Procedures & surgery prices at Mercy Health System Corp
Janesville, WI · every code in this section with a posted price and a Medicare benchmark.
1182 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,492.88 | $1,990.50 | 1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $989.08 | $1,318.77 | 1.1× |
| Ablate inf turbinate submuc (30802) | $1,188.89 | $1,585.19 | 0.8× |
| Ablate Pulm Tumor Perq Crybl (32994) | $24,487.19 | $32,649.59 | 2.3× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $14,246.71 | $18,995.61 | 1.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $17,424.52 | $23,232.70 | 1.0× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $17,060.03 | $22,746.71 | 2.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) range across 2 matching MRF lines |
$85.62–$1,188.89 | $114.16–$1,585.19 | varies |
| Abrasion single lesion (15786) | $153.74 | $204.98 | 0.8× |
| Acne surgery (10040) | $153.74 | $204.98 | 0.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $1,580.98 | $2,107.97 | 0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,580.98 | $2,107.97 | 0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $2,715.36 | $3,620.48 | 0.8× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $1,580.98 | $2,107.97 | 0.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,580.98 | $2,107.97 | 0.8× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,580.98 | $2,107.97 | 0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $1,580.98 | $2,107.97 | 0.8× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $1,580.98 | $2,107.97 | 0.8× |
| Amniocentesis diagnostic (59000) | $585.52 | $780.70 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,507.15 | $3,342.87 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,507.15–$7,999.90 | $3,342.87–$10,666.54 | varies |
| Amputation toe interphalangeal joint (28825) | $2,507.15 | $3,342.87 | 0.8× |
| Amputation toe metatarsophalangeal joint (28820) | $2,507.15 | $3,342.87 | 0.8× |
| Anal/Urinary Muscle Study (51784) range across 2 matching MRF lines |
$98.60–$361.86 | $131.46–$482.48 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$101.95–$243.83 | $135.93–$325.11 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,745.18 | $2,326.91 | 1.9× |
| Anoscopy; with biopsy, single or multiple (46606) | $916.92 | $1,222.56 | 0.8× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $124.52 | $166.02 | 0.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 2 matching MRF lines |
$330.62–$440.82 | $440.82–$587.76 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$214.31–$618.19 | $285.75–$824.25 | varies |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$124.52–$306.86 | $166.02–$409.15 | varies |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$32.32–$45.20 | $43.10–$60.27 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$101.95–$190.84 | $135.93–$254.46 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$124.52–$168.03 | $166.02–$224.04 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$124.52–$168.03 | $166.02–$224.04 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $214.31 | $285.75 | 0.8× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$113.42–$214.31 | $151.23–$285.75 | varies |
| Application of rigid total contact leg cast (29445) | $214.31 | $285.75 | 0.8× |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$45.88–$270.69 | $61.17–$360.92 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$101.95–$286.28 | $135.93–$381.70 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$124.52–$150.03 | $166.02–$200.04 | varies |
| Apply hand/wrist cast (29085) | $124.52 | $166.02 | 0.8× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$214.31–$537.69 | $285.75–$716.92 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$124.52–$393.59 | $166.02–$524.79 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$214.31–$450.44 | $285.75–$600.59 | varies |
| Apply short leg cast (29425) | $214.31 | $285.75 | 0.8× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$40.46–$101.95 | $53.94–$135.93 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$235.20–$467.42 | $313.60–$623.22 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$540.88–$1,668.84 | $721.17–$2,225.12 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$235.20–$488.06 | $313.60–$650.74 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$235.20–$1,706.34 | $313.60–$2,275.12 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$235.20–$619.90 | $313.60–$826.53 | varies |
| Arthroplasty Ankle (27700) | $5,560.04 | $7,413.38 | 0.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $2,507.15 | $3,342.87 | 0.8× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $2,507.15 | $3,342.87 | 0.8× |
| Artificial insemination intra-uterine (58322) | $154.91 | $206.55 | 0.8× |
| Aspirate pleura w/ imaging (32555) | $1,688.28 | $2,251.04 | 2.7× |
| Aspirate Pleura W/O Imaging (32554) | $1,564.41 | $2,085.88 | 2.5× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$235.20–$760.25 | $313.60–$1,013.67 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $542.60 | $723.47 | 0.8× |
| Aspiration and/or injection thyroid cyst (60300) | $523.80 | $698.40 | 0.7× |
| Aspiration bladder insert suprapubic catheter (51102) | $5,145.02 | $6,860.03 | 2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$153.74–$183.27 | $204.98–$244.36 | varies |
| Biopsy Abdominal Mass (49180) | $2,564.04 | $3,418.72 | 1.5× |
| Biopsy bone trocar/needle deep (20225) | $1,394.04 | $1,858.72 | 0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$416.20–$1,265.53 | $554.94–$1,687.37 | varies |
| Biopsy External Auditory Canal (69105) | $1,188.89 | $1,585.19 | 0.8× |
| Biopsy external ear (69100) | $181.48 | $241.98 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $1,792.34 | $2,389.78 | 1.1× |
| Biopsy nail unit (11755) | $542.60 | $723.47 | 0.8× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $2,540.45 | $3,387.27 | 0.8× |
| Biopsy of breast; open, incisional (19101) | $3,000.18 | $4,000.24 | 0.8× |
| Biopsy of floor of mouth (41108) | $1,265.53 | $1,687.37 | 0.8× |
| Biopsy of lip (40490) | $181.48 | $241.98 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $2,819.20 | $3,758.93 | 1.7× |
| Biopsy of palate, uvula (42100) | $1,188.89 | $1,585.19 | 0.8× |
| Biopsy of penis (54100) | $1,265.53 | $1,687.37 | 0.8× |
| Biopsy of penis; deep structures (54105) | $2,225.72 | $2,967.63 | 0.8× |
| Biopsy of upper nose/throat (42806) | $2,540.45 | $3,387.27 | 0.8× |
| Biopsy Oropharynx (42800) | $1,188.89 | $1,585.19 | 0.8× |
| Biopsy Pleura Percutaneous Needle (32400) range across 2 matching MRF lines |
$519.54–$1,056.68 | $692.72–$1,408.90 | varies |
| Biopsy Salivary Gland Incisional (42405) | $1,188.89 | $1,585.19 | 0.8× |
| Biopsy Salivary Gland Needle (42400) | $1,348.40 | $1,797.87 | 1.9× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $1,265.53 | $1,687.37 | 0.8× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $1,265.53 | $1,687.37 | 0.8× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$1,265.53–$2,778.74 | $1,687.37–$3,704.99 | varies |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$413.26–$1,313.77 | $551.01–$1,751.69 | varies |
| Biopsy Tongue Posterior One-Third (41105) | $2,540.45 | $3,387.27 | 0.8× |
| Biopsy Vaginal Mucosa Extensive (57105) | $2,480.43 | $3,307.24 | 0.8× |
| Biopsy Vaginal Mucosa Simple (57100) | $705.75 | $941 | 0.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $705.75 | $941 | 0.8× |
| Biopsy, vestibule of mouth (40808) | $413.26 | $551.01 | 0.8× |
| Biopsy/removal lymph nodes (38510) | $3,000.18 | $4,000.24 | 0.8× |
| Bladder instillation anticarcinogenic agent (51720) | $534.30 | $712.40 | 0.8× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$191.44–$233.30 | $255.26–$311.07 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$45.20–$64.83 | $60.27–$86.44 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $1,580.98 | $2,107.97 | 0.8× |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$243.21–$785.56 | $324.28–$1,047.42 | varies |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$338.05–$1,763.30 | $450.73–$2,351.06 | varies |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$1,265.53–$2,860.69 | $1,687.37–$3,814.25 | varies |
| Bone Marrow; Aspiration Only (38220) range across 3 matching MRF lines |
$1,265.53–$2,166.83 | $1,687.37–$2,889.11 | varies |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $6,956.50 | $9,275.33 | 1.9× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $7,031.50 | $9,375.33 | 1.9× |
| Bronchoscopy Clear Airways (31645) | $2,482.16 | $3,309.54 | 1.4× |
| Bronchoscopy Reclear Airway (31646) | $622.65 | $830.20 | 1.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $2,856.82 | $3,809.10 | 0.8× |
| Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$1,265.53–$3,749.46 | $1,687.37–$4,999.28 | varies |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$1,265.53–$3,526.94 | $1,687.37–$4,702.59 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,265.53–$2,940.37 | $1,687.37–$3,920.49 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,265.53 | $1,687.37 | 0.8× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$705.75–$902.50 | $941–$1,203.33 | varies |
| Bx prostate strtctc saturation sampling img gid (55706) | $2,701 | $3,601.33 | 0.8× |
| Bx/exc lymph node open superficial (38500) | $3,000.18 | $4,000.24 | 0.8× |
| Canthotomy Separate Procedure (67715) | $3,520.10 | $4,693.46 | 1.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $2,507.15 | $3,342.87 | 0.8× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $1,232.12 | $1,642.82 | 0.8× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $1,232.12 | $1,642.82 | 0.8× |
| Carpal Tunnel Surgery (64721) | $1,496.26 | $1,995.02 | 0.8× |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$167.79–$194.48 | $223.72–$259.31 | varies |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $233.50 | $311.33 | 0.8× |
| Cessj Therapy Cath Removal (37214) | $5,678.14 | $7,570.85 | 1.8× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$66.88–$191.44 | $89.17–$255.26 | varies |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$53.64–$181.48 | $71.52–$241.98 | varies |
| Change ureter stent percut (50382) | $5,145.02 | $6,860.03 | 2.4× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$153.74–$822.52 | $204.98–$1,096.69 | varies |
| Chemical peel, facial; epidermal (15788) | $311.49 | $415.32 | 0.8× |
| Chemical Pleurodesis (32560) | $6,158.45 | $8,211.27 | 9.7× |
| Chemodenerv 1 extrem 5/> mus (64644) | $540.88 | $721.17 | 0.8× |
| Chemodenerv 1 extremity 1-4 (64642) | $540.88 | $721.17 | 0.8× |
| Chemodenerv Eccrine Glands (64650) | $235.20 | $313.60 | 0.8× |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$235.20–$641.74 | $313.60–$855.65 | varies |
| Chemodenerv musc neck dyston (64616) | $235.20 | $313.60 | 0.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $235.20 | $313.60 | 0.8× |
| Chemodenerv trunk musc 1-5 (64646) | $540.88 | $721.17 | 0.8× |
| Chemodenerv trunk musc 6/> (64647) | $540.88 | $721.17 | 0.8× |
| Chemodenervation eccrine glands oth area per day (64653) | $235.20 | $313.60 | 0.8× |
| Chemodenervation of extraocular muscle (67345) | $243.21 | $324.28 | 0.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $235.20 | $313.60 | 0.8× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$1,206.19–$2,916.98 | $1,608.25–$3,889.30 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,665.50 | $4,887.34 | 1.0× |
| Circumcision 28 days or older (54161) | $1,601.74 | $2,135.66 | 0.8× |
| Circumcision Neonate (54160) | $534.30 | $712.40 | 0.8× |
