Procedures & surgery prices at Memorial Hospital

Abilene, KS · every code in this section with a posted price and a Medicare benchmark.

2174 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $333.20–$1,222.40 $333.20–$1,222.40 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $333.20–$554.70 $333.20–$554.70 varies
Ablate inf turbinate submuc (30802) $837 $837 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 2 matching MRF lines		 $11,721.50–$13,962.80 $11,721.50–$13,962.80 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $447.50 $447.50 0.3×
Abrasion single lesion (15786) $702.20 $702.20 3.8×
Acetabuloplasty resection femoral head (27122)
range across 2 matching MRF lines		 $486.70–$1,946.40 $486.70–$1,946.40 varies
Acne surgery (10040)
range across 3 matching MRF lines		 $100–$200 $100–$200 varies
Acromiopl/Acromionect Partial (23130) $1,604.10 $1,604.10 0.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,001.90 $1,001.90 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,525.10 $1,525.10 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,947 $2,947 0.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,896.40 $2,896.40 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,330.50 $1,330.50 0.7×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,286.90 $1,286.90 0.7×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,532.60 $2,532.60 1.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,409.40 $1,409.40 0.7×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure		 $1,099.10 $1,099.10 0.2×
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $1,405.30 $1,405.30 0.5×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $343.50–$797.60 $343.50–$797.60 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,617.90 $1,617.90 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,044.90 $2,044.90 0.7×
Amputate Metacarpal Bone (26910) $2,258.20 $2,258.20 0.8×
Amputate Thigh,Re-Amputatn (27596) $3,034 $3,034 1.0×
Amputation follow-up surgery (27594) $1,351 $1,351 0.4×
Amputation foot transmetarsal (28805) $2,117 $2,117 0.7×
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $366.40–$1,465.50 $366.40–$1,465.50 varies
Amputation thigh through femur any level (27590)
range across 2 matching MRF lines		 $580.50–$2,323.10 $580.50–$2,323.10 varies
Amputation toe interphalangeal joint (28825) $1,441.50 $1,441.50 0.5×
Amputation toe metatarsophalangeal joint (28820) $932 $932 0.3×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $1,218.20 $1,218.20 0.4×
Amputation, forearm, through radius and ulna; Facility (25900)
unusually low: confirm this is the full procedure		 $2,113.60 $2,113.60 0.3×
Amputation, forearm, through radius and ulna; re-amputation Facility (25909)
range across 2 matching MRF lines		 $506.20–$2,025.40 $506.20–$2,025.40 varies
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $1,819.40 $1,819.40 0.6×
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $819.90–$3,278 $819.90–$3,278 varies
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $1,630.40 $1,630.40 0.5×
Amputation, leg, through tibia and fibula; re-amputation (27886) $3,202.30 $3,202.30 1.1×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $1,418.90 $1,418.90 0.5×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $2,374.60 $2,374.60 0.8×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592)
range across 2 matching MRF lines		 $461.50–$1,846.90 $461.50–$1,846.90 varies
Anoplasty, plastic operation for stricture; adult Facility (46700) $3,020.30 $3,020.30 1.2×
Anoscopy Control Bleeding (46614) $830.20 $830.20 0.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $323.20–$325.20 $323.20–$325.20 varies
Anoscopy W/Rmvl Foreign Body (46608) $246.80 $246.80 0.3×
Anoscopy; with biopsy, single or multiple (46606) $782.10 $782.10 0.7×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604)
range across 2 matching MRF lines		 $436.30–$1,744.90 $436.30–$1,744.90 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $293.20 $293.20 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
range across 2 matching MRF lines		 $429.40–$1,717.40 $429.40–$1,717.40 varies
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,763.20 $1,763.20 0.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $363.50 $363.50 2.4×
Application cast elbow finger short arm (29075)
range across 4 matching MRF lines		 $67.50–$341.40 $67.50–$341.40 varies
Application Cast Finger (29086) $139.90 $139.90 0.9×
Application Cast Shoulder Spica (29055) $393.60 $393.60 1.5×
Application Finger Splint Dynamic (29131) $99.90 $99.90 1.8×
Application finger splint static (29130)
range across 3 matching MRF lines		 $60–$180 $60–$180 varies
Application long arm splint shoulder hand (29105) $203.90 $203.90 1.4×
Application Long Leg Cast Brace (29358) $300.70 $300.70 1.2×
Application Long Leg Cast Walker/Ambulatory Type (29355) $343.50 $343.50 1.3×
Application Long Leg Splint (29505) $146.60 $146.60 1.0×
Application multiplane external fixation system (20692)
range across 2 matching MRF lines		 $494.70–$1,978.50 $494.70–$1,978.50 varies
Application of cylinder cast (thigh to ankle) (29365) $279.40 $279.40 1.1×
Application of long leg cast (29345) $311.50 $311.50 1.2×
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge, not the full procedure		 $3,028.40 $3,028.40 0.1×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $535.90–$697.80 $535.90–$697.80 varies
Application Patellar Tendon Bearing Cast (29435) $387.10 $387.10 1.5×
Application Short Arm Splint Dynamic (29126)
range across 3 matching MRF lines		 $58.90–$233.60 $58.90–$233.60 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $172–$207 $172–$207 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $139.80–$344.60 $139.80–$344.60 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $976.70 $976.70 0.1×
Application, cast; figure-of-eight Facility (29049) $201.80 $201.80 0.8×
Apply hand/wrist cast (29085) $233.60 $233.60 1.6×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $163–$449 $163–$449 varies
Apply Multlay Comprs Lwr Leg (29581) $363.50 $363.50 2.4×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $135.80–$257.70 $135.80–$257.70 varies
Apply short leg cast (29425) $301.30 $301.30 1.2×
Arterial puncture (36600)
range across 2 matching MRF lines		 $52.80–$236.40 $52.80–$236.40 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
range across 2 matching MRF lines		 $1,957.80–$7,830.10 $1,957.80–$7,830.10 varies
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
range across 2 matching MRF lines		 $1,012.20–$4,046.10 $1,012.20–$4,046.10 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $508.40–$2,030 $508.40–$2,030 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $33.30–$1,004.10 $33.30–$1,004.10 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $193.60–$1,475.60 $193.60–$1,475.60 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $34.20–$1,450.10 $34.20–$1,450.10 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 6 matching MRF lines		 $218.90–$1,128.30 $218.90–$1,128.30 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines		 $33.20–$1,004.10 $33.20–$1,004.10 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $683.60–$2,732.90 $683.60–$2,732.90 varies
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $840.40 $840.40 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,589.20 $1,589.20 0.2×
Arthrodesis Posterior Interbody Lumbar (22630)
range across 2 matching MRF lines		 $1,087.70–$4,350.70 $1,087.70–$4,350.70 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612)
range across 2 matching MRF lines		 $1,074–$4,295.80 $1,074–$4,295.80 varies
Arthrodesis Posterior/Posterolateral Thoracic (22610)
range across 2 matching MRF lines		 $1,351–$5,404 $1,351–$5,404 varies
Arthrodesis sacroiliac joint percutaneous (27279)
range across 2 matching MRF lines		 $471.80–$1,761.30 $471.80–$1,761.30 varies
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $524.50–$2,096.40 $524.50–$2,096.40 varies
Arthrodesis triple (28715)
range across 2 matching MRF lines		 $634.30–$2,534.90 $634.30–$2,534.90 varies
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
range across 2 matching MRF lines		 $1,750.90–$7,003.40 $1,750.90–$7,003.40 varies
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548)
range across 2 matching MRF lines		 $1,293.80–$5,175 $1,293.80–$5,175 varies
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595)
range across 2 matching MRF lines		 $1,024.80–$4,096.50 $1,024.80–$4,096.50 varies
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590)
range across 2 matching MRF lines		 $1,810.20–$7,241.60 $1,810.20–$7,241.60 varies
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
range across 2 matching MRF lines		 $887.40–$3,547 $887.40–$3,547 varies
Arthroplasty Ankle (27700)
likely a partial charge, not the full procedure		 $1,675.10 $1,675.10 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $601.20–$2,403.30 $601.20–$2,403.30 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure		 $1,979.70 $1,979.70 0.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $568–$2,271.50 $568–$2,271.50 varies
Arthroplasty Patella W/Prosthesis (27438)
range across 2 matching MRF lines		 $523.30–$2,091.90 $523.30–$2,091.90 varies
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge, not the full procedure		 $2,754.80 $2,754.80 0.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $424.80–$1,699.10 $424.80–$1,699.10 varies
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $208.50–$832.40 $208.50–$832.40 varies
Arthroscopy ankle w/removal loose/foreign body (29894)
range across 2 matching MRF lines		 $205.90–$823.30 $205.90–$823.30 varies
Arthroscopy hip w/femoroplasty (29914)
range across 2 matching MRF lines		 $411.10–$1,641.90 $411.10–$1,641.90 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $1,028.20 $1,028.20 0.3×
Arthroscopy Knee Osteochondral Allograft (29867)
range across 2 matching MRF lines		 $874.80–$3,501.20 $874.80–$3,501.20 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $535.90–$2,142.20 $535.90–$2,142.20 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $202.70–$811.90 $202.70–$811.90 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 2 matching MRF lines		 $249.70–$997.30 $249.70–$997.30 varies
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $622.90–$2,490.30 $622.90–$2,490.30 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $958.30–$3,831 $958.30–$3,831 varies
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $2,070.10 $2,070.10 0.7×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
range across 2 matching MRF lines		 $332.10–$1,329.30 $332.10–$1,329.30 varies
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
likely a partial charge, not the full procedure		 $1,940.70 $1,940.70 0.3×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
range across 2 matching MRF lines		 $1,735.80–$2,893.20 $1,735.80–$2,893.20 varies
Arthroscopy, knee, surgical; with lateral release (29873) $855.30 $855.30 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)
range across 2 matching MRF lines		 $674.50–$2,696.30 $674.50–$2,696.30 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $1,087–$1,244.60 $1,087–$1,244.60 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $403.10–$1,613.30 $403.10–$1,613.30 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $255.50–$1,019 $255.50–$1,019 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $377.90–$2,434.30 $377.90–$2,434.30 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $426–$1,702.50 $426–$1,702.50 varies
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821)
range across 2 matching MRF lines		 $399.70–$1,598.40 $399.70–$1,598.40 varies
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $1,609.90 $1,609.90 0.5×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $709.90–$3,761.10 $709.90–$3,761.10 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,913.60 $1,913.60 0.6×
Arthrotomy biopsy interphalangeal joint each (26110) $960.70 $960.70 0.6×
Arthrotomy W/Meniscus Repair Knee (27403)
range across 2 matching MRF lines		 $439.70–$1,760.90 $439.70–$1,760.90 varies
Arthrotomy W/Synovectomy Ankle (27625)
range across 2 matching MRF lines		 $397.30–$1,589.20 $397.30–$1,589.20 varies
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040)
range across 2 matching MRF lines		 $493.50–$1,971.60 $493.50–$1,971.60 varies
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
range across 2 matching MRF lines		 $387.10–$1,549.20 $387.10–$1,549.20 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $560–$2,238.40 $560–$2,238.40 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines		 $548–$2,194 $548–$2,194 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $1,031.60–$4,124 $1,031.60–$4,124 varies
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332)
range across 2 matching MRF lines		 $572.50–$2,288.80 $572.50–$2,288.80 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $830.20–$3,319.20 $830.20–$3,319.20 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $278.40–$1,115.20 $278.40–$1,115.20 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $534.20–$2,136.50 $534.20–$2,136.50 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $671–$2,681.50 $671–$2,681.50 varies
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $1,751.70 $1,751.70 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $766.10–$3,065 $766.10–$3,065 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 2 matching MRF lines		 $381.40–$1,523.90 $381.40–$1,523.90 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $949.20 $949.20 0.6×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $542.70 $542.70 0.2×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $1,861.70 $1,861.70 0.6×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $507.30 $507.30 0.3×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,302.20 $1,302.20 0.4×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $1,073.80 $1,073.80 0.4×
Arthrt w/synvct kne ant&post w/pop area (27335)
range across 2 matching MRF lines		 $312.70–$1,250.30 $312.70–$1,250.30 varies
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $1,277.80 $1,277.80 0.4×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $450–$1,703.50 $450–$1,703.50 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $314.90–$1,790.60 $314.90–$1,790.60 varies
Aspirate/Inj Ganglion Cyst (20612) $167.30 $167.30 0.6×
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $329.70–$568 $329.70–$568 varies
Autologous Chondrocyte Implantation Knee (27412) $3,415.40 $3,415.40 0.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $25.60–$372 $25.60–$372 varies
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $468.40–$6,359.20 $468.40–$6,359.20 varies
Biopsy bone open deep (20245) $918.30 $918.30 0.3×
Biopsy bone open superficial (20240) $580.50 $580.50 0.2×
Biopsy bone trocar/needle deep (20225)
range across 4 matching MRF lines		 $183.20–$5,044.90 $183.20–$5,044.90 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines		 $737.20–$5,044.90 $737.20–$5,044.90 varies
Biopsy External Auditory Canal (69105) $433.50 $433.50 0.3×
Biopsy external ear (69100)
range across 3 matching MRF lines		 $140–$250 $140–$250 varies
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $427.20–$3,304.20 $427.20–$3,304.20 varies
Biopsy Muscle Superficial (20200) $595.40 $595.40 0.4×
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $178.70–$200.50 $178.70–$200.50 varies
Biopsy Nasopharynx Visible Lesion Simple (42804) $616.40 $616.40 0.2×
Biopsy of breast; open, incisional (19101)
range across 4 matching MRF lines		 $465–$4,294 $465–$4,294 varies
Biopsy of floor of mouth (41108)
range across 2 matching MRF lines		 $225.10–$249.70 $225.10–$249.70 varies
Biopsy of lip (40490)
range across 3 matching MRF lines		 $125–$297.70 $125–$297.70 varies
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $583.90–$2,702.50 $583.90–$2,702.50 varies
Biopsy of nerve (64795) $522.20 $522.20 0.3×
Biopsy of palate, uvula (42100) $435.50 $435.50 0.3×
Biopsy of penis (54100)
range across 2 matching MRF lines		 $324.10–$350.50 $324.10–$350.50 varies
Biopsy of rectum (45100) $495.90 $495.90 0.2×
Biopsy of tear sac (68525) $749.20 $749.20 0.3×
Biopsy of upper nose/throat (42806) $688.20 $688.20 0.2×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,757.50 $1,757.50 0.5×
Biopsy Oropharynx (42800) $468.50 $468.50 0.3×
Biopsy ovary uni/bi separate procedure (58900) $972 $972 0.3×
Biopsy Pleura Percutaneous Needle (32400) $366.40 $366.40 0.2×
Biopsy Salivary Gland Incisional (42405) $890 $890 0.6×
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines		 $301.70–$1,299.90 $301.70–$1,299.90 varies
Biopsy Soft Tissue Back/Flank Superficial (21920) $778.10 $778.10 0.5×
Biopsy soft tissue forearm&/wrist deep (25066) $870.20 $870.20 0.3×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $972.10 $972.10 0.4×
Biopsy soft tissue leg/ankle area superficial (27613) $366.40 $366.40 0.2×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $664.10–$3,598.70 $664.10–$3,598.70 varies
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $4,007.40 $4,007.40 2.6×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,917.80 $1,917.80 1.3×
Biopsy Soft Tissue Shoulder Deep (23066) $1,534.20 $1,534.20 0.6×
Biopsy Soft Tissue Shoulder Superficial (23065) $474.60 $474.60 0.3×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324)
range across 2 matching MRF lines		 $704.20–$7,769.40 $704.20–$7,769.40 varies
Biopsy soft tissue thigh/knee area superficial (27323) $569.10 $569.10 0.4×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 3 matching MRF lines		 $115.60–$561.80 $115.60–$561.80 varies
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines		 $257.70–$287.40 $257.70–$287.40 varies
Biopsy Vaginal Mucosa Extensive (57105) $263.40 $263.40 0.1×
Biopsy Vaginal Mucosa Simple (57100) $229 $229 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $229 $229 0.3×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $276–$305.70 $276–$305.70 varies
Biopsy/removal lymph nodes (38510) $1,672.80 $1,672.80 0.5×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $1,432.50–$1,661.40 $1,432.50–$1,661.40 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $89.90–$492.70 $89.90–$492.70 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $102–$177.60 $102–$177.60 varies
Blepharotomy drainage abscess eyelid (67700) $334.60 $334.60 1.1×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $209.80–$1,115.90 $209.80–$1,115.90 varies
Blood/Lymph System Procedure (38999) $1,086.40 $1,086.40 2.7×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,064.80 $1,064.80 0.2×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $555–$2,680.50 $555–$2,680.50 varies
Bone Marrow Harvest Autolog (38232) $552 $552 0.1×
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines		 $83.70–$333 $83.70–$333 varies
Breast Reduction (19318)
unusually low: confirm this is the full procedure		 $2,920.70 $2,920.70 0.5×
Brnchsc Brushing/Protected Brushings (31623) $819 $819 0.5×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $608 $608 0.2×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $672.10 $672.10 0.2×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
likely a partial charge, not the full procedure		 $722.20 $722.20 0.1×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $742.20 $742.20 0.2×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $337.80 $337.80 0.1×
Bronchoscopy Clear Airways (31645) $790 $790 0.5×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $661.20 $661.20 0.1×
Bronchoscopy Reclear Airway (31646) $411.60 $411.60 1.1×
Bronchoscopy W/Biopsy(S) (31625) $824.40 $824.40 0.5×
Bronchoscopy W/Excision Tumor (31640) $835.80 $835.80 0.2×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
likely a partial charge, not the full procedure		 $513.60 $513.60 0.1×
Bronchoscopy W/Removal Foreign Body (31635) $877.10 $877.10 0.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $999.60 $999.60 0.3×
Bronchoscopy/Needle Bx Each (31629) $692.80 $692.80 0.2×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,674 $1,674 0.6×
Bx breast 1st lesion mr imag (19085) $3,142.20 $3,142.20 2.1×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,313.30–$3,142.20 $1,313.30–$3,142.20 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,410.60–$3,142.20 $1,410.60–$3,142.20 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $332.10–$831.90 $332.10–$831.90 varies
Bx Cervix (57500) $229 $229 0.3×
Bx/exc lymph node open deep axillary node (38525) $988.20 $988.20 0.3×
Bx/exc lymph node open superficial (38500) $912.50 $912.50 0.3×
Ca vi psp&sp1 igg igm&iga antb cl semiql blood (0522U) $523.90 $523.90 2.0×
Canthoplasty (67950) $1,721.90 $1,721.90 0.8×
Canthotomy Separate Procedure (67715) $311.70 $311.70 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $684 $684 0.2×
Capsulorrhaphy Anterior W/Labral Repair (23455) $5,982.20 $5,982.20 0.9×
Capsulorrhaphy Anterior With Bone Block (23460)
range across 2 matching MRF lines		 $740.80–$2,963.10 $740.80–$2,963.10 varies
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $295.50–$1,179.30 $295.50–$1,179.30 varies
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $158.90–$865 $158.90–$865 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $286.30 $286.30 1.0×
Cerclage Uterine Cervix Nonobstetrical (57700) $916 $916 0.3×
Cerv artific diskectomy (22856)
range across 2 matching MRF lines		 $1,067.20–$4,267.10 $1,067.20–$4,267.10 varies
Cervical lymphadenectomy (complete) (38720) $3,899.10 $3,899.10 0.6×
Cessj Therapy Cath Removal (37214)
range across 2 matching MRF lines		 $274.80–$4,945.70 $274.80–$4,945.70 varies
Change Cystostomy Tube Complicated (51710) $229.80 $229.80 0.4×
Change Cystostomy Tube Simple (51705) $323 $323 1.4×
Change of Windpipe Airway (31502) $238.20 $238.20 1.1×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $120.30–$220.40 $120.30–$220.40 varies
Chemical Pleurodesis (32560) $719.10 $719.10 1.2×
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines		 $386.30–$388.20 $386.30–$388.20 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $340.10–$1,134.70 $340.10–$1,134.70 varies
Chemodenerv Eccrine Glands (64650)
range across 3 matching MRF lines		 $50–$365 $50–$365 varies
Chemodenerv Musc Migraine (64615)
range across 5 matching MRF lines		 $369.20–$799.90 $369.20–$799.90 varies
Chemodenerv musc neck dyston (64616) $296.60 $296.60 1.1×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $358.50 $358.50 1.3×
