Procedures & surgery prices at Mayo Clinic Health System in Red Wing

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

1085 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		 $943.36–$946.04 $1,408–$1,412 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $552.08–$932.64 $824–$1,392 varies
Ablate inf turbinate submuc (30802) $834.15 $1,245 0.5×
Ablate Pulm Tumor Perq Crybl (32994) $5,745.25 $8,575 0.5×
Ablation 1/> liver tumor perq cryoablation (47383) $10,789.68 $16,104 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,601.82 $11,346 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $7,417.57 $11,071 1.0×
Acne surgery (10040) $194.97 $291 0.9×
Acromiopl/Acromionect Partial (23130) $2,700.10 $4,030 0.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,421.07 $2,121 0.7×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,005.31 $2,993 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,779.52 $2,656 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,371.80 $3,540 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $2,218.37–$2,418.03 $3,311–$3,609 varies
Amputation foot transmetarsal (28805) $2,449.52 $3,656 0.7×
Amputation metatarsal with toe single (28810) $1,845.85 $2,755 0.5×
Amputation toe interphalangeal joint (28825) $1,583.88 $2,364 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,703.14 $2,542 0.5×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $625.11 $933 1.9×
Anal/Urinary Muscle Study (51784) $642.53 $959 4.7×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $186.93–$215.07 $279–$321 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $429.47–$832.81 $641–$1,243 varies
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,520.23 $2,269 1.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $429.47 $641 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure		 $2,326.91 $3,473 0.4×
Anterior Tibial Tubercleplasty (27418) $4,401.90 $6,570 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $152.76 $228 0.9×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $250.58–$275.37 $374–$411 varies
Application Finger Splint Dynamic (29131) $188.94 $282 3.0×
Application finger splint static (29130)
range across 2 matching MRF lines		 $129.98–$201 $194–$300 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $203.01–$215.74 $303–$322 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $190.28–$250.58 $284–$374 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $2,826.73 $4,219 0.2×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $399.32–$499.82 $596–$746 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $487.09–$501.83 $727–$749 varies
Application Short Arm Splint Dynamic (29126) $239.19 $357 1.7×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $169.51–$176.88 $253–$264 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $156.78–$183.58 $234–$274 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,626.09 $2,427 0.2×
Apply hand/wrist cast (29085) $276.71 $413 1.6×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $314.90–$372.52 $470–$556 varies
Apply Multlay Comprs Lwr Leg (29581) $186.93 $279 1.1×
Apply Short Leg Cast (29405) $319.59 $477 1.1×
Apply short leg cast (29425) $339.69 $507 1.1×
Arterial puncture (36600)
range across 4 matching MRF lines		 $89.78–$244.55 $134–$365 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $3,362.06 $5,018 0.2×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
unusually low: confirm this is the full procedure		 $2,702.11 $4,033 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $199.66–$338.35 $298–$505 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $653.92–$943.36 $976–$1,408 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $224.45–$956.76 $335–$1,428 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $654.59–$915.89 $977–$1,367 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $186.26–$338.35 $278–$505 varies
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure		 $4,805.24 $7,172 0.4×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,867.29 $2,787 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,528.58 $3,774 0.3×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $3,956.35 $5,905 0.3×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $7,545.54 $11,262 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure		 $7,530.13 $11,239 0.4×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
unusually low: confirm this is the full procedure		 $6,134.52 $9,156 0.5×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,691.70 $5,510 1.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,057.88 $4,564 0.9×
Arthroscopy Ankle Surgical Debridement Limited (29897) $2,799.93 $4,179 0.8×
Arthroscopy ankle w/removal loose/foreign body (29894) $2,958.72 $4,416 0.9×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,084.68 $4,604 0.9×
Arthroscopy knee synovectomy limited spx (29875) $2,543.99 $3,797 0.7×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,039.79 $4,537 0.9×
Arthroscopy shoulder distal claviculectomy (29824) $2,283.36 $3,408 0.7×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $4,160.70 $6,210 0.5×
Arthroscopy, knee, surgical; with lateral release (29873) $2,768.44 $4,132 0.8×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,300.73 $6,419 1.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,832.40 $5,720 1.1×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $3,278.31 $4,893 0.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,246.15 $4,845 0.9×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $2,734.27 $4,081 0.8×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $4,307.43 $6,429 0.6×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $4,009.95 $5,985 0.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $11,553.48 $17,244 0.8×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $4,472.92 $6,676 1.3×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
unusually low: confirm this is the full procedure		 $5,126.84 $7,652 0.4×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
unusually low: confirm this is the full procedure		 $3,737.93 $5,579 0.5×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $5,153.64 $7,692 0.7×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,477.30 $5,190 1.0×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,628.05 $5,415 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,165.39 $6,217 1.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,629.44 $2,432 1.0×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $934.65–$1,034.48 $1,395–$1,544 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $527.29–$751.74 $787–$1,122 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $176.88–$330.98 $264–$494 varies
Aspiration and/or injection thyroid cyst (60300) $314.23 $469 0.4×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $872.34–$3,069.94 $1,302–$4,582 varies
Aspiration Bladder Needle (51100) $460.96 $688 1.7×
Av Fistula Revision Open (36832) $8,831.94 $13,182 1.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $199.66–$255.94 $298–$382 varies
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $11,113.29 $16,587 1.0×
Biopsy Abdominal Mass (49180) $1,347.37 $2,011 0.8×
Biopsy bone open superficial (20240) $773.18 $1,154 0.3×
Biopsy bone trocar/needle deep (20225) $2,385.87 $3,561 1.4×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $490.44–$1,453.90 $732–$2,170 varies
Biopsy external ear (69100) $299.49 $447 1.2×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $533.99–$1,453.90 $797–$2,170 varies
Biopsy nail unit (11755) $308.87 $461 0.4×
Biopsy of floor of mouth (41108) $454.93 $679 0.3×
Biopsy of liver, needle; percutaneous (47000) $1,502.14 $2,242 0.9×
Biopsy of penis (54100) $457.61 $683 0.3×
Biopsy Pleura Percutaneous Needle (32400) $572.85 $855 0.3×
Biopsy Salivary Gland Needle (42400) $1,043.19 $1,557 1.4×
Biopsy Tongue Anterior Two-Thirds (41100) $588.26 $878 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $328.30 $490 0.3×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $233.16–$615.73 $348–$919 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $230.48–$270.68 $344–$404 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $96.48–$127.97 $144–$191 varies
Blepharoplasty upper eyelid (15822) $1,631.45 $2,435 0.7×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,349.02 $3,506 1.1×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $330.98–$650.57 $494–$971 varies
Blood Transfusion Service (36430) $608.36 $908 1.3×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,384.22 $2,066 0.2×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $521.26–$1,612.02 $778–$2,406 varies
Brnchsc Brushing/Protected Brushings (31623) $1,950.37 $2,911 1.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $3,740.61 $5,583 0.9×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $3,463.23 $5,169 0.9×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,792.20 $5,660 1.0×
Bronchoscopy W/Biopsy(S) (31625) $1,670.31 $2,493 0.9×
Bronchoscopy W/Removal Foreign Body (31635) $1,609.34 $2,402 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,584.86 $3,858 0.7×
Bronchoscopy/Needle Bx Each (31629) $2,860.90 $4,270 0.7×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,917.54 $2,862 0.6×
Bx breast 1st lesion mr imag (19085) $2,172.81 $3,243 1.2×
Bx breast 1st lesion strtctc (19081) $2,241.15 $3,345 1.3×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $2,208.99–$2,407.31 $3,297–$3,593 varies
Bx Cervix (57500) $432.15 $645 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,948.36 $2,908 0.5×
Bx/exc lymph node open superficial (38500) $1,198.63 $1,789 0.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,422.41 $2,123 0.4×
