Procedures & surgery prices at Mayo Clinic Health System - Waseca

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

1091 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$1,239.04–$1,242.56 $1,408–$1,412 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$725.12–$1,224.96 $824–$1,392 varies
Ablate inf turbinate submuc (30802) $1,095.60 $1,245 0.7×
Ablate Pulm Tumor Perq Crybl (32994) $7,546 $8,575 0.7×
Ablation 1/> liver tumor perq cryoablation (47383) $14,171.52 $16,104 1.3×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $9,984.48 $11,346 0.6×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $9,742.48 $11,071 1.3×
Acne surgery (10040) $256.08 $291 1.2×
Acromiopl/Acromionect Partial (23130) $3,546.40 $4,030 1.1×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,866.48 $2,121 0.9×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,633.84 $2,993 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,337.28 $2,656 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,115.20 $3,540 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines
$2,913.68–$3,175.92 $3,311–$3,609 varies
Amputation foot transmetarsal (28805) $3,217.28 $3,656 1.0×
Amputation metatarsal with toe single (28810) $2,424.40 $2,755 0.7×
Amputation toe interphalangeal joint (28825) $2,080.32 $2,364 0.6×
Amputation toe metatarsophalangeal joint (28820) $2,236.96 $2,542 0.7×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $821.04 $933 2.6×
Anal/Urinary Muscle Study (51784) $843.92 $959 6.4×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines
$245.52–$282.48 $279–$321 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines
$564.08–$1,093.84 $641–$1,243 varies
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,996.72 $2,269 1.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $564.08 $641 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240) $3,056.24 $3,473 0.6×
Anterior Tibial Tubercleplasty (27418) $5,781.60 $6,570 0.8×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $200.64 $228 1.2×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines
$329.12–$361.68 $374–$411 varies
Application Finger Splint Dynamic (29131) $248.16 $282 4.1×
Application finger splint static (29130)
range across 2 matching MRF lines
$170.72–$264 $194–$300 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$266.64–$283.36 $303–$322 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$249.92–$329.12 $284–$374 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure
$3,712.72 $4,219 0.3×
Application of long leg cast (29345)
range across 2 matching MRF lines
$524.48–$656.48 $596–$746 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines
$639.76–$659.12 $727–$749 varies
Application Short Arm Splint Dynamic (29126) $314.16 $357 2.3×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$222.64–$232.32 $253–$264 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$205.92–$241.12 $234–$274 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure
$2,135.76 $2,427 0.3×
Apply hand/wrist cast (29085) $363.44 $413 2.2×
Apply long arm cast (29065)
range across 2 matching MRF lines
$413.60–$489.28 $470–$556 varies
Apply Multlay Comprs Lwr Leg (29581) $245.52 $279 1.5×
Apply Short Leg Cast (29405) $419.76 $477 1.5×
Apply short leg cast (29425) $446.16 $507 1.5×
Arterial puncture (36600)
range across 4 matching MRF lines
$117.92–$321.20 $134–$365 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure
$4,415.84 $5,018 0.3×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
unusually low: confirm this is the full procedure
$3,549.04 $4,033 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$262.24–$444.40 $298–$505 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines
$858.88–$1,239.04 $976–$1,408 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$294.80–$1,256.64 $335–$1,428 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$859.76–$1,202.96 $977–$1,367 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$244.64–$444.40 $278–$505 varies
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure
$6,311.36 $7,172 0.5×
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure
$2,452.56 $2,787 0.3×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure
$3,321.12 $3,774 0.4×
Arthrodesis subtalar (28725)
unusually low: confirm this is the full procedure
$5,196.40 $5,905 0.4×
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure
$9,910.56 $11,262 0.4×
Arthroplasty glenohumeral joint total shoulder (23472) $9,890.32 $11,239 0.5×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $8,057.28 $9,156 0.6×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $4,848.80 $5,510 1.4×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $4,016.32 $4,564 1.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,677.52 $4,179 1.1×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,886.08 $4,416 1.2×
Arthroscopy Elbow Surgical Debridement Limited (29837) $4,051.52 $4,604 1.2×
Arthroscopy knee synovectomy limited spx (29875) $3,341.36 $3,797 1.0×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,992.56 $4,537 1.2×
Arthroscopy shoulder distal claviculectomy (29824) $2,999.04 $3,408 0.9×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $5,464.80 $6,210 0.7×
Arthroscopy, knee, surgical; with lateral release (29873) $3,636.16 $4,132 1.1×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,648.72 $6,419 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $5,033.60 $5,720 1.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $4,305.84 $4,893 0.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,263.60 $4,845 1.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,591.28 $4,081 1.1×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $5,657.52 $6,429 0.8×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $5,266.80 $5,985 0.7×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $15,174.72 $17,244 1.1×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $5,874.88 $6,676 1.7×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $6,733.76 $7,652 0.5×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $4,909.52 $5,579 0.7×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $6,768.96 $7,692 0.9×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,567.20 $5,190 1.4×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $4,765.20 $5,415 1.4×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,470.96 $6,217 1.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,140.16 $2,432 1.3×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$1,227.60–$1,358.72 $1,395–$1,544 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$692.56–$987.36 $787–$1,122 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$232.32–$434.72 $264–$494 varies
Aspiration and/or injection thyroid cyst (60300) $412.72 $469 0.6×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines
$1,145.76–$4,032.16 $1,302–$4,582 varies
Aspiration Bladder Needle (51100) $605.44 $688 2.3×
Av Fistula Revision Open (36832) $11,600.16 $13,182 2.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$262.24–$336.16 $298–$382 varies
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $14,596.56 $16,587 1.3×
Biopsy Abdominal Mass (49180) $1,769.68 $2,011 1.0×
Biopsy bone open superficial (20240) $1,015.52 $1,154 0.3×
Biopsy bone trocar/needle deep (20225) $3,133.68 $3,561 1.8×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines
$644.16–$1,909.60 $732–$2,170 varies
Biopsy external ear (69100) $393.36 $447 1.6×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines
$701.36–$1,909.60 $797–$2,170 varies
Biopsy nail unit (11755) $405.68 $461 0.6×
Biopsy of floor of mouth (41108) $597.52 $679 0.4×
Biopsy of liver, needle; percutaneous (47000) $1,972.96 $2,242 1.2×
Biopsy of penis (54100) $601.04 $683 0.4×
Biopsy Pleura Percutaneous Needle (32400) $752.40 $855 0.4×
Biopsy Salivary Gland Needle (42400) $1,370.16 $1,557 1.9×
Biopsy Tongue Anterior Two-Thirds (41100) $772.64 $878 1.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $431.20 $490 0.5×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines
$306.24–$808.72 $348–$919 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines
$302.72–$355.52 $344–$404 varies
Bladder Scan (51798)
range across 2 matching MRF lines
$126.72–$168.08 $144–$191 varies
Blepharoplasty upper eyelid (15822) $2,142.80 $2,435 1.0×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $3,085.28 $3,506 1.4×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines
$434.72–$854.48 $494–$971 varies
Blood Transfusion Service (36430) $799.04 $908 1.8×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure
$1,818.08 $2,066 0.2×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines
$684.64–$2,117.28 $778–$2,406 varies
Brnchsc Brushing/Protected Brushings (31623) $2,561.68 $2,911 1.4×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,913.04 $5,583 1.3×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $4,548.72 $5,169 1.2×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $4,980.80 $5,660 1.3×
Bronchoscopy W/Biopsy(S) (31625) $2,193.84 $2,493 1.2×
Bronchoscopy W/Removal Foreign Body (31635) $2,113.76 $2,402 1.2×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,395.04 $3,858 0.9×
Bronchoscopy/Needle Bx Each (31629) $3,757.60 $4,270 1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,518.56 $2,862 0.8×
Bx breast 1st lesion mr imag (19085) $2,853.84 $3,243 1.7×
Bx breast 1st lesion strtctc (19081) $2,943.60 $3,345 1.7×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines
$2,901.36–$3,161.84 $3,297–$3,593 varies
Bx Cervix (57500) $567.60 $645 0.6×
Bx/exc lymph node open deep axillary node (38525) $2,559.04 $2,908 0.6×
Bx/exc lymph node open superficial (38500) $1,574.32 $1,789 0.4×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,868.24 $2,123 0.6×
Carpal Tunnel Surgery (64721) $2,861.76 $3,252 1.4×