Chemodenerv trunk musc 1-5 (64646) $461.50 $461.50 0.7×
Chemodenerv trunk musc 6/> (64647) $535.90 $535.90 0.8×
Chemodenervation eccrine glands oth area per day (64653)
range across 3 matching MRF lines		 $65–$380 $65–$380 varies
Chemodenervation of extraocular muscle (67345) $668.70 $668.70 2.3×
Chemodenervation of internal anal sphincter (46505) $858.70 $858.70 0.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $368.80 $368.80 1.3×
Chest tube placement (32551)
range across 2 matching MRF lines		 $264.50–$2,400 $264.50–$2,400 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $1,083.20–$6,502.60 $1,083.20–$6,502.60 varies
Circumcision w/clamp/oth dev w/block (54150) $470.60 $470.60 0.2×
Cl Tx Scapular Fx; W Manip (23575) $1,101.50 $1,101.50 0.7×
Cl Tx Tib Shft Fx W Manip (27752) $1,652.80 $1,652.80 1.1×
Claviculectomy partial (23120) $944.60 $944.60 0.3×
Clear outer ear canal (69200) $357.30 $357.30 2.9×
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $193.60–$775.20 $193.60–$775.20 varies
Closed Rx Spontaneous Hip Disloc (27256) $697.30 $697.30 3.1×
Closed rx talotarsal disloc,anesth (28575) $1,007.60 $1,007.60 0.3×
Closed Treat Vert Body Fract (22310) $871 $871 3.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,030.30 $1,030.30 4.5×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,322.50 $1,322.50 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,356.80 $1,356.80 6.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines		 $199.30–$793.60 $199.30–$793.60 varies
Closed Treatment Sternum Fracture (21820) $430.60 $430.60 1.9×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $350–$1,455 $350–$1,455 varies
Closed tx ankle dislocation w/o anesthesia (27840) $1,121.60 $1,121.60 4.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,132.40 $1,132.40 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $803.80–$897.70 $803.80–$897.70 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,000 $1,000 4.4×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $240–$947.90 $240–$947.90 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,110.10 $1,110.10 0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $826.70 $826.70 3.6×
Closed tx femoral fracture prox head w/o manj (27267) $711.10 $711.10 0.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,406 $1,406 6.2×
Closed tx fx orbit except blowout w/manipulation (21401) $1,530.10 $1,530.10 1.1×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,872.70 $1,872.70 1.3×
Closed tx knee dislocation w/o anesthesia (27550) $1,425.50 $1,425.50 6.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,113 $1,113 0.8×
Closed tx mandibular fracture w/manipulation (21451) $1,918.60 $1,918.60 1.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,437.30 $1,437.30 2.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $3,227 $3,227 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $592 $592 2.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $897.70 $897.70 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $449.40 $449.40 0.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 3 matching MRF lines		 $185–$3,428 $185–$3,428 varies
Closed Tx Nasomaxillary Complex Fracture (21345) $2,323.10 $2,323.10 1.6×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $1,966.60 $1,966.60 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $738.90 $738.90 3.3×
Closed tx patellar dislocation w/o anesthesia (27560) $976.70 $976.70 4.3×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $337.10–$867.90 $337.10–$867.90 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,188.60 $1,188.60 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $505.60 $505.60 2.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,584.60 $1,584.60 1.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $390.50 $390.50 1.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,781.60 $1,781.60 1.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $745.40 $745.40 3.3×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $316–$632 $316–$632 varies
Closed tx septal&nose fx (21337) $867 $867 0.3×
Closed tx talotarsal joint dislc w/o anes (28570) $575.40 $575.40 2.5×
Closed Tx Talus Fracture W/Manipulation (28435) $869 $869 0.6×
Closed tx talus fracture w/o manipulation (28430) $642.40 $642.40 2.8×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $895 $895 3.9×
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $122.60–$490.10 $122.60–$490.10 varies
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,889.40 $2,889.40 2.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $92.90 $92.90 0.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,232.60 $1,232.60 0.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $300–$750 $300–$750 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $702 $702 3.1×
Closure Gastrostomy Surg (43870) $1,894.90 $1,894.90 0.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $485.50 $485.50 2.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $669.30 $669.30 1.3×
Closure Lacrimal Fistula Spx (68770) $1,806.70 $1,806.70 0.8×
Closure of esophagostomy or fistula; cervical approach Facility (43420) $2,950.40 $2,950.40 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $925.80 $925.80 4.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $692.20 $692.20 3.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $987.80 $987.80 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $597.70 $597.70 2.6×
Clsd tx fx orbit except blowout w/o manipulation (21400) $478.40 $478.40 1.0×
Clsd Tx Pelvic Ring Fx (27198) $933.80 $933.80 4.1×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $356.60 $356.60 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,202.20 $1,202.20 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $847.30 $847.30 3.7×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $705.30 $705.30 0.5×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $1,344.20 $1,344.20 0.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,441.50 $1,441.50 6.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $807.30 $807.30 0.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $941 $941 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $616 $616 2.7×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,253.60 $1,253.60 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $819.90 $819.90 3.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $609 $609 2.7×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,251.50 $1,251.50 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $961.80 $961.80 4.2×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $715.60–$850.80 $715.60–$850.80 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $886.20 $886.20 3.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $210.80–$494.70 $210.80–$494.70 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $237.90–$878.20 $237.90–$878.20 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $432.90–$1,732.40 $432.90–$1,732.40 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,329.30 $1,329.30 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $281.80–$1,127.80 $281.80–$1,127.80 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,182.30 $1,182.30 5.2×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,399.80 $2,399.80 1.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,286.90 $1,286.90 5.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,093 $2,093 1.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $431.50 $431.50 1.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $324.10 $324.10 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $354.20 $354.20 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $312.70 $312.70 1.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $887.40 $887.40 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $250–$803.80 $250–$803.80 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $786.60 $786.60 3.5×
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 3 matching MRF lines		 $300–$975.40 $300–$975.40 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,004.10 $1,004.10 0.7×
Cltx hip dislocation traumatic req anesthesia (27252) $2,232.30 $2,232.30 1.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $529.40 $529.40 2.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $925.80 $925.80 4.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,627 $1,627 1.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,463.30 $1,463.30 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $760.30 $760.30 3.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,249.20 $1,249.20 0.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $367.60 $367.60 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $257.40 $257.40 1.1×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,574.30 $1,574.30 1.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $617.20 $617.20 2.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $786.60 $786.60 3.5×
Cltx Med Ankle Fx W/Mnpj (27762) $1,340.30 $1,340.30 0.9×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $803.80–$897.70 $803.80–$897.70 varies
Cltx metacarpal fx w/manipulation each bone (26605) $929.80 $929.80 4.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $578.30 $578.30 2.5×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $830.70 $830.70 0.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $386 $386 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $929.80 $929.80 4.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $453.50 $453.50 2.0×
Cltx post hip arthrp dislc req anes (27266) $951.50 $951.50 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $945.80 $945.80 4.2×
Cltx prox fibula/shft fx w/manj (27781) $1,183.60 $1,183.60 0.8×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $613.90–$823.30 $613.90–$823.30 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $751.20 $751.20 0.5×
Cltx prox tibfib jt dislc req anes (27831) $871.10 $871.10 0.3×
Cltx prox tibfib jt dislc w/o anes (27830) $1,064.70 $1,064.70 4.7×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $671 $671 3.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $191.30 $191.30 0.8×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,705.90 $1,705.90 1.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,035.10 $1,035.10 0.7×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $890.80 $890.80 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $997.30 $997.30 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $350–$1,455 $350–$1,455 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,367.10 $1,367.10 6.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $427.20 $427.20 0.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $508.40 $508.40 2.2×
Cltx tibial fx proximal w/o manipulation (27530) $809.50 $809.50 3.6×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $849.20–$958.30 $849.20–$958.30 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,565 $1,565 6.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $786.60 $786.60 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $756.90 $756.90 3.3×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $1,775.80 $1,775.80 0.6×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
range across 2 matching MRF lines		 $590.90–$2,364.30 $590.90–$2,364.30 varies
Coccygectomy, primary (27080)
range across 2 matching MRF lines		 $209.70–$837 $209.70–$837 varies
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines		 $76.30–$223.80 $76.30–$223.80 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $17.30–$54.90 $17.30–$54.90 varies
Colonoscopy Flexible With Decompression (45393) $772.90 $772.90 0.7×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,483.90 $1,483.90 1.3×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure		 $1,085.50 $1,085.50 0.2×
Colonoscopy Through Stoma With Decompression (44408) $510 $510 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $73.30–$292 $73.30–$292 varies
Colonoscopy thru stoma (44388) $1,085.50 $1,085.50 1.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,501 $1,501 1.4×
Colonoscopy w/ablation (45388) $1,418.70 $1,418.70 1.3×
Colonoscopy W/Band Ligation (45398) $806.10 $806.10 0.7×
Colonoscopy w/fb removal (45379) $1,068.50 $1,068.50 1.0×
Colonoscopy W/Resection (45390) $943.50 $943.50 0.4×
Colonoscopy w/submucosal inj (45381) $1,332.70 $1,332.70 1.2×
Colpocentesis (57020) $235.90 $235.90 0.1×
Colpocleisis (le fort type) (57120)
range across 2 matching MRF lines		 $343.50–$1,373.90 $343.50–$1,373.90 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,153.60 $1,153.60 0.4×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $2,882.90 $2,882.90 0.4×
Colporrhaphy (57200) $687 $687 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $400.80 $400.80 1.4×
Colposcopy Cervix Endocervical Curettage (57456) $384.80 $384.80 1.4×
Colposcopy cervix upper/adjacent vagina (57452) $325.20 $325.20 1.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $232.60 $232.60 0.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $745 $745 0.3×
Colposcopy entire vagina w/cervix if present (57420) $358.50 $358.50 1.3×
Colposcopy of vulva (56820) $304 $304 1.6×
Colposcopy Vulva W/Biopsy (56821) $408 $408 1.5×
Colpotomy; with drainage of pelvic abscess (57010) $1,177 $1,177 0.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,738 $1,738 1.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,248 $1,248 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,373.90 $1,373.90 1.2×
Combined anteroposterior colporrhaphy; (57260)
range across 2 matching MRF lines		 $515.30–$2,060.90 $515.30–$2,060.90 varies
Complex drainage wound (10180)
range across 2 matching MRF lines		 $484.40–$7,296.60 $484.40–$7,296.60 varies
Composite Skin Graft (15760) $2,478 $2,478 1.3×
Conization cervix w/wo d&c rpr eltrd exc (57522) $744.20 $744.20 0.2×
Conization of cervix (57520) $1,030.50 $1,030.50 0.3×
Conjunctivorhinostomy Insj Tube/Stent (68750) $2,448 $2,448 0.7×
Conjunctivorhinostomy W/O Tube (68745) $2,329.10 $2,329.10 0.6×
Constj tracheoesophgl fstl&insj sp prosth (31611) $1,590.10 $1,590.10 0.5×
Contour cranial bone lesion (21181)
unusually low: confirm this is the full procedure		 $2,174.30 $2,174.30 0.4×
Contour of face bone lesion (21029) $2,265.20 $2,265.20 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $556.70 $556.70 4.5×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $74.30–$234.80 $74.30–$234.80 varies
Control nose/throat bleeding (42972) $1,479.20 $1,479.20 0.5×
Control oropharyngeal hemorrhage simple (42960) $474.60 $474.60 1.0×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $680.10–$2,720.40 $680.10–$2,720.40 varies
Conversion ext bil drg cath (47535) $5,567.90 $5,567.90 1.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $462.60 $462.60 0.3×
Convert Nephrostomy Catheter (50434) $1,789 $1,789 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,960.50 $1,960.50 1.3×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $1,208.50 $1,208.50 0.4×
Correction hammertoe (28285) $1,124.40 $1,124.40 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,635.70 $2,635.70 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,739.20 $1,739.20 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $2,214.30 $2,214.30 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $1,575.50–$2,093 $1,575.50–$2,093 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,635.70 $2,635.70 0.4×
Costotransversectomy (separate procedure) Facility (21610)
range across 2 matching MRF lines		 $664.10–$2,655.10 $664.10–$2,655.10 varies
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064)
range across 2 matching MRF lines		 $847–$2,897.80 $847–$2,897.80 varies
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $1,001.90–$1,425.50 $1,001.90–$1,425.50 varies
Create Tear Sac-Nasal Fistula (68720) $2,318.10 $2,318.10 0.6×
Cricopharyngeal myotomy (43030)
likely a partial charge, not the full procedure		 $1,579 $1,579 0.3×
Csf shunt reprogram (62252)
range across 2 matching MRF lines		 $153.60–$154.70 $153.60–$154.70 varies
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $1,200.50 $1,200.50 5.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $260–$530 $260–$530 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 3 matching MRF lines		 $245–$531.80 $245–$531.80 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,509.20 $1,509.20 0.5×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) $608 $608 0.7×
Curettage postpartum (59160) $587.50 $587.50 0.2×
Curette/treat cornea (65435) $229 $229 0.2×
Cysto calibration dilat urtl strix/stenosis (52281) $439.50 $439.50 0.2×
Cysto w/irrig & evac multple obstructing clots (52001) $831.10 $831.10 0.3×
Cysto W/Simple Removal Stone & Stent (52310) $3,459.70 $3,459.70 1.8×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
range across 2 matching MRF lines		 $841.60–$3,367.20 $841.60–$3,367.20 varies
Cystoscopy and radiotracer (52250) $691.30 $691.30 0.2×
Cystourethroscopy (52000) $232.90 $232.90 0.4×
Cystourethroscopy w/dil bladder general anesth (52260) $558.80 $558.80 0.3×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010)
range across 2 matching MRF lines		 $232.20–$464.20 $232.20–$464.20 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $116.90 $116.90 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,147.30 $1,147.30 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $867.90 $867.90 1.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $533.70 $533.70 0.8×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,066 $1,066 0.4×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602)
range across 2 matching MRF lines		 $201.60–$805 $201.60–$805 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $46–$889.30 $46–$889.30 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $71.10–$159.40 $71.10–$159.40 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $69.90–$175.50 $69.90–$175.50 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $244–$2,700 $244–$2,700 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $640.20 $640.20 1.3×
Debridement Mastoidectomy Cavity Simple (69220) $231.80 $231.80 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $46–$553.90 $46–$553.90 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $268.20–$545.10 $268.20–$545.10 varies
Decomp forearm,1 compart,w/o debride (25020) $940 $940 0.6×
Decompress Fingers/Hand (26035)
range across 2 matching MRF lines		 $573.70–$2,295.60 $573.70–$2,295.60 varies
Decompress Spinal Cord Lmbr (63056)
range across 2 matching MRF lines		 $1,534.20–$6,136.70 $1,534.20–$6,136.70 varies
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $3,499.60 $3,499.60 2.4×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $1,798.70 $1,798.70 0.6×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495)
likely a partial charge, not the full procedure		 $943.50 $943.50 0.1×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $1,064.80 $1,064.80 0.7×
Decompression of leg (27894)
range across 2 matching MRF lines		 $554.20–$2,215.50 $554.20–$2,215.50 varies
Decompression of leg (27892) $909.10 $909.10 0.3×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $241.70–$966.40 $241.70–$966.40 varies
Deep Muscle Biopsy (20205) $663 $663 0.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $1,354.30 $1,354.30 0.7×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,313.50 $1,313.50 0.7×
Delay Flap/Sectioning Flap Trunk (15600) $1,000.80 $1,000.80 0.3×
Delivery of placenta (59414) $572.50 $572.50 0.2×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $2,391.80 $2,391.80 0.7×
Derma-fat-fascia graft (15770) $1,948.60 $1,948.60 0.6×
Dermabrasion segmental face (15781) $1,612 $1,612 2.5×
Dermabrasion superficial any site (15783) $1,336.40 $1,336.40 3.6×
Dermabrasion total face (15780) $2,530.90 $2,530.90 0.9×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $1,665.90 $1,665.90 0.9×
Destroy cerv/thor facet jnt (64633)
range across 5 matching MRF lines		 $260–$5,315.80 $260–$5,315.80 varies
Destroy lumb/sac facet jnt (64635)
range across 5 matching MRF lines		 $260–$5,315.80 $260–$5,315.80 varies
Destruct B9 Lesion 1-14 (17110)
range across 5 matching MRF lines		 $182.10–$465.50 $182.10–$465.50 varies
Destruction Benign Lesions 15/> (17111) $211.90 $211.90 1.1×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 3 matching MRF lines		 $309–$1,209 $309–$1,209 varies
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 3 matching MRF lines		 $263.70–$1,004.10 $263.70–$1,004.10 varies
Destruction Lesions Vulva Extensive (56515)
range across 3 matching MRF lines		 $215–$1,738 $215–$1,738 varies
Destruction Lesions Vulva Simple (56501) $318.40 $318.40 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $392.80 $392.80 2.1×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines		 $174.50–$334.40 $174.50–$334.40 varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $633.30 $633.30 1.7×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $692.80 $692.80 1.0×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $919.50 $919.50 1.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)
range across 3 matching MRF lines		 $145–$325.20 $145–$325.20 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $300.10 $300.10 1.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $343.50 $343.50 1.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $319.50 $319.50 1.7×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 3 matching MRF lines		 $100–$246.30 $100–$246.30 varies
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $491.30 $491.30 2.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $340.10 $340.10 1.8×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $553.10 $553.10 1.5×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $595.40 $595.40 1.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $439.70 $439.70 2.4×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 6 matching MRF lines		 $370–$5,315.80 $370–$5,315.80 varies
Destruction Premalignant Lesion 15/> (17004)
range across 3 matching MRF lines		 $104.90–$511.50 $104.90–$511.50 varies
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $86–$161 $86–$161 varies
Destruction Vaginal Lesions Extensive (57065) $719.10 $719.10 0.2×
Destruction Vaginal Lesions Simple (57061) $351.50 $351.50 0.1×
Diagnostic sigmoidoscopy (45330) $328.60 $328.60 0.4×
Diaphragm or cervical cap fitting with instructions (57170)
