $4,102 5.1×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $263.70–$350.10 $293–$389 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $689.40–$1,146.60 $766–$1,274 varies
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $290.70 $323 2.3×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $525.60–$785.70 $584–$873 varies
Open biopsy/excision inguinofemoral nodes (38531) $4,140 $4,600 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,807.50 $8,675 1.0×
Open treatment calcaneal fracture (28415) $8,638.20 $9,598 1.1×
Open Treatment Medial Malleolus Fracture (27766) $4,725.90 $5,251 0.6×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure		 $3,609.90 $4,011 0.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $5,443.20 $6,048 0.7×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $3,810.60 $4,234 0.6×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $5,008.50 $5,565 0.7×
Open Treatment of Ulnar Shaft Fracture (25545) $5,297.40 $5,886 0.7×
Open treatment of ulnar styloid fracture (25652) $5,197.50 $5,775 0.7×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $4,939.20 $5,488 0.7×
Open Treatment Radial Shaft Fracture (25515) $5,622.30 $6,247 0.7×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $5,368.50 $5,965 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $3,399.30 $3,777 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829) $6,127.20 $6,808 0.8×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $2,650.50 $2,945 0.8×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,815 $5,350 1.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,486.50 $4,985 1.3×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $5,356.80 $5,952 0.7×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $9,288 $10,320 1.2×
Open tx ulnar fx proximal end (24685) $6,165.90 $6,851 0.8×
Open/Perq Place Stent 1St (37236) $13,048.20 $14,498 1.1×
Open/Perq Place Stent Same (37238) $8,685 $9,650 0.7×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $6,597 $7,330 0.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $7,902 $8,780 1.1×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $8,653.50 $9,615 2.1×
Ostc prtl exostc/condylc metar head (28288) $3,393 $3,770 1.0×
Ostectomy calcaneus (28118) $4,239 $4,710 1.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,464.10 $3,849 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,720.60 $4,134 1.1×
Ostectomy, complete excision; first metatarsal head (28111) $3,555 $3,950 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,164.40 $3,516 0.9×
Osteochondral knee autograft (27416) $5,867.10 $6,519 0.8×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,730.50 $4,145 1.1×
Osteotomy calcaneus w/wo internal fixation (28300) $5,992.20 $6,658 0.8×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $4,030.20 $4,478 0.5×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $3,720.60 $4,134 1.6×
Part remv talus or calcaneus (28120) $4,402.80 $4,892 1.3×
Partial excision bone metacarpal (26230) $4,775.40 $5,306 1.4×
Partial Excision Distal Phalanx Finger (26236) $3,465.90 $3,851 2.1×
Partial Excision Proximal/Middle Phalanx Finger (26235) $4,373.10 $4,859 2.6×
Partial hymenectomy or revision of hymenal ring (56700) $1,647.90 $1,831 0.5×
Partial removal of fibula (27641) $6,051.60 $6,724 1.8×
Partial removal of toe (28160) $2,478.60 $2,754 0.7×
Partical Excision Bone Phalanx Toe (28124) $3,115.80 $3,462 0.9×
Pelvic examination under anesthesia (other than local) (57410) $903.60 $1,004 0.3×
Penile Injection (54235)
range across 2 matching MRF lines		 $638.10–$657.90 $709–$731 varies
Perc Cryo Ablate Renal Tum (50593) $10,386 $11,540 0.9×
Perc Rf Ablate Renal Tumor (50592) $14,448.60 $16,054 2.3×
Percut Ablate Liver Rf (47382) $11,412.90 $12,681 1.8×
Percut Drain/Inject Renal Cyst (50390) $2,047.50 $2,275 2.8×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $2,448.90 $2,721 0.7×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $1,889.10 $2,099 0.6×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $2,003.40–$2,748.60 $2,226–$3,054 varies
Perm Occlusion/Embolization,Percut,Cns (61624) $13,257.90 $14,731 0.7×
Perq Cervicothoracic Inject (22510) $6,508.80 $7,232 1.9×
Perq dev breast 1st mr guide (19287) $3,513.60 $3,904 4.8×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $1,800–$2,339.10 $2,000–$2,599 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $1,387.80–$3,159 $1,542–$3,510 varies
