Procedures & surgery prices at Mercyhealth Fhn Hospital

Freeport, IL · every code in this section with a posted price and a Medicare benchmark.

3554 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) $4,026.40 $5,033 1.1×
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $5,475.20 $6,844 1.4×
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $328–$1,268.80 $410–$1,586 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $466.40 $583 0.5×
Abdomen Surgery Procedure (22999)
range across 6 matching MRF lines		 $208.80–$3,136 $261–$3,920 varies
Ablate inf turbinate submuc (30802) $678.40 $848 0.4×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $576 $720 0.3×
Abrasion single lesion (15786) $460.80 $576 2.1×
Acetabuloplasty (27120) $6,901.60 $8,627 0.5×
Acetabuloplasty resection femoral head (27122)
range across 2 matching MRF lines		 $1,184.80–$5,924 $1,481–$7,405 varies
Acne surgery (10040) $160 $200 0.7×
Acromiopl/Acromionect Partial (23130)
range across 2 matching MRF lines		 $790.40–$3,945.60 $988–$4,932 varies
Adding Walker Previously Applied Cast (29440) $112 $140 0.6×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,349.60 $1,687 0.6×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,945.60 $2,432 0.9×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,914.40 $3,643 0.8×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,888 $4,860 1.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,166.40 $2,708 1.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,724.80 $2,156 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,739.20 $3,424 1.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,166.40 $2,708 1.0×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure		 $1,272.80 $1,591 0.2×
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $936.80 $1,171 0.3×
Amniocentesis diagnostic (59000) $377.60 $472 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,694.40 $3,368 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $416.80–$2,083.20 $521–$2,604 varies
Amputate Metacarpal Bone (26910) $3,031.20 $3,789 0.9×
Amputate Thigh,Re-Amputatn (27596)
range across 2 matching MRF lines		 $688–$3,440 $860–$4,300 varies
Amputation follow-up surgery (27594) $1,475.20 $1,844 0.4×
Amputation Foot Midtarsal (28800) $2,676 $3,345 0.8×
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $583.20–$2,915.20 $729–$3,644 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $420.80–$2,100.80 $526–$2,626 varies
Amputation thigh through femur any level (27590)
range across 2 matching MRF lines		 $717.60–$3,585.60 $897–$4,482 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $264.80–$1,320.80 $331–$1,651 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $335.20–$1,673.60 $419–$2,092 varies
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $3,750.40 $4,688 1.1×
Amputation, arm through humerus; open, circular (guillotine) Facility (24920)
likely a partial charge, not the full procedure		 $2,606.40 $3,258 0.2×
Amputation, arm through humerus; re-amputation Facility (24930)
unusually low: confirm this is the full procedure		 $3,259.20 $4,074 0.4×
Amputation, arm through humerus; secondary closure or scar revision Facility (24925) $1,304.80 $1,631 0.4×
Amputation, arm through humerus; with implant Facility (24931)
likely a partial charge, not the full procedure		 $3,715.20 $4,644 0.3×
Amputation, arm through humerus; with primary closure Facility (24900)
likely a partial charge, not the full procedure		 $3,259.20 $4,074 0.2×
Amputation, forearm, through radius and ulna; Facility (25900)
unusually low: confirm this is the full procedure		 $3,366.40 $4,208 0.4×
Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905)
unusually low: confirm this is the full procedure		 $2,833.60 $3,542 0.4×
Amputation, forearm, through radius and ulna; re-amputation Facility (25909)
unusually low: confirm this is the full procedure		 $3,268 $4,085 0.4×
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $1,254.40 $1,568 0.4×
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $745.60–$3,724.80 $932–$4,656 varies
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882)
range across 2 matching MRF lines		 $589.60–$2,948 $737–$3,685 varies
Amputation, leg, through tibia and fibula; re-amputation (27886) $3,589.60 $4,487 1.0×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $1,788.80 $2,236 0.5×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $4,287.20 $5,359 1.2×
Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) $3,684 $4,605 1.1×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) $4,420.80 $5,526 1.3×
Anal/Urinary Muscle Study (51784)
range across 3 matching MRF lines		 $210.40–$525.60 $263–$657 varies
Ankle Arthroscopy/Surgery (29892)
range across 2 matching MRF lines		 $1,053.60–$5,264.80 $1,317–$6,581 varies
Ankle disarticulation (27889)
unusually low: confirm this is the full procedure		 $3,750.40 $4,688 0.5×
Anoplasty, plastic operation for stricture; adult Facility (46700) $2,284.80 $2,856 0.8×
Anorectal myomectomy (45108) $2,183.20 $2,729 0.7×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $518.40 $648 0.5×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $604 $755 0.2×
Anoscopy Ablation Lesion (46615) $604 $755 0.2×
Anoscopy Control Bleeding (46614) $576 $720 0.4×
Anoscopy diagnostic (46600) $140 $175 1.0×
Anoscopy remove lesion (46610) $518.40 $648 0.2×
Anoscopy W/Rmvl Foreign Body (46608) $260.80 $326 0.3×
Anoscopy; with biopsy, single or multiple (46606) $260.80 $326 0.2×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $260.80 $326 0.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $340 $425 0.1×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $4,372.80 $5,466 0.8×
Anterior colporraphy rpr cystocele w/cysto (57240)
range across 2 matching MRF lines		 $491.20–$2,540.80 $614–$3,176 varies
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines		 $752.80–$3,760.80 $941–$4,701 varies
Appendectomy (44950)
range across 2 matching MRF lines		 $487.20–$2,519.20 $609–$3,149 varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $244–$366.40 $305–$458 varies
Appl cranial tong/strtctc frame w/removal spx (20660) $1,361.60 $1,702 0.8×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $956 $1,195 3.2×
Application Body Cast Shoulder Hips (29035) $564 $705 1.9×
Application Body Cast Shoulder Hips Both Thighs (29046) $787.20 $984 2.6×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $259.20–$388.80 $324–$486 varies
Application Cast Finger (29086) $179.20 $224 1.0×
Application Cast Shoulder Spica (29055) $564 $705 1.9×
Application Finger Splint Dynamic (29131) $197.60 $247 3.1×
Application finger splint static (29130)
range across 2 matching MRF lines		 $124–$144 $155–$180 varies
Application Halo Cranial Including Removal (20661) $1,688 $2,110 1.0×
Application Halo Type Body Cast (29000) $1,402.40 $1,753 4.7×
Application Hip Spica Cast 1 Leg (29305) $787.20 $984 2.6×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $215.20–$293.60 $269–$367 varies
Application Long Leg Cast Brace (29358) $787.20 $984 2.6×
Application Long Leg Cast Walker/Ambulatory Type (29355) $451.20 $564 1.5×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $239.20–$292.80 $299–$366 varies
Application multiplane external fixation system (20692)
range across 2 matching MRF lines		 $464–$2,320 $580–$2,900 varies
Application of body cast, shoulder to hips; including 1 thigh Facility (29044) $675.20 $844 3.9×
Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) $844.80 $1,056 2.8×
Application of cylinder cast (thigh to ankle) (29365) $377.60 $472 1.3×
Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) $2,529.60 $3,162 1.5×
Application of halo, including removal; femoral Facility (20663) $1,125.60 $1,407 0.3×
Application of long leg cast (29345) $442.40 $553 1.5×
Application of pelvis brace (20662) $1,171.20 $1,464 0.7×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $704.80–$788.80 $881–$986 varies
Application of Risser jacket, localizer, body; including head Facility (29015) $1,402.40 $1,753 4.7×
Application Patellar Tendon Bearing Cast (29435) $506.40 $633 1.7×
Application risser jacket localizer body only (29010) $1,120.80 $1,401 3.7×
Application Short Arm Splint Dynamic (29126) $227.20 $284 1.6×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $184.80–$214.40 $231–$268 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $199.20–$243.20 $249–$304 varies
Application uniplane external fixation system (20690)
range across 2 matching MRF lines		 $378.40–$1,892 $473–$2,365 varies
Application, cast; figure-of-eight Facility (29049) $284 $355 0.9×
Apply hand/wrist cast (29085) $239.20 $299 1.4×
Apply long arm cast (29065) $336 $420 1.1×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $239.20–$588.80 $299–$736 varies