range across 3 matching MRF lines		 $75–$282 $75–$282 varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $453.50 $453.50 0.4×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $194.70 $194.70 1.6×
Dilat Xst Trc New Access Rcs (50437) $3,710.10 $3,710.10 1.1×
Dilate Esophagus 1/Mult Pass (43450) $253.10 $253.10 0.3×
Dilate Urethra Stricture (53620) $252.80 $252.80 0.4×
Dilate Urethra Stricture (53600) $184.80 $184.80 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $916 $916 0.3×
Dilation and catheterization of salivary duct, with or without injection (42660) $351.60 $351.60 0.7×
Dilation Cervical Canal (57800) $191.30 $191.30 0.1×
Dilation Esophagus Guide Wire (43453) $2,663.70 $2,663.70 1.5×
Dilation of vagina (57400) $400.80 $400.80 0.1×
Dilation Salivary Duct (42650)
range across 3 matching MRF lines		 $148–$1,633 $148–$1,633 varies
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045)
range across 2 matching MRF lines		 $624.10–$2,494.90 $624.10–$2,494.90 varies
Disarticulation At Knee (27598) $2,225.80 $2,225.80 0.7×
Disarticulation through wrist; Facility (25920) $1,955.60 $1,955.60 0.6×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)
range across 2 matching MRF lines		 $1,013.30–$4,051.90 $1,013.30–$4,051.90 varies
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure		 $1,513.10 $1,513.10 0.3×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
unusually low: confirm this is the full procedure		 $2,310.20 $2,310.20 0.4×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $589.70–$1,279.80 $589.70–$1,279.80 varies
Drain chest lesion (21502)
range across 2 matching MRF lines		 $273–$1,090.70 $273–$1,090.70 varies
Drain Hand Tendon Sheath (26020)
range across 2 matching MRF lines		 $244–$706.50 $244–$706.50 varies
Drain penis lesion (54015) $889.90 $889.90 0.6×
Drain shoulder bursa (23031) $638.30 $638.30 0.2×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $176.40–$944 $176.40–$944 varies
Drainage abscess parotid simple (42300)
range across 3 matching MRF lines		 $208–$1,481 $208–$1,481 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $349.60 $349.60 0.7×
Drainage external auditory canal abscess (69020) $417.60 $417.60 0.6×
Drainage external ear abscess/hematoma cmplx (69005)
range across 3 matching MRF lines		 $160–$1,620 $160–$1,620 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $331 $331 0.5×
Drainage Finger Abscess Complicated (26011) $547.40 $547.40 0.4×
Drainage lymph node lesion (38305) $1,452.20 $1,452.20 0.5×
Drainage Mouth Roof Lesion (42000) $307.80 $307.80 1.4×
Drainage of finger abscess simple (26010) $421.40 $421.40 2.3×
Drainage of gum lesion (41800) $461.50 $461.50 3.8×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $274.80–$4,524 $274.80–$4,524 varies
Drainage of mouth lesion (41006) $997.80 $997.80 0.7×
Drainage of mouth lesion (41017) $1,384.30 $1,384.30 0.5×
Drainage of nose lesion (30000) $347.70 $347.70 1.6×
Drainage of rectal abscess (45020) $1,570.90 $1,570.90 0.6×
Drainage of rectal abscess (45005) $547.40 $547.40 0.5×
Drainage of salivary cyst (42409) $1,147.60 $1,147.60 0.4×
Drainage of salivary gland (42305) $1,239.50 $1,239.50 0.4×
Drainage of scrotal wall abscess (55100) $351.50 $351.50 0.2×
Drainage of scrotum (54700) $510.80 $510.80 0.3×
Drainage of throat abscess (42725)
unusually low: confirm this is the full procedure		 $2,334.10 $2,334.10 0.4×
Draw Blood Off Venous Device (36591) $76.30 $76.30 0.6×
Dressing Change Under Anesthesia (15852) $77.90 $77.90 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801)
range across 3 matching MRF lines		 $275–$875 $275–$875 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $323 $323 0.5×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $390.60 $390.60 0.8×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $343.50 $343.50 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $500.40–$1,175 $500.40–$1,175 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $297.70–$642 $297.70–$642 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $189–$675 $189–$675 varies
Dstrj les/scar vestibule mouth physical meths (40820) $794.10 $794.10 0.3×
Dstrj lesion anus simple cryosurgery (46916) $668.70 $668.70 3.6×
Dstrj lesion anus simple surg excision (46922) $224.50 $224.50 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $700.80 $700.80 0.4×
Dstrj Lesion Penis Simple Chemical (54050) $367.60 $367.60 1.0×
Dstrj Lesion Penis Simple Cryosurgery (54056) $325.20 $325.20 1.8×
Dstrj lesion penis simple surg excision (54060) $608 $608 0.3×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $700.80 $700.80 1.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 5 matching MRF lines		 $241–$3,145.20 $241–$3,145.20 varies
Duodenal intubat w/imag guided multiple specimen (43757) $1,927.30 $1,927.30 2.3×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $438–$2,680.50 $438–$2,680.50 varies
Dx Bronchoscope/Lavage (31624) $771.70 $771.70 0.5×
Dx Bronchoscope/Wash (31622) $493.50 $493.50 0.3×
Dx gastr intub w/asp spec (43754) $105 $105 0.5×
Dx Laryngoscopy Excl Nb (31525) $460.50 $460.50 0.3×
Dx laryngoscopy w/oper scope (31526) $452.50 $452.50 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $763.70–$1,549.50 $763.70–$1,549.50 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $617.20 $617.20 0.3×
Egd cautery tumor polyp (43250) $1,171.40 $1,171.40 0.7×
Egd control bleeding any (43255) $895.40 $895.40 0.5×
Egd dilation gastric/duodenal stricture (43245) $768.30 $768.30 0.4×
Egd endo mucosal resection (43254) $453.50 $453.50 0.3×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $379 $379 0.1×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $722.50–$874.20 $722.50–$874.20 varies
Egd guide wire insertion (43248) $566.80 $566.80 0.7×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $969.80 $969.80 0.5×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $626 $626 0.4×
Egd intrmural us needle aspirate/biopsy esophags (43238) $445 $445 0.3×
Egd lesion ablation (43270) $613.80 $613.80 0.3×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $229–$912.50 $229–$912.50 varies
Egd remove lesion snare (43251) $1,093.50 $1,093.50 0.6×
Egd Tube/Cath Insertion (43241) $404.30 $404.30 0.2×
Egd us exam duodenum/jejunum (43259) $541 $541 0.3×
Egd us transmural injxn/mark (43253) $627 $627 0.4×
Egd Varices Ligation (43244) $419.20 $419.20 0.2×
Egd W/Thrml Txmnt Gerd (43257) $808.40 $808.40 0.2×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $933 $933 0.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $98.60 $98.60 0.3×
Emblc/thrmbc ax brach innominate subcla art (34101)
unusually low: confirm this is the full procedure		 $2,228.10 $2,228.10 0.4×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201)
unusually low: confirm this is the full procedure		 $1,742.60 $1,742.60 0.3×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111)
range across 2 matching MRF lines		 $414.60–$1,659.10 $414.60–$1,659.10 varies
Endocervical curettage (57505) $256.20 $256.20 0.3×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $687 $687 0.1×
Endometrial Biopsy (58100) $229 $229 1.2×
Endoscopic plantar fasciotomy (29893) $1,779.20 $1,779.20 0.6×
Endoscopic us exam esoph (43237) $374 $374 0.2×
Endoscopy Upper Small Intestine (44360) $1,013.30 $1,013.30 0.6×
Endoscopy upper small intestine w/biopsy (44361) $1,085.50 $1,085.50 0.6×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $1,605–$1,799.80 $1,605–$1,799.80 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $469.50 $469.50 0.2×
Enterorrhaphy single perforation (44602)
range across 2 matching MRF lines		 $725.90–$2,903.60 $725.90–$2,903.60 varies
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,000.70 $1,000.70 0.6×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $460 $460 0.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $349.30 $349.30 0.2×
Epidural Blood Patch (62273)
range across 7 matching MRF lines		 $105–$1,769.40 $105–$1,769.40 varies
Episiotomy or vaginal repair (59300) $600 $600 0.2×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
likely a partial charge, not the full procedure		 $1,029 $1,029 0.2×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $1,222.80 $1,222.80 0.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $999.60 $999.60 0.3×
Ercp ea duct/ampulla dilate (43277) $648.10 $648.10 0.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,402.60 $1,402.60 0.4×
Ercp remove forgn body duct (43275) $998.50 $998.50 0.6×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $1,260.60 $1,260.60 0.2×
Ercp W/Biopsy Single/Multiple (43261) $1,038.50 $1,038.50 0.3×
Ercp,Sphincterotomy (43262) $1,305.20 $1,305.20 0.4×
Esoph Scope W/Submucous Inj (43201) $624 $624 0.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $620.60 $620.60 0.7×
Esophagoscop Stent Placement (43212)
likely a partial charge, not the full procedure		 $455 $455 0.1×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $3,018.20 $3,018.20 1.7×
Esophagoscopy Flex Transoral Injection Varices (43204) $392.60 $392.60 0.2×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,153.60 $1,153.60 0.7×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $581.40 $581.40 0.7×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $638.30 $638.30 0.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $729.40 $729.40 0.9×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $342 $342 0.2×
Esophagoscopy rig transoral removal foreign body (43194) $558.40 $558.40 0.3×
Esophagoscopy rigid trnso dx (43191) $371 $371 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,086.70 $1,086.70 0.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,117.60–$1,917.50 $1,117.60–$1,917.50 varies
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure		 $1,589.10 $1,589.10 0.3×
Esophagoscp Rig Trnso Biopsy (43193) $284 $284 0.2×
Esophagoscp Rig Trnso Inject (43192) $492.50 $492.50 0.3×
Esophagotomy, cervical approach, with removal of foreign body Facility (43020) $1,665 $1,665 1.2×
Ethmoidectomy Extranasal Total (31205) $2,778.50 $2,778.50 0.9×
Ethmoidectomy Intranasal Anterior (31200)
unusually low: confirm this is the full procedure		 $1,844.70 $1,844.70 0.3×
Evacuate mole of uterus (59870) $916 $916 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $106.60–$401.90 $106.60–$401.90 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 2 matching MRF lines		 $366.40–$1,466.70 $366.40–$1,466.70 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $684.70 $684.70 0.5×
Exc abdl tum deep 5 cm/> (22901) $1,393.40 $1,393.40 0.5×
Exc arm/elbow les sc < 3 cm (24075)
range across 3 matching MRF lines		 $350–$1,970 $350–$1,970 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $263.40 $263.40 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $468.40 $468.40 0.3×
Exc Back Les Sc < 3 Cm (21930) $1,195.30 $1,195.30 0.8×
Exc Back Tum Deep 5 Cm/> (21933) $2,166.30 $2,166.30 0.8×
Exc back tum deep < 5 cm (21932)
range across 4 matching MRF lines		 $271.40–$2,862 $271.40–$2,862 varies
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
range across 2 matching MRF lines		 $398–$1,593.10 $398–$1,593.10 varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810)
range across 3 matching MRF lines		 $280–$3,245 $280–$3,245 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,330.50 $1,330.50 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $152–$855 $152–$855 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $547.40 $547.40 0.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $771.70 $771.70 0.5×
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $150–$601.20 $150–$601.20 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $292–$502.20 $292–$502.20 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $143.40–$716.90 $143.40–$716.90 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 4 matching MRF lines		 $280–$1,483.90 $280–$1,483.90 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 4 matching MRF lines		 $230–$1,690 $230–$1,690 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $533.70 $533.70 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $767.10 $767.10 0.5×
Exc Forearm Tum Deep 3 Cm/> (25073)
range across 2 matching MRF lines		 $1,477–$4,663.90 $1,477–$4,663.90 varies
Exc Frenum Labial/Buccal (40819) $812.10 $812.10 0.6×
Exc ganglion wrist recurrent (25112) $630.90 $630.90 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $266.90–$2,621.50 $266.90–$2,621.50 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $349.30–$922.30 $349.30–$922.30 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $387.10–$1,551.50 $387.10–$1,551.50 varies
Exc Hand Les Sc < 1.5 Cm (26115) $811.90 $811.90 0.5×
Exc hand tum deep < 1.5 cm (26116) $1,409.40 $1,409.40 0.9×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $1,121.60 $1,121.60 0.4×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $779.10 $779.10 0.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,122 $1,122 0.8×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 2 matching MRF lines		 $288.60–$1,151.90 $288.60–$1,151.90 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,004.80 $1,004.80 0.3×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $1,086.70 $1,086.70 0.4×
Exc lesion tongue w/clsr w/local tongue flap (41114) $1,791.90 $1,791.90 0.6×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 3 matching MRF lines		 $250–$3,317 $250–$3,317 varies
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $936.90 $936.90 0.3×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,449.30 $1,449.30 0.5×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,186.60 $1,186.60 0.7×
Exc neurofibroma/neurolemmoma major prph nrv (64790)
range across 2 matching MRF lines		 $525–$2,100 $525–$2,100 varies
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
unusually low: confirm this is the full procedure		 $1,828.80 $1,828.80 0.3×
Exc Rct Tum Incl Muscularis Propria (45172) $2,291 $2,291 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,564.10 $1,564.10 0.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,286.40 $2,286.40 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $416.80 $416.80 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $533.70 $533.70 0.4×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines		 $294.30–$3,194 $294.30–$3,194 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines		 $330–$2,986.10 $330–$2,986.10 varies
Exc Skin Benig >4cm Face,Facial (11446) $861.10 $861.10 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $210–$1,545 $210–$1,545 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 3 matching MRF lines		 $255–$3,225 $255–$3,225 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $320–$1,545 $320–$1,545 varies
Exc tendon shth lesion leg/ankle (27630) $1,502.20 $1,502.20 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $2,647.10 $2,647.10 1.0×
Exc thigh/knee tum dep 5cm/> (27339) $3,784 $3,784 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $406.50 $406.50 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $333.20–$478.30 $333.20–$478.30 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $361.90–$415.40 $361.90–$415.40 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $549.60–$2,986.10 $549.60–$2,986.10 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,038.50 $1,038.50 0.4×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,533.10 $1,533.10 0.6×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,448.40 $1,448.40 1.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,416.30 $1,416.30 0.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $266.90–$1,066 $266.90–$1,066 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,552.60 $1,552.60 0.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,946.40 $1,946.40 0.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,486.20 $1,486.20 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $223–$893.10 $223–$893.10 varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $763.70 $763.70 0.3×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,182.80 $1,182.80 0.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,286.90 $1,286.90 0.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,448.80 $1,448.80 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,152.80 $1,152.80 0.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,114.10 $1,114.10 0.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,842.30 $1,842.30 0.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines		 $400–$1,690 $400–$1,690 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $1,858.30–$7,392.70 $1,858.30–$7,392.70 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,348.20 $1,348.20 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $665.30 $665.30 0.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $369.90–$1,478.10 $369.90–$1,478.10 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,175.90 $1,175.90 0.8×
Exc/fulguration urethral caruncle (53265) $620.60 $620.60 0.3×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 3 matching MRF lines		 $453–$5,567.90 $453–$5,567.90 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,701.10 $3,701.10 1.9×
Excis Mouth Complex,Exc Thru Muscle (40816) $1,186.60 $1,186.60 0.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $644.30 $644.30 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 3 matching MRF lines		 $445–$1,945 $445–$1,945 varies
Excise intraspinal lesion (63267)
range across 2 matching MRF lines		 $1,488.40–$5,953.50 $1,488.40–$5,953.50 varies
Excise intraspinl lesion crv (63265)
range across 2 matching MRF lines		 $1,130.10–$4,521.30 $1,130.10–$4,521.30 varies
Excise mandible lesion (21040) $1,423.30 $1,423.30 0.5×
Excise Neurofibroma Extensive (64792) $3,144.10 $3,144.10 1.0×
Excise Wrist Tendon Sheath (25118) $1,032.80 $1,032.80 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $300–$970 $300–$970 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,727.90 $1,727.90 0.8×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $2,279.10 $2,279.10 1.0×
Excision Aural Polyp (69540) $623.30 $623.30 0.4×
Excision Chalazion Single (67800) $296.80 $296.80 1.0×
Excision Chest Wall Tumor Including Ribs (21601) $2,910.40 $2,910.40 1.1×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125)
unusually low: confirm this is the full procedure		 $1,920.70 $1,920.70 0.4×
Excision exostosis(es), external auditory canal Facility (69140)
unusually low: confirm this is the full procedure		 $2,680.70 $2,680.70 0.5×
Excision External Ear Partial Simple Repair (69110) $1,404.30 $1,404.30 0.5×
Excision external ear; complete amputation Facility (69120)
likely a partial charge, not the full procedure		 $1,176.60 $1,176.60 0.2×
Excision Facial Bone (21026)
likely a partial charge, not the full procedure		 $1,601.10 $1,601.10 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $459.20 $459.20 0.2×
Excision Hidradenitis Axillary Complex Repair (11451) $1,401.40 $1,401.40 0.5×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $391.70 $391.70 0.1×
Excision Infected Graft Extremity (35903)
range across 2 matching MRF lines		 $234.80–$940 $234.80–$940 varies
Excision inferior turbinate partial/complete (30130) $1,226.60 $1,226.60 0.4×
Excision Lacrimal Sac (68520) $2,108.40 $2,108.40 0.6×
Excision lesion meniscus/capsule knee (27347)
range across 2 matching MRF lines		 $360.70–$1,440.40 $360.70–$1,440.40 varies
Excision lesion mouth roof (42104) $643.20 $643.20 0.2×
Excision Lesion Tongue W/O Closure (41110) $682.30 $682.30 0.2×
Excision Lingual Frenum Frenectomy (41115) $334.40 $334.40 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $404.30 $404.30 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 3 matching MRF lines		 $150–$670 $150–$670 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $548.50 $548.50 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines		 $450–$1,155 $450–$1,155 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 3 matching MRF lines		 $135.90–$852.80 $135.90–$852.80 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 3 matching MRF lines		 $350–$1,894 $350–$1,894 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,177 $1,177 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $329.80 $329.80 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $503.80 $503.80 0.8×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 3 matching MRF lines		 $184.10–$906.30 $184.10–$906.30 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $751.20 $751.20 0.5×
Excision malignant tumor mandible (21044)
unusually low: confirm this is the full procedure		 $2,518.90 $2,518.90 0.5×
Excision Malignant Tumor Maxilla/Zygoma (21034) $3,826.30 $3,826.30 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $959.50 $959.50 0.4×
Excision Nasal Polyp Extensive (30115) $1,371.40 $1,371.40 0.4×
Excision nasal polyp(s) simple (30110) $730.20 $730.20 0.5×
Excision of bartholin's gland or cyst (56740) $572.50 $572.50 0.2×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
likely a partial charge, not the full procedure		 $1,404.30 $1,404.30 0.3×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555)
unusually low: confirm this is the full procedure		 $3,022.30 $3,022.30 0.5×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $1,401.40 $1,401.40 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $300.10–$1,199.90 $300.10–$1,199.90 varies
Excision of hydrocele; bilateral (55041) $856.50 $856.50 0.3×
Excision of hydrocele; unilateral (55040) $909.50 $909.50 0.3×
Excision of lingual tonsil (42870)
unusually low: confirm this is the full procedure		 $1,756.90 $1,756.90 0.3×
Excision of neuroma; digital nerve, 1 or both, same digit (64776)
range across 3 matching MRF lines		 $350–$2,000 $350–$2,000 varies
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $3,070.20 $3,070.20 0.6×
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425)
unusually low: confirm this is the full procedure		 $2,436 $2,436 0.4×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $3,444.70 $3,444.70 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $992.70 $992.70 0.4×
Excision of single external papilla or tag, anus (46220) $435.10 $435.10 0.4×
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure		 $1,388.40 $1,388.40 0.3×
Excision of sublingual salivary cyst (ranula) (42408) $1,614 $1,614 0.5×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $1,204.50 $1,204.50 0.2×
Excision of tonsil tags (42860) $555.40 $555.40 0.2×
Excision of vaginal cyst or tumor (57135) $667.60 $667.60 0.2×