| Circumcision w/clamp/oth dev w/block (54150) | $1,601.74 | $2,135.66 | 0.8× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$521.73–$1,232.12 | $695.64–$1,642.82 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$101.95–$405.56 | $135.93–$540.75 | varies |
| Closed Treat Vert Body Fract (22310) | $189.01 | $252.01 | 0.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $206.14 | $274.86 | 0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$189.01–$503.74 | $252.01–$671.66 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$189.01–$626.27 | $252.01–$835.03 | varies |
| Closed Treatment Sesamoid Fracture (28530) | $189.01 | $252.01 | 0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$189.01–$304.71 | $252.01–$406.28 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $244.78 | $326.38 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $452.23 | $602.97 | 0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$189.01–$275.32 | $252.01–$367.09 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $189.01 | $252.01 | 0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $189.01 | $252.01 | 0.8× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $3,741.31 | $4,988.41 | 2.3× |
| Closed tx knee dislocation w/o anesthesia (27550) | $242.72 | $323.62 | 1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $3,936.38 | $5,248.51 | 2.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $189.01 | $252.01 | 0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $4,043.74 | $5,391.65 | 2.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $191.94 | $255.92 | 0.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$316.03–$2,540.45 | $421.37–$3,387.27 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$189.01–$347.48 | $252.01–$463.30 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$189.01–$196.46 | $252.01–$261.95 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $362.22 | $482.96 | 0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$189.01–$229.42 | $252.01–$305.89 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,682.44 | $2,243.26 | 1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$189.01–$225.87 | $252.01–$301.16 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$885.80–$1,232.12 | $1,181.06–$1,642.82 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$189.01–$626.27 | $252.01–$835.03 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$163.52–$189.01 | $218.02–$252.01 | varies |
| Closed tx septal&nose fx (21337) range across 2 matching MRF lines |
$386.13–$2,540.45 | $514.84–$3,387.27 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) | $551.25 | $735 | 0.3× |
| Closed tx talus fracture w/o manipulation (28430) | $189.01 | $252.01 | 0.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $598.83 | $798.44 | 2.4× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $1,188.89 | $1,585.19 | 0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $186.70 | $248.93 | 0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $448.16 | $597.55 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $189.01 | $252.01 | 0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$179.01–$189.01 | $238.68–$252.01 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$89.50–$181.48 | $119.34–$241.98 | varies |
| Closure lacrimal punctum (68760) | $243.21 | $324.28 | 0.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $239.60 | $319.47 | 1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$123.10–$189.01 | $164.14–$252.01 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $154.05 | $205.40 | 0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$125.38–$189.01 | $167.17–$252.01 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $189.01 | $252.01 | 0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $490.61 | $654.15 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$189.01–$328.80 | $252.01–$438.40 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) | $243.21 | $324.28 | 0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$351.89–$1,232.12 | $469.19–$1,642.82 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $189.01 | $252.01 | 0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $189.01 | $252.01 | 0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $105.35 | $140.47 | 0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$189.01–$719.76 | $252.01–$959.68 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$189.01–$626.27 | $252.01–$835.03 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 3 matching MRF lines |
$183.86–$189.01 | $245.15–$252.01 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$63.34–$189.01 | $84.46–$252.01 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$189.01–$368.22 | $252.01–$490.96 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,232.12–$1,934.44 | $1,642.82–$2,579.25 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,232.12 | $1,642.82 | 0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $3,514.63 | $4,686.17 | 2.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $189.01 | $252.01 | 0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $531.72 | $708.96 | 0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$189.01–$582.23 | $252.01–$776.31 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$85.31–$189.01 | $113.75–$252.01 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$189.01–$189.66 | $252.01–$252.88 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$82.73–$189.01 | $110.31–$252.01 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $927.29 | $1,236.39 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $189.01 | $252.01 | 0.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $189.01 | $252.01 | 0.8× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $189.01 | $252.01 | 0.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $3,374 | $4,498.66 | 2.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $498.91 | $665.21 | 2.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$189.01–$291.16 | $252.01–$388.21 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $456.28 | $608.38 | 0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $402.94 | $537.26 | 0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $189.01 | $252.01 | 0.8× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,232.12 | $1,642.82 | 0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $273 | $364 | 1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 3 matching MRF lines |
$189.01–$216.72 | $252.01–$288.96 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$214.31–$247.18 | $285.75–$329.57 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$189.01–$215.89 | $252.01–$287.85 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,526.90 | $6,035.86 | 2.8× |
| Cltx Medial Ankle Fx (27760) | $189.01 | $252.01 | 0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$189.01–$364.07 | $252.01–$485.43 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$189.01–$247.51 | $252.01–$330.01 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$1,232.12–$1,251.19 | $1,642.82–$1,668.25 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$189.01–$305.98 | $252.01–$407.98 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$95.34–$189.01 | $127.12–$252.01 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $557.11 | $742.81 | 0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$189.01–$483.35 | $252.01–$644.47 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $189.01 | $252.01 | 0.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,232.12–$3,936.38 | $1,642.82–$5,248.51 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) | $626.27 | $835.03 | 2.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $598.83 | $798.44 | 2.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$189.01–$215.89 | $252.01–$287.85 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $3,610.48 | $4,813.97 | 2.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $294.57 | $392.76 | 0.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $4,043.74 | $5,391.65 | 2.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$1,232.12–$3,934.59 | $1,642.82–$5,246.12 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$189.01–$243.97 | $252.01–$325.29 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $153.81 | $205.08 | 0.6× |
| Cltx tibial fx proximal w/o manipulation (27530) | $189.01 | $252.01 | 0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) | $189.01 | $252.01 | 0.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $719.85 | $959.80 | 2.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $540.40 | $720.53 | 0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$189.01–$262.45 | $252.01–$349.93 | varies |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $2,507.15 | $3,342.87 | 0.8× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$101.95–$261.38 | $135.93–$348.51 | varies |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$20.87–$37.21 | $27.83–$49.61 | varies |
| Colonoscopy thru stoma (44388) | $712.58 | $950.10 | 0.8× |
| Colonoscopy w/submucosal inj (45381) | $916.92 | $1,222.56 | 0.8× |
| Colporrhaphy (57200) | $538.94 | $718.58 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $233.50 | $311.33 | 0.8× |
| Colposcopy Cervix Endocervical Curettage (57456) | $233.50 | $311.33 | 0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) | $154.91 | $206.55 | 0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $233.50 | $311.33 | 0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $2,480.43 | $3,307.24 | 0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,480.43 | $3,307.24 | 0.8× |
| Colposcopy entire vagina w/cervix if present (57420) | $233.50 | $311.33 | 0.8× |
| Colposcopy of vulva (56820) | $154.91 | $206.55 | 0.8× |
| Colposcopy Vulva W/Biopsy (56821) | $233.50 | $311.33 | 0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $705.75 | $941 | 0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $916.92 | $1,222.56 | 0.8× |
| Complex Cystometrogram (51726) | $191.44 | $255.26 | 0.8× |
| Complex drainage wound (10180) | $6,697.89 | $8,930.52 | 2.3× |
| Composite Skin Graft (15760) | $1,580.98 | $2,107.97 | 0.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,480.43 | $3,307.24 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$101.95–$738.86 | $135.93–$985.14 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$101.95–$596.41 | $135.93–$795.21 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,313.77 | $1,751.69 | 2.4× |
| Conversion ext bil drg cath (47535) range across 2 matching MRF lines |
$2,743.46–$3,632.17 | $3,657.95–$4,842.89 | varies |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,726.13 | $2,301.51 | 0.9× |
| Convert Nephrostomy Catheter (50434) range across 2 matching MRF lines |
$1,601.74–$2,473.88 | $2,135.66–$3,298.50 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,086.28 | $5,448.37 | 2.5× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $342.30 | $456.40 | 0.8× |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) | $1,821.74 | $2,428.98 | 0.8× |
| Correction hammertoe (28285) | $2,507.15 | $3,342.87 | 0.8× |
| Correction of trichiasis; epilation, by forceps only (67820) | $101.95 | $135.93 | 0.8× |
| Correction Trichiasis Inccision Lid Margin (67830) | $763.85 | $1,018.47 | 0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $2,507.15 | $3,342.87 | 0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $2,507.15 | $3,342.87 | 0.8× |
| Create Eardrum Opening (69433) | $413.26 | $551.01 | 0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $212.62 | $283.49 | 1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$138.31–$181.48 | $184.41–$241.98 | varies |
| Curette/treat cornea (65435) | $763.85 | $1,018.47 | 0.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$348.80–$1,601.74 | $465.07–$2,135.66 | varies |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$2,701–$3,717.14 | $3,601.33–$4,956.18 | varies |