Perq Lumbosacral Injection (22511) $6,508.80 $7,232 1.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $1,261.80–$2,958.30 $1,402–$3,287 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,563 $5,070 1.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $14,257.80 $15,842 1.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,229.70 $8,033 1.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $16,212.60 $18,014 2.2×
Perq Vertebral Augmentation (22513) $16,212.60 $18,014 2.2×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $4,242.60–$5,222.70 $4,714–$5,803 varies
Place Amniotic Membrane Ocular Surface Sutured (65779) $6,604.20 $7,338 1.6×
Place Cath Subclavian Art (36225) $8,239.50 $9,155 2.5×
Place Cath Thoracic Aorta (36221) $5,369.40 $5,966 1.6×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $552.60–$609.30 $614–$677 varies
Placement of seton (46020) $1,148.40 $1,276 0.4×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $5,085 $5,650 0.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $6,366.60 $7,074 2.9×
Plmt Nephroureteral Catheter (50433) $6,891.30 $7,657 1.9×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $11,242.80 $12,492 3.1×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,143.60 $4,604 1.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $8,362.80 $9,292 2.3×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $4,302.90 $4,781 0.8×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $9,129.60 $10,144 0.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,595.70 $1,773 2.2×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines		 $3,405.60–$9,811.80 $3,784–$10,902 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $10,535.40 $11,706 2.8×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $12,160.80 $13,512 3.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,966.40 $3,296 0.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $6,813 $7,570 0.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,264.20 $4,738 1.3×
Pseudoaneurysm Injection Trt (36002) $1,671.30 $1,857 2.6×
Punch biopsy skin single lesion (11104) $552.60 $614 1.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $462.60–$495 $514–$550 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $563.40–$668.70 $626–$743 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,037.70 $1,153 1.4×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $5,925.60 $6,584 1.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $2,895.30–$3,656.70 $3,217–$4,063 varies
Rare ds rpd whl gen cmptr DNA seq vrnts proband (0583U) $2,700 $3,000 0.7×
Rare ds rpd whl gen DNA seq snvs indels variants (0582U) $4,950 $5,500 0.7×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $5,088.60 $5,654 0.7×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $7,817.40 $8,686 1.0×
Relocation Pocket Pacemaker (33222) $5,247 $5,830 2.5×
Rem Endovas Vena Cava Filter (37193) $9,121.50 $10,135 2.8×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,319.40 $1,466 1.4×
Removal foreign body foot deep (28192) $2,141.10 $2,379 1.3×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,317.60–$2,268 $1,464–$2,520 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,041.10 $3,379 1.8×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $97.20–$126.90 $108–$141 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $210.60–$240.30 $234–$267 varies
Removal Implant Deep (20680) $3,134.70 $3,483 1.0×
Removal Implant Superficial Separate Procedure (20670) $1,945.80 $2,162 1.1×
Removal of foreign body from pharynx (42809) $644.40 $716 1.4×
Removal of heel spur (28119) $3,636 $4,040 1.1×
Removal of implanted material, anterior segment of eye (65920) $5,036.40 $5,596 2.1×
Removal of infusion pump (36262) $2,361.60 $2,624 0.6×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $574.20–$1,102.50 $638–$1,225 varies
Removal of sesamoid bone (28315) $3,054.60 $3,394 0.9×
Removal of tunneled intraperitoneal catheter (49422) $4,715.10 $5,239 1.4×
Removal Pacemaker Electrode (33235) $10,623.60 $11,804 2.7×
Removal ppm generator only (33233) $11,398.50 $12,665 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $483.30 $537 2.3×
Removal subcutaneous cardiac rhythm monitor (33286) $2,702.70 $3,003 3.7×
Removal, under anesthesia, of external fixation system (20694) $2,966.40 $3,296 1.8×
Remove Ankle Joint Lining (27626) $6,785.10 $7,539 2.0×
Remove drug implant device (11982) $659.70 $733 1.4×
Remove Elctrd Transvenously (33244) $11,703.60 $13,004 3.0×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $254.70–$418.50 $283–$465 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $553.50–$639 $615–$710 varies
Remove intrvas foreign body (37197) $4,850.10 $5,389 1.5×