Apply Short Leg Cast (29405) $367.20 $459 1.2×
Apply short leg cast (29425) $413.60 $517 1.4×
Apply shoulder cast,plastr velpeau (29058) $339.20 $424 1.1×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $4,068.80 $5,086 0.7×
Arrest Epiphyseal Distal Femur (27475)
unusually low: confirm this is the full procedure		 $3,274.40 $4,093 0.4×
Arrest Epiphyseal Open Distal Tibia (27730) $2,658.40 $3,323 0.8×
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) $5,580.80 $6,976 1.6×
Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) $4,784 $5,980 1.4×
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485)
unusually low: confirm this is the full procedure		 $2,608 $3,260 0.3×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $559.20 $699 0.2×
Arterial puncture (36600)
range across 2 matching MRF lines		 $136–$172.26 $170–$215.32 varies
Arteriovenous Anastomosis Open Direct (36821)
range across 2 matching MRF lines		 $501.60–$2,506.40 $627–$3,133 varies
Artery-vein autograft (36825) $3,138.40 $3,923 0.5×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
range across 2 matching MRF lines		 $1,815.20–$9,073.60 $2,269–$11,342 varies
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
unusually low: confirm this is the full procedure		 $3,366.40 $4,208 0.4×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 2 matching MRF lines		 $772–$3,858.40 $965–$4,823 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $684–$3,417.60 $855–$4,272 varies
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
range across 2 matching MRF lines		 $436–$2,178.40 $545–$2,723 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $205.60–$404.80 $257–$506 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $268 $335 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines		 $237.60–$1,614.80 $297–$2,018.50 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $196.80–$637.60 $246–$797 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $1,048.80–$5,243.20 $1,311–$6,554 varies
Arthrodesis Glenohumeral Joint (23800) $5,288.80 $6,611 0.7×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,710.40 $2,138 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $485.60–$2,427.20 $607–$3,034 varies
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $3,200 $4,000 0.9×
Arthrodesis knee any technique (27580)
range across 2 matching MRF lines		 $982.40–$4,910.40 $1,228–$6,138 varies
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure		 $5,509.60 $6,887 0.3×
Arthrodesis Posterior Interbody Lumbar (22630)
range across 2 matching MRF lines		 $2,029.60–$10,148 $2,537–$12,685 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612)
range across 2 matching MRF lines		 $2,091.20–$10,452.80 $2,614–$13,066 varies
Arthrodesis Posterior/Posterolateral Thoracic (22610)
range across 2 matching MRF lines		 $1,582.40–$7,910.40 $1,978–$9,888 varies
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $804.80–$4,024 $1,006–$5,030 varies
Arthrodesis triple (28715)
range across 2 matching MRF lines		 $1,003.20–$5,015.20 $1,254–$6,269 varies
Arthrodesis Wrist Complete W/O Bone Graft (25800)
unusually low: confirm this is the full procedure		 $3,377.60 $4,222 0.4×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure		 $10,148 $12,685 0.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) $11,044 $13,805 0.6×
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) $12,236.80 $15,296 0.9×
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) $9,909.60 $12,387 0.5×
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) $11,937.60 $14,922 0.6×
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) $13,848.80 $17,311 0.7×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $4,357.60 $5,447 0.6×
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802)
unusually low: confirm this is the full procedure		 $6,516 $8,145 0.5×
Arthrodesis, hip joint (including obtaining graft); Facility (27284)
unusually low: confirm this is the full procedure		 $6,100 $7,625 0.4×
Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Facility (27286)
unusually low: confirm this is the full procedure		 $6,343.20 $7,929 0.5×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) $9,551.20 $11,939 0.7×
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) $9,850.40 $12,313 0.7×
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) $14,833.60 $18,542 0.8×
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) $12,357.60 $15,447 0.7×
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) $10,296.80 $12,871 0.5×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure		 $4,526.40 $5,658 0.2×
Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) $4,392.80 $5,491 1.3×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
unusually low: confirm this is the full procedure		 $4,685.60 $5,857 0.3×
Arthrodesis, wrist; with sliding graft Facility (25805) $4,086.40 $5,108 0.5×
Arthroplasty Ankle (27700) $5,314.40 $6,643 0.7×
Arthroplasty ankle revision total ankle (27703)
unusually low: confirm this is the full procedure		 $7,703.20 $9,629 0.4×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines		 $926.40–$9,032 $1,158–$11,290 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $2,083.20–$10,412.80 $2,604–$13,016 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
range across 2 matching MRF lines		 $1,578.40–$7,889.60 $1,973–$9,862 varies
Arthroplasty interphalangeal joint each (26535) $2,699.20 $3,374 0.8×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $1,056.80–$5,281.60 $1,321–$6,602 varies
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $3,175.20 $3,969 0.2×
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure		 $3,596.80 $4,496 0.3×
Arthroplasty Radial Head W/Implant (24366)
unusually low: confirm this is the full procedure		 $4,396.80 $5,496 0.3×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446)
unusually low: confirm this is the full procedure		 $8,884.80 $11,106 0.5×
Arthroplasty with prosthetic replacement; distal radius Facility (25441)
unusually low: confirm this is the full procedure		 $5,810.40 $7,263 0.4×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442)
unusually low: confirm this is the full procedure		 $5,810.40 $7,263 0.3×
Arthroplasty with prosthetic replacement; lunate Facility (25444)
unusually low: confirm this is the full procedure		 $6,495.20 $8,119 0.5×
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) $5,810.40 $7,263 0.7×
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361)
unusually low: confirm this is the full procedure		 $8,792 $10,990 0.5×
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) $8,792 $10,990 0.6×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443)
likely a partial charge, not the full procedure		 $3,824 $4,780 0.3×
Arthroplasty, knee, tibial plateau; Facility (27440)
likely a partial charge, not the full procedure		 $3,096 $3,870 0.2×
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441)
likely a partial charge, not the full procedure		 $3,968.80 $4,961 0.3×
Arthroplasty, patella; without prosthesis (27437)
unusually low: confirm this is the full procedure		 $2,779.20 $3,474 0.4×
Arthroplasty, temporomandibular joint, with allograft Facility (21242) $8,352 $10,440 1.3×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) $8,352 $10,440 1.3×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
unusually low: confirm this is the full procedure		 $12,035.20 $15,044 0.4×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $3,737.60 $4,672 2.2×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
unusually low: confirm this is the full procedure		 $4,132.80 $5,166 0.3×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $886.40–$4,431.20 $1,108–$5,539 varies
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $651.20–$3,254.40 $814–$4,068 varies
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
range across 2 matching MRF lines		 $890.40–$4,449.60 $1,113–$5,562 varies
Arthroscopy ankle w/removal loose/foreign body (29894)
range across 2 matching MRF lines		 $696–$3,480 $870–$4,350 varies
Arthroscopy Elbow Surgical Debridement Extensive (29838) $4,202.40 $5,253 1.2×
Arthroscopy Elbow Surgical Debridement Limited (29837)
range across 2 matching MRF lines		 $660.80–$3,301.60 $826–$4,127 varies
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $3,616 $4,520 1.0×
Arthroscopy hip w/femoroplasty (29914)
range across 2 matching MRF lines		 $928.80–$4,640.80 $1,161–$5,801 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $349.60–$1,747.20 $437–$2,184 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,928.80 $4,911 1.1×
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $678.40–$3,390.40 $848–$4,238 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 2 matching MRF lines		 $705.60–$3,526.40 $882–$4,408 varies