Excision of vaginal septum (57130) $1,020.20 $1,020.20 0.3×
Excision olecranon bursa (24105) $618.30 $618.30 0.2×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146)
range across 2 matching MRF lines		 $426–$1,699.10 $426–$1,699.10 varies
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,221.60 $1,221.60 0.4×
Excision or fulguration; Skene's glands Facility (53270) $494.40 $494.40 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,797.50 $1,797.50 0.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,424.30 $1,424.30 0.5×
Excision prepatellar bursa (27340) $1,007.60 $1,007.60 0.3×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $1,933.90 $1,933.90 0.3×
Excision soft tissue lesion, external auditory canal (69145) $1,224.60 $1,224.60 0.5×
Excision synovial cyst popliteal space (27345)
range across 2 matching MRF lines		 $331–$1,321.30 $331–$1,321.30 varies
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $1,313.50 $1,313.50 0.2×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281)
unusually low: confirm this is the full procedure		 $1,724.90 $1,724.90 0.3×
Excision Torus Mandibularis (21031) $1,147.60 $1,147.60 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,534.20 $1,534.20 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,370.50 $1,370.50 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $663 $663 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,009.90 $1,009.90 0.7×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,041.90 $1,041.90 0.7×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $1,891.70 $1,891.70 0.7×
Excision, interdigital (morton) neuroma, single, each (28080) $1,122 $1,122 0.8×
Excision, lesion of palate, uvula; with local flap closure Facility (42107)
likely a partial charge, not the full procedure		 $1,387.30 $1,387.30 0.3×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $1,124.40 $1,124.40 0.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $231.40–$924 $231.40–$924 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $682.50 $682.50 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,069.40 $1,069.40 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,545.70 $1,545.70 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $2,428.40 $2,428.40 0.9×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,258.40 $1,258.40 0.8×
Excision/destruction intranasal lesion int appr (30117) $2,919.30 $2,919.30 1.0×
Excision/destruction lesion pharynx any method (42808) $678.20 $678.20 0.2×
Excision/surgical planing skin nose rhinophyma (30120) $1,511.20 $1,511.20 0.5×
Excision; trochanteric bursa or calcification (27062) $1,241.10 $1,241.10 0.4×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $422.60–$1,690 $422.60–$1,690 varies
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
range across 3 matching MRF lines		 $298.90–$2,113.40 $298.90–$2,113.40 varies
Expl po hemrrg thrombosis/infctj xtr (35860) $1,259.40 $1,259.40 0.4×
Explo/Drain Breast Abscess (19020) $660.70 $660.70 0.4×
Exploration maxillary sinus (31020) $1,451.30 $1,451.30 0.5×
Exploration of hip joint (27033)
range across 2 matching MRF lines		 $399.70–$1,599.50 $399.70–$1,599.50 varies
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $300.10–$1,197.70 $300.10–$1,197.70 varies
Exploration of spinal fusion (22830)
range across 2 matching MRF lines		 $1,759.80–$7,038.90 $1,759.80–$7,038.90 varies
Exploration penetrating wound spx chest (20101)
range across 2 matching MRF lines		 $629.70–$1,288.10 $629.70–$1,288.10 varies
Exploration penetrating wound spx extremity (20103)
range across 3 matching MRF lines		 $375.60–$1,499.90 $375.60–$1,499.90 varies
Exploration Penetrating Wound Spx Neck (20100) $1,612.10 $1,612.10 3.3×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
range across 2 matching MRF lines		 $546.20–$2,182.30 $546.20–$2,182.30 varies
Exploratory elbow surgery (24000) $1,307.60 $1,307.60 0.4×
Explore eye socket,drainage (67405) $2,579.80 $2,579.80 1.2×
Explore/Treat Elbow Joint (24101)
range across 2 matching MRF lines		 $339–$1,356.80 $339–$1,356.80 varies
Explore/Treat Hand Joint (26070) $955.90 $955.90 0.6×
Explore/Treat Knee Joint (27331)
range across 2 matching MRF lines		 $311.50–$1,245.70 $311.50–$1,245.70 varies
Explore/Treat Wrist Joint (25040)
range across 2 matching MRF lines		 $377.90–$1,510.20 $377.90–$1,510.20 varies
Extensive ear canal surgery (69150) $3,032.20 $3,032.20 0.6×
Extensive mastoid surgery (69511) $3,729.30 $3,729.30 0.7×
External cephalic version (59412)
range across 2 matching MRF lines		 $400.80–$1,840 $400.80–$1,840 varies
Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) $1,297.30 $1,297.30 0.9×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922)
range across 2 matching MRF lines		 $371.30–$1,485.20 $371.30–$1,485.20 varies
Fasciectomy Palm Only (26121) $1,615.50 $1,615.50 0.5×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,253.80 $1,253.80 0.4×
Fasciotomy Iliotibial Open (27305) $926.30 $926.30 0.3×
Fasciotomy palmar open partial (26045) $1,270.90 $1,270.90 0.4×
Fasciotomy palmar percutaneous (26040) $851.90 $851.90 0.6×
Fasciotomy Plantar Fascia Radical Spx (28062) $1,010 $1,010 0.3×
Fasciotomy, foot and/or toe (28008) $895.40 $895.40 0.3×
Fasciotomy, hip or thigh, any type (27025) $2,466.20 $2,466.20 0.8×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,375.10 $1,375.10 0.5×
Fetal Contraction Stress Test (59020) $537.30 $537.30 2.9×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $128.30–$527.40 $128.30–$527.40 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,627 $1,627 0.9×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,288.30 $1,288.30 2.0×
Fine Needle Aspiration Orbital Contents (67415) $297.70 $297.70 0.1×
Fine needle aspiration without imaging guidance (10021)
range across 4 matching MRF lines		 $98–$1,429.80 $98–$1,429.80 varies
Fluid Pressure Muscle (20950) $403.10 $403.10 0.6×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $324.10–$550.50 $324.10–$550.50 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $499.30 $499.30 0.8×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $222.20–$1,288.30 $222.20–$1,288.30 varies
Forehead flap w/vasc pedicle (15731) $3,285.90 $3,285.90 1.0×
Foreskin manipulation (54450) $166.90 $166.90 0.7×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $342.70 $342.70 0.1×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,146.40 $2,146.40 1.1×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,323.10 $2,323.10 1.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,911.40 $2,911.40 1.5×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,870.40 $1,870.40 1.0×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,466 $2,466 1.3×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,511.30 $1,511.30 0.2×
Fusion of knuckle (26850)
range across 2 matching MRF lines		 $447.30–$1,789.10 $447.30–$1,789.10 varies
Gastrocnemius recession (27687) $1,141.70 $1,141.70 0.4×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840)
range across 2 matching MRF lines		 $706.50–$2,825.70 $706.50–$2,825.70 varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830)
range across 2 matching MRF lines		 $519.90–$2,246.40 $519.90–$2,246.40 varies
Graft Ear Crtlg Autogenous Nose/Ear (21235)
unusually low: confirm this is the full procedure		 $2,142.40 $2,142.40 0.4×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $2,950.40 $2,950.40 0.9×
Graft for facial nerve paralysis; regional muscle transfer Facility (15845) $2,924.40 $2,924.40 0.9×
Grafting of autologous soft tiss by direct exc (15769) $1,285.90 $1,285.90 0.4×
Guide Cathet Fluid Drainage (10030)
range across 3 matching MRF lines		 $811.90–$2,250.50 $811.90–$2,250.50 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
range across 2 matching MRF lines		 $421.60–$1,683.20 $421.60–$1,683.20 varies
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $502.70–$2,009.40 $502.70–$2,009.40 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $873.70 $873.70 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,335.10 $1,335.10 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,309.80 $1,309.80 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,317.70 $1,317.70 0.5×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257)
range across 2 matching MRF lines		 $294.30–$1,173.60 $294.30–$1,173.60 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 4 matching MRF lines		 $195–$1,864 $195–$1,864 varies
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $1,086.10 $1,086.10 0.4×
Hemorrhoidopexy by stapling (46947) $861.10 $861.10 0.3×
Hip arthro w/labral repair (29916)
range across 2 matching MRF lines		 $703–$2,809.70 $703–$2,809.70 varies
Hysteroscopy Biopsy (58558) $1,030.50 $1,030.50 0.3×
Hysteroscopy Dx Sep Proc (58555) $552 $552 0.2×
Hysteroscopy Endometrial Ablation (58563) $916 $916 0.2×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $764.90 $764.90 0.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,525.10 $1,525.10 0.5×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $1,006.50 $1,006.50 0.2×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,123.70 $1,123.70 0.4×
I&d abscess peritonsillar (42700) $393.60 $393.60 1.8×
I&d abscess simple (10060)
range across 7 matching MRF lines		 $31–$655.30 $31–$655.30 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,227.40 $1,227.40 0.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $820.90 $820.90 0.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,052.30 $1,052.30 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $861.10 $861.10 0.3×
I&D Intramural Im/Absc Transanal Anes (46045) $714.50 $714.50 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $3,147.50 $3,147.50 1.2×
I&D Mouth/Tong Intra,Masticator (41009) $1,248.50 $1,248.50 2.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $508.40–$2,034.50 $508.40–$2,034.50 varies
I&d perianal abscess superficial (46050) $505 $505 0.6×
I&d pilonidal cyst complicated (10081) $823.30 $823.30 1.3×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $325.20–$2,205.20 $325.20–$2,205.20 varies
I&d shoulder deep abscess/hematoma (23030) $1,122 $1,122 0.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $853 $853 0.3×
Icd Pocket Revision (33223) $3,444.10 $3,444.10 1.8×
Ileoscopy Stoma W/Balloon Dilation (44381) $893 $893 0.5×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $702 $702 0.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $522.20 $522.20 0.6×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $1,279.80–$2,235 $1,279.80–$2,235 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $2,000.90–$2,118.90 $2,000.90–$2,118.90 varies
Implant neuroelectrodes (63650)
range across 4 matching MRF lines		 $385–$6,910 $385–$6,910 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines		 $268–$727.10 $268–$727.10 varies
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $634.30 $634.30 0.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure		 $660.70 $660.70 0.1×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $121–$372.40 $121–$372.40 varies
Incise finger tendon sheath (26055)
range across 3 matching MRF lines		 $166.10–$1,707.20 $166.10–$1,707.20 varies
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,822.80 $1,822.80 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $435.10–$891.20 $435.10–$891.20 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,242.30 $1,242.30 0.5×
Incision & drainage leg/ankle infected bursa (27604) $899 $899 0.3×
Incision & removal foreign body subq tiss compl (10121) $542.70 $542.70 0.4×
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $113.50–$1,600 $113.50–$1,600 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $108–$310 $108–$310 varies
Incision and drainage of vulva or perineal abscess (56405) $229 $229 0.8×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
range across 2 matching MRF lines		 $389.30–$1,554.90 $389.30–$1,554.90 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
unusually low: confirm this is the full procedure		 $2,512 $2,512 0.4×
Incision bone cortex foot (28005) $1,445.60 $1,445.60 0.5×
Incision Drainage Lacrimal Sac (68420) $479.50 $479.50 0.2×
Incision extensor tendon sheath wrist (25000) $1,306.40 $1,306.40 0.9×
Incision of eardrum (69421) $437.60 $437.60 0.1×
Incision of eardrum (69420)
range across 4 matching MRF lines		 $235–$675.50 $235–$675.50 varies
Incision of Foot Tendon (28234) $795 $795 0.5×
Incision of labial frenum (frenotomy) (40806) $240.50 $240.50 0.5×
Incision of lingual frenum (frenotomy) (41010) $334.40 $334.40 0.2×
Incision of rectal abscess (46040) $1,124.40 $1,124.40 1.0×
Incision&drainage bursa foot (28001) $5,044.90 $5,044.90 3.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $461.50 $461.50 0.3×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) $1,333.40 $1,333.40 0.4×
Incisional biopsy eyelid skin & lid margin (67810) $552.40 $552.40 1.9×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $263.40–$1,198.40 $263.40–$1,198.40 varies
Induced abortion dilation and curettage (59840) $506 $506 0.2×
Induced abortion, by dilation and evacuation (59841) $862 $862 0.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $161.10–$199.60 $161.10–$199.60 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 8 matching MRF lines		 $140–$3,102.20 $140–$3,102.20 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $397.30–$1,126.90 $397.30–$1,126.90 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $888.60–$3,145.20 $888.60–$3,145.20 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 6 matching MRF lines		 $33.50–$1,004.10 $33.50–$1,004.10 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 6 matching MRF lines		 $95–$3,145.20 $95–$3,145.20 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 5 matching MRF lines		 $285.20–$1,107.50 $285.20–$1,107.50 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines		 $905–$2,377.40 $905–$2,377.40 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 7 matching MRF lines		 $108–$2,377.40 $108–$2,377.40 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $156.90–$2,393.40 $156.90–$2,393.40 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 7 matching MRF lines		 $230.20–$1,793.60 $230.20–$1,793.60 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $662.20–$3,145.20 $662.20–$3,145.20 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 5 matching MRF lines		 $82–$2,377.40 $82–$2,377.40 varies
Injection enzyme palmar fascial cord (20527) $237.10 $237.10 0.8×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $223.40–$405.30 $223.40–$405.30 varies
Injection Into Brain Canal (61055) $801.70 $801.70 2.8×
Injection of sclerosing solution, hemorrhoids (46500) $285.20 $285.20 0.3×
Injection procedure for peyronie disease (54200) $248.70 $248.70 1.1×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $166.10–$1,004.10 $166.10–$1,004.10 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $74.80–$922.90 $74.80–$922.90 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $171.80–$1,107.50 $171.80–$1,107.50 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $267.50 $267.50 0.2×
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $214.20–$1,004.10 $214.20–$1,004.10 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $153.80–$1,960.30 $153.80–$1,960.30 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $323.20–$2,377.40 $323.20–$2,377.40 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 3 matching MRF lines		 $45–$200 $45–$200 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $102–$130.60 $102–$130.60 varies
Ins cath ren art 1st bilat (36252) $2,172.10 $2,172.10 0.7×
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $1,296.10–$6,532.20 $1,296.10–$6,532.20 varies
Ins cath ren art 2nd+ bilat (36254)
range across 2 matching MRF lines		 $998–$6,917.80 $998–$6,917.80 varies
Ins cath ren art 2nd+ unilat (36253)
range across 2 matching MRF lines		 $5,014.10–$6,917.80 $5,014.10–$6,917.80 varies
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $499.30–$10,551.70 $499.30–$10,551.70 varies
Ins/Rep Subq Defibrillator (33270) $72,927.40 $72,927.40 2.5×
Insert 1 Electrode Pm-Defib (33216) $10,272 $10,272 1.3×
Insert and remove bone pin (20650) $438.60 $438.60 0.1×
Insert Bladder Cath Complex (51703) $333.20 $333.20 2.8×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $579.50–$2,705 $579.50–$2,705 varies
Insert cath pleura w/o image (32556) $793.60 $793.60 0.4×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,548 $1,548 1.4×
Insert cervical dilator (59200) $250.40 $250.40 0.9×
Insert Drug Implant Device (11981) $343.50 $343.50 2.8×
Insert Gastrostomy Tube Percutaneous (49440) $2,773.10 $2,773.10 1.6×
Insert Heart Pm Atrial (33206) $8,228.30 $8,228.30 0.9×
Insert Heart Pm Ventricular (33207) $12,720.20 $12,720.20 1.3×
Insert Nasal Septal Button (30220) $925 $925 0.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $395.10–$3,491.10 $395.10–$3,491.10 varies
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure		 $3,735.10 $3,735.10 0.4×
Insert pessary/other device (57160) $146.60 $146.60 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $399.70–$1,525.30 $399.70–$1,525.30 varies
Insert pulse gen dual leads (33213) $7,357.20 $7,357.20 0.8×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $7,142.90 $7,142.90 0.4×
Insert Pulse Gen Sngl Lead (33212) $10,272 $10,272 1.3×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $176.40–$268 $176.40–$268 varies
Insert tissue expander(s) (11960) $1,557.10 $1,557.10 0.5×
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $2,785.70–$10,134.80 $2,785.70–$10,134.80 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $1,704.90–$5,460.90 $1,704.90–$5,460.90 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $168.40–$216 $168.40–$216 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $1,923.50–$10,134.80 $1,923.50–$10,134.80 varies
Insertion of pin-retained palatal prosthesis Facility (42281)
likely a partial charge, not the full procedure		 $677.20 $677.20 0.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,525.30 $1,525.30 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,199.10 $12,199.10 1.6×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure		 $3,775.90 $3,775.90 0.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $244.80 $244.80 0.1×
Insj Picc Rs&I <5 Yr (36572) $1,525.30 $1,525.30 2.6×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $917.10 $917.10 0.3×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $1,812.50 $1,812.50 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $667.60–$1,947 $667.60–$1,947 varies
Insj Stablj Dev W/Dcmprn (22867)
range across 2 matching MRF lines		 $398.50–$1,592.60 $398.50–$1,592.60 varies
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
unusually low: confirm this is the full procedure		 $2,239.60 $2,239.60 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,258.40 $1,258.40 0.4×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
range across 2 matching MRF lines		 $438–$1,750 $438–$1,750 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $17,976 $17,976 0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 3 matching MRF lines		 $490.10–$2,675.90 $490.10–$2,675.90 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $12,199.10 $12,199.10 1.6×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure		 $3,775.90 $3,775.90 0.5×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $915–$15,775.10 $915–$15,775.10 varies
Insrt Pulse Gen W/Dual Leads (33230)
unusually low: confirm this is the full procedure		 $7,988.80 $7,988.80 0.4×
Insrt Pulse Gen W/Mult Leads (33231)
likely a partial charge, not the full procedure		 $7,988.80 $7,988.80 0.3×
Insrt Pulse Gen W/Singl Lead (33240)
unusually low: confirm this is the full procedure		 $8,228.30 $8,228.30 0.4×
Insrt/Redo Neurostim 1 Array (61885)
range across 2 matching MRF lines		 $926.30–$1,607.50 $926.30–$1,607.50 varies
Install spinal shunt (63741)
likely a partial charge, not the full procedure		 $2,036.90 $2,036.90 0.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $349.30 $349.30 0.1×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $2,771.10 $2,771.10 2.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,248 $1,248 3.3×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,520.50 $1,520.50 4.1×
Intranasal Biopsy (30100)
range across 4 matching MRF lines		 $80–$1,480 $80–$1,480 varies
Intraoral i&d tongue/floor lingual (41000) $316.70 $316.70 0.6×
Intraoral i&d tongue/floor sublngl supfc (41005) $323.60 $323.60 1.5×
Intraoral i&d tongue/floor submndblr space (41008) $1,165.60 $1,165.60 0.4×
Intro cath dialysis circuit (36901) $2,176.90 $2,176.90 1.5×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $27,180.30 $27,180.30 2.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $15,369.30 $15,369.30 2.9×
Intro Gastrointestinal Tube (44500) $870.90 $870.90 1.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $434–$667.90 $434–$667.90 varies
Irrigation maxillary sinus (31000) $543.40 $543.40 2.5×
Irrigation of corpora cavernosa for priapism (54220) $388.60 $388.60 1.7×
Island pedicle flap graft (15740) $2,431 $2,431 1.3×
Knee arthroscopy/drainage (29871)
range across 2 matching MRF lines		 $478.70–$1,915.60 $478.70–$1,915.60 varies
Knee Arthroscopy/Surgery (29885)
unusually low: confirm this is the full procedure		 $2,150.20 $2,150.20 0.3×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $811.90–$881.60 $811.90–$881.60 varies
Knee Arthroscopy/Surgery (29850)
range across 2 matching MRF lines		 $429.40–$1,715.10 $429.40–$1,715.10 varies
Labyrinthectomy; with mastoidectomy Facility (69910) $2,948.30 $2,948.30 0.5×
Labyrinthotomy Transcanal (69801)
range across 3 matching MRF lines		 $133.80–$1,688.50 $133.80–$1,688.50 varies
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines		 $974.40–$3,897.30 $974.40–$3,897.30 varies
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266)
range across 2 matching MRF lines		 $1,256–$5,023.90 $1,256–$5,023.90 varies
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
range across 2 matching MRF lines		 $1,142.70–$4,571.70 $1,142.70–$4,571.70 varies
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017)
range across 2 matching MRF lines		 $816.50–$3,265.40 $816.50–$3,265.40 varies
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)
range across 2 matching MRF lines		 $974.40–$3,895.10 $974.40–$3,895.10 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