| Cysto w/removal of lesions small (52224) | $2,701 | $3,601.33 | 0.8× |
| Cysto w/removal of tumors small (52234) | $2,701 | $3,601.33 | 0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) | $1,601.74 | $2,135.66 | 0.8× |
| Cysto/uretero w/lithotripsy (52356) | $4,108.45 | $5,477.93 | 0.8× |
| Cystometrogram W/Up (51727) | $534.30 | $712.40 | 0.8× |
| Cystometrogram W/Vp (51728) | $534.30 | $712.40 | 0.8× |
| Cystometrogram W/Vp&Up (51729) range across 2 matching MRF lines |
$534.30–$1,490.42 | $712.40–$1,987.23 | varies |
| Cystourethroscopy (52000) | $534.30 | $712.40 | 0.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $1,601.74 | $2,135.66 | 0.8× |
| Cystourethroscopy with biopsy (52204) | $1,601.74 | $2,135.66 | 0.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) | $1,601.74 | $2,135.66 | 0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$311.49–$1,606.88 | $415.32–$2,142.50 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,212.06 | $2,949.42 | 0.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,540.96 | $2,054.62 | 2.2× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $542.60 | $723.47 | 0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$566.31–$1,387 | $755.08–$1,849.34 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$45.20–$47.90 | $60.27–$63.86 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$45.20–$142.65 | $60.27–$190.20 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$622.99–$1,265.53 | $830.65–$1,687.37 | varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $413.26 | $551.01 | 0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) | $153.74 | $204.98 | 0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$311.49–$927.94 | $415.32–$1,237.25 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$253.10–$372.38 | $337.46–$496.50 | varies |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) | $5,560.04 | $7,413.38 | 0.8× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) | $1,580.98 | $2,107.97 | 0.8× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) | $1,580.98 | $2,107.97 | 0.8× |
| Delay Flap/Sectioning Flap Trunk (15600) | $2,715.36 | $3,620.48 | 0.8× |
| Derma-fat-fascia graft (15770) | $2,715.36 | $3,620.48 | 0.8× |
| Dermabrasion segmental face (15781) | $542.60 | $723.47 | 0.8× |
| Destr penis lesion(s) (54065) | $1,580.98 | $2,107.97 | 0.8× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,046.95 | $1,395.93 | 1.2× |
| Destroy cerv/thor facet jnt (64633) | $2,660.92 | $3,547.90 | 1.4× |
| Destroy lumb/sac facet jnt (64635) range across 4 matching MRF lines |
$2,697.29–$2,801.13 | $3,596.39–$3,734.84 | varies |
| Destruc retinal lesn,photocoag (67210) | $421.43 | $561.91 | 0.8× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$38.38–$153.74 | $51.17–$204.98 | varies |
| Destruction Benign Lesions 15/> (17111) | $153.74 | $204.98 | 0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $677.72 | $903.63 | 0.8× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $235.20 | $313.60 | 0.8× |
| Destruction by neurolytic agent; pudendal nerve (64630) | $677.72 | $903.63 | 0.8× |
| Destruction Lesions Vulva Extensive (56515) | $1,580.98 | $2,107.97 | 0.8× |
| Destruction Lesions Vulva Simple (56501) | $1,580.98 | $2,107.97 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $153.74 | $204.98 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $153.74 | $204.98 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $311.49 | $415.32 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $566.31 | $755.08 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $566.31 | $755.08 | 0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $153.74 | $204.98 | 0.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $153.74 | $204.98 | 0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $153.74 | $204.98 | 0.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $311.49 | $415.32 | 0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $311.49 | $415.32 | 0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $153.74 | $204.98 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $153.74 | $204.98 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $153.74 | $204.98 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $153.74 | $204.98 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $311.49 | $415.32 | 0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $153.74 | $204.98 | 0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $4,326.81 | $5,769.08 | 2.2× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $763.85 | $1,018.47 | 0.8× |
| Destruction of lesion, conjunctiva (68135) | $1,821.74 | $2,428.98 | 0.8× |
| Destruction of skin lesions (17106) | $311.49 | $415.32 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $311.49 | $415.32 | 0.8× |
| Destruction premalignant lesion 1st (17000) | $153.74 | $204.98 | 0.8× |
| Destruction Vaginal Lesions Extensive (57065) | $2,480.43 | $3,307.24 | 0.8× |
| Destruction Vaginal Lesions Simple (57061) | $2,480.43 | $3,307.24 | 0.8× |
| Diagnostic sigmoidoscopy (45330) | $712.58 | $950.10 | 0.8× |
| Diaphragm or cervical cap fitting with instructions (57170) | $154.91 | $206.55 | 0.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $98.60 | $131.46 | 0.8× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $101.95 | $135.93 | 0.8× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $101.95 | $135.93 | 0.8× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $191.44 | $255.26 | 0.8× |
| Dilat Xst Trc New Access Rcs (50437) range across 2 matching MRF lines |
$2,701–$6,950.88 | $3,601.33–$9,267.84 | varies |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$32.96–$191.44 | $43.95–$255.26 | varies |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $413.26 | $551.01 | 0.8× |
| Dilation Cervical Canal (57800) | $2,480.43 | $3,307.24 | 0.8× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $342.30 | $456.40 | 0.8× |
| Dilation Salivary Duct (42650) | $1,188.89 | $1,585.19 | 0.8× |
| Dissection, deep jugular node(s) Facility (38542) | $4,632.35 | $6,176.47 | 0.8× |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$540.88–$1,316.43 | $721.17–$1,755.24 | varies |
| Drain Hand Tendon Sheath (26020) | $2,507.15 | $3,342.87 | 0.8× |
| Drain Spinal Cord Cyst (62268) | $290.09 | $386.79 | 0.3× |
| Drain/inj small joint/bursa w/us (20604) | $235.20 | $313.60 | 0.8× |
| Drainage abscess parotid simple (42300) range across 2 matching MRF lines |
$1,188.89–$4,012.34 | $1,585.19–$5,349.79 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $413.26 | $551.01 | 0.8× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$41.68–$542.60 | $55.57–$723.47 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $1,265.53 | $1,687.37 | 0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$128.62–$542.60 | $171.49–$723.47 | varies |
| Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines |
$218.44–$1,265.53 | $291.26–$1,687.37 | varies |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$181.48–$736.44 | $241.98–$981.92 | varies |
| Drainage of eye (65800) range across 2 matching MRF lines |
$1,768.36–$4,856.50 | $2,357.81–$6,475.34 | varies |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$153.74–$183.27 | $204.98–$244.36 | varies |
| Drainage of gum lesion (41800) range across 3 matching MRF lines |
$101.95–$325.13 | $135.93–$433.51 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$1,265.53–$2,698.89 | $1,687.37–$3,598.52 | varies |
| Drainage of hydrocele (55000) range across 2 matching MRF lines |
$542.60–$1,845.76 | $723.47–$2,461.02 | varies |
| Drainage of nose lesion (30000) | $181.48 | $241.98 | 0.8× |
| Drainage of rectal abscess (45020) | $2,126.84 | $2,835.78 | 0.8× |
| Drainage of salivary gland (42320) | $413.26 | $551.01 | 0.8× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,265.53–$1,695.88 | $1,687.37–$2,261.17 | varies |
| Drainage of scrotum (54700) | $3,449.41 | $4,599.21 | 1.6× |
| Drainage of skene's gland abscess or cyst (53060) | $4,626.88 | $6,169.17 | 2.2× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$101.95–$129.65 | $135.93–$172.87 | varies |
| Dressing Change Under Anesthesia (15852) | $566.31 | $755.08 | 0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$71.56–$542.60 | $95.42–$723.47 | varies |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $413.26 | $551.01 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $141.53 | $188.71 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $153.74 | $204.98 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$108.91–$153.74 | $145.21–$204.98 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $566.31 | $755.08 | 0.8× |
| Dstrj les/scar vestibule mouth physical meths (40820) | $2,540.45 | $3,387.27 | 0.8× |
| Dstrj Lesion Anus Extensive (46924) | $2,126.84 | $2,835.78 | 0.8× |
| Dstrj Lesion Anus Simple Chemical (46900) | $311.49 | $415.32 | 0.8× |
| Dstrj lesion anus simple cryosurgery (46916) | $153.74 | $204.98 | 0.8× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $1,580.98 | $2,107.97 | 0.8× |
| Dstrj lesion choroid pc 1/> sess (67220) | $421.43 | $561.91 | 0.8× |
| Dstrj Lesion Penis Simple Chemical (54050) | $311.49 | $415.32 | 0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $153.74 | $204.98 | 0.8× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $1,580.98 | $2,107.97 | 0.8× |
| Dstrj lesion penis simple surg excision (54060) | $1,580.98 | $2,107.97 | 0.8× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $311.49 | $415.32 | 0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$677.72–$1,389.80 | $903.63–$1,853.07 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$2,225.72–$3,042.20 | $2,967.63–$4,056.27 | varies |
| Dx Bronchoscope/Lavage (31624) | $2,482.16 | $3,309.54 | 1.4× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$1,363.84–$2,474.66 | $1,818.45–$3,299.54 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,682.39 | $2,243.19 | 2.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,470.35 | $1,960.47 | 0.8× |
| Egd control bleeding any (43255) | $1,470.35 | $1,960.47 | 0.8× |
| Egd Flexible Foreign Body Removal (43247) | $1,968.88 | $2,625.17 | 2.2× |
| Egd place gastrostomy tube (43246) | $1,470.35 | $1,960.47 | 0.8× |
| Egd remove lesion snare (43251) | $1,470.35 | $1,960.47 | 0.8× |
| Egd Varices Ligation (43244) | $1,470.35 | $1,960.47 | 0.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $942.77 | $1,257.03 | 3.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 2 matching MRF lines |
$235.34–$590.90 | $313.79–$787.86 | varies |
| Electrical stimulation bone healing noninvasive (20974) | $449.06 | $598.75 | 4.7× |
| Electro-Uroflowmetry First (51741) range across 2 matching MRF lines |
$165.45–$361.86 | $220.60–$482.48 | varies |
| Endocervical curettage (57505) | $705.75 | $941 | 0.8× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$154.91–$545.21 | $206.55–$726.95 | varies |
| Endoscopic injection/implant (51715) | $2,701 | $3,601.33 | 0.8× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) | $2,419.40 | $3,225.87 | 0.8× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $2,419.40 | $3,225.87 | 0.8× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $2,419.40 | $3,225.87 | 0.8× |
| Endoven ther chem adhes 1st (36482) | $4,263.76 | $5,685.01 | 0.8× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $1,580.98 | $2,107.97 | 0.8× |
| Epidural Blood Patch (62273) | $1,104.65 | $1,472.87 | 1.6× |
| Episiotomy or vaginal repair (59300) | $7,411.54 | $9,882.05 | 2.3× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) unusually low: confirm this is the full procedure |