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $572–$2,859.20 $715–$3,574 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $998.40–$4,989.60 $1,248–$6,237 varies
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $3,616 $4,520 1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 2 matching MRF lines		 $676–$3,378.40 $845–$4,223 varies
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $4,294.40 $5,368 0.6×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,301.60 $4,127 0.9×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
unusually low: confirm this is the full procedure		 $3,297.60 $4,122 0.4×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $5,017.60 $6,272 0.6×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
unusually low: confirm this is the full procedure		 $3,290.40 $4,113 0.4×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $4,068 $5,085 1.2×
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $678.40–$3,390.40 $848–$4,238 varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,615.20 $7,019 1.6×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $864.80–$4,321.60 $1,081–$5,402 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $889.60–$4,447.20 $1,112–$5,559 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $733.60–$3,667.20 $917–$4,584 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $640–$3,197.60 $800–$3,997 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $921.60–$4,606.40 $1,152–$5,758 varies
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,729.60 $4,662 1.1×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $603.20–$3,012.80 $754–$3,766 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $924–$4,616.80 $1,155–$5,771 varies
Arthroscopy, temporomandibular joint, surgical Facility (29804) $4,124.80 $5,156 1.2×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,390.40 $4,238 1.0×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) $2,352 $2,940 0.7×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $4,068 $5,085 0.5×
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,819.20 $3,524 0.8×
Arthrotomy biopsy interphalangeal joint each (26110) $1,348 $1,685 0.8×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $3,830.40 $4,788 1.1×
Arthrotomy W/Biopsy Hip Joint (27052)
range across 2 matching MRF lines		 $805.60–$4,026.40 $1,007–$5,033 varies
Arthrotomy W/Biopsy Sacroiliac Joint (27050) $1,726.40 $2,158 1.0×
Arthrotomy W/Meniscus Repair Knee (27403)
unusually low: confirm this is the full procedure		 $2,898.40 $3,623 0.4×
Arthrotomy W/Synovectomy Ankle (27625) $3,869.60 $4,837 1.1×
Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) $1,926.40 $2,408 0.5×
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $1,606.40 $2,008 0.5×
Arthrotomy Wrist Joint With Biopsy (25100) $2,655.20 $3,319 0.8×
Arthrotomy wrist joint with synovectomy (25105) $3,669.60 $4,587 1.0×
Arthrotomy, elbow; with synovial biopsy only Facility (24100) $3,596.80 $4,496 1.0×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040)
range across 2 matching MRF lines		 $872.80–$4,365.60 $1,091–$5,457 varies
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $4,026.40 $5,033 0.5×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $3,620 $4,525 1.0×
Arthrotomy, temporomandibular joint Facility (21010) $5,183.20 $6,479 1.5×
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) $7,238.40 $9,048 2.1×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $4,597.60 $5,747 1.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 3 matching MRF lines		 $2,251.20–$16,879.20 $2,814–$21,099 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $976.80–$4,878.40 $1,221–$6,098 varies
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
unusually low: confirm this is the full procedure		 $3,533.60 $4,417 0.5×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $6,153.60 $7,692 1.8×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $1,455.20–$7,276 $1,819–$9,095 varies
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $7,064.80 $8,831 0.5×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $886.40–$4,431.20 $1,108–$5,539 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $832–$4,159.20 $1,040–$5,199 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $723.20–$3,616 $904–$4,520 varies
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,861.60 $4,827 1.1×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $4,606.40 $5,758 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $995.20–$4,972.80 $1,244–$6,216 varies
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044)
range across 2 matching MRF lines		 $2,682.40–$4,024 $3,353–$5,030 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,986.40 $3,733 0.9×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $4,396.80 $5,496 1.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,771.20 $2,214 1.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,280.80 $2,851 0.7×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $2,764.80 $3,456 0.8×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $4,935.20 $6,169 1.4×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,068.80 $1,336 0.6×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,300.80 $1,626 0.4×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020)
range across 2 matching MRF lines		 $306.40–$1,532 $383–$1,915 varies
Arthrt w/synvct kne ant&post w/pop area (27335) $6,236 $7,795 0.8×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $3,452 $4,315 1.0×
Artificial insemination intra-cervical (58321) $380.80 $476 1.2×
Artificial insemination intra-uterine (58322) $441.60 $552 2.0×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $1,435.20–$1,476.05 $1,794–$1,845.06 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $964–$1,446.40 $1,205–$1,808 varies
Aspirate/Inj Ganglion Cyst (20612) $183.20 $229 0.6×
Aspiration & Injection Treatment Bone Cyst (20615) $612.80 $766 0.8×
Aspiration and/or injection thyroid cyst (60300) $550.40 $688 0.7×
Aspiration bladder insert suprapubic catheter (51102) $752.80 $941 0.3×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $1,879.20 $2,349 0.8×
Augmentation lower jaw bone (21127) $5,404.80 $6,756 0.9×
Augmentation, mandibular body or angle; prosthetic material Facility (21125) $3,882.40 $4,853 0.6×
Av fistula revision (36833)
range across 2 matching MRF lines		 $540–$2,696.80 $675–$3,371 varies
Av Fistula Revision Open (36832)
range across 2 matching MRF lines		 $545.60–$2,727.20 $682–$3,409 varies
Av Fuse Uppr Arm Basilic (36819)
unusually low: confirm this is the full procedure		 $2,785.60 $3,482 0.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $154.40–$227.20 $193–$284 varies
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure		 $3,129.60 $3,912 0.5×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure		 $840.80 $1,051 0.1×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $1,006.40 $1,258 0.1×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $1,006.40 $1,258 0.1×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
likely a partial charge, not the full procedure		 $1,006.40 $1,258 0.1×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure		 $1,006.40 $1,258 0.1×
Biopsy Abdominal Mass (49180) $656 $820 0.4×
Biopsy bone open deep (20245)
range across 2 matching MRF lines		 $284.80–$1,423.20 $356–$1,779 varies
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $161.60–$807.20 $202–$1,009 varies
Biopsy bone trocar/needle deep (20225)
range across 3 matching MRF lines		 $994.40–$2,893.60 $1,243–$3,617 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $422.40–$2,017.60 $528–$2,522 varies
Biopsy External Auditory Canal (69105) $333.60 $417 0.2×
Biopsy external ear (69100) $343.20 $429 1.4×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $389.60–$1,635.20 $487–$2,044 varies
Biopsy Muscle Superficial (20200)
range across 2 matching MRF lines		 $613.60–$920.80 $767–$1,151 varies
Biopsy nail unit (11755) $210.40 $263 0.3×
Biopsy Nasopharynx Visible Lesion Simple (42804) $250.40 $313 0.1×
Biopsy of breast; open, incisional (19101)
range across 3 matching MRF lines		 $204.80–$1,532.80 $256–$1,916 varies
Biopsy of conjunctiva (68100) $369.60 $462 0.1×
Biopsy of cornea (65410) $359.20 $449 0.1×
Biopsy of epididymis (54800) $430.40 $538 0.2×
Biopsy of floor of mouth (41108) $284.80 $356 0.2×
Biopsy of foot joint lining (28052) $1,208 $1,510 0.3×
Biopsy of foot joint lining (28050) $1,392.80 $1,741 0.4×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $416 $520 0.4×
Biopsy of lacrimal gland (68510) $850.40 $1,063 0.3×
Biopsy of lip (40490) $222.40 $278 0.9×
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $643.20–$3,359.55 $804–$4,199.44 varies