range across 2 matching MRF lines		 $867.90–$3,471.40 $867.90–$3,471.40 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
range across 2 matching MRF lines		 $975.60–$6,252.40 $975.60–$6,252.40 varies
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
range across 2 matching MRF lines		 $1,526.30–$6,105.90 $1,526.30–$6,105.90 varies
Laminotomy Single Lumbar (63042)
range across 2 matching MRF lines		 $851.90–$3,403.90 $851.90–$3,403.90 varies
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines		 $141–$1,148.50 $141–$1,148.50 varies
Lap paraesoph her rpr w/mesh (43282)
range across 2 matching MRF lines		 $717.90–$2,872.70 $717.90–$2,872.70 varies
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $1,186.20–$4,743.50 $1,186.20–$4,743.50 varies
Laparoscopic myomectomy (58545)
range across 2 matching MRF lines		 $625.20–$2,499.50 $625.20–$2,499.50 varies
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $429.40–$1,717.40 $429.40–$1,717.40 varies
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,494.90 $2,494.90 0.4×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $1,717.40 $1,717.40 0.3×
Laparoscopy gastrostomy (43653)
range across 2 matching MRF lines		 $257.30–$1,028.70 $257.30–$1,028.70 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $276–$1,102.70 $276–$1,102.70 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
range across 2 matching MRF lines		 $858.70–$3,434.70 $858.70–$3,434.70 varies
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $830.20–$3,320.30 $830.20–$3,320.30 varies
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure		 $1,717.40 $1,717.40 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $429.40–$1,717.40 $429.40–$1,717.40 varies
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure		 $1,135.90 $1,135.90 0.2×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $373.40–$1,494.20 $373.40–$1,494.20 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
range across 2 matching MRF lines		 $660.70–$2,641.30 $660.70–$2,641.30 varies
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 2 matching MRF lines		 $730.50–$2,920.70 $730.50–$2,920.70 varies
Laparoscopy, surgical, splenectomy (38120)
range across 2 matching MRF lines		 $665.30–$2,662 $665.30–$2,662 varies
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
range across 2 matching MRF lines		 $744.20–$2,976.80 $744.20–$2,976.80 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $490.10–$1,960.20 $490.10–$1,960.20 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
range across 2 matching MRF lines		 $460–$1,836.50 $460–$1,836.50 varies
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure		 $1,708.30 $1,708.30 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $229–$914.90 $229–$914.90 varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $287.40–$1,149.50 $287.40–$1,149.50 varies
Laparoscopy, Tubal Block (58671)
unusually low: confirm this is the full procedure		 $1,717.40 $1,717.40 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $328.60–$1,314.40 $328.60–$1,314.40 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $572.50–$2,289.80 $572.50–$2,289.80 varies
Laps Gastric Restrictive Px Remove Device & Port (43774) $1,711.70 $1,711.70 0.5×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
range across 2 matching MRF lines		 $364.20–$1,454.10 $364.20–$1,454.10 varies
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure		 $1,717.40 $1,717.40 0.3×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $716.20 $716.20 0.2×
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) $4,177.80 $4,177.80 0.8×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $1,006.80 $1,006.80 0.3×
Laryngoscopy diagnostic (31505) $141 $141 0.8×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $464.50 $464.50 0.1×
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) $560.40 $560.40 0.2×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $695.20 $695.20 0.2×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $347.80–$349.30 $347.80–$349.30 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $892 $892 0.3×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $797.10 $797.10 0.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $385.60 $385.60 1.1×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $577.30 $577.30 1.6×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $606.30 $606.30 0.2×
Laryngoscopy Indirect W/Biopsy (31510) $634.30 $634.30 0.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $383.60 $383.60 2.1×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $378.60 $378.60 1.1×
Laryngoscopy W/Biopsy (31535) $545.40 $545.40 0.2×
Laryngoscopy w/biopsy microscope/telescope (31536) $604.30 $604.30 0.2×
Laryngoscopy W/Foreign Body Removal (31530) $572.30 $572.30 0.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $320.60 $320.60 0.9×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $448.60 $448.60 1.2×
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $3,722.40 $3,722.40 1.2×
Larynscop w/tumr exc + scope (31541) $758.10 $758.10 0.2×
Laser Surgery of Cervix (57513) $286.30 $286.30 0.1×
Late closure of wound (13160) $1,327.10 $1,327.10 0.4×
Lateral retinacular release open (27425) $1,130 $1,130 0.4×
Lavage cannulation sphenoid sinus (31002) $574.30 $574.30 0.4×
Lig&div long saph vein saphfem junct/interrupj (37700) $921.70 $921.70 0.3×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
range across 2 matching MRF lines		 $610–$2,042.60 $610–$2,042.60 varies
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $542.70–$2,171.90 $542.70–$2,171.90 varies
Ligamentous reconstruction knee intra-articular (27428)
range across 2 matching MRF lines		 $763.70–$3,052.40 $763.70–$3,052.40 varies
Ligate leg veins open (37761)
range across 2 matching MRF lines		 $229–$913.70 $229–$913.70 varies
Ligate/strip long leg vein (37722) $1,445 $1,445 0.5×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $2,562.80 $2,562.80 0.9×
Ligation External Carotid Artery (37600)
range across 2 matching MRF lines		 $495.90–$1,983.10 $495.90–$1,983.10 varies
Ligation Major Artery Abdomen (37617)
range across 2 matching MRF lines		 $795.80–$3,182.90 $795.80–$3,182.90 varies
Ligation nasal sinus artery (30915) $1,766.80 $1,766.80 0.6×
Ligation of hemorrhoids (46946) $486.70 $486.70 0.2×
Ligation Of Neck Artery (37615) $1,570.10 $1,570.10 0.5×
Ligation or biopsy temporal artery (37609) $830.20 $830.20 0.5×
Ligation, internal jugular vein Facility (37565) $2,758.20 $2,758.20 0.9×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,020.20 $1,020.20 0.4×
Limited pharyngectomy Facility (42890) $4,197.80 $4,197.80 0.8×
Low Back Disk Surgery (63030)
range across 2 matching MRF lines		 $1,284–$5,136 $1,284–$5,136 varies
Lumbar spine fusion combined (22633)
range across 2 matching MRF lines		 $2,123.90–$8,493 $2,123.90–$8,493 varies
Lyse chest fibrin init day (32561)
range across 2 matching MRF lines		 $39–$154.70 $39–$154.70 varies
Lyse Chest Fibrin Subq Day (32562)
range across 2 matching MRF lines		 $34.40–$138.60 $34.40–$138.60 varies
Lysis Intranasal Synechia (30560) $432.50 $432.50 0.9×
Malar Augmentation Prosthetic Material (21270) $2,985.30 $2,985.30 0.5×
Manipulation Ankle Under General Anesthesia (27860) $285.20 $285.20 0.1×
Manipulation Elbow Under Anesthesia (24300) $1,276.40 $1,276.40 0.9×
Manipulation hip joint general anesthesia (27275) $543.40 $543.40 0.4×
Manipulation knee joint under general anesthesia (27570) $246.30 $246.30 0.2×
Manipulation wrist under anesthesia (25259) $1,260.50 $1,260.50 0.9×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,027.80 $1,027.80 0.7×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $320.60 $320.60 0.2×
Marsupialization of bartholin's gland cyst (56440) $801.50 $801.50 0.3×
Mast mod rad (19307)
range across 2 matching MRF lines		 $798.10–$3,190.90 $798.10–$3,190.90 varies
Mastectomy for gynecomastia (19300) $1,578.90 $1,578.90 0.4×
Mastectomy partial (19301) $1,408.30 $1,408.30 0.4×
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $597.70–$2,389.50 $597.70–$2,389.50 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $556.60–$2,224.70 $556.60–$2,224.70 varies
Mastoidectomy; complete (69502) $2,825.50 $2,825.50 0.5×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401)
likely a partial charge, not the full procedure		 $1,316.70 $1,316.70 0.2×
Mediastinoscpy w/lmph nod bx (39402)
likely a partial charge, not the full procedure		 $1,123.20 $1,123.20 0.2×
Metatarsectomy (28140) $1,125.60 $1,125.60 0.4×
Middle ear expl thru postaur/ear canal inc (69440) $2,063.40 $2,063.40 0.7×
Muscle-skin graft trunk (15734)
range across 2 matching MRF lines		 $612.60–$2,450.10 $612.60–$2,450.10 varies
Myelography Lumbar Injection (62305) $7,198.30 $7,198.30 10.0×
Myelography Lumbar Injection (62304) $6,816.90 $6,816.90 9.5×
Myelography via lumbar injection rs&i cervical (62302) $6,816.90 $6,816.90 9.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $6,816.90 $6,816.90 9.5×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,600.70 $1,600.70 0.5×
Myringoplasty (69620) $2,169.40 $2,169.40 0.7×
N Block Inj Celiac Pelus (64530)
range across 5 matching MRF lines		 $671–$3,145.20 $671–$3,145.20 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $75–$800 $75–$800 varies
N block inj intercost sng (64420)
range across 5 matching MRF lines		 $75–$2,377.40 $75–$2,377.40 varies
N Block Inj Paracervical (64435) $128 $128 0.2×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $270.30–$2,377.40 $270.30–$2,377.40 varies
N Block Inj Pudendal (64430)
range across 3 matching MRF lines		 $286.30–$3,145.20 $286.30–$3,145.20 varies
N Block Lumbar/Thoracic (64520)
range across 6 matching MRF lines		 $115–$3,145.20 $115–$3,145.20 varies
Nasal Endoscopy Dx (31231) $578.40 $578.40 3.2×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $145.50–$341.40 $145.50–$341.40 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $798.10 $798.10 2.2×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $521.50 $521.50 0.2×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $581.40 $581.40 0.1×
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) $3,578.60 $3,578.60 0.6×
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292)
unusually low: confirm this is the full procedure		 $2,894.40 $2,894.40 0.4×
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293)
unusually low: confirm this is the full procedure		 $3,132.10 $3,132.10 0.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 5 matching MRF lines		 $375–$1,920 $375–$1,920 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $458.50 $458.50 0.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 3 matching MRF lines		 $178.70–$1,908.90 $178.70–$1,908.90 varies
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $1,774.90 $1,774.90 0.5×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $5,604.90 $5,604.90 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $5,530 $5,530 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $5,488.10 $5,488.10 0.8×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,449.30 $1,449.30 0.2×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $1,367.40 $1,367.40 0.2×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $1,291.40 $1,291.40 0.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $1,287.50 $1,287.50 0.2×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $1,093.70 $1,093.70 0.2×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $935.90 $935.90 0.1×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $648.90 $648.90 0.8×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $507.30 $507.30 0.6×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $209.70–$837 $209.70–$837 varies
Neck spine disk surgery (63020)
range across 2 matching MRF lines		 $777.50–$3,109.70 $777.50–$3,109.70 varies
Neck spine fusion (22600)
range across 2 matching MRF lines		 $525.60–$2,101 $525.60–$2,101 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $360.60–$3,210.60 $360.60–$3,210.60 varies
Needle Biopsy Pancreas (48102) $1,990.90 $1,990.90 1.3×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 4 matching MRF lines		 $30–$75.70 $30–$75.70 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 4 matching MRF lines		 $30–$113.50 $30–$113.50 varies
Neuro csf detcj prion prtn quakg conf conv qual (0584U) $2,087 $2,087 3.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $405.40–$1,619 $405.40–$1,619 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines		 $329.80–$1,316.70 $329.80–$1,316.70 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,042 $1,042 2.5×
Nipple Exploration (19110) $1,084.30 $1,084.30 0.3×
Nipple/areola reconstruction (19350) $2,212.10 $2,212.10 0.6×
Njx anes stellate ganglion crv sympathetic (64510)
range across 5 matching MRF lines		 $104–$3,145.20 $104–$3,145.20 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $127.20–$1,004.10 $127.20–$1,004.10 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,971.30 $5,971.30 1.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines		 $2,736.80–$5,567.90 $2,736.80–$5,567.90 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 8 matching MRF lines		 $120–$3,102.20 $120–$3,102.20 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 6 matching MRF lines		 $105–$2,393.40 $105–$2,393.40 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $272.60 $272.60 0.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,456.10 $1,456.10 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 7 matching MRF lines		 $90–$2,393.40 $90–$2,393.40 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,341.70 $1,341.70 2.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $885.70–$1,341.70 $885.70–$1,341.70 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $343.50 $343.50 0.9×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $479.80 $479.80 1.3×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $1,288.10–$1,934.90 $1,288.10–$1,934.90 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $678.20 $678.20 0.1×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $325.30–$1,004.10 $325.30–$1,004.10 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
range across 2 matching MRF lines		 $1,919.60–$2,054 $1,919.60–$2,054 varies
Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58… (0120U) $3,740 $3,740 1.5×
Open biopsy/excision inguinofemoral nodes (38531) $1,139.30 $1,139.30 0.3×
Open bone biopsy (20251)
range across 2 matching MRF lines		 $422.20–$1,688.80 $422.20–$1,688.80 varies
Open bone biopsy (20250) $622.90 $622.90 0.2×
Open bowel to skin (44300) $1,819.40 $1,819.40 1.0×
Open Implantation Nea Peripheral Nerve (64575)
likely a partial charge, not the full procedure		 $910.30 $910.30 0.1×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
range across 2 matching MRF lines		 $462.60–$1,847.90 $462.60–$1,847.90 varies
Open rdl shaft fx closed rad/uln jt dislocate (25525)
unusually low: confirm this is the full procedure		 $3,217.20 $3,217.20 0.5×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $363–$1,453 $363–$1,453 varies
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
unusually low: confirm this is the full procedure		 $4,025.60 $4,025.60 0.3×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
range across 2 matching MRF lines		 $1,276.70–$5,105.20 $1,276.70–$5,105.20 varies
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
range across 2 matching MRF lines		 $1,422.10–$5,686.80 $1,422.10–$5,686.80 varies
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
range across 2 matching MRF lines		 $1,387.70–$5,549.40 $1,387.70–$5,549.40 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $803.80–$3,212.70 $803.80–$3,212.70 varies
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $696.20–$2,782.20 $696.20–$2,782.20 varies
Open Treatment Fracture Distal Tibia & Fibula (27828)
range across 2 matching MRF lines		 $818.70–$3,275.60 $818.70–$3,275.60 varies
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $451.20–$1,804.50 $451.20–$1,804.50 varies
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure		 $1,316.70 $1,316.70 0.2×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
range across 2 matching MRF lines		 $750–$2,999.70 $750–$2,999.70 varies
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $342.40–$1,368.30 $342.40–$1,368.30 varies
Open treatment interphalangeal joint dislocation (28675) $1,120.30 $1,120.30 0.4×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $2,332.20 $2,332.20 0.3×
Open treatment metacarpophalangeal dislocation (26715) $934.40 $934.40 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $869.10 $869.10 0.1×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $230.20–$919.50 $230.20–$919.50 varies
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $384–$1,538 $384–$1,538 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $707.60–$2,830.30 $707.60–$2,830.30 varies
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) $3,747.30 $3,747.30 0.7×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $3,190 $3,190 0.6×
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) $4,062.90 $4,062.90 0.7×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $3,394.70 $3,394.70 0.6×
Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435) $4,124.80 $4,124.80 0.8×
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432)
unusually low: confirm this is the full procedure		 $2,131.40 $2,131.40 0.4×
Open treatment of depressed frontal sinus fracture Facility (21343) $3,178.10 $3,178.10 0.6×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
likely a partial charge, not the full procedure		 $1,495.20 $1,495.20 0.3×
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519)
unusually low: confirm this is the full procedure		 $2,446.70 $2,446.70 0.4×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269)
unusually low: confirm this is the full procedure		 $3,103.90 $3,103.90 0.5×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
range across 2 matching MRF lines		 $400.80–$1,602.90 $400.80–$1,602.90 varies
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
range across 2 matching MRF lines		 $1,264–$5,054.80 $1,264–$5,054.80 varies
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
range across 2 matching MRF lines		 $829–$3,315.80 $829–$3,315.80 varies
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408)
unusually low: confirm this is the full procedure		 $2,651.70 $2,651.70 0.5×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407)
unusually low: confirm this is the full procedure		 $1,877.70 $1,877.70 0.3×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
unusually low: confirm this is the full procedure		 $1,713.90 $1,713.90 0.3×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
range across 2 matching MRF lines		 $479.40–$2,052.90 $479.40–$2,052.90 varies
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $3,748.30 $3,748.30 0.6×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
range across 2 matching MRF lines		 $692.80–$2,769.60 $692.80–$2,769.60 varies
Open treatment of nasal fracture; uncomplicated Facility (21325) $1,313.50 $1,313.50 0.4×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $2,110.40 $2,110.40 0.7×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336)
range across 3 matching MRF lines		 $650–$3,734 $650–$3,734 varies
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) $3,026.20 $3,026.20 0.6×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $2,976.40 $2,976.40 0.5×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
unusually low: confirm this is the full procedure		 $2,030.50 $2,030.50 0.4×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) $2,967.40 $2,967.40 0.5×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
unusually low: confirm this is the full procedure		 $2,346.10 $2,346.10 0.4×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385)
unusually low: confirm this is the full procedure		 $2,188.30 $2,188.30 0.4×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422)
unusually low: confirm this is the full procedure		 $1,882.70 $1,882.70 0.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
range across 2 matching MRF lines		 $447.70–$1,791.90 $447.70–$1,791.90 varies
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
range across 2 matching MRF lines		 $473–$1,895 $473–$1,895 varies
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
likely a partial charge, not the full procedure		 $1,443.50 $1,443.50 0.2×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532)
range across 4 matching MRF lines		 $427.20–$1,861.70 $427.20–$1,861.70 varies
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $254.30–$1,015.60 $254.30–$1,015.60 varies
Open treatment of ulnar styloid fracture (25652)
range across 3 matching MRF lines		 $393.90–$2,079.30 $393.90–$2,079.30 varies
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $1,817 $1,817 0.3×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $1,266.40 $1,266.40 0.2×
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $391.70–$1,564.10 $391.70–$1,564.10 varies
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $643.50–$2,573.80 $643.50–$2,573.80 varies
Open tx acute shoulder dislocation (23660)
likely a partial charge, not the full procedure		 $1,729.90 $1,729.90 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,651.10 $1,651.10 0.5×
Open tx carpal bone fracture oth/thn scaphoid ea (25645)
range across 2 matching MRF lines		 $383.60–$1,431.70 $383.60–$1,431.70 varies
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines		 $482.10–$1,928.10 $482.10–$1,928.10 varies
Open Tx Depressed Malar Fracture (21360)
likely a partial charge, not the full procedure		 $1,507.10 $1,507.10 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,069.40 $1,069.40 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $816.50 $816.50 0.3×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $302.30–$1,208 $302.30–$1,208 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
range across 2 matching MRF lines		 $1,175.90–$4,703.30 $1,175.90–$4,703.30 varies
Open tx femoral supracondylar fracture w/o xtn (27511)
range across 2 matching MRF lines		 $442.10–$1,767.80 $442.10–$1,767.80 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,181.60 $1,181.60 0.4×
Open Tx Humeral Epicondylar Fracture (24575)
range across 2 matching MRF lines		 $484.40–$1,936.10 $484.40–$1,936.10 varies
Open tx humeral supracondylar fracture w/o xtn (24545)
range across 2 matching MRF lines		 $382.50–$1,527.40 $382.50–$1,527.40 varies