Remove iris and lesion (66600) $7,205.40 $8,006 1.7×
Remove Lower Leg Bone Lesion (27635) $5,428.80 $6,032 1.6×
Remove lung catheter (32552) $1,239.30 $1,377 1.9×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $348.30–$472.50 $387–$525 varies
Remove Pulse Generator (33241) $5,361.30 $5,957 1.4×
Remove renal tube w/fluoro (50389) $1,190.70 $1,323 1.6×
Remove Tendon Sheath Lesion (26160) $3,186.90 $3,541 1.9×
Remove ureter stent percut (50384) $3,645.90 $4,051 1.7×
Remove&replace pm gen singl (33227) $12,861.90 $14,291 1.5×
Remv&replc cvd gen dual lead (33263) $33,262.20 $36,958 1.4×
Remv&replc cvd gen mult lead (33264) $39,324.60 $43,694 1.2×
Remv&replc cvd gen sing lead (33262) $33,262.20 $36,958 1.4×
Remv&replc pm gen dual lead (33228) $16,894.80 $18,772 1.6×
Remv&replc pm gen mult leads (33229) $29,301.30 $32,557 1.5×
Renal Biopsy Perq (50200) $6,130.80 $6,812 3.6×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $893.70 $993 0.2×
Repair Achilles Tendon (27650) $6,058.80 $6,732 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $7,642.80 $8,492 2.3×
Repair brow ptosis (67900) $4,412.70 $4,903 1.8×
Repair Collat Ankle Ligmnt,Secondary (27698) $6,855.30 $7,617 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $988.20 $1,098 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,084.50 $1,205 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $793.80 $882 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $956.70–$2,975.40 $1,063–$3,306 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,017.90 $1,131 2.4×
Repair Ectropion Extensive (67917) $5,608.80 $6,232 2.3×
Repair Ectropion Suture (67914) $3,162.60 $3,514 1.3×
Repair Entropion Extensive (67924) $5,500.80 $6,112 2.2×
Repair extensor tendon finger w/o graft each (26418) $4,350.60 $4,834 2.6×
Repair Eyelid Wound (67935) $3,303.90 $3,671 1.3×
Repair Finger/Hand Tendon (26350) $6,414.30 $7,127 1.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,696.30 $4,107 1.1×
Repair Foot Dislocation (28615) $4,712.40 $5,236 0.6×
Repair Hallux Rigidus (28289) $4,081.50 $4,535 1.2×
Repair Hand Joint (26540) $5,657.40 $6,286 1.7×
Repair Hand Tendon (26410) $5,132.70 $5,703 3.1×
Repair incomplete circumcision (54163) $1,074.60 $1,194 0.5×
Repair inguinal hernia, sliding, any age (49525) $4,379.40 $4,866 1.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $5,016.60 $5,574 1.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,629.60 $5,144 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $561.60–$1,011.60 $624–$1,124 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $569.70–$1,389.60 $633–$1,544 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $649.80–$1,611 $722–$1,790 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $805.50–$2,001.60 $895–$2,224 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $964.80–$1,979.10 $1,072–$2,199 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $561.60–$1,028.70 $624–$1,143 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $611.10–$1,223.10 $679–$1,359 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $723.60–$1,447.20 $804–$1,608 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $729–$1,641.60 $810–$1,824 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $406.80–$1,092.60 $452–$1,214 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $535.50–$1,263.60 $595–$1,404 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $596.70–$1,919.70 $663–$2,133 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $537.30–$1,302.30 $597–$1,447 varies
Repair iris ciliary body (66680) $4,446 $4,940 1.9×
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $901.80–$1,924.20 $1,002–$2,138 varies
Repair lower leg tendons (27676) $5,683.50 $6,315 0.8×
Repair Nonunion/Malunion Tarsal Bones (28320)
unusually low: confirm this is the full procedure		 $3,996.90 $4,441 0.3×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $9,325.80 $10,362 1.2×
Repair of metatarsals (28322) $4,071.60 $4,524 0.5×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $768.60–$1,615.50 $854–$1,795 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $9,936.90 $11,041 1.3×
Repair of Ruptured Tendon (24342) $9,229.50 $10,255 1.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $5,301.90 $5,891 0.8×
Repair secondary achilles tendon w/wo graft (27654) $6,464.70 $7,183 0.9×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,818 $2,020 0.5×
Repair Toe Dislocation (28645) $3,332.70 $3,703 1.0×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $1,293.30–$2,454.30 $1,437–$2,727 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $573.30–$817.20 $637–$908 varies