Biopsy of nerve (64795) $1,004.80 $1,256 0.5×
Biopsy of palate, uvula (42100) $404.80 $506 0.2×
Biopsy of penis (54100) $340 $425 0.2×
Biopsy of penis; deep structures (54105) $622.40 $778 0.2×
Biopsy of rectum (45100) $874.40 $1,093 0.3×
Biopsy of tear sac (68525) $614.40 $768 0.2×
Biopsy of toe joint lining (28054) $968 $1,210 0.3×
Biopsy of upper nose/throat (42806) $498.40 $623 0.1×
Biopsy of urethra (53200) $692.80 $866 0.3×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,304.80 $1,631 0.3×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,825.60 $2,282 0.4×
Biopsy Oropharynx (42800) $272 $340 0.2×
Biopsy ovary uni/bi separate procedure (58900) $2,200.80 $2,751 0.6×
Biopsy Pleura Percutaneous Needle (32400) $426.40 $533 0.2×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $2,199.20 $2,749 0.6×
Biopsy Salivary Gland Incisional (42405) $488.80 $611 0.3×
Biopsy Salivary Gland Needle (42400) $256 $320 0.3×
Biopsy soft tissue back/flank deep (21925) $1,140.80 $1,426 0.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $324 $405 0.2×
Biopsy soft tissue forearm&/wrist deep (25066) $1,485.60 $1,857 0.5×
Biopsy soft tissue forearm&/wrist superficial (25065) $638.40 $798 0.4×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,203.20 $1,504 0.4×
Biopsy soft tissue leg/ankle area superficial (27613) $656.80 $821 0.4×
Biopsy soft tissue neck/thorax (21550) $479.20 $599 0.3×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $347.20 $434 0.2×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,151.20 $1,439 0.7×
Biopsy Soft Tissue Shoulder Deep (23066) $1,610.40 $2,013 0.5×
Biopsy Soft Tissue Shoulder Superficial (23065) $539.20 $674 0.3×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,764.80 $2,206 0.6×
Biopsy soft tissue thigh/knee area superficial (27323) $939.20 $1,174 0.5×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $482.40 $603 0.3×
Biopsy Spinal Cord Percutaneous Needle (62269) $2,561.60 $3,202 1.4×
Biopsy Testis Incisional Separate Procedure (54505) $860 $1,075 0.2×
Biopsy Testis Needle Separate Procedure (54500) $254.40 $318 0.1×
Biopsy Tongue Anterior Two-Thirds (41100) $323.20 $404 0.6×
Biopsy Tongue Posterior One-Third (41105) $392.80 $491 0.1×
Biopsy Vaginal Mucosa Extensive (57105) $840.80 $1,051 0.2×
Biopsy Vaginal Mucosa Simple (57100) $432 $540 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $298.40 $373 0.3×
Biopsy, vestibule of mouth (40808) $320 $400 0.6×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $1,613.60–$2,420.80 $2,017–$3,026 varies
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $644.80–$1,028 $806–$1,285 varies
Bladder Irrigation (51700) $230.40 $288 0.9×
Bladder Scan (51798) $61.60 $77 1.0×
Blepharoplasty Lower Eyelid (15820) $1,561.60 $1,952 0.7×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $1,773.60 $2,217 0.8×
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines		 $1,728.80–$2,593.60 $2,161–$3,242 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,166.40 $2,708 1.0×
Blepharotomy drainage abscess eyelid (67700) $279.20 $349 0.8×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $170.40–$915.50 $213–$1,144.37 varies
Bone Graft Any Donor Area Major/Large (20902)
range across 2 matching MRF lines		 $862.40–$1,857.60 $1,078–$2,322 varies
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $213.60–$1,068.80 $267–$1,336 varies
Bone graft with microvascular anastomosis; fibula Facility (20955) $5,714.40 $7,143 0.7×
Bone graft with microvascular anastomosis; iliac crest Facility (20956) $5,492.80 $6,866 0.7×
Bone graft with microvascular anastomosis; metatarsal Facility (20957) $5,492.80 $6,866 0.7×
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) $5,492.80 $6,866 0.7×
Bone Marrow Biopsy (38221) $464 $580 0.3×
Bone marrow harvest allogen (38230) $1,852.80 $2,316 1.1×
Bone Marrow Harvest Autolog (38232) $986.40 $1,233 0.2×
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines		 $168–$1,797.60 $210–$2,247 varies
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure		 $2,484 $3,105 0.3×
Breast Reduction (19318) $4,773.60 $5,967 0.7×
Brnchsc Brushing/Protected Brushings (31623) $1,212 $1,515 0.6×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $2,968.80 $3,711 0.7×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,155.20 $1,444 0.6×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $1,462.40 $1,828 0.4×
Bronchoscopy Clear Airways (31645) $1,271.20 $1,589 0.7×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $1,827.20 $2,284 0.2×
Bronchoscopy Reclear Airway (31646) $1,232.80 $1,541 2.9×
Bronchoscopy W/Biopsy(S) (31625) $1,271.20 $1,589 0.7×
Bronchoscopy W/Excision Tumor (31640) $2,283.20 $2,854 0.6×
Bronchoscopy W/Removal Foreign Body (31635) $2,283.20 $2,854 1.2×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,412.80 $1,766 0.4×
Bronchoscopy/Needle Bx Each (31629) $1,599.20 $1,999 0.4×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,600 $2,000 0.5×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $734.35–$1,536.05 $917.94–$1,920.06 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $717.69–$1,541.63 $897.11–$1,927.04 varies
Bx breast needle core w/o imaging guidance spx (19100) $341.60 $427 0.2×
Bx Cervix (57500) $376 $470 0.4×
Bx prostate strtctc saturation sampling img gid (55706) $1,479.20 $1,849 0.4×
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines		 $323.20–$2,420.80 $404–$3,026 varies
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines		 $194.40–$1,453.60 $243–$1,817 varies
Canthoplasty (67950) $3,148 $3,935 1.2×
Canthotomy Separate Procedure (67715) $383.20 $479 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $842.40–$1,264 $1,053–$1,580 varies
Capsular contracture release (23020) $4,597.60 $5,747 1.3×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,570.40 $3,213 1.5×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $2,570.40 $3,213 0.7×
Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) $3,854.40 $4,818 1.1×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $7,200.80 $9,001 0.9×
Capsulorrhaphy Anterior W/Labral Repair (23455)
range across 2 matching MRF lines		 $1,656.80–$8,284 $2,071–$10,355 varies
Capsulorrhaphy Anterior With Bone Block (23460) $7,658.40 $9,573 1.0×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465)
range across 2 matching MRF lines		 $1,578.40–$7,889.60 $1,973–$9,862 varies
Capsulotomy Iphal Joint Each Joint Spx (28272) $632.80 $791 0.4×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $2,524.80 $3,156 1.5×
Capsulotomy Midtarsal (28264) $2,733.60 $3,417 1.6×
Capsulotomy Posterior Capsular Release Knee (27435)
range across 2 matching MRF lines		 $524–$2,620 $655–$3,275 varies
Capsulotomy wrist (25085) $3,982.40 $4,978 1.1×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $2,104.80 $2,631 0.6×
Carpal Tunnel Surgery (64721) $2,381.60 $2,977 1.1×
Carpectomy All Bones Proximal Row (25215) $4,647.20 $5,809 1.3×
Cartilage graft; costochondral (20910) $1,368 $1,710 1.7×
Cataract surg w/iol 1 stage (66983) $3,725.60 $4,657 1.5×
Cataract surgery complex (66982) $4,673.60 $5,842 1.9×
Catheter aspiration nasotracheal spx (31720) $229.60 $287 1.0×
Catheterization with bronchial brush biopsy Facility (31717) $229.60 $287 0.5×
Cautery Cervix Cryocautery Initial/Repeat (57511) $376 $470 1.2×
Cautery Cervix Electro/Thermal (57510) $347.20 $434 0.1×
Cerclage cervix pregnancy vaginal (59320) $1,226.40 $1,533 0.4×
Cerclage Uterine Cervix Nonobstetrical (57700) $1,088 $1,360 0.3×
Cervical lymphadenectomy (complete) (38720) $6,175.20 $7,719 0.9×
Change Cystostomy Tube Complicated (51710) $1,284 $1,605 1.7×
Change Cystostomy Tube Simple (51705) $428 $535 1.6×
Change of Windpipe Airway (31502) $431.20 $539 1.7×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $128.80–$364.38 $161–$455.48 varies
Chemical exfoliation for acne (17360) $149.60 $187 0.7×
Chemical peel face dermal (15789) $2,715.20 $3,394 3.4×
Chemical peel nonfacial dermal (15793) $812 $1,015 1.9×
Chemical peel nonfacial epidermal (15792) $635.20 $794 0.8×
Chemical peel, facial; epidermal (15788) $2,126.40 $2,658 4.9×
Chemical Pleurodesis (32560) $959.20 $1,199 1.4×
Chemodenervation of extraocular muscle (67345) $849.60 $1,062 2.5×
Chemodenervation of internal anal sphincter (46505) $774.40 $968 0.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $797.60–$1,232.80 $997–$1,541 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $676–$1,301.60 $845–$1,627 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $159.20 $199 0.1×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,259.20 $1,574 0.3×
Chorionic Villus Sampling (59015) $480.80 $601 0.5×
Ciliary body destruction; cryotherapy Facility (66720) $2,056 $2,570 0.8×