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure		 $1,332.70 $1,332.70 0.2×
Open tx interphalangeal joint dislocation (26785) $1,615.10 $1,615.10 0.5×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $6,366 $6,366 1.2×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $5,826.60 $5,826.60 1.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $625.20–$2,501.70 $625.20–$2,501.70 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,358.50 $2,358.50 0.8×
Open Tx Radial Head/Neck Fracture (24665)
range across 2 matching MRF lines		 $431.70–$1,724.40 $431.70–$1,724.40 varies
Open Tx Radial Head/Neck Fracture Prosth (24666)
range across 2 matching MRF lines		 $501.60–$2,007.20 $501.60–$2,007.20 varies
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $275.80 $275.80 0.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $368.80–$1,475.90 $368.80–$1,475.90 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $603.40–$2,411.30 $603.40–$2,411.30 varies
Open tx ulnar fx proximal end (24685)
range across 3 matching MRF lines		 $647–$2,585.30 $647–$2,585.30 varies
Open/Perq Place Stent 1St (37236)
range across 3 matching MRF lines		 $1,147.30–$32,221.50 $1,147.30–$32,221.50 varies
Open/Perq Place Stent Same (37238)
range across 3 matching MRF lines		 $1,053.40–$26,851.20 $1,053.40–$26,851.20 varies
Opn tx orbit fx combined (21387)
unusually low: confirm this is the full procedure		 $2,284.20 $2,284.20 0.4×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $754.60–$3,019.20 $754.60–$3,019.20 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $462.60–$1,847.90 $462.60–$1,847.90 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $824.40–$3,297.40 $824.40–$3,297.40 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $359.60–$1,438.10 $359.60–$1,438.10 varies
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226)
range across 2 matching MRF lines		 $723.70–$2,895.60 $723.70–$2,895.60 varies
Optx tibial fx prox bicondylar w/wo int fixj (27536)
range across 2 matching MRF lines		 $819.90–$3,471.10 $819.90–$3,471.10 varies
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $959.50–$3,835.50 $959.50–$3,835.50 varies
Orbital implant removal/revision (67560) $3,182 $3,182 0.9×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $5,006.70 $5,006.70 1.4×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $2,979.20 $2,979.20 0.8×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $2,838.40 $2,838.40 1.3×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $2,760.50 $2,760.50 1.3×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $4,003 $4,003 1.1×
Ostc prtl exostc/condylc metar head (28288) $1,683 $1,683 0.6×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $412.20–$1,648.70 $412.20–$1,648.70 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $815.30–$1,191.90 $815.30–$1,191.90 varies
Ostectomy of sternum, partial Facility (21620) $1,079.70 $1,079.70 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $975.60–$995 $975.60–$995 varies
Ostectomy, complete excision; first metatarsal head (28111) $1,261.80 $1,261.80 0.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,168 $1,168 0.4×
Osteochondral allograft knee open (27415)
range across 2 matching MRF lines		 $552–$2,209.70 $552–$2,209.70 varies
Osteochondral knee autograft (27416)
range across 2 matching MRF lines		 $527.60–$2,112.20 $527.60–$2,112.20 varies
Osteochondral talus autogrft (28446)
likely a partial charge, not the full procedure		 $1,900 $1,900 0.3×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) $5,053.70 $5,053.70 0.9×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
unusually low: confirm this is the full procedure		 $2,215.40 $2,215.40 0.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
range across 2 matching MRF lines		 $988.20–$1,667.10 $988.20–$1,667.10 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $901.10–$1,280.10 $901.10–$1,280.10 varies
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,403.40 $1,403.40 0.2×
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $657.20–$2,628.80 $657.20–$2,628.80 varies
Osteotomy Metacarpal Each (26565)
range across 2 matching MRF lines		 $431–$1,725 $431–$1,725 varies
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214)
range across 2 matching MRF lines		 $609–$2,436.40 $609–$2,436.40 varies
Osteotomy Phalanx Finger Each (26567) $1,178.20 $1,178.20 0.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
unusually low: confirm this is the full procedure		 $2,010.10 $2,010.10 0.3×
Osteotomy Ulna (25360)
likely a partial charge, not the full procedure		 $1,954.40 $1,954.40 0.3×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
unusually low: confirm this is the full procedure		 $2,194.80 $2,194.80 0.3×
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712)
likely a partial charge, not the full procedure		 $2,950.50 $2,950.50 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
range across 2 matching MRF lines		 $513–$2,051.80 $513–$2,051.80 varies
Palatop cl palate soft&/hard palate only (42200) $2,755.60 $2,755.60 0.5×
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure		 $2,022.60 $2,022.60 0.4×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $879.40–$3,513.80 $879.40–$3,513.80 varies
Part exc bone femur prox tibia (27360)
range across 2 matching MRF lines		 $374.50–$1,498 $374.50–$1,498 varies
Part remv talus or calcaneus (28120) $1,877.70 $1,877.70 0.6×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182)
range across 2 matching MRF lines		 $420.60–$1,678.90 $420.60–$1,678.90 varies
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure		 $1,957.60 $1,957.60 0.3×
Partial Excision Bone Humerus (24140)
range across 2 matching MRF lines		 $473–$1,891.50 $473–$1,891.50 varies
Partial excision bone metacarpal (26230) $707 $707 0.2×
Partial excision bone olecranon process (24147) $1,017.90 $1,017.90 0.3×
Partial Excision Bone Radius (25151) $1,577.80 $1,577.80 0.5×
Partial Excision Bone Ulna (25150) $1,522.80 $1,522.80 0.5×
Partial Excision Distal Phalanx Finger (26236) $777.50 $777.50 0.5×
Partial excision of lip (40520) $1,484.20 $1,484.20 0.5×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100)
unusually low: confirm this is the full procedure		 $2,118.10 $2,118.10 0.3×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071)
range across 2 matching MRF lines		 $446.60–$1,787.30 $446.60–$1,787.30 varies
Partial hymenectomy or revision of hymenal ring (56700) $400.80 $400.80 0.1×
Partial removal of fibula (27641)
range across 2 matching MRF lines		 $437.50–$1,749.50 $437.50–$1,749.50 varies
Partial removal of lip (40530) $1,637 $1,637 0.5×
Partial removal of nose (30150)
unusually low: confirm this is the full procedure		 $2,366 $2,366 0.4×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $666.40–$2,664.20 $666.40–$2,664.20 varies
Partial removal of tibia (27640) $2,297.90 $2,297.90 0.8×
Partial removal of toe (28160) $946.90 $946.90 0.3×
Partial removal of tongue (41120) $3,172.10 $3,172.10 0.6×
Partial thyroid excision (60212)
likely a partial charge, not the full procedure		 $1,665.90 $1,665.90 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
range across 2 matching MRF lines		 $474.10–$1,894.90 $474.10–$1,894.90 varies
Partical Excision Bone Phalanx Toe (28124) $1,156.40 $1,156.40 0.4×
Patellectomy or hemipatellectomy (27350)
range across 2 matching MRF lines		 $439.70–$1,756.30 $439.70–$1,756.30 varies
Pelvic examination under anesthesia (other than local) (57410) $400.80 $400.80 0.1×
Penile Injection (54235) $211.80 $211.80 0.9×
Perc Cryo Ablate Renal Tum (50593) $14,156.80 $14,156.80 1.4×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $2,771.10 $2,771.10 2.2×
Percut Ablate Liver Rf (47382) $13,032.90 $13,032.90 2.3×
Percut Drain/Inject Renal Cyst (50390) $2,448.30 $2,448.30 3.8×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $752.30 $752.30 0.3×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure		 $2,188 $2,188 0.3×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566)
range across 2 matching MRF lines		 $1,928.10–$2,105.60 $1,928.10–$2,105.60 varies
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $938.40 $938.40 0.3×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,174.80 $1,174.80 0.4×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $1,298.50 $1,298.50 0.4×
Peri-Implant Capsulectomy Breast Complete (19371) $1,897.20 $1,897.20 0.5×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $707.60–$3,303.80 $707.60–$3,303.80 varies
Perineoplasty rpr perineum nonobstetrical spx (56810) $798.10 $798.10 0.3×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $222.20–$1,222.40 $222.20–$1,222.40 varies
Perq av fistula creation uxtr sep access sites (36837) $32,293.30 $32,293.30 1.9×
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $3,944.30–$4,920.10 $3,944.30–$4,920.10 varies
Perq dev breast 1st mr guide (19287) $1,119.50 $1,119.50 1.7×
Perq dev breast 1st strtctc (19283) $1,759 $1,759 2.7×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $996.10–$1,759 $996.10–$1,759 varies
Perq device breast 1st imag (19281) $4,051 $4,051 2.7×
Perq dilation xst trc endourologic px w/img (50436) $3,710.10 $3,710.10 1.1×
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $3,865.30–$4,920.10 $3,865.30–$4,920.10 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $845 $845 1.3×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $606.80–$2,425 $606.80–$2,425 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $27,180.30 $27,180.30 2.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $15,369.30 $15,369.30 2.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $866.70–$13,150.80 $866.70–$13,150.80 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $1,169–$13,150.80 $1,169–$13,150.80 varies
Phalangectomy toe each toe (28150) $691 $691 0.2×
Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) $2,263.20 $2,263.20 1.6×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $1,637.10–$1,638.40 $1,637.10–$1,638.40 varies
Pin hand dislocation (26676) $1,046 $1,046 0.3×
Pin knuckle dislocation (26706) $1,384.40 $1,384.40 0.5×
Place Cath Subclavian Art (36225) $6,255.80 $6,255.80 2.2×
Place Cath Thoracic Aorta (36221) $6,255.80 $6,255.80 2.2×
Place Cath Vertebral Art (36226) $10,234.90 $10,234.90 2.0×
Place Duod/Jej Tube Perc (49441) $4,533.10 $4,533.10 2.6×
Placement of needle for intraosseous infusion (36680) $172.90 $172.90 0.4×
Placement of seton (46020) $583.90 $583.90 0.2×
Plastic Repair Canaliculi (68700) $1,736.90 $1,736.90 0.8×
Plastic Repair Introitus (56800) $752.30 $752.30 0.3×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
range across 2 matching MRF lines		 $780.90–$3,120 $780.90–$3,120 varies
Plmt Bile Duct Stent Prq Existing Access (47538)
range across 2 matching MRF lines		 $829–$10,531.70 $829–$10,531.70 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines		 $3,259.40–$3,701.10 $3,259.40–$3,701.10 varies
Plmt Nephroureteral Catheter (50433) $5,136.60 $5,136.60 1.6×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $7,648.50 $7,648.50 2.4×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $7,648.50 $7,648.50 2.4×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,485.20 $3,485.20 1.1×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500)
likely a partial charge, not the full procedure		 $1,324.40 $1,324.40 0.2×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505)
unusually low: confirm this is the full procedure		 $1,680.90 $1,680.90 0.3×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $343.50–$1,373.90 $343.50–$1,373.90 varies
Prescrl Fuse W/ Instr L5/S1 (22586)
range across 2 matching MRF lines		 $1,300.70–$5,201.40 $1,300.70–$5,201.40 varies
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $973.20–$25,834.10 $973.20–$25,834.10 varies
Probe lacrimal canaliculi w/wo irrigation (68840) $386.60 $386.60 1.3×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $1,150.60 $1,150.60 0.5×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $388.60 $388.60 0.2×
Probing nasolacrimal duct (68810) $473.50 $473.50 1.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $248.50 $248.50 0.3×
Proctosgmdsc Rigid Control Bleeding (45317) $320.60 $320.60 0.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $475.20 $475.20 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $178 $178 0.2×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $169.50 $169.50 0.1×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
range across 2 matching MRF lines		 $499.30–$1,997.90 $499.30–$1,997.90 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,346.40 $1,346.40 2.1×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $4,193.90 $4,193.90 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $5,567.90 $5,567.90 1.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,567.90 $5,567.90 1.7×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $677.90 $677.90 0.2×
Prq skel fixj femoral fx prox end neck (27235) $3,999.30 $3,999.30 0.6×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $463.40 $463.40 0.2×
Prq skel fixj metar fx w/manj (28476) $576 $576 0.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,915.60 $1,915.60 0.3×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $1,250.30 $1,250.30 0.4×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $1,309.80 $1,309.80 0.4×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
likely a partial charge, not the full procedure		 $1,370 $1,370 0.2×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $1,450.60 $1,450.60 0.5×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure		 $1,132.40 $1,132.40 0.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,573.20 $1,573.20 0.5×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $317.20–$683.60 $317.20–$683.60 varies
Pterygomaxillary fossa surgery, any approach Facility (31040)
unusually low: confirm this is the full procedure		 $2,372 $2,372 0.4×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $22–$768.30 $22–$768.30 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $49.80–$798.30 $49.80–$798.30 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $193.60–$842.20 $193.60–$842.20 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $397.30–$1,555 $397.30–$1,555 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 3 matching MRF lines		 $400.80–$2,377.40 $400.80–$2,377.40 varies
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,170.90 $2,170.90 1.5×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) $4,075.90 $4,075.90 0.7×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) $2,990.30 $2,990.30 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $2,289.80 $2,289.80 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $2,056.50 $2,056.50 0.8×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $2,801.50 $2,801.50 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 6 matching MRF lines		 $265–$6,634.90 $265–$6,634.90 varies
Rcnstj angular dfrm toe soft tiss px only (28313) $1,281 $1,281 0.4×
Rcnstj Dislocating Patella (27420)
range across 2 matching MRF lines		 $1,124.40–$2,043.70 $1,124.40–$2,043.70 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,052.90 $1,052.90 0.2×
Re-explore parathyroids (60502)
range across 2 matching MRF lines		 $887.40–$4,579.60 $887.40–$4,579.60 varies
Realignment of knee (27457)
range across 2 matching MRF lines		 $640.10–$3,839 $640.10–$3,839 varies
Realignment of knee (27455)
range across 2 matching MRF lines		 $651.60–$2,604.70 $651.60–$2,604.70 varies
Reconst lwr jaw w/fixation (21196) $4,101.90 $4,101.90 0.8×
Reconstr lwr jaw segment (21198) $3,147.10 $3,147.10 0.6×
Reconstruct elbow lat ligmnt (24344)
range across 2 matching MRF lines		 $752.30–$3,008.90 $752.30–$3,008.90 varies
Reconstruct elbow med ligmnt (24346)
range across 2 matching MRF lines		 $643–$2,575 $643–$2,575 varies
Reconstruct lip with flap (40525) $1,618 $1,618 0.5×
Reconstruct lip with flap (40527)
unusually low: confirm this is the full procedure		 $1,814.80 $1,814.80 0.3×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $4,623.20 $4,623.20 0.8×
Reconstruction Nail Bed W/Graft (11762) $554.30 $554.30 0.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $305–$1,222.80 $305–$1,222.80 varies
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $3,326.90 $3,326.90 0.6×
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) $2,980.30 $2,980.30 0.5×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $3,614.50 $3,614.50 0.7×
Reconstruction of throat (42950)
unusually low: confirm this is the full procedure		 $2,387 $2,387 0.4×
Reconstruction Tongue Fold (41520) $1,211.40 $1,211.40 0.4×
Reconstructive repair of pectus excavatum or carinatum; open Facility (21740)
range across 2 matching MRF lines		 $494.70–$1,979.70 $494.70–$1,979.70 varies
Redo Endovas Vena Cava Filtr (37192) $8,228.30 $8,228.30 2.8×
Reduction of rectal prolapse (45900) $348.10 $348.10 0.4×
Reinforce hip bones (27187)
range across 2 matching MRF lines		 $438.60–$1,755.30 $438.60–$1,755.30 varies
Reinsert spinal fixation (22849)
range across 2 matching MRF lines		 $533.70–$2,131.90 $533.70–$2,131.90 varies
Release facial nerve (69720) $3,522.60 $3,522.60 0.6×
Relieve Pressure on Nerve(S) (64722)
range across 2 matching MRF lines		 $238.20–$951.50 $238.20–$951.50 varies
Relocation Pocket Pacemaker (33222) $3,444.10 $3,444.10 1.8×
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $1,380–$8,228.30 $1,380–$8,228.30 varies
Removal Anal Seton Other Marker (46030) $225.60 $225.60 0.2×
Removal Embedded Foreign Body Eyelid (67938) $372.50 $372.50 1.3×
Removal Foreign Body Deep Thigh/Knee (27372) $1,432.20 $1,432.20 0.5×
Removal Foreign Body Foot Complicated (28193) $1,078.10 $1,078.10 0.7×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $715.60–$1,863.20 $715.60–$1,863.20 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $507.30–$1,131.20 $507.30–$1,131.20 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $435.10 $435.10 0.3×
Removal foreign body upper arm/elbow deep (24201) $592 $592 0.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $612.30 $612.30 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $31 $31 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $34.30–$161.50 $34.30–$161.50 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $286.30 $286.30 0.1×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $286.30–$1,144.90 $286.30–$1,144.90 varies
Removal Implant Superficial Separate Procedure (20670) $767.10 $767.10 0.5×
Removal implantable contraceptive capsules (11976) $251.90 $251.90 0.4×
Removal intact breast implant (19328) $1,342.90 $1,342.90 0.4×
Removal of a lesion from the floor of the mouth (41116) $1,001.80 $1,001.80 0.3×
Removal of adenoids (42835) $567.40 $567.40 0.2×
Removal of adenoids (42831) $663.20 $663.20 0.2×
Removal of adenoids (42830) $610.30 $610.30 0.2×
Removal of adenoids (42836) $706.20 $706.20 0.2×
Removal of anal fissure (46200) $1,103.80 $1,103.80 0.4×
Removal of ankle implant (27704) $1,662.50 $1,662.50 0.6×
Removal of anterior instrumentation (22855)
range across 2 matching MRF lines		 $747.80–$2,988.20 $747.80–$2,988.20 varies
Removal of bladder cyst (51500)
range across 2 matching MRF lines		 $456.90–$1,825 $456.90–$1,825 varies
Removal of bone lesion (23140) $1,487.30 $1,487.30 0.5×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570)
range across 2 matching MRF lines		 $275–$1,105 $275–$1,105 varies
Removal of epiglottis (31420)
unusually low: confirm this is the full procedure		 $2,436 $2,436 0.4×
Removal of foreign body from pharynx (42809) $365.70 $365.70 0.9×
Removal of heel spur (28119) $867.90 $867.90 0.3×
Removal of hip prosthesis; (separate procedure) Facility (27090)
range across 2 matching MRF lines		 $556.60–$2,224.70 $556.60–$2,224.70 varies
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
range across 2 matching MRF lines		 $657.20–$2,628.80 $657.20–$2,628.80 varies
Removal of intranasal lesion (30118) $2,326.10 $2,326.10 0.8×
Removal of knee prosthesis (27488)
range across 2 matching MRF lines		 $494.70–$1,977.30 $494.70–$1,977.30 varies
Removal of nail bed (11750)
range across 5 matching MRF lines		 $50.40–$819.90 $50.40–$819.90 varies
Removal of nose (30160)
unusually low: confirm this is the full procedure		 $2,393.10 $2,393.10 0.4×
Removal of nose lesion (30124) $884.90 $884.90 0.6×
Removal of posterior segmental instrumentation Facility (22852)
range across 2 matching MRF lines		 $594.30–$2,378 $594.30–$2,378 varies
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
unusually low: confirm this is the full procedure		 $2,109 $2,109 0.3×
Removal of rib (21615)
range across 2 matching MRF lines		 $256.50–$1,027 $256.50–$1,027 varies
Removal of sesamoid bone (28315) $1,046.50 $1,046.50 0.3×
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines		 $312.70–$1,248 $312.70–$1,248 varies
Removal of thymus gland (60520)
range across 2 matching MRF lines		 $697.40–$2,789.10 $697.40–$2,789.10 varies
Removal of thyroid (60271)
range across 2 matching MRF lines		 $437.50–$1,750.70 $437.50–$1,750.70 varies
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $772.20 $772.20 0.1×
Removal of tonsils (42826) $736.20 $736.20 0.2×
Removal of tunneled intraperitoneal catheter (49422) $628.70 $628.70 0.2×
Removal of wrist bone (25210)
range across 2 matching MRF lines		 $332.10–$1,327.10 $332.10–$1,327.10 varies
Removal or bivalving full arm or full leg cast (29705) $160.30 $160.30 0.6×
Removal Pacemaker Electrode (33235) $3,887.20 $3,887.20 1.1×
Removal parotid stone (42340) $1,541.20 $1,541.20 0.5×
Removal peritoneal-venous shunt (49429) $1,213.60 $1,213.60 0.4×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $687–$3,887.20 $687–$3,887.20 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $156.90–$185.60 $156.90–$185.60 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 3 matching MRF lines		 $87.10–$1,125.20 $87.10–$1,125.20 varies
Removal Submand Stone,Complicated (42335) $1,259.40 $1,259.40 0.4×
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $270.30–$272.80 $270.30–$272.80 varies
Removal sweat gland lesion (11450) $964.10 $964.10 0.4×
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $173–$689.30 $173–$689.30 varies
Removal/bivalving gauntlet boot/body cast (29700) $97 $97 0.4×
Remove armpit lymph nodes (38740)
range across 2 matching MRF lines		 $515.30–$2,064.40 $515.30–$2,064.40 varies
Remove cerclage suture (59871) $324 $324 0.1×
Remove cranial cavity fluid (61000) $332.70 $332.70 0.5×
Remove drug implant device (11982) $383.60 $383.60 0.9×