$1,935.71 | $2,580.95 | 0.3× |
| Ercp duct stent placement (43274) | $4,651.79 | $6,202.39 | 0.8× |
| Ercp remove forgn body duct (43275) | $1,470.35 | $1,960.47 | 0.8× |
| Escharotomy; initial incision (16035) | $311.49 | $415.32 | 0.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $694.97 | $926.63 | 0.8× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$101.95–$116.96 | $135.93–$155.94 | varies |
| Exc abdl tum deep 5 cm/> (22901) | $2,225.72 | $2,967.63 | 0.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,265.53 | $1,687.37 | 0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $542.60 | $723.47 | 0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Back Les Sc < 3 Cm (21930) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,225.72 | $2,967.63 | 0.8× |
| Exc back tum deep < 5 cm (21932) | $2,225.72 | $2,967.63 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $542.60 | $723.47 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $542.60 | $723.47 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $542.60 | $723.47 | 0.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$169–$542.60 | $225.33–$723.47 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $542.60 | $723.47 | 0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Frenum Labial/Buccal (40819) | $1,188.89 | $1,585.19 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,265.53 | $1,687.37 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $542.60 | $723.47 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $763.85 | $1,018.47 | 0.8× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,232.12 | $1,642.82 | 0.8× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $2,540.45 | $3,387.27 | 0.8× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $2,540.45 | $3,387.27 | 0.8× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $2,540.45 | $3,387.27 | 0.8× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $542.60 | $723.47 | 0.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,265.53 | $1,687.37 | 0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$162.84–$916.92 | $217.12–$1,222.56 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$311.49–$1,025.20 | $415.32–$1,366.94 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $542.60 | $723.47 | 0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,265.53 | $1,687.37 | 0.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $2,225.72 | $2,967.63 | 0.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $1,265.53 | $1,687.37 | 0.8× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $2,225.72 | $2,967.63 | 0.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$1,265.53–$3,986.37 | $1,687.37–$5,315.16 | varies |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,265.53 | $1,687.37 | 0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,225.72 | $2,967.63 | 0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,265.53 | $1,687.37 | 0.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $2,225.72 | $2,967.63 | 0.8× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,225.72 | $2,967.63 | 0.8× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $1,232.12 | $1,642.82 | 0.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) range across 2 matching MRF lines |
$2,743.46–$3,632.17 | $3,657.95–$4,842.89 | varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$1,601.74–$1,906.44 | $2,135.66–$2,541.92 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $4,476.77 | $5,969.03 | 2.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $2,540.45 | $3,387.27 | 0.8× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $1,188.89 | $1,585.19 | 0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $542.60 | $723.47 | 0.8× |
| Excision Chalazion Multiple Same Lid (67801) | $763.85 | $1,018.47 | 0.8× |
| Excision Chalazion Single (67800) | $243.21 | $324.28 | 0.8× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $2,225.72 | $2,967.63 | 0.8× |
| Excision exostosis(es), external auditory canal Facility (69140) | $4,536.04 | $6,048.05 | 0.8× |
| Excision External Ear Partial Simple Repair (69110) | $2,225.72 | $2,967.63 | 0.8× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $2,225.72 | $2,967.63 | 0.8× |
| Excision Lesion Conjunctiva </1 Cm (68110) | $1,821.74 | $2,428.98 | 0.8× |
| Excision Lesion Cornea Xcp Pterygium (65400) | $763.85 | $1,018.47 | 0.8× |
| Excision lesion mouth roof (42104) | $2,540.45 | $3,387.27 | 0.8× |
| Excision Lesion Tongue W/O Closure (41110) | $2,540.45 | $3,387.27 | 0.8× |
| Excision Lingual Frenum Frenectomy (41115) | $1,188.89 | $1,585.19 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $542.60 | $723.47 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $542.60 | $723.47 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $311.49 | $415.32 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $542.60 | $723.47 | 0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $542.60 | $723.47 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,265.53 | $1,687.37 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,225.72 | $2,967.63 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,265.53 | $1,687.37 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $542.60 | $723.47 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $542.60 | $723.47 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,265.53 | $1,687.37 | 0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) | $2,126.84 | $2,835.78 | 0.8× |
| Excision nasal polyp(s) simple (30110) | $1,188.89 | $1,585.19 | 0.8× |
| Excision of chalazion; multiple, different lids (67805) | $243.21 | $324.28 | 0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,225.72 | $2,967.63 | 0.8× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$916.92–$2,476.06 | $1,222.56–$3,301.42 | varies |
| Excision of tonsil tags (42860) | $2,540.45 | $3,387.27 | 0.8× |
| Excision of vaginal cyst or tumor (57135) | $2,480.43 | $3,307.24 | 0.8× |
| Excision soft tissue lesion, external auditory canal (69145) | $2,225.72 | $2,967.63 | 0.8× |
| Excision spermatocele w/wo epididymectomy (54840) | $1,601.74 | $2,135.66 | 0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,265.53 | $1,687.37 | 0.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $1,265.53 | $1,687.37 | 0.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,265.53 | $1,687.37 | 0.8× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,265.53 | $1,687.37 | 0.8× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,232.12 | $1,642.82 | 0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,225.72 | $2,967.63 | 0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,265.53 | $1,687.37 | 0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 2 matching MRF lines |
$1,265.53–$3,974.65 | $1,687.37–$5,299.53 | varies |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,232.12 | $1,642.82 | 0.8× |
| Excision/destruction intranasal lesion int appr (30117) | $2,540.45 | $3,387.27 | 0.8× |
| Excision/destruction lesion pharynx any method (42808) | $2,540.45 | $3,387.27 | 0.8× |
| Excision/surgical planing skin nose rhinophyma (30120) | $2,540.45 | $3,387.27 | 0.8× |
| Excision/Transposition Pterygium W/Grafg (65426) | $1,821.74 | $2,428.98 | 0.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $175.78 | $234.37 | 0.1× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$321.19–$1,265.53 | $428.25–$1,687.37 | varies |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$1,265.53–$1,484.29 | $1,687.37–$1,979.05 | varies |
| External cephalic version (59412) | $3,296.92 | $4,395.89 | 1.0× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $1,768.36 | $2,357.81 | 0.8× |
| Fasciotomy palmar percutaneous (26040) | $1,232.12 | $1,642.82 | 0.8× |
| Fasciotomy Plantar Fascia Radical Spx (28062) | $2,507.15 | $3,342.87 | 0.8× |
| Fasciotomy, foot and/or toe (28008) | $6,700.52 | $8,934.03 | 2.0× |
| Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
$60.10–$749.66 | $80.14–$999.54 | varies |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$154.91–$954.26 | $206.55–$1,272.34 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 2 matching MRF lines |
$542.60–$2,731.06 | $723.47–$3,641.42 | varies |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $4,366.60 | $5,822.13 | 6.1× |
| Fine needle aspiration without imaging guidance (10021) | $311.49 | $415.32 | 0.8× |
| Fluid Pressure Muscle (20950) range across 2 matching MRF lines |
$307.02–$542.60 | $409.36–$723.47 | varies |
| Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines |
$182.83–$345.40 | $243.77–$460.53 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) range across 2 matching MRF lines |
$542.60–$2,256.91 | $723.47–$3,009.21 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$542.60–$1,782.74 | $723.47–$2,376.99 | varies |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$191.44–$682.22 | $255.26–$909.62 | varies |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $1,580.98 | $2,107.97 | 0.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines |
$1,580.98–$2,807.48 | $2,107.97–$3,743.31 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $1,580.98 | $2,107.97 | 0.8× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $1,580.98 | $2,107.97 | 0.8× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $4,096.22 | $5,461.62 | 2.1× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) | $529.20 | $705.60 | 14.5× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) | $4,536.04 | $6,048.05 | 0.8× |
| Grafting of autologous fat by lipo 50 cc or less (15771) | $2,715.36 | $3,620.48 | 0.8× |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$542.60–$644.12 | $723.47–$858.83 | varies |
| Hair xplant punch grft >15 (15776) | $311.49 | $415.32 | 0.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,126.84 | $2,835.78 | 0.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,126.84 | $2,835.78 | 0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $712.58 | $950.10 | 0.8× |
| Hysteroscopy Dx Sep Proc (58555) | $2,480.43 | $3,307.24 | 0.8× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$181.48–$243.75 | $241.98–$325 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$153.74–$238.94 | $204.98–$318.58 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,225.72 | $2,967.63 | 0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,225.72 | $2,967.63 | 0.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $2,507.15 | $3,342.87 | 0.8× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $2,126.84 | $2,835.78 | 0.8× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$162.84–$712.58 | $217.12–$950.10 | varies |
| I&d pilonidal cyst complicated (10081) | $1,757.88 | $2,343.84 | 2.5× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$91.28–$542.60 | $121.70–$723.47 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $2,225.72 | $2,967.63 | 0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$1,988.54–$2,225.72 | $2,651.39–$2,967.63 | varies |
| Icd Pocket Revision (33223) | $4,966.04 | $6,621.39 | 2.4× |
| Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) | $1,517.25 | $2,023 | 2.3× |
| Image Cath Fluid Colxn Visc (49405) | $2,594 | $3,458.67 | 1.6× |
| Image Cath Fluid Peri/Retro (49406) | $2,913.52 | $3,884.69 | 1.8× |
| Image Cath Fluid Trns/Vgnl (49407) | $3,648.46 | $4,864.62 | 2.2× |
| Implant neuroelectrodes (63650) | $8,815.69 | $11,754.25 | 1.4× |
| Implant Neuroelectrodes (64561) | $4,883.27 | $6,511.03 | 0.8× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$131.81–$191.44 | $175.75–$255.26 | varies |
| Incise finger tendon sheath (26055) | $1,232.12 | $1,642.82 | 0.8× |