Ciliary body destruction; cyclodialysis Facility (66740) $2,786.40 $3,483 1.1×
Ciliary body dstrj cyclophotocoag transsceral (66710) $2,142.40 $2,678 0.8×
Cineplasty, upper extremity, complete procedure (24940)
unusually low: confirm this is the full procedure		 $4,887.20 $6,109 0.4×
Circumcision 28 days or older (54161) $1,636.80 $2,046 0.7×
Circumcision Neonate (54160) $564 $705 0.8×
Circumcision w/clamp/oth dev w/block (54150) $476.80 $596 0.2×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $3,411.20 $4,264 0.8×
Cl Tx Scapular Fx; W Manip (23575) $999.20 $1,249 0.6×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $2,126.40–$2,393.60 $2,658–$2,992 varies
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $789.60–$3,945.60 $987–$4,932 varies
Claviculectomy; total (23125) $6,127.20 $7,659 1.7×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $248–$391.20 $310–$489 varies
Close mastoid fistula (69700) $1,528 $1,910 0.9×
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $472–$2,359.20 $590–$2,949 varies
Closed Rx Spontaneous Hip Disloc (27256) $1,984 $2,480 7.5×
Closed rx talotarsal disloc,anesth (28575) $995.20 $1,244 0.3×
Closed Treat Vert Body Fract (22310) $1,308 $1,635 4.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,142.40 $1,428 4.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $293.60–$1,466.40 $367–$1,833 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,416 $1,770 5.4×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $872.80 $1,091 3.3×
Closed Treatment Sesamoid Fracture (28530) $552.80 $691 2.1×
Closed Treatment Sternum Fracture (21820) $595.20 $744 2.3×
Closed Treatment Ulnar Styloid Fracture (25650) $1,200 $1,500 4.5×
Closed tx ankle dislocation w/o anesthesia (27840) $829.60 $1,037 3.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $376–$1,876.80 $470–$2,346 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,053.60 $1,317 4.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $287.20–$1,434.40 $359–$1,793 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $963.20–$1,444.80 $1,204–$1,806 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,374.40 $1,718 0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,050.40 $1,313 4.0×
Closed Tx Craniofacial Separation (21431) $3,244.80 $4,056 0.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,774.40 $2,218 6.7×
Closed tx fx orbit except blowout w/manipulation (21401) $1,183.20 $1,479 0.7×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,183.20 $1,479 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $788.80 $986 3.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,647.20 $2,059 1.0×
Closed tx mandibular fracture w/manipulation (21451) $3,244.80 $4,056 2.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,624.80 $2,031 2.8×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $4,865.60 $6,082 0.8×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $721.60–$788.80 $902–$986 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,152 $2,690 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,184 $1,480 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,320 $1,650 0.4×
Closed Tx Nasomaxillary Complex Fracture (21345) $4,620 $5,775 2.8×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $2,541.60 $3,177 0.7×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $923.20–$1,987.20 $1,154–$2,484 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $616–$1,424.80 $770–$1,781 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $900.80–$1,199.20 $1,126–$1,499 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,337.60–$1,631.20 $1,672–$2,039 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $926.40–$960.80 $1,158–$1,201 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,500 $1,875 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $849.60 $1,062 3.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $2,086.40–$2,283.20 $2,608–$2,854 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,098.40 $1,373 4.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $736 $920 2.8×
Closed tx septal&nose fx (21337) $2,066.40 $2,583 0.6×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $969.60 $1,212 3.7×
Closed tx talotarsal joint dislc w/o anes (28570) $664.80 $831 2.5×
Closed Tx Talus Fracture W/Manipulation (28435) $1,215.20 $1,519 0.7×
Closed tx talus fracture w/o manipulation (28430) $924.80 $1,156 3.5×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $861.60 $1,077 3.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $576 $720 2.2×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,084 $1,355 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $494.40 $618 1.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,608–$1,724.80 $2,010–$2,156 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $910.40–$1,063.20 $1,138–$1,329 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $905.60 $1,132 3.4×
Closure Gastrostomy Surg (43870) $1,658.40 $2,073 0.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $311.20 $389 1.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $774.40 $968 1.3×
Closure Lacrimal Fistula Spx (68770) $1,532 $1,915 0.6×
Closure lacrimal punctum (68760) $491.20 $614 1.4×
Closure of cystostomy (separate procedure) Facility (51880) $2,524 $3,155 0.7×
Closure of esophagostomy or fistula; cervical approach Facility (43420) $2,680 $3,350 0.8×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $2,940.80 $3,676 0.8×
Closure of salivary fistula (42600) $1,946.40 $2,433 0.5×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520)
unusually low: confirm this is the full procedure		 $2,509.60 $3,137 0.4×
Closure of urethrovaginal fistula; Facility (57310)
unusually low: confirm this is the full procedure		 $3,552.80 $4,441 0.4×
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330)
unusually low: confirm this is the full procedure		 $3,920 $4,900 0.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $856 $1,070 3.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $571.20 $714 2.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $940.80 $1,176 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $619.20 $774 2.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $692 $865 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,234.40–$1,852 $1,543–$2,315 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $823.20–$1,140.80 $1,029–$1,426 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $740.80 $926 0.4×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $1,888 $2,360 0.6×
Clsr Lacrimal Punctum Plug Each (68761) $444 $555 1.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,728.80 $2,161 6.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,527.20 $1,909 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,180.80 $1,476 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $776.80 $971 2.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,374.40 $1,718 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $872.80 $1,091 3.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $740.80–$1,226.40 $926–$1,533 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)
range across 2 matching MRF lines		 $239.20–$1,194.40 $299–$1,493 varies
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $1,623.20 $2,029 6.1×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $2,065.60 $2,582 1.2×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $1,265.60–$1,604 $1,582–$2,005 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $922.40–$1,168 $1,153–$1,460 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $676 $845 2.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $473.60–$731.20 $592–$914 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $978.40–$1,468 $1,223–$1,835 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $312.80–$2,456 $391–$3,070 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,543.20 $1,929 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $2,112–$2,946.40 $2,640–$3,683 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,475.20 $1,844 5.6×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,684.80 $3,356 1.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,308 $1,635 4.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $506.40–$2,531.20 $633–$3,164 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $607.20 $759 2.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $387.20 $484 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $91.20–$586.40 $114–$733 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $335.20 $419 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $446.40–$2,232 $558–$2,790 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,190.40 $1,488 4.5×
Cltx greater humeral tuberosity fx w/o manj (23620) $882.40 $1,103 3.3×
