Procedures & surgery prices at Mayo Clinic Health System - New Prague

New Prague, MN · every code in this section with a posted price and a Medicare benchmark.

1091 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 2 matching MRF lines		 $1,056–$1,059 $1,408–$1,412 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $618–$1,044 $824–$1,392 varies
Ablate inf turbinate submuc (30802) $933.75 $1,245 0.6×
Ablate Pulm Tumor Perq Crybl (32994) $6,431.25 $8,575 0.6×
Ablation 1/> liver tumor perq cryoablation (47383) $12,078 $16,104 1.1×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $8,509.50 $11,346 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $8,303.25 $11,071 1.1×
Acne surgery (10040) $218.25 $291 1.0×
Acromiopl/Acromionect Partial (23130) $3,022.50 $4,030 0.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,590.75 $2,121 0.7×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,244.75 $2,993 1.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,992 $2,656 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,655 $3,540 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $2,483.25–$2,706.75 $3,311–$3,609 varies
Amputation foot transmetarsal (28805) $2,742 $3,656 0.8×
Amputation metatarsal with toe single (28810) $2,066.25 $2,755 0.6×
Amputation toe interphalangeal joint (28825) $1,773 $2,364 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,906.50 $2,542 0.6×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $699.75 $933 2.2×
Anal/Urinary Muscle Study (51784) $719.25 $959 5.3×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $209.25–$240.75 $279–$321 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $480.75–$932.25 $641–$1,243 varies
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,701.75 $2,269 1.4×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $480.75 $641 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure		 $2,604.75 $3,473 0.5×
Anterior Tibial Tubercleplasty (27418) $4,927.50 $6,570 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $171 $228 1.0×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $280.50–$308.25 $374–$411 varies
Application Finger Splint Dynamic (29131) $211.50 $282 3.4×
Application finger splint static (29130)
range across 2 matching MRF lines		 $145.50–$225 $194–$300 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $227.25–$241.50 $303–$322 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $213–$280.50 $284–$374 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $3,164.25 $4,219 0.2×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $447–$559.50 $596–$746 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $545.25–$561.75 $727–$749 varies
Application Short Arm Splint Dynamic (29126) $267.75 $357 1.9×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $189.75–$198 $253–$264 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $175.50–$205.50 $234–$274 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,820.25 $2,427 0.2×
Apply hand/wrist cast (29085) $309.75 $413 1.8×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $352.50–$417 $470–$556 varies
Apply Multlay Comprs Lwr Leg (29581) $209.25 $279 1.2×
Apply Short Leg Cast (29405) $357.75 $477 1.2×
Apply short leg cast (29425) $380.25 $507 1.3×
Arterial puncture (36600)
range across 4 matching MRF lines		 $100.50–$273.75 $134–$365 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $3,763.50 $5,018 0.3×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
unusually low: confirm this is the full procedure		 $3,024.75 $4,033 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $223.50–$378.75 $298–$505 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $732–$1,056 $976–$1,408 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $251.25–$1,071 $335–$1,428 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $732.75–$1,025.25 $977–$1,367 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $208.50–$378.75 $278–$505 varies
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure		 $5,379 $7,172 0.4×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $2,090.25 $2,787 0.3×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,830.50 $3,774 0.4×
Arthrodesis subtalar (28725)
unusually low: confirm this is the full procedure		 $4,428.75 $5,905 0.3×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $8,446.50 $11,262 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure		 $8,429.25 $11,239 0.5×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $6,867 $9,156 0.5×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $4,132.50 $5,510 1.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,423 $4,564 1.0×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,134.25 $4,179 0.9×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,312 $4,416 1.0×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,453 $4,604 1.0×
Arthroscopy knee synovectomy limited spx (29875) $2,847.75 $3,797 0.8×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,402.75 $4,537 1.0×
Arthroscopy shoulder distal claviculectomy (29824) $2,556 $3,408 0.7×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $4,657.50 $6,210 0.6×
Arthroscopy, knee, surgical; with lateral release (29873) $3,099 $4,132 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,814.25 $6,419 1.4×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,290 $5,720 1.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $3,669.75 $4,893 0.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,633.75 $4,845 1.1×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,060.75 $4,081 0.9×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $4,821.75 $6,429 0.6×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $4,488.75 $5,985 0.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $12,933 $17,244 1.0×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $5,007 $6,676 1.5×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
unusually low: confirm this is the full procedure		 $5,739 $7,652 0.4×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $4,184.25 $5,579 0.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $5,769 $7,692 0.8×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,892.50 $5,190 1.1×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $4,061.25 $5,415 1.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,662.75 $6,217 1.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,824 $2,432 1.1×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,046.25–$1,158 $1,395–$1,544 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $590.25–$841.50 $787–$1,122 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $198–$370.50 $264–$494 varies
Aspiration and/or injection thyroid cyst (60300) $351.75 $469 0.5×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $976.50–$3,436.50 $1,302–$4,582 varies
Aspiration Bladder Needle (51100) $516 $688 2.0×
Av Fistula Revision Open (36832) $9,886.50 $13,182 1.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $223.50–$286.50 $298–$382 varies
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $12,440.25 $16,587 1.1×
Biopsy Abdominal Mass (49180) $1,508.25 $2,011 0.9×
Biopsy bone open superficial (20240) $865.50 $1,154 0.3×
Biopsy bone trocar/needle deep (20225) $2,670.75 $3,561 1.5×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $549–$1,627.50 $732–$2,170 varies
Biopsy external ear (69100) $335.25 $447 1.4×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $597.75–$1,627.50 $797–$2,170 varies
Biopsy nail unit (11755) $345.75 $461 0.5×
Biopsy of floor of mouth (41108) $509.25 $679 0.3×
Biopsy of liver, needle; percutaneous (47000) $1,681.50 $2,242 1.0×
Biopsy of penis (54100) $512.25 $683 0.3×
Biopsy Pleura Percutaneous Needle (32400) $641.25 $855 0.4×
Biopsy Salivary Gland Needle (42400) $1,167.75 $1,557 1.6×
Biopsy Tongue Anterior Two-Thirds (41100) $658.50 $878 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $367.50 $490 0.4×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $261–$689.25 $348–$919 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $258–$303 $344–$404 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $108–$143.25 $144–$191 varies
Blepharoplasty upper eyelid (15822) $1,826.25 $2,435 0.8×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,629.50 $3,506 1.2×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $370.50–$728.25 $494–$971 varies
Blood Transfusion Service (36430) $681 $908 1.5×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,549.50 $2,066 0.2×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $583.50–$1,804.50 $778–$2,406 varies
Brnchsc Brushing/Protected Brushings (31623) $2,183.25 $2,911 1.2×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,187.25 $5,583 1.1×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $3,876.75 $5,169 1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $4,245 $5,660 1.1×
Bronchoscopy W/Biopsy(S) (31625) $1,869.75 $2,493 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $1,801.50 $2,402 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,893.50 $3,858 0.7×
Bronchoscopy/Needle Bx Each (31629) $3,202.50 $4,270 0.8×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,146.50 $2,862 0.7×
Bx breast 1st lesion mr imag (19085) $2,432.25 $3,243 1.4×
Bx breast 1st lesion strtctc (19081) $2,508.75 $3,345 1.5×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $2,472.75–$2,694.75 $3,297–$3,593 varies
Bx Cervix (57500) $483.75 $645 0.5×
Bx/exc lymph node open deep axillary node (38525) $2,181 $2,908 0.5×
Bx/exc lymph node open superficial (38500) $1,341.75 $1,789 0.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,592.25 $2,123 0.5×