Carpal Tunnel Surgery (64721) $2,178.84 $3,252 1.1×
Carpectomy All Bones Proximal Row (25215) $3,042.47 $4,541 0.9×
Cataract surgery complex (66982) $4,206.93 $6,279 1.7×
Catheter aspiration nasotracheal spx (31720) $213.06 $318 0.9×
Cessj Therapy Cath Removal (37214) $3,189.87 $4,761 1.0×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $1,244.19–$1,247.54 $1,857–$1,862 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $330.31–$429.47 $493–$641 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $228.47–$408.70 $341–$610 varies
Change ureter stent percut (50382) $3,304.44 $4,932 1.5×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $180.90–$332.99 $270–$497 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $525.95–$690.77 $785–$1,031 varies
Chemodenerv Musc Migraine (64615) $564.14 $842 1.7×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $445.55 $665 1.4×
Chemodenervation of internal anal sphincter (46505) $1,095.45 $1,635 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $526.62–$565.48 $786–$844 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $830.80–$1,416.38 $1,240–$2,114 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,624.08 $2,424 0.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,136.58 $6,174 1.1×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $202.34–$312.22 $302–$466 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,626.76–$1,834.46 $2,428–$2,738 varies
Claviculectomy partial (23120) $2,430.09 $3,627 0.7×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $229.14–$268 $342–$400 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $404.68–$1,662.27 $604–$2,481 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $1,067.31–$1,083.39 $1,593–$1,617 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $604.34–$1,443.18 $902–$2,154 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $499.15–$1,161.11 $745–$1,733 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $408.70–$919.91 $610–$1,373 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,588.57–$1,598.62 $2,371–$2,386 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $523.27–$1,219.40 $781–$1,820 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $424.78–$898.47 $634–$1,341 varies
Closed tx carpal scaphoid fracture w/manj (25624) $3,415.66 $5,098 2.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $596.30–$1,048.55 $890–$1,565 varies
Closed tx femoral fracture prox head w/o manj (27267) $3,490.70 $5,210 1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $413.39–$1,775.50 $617–$2,650 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $2,219.04–$2,608.31 $3,312–$3,893 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $466.32–$1,995.26 $696–$2,978 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,202.29 $3,287 1.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $1,130.96–$1,955.06 $1,688–$2,918 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $397.31–$687.42 $593–$1,026 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,583.88–$1,772.82 $2,364–$2,646 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,286.40 $1,920 0.8×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $305.52–$1,945.01 $456–$2,903 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $517.91–$1,597.95 $773–$2,385 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $377.88–$942.69 $564–$1,407 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,058.60–$1,620.06 $1,580–$2,418 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $390.61–$873.01 $583–$1,303 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,488.07–$1,533.63 $2,221–$2,289 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $375.20–$808.69 $560–$1,207 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,570.48–$1,909.50 $2,344–$2,850 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $594.96–$838.17 $888–$1,251 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $406.69–$763.13 $607–$1,139 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $389.27–$738.34 $581–$1,102 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $381.23–$428.80 $569–$640 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,668.30 $2,490 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $399.99–$862.96 $597–$1,288 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $376.54–$905.17 $562–$1,351 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $429.47–$444.88 $641–$664 varies
Closure lacrimal punctum (68760) $515.90 $770 1.5×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $523.27–$766.48 $781–$1,144 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $422.10–$683.40 $630–$1,020 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $393.29–$676.03 $587–$1,009 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,242.85–$1,603.31 $1,855–$2,393 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $614.39–$1,155.75 $917–$1,725 varies
Clsr Lacrimal Punctum Plug Each (68761) $450.91 $673 1.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,216.72 $1,816 4.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,384.22–$1,935.63 $2,066–$2,889 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,029.43 $3,029 1.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $374.53–$828.12 $559–$1,236 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,657.58 $2,474 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $399.99–$958.77 $597–$1,431 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $251.25–$1,656.24 $375–$2,472 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $655.93–$1,330.62 $979–$1,986 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $667.32–$913.21 $996–$1,363 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $513.89–$1,000.31 $767–$1,493 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $383.24–$544.71 $572–$813 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $633.82–$954.08 $946–$1,424 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,522.24–$1,792.92 $2,272–$2,676 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,752.72 $2,616 1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $799.98 $1,194 0.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $705.51–$1,925.58 $1,053–$2,874 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $813.38 $1,214 0.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $725.61–$1,612.02 $1,083–$2,406 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,663.61–$3,205.28 $2,483–$4,784 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $363.14 $542 1.4×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $369.84–$390.61 $552–$583 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $401.33–$457.61 $599–$683 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $355.10–$369.84 $530–$552 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,797.61–$2,036.80 $2,683–$3,040 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $667.32–$1,064.63 $996–$1,589 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $373.19–$786.58 $557–$1,174 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $275.37–$1,017.73 $411–$1,519 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,531.26 $3,778 1.5×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,691.75–$2,361.08 $2,525–$3,524 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $369.84–$1,433.80 $552–$2,140 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $382.57–$1,153.74 $571–$1,722 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $1,459.26–$1,602.64 $2,178–$2,392 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,914.86 $2,858 1.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $395.30–$961.45 $590–$1,435 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $1,139.67–$1,541.67 $1,701–$2,301 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $385.92–$446.89 $576–$667 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,547.03 $2,309 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,024.43 $1,529 3.5×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $396.64–$732.98 $592–$1,094 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,573.16–$1,651.55 $2,348–$2,465 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $395.30–$973.51 $590–$1,453 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $473.02–$1,145.03 $706–$1,709 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $400.66–$780.55 $598–$1,165 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,798.28 $2,684 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $418.75–$1,114.88 $625–$1,664 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $402–$566.15 $600–$845 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,512.86–$1,816.37 $2,258–$2,711 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $622.43–$1,581.87 $929–$2,361 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $1,857.91–$2,275.99 $2,773–$3,397 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $389.27–$799.98 $581–$1,194 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,770.81–$1,932.28 $2,643–$2,884 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $276.04–$1,451.89 $412–$2,167 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $378.55–$412.05 $565–$615 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,713.19 $2,557 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $763.80 $1,140 0.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,895.43 $2,829 1.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,158.74 $3,222 1.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $745.71–$1,156.42 $1,113–$1,726 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $2,044.17 $3,051 7.8×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $426.12–$1,282.38 $636–$1,914 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $461.63–$1,180.54 $689–$1,762 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,656.24–$1,902.13 $2,472–$2,839 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $410.71–$1,027.78 $613–$1,534 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,537.60 $5,280 0.7×