Cltx Greater Trochanteric Fx W/O Manj (27246) $1,038.40 $1,298 3.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,198.40 $1,498 0.7×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $467.20–$2,333.60 $584–$2,917 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines		 $244.80–$1,222.40 $306–$1,528 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $946.40 $1,183 3.6×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,628 $2,035 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $1,781.60–$1,992 $2,227–$2,490 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,141.60 $1,427 4.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,368.80 $1,711 0.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $484.80 $606 1.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $347.20–$368.80 $434–$461 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)
range across 2 matching MRF lines		 $476–$2,377.60 $595–$2,972 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $760.80 $951 2.5×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $612.80–$1,025.60 $766–$1,282 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,394.40 $1,743 0.8×
Cltx Medial Ankle Fx (27760) $964.80 $1,206 3.6×
Cltx metacarpal fx w/manipulation each bone (26605) $1,148.80 $1,436 4.3×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $792.80–$1,093.60 $991–$1,367 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,011.20 $1,264 0.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $732.80 $916 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $904–$1,321.60 $1,130–$1,652 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $521.60–$732.80 $652–$916 varies
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $433.60–$2,454.40 $542–$3,068 varies
Cltx post hip arthrp dislc w/o anes (27265) $1,405.60 $1,757 5.3×
Cltx prox fibula/shft fx w/manj (27781) $1,091.20 $1,364 0.6×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $768–$1,124.80 $960–$1,406 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,480 $1,850 0.9×
Cltx prox tibfib jt dislc req anes (27831) $1,088 $1,360 0.3×
Cltx prox tibfib jt dislc w/o anes (27830) $829.60 $1,037 3.1×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,363.20 $1,704 5.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $378.40–$416.80 $473–$521 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,488.80 $1,861 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,139.20 $1,424 0.7×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $342.40–$1,708.80 $428–$2,136 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $2,169.60–$2,375.20 $2,712–$2,969 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,209.60 $1,512 4.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,948 $3,685 1.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $2,112 $2,640 8.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $861.60 $1,077 0.2×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $552.80 $691 2.1×
Cltx tibial fx proximal w/o manipulation (27530) $1,166.40 $1,458 4.4×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $1,244.80–$1,299.20 $1,556–$1,624 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,891.20 $2,364 7.2×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $429.60–$2,144.80 $537–$2,681 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,132.80 $1,416 4.3×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $1,900.80 $2,376 0.5×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,937.60 $4,922 0.7×
Coccygectomy, primary (27080) $2,300.80 $2,876 0.7×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $81.60–$117 $102–$146.25 varies
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $20.80–$41.69 $26–$52.11 varies
Colonoscopy Flexible With Decompression (45393) $635.20 $794 0.5×
Colonoscopy Stoma Ablation Lesion (44401) $1,895.20 $2,369 1.5×
Colonoscopy Stoma Control Bleeding (44391) $2,084 $2,605 1.6×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,728.80 $2,161 1.3×
Colonoscopy stoma w/balloon dilation (44405) $1,956 $2,445 1.5×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,476.80 $1,846 1.5×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,816 $2,270 1.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $1,521.60–$2,359.20 $1,902–$2,949 varies
Colonoscopy thru stoma (44388) $1,305.60 $1,632 1.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,781.60 $2,227 1.4×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,878.40–$3,559.20 $2,348–$4,449 varies
Colonoscopy W/Band Ligation (45398) $1,335.20 $1,669 1.0×
Colonoscopy w/fb removal (45379) $1,535.20 $1,919 1.2×
Colonoscopy W/Resection (45390) $1,766.40 $2,208 0.6×
Colonoscopy w/stent plcmt (45389)
unusually low: confirm this is the full procedure		 $1,995.20 $2,494 0.3×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $1,740–$2,983.93 $2,175–$3,729.91 varies
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $496 $620 0.1×
Colpocleisis (le fort type) (57120) $3,301.60 $4,127 0.6×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,640 $2,050 0.5×
Colpopexy extraperitoneal (57282)
range across 2 matching MRF lines		 $707.20–$3,533.60 $884–$4,417 varies
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $620–$3,098.40 $775–$3,873 varies
Colporrhaphy (57200) $1,528 $1,910 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $537.60 $672 1.6×
Colposcopy Cervix Endocervical Curettage (57456) $246.40 $308 0.8×
Colposcopy cervix upper/adjacent vagina (57452) $376 $470 1.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $456.80 $571 1.4×
Colposcopy cervix vag eltrd conization cervix (57461) $1,461.60 $1,827 0.4×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,454.40 $1,818 0.4×
Colposcopy entire vagina w/cervix if present (57420) $405.60 $507 1.2×
Colposcopy of vulva (56820) $360.80 $451 1.7×
Colposcopy Vulva W/Biopsy (56821) $435.20 $544 1.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $606.40 $758 0.6×
Colpotomy; with drainage of pelvic abscess (57010)
range across 2 matching MRF lines		 $313.60–$1,565.60 $392–$1,957 varies
Colpotomy; with exploration (57000) $1,468 $1,835 0.4×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,755.20–$3,600.80 $2,194–$4,501 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,624.80 $2,031 1.3×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,864.80–$3,369.60 $2,331–$4,212 varies
Combined anteroposterior colporrhaphy; (57260)
range across 2 matching MRF lines		 $741.60–$3,835.20 $927–$4,794 varies
Complex Cystometrogram (51726)
range across 3 matching MRF lines		 $226.40–$565.60 $283–$707 varies
Complex drainage wound (10180)
range across 3 matching MRF lines		 $166.40–$829.60 $208–$1,037 varies
Composite Skin Graft (15760) $2,536.80 $3,171 1.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,492.80 $1,866 0.4×
Conization of cervix (57520) $1,528.80 $1,911 0.4×
Conjunctival Flap Total (68362) $2,623.20 $3,279 1.0×
Conjunctivoplasty W/Buccal Muc Memb Graft (68325) $3,670.40 $4,588 0.9×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $3,148 $3,935 1.2×
Conjunctivorhinostomy Insj Tube/Stent (68750) $5,511.20 $6,889 1.3×
Conjunctivorhinostomy W/O Tube (68745) $4,900 $6,125 1.2×
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) $3,934.40 $4,918 1.5×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $1,838.40 $2,298 0.7×
Constj tracheoesophgl fstl&insj sp prosth (31611) $2,968.80 $3,711 0.8×
Construct thumb replacement (26550) $7,706.40 $9,633 2.2×
Construction of artificial vagina; with graft Facility (57292) $5,389.60 $6,737 1.0×
Construction of vagina (57291) $2,940.80 $3,676 0.5×
Contour cranial bone lesion (21181) $4,668 $5,835 0.7×
Contour of face bone lesion (21029) $4,128 $5,160 1.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $340.80–$360.80 $426–$451 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $293.60–$424.80 $367–$531 varies
Control nose/throat bleeding (42972) $780 $975 0.2×
Control oropharyngeal hemorrhage simple (42960) $425.60 $532 0.7×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $2,664.80–$13,324 $3,331–$16,655 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)
range across 2 matching MRF lines		 $312.80–$1,562.40 $391–$1,953 varies
Cordocentesis (59012) $831.20 $1,039 2.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $1,756.55–$3,350.77 $2,195.69–$4,188.46 varies
Cornea Scraping Diagnostic Smear &/Culture (65430) $196.80 $246 0.4×
Corneal transplant (65710) $4,711.20 $5,889 0.8×
Corneal Transplant,Penetrat,Aphakia (65750) $5,996 $7,495 1.1×
Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) $2,001.60 $2,502 0.8×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $2,577.60 $3,222 0.7×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $4,509.60 $5,637 1.2×