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
unusually low: confirm this is the full procedure		 $3,333.60 $3,704 0.4×
Repair, primary, disrupted ligament, ankle; collateral (27695) $5,155.20 $5,728 0.7×
Replace duodenostomy/jejunostomy tube perq (49451) $1,805.40 $2,006 1.9×
Replace G-J Tube Perc (49452) $1,893.60 $2,104 2.0×
Replace g/c tube perc (49450) $1,636.20 $1,818 1.7×
Reposition Gastrostomy Tube (43761) $1,411.20 $1,568 5.5×
Reposition Pacing-Defib Lead (33215) $10,068.30 $11,187 3.1×
Reposition Venous Catheter (36597) $2,288.70 $2,543 1.4×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $4,727.70 $5,253 2.0×
Rerepair ing hernia reduce (49520) $4,629.60 $5,144 1.2×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $2,553.30 $2,837 0.8×
Resection, partial or complete, phalangeal base, each toe (28126) $2,372.40 $2,636 0.7×
Revise lower leg tendon (27690) $5,149.80 $5,722 0.7×
Revise Wrist/Forearm Tendon (25280) $6,911.10 $7,679 2.0×
Revision of big toe (28310)
unusually low: confirm this is the full procedure		 $2,951.10 $3,279 0.4×
Revision of foot (28116) $5,967 $6,630 1.8×
Revision of toe (28312) $2,750.40 $3,056 0.8×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $6,642 $7,380 2.8×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $16,767.90 $18,631 0.9×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $12,868.20 $14,298 1.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $9,729.90 $10,811 1.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,952.70 $5,503 1.4×
Revj/rpr oprative wound anterior segment (66250) $3,797.10 $4,219 1.5×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $13,887 $15,430 2.4×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $18,034.20 $20,038 1.5×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $9,137.70 $10,153 1.6×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $18,473.40 $20,526 1.5×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $20,808.90 $23,121 1.7×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $16,587.90 $18,431 1.4×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $22,192.20 $24,658 1.2×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $29,314.80 $32,572 1.5×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,989.80 $3,322 1.4×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $1,057.50 $1,175 0.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,060.20 $1,178 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $486–$636.30 $540–$707 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $457.20–$537.30 $508–$597 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $453.60–$624.60 $504–$694 varies
Rmvl fecal impaction/fb spx under anes (45915) $1,813.50 $2,015 1.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $2,560.50–$3,995.10 $2,845–$4,439 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $640.80–$4,036.50 $712–$4,485 varies
Rmvl implnt matl posterior segment extraocular (67120) $4,538.70 $5,043 1.9×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $6,245.10 $6,939 2.6×
Rmvl Lens Material Phacofragmentation Aspir (66850) $6,778.80 $7,532 2.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,375.80 $4,862 2.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $10,623.60 $11,804 2.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,697.40–$2,368.80 $1,886–$2,632 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,200.60 $1,334 1.8×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $480.60–$2,223 $534–$2,470 varies
Rplc gtube revj gstrst trc (43763) $873 $970 3.4×
Rplcmt cath ctr vad subq port/pmp (36578) $4,482 $4,980 1.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,748.70 $1,943 1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,205 $2,450 1.4×
Rplcmt compl tun ctr vad w/subq port (36582) $6,516 $7,240 2.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,024 $3,360 0.9×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,169.40 $7,966 1.1×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,588.30 $3,987 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $7,373.70 $8,193 1.1×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $5,656.50 $6,285 0.9×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $4,288.50 $4,765 1.2×
Rpr aa hrn 1st 3-10 rdc (49593) $5,670 $6,300 0.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $4,807.80 $5,342 0.8×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $5,344.20 $5,938 2.2×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $8,308.80 $9,232 3.4×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $4,428 $4,920 1.8×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $4,418.10 $4,909 1.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $614.70–$1,205.10 $683–$1,339 varies