Carpectomy All Bones Proximal Row (25215) $3,996.08 $4,541 1.2×
Cataract surgery complex (66982) $5,525.52 $6,279 2.3×
Catheter aspiration nasotracheal spx (31720) $279.84 $318 1.2×
Cessj Therapy Cath Removal (37214) $4,189.68 $4,761 1.3×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines
$1,634.16–$1,638.56 $1,857–$1,862 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$433.84–$564.08 $493–$641 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines
$300.08–$536.80 $341–$610 varies
Change ureter stent percut (50382) $4,340.16 $4,932 2.0×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$237.60–$437.36 $270–$497 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines
$690.80–$907.28 $785–$1,031 varies
Chemodenerv Musc Migraine (64615) $740.96 $842 2.3×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $585.20 $665 1.8×
Chemodenervation of internal anal sphincter (46505) $1,438.80 $1,635 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines
$691.68–$742.72 $786–$844 varies
Chest tube placement (32551)
range across 2 matching MRF lines
$1,091.20–$1,860.32 $1,240–$2,114 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,133.12 $2,424 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,433.12 $6,174 1.5×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$265.76–$410.08 $302–$466 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines
$2,136.64–$2,409.44 $2,428–$2,738 varies
Claviculectomy partial (23120) $3,191.76 $3,627 0.9×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$300.96–$352 $342–$400 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines
$531.52–$2,183.28 $604–$2,481 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines
$1,401.84–$1,422.96 $1,593–$1,617 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines
$793.76–$1,895.52 $902–$2,154 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines
$524.48–$919.60 $596–$1,045 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines
$655.60–$1,525.04 $745–$1,733 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines
$536.80–$1,208.24 $610–$1,373 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines
$2,086.48–$2,099.68 $2,371–$2,386 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines
$687.28–$1,601.60 $781–$1,820 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines
$557.92–$1,180.08 $634–$1,341 varies
Closed tx carpal scaphoid fracture w/manj (25624) $4,486.24 $5,098 2.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines
$783.20–$1,377.20 $890–$1,565 varies
Closed tx femoral fracture prox head w/o manj (27267) $4,584.80 $5,210 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines
$542.96–$2,332 $617–$2,650 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines
$2,914.56–$3,425.84 $3,312–$3,893 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines
$612.48–$2,620.64 $696–$2,978 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,892.56 $3,287 1.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines
$1,485.44–$2,567.84 $1,688–$2,918 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines
$521.84–$902.88 $593–$1,026 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines
$2,080.32–$2,328.48 $2,364–$2,646 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,689.60 $1,920 1.1×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines
$401.28–$2,554.64 $456–$2,903 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines
$680.24–$2,098.80 $773–$2,385 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines
$496.32–$1,238.16 $564–$1,407 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines
$1,390.40–$2,127.84 $1,580–$2,418 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines
$513.04–$1,146.64 $583–$1,303 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines
$1,954.48–$2,014.32 $2,221–$2,289 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines
$492.80–$1,062.16 $560–$1,207 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines
$2,062.72–$2,508 $2,344–$2,850 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines
$781.44–$1,100.88 $888–$1,251 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines
$534.16–$1,002.32 $607–$1,139 varies
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines
$400.40–$733.04 $455–$833 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines
$511.28–$969.76 $581–$1,102 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $481.36 $547 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines
$500.72–$563.20 $569–$640 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,191.20 $2,490 1.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines
$525.36–$1,133.44 $597–$1,288 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines
$494.56–$1,188.88 $562–$1,351 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines
$564.08–$584.32 $641–$664 varies
Closure lacrimal punctum (68760) $677.60 $770 2.1×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines
$687.28–$1,006.72 $781–$1,144 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines
$554.40–$897.60 $630–$1,020 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines
$516.56–$887.92 $587–$1,009 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$1,632.40–$2,105.84 $1,855–$2,393 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$806.96–$1,518 $917–$1,725 varies
Clsr Lacrimal Punctum Plug Each (68761) $592.24 $673 1.8×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,598.08 $1,816 6.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines
$1,818.08–$2,542.32 $2,066–$2,889 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,665.52 $3,029 1.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines
$491.92–$1,087.68 $559–$1,236 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,177.12 $2,474 1.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines
$525.36–$1,259.28 $597–$1,431 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines
$330–$2,175.36 $375–$2,472 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines
$861.52–$1,747.68 $979–$1,986 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$876.48–$1,199.44 $996–$1,363 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines
$674.96–$1,313.84 $767–$1,493 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines
$503.36–$715.44 $572–$813 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$832.48–$1,253.12 $946–$1,424 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$1,999.36–$2,354.88 $2,272–$2,676 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,302.08 $2,616 1.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,050.72 $1,194 0.6×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines
$926.64–$2,529.12 $1,053–$2,874 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,068.32 $1,214 0.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines
$953.04–$2,117.28 $1,083–$2,406 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines
$2,185.04–$4,209.92 $2,483–$4,784 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $476.96 $542 1.9×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines
$485.76–$513.04 $552–$583 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines
$527.12–$601.04 $599–$683 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines
$466.40–$485.76 $530–$552 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines
$2,361.04–$2,675.20 $2,683–$3,040 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines
$876.48–$1,398.32 $996–$1,589 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines
$490.16–$1,033.12 $557–$1,174 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines
$361.68–$1,336.72 $411–$1,519 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,324.64 $3,778 2.0×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines
$2,222–$3,101.12 $2,525–$3,524 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines
$485.76–$1,883.20 $552–$2,140 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines
$502.48–$1,515.36 $571–$1,722 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines
$1,916.64–$2,104.96 $2,178–$2,392 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,515.04 $2,858 1.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines
$519.20–$1,262.80 $590–$1,435 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines
$1,496.88–$2,024.88 $1,701–$2,301 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines
$506.88–$586.96 $576–$667 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,031.92 $2,309 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,345.52 $1,529 4.7×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$520.96–$962.72 $592–$1,094 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines
$2,066.24–$2,169.20 $2,348–$2,465 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines
$519.20–$1,278.64 $590–$1,453 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines
$621.28–$1,503.92 $706–$1,709 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines
$526.24–$1,025.20 $598–$1,165 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,361.92 $2,684 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$550–$1,464.32 $625–$1,664 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$528–$743.60 $600–$845 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines
$1,987.04–$2,385.68 $2,258–$2,711 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines
$817.52–$2,077.68 $929–$2,361 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines
$2,440.24–$2,989.36 $2,773–$3,397 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines
$511.28–$1,050.72 $581–$1,194 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines
$2,325.84–$2,537.92 $2,643–$2,884 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines
$362.56–$1,906.96 $412–$2,167 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$497.20–$541.20 $565–$615 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,250.16 $2,557 1.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,003.20 $1,140 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,489.52 $2,829 1.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,835.36 $3,222 1.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines
$979.44–$1,518.88 $1,113–$1,726 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $2,684.88 $3,051 10.5×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines
$559.68–$1,684.32 $636–$1,914 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines
$606.32–$1,550.56 $689–$1,762 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines
$2,175.36–$2,498.32 $2,472–$2,839 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines
$539.44–$1,349.92 $613–$1,534 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $4,646.40 $5,280 0.9×
Collect Blood From Catheter Venous Nos (36592) $137.28 $156 1.0×
Collection of venous blood by venipuncture (36415) $31.68 $36 3.4×
Colonoscopy Flexible With Decompression (45393) $3,191.76 $3,627 2.6×
Colonoscopy Stoma Control Bleeding (44391) $2,081.20 $2,365 1.7×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $2,535.28 $2,881 2.1×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,956.24 $2,223 1.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines
$2,126.08–$2,737.68 $2,416–$3,111 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines
$1,730.08–$1,973.84 $1,966–$2,243 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines
$2,093.52–$3,300.88 $2,379–$3,751 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines
$2,324.08–$3,318.48 $2,641–$3,771 varies
Colonoscopy W/Band Ligation (45398) $3,274.48 $3,721 2.7×
Colonoscopy w/fb removal (45379) $2,975.28 $3,381 2.4×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines
$2,497.44–$3,912.48 $2,838–$4,446 varies
Colonoscopy w/stent plcmt (45389) $7,040 $8,000 1.1×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines
$2,113.76–$2,975.28 $2,402–$3,381 varies
Colpopexy extraperitoneal (57282) $4,033.92 $4,584 0.5×
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure
$3,723.28 $4,231 0.5×
Colporrhaphy (57200) $1,474 $1,675 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $773.52 $879 2.5×
Colposcopy cervix upper/adjacent vagina (57452) $600.16 $682 2.9×
Colposcopy cervix vag eltrd conization cervix (57461) $1,973.84 $2,243 0.6×
Colposcopy entire vagina w/cervix if present (57420) $583.44 $663 1.9×
Colposcopy Vulva W/Biopsy (56821) $623.04 $708 2.0×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines
$2,243.12–$3,160.96 $2,549–$3,592 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,216.40 $3,655 2.6×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines
$2,149.84–$3,258.64 $2,443–$3,703 varies
Combined anteroposterior colporrhaphy; (57260) $4,342.80 $4,935 0.8×
Complex drainage wound (10180) $432.08 $491 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,667.60 $1,895 0.5×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines
$471.68–$611.60 $536–$695 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$414.48–$427.68 $471–$486 varies
Control oropharyngeal hemorrhage simple (42960) $541.20 $615 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,408.56 $2,737 1.2×
Convert Nephrostomy Catheter (50434) $2,369.84 $2,693 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,669.60 $4,170 2.2×
Correction hammertoe (28285) $2,109.36 $2,397 0.6×
Correction of trichiasis; epilation, by forceps only (67820) $305.36 $347 2.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,236.32 $4,814 1.3×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,839.12 $5,499 1.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure
$3,940.64 $4,478 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,325.52 $3,779 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $3,930.96 $4,467 0.5×
Crd ceramides liq chrom plsm (0119U) $152.24 $173 1.8×
Create Eardrum Opening (69433) $997.04 $1,133 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$465.52–$1,166 $529–$1,325 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $394.24 $448 1.6×
Curettage postpartum (59160) $1,646.48 $1,871 0.5×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines
$1,378.96–$2,583.68 $1,567–$2,936 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines
$817.52–$1,518.88 $929–$1,726 varies
Cysto w/complex removal stone & stent (52315) $2,629.44 $2,988 1.2×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
unusually low: confirm this is the full procedure
$2,640.88 $3,001 0.5×
Cysto w/insert ureteral stent (52332) $2,016.96 $2,292 0.6×
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines
$1,239.04–$5,042.40 $1,408–$5,730 varies
Cysto w/removal of tumors small (52234) $1,922.80 $2,185 0.5×
Cysto W/Simple Removal Stone & Stent (52310) $1,363.12 $1,549 0.6×
Cysto w/ureteroscopy w/lithotripsy (52353) $4,782.80 $5,435 0.9×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $4,113.12 $4,674 1.1×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,982.32 $3,389 0.8×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,181.20 $3,615 0.9×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $3,077.36 $3,497 0.6×
Cysto/uretero w/lithotripsy (52356) $4,884.88 $5,551 0.9×
Cystourethroscopy (52000)
range across 2 matching MRF lines
$828.96–$861.52 $942–$979 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $2,317.92 $2,634 0.6×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $3,432 $3,900 0.6×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,192.96 $2,492 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,151.04 $1,308 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,755.60 $1,995 2.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$146.08–$875.60 $166–$995 varies
Debride nail 1-5 (11720) $96.80 $110 1.6×
Debride nail 6 or more (11721) $121.44 $138 2.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$1,363.12–$1,598.08 $1,549–$1,816 varies
Debridement Mastoidectomy Cavity Simple (69220) $330 $375 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$484–$713.68 $550–$811 varies
Declot vascular device (36593) $483.12 $549 1.4×
Decompression of tibia nerve (28035) $2,830.08 $3,216 1.4×
Delivery of placenta (59414) $312.40 $355 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $3,206.72 $3,644 3.5×
Destroy cerv/thor facet jnt (64633) $3,182.96 $3,617 1.6×
Destroy lumb/sac facet jnt (64635) $3,197.04 $3,633 1.6×
Destruct B9 Lesion 1-14 (17110) $285.12 $324 1.4×
Destruction Lesions Vulva Simple (56501) $535.92 $609 0.3×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $466.40 $530 2.3×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $600.16 $682 2.9×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $502.48 $571 2.4×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $551.76 $627 2.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $639.76 $727 3.1×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $722.48 $821 1.7×
Destruction neurolytic agt genicular nerve w/img (64624) $3,204.08 $3,641 1.6×
Destruction Premalignant Lesion 15/> (17004) $875.60 $995 2.1×
Destruction premalignant lesion 1st (17000) $216.48 $246 1.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$616–$1,984.40 $700–$2,255 varies
Dilat Xst Trc New Access Rcs (50437) $6,302.56 $7,162 1.7×
Dilate Esophagus 1/Mult Pass (43450) $524.48 $596 0.6×
Dilation & curettage dx&/ther nonobstetric (58120) $1,481.92 $1,684 0.4×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $368.72 $419 0.8×
Drain Cerebro Spinal Fluid (62272) $2,273.92 $2,584 3.1×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines
$731.28–$782.32 $831–$889 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines
$878.24–$2,151.60 $998–$2,445 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines
$549.12–$1,041.92 $624–$1,184 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines
$1,458.16–$1,811.92 $1,657–$2,059 varies
Drainage Mouth Roof Lesion (42000) $827.20 $940 3.4×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$482.24–$716.32 $548–$814 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines
$435.60–$655.60 $495–$745 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$567.60–$2,455.20 $645–$2,790 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines
$551.76–$1,584 $627–$1,800 varies
Drainage of scrotum (54700) $2,643.52 $3,004 1.2×
Draw Blood Off Venous Device (36591) $130.24 $148 0.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,028.72 $1,169 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $379.28 $431 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$306.24–$393.36 $348–$447 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$282.48–$456.72 $321–$519 varies
Dstrj lesion anus simple surg excision (46922) $1,077.12 $1,224 0.4×
Dstrj Lesion Penis Simple Chemical (54050) $329.12 $374 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $529.76 $602 2.6×
Dstrj lesion penis simple surg excision (54060) $1,172.16 $1,332 0.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $3,535.84 $4,018 3.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines
$792–$3,006.96 $900–$3,417 varies
Dx Bronchoscope/Lavage (31624) $3,334.32 $3,789 1.8×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines
$1,378.96–$2,054.80 $1,567–$2,335 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines
$1,225.84–$3,033.36 $1,393–$3,447 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,576.08 $1,791 2.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines
$1,782–$3,187.36 $2,025–$3,622 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines
$1,852.40–$3,176.80 $2,105–$3,610 varies
Egd dilation gastric/duodenal stricture (43245) $3,216.40 $3,655 1.6×
Egd endo mucosal resection (43254) $3,570.16 $4,057 1.8×
Egd Endoscopic Stent Place (43266) $5,502.64 $6,253 0.9×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines
$1,642.08–$2,706.88 $1,866–$3,076 varies