Correction Everted Punctum Cautery (68705) $491.20 $614 1.4×
Correction hammertoe (28285)
range across 3 matching MRF lines		 $252–$1,888 $315–$2,360 varies
Correction of inverted nipples (19355) $3,412.80 $4,266 0.8×
Correction of lid retraction (67911) $3,593.60 $4,492 1.4×
Correction of trichiasis; epilation, by forceps only (67820) $205.60 $257 1.4×
Correction Trichiasis Inccision Lid Margin (67830) $369.60 $462 0.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 3 matching MRF lines		 $572.80–$4,624.80 $716–$5,781 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,797.60 $3,497 0.8×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $505.60–$2,524.80 $632–$3,156 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 3 matching MRF lines		 $488–$3,661.60 $610–$4,577 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $468.80–$2,340.80 $586–$2,926 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 3 matching MRF lines		 $551.20–$4,130.40 $689–$5,163 varies
Costotransversectomy (separate procedure) Facility (21610) $3,322.40 $4,153 0.9×
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) $7,212 $9,015 0.9×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $1,183.20–$1,190.40 $1,479–$1,488 varies
Create Tear Sac-Nasal Fistula (68720) $5,206.40 $6,508 1.2×
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) $10,408.80 $13,011 1.1×
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) $6,811.20 $8,514 3.3×
Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) $4,195.20 $5,244 2.0×
Cricopharyngeal myotomy (43030)
unusually low: confirm this is the full procedure		 $2,961.60 $3,702 0.5×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $1,756 $2,195 1.6×
Cross Intrinsic Transfer Each Tendon (26510) $5,460 $6,825 1.6×
Cross-over vein graft (34520)
unusually low: confirm this is the full procedure		 $2,888 $3,610 0.5×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
range across 2 matching MRF lines		 $631.20–$3,156 $789–$3,945 varies
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $7,491.20 $9,364 0.7×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $122.40 $153 1.9×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $532.80 $666 2.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $638.40 $798 4.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $580.80 $726 2.3×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $768 $960 0.2×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) $280.80 $351 0.3×
Curettage postpartum (59160) $1,124 $1,405 0.3×
Curette/treat cornea (65435) $256.80 $321 0.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $1,040–$2,599.20 $1,300–$3,249 varies
Cysto calibration dilat urtl strix/stenosis (52281) $1,038.40 $1,298 0.5×
Cysto w/complex removal stone & stent (52315) $1,847.20 $2,309 0.8×
Cysto w/destruction of lesions (52214) $1,096 $1,370 0.3×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $1,392.80–$2,089.60 $1,741–$2,612 varies
Cysto w/irrig & evac multple obstructing clots (52001) $955.20 $1,194 0.3×
Cysto w/removal of lesions small (52224) $1,155.20 $1,444 0.3×
Cysto w/removal of tumors small (52234) $1,729.60 $2,162 0.5×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $1,512.80 $1,891 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $1,155.20 $1,444 0.5×
Cysto w/up stricture tx (52342) $1,816.80 $2,271 0.5×
Cysto w/ureter stricture tx (52341) $2,048 $2,560 0.5×
Cysto w/ureteroscopy w/lithotripsy (52353) $5,144.80 $6,431 0.9×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $4,115.20 $5,144 1.1×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,248 $2,810 0.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $2,316–$3,474.40 $2,895–$4,343 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure		 $2,780 $3,475 0.5×
Cysto/uretero w/lithotripsy (52356)
unusually low: confirm this is the full procedure		 $2,105.60 $2,632 0.4×
Cysto/uretero w/up stricture (52345) $1,996.80 $2,496 0.5×
Cystolithotomy (51050) $5,586.40 $6,983 1.0×
Cystometrogram W/Up (51727) $848 $1,060 1.1×
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 $161.60–$805.60 $202–$1,007 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $4,042.40 $5,053 0.4×
Cystoscopy and radiotracer (52250) $1,287.20 $1,609 0.3×
Cystoscopy implant stent (52282) $1,064 $1,330 0.3×
Cystoscopy inject material (52327)
likely a partial charge, not the full procedure		 $1,616 $2,020 0.3×
Cystostomy Cystotomy W/Drainage (51040) $4,795.20 $5,994 2.1×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $6,776.80 $8,471 1.8×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $5,586.40 $6,983 1.5×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $6,516.80 $8,146 1.7×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $5,120 $6,400 2.3×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $6,776.80 $8,471 1.8×
Cystouretero W/Congen Repr (52400) $2,333.60 $2,917 0.6×
Cystouretero w/excise tumor (52355)
unusually low: confirm this is the full procedure		 $2,580.80 $3,226 0.4×
Cystouretero w/renal strict (52346)
unusually low: confirm this is the full procedure		 $2,199.20 $2,749 0.4×
Cystourethroscopy (52000) $637.60 $797 0.9×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325)
unusually low: confirm this is the full procedure		 $2,700 $3,375 0.5×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,443.20 $1,804 0.4×
Cystourethroscopy inj chemodenervation bladder (52287) $1,464.80 $1,831 0.7×
Cystourethroscopy tx female urethral syndrome (52285) $1,260 $1,575 1.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $2,882.40 $3,603 0.8×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $4,033.60 $5,042 0.7×
Cystourethroscopy w/dil bladder general anesth (52260) $1,008 $1,260 0.4×
Cystourethroscopy w/rmvl ureteral calculus (52320) $1,514.40 $1,893 0.4×
Cystourethroscopy with biopsy (52204) $1,096 $1,370 0.5×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,134.40 $2,668 1.0×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $1,009.60 $1,262 0.3×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $1,064 $1,330 0.5×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $1,065.60 $1,332 1.4×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $1,231.20 $1,539 0.5×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $1,512.80 $1,891 0.7×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $1,568 $1,960 0.4×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $980.80 $1,226 0.4×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,122.40 $1,403 0.3×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305)
likely a partial charge, not the full procedure		 $1,512.80 $1,891 0.3×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $1,512.80 $1,891 0.4×
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) $1,996.80 $2,496 0.5×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $1,120 $1,400 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $149.60 $187 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $289.60–$1,446.40 $362–$1,808 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $149.60–$747.20 $187–$934 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,173.60 $1,467 1.5×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $3,520.80 $4,401 1.0×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,661.60 $2,077 0.5×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602)
range across 2 matching MRF lines		 $507.20–$2,532.80 $634–$3,166 varies
Dcmprn fasct leg post compartment only (27601) $1,748.80 $2,186 0.5×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $5,689.60 $7,112 2.7×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $608–$869.60 $760–$1,087 varies
Debride nail 1-5 (11720) $63.20 $79 1.0×
Debride nail 6 or more (11721) $89.60 $112 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,032.80 $1,291 0.6×
Debridement Mastoidectomy Cavity Cmplx (69222) $616.80 $771 1.1×
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $144.80–$217.60 $181–$272 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $94.40–$817.88 $118–$1,022.35 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $238.40–$673.60 $298–$842 varies
Decomp forearm,1 compart,w/o debride (25020) $2,393.60 $2,992 1.4×
Decompress eye socket (61330) $7,586.40 $9,483 2.1×
Decompress Fingers/Hand (26035) $4,490.40 $5,613 1.3×
Decompress Spinal Cord Lmbr (63056) $7,884.80 $9,856 1.0×
Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) $10,168 $12,710 1.6×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $3,077.60 $3,847 0.9×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $4,795.20 $5,994 0.6×
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893)