| Incise/Drain Conjunctiva (68020) | $763.85 | $1,018.47 | 0.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$277.16–$311.49 | $369.55–$415.32 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$2,225.72–$6,804.90 | $2,967.63–$9,073.20 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,262.15–$1,265.53 | $1,682.87–$1,687.37 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$310.42–$311.49 | $413.90–$415.32 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$154.91–$198.11 | $206.55–$264.15 | varies |
| Incision and drainage of the tear gland (68400) | $763.85 | $1,018.47 | 0.8× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) | $6,734.63 | $8,979.51 | 2.3× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$233.50–$293.70 | $311.33–$391.60 | varies |
| Incision of eardrum (69420) | $181.48 | $241.98 | 0.8× |
| Incision of labial frenum (frenotomy) (40806) | $413.26 | $551.01 | 0.8× |
| Incision of lingual frenum (frenotomy) (41010) | $1,188.89 | $1,585.19 | 0.8× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$365.11–$916.92 | $486.81–$1,222.56 | varies |
| Incision of urethra (53020) | $4,626.88 | $6,169.17 | 2.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,265.53 | $1,687.37 | 0.8× |
| Incisional biopsy eyelid skin & lid margin (67810) | $243.21 | $324.28 | 0.8× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$566.31–$1,530.36 | $755.08–$2,040.48 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$42.32–$153.74 | $56.43–$204.98 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 5 matching MRF lines |
$677.72–$2,161.59 | $903.63–$2,882.12 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $217.82 | $290.43 | 1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$677.72–$2,537.08 | $903.63–$3,382.77 | varies |
| Inject Intravitreal Pharmcologic (67028) | $253.10 | $337.46 | 0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$235.20–$535.22 | $313.60–$713.62 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,883.47 | $2,511.29 | 2.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $991.60 | $1,322.13 | 1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $540.88 | $721.17 | 0.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$540.88–$1,697.35 | $721.17–$2,263.13 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $927.29 | $1,236.39 | 3.0× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,275.09 | $1,700.12 | 1.4× |
| Injection anesthetic agent suprascapular nerve (64418) | $504.07 | $672.09 | 0.7× |
| Injection enzyme palmar fascial cord (20527) | $235.20 | $313.60 | 0.8× |
| Injection for identification of sentinel node (38792) | $716.73 | $955.64 | 1.8× |
| Injection Into Brain Canal (61055) | $463.69 | $618.25 | 1.5× |
| Injection medication/other subst tenon capsule (67515) | $243.21 | $324.28 | 0.8× |
| Injection procedure for peyronie disease (54200) | $191.44 | $255.26 | 0.8× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$235.20–$995.74 | $313.60–$1,327.66 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$235.20–$821.40 | $313.60–$1,095.20 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$235.20–$973.96 | $313.60–$1,298.62 | varies |
| Injection therapeutic carpal tunnel (20526) | $235.20 | $313.60 | 0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $2,244.84 | $2,993.12 | 2.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,697.35 | $2,263.13 | 2.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$540.88–$821.40 | $721.17–$1,095.20 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $153.74 | $204.98 | 0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) | $153.74 | $204.98 | 0.8× |
| Injx anterior chamber eye air/liquid spx (66020) | $1,768.36 | $2,357.81 | 0.8× |
| Injx Anterior Chamber Eye Medication Spx (66030) | $1,768.36 | $2,357.81 | 0.8× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $677.72 | $903.63 | 0.8× |
| Ins cath ren art 1st bilat (36252) | $11,569.29 | $15,425.72 | 3.6× |
| Ins cath ren art 1st unilat (36251) | $5,411.24 | $7,214.98 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $4,705.73 | $6,274.31 | 0.8× |
| Ins endovas vena cava filtr (37191) | $4,524 | $6,032 | 0.8× |
| Ins/Rep Subq Defibrillator (33270) | $37,436.15 | $49,914.87 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $4,524.48 | $6,032.64 | 0.5× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$98.60–$154.13 | $131.46–$205.51 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$1,206.19–$2,212.42 | $1,608.25–$2,949.89 | varies |
| Insert cath pleura w/o image (32556) | $1,470.35 | $1,960.47 | 0.8× |
| Insert cervical dilator (59200) | $233.50 | $311.33 | 0.8× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$101.95–$316.65 | $135.93–$422.20 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $443.02 | $590.69 | 0.2× |
| Insert Heart Pm Atrial (33206) | $5,518.42 | $7,357.90 | 0.5× |
| Insert Heart Pm Ventricular (33207) | $19,022.24 | $25,362.99 | 1.8× |
| Insert non-tunnel cv cath (36556) | $5,300.37 | $7,067.16 | 1.7× |
| Insert Pacing Lead & Connect (33224) | $6,180.71 | $8,240.95 | 0.6× |
| Insert pessary/other device (57160) | $154.91 | $206.55 | 0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$548.66–$1,206.19 | $731.55–$1,608.25 | varies |
| Insert pulse gen dual leads (33213) | $23,501.43 | $31,335.24 | 2.2× |
| Insert pulse gen mult leads (33221) | $42,827.58 | $57,103.44 | 2.2× |
| Insert Pulse Gen Sngl Lead (33212) | $18,177.66 | $24,236.88 | 2.2× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$101.95–$143.14 | $135.93–$190.86 | varies |
| Insert tissue expander(s) (11960) | $2,715.36 | $3,620.48 | 0.8× |
| Insert tun ip cath perc (49418) | $8,678.52 | $11,571.36 | 2.4× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$2,419.40–$7,783.39 | $3,225.87–$10,377.85 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 5 matching MRF lines |
$101.95–$116.96 | $135.93–$155.94 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $6,603.87 | $8,805.16 | 1.8× |
| Insertion of cannula (36800) | $8,436.13 | $11,248.17 | 1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,206.19–$3,042.20 | $1,608.25–$4,056.27 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $13,073.20 | $17,430.94 | 1.6× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $20,629.44 | $27,505.92 | 2.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $528.98 | $705.30 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$1,206.19–$1,867.70 | $1,608.25–$2,490.26 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) | $18,330.65 | $24,440.87 | 2.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $4,660.13 | $6,213.51 | 1.5× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $36,922.42 | $49,229.89 | 1.2× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$7,721.94 | $10,295.92 | 0.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$3,105.38 | $4,140.51 | 0.4× |
| Insrt heart pm atrial & vent (33208) | $15,526.92 | $20,702.56 | 1.5× |
| Insrt Pulse Gen W/Dual Leads (33230) likely a partial charge, not the full procedure |
$6,164.30 | $8,219.06 | 0.3× |
| Insrt Pulse Gen W/Mult Leads (33231) likely a partial charge, not the full procedure |
$6,698.15 | $8,930.87 | 0.2× |
| Insrt Pulse Gen W/Singl Lead (33240) likely a partial charge, not the full procedure |
$5,628.53 | $7,504.71 | 0.3× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,510.92 | $2,014.56 | 1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $693 | $924 | 1.7× |
| Intranasal Biopsy (30100) | $1,188.89 | $1,585.19 | 0.8× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $181.48 | $241.98 | 0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) | $7,607.07 | $10,142.76 | 2.3× |
| Intro cath dialysis circuit (36901) | $937.28 | $1,249.70 | 0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $12,145.66 | $16,194.21 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $9,694.60 | $12,926.13 | 1.7× |
| Intro Gastrointestinal Tube (44500) | $691.17 | $921.56 | 0.8× |
| Intubation endotracheal emergency procedure (31500) | $391.93 | $522.57 | 1.6× |
| Iridoplasty photocoagulation 1/> sessions (66762) | $421.43 | $561.91 | 0.8× |
| Iridotomy/irridectomy laser surg per session (66761) | $421.43 | $561.91 | 0.8× |
| Irrigation maxillary sinus (31000) | $181.48 | $241.98 | 0.8× |
| Irrigation of corpora cavernosa for priapism (54220) | $126.55 | $168.73 | 0.5× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) | $191.66 | $255.55 | 5.2× |
| Knee Arthroscopy/Surgery (29874) | $2,507.15 | $3,342.87 | 0.8× |
| Labyrinthotomy Transcanal (69801) | $1,188.89 | $1,585.19 | 0.8× |
| Lam facetec & foramot lumbar (63047) | $5,560.04 | $7,413.38 | 0.8× |
| Laparo ablate renal cyst (50541) | $8,145.05 | $10,860.07 | 0.8× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) | $8,145.05 | $10,860.07 | 0.8× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $8,145.05 | $10,860.07 | 0.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $2,856.82 | $3,809.10 | 0.8× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) | $2,856.82 | $3,809.10 | 0.8× |
| Laryngoscopy diagnostic (31505) | $152.95 | $203.93 | 0.8× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$152.95–$457.26 | $203.93–$609.68 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $1,363.84 | $1,818.45 | 0.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $299.69 | $399.59 | 0.8× |
| Laryngoscopy W/Biopsy (31535) | $2,856.82 | $3,809.10 | 0.8× |
| Laser Surgery,Sever Vitreous Strands (67031) | $421.43 | $561.91 | 0.8× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$2,715.36–$4,577.07 | $3,620.48–$6,102.76 | varies |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) | $2,507.15 | $3,342.87 | 0.8× |
| Ligation or biopsy temporal artery (37609) | $1,265.53 | $1,687.37 | 0.8× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $2,419.40 | $3,225.87 | 0.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $2,701 | $3,601.33 | 0.8× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) | $22.16 | $29.55 | 0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,601.74 | $2,135.66 | 0.8× |
| Maniplatn palar fascial crd post inj single cord (26341) | $189.01 | $252.01 | 0.8× |
| Manipulation wrist under anesthesia (25259) | $1,232.12 | $1,642.82 | 0.8× |
| Marsupialization of bartholin's gland cyst (56440) | $2,480.43 | $3,307.24 | 0.8× |
| Maternity Care Procedure (59899) | $154.91 | $206.55 | 0.8× |
| Mech remov tunneled cv cath (36595) | $8,048.48 | $10,731.31 | 2.5× |
| Middle ear expl thru postaur/ear canal inc (69440) | $2,540.45 | $3,387.27 | 0.8× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) | $566.31 | $755.08 | 0.8× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) | $566.31 | $755.08 | 0.8× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) | $1,821.74 | $2,428.98 | 0.8× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) | $2,715.36 | $3,620.48 | 0.8× |
| Muscle-skin graft trunk (15734) | $2,715.36 | $3,620.48 | 0.8× |
| Myelography Lumbar Injection (62305) | $1,889.66 | $2,519.55 | 2.4× |
| Myelography Lumbar Injection (62304) | $1,877.39 | $2,503.19 | 2.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,656.69 | $2,208.92 | 2.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,721.78 | $2,295.70 | 2.2× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) | $2,480.43 | $3,307.24 | 0.8× |
| Myringoplasty (69620) | $2,540.45 | $3,387.27 | 0.8× |
| N Block Inj Celiac Pelus (64530) | $1,204.22 | $1,605.63 | 1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $901.21 | $1,201.61 | 1.3× |
| N block inj intercost sng (64420) | $939.74 | $1,252.98 | 1.3× |
| N Block Inj Paracervical (64435) | $540.88 | $721.17 | 0.8× |
| N Block Inj Plantar Digit (64455) | $235.20 | $313.60 | 0.8× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$677.72–$2,441.68 | $903.63–$3,255.58 | varies |