Remove elbow lesion (24120)
range across 2 matching MRF lines		 $364.20–$1,456.40 $364.20–$1,456.40 varies
Remove Elctrd Transvenously (33244) $4,045.90 $4,045.90 1.2×
Remove Forearm Foreign Body (25248) $676.70 $676.70 0.5×
Remove foreign body from eye (65205) $159.30 $159.30 1.3×
Remove hip pressure sore (15940) $1,877.70 $1,877.70 0.7×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $171.80–$517.70 $171.80–$517.70 varies
Remove intrvas foreign body (37197)
range across 3 matching MRF lines		 $2,142–$3,462.40 $2,142–$3,462.40 varies
Remove knee joint lining (27334)
range across 3 matching MRF lines		 $540.50–$2,162.80 $540.50–$2,162.80 varies
Remove lamina/facets lumbar (63012)
range across 2 matching MRF lines		 $754.60–$3,019.20 $754.60–$3,019.20 varies
Remove Lower Leg Bone Lesion (27635) $1,598.40 $1,598.40 0.5×
Remove lung catheter (32552)
range across 4 matching MRF lines		 $169.10–$1,303.30 $169.10–$1,303.30 varies
Remove mastoid structures (69505) $3,644.50 $3,644.50 0.7×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $166.40–$366.40 $166.40–$366.40 varies
Remove palate/lesion (42120) $2,983.30 $2,983.30 0.5×
Remove part of neck vertebra (22110)
range across 2 matching MRF lines		 $754.60–$3,016.90 $754.60–$3,016.90 varies
Remove part thorax vertebra (22101)
likely a partial charge, not the full procedure		 $1,515.90 $1,515.90 0.2×
Remove Peritoneal Foreign Body (49402) $1,717.40 $1,717.40 0.5×
Remove Pulse Generator (33241) $3,710.60 $3,710.60 1.1×
Remove spine eltrd plate (63662)
range across 2 matching MRF lines		 $981.20–$3,924.80 $981.20–$3,924.80 varies
Remove spine fixation device (22850)
range across 2 matching MRF lines		 $295.50–$1,182.80 $295.50–$1,182.80 varies
Remove spine lamina 1/2 lmbr (63005)
range across 2 matching MRF lines		 $1,087.70–$4,350.70 $1,087.70–$4,350.70 varies
Remove spine lamina 1/2 thrc (63003)
range across 2 matching MRF lines		 $1,306.40–$5,225.40 $1,306.40–$5,225.40 varies
Remove spine lamina >2 thrc (63016)
range across 2 matching MRF lines		 $1,410.60–$5,639.90 $1,410.60–$5,639.90 varies
Remove Tendon Sheath Lesion (26160) $1,001.90 $1,001.90 0.7×
Remove thyroid lesion (60200)
unusually low: confirm this is the full procedure		 $1,956.60 $1,956.60 0.4×
Remove tissue expander (11971) $519.90 $519.90 0.2×
Remove vc lesion w/scope (31545) $1,041.80 $1,041.80 0.3×
Remove&replace pm gen singl (33227) $7,988.80 $7,988.80 1.0×
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure		 $1,260.40 $1,260.40 0.2×
Remove/Insert Drug Implant (11983) $379 $379 0.9×
Remv cartilage for graft nasal (20912) $1,396.30 $1,396.30 0.4×
Remv&replc cvd gen dual lead (33263) $18,943.30 $18,943.30 0.9×
Remv&replc cvd gen mult lead (33264) $17,976 $17,976 0.6×
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure		 $9,210.50 $9,210.50 0.5×
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $969.80–$12,720.20 $969.80–$12,720.20 varies
Remv&replc pm gen mult leads (33229) $17,411.10 $17,411.10 1.0×
Renal Biopsy Perq (50200) $2,926.80 $2,926.80 1.9×
Reopen fallopian tube (58350) $135.20 $135.20 0.0×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $666.40–$2,664.20 $666.40–$2,664.20 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $534.70–$2,139.90 $534.70–$2,139.90 varies
Repair blood vessel lesion (35190) $3,943.10 $3,943.10 0.8×
Repair blood vessel lesion (35236)
range across 2 matching MRF lines		 $774.10–$3,094.80 $774.10–$3,094.80 varies
Repair blood vessel with graft other than vein; neck Facility (35261)
range across 2 matching MRF lines		 $444.30–$1,774.60 $444.30–$1,774.60 varies
Repair Choanal Atresia Intranasal (30540)
unusually low: confirm this is the full procedure		 $2,168.30 $2,168.30 0.4×
Repair cleft lip/nasal (40720) $3,009.20 $3,009.20 1.0×
Repair cleft lip/nasal (40700) $2,955.40 $2,955.40 0.5×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $509.60–$2,035.70 $509.60–$2,035.70 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $843.80 $843.80 1.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,649.90 $1,649.90 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $625.20 $625.20 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,385.40 $1,385.40 3.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $535.90 $535.90 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $870.20 $870.20 2.3×
Repair complex trunk 1.1-2.5 cm (13100) $364.20 $364.20 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $909.10 $909.10 1.3×
Repair Ectropion Excision Tarsal Wedge (67916) $1,814.80 $1,814.80 0.8×
Repair Ectropion Suture (67914) $1,454.30 $1,454.30 0.7×
Repair Elbow Perc (24357)
range across 3 matching MRF lines		 $390–$3,733 $390–$3,733 varies
Repair extensor tendon finger w/o graft each (26418) $1,001.90 $1,001.90 0.7×
Repair Eyelid Wound (67935) $1,269.50 $1,269.50 0.6×
Repair Finger Tendon (26433) $1,700.90 $1,700.90 0.6×
Repair Finger/Hand Tendon (26350) $2,480.80 $2,480.80 0.8×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $255.50–$1,020.20 $255.50–$1,020.20 varies
Repair Foot Dislocation (28615)
range across 2 matching MRF lines		 $478.70–$1,913.20 $478.70–$1,913.20 varies
Repair Hallux Rigidus (28289) $1,919 $1,919 0.6×
Repair Hand Tendon (26410) $902.30 $902.30 0.6×
Repair humerus with graft (24435)
range across 2 matching MRF lines		 $477–$1,907.50 $477–$1,907.50 varies
Repair inguinal hernia, sliding, any age (49525) $942.40 $942.40 0.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,894.90 $1,894.90 0.6×
Repair initial femoral hernia, any age; reducible (49550)
range across 2 matching MRF lines		 $237.10–$946.90 $237.10–$946.90 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $225.80–$962.90 $225.80–$962.90 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $195–$595 $195–$595 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $280.40–$687 $280.40–$687 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $365.60–$793.60 $365.60–$793.60 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $840.40 $840.40 2.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,391.20 $1,391.20 3.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,041.90 $1,041.90 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $521 $521 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $251.50–$658.40 $251.50–$658.40 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $675.50 $675.50 1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,509.10 $1,509.10 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $737.40 $737.40 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $539.30–$565.90 $539.30–$565.90 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $693.90 $693.90 1.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $961.80 $961.80 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $305–$685.90 $305–$685.90 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,221.70 $1,221.70 0.6×
Repair Laceration Palate </2 Cm (42180) $538.50 $538.50 1.1×
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $971.80 $971.80 0.2×
Repair lead pace-defib dual (33220) $3,375 $3,375 1.0×
Repair Lead Pace-Defib One (33218) $3,375 $3,375 1.0×
Repair Leg Fascia Defect (27656) $1,022.50 $1,022.50 0.3×
Repair lumbar hernia (49540)
likely a partial charge, not the full procedure		 $830.20 $830.20 0.1×
Repair nasal septal perforations (30630) $1,968.60 $1,968.60 0.6×
Repair Nasal Vestibular Stenosis (30465) $3,020.20 $3,020.20 0.6×
Repair Non/Malunion Humerus W/O Graft (24430)
range across 2 matching MRF lines		 $705.40–$2,818.90 $705.40–$2,818.90 varies
Repair Nonunion Hand (26546)
range across 2 matching MRF lines		 $631.30–$2,525.20 $631.30–$2,525.20 varies
Repair of enterocele, vaginal approach (separate procedure) (57268) $1,717.40 $1,717.40 0.4×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $2,428.40 $2,428.40 0.4×
Repair of hammertoe (28286) $1,061 $1,061 0.4×
Repair of hydrocele (55060) $672.10 $672.10 0.2×
Repair of metatarsals (28322)
range across 2 matching MRF lines		 $524.50–$2,098.70 $524.50–$2,098.70 varies
Repair of nail bed (11760) $329.80 $329.80 0.5×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
range across 2 matching MRF lines		 $690.50–$2,761.60 $690.50–$2,761.60 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
range across 2 matching MRF lines		 $537.10–$2,146.80 $537.10–$2,146.80 varies
Repair of rectum (45505) $1,771.90 $1,771.90 0.7×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $543.90–$2,176.50 $543.90–$2,176.50 varies
Repair of sternum separation (21750)
range across 2 matching MRF lines		 $666.40–$2,663.20 $666.40–$2,663.20 varies
Repair of windpipe defect (31825) $1,789.80 $1,789.80 0.6×
Repair oval window fistula (69666) $2,405 $2,405 0.8×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $1,941 $1,941 0.6×
Repair recurrent femoral hernia; reducible Facility (49555) $1,627.50 $1,627.50 0.5×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $475.20–$1,900.60 $475.20–$1,900.60 varies
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $675.50–$2,702 $675.50–$2,702 varies
Repair round window fistula (69667) $2,407 $2,407 0.8×
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $482.10–$1,927 $482.10–$1,927 varies
Repair shoulder capsule (23462)
range across 2 matching MRF lines		 $799.20–$3,196.70 $799.20–$3,196.70 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $928.90 $928.90 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $667.60–$2,668.80 $667.60–$2,668.80 varies
Repair Toe Dislocation (28645) $1,592.30 $1,592.30 0.5×
Repair tongue laceration (41252) $611.30 $611.30 2.8×
Repair tongue laceration (41250) $452.50 $452.50 1.1×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470)
range across 2 matching MRF lines		 $486.70–$1,946.40 $486.70–$1,946.40 varies
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $843.80 $843.80 0.1×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines		 $276–$1,104.90 $276–$1,104.90 varies
Repair/graft femur head/neck (27170)
range across 2 matching MRF lines		 $440–$1,760 $440–$1,760 varies
Repair/transpose nerve (64856)
unusually low: confirm this is the full procedure		 $2,696.30 $2,696.30 0.3×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,161–$1,763.20 $1,161–$1,763.20 varies
Replace g/c tube perc (49450) $1,814.80 $1,814.80 2.2×
Replace/Revise Brain Shunt (62230)
range across 2 matching MRF lines		 $930.90–$3,721 $930.90–$3,721 varies
Replacement Tissue Expander W/Permanent Implant (11970)
likely a partial charge, not the full procedure		 $1,676.20 $1,676.20 0.3×
Replantation digit complete (20822) $5,210.40 $5,210.40 3.5×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $194.70–$1,196 $194.70–$1,196 varies
Reposition L Ventric Lead (33226) $3,735.10 $3,735.10 1.3×
Reposition Pacing-Defib Lead (33215) $4,124.90 $4,124.90 1.4×
Repr elbow lat ligmnt w/tiss (24343)
range across 2 matching MRF lines		 $451.20–$1,802.10 $451.20–$1,802.10 varies
Rerepair ing hernia reduce (49520) $1,040.80 $1,040.80 0.3×
Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) $5,490.10 $5,490.10 1.0×
Resection/transplantation long tendon biceps (23440)
unusually low: confirm this is the full procedure		 $2,107.80 $2,107.80 0.3×
Rev/rmv prph sac/gstr npg/r (64595)
range across 2 matching MRF lines		 $61.90–$246.30 $61.90–$246.30 varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
range across 2 matching MRF lines		 $1,150.70–$4,602.50 $1,150.70–$4,602.50 varies
Revise Abdomen-Venous Shunt (49426) $1,011.10 $1,011.10 0.3×
Revise external ear (69300) $1,873.70 $1,873.70 0.6×
Revise graft w/vein (35884)
range across 2 matching MRF lines		 $847.30–$3,386.70 $847.30–$3,386.70 varies
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $1,581 $1,581 0.2×
Revise Spine Eltrd Plate (63664)
range across 2 matching MRF lines		 $445.50–$1,780.40 $445.50–$1,780.40 varies
Revise ulnar nerve at wrist (64719) $1,092.30 $1,092.30 0.6×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861)
range across 2 matching MRF lines		 $1,485–$5,941 $1,485–$5,941 varies
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) $3,237 $3,237 0.6×
Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) $3,805.30 $3,805.30 0.7×
Revision mastoidectomy; resulting in tympanoplasty Facility (69604) $3,302.90 $3,302.90 0.6×
Revision of big toe (28310)
range across 2 matching MRF lines		 $866.70–$1,124.40 $866.70–$1,124.40 varies
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345)
range across 2 matching MRF lines		 $630.40–$2,521.40 $630.40–$2,521.40 varies
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346)
range across 2 matching MRF lines		 $590–$2,351.70 $590–$2,351.70 varies
Revision of foot (28116) $1,254.10 $1,254.10 0.4×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314)
range across 2 matching MRF lines		 $669.30–$2,677.20 $669.30–$2,677.20 varies
Revision of lower leg tendon (27685) $1,153 $1,153 0.4×
Revision of stapedectomy or stapedotomy Facility (69662) $3,428.80 $3,428.80 0.6×
Revision of toe (28312) $1,339.70 $1,339.70 0.4×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
range across 2 matching MRF lines		 $1,009.90–$4,039.30 $1,009.90–$4,039.30 varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
range across 2 matching MRF lines		 $680.10–$2,721.50 $680.10–$2,721.50 varies
Revision of tracheostomy scar (31830) $1,428.30 $1,428.30 0.5×
Revision/replmt neurostimlator eltrd cranial nrv (64569)
range across 2 matching MRF lines		 $525.40–$2,245.20 $525.40–$2,245.20 varies
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,419.70 $1,419.70 0.4×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312)
range across 2 matching MRF lines		 $246.30–$984.70 $246.30–$984.70 varies
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
range across 3 matching MRF lines		 $323–$2,683.90 $323–$2,683.90 varies
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) $3,042.30 $3,042.30 0.6×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
range across 2 matching MRF lines		 $792.40–$3,169.20 $792.40–$3,169.20 varies
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $1,599.50–$6,395.50 $1,599.50–$6,395.50 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $624.10–$2,494.90 $624.10–$2,494.90 varies
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $7,560.70 $7,560.70 1.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $1,049.90–$2,210.70 $1,049.90–$2,210.70 varies
Revj/rmvl neurostimulator pulse generator (61888)
likely a partial charge, not the full procedure		 $1,173.60 $1,173.60 0.1×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $71.10–$285.20 $71.10–$285.20 varies
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 3 matching MRF lines		 $302.50–$14,535 $302.50–$14,535 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines		 $895–$14,535 $895–$14,535 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 2 matching MRF lines		 $1,447.60–$46,820 $1,447.60–$46,820 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 2 matching MRF lines		 $1,034–$46,820 $1,034–$46,820 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
range across 2 matching MRF lines		 $1,712.80–$46,820 $1,712.80–$46,820 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 2 matching MRF lines		 $1,260–$46,820 $1,260–$46,820 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 2 matching MRF lines		 $1,695.10–$29,485 $1,695.10–$29,485 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 2 matching MRF lines		 $1,009–$29,485 $1,009–$29,485 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298)
range across 2 matching MRF lines		 $1,554–$29,485 $1,554–$29,485 varies
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
range across 2 matching MRF lines		 $1,260–$29,485 $1,260–$29,485 varies
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 2 matching MRF lines		 $309–$14,535 $309–$14,535 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $14,535 $14,535 2.8×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 2 matching MRF lines		 $1,456.80–$29,485 $1,456.80–$29,485 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 2 matching MRF lines		 $1,008–$29,485 $1,008–$29,485 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 2 matching MRF lines		 $1,410.60–$29,485 $1,410.60–$29,485 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $1,125–$29,485 $1,125–$29,485 varies
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
range across 2 matching MRF lines		 $1,926.80–$46,820 $1,926.80–$46,820 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
range across 2 matching MRF lines		 $1,531.50–$46,820 $1,531.50–$46,820 varies
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
range across 2 matching MRF lines		 $2,045.10–$46,820 $2,045.10–$46,820 varies
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)
range across 2 matching MRF lines		 $1,706–$46,820 $1,706–$46,820 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 2 matching MRF lines		 $1,555–$46,820 $1,555–$46,820 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 2 matching MRF lines		 $1,160–$46,820 $1,160–$46,820 varies
Rhinoplasty primary w/major septal repair (30420) $4,276.60 $4,276.60 0.8×
Rhinoplasty Secondary Intermediate Revision (30435) $4,010 $4,010 0.7×
Rhinoplasty Secondary Major Revision (30450) $5,226.50 $5,226.50 1.0×
Rhinoplasty Secondary Minor Revision (30430) $3,221 $3,221 0.6×
Rhinp Prim Complete Xtrnl Parts (30410) $4,231.70 $4,231.70 0.8×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $3,680.40 $3,680.40 0.7×
Rib cartilage graft (21230)
unusually low: confirm this is the full procedure		 $2,191.30 $2,191.30 0.4×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $601.30 $601.30 0.4×
Rmvl embedded fb vestibule mouth comp (40805) $584.40 $584.40 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $333.70 $333.70 0.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $278.80 $278.80 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $117–$617 $117–$617 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $168.40 $168.40 1.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $106 $106 0.3×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $1,298.50 $1,298.50 4.4×
Rmvl fecal impaction/fb spx under anes (45915) $586.30 $586.30 0.5×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $1,431.20 $1,431.20 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $770.70 $770.70 0.3×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $387.10 $387.10 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $466 $466 0.3×
Rmvl Previously Implted Ithcl/Edrl Cath (62355)
range across 2 matching MRF lines		 $184.40–$736.30 $184.40–$736.30 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 3 matching MRF lines		 $184.40–$2,683.90 $184.40–$2,683.90 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365)
range across 2 matching MRF lines		 $195.90–$782.10 $195.90–$782.10 varies
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,887.20 $3,887.20 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines		 $784.40–$3,175.90 $784.40–$3,175.90 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $160–$778 $160–$778 varies
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $46–$503.10 $46–$503.10 varies
Rplc gtube revj gstrst trc (43763) $579.50 $579.50 2.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,525.30 $1,525.30 1.1×
Rplcmt compl tun ctr vad w/subq port (36582) $1,610.90 $1,610.90 0.6×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $513 $513 0.2×
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $1,781.60 $1,781.60 0.6×
Rplcmt/irrigation ventricular catheter (62225)
range across 2 matching MRF lines		 $318.40–$1,275.50 $318.40–$1,275.50 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $526.70–$2,105.60 $526.70–$2,105.60 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $240.50–$965.30 $240.50–$965.30 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
range across 2 matching MRF lines		 $543.90–$2,173.10 $543.90–$2,173.10 varies
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines		 $451.20–$1,804.50 $451.20–$1,804.50 varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
range across 2 matching MRF lines		 $403.10–$1,612.10 $403.10–$1,612.10 varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines		 $297.70–$1,188.50 $297.70–$1,188.50 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $403.10–$1,615.50 $403.10–$1,615.50 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $335.60–$1,341.90 $335.60–$1,341.90 varies
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $485.80–$1,940 $485.80–$1,940 varies
Rpr blvsl w/grf other/than vein lower extremity (35286)
range across 2 matching MRF lines		 $1,061.40–$4,246.60 $1,061.40–$4,246.60 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $904.50 $904.50 0.6×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,221.60 $1,221.60 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $293–$586 $293–$586 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $1,185.90 $1,185.90 0.2×
Rpr ing hern premie blocked (49492) $2,838.50 $2,838.50 0.9×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $1,540 $1,540 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,237.70 $1,237.70 1.8×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $533.40 $533.40 2.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,044.80 $1,044.80 2.1×
Rpr Lip Full Thickness Vermilion Only (40650) $907.80 $907.80 1.8×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,234.50 $1,234.50 0.9×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
range across 2 matching MRF lines		 $835.80–$3,343.20 $835.80–$3,343.20 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,317.90 $1,317.90 0.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,831.90 $1,831.90 0.6×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $253–$1,009 $253–$1,009 varies
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
likely a partial charge, not the full procedure		 $1,591.50 $1,591.50 0.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $265.70 $265.70 0.5×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $880.50 $880.50 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,186.90 $1,186.90 0.4×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $2,639.70 $2,639.70 0.9×
Scrotal exploration (55110) $1,131.60 $1,131.60 0.3×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620)
unusually low: confirm this is the full procedure		 $1,984.60 $1,984.60 0.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,975.60 $1,975.60 0.6×