Collect Blood From Catheter Venous Nos (36592) $104.52 $156 0.7×
Collection of venous blood by venipuncture (36415) $24.12 $36 2.6×
Colonoscopy Flexible With Decompression (45393) $2,430.09 $3,627 1.9×
Colonoscopy Stoma Control Bleeding (44391) $1,584.55 $2,365 1.2×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,930.27 $2,881 1.5×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,489.41 $2,223 1.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $1,618.72–$2,084.37 $2,416–$3,111 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $1,317.22–$1,502.81 $1,966–$2,243 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $1,593.93–$2,513.17 $2,379–$3,751 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,769.47–$2,526.57 $2,641–$3,771 varies
Colonoscopy W/Band Ligation (45398) $2,493.07 $3,721 2.0×
Colonoscopy w/fb removal (45379) $2,265.27 $3,381 1.8×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $1,901.46–$2,978.82 $2,838–$4,446 varies
Colonoscopy w/stent plcmt (45389) $5,360 $8,000 0.8×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $1,609.34–$2,265.27 $2,402–$3,381 varies
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $3,071.28 $4,584 0.4×
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure		 $2,834.77 $4,231 0.4×
Colporrhaphy (57200) $1,122.25 $1,675 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $588.93 $879 1.8×
Colposcopy cervix upper/adjacent vagina (57452) $456.94 $682 2.1×
Colposcopy cervix vag eltrd conization cervix (57461) $1,502.81 $2,243 0.4×
Colposcopy entire vagina w/cervix if present (57420) $444.21 $663 1.4×
Colposcopy Vulva W/Biopsy (56821) $474.36 $708 1.5×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,707.83–$2,406.64 $2,549–$3,592 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $2,448.85 $3,655 1.9×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,636.81–$2,481.01 $2,443–$3,703 varies
Combined anteroposterior colporrhaphy; (57260) $3,306.45 $4,935 0.6×
Complex drainage wound (10180) $328.97 $491 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,269.65 $1,895 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $359.12–$465.65 $536–$695 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $315.57–$325.62 $471–$486 varies
Control oropharyngeal hemorrhage simple (42960) $412.05 $615 0.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,833.79 $2,737 0.9×
Convert Nephrostomy Catheter (50434) $1,804.31 $2,693 0.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,793.90 $4,170 1.6×
Correction hammertoe (28285) $1,605.99 $2,397 0.5×
Correction of trichiasis; epilation, by forceps only (67820) $232.49 $347 1.6×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,225.38 $4,814 0.9×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,684.33 $5,499 1.1×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $3,000.26 $4,478 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,531.93 $3,779 0.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,992.89 $4,467 0.4×
Crd ceramides liq chrom plsm (0119U) $115.91 $173 1.4×
Create Eardrum Opening (69433) $759.11 $1,133 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $354.43–$887.75 $529–$1,325 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $300.16 $448 1.2×
Curettage postpartum (59160) $1,253.57 $1,871 0.4×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $1,049.89–$1,967.12 $1,567–$2,936 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $622.43–$1,156.42 $929–$1,726 varies
Cysto w/complex removal stone & stent (52315) $2,001.96 $2,988 0.9×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
unusually low: confirm this is the full procedure		 $2,010.67 $3,001 0.4×
Cysto w/insert ureteral stent (52332) $1,535.64 $2,292 0.4×
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $943.36–$3,839.10 $1,408–$5,730 varies
Cysto w/removal of tumors small (52234) $1,463.95 $2,185 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $1,037.83 $1,549 0.5×
Cysto w/ureteroscopy w/lithotripsy (52353) $3,641.45 $5,435 0.6×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,131.58 $4,674 0.8×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,270.63 $3,389 0.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,422.05 $3,615 0.6×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure		 $2,342.99 $3,497 0.4×
Cysto/uretero w/lithotripsy (52356) $3,719.17 $5,551 0.7×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $631.14–$655.93 $942–$979 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,764.78 $2,634 0.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
unusually low: confirm this is the full procedure		 $2,613 $3,900 0.5×
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,669.64 $2,492 0.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $876.36 $1,308 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,336.65 $1,995 1.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $111.22–$666.65 $166–$995 varies
Debride nail 1-5 (11720) $73.70 $110 1.2×
Debride nail 6 or more (11721) $92.46 $138 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,037.83–$1,216.72 $1,549–$1,816 varies
Debridement Mastoidectomy Cavity Simple (69220) $251.25 $375 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $368.50–$543.37 $550–$811 varies
Declot vascular device (36593) $367.83 $549 1.1×
Decompression of tibia nerve (28035) $2,154.72 $3,216 1.0×
Delivery of placenta (59414) $237.85 $355 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $2,441.48 $3,644 2.6×
Destroy cerv/thor facet jnt (64633) $2,423.39 $3,617 1.2×
Destroy lumb/sac facet jnt (64635) $2,434.11 $3,633 1.2×
Destruct B9 Lesion 1-14 (17110) $217.08 $324 1.0×
Destruction Lesions Vulva Simple (56501) $408.03 $609 0.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $355.10 $530 1.7×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $456.94 $682 2.1×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $382.57 $571 1.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $420.09 $627 2.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $487.09 $727 2.3×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $550.07 $821 1.3×
Destruction neurolytic agt genicular nerve w/img (64624) $2,439.47 $3,641 1.2×
Destruction Premalignant Lesion 15/> (17004) $666.65 $995 1.5×
Destruction premalignant lesion 1st (17000) $164.82 $246 0.8×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $469–$1,510.85 $700–$2,255 varies
Dilat Xst Trc New Access Rcs (50437) $4,798.54 $7,162 1.3×
Dilate Esophagus 1/Mult Pass (43450) $399.32 $596 0.4×
Dilation & curettage dx&/ther nonobstetric (58120) $1,128.28 $1,684 0.3×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $280.73 $419 0.6×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $556.77–$595.63 $831–$889 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $668.66–$1,638.15 $998–$2,445 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $418.08–$793.28 $624–$1,184 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,110.19–$1,379.53 $1,657–$2,059 varies
Drainage Mouth Roof Lesion (42000) $629.80 $940 2.5×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $367.16–$545.38 $548–$814 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $331.65–$499.15 $495–$745 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $432.15–$1,869.30 $645–$2,790 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $420.09–$1,206 $627–$1,800 varies
Drainage of scrotum (54700) $2,012.68 $3,004 0.9×
Draw Blood Off Venous Device (36591) $99.16 $148 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $783.23 $1,169 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $288.77 $431 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $233.16–$299.49 $348–$447 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $215.07–$347.73 $321–$519 varies
Dstrj lesion anus simple surg excision (46922) $820.08 $1,224 0.3×
Dstrj Lesion Penis Simple Chemical (54050) $250.58 $374 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $403.34 $602 1.9×
Dstrj lesion penis simple surg excision (54060) $892.44 $1,332 0.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,692.06 $4,018 2.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $603–$2,289.39 $900–$3,417 varies
Dx Bronchoscope/Lavage (31624) $2,538.63 $3,789 1.3×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,049.89–$1,564.45 $1,567–$2,335 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $933.31–$2,309.49 $1,393–$3,447 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,199.97 $1,791 1.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,356.75–$2,426.74 $2,025–$3,622 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $1,410.35–$2,418.70 $2,105–$3,610 varies
Egd dilation gastric/duodenal stricture (43245) $2,448.85 $3,655 1.2×
Egd endo mucosal resection (43254) $2,718.19 $4,057 1.3×
Egd Endoscopic Stent Place (43266) $4,189.51 $6,253 0.7×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,250.22–$2,060.92 $1,866–$3,076 varies
Egd guide wire insertion (43248) $1,973.15 $2,945 2.1×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $2,721.54 $4,062 1.3×
Egd intrmural us needle aspirate/biopsy esophags (43238) $2,017.37 $3,011 1.0×
Egd lesion ablation (43270) $2,355.05 $3,515 1.2×
Egd place gastrostomy tube (43246) $2,514.51 $3,753 1.2×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $1,434.47–$2,430.76 $2,141–$3,628 varies
Egd Tube/Cath Insertion (43241) $2,479 $3,700 1.2×
Egd us exam duodenum/jejunum (43259) $2,402.62 $3,586 1.2×