| N Block Lumbar/Thoracic (64520) | $1,503.21 | $2,004.28 | 1.7× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$152.95–$293.54 | $203.93–$391.39 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $85.95 | $114.60 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $1,363.84 | $1,818.45 | 0.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$542.49–$1,363.84 | $723.32–$1,818.45 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $5,407.74 | $7,210.32 | 0.8× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $5,407.74 | $7,210.32 | 0.8× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $840.92 | $1,121.23 | 3.3× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,265.53–$1,713.29 | $1,687.37–$2,284.39 | varies |
| Needle Biopsy Pancreas (48102) | $1,287.04 | $1,716.06 | 0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$22.16–$129.65 | $29.55–$172.87 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines |
$22.16–$135.88 | $29.55–$181.17 | varies |
| Neuro alys b-amyl 1-42&1-40 (0358U) | $405 | $540 | 1.6× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) | $1,461.60 | $1,948.80 | 1.9× |
| Neuroeltrd Stim Post Tibial (64566) | $235.20 | $313.60 | 0.8× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $3,683.62 | $4,911.50 | 1.7× |
| Nipple/areola reconstruction (19350) | $3,000.18 | $4,000.24 | 0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,135.77 | $1,514.36 | 1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 5 matching MRF lines |
$235.20–$271.16 | $313.60–$361.54 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$2,743.46–$3,707.36 | $3,657.95–$4,943.15 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) range across 2 matching MRF lines |
$2,743.46–$3,707.36 | $3,657.95–$4,943.15 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$677.72–$2,287.10 | $903.63–$3,049.46 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,621.77 | $2,162.36 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$540.88–$2,539.14 | $721.17–$3,385.52 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,541.02 | $2,054.70 | 2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $2,186.89 | $2,915.85 | 2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$540.88–$2,024.19 | $721.17–$2,698.92 | varies |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,580.98 | $2,107.97 | 0.8× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $1,580.98 | $2,107.97 | 0.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$534.30–$1,162.94 | $712.40–$1,550.58 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$534.30–$1,149.05 | $712.40–$1,532.07 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $311.49 | $415.32 | 0.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $311.49 | $415.32 | 0.8× |
| Njx Sclrsnt Spider Veins (36468) | $311.49 | $415.32 | 0.8× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $5,407.74 | $7,210.32 | 0.8× |
| Obstructive material removal from gi tube (49460) | $2,058.95 | $2,745.27 | 2.3× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$235.20–$579.82 | $313.60–$773.09 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $3,000.18 | $4,000.24 | 0.8× |
| Open treatment interphalangeal joint dislocation (28675) | $2,507.15 | $3,342.87 | 0.8× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) | $9,837.57 | $13,116.76 | 0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $7,841.24 | $10,454.99 | 2.4× |
| Open tx interphalangeal joint dislocation (26785) | $2,963.33 | $3,951.11 | 0.9× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $475.32 | $633.76 | 0.1× |
| Open/Perq Place Stent 1St (37236) range across 2 matching MRF lines |
$8,845.67–$12,030.71 | $11,794.23–$16,040.95 | varies |
| Open/Perq Place Stent Same (37238) | $8,428.60 | $11,238.14 | 0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $5,560.04 | $7,413.38 | 0.8× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $2,507.15 | $3,342.87 | 0.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $2,507.15 | $3,342.87 | 0.8× |
| Partial excision of lip (40520) | $2,540.45 | $3,387.27 | 0.8× |
| Partial removal of fibula (27641) | $2,507.15 | $3,342.87 | 0.8× |
| Partial removal of lip (40530) | $2,540.45 | $3,387.27 | 0.8× |
| Partical Excision Bone Phalanx Toe (28124) | $2,507.15 | $3,342.87 | 0.8× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) | $2,963.52 | $3,951.36 | 1.7× |
| Penile Injection (54235) range across 2 matching MRF lines |
$191.44–$772.94 | $255.26–$1,030.58 | varies |
| Perc Cryo Ablate Renal Tum (50593) | $28,098.62 | $37,464.83 | 2.6× |
| Percut Ablate Liver Rf (47382) | $12,258.98 | $16,345.30 | 2.0× |
| Percut Drain/Inject Renal Cyst (50390) | $1,264.39 | $1,685.85 | 1.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $4,624.51 | $6,166.01 | 1.5× |
| Pericardiocentesis W/Imaging (33016) | $2,582.17 | $3,442.89 | 1.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $2,480.43 | $3,307.24 | 0.8× |
| Perq Cervicothoracic Inject (22510) | $6,458.62 | $8,611.50 | 2.0× |
| Perq dev breast 1st mr guide (19287) range across 3 matching MRF lines |
$542.60–$2,587.93 | $723.47–$3,450.57 | varies |
| Perq dev breast 1st strtctc (19283) range across 2 matching MRF lines |
$542.60–$827.16 | $723.47–$1,102.88 | varies |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$542.60–$1,512.32 | $723.47–$2,016.43 | varies |
| Perq device breast 1st imag (19281) | $784.41 | $1,045.88 | 0.5× |
| Perq dilation xst trc endourologic px w/img (50436) range across 2 matching MRF lines |
$2,701–$4,288.43 | $3,601.33–$5,717.91 | varies |
| Perq Lumbosacral Injection (22511) | $6,655.88 | $8,874.51 | 2.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines |
$542.60–$2,218.70 | $723.47–$2,958.26 | varies |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $16,130.84 | $21,507.79 | 1.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $7,285.10 | $9,713.47 | 1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $8,578.09 | $11,437.45 | 1.2× |
| Perq Vertebral Augmentation (22513) | $15,798.16 | $21,064.21 | 2.2× |
| Phleb Veins - Extrem 20+ (37766) | $2,419.40 | $3,225.87 | 0.8× |
| Place Cath Subclavian Art (36225) range across 3 matching MRF lines |
$7,251.04–$14,502.10 | $9,668.06–$19,336.13 | varies |
| Place Cath Thoracic Aorta (36221) | $5,038.56 | $6,718.08 | 1.6× |
| Place Cath Vertebral Art (36226) | $16,588.45 | $22,117.93 | 3.0× |
| Placement of needle for intraosseous infusion (36680) | $107.87 | $143.83 | 0.2× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) range across 2 matching MRF lines |
$4,960.53–$6,210.82 | $6,614.04–$8,281.10 | varies |
| Plmt Bile Duct Stent Prq Existing Access (47538) range across 2 matching MRF lines |
$4,632.35–$7,869.28 | $6,176.47–$10,492.38 | varies |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $4,632.35 | $6,176.47 | 0.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $4,632.35 | $6,176.47 | 0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$1,601.74–$3,058.91 | $2,135.66–$4,078.55 | varies |
| Plmt Nephroureteral Catheter (50433) range across 2 matching MRF lines |
$2,701–$3,128.74 | $3,601.33–$4,171.65 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 2 matching MRF lines |
$2,701–$7,346.72 | $3,601.33–$9,795.62 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$2,701–$4,932.04 | $3,601.33–$6,576.06 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 2 matching MRF lines |
$2,701–$5,427.31 | $3,601.33–$7,236.41 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $3,833.10 | $5,110.80 | 0.8× |
| Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$7,860.74 | $10,480.98 | 0.4× |
| Probe lacrimal canaliculi w/wo irrigation (68840) | $243.21 | $324.28 | 0.8× |
| Probing nasolacrimal duct (68810) | $243.21 | $324.28 | 0.8× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $421.43 | $561.91 | 0.8× |
| Prostatic microwave thermotx (53850) | $2,701 | $3,601.33 | 0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $3,017.30 | $4,023.07 | 4.2× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) likely a partial charge, not the full procedure |
$734.78 | $979.71 | 0.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) range across 2 matching MRF lines |
$2,743.46–$4,814.06 | $3,657.95–$6,418.75 | varies |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) range across 2 matching MRF lines |
$2,743.46–$7,189.06 | $3,657.95–$9,585.41 | varies |
| Pseudoaneurysm Injection Trt (36002) | $282.95 | $377.27 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$251.42–$311.49 | $335.22–$415.32 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$311.49–$772.37 | $415.32–$1,029.83 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$542.60–$1,806.36 | $723.47–$2,408.48 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$540.88–$1,549.73 | $721.17–$2,066.31 | varies |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) | $2,225.72 | $2,967.63 | 0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $5,095.18 | $6,793.58 | 2.6× |
| Reconstruct Finger Joint (26548) | $2,507.15 | $3,342.87 | 0.8× |
| Relocation Pocket Pacemaker (33222) | $4,194.20 | $5,592.27 | 2.0× |
| Rem Endovas Vena Cava Filter (37193) | $4,011.71 | $5,348.95 | 1.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) range across 2 matching MRF lines |
$694.97–$1,990.01 | $926.63–$2,653.35 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$194.74–$243.21 | $259.65–$324.28 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$2,225.72–$6,734.63 | $2,967.63–$8,979.51 | varies |
| Removal foreign body foot deep (28192) | $1,265.53 | $1,687.37 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$112.78–$542.60 | $150.38–$723.47 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$98.55–$1,265.53 | $131.40–$1,687.37 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $2,225.72 | $2,967.63 | 0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$45.20–$119.28 | $60.27–$159.04 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$45.20–$192.93 | $60.27–$257.24 | varies |
| Removal Implant Deep (20680) | $2,225.72 | $2,967.63 | 0.8× |
| Removal Implant Superficial Separate Procedure (20670) | $1,265.53 | $1,687.37 | 0.8× |
| Removal implantable contraceptive capsules (11976) | $542.60 | $723.47 | 0.8× |
| Removal intact breast implant (19328) | $3,000.18 | $4,000.24 | 0.8× |
| Removal of a lesion from the floor of the mouth (41116) | $2,540.45 | $3,387.27 | 0.8× |
| Removal of foreign body from pharynx (42809) | $342.30 | $456.40 | 0.8× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$275.91–$311.49 | $367.88–$415.32 | varies |
| Removal of sesamoid bone (28315) | $2,507.15 | $3,342.87 | 0.8× |
| Removal of sperm cord lesion (55520) | $2,701 | $3,601.33 | 0.8× |
| Removal of tonsils (42826) | $2,540.45 | $3,387.27 | 0.8× |
| Removal of tunneled intraperitoneal catheter (49422) | $5,332.40 | $7,109.87 | 1.7× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$42.32–$214.31 | $56.43–$285.75 | varies |
| Removal Pacemaker Electrode (33235) | $8,292.40 | $11,056.53 | 2.2× |
| Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$2,476.70 | $3,302.27 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$85.62–$153.74 | $114.16–$204.98 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$542.60–$1,425.37 | $723.47–$1,900.49 | varies |
| Removal Submand Stone,Complicated (42335) | $2,540.45 | $3,387.27 | 0.8× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $1,580.98 | $2,107.97 | 0.8× |
| Removal sweat gland lesion (11450) | $2,225.72 | $2,967.63 | 0.8× |
| Removal, under anesthesia, of external fixation system (20694) | $1,232.12 | $1,642.82 | 0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$43.62–$214.31 | $58.16–$285.75 | varies |