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145)
range across 2 matching MRF lines		 $261–$1,044 $261–$1,044 varies
Sequestrectomy Olecranon Process (24138)
range across 2 matching MRF lines		 $460.40–$1,839.90 $460.40–$1,839.90 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $408.80 $408.80 0.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $477.50 $477.50 0.4×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $264.30–$265.70 $264.30–$265.70 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $266.90 $266.90 1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 4 matching MRF lines		 $178–$603 $178–$603 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $282.30–$495 $282.30–$495 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $25.40–$297.70 $25.40–$297.70 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 3 matching MRF lines		 $66.40–$203.30 $66.40–$203.30 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $236 $236 0.6×
Shoulder arthroscopy (29820)
range across 2 matching MRF lines		 $219.90–$879.40 $219.90–$879.40 varies
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $398.50–$1,592.60 $398.50–$1,592.60 varies
Shoulder joint surgery (23101) $730.50 $730.50 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $174.50–$189 $174.50–$189 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 4 matching MRF lines		 $78.20–$484.80 $78.20–$484.80 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $161–$327.60 $161–$327.60 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $257.70 $257.70 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $313.80 $313.80 1.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $689.20 $689.20 0.2×
Sigmoidoscopy & decompress (45337) $244 $244 0.3×
Sigmoidoscopy & Polypectomy (45333) $1,034 $1,034 1.2×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $384 $384 0.3×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,191.90 $1,191.90 1.1×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $163 $163 0.1×
Sigmoidoscopy Flx With With Band Ligation(S) (45350)
range across 2 matching MRF lines		 $707.60–$2,406.20 $707.60–$2,406.20 varies
Sigmoidoscopy w/fb removal (45332) $497 $497 0.5×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $263.40 $263.40 0.0×
Sigmoidoscopy W/Resection (45349) $438 $438 0.2×
Sigmoidoscopy W/Ultrasound (45341) $298 $298 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $570.20 $570.20 0.7×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,150 $1,150 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $752.30 $752.30 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $58.90–$408.80 $58.90–$408.80 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $137.50–$448.90 $137.50–$448.90 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $940 $940 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $498.10 $498.10 2.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $758 $758 4.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $335.60–$395.30 $335.60–$395.30 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $684.70 $684.70 3.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 4 matching MRF lines		 $177.20–$496 $177.20–$496 varies
Sinusotomy frontal; external, simple (trephine operation) Facility (31070)
likely a partial charge, not the full procedure		 $1,396.30 $1,396.30 0.3×
Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085)
range across 2 matching MRF lines		 $827.90–$3,310 $827.90–$3,310 varies
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081)
range across 2 matching MRF lines		 $550–$2,200 $550–$2,200 varies
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075)
unusually low: confirm this is the full procedure		 $2,430 $2,430 0.4×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030)
unusually low: confirm this is the full procedure		 $1,900.70 $1,900.70 0.3×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
unusually low: confirm this is the full procedure		 $1,748.90 $1,748.90 0.3×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051)
unusually low: confirm this is the full procedure		 $2,040.50 $2,040.50 0.4×
Skin Full Grft Face/Genit/Hf (15240) $2,146.80 $2,146.80 1.1×
Skin graft, harvest cultured tissue (15040) $657.20 $657.20 0.3×
Skin Pinch Graft (15050) $1,350.40 $1,350.40 2.0×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $421.50–$4,600 $421.50–$4,600 varies
Skin sub graft trnk/arm/leg (15271)
range across 5 matching MRF lines		 $91–$3,491.10 $91–$3,491.10 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $4,769.20–$5,907.60 $4,769.20–$5,907.60 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $2,818.40–$3,491.10 $2,818.40–$3,491.10 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $6,255.80 $6,255.80 1.2×
Slctv cath carotid/innom art angio xtrcranl art (36222) $6,255.80 $6,255.80 2.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $229–$916 $229–$916 varies
Slitting of prepuce (54001) $407.60 $407.60 0.2×
Small bowel endoscopy (44366) $847.30 $847.30 0.5×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $586 $586 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $381.40–$642 $381.40–$642 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $554.20 $554.20 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $655–$1,907 $655–$1,907 varies
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $1,800 $1,800 0.7×
Sphincterotomy anal division sphincter spx (46080) $704.20 $704.20 0.3×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $460.40–$1,279.80 $460.40–$1,279.80 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $535.90–$6,179.80 $535.90–$6,179.80 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $1,799.90–$6,179.80 $1,799.90–$6,179.80 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,071.80 $1,071.80 0.4×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $3,577.60 $3,577.60 0.7×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $2,745.60 $2,745.60 0.5×
Stapes mobilization (69650) $2,390 $2,390 0.8×
Sternal debridement (21627)
range across 2 matching MRF lines		 $365.30–$1,461 $365.30–$1,461 varies
Strapping ankle (29540)
range across 3 matching MRF lines		 $70–$238 $70–$238 varies
Strapping elbow or wrist (29260) $84.70 $84.70 1.6×
Strapping hand/finger (29280) $72.50 $72.50 1.3×
Strapping Hip (29520) $65.30 $65.30 0.5×
Strapping knee (29530) $84.70 $84.70 0.7×
Strapping shoulder (29240) $61.40 $61.40 0.5×
Strapping thorax (29200) $61.40 $61.40 0.4×
Strapping toes (29550) $49.40 $49.40 0.9×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $104.30–$271.90 $104.30–$271.90 varies
Subconjunctival injection (68200) $99 $99 0.2×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $234.80 $234.80 1.3×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $870 $870 0.3×
Subtalar arthro w/deb (29906)
range across 2 matching MRF lines		 $285.20–$1,140.50 $285.20–$1,140.50 varies
Suprahyoid lymphadenectomy (38700)
unusually low: confirm this is the full procedure		 $2,338.10 $2,338.10 0.4×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $1,310.40 $1,310.40 0.4×
Surg Implnt Neuroelect,Epidural (63655)
range across 2 matching MRF lines		 $1,225.10–$4,898 $1,225.10–$4,898 varies
Surg Tx Anal Fistula 2nd Stage (46285) $1,139.30 $1,139.30 0.4×
Surg tx anal fistula subq (46270) $1,339.60 $1,339.60 0.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,814.80 $1,814.80 0.7×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $683.20 $683.20 0.3×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $262.30–$1,047.70 $262.30–$1,047.70 varies
Suture of facial nerve; extracranial Facility (64864)
unusually low: confirm this is the full procedure		 $2,504 $2,504 0.3×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
range across 2 matching MRF lines		 $499.70–$1,996.70 $499.70–$1,996.70 varies
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $253.10–$1,013.30 $253.10–$1,013.30 varies
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
range across 2 matching MRF lines		 $566.80–$2,265.90 $566.80–$2,265.90 varies
Suture pharynx for wound or injury (42900) $967.90 $967.90 0.7×
Syndactylization toes (28280) $840 $840 0.3×
Synovectomy Tendon Sheath Foot Flexor (28086) $893.10 $893.10 0.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,373.90 $1,373.90 0.9×
Tangential biopsy skin single lesion (11102)
range across 4 matching MRF lines		 $39.60–$798.90 $39.60–$798.90 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $87,869.40 $87,869.40 3.3×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $1,147.30–$43,550 $1,147.30–$43,550 varies
Tcat Rmvl Perm Ldls Pm (33275)
range across 2 matching MRF lines		 $1,217.70–$7,492.40 $1,217.70–$7,492.40 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $497–$1,985.30 $497–$1,985.30 varies
Tenolysis extensor foot single tendon (28225) $4,949.90 $4,949.90 1.6×
Tenolysis flexor tendon palm/finger each tendon (26440) $989.30 $989.30 0.7×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,050 $1,050 0.3×
Tenotomy Adductor Hip Percutaneous Spx (27000)
range across 2 matching MRF lines		 $256.50–$1,023.60 $256.50–$1,023.60 varies
Tenotomy Flexor Finger Open Each Tendon (26455) $645.80 $645.80 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $633.30–$4,000 $633.30–$4,000 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $736.30 $736.30 0.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 3 matching MRF lines		 $450–$2,050 $450–$2,050 varies
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)
range across 3 matching MRF lines		 $325–$3,670 $325–$3,670 varies
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307)
range across 3 matching MRF lines		 $395–$3,740 $395–$3,740 varies
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $255.50–$1,021.40 $255.50–$1,021.40 varies
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 2 matching MRF lines		 $921.70–$4,476.40 $921.70–$4,476.40 varies
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $949.20–$1,549.50 $949.20–$1,549.50 varies
Thoracoscopy w/bx nodule (32608)
likely a partial charge, not the full procedure		 $1,969.30 $1,969.30 0.2×
Thoracoscopy w/bx pleura (32609)
likely a partial charge, not the full procedure		 $633.30 $633.30 0.1×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607)
likely a partial charge, not the full procedure		 $745.40 $745.40 0.1×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure		 $1,014.50 $1,014.50 0.2×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
range across 2 matching MRF lines		 $406.50–$1,627 $406.50–$1,627 varies
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876)
range across 2 matching MRF lines		 $673.30–$2,690.60 $673.30–$2,690.60 varies
Thrmbc/Nfs Dialysis Circuit (36906) $35,310.80 $35,310.80 2.1×
Thromblytic art/ven therapy (37213)
range across 2 matching MRF lines		 $563.90–$4,945.70 $563.90–$4,945.70 varies
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
range across 2 matching MRF lines		 $711.10–$2,841.80 $711.10–$2,841.80 varies
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $870.20–$4,028.20 $870.20–$4,028.20 varies
Thrombolytic Therapy Stroke (37195) $1,688.90 $1,688.90 5.6×
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $978.90–$2,392.60 $978.90–$2,392.60 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $282.80–$1,216.40 $282.80–$1,216.40 varies
Thyroidectomy Post Prev Thyr Surg (60260)
range across 2 matching MRF lines		 $454.60–$1,815.90 $454.60–$1,815.90 varies
Thyroidectomy, total or complete (60240)
range across 2 matching MRF lines		 $808.40–$3,234.40 $808.40–$3,234.40 varies
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
range across 2 matching MRF lines		 $908–$3,628.30 $908–$3,628.30 varies
Tibial Arthroscopy/Surgery (29855)
range across 2 matching MRF lines		 $548.50–$2,193.80 $548.50–$2,193.80 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,804.50 $1,804.50 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $422.60–$1,688.80 $422.60–$1,688.80 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $881 $881 0.3×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $762.60–$5,879.70 $762.60–$5,879.70 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
range across 2 matching MRF lines		 $385.90–$1,542.20 $385.90–$1,542.20 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $892 $892 0.3×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 3 matching MRF lines		 $175–$730 $175–$730 varies
Tracheostoma Revj Cplx W/Flap Rotation (31614)
unusually low: confirm this is the full procedure		 $2,141.30 $2,141.30 0.4×
Tracheostoma revj smpl w/o flap rotation (31613) $1,289.40 $1,289.40 0.4×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $1,386.60–$2,944.80 $1,386.60–$2,944.80 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $1,513.70 $1,513.70 1.1×
Tracheostomy Fenestration W/Skin Flaps (31610) $2,838.40 $2,838.40 0.5×
Tracheostomy planned (31600) $1,055.70 $1,055.70 0.3×
Tracheostomy Planned Under 2 Years Spx (31601)
likely a partial charge, not the full procedure		 $1,301.40 $1,301.40 0.2×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $744.90 $744.90 2.7×
Transcatheter biopsy (37200)
range across 2 matching MRF lines		 $4,227–$7,603.30 $4,227–$7,603.30 varies
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $687 $687 0.2×
Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) $1,318.40 $1,318.40 0.7×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772)
range across 2 matching MRF lines		 $233–$930.90 $233–$930.90 varies
Transfer skin pedicle flap (15650) $1,486.20 $1,486.20 0.8×
Treat ankle dislocation (27848)
range across 2 matching MRF lines		 $537.10–$2,146.80 $537.10–$2,146.80 varies
Treat ankle fracture (28445)
range across 2 matching MRF lines		 $439.70–$1,756.30 $439.70–$1,756.30 varies
Treat Big Toe Fracture (28505) $1,453.20 $1,453.20 0.5×
Treat Dental Ridge Fracture (21440) $1,992.60 $1,992.60 0.7×
Treat dislocation/fracture (23670)
range across 2 matching MRF lines		 $557.60–$2,229.20 $557.60–$2,229.20 varies
Treat dislocation/fracture (23680)
range across 2 matching MRF lines		 $324–$1,297 $324–$1,297 varies
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure		 $1,717.40 $1,717.40 0.3×
Treat elbow fracture (24586)
range across 2 matching MRF lines		 $445.50–$1,780.40 $445.50–$1,780.40 varies
Treat Elbow Fracture (24635)
range across 2 matching MRF lines		 $276–$1,101.50 $276–$1,101.50 varies
Treat Finger Fracture Each (26727) $1,288.10 $1,288.10 0.4×
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $792.40–$3,168 $792.40–$3,168 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $606.80–$2,425 $606.80–$2,425 varies
Treat Hand Bone Lesion (26034) $1,493 $1,493 1.0×
Treat Hip Socket Fracture (27222) $2,882.40 $2,882.40 12.7×
Treat humerus fracture (24500) $1,044.30 $1,044.30 4.6×
Treat Humerus Fracture (24505) $808.40 $808.40 0.5×
Treat humerus fracture (23616)
range across 2 matching MRF lines		 $921.70–$3,687.80 $921.70–$3,687.80 varies
Treat humerus fracture (23600) $952.70 $952.70 4.2×
Treat knee fracture (27532) $1,362.50 $1,362.50 0.5×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $753.40–$3,011.10 $753.40–$3,011.10 varies
Treat Knuckle Dislocation (26700) $553.90 $553.90 2.4×
Treat lower leg dislocation (27832)
range across 2 matching MRF lines		 $311.50–$1,164.20 $311.50–$1,164.20 varies
Treat metacarpal fracture (26607) $738.60 $738.60 0.2×
Treat Metatarsal Fracture (28475) $708.20 $708.20 3.1×
Treat skull fracture (62000) $3,053.20 $3,053.20 1.0×
Treat Tail Bone Fracture (27200) $553.40 $553.40 2.4×
Treat Thumb Dislocation (26641) $754.80 $754.80 3.3×
Treat Thumb Fracture (26645) $1,024.40 $1,024.40 0.7×
Treat thumb fracture (26665)
range across 3 matching MRF lines		 $382.50–$3,052.60 $382.50–$3,052.60 varies
Treat toe dislocation (28630) $322.80 $322.80 1.4×
Treat Vaginal Bleeding (57180) $352.60 $352.60 1.9×
Treat/graft heel fracture (28420)
range across 2 matching MRF lines		 $455–$1,823 $455–$1,823 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $763.70 $763.70 0.5×
Treatment closed elbow dislocation w/o anes (24600) $999.90 $999.90 4.4×
Treatment mouth roof lesion (42160) $699.20 $699.20 0.2×
Treatment of anal fissure (46940) $372.20 $372.20 0.1×
Treatment of ankle fracture (27823)
range across 2 matching MRF lines		 $1,114.10–$4,457.20 $1,114.10–$4,457.20 varies
Treatment of foot infection (28003) $1,945.30 $1,945.30 0.6×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $1,034–$4,133.10 $1,034–$4,133.10 varies
Treatment of nose fracture (21330)
likely a partial charge, not the full procedure		 $1,573.10 $1,573.10 0.3×
Treatment of tibia fracture (27756)
range across 2 matching MRF lines		 $582.90–$2,332.20 $582.90–$2,332.20 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $89.40–$260.90 $89.40–$260.90 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $91.60–$321.90 $91.60–$321.90 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $105.40–$362.80 $105.40–$362.80 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $45–$179.60 $45–$179.60 varies
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $3,185.40–$15,369.30 $3,185.40–$15,369.30 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $3,659.20–$15,369.30 $3,659.20–$15,369.30 varies
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $249.70 $249.70 0.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,911 $1,911 0.7×
Tx Gastro Intub W/Asp (43753) $61.90 $61.90 0.3×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines		 $381.40–$1,522.80 $381.40–$1,522.80 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $916 $916 0.3×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $507.30–$3,550.40 $507.30–$3,550.40 varies
Tx Missed Abortion First Trimester Surgical (59820) $916 $916 0.3×
Tx Missed Abortion Second Trimester Surgical (59821) $973.20 $973.20 0.3×
Tx open tendon flexor toe 1 tendon spx (28232) $561 $561 0.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,065.80 $1,065.80 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $190–$1,826.60 $190–$1,826.60 varies
Tx superficial wound dehiscence w/packing (12021) $408.80 $408.80 1.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $758.10 $758.10 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $586.30 $586.30 2.6×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $667.60–$2,672.30 $667.60–$2,672.30 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 3 matching MRF lines		 $515–$2,217 $515–$2,217 varies
Tympanolysis transcanal (69450) $1,636 $1,636 0.5×
Tympanoplasty (69631)
unusually low: confirm this is the full procedure		 $2,656.70 $2,656.70 0.5×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $4,391.50 $4,391.50 0.8×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $4,268.70 $4,268.70 0.8×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $3,756.30 $3,756.30 0.7×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $4,175.70 $4,175.70 0.8×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $4,639.10 $4,639.10 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $4,457.50 $4,457.50 0.8×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $3,647.50 $3,647.50 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $3,978 $3,978 0.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $3,101.10 $3,101.10 0.6×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $3,127.10 $3,127.10 0.6×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $3,223 $3,223 0.6×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $887.40–$1,425.50 $887.40–$1,425.50 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,465 $1,465 0.4×
Unlisted Cardiac Surgery (33999) $1,525 $1,525 2.6×
Unlisted procedure breast (19499) $3,938.50 $3,938.50 1.1×
Unlisted Procedure Casting/Strapping (29799) $269 $269 1.8×
Unlisted procedure foot or toes (28899) $600 $600 2.6×
Unlisted Procedure Muscskeletal System General (20999) $252 $252 1.1×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $400–$1,004.10 $400–$1,004.10 varies
Unlisted procedure pelvis/hip joint (27299) $240 $240 1.1×
Unlisted procedure shoulder (23929) $600 $600 2.6×
Unlisted Procedure Vascular Surgery (37799) $818 $818 1.4×
Upgrade of pacemaker system (33214) $7,083.10 $7,083.10 0.7×
Uvulectomy excision of uvula (42140) $901 $901 0.3×
Vag hyst w/t/o & vag repair (58263) $572.50 $572.50 0.1×
Vaginal Delivery After Cesarean Delivery (59612) $2,289.80 $2,289.80 0.8×
Vaginal delivery only (59409) $2,060.90 $2,060.90 0.7×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
range across 2 matching MRF lines		 $715.70–$2,862.30 $715.70–$2,862.30 varies
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
range across 2 matching MRF lines		 $830.20–$3,320.30 $830.20–$3,320.30 varies
Vaginectomy, partial removal of vaginal wall; (57106)
range across 2 matching MRF lines		 $398.50–$1,595 $398.50–$1,595 varies
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $1,340.80–$23,743.90 $1,340.80–$23,743.90 varies
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $1,495.40–$23,743.90 $1,495.40–$23,743.90 varies
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $1,264–$23,743.90 $1,264–$23,743.90 varies
Vasc embolize/occlude venous (37241) $12,363.60 $12,363.60 1.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $991.60 $991.60 0.5×
Vein Access Cutdown < 1 Yr (36420) $138.90 $138.90 1.1×
Venous Cutdown >1 Y/O (36425) $117.90 $117.90 0.3×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $3,146.30–$25,834.10 $3,146.30–$25,834.10 varies
Ventilating tube removal requiring general anesthesia (69424) $385.60 $385.60 0.1×
Vestibuloplasty Anterior (40840)
unusually low: confirm this is the full procedure		 $2,508.90 $2,508.90 0.5×
Vulvectomy simple partial (56620) $1,589.20 $1,589.20 0.5×
Vulvectomy simple; complete (56625) $1,012 $1,012 0.3×
Wedge excision skin nail fold (11765) $207.30 $207.30 0.6×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure		 $1,242.30 $1,242.30 0.2×
Wedging of cast (29740) $202.80 $202.80 0.8×
Windowing of cast (29730) $77.90 $77.90 0.5×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $1,004.10–$1,155.60 $1,004.10–$1,155.60 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $792.40–$1,781.60 $792.40–$1,781.60 varies
Wrist arthroscopy with partial removal of joint lining (29844)
range across 2 matching MRF lines		 $335.60–$1,341.90 $335.60–$1,341.90 varies
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $2,186.80 $2,186.80 0.3×

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.