Egd guide wire insertion (43248) $2,591.60 $2,945 2.8×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,574.56 $4,062 1.8×
Egd intrmural us needle aspirate/biopsy esophags (43238) $2,649.68 $3,011 1.3×
Egd lesion ablation (43270) $3,093.20 $3,515 1.6×
Egd place gastrostomy tube (43246) $3,302.64 $3,753 1.7×
Egd remove lesion snare (43251)
range across 2 matching MRF lines
$1,884.08–$3,192.64 $2,141–$3,628 varies
Egd Tube/Cath Insertion (43241) $3,256 $3,700 1.6×
Egd us exam duodenum/jejunum (43259) $3,155.68 $3,586 1.6×
Egd Varices Ligation (43244) $3,209.36 $3,647 1.6×
Egd W/Transmural Drain Cyst (43240) $7,824.08 $8,891 1.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines
$357.28–$822.80 $406–$935 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $301.84 $343 1.0×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $284.24 $323 0.9×
Electro-Uroflowmetry First (51741) $361.68 $411 1.6×
Endocervical curettage (57505) $453.20 $515 0.5×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,197.92 $3,634 0.6×
Endometrial Biopsy (58100) $447.92 $509 2.1×
Endoscopic plantar fasciotomy (29893) $2,273.04 $2,583 0.7×
Endoscopic us exam esoph (43237) $3,473.36 $3,947 1.8×
Endoscopy Upper Small Intestine (44360) $2,787.84 $3,168 1.4×
Endoscopy upper small intestine w/biopsy (44361) $2,883.76 $3,277 1.5×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $5,865.20 $6,665 1.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines
$6,063.20–$6,498.80 $6,890–$7,385 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines
$4,365.68–$11,302.72 $4,961–$12,844 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$1,204.72–$2,063.60 $1,369–$2,345 varies
Ercp duct stent placement (43274) $7,108.64 $8,078 1.1×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,884.88 $5,551 1.2×
Ercp ea duct/ampulla dilate (43277) $6,130.96 $6,967 1.5×
Ercp remove calculi/debris biliary/pancreas duct (43264) $5,070.56 $5,762 1.3×
Ercp remove forgn body duct (43275) $5,254.48 $5,971 2.7×
Ercp Stent Exchange W/Dilate (43276) $7,311.04 $8,308 1.2×
Ercp W/Biopsy Single/Multiple (43261) $5,252.72 $5,969 1.3×
Ercp,Sphincterotomy (43262) $5,338.96 $6,067 1.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,130.48 $2,421 2.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $3,324.64 $3,778 1.7×
Esophagoscopy Flexible Guide Wire Dilation (43226) $3,382.72 $3,844 1.7×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,648.24 $1,873 1.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,547.60 $2,895 2.7×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $3,708.32 $4,214 1.9×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $3,708.32 $4,214 1.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines
$1,596.32–$3,248.96 $1,814–$3,692 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines
$1,815.44–$3,366.88 $2,063–$3,826 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$231.44–$312.40 $263–$355 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,476.32 $2,814 1.5×
Exc arm/elbow les sc < 3 cm (24075) $1,818.96 $2,067 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $384.56 $437 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $865.04 $983 0.5×
Exc Back Les Sc < 3 Cm (21930) $2,124.32 $2,414 1.2×
Exc Back Tum Deep 5 Cm/> (21933) $3,642.32 $4,139 1.2×
Exc back tum deep < 5 cm (21932) $3,364.24 $3,823 1.1×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $2,149.84 $2,443 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,293.60 $1,470 1.8×
Exc Face Les Sbq 2 Cm/> (21012) $1,461.68 $1,661 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $492.80 $560 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $561.44 $638 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $762.08 $866 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $946.88 $1,076 0.6×
Exc Forearm Les Sc 3 Cm/> (25071) $2,346.96 $2,667 1.4×
Exc ganglion wrist recurrent (25112) $2,112.88 $2,401 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $408.32 $464 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $525.36 $597 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $598.40 $680 0.4×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $856.24 $973 0.8×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,140.16 $2,432 1.3×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,571.68 $1,786 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,504.48 $2,846 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $717.20 $815 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,058.64 $1,203 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,478.40 $1,680 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,371.92 $1,559 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,984.40 $2,255 1.2×
Exc tendon shth lesion leg/ankle (27630) $2,430.56 $2,762 0.7×
Exc thigh/knee les sc 3 cm/> (27337) $2,422.64 $2,753 0.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines
$653.84–$1,780.24 $743–$2,023 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $492.80 $560 1.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $558.80 $635 0.8×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $966.24 $1,098 0.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,840.08 $2,091 0.6×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,780.24 $2,023 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,840.08 $2,091 1.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,312.96 $1,492 0.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,919.28 $2,181 1.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,540.88 $1,751 0.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,965.04 $2,233 0.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,397.12 $2,724 0.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,715.12 $1,949 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,664.56 $6,437 1.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,465.76 $2,802 1.1×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,799.28 $3,181 1.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $946.88 $1,076 0.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $906.40 $1,030 1.2×
Excision Chalazion Single (67800) $491.92 $559 1.5×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,675.52 $1,904 0.6×
Excision lesion meniscus/capsule knee (27347) $3,975.84 $4,518 1.2×
Excision Lingual Frenum Frenectomy (41115) $2,009.92 $2,284 1.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $654.72 $744 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $759.44 $863 1.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,149.28 $1,306 1.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,108.80 $1,260 1.5×
Excision Multiple External Papillae/Tags Anus (46230) $1,062.16 $1,207 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,970.32 $2,239 1.2×
Excision of hydrocele; bilateral (55041) $3,913.36 $4,447 1.1×
Excision of hydrocele; unilateral (55040) $2,346.96 $2,667 0.6×
Excision of local lesion of epididymis (54830) $1,906.08 $2,166 0.5×
Excision of pilonidal cyst or sinus; simple (11770) $1,377.20 $1,565 0.5×
Excision of single external papilla or tag, anus (46220) $716.32 $814 0.6×
Excision olecranon bursa (24105) $1,823.36 $2,072 0.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,270.40 $2,580 0.8×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,043.36 $2,322 0.7×
Excision prepatellar bursa (27340) $2,374.24 $2,698 0.7×
Excision spermatocele w/wo epididymectomy (54840) $1,951.84 $2,218 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,376 $2,700 1.4×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,016.96 $2,292 0.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,386 $1,575 0.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,025.76 $2,302 1.2×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,104.08 $2,391 1.2×
Excision, interdigital (morton) neuroma, single, each (28080) $1,907.84 $2,168 1.1×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,044.24 $2,323 0.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,313.84 $1,493 0.8×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,972.08 $2,241 0.7×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,329.36 $2,647 0.8×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,444.96 $1,642 0.8×
Excision/curettage cyst/tumor phalanx finger (26210) $2,578.40 $2,930 1.6×
Excision/destruction lesion pharynx any method (42808) $1,004.96 $1,142 0.3×
Explo/Drain Breast Abscess (19020) $2,088.24 $2,373 1.2×
Exploration penetrating wound spx extremity (20103) $1,422.08 $1,616 0.8×
Exploratory elbow surgery (24000) $3,902.80 $4,435 1.2×
External cephalic version (59412)
range across 2 matching MRF lines
$844.80–$4,110.48 $960–$4,671 varies
Fasciectomy Palm Only (26121) $4,486.24 $5,098 1.3×
Fasciotomy palmar percutaneous (26040) $1,674.64 $1,903 1.0×
Fasciotomy, foot and/or toe (28008) $1,817.20 $2,065 0.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $5,177.04 $5,883 1.5×
Fetal non-stress test (59025) $278.96 $317 1.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $897.60 $1,020 1.2×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$256.96–$407.44 $292–$463 varies
Fluid Pressure Muscle (20950) $1,002.32 $1,139 1.4×
Fluoro exam of g/colon tube (49465) $553.52 $629 2.2×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$467.28–$899.36 $531–$1,022 varies
Foreskin manipulation (54450) $410.96 $467 1.6×
Fusion Finger Joint (26860) $2,980.56 $3,387 0.9×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure
$3,610.64 $4,103 0.5×
Fusion of hand bones (25820) $4,374.48 $4,971 0.6×
Gi malabs eval aat calprotectin pncrtc elastase (0430U) $531.52 $604 8.6×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $119.68 $136 3.3×