Egd Varices Ligation (43244) $2,443.49 $3,647 1.2×
Egd W/Transmural Drain Cyst (43240) $5,956.97 $8,891 0.9×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $272.02–$626.45 $406–$935 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $229.81 $343 0.7×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $216.41 $323 0.7×
Electro-Uroflowmetry First (51741) $275.37 $411 1.2×
Endocervical curettage (57505) $345.05 $515 0.4×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure		 $2,434.78 $3,634 0.5×
Endometrial Biopsy (58100) $341.03 $509 1.6×
Endoscopic plantar fasciotomy (29893) $1,730.61 $2,583 0.5×
Endoscopic us exam esoph (43237) $2,644.49 $3,947 1.3×
Endoscopy Upper Small Intestine (44360) $2,122.56 $3,168 1.0×
Endoscopy upper small intestine w/biopsy (44361) $2,195.59 $3,277 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,465.55 $6,665 1.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $4,616.30–$4,947.95 $6,890–$7,385 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $3,323.87–$8,605.48 $4,961–$12,844 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $917.23–$1,571.15 $1,369–$2,345 varies
Ercp duct stent placement (43274) $5,412.26 $8,078 0.8×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,719.17 $5,551 0.9×
Ercp ea duct/ampulla dilate (43277) $4,667.89 $6,967 1.1×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,860.54 $5,762 0.9×
Ercp remove forgn body duct (43275) $4,000.57 $5,971 2.0×
Ercp Stent Exchange W/Dilate (43276) $5,566.36 $8,308 0.9×
Ercp W/Biopsy Single/Multiple (43261) $3,999.23 $5,969 1.0×
Ercp,Sphincterotomy (43262) $4,064.89 $6,067 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,622.07 $2,421 1.7×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,531.26 $3,778 1.2×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,575.48 $3,844 1.3×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,254.91 $1,873 1.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,939.65 $2,895 2.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $2,823.38 $4,214 1.4×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $2,823.38 $4,214 1.4×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $1,215.38–$2,473.64 $1,814–$3,692 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,382.21–$2,563.42 $2,063–$3,826 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $176.21–$237.85 $263–$355 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,885.38 $2,814 1.1×
Exc arm/elbow les sc < 3 cm (24075) $1,384.89 $2,067 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $292.79 $437 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $658.61 $983 0.4×
Exc Back Les Sc < 3 Cm (21930) $1,617.38 $2,414 0.9×
Exc Back Tum Deep 5 Cm/> (21933) $2,773.13 $4,139 0.9×
Exc back tum deep < 5 cm (21932) $2,561.41 $3,823 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,636.81 $2,443 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $984.90 $1,470 1.3×
Exc Face Les Sbq 2 Cm/> (21012) $1,112.87 $1,661 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $375.20 $560 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $427.46 $638 0.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $580.22 $866 0.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $720.92 $1,076 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $1,786.89 $2,667 1.0×
Exc ganglion wrist recurrent (25112) $1,608.67 $2,401 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $310.88 $464 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $399.99 $597 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $455.60 $680 0.3×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $651.91 $973 0.6×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,629.44 $2,432 1.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,196.62 $1,786 0.7×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,906.82 $2,846 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $546.05 $815 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $806.01 $1,203 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,125.60 $1,680 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,044.53 $1,559 0.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,510.85 $2,255 0.9×
Exc tendon shth lesion leg/ankle (27630) $1,850.54 $2,762 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $1,844.51 $2,753 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $497.81–$1,355.41 $743–$2,023 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $375.20 $560 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $425.45 $635 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $735.66 $1,098 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,400.97 $2,091 0.5×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,355.41 $2,023 0.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,400.97 $2,091 0.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $999.64 $1,492 0.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,461.27 $2,181 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,173.17 $1,751 0.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,496.11 $2,233 0.5×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,825.08 $2,724 0.5×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,305.83 $1,949 0.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,312.79 $6,437 1.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,877.34 $2,802 0.8×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,131.27 $3,181 1.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $720.92 $1,076 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $690.10 $1,030 0.9×
Excision Chalazion Single (67800) $374.53 $559 1.1×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,275.68 $1,904 0.4×
Excision lesion meniscus/capsule knee (27347) $3,027.06 $4,518 0.9×
Excision Lingual Frenum Frenectomy (41115) $1,530.28 $2,284 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $498.48 $744 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $578.21 $863 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $875.02 $1,306 1.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $844.20 $1,260 1.1×
Excision Multiple External Papillae/Tags Anus (46230) $808.69 $1,207 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,500.13 $2,239 0.9×
Excision of hydrocele; bilateral (55041) $2,979.49 $4,447 0.8×
Excision of hydrocele; unilateral (55040) $1,786.89 $2,667 0.5×
Excision of local lesion of epididymis (54830) $1,451.22 $2,166 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $1,048.55 $1,565 0.3×
Excision of single external papilla or tag, anus (46220) $545.38 $814 0.4×
Excision olecranon bursa (24105) $1,388.24 $2,072 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,728.60 $2,580 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,555.74 $2,322 0.5×
Excision prepatellar bursa (27340) $1,807.66 $2,698 0.5×
Excision spermatocele w/wo epididymectomy (54840) $1,486.06 $2,218 0.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,809 $2,700 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,535.64 $2,292 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,055.25 $1,575 0.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,542.34 $2,302 0.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,601.97 $2,391 0.9×
Excision, interdigital (morton) neuroma, single, each (28080) $1,452.56 $2,168 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,556.41 $2,323 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,000.31 $1,493 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,501.47 $2,241 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,773.49 $2,647 0.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,100.14 $1,642 0.6×
Excision/curettage cyst/tumor phalanx finger (26210) $1,963.10 $2,930 1.2×
Excision/destruction lesion pharynx any method (42808) $765.14 $1,142 0.2×
Explo/Drain Breast Abscess (19020) $1,589.91 $2,373 0.9×
Exploration penetrating wound spx extremity (20103) $1,082.72 $1,616 0.6×
Exploratory elbow surgery (24000) $2,971.45 $4,435 0.9×
External cephalic version (59412)
range across 2 matching MRF lines		 $643.20–$3,129.57 $960–$4,671 varies
Fasciectomy Palm Only (26121) $3,415.66 $5,098 1.0×
Fasciotomy palmar percutaneous (26040) $1,275.01 $1,903 0.7×
Fasciotomy, foot and/or toe (28008) $1,383.55 $2,065 0.4×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,941.61 $5,883 1.1×
Fetal non-stress test (59025) $212.39 $317 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $683.40 $1,020 0.9×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $195.64–$310.21 $292–$463 varies
Fluid Pressure Muscle (20950) $763.13 $1,139 1.0×
Fluoro exam of g/colon tube (49465) $421.43 $629 1.7×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $355.77–$684.74 $531–$1,022 varies
Foreskin manipulation (54450) $312.89 $467 1.2×
Fusion Finger Joint (26860) $2,269.29 $3,387 0.7×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $2,749.01 $4,103 0.4×
Fusion of hand bones (25820)
unusually low: confirm this is the full procedure		 $3,330.57 $4,971 0.4×
Gi malabs eval aat calprotectin pncrtc elastase (0430U) $404.68 $604 6.6×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $91.12 $136 2.5×
Guide Cathet Fluid Drainage (10030) $1,407 $2,100 1.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,664.28 $2,484 0.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,521.57 $2,271 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,314.18 $3,454 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $735.66–$1,250.89 $1,098–$1,867 varies
Hysteroscopy Biopsy (58558) $2,330.26 $3,478 0.7×
Hysteroscopy Div/Rescj Intrauterine Septum (58560)
unusually low: confirm this is the full procedure		 $2,286.04 $3,412 0.4×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $446.89–$1,282.38 $667–$1,914 varies
Hysteroscopy Endometrial Ablation (58563) $4,690 $7,000 0.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,853.22 $2,766 0.5×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
unusually low: confirm this is the full procedure		 $2,613 $3,900 0.5×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $530.64–$531.98 $792–$794 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $283.41–$320.26 $423–$478 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $2,216.36–$3,236.10 $3,308–$4,830 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,985.21 $2,963 0.6×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $3,076.64 $4,592 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $629.13–$1,079.37 $939–$1,611 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $635.83–$834.82 $949–$1,246 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $352.42–$721.59 $526–$1,077 varies
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,072 $1,600 1.6×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,632.12 $2,436 1.7×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,997.94 $2,982 2.1×
Image Cath Fluid Colxn Visc (49405) $1,691.75 $2,525 1.0×
Image Cath Fluid Peri/Retro (49406) $1,666.96 $2,488 1.0×
Implant neuroelectrodes (63650) $6,069.53 $9,059 0.9×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $3,140.29–$6,696.65 $4,687–$9,995 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $1,011.70 $1,510 0.0×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $290.78–$490.44 $434–$732 varies
Incise finger tendon sheath (26055) $1,832.45 $2,735 1.1×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $413.39–$576.20 $617–$860 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $647.89–$1,778.18 $967–$2,654 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $300.83–$385.92 $449–$576 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $339.69–$446.89 $507–$667 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $358.45–$380.56 $535–$568 varies
Incision extensor tendon sheath wrist (25000) $1,495.44 $2,232 0.9×
Incision of Foot Tendon (28234) $1,012.37 $1,511 0.6×
Incision of lingual frenum (frenotomy) (41010) $1,593.26 $2,378 1.0×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,449.88–$1,803.64 $2,164–$2,692 varies
Incision of urethra (53020) $533.32 $796 0.2×
Incision&drainage bursa foot (28001) $444.21 $663 0.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $172.19–$289.44 $257–$432 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,717.21 $2,563 1.8×
Inj W/Fluor Eval Cv Device (36598) $538.01 $803 2.4×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $666.65–$1,705.82 $995–$2,546 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,561.10 $2,330 1.7×
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $522.60–$718.24 $780–$1,072 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $182.91–$667.32 $273–$996 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $663.30–$1,987.89 $990–$2,967 varies
Injection aa&/strd genicular nrv branches w/img (64454) $1,430.45 $2,135 1.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,139.31 $3,193 2.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,396.95 $2,085 1.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $692.78–$1,914.19 $1,034–$2,857 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $406.69–$509.20 $607–$760 varies
Injection Anes Superior Hypogastric Plexus (64517) $1,748.03 $2,609 1.9×
Injection anesthetic agent suprascapular nerve (64418) $1,491.42 $2,226 2.0×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $667.99–$827.45 $997–$1,235 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $205.69–$557.44 $307–$832 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $210.38–$655.93 $314–$979 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $217.75–$655.93 $325–$979 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $335 $500 0.2×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $217.08–$403.34 $324–$602 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $724.27–$954.08 $1,081–$1,424 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $582.90–$862.29 $870–$1,287 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $516.57–$936.66 $771–$1,398 varies
Ins cath ren art 1st bilat (36252) $4,574.76 $6,828 1.4×
Ins cath ren art 1st unilat (36251) $5,304.39 $7,917 1.6×
Ins cath ren art 2nd+ unilat (36253) $5,230.69 $7,807 0.9×
Ins endovas vena cava filtr (37191) $4,503.74 $6,722 0.8×
Ins/Rep Subq Defibrillator (33270) $27,873.34 $41,602 0.8×
Insert 1 Electrode Pm-Defib (33216) $8,969.96 $13,388 1.0×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $243.21–$522.60 $363–$780 varies
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $1,498.12–$1,762.77 $2,236–$2,631 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $897.80–$1,599.96 $1,340–$2,388 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,500.44 $3,732 2.0×
Insert Drug Implant Device (11981) $310.88 $464 2.2×
Insert Gastrostomy Tube Percutaneous (49440) $2,005.31 $2,993 1.0×
Insert Heart Pm Atrial (33206) $15,350.37 $22,911 1.4×
Insert Heart Pm Ventricular (33207) $12,983.26 $19,378 1.2×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $732.98–$3,050.51 $1,094–$4,553 varies
Insert pessary/other device (57160) $188.94 $282 0.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $145.39–$421.43 $217–$629 varies
Insert testicular prosthesis (54660)
likely a partial charge, not the full procedure		 $1,465.96 $2,188 0.3×
Insert tun ip cath perc (49418) $4,471.58 $6,674 1.2×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,391.90–$4,442.77 $3,570–$6,631 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,057.16 $7,548 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $146.06–$304.85 $218–$455 varies
Insertion indwelling tunneled pleural catheter (32550) $4,346.96 $6,488 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,771.48 $2,644 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $11,542.76 $17,228 1.3×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,605.63 $3,889 1.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,678.35 $2,505 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $852.24–$1,496.78 $1,272–$2,234 varies
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $215.74 $322 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,481.63 $6,689 1.3×
Insj/Rplcmt Defib W/Lead(S) (33249) $32,936.53 $49,159 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,279.86 $12,358 0.9×
Insrt heart pm atrial & vent (33208) $15,560.08 $23,224 1.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $556.77 $831 1.3×
Intro cath dialysis circuit (36901) $1,483.38 $2,214 0.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $14,230.13 $21,239 1.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $8,627.59 $12,877 1.4×
Intro Gastrointestinal Tube (44500) $820.08 $1,224 0.9×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $341.70–$422.10 $510–$630 varies
Iridotomy/irridectomy laser surg per session (66761) $2,230.43 $3,329 3.8×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $558.78–$726.28 $834–$1,084 varies
Klhl11 antb serum/csf cell binding assay qual (0432U) $91.12 $136 2.5×
Knee arthroscopy/drainage (29871) $2,275.99 $3,397 0.7×
Knee Arthroscopy/Surgery (29874) $2,957.38 $4,414 0.9×
Labyrinthotomy Transcanal (69801) $1,088.08 $1,624 0.7×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $4,032.06 $6,018 0.4×
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure		 $2,294.75 $3,425 0.4×
Laparoscopy Enterolysis Separate Procedure (44180) $3,302.43 $4,929 0.5×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $2,378.50 $3,550 0.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,914.86 $2,858 0.3×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure		 $5,179.10 $7,730 0.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure		 $4,050.82 $6,046 0.4×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure		 $3,184.51 $4,753 0.5×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure		 $2,310.16 $3,448 0.4×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure		 $3,836.42 $5,726 0.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
unusually low: confirm this is the full procedure		 $4,066.90 $6,070 0.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $3,528.22 $5,266 0.6×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure		 $2,439.47 $3,641 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure		 $1,930.27 $2,881 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $1,777.51 $2,653 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,555.02 $5,306 0.6×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure		 $5,125.50 $7,650 0.5×
Laryngoscopy diagnostic (31505) $178.89 $267 0.8×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $333.66–$396.64 $498–$592 varies
Laser Surgery,Sever Vitreous Strands (67031) $1,939.65 $2,895 3.3×
Late closure of wound (13160)
range across 2 matching MRF lines		 $2,412.67–$2,530.59 $3,601–$3,777 varies
Ligamentous Reconstruction Knee Extra-Articular (27427) $3,901.41 $5,823 0.5×
Ligation of a-v fistula (37607) $6,718.09 $10,027 2.0×
Ligation or biopsy temporal artery (37609) $1,041.18 $1,554 0.6×
Litholapaxy comp/lg > 2.5 cm (52318) $2,845.49 $4,247 0.8×
Litholapaxy smpl/sm <2.5 cm (52317) $2,670.62 $3,986 0.7×
Lrt iad 18bct/8vir&7arg RNA (0528U) $558.78 $834 0.9×
Lyse chest fibrin init day (32561) $1,173.84 $1,752 1.8×
Manipulation knee joint under general anesthesia (27570) $910.53 $1,359 0.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $1,031.13–$1,542.34 $1,539–$2,302 varies
Mastectomy for gynecomastia (19300) $1,480.03 $2,209 0.4×
Mastectomy partial (19301) $2,107.15 $3,145 0.5×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $3,398.24 $5,072 0.5×
Maternity Care Procedure (59899) $1,253.57 $1,871 5.9×
Mech remov tunneled cv cath (36595) $3,174.46 $4,738 0.9×
Myelography Lumbar Injection (62305) $2,385.87 $3,561 2.9×
Myelography Lumbar Injection (62304) $2,328.92 $3,476 2.8×
Myelography via lumbar injection rs&i cervical (62302) $2,353.04 $3,512 2.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,576.82 $3,846 3.1×
N Block Inj Celiac Pelus (64530) $2,462.92 $3,676 2.6×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $546.05–$1,012.37 $815–$1,511 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $910.53–$1,172.50 $1,359–$1,750 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $339.69–$347.06 $507–$518 varies
N Block Inj Pudendal (64430) $2,458.90 $3,670 2.6×
N Block Lumbar/Thoracic (64520) $2,328.92 $3,476 2.5×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $239.19–$442.20 $357–$660 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $235.84–$431.48 $352–$644 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,226.77 $1,831 0.7×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,975.83 $2,949 2.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,983.87 $2,961 2.0×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $701.49–$1,729.94 $1,047–$2,582 varies
Needle Biopsy Pancreas (48102) $1,733.96 $2,588 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $36.85 $55 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $54.94 $82 1.8×
Neuroeltrd Stim Post Tibial (64566) $369.17 $551 1.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,192.55 $4,765 1.5×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,953.36 $4,408 1.4×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $3,287.02 $4,906 1.6×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,081.38 $1,614 1.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $558.78 $834 1.3×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $2,289.39 $3,417 1.1×
Njx anes stellate ganglion crv sympathetic (64510) $2,397.26 $3,578 2.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $478.38–$507.19 $714–$757 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $1,004.33–$3,635.42 $1,499–$5,426 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,977.12 $5,936 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $915.89–$1,640.16 $1,367–$2,448 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,360.77 $2,031 1.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,672.32 $2,496 2.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $2,092.41 $3,123 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $1,348.71–$1,466.63 $2,013–$2,189 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,571.82 $2,346 1.7×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,938.93 $5,879 1.8×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,281.66 $4,898 1.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,248.88 $1,864 1.7×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $280.73–$596.97 $419–$891 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $412.05–$536.67 $615–$801 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $284.08–$690.77 $424–$1,031 varies
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $207.03 $309 1.6×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $505.18–$1,058.60 $754–$1,580 varies
Open biopsy/excision inguinofemoral nodes (38531) $2,228.42 $3,326 0.5×
Open Repair of Rotator Cuff Acute (23410) $3,963.05 $5,915 0.5×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $3,356.03 $5,009 0.4×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $5,220.64 $7,792 0.4×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $4,628.36 $6,908 0.3×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
unusually low: confirm this is the full procedure		 $2,905.79 $4,337 0.4×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,969.80 $2,940 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,838.12 $4,236 0.4×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,355.05 $3,515 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $3,416.33 $5,099 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $2,573.47 $3,841 0.3×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $1,841.83–$2,466.27 $2,749–$3,681 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $2,610.99 $3,897 0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,692.73 $4,019 0.8×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $3,896.72 $5,816 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $3,921.51 $5,853 0.5×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,475.65 $3,695 0.3×
Open/Perq Place Stent 1St (37236) $12,680.42 $18,926 1.0×
Open/Perq Place Stent Same (37238) $11,682.79 $17,437 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $3,085.35 $4,605 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,642.12 $5,436 0.5×
Ostc prtl exostc/condylc metar head (28288) $1,633.46 $2,438 0.5×
Ostectomy calcaneus (28118) $2,032.78 $3,034 0.6×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,392.26 $2,078 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,561.77 $2,331 0.5×
Ostectomy, complete excision; first metatarsal head (28111) $1,661.60 $2,480 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,446.53 $2,159 0.4×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
unusually low: confirm this is the full procedure		 $3,107.46 $4,638 0.4×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,707.16 $2,548 0.5×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,675.98 $3,994 0.3×
Part remv talus or calcaneus (28120) $1,969.13 $2,939 0.6×
Partial excision bone olecranon process (24147) $2,515.18 $3,754 0.7×
Partial Excision Distal Phalanx Finger (26236) $1,706.49 $2,547 1.0×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,126.58 $3,174 1.2×
Partical Excision Bone Phalanx Toe (28124) $1,614.03 $2,409 0.5×
Patellectomy or hemipatellectomy (27350)
unusually low: confirm this is the full procedure		 $3,749.99 $5,597 0.5×
Pelvic examination under anesthesia (other than local) (57410) $3,240.79 $4,837 0.9×
Perc Cryo Ablate Renal Tum (50593) $9,585.02 $14,306 0.9×
Perc Rf Ablate Renal Tumor (50592) $7,759.27 $11,581 1.2×
Percut Ablate Liver Rf (47382) $4,366.39 $6,517 0.7×
Percut Drain/Inject Renal Cyst (50390) $747.05 $1,115 1.0×
Pericardiocentesis W/Imaging (33016) $1,805.65 $2,695 1.1×
Perq av fistula creation uxtr single access (36836) $21,346.20 $31,860 1.1×
Perq Cervicothoracic Inject (22510) $8,258.42 $12,326 2.4×
Perq dev breast 1st strtctc (19283) $1,264.29 $1,887 1.7×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $677.37–$1,575.84 $1,011–$2,352 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $902.49–$1,683.04 $1,347–$2,512 varies
Perq Lumbosacral Injection (22511) $8,145.19 $12,157 2.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $1,025.77–$2,045.51 $1,531–$3,053 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $14,264.30 $21,290 1.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,002.17 $10,451 1.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,184.72 $12,216 1.1×
Perq Vertebral Augmentation (22513) $8,101.64 $12,092 1.1×
Phalangectomy toe each toe (28150) $1,214.04 $1,812 0.4×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $2,978.15–$4,534.56 $4,445–$6,768 varies
Pin Finger Dislocation (26776) $1,993.92 $2,976 0.6×
Place Duod/Jej Tube Perc (49441) $2,468.95 $3,685 1.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $284.75–$373.19 $425–$557 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,697.06 $5,518 1.7×
Plmt Nephroureteral Catheter (50433) $3,752 $5,600 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,889.35 $5,805 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,401.90 $6,570 1.2×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,523.12 $9,736 1.7×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $2,220.38 $3,314 0.4×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $4,450.81 $6,643 0.2×
Probe lacrimal canaliculi w/wo irrigation (68840) $395.30 $590 1.2×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $724.27 $1,081 0.3×
Probing nasolacrimal duct (68810) $596.97 $891 1.8×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,545.02 $2,306 1.6×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $2,296.09 $3,427 3.9×
Prostate laser enucleation (52649) $4,139.26 $6,178 0.7×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,539.66 $2,298 2.1×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $8,661.09 $12,927 1.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,223.68 $6,304 1.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,450.81 $6,643 1.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,959.75 $2,925 0.6×
Pseudoaneurysm Injection Trt (36002) $669.33 $999 1.0×
Punch biopsy skin single lesion (11104) $205.69 $307 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $301.50–$414.73 $450–$619 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $377.88–$716.90 $564–$1,070 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,685.05 $2,515 2.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $885.74 $1,322 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,629.75 $3,925 1.3×
Rare ds rpd whl gen cmptr DNA seq vrnts proband (0583U) $2,010 $3,000 0.5×
Rare ds rpd whl gen DNA seq snvs indels variants (0582U)
unusually low: confirm this is the full procedure		 $3,685 $5,500 0.5×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure		 $3,703.09 $5,527 0.5×
Relocation Pocket Pacemaker (33222) $3,876.62 $5,786 1.8×
Rem Endovas Vena Cava Filter (37193) $3,196.57 $4,771 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,019.07 $1,521 1.1×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,192.60–$1,480.03 $1,780–$2,209 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $652.58–$834.82 $974–$1,246 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $452.92 $676 0.3×
Removal foreign body upper arm/elbow deep (24201) $1,681.03 $2,509 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $57.62 $86 0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $59.63–$109.21 $89–$163 varies
Removal Implant Deep (20680) $1,404.32 $2,096 0.5×
Removal Implant Superficial Separate Procedure (20670) $984.23 $1,469 0.6×
Removal of adenoids (42830) $871.67 $1,301 0.2×
Removal of cervix (57530)
likely a partial charge, not the full procedure		 $1,061.28 $1,584 0.2×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $307.53–$424.11 $459–$633 varies
Removal of nail bed (11750)
range across 2 matching MRF lines		 $469.67–$534.66 $701–$798 varies
Removal of sesamoid bone (28315) $1,267.64 $1,892 0.4×
Removal of sperm cord lesion (55520) $1,648.20 $2,460 0.4×
Removal of tonsils (42826) $1,115.55 $1,665 0.3×
Removal of tunneled intraperitoneal catheter (49422) $4,182.14 $6,242 1.3×
Removal of wrist bone (25210) $2,172.14 $3,242 0.6×
Removal or bivalving full arm or full leg cast (29705) $162.14 $242 0.5×
Removal Pacemaker Electrode (33235) $6,342.22 $9,466 1.6×
Removal ppm generator only (33233) $6,083.60 $9,080 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $186.93–$209.04 $279–$312 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,819.05 $2,715 2.4×
Removal sweat gland lesion (11450) $1,356.08 $2,024 0.4×
Removal, under anesthesia, of external fixation system (20694) $1,484.05 $2,215 0.9×
Remove drug implant device (11982) $347.06 $518 0.7×
Remove Elctrd Transvenously (33244) $4,780.45 $7,135 1.2×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $183.58–$210.38 $274–$314 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $278.72–$346.39 $416–$517 varies
Remove intrvas foreign body (37197) $4,564.71 $6,813 1.4×
Remove lung catheter (32552) $1,856.57 $2,771 2.8×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $182.24–$404.68 $272–$604 varies
Remove Pulse Generator (33241) $4,093.03 $6,109 1.0×
Remove renal tube w/fluoro (50389) $1,013.04 $1,512 1.4×
Remove Tendon Sheath Lesion (26160) $1,667.63 $2,489 1.0×
Remove ureter stent percut (50384) $2,271.30 $3,390 1.0×
Remove&replace pm gen singl (33227) $10,280.48 $15,344 1.2×
Remove/Insert Drug Implant (11983) $432.15 $645 0.9×
Remv&replc cvd gen dual lead (33263) $23,549.83 $35,149 1.0×
Remv&replc cvd gen mult lead (33264) $35,351.88 $52,764 1.1×
Remv&replc cvd gen sing lead (33262) $23,126.39 $34,517 1.0×
Remv&replc pm gen dual lead (33228) $12,933.68 $19,304 1.2×
Remv&replc pm gen mult leads (33229) $14,962.44 $22,332 0.7×
Renal Biopsy Perq (50200) $1,563.11 $2,333 0.9×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $3,370.10 $5,030 0.4×
Repair brow ptosis (67900) $3,406.95 $5,085 1.4×
Repair Collat Ankle Ligmnt,Secondary (27698)
unusually low: confirm this is the full procedure		 $3,566.41 $5,323 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $730.30 $1,090 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $374.53 $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		 $635.16–$941.35 $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		 $736.33–$1,413.70 $1,099–$2,110 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $707.52–$739.01 $1,056–$1,103 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $808.02–$1,132.30 $1,206–$1,690 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,938.31 $2,893 2.5×
Repair complex trunk 2.6-7.5 cm (13101) $834.82 $1,246 1.1×
Repair Ectropion Extensive (67917) $3,287.69 $4,907 1.3×
Repair Elbow Perc (24357) $5,113.44 $7,632 1.5×
Repair Entropion Extensive (67924) $2,955.37 $4,411 1.2×
Repair Entropion Suture (67921) $1,860.59 $2,777 0.7×
Repair extensor tendon finger w/o graft each (26418) $892.44 $1,332 0.5×
Repair Eyelid Wound (67935) $2,157.40 $3,220 0.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,749.37 $2,611 0.5×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $2,570.12 $3,836 0.3×
Repair Hallux Rigidus (28289) $1,978.51 $2,953 0.6×
Repair Hand Joint (26540) $3,342.63 $4,989 1.0×
Repair inguinal hernia, sliding, any age (49525) $2,308.15 $3,445 0.6×
Repair initial femoral hernia, any age; reducible (49550) $2,192.24 $3,272 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $442.20–$556.10 $660–$830 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $485.75–$738.34 $725–$1,102 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $590.94–$948.72 $882–$1,416 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $705.51–$1,090.76 $1,053–$1,628 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $617.74 $922 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $424.11–$585.58 $633–$874 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $525.95–$568.83 $785–$849 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $619.75–$684.74 $925–$1,022 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $576.87–$812.04 $861–$1,212 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $418.08–$450.24 $624–$672 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $412.72–$594.29 $616–$887 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $734.32–$1,043.86 $1,096–$1,558 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $525.95–$736.33 $785–$1,099 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,545.69 $2,307 0.7×
Repair Lead Pace-Defib One (33218) $5,605.89 $8,367 1.4×
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure		 $2,943.98 $4,394 0.4×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $566.82–$620.42 $846–$926 varies
Repair of Ruptured Tendon (24342) $3,848.48 $5,744 0.5×
Repair of shoulder (23420) $5,153.64 $7,692 0.7×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,785.86 $4,158 0.4×
Repair Rotator Cuff Chronic (23412) $4,715.46 $7,038 0.6×
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure		 $3,646.81 $5,443 0.5×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $724.94–$1,283.05 $1,082–$1,915 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $371.85–$458.28 $555–$684 varies
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $2,608.31 $3,893 0.3×
Replace duodenostomy/jejunostomy tube perq (49451) $1,017.06 $1,518 1.1×
Replace G-J Tube Perc (49452) $1,616.04 $2,412 1.7×
Replace g/c tube perc (49450) $1,030.46 $1,538 1.1×
Reposition Gastrostomy Tube (43761) $420.76 $628 1.6×
Reposition Pacing-Defib Lead (33215) $3,044.48 $4,544 0.9×
Reposition Venous Catheter (36597) $1,562.44 $2,332 0.9×
Rerepair ing hernia reduce (49520) $2,513.17 $3,751 0.7×
Resection of scrotum (55150) $1,668.97 $2,491 0.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $1,256.92 $1,876 0.4×
Rev/rmv prph sac/gstr npg/r (64595) $1,184.56 $1,768 0.3×
Revise eyelashes (67825) $447.56 $668 1.3×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure		 $2,770.45 $4,135 0.4×
Revise ulnar nerve at wrist (64719) $2,456.89 $3,667 1.2×
Revise/Implant Finger Joint (26536)
unusually low: confirm this is the full procedure		 $3,189.87 $4,761 0.4×
Revision of lower leg tendon (27685) $2,628.41 $3,923 0.8×
Revision of toe (28312) $1,520.90 $2,270 0.4×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $10,302.59 $15,377 0.8×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
unusually low: confirm this is the full procedure		 $9,077.83 $13,549 0.5×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure		 $6,165.34 $9,202 0.5×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,274.34 $1,902 0.3×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $18,689.65 $27,895 1.0×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $14,831.79 $22,137 0.8×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $18,960.33 $28,299 1.0×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $17,066.91 $25,473 1.4×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $13,752.42 $20,526 1.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $15,491.07 $23,121 1.3×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $12,348.77 $18,431 1.0×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $19,591.47 $29,241 1.0×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $15,493.08 $23,124 0.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $19,342.90 $28,870 1.0×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $16,033.77 $23,931 0.8×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,099.11 $3,133 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $268–$436.84 $400–$652 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $269.34–$295.47 $402–$441 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $203.68–$381.90 $304–$570 varies
Rmvl fecal impaction/fb spx under anes (45915) $858.94 $1,282 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $362.47–$2,800.60 $541–$4,180 varies
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $2,938.62 $4,386 1.2×
Rmvl Lens Material Phacofragmentation Aspir (66850) $4,007.94 $5,982 1.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,022.01 $6,003 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,297.12–$2,640.47 $1,936–$3,941 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,343.35 $2,005 2.0×
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,495.75 $3,725 1.0×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,009.33 $2,999 0.8×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $554.76–$564.14 $828–$842 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $599.65–$1,811.68 $895–$2,704 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,092.41 $3,123 1.3×
Rplcmt compl tun ctr vad w/subq port (36582) $4,207.60 $6,280 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,569.76 $5,328 1.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,971.76 $5,928 0.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,825.08 $2,724 0.5×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,253.88 $3,364 0.6×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $3,063.91 $4,573 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $2,603.62 $3,886 0.4×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $3,593.88 $5,364 1.4×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,645.16 $3,948 1.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $4,261.87 $6,361 2.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $438.18–$643.87 $654–$961 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $2,278.67 $3,401 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,707.16 $2,548 2.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $626.45–$1,813.69 $935–$2,707 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $980.88–$1,184.56 $1,464–$1,768 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $2,042.83–$2,048.86 $3,049–$3,058 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,683.71 $2,513 0.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $568.83 $849 0.9×
Sclerotx Fluid Collection (49185) $2,216.36 $3,308 1.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $2,950.01 $4,403 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,977.84 $2,952 2.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $978.87–$2,479 $1,461–$3,700 varies
Shave skin lesion 0.5 cm/< (11300) $196.98 $294 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $243.88 $364 1.1×
Shoulder Arthroscopy/Surgery (29825) $2,654.54 $3,962 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $268.67 $401 1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $334.33 $499 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $239.86 $358 1.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $255.94 $382 1.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $6,936.51 $10,353 2.0×
Sigmoidoscopy & decompress (45337) $2,021.39 $3,017 2.1×
Sigmoidoscopy & Polypectomy (45333) $1,500.80 $2,240 1.5×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,495.75 $3,725 2.0×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $2,343.66 $3,498 1.8×
Sigmoidoscopy w/plcmt stent (45347) $3,850.49 $5,747 0.6×
Sigmoidoscopy W/Resection (45349) $2,874.97 $4,291 1.0×
Sigmoidoscopy W/Ultrasound (45341) $1,768.80 $2,640 1.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $582.23–$1,963.10 $869–$2,930 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,046.18 $3,054 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $451.58–$868.99 $674–$1,297 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $303.51–$359.12 $453–$536 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $240.53–$471.01 $359–$703 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $366.49–$527.96 $547–$788 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $242.54–$304.85 $362–$455 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $516.57 $771 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $312.89–$458.95 $467–$685 varies
Skin sub graft face/nk/hf/g (15275) $592.28 $884 0.8×
Skin sub graft trnk/arm/leg (15271) $566.15 $845 0.7×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,182.50 $4,750 0.6×
Small bowel endoscopy (44366) $2,401.28 $3,584 1.2×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $2,809.31 $4,193 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $255.27–$391.95 $381–$585 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $409.37–$576.20 $611–$860 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $393.29–$696.80 $587–$1,040 varies
Snip Incision Lacrimal Punctum (68440) $442.20 $660 1.3×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $514.56–$781.22 $768–$1,166 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $2,520.54–$3,743.29 $3,762–$5,587 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $93.13–$223.78 $139–$334 varies
Strapping hand/finger (29280) $117.92 $176 1.9×
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $164.82–$186.26 $246–$278 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,780.19 $2,657 0.5×
Surg tx anal fistula subq (46270) $1,598.62 $2,386 0.5×
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure		 $2,850.85 $4,255 0.4×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure		 $3,486.01 $5,203 0.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,754.73 $2,619 1.0×
Tangential biopsy skin single lesion (11102) $156.78 $234 0.4×
Tcat Insj/Rpl Perm Ldls Pm (33274) $25,627.50 $38,250 1.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,184.51 $4,753 0.9×
Tenodesis long tendon biceps (23430) $4,332.89 $6,467 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $741.02 $1,106 0.4×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,307.84 $1,952 0.4×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure		 $3,019.69 $4,507 0.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,259.60 $1,880 1.7×
Thrmbc/Nfs Dialysis Circuit (36906) $14,167.82 $21,146 0.7×
Thrombolytic Art Therapy (37211) $5,330.52 $7,956 0.9×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $472.35–$1,403.65 $705–$2,095 varies
Thrombolytic Venous Therapy (37212) $2,292.74 $3,422 0.7×
Thyroid biopsy (60100) $691.44 $1,032 0.9×
Tnot elbow lateral/medial debride open (24358) $2,192.91 $3,273 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,422.41 $2,123 0.4×
Total Knee Arthroplasty (27447) $7,918.06 $11,818 0.6×
Trabeculoplasty by laser surgery (65855) $2,430.09 $3,627 4.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $497.14 $742 2.0×
Transcatheter biopsy (37200) $4,682.63 $6,989 0.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,914.86 $2,858 0.9×
Transplant hand tendon (26480) $3,304.44 $4,932 1.0×
Transur electr resection of prostate (52601) $3,660.21 $5,463 0.6×
Transurethral incision of prostate (52450) $1,793.59 $2,677 0.5×
Treat Finger Fracture Each (26727) $1,931.61 $2,883 0.6×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $2,838.79 $4,237 0.4×
Treat Hip Socket Fracture (27222) $1,947.69 $2,907 7.5×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $763.80–$1,150.39 $1,140–$1,717 varies
Treat Humerus Fracture (24505) $1,350.72 $2,016 0.8×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $389.27–$978.87 $581–$1,461 varies
Treat knee fracture (27532) $3,745.30 $5,590 1.1×
Treat Knee Fracture(S) (27538) $374.53 $559 1.4×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $3,383.50 $5,050 0.4×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $399.32–$872.34 $596–$1,302 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $344.38–$962.79 $514–$1,437 varies
Treat Tail Bone Fracture (27200) $834.15 $1,245 3.2×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $377.88–$484.41 $564–$723 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,758.75–$1,819.05 $2,625–$2,715 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $454.93–$1,299.13 $679–$1,939 varies
Treatment extensive retinopathy photocoagulation (67228) $2,377.16 $3,548 4.1×
Treatment of ankle fracture (27823) $4,262.54 $6,362 0.6×
Trim skin lesion (11055) $111.22 $166 0.5×
Trim skin lesions 2 to 4 (11056) $121.94 $182 0.6×
Trim skin lesions over 4 (11057) $125.96 $188 0.6×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $80.40–$88.44 $120–$132 varies
Trluml Balo Angiop 1St Art (37246) $6,701.34 $10,002 1.1×
Trluml Balo Angiop 1St Vein (37248) $6,145.24 $9,172 1.0×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $190.95–$198.99 $285–$297 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,164.46 $1,738 0.3×
Tx Missed Abortion First Trimester Surgical (59820) $1,255.58 $1,874 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $903.83 $1,349 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $626.45–$723.60 $935–$1,080 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $373.86–$731.64 $558–$1,092 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure		 $4,370.41 $6,523 0.3×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $994.95 $1,485 0.6×
Tympanostomy general anesthesia (69436) $933.98 $1,394 0.6×
Unlisted Procedure Biliary Tract (47999) $2,265.27 $3,381 2.4×
Unlisted procedure breast (19499)
range across 2 matching MRF lines		 $1,683.04–$2,241.15 $2,512–$3,345 varies
Unlisted procedure nervous system (64999) $2,423.39 $3,617 7.5×
Unlisted procedure pancreas (48999) $2,661.91 $3,973 3.5×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines		 $1,260.27–$3,743.29 $1,881–$5,587 varies
Urine Flow Measurement (51736) $178.89 $267 1.3×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $2,127.92–$2,523.89 $3,176–$3,767 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $3,717.83 $5,549 0.7×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $4,058.19 $6,057 0.8×
Vasc embolize/occlude artery (37242) $14,400.98 $21,494 0.7×
Vasc Embolize/Occlude Bleed (37244) $12,606.72 $18,816 1.0×
Vasc Embolize/Occlude Organ (37243) $12,835.86 $19,158 1.0×
Vasc embolize/occlude venous (37241) $13,822.77 $20,631 1.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,207.34 $1,802 0.5×
Venous Mech Thrombectomy (37187) $11,119.99 $16,597 0.9×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $354.43–$383.24 $529–$572 varies
Wound Prep Trk/Arm/Leg (15002) $804.67 $1,201 1.0×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $5,320.47 $7,941 0.9×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $5,662.84 $8,452 1.0×

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.