unusually low: confirm this is the full procedure		 $2,397.60 $2,997 0.3×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $1,628.80 $2,036 0.5×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) $1,708 $2,135 0.5×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $2,301.60 $2,877 1.3×
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499)
unusually low: confirm this is the full procedure		 $2,540.80 $3,176 0.3×
Decompression internal auditory canal Facility (69960) $10,884 $13,605 1.7×
Decompression of leg (27894) $3,121.60 $3,902 0.9×
Decompression of leg (27892) $2,397.60 $2,997 0.7×
Decompression of tibia nerve (28035) $2,448 $3,060 1.2×
Decompressive fasciotomy hand (26037) $1,926.40 $2,408 0.5×
Deep Muscle Biopsy (20205) $947.20 $1,184 0.3×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $1,574.40 $1,968 0.7×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,432.80 $1,791 0.6×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $1,147.20 $1,434 0.5×
Delay Flap/Sectioning Flap Trunk (15600) $1,026.40 $1,283 0.3×
Delivery of placenta (59414) $676 $845 0.2×
Denervation of hip joint (27035) $4,947.20 $6,184 1.4×
Derma-fat-fascia graft (15770) $2,536.80 $3,171 0.7×
Dermabrasion regional other than face (15782) $1,162.40 $1,453 0.4×
Dermabrasion segmental face (15781) $1,027.20 $1,284 1.4×
Dermabrasion superficial any site (15783) $930.40 $1,163 2.1×
Dermabrasion total face (15780) $2,754.40 $3,443 0.9×
Design custom breast implant (19396) $1,356.80 $1,696 0.3×
Destr penis lesion(s) (54065) $1,572 $1,965 0.7×
Destr W Neurolytic; Celiac Plexus (64680) $1,303.20 $1,629 1.4×
Destroy cerv/thor facet jnt (64633) $2,736.80 $3,421 1.3×
Destroy lumb/sac facet jnt (64635) $4,105.76 $5,132.20 2.0×
Destruc retinal lesn,photocoag (67210) $2,103.20 $2,629 3.6×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $152.80–$229.60 $191–$287 varies
Destruction Benign Lesions 15/> (17111) $295.20 $369 1.4×
Destruction by neurolytic agent, intercostal nerve (64620) $654.40 $818 0.7×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $1,090.40 $1,363 0.5×
Destruction by neurolytic agent; pudendal nerve (64630) $868.80 $1,086 0.9×
Destruction ciliary body (66700) $2,056 $2,570 0.8×
Destruction Internal Hemorrhoid Thermal Energy (46930) $355.20 $444 0.3×
Destruction Lesions Vulva Extensive (56515) $1,146.40 $1,433 0.5×
Destruction Lesions Vulva Simple (56501) $339.20 $424 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $368 $460 1.7×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $429.60 $537 2.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $492 $615 1.1×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $556.80 $696 0.7×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $616.80 $771 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $284.80 $356 1.3×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $347.20 $434 1.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $388 $485 1.8×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $429.60 $537 1.0×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $533.60 $667 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $368.80 $461 1.7×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $304.80 $381 1.4×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $315.20 $394 1.5×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $378.40 $473 1.8×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $451.20 $564 1.0×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $492 $615 1.1×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $263.20 $329 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $3,165.60 $3,957 1.5×
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) $2,142.40 $2,678 3.6×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $346.40 $433 1.0×
Destruction of lesion of lid margin (up to 1 cm) (67850) $461.60 $577 0.4×
Destruction of lesion, conjunctiva (68135) $487.20 $609 0.2×
Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) $4,055.20 $5,069 1.0×
Destruction of rectal tumor transanal approach (45190) $874.40 $1,093 0.3×
Destruction of skin lesions (17106) $616.80 $771 1.4×
Destruction Premalignant Lesion 15/> (17004) $340 $425 0.8×
Destruction premalignant lesion 1st (17000) $144 $180 0.7×
Destruction Vaginal Lesions Extensive (57065) $1,760.80 $2,201 0.5×
Destruction Vaginal Lesions Simple (57061) $1,076 $1,345 0.3×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $316.80–$1,193.60 $396–$1,492 varies
Diaphragm or cervical cap fitting with instructions (57170) $148.80 $186 0.7×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $392.80 $491 0.3×
Dilat female urethra general/cndj spinal anes (53665) $411.20 $514 0.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $214.40 $268 1.6×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $147.20 $184 1.0×
Dilat rct strix spx under anes oth/thn local (45910) $748 $935 0.6×
Dilat Urethral Strix Dilator Male Sbsq (53601) $164.80 $206 1.2×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $246.40 $308 0.9×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $366.40–$1,071.20 $458–$1,339 varies
Dilate Urethra Stricture (53620) $360 $450 0.5×
Dilate Urethra Stricture (53600) $256.80 $321 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $982.40 $1,228 0.3×
Dilation and catheterization of salivary duct, with or without injection (42660) $203.20 $254 0.4×
Dilation Cervical Canal (57800) $240.80 $301 0.1×
Dilation Esophagus Guide Wire (43453)
range across 2 matching MRF lines		 $583.20–$1,682.40 $729–$2,103 varies
Dilation Lacrimal Punctum W/WO Irrgation (68801) $229.60 $287 0.5×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $484.80 $606 0.1×
Dilation of vagina (57400) $658.40 $823 0.2×
Dilation Salivary Duct (42650) $149.60 $187 0.1×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $3,131.20 $3,914 0.5×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $3,619.20 $4,524 0.6×
Disarticulation At Knee (27598) $3,930.40 $4,913 1.1×
Disarticulation of hip Facility (27295)
unusually low: confirm this is the full procedure		 $7,319.20 $9,149 0.4×
Disarticulation of shoulder; Facility (23920)
unusually low: confirm this is the full procedure		 $5,401.60 $6,752 0.4×
Disarticulation of shoulder; secondary closure or scar revision Facility (23921) $1,708.80 $2,136 0.8×
Disarticulation through wrist; Facility (25920) $3,268 $4,085 0.9×
Disarticulation through wrist; re-amputation Facility (25924) $3,268 $4,085 0.9×
Disarticulation through wrist; secondary closure or scar revision Facility (25922) $1,091.20 $1,364 0.6×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)
range across 2 matching MRF lines		 $1,325.60–$6,626.40 $1,657–$8,283 varies
Discission of vitreous strands (without removal), pars plana approach Facility (67030) $2,676 $3,345 1.1×
Discission Secondary Membranous Cataract (66820) $1,519.20 $1,899 0.6×
Dissection, deep jugular node(s) Facility (38542)
unusually low: confirm this is the full procedure		 $1,984 $2,480 0.3×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $3,174.40 $3,968 0.5×
Division of scalenus anticus; with resection of cervical rib Facility (21705)
unusually low: confirm this is the full procedure		 $3,371.20 $4,214 0.4×
Division of scalenus anticus; without resection of cervical rib Facility (21700)
unusually low: confirm this is the full procedure		 $2,800.80 $3,501 0.4×
Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) $2,541.60 $3,177 3.3×
Division of stricture of rectum Facility (45150) $1,528.80 $1,911 1.2×
Division of symblepharon (68340) $2,360.80 $2,951 0.9×
Drain ant chmbr,remv vitreous (65810) $1,713.60 $2,142 0.7×
Drain Cerebro Spinal Fluid (62272) $468.80 $586 0.6×
Drain chest lesion (21502) $1,424.80 $1,781 0.4×
Drain Hand Tendon Sheath (26020) $1,926.40 $2,408 0.5×
Drain ovary abscess open (58820) $1,988 $2,485 0.6×
Drain penis lesion (54015) $734.40 $918 0.4×
Drain shoulder bursa (23031) $1,533.60 $1,917 0.5×
Drain Spinal Cord Cyst (62268) $3,016 $3,770 3.2×
Drainage abscess parotid simple (42300) $288.80 $361 0.2×
Drainage Abscess/Hematoma Nasal Septum (30020) $296.80 $371 0.5×
Drainage external auditory canal abscess (69020) $299.20 $374 0.4×
Drainage external ear abscess/hematoma cmplx (69005) $848.80 $1,061 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $288 $360 0.4×
Drainage Finger Abscess Complicated (26011) $1,108.80 $1,386 0.6×
Drainage lymph node lesion (38305) $524.80 $656 0.2×
Drainage Mouth Roof Lesion (42000) $359.20 $449 1.4×
Drainage of eye (65800) $379.20 $474 0.2×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $348.80–$561.60 $436–$702 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $324–$585.60 $405–$732 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $298.40–$3,584 $373–$4,480 varies
Drainage of hydrocele (55000) $254.40 $318 0.3×
Drainage of mouth lesion (41006) $937.60 $1,172 0.6×
Drainage of mouth lