Procedures & surgery prices at McKenzie County Healthcare Systems Inc

Watford City, ND · every code in this section with a posted price and a Medicare benchmark.

1953 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,555.45 $2,393 1.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,821.95 $2,803 2.0×
Abdomen Surgery Procedure (22999) $471.90 $726 1.9×
Abrasion single lesion (15786) $347.75 $535 1.7×
Acne surgery (10040)
range across 3 matching MRF lines		 $287.30–$347.75 $442–$535 varies
Acromiopl/Acromionect Partial (23130) $5,813.60 $8,944 1.7×
Adding Walker Previously Applied Cast (29440) $297.70 $458 1.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,227.90 $4,966 1.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $3,227.90 $4,966 1.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,227.90 $4,966 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,227.90 $4,966 1.5×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,227.90 $4,966 1.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,227.90 $4,966 1.5×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,227.90 $4,966 1.5×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $12,319.45 $18,953 1.7×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $1,207.70–$1,521 $1,858–$2,340 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $5,813.60 $8,944 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $5,813.60 $8,944 1.7×
Amputate Metacarpal Bone (26910)
range across 2 matching MRF lines		 $5,536.70–$5,813.60 $8,518–$8,944 varies
Amputation foot transmetarsal (28805) $5,813.60 $8,944 1.7×
Amputation metatarsal with toe single (28810) $5,773.95 $8,883 1.7×
Amputation toe interphalangeal joint (28825) $5,330.65 $8,201 1.6×
Amputation toe metatarsophalangeal joint (28820) $5,330.65 $8,201 1.6×
Amputation, arm through humerus; secondary closure or scar revision Facility (24925) $5,813.60 $8,944 1.7×
Amputation, forearm, through radius and ulna; re-amputation Facility (25909) $11,800.10 $18,154 1.6×
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $5,813.60 $8,944 1.7×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $5,813.60 $8,944 1.7×
Anal/Urinary Muscle Study (51784)
range across 2 matching MRF lines		 $209.95–$263.25 $323–$405 varies
Ankle Arthroscopy/Surgery (29892) $12,319.45 $18,953 1.7×
Ankle disarticulation (27889) $12,319.45 $18,953 1.7×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $4,867.20 $7,488 1.7×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $234–$250.25 $360–$385 varies
Anoscopy; with biopsy, single or multiple (46606) $2,065.70 $3,178 1.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $5,258.50 $8,090 1.9×
Anterior colporraphy rpr cystocele w/cysto (57240) $9,202.05 $14,157 1.8×
Anterior Tibial Tubercleplasty (27418) $12,319.45 $18,953 1.7×
Appendectomy (44950) $5,118.10 $7,874 0.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $297.70 $458 1.8×
Appl cranial tong/strtctc frame w/removal spx (20660) $2,966.60 $4,564 1.8×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $521.30 $802 1.8×
Application Body Cast Shoulder Hips (29035) $521.30 $802 1.8×
Application Body Cast Shoulder Hips Both Thighs (29046) $521.30 $802 1.8×
Application cast elbow finger short arm (29075) $428.35 $659 1.5×
Application Cast Shoulder Spica (29055) $521.30 $802 1.8×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $105.30–$122.85 $162–$189 varies
Application finger splint static (29130)
range across 3 matching MRF lines		 $165.75–$211.25 $255–$325 varies
Application Halo Type Body Cast (29000) $521.30 $802 1.8×
Application Hip Spica Cast 1 Leg (29305) $521.30 $802 1.8×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $239.20–$297.70 $368–$458 varies
Application Long Leg Cast Brace (29358) $521.30 $802 1.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $521.30 $802 1.8×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $213.85–$297.70 $329–$458 varies
Application multiplane external fixation system (20692) $23,193.30 $35,682 1.8×
Application of body cast, shoulder to hips; including 1 thigh Facility (29044) $297.70 $458 1.8×
Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) $521.30 $802 1.8×
Application of cylinder cast (thigh to ankle) (29365) $521.30 $802 1.8×
Application of halo, including removal; femoral Facility (20663) $5,813.60 $8,944 1.7×
Application of long leg cast (29345) $521.30 $802 1.8×
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) $29,885.70 $45,978 1.1×
Application of pelvis brace (20662) $2,966.60 $4,564 1.8×
Application of rigid total contact leg cast (29445) $521.30 $802 1.8×
Application of Risser jacket, localizer, body; including head Facility (29015) $521.30 $802 1.8×
Application Patellar Tendon Bearing Cast (29435) $521.30 $802 1.8×
Application risser jacket localizer body only (29010) $521.30 $802 1.8×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $189.80–$230.75 $292–$355 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $195.65–$235.95 $301–$363 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $202.15–$297.70 $311–$458 varies
Application uniplane external fixation system (20690) $12,319.45 $18,953 1.7×
Application, cast; figure-of-eight Facility (29049) $521.30 $802 1.8×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $266.50–$297.70 $410–$458 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $428.35–$521.30 $659–$802 varies
Apply Multlay Comprs Lwr Leg (29581) $2,966.60 $4,564 17.9×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $390.65–$428.35 $601–$659 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $466.70–$521.30 $718–$802 varies
Apply shoulder cast,plastr velpeau (29058) $521.30 $802 1.8×
Arrest Epiphyseal Distal Femur (27475) $12,319.45 $18,953 1.7×
Arrest Epiphyseal Open Distal Tibia (27730) $5,813.60 $8,944 1.7×
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) $5,813.60 $8,944 1.7×
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) $5,813.60 $8,944 1.7×
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) $11,800.10 $18,154 1.6×
Arterial puncture (36600)
range across 4 matching MRF lines		 $230.10–$258.70 $354–$398 varies
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $12,319.45 $18,953 1.7×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $23,193.30 $35,682 1.8×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $23,193.30 $35,682 1.8×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $12,319.45 $18,953 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $537.55 $827 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,127.75 $1,735 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $168.35–$520 $259–$800 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $492.05 $757 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $268.45–$537.55 $413–$827 varies
Arthrodesis ankle open (27870) $23,193.30 $35,682 1.8×
Arthrodesis Glenohumeral Joint (23800) $12,319.45 $18,953 1.7×
Arthrodesis great toe interphalangeal joint (28755) $12,319.45 $18,953 1.7×
Arthrodesis great toe metatarsophalangeal joint (28750) $12,319.45 $18,953 1.7×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $5,813.60 $8,944 1.7×
Arthrodesis Pantalar (28705) $33,776.60 $51,964 1.9×
Arthrodesis subtalar (28725) $23,193.30 $35,682 1.8×
Arthrodesis triple (28715) $23,193.30 $35,682 1.8×
Arthrodesis Wrist Complete W/O Bone Graft (25800) $12,319.45 $18,953 1.7×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $12,319.45 $18,953 1.7×
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802) $23,193.30 $35,682 1.8×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $23,193.30 $35,682 1.8×
Arthrodesis, wrist; with sliding graft Facility (25805) $12,319.45 $18,953 1.7×
Arthroplasty Ankle (27700) $12,319.45 $18,953 1.7×
Arthroplasty glenohumeral joint total shoulder (23472) $23,865.40 $36,716 1.3×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $23,193.30 $35,682 1.8×
Arthroplasty interphalangeal joint each (26535) $5,813.60 $8,944 1.7×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $5,813.60 $8,944 1.7×
Arthroplasty Patella W/Prosthesis (27438) $23,193.30 $35,682 1.8×
Arthroplasty radial head (24365) $23,193.30 $35,682 1.8×
Arthroplasty Radial Head W/Implant (24366) $23,193.30 $35,682 1.8×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) $33,776.60 $51,964 1.9×
Arthroplasty with prosthetic replacement; distal radius Facility (25441) $23,193.30 $35,682 1.8×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442) $33,776.60 $51,964 1.9×
Arthroplasty with prosthetic replacement; lunate Facility (25444) $23,193.30 $35,682 1.8×
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) $12,319.45 $18,953 1.7×
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) $33,776.60 $51,964 1.9×
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) $23,193.30 $35,682 1.8×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) $23,193.30 $35,682 1.8×
Arthroplasty, knee, tibial plateau; Facility (27440) $23,193.30 $35,682 1.8×
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) $23,193.30 $35,682 1.8×
Arthroplasty, patella; without prosthesis (27437) $12,319.45 $18,953 1.7×
Arthroplasty, temporomandibular joint, with allograft Facility (21242) $9,579.05 $14,737 1.6×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) $9,579.05 $14,737 1.6×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) $33,776.60 $51,964 1.2×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $2,966.60 $4,564 1.8×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $23,193.30 $35,682 1.8×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $5,813.60 $8,944 1.7×
Arthroscopy Ankle Surgical Debridement Limited (29897) $5,813.60 $8,944 1.7×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $12,319.45 $18,953 1.7×
Arthroscopy ankle w/removal loose/foreign body (29894) $5,813.60 $8,944 1.7×
Arthroscopy hip w/femoroplasty (29914) $12,319.45 $18,953 1.7×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $5,813.60 $8,944 1.7×
Arthroscopy Knee Osteochondral Allograft (29867) $23,193.30 $35,682 1.8×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $5,813.60 $8,944 1.7×
Arthroscopy knee synovectomy limited spx (29875) $5,813.60 $8,944 1.7×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $5,813.60 $8,944 1.7×
Arthroscopy shoulder distal claviculectomy (29824) $5,813.60 $8,944 1.7×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $12,319.45 $18,953 1.7×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $5,813.60 $8,944 1.7×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $5,813.60 $8,944 1.7×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $12,319.45 $18,953 1.7×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $12,319.45 $18,953 1.7×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $11,800.10 $18,154 1.6×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $5,813.60 $8,944 1.7×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $12,319.45 $18,953 1.7×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $12,319.45 $18,953 1.7×
Arthroscopy, knee, surgical; with lateral release (29873) $5,813.60 $8,944 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,813.60 $8,944 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $5,813.60 $8,944 1.7×
Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) $5,813.60 $8,944 1.7×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) $5,813.60 $8,944 1.7×
Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) $2,966.60 $4,564 1.8×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $12,319.45 $18,953 1.7×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $5,813.60 $8,944 1.7×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $5,813.60 $8,944 1.7×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $12,319.45 $18,953 1.7×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $5,813.60 $8,944 1.7×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $5,813.60 $8,944 1.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $12,319.45 $18,953 1.7×
Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) $5,813.60 $8,944 1.7×
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) $23,193.30 $35,682 1.8×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $5,813.60 $8,944 1.7×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) $5,813.60 $8,944 1.7×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $12,319.45 $18,953 1.7×
Arthrotomy ankle w/expl drainage/removal fb (27610) $5,813.60 $8,944 1.7×
Arthrotomy biopsy interphalangeal joint each (26110) $2,966.60 $4,564 1.8×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $5,330.65 $8,201 1.6×
Arthrotomy W/Biopsy Hip Joint (27052) $2,966.60 $4,564 1.8×
Arthrotomy W/Biopsy Sacroiliac Joint (27050) $2,966.60 $4,564 1.8×
Arthrotomy W/Meniscus Repair Knee (27403) $11,800.10 $18,154 1.6×
Arthrotomy W/Synovectomy Ankle (27625) $5,813.60 $8,944 1.7×
Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) $5,813.60 $8,944 1.7×
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $5,813.60 $8,944 1.7×
Arthrotomy Wrist Joint With Biopsy (25100) $5,330.65 $8,201 1.6×
Arthrotomy wrist joint with synovectomy (25105) $5,813.60 $8,944 1.7×
Arthrotomy, elbow; with synovial biopsy only Facility (24100) $5,813.60 $8,944 1.7×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $11,800.10 $18,154 1.6×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $5,813.60 $8,944 1.7×
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) $5,813.60 $8,944 1.7×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $5,813.60 $8,944 1.7×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $32,830.20 $50,508 2.5×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $23,193.30 $35,682 1.8×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $12,319.45 $18,953 1.7×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $5,813.60 $8,944 1.7×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $12,319.45 $18,953 1.7×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $23,193.30 $35,682 1.8×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $5,813.60 $8,944 1.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $5,813.60 $8,944 1.7×
Arthrs knee debridement/shaving artclr crtlg (29877) $5,813.60 $8,944 1.7×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $5,813.60 $8,944 1.7×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $12,319.45 $18,953 1.7×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,813.60 $8,944 1.7×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $5,813.60 $8,944 1.7×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $5,813.60 $8,944 1.7×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,966.60 $4,564 1.8×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $5,813.60 $8,944 1.7×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $5,813.60 $8,944 1.7×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $5,813.60 $8,944 1.7×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $2,966.60 $4,564 1.8×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $5,813.60 $8,944 1.7×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $5,813.60 $8,944 1.7×
Arthrt w/synvct kne ant&post w/pop area (27335) $12,319.45 $18,953 1.7×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $5,813.60 $8,944 1.7×
Aspirate pleura w/ imaging (32555) $988.65 $1,521 1.5×
Aspirate Pleura W/O Imaging (32554) $1,281.80 $1,972 2.0×
Aspirate/Inj Ganglion Cyst (20612) $520 $800 1.7×
Aspiration & Injection Treatment Bone Cyst (20615) $1,258.40 $1,936 1.7×
Aspiration bladder insert suprapubic catheter (51102) $2,998.45 $4,613 1.4×
Augmentation lower jaw bone (21127) $9,579.05 $14,737 1.6×
Augmentation, mandibular body or angle; prosthetic material Facility (21125) $9,579.05 $14,737 1.6×
Autologous Chondrocyte Implantation Knee (27412) $12,319.45 $18,953 1.7×
Avulsion nail plate partial/complete simple 1 (11730) $347.75 $535 1.7×
Biopsy Abdominal Mass (49180) $3,167.45 $4,873 1.9×
Biopsy bone open deep (20245) $5,109.65 $7,861 1.7×
Biopsy bone open superficial (20240) $5,109.65 $7,861 1.7×
Biopsy bone trocar/needle deep (20225) $2,961.40 $4,556 1.8×
Biopsy Bone Trocar/Needle Superficial (20220) $2,961.40 $4,556 1.8×
Biopsy External Auditory Canal (69105) $3,374.15 $5,191 2.1×
Biopsy muscle percutaneous needle (20206) $2,961.40 $4,556 1.8×
Biopsy Muscle Superficial (20200) $2,961.40 $4,556 1.8×
Biopsy nail unit (11755) $1,179.10 $1,814 1.6×
Biopsy of breast; open, incisional (19101) $5,810.35 $8,939 1.5×
Biopsy of foot joint lining (28052) $5,813.60 $8,944 1.7×
Biopsy of foot joint lining (28050) $5,813.60 $8,944 1.7×
Biopsy of liver, needle; percutaneous (47000) $2,395.90 $3,686 1.4×
Biopsy of nerve (64795) $4,164.55 $6,407 2.1×
Biopsy of toe joint lining (28054) $5,813.60 $8,944 1.7×
Biopsy soft tissue back/flank deep (21925) $2,961.40 $4,556 1.8×
Biopsy Soft Tissue Back/Flank Superficial (21920) $2,961.40 $4,556 1.8×
Biopsy soft tissue forearm&/wrist deep (25066) $5,109.65 $7,861 1.7×
Biopsy soft tissue forearm&/wrist superficial (25065) $2,961.40 $4,556 1.8×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $5,109.65 $7,861 1.7×
Biopsy soft tissue leg/ankle area superficial (27613) $2,961.40 $4,556 1.8×
Biopsy soft tissue neck/thorax (21550) $2,961.40 $4,556 1.8×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $2,961.40 $4,556 1.8×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,961.40 $4,556 1.8×
Biopsy Soft Tissue Shoulder Deep (23066) $5,109.65 $7,861 1.7×
Biopsy Soft Tissue Shoulder Superficial (23065) $2,961.40 $4,556 1.8×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $5,109.65 $7,861 1.7×
Biopsy soft tissue thigh/knee area superficial (27323) $2,961.40 $4,556 1.8×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $2,961.40 $4,556 1.8×
Biopsy Tongue Anterior Two-Thirds (41100) $726.70 $1,118 1.3×
Biopsy Tongue Posterior One-Third (41105) $4,895.80 $7,532 1.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,255.80 $1,932 1.3×
Biopsy/removal lymph nodes (38510) $4,580.55 $7,047 1.1×
Bladder instillation anticarcinogenic agent (51720) $503.10 $774 0.7×
Bladder Irrigation (51700) $467.35 $719 1.8×
Bladder Scan (51798)
range across 4 matching MRF lines		 $98.15–$306.15 $151–$471 varies
Blepharoplasty Lower Eyelid (15820) $3,227.90 $4,966 1.5×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $3,227.90 $4,966 1.5×
Blepharoplasty upper eyelid (15822) $3,227.90 $4,966 1.5×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $3,227.90 $4,966 1.5×
Blood Transfusion Service (36430) $834.60 $1,284 1.9×
Bone Graft Any Donor Area Major/Large (20902) $12,316.85 $18,949 1.7×
Bone Graft Any Donor Area Minor/Small (20900) $12,316.85 $18,949 1.7×
Bone Marrow Biopsy (38221) $2,067 $3,180 1.2×
Bone Marrow; Aspiration Only (38220) $2,067 $3,180 1.2×
Brnchsc Brushing/Protected Brushings (31623) $2,731.95 $4,203 1.5×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $10,624.25 $16,345 1.5×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $5,653.05 $8,697 1.5×
Bronchial Valve Init Insert (31647) $10,624.25 $16,345 1.5×
Bronchoscopy Bronch Stents (31636) $10,624.25 $16,345 1.5×
Bronchoscopy Clear Airways (31645) $2,731.95 $4,203 1.5×
Bronchoscopy Dilate W/Stent (31631) $10,624.25 $16,345 1.5×
Bronchoscopy Reclear Airway (31646) $689 $1,060 1.7×
Bronchoscopy W/Biopsy(S) (31625) $2,731.95 $4,203 1.5×
Bronchoscopy W/Excision Tumor (31640) $5,653.05 $8,697 1.5×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $10,624.25 $16,345 1.5×
Bronchoscopy W/Removal Foreign Body (31635) $2,731.95 $4,203 1.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $5,653.05 $8,697 1.5×
Bronchoscopy/Needle Bx Each (31629) $5,653.05 $8,697 1.5×
Buttock fasciotomy (27027) $12,319.45 $18,953 1.7×
Bx Arm/Elbow Soft Tissue,Deep (24066) $5,109.65 $7,861 1.7×
Bx breast 1st lesion us imag (19083) $2,216.50 $3,410 1.3×
Bx Cervix (57500) $1,255.80 $1,932 1.3×
Bx/exc lymph node open deep axillary node (38525) $6,134.70 $9,438 1.5×
Bx/exc lymph node open superficial (38500) $5,673.85 $8,729 1.4×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $5,813.60 $8,944 1.7×
Capsular contracture release (23020) $5,508.75 $8,475 1.6×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,966.60 $4,564 1.8×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $5,813.60 $8,944 1.7×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $12,319.45 $18,953 1.7×
Capsulorrhaphy Anterior W/Labral Repair (23455) $12,319.45 $18,953 1.7×
Capsulorrhaphy Anterior With Bone Block (23460) $12,319.45 $18,953 1.7×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $12,319.45 $18,953 1.7×
Capsulotomy Iphal Joint Each Joint Spx (28272) $2,966.60 $4,564 1.8×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $2,966.60 $4,564 1.8×
Capsulotomy Midtarsal (28264) $2,966.60 $4,564 1.8×
Capsulotomy Posterior Capsular Release Knee (27435) $5,813.60 $8,944 1.7×
Capsulotomy wrist (25085) $5,813.60 $8,944 1.7×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $5,330.65 $8,201 1.6×
Carpal Tunnel Surgery (64721) $4,164.55 $6,407 2.1×
Carpectomy All Bones Proximal Row (25215) $5,813.60 $8,944 1.7×
Cartilage graft; costochondral (20910) $1,072.50 $1,650 1.4×
Catheter aspiration nasotracheal spx (31720) $338 $520 1.5×
Change Cystostomy Tube Complicated (51710) $864.50 $1,330 1.2×
Change Cystostomy Tube Simple (51705) $445.90 $686 1.7×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $474.50–$497.90 $730–$766 varies
Chemical peel face dermal (15789) $1,005.55 $1,547 1.3×
Chemical peel nonfacial dermal (15793) $639.60 $984 1.5×
Chemical peel nonfacial epidermal (15792) $965.25 $1,485 1.3×
Chemical peel, facial; epidermal (15788) $636.35 $979 1.5×
Chemodenerv 1 extrem 5/> mus (64644) $1,201.85 $1,849 1.7×
Chemodenerv 1 extremity 1-4 (64642) $1,201.85 $1,849 1.7×
Chemodenerv Musc Migraine (64615) $493.35 $759 1.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $493.35 $759 1.6×
Chest tube placement (32551)
range across 2 matching MRF lines		 $2,161.90–$2,527.20 $3,326–$3,888 varies
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $975 $1,500 1.3×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,119.40 $7,876 1.4×
Chorionic Villus Sampling (59015) $1,193.40 $1,836 1.3×
Circumcision 28 days or older (54161) $3,299.40 $5,076 1.5×
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $882.05–$920.40 $1,357–$1,416 varies
Circumcision w/clamp/oth dev w/block (54150) $780 $1,200 0.4×
Cl Tx Scapular Fx; W Manip (23575) $2,966.60 $4,564 1.8×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $1,334.45–$2,966.60 $2,053–$4,564 varies
Claviculectomy partial (23120) $5,813.60 $8,944 1.7×
Claviculectomy; total (23125) $5,813.60 $8,944 1.7×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $247.65–$347.75 $381–$535 varies
Closed Rx Metacarpal Fx,Percut (26608) $5,813.60 $8,944 1.7×
Closed Rx Spontaneous Hip Disloc (27256) $471.90 $726 1.9×
Closed rx talotarsal disloc,anesth (28575) $5,813.60 $8,944 1.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $471.90 $726 1.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,622.10 $4,034 1.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $471.90 $726 1.9×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $472.55 $727 1.9×
Closed Treatment Sesamoid Fracture (28530) $471.90 $726 1.9×
Closed Treatment Sternum Fracture (21820) $471.90 $726 1.9×
Closed Treatment Ulnar Styloid Fracture (25650) $471.90 $726 1.9×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $471.90–$515.45 $726–$793 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,966.60 $4,564 1.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $471.90 $726 1.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $471.90 $726 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $471.90 $726 1.9×
Closed tx carpal scaphoid fracture w/manj (25624) $2,966.60 $4,564 1.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $471.90 $726 1.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $471.90 $726 1.9×
Closed tx fx orbit except blowout w/manipulation (21401) $2,548.65 $3,921 1.6×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,966.60 $4,564 1.8×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $471.90–$1,385.80 $726–$2,132 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,966.60 $4,564 1.8×
Closed tx mandibular fracture w/manipulation (21451) $2,548.65 $3,921 1.6×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,010.75 $1,555 1.8×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $9,579.05 $14,737 1.6×
Closed tx metatarsal fracture w/o manipulation (28470) $471.90 $726 1.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,293.50–$2,966.60 $1,990–$4,564 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,548.65 $3,921 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,153.85 $7,929 1.5×
Closed Tx Nasomaxillary Complex Fracture (21345) $2,548.65 $3,921 1.6×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $5,153.85 $7,929 1.5×
Closed tx patellar dislocation w/anesthesia (27562) $471.90 $726 1.9×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $454.35–$471.90 $699–$726 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $471.90 $726 1.9×
Closed tx radial head/neck fx w/manipulation (24655) $2,966.60 $4,564 1.8×
Closed tx radial head/neck fx w/o manipulation (24650) $471.90 $726 1.9×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $471.90 $726 1.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $2,356.25–$2,966.60 $3,625–$4,564 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $325–$471.90 $500–$726 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $471.90 $726 1.9×
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $4,294.55–$5,828.55 $6,607–$8,967 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $471.90 $726 1.9×
Closed Tx Talus Fracture W/Manipulation (28435) $2,966.60 $4,564 1.8×
Closed tx talus fracture w/o manipulation (28430) $471.90 $726 1.9×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $471.90 $726 1.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $471.90 $726 1.9×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,548.65 $3,921 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $388.70–$471.90 $598–$726 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,966.60 $4,564 1.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $471.90 $726 1.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $471.90 $726 1.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $421.85 $649 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $471.90 $726 1.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $471.90 $726 1.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $2,957.50–$2,966.60 $4,550–$4,564 varies
Clsd tx clavicular fracture w/o manipulation (23500) $471.90 $726 1.9×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,010.75 $1,555 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $2,675.40–$2,966.60 $4,116–$4,564 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $457.60–$471.90 $704–$726 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $2,966.60 $4,564 1.8×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $471.90 $726 1.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,966.60 $4,564 1.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $471.90 $726 1.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,966.60 $4,564 1.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $471.90 $726 1.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $471.90 $726 1.9×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,966.60 $4,564 1.8×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $471.90 $726 1.9×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517)
range across 3 matching MRF lines		 $1,677–$2,966.60 $2,580–$4,564 varies
Cltx dstl fibular fx lat malls w/manj (27788) $446.55 $687 1.8×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $366.60–$471.90 $564–$726 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $471.90–$824.85 $726–$1,269 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $471.90 $726 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $445.25–$471.90 $685–$726 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,966.60 $4,564 1.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,679.60–$2,966.60 $2,584–$4,564 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $471.90 $726 1.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $12,319.45 $18,953 48.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $471.90 $726 1.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $471.90 $726 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $454.35–$471.90 $699–$726 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $445.90 $686 1.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $2,825.55–$2,966.60 $4,347–$4,564 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $471.90 $726 1.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $471.90 $726 1.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,966.60 $4,564 1.8×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $2,473.25–$2,966.60 $3,805–$4,564 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $241.15–$471.90 $371–$726 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $302.90–$471.90 $466–$726 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,966.60 $4,564 1.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,966.60 $4,564 1.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $445.90 $686 1.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $521.30 $802 1.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $388.70 $598 1.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 3 matching MRF lines		 $521.30–$936.65 $802–$1,441 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $388.70–$773.50 $598–$1,190 varies
Cltx Med Ankle Fx W/Mnpj (27762) $2,966.60 $4,564 1.8×
Cltx Medial Ankle Fx (27760) $471.90 $726 1.9×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $471.90–$826.15 $726–$1,271 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $471.90–$834.60 $726–$1,284 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,966.60 $4,564 1.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $388.70–$471.90 $598–$726 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $471.90 $726 1.9×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,684.80–$2,966.60 $2,592–$4,564 varies
Cltx post hip arthrp dislc w/o anes (27265) $471.90 $726 1.9×
Cltx prox fibula/shft fx w/manj (27781) $2,966.60 $4,564 1.8×
Cltx prox fibula/shft fx w/o manj (27780) $471.90 $726 1.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,966.60 $4,564 1.8×
Cltx prox tibfib jt dislc req anes (27831) $5,813.60 $8,944 1.7×
Cltx prox tibfib jt dislc w/o anes (27830) $471.90 $726 1.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $471.90 $726 1.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $332.15–$471.90 $511–$726 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,966.60 $4,564 1.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,966.60 $4,564 1.8×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,966.60 $4,564 1.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $471.90 $726 1.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,966.60 $4,564 1.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $471.90 $726 1.9×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $471.90 $726 1.9×
Cltx tibial fx proximal w/o manipulation (27530) $471.90 $726 1.9×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $364.65–$471.90 $561–$726 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $471.90 $726 1.9×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $364.65–$471.90 $561–$726 varies
Coccygectomy, primary (27080) $5,813.60 $8,944 1.7×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $179.40–$196.95 $276–$303 varies
Collection of venous blood by venipuncture (36415) $14.95 $23 1.6×
Colonoscopy w/ablation (45388) $2,925 $4,500 2.4×
Colonoscopy w/fb removal (45379) $1,667.25 $2,565 1.4×
Colpopexy vaginal intraperitoneal approach (57283) $12,502.10 $19,234 1.7×
Colporrhaphy (57200) $5,482.75 $8,435 1.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $536.25–$612.95 $825–$943 varies
Colposcopy Cervix Endocervical Curettage (57456) $559 $860 1.8×
Colposcopy cervix upper/adjacent vagina (57452) $252.85 $389 1.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $612.95 $943 2.0×
Colposcopy cervix vag eltrd conization cervix (57461) $4,371.25 $6,725 1.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $4,553.90 $7,006 1.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,166.10 $1,794 1.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,855.75 $2,855 1.5×
Combined anteroposterior colporrhaphy; (57260) $7,285.20 $11,208 1.4×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $661.70–$4,784 $1,018–$7,360 varies
Composite Skin Graft (15760) $3,227.90 $4,966 1.5×
Conization cervix w/wo d&c rpr eltrd exc (57522) $4,336.80 $6,672 1.3×
Conization of cervix (57520) $4,163.25 $6,405 1.3×
Construct thumb replacement (26550) $5,813.60 $8,944 1.7×
Contour cranial bone lesion (21181) $9,579.05 $14,737 1.6×
Contour of face bone lesion (21029) $5,153.85 $7,929 1.5×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $161.85–$241.80 $249–$372 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $152.75–$202.15 $235–$311 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,161.90 $3,326 1.3×
Correction claw finger, other methods Facility (26499) $5,330.65 $8,201 1.6×
Correction hammertoe (28285) $5,813.60 $8,944 1.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,813.60 $8,944 1.7×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $5,029.05 $7,737 1.5×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $12,319.45 $18,953 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $12,319.45 $18,953 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $5,813.60 $8,944 1.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $11,800.10 $18,154 1.6×
Costotransversectomy (separate procedure) Facility (21610) $5,813.60 $8,944 1.7×
Create Eardrum Opening (69433) $1,095.25 $1,685 2.0×
Cross Intrinsic Transfer Each Tendon (26510) $5,813.60 $8,944 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $339.95 $523 2.5×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $5,842.85 $8,989 1.7×
Curettage postpartum (59160) $3,595.80 $5,532 1.1×
Cysto Bladder W/Ureteral Catheterization (52005) $3,362.45 $5,173 1.6×
Cysto calibration dilat urtl strix/stenosis (52281) $3,338.40 $5,136 1.6×
Cysto w/destruction of lesions (52214) $5,728.45 $8,813 1.6×
Cysto w/insert ureteral stent (52332) $5,728.45 $8,813 1.6×
Cysto w/irrig & evac multple obstructing clots (52001) $4,623.45 $7,113 1.3×
Cysto w/removal of tumors small (52234) $5,728.45 $8,813 1.6×
Cysto W/Simple Removal Stone & Stent (52310) $3,148.60 $4,844 1.5×
Cysto w/ureter stricture tx (52341) $4,901 $7,540 1.4×
Cysto w/ureteroscopy w/lithotripsy (52353) $7,752.55 $11,927 1.4×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $5,728.45 $8,813 1.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $5,403.45 $8,313 1.5×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $8,217.95 $12,643 1.5×
Cysto/uretero w/lithotripsy (52356) $8,217.95 $12,643 1.5×
Cystometrogram W/Vp (51728) $864.50 $1,330 1.2×
Cystoscopy and radiotracer (52250) $6,472.70 $9,958 1.8×
Cystostomy Cystotomy W/Drainage (51040) $2,998.45 $4,613 1.4×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,694.25 $4,145 1.3×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $562.90–$1,086.80 $866–$1,672 varies
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $7,029.75 $10,815 1.3×
Cystourethroscopy inj chemodenervation bladder (52287) $3,362.45 $5,173 1.6×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $5,403.45 $8,313 1.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $7,383.35 $11,359 1.3×
Cystourethroscopy w/dil bladder general anesth (52260) $3,362.45 $5,173 1.6×
Cystourethroscopy w/rmvl ureteral calculus (52320) $5,728.45 $8,813 1.6×
Cystourethroscopy with biopsy (52204) $3,362.45 $5,173 1.6×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $8,217.30 $12,642 1.5×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $2,694.25 $4,145 1.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $170.30–$1,005.55 $262–$1,547 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,784 $7,360 1.6×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $1,079.65–$2,137.85 $1,661–$3,289 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,137.85 $3,289 3.0×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $5,813.60 $8,944 1.7×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,813.60 $8,944 1.7×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $5,813.60 $8,944 1.7×
Dcmprn fasct leg post compartment only (27601) $5,813.60 $8,944 1.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,005.55 $1,547 1.3×
Debride nail 1-5 (11720) $115.05 $177 1.9×
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $103.35–$115.05 $159–$177 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $2,681.90–$2,774.20 $4,126–$4,268 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $582.40–$636.35 $896–$979 varies
Decomp forearm,1 compart,w/o debride (25020) $2,966.60 $4,564 1.8×
Decompress Fingers/Hand (26035) $5,330.65 $8,201 1.6×
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) $2,966.60 $4,564 1.8×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $2,966.60 $4,564 1.8×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $5,813.60 $8,944 1.7×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $12,319.45 $18,953 1.7×
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) $12,319.45 $18,953 1.7×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $5,813.60 $8,944 1.7×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) $5,813.60 $8,944 1.7×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $2,966.60 $4,564 1.8×
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) $11,800.10 $18,154 1.6×
Decompression of leg (27894) $5,330.65 $8,201 1.6×
Decompression of leg (27892) $5,813.60 $8,944 1.7×
Decompression of tibia nerve (28035) $3,305.25 $5,085 1.7×
Decompressive fasciotomy hand (26037) $5,330.65 $8,201 1.6×
Deep Muscle Biopsy (20205) $5,109.65 $7,861 1.7×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $3,227.90 $4,966 1.5×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $3,227.90 $4,966 1.5×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $3,227.90 $4,966 1.5×
Delay Flap/Sectioning Flap Trunk (15600) $6,481.80 $9,972 1.8×
Delivery of placenta (59414) $3,595.80 $5,532 1.1×
Denervation of hip joint (27035) $5,813.60 $8,944 1.7×
Derma-fat-fascia graft (15770) $6,481.80 $9,972 1.8×
Dermabrasion regional other than face (15782) $4,361.50 $6,710 1.5×
Dermabrasion segmental face (15781) $1,179.10 $1,814 1.6×
Dermabrasion superficial any site (15783) $639.60 $984 1.5×
Dermabrasion total face (15780) $4,784 $7,360 1.6×
Destroy cerv/thor facet jnt (64633) $3,315.65 $5,101 1.7×
Destroy lumb/sac facet jnt (64635) $3,315.65 $5,101 1.7×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $327.60–$330.85 $504–$509 varies
Destruction Benign Lesions 15/> (17111) $367.90 $566 1.8×
Destruction by neurolytic agent; plantar common digital nerve (64632) $632.45 $973 2.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,667.25 $2,565 1.4×
Destruction Lesions Vulva Extensive (56515) $561.60 $864 0.3×
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines		 $408.85–$2,971.80 $629–$4,572 varies
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $389.35 $599 1.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $327.60 $504 1.6×
Destruction neurolytic agt genicular nerve w/img (64624) $4,057.30 $6,242 2.0×
Destruction Premalignant Lesion 15/> (17004) $516.10 $794 1.2×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $267.15–$345.80 $411–$532 varies
Diaphragm or cervical cap fitting with instructions (57170) $383.50 $590 1.9×
Dilate Urethra Stricture (53600) $445.90 $686 1.7×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $4,827.55–$5,456.10 $7,427–$8,394 varies
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $5,403.45 $8,313 1.5×
Disarticulation of shoulder; secondary closure or scar revision Facility (23921) $3,446.30 $5,302 1.6×
Disarticulation through wrist; secondary closure or scar revision Facility (25922) $2,966.60 $4,564 1.8×
Division of scalenus anticus; without resection of cervical rib Facility (21700) $11,800.10 $18,154 1.6×
Drain Hand Tendon Sheath (26020) $5,813.60 $8,944 1.7×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $441.35–$463.45 $679–$713 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $685.75–$1,374.75 $1,055–$2,115 varies
Drainage Finger Abscess Complicated (26011) $2,961.40 $4,556 1.8×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $365.30–$370.50 $562–$570 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $180.70–$241.80 $278–$372 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $459.55–$2,774.20 $707–$4,268 varies
Drainage of hydrocele (55000) $1,079.65 $1,661 1.5×
Drainage of palmar bursa single bursa (26025) $5,330.65 $8,201 1.6×
Drainage of palmar bursa; multiple bursa Facility (26030) $5,813.60 $8,944 1.7×
Drainage of rectal abscess (45020) $4,590.95 $7,063 1.6×
Drainage of rectal abscess (45005) $687.05 $1,057 0.6×
Drainage of salivary gland (42305) $4,399.20 $6,768 1.3×
Drainage of scrotal wall abscess (55100) $2,091.05 $3,217 1.2×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $414.05–$3,299.40 $637–$5,076 varies
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $5,460.65 $8,401 1.7×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $179.40–$194.35 $276–$299 varies
Dressing Change Under Anesthesia (15852) $1,005.55 $1,547 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $527.80 $812 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $330.85 $509 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $335.40–$418.60 $516–$644 varies
Dstrj Lesion Penis Simple Cryosurgery (54056) $319.80 $492 1.6×
Dstrj lesion penis simple surg excision (54060) $2,702.05 $4,157 1.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,816.10 $2,794 2.0×
Dx Bone Marrow Bx & Aspir (38222) $3,445 $5,300 1.2×
Dx Bronchoscope/Lavage (31624) $2,731.95 $4,203 1.5×
Dx Bronchoscope/Wash (31622) $2,731.95 $4,203 1.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,131.65 $1,741 1.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,907.45 $4,473 1.5×
Egd dilation gastric/duodenal stricture (43245) $3,286.40 $5,056 1.7×
Egd Flexible Foreign Body Removal (43247) $1,521 $2,340 1.6×
Egd remove lesion snare (43251) $3,237 $4,980 1.7×
Electro-Uroflowmetry First (51741) $19.50 $30 0.1×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $383.50–$1,255.80 $590–$1,932 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $8,114.60 $12,484 1.6×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $295.10–$333.45 $454–$513 varies
Epididymectomy unilateral (54860) $5,660.85 $8,709 1.6×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,205.10–$1,401.40 $1,854–$2,156 varies
Esophagoscopy rigid trnso dx (43191) $2,618.20 $4,028 1.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,236.35 $4,979 1.7×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $2,613 $4,020 1.3×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $169–$216.45 $260–$333 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,961.40 $4,556 1.8×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,961.40 $4,556 1.8×
Exc abdl tum deep 5 cm/> (22901) $5,109.65 $7,861 1.7×
Exc arm/elbow les sc < 3 cm (24075) $2,961.40 $4,556 1.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $349.05–$1,179.10 $537–$1,814 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,774.20 $4,268 1.6×
Exc Back Les Sc < 3 Cm (21930) $2,961.40 $4,556 1.8×
Exc Back Tum Deep 5 Cm/> (21933) $5,109.65 $7,861 1.7×
Exc back tum deep < 5 cm (21932) $5,109.65 $7,861 1.7×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $4,399.20 $6,768 1.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $1,169.35–$1,179.10 $1,799–$1,814 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $1,169.35–$1,179.10 $1,799–$1,814 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $2,681.90–$2,774.20 $4,126–$4,268 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $628.55–$1,179.10 $967–$1,814 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,179.10 $1,814 1.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $1,169.35–$1,179.10 $1,799–$1,814 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,774.20 $4,268 1.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,774.20 $4,268 1.6×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $12,319.45 $18,953 1.7×
Exc Forearm Les Sc 3 Cm/> (25071) $2,961.40 $4,556 1.8×
Exc Forearm Tum Deep 3 Cm/> (25073) $5,109.65 $7,861 1.7×
Exc ganglion wrist recurrent (25112) $2,966.60 $4,564 1.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,774.20 $4,268 1.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,179.10 $1,814 1.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,774.20 $4,268 1.6×
Exc Hand Les Sc < 1.5 Cm (26115) $2,961.40 $4,556 1.8×
Exc hand tum deep < 1.5 cm (26116) $2,961.40 $4,556 1.8×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814)
range across 2 matching MRF lines		 $2,197.65–$4,399.20 $3,381–$6,768 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,966.60 $4,564 1.8×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,966.60 $4,564 1.8×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $4,164.55 $6,407 2.1×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $4,164.55 $6,407 2.1×
Exc neuroma hand/foot xcp digital nerve (64782) $4,164.55 $6,407 2.1×
Exc neuroma major peripheral nrv xcp sciatic (64784) $4,164.55 $6,407 2.1×
Exc Shoulder Tum Deep 5 Cm/> (23073) $5,109.65 $7,861 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $598–$1,179.10 $920–$1,814 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,774.20 $4,268 1.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,784 $7,360 1.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,774.20 $4,268 1.6×
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $4,660.50–$4,784 $7,170–$7,360 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $2,681.90–$2,774.20 $4,126–$4,268 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,784 $7,360 1.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $2,681.90–$2,774.20 $4,126–$4,268 varies
Exc tendon shth lesion leg/ankle (27630) $5,813.60 $8,944 1.7×
Exc thigh/knee les sc 3 cm/> (27337) $5,109.65 $7,861 1.7×
Exc thigh/knee tum dep 5cm/> (27339) $5,109.65 $7,861 1.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $1,667.25–$2,124.85 $2,565–$3,269 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 4 matching MRF lines		 $464.10–$678.60 $714–$1,044 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines		 $465.40–$1,179.10 $716–$1,814 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 4 matching MRF lines		 $679.90–$2,774.20 $1,046–$4,268 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 3 matching MRF lines		 $4,880.20–$5,109.65 $7,508–$7,861 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,961.40 $4,556 1.8×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $5,109.65 $7,861 1.7×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $5,109.65 $7,861 1.7×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $5,109.65 $7,861 1.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $5,109.65 $7,861 1.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $5,109.65 $7,861 1.7×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,961.40 $4,556 1.8×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $5,109.65 $7,861 1.7×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $5,109.65 $7,861 1.7×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,961.40 $4,556 1.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $5,109.65 $7,861 1.7×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $5,109.65 $7,861 1.7×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,961.40 $4,556 1.8×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,109.65 $7,861 1.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,961.40 $4,556 1.8×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $5,109.65 $7,861 1.7×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $5,109.65 $7,861 1.7×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $5,109.65 $7,861 1.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $5,109.65 $7,861 1.7×
Exc urethral diverticulum spx female (53230) $7,400.25 $11,385 1.4×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $4,984.85 $7,669 1.4×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $12,319.45 $18,953 1.7×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $12,319.45 $18,953 1.7×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) $12,319.45 $18,953 1.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $5,813.60 $8,944 1.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,966.60 $4,564 1.8×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,834.35 $5,899 1.8×
Excis Mouth Mucosa/Sub,No Repair (40810)
range across 2 matching MRF lines		 $4,236.05–$5,864.95 $6,517–$9,023 varies
Excise excessive skin arm (15836) $4,784 $7,360 1.6×
Excise mandible lesion (21040) $5,153.85 $7,929 1.5×
Excise Neurofibroma Extensive (64792) $12,586.60 $19,364 3.6×
Excise Wrist Tendon Sheath (25118) $2,966.60 $4,564 1.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $1,169.35–$1,179.10 $1,799–$1,814 varies
Excision Bone Mandible (21025) $9,579.05 $14,737 1.6×
Excision Chalazion Single (67800) $339.95 $523 1.0×
Excision Distal Ulna Partial/Complete (25240) $5,813.60 $8,944 1.7×
Excision Excessive Skin & Subq Tissue Buttock (15835) $4,784 $7,360 1.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $4,784 $7,360 1.6×
Excision Facial Bone (21026) $9,579.05 $14,737 1.6×
Excision H/P/P/U Complex Repair (11471) $4,784 $7,360 1.6×
Excision H/P/P/U Simple/Intermediate Repair (11470) $4,784 $7,360 1.6×
Excision Hidradenitis Axillary Complex Repair (11451) $4,784 $7,360 1.6×
Excision Hidradenitis Inguinal Complex Repair (11463) $4,784 $7,360 1.6×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $4,784 $7,360 1.6×
Excision inferior turbinate partial/complete (30130) $5,560.10 $8,554 1.6×
Excision lesion mouth roof (42104) $4,895.80 $7,532 1.4×
Excision lesion tendon sheath forearm&/wrist (25110) $2,966.60 $4,564 1.8×
Excision Lesion Tongue W/O Closure (41110)
range across 2 matching MRF lines		 $532.35–$5,450.90 $819–$8,386 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,144.65 $1,761 1.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 3 matching MRF lines		 $1,072.50–$1,179.10 $1,650–$1,814 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $1,169.35–$1,179.10 $1,799–$1,814 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $1,169.35–$1,179.10 $1,799–$1,814 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $2,681.90–$2,774.20 $4,126–$4,268 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $4,687.80–$4,784 $7,212–$7,360 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,774.20 $4,268 1.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,179.10 $1,814 1.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $1,169.35–$1,179.10 $1,799–$1,814 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,774.20 $4,268 1.6×
Excision malignant tumor mandible (21044) $9,579.05 $14,737 1.6×
Excision Malignant Tumor Maxilla/Zygoma (21034) $9,579.05 $14,737 1.6×
Excision Maxillary Torus Palatinus (21032) $5,153.85 $7,929 1.5×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $9,579.05 $14,737 1.6×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $5,813.60 $8,944 1.7×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) $11,800.10 $18,154 1.6×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) $12,319.45 $18,953 1.7×
Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) $5,813.60 $8,944 1.7×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $5,813.60 $8,944 1.7×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $5,330.65 $8,201 1.6×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,966.60 $4,564 1.8×
Excision of hydrocele; unilateral (55040) $5,858.45 $9,013 1.6×
Excision of local lesion of epididymis (54830) $5,661.50 $8,710 1.6×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $4,164.55 $6,407 2.1×
Excision of neuroma; sciatic nerve Facility (64786) $12,586.60 $19,364 3.6×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $589.55–$4,784 $907–$7,360 varies
Excision of tonsil tags (42860) $4,895.80 $7,532 1.4×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) $5,367.70 $8,258 0.8×
Excision olecranon bursa (24105) $5,813.60 $8,944 1.7×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) $12,319.45 $18,953 1.7×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) $5,813.60 $8,944 1.7×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $5,813.60 $8,944 1.7×
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) $12,319.45 $18,953 1.7×
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) $12,319.45 $18,953 1.7×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) $12,319.45 $18,953 1.7×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) $12,319.45 $18,953 1.7×
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) $12,319.45 $18,953 1.7×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $5,813.60 $8,944 1.7×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) $12,319.45 $18,953 1.7×
Excision Pilonidal Cyst/Sinus Complicated (11772) $4,784 $7,360 1.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,784 $7,360 1.6×
Excision prepatellar bursa (27340) $5,813.60 $8,944 1.7×
Excision Radial Head (24130) $5,813.60 $8,944 1.7×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $10,183.55 $15,667 1.5×
Excision spermatocele w/wo epididymectomy (54840) $3,112.85 $4,789 1.5×
Excision synovial cyst popliteal space (27345) $5,813.60 $8,944 1.7×
Excision tendon finger flexor/extensor each (26180) $2,966.60 $4,564 1.8×
Excision tendon palm flexor/extensor single each (26170) $2,966.60 $4,564 1.8×
Excision Torus Mandibularis (21031) $5,153.85 $7,929 1.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,961.40 $4,556 1.8×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $5,109.65 $7,861 1.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,961.40 $4,556 1.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,961.40 $4,556 1.8×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,961.40 $4,556 1.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $4,784 $7,360 1.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) $4,784 $7,360 1.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $4,784 $7,360 1.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $4,784 $7,360 1.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $4,784 $7,360 1.6×
Excision, interdigital (morton) neuroma, single, each (28080) $2,966.60 $4,564 1.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $5,109.65 $7,861 1.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $5,109.65 $7,861 1.7×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $5,109.65 $7,861 1.7×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $5,109.65 $7,861 1.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,961.40 $4,556 1.8×
Excision/curettage cyst/tumor carpal bones (25130) $5,813.60 $8,944 1.7×
Excision/curettage cyst/tumor phalanx finger (26210) $2,966.60 $4,564 1.8×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $5,813.60 $8,944 1.7×
Excision/destruction intranasal lesion int appr (30117) $5,294.90 $8,146 1.6×
Excision; trochanteric bursa or calcification (27062) $5,813.60 $8,944 1.7×
Expl penetrating wound spx abdomen/flank/back (20102) $3,446.30 $5,302 1.6×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $2,590.25–$2,952.95 $3,985–$4,543 varies
Exploration of knee joint (27310) $5,813.60 $8,944 1.7×
Exploration penetrating wound spx chest (20101) $3,446.30 $5,302 1.6×
Exploration penetrating wound spx extremity (20103)
range across 3 matching MRF lines		 $941.20–$1,431.95 $1,448–$2,203 varies
Exploration Penetrating Wound Spx Neck (20100) $1,010.75 $1,555 1.8×
Exploratory elbow surgery (24000) $5,813.60 $8,944 1.7×
Explore treat shoulder joint (23107) $12,319.45 $18,953 1.7×
Explore/Treat Elbow Joint (24101) $5,813.60 $8,944 1.7×
Explore/Treat Hand Joint (26070) $2,966.60 $4,564 1.8×
Explore/Treat Knee Joint (27331) $5,813.60 $8,944 1.7×
Explore/Treat Wrist Joint (25040) $5,330.65 $8,201 1.6×
External cephalic version (59412) $920.40 $1,416 0.3×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $3,446.30 $5,302 1.6×
Fascia lata graft; by stripper Facility (20920) $3,446.30 $5,302 1.6×
Fasciectomy Palm Only (26121) $5,813.60 $8,944 1.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $5,813.60 $8,944 1.7×
Fasciotomy Iliotibial Open (27305) $5,813.60 $8,944 1.7×
Fasciotomy palmar open partial (26045) $5,813.60 $8,944 1.7×
Fasciotomy palmar percutaneous (26040) $2,966.60 $4,564 1.8×
Fasciotomy Plantar Fascia Radical Spx (28062) $5,813.60 $8,944 1.7×
Fasciotomy, foot and/or toe (28008) $5,813.60 $8,944 1.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $5,813.60 $8,944 1.7×
Fetal Contraction Stress Test (59020) $693.55 $1,067 3.4×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $134.55–$498.55 $207–$767 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,227.90 $4,966 1.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $978.25 $1,505 1.4×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $978.25 $1,505 1.4×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $403.65–$636.35 $621–$979 varies
Finger tendon transfer (26497) $5,813.60 $8,944 1.7×
Flap; neurovascular pedicle (15750) $6,481.80 $9,972 1.8×
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) $12,319.45 $18,953 1.7×
Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) $11,800.10 $18,154 1.6×
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) $12,319.45 $18,953 1.7×
Fluid Pressure Muscle (20950) $1,258.40 $1,936 1.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $978.25 $1,505 1.4×
Fna bx w/us gdn 1st les (10005) $978.25 $1,505 1.4×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $6,481.80 $9,972 1.8×
Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) $12,316.85 $18,949 1.7×
Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) $12,316.85 $18,949 1.7×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $3,227.90 $4,966 1.5×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,227.90 $4,966 1.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,227.90 $4,966 1.5×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,227.90 $4,966 1.5×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $3,227.90 $4,966 1.5×
Fuse hand bones with graft (25825) $12,319.45 $18,953 1.7×
Fusion Finger Joint (26860) $5,813.60 $8,944 1.7×
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) $12,319.45 $18,953 1.7×
Fusion of elbow joint (24800) $12,319.45 $18,953 1.7×
Fusion of foot bones (28740) $12,319.45 $18,953 1.7×
Fusion of hand bones (25820) $12,319.45 $18,953 1.7×
Fusion of hand joint (26843) $12,319.45 $18,953 1.7×
Fusion of knuckle (26850) $12,319.45 $18,953 1.7×
Fusion of knuckle joint (26516) $5,813.60 $8,944 1.7×
Fusion of knuckle joints (26518) $11,800.10 $18,154 1.6×
Fusion of knuckle with graft (26852) $12,319.45 $18,953 1.7×
Fusion of shoulder joint (23802) $23,193.30 $35,682 1.8×
Fusion of tibiofibular joint (27871) $23,193.30 $35,682 1.8×
Fusion/graft of hand joint (26844) $12,319.45 $18,953 1.7×
Gastrocnemius recession (27687) $5,813.60 $8,944 1.7×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $3,286.40 $5,056 1.7×
Genioplasty Sliding Osteotomy Single Piece (21121) $5,153.85 $7,929 1.5×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $9,579.05 $14,737 1.6×
Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) $9,579.05 $14,737 1.6×
Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) $5,153.85 $7,929 1.5×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $9,579.05 $14,737 1.6×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $9,579.05 $14,737 1.6×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $6,481.80 $9,972 1.8×
Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) $3,227.90 $4,966 1.5×
Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) $6,481.80 $9,972 1.8×
Graft for facial nerve paralysis; regional muscle transfer Facility (15845) $6,481.80 $9,972 1.8×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $9,579.05 $14,737 1.6×
Hair xplant punch grft 1-15 (15775) $639.60 $984 1.5×
Hair xplant punch grft >15 (15776) $639.60 $984 1.5×
Hand tendon reconstruction (26500) $12,319.45 $18,953 1.7×
Head Surgery Procedure (21499) $399.10 $614 1.6×
Hemiepiphyseal Arrest (24470) $5,813.60 $8,944 1.7×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,927.30 $6,042 1.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,927.30 $6,042 1.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,372.55 $6,727 1.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $5,240.30 $8,062 1.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,420.90 $2,186 1.5×
Hemorrhoidopexy by stapling (46947) $3,927.95 $6,043 1.4×
Hip arthro acetabuloplasty (29915) $12,319.45 $18,953 1.7×
Hip arthro w/labral repair (29916) $12,319.45 $18,953 1.7×
Hysteroscopy Biopsy (58558) $4,827.55 $7,427 1.5×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $4,332.90–$5,456.10 $6,666–$8,394 varies
Hysteroscopy Endometrial Ablation (58563) $8,114.60 $12,484 1.6×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $7,655.05 $11,777 1.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,896.10 $5,994 1.2×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $8,114.60 $12,484 1.6×
I&d abscess peritonsillar (42700) $379.60 $584 1.6×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $330.20–$347.75 $508–$535 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,966.60 $4,564 1.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $4,819.75 $7,415 1.6×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $5,813.60 $8,944 1.7×
I&d forearm/wrist bursa (25031) $2,966.60 $4,564 1.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,330.65 $8,201 1.6×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $521.30–$1,580.80 $802–$2,432 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $815.10–$1,179.10 $1,254–$1,814 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $503.75–$1,179.10 $775–$1,814 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $4,464.20 $6,868 1.5×
Image Cath Fluid Peri/Retro (49406) $2,399.15 $3,691 1.4×
Implant eye drug system (67027)
range across 2 matching MRF lines		 $2,008.50–$36,736.05 $3,090–$56,517 varies
Implant neuroelectrodes (63650) $11,641.50 $17,910 1.8×
Impression & Preparation Auricular Prosthesis (21086) $5,153.85 $7,929 1.5×
Impression & Preparation Nasal Prosthesis (21087) $9,579.05 $14,737 1.6×
Impression & Preparation Oral Surgical Splint (21085) $1,010.75 $1,555 4.2×
Impression & Prepj Palatal Augmentation Prosthes (21082) $5,153.85 $7,929 1.5×
Impression and custom preparation; definitive obturator prosthesis Facility (21080) $5,153.85 $7,929 1.5×
Impression and custom preparation; facial prosthesis Facility (21088) $5,153.85 $7,929 1.5×
Impression and custom preparation; interim obturator prosthesis Facility (21079) $5,153.85 $7,929 1.5×
Impression and custom preparation; mandibular resection prosthesis Facility (21081) $9,579.05 $14,737 1.6×
Impression and custom preparation; orbital prosthesis Facility (21077) $9,579.05 $14,737 1.6×
Impression and custom preparation; palatal lift prosthesis Facility (21083) $5,153.85 $7,929 1.5×
Impression and custom preparation; speech aid prosthesis Facility (21084) $5,153.85 $7,929 1.5×
Impression&Preparation Surg Obturator Prosthes (21076) $2,548.65 $3,921 1.6×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $473.20–$531.05 $728–$817 varies
Incise finger tendon sheath (26055) $2,966.60 $4,564 1.8×
Incise flexor carpi radialis (25001) $5,330.65 $8,201 1.6×
Incise tendon(s) & muscle(s) (23406) $11,800.10 $18,154 1.6×
Incise Wrist/Forearm Tendon (25290) $5,813.60 $8,944 1.7×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $581.75–$636.35 $895–$979 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $4,464.20 $6,868 1.5×
Incision & drainage leg/ankle infected bursa (27604) $5,330.65 $8,201 1.6×
Incision & removal foreign body subq tiss compl (10121) $2,774.20 $4,268 1.6×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $428.35–$639.60 $659–$984 varies
Incision and drainage of bartholin's gland abscess (56420) $319.15 $491 1.5×
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $323.05–$536.25 $497–$825 varies
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $2,966.60 $4,564 1.8×
Incision bone cortex foot (28005) $5,813.60 $8,944 1.7×
Incision extensor tendon sheath wrist (25000) $2,966.60 $4,564 1.8×
Incision of eardrum (69421) $2,067 $3,180 0.6×
Incision of eardrum (69420) $420.55 $647 1.7×
Incision of fibula (27707) $5,813.60 $8,944 1.7×
Incision of Foot Tendon (28234) $2,966.60 $4,564 1.8×
Incision of hip tendon (27001) $5,813.60 $8,944 1.7×
Incision of lingual frenum (frenotomy) (41010) $2,103.40 $3,236 1.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,065.70–$2,339.35 $3,178–$3,599 varies
Incision of thigh tendons (27392) $5,813.60 $8,944 1.7×
Incision of tibia & fibula (27709) $23,193.30 $35,682 1.8×
Incision of urethra (53020) $2,694.25 $4,145 1.3×
Incision&drainage bursa foot (28001) $2,961.40 $4,556 1.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,961.40 $4,556 1.8×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $5,813.60 $8,944 1.7×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $11,800.10 $18,154 3.5×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $616.85–$965.25 $949–$1,485 varies
Initial Tx 1st Degree Burn Local Tx (16000) $330.85 $509 1.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,555.45 $2,393 1.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,555.45 $2,393 1.7×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $213.85–$537.55 $329–$827 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,401.40 $2,156 1.9×
Injection Into Brain Canal (61055) $493.35 $759 1.6×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $150.15–$492.05 $231–$757 varies
Injection single/mlt trigger point 1/2 muscles (20552) $463.45 $713 1.5×
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $460.20–$561.60 $708–$864 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $2,548.65 $3,921 1.6×
Injection therapeutic carpal tunnel (20526) $492.05 $757 1.6×
Injection, anesthetic agent; brachial plexus, single (64415) $1,816.10 $2,794 2.0×
Injection, anesthetic agent; femoral nerve, single (64447) $1,325.35 $2,039 1.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,322.10 $2,034 1.8×
Injection, Intralesional; More Than 7 Lesions (11901) $347.75 $535 1.7×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $138.45–$347.75 $213–$535 varies
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)
range across 2 matching MRF lines		 $1,633.45–$2,070.25 $2,513–$3,185 varies
Insert and remove bone pin (20650) $5,813.60 $8,944 1.7×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $263.25–$1,274.65 $405–$1,961 varies
Insert cath pleura w/ image (32557) $2,161.90 $3,326 1.3×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $2,497.95–$2,919.80 $3,843–$4,492 varies
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $498.55–$693.55 $767–$1,067 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $192.40–$244.40 $296–$376 varies
Insert multi-comp penis pros (54405) $27,120.60 $41,724 1.3×
Insert Nasal Septal Button (30220) $2,480.40 $3,816 1.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $4,850.30–$6,009.25 $7,462–$9,245 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $234–$295.10 $360–$454 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $208–$592.80 $320–$912 varies
Insert tissue expander(s) (11960) $6,481.80 $9,972 1.8×
Insert tun ip cath perc (49418) $5,426.85 $8,349 1.5×
Insert tunneled cv cath (36561) $4,850.30 $7,462 1.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $196.30–$592.80 $302–$912 varies
Insertion indwelling tunneled pleural catheter (32550) $4,893.20 $7,528 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $2,527.20–$2,953.60 $3,888–$4,544 varies
Insertion Vascular Pedicle Carpal Bone (25430) $5,813.60 $8,944 1.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,953.60 $4,544 1.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,009.25 $9,245 1.9×
Interdental fixation (21110) $2,548.65 $3,921 1.6×
Interdental Wiring Other Than Fracture (21497) $2,548.65 $3,921 1.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Intranasal Biopsy (30100) $1,963.65 $3,021 1.2×
Intraoral i&d tongue/floor lingual (41000)
range across 2 matching MRF lines		 $411.45–$900.90 $633–$1,386 varies
Intubation endotracheal emergency procedure (31500) $380.25 $585 1.6×
Island pedicle flap graft (15740) $3,227.90 $4,966 1.5×
IV injection test vascular flow flap/graft (15860) $679.25 $1,045 1.5×
Knee arthroscopy/drainage (29871) $5,813.60 $8,944 1.7×
Knee Arthroscopy/Surgery (29885) $12,319.45 $18,953 1.7×
Knee Arthroscopy/Surgery (29874) $5,813.60 $8,944 1.7×
Knee Arthroscopy/Surgery (29850) $2,966.60 $4,564 1.8×
Lap paraesophag hern repair (43281) $18,014.10 $27,714 1.7×
Laparo-vag hyst incl t/o (58552) $14,726.40 $22,656 1.4×
Laparoscopy aspiration (49322) $9,055.80 $13,932 1.5×
Laparoscopy fulguration oviducts (58670) $9,311.90 $14,326 1.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $17,645.55 $27,147 1.6×
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $8,435.70–$10,525.45 $12,978–$16,193 varies
Laparoscopy w/rmvl adnexal structures (58661) $9,311.90 $14,326 1.5×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $10,882.30 $16,742 1.8×
Laparoscopy, surgical, appendectomy (44970) $10,079.55 $15,507 1.6×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $15,191.15 $23,371 1.4×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $8,366.15 $12,871 1.4×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $14,726.40 $22,656 1.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $10,845.25 $16,685 1.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $10,079.55 $15,507 1.6×
Laparoscopy, Tubal Block (58671) $8,784.75 $13,515 1.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $10,845.25 $16,685 1.8×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $9,311.90 $14,326 1.5×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $8,763.95 $13,483 1.4×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $14,726.40 $22,656 1.4×
Laryngoscopy diagnostic (31505) $265.20 $408 1.3×
Laryngoscopy flexible diagnostic (31575) $265.20 $408 1.3×
Laser vaporization of prostate (52648) $8,217.95 $12,643 1.5×
Late closure of wound (13160) $3,227.90 $4,966 0.9×
Lateral Canthopexy (21282) $5,153.85 $7,929 1.5×
Lateral retinacular release open (27425) $5,813.60 $8,944 1.7×
Lengthen metacarpal/finger (26568) $12,319.45 $18,953 1.7×
Lengthen radius or ulna (25391) $23,193.30 $35,682 1.8×
Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) $12,319.45 $18,953 1.7×
Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) $5,813.60 $8,944 1.7×
Lengthening of hamstring tendon; single tendon Facility (27393) $11,800.10 $18,154 1.6×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $5,330.65 $8,201 1.6×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $5,813.60 $8,944 1.7×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $23,193.30 $35,682 1.8×
Ligamentous Reconstruction Knee Extra-Articular (27427) $12,319.45 $18,953 1.7×
Ligamentous reconstruction knee intra-articular (27428) $23,193.30 $35,682 1.8×
Ligation or biopsy temporal artery (37609) $3,000.40 $4,616 1.8×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $6,104.80 $9,392 1.9×
Litholapaxy comp/lg > 2.5 cm (52318) $5,146.05 $7,917 1.4×
Litholapaxy smpl/sm <2.5 cm (52317) $5,728.45 $8,813 1.6×
Lithotripsy, extracorporeal shock wave (50590) $9,815 $15,100 2.7×
Lysis/excision penile postcircumcision adhesions (54162) $2,663.05 $4,097 1.2×
Malar Augmentation Prosthetic Material (21270) $9,579.05 $14,737 1.6×
Manipulation Ankle Under General Anesthesia (27860) $5,330.65 $8,201 1.6×
Manipulation Elbow Under Anesthesia (24300) $2,966.60 $4,564 1.8×
Manipulation hip joint general anesthesia (27275) $2,966.60 $4,564 1.8×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $2,601.95–$2,622.10 $4,003–$4,034 varies
Manipulation wrist under anesthesia (25259) $2,966.60 $4,564 1.8×
Manipulation, finger joint, under anesthesia, each joint (26340) $2,966.60 $4,564 1.8×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,966.60 $4,564 1.8×
Mast mod rad (19307) $10,342.15 $15,911 1.5×
Mastectomy for gynecomastia (19300) $5,901.35 $9,079 1.5×
Mastectomy simple complete (19303) $10,342.15 $15,911 1.5×
Maternity Care Procedure (59899) $351 $540 1.7×
Maxillofacial fixation (21100) $9,579.05 $14,737 1.6×
Medial Canthopexy Separate Procedure (21280) $5,153.85 $7,929 1.5×
Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) $9,579.05 $14,737 1.6×
Metatarsectomy (28140) $5,813.60 $8,944 1.7×
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) $23,193.30 $35,682 1.8×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) $5,813.60 $8,944 1.7×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) $5,813.60 $8,944 1.7×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $3,227.90 $4,966 1.5×
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) $12,319.45 $18,953 1.7×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $12,319.45 $18,953 1.7×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $6,481.80 $9,972 1.8×
Muscle-skin graft trunk (15734) $6,481.80 $9,972 1.8×
Muscle/tendon transfer upper arm/elbow single (24301) $11,800.10 $18,154 1.6×
N Block Inj Ilio-Ing/Hypogi (64425) $1,131.65 $1,741 1.6×
N block inj intercost sng (64420) $1,133.60 $1,744 1.6×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $284.05–$632.45 $437–$973 varies
N Block Lumbar/Thoracic (64520) $1,555.45 $2,393 1.7×
Nasal Endoscopy Dx (31231) $241.15 $371 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $434.20 $668 1.0×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $5,989.10 $9,214 1.6×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $3,067.35 $4,719 1.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,416.70 $3,718 1.3×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines		 $11,320.40–$11,824.80 $17,416–$18,192 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $9,432.15–$11,824.80 $14,511–$18,192 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
range across 2 matching MRF lines		 $865.80–$4,571.45 $1,332–$7,033 varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $8,983 $13,820 1.2×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,966.60 $4,564 1.8×
Needle Biopsy Lymph Nodes (38505) $2,743.65 $4,221 1.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $39 $60 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $39 $60 1.3×
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) $12,586.60 $19,364 1.4×
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) $12,586.60 $19,364 1.4×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) $12,586.60 $19,364 1.4×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) $12,586.60 $19,364 1.4×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) $12,586.60 $19,364 1.4×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) $12,586.60 $19,364 1.4×
Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) $12,586.60 $19,364 3.6×
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) $12,586.60 $19,364 1.4×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) $12,586.60 $19,364 1.4×
Nerve graft arm/leg <4 cm (64892) $12,586.60 $19,364 1.4×
Nerve Pedicle Transfer First Stage (64905) $12,586.60 $19,364 1.4×
Nerve pedicle transfer; second stage Facility (64907) $12,586.60 $19,364 1.4×
Neurectomy Popliteal (27326) $3,539.25 $5,445 1.8×
Neurectomy, hamstring muscle Facility (27325) $3,539.25 $5,445 1.8×
Neurectomy, Intrinsic Musculature Of Foot (28055) $5,813.60 $8,944 2.9×
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $4,164.55 $6,407 2.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $4,164.55 $6,407 2.1×
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) $4,164.55 $6,407 2.1×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $4,164.55 $6,407 2.1×
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $4,164.55 $6,407 2.1×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $4,164.55 $6,407 2.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $723.45 $1,113 1.7×
Njx anes stellate ganglion crv sympathetic (64510) $1,555.45 $2,393 1.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $243.10–$576.55 $374–$887 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,555.45 $2,393 1.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,555.45 $2,393 1.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,197.30 $1,842 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,197.30 $1,842 1.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,555.45 $2,393 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,555.45 $2,393 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,401.40 $2,156 1.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,555.45 $2,393 1.7×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $11,260.60 $17,324 1.6×
Occipital Nerve Block (64405) $493.35 $759 1.6×
Open biopsy/excision inguinofemoral nodes (38531) $6,134.70 $9,438 1.5×
Open bone biopsy (20251) $12,319.45 $18,953 1.7×
Open bone biopsy (20250) $5,813.60 $8,944 1.7×
Open bowel to skin (44300) $3,286.40 $5,056 1.7×
Open nasoethmoid fx w/o fixj (21338) $9,579.05 $14,737 1.6×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $12,319.45 $18,953 1.7×
Open Repair of Rotator Cuff Acute (23410) $12,319.45 $18,953 1.7×
Open Treatment Bimalleolar Ankle Fracture (27814) $12,319.45 $18,953 1.7×
Open treatment calcaneal fracture (28415) $12,319.45 $18,953 1.7×
Open Treatment Fracture Distal Tibia & Fibula (27828) $23,193.30 $35,682 1.8×
Open treatment fracture distal tibia only (27827) $23,193.30 $35,682 1.8×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $12,319.45 $18,953 1.7×
Open Treatment Humeral Condylar Fracture (24579) $23,193.30 $35,682 1.8×
Open treatment interphalangeal joint dislocation (28675) $5,813.60 $8,944 1.7×
Open Treatment Lunate Dislocation (25695) $12,319.45 $18,953 1.7×
Open Treatment Medial Malleolus Fracture (27766) $12,319.45 $18,953 1.7×
Open treatment metacarpophalangeal dislocation (26715) $5,813.60 $8,944 1.7×
Open treatment metatarsal fracture each (28485) $12,319.45 $18,953 1.7×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $12,319.45 $18,953 1.7×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $12,319.45 $18,953 1.7×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $12,319.45 $18,953 1.7×
Open treatment of coccygeal fracture Facility (27202) $5,813.60 $8,944 1.7×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $9,579.05 $14,737 1.6×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $9,579.05 $14,737 1.6×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $9,579.05 $14,737 1.6×
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) $9,579.05 $14,737 1.6×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $9,579.05 $14,737 1.6×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $9,579.05 $14,737 1.6×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $12,319.45 $18,953 1.7×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $33,776.60 $51,964 2.6×
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) $11,800.10 $18,154 1.6×
Open treatment of mandibular condylar fracture Facility (21465) $9,579.05 $14,737 1.6×
Open treatment of mandibular fracture with external fixation Facility (21454) $9,579.05 $14,737 1.6×
Open treatment of nasal fracture; uncomplicated Facility (21325) $5,153.85 $7,929 1.5×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $5,153.85 $7,929 1.5×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $5,813.60 $8,944 1.7×
Open treatment of nasoethmoid fracture; with external fixation Facility (21339) $9,579.05 $14,737 1.6×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $9,579.05 $14,737 1.6×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $9,579.05 $14,737 1.6×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) $9,579.05 $14,737 1.6×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $9,579.05 $14,737 1.6×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $9,579.05 $14,737 1.6×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $12,319.45 $18,953 1.7×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $12,319.45 $18,953 1.7×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $12,319.45 $18,953 1.7×
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) $12,319.45 $18,953 1.7×
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) $12,319.45 $18,953 1.7×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) $12,319.45 $18,953 1.7×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) $12,319.45 $18,953 1.7×
Open treatment of temporomandibular dislocation Facility (21490) $5,153.85 $7,929 1.5×
Open Treatment of Ulnar Shaft Fracture (25545) $12,319.45 $18,953 1.7×
Open treatment of ulnar styloid fracture (25652) $12,319.45 $18,953 1.7×
Open treatment posterior malleolus fracture (27769) $12,319.45 $18,953 1.7×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $12,319.45 $18,953 1.7×
Open Treatment Proximal Humeral Fracture (23615) $23,193.30 $35,682 1.8×
Open Treatment Radial Shaft Fracture (25515) $12,319.45 $18,953 1.7×
Open Treatment Tarsal Bone Dislocation (28555) $12,319.45 $18,953 1.7×
Open tx acute shoulder dislocation (23660) $12,319.45 $18,953 1.7×
Open Tx Acute/Chronic Elbow Dislocation (24615) $12,319.45 $18,953 1.7×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $5,813.60 $8,944 1.7×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $5,813.60 $8,944 1.7×
Open tx carpal scaphoid navicular fracture (25628) $12,319.45 $18,953 1.7×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $5,813.60 $8,944 1.7×
Open Tx Depressed Malar Fracture (21360) $9,579.05 $14,737 1.6×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $12,319.45 $18,953 1.7×
Open Tx Distal Phalangeal Fracture Each (26765) $5,813.60 $8,944 1.7×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $12,319.45 $18,953 1.7×
Open Tx Distal Tibiofibular Joint Disruption (27829) $12,319.45 $18,953 1.7×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $9,646 $14,840 0.7×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $5,813.60 $8,944 1.7×
Open Tx Humeral Epicondylar Fracture (24575) $23,193.30 $35,682 1.8×
Open tx humeral supracondylar fracture w/o xtn (24545) $23,193.30 $35,682 1.8×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $11,800.10 $18,154 1.6×
Open tx interphalangeal joint dislocation (26785) $5,813.60 $8,944 1.7×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $9,579.05 $14,737 1.6×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $9,579.05 $14,737 1.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $5,813.60 $8,944 1.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $963.95–$5,813.60 $1,483–$8,944 varies
Open Tx Radial Head/Neck Fracture (24665) $12,319.45 $18,953 1.7×
Open Tx Radial Head/Neck Fracture Prosth (24666) $23,193.30 $35,682 1.8×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) $11,800.10 $18,154 1.6×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $12,319.45 $18,953 1.7×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $11,800.10 $18,154 1.6×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) $11,800.10 $18,154 1.6×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $12,319.45 $18,953 1.7×
Open tx ulnar fx proximal end (24685) $12,319.45 $18,953 1.7×
Opn tx orbit fx combined (21387) $9,579.05 $14,737 1.6×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $5,813.60 $8,944 1.7×
Opponensplasty; hypothenar muscle transfer Facility (26494) $5,813.60 $8,944 1.7×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $5,813.60 $8,944 1.7×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $12,319.45 $18,953 1.7×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $12,319.45 $18,953 1.7×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $11,800.10 $18,154 1.6×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $23,193.30 $35,682 1.8×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $23,193.30 $35,682 1.8×
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) $9,579.05 $14,737 1.6×
Orchiectomy radical tumor inguinal approach (54530) $6,280.95 $9,663 1.7×
Orchiopexy Ingun/Scrot Appr (54640) $5,525.65 $8,501 1.5×
Ostc compl all metar heads w/prtl prox phalangc (28114) $5,813.60 $8,944 1.7×
Ostc prtl exostc/condylc metar head (28288) $5,813.60 $8,944 1.7×
Ostectomy calcaneus (28118) $5,813.60 $8,944 1.7×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $5,813.60 $8,944 1.7×
Ostectomy, complete excision; fifth metatarsal head (28113) $5,813.60 $8,944 1.7×
Ostectomy, complete excision; first metatarsal head (28111) $5,813.60 $8,944 1.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $5,813.60 $8,944 1.7×
Osteochondral allograft knee open (27415) $23,193.30 $35,682 1.8×
Osteoplasty Humerus (24420) $12,319.45 $18,953 1.7×
Osteoplasty Radius/Ulna Shortening (25390) $12,319.45 $18,953 1.7×
Osteoplasty, carpal bone, shortening Facility (25394) $5,813.60 $8,944 1.7×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) $9,579.05 $14,737 1.6×
Osteoplasty, facial bones; reduction (21209) $9,579.05 $14,737 1.6×
Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) $11,800.10 $18,154 1.6×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $12,319.45 $18,953 1.7×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $12,319.45 $18,953 1.7×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $12,319.45 $18,953 1.7×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $5,813.60 $8,944 1.7×
Osteotomy calcaneus w/wo internal fixation (28300) $12,319.45 $18,953 1.7×
Osteotomy Clavicle W Bone Graft (23485) $23,193.30 $35,682 1.8×
Osteotomy Metacarpal Each (26565) $5,813.60 $8,944 1.7×
Osteotomy Phalanx Finger Each (26567) $5,813.60 $8,944 1.7×
Osteotomy radius distal third (25350) $12,319.45 $18,953 1.7×
Osteotomy Radius Middle/Proximal Third (25355) $5,813.60 $8,944 1.7×
Osteotomy talus (28302) $12,319.45 $18,953 1.7×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $12,319.45 $18,953 1.7×
Osteotomy Tibia (27705) $12,319.45 $18,953 1.7×
Osteotomy Ulna (25360) $12,319.45 $18,953 1.7×
Osteotomy, clavicle, with or without internal fixation; Facility (23480) $12,319.45 $18,953 1.7×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $11,800.10 $18,154 1.6×
Ovarian cystectomy, unilateral or bilateral (58925) $8,763.95 $13,483 1.7×
Part exc bone femur prox tibia (27360) $5,813.60 $8,944 1.7×
Part remv talus or calcaneus (28120) $5,813.60 $8,944 1.7×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $12,319.45 $18,953 1.7×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) $11,800.10 $18,154 1.6×
Partial excision bone clavicle (23180) $11,800.10 $18,154 1.6×
Partial Excision Bone Humerus (24140) $5,813.60 $8,944 1.7×
Partial excision bone metacarpal (26230) $5,813.60 $8,944 1.7×
Partial excision bone olecranon process (24147) $5,813.60 $8,944 1.7×
Partial Excision Bone Radius (25151) $5,813.60 $8,944 1.7×
Partial Excision Bone Ulna (25150) $5,813.60 $8,944 1.7×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $2,764.45–$2,966.60 $4,253–$4,564 varies
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,966.60 $4,564 1.8×
Partial removal of fibula (27641) $5,813.60 $8,944 1.7×
Partial removal of radius (24145) $12,319.45 $18,953 1.7×
Partial removal of rib (21600) $12,319.45 $18,953 1.7×
Partial removal of scapula (23190) $5,813.60 $8,944 1.7×
Partial removal of tibia (27640) $5,813.60 $8,944 1.7×
Partial removal of toe (28160) $5,813.60 $8,944 1.7×
Partical Excision Bone Phalanx Toe (28124) $5,330.65 $8,201 1.6×
Patellectomy or hemipatellectomy (27350) $11,800.10 $18,154 1.6×
Pelvic examination under anesthesia (other than local) (57410) $3,896.10 $5,994 1.2×
Penile Injection (54235)
range across 2 matching MRF lines		 $195–$555.75 $300–$855 varies
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $5,813.60 $8,944 1.7×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) $11,800.10 $18,154 1.6×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $2,966.60 $4,564 1.8×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $5,330.65 $8,201 1.6×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) $12,319.45 $18,953 1.7×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $2,966.60 $4,564 1.8×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $5,813.60 $8,944 1.7×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $5,153.85 $7,929 1.5×
Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) $5,153.85 $7,929 1.5×
Perineoplasty rpr perineum nonobstetrical spx (56810) $5,196.75 $7,995 1.6×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) $9,579.05 $14,737 1.6×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) $9,579.05 $14,737 1.6×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) $9,579.05 $14,737 1.6×
Perq Cervicothoracic Inject (22510) $4,561.05 $7,017 1.4×
Perq Lumbosacral Injection (22511) $4,561.05 $7,017 1.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $5,813.60 $8,944 1.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $10,097.10 $15,534 1.4×
Perq Vertebral Augmentation (22513) $10,097.10 $15,534 1.4×
Phalangectomy toe each toe (28150) $5,813.60 $8,944 1.7×
Pin Finger Dislocation (26776) $5,813.60 $8,944 1.7×
Pin hand dislocation (26676) $5,813.60 $8,944 1.7×
Pin knuckle dislocation (26706) $5,813.60 $8,944 1.7×
Placement of needle for intraosseous infusion (36680) $445.90 $686 1.0×
Plastic Repair Introitus (56800)
range across 2 matching MRF lines		 $3,775.85–$5,196.75 $5,809–$7,995 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,100.50 $4,770 1.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $6,550.05 $10,077 1.3×
Prepare face/oral prosthesis (21089) $399.10 $614 1.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,580.80 $2,432 1.7×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $4,590.95 $7,063 1.6×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,948.70 $2,998 1.6×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) $23,193.30 $35,682 1.8×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) $5,813.60 $8,944 1.7×
Prosthesis Removal Humeral/Glenoid Component (23334) $5,109.65 $7,861 0.7×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $5,813.60 $8,944 1.7×
Prq skel fixj femoral fx prox end neck (27235) $10,224.50 $15,730 1.4×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $5,813.60 $8,944 1.7×
Prq skel fixj metar fx w/manj (28476) $5,813.60 $8,944 1.7×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $12,319.45 $18,953 1.7×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $5,813.60 $8,944 1.7×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $5,813.60 $8,944 1.7×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $12,319.45 $18,953 1.7×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $5,813.60 $8,944 1.7×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $12,319.45 $18,953 1.7×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $5,813.60 $8,944 1.7×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $327.60–$636.35 $504–$979 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $639.60 $984 1.5×
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $328.90–$1,169.35 $506–$1,799 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $12,319.45 $18,953 1.7×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,966.60 $4,564 1.8×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $5,813.60 $8,944 1.7×
Rad resect elbow caps/sr bone w rels (24149) $12,319.45 $18,953 1.7×
Rad resect hand tumor 3 cm/> (26118) $5,109.65 $7,861 1.7×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $5,109.65 $7,861 1.7×
Rad resect tumor soft tissue hand/finger <3cm (26117) $5,109.65 $7,861 1.7×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $5,109.65 $7,861 1.7×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) $4,464.20 $6,868 1.5×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $5,109.65 $7,861 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $5,109.65 $7,861 1.7×
Radical resection of tumor, distal phalanx of finger Facility (26262) $2,966.60 $4,564 1.8×
Radical resection of tumor, femur or knee Facility (27365) $10,600.85 $16,309 3.2×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $5,813.60 $8,944 1.7×
Radical resection of tumor, radial head or neck Facility (24152) $12,319.45 $18,953 1.7×
Radical resection of tumor, radius or ulna (25170) $12,319.45 $18,953 1.7×
Radical resection of tumor, shaft or distal humerus Facility (24150) $12,319.45 $18,953 1.7×
Radical resection of tumor; phalanx of toe Facility (28175) $2,966.60 $4,564 1.8×
Radical resection of tumor; talus or calcaneus Facility (27647) $5,813.60 $8,944 1.7×
Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) $5,813.60 $8,944 1.7×
Radical Resection Tumor Metacarpal (26250) $5,330.65 $8,201 1.6×
Radical Resection Tumor Metatarsal (28173) $5,813.60 $8,944 1.7×
Radical styloidectomy separate procedure (25230) $5,813.60 $8,944 1.7×
Rcnstj angular dfrm toe soft tiss px only (28313) $5,813.60 $8,944 1.7×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $5,813.60 $8,944 1.7×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $5,813.60 $8,944 1.7×
Rcnstj Dislocating Patella (27420) $12,319.45 $18,953 1.7×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $9,579.05 $14,737 1.6×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $12,319.45 $18,953 1.7×
Realignment extensor tendon hand each tendon (26437) $5,330.65 $8,201 1.6×
Realignment of hand (25335) $5,813.60 $8,944 1.7×
Realignment of knee (27455) $11,968.45 $18,413 1.6×
Reconst lwr jaw w/o fixation (21195) $9,579.05 $14,737 1.6×
Reconstr lwr jaw segment (21198) $9,579.05 $14,737 1.6×
Reconstruct elbow joint (24360) $12,319.45 $18,953 1.7×
Reconstruct elbow lat ligmnt (24344) $12,319.45 $18,953 1.7×
Reconstruct elbow med ligmnt (24346) $23,193.30 $35,682 1.8×
Reconstruct extra finger (26587) $5,813.60 $8,944 1.7×
Reconstruct finger joint (26545) $5,813.60 $8,944 1.7×
Reconstruct Finger Joint (26548) $5,813.60 $8,944 1.7×
Reconstruct ulna/radioulnar (25337) $12,319.45 $18,953 1.7×
Reconstruct upper jaw bone (21206) $9,579.05 $14,737 1.6×
Reconstruct wrist joint (25445) $12,319.45 $18,953 1.7×
Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) $9,579.05 $14,737 1.6×
Reconstruction Nail Bed W/Graft (11762) $3,227.90 $4,966 1.5×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $12,319.45 $18,953 1.7×
Reconstruction of dislocating patella; with patellectomy Facility (27424) $12,319.45 $18,953 1.7×
Reconstruction of jaw (21249) $9,579.05 $14,737 1.6×
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) $9,579.05 $14,737 1.6×
Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) $9,579.05 $14,737 1.6×
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) $9,579.05 $14,737 1.6×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $9,579.05 $14,737 1.6×
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) $9,579.05 $14,737 1.6×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $5,813.60 $8,944 1.7×
Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) $9,579.05 $14,737 1.6×
Reconstruction Toe Polydactyly (28344) $5,813.60 $8,944 1.7×
Reconstruction Tongue Fold (41520) $5,536.05 $8,517 1.6×
Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) $9,579.05 $14,737 1.6×
Reconstruction, cleft foot Facility (28360) $12,319.45 $18,953 1.7×
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) $9,579.05 $14,737 1.6×
Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) $9,579.05 $14,737 1.6×
Reduction forehead; contouring only Facility (21137) $5,153.85 $7,929 1.5×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) $2,548.65 $3,921 1.6×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) $5,153.85 $7,929 1.5×
Reinforce clavicle (23490) $12,319.45 $18,953 1.7×
Reinforce hip bones (27187) $12,319.45 $18,953 1.7×
Reinforce humerus (24498) $23,193.30 $35,682 1.8×
Reinforce radius (25490) $12,319.45 $18,953 1.7×
Reinforce tibia (27745) $12,319.45 $18,953 1.7×
Reinforce ulna (25491) $23,193.30 $35,682 1.8×
Release foot/toe nerve (64726) $4,164.55 $6,407 2.1×
Release Intrinsic Muscles Hand Each Muscle (26593) $5,813.60 $8,944 1.7×
Release of big toe (28240) $5,813.60 $8,944 1.7×
Release of shoulder ligament (23415) $12,319.45 $18,953 1.7×
Release or recession, hamstring, proximal Facility (27097) $5,813.60 $8,944 1.7×
Release Thenar Muscle (26508) $5,813.60 $8,944 1.7×
Relieve Pressure on Nerve(S) (64722) $4,164.55 $6,407 2.1×
Removal Foreign Body Deep Thigh/Knee (27372) $5,109.65 $7,861 1.7×
Removal Foreign Body Foot Complicated (28193) $2,961.40 $4,556 1.8×
Removal foreign body foot deep (28192) $2,961.40 $4,556 1.8×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $683.80–$1,258.40 $1,052–$1,936 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $2,650.70–$2,961.40 $4,078–$4,556 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $5,813.60 $8,944 1.7×
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $1,791.40–$5,109.65 $2,756–$7,861 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 5 matching MRF lines		 $36.40–$146.25 $56–$225 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $110.50–$146.25 $170–$225 varies
Removal Implant Deep (20680) $5,109.65 $7,861 1.7×
Removal Implant Superficial Separate Procedure (20670) $2,961.40 $4,556 1.8×
Removal implantable contraceptive capsules (11976)
range across 3 matching MRF lines		 $304.85–$1,179.10 $469–$1,814 varies
Removal of adenoids (42835) $4,895.80 $7,532 1.4×
Removal of adenoids (42831) $4,895.80 $7,532 1.4×
Removal of adenoids (42830) $4,895.80 $7,532 1.4×
Removal of adenoids (42836) $4,895.80 $7,532 1.4×
Removal of ankle implant (27704) $5,813.60 $8,944 1.7×
Removal of bladder cyst (51500) $9,422.40 $14,496 1.5×
Removal of bone lesion (23140) $5,813.60 $8,944 1.7×
Removal of brow wrinkles (15826) $6,481.80 $9,972 1.8×
Removal of foot joint lining (28072) $5,813.60 $8,944 1.7×
Removal of foreign body from pharynx (42809) $486.20 $748 1.1×
Removal of heel spur (28119) $5,813.60 $8,944 1.7×
Removal of hip prosthesis; (separate procedure) Facility (27090) $5,507.45 $8,473 0.7×
Removal of humerus lesion (23150) $5,813.60 $8,944 1.7×
Removal of humerus lesion (23156) $12,319.45 $18,953 1.7×
Removal of implant from finger or hand (26320) $2,961.40 $4,556 1.8×
Removal of intranasal lesion (30118) $5,294.90 $8,146 1.6×
Removal of ischial bursa (27060) $11,800.10 $18,154 1.6×
Removal of jaw joint (21050) $9,579.05 $14,737 1.6×
Removal of knee prosthesis (27488) $11,799.45 $18,153 0.9×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $430.95–$599.95 $663–$923 varies
Removal of sesamoid bone (28315) $5,813.60 $8,944 1.7×
Removal of skin wrinkles (15829) $6,481.80 $9,972 1.8×
Removal of sperm cord lesion (55520) $6,098.30 $9,382 1.7×
Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) $5,813.60 $8,944 1.7×
Removal of tendon for graft (20924) $12,316.85 $18,949 1.7×
Removal of testis (54520) $5,340.40 $8,216 1.5×
Removal of tonsils (42826) $5,879.25 $9,045 1.7×
Removal of wrist bone (25210) $5,813.60 $8,944 1.7×
Removal of wrist prosthesis; (separate procedure) Facility (25250) $2,966.60 $4,564 1.8×
Removal of wrist prosthesis; complicated, including total wrist Facility (25251) $5,813.60 $8,944 1.7×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $202.80–$521.30 $312–$802 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $232.70–$347.75 $358–$535 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $3,157.05 $4,857 1.5×
Removal sweat gland lesion (11450) $4,784 $7,360 1.6×
Removal tong/halo applied by another individual (20665) $725.40 $1,116 1.6×
Removal, under anesthesia, of external fixation system (20694) $2,966.60 $4,564 1.8×
Removal/bivalving gauntlet boot/body cast (29700) $521.30 $802 1.8×
Remove & graft wrist lesion (25136) $12,319.45 $18,953 1.7×
Remove & graft wrist lesion (25135) $11,800.10 $18,154 1.6×
Remove Ankle Joint Lining (27626) $5,813.60 $8,944 1.7×
Remove coronoid process (21070) $9,579.05 $14,737 1.6×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $401.70–$683.80 $618–$1,052 varies
Remove elbow joint implant (24160) $5,813.60 $8,944 1.7×
Remove Elbow Joint Lining (24102) $5,813.60 $8,944 1.7×
Remove elbow lesion (24120) $5,813.60 $8,944 1.7×
Remove femur lesion/graft (27356) $23,193.30 $35,682 1.8×
Remove finger bone (26185) $2,966.60 $4,564 1.8×
Remove Forearm Foreign Body (25248) $2,966.60 $4,564 1.8×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $169–$254.80 $260–$392 varies
Remove Hand Bone Lesion (26200) $2,966.60 $4,564 1.8×
Remove humerus lesion (23174) $11,800.10 $18,154 1.6×
Remove humerus lesion (24110) $5,813.60 $8,944 1.7×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $307.45–$518.05 $473–$797 varies
Remove knee joint lining (27334) $5,813.60 $8,944 1.7×
Remove Lower Leg Bone Lesion (27635) $5,813.60 $8,944 1.7×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $202.15–$500.50 $311–$770 varies
Remove prostate regrowth (52630) $7,084.35 $10,899 1.3×
Remove radius head implant (24164) $5,813.60 $8,944 1.7×
Remove shoulder joint lining (23105) $12,319.45 $18,953 1.7×
Remove Skin Nerve Lesion (64774) $4,164.55 $6,407 2.1×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $2,764.45–$2,966.60 $4,253–$4,564 varies
Remove tissue expander (11971) $4,784 $7,360 1.6×
Remove wrist joint cartilage (25107) $5,813.60 $8,944 1.7×
Remove/graft bone lesion (24125) $5,813.60 $8,944 1.7×
Remove/graft finger lesion (26215) $5,813.60 $8,944 1.7×
Remove/graft foot lesion (28102) $12,319.45 $18,953 1.7×
Remove/graft foot lesion (28107) $12,319.45 $18,953 1.7×
Remove/graft forearm lesion (25126) $5,813.60 $8,944 1.7×
Remove/graft forearm lesion (25125) $2,966.60 $4,564 1.8×
Remove/graft leg bone lesion (27637) $12,319.45 $18,953 1.7×
Remove/Insert Drug Implant (11983) $575.25 $885 1.3×
Remv cartilage for graft nasal (20912) $6,633.90 $10,206 1.8×
Repair Achilles Tendon (27650) $11,800.10 $18,154 1.6×
Repair arm/leg nerve (64857) $12,586.60 $19,364 3.6×
Repair cleft hand deformity (26580) $5,813.60 $8,944 1.7×
Repair Collat Ankle Ligmnt,Secondary (27698) $12,319.45 $18,953 1.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $1,005.55–$1,041.95 $1,547–$1,603 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,005.55 $1,547 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $639.60–$793.65 $984–$1,221 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $965.25 $1,485 2.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,005.55 $1,547 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $1,005.55–$1,056.90 $1,547–$1,626 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,005.55 $1,547 1.3×
Repair complex trunk 2.6-7.5 cm (13101) $1,005.55 $1,547 1.3×
Repair defect w/autograft radius/ulna (25425) $12,319.45 $18,953 1.7×
Repair Elbow Perc (24357) $5,330.65 $8,201 1.6×
Repair Extensor Tendon Finger W/Graft Each (26420) $5,813.60 $8,944 1.7×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $5,813.60 $8,944 1.7×
Repair finger deformity (26590) $2,966.60 $4,564 1.8×
Repair Finger Tendon (26433) $5,813.60 $8,944 1.7×
Repair Finger/Hand Tendon (26350) $5,813.60 $8,944 1.7×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $5,813.60 $8,944 1.7×
Repair Foot Dislocation (28615) $12,319.45 $18,953 1.7×
Repair Forearm Tendon Sheath (25275) $5,813.60 $8,944 1.7×
Repair forearm tendon/muscle (25265) $5,813.60 $8,944 1.7×
Repair Hand Joint (26540) $5,813.60 $8,944 1.7×
Repair Hand Tendon (26410) $2,966.60 $4,564 1.8×
Repair incomplete circumcision (54163) $3,578.90 $5,506 1.7×
Repair inguinal hernia, sliding, any age (49525) $7,285.20 $11,208 2.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $5,696.60 $8,764 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $636.35–$804.70 $979–$1,238 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $965.25 $1,485 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $636.35–$813.80 $979–$1,252 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $965.25 $1,485 1.3×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,157.05 $4,857 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $636.35–$666.90 $979–$1,026 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $636.35–$914.55 $979–$1,407 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $965.25–$1,005.55 $1,485–$1,547 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $636.35–$847.60 $979–$1,304 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $3,157.05 $4,857 1.5×
Repair intrinsic muscles hand each muscle (26591) $5,330.65 $8,201 1.6×
Repair Laceration Palate </2 Cm (42180) $726.70 $1,118 1.3×
Repair Leg Fascia Defect (27656) $5,813.60 $8,944 1.7×
Repair lower leg epiphyses (27734) $5,813.60 $8,944 1.7×
Repair lower leg tendons (27676) $12,319.45 $18,953 1.7×
Repair Nasal Vestibular Stenosis (30465) $7,814.95 $12,023 1.3×
Repair Non/Malunion Humerus W/O Graft (24430) $23,193.30 $35,682 1.8×
Repair Nonunion Carpal Bone Each Bone (25431) $12,319.45 $18,953 1.7×
Repair Nonunion Hand (26546) $12,319.45 $18,953 1.7×
Repair Nonunion/Malunion Tarsal Bones (28320) $23,193.30 $35,682 1.8×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $12,319.45 $18,953 1.7×
Repair of arm tendon (24320) $12,319.45 $18,953 1.7×
Repair of biceps tendon (24340) $12,319.45 $18,953 1.7×
Repair of defect with autograft; radius AND ulna Facility (25426) $5,813.60 $8,944 1.7×
Repair of fibula epiphysis (27732) $5,813.60 $8,944 1.7×
Repair of hammertoe (28286) $5,330.65 $8,201 1.6×
Repair of knee ligaments (27409) $12,319.45 $18,953 1.7×
Repair of leg nerve (64840) $12,586.60 $19,364 1.4×
Repair of metatarsals (28322) $12,319.45 $18,953 1.7×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $982.80–$1,005.55 $1,512–$1,547 varies
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $12,319.45 $18,953 1.7×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $12,319.45 $18,953 1.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $12,319.45 $18,953 1.7×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $12,319.45 $18,953 1.7×
Repair of Ruptured Tendon (24342) $12,319.45 $18,953 1.7×
Repair of shoulder (23420) $12,319.45 $18,953 1.7×
Repair of web finger (26562) $5,813.60 $8,944 1.7×
Repair of web finger (26560) $2,966.60 $4,564 1.8×
Repair of web finger (26561) $5,813.60 $8,944 1.7×
Repair radius & ulna (25415) $12,319.45 $18,953 1.7×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $5,696.60 $8,764 0.9×
Repair Rotator Cuff Chronic (23412) $12,319.45 $18,953 1.7×
Repair secondary achilles tendon w/wo graft (27654) $12,319.45 $18,953 1.7×
Repair shoulder capsule (23462) $12,319.45 $18,953 1.7×
Repair shoulder capsule (23466) $12,319.45 $18,953 1.7×
Repair Spica/Body/Jacket Cast (29720) $297.70 $458 1.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,813.60 $8,944 1.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $12,319.45 $18,953 1.7×
Repair Toe Dislocation (28645) $5,813.60 $8,944 1.7×
Repair webbed toe(s) (28345) $2,966.60 $4,564 1.8×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $12,319.45 $18,953 1.7×
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $11,800.10 $18,154 1.6×
Repair, primary, disrupted ligament, ankle; collateral (27695) $12,319.45 $18,953 1.7×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $12,319.45 $18,953 1.7×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $5,813.60 $8,944 1.7×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $5,813.60 $8,944 1.7×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $11,800.10 $18,154 1.6×
Repair/graft achilles tendon (27652) $12,319.45 $18,953 1.7×
Repair/graft finger tendon (26428) $5,813.60 $8,944 1.7×
Repair/Graft Wrist Bone (25440) $12,319.45 $18,953 1.7×
Repair/Revise Wrist Joint (25320) $12,319.45 $18,953 1.7×
Repair/transpose nerve (64856) $12,586.60 $19,364 1.4×
Replace elbow joint (24363) $33,776.60 $51,964 1.9×
Replacement Tissue Expander W/Permanent Implant (11970) $11,538.15 $17,751 1.6×
Replantation digit complete (20822) $3,446.30 $5,302 2.1×
Repr elbow lat ligmnt w/tiss (24343) $5,813.60 $8,944 1.7×
Repr Elbw Med Ligmnt W/Tiss (24345) $12,319.45 $18,953 1.7×
Repr torn cruciate knee ligam (27407) $12,319.45 $18,953 1.7×
Rerepair ing hernia reduce (49520) $6,390.80 $9,832 1.7×
Resect back tum < 5 cm (21935) $5,109.65 $7,861 1.7×
Resect enlarged toe (28341) $5,813.60 $8,944 1.7×
Resect enlarged toe tissue (28340) $5,330.65 $8,201 1.6×
Resect forarm/wrist tum 3cm> (25078) $5,109.65 $7,861 1.7×
Resect hip/pelv tum 5 cm/> (27059) $5,109.65 $7,861 1.7×
Resect hip/pelv tum < 5 cm (27049) $5,109.65 $7,861 1.7×
Resect leg/ankle tum < 5 cm (27615) $5,109.65 $7,861 1.7×
Resect Shoulder Tumor 5 Cm/> (23078) $5,109.65 $7,861 1.7×
Resect shoulder tumor < 5 cm (23077) $5,109.65 $7,861 1.7×
Resect thigh/knee tum < 5 cm (27329) $5,109.65 $7,861 1.7×
Resection of elbow joint (arthrectomy) Facility (24155) $5,813.60 $8,944 1.7×
Resection of scrotum (55150) $4,571.45 $7,033 1.3×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $5,330.65 $8,201 1.6×
Resection, humeral head Facility (23195) $12,319.45 $18,953 1.7×
Resection, partial or complete, phalangeal base, each toe (28126) $5,330.65 $8,201 1.6×
Resection/transplantation long tendon biceps (23440) $11,800.10 $18,154 1.6×
Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) $23,193.30 $35,682 1.8×
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $20,985.25–$23,193.30 $32,285–$35,682 varies
Revise finger joint each (26140) $2,966.60 $4,564 1.8×
Revise Hand/Foot Nerve (64704) $4,164.55 $6,407 2.1×
Revise knuckle joint (26530) $11,800.10 $18,154 1.6×
Revise lower leg tendon (27690) $12,319.45 $18,953 1.7×
Revise Lower Leg Tendons (27686) $5,813.60 $8,944 1.7×
Revise palsy hand tendon(s) (25315) $12,319.45 $18,953 1.7×
Revise radius & ulna (25365) $23,193.30 $35,682 1.8×
Revise reconst elbow joint (24371) $33,776.60 $51,964 1.9×
Revise thumb tendon (26496) $5,813.60 $8,944 1.7×
Revise ulnar nerve at wrist (64719) $4,164.55 $6,407 2.1×
Revise Wrist/Forearm Tendon (25280) $5,813.60 $8,944 1.7×
Revise/Implant Finger Joint (26536) $12,319.45 $18,953 1.7×
Revise/Repair Finger/Toe Nerve (64702) $4,164.55 $6,407 2.1×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $3,896.10 $5,994 1.2×
Revision of big toe (28310) $11,800.10 $18,154 1.6×
Revision of foot (28116) $5,813.60 $8,944 1.7×
Revision of foot and ankle (28262) $12,319.45 $18,953 1.7×
Revision of foot bones (28737) $23,193.30 $35,682 1.8×
Revision of foot fascia (28250) $5,813.60 $8,944 1.7×
Revision of humerus (24400) $12,319.45 $18,953 1.7×
Revision of knee joint (27442) $23,193.30 $35,682 1.8×
Revision of lower leg tendon (27685) $5,813.60 $8,944 1.7×
Revision of toe (28312) $5,813.60 $8,944 1.7×
Revision of wrist joint (25450) $5,813.60 $8,944 1.7×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $12,319.45 $18,953 1.7×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $23,193.30 $35,682 1.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $23,193.30 $35,682 1.8×
Rhytidectomy Cheek Chin & Neck (15828) $6,481.80 $9,972 1.8×
Rhytidectomy Forehead (15824) $3,227.90 $4,966 1.5×
Rhytidectomy Neck W/Platysmal Tightening (15825) $6,481.80 $9,972 1.8×
Rib cartilage graft (21230) $9,579.05 $14,737 1.6×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,734.85 $2,669 1.9×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,344.90 $5,146 2.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $863.20 $1,328 1.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $254.80–$269.10 $392–$414 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $863.20–$864.50 $1,328–$1,330 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,109.65 $7,861 1.7×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $4,464.20 $6,868 1.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,961.40 $4,556 1.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $2,652.65–$3,000.40 $4,081–$4,616 varies
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710)
range across 3 matching MRF lines		 $264.55–$521.30 $407–$802 varies
Rmvl/revj sling stress incontinence (57287) $5,196.75 $7,995 1.6×
Rplc Gtube No Revj Trc (43762) $531.05 $817 2.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,668.70 $11,798 1.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,411.50 $3,710 0.7×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $10,014.55 $15,407 1.6×
Rpr aa hrn 1st 3-10 rdc (49593) $4,037.80 $6,212 0.6×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,865.30 $10,562 1.1×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $5,813.60 $8,944 1.7×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $12,319.45 $18,953 1.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $332.15–$347.75 $511–$535 varies
Rpr flexor tendon leg secondary w/o graft each (27659) $12,319.45 $18,953 1.7×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $965.25 $1,485 1.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $997.10 $1,534 1.8×
Rpr Lip Full Thickness Vermilion Only (40650) $1,056.90 $1,626 1.9×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $12,319.45 $18,953 1.7×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $5,813.60 $8,944 1.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,813.60 $8,944 1.7×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $5,813.60 $8,944 1.7×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $12,319.45 $18,953 1.7×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $12,319.45 $18,953 1.7×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $5,813.60 $8,944 1.7×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $11,800.10 $18,154 1.6×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $11,800.10 $18,154 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $5,813.60 $8,944 1.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $5,813.60 $8,944 1.7×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $5,813.60 $8,944 1.7×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) $12,319.45 $18,953 1.7×
Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) $12,319.45 $18,953 1.7×
Secondary revision of orbitocraniofacial reconstruction Facility (21275) $9,579.05 $14,737 1.6×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $5,560.10 $8,554 1.6×
Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) $5,330.65 $8,201 1.6×
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) $5,813.60 $8,944 1.7×
Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) $5,813.60 $8,944 1.7×
Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) $5,813.60 $8,944 1.7×
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) $12,319.45 $18,953 1.7×
Sequestrectomy Olecranon Process (24138) $12,319.45 $18,953 1.7×
Sever cranial nerve (64771) $4,164.55 $6,407 2.1×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $192.40–$636.35 $296–$979 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $347.75 $535 1.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $639.60 $984 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $278.20–$347.75 $428–$535 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $347.75 $535 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $347.75 $535 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $639.60 $984 1.5×
Shorten radius & ulna (25392) $11,800.10 $18,154 1.6×
Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) $5,330.65 $8,201 1.6×
Shoulder arthroscopy (29820) $12,319.45 $18,953 1.7×
Shoulder arthroscopy diagnostic (29805) $5,813.60 $8,944 1.7×
Shoulder Arthroscopy/Surgery (29825) $5,813.60 $8,944 1.7×
Shoulder joint surgery (23101) $5,813.60 $8,944 1.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $347.75 $535 1.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $349.05–$639.60 $537–$984 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $264.55–$347.75 $407–$535 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $639.60 $984 1.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $347.75 $535 1.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $4,399.20 $6,768 1.3×
Sigmoidoscopy & Polypectomy (45333) $1,580.80 $2,432 1.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,580.80 $2,432 1.7×
Simple Cystometrogram (51725)
range across 2 matching MRF lines		 $547.95–$562.25 $843–$865 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $345.80 $532 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $347.75–$487.50 $535–$750 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $347.75–$374.40 $535–$576 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $347.75–$623.35 $535–$959 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $330.85–$417.95 $509–$643 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $330.85–$347.75 $509–$535 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $330.85–$524.55 $509–$807 varies
Skin Full Grft Face/Genit/Hf (15240) $3,227.90 $4,966 1.5×
Skin Pedicle Flap Trunk (15570) $3,227.90 $4,966 1.5×
Skin Pinch Graft (15050)
range across 2 matching MRF lines		 $965.25–$1,005.55 $1,485–$1,547 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $327.60–$347.75 $504–$535 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $8,114.60 $12,484 1.6×
Slitting of prepuce (54001) $3,552.90 $5,466 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $330.85–$446.55 $509–$687 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $1,095.25–$1,495 $1,685–$2,300 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $6,481.80 $9,972 1.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,227.90 $4,966 1.5×
Strapping ankle (29540)
range across 4 matching MRF lines		 $107.25–$297.70 $165–$458 varies
Strapping elbow or wrist (29260) $105.30 $162 1.7×
Strapping hand/finger (29280)
range across 4 matching MRF lines		 $105.30–$221.65 $162–$341 varies
Strapping Hip (29520) $211.25 $325 1.6×
Strapping knee (29530)
range across 3 matching MRF lines		 $210.60–$230.75 $324–$355 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $210.60–$230.75 $324–$355 varies
Strapping thorax (29200)
range across 2 matching MRF lines		 $266.50–$297.70 $410–$458 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $111.15–$122.85 $171–$189 varies
Strapping Unna Boot (29580) $266.50 $410 1.6×
Stump elongation, upper extremity Facility (24935) $12,319.45 $18,953 1.7×
Subcutaneous Hormone Pellet Implantation (11980) $506.35 $779 1.1×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $347.75 $535 1.7×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $1,005.55 $1,547 1.3×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $965.25 $1,485 1.3×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $1,005.55 $1,547 1.3×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $5,294.90 $8,146 1.6×
Subtalar arthro w/deb (29906) $5,813.60 $8,944 1.7×
Subtalar arthro w/exc (29905) $11,800.10 $18,154 1.6×
Suction assisted lipectomy; head and neck (15876) $6,481.80 $9,972 1.8×
Suction assisted lipectomy; trunk (15877) $6,481.80 $9,972 1.8×
Suction assisted lipectomy; upper extremity (15878) $3,227.90 $4,966 1.5×
Suction Lipectomy Lwr Extrem (15879) $6,481.80 $9,972 1.8×
Surg Tx Anal Fistula 2nd Stage (46285) $3,928.60 $6,044 1.4×
Surg tx anal fistula subq (46270) $4,590.95 $7,063 1.6×
Surgery to stop leg growth (27479) $12,319.45 $18,953 1.7×
Surgery to stop leg growth (27477) $11,800.10 $18,154 1.6×
Suture 1 nerve hand/foot common sensory nerve (64834) $12,586.60 $19,364 3.6×
Suture 1 Nerve Median Motor Thenar (64835) $12,586.60 $19,364 3.6×
Suture 1 Nerve Ulnar Motor (64836) $12,586.60 $19,364 3.6×
Suture digital nerve hand/foot 1 nerve (64831) $11,967.15 $18,411 6.0×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $11,800.10–$12,319.45 $18,154–$18,953 varies
Suture of facial nerve; extracranial Facility (64864) $12,586.60 $19,364 1.4×
Suture of facial nerve; infratemporal, with or without grafting Facility (64865) $12,586.60 $19,364 3.6×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $12,319.45 $18,953 1.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) $12,319.45 $18,953 1.7×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $12,319.45 $18,953 1.7×
Suture of sciatic nerve (64858) $11,967.15 $18,411 6.0×
Suture of; brachial plexus Facility (64861) $11,967.15 $18,411 6.0×
Suture of; lumbar plexus Facility (64862) $12,586.60 $19,364 3.6×
Sympathectomy cervical (64802) $4,164.55 $6,407 2.1×
Sympathectomy, cervicothoracic Facility (64804) $4,164.55 $6,407 2.1×
Sympathectomy; digital arteries, each digit Facility (64820) $4,164.55 $6,407 2.1×
Syndactylization toes (28280) $5,813.60 $8,944 1.7×
Synovectomy carpometacarpal joint (26130) $5,813.60 $8,944 1.7×
Synovectomy Tendon Sheath Foot Extensor (28088) $5,330.65 $8,201 1.6×
Synovectomy Tendon Sheath Foot Flexor (28086) $5,813.60 $8,944 1.7×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $5,813.60 $8,944 1.7×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $5,813.60 $8,944 1.7×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $11,800.10 $18,154 1.6×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,966.60 $4,564 1.8×
Talectomy (astragalectomy) Facility (28130) $11,800.10 $18,154 1.6×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $327.60–$365.30 $504–$562 varies
Tattooing incl micropigmentation 6.0 cm/< (11920) $1,005.55 $1,547 1.3×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $1,005.55 $1,547 1.3×
Tendon lengthening upper arm/elbow ea tendon (24305) $5,813.60 $8,944 1.7×
Tendon shortening (26477) $5,813.60 $8,944 1.7×
Tendon transfer with graft (26492) $5,813.60 $8,944 1.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $5,813.60 $8,944 1.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $5,813.60 $8,944 1.7×
Tenodesis distal joint each (26474) $2,966.60 $4,564 1.8×
Tenodesis long tendon biceps (23430) $12,319.45 $18,953 1.7×
Tenodesis proximal interphalangeal joint each (26471) $5,813.60 $8,944 1.7×
Tenodesis Wrist Extensors Fingers (25301) $5,813.60 $8,944 1.7×
Tenodesis Wrist Flexors Fingers (25300) $5,813.60 $8,944 1.7×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $5,813.60 $8,944 1.7×
Tenolysis extensor foot single tendon (28225) $5,813.60 $8,944 1.7×
Tenolysis Flexor Foot Multiple Tendons (28222) $5,813.60 $8,944 1.7×
Tenolysis flexor foot single tendon (28220) $2,966.60 $4,564 1.8×
Tenolysis flexor tendon palm&finger each tendo (26442) $5,813.60 $8,944 1.7×
Tenolysis flexor tendon palm/finger each tendon (26440) $2,966.60 $4,564 1.8×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $5,813.60 $8,944 1.7×
Tenolysis Triceps (24332) $5,813.60 $8,944 1.7×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $5,813.60 $8,944 1.7×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $5,330.65 $8,201 1.6×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $5,813.60 $8,944 1.7×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $5,813.60 $8,944 1.7×
Tenotomy Adductor Hip Percutaneous Spx (27000) $2,966.60 $4,564 1.8×
Tenotomy extensor hand/finger open each tendon (26460) $2,966.60 $4,564 1.8×
Tenotomy Flexor Finger Open Each Tendon (26455) $2,966.60 $4,564 1.8×
Tenotomy Flexor Palm Open Each Tendon (26450) $5,813.60 $8,944 1.7×
Tenotomy Hip Abd/Ext Open (27006) $5,813.60 $8,944 1.7×
Tenotomy Percutaneous Single Each Digit (26060) $2,966.60 $4,564 1.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,966.60 $4,564 1.8×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,966.60 $4,564 1.8×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $5,330.65 $8,201 1.6×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $5,813.60 $8,944 1.7×
Tenotomy shoulder area single tendon (23405) $12,319.45 $18,953 1.7×
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) $12,319.45 $18,953 1.7×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $5,813.60 $8,944 1.7×
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) $5,813.60 $8,944 1.7×
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) $5,813.60 $8,944 1.7×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,966.60 $4,564 1.8×
Thrombolytic Therapy Stroke (37195) $653.25 $1,005 1.9×
Thumb fusion with graft (26842) $12,319.45 $18,953 1.7×
Tibial Arthroscopy/Surgery (29855) $12,319.45 $18,953 1.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,227.90 $4,966 1.5×
Tnot elbow lateral/medial debride open (24358) $5,813.60 $8,944 1.7×
Tnot elbow lateral/medial debride open tdn rpr (24359) $5,813.60 $8,944 1.7×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,895.80 $7,532 1.4×
Total Knee Arthroplasty (27447) $30,643.60 $47,144 2.3×
Tracheostomy Emergency Cricothyroid Membrane (31605) $434.85 $669 1.8×
Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) $4,164.55 $6,407 2.1×
Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) $11,967.15 $18,411 6.0×
Transection or avulsion of; greater occipital nerve Facility (64744) $4,164.55 $6,407 2.1×
Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) $4,164.55 $6,407 2.1×
Transection or avulsion of; infraorbital nerve Facility (64734) $4,164.55 $6,407 2.1×
Transection or avulsion of; lingual nerve Facility (64740) $4,164.55 $6,407 2.1×
Transection or avulsion of; mental nerve Facility (64736) $4,164.55 $6,407 2.1×
Transection or avulsion of; phrenic nerve Facility (64746) $4,164.55 $6,407 2.1×
Transection or avulsion of; supraorbital nerve Facility (64732) $4,164.55 $6,407 2.1×
Transection/Avulsion Facial Nrv Different/Cmpl (64742) $4,164.55 $6,407 2.1×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $4,164.55 $6,407 2.1×
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) $12,319.45 $18,953 1.7×
Transfer iliopsoas; to femoral neck Facility (27111) $5,813.60 $8,944 1.7×
Transfer of iliopsoas muscle (27110) $12,319.45 $18,953 1.7×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $5,813.60 $8,944 1.7×
Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) $5,813.60 $8,944 1.7×
Transfer skin pedicle flap (15650) $3,227.90 $4,966 1.5×
Transfer, adductor to ischium Facility (27098) $5,330.65 $8,201 1.6×
Transfer, finger to another position without microvascular anastomosis Facility (26555) $12,319.45 $18,953 1.7×
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) $12,319.45 $18,953 1.7×
Transfer/transplant tendon palmar w/o graft each (26485) $5,813.60 $8,944 1.7×
Transmetacarpal amputation; re-amputation Facility (25931) $5,813.60 $8,944 1.7×
Transmetacarpal amputation; secondary closure or scar revision Facility (25929) $3,446.30 $5,302 1.6×
Transplant hand tendon (26480) $5,813.60 $8,944 1.7×
Transplant of thigh tendon (27396) $12,319.45 $18,953 1.7×
Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) $12,319.45 $18,953 1.7×
Transplant/graft hand tendon (26483) $5,813.60 $8,944 1.7×
Transplant/graft palm tendon (26489) $5,813.60 $8,944 1.7×
Transur electr resection of prostate (52601) $8,217.95 $12,643 1.5×
Transurethral resection bladder neck (52500) $4,893.20 $7,528 1.4×
Treat ankle dislocation (27848) $12,319.45 $18,953 1.7×
Treat Ankle Dislocation (27846) $12,319.45 $18,953 1.7×
Treat ankle fracture (28445) $12,319.45 $18,953 1.7×
Treat Big Toe Fracture (28505) $5,813.60 $8,944 1.7×
Treat clavicle dislocation (23530) $12,319.45 $18,953 1.7×
Treat Dental Ridge Fracture (21440) $5,153.85 $7,929 1.5×
Treat dental ridge fracture (21445) $9,579.05 $14,737 1.6×
Treat dislocation/fracture (23670) $12,319.45 $18,953 1.7×
Treat dislocation/fracture (23680) $23,193.30 $35,682 1.8×
Treat ectopic pregnancy (59151) $7,696 $11,840 1.2×
Treat elbow fracture (24586) $23,193.30 $35,682 1.8×
Treat Elbow Fracture (24635) $12,319.45 $18,953 1.7×
Treat elbow fracture (24587) $23,193.30 $35,682 1.8×
Treat Finger Fracture Each (26727) $5,813.60 $8,944 1.7×
Treat forearm bone lesion (25035) $12,319.45 $18,953 1.7×
Treat fracture radius/ulna (25575) $12,319.45 $18,953 1.7×
Treat Fx Rad Extra-Articul (25607) $12,319.45 $18,953 1.7×
Treat Hand Bone Lesion (26034) $2,966.60 $4,564 1.8×
Treat Hip Socket Fracture (27222) $2,570.10 $3,954 10.2×
Treat humerus fracture (24500) $471.90 $726 1.9×
Treat Humerus Fracture (24505)
range across 3 matching MRF lines		 $1,216.15–$2,966.60 $1,871–$4,564 varies
Treat humerus fracture (23616) $33,776.60 $51,964 1.9×
Treat humerus fracture (23600) $471.90 $726 1.9×
Treat knee fracture (27532) $5,813.60 $8,944 1.7×
Treat Knee Fracture(S) (27538) $471.90 $726 1.9×
Treat kneecap dislocation (27566) $12,319.45 $18,953 1.7×
Treat Kneecap Fracture (27524) $12,319.45 $18,953 1.7×
Treat Knuckle Dislocation (26700) $472.55 $727 1.9×
Treat lower jaw fracture (21452) $9,579.05 $14,737 1.6×
Treat lower leg dislocation (27832) $12,319.45 $18,953 1.7×
Treat metacarpal fracture (26607) $5,330.65 $8,201 1.6×
Treat Metatarsal Fracture (28475) $471.90 $726 1.9×
Treat midfoot fracture (28456) $12,319.45 $18,953 1.7×
Treat scapula fracture (23585) $12,319.45 $18,953 1.7×
Treat Tail Bone Fracture (27200) $471.90 $726 1.9×
Treat Thumb Dislocation (26641) $471.90 $726 1.9×
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Treat thumb fracture (26665) $5,813.60 $8,944 1.7×
Treat toe dislocation (28630) $421.85 $649 1.7×
Treat/graft heel fracture (28420) $23,193.30 $35,682 1.8×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $2,622.10–$2,966.60 $4,034–$4,564 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $471.90–$880.10 $726–$1,354 varies
Treatment of ankle fracture (27823) $12,319.45 $18,953 1.7×
Treatment of foot infection (28003) $5,813.60 $8,944 1.7×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $10,600.85–$11,968.45 $16,309–$18,413 varies
Treatment of nose fracture (21330) $9,579.05 $14,737 1.6×
Treatment of tibia fracture (27756) $12,319.45 $18,953 1.7×
Trim skin lesion (11055) $138.45 $213 0.7×
Trim skin lesions 2 to 4 (11056) $345.80 $532 1.7×
Trim skin lesions over 4 (11057) $207.35 $319 1.0×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $61.75–$95.55 $95–$147 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $4,163.25 $6,405 1.5×
Tx Gastro Intub W/Asp (43753) $527.15 $811 2.4×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $23,193.30 $35,682 1.8×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $3,870.75–$4,661.15 $5,955–$7,171 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $11,800.10 $18,154 1.6×
Tx Missed Abortion First Trimester Surgical (59820) $5,317 $8,180 1.6×
Tx open tendon flexor toe 1 tendon spx (28232) $2,966.60 $4,564 1.8×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,966.60 $4,564 1.8×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,966.60 $4,564 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $866.45–$1,005.55 $1,333–$1,547 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $636.35–$639.60 $979–$984 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,966.60 $4,564 1.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $471.90 $726 1.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $23,193.30 $35,682 1.8×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,411.50 $3,710 1.5×
Tympanoplasty (69631) $9,611.55 $14,787 1.6×
Tympanostomy general anesthesia (69436) $2,684.50 $4,130 1.7×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $399.10 $614 1.6×
Unlisted laparoscopy procedure appendix (44979) $9,471.15 $14,571 1.5×
Unlisted laparoscopy procedure oviduct ovary (58679) $8,034 $12,360 1.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $10,853.05 $16,697 1.8×
Unlisted procedure arthroscopy (29999) $471.90 $726 1.9×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $266.50–$297.70 $410–$458 varies
Unlisted Procedure External Ear (69399) $378.95 $583 1.6×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $446.55–$471.90 $687–$726 varies
Unlisted procedure foot or toes (28899) $471.90 $726 1.9×
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $310.05–$471.90 $477–$726 varies
Unlisted procedure humerus/elbow (24999) $471.90 $726 1.9×
Unlisted Procedure Leg/Ankle (27899) $471.90 $726 1.9×
Unlisted procedure lungs and pleura (32999) $832 $1,280 1.3×
Unlisted Procedure Male Genital System (55899) $2,067 $3,180 8.1×
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $445.90–$471.90 $686–$726 varies
Unlisted procedure neck or thorax (21899) $399.10 $614 1.6×
Unlisted procedure nervous system (64999) $632.45 $973 2.0×
Unlisted procedure pelvis/hip joint (27299) $446.55 $687 1.8×
Unlisted Procedure Rectum (45999) $2,684.50 $4,130 2.8×
Unlisted procedure spine (22899) $332.15 $511 1.3×
Unlisted Procedure Vascular Surgery (37799) $11,368.50 $17,490 17.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines		 $1,722.50–$2,067 $2,650–$3,180 varies
Unlisted Procedure, Urinary System (53899) $495.95 $763 1.9×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $282.10–$323.70 $434–$498 varies
Urethrlys Transvag W/ Scope (53500) $3,527.55 $5,427 1.0×
Urine Flow Measurement (51736)
range across 2 matching MRF lines		 $31.20–$169 $48–$260 varies
Uvulectomy excision of uvula (42140) $4,399.20 $6,768 1.3×
Vaginal Delivery After Cesarean Delivery (59612) $4,929.60 $7,584 1.5×
Vaginal delivery only (59409) $4,992.65 $7,681 1.5×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $8,763.95 $13,483 1.7×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $7,290.40 $11,216 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,299.40 $5,076 1.5×
Ventilating tube removal requiring general anesthesia (69424) $5,428.80 $8,352 1.6×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $365.30–$639.60 $562–$984 varies
Wedging of cast (29740) $521.30 $802 1.8×
Wedging of clubfoot cast (29750) $521.30 $802 1.8×
Windowing of cast (29730) $297.70 $458 1.8×
Wound Prep F/N/Hf/G (15004) $1,005.55 $1,547 2.4×
Wound Prep Trk/Arm/Leg (15002) $3,227.90 $4,966 4.3×
Wrist arthroscopy (29840) $5,813.60 $8,944 1.7×
Wrist arthroscopy with partial removal of joint lining (29844) $5,813.60 $8,944 1.7×
Xfer Single Deep Low Leg Tendon (27691) $12,319.45 $18,953 1.7×
Xtrnl fixj w/strtctc adjustment exchange strut (20697)
range across 2 matching MRF lines		 $2,966.60–$5,433.35 $4,564–$8,359 varies

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.