Carpal Tunnel Surgery (64721) $2,439 $3,252 1.2×
Carpectomy All Bones Proximal Row (25215) $3,405.75 $4,541 1.0×
Cataract surgery complex (66982) $4,709.25 $6,279 1.9×
Catheter aspiration nasotracheal spx (31720) $238.50 $318 1.0×
Cessj Therapy Cath Removal (37214) $3,570.75 $4,761 1.1×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $1,392.75–$1,396.50 $1,857–$1,862 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $369.75–$480.75 $493–$641 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $255.75–$457.50 $341–$610 varies
Change ureter stent percut (50382) $3,699 $4,932 1.7×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $202.50–$372.75 $270–$497 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $588.75–$773.25 $785–$1,031 varies
Chemodenerv Musc Migraine (64615) $631.50 $842 2.0×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $498.75 $665 1.6×
Chemodenervation of internal anal sphincter (46505) $1,226.25 $1,635 1.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $589.50–$633 $786–$844 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $930–$1,585.50 $1,240–$2,114 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,818 $2,424 0.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,630.50 $6,174 1.2×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $226.50–$349.50 $302–$466 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,821–$2,053.50 $2,428–$2,738 varies
Claviculectomy partial (23120) $2,720.25 $3,627 0.8×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $256.50–$300 $342–$400 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $453–$1,860.75 $604–$2,481 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $1,194.75–$1,212.75 $1,593–$1,617 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $676.50–$1,615.50 $902–$2,154 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines		 $447–$783.75 $596–$1,045 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $558.75–$1,299.75 $745–$1,733 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $457.50–$1,029.75 $610–$1,373 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,778.25–$1,789.50 $2,371–$2,386 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $585.75–$1,365 $781–$1,820 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $475.50–$1,005.75 $634–$1,341 varies
Closed tx carpal scaphoid fracture w/manj (25624) $3,823.50 $5,098 2.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $667.50–$1,173.75 $890–$1,565 varies
Closed tx femoral fracture prox head w/o manj (27267) $3,907.50 $5,210 1.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $462.75–$1,987.50 $617–$2,650 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $2,484–$2,919.75 $3,312–$3,893 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $522–$2,233.50 $696–$2,978 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,465.25 $3,287 1.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $1,266–$2,188.50 $1,688–$2,918 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $444.75–$769.50 $593–$1,026 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,773–$1,984.50 $2,364–$2,646 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,440 $1,920 0.9×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $342–$2,177.25 $456–$2,903 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $579.75–$1,788.75 $773–$2,385 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $423–$1,055.25 $564–$1,407 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,185–$1,813.50 $1,580–$2,418 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $437.25–$977.25 $583–$1,303 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,665.75–$1,716.75 $2,221–$2,289 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $420–$905.25 $560–$1,207 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,758–$2,137.50 $2,344–$2,850 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $666–$938.25 $888–$1,251 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $455.25–$854.25 $607–$1,139 varies
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines		 $341.25–$624.75 $455–$833 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $435.75–$826.50 $581–$1,102 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $410.25 $547 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $426.75–$480 $569–$640 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,867.50 $2,490 1.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $447.75–$966 $597–$1,288 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $421.50–$1,013.25 $562–$1,351 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $480.75–$498 $641–$664 varies
Closure lacrimal punctum (68760) $577.50 $770 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $585.75–$858 $781–$1,144 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $472.50–$765 $630–$1,020 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $440.25–$756.75 $587–$1,009 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,391.25–$1,794.75 $1,855–$2,393 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $687.75–$1,293.75 $917–$1,725 varies
Clsr Lacrimal Punctum Plug Each (68761) $504.75 $673 1.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,362 $1,816 5.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,549.50–$2,166.75 $2,066–$2,889 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,271.75 $3,029 1.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $419.25–$927 $559–$1,236 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,855.50 $2,474 1.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $447.75–$1,073.25 $597–$1,431 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $281.25–$1,854 $375–$2,472 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $734.25–$1,489.50 $979–$1,986 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $747–$1,022.25 $996–$1,363 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $575.25–$1,119.75 $767–$1,493 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $429–$609.75 $572–$813 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $709.50–$1,068 $946–$1,424 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,704–$2,007 $2,272–$2,676 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,962 $2,616 1.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $895.50 $1,194 0.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $789.75–$2,155.50 $1,053–$2,874 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $910.50 $1,214 0.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $812.25–$1,804.50 $1,083–$2,406 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,862.25–$3,588 $2,483–$4,784 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $406.50 $542 1.6×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $414–$437.25 $552–$583 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $449.25–$512.25 $599–$683 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $397.50–$414 $530–$552 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $2,012.25–$2,280 $2,683–$3,040 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $747–$1,191.75 $996–$1,589 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $417.75–$880.50 $557–$1,174 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $308.25–$1,139.25 $411–$1,519 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,833.50 $3,778 1.7×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,893.75–$2,643 $2,525–$3,524 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $414–$1,605 $552–$2,140 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $428.25–$1,291.50 $571–$1,722 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $1,633.50–$1,794 $2,178–$2,392 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,143.50 $2,858 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $442.50–$1,076.25 $590–$1,435 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $1,275.75–$1,725.75 $1,701–$2,301 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $432–$500.25 $576–$667 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,731.75 $2,309 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,146.75 $1,529 3.9×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $444–$820.50 $592–$1,094 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,761–$1,848.75 $2,348–$2,465 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $442.50–$1,089.75 $590–$1,453 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $529.50–$1,281.75 $706–$1,709 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $448.50–$873.75 $598–$1,165 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,013 $2,684 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $468.75–$1,248 $625–$1,664 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $450–$633.75 $600–$845 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,693.50–$2,033.25 $2,258–$2,711 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $696.75–$1,770.75 $929–$2,361 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $2,079.75–$2,547.75 $2,773–$3,397 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $435.75–$895.50 $581–$1,194 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,982.25–$2,163 $2,643–$2,884 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $309–$1,625.25 $412–$2,167 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $423.75–$461.25 $565–$615 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,917.75 $2,557 1.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $855 $1,140 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,121.75 $2,829 1.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,416.50 $3,222 1.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $834.75–$1,294.50 $1,113–$1,726 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $2,288.25 $3,051 8.9×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $477–$1,435.50 $636–$1,914 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $516.75–$1,321.50 $689–$1,762 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,854–$2,129.25 $2,472–$2,839 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $459.75–$1,150.50 $613–$1,534 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,960 $5,280 0.8×