| Remove cerclage suture (59871) | $2,480.43 | $3,307.24 | 0.8× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$342.30–$855.72 | $456.40–$1,140.96 | varies |
| Remove Elbow Joint Lining (24102) | $2,507.15 | $3,342.87 | 0.8× |
| Remove Elctrd Transvenously (33244) | $10,090.73 | $13,454.31 | 2.7× |
| Remove Forearm Foreign Body (25248) | $1,232.12 | $1,642.82 | 0.8× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$101.95–$224.23 | $135.93–$298.97 | varies |
| Remove groin lymph nodes (38760) | $5,087.99 | $6,783.99 | 0.8× |
| Remove Hand Bone Lesion (26200) | $1,232.12 | $1,642.82 | 0.8× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$233.50–$293.70 | $311.33–$391.60 | varies |
| Remove intrvas foreign body (37197) | $7,765.35 | $10,353.80 | 2.4× |
| Remove lung catheter (32552) | $1,686.54 | $2,248.72 | 2.7× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$97.51–$101.95 | $130.01–$135.93 | varies |
| Remove palate/lesion (42120) | $4,536.04 | $6,048.05 | 0.8× |
| Remove Pulse Generator (33241) | $2,476.70 | $3,302.27 | 0.7× |
| Remove renal tube w/fluoro (50389) | $1,451.04 | $1,934.72 | 2.1× |
| Remove Tendon Sheath Lesion (26160) | $1,232.12 | $1,642.82 | 0.8× |
| Remove ureter stent percut (50384) | $4,564.43 | $6,085.91 | 2.2× |
| Remove&replace pm gen singl (33227) | $6,418.57 | $8,558.09 | 0.8× |
| Remove/Insert Drug Implant (11983) | $342.30 | $456.40 | 0.8× |
| Remv&replc cvd gen dual lead (33263) | $13,907.02 | $18,542.70 | 0.6× |
| Remv&replc cvd gen mult lead (33264) unusually low: confirm this is the full procedure |
$15,437.62 | $20,583.49 | 0.5× |
| Remv&replc cvd gen sing lead (33262) | $13,238.18 | $17,650.90 | 0.6× |
| Remv&replc pm gen dual lead (33228) | $15,526.92 | $20,702.56 | 1.5× |
| Remv&replc pm gen mult leads (33229) | $25,227.88 | $33,637.17 | 1.3× |
| Renal Biopsy Perq (50200) | $2,004.97 | $2,673.29 | 1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) | $6,388.84 | $8,518.46 | 2.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $6,861.19 | $9,148.25 | 2.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$566.31–$574.98 | $755.08–$766.64 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$566.31–$748.88 | $755.08–$998.51 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$306–$311.49 | $408–$415.32 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$311.49–$770.67 | $415.32–$1,027.56 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$215.86–$311.49 | $287.82–$415.32 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$311.49–$537.29 | $415.32–$716.39 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $566.31 | $755.08 | 0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$566.31–$1,443.47 | $755.08–$1,924.63 | varies |
| Repair detached retina (67105) | $421.43 | $561.91 | 0.8× |
| Repair Ectropion Excision Tarsal Wedge (67916) | $1,821.74 | $2,428.98 | 0.8× |
| Repair Ectropion Thermocauterization (67915) | $1,821.74 | $2,428.98 | 0.8× |
| Repair Elbow Perc (24357) range across 2 matching MRF lines |
$2,507.15–$4,888.88 | $3,342.87–$6,518.51 | varies |
| Repair Entropion Excision Tarsal Wedge (67923) | $1,821.74 | $2,428.98 | 0.8× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$482.11–$1,232.12 | $642.81–$1,642.82 | varies |
| Repair Finger Tendon (26433) | $2,507.15 | $3,342.87 | 0.8× |
| Repair Hand Tendon (26410) | $1,232.12 | $1,642.82 | 0.8× |
| Repair incomplete circumcision (54163) | $1,601.74 | $2,135.66 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$311.49–$357 | $415.32–$476 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$311.49–$441 | $415.32–$588 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$311.49–$525 | $415.32–$700 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$311.49–$609 | $415.32–$812 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$566.31–$591.78 | $755.08–$789.04 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$310.42–$311.49 | $413.90–$415.32 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$310.42–$311.49 | $413.90–$415.32 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$566.31–$574.98 | $755.08–$766.64 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$311.49–$376.52 | $415.32–$502.03 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$310.42–$311.49 | $413.90–$415.32 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$311.49–$365.06 | $415.32–$486.74 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $488.93 | $651.91 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$311.49–$373.46 | $415.32–$497.94 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 3 matching MRF lines |
$1,419.66–$1,580.98 | $1,892.88–$2,107.97 | varies |
| Repair of enterocele, vaginal approach (separate procedure) (57268) | $3,833.10 | $5,110.80 | 0.8× |
| Repair of hammertoe (28286) | $2,507.15 | $3,342.87 | 0.8× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$361.99–$566.31 | $482.65–$755.08 | varies |
| Repair tongue laceration (41252) | $390.65 | $520.87 | 1.6× |
| Repair tongue laceration (41250) | $150.39 | $200.52 | 0.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,287.20 | $1,716.27 | 1.4× |
| Replace G-J Tube Perc (49452) | $873.36 | $1,164.48 | 1.0× |
| Replace g/c tube perc (49450) | $2,652.20 | $3,536.27 | 2.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $7,524.98 | $10,033.31 | 2.0× |
| Reposition Gastrostomy Tube (43761) | $1,812.10 | $2,416.14 | 7.2× |
| Reposition L Ventric Lead (33226) | $7,068.16 | $9,424.21 | 2.2× |
| Reposition Pacing-Defib Lead (33215) | $4,010.83 | $5,347.77 | 1.3× |
| Reposition Venous Catheter (36597) | $568.98 | $758.64 | 0.4× |
| Repr elbow lat ligmnt w/tiss (24343) | $2,507.15 | $3,342.87 | 0.8× |
| Resect enlarged toe tissue (28340) | $2,507.15 | $3,342.87 | 0.8× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $2,507.15 | $3,342.87 | 0.8× |
| Retrobulbar injection (67500) | $243.21 | $324.28 | 0.8× |
| Revis reconst shoulder joint (23473) | $9,837.57 | $13,116.76 | 0.8× |
| Revise eyelashes (67825) | $243.21 | $324.28 | 0.8× |
| Revision of eyelid (67880) | $1,821.74 | $2,428.98 | 0.8× |
| Revision of reconstructed breast (19380) | $5,087.99 | $6,783.99 | 0.8× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | $9,837.57 | $13,116.76 | 0.8× |
| Revj/rpr oprative wound anterior segment (66250) | $1,821.74 | $2,428.98 | 0.8× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) | $34,889.04 | $46,518.72 | 6.1× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $34,889.04 | $46,518.72 | 6.1× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $70,765.38 | $94,353.84 | 6.1× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) | $70,765.38 | $94,353.84 | 6.1× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) | $70,765.38 | $94,353.84 | 6.1× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) | $70,765.38 | $94,353.84 | 6.1× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $34,889.04 | $46,518.72 | 6.1× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $34,889.04 | $46,518.72 | 6.1× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $70,765.38 | $94,353.84 | 6.1× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $70,765.38 | $94,353.84 | 6.1× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) | $70,765.38 | $94,353.84 | 6.1× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) | $70,766.13 | $94,354.84 | 6.1× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $70,765.38 | $94,353.84 | 3.8× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) | $112,372.14 | $149,829.52 | 6.1× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) | $112,372.14 | $149,829.52 | 6.1× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) | $4,536.04 | $6,048.05 | 0.8× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $5,145.02 | $6,860.03 | 2.4× |
| Rmvl embedded fb vestibule mouth comp (40805) | $413.26 | $551.01 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $63.02 | $84.02 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$113.06–$342.30 | $150.74–$456.40 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$101.95–$273.20 | $135.93–$364.27 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$325.69–$342.30 | $434.25–$456.40 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $2,929.31 | $3,905.75 | 2.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$289.84–$2,225.72 | $386.46–$2,967.63 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$72.05–$1,265.53 | $96.07–$1,687.37 | varies |
| Rmvl of subq implantable defibrillator electrode (33272) | $7,524.98 | $10,033.31 | 2.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $8,707.01 | $11,609.35 | 2.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,206.19–$2,940.56 | $1,608.25–$3,920.74 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$480.67–$2,473.80 | $640.89–$3,298.40 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$191.44–$784.15 | $255.26–$1,045.53 | varies |
| Rplc gtube revj gstrst trc (43763) | $369.32 | $492.43 | 1.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,325.26 | $3,100.34 | 1.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 3 matching MRF lines |
$1,206.19–$1,988.37 | $1,608.25–$2,651.16 | varies |
| Rplcmt compl tun ctr vad w/subq port (36582) | $3,506.93 | $4,675.91 | 1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $6,500.33 | $8,667.11 | 2.0× |
| Rpr blood vessel direct lower extremity (35226) | $857.80 | $1,143.73 | 1.2× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) | $1,821.74 | $2,428.98 | 0.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $2,988.27 | $3,984.36 | 1.9× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $2,507.15 | $3,342.87 | 0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $605.11 | $806.81 | 3.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $5,560.04 | $7,413.38 | 0.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $591.78 | $789.04 | 0.8× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) | $1,768.36 | $2,357.81 | 0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $720.91 | $961.21 | 1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $452.39 | $603.19 | 0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$1,188.89–$3,821.28 | $1,585.19–$5,095.04 | varies |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) | $1,768.36 | $2,357.81 | 0.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $2,507.15 | $3,342.87 | 0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,525.77 | $2,034.36 | 2.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $2,507.15 | $3,342.87 | 0.8× |
| Sclerotx Fluid Collection (49185) range across 2 matching MRF lines |
$1,265.53–$2,620.38 | $1,687.37–$3,493.84 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $2,540.45 | $3,387.27 | 0.8× |
| Severing Adhesions Anterior Segment Laser Spx (65860) | $421.43 | $561.91 | 0.8× |
| Severing tarsorrhaphy (67710) | $763.85 | $1,018.47 | 0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $916.92 | $1,222.56 | 0.8× |
| Shave skin lesion 0.5 cm/< (11300) | $311.49 | $415.32 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $153.74 | $204.98 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $311.49 | $415.32 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $153.74 | $204.98 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $153.74 | $204.98 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $153.74 | $204.98 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $311.49 | $415.32 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $153.74 | $204.98 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $311.49 | $415.32 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $153.74 | $204.98 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $311.49 | $415.32 | 0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $153.74 | $204.98 | 0.8× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $2,540.45 | $3,387.27 | 0.8× |
| Sigmoidoscopy & Polypectomy (45333) | $712.58 | $950.10 | 0.8× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $2,025.14 | $2,700.19 | 1.7× |
| Sigmoidoscopy w/plcmt stent (45347) | $12,429.70 | $16,572.94 | 2.0× |
| Sigmoidoscopy W/Resection (45349) | $6,123.62 | $8,164.83 | 2.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $712.58 | $950.10 | 0.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $916.92 | $1,222.56 | 0.8× |
| Simple Cystometrogram (51725) | $191.44 | $255.26 | 0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $642.61 | $856.81 | 1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$153.74–$575.11 | $204.98–$766.81 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$153.74–$590.11 | $204.98–$786.81 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $657.61 | $876.81 | 1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$153.74–$605.11 | $204.98–$806.81 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $672.61 | $896.81 | 3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$153.74–$575.11 | $204.98–$766.81 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$153.74–$642.61 | $204.98–$856.81 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$153.74–$605.11 | $204.98–$806.81 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,580.98 | $2,107.97 | 0.8× |
| Skin sub graft face/nk/hf/g (15275) | $566.31 | $755.08 | 0.8× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$566.31–$3,646.99 | $755.08–$4,862.65 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$1,580.98–$5,018.84 | $2,107.97–$6,691.78 | varies |
| Skin Tissue Procedure (17999) range across 3 matching MRF lines |
$153.74–$467.34 | $204.98–$623.12 | varies |
| Skn sub grft f/n/hf/g child (15277) | $1,580.98 | $2,107.97 | 0.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$7,251.04–$8,380.83 | $9,668.06–$11,174.44 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$6,881.06–$15,826.09 | $9,174.75–$21,101.45 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$12,441.34–$16,588.45 | $16,588.45–$22,117.93 | varies |
| Slitting of prepuce (54001) | $1,601.74 | $2,135.66 | 0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$153.74–$590.11 | $204.98–$786.81 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$311.49–$612.61 | $415.32–$816.81 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $627.61 | $836.81 | 1.5× |
| Snip Incision Lacrimal Punctum (68440) | $243.21 | $324.28 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$540.88–$1,316.43 | $721.17–$1,755.24 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,715.36 | $3,620.48 | 0.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $2,419.40 | $3,225.87 | 0.8× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$33.31–$124.52 | $44.41–$166.02 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$25.86–$45.20 | $34.48–$60.27 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$32.32–$45.20 | $43.10–$60.27 | varies |
| Strapping knee (29530) | $101.95 | $135.93 | 0.8× |
| Strapping shoulder (29240) | $32.32 | $43.10 | 0.2× |
| Strapping toes (29550) range across 2 matching MRF lines |
$25.42–$45.20 | $33.90–$60.27 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$25.69–$409.97 | $34.25–$546.63 | varies |
| Subconjunctival injection (68200) | $342.30 | $456.40 | 0.8× |
| Subcutaneous Hormone Pellet Implantation (11980) | $342.30 | $456.40 | 0.8× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $153.74 | $204.98 | 0.8× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $2,540.45 | $3,387.27 | 0.8× |
| Suction assisted lipectomy; head and neck (15876) | $2,715.36 | $3,620.48 | 0.8× |
| Synovectomy Tendon Sheath Foot Extensor (28088) | $2,507.15 | $3,342.87 | 0.8× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$311.49–$453.09 | $415.32–$604.12 | varies |
| Tattooing incl micropigmentation 6.0 cm/< (11920) | $566.31 | $755.08 | 0.8× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $566.31 | $755.08 | 0.8× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $69,464.41 | $92,619.21 | 2.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $38,675.38 | $51,567.17 | 2.0× |
| Tcat Rmvl Perm Ldls Pm (33275) | $6,820.04 | $9,093.38 | 2.1× |
| Temporary Closure Eyelids Suture (67875) | $763.85 | $1,018.47 | 0.8× |
| Tenolysis extensor foot single tendon (28225) | $2,507.15 | $3,342.87 | 0.8× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $2,507.15 | $3,342.87 | 0.8× |
| Tenotomy Hip Abd/Ext Open (27006) | $7,631.32 | $10,175.10 | 2.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,232.12 | $1,642.82 | 0.8× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $2,468.61 | $3,291.48 | 1.5× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $3,731.97 | $4,975.96 | 1.1× |
| Tenotomy shoulder area single tendon (23405) | $4,249.87 | $5,666.49 | 0.6× |
| Tenotomy, hip flexor(s), open (27005) | $5,791.67 | $7,722.23 | 1.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,232.12 | $1,642.82 | 0.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,766.51 | $2,355.35 | 2.5× |
| Therapeutic plasma exchange (36514) | $5,333.45 | $7,111.27 | 3.4× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) | $8,137.34 | $10,849.79 | 1.5× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $18,410.21 | $24,546.95 | 1.0× |
| Thromblytic art/ven therapy (37213) | $5,678.14 | $7,570.85 | 1.8× |
| Thrombolytic Art Therapy (37211) range across 3 matching MRF lines |
$2,544.66–$4,263.76 | $3,392.88–$5,685.01 | varies |
| Thrombolytic Venous Therapy (37212) range across 2 matching MRF lines |
$2,419.40–$2,544.66 | $3,225.87–$3,392.88 | varies |
| Thyroid biopsy (60100) | $1,062.13 | $1,416.17 | 1.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$1,580.98–$2,715.15 | $2,107.97–$3,620.20 | varies |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $10,912.24 | $14,549.66 | 2.0× |
| Trabeculoplasty by laser surgery (65855) | $421.43 | $561.91 | 0.8× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) | $2,399.57 | $3,199.43 | 0.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) range across 2 matching MRF lines |
$413.26–$2,220.16 | $551.01–$2,960.21 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $397.30 | $529.73 | 1.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $3,507.43 | $4,676.57 | 2.2× |
| Tracheostomy planned (31600) | $5,068.34 | $6,757.79 | 1.5× |
| Transplant/graft hand tendon (26483) | $2,507.15 | $3,342.87 | 0.8× |
| Treat Finger Fracture Each (26727) | $2,507.15 | $3,342.87 | 0.8× |
| Treat humerus fracture (24500) | $189.01 | $252.01 | 0.8× |
| Treat Humerus Fracture (24505) range across 3 matching MRF lines |
$1,232.12–$1,471.40 | $1,642.82–$1,961.86 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$189.01–$195.82 | $252.01–$261.09 | varies |
| Treat Knee Fracture(S) (27538) | $189.01 | $252.01 | 0.8× |
| Treat Knuckle Dislocation (26700) | $286.28 | $381.70 | 1.2× |
| Treat Metatarsal Fracture (28475) | $626.26 | $835.02 | 2.5× |
| Treat Thumb Dislocation (26641) | $237.50 | $316.66 | 1.0× |
| Treat Thumb Fracture (26645) | $1,232.12 | $1,642.82 | 0.8× |
| Treat toe dislocation (28630) | $159.63 | $212.84 | 0.6× |
| Treat vagina infection (57150) | $45.20 | $60.27 | 0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,232.12–$2,060.05 | $1,642.82–$2,746.73 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $328.80 | $438.40 | 1.3× |
| Treatment extensive retinopathy photocoagulation (67228) | $421.43 | $561.91 | 0.8× |
| Treatment mouth roof lesion (42160) | $2,540.45 | $3,387.27 | 0.8× |
| Trim skin lesion (11055) | $153.74 | $204.98 | 0.8× |
| Trim skin lesions 2 to 4 (11056) | $153.74 | $204.98 | 0.8× |
| Trim skin lesions over 4 (11057) | $153.74 | $204.98 | 0.8× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$45.20–$159.76 | $60.27–$213.02 | varies |
| Trluml Balo Angiop 1St Art (37246) | $10,706.14 | $14,274.86 | 1.9× |
| Trluml Balo Angiop 1St Vein (37248) | $10,015.78 | $13,354.38 | 1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $7,820.56 | $10,427.41 | 2.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $1,232.12 | $1,642.82 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
$566.31–$574.98 | $755.08–$766.64 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$311.49–$459.98 | $415.32–$613.31 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $189.01 | $252.01 | 0.8× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $1,188.89 | $1,585.19 | 0.8× |
| Tympanoplasty (69631) | $4,536.04 | $6,048.05 | 0.8× |
| Tympanostomy general anesthesia (69436) | $1,188.89 | $1,585.19 | 0.8× |
| Unlisted Cardiac Surgery (33999) | $7,278.83 | $9,705.11 | 11.5× |
| Unlisted procedure breast (19499) | $3,000.18 | $4,000.24 | 0.8× |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$124.52–$353.10 | $166.02–$470.80 | varies |
| Unlisted Procedure Conjunctiva (68399) | $243.21 | $324.28 | 0.8× |
| Unlisted procedure eyelids (67999) | $243.21 | $324.28 | 0.8× |
| Unlisted procedure femur or knee (27599) | $1,495.65 | $1,994.20 | 6.0× |
| Unlisted Procedure Hands/Fingers (26989) | $189.01 | $252.01 | 0.8× |
| Unlisted Procedure Leg/Ankle (27899) | $189.01 | $252.01 | 0.8× |
| Unlisted Procedure Male Genital System (55899) | $204.84 | $273.12 | 0.8× |
| Unlisted Procedure Muscskeletal System General (20999) | $189.01 | $252.01 | 0.8× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$483.09–$770.32 | $644.12–$1,027.10 | varies |
| Unlisted Procedure Palate Uvula (42299) | $181.48 | $241.98 | 0.8× |
| Unlisted procedure pelvis/hip joint (27299) | $189.01 | $252.01 | 0.8× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $181.48 | $241.98 | 0.8× |
| Unlisted procedure shoulder (23929) | $1,389.15 | $1,852.20 | 5.6× |
| Unlisted procedure stomach (43999) | $694.97 | $926.63 | 0.8× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$480.67–$847.38 | $640.89–$1,129.84 | varies |
| Unlisted Procedure, Urinary System (53899) | $191.44 | $255.26 | 0.8× |
| Unlisted px female genital system nonobstetrical (58999) | $154.91 | $206.55 | 0.8× |
| Upgrade of pacemaker system (33214) | $22,847.51 | $30,463.35 | 2.2× |
| Urine Flow Measurement (51736) | $101.95 | $135.93 | 0.8× |
| Vaginal Delivery After Cesarean Delivery (59612) | $3,061.66 | $4,082.22 | 0.9× |
| Vaginal delivery only (59409) | $3,061.66 | $4,082.22 | 0.9× |
| Vasc embolize/occlude artery (37242) | $13,095.05 | $17,460.07 | 0.7× |
| Vasc Embolize/Occlude Bleed (37244) | $20,025.99 | $26,701.32 | 1.7× |
| Vasc Embolize/Occlude Organ (37243) | $17,168.05 | $22,890.73 | 1.5× |
| Vasc embolize/occlude venous (37241) | $10,891.24 | $14,521.65 | 0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,601.74 | $2,135.66 | 0.8× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,979.64 | $6,639.52 | 0.4× |
| Ventilating tube removal requiring general anesthesia (69424) | $2,540.45 | $3,387.27 | 0.8× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) | $2,540.45 | $3,387.27 | 0.8× |
| Vulvectomy simple partial (56620) | $2,480.43 | $3,307.24 | 0.8× |
| Vulvectomy simple; complete (56625) | $2,480.43 | $3,307.24 | 0.8× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$269.48–$311.49 | $359.31–$415.32 | varies |
| Wedging of cast (29740) | $214.31 | $285.75 | 0.8× |
| Windowing of cast (29730) | $124.52 | $166.02 | 0.8× |
| Wound Prep F/N/Hf/G (15004) | $1,320.96 | $1,761.28 | 3.2× |
| Wound Prep Trk/Arm/Leg (15002) | $566.31 | $755.08 | 0.8× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) likely a partial charge, not the full procedure |
$180.71 | $240.95 | 0.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.