Rpr flexor tendon leg secondary w/o graft each (27659) $4,376.70 $4,863 0.6×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $679.50 $755 0.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $1,788.30–$3,554.10 $1,987–$3,949 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $1,674.90–$2,892.60 $1,861–$3,214 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,290.50 $2,545 1.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,579.30 $3,977 1.1×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,206.50 $5,785 1.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,615.30 $4,017 1.1×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $8,596.80 $9,552 2.5×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $7,202.70 $8,003 2.1×
Scleral Reinforcement Spx W/Graft (67255) $6,199.20 $6,888 1.4×
Sclerotx Fluid Collection (49185) $2,808.90 $3,121 1.6×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $6,940.80 $7,712 2.0×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $4,516.20 $5,018 1.9×
Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) $2,980.80 $3,312 1.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $1,830.60–$1,934.10 $2,034–$2,149 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $2,258.10–$2,704.50 $2,509–$3,005 varies
Shave skin lesion 0.5 cm/< (11300) $352.80 $392 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $474.30 $527 2.3×
Shoulder Arthroscopy/Surgery (29825) $5,297.40 $5,886 1.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $474.30 $527 2.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $579.60 $644 1.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $563.40 $626 2.7×
Sigmoidoscopy & decompress (45337) $2,602.80 $2,892 2.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,229.30 $2,477 1.8×
Sigmoidoscopy flx tndsc balo dilat (45340) $2,159.10 $2,399 1.7×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $3,879.90 $4,311 3.1×
Sigmoidoscopy w/fb removal (45332) $2,229.30 $2,477 1.8×
Sigmoidoscopy W/Resection (45349) $3,889.80 $4,322 1.4×
Sigmoidoscopy W/Ultrasound (45341) $2,159.10 $2,399 2.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $1,206–$2,079 $1,340–$2,310 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $3,150.90 $3,501 2.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $648–$1,752.30 $720–$1,947 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $492.30–$682.20 $547–$758 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $509.40–$932.40 $566–$1,036 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $532.80–$988.20 $592–$1,098 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $537.30–$548.10 $597–$609 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $792–$1,574.10 $880–$1,749 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $505.80–$988.20 $562–$1,098 varies
Skin sub graft face/nk/hf/g (15275) $1,241.10 $1,379 1.6×
Skin sub graft trnk/arm/leg (15271) $987.30 $1,097 1.3×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $11,805.30 $13,117 2.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $11,233.80 $12,482 3.4×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $16,582.50 $18,425 2.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $6,595.20 $7,328 1.3×
Small bowel endoscopy (44366) $4,074.30 $4,527 2.1×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $4,032 $4,480 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $514.80–$649.80 $572–$722 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $536.40–$1,040.40 $596–$1,156 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $585–$1,261.80 $650–$1,402 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $857.70–$915.30 $953–$1,017 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $3,769.20–$4,134.60 $4,188–$4,594 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $168.30–$305.10 $187–$339 varies
Strapping Unna Boot (29580) $296.10 $329 1.8×
Subtalar arthro w/exc (29905) $6,364.80 $7,072 0.8×
Surg tx anal fistula subq (46270) $2,888.10 $3,209 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $4,508.10 $5,009 2.2×
Suture infrapatellar tendon primary (27380) $5,246.10 $5,829 0.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) $6,434.10 $7,149 0.9×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $6,964.20 $7,738 0.9×
Syndactylization toes (28280) $3,161.70 $3,513 0.9×