Collect Blood From Catheter Venous Nos (36592) $117 $156 0.8×
Collection of venous blood by venipuncture (36415) $27 $36 2.9×
Colonoscopy Flexible With Decompression (45393) $2,720.25 $3,627 2.2×
Colonoscopy Stoma Control Bleeding (44391) $1,773.75 $2,365 1.4×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $2,160.75 $2,881 1.7×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,667.25 $2,223 1.3×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $1,812–$2,333.25 $2,416–$3,111 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $1,474.50–$1,682.25 $1,966–$2,243 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $1,784.25–$2,813.25 $2,379–$3,751 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,980.75–$2,828.25 $2,641–$3,771 varies
Colonoscopy W/Band Ligation (45398) $2,790.75 $3,721 2.2×
Colonoscopy w/fb removal (45379) $2,535.75 $3,381 2.0×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $2,128.50–$3,334.50 $2,838–$4,446 varies
Colonoscopy w/stent plcmt (45389) $6,000 $8,000 0.9×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $1,801.50–$2,535.75 $2,402–$3,381 varies
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $3,438 $4,584 0.4×
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure		 $3,173.25 $4,231 0.4×
Colporrhaphy (57200) $1,256.25 $1,675 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $659.25 $879 2.1×
Colposcopy cervix upper/adjacent vagina (57452) $511.50 $682 2.4×
Colposcopy cervix vag eltrd conization cervix (57461) $1,682.25 $2,243 0.5×
Colposcopy entire vagina w/cervix if present (57420) $497.25 $663 1.6×
Colposcopy Vulva W/Biopsy (56821) $531 $708 1.7×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,911.75–$2,694 $2,549–$3,592 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $2,741.25 $3,655 2.2×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,832.25–$2,777.25 $2,443–$3,703 varies
Combined anteroposterior colporrhaphy; (57260) $3,701.25 $4,935 0.7×
Complex drainage wound (10180) $368.25 $491 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,421.25 $1,895 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $402–$521.25 $536–$695 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $353.25–$364.50 $471–$486 varies
Control oropharyngeal hemorrhage simple (42960) $461.25 $615 0.8×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,052.75 $2,737 1.0×
Convert Nephrostomy Catheter (50434) $2,019.75 $2,693 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,127.50 $4,170 1.8×
Correction hammertoe (28285) $1,797.75 $2,397 0.5×
Correction of trichiasis; epilation, by forceps only (67820) $260.25 $347 1.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,610.50 $4,814 1.1×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,124.25 $5,499 1.2×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $3,358.50 $4,478 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,834.25 $3,779 0.8×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $3,350.25 $4,467 0.4×
Crd ceramides liq chrom plsm (0119U) $129.75 $173 1.5×
Create Eardrum Opening (69433) $849.75 $1,133 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $396.75–$993.75 $529–$1,325 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $336 $448 1.4×
Curettage postpartum (59160) $1,403.25 $1,871 0.4×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $1,175.25–$2,202 $1,567–$2,936 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $696.75–$1,294.50 $929–$1,726 varies
Cysto w/complex removal stone & stent (52315) $2,241 $2,988 1.0×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
unusually low: confirm this is the full procedure		 $2,250.75 $3,001 0.4×
Cysto w/insert ureteral stent (52332) $1,719 $2,292 0.5×
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $1,056–$4,297.50 $1,408–$5,730 varies
Cysto w/removal of tumors small (52234) $1,638.75 $2,185 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $1,161.75 $1,549 0.5×
Cysto w/ureteroscopy w/lithotripsy (52353) $4,076.25 $5,435 0.7×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,505.50 $4,674 0.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,541.75 $3,389 0.7×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,711.25 $3,615 0.7×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure		 $2,622.75 $3,497 0.5×
Cysto/uretero w/lithotripsy (52356) $4,163.25 $5,551 0.7×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $706.50–$734.25 $942–$979 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,975.50 $2,634 0.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $2,925 $3,900 0.5×
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,869 $2,492 0.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $981 $1,308 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,496.25 $1,995 2.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $124.50–$746.25 $166–$995 varies
Debride nail 1-5 (11720) $82.50 $110 1.3×
Debride nail 6 or more (11721) $103.50 $138 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,161.75–$1,362 $1,549–$1,816 varies
Debridement Mastoidectomy Cavity Simple (69220) $281.25 $375 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $412.50–$608.25 $550–$811 varies
Declot vascular device (36593) $411.75 $549 1.2×
Decompression of tibia nerve (28035) $2,412 $3,216 1.2×
Delivery of placenta (59414) $266.25 $355 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $2,733 $3,644 3.0×
Destroy cerv/thor facet jnt (64633) $2,712.75 $3,617 1.3×
Destroy lumb/sac facet jnt (64635) $2,724.75 $3,633 1.3×
Destruct B9 Lesion 1-14 (17110) $243 $324 1.2×
Destruction Lesions Vulva Simple (56501) $456.75 $609 0.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $397.50 $530 1.9×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $511.50 $682 2.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $428.25 $571 2.0×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $470.25 $627 2.2×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $545.25 $727 2.6×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $615.75 $821 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $2,730.75 $3,641 1.3×
Destruction Premalignant Lesion 15/> (17004) $746.25 $995 1.8×
Destruction premalignant lesion 1st (17000) $184.50 $246 0.9×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $525–$1,691.25 $700–$2,255 varies
Dilat Xst Trc New Access Rcs (50437) $5,371.50 $7,162 1.5×
Dilate Esophagus 1/Mult Pass (43450) $447 $596 0.5×
Dilation & curettage dx&/ther nonobstetric (58120) $1,263 $1,684 0.4×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $314.25 $419 0.7×
Drain Cerebro Spinal Fluid (62272) $1,938 $2,584 2.6×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $623.25–$666.75 $831–$889 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $748.50–$1,833.75 $998–$2,445 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $468–$888 $624–$1,184 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,242.75–$1,544.25 $1,657–$2,059 varies
Drainage Mouth Roof Lesion (42000) $705 $940 2.8×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $411–$610.50 $548–$814 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $371.25–$558.75 $495–$745 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $483.75–$2,092.50 $645–$2,790 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $470.25–$1,350 $627–$1,800 varies
Drainage of scrotum (54700) $2,253 $3,004 1.0×
Draw Blood Off Venous Device (36591) $111 $148 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $876.75 $1,169 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $323.25 $431 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $261–$335.25 $348–$447 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $240.75–$389.25 $321–$519 varies
Dstrj lesion anus simple surg excision (46922) $918 $1,224 0.3×
Dstrj Lesion Penis Simple Chemical (54050) $280.50 $374 0.7×
Dstrj Lesion Penis Simple Cryosurgery (54056) $451.50 $602 2.1×
Dstrj lesion penis simple surg excision (54060) $999 $1,332 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $3,013.50 $4,018 3.3×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $675–$2,562.75 $900–$3,417 varies
Dx Bronchoscope/Lavage (31624) $2,841.75 $3,789 1.5×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,175.25–$1,751.25 $1,567–$2,335 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $1,044.75–$2,585.25 $1,393–$3,447 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,343.25 $1,791 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,518.75–$2,716.50 $2,025–$3,622 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $1,578.75–$2,707.50 $2,105–$3,610 varies
Egd dilation gastric/duodenal stricture (43245) $2,741.25 $3,655 1.4×
Egd endo mucosal resection (43254) $3,042.75 $4,057 1.5×
Egd Endoscopic Stent Place (43266) $4,689.75 $6,253 0.7×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,399.50–$2,307 $1,866–$3,076 varies
Egd guide wire insertion (43248) $2,208.75 $2,945 2.3×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,046.50 $4,062 1.5×
Egd intrmural us needle aspirate/biopsy esophags (43238) $2,258.25 $3,011 1.1×
Egd lesion ablation (43270) $2,636.25 $3,515 1.3×
Egd place gastrostomy tube (43246) $2,814.75 $3,753 1.4×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $1,605.75–$2,721 $2,141–$3,628 varies
Egd Tube/Cath Insertion (43241) $2,775 $3,700 1.4×
Egd us exam duodenum/jejunum (43259) $2,689.50 $3,586 1.3×
Egd Varices Ligation (43244) $2,735.25 $3,647 1.4×
Egd W/Transmural Drain Cyst (43240) $6,668.25 $8,891 1.0×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $304.50–$701.25 $406–$935 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $257.25 $343 0.8×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $242.25 $323 0.8×
Electro-Uroflowmetry First (51741) $308.25 $411 1.4×
Endocervical curettage (57505) $386.25 $515 0.4×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $2,725.50 $3,634 0.5×
Endometrial Biopsy (58100) $381.75 $509 1.8×
Endoscopic plantar fasciotomy (29893) $1,937.25 $2,583 0.6×
Endoscopic us exam esoph (43237) $2,960.25 $3,947 1.5×
Endoscopy Upper Small Intestine (44360) $2,376 $3,168 1.2×
Endoscopy upper small intestine w/biopsy (44361) $2,457.75 $3,277 1.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,998.75 $6,665 1.5×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $5,167.50–$5,538.75 $6,890–$7,385 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $3,720.75–$9,633 $4,961–$12,844 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,026.75–$1,758.75 $1,369–$2,345 varies
Ercp duct stent placement (43274) $6,058.50 $8,078 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,163.25 $5,551 1.0×
Ercp ea duct/ampulla dilate (43277) $5,225.25 $6,967 1.3×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,321.50 $5,762 1.1×
Ercp remove forgn body duct (43275) $4,478.25 $5,971 2.2×
Ercp Stent Exchange W/Dilate (43276) $6,231 $8,308 1.0×
Ercp W/Biopsy Single/Multiple (43261) $4,476.75 $5,969 1.1×
Ercp,Sphincterotomy (43262) $4,550.25 $6,067 1.1×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,815.75 $2,421 1.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,833.50 $3,778 1.4×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,883 $3,844 1.4×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,404.75 $1,873 1.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,171.25 $2,895 2.3×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $3,160.50 $4,214 1.6×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $3,160.50 $4,214 1.6×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $1,360.50–$2,769 $1,814–$3,692 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,547.25–$2,869.50 $2,063–$3,826 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $197.25–$266.25 $263–$355 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,110.50 $2,814 1.2×
Exc arm/elbow les sc < 3 cm (24075) $1,550.25 $2,067 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $327.75 $437 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $737.25 $983 0.4×
Exc Back Les Sc < 3 Cm (21930) $1,810.50 $2,414 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $3,104.25 $4,139 1.0×
Exc back tum deep < 5 cm (21932) $2,867.25 $3,823 0.9×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,832.25 $2,443 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,102.50 $1,470 1.5×
Exc Face Les Sbq 2 Cm/> (21012) $1,245.75 $1,661 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $420 $560 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $478.50 $638 0.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $649.50 $866 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $807 $1,076 0.5×
Exc Forearm Les Sc 3 Cm/> (25071) $2,000.25 $2,667 1.2×
Exc ganglion wrist recurrent (25112) $1,800.75 $2,401 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $348 $464 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $447.75 $597 0.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $510 $680 0.3×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $729.75 $973 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,824 $2,432 1.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,339.50 $1,786 0.8×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,134.50 $2,846 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $611.25 $815 0.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $902.25 $1,203 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,260 $1,680 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,169.25 $1,559 0.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,691.25 $2,255 1.0×
Exc tendon shth lesion leg/ankle (27630) $2,071.50 $2,762 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $2,064.75 $2,753 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $557.25–$1,517.25 $743–$2,023 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $420 $560 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $476.25 $635 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $823.50 $1,098 0.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,568.25 $2,091 0.5×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,517.25 $2,023 0.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,568.25 $2,091 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,119 $1,492 0.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,635.75 $2,181 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,313.25 $1,751 0.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,674.75 $2,233 0.6×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,043 $2,724 0.6×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,461.75 $1,949 0.9×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,827.75 $6,437 1.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,101.50 $2,802 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,385.75 $3,181 1.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $807 $1,076 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $772.50 $1,030 1.0×
Excision Chalazion Single (67800) $419.25 $559 1.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,428 $1,904 0.5×
Excision lesion meniscus/capsule knee (27347) $3,388.50 $4,518 1.0×
Excision Lingual Frenum Frenectomy (41115) $1,713 $2,284 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $558 $744 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $647.25 $863 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $979.50 $1,306 1.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $945 $1,260 1.3×
Excision Multiple External Papillae/Tags Anus (46230) $905.25 $1,207 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,679.25 $2,239 1.0×
Excision of hydrocele; bilateral (55041) $3,335.25 $4,447 0.9×
Excision of hydrocele; unilateral (55040) $2,000.25 $2,667 0.5×
Excision of local lesion of epididymis (54830) $1,624.50 $2,166 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $1,173.75 $1,565 0.4×
Excision of single external papilla or tag, anus (46220) $610.50 $814 0.5×
Excision olecranon bursa (24105) $1,554 $2,072 0.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,935 $2,580 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,741.50 $2,322 0.6×
Excision prepatellar bursa (27340) $2,023.50 $2,698 0.6×
Excision spermatocele w/wo epididymectomy (54840) $1,663.50 $2,218 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,025 $2,700 1.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,719 $2,292 0.6×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,181.25 $1,575 0.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,726.50 $2,302 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,793.25 $2,391 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,626 $2,168 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,742.25 $2,323 0.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,119.75 $1,493 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,680.75 $2,241 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,985.25 $2,647 0.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,231.50 $1,642 0.7×
Excision/curettage cyst/tumor phalanx finger (26210) $2,197.50 $2,930 1.3×
Excision/destruction lesion pharynx any method (42808) $856.50 $1,142 0.2×
Explo/Drain Breast Abscess (19020) $1,779.75 $2,373 1.0×
Exploration penetrating wound spx extremity (20103) $1,212 $1,616 0.7×
Exploratory elbow surgery (24000) $3,326.25 $4,435 1.0×
External cephalic version (59412)
range across 2 matching MRF lines		 $720–$3,503.25 $960–$4,671 varies
Fasciectomy Palm Only (26121) $3,823.50 $5,098 1.1×
Fasciotomy palmar percutaneous (26040) $1,427.25 $1,903 0.8×
Fasciotomy, foot and/or toe (28008) $1,548.75 $2,065 0.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $4,412.25 $5,883 1.3×
Fetal non-stress test (59025) $237.75 $317 1.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $765 $1,020 1.0×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $219–$347.25 $292–$463 varies
Fluid Pressure Muscle (20950) $854.25 $1,139 1.2×
Fluoro exam of g/colon tube (49465) $471.75 $629 1.9×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $398.25–$766.50 $531–$1,022 varies
Foreskin manipulation (54450) $350.25 $467 1.3×
Fusion Finger Joint (26860) $2,540.25 $3,387 0.7×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $3,077.25 $4,103 0.4×
Fusion of hand bones (25820)
unusually low: confirm this is the full procedure		 $3,728.25 $4,971 0.5×
Gi malabs eval aat calprotectin pncrtc elastase (0430U) $453 $604 7.4×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $102 $136 2.8×
Guide Cathet Fluid Drainage (10030) $1,575 $2,100 2.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,863 $2,484 0.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,703.25 $2,271 0.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,590.50 $3,454 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $823.50–$1,400.25 $1,098–$1,867 varies