Guide Cathet Fluid Drainage (10030) $1,848 $2,100 2.5×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,185.92 $2,484 0.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,998.48 $2,271 0.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,039.52 $3,454 1.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines
$966.24–$1,642.96 $1,098–$1,867 varies
Hysteroscopy Biopsy (58558) $3,060.64 $3,478 0.9×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $3,002.56 $3,412 0.6×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines
$586.96–$1,684.32 $667–$1,914 varies
Hysteroscopy Endometrial Ablation (58563) $6,160 $7,000 1.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,434.08 $2,766 0.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $3,432 $3,900 0.7×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines
$696.96–$698.72 $792–$794 varies
I&d abscess simple (10060)
range across 2 matching MRF lines
$372.24–$420.64 $423–$478 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines
$2,911.04–$4,250.40 $3,308–$4,830 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,607.44 $2,963 0.8×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $4,040.96 $4,592 1.4×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines
$826.32–$1,417.68 $939–$1,611 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines
$835.12–$1,096.48 $949–$1,246 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$462.88–$947.76 $526–$1,077 varies
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $1,408 $1,600 2.1×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,143.68 $2,436 2.3×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,624.16 $2,982 2.8×
Image Cath Fluid Colxn Visc (49405) $2,222 $2,525 1.3×
Image Cath Fluid Peri/Retro (49406) $2,189.44 $2,488 1.3×
Implant neuroelectrodes (63650) $7,971.92 $9,059 1.2×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines
$4,124.56–$8,795.60 $4,687–$9,995 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure
$1,328.80 $1,510 0.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$381.92–$644.16 $434–$732 varies
Incise finger tendon sheath (26055) $2,406.80 $2,735 1.5×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$542.96–$756.80 $617–$860 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$850.96–$2,335.52 $967–$2,654 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$395.12–$506.88 $449–$576 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$446.16–$586.96 $507–$667 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$470.80–$499.84 $535–$568 varies
Incision extensor tendon sheath wrist (25000) $1,964.16 $2,232 1.2×
Incision of Foot Tendon (28234) $1,329.68 $1,511 0.8×
Incision of lingual frenum (frenotomy) (41010) $2,092.64 $2,378 1.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines
$1,904.32–$2,368.96 $2,164–$2,692 varies
Incision of urethra (53020) $700.48 $796 0.3×
Incision&drainage bursa foot (28001) $583.44 $663 0.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$226.16–$380.16 $257–$432 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,255.44 $2,563 2.5×
Inj W/Fluor Eval Cv Device (36598) $706.64 $803 3.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines
$875.60–$2,240.48 $995–$2,546 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,050.40 $2,330 2.2×
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines
$686.40–$943.36 $780–$1,072 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$240.24–$876.48 $273–$996 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines
$871.20–$2,610.96 $990–$2,967 varies
Injection aa&/strd genicular nrv branches w/img (64454) $1,878.80 $2,135 2.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,809.84 $3,193 3.1×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,834.80 $2,085 2.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines
$909.92–$2,514.16 $1,034–$2,857 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines
$534.16–$668.80 $607–$760 varies
Injection Anes Superior Hypogastric Plexus (64517) $2,295.92 $2,609 2.5×
Injection anesthetic agent suprascapular nerve (64418) $1,958.88 $2,226 2.7×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines
$877.36–$1,086.80 $997–$1,235 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines
$270.16–$732.16 $307–$832 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$276.32–$861.52 $314–$979 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines
$286–$861.52 $325–$979 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $440 $500 0.3×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines
$285.12–$529.76 $324–$602 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines
$951.28–$1,253.12 $1,081–$1,424 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$765.60–$1,132.56 $870–$1,287 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$678.48–$1,230.24 $771–$1,398 varies
Ins cath ren art 1st bilat (36252) $6,008.64 $6,828 1.8×
Ins cath ren art 1st unilat (36251) $6,966.96 $7,917 2.1×
Ins cath ren art 2nd+ unilat (36253) $6,870.16 $7,807 1.2×
Ins endovas vena cava filtr (37191) $5,915.36 $6,722 1.0×
Ins/Rep Subq Defibrillator (33270) $36,609.76 $41,602 1.1×
Insert 1 Electrode Pm-Defib (33216) $11,781.44 $13,388 1.4×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines
$319.44–$686.40 $363–$780 varies
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines
$1,967.68–$2,315.28 $2,236–$2,631 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines
$1,179.20–$2,101.44 $1,340–$2,388 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $3,284.16 $3,732 2.7×
Insert Drug Implant Device (11981) $408.32 $464 3.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,633.84 $2,993 1.3×
Insert Heart Pm Atrial (33206) $20,161.68 $22,911 1.9×
Insert Heart Pm Ventricular (33207) $17,052.64 $19,378 1.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$962.72–$4,006.64 $1,094–$4,553 varies
Insert pessary/other device (57160) $248.16 $282 1.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$190.96–$553.52 $217–$629 varies
Insert testicular prosthesis (54660)
unusually low: confirm this is the full procedure
$1,925.44 $2,188 0.3×
Insert tun ip cath perc (49418) $5,873.12 $6,674 1.6×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines
$3,141.60–$5,835.28 $3,570–$6,631 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $6,642.24 $7,548 1.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$191.84–$400.40 $218–$455 varies
Insertion indwelling tunneled pleural catheter (32550) $5,709.44 $6,488 1.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,326.72 $2,644 1.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $15,160.64 $17,228 1.8×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $3,422.32 $3,889 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,204.40 $2,505 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$1,119.36–$1,965.92 $1,272–$2,234 varies
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $283.36 $322 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,886.32 $6,689 1.8×
Insj/Rplcmt Defib W/Lead(S) (33249) $43,259.92 $49,159 1.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $10,875.04 $12,358 1.3×
Insrt heart pm atrial & vent (33208) $20,437.12 $23,224 1.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $731.28 $831 1.7×
Intro cath dialysis circuit (36901) $1,948.32 $2,214 1.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,690.32 $21,239 1.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $11,331.76 $12,877 1.9×
Intro Gastrointestinal Tube (44500) $1,077.12 $1,224 1.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$448.80–$554.40 $510–$630 varies
Iridotomy/irridectomy laser surg per session (66761) $2,929.52 $3,329 5.2×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines
$733.92–$953.92 $834–$1,084 varies
Klhl11 antb serum/csf cell binding assay qual (0432U) $119.68 $136 3.3×
Knee arthroscopy/drainage (29871) $2,989.36 $3,397 0.9×
Knee Arthroscopy/Surgery (29874) $3,884.32 $4,414 1.2×
Labyrinthotomy Transcanal (69801) $1,429.12 $1,624 0.9×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure
$5,295.84 $6,018 0.5×
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure
$3,014 $3,425 0.5×
Laparoscopy Enterolysis Separate Procedure (44180) $4,337.52 $4,929 0.7×
Laparoscopy fulguration oviducts (58670) $3,124 $3,550 0.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure
$2,515.04 $2,858 0.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $6,802.40 $7,730 0.6×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure
$5,320.48 $6,046 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $4,182.64 $4,753 0.7×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure
$3,034.24 $3,448 0.5×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure
$5,038.88 $5,726 0.5×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
unusually low: confirm this is the full procedure
$5,341.60 $6,070 0.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $4,634.08 $5,266 0.7×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $3,204.08 $3,641 0.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure
$2,535.28 $2,881 0.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure
$2,334.64 $2,653 0.4×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $4,669.28 $5,306 0.7×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $6,732 $7,650 0.6×
Laryngoscopy diagnostic (31505) $234.96 $267 1.1×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines
$438.24–$520.96 $498–$592 varies
Laser Surgery,Sever Vitreous Strands (67031) $2,547.60 $2,895 4.5×
Late closure of wound (13160)
range across 2 matching MRF lines
$3,168.88–$3,323.76 $3,601–$3,777 varies
Ligamentous Reconstruction Knee Extra-Articular (27427) $5,124.24 $5,823 0.7×
Ligation of a-v fistula (37607) $8,823.76 $10,027 2.7×
Ligation or biopsy temporal artery (37609) $1,367.52 $1,554 0.8×
Litholapaxy comp/lg > 2.5 cm (52318) $3,737.36 $4,247 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $3,507.68 $3,986 1.0×
Lrt iad 18bct/8vir&7arg RNA (0528U) $733.92 $834 1.2×
Lyse chest fibrin init day (32561) $1,541.76 $1,752 2.4×
Manipulation knee joint under general anesthesia (27570) $1,195.92 $1,359 0.7×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines
$1,354.32–$2,025.76 $1,539–$2,302 varies
Mastectomy for gynecomastia (19300) $1,943.92 $2,209 0.5×
Mastectomy partial (19301) $2,767.60 $3,145 0.7×
Mastectomy simple complete (19303) $4,463.36 $5,072 0.7×
Maternity Care Procedure (59899) $1,646.48 $1,871 7.9×
Mech remov tunneled cv cath (36595) $4,169.44 $4,738 1.3×
Myelography Lumbar Injection (62305) $3,133.68 $3,561 3.9×
Myelography Lumbar Injection (62304) $3,058.88 $3,476 3.8×
Myelography via lumbar injection rs&i cervical (62302) $3,090.56 $3,512 3.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $3,384.48 $3,846 4.2×
N Block Inj Celiac Pelus (64530) $3,234.88 $3,676 3.5×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
$717.20–$1,329.68 $815–$1,511 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines
$1,195.92–$1,540 $1,359–$1,750 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
$446.16–$455.84 $507–$518 varies
N Block Inj Pudendal (64430) $3,229.60 $3,670 3.5×
N Block Lumbar/Thoracic (64520) $3,058.88 $3,476 3.4×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines
$314.16–$580.80 $357–$660 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$309.76–$566.72 $352–$644 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,611.28 $1,831 0.9×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $2,595.12 $2,949 2.7×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $2,605.68 $2,961 2.7×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$921.36–$2,272.16 $1,047–$2,582 varies
Needle Biopsy Pancreas (48102) $2,277.44 $2,588 1.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $48.40 $55 1.6×
Needle insertion w/o injection 3 or more muscles (20561) $72.16 $82 2.4×
Neuroeltrd Stim Post Tibial (64566) $484.88 $551 1.5×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $4,193.20 $4,765 2.1×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $3,879.04 $4,408 1.9×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $4,317.28 $4,906 2.1×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,420.32 $1,614 2.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $733.92 $834 1.8×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $3,006.96 $3,417 1.4×
Njx anes stellate ganglion crv sympathetic (64510) $3,148.64 $3,578 3.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$628.32–$666.16 $714–$757 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines
$1,319.12–$4,774.88 $1,499–$5,426 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,223.68 $5,936 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,202.96–$2,154.24 $1,367–$2,448 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,787.28 $2,031 2.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $2,196.48 $2,496 3.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $2,748.24 $3,123 3.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$1,771.44–$1,926.32 $2,013–$2,189 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,064.48 $2,346 2.3×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $5,173.52 $5,879 2.4×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $4,310.24 $4,898 2.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,640.32 $1,864 2.3×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines
$368.72–$784.08 $419–$891 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines
$541.20–$704.88 $615–$801 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines
$373.12–$907.28 $424–$1,031 varies
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $271.92 $309 2.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$663.52–$1,390.40 $754–$1,580 varies
Open biopsy/excision inguinofemoral nodes (38531) $2,926.88 $3,326 0.7×
Open Repair of Rotator Cuff Acute (23410) $5,205.20 $5,915 0.7×
Open Treatment Bimalleolar Ankle Fracture (27814) $4,407.92 $5,009 0.6×
Open Treatment Fracture Distal Tibia & Fibula (27828) $6,856.96 $7,792 0.5×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure
$6,079.04 $6,908 0.5×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $3,816.56 $4,337 0.5×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure
$2,587.20 $2,940 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure
$3,727.68 $4,236 0.5×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure
$3,093.20 $3,515 0.4×
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure
$4,487.12 $5,099 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure
$3,380.08 $3,841 0.5×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines
$2,419.12–$3,239.28 $2,749–$3,681 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure
$3,429.36 $3,897 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,536.72 $4,019 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $5,118.08 $5,816 0.7×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $5,150.64 $5,853 0.7×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure
$3,251.60 $3,695 0.4×
Open/Perq Place Stent 1St (37236) $16,654.88 $18,926 1.4×
Open/Perq Place Stent Same (37238) $15,344.56 $17,437 1.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $4,052.40 $4,605 0.5×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $4,783.68 $5,436 0.6×
Ostc prtl exostc/condylc metar head (28288) $2,145.44 $2,438 0.6×
Ostectomy calcaneus (28118) $2,669.92 $3,034 0.8×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,828.64 $2,078 0.5×
Ostectomy, complete excision; fifth metatarsal head (28113) $2,051.28 $2,331 0.6×
Ostectomy, complete excision; first metatarsal head (28111) $2,182.40 $2,480 0.6×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,899.92 $2,159 0.6×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $4,081.44 $4,638 0.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,242.24 $2,548 0.7×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure
$3,514.72 $3,994 0.5×
Part remv talus or calcaneus (28120) $2,586.32 $2,939 0.8×
Partial excision bone olecranon process (24147) $3,303.52 $3,754 1.0×
Partial Excision Distal Phalanx Finger (26236) $2,241.36 $2,547 1.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,793.12 $3,174 1.7×
Partical Excision Bone Phalanx Toe (28124) $2,119.92 $2,409 0.6×
Patellectomy or hemipatellectomy (27350) $4,925.36 $5,597 0.7×
Pelvic examination under anesthesia (other than local) (57410) $4,256.56 $4,837 1.3×
Penile Injection (54235)
range across 2 matching MRF lines
$418–$553.52 $475–$629 varies
Perc Cryo Ablate Renal Tum (50593) $12,589.28 $14,306 1.1×
Perc Rf Ablate Renal Tumor (50592) $10,191.28 $11,581 1.6×
Percut Ablate Liver Rf (47382) $5,734.96 $6,517 0.9×
Percut Drain/Inject Renal Cyst (50390) $981.20 $1,115 1.3×
Pericardiocentesis W/Imaging (33016) $2,371.60 $2,695 1.5×
Perq av fistula creation uxtr single access (36836) $28,036.80 $31,860 1.5×
Perq Cervicothoracic Inject (22510) $10,846.88 $12,326 3.2×
Perq dev breast 1st strtctc (19283) $1,660.56 $1,887 2.3×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines
$889.68–$2,069.76 $1,011–$2,352 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines
$1,185.36–$2,210.56 $1,347–$2,512 varies
Perq Lumbosacral Injection (22511) $10,698.16 $12,157 3.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines
$1,347.28–$2,686.64 $1,531–$3,053 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $18,735.20 $21,290 1.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $9,196.88 $10,451 1.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $10,750.08 $12,216 1.4×
Perq Vertebral Augmentation (22513) $10,640.96 $12,092 1.4×
Phalangectomy toe each toe (28150) $1,594.56 $1,812 0.5×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines
$3,911.60–$5,955.84 $4,445–$6,768 varies
Pin Finger Dislocation (26776) $2,618.88 $2,976 0.8×
Place Duod/Jej Tube Perc (49441) $3,242.80 $3,685 1.6×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines
$374–$490.16 $425–$557 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,855.84 $5,518 2.3×
Plmt Nephroureteral Catheter (50433) $4,928 $5,600 1.4×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $5,108.40 $5,805 1.4×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $5,781.60 $6,570 1.6×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $8,567.68 $9,736 2.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $2,916.32 $3,314 0.6×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure
$5,845.84 $6,643 0.3×
Probe lacrimal canaliculi w/wo irrigation (68840) $519.20 $590 1.6×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $951.28 $1,081 0.4×
Probing nasolacrimal duct (68810) $784.08 $891 2.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $2,029.28 $2,306 2.1×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $3,015.76 $3,427 5.3×
Prostate laser enucleation (52649) $5,436.64 $6,178 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,022.24 $2,298 2.8×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $11,375.76 $12,927 1.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $5,547.52 $6,304 1.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,845.84 $6,643 1.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,574 $2,925 0.8×
Pseudoaneurysm Injection Trt (36002) $879.12 $999 1.4×
Punch biopsy skin single lesion (11104) $270.16 $307 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$396–$544.72 $450–$619 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines
$496.32–$941.60 $564–$1,070 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $2,213.20 $2,515 3.0×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,163.36 $1,322 1.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,454 $3,925 1.7×
Rare ds rpd whl gen cmptr DNA seq vrnts proband (0583U) $2,640 $3,000 0.7×
Rare ds rpd whl gen DNA seq snvs indels variants (0582U) $4,840 $5,500 0.6×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $4,863.76 $5,527 0.6×
Relocation Pocket Pacemaker (33222) $5,091.68 $5,786 2.4×
Rem Endovas Vena Cava Filter (37193) $4,198.48 $4,771 1.3×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,338.48 $1,521 1.4×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines
$1,566.40–$1,943.92 $1,780–$2,209 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$857.12–$1,096.48 $974–$1,246 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $594.88 $676 0.3×
Removal foreign body upper arm/elbow deep (24201) $2,207.92 $2,509 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $75.68 $86 1.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$78.32–$143.44 $89–$163 varies
Removal Implant Deep (20680) $1,844.48 $2,096 0.6×
Removal Implant Superficial Separate Procedure (20670) $1,292.72 $1,469 0.8×
Removal of adenoids (42830) $1,144.88 $1,301 0.3×
Removal of cervix (57530)
likely a partial charge, not the full procedure
$1,393.92 $1,584 0.3×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines
$403.92–$557.04 $459–$633 varies
Removal of nail bed (11750)
range across 2 matching MRF lines
$616.88–$702.24 $701–$798 varies
Removal of sesamoid bone (28315) $1,664.96 $1,892 0.5×
Removal of sperm cord lesion (55520) $2,164.80 $2,460 0.6×
Removal of tonsils (42826) $1,465.20 $1,665 0.4×
Removal of tunneled intraperitoneal catheter (49422) $5,492.96 $6,242 1.7×
Removal of wrist bone (25210) $2,852.96 $3,242 0.8×
Removal or bivalving full arm or full leg cast (29705) $212.96 $242 0.7×
Removal Pacemaker Electrode (33235) $8,330.08 $9,466 2.2×
Removal ppm generator only (33233) $7,990.40 $9,080 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines
$245.52–$274.56 $279–$312 varies
Removal subcutaneous cardiac rhythm monitor (33286) $2,389.20 $2,715 3.3×
Removal sweat gland lesion (11450) $1,781.12 $2,024 0.6×
Removal, under anesthesia, of external fixation system (20694) $1,949.20 $2,215 1.2×
Remove drug implant device (11982) $455.84 $518 1.0×
Remove Elctrd Transvenously (33244) $6,278.80 $7,135 1.6×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$241.12–$276.32 $274–$314 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$366.08–$454.96 $416–$517 varies
Remove intrvas foreign body (37197) $5,995.44 $6,813 1.8×
Remove lung catheter (32552) $2,438.48 $2,771 3.8×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$239.36–$531.52 $272–$604 varies
Remove Pulse Generator (33241) $5,375.92 $6,109 1.4×
Remove renal tube w/fluoro (50389) $1,330.56 $1,512 1.8×
Remove Tendon Sheath Lesion (26160) $2,190.32 $2,489 1.3×
Remove ureter stent percut (50384) $2,983.20 $3,390 1.4×
Remove&replace pm gen singl (33227) $13,502.72 $15,344 1.6×
Remove/Insert Drug Implant (11983) $567.60 $645 1.2×
Remv&replc cvd gen dual lead (33263) $30,931.12 $35,149 1.3×
Remv&replc cvd gen mult lead (33264) $46,432.32 $52,764 1.4×
Remv&replc cvd gen sing lead (33262) $30,374.96 $34,517 1.3×
Remv&replc pm gen dual lead (33228) $16,987.52 $19,304 1.6×
Remv&replc pm gen mult leads (33229) $19,652.16 $22,332 1.0×
Renal Biopsy Perq (50200) $2,053.04 $2,333 1.2×
Repair Achilles Tendon (27650) $4,426.40 $5,030 0.6×
Repair brow ptosis (67900) $4,474.80 $5,085 1.8×
Repair Collat Ankle Ligmnt,Secondary (27698) $4,684.24 $5,323 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $959.20 $1,090 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $491.92 $559 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines
$834.24–$1,236.40 $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
$967.12–$1,856.80 $1,099–$2,110 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines
$929.28–$970.64 $1,056–$1,103 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$1,061.28–$1,487.20 $1,206–$1,690 varies
Repair complex trunk 1.1-2.5 cm (13100) $2,545.84 $2,893 3.3×
Repair complex trunk 2.6-7.5 cm (13101) $1,096.48 $1,246 1.4×
Repair Ectropion Extensive (67917) $4,318.16 $4,907 1.8×
Repair Elbow Perc (24357) $6,716.16 $7,632 2.0×
Repair Entropion Extensive (67924) $3,881.68 $4,411 1.6×
Repair Entropion Suture (67921) $2,443.76 $2,777 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,172.16 $1,332 0.7×
Repair Eyelid Wound (67935) $2,833.60 $3,220 1.2×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,297.68 $2,611 0.7×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure
$3,375.68 $3,836 0.5×
Repair Hallux Rigidus (28289) $2,598.64 $2,953 0.8×
Repair Hand Joint (26540) $4,390.32 $4,989 1.3×
Repair inguinal hernia, sliding, any age (49525) $3,031.60 $3,445 0.8×
Repair initial femoral hernia, any age; reducible (49550) $2,879.36 $3,272 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$580.80–$730.40 $660–$830 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$638–$969.76 $725–$1,102 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$776.16–$1,246.08 $882–$1,416 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines
$926.64–$1,432.64 $1,053–$1,628 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $811.36 $922 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$557.04–$769.12 $633–$874 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$690.80–$747.12 $785–$849 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$814–$899.36 $925–$1,022 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$757.68–$1,066.56 $861–$1,212 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$549.12–$591.36 $624–$672 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$542.08–$780.56 $616–$887 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines
$964.48–$1,371.04 $1,096–$1,558 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$690.80–$967.12 $785–$1,099 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,030.16 $2,307 1.0×
Repair Lead Pace-Defib One (33218) $7,362.96 $8,367 1.9×
Repair lower leg tendons (27676) $3,866.72 $4,394 0.5×
Repair of nail bed (11760)
range across 2 matching MRF lines
$744.48–$814.88 $846–$926 varies
Repair of Ruptured Tendon (24342) $5,054.72 $5,744 0.7×
Repair of shoulder (23420) $6,768.96 $7,692 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $3,659.04 $4,158 0.5×
Repair Rotator Cuff Chronic (23412) $6,193.44 $7,038 0.8×
Repair secondary achilles tendon w/wo graft (27654) $4,789.84 $5,443 0.6×
Repair tongue laceration (41252)
range across 2 matching MRF lines
$952.16–$1,685.20 $1,082–$1,915 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines
$488.40–$601.92 $555–$684 varies
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure
$3,425.84 $3,893 0.5×
Replace duodenostomy/jejunostomy tube perq (49451) $1,335.84 $1,518 1.4×
Replace G-J Tube Perc (49452) $2,122.56 $2,412 2.3×
Replace g/c tube perc (49450) $1,353.44 $1,538 1.4×
Reposition Gastrostomy Tube (43761) $552.64 $628 2.1×
Reposition Pacing-Defib Lead (33215) $3,998.72 $4,544 1.2×
Reposition Venous Catheter (36597) $2,052.16 $2,332 1.3×
Rerepair ing hernia reduce (49520) $3,300.88 $3,751 0.9×
Resection of scrotum (55150) $2,192.08 $2,491 0.6×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $1,650.88 $1,876 0.5×
Rev/rmv prph sac/gstr npg/r (64595) $1,555.84 $1,768 0.4×
Revise eyelashes (67825) $587.84 $668 1.8×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure
$3,638.80 $4,135 0.5×
Revise ulnar nerve at wrist (64719) $3,226.96 $3,667 1.6×
Revise/Implant Finger Joint (26536) $4,189.68 $4,761 0.6×
Revision of lower leg tendon (27685) $3,452.24 $3,923 1.0×
Revision of toe (28312) $1,997.60 $2,270 0.6×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $13,531.76 $15,377 1.0×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $11,923.12 $13,549 0.7×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $8,097.76 $9,202 0.6×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,673.76 $1,902 0.5×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $24,547.60 $27,895 1.3×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $19,480.56 $22,137 1.0×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $24,903.12 $28,299 1.3×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $22,416.24 $25,473 1.9×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $18,062.88 $20,526 1.5×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $20,346.48 $23,121 1.7×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $16,219.28 $18,431 1.4×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $25,732.08 $29,241 1.4×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $20,349.12 $23,124 1.1×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $25,405.60 $28,870 1.3×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $21,059.28 $23,931 1.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,757.04 $3,133 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$352–$573.76 $400–$652 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines
$353.76–$388.08 $402–$441 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines
$267.52–$501.60 $304–$570 varies
Rmvl fecal impaction/fb spx under anes (45915) $1,128.16 $1,282 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines
$476.08–$3,678.40 $541–$4,180 varies
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $3,859.68 $4,386 1.6×
Rmvl Lens Material Phacofragmentation Aspir (66850) $5,264.16 $5,982 2.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $5,282.64 $6,003 1.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$1,703.68–$3,468.08 $1,936–$3,941 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,764.40 $2,005 2.7×
Rmvl Vitreous Ant Appr Partial Removal (67005) $3,278 $3,725 1.4×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,639.12 $2,999 1.1×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$728.64–$740.96 $828–$842 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines
$787.60–$2,379.52 $895–$2,704 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,748.24 $3,123 1.7×
Rplcmt compl tun ctr vad w/subq port (36582) $5,526.40 $6,280 1.7×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,688.64 $5,328 1.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $5,216.64 $5,928 0.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,397.12 $2,724 0.6×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,960.32 $3,364 0.8×
Rpr aa hrn 1st 3-10 rdc (49593) $4,024.24 $4,573 0.6×
Rpr aa hrn 1st < 3 ncr/strn (49592) $3,419.68 $3,886 0.5×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $4,720.32 $5,364 1.9×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $3,474.24 $3,948 1.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $5,597.68 $6,361 3.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$575.52–$845.68 $654–$961 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure
$2,992.88 $3,401 0.4×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $2,242.24 $2,548 2.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines
$822.80–$2,382.16 $935–$2,707 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines
$1,288.32–$1,555.84 $1,464–$1,768 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines
$2,683.12–$2,691.04 $3,049–$3,058 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,211.44 $2,513 0.7×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $747.12 $849 1.2×
Sclerotx Fluid Collection (49185) $2,911.04 $3,308 1.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,874.64 $4,403 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,597.76 $2,952 2.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines
$1,285.68–$3,256 $1,461–$3,700 varies
Shave skin lesion 0.5 cm/< (11300) $258.72 $294 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $320.32 $364 1.5×
Shoulder Arthroscopy/Surgery (29825) $3,486.56 $3,962 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $352.88 $401 1.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $439.12 $499 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $315.04 $358 1.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $336.16 $382 1.6×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $9,110.64 $10,353 2.7×
Sigmoidoscopy & decompress (45337) $2,654.96 $3,017 2.8×
Sigmoidoscopy & Polypectomy (45333) $1,971.20 $2,240 2.1×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $3,278 $3,725 2.7×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $3,078.24 $3,498 2.5×
Sigmoidoscopy w/plcmt stent (45347) $5,057.36 $5,747 0.8×
Sigmoidoscopy W/Resection (45349) $3,776.08 $4,291 1.3×
Sigmoidoscopy W/Ultrasound (45341) $2,323.20 $2,640 2.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines
$764.72–$2,578.40 $869–$2,930 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,687.52 $3,054 2.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines
$593.12–$1,141.36 $674–$1,297 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$398.64–$471.68 $453–$536 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$315.92–$618.64 $359–$703 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$481.36–$693.44 $547–$788 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$318.56–$400.40 $362–$455 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $678.48 $771 3.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$410.96–$602.80 $467–$685 varies
Skin sub graft face/nk/hf/g (15275) $777.92 $884 1.0×
Skin sub graft trnk/arm/leg (15271) $743.60 $845 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,180 $4,750 0.8×
Small bowel endoscopy (44366) $3,153.92 $3,584 1.6×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $3,689.84 $4,193 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$335.28–$514.80 $381–$585 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$537.68–$756.80 $611–$860 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines
$516.56–$915.20 $587–$1,040 varies
Snip Incision Lacrimal Punctum (68440) $580.80 $660 1.8×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$675.84–$1,026.08 $768–$1,166 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines
$3,310.56–$4,916.56 $3,762–$5,587 varies
Strapping ankle (29540)
range across 2 matching MRF lines
$122.32–$293.92 $139–$334 varies
Strapping hand/finger (29280) $154.88 $176 2.5×
Strapping Unna Boot (29580)
range across 5 matching MRF lines
$216.48–$244.64 $246–$278 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,338.16 $2,657 0.7×
Surg tx anal fistula subq (46270) $2,099.68 $2,386 0.7×
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure
$3,744.40 $4,255 0.5×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $4,578.64 $5,203 0.6×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,304.72 $2,619 1.4×
Tangential biopsy skin single lesion (11102) $205.92 $234 0.5×
Tcat Insj/Rpl Perm Ldls Pm (33274) $33,660 $38,250 1.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $4,182.64 $4,753 1.2×
Tenodesis long tendon biceps (23430) $5,690.96 $6,467 0.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $973.28 $1,106 0.6×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,717.76 $1,952 0.5×
Tenotomy shoulder area single tendon (23405) $3,966.16 $4,507 0.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,654.40 $1,880 2.3×
Thrmbc/Nfs Dialysis Circuit (36906) $18,608.48 $21,146 1.0×
Thromblytic art/ven therapy (37213) $4,230.16 $4,807 1.3×
Thrombolytic Art Therapy (37211) $7,001.28 $7,956 1.2×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines
$620.40–$1,843.60 $705–$2,095 varies
Thrombolytic Venous Therapy (37212) $3,011.36 $3,422 0.9×
Thyroid biopsy (60100) $908.16 $1,032 1.2×
Tnot elbow lateral/medial debride open (24358) $2,880.24 $3,273 0.9×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,868.24 $2,123 0.5×
Total Knee Arthroplasty (27447) $10,399.84 $11,818 0.8×
Trabeculoplasty by laser surgery (65855) $3,191.76 $3,627 5.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $652.96 $742 2.7×
Transcatheter biopsy (37200) $6,150.32 $6,989 1.1×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,515.04 $2,858 1.2×
Transplant hand tendon (26480) $4,340.16 $4,932 1.3×
Transur electr resection of prostate (52601) $4,807.44 $5,463 0.9×
Transurethral incision of prostate (52450) $2,355.76 $2,677 0.6×
Treat Finger Fracture Each (26727) $2,537.04 $2,883 0.8×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure
$3,728.56 $4,237 0.5×
Treat Hip Socket Fracture (27222) $2,558.16 $2,907 10.0×
Treat humerus fracture (24500)
range across 2 matching MRF lines
$1,003.20–$1,510.96 $1,140–$1,717 varies
Treat Humerus Fracture (24505) $1,774.08 $2,016 1.1×
Treat humerus fracture (23600)
range across 2 matching MRF lines
$511.28–$1,285.68 $581–$1,461 varies
Treat knee fracture (27532) $4,919.20 $5,590 1.5×
Treat Knee Fracture(S) (27538) $491.92 $559 1.9×
Treat Kneecap Fracture (27524) $4,444 $5,050 0.6×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines
$524.48–$1,145.76 $596–$1,302 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines
$452.32–$1,264.56 $514–$1,437 varies
Treat Tail Bone Fracture (27200) $1,095.60 $1,245 4.3×
Treat toe dislocation (28630)
range across 2 matching MRF lines
$496.32–$636.24 $564–$723 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines
$2,310–$2,389.20 $2,625–$2,715 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
$597.52–$1,706.32 $679–$1,939 varies
Treatment extensive retinopathy photocoagulation (67228) $3,122.24 $3,548 5.5×
Treatment of ankle fracture (27823) $5,598.56 $6,362 0.7×
Trim skin lesion (11055) $146.08 $166 0.7×
Trim skin lesions 2 to 4 (11056) $160.16 $182 0.8×
Trim skin lesions over 4 (11057) $165.44 $188 0.8×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines
$105.60–$116.16 $120–$132 varies
Trluml Balo Angiop 1St Art (37246) $8,801.76 $10,002 1.5×
Trluml Balo Angiop 1St Vein (37248) $8,071.36 $9,172 1.4×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines
$250.80–$261.36 $285–$297 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,529.44 $1,738 0.5×
Tx Missed Abortion First Trimester Surgical (59820) $1,649.12 $1,874 0.5×
Tx open tendon flexor toe 1 tendon spx (28232) $1,187.12 $1,349 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$822.80–$950.40 $935–$1,080 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines
$491.04–$960.96 $558–$1,092 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure
$5,740.24 $6,523 0.4×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,306.80 $1,485 0.8×
Tympanostomy general anesthesia (69436) $1,226.72 $1,394 0.8×
Unlisted Procedure Biliary Tract (47999) $2,975.28 $3,381 3.2×
Unlisted procedure breast (19499)
range across 2 matching MRF lines
$2,210.56–$2,943.60 $2,512–$3,345 varies
Unlisted procedure nervous system (64999) $3,182.96 $3,617 10.0×
Unlisted procedure pancreas (48999) $3,496.24 $3,973 4.8×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines
$1,655.28–$4,916.56 $1,881–$5,587 varies
Urine Flow Measurement (51736) $234.96 $267 1.7×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$2,794.88–$3,314.96 $3,176–$3,767 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $4,883.12 $5,549 0.9×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $5,330.16 $6,057 1.0×
Vasc embolize/occlude artery (37242) $18,914.72 $21,494 1.0×
Vasc Embolize/Occlude Bleed (37244) $16,558.08 $18,816 1.4×
Vasc Embolize/Occlude Organ (37243) $16,859.04 $19,158 1.4×
Vasc embolize/occlude venous (37241) $18,155.28 $20,631 1.5×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,585.76 $1,802 0.7×
Venous Mech Thrombectomy (37187) $14,605.36 $16,597 1.2×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$465.52–$503.36 $529–$572 varies
Wound Prep Trk/Arm/Leg (15002) $1,056.88 $1,201 1.4×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $6,988.08 $7,941 1.3×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $7,437.76 $8,452 1.4×

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.