Synovectomy Tendon Sheath Foot Flexor (28086) $4,851 $5,390 1.4×
Tcat Insj/Rpl Perm Ldls Pm (33274) $26,784 $29,760 1.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $6,226.20 $6,918 1.8×
Tenodesis long tendon biceps (23430) $6,692.40 $7,436 0.9×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $3,369.60 $3,744 1.0×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $6,573.60 $7,304 1.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,728.90 $1,921 1.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $2,934.90 $3,261 0.9×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,134 $1,260 1.6×
Thrmbc/Nfs Dialysis Circuit (36906) $19,758.60 $21,954 1.0×
Thromblytic art/ven therapy (37213) $5,910.30 $6,567 1.8×
Thrombolytic Art Therapy (37211) $10,548 $11,720 1.8×
Thrombolytic Therapy Stroke (37195) $952.20 $1,058 2.8×
Thrombolytic Venous Therapy (37212) $10,548 $11,720 3.2×
Thyroid biopsy (60100) $962.10 $1,069 1.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,824 $5,360 2.3×
Total Knee Arthroplasty (27447) $13,672.80 $15,192 1.0×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $837.90–$1,678.50 $931–$1,865 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $360.90 $401 1.5×
Transcatheter biopsy (37200) $7,704 $8,560 1.3×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $4,086.90 $4,541 2.0×
Translum Dil Eye Canal (66174) $7,002.90 $7,781 1.6×
Transplant hand tendon (26480) $6,670.80 $7,412 2.0×
Treat Big Toe Fracture (28505) $3,538.80 $3,932 1.0×
Treat ectopic pregnancy (59151) $6,216.30 $6,907 1.0×
Treat Finger Fracture Each (26727) $3,172.50 $3,525 0.9×
Treat fracture radius/ulna (25575) $6,920.10 $7,689 0.9×
Treat Fx Rad Extra-Articul (25607) $5,297.40 $5,886 0.7×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $714.60–$1,868.40 $794–$2,076 varies
Treat Humerus Fracture (24505) $2,367 $2,630 1.4×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $625.50–$1,847.70 $695–$2,053 varies
Treat knee fracture (27532) $5,385.60 $5,984 1.6×
Treat Kneecap Fracture (27524) $6,556.50 $7,285 0.9×
Treat Knuckle Dislocation (26700) $560.70 $623 2.2×
Treat Tail Bone Fracture (27200) $1,606.50 $1,785 6.3×
Treat Thumb Dislocation (26641) $513.90 $571 2.0×
Treat toe dislocation (28630) $594 $660 2.3×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $2,528.10–$3,483.90 $2,809–$3,871 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $691.20–$1,991.70 $768–$2,213 varies
Trim skin lesion (11055) $185.40 $206 0.9×
Trim skin lesions 2 to 4 (11056) $237.60 $264 1.1×
Trim skin lesions over 4 (11057) $320.40 $356 1.5×
Trimming Nondystrophic Nails Any Number (11719) $140.40 $156 2.3×
Trluml Balo Angiop 1St Art (37246) $10,255.50 $11,395 1.7×
Trluml Balo Angiop 1St Vein (37248) $10,975.50 $12,195 1.9×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $165.60–$455.40 $184–$506 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,559.60 $2,844 0.8×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $9,217.80 $10,242 1.2×
Tx Missed Abortion First Trimester Surgical (59820) $3,114 $3,460 0.9×
Tx Missed Abortion Second Trimester Surgical (59821) $2,998.80 $3,332 0.9×
Tx open tendon flexor toe 1 tendon spx (28232) $1,038.60 $1,154 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $867.60–$1,015.20 $964–$1,128 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $603–$1,605.60 $670–$1,784 varies
Unlisted procedure breast (19499) $3,488.40 $3,876 0.9×
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines		 $1,884.60–$3,101.40 $2,094–$3,446 varies
Upgrade of pacemaker system (33214) $20,409.30 $22,677 1.9×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $3,997.80–$4,133.70 $4,442–$4,593 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $7,052.40 $7,836 1.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $7,695 $8,550 1.5×
Vasc embolize/occlude artery (37242) $16,586.10 $18,429 0.9×
Vasc Embolize/Occlude Bleed (37244) $16,914.60 $18,794 1.4×
Vasc Embolize/Occlude Organ (37243) $20,297.70 $22,553 1.7×
Vasc embolize/occlude venous (37241) $17,422.20 $19,358 1.5×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,449.80 $2,722 1.1×
Venous Mech Thrombectomy (37187) $8,083.80 $8,982 0.7×
Vulvectomy simple partial (56620) $5,427 $6,030 1.6×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $549.90–$621.90 $611–$691 varies
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $7,482.60 $8,314 1.4×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $9,052.20 $10,058 1.6×
Xfer Single Deep Low Leg Tendon (27691) $6,455.70 $7,173 0.9×

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.