Hysteroscopy Biopsy (58558) $2,608.50 $3,478 0.8×
Hysteroscopy Div/Rescj Intrauterine Septum (58560)
unusually low: confirm this is the full procedure		 $2,559 $3,412 0.5×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $500.25–$1,435.50 $667–$1,914 varies
Hysteroscopy Endometrial Ablation (58563) $5,250 $7,000 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,074.50 $2,766 0.6×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $2,925 $3,900 0.6×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $594–$595.50 $792–$794 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $317.25–$358.50 $423–$478 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $2,481–$3,622.50 $3,308–$4,830 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,222.25 $2,963 0.6×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $3,444 $4,592 1.2×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $704.25–$1,208.25 $939–$1,611 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $711.75–$934.50 $949–$1,246 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $394.50–$807.75 $526–$1,077 varies
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,200 $1,600 1.8×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,827 $2,436 1.9×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,236.50 $2,982 2.4×
Image Cath Fluid Colxn Visc (49405) $1,893.75 $2,525 1.1×
Image Cath Fluid Peri/Retro (49406) $1,866 $2,488 1.1×
Implant neuroelectrodes (63650) $6,794.25 $9,059 1.0×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $3,515.25–$7,496.25 $4,687–$9,995 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $1,132.50 $1,510 0.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $325.50–$549 $434–$732 varies
Incise finger tendon sheath (26055) $2,051.25 $2,735 1.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $462.75–$645 $617–$860 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $725.25–$1,990.50 $967–$2,654 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $336.75–$432 $449–$576 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $380.25–$500.25 $507–$667 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $401.25–$426 $535–$568 varies
Incision extensor tendon sheath wrist (25000) $1,674 $2,232 1.0×
Incision of Foot Tendon (28234) $1,133.25 $1,511 0.7×
Incision of lingual frenum (frenotomy) (41010) $1,783.50 $2,378 1.1×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,623–$2,019 $2,164–$2,692 varies
Incision of urethra (53020) $597 $796 0.3×
Incision&drainage bursa foot (28001) $497.25 $663 0.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $192.75–$324 $257–$432 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,922.25 $2,563 2.1×
Inj W/Fluor Eval Cv Device (36598) $602.25 $803 2.7×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $746.25–$1,909.50 $995–$2,546 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,747.50 $2,330 1.9×
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $585–$804 $780–$1,072 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $204.75–$747 $273–$996 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $742.50–$2,225.25 $990–$2,967 varies
Injection aa&/strd genicular nrv branches w/img (64454) $1,601.25 $2,135 2.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,394.75 $3,193 2.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,563.75 $2,085 2.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $775.50–$2,142.75 $1,034–$2,857 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $455.25–$570 $607–$760 varies
Injection Anes Superior Hypogastric Plexus (64517) $1,956.75 $2,609 2.1×
Injection anesthetic agent suprascapular nerve (64418) $1,669.50 $2,226 2.3×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $747.75–$926.25 $997–$1,235 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $230.25–$624 $307–$832 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $235.50–$734.25 $314–$979 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $243.75–$734.25 $325–$979 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $375 $500 0.2×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $243–$451.50 $324–$602 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $810.75–$1,068 $1,081–$1,424 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $652.50–$965.25 $870–$1,287 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $578.25–$1,048.50 $771–$1,398 varies
Ins cath ren art 1st bilat (36252) $5,121 $6,828 1.5×
Ins cath ren art 1st unilat (36251) $5,937.75 $7,917 1.8×
Ins cath ren art 2nd+ unilat (36253) $5,855.25 $7,807 1.0×
Ins endovas vena cava filtr (37191) $5,041.50 $6,722 0.9×
Ins/Rep Subq Defibrillator (33270) $31,201.50 $41,602 0.9×
Insert 1 Electrode Pm-Defib (33216) $10,041 $13,388 1.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $272.25–$585 $363–$780 varies
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $1,677–$1,973.25 $2,236–$2,631 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $1,005–$1,791 $1,340–$2,388 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,799 $3,732 2.2×
Insert Drug Implant Device (11981) $348 $464 2.5×
Insert Gastrostomy Tube Percutaneous (49440) $2,244.75 $2,993 1.1×
Insert Heart Pm Atrial (33206) $17,183.25 $22,911 1.6×
Insert Heart Pm Ventricular (33207) $14,533.50 $19,378 1.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $820.50–$3,414.75 $1,094–$4,553 varies
Insert pessary/other device (57160) $211.50 $282 1.0×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $162.75–$471.75 $217–$629 varies
Insert testicular prosthesis (54660)
likely a partial charge, not the full procedure		 $1,641 $2,188 0.3×
Insert tun ip cath perc (49418) $5,005.50 $6,674 1.3×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,677.50–$4,973.25 $3,570–$6,631 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,661 $7,548 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $163.50–$341.25 $218–$455 varies
Insertion indwelling tunneled pleural catheter (32550) $4,866 $6,488 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,983 $2,644 1.2×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,921 $17,228 1.5×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,916.75 $3,889 1.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,878.75 $2,505 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $954–$1,675.50 $1,272–$2,234 varies
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $241.50 $322 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,016.75 $6,689 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $36,869.25 $49,159 1.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,268.50 $12,358 1.1×
Insrt heart pm atrial & vent (33208) $17,418 $23,224 1.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $623.25 $831 1.5×
Intro cath dialysis circuit (36901) $1,660.50 $2,214 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $15,929.25 $21,239 1.3×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $9,657.75 $12,877 1.6×
Intro Gastrointestinal Tube (44500) $918 $1,224 1.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $382.50–$472.50 $510–$630 varies
Iridotomy/irridectomy laser surg per session (66761) $2,496.75 $3,329 4.3×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $625.50–$813 $834–$1,084 varies
Klhl11 antb serum/csf cell binding assay qual (0432U) $102 $136 2.8×
Knee arthroscopy/drainage (29871) $2,547.75 $3,397 0.7×
Knee Arthroscopy/Surgery (29874) $3,310.50 $4,414 1.0×
Labyrinthotomy Transcanal (69801) $1,218 $1,624 0.7×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $4,513.50 $6,018 0.4×
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure		 $2,568.75 $3,425 0.4×
Laparoscopy Enterolysis Separate Procedure (44180) $3,696.75 $4,929 0.6×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $2,662.50 $3,550 0.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure		 $2,143.50 $2,858 0.3×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $5,797.50 $7,730 0.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure		 $4,534.50 $6,046 0.4×
Laparoscopy w/rmvl adnexal structures (58661) $3,564.75 $4,753 0.6×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure		 $2,586 $3,448 0.4×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure		 $4,294.50 $5,726 0.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
unusually low: confirm this is the full procedure		 $4,552.50 $6,070 0.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $3,949.50 $5,266 0.6×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure		 $2,730.75 $3,641 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure		 $2,160.75 $2,881 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure		 $1,989.75 $2,653 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,979.50 $5,306 0.6×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $5,737.50 $7,650 0.5×
Laryngoscopy diagnostic (31505) $200.25 $267 1.0×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $373.50–$444 $498–$592 varies
Laser Surgery,Sever Vitreous Strands (67031) $2,171.25 $2,895 3.8×
Late closure of wound (13160)
range across 2 matching MRF lines		 $2,700.75–$2,832.75 $3,601–$3,777 varies
Ligamentous Reconstruction Knee Extra-Articular (27427) $4,367.25 $5,823 0.6×
Ligation of a-v fistula (37607) $7,520.25 $10,027 2.3×
Ligation or biopsy temporal artery (37609) $1,165.50 $1,554 0.7×
Litholapaxy comp/lg > 2.5 cm (52318) $3,185.25 $4,247 0.9×
Litholapaxy smpl/sm <2.5 cm (52317) $2,989.50 $3,986 0.8×
Lrt iad 18bct/8vir&7arg RNA (0528U) $625.50 $834 1.0×
Lyse chest fibrin init day (32561) $1,314 $1,752 2.0×
Manipulation knee joint under general anesthesia (27570) $1,019.25 $1,359 0.6×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $1,154.25–$1,726.50 $1,539–$2,302 varies
Mastectomy for gynecomastia (19300) $1,656.75 $2,209 0.4×
Mastectomy partial (19301) $2,358.75 $3,145 0.6×
Mastectomy simple complete (19303) $3,804 $5,072 0.5×
Maternity Care Procedure (59899) $1,403.25 $1,871 6.6×
Mech remov tunneled cv cath (36595) $3,553.50 $4,738 1.1×
Myelography Lumbar Injection (62305) $2,670.75 $3,561 3.3×
Myelography Lumbar Injection (62304) $2,607 $3,476 3.2×
Myelography via lumbar injection rs&i cervical (62302) $2,634 $3,512 3.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,884.50 $3,846 3.5×
N Block Inj Celiac Pelus (64530) $2,757 $3,676 3.0×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $611.25–$1,133.25 $815–$1,511 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $1,019.25–$1,312.50 $1,359–$1,750 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $380.25–$388.50 $507–$518 varies
N Block Inj Pudendal (64430) $2,752.50 $3,670 3.0×
N Block Lumbar/Thoracic (64520) $2,607 $3,476 2.8×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $267.75–$495 $357–$660 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $264–$483 $352–$644 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,373.25 $1,831 0.7×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $2,211.75 $2,949 2.3×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $2,220.75 $2,961 2.3×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $785.25–$1,936.50 $1,047–$2,582 varies
Needle Biopsy Pancreas (48102) $1,941 $2,588 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $41.25 $55 1.4×
Needle insertion w/o injection 3 or more muscles (20561) $61.50 $82 2.0×
Neuroeltrd Stim Post Tibial (64566) $413.25 $551 1.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,573.75 $4,765 1.7×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $3,306 $4,408 1.6×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $3,679.50 $4,906 1.8×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,210.50 $1,614 1.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $625.50 $834 1.5×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,562.75 $3,417 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $2,683.50 $3,578 2.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $535.50–$567.75 $714–$757 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $1,124.25–$4,069.50 $1,499–$5,426 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,452 $5,936 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,025.25–$1,836 $1,367–$2,448 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,523.25 $2,031 2.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,872 $2,496 2.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $2,342.25 $3,123 2.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $1,509.75–$1,641.75 $2,013–$2,189 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,759.50 $2,346 1.9×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $4,409.25 $5,879 2.0×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,673.50 $4,898 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,398 $1,864 1.9×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $314.25–$668.25 $419–$891 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $461.25–$600.75 $615–$801 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $318–$773.25 $424–$1,031 varies
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $231.75 $309 1.8×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $565.50–$1,185 $754–$1,580 varies
Open biopsy/excision inguinofemoral nodes (38531) $2,494.50 $3,326 0.6×
Open Repair of Rotator Cuff Acute (23410) $4,436.25 $5,915 0.6×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $3,756.75 $5,009 0.5×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $5,844 $7,792 0.4×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $5,181 $6,908 0.4×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
unusually low: confirm this is the full procedure		 $3,252.75 $4,337 0.4×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $2,205 $2,940 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $3,177 $4,236 0.4×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,636.25 $3,515 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $3,824.25 $5,099 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $2,880.75 $3,841 0.4×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $2,061.75–$2,760.75 $2,749–$3,681 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $2,922.75 $3,897 0.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,014.25 $4,019 0.9×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $4,362 $5,816 0.6×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $4,389.75 $5,853 0.6×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,771.25 $3,695 0.4×
Open/Perq Place Stent 1St (37236) $14,194.50 $18,926 1.2×
Open/Perq Place Stent Same (37238) $13,077.75 $17,437 1.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $3,453.75 $4,605 0.5×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $4,077 $5,436 0.5×
Ostc prtl exostc/condylc metar head (28288) $1,828.50 $2,438 0.5×
Ostectomy calcaneus (28118) $2,275.50 $3,034 0.7×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,558.50 $2,078 0.5×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,748.25 $2,331 0.5×
Ostectomy, complete excision; first metatarsal head (28111) $1,860 $2,480 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,619.25 $2,159 0.5×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
unusually low: confirm this is the full procedure		 $3,478.50 $4,638 0.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,911 $2,548 0.6×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,995.50 $3,994 0.4×
Part remv talus or calcaneus (28120) $2,204.25 $2,939 0.6×
Partial excision bone olecranon process (24147) $2,815.50 $3,754 0.8×
Partial Excision Distal Phalanx Finger (26236) $1,910.25 $2,547 1.1×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,380.50 $3,174 1.4×
Partical Excision Bone Phalanx Toe (28124) $1,806.75 $2,409 0.5×
Patellectomy or hemipatellectomy (27350) $4,197.75 $5,597 0.6×
Pelvic examination under anesthesia (other than local) (57410) $3,627.75 $4,837 1.1×
Penile Injection (54235)
range across 2 matching MRF lines		 $356.25–$471.75 $475–$629 varies
Perc Cryo Ablate Renal Tum (50593) $10,729.50 $14,306 1.0×
Perc Rf Ablate Renal Tumor (50592) $8,685.75 $11,581 1.4×
Percut Ablate Liver Rf (47382) $4,887.75 $6,517 0.8×
Percut Drain/Inject Renal Cyst (50390) $836.25 $1,115 1.1×
Pericardiocentesis W/Imaging (33016) $2,021.25 $2,695 1.2×
Perq av fistula creation uxtr single access (36836) $23,895 $31,860 1.2×
Perq Cervicothoracic Inject (22510) $9,244.50 $12,326 2.7×
Perq dev breast 1st strtctc (19283) $1,415.25 $1,887 1.9×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $758.25–$1,764 $1,011–$2,352 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $1,010.25–$1,884 $1,347–$2,512 varies
Perq Lumbosacral Injection (22511) $9,117.75 $12,157 2.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $1,148.25–$2,289.75 $1,531–$3,053 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $15,967.50 $21,290 1.3×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,838.25 $10,451 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,162 $12,216 1.2×
Perq Vertebral Augmentation (22513) $9,069 $12,092 1.2×
Phalangectomy toe each toe (28150) $1,359 $1,812 0.4×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $3,333.75–$5,076 $4,445–$6,768 varies
Pin Finger Dislocation (26776) $2,232 $2,976 0.7×
Place Duod/Jej Tube Perc (49441) $2,763.75 $3,685 1.4×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $318.75–$417.75 $425–$557 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,138.50 $5,518 1.9×
Plmt Nephroureteral Catheter (50433) $4,200 $5,600 1.1×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,353.75 $5,805 1.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,927.50 $6,570 1.3×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $7,302 $9,736 2.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $2,485.50 $3,314 0.5×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $4,982.25 $6,643 0.3×
Probe lacrimal canaliculi w/wo irrigation (68840) $442.50 $590 1.3×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $810.75 $1,081 0.3×
Probing nasolacrimal duct (68810) $668.25 $891 2.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,729.50 $2,306 1.8×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $2,570.25 $3,427 4.5×
Prostate laser enucleation (52649) $4,633.50 $6,178 0.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,723.50 $2,298 2.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $9,695.25 $12,927 1.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,728 $6,304 1.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,982.25 $6,643 1.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,193.75 $2,925 0.6×
Pseudoaneurysm Injection Trt (36002) $749.25 $999 1.1×
Punch biopsy skin single lesion (11104) $230.25 $307 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $337.50–$464.25 $450–$619 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $423–$802.50 $564–$1,070 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,886.25 $2,515 2.6×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $991.50 $1,322 1.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,943.75 $3,925 1.4×
Rare ds rpd whl gen cmptr DNA seq vrnts proband (0583U) $2,250 $3,000 0.6×
Rare ds rpd whl gen DNA seq snvs indels variants (0582U) $4,125 $5,500 0.5×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $4,145.25 $5,527 0.5×
Relocation Pocket Pacemaker (33222) $4,339.50 $5,786 2.0×
Rem Endovas Vena Cava Filter (37193) $3,578.25 $4,771 1.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,140.75 $1,521 1.2×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,335–$1,656.75 $1,780–$2,209 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $730.50–$934.50 $974–$1,246 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $507 $676 0.3×
Removal foreign body upper arm/elbow deep (24201) $1,881.75 $2,509 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $64.50 $86 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $66.75–$122.25 $89–$163 varies
Removal Implant Deep (20680) $1,572 $2,096 0.5×
Removal Implant Superficial Separate Procedure (20670) $1,101.75 $1,469 0.6×
Removal of adenoids (42830) $975.75 $1,301 0.3×
Removal of cervix (57530)
likely a partial charge, not the full procedure		 $1,188 $1,584 0.2×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $344.25–$474.75 $459–$633 varies
Removal of nail bed (11750)
range across 2 matching MRF lines		 $525.75–$598.50 $701–$798 varies
Removal of sesamoid bone (28315) $1,419 $1,892 0.4×
Removal of sperm cord lesion (55520) $1,845 $2,460 0.5×
Removal of tonsils (42826) $1,248.75 $1,665 0.4×
Removal of tunneled intraperitoneal catheter (49422) $4,681.50 $6,242 1.4×
Removal of wrist bone (25210) $2,431.50 $3,242 0.7×
Removal or bivalving full arm or full leg cast (29705) $181.50 $242 0.6×
Removal Pacemaker Electrode (33235) $7,099.50 $9,466 1.8×
Removal ppm generator only (33233) $6,810 $9,080 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $209.25–$234 $279–$312 varies
Removal subcutaneous cardiac rhythm monitor (33286) $2,036.25 $2,715 2.7×
Removal sweat gland lesion (11450) $1,518 $2,024 0.5×
Removal, under anesthesia, of external fixation system (20694) $1,661.25 $2,215 1.0×
Remove drug implant device (11982) $388.50 $518 0.8×
Remove Elctrd Transvenously (33244) $5,351.25 $7,135 1.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $205.50–$235.50 $274–$314 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $312–$387.75 $416–$517 varies
Remove intrvas foreign body (37197) $5,109.75 $6,813 1.5×
Remove lung catheter (32552) $2,078.25 $2,771 3.2×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $204–$453 $272–$604 varies
Remove Pulse Generator (33241) $4,581.75 $6,109 1.2×
Remove renal tube w/fluoro (50389) $1,134 $1,512 1.6×
Remove Tendon Sheath Lesion (26160) $1,866.75 $2,489 1.1×
Remove ureter stent percut (50384) $2,542.50 $3,390 1.2×
Remove&replace pm gen singl (33227) $11,508 $15,344 1.3×
Remove/Insert Drug Implant (11983) $483.75 $645 1.0×
Remv&replc cvd gen dual lead (33263) $26,361.75 $35,149 1.1×
Remv&replc cvd gen mult lead (33264) $39,573 $52,764 1.2×
Remv&replc cvd gen sing lead (33262) $25,887.75 $34,517 1.1×
Remv&replc pm gen dual lead (33228) $14,478 $19,304 1.3×
Remv&replc pm gen mult leads (33229) $16,749 $22,332 0.8×
Renal Biopsy Perq (50200) $1,749.75 $2,333 1.0×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $3,772.50 $5,030 0.5×
Repair brow ptosis (67900) $3,813.75 $5,085 1.5×
Repair Collat Ankle Ligmnt,Secondary (27698) $3,992.25 $5,323 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $817.50 $1,090 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $419.25 $559 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $711–$1,053.75 $948–$1,405 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $824.25–$1,582.50 $1,099–$2,110 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $792–$827.25 $1,056–$1,103 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $904.50–$1,267.50 $1,206–$1,690 varies
Repair complex trunk 1.1-2.5 cm (13100) $2,169.75 $2,893 2.8×
Repair complex trunk 2.6-7.5 cm (13101) $934.50 $1,246 1.2×
Repair Ectropion Extensive (67917) $3,680.25 $4,907 1.5×
Repair Elbow Perc (24357) $5,724 $7,632 1.7×
Repair Entropion Extensive (67924) $3,308.25 $4,411 1.3×
Repair Entropion Suture (67921) $2,082.75 $2,777 0.8×
Repair extensor tendon finger w/o graft each (26418) $999 $1,332 0.6×
Repair Eyelid Wound (67935) $2,415 $3,220 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,958.25 $2,611 0.6×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $2,877 $3,836 0.4×
Repair Hallux Rigidus (28289) $2,214.75 $2,953 0.6×
Repair Hand Joint (26540) $3,741.75 $4,989 1.1×
Repair inguinal hernia, sliding, any age (49525) $2,583.75 $3,445 0.7×
Repair initial femoral hernia, any age; reducible (49550) $2,454 $3,272 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $495–$622.50 $660–$830 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $543.75–$826.50 $725–$1,102 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $661.50–$1,062 $882–$1,416 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $789.75–$1,221 $1,053–$1,628 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $691.50 $922 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $474.75–$655.50 $633–$874 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $588.75–$636.75 $785–$849 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $693.75–$766.50 $925–$1,022 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $645.75–$909 $861–$1,212 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $468–$504 $624–$672 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $462–$665.25 $616–$887 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $822–$1,168.50 $1,096–$1,558 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $588.75–$824.25 $785–$1,099 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,730.25 $2,307 0.8×
Repair Lead Pace-Defib One (33218) $6,275.25 $8,367 1.6×
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure		 $3,295.50 $4,394 0.4×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $634.50–$694.50 $846–$926 varies
Repair of Ruptured Tendon (24342) $4,308 $5,744 0.6×
Repair of shoulder (23420) $5,769 $7,692 0.8×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $3,118.50 $4,158 0.5×
Repair Rotator Cuff Chronic (23412) $5,278.50 $7,038 0.7×
Repair secondary achilles tendon w/wo graft (27654) $4,082.25 $5,443 0.5×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $811.50–$1,436.25 $1,082–$1,915 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $416.25–$513 $555–$684 varies
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $2,919.75 $3,893 0.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,138.50 $1,518 1.2×
Replace G-J Tube Perc (49452) $1,809 $2,412 1.9×
Replace g/c tube perc (49450) $1,153.50 $1,538 1.2×
Reposition Gastrostomy Tube (43761) $471 $628 1.8×
Reposition Pacing-Defib Lead (33215) $3,408 $4,544 1.0×
Reposition Venous Catheter (36597) $1,749 $2,332 1.1×
Rerepair ing hernia reduce (49520) $2,813.25 $3,751 0.8×
Resection of scrotum (55150) $1,868.25 $2,491 0.5×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $1,407 $1,876 0.4×
Rev/rmv prph sac/gstr npg/r (64595) $1,326 $1,768 0.4×
Revise eyelashes (67825) $501 $668 1.5×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure		 $3,101.25 $4,135 0.4×
Revise ulnar nerve at wrist (64719) $2,750.25 $3,667 1.3×
Revise/Implant Finger Joint (26536)
unusually low: confirm this is the full procedure		 $3,570.75 $4,761 0.5×
Revision of lower leg tendon (27685) $2,942.25 $3,923 0.9×
Revision of toe (28312) $1,702.50 $2,270 0.5×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $11,532.75 $15,377 0.9×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $10,161.75 $13,549 0.6×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $6,901.50 $9,202 0.5×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,426.50 $1,902 0.4×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $20,921.25 $27,895 1.1×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $16,602.75 $22,137 0.9×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $21,224.25 $28,299 1.1×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $19,104.75 $25,473 1.6×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $15,394.50 $20,526 1.3×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $17,340.75 $23,121 1.4×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $13,823.25 $18,431 1.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $21,930.75 $29,241 1.1×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $17,343 $23,124 0.9×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $21,652.50 $28,870 1.1×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $17,948.25 $23,931 0.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,349.75 $3,133 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $300–$489 $400–$652 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $301.50–$330.75 $402–$441 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $228–$427.50 $304–$570 varies
Rmvl fecal impaction/fb spx under anes (45915) $961.50 $1,282 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $405.75–$3,135 $541–$4,180 varies
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $3,289.50 $4,386 1.4×
Rmvl Lens Material Phacofragmentation Aspir (66850) $4,486.50 $5,982 1.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,502.25 $6,003 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,452–$2,955.75 $1,936–$3,941 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,503.75 $2,005 2.3×
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,793.75 $3,725 1.2×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,249.25 $2,999 0.9×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $621–$631.50 $828–$842 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $671.25–$2,028 $895–$2,704 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,342.25 $3,123 1.4×
Rplcmt compl tun ctr vad w/subq port (36582) $4,710 $6,280 1.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,996 $5,328 1.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $4,446 $5,928 0.7×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,043 $2,724 0.5×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,523 $3,364 0.7×
Rpr aa hrn 1st 3-10 rdc (49593) $3,429.75 $4,573 0.5×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $2,914.50 $3,886 0.5×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $4,023 $5,364 1.6×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,961 $3,948 1.2×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $4,770.75 $6,361 2.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $490.50–$720.75 $654–$961 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure		 $2,550.75 $3,401 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,911 $2,548 2.5×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $701.25–$2,030.25 $935–$2,707 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $1,098–$1,326 $1,464–$1,768 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $2,286.75–$2,293.50 $3,049–$3,058 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,884.75 $2,513 0.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $636.75 $849 1.0×
Sclerotx Fluid Collection (49185) $2,481 $3,308 1.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,302.25 $4,403 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,214 $2,952 2.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $1,095.75–$2,775 $1,461–$3,700 varies
Shave skin lesion 0.5 cm/< (11300) $220.50 $294 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $273 $364 1.3×
Shoulder Arthroscopy/Surgery (29825) $2,971.50 $3,962 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $300.75 $401 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $374.25 $499 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $268.50 $358 1.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $286.50 $382 1.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $7,764.75 $10,353 2.2×
Sigmoidoscopy & decompress (45337) $2,262.75 $3,017 2.3×
Sigmoidoscopy & Polypectomy (45333) $1,680 $2,240 1.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,793.75 $3,725 2.2×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $2,623.50 $3,498 2.1×
Sigmoidoscopy w/plcmt stent (45347) $4,310.25 $5,747 0.7×
Sigmoidoscopy W/Resection (45349) $3,218.25 $4,291 1.1×
Sigmoidoscopy W/Ultrasound (45341) $1,980 $2,640 2.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $651.75–$2,197.50 $869–$2,930 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,290.50 $3,054 1.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $505.50–$972.75 $674–$1,297 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $339.75–$402 $453–$536 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $269.25–$527.25 $359–$703 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $410.25–$591 $547–$788 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $271.50–$341.25 $362–$455 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $578.25 $771 2.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $350.25–$513.75 $467–$685 varies
Skin sub graft face/nk/hf/g (15275) $663 $884 0.9×
Skin sub graft trnk/arm/leg (15271) $633.75 $845 0.8×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,562.50 $4,750 0.7×
Small bowel endoscopy (44366) $2,688 $3,584 1.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $3,144.75 $4,193 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $285.75–$438.75 $381–$585 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $458.25–$645 $611–$860 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $440.25–$780 $587–$1,040 varies
Snip Incision Lacrimal Punctum (68440) $495 $660 1.5×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $576–$874.50 $768–$1,166 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $2,821.50–$4,190.25 $3,762–$5,587 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $104.25–$250.50 $139–$334 varies
Strapping hand/finger (29280) $132 $176 2.1×
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $184.50–$208.50 $246–$278 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,992.75 $2,657 0.6×
Surg tx anal fistula subq (46270) $1,789.50 $2,386 0.6×
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure		 $3,191.25 $4,255 0.4×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $3,902.25 $5,203 0.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,964.25 $2,619 1.2×
Tangential biopsy skin single lesion (11102) $175.50 $234 0.4×
Tcat Insj/Rpl Perm Ldls Pm (33274) $28,687.50 $38,250 1.4×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,564.75 $4,753 1.0×
Tenodesis long tendon biceps (23430) $4,850.25 $6,467 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $829.50 $1,106 0.5×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,464 $1,952 0.4×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure		 $3,380.25 $4,507 0.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,410 $1,880 1.9×
Thrmbc/Nfs Dialysis Circuit (36906) $15,859.50 $21,146 0.8×
Thromblytic art/ven therapy (37213) $3,605.25 $4,807 1.1×
Thrombolytic Art Therapy (37211) $5,967 $7,956 1.0×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $528.75–$1,571.25 $705–$2,095 varies
Thrombolytic Venous Therapy (37212) $2,566.50 $3,422 0.8×
Thyroid biopsy (60100) $774 $1,032 1.0×
Tnot elbow lateral/medial debride open (24358) $2,454.75 $3,273 0.7×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,592.25 $2,123 0.5×
Total Knee Arthroplasty (27447) $8,863.50 $11,818 0.7×
Trabeculoplasty by laser surgery (65855) $2,720.25 $3,627 4.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $556.50 $742 2.2×
Transcatheter biopsy (37200) $5,241.75 $6,989 0.9×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,143.50 $2,858 1.0×
Transplant hand tendon (26480) $3,699 $4,932 1.1×
Transur electr resection of prostate (52601) $4,097.25 $5,463 0.7×
Transurethral incision of prostate (52450) $2,007.75 $2,677 0.5×
Treat Finger Fracture Each (26727) $2,162.25 $2,883 0.6×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $3,177.75 $4,237 0.4×
Treat Hip Socket Fracture (27222) $2,180.25 $2,907 8.4×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $855–$1,287.75 $1,140–$1,717 varies
Treat Humerus Fracture (24505) $1,512 $2,016 0.9×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $435.75–$1,095.75 $581–$1,461 varies
Treat knee fracture (27532) $4,192.50 $5,590 1.2×
Treat Knee Fracture(S) (27538) $419.25 $559 1.6×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $3,787.50 $5,050 0.5×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $447–$976.50 $596–$1,302 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $385.50–$1,077.75 $514–$1,437 varies
Treat Tail Bone Fracture (27200) $933.75 $1,245 3.6×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $423–$542.25 $564–$723 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,968.75–$2,036.25 $2,625–$2,715 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $509.25–$1,454.25 $679–$1,939 varies
Treatment extensive retinopathy photocoagulation (67228) $2,661 $3,548 4.6×
Treatment of ankle fracture (27823) $4,771.50 $6,362 0.6×
Trim skin lesion (11055) $124.50 $166 0.6×
Trim skin lesions 2 to 4 (11056) $136.50 $182 0.6×
Trim skin lesions over 4 (11057) $141 $188 0.7×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $90–$99 $120–$132 varies
Trluml Balo Angiop 1St Art (37246) $7,501.50 $10,002 1.3×
Trluml Balo Angiop 1St Vein (37248) $6,879 $9,172 1.2×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $213.75–$222.75 $285–$297 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,303.50 $1,738 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $1,405.50 $1,874 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $1,011.75 $1,349 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $701.25–$810 $935–$1,080 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $418.50–$819 $558–$1,092 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure		 $4,892.25 $6,523 0.4×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,113.75 $1,485 0.7×
Tympanostomy general anesthesia (69436) $1,045.50 $1,394 0.6×
Unlisted Procedure Biliary Tract (47999) $2,535.75 $3,381 2.7×
Unlisted procedure breast (19499)
range across 2 matching MRF lines		 $1,884–$2,508.75 $2,512–$3,345 varies
Unlisted procedure nervous system (64999) $2,712.75 $3,617 8.4×
Unlisted procedure pancreas (48999) $2,979.75 $3,973 4.0×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines		 $1,410.75–$4,190.25 $1,881–$5,587 varies
Urine Flow Measurement (51736) $200.25 $267 1.4×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $2,382–$2,825.25 $3,176–$3,767 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $4,161.75 $5,549 0.8×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $4,542.75 $6,057 0.9×
Vasc embolize/occlude artery (37242) $16,120.50 $21,494 0.8×
Vasc Embolize/Occlude Bleed (37244) $14,112 $18,816 1.2×
Vasc Embolize/Occlude Organ (37243) $14,368.50 $19,158 1.2×
Vasc embolize/occlude venous (37241) $15,473.25 $20,631 1.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,351.50 $1,802 0.6×
Venous Mech Thrombectomy (37187) $12,447.75 $16,597 1.0×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $396.75–$429 $529–$572 varies
Wound Prep Trk/Arm/Leg (15002) $900.75 $1,201 1.2×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $5,955.75 $7,941 1.1×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $6,339 $8,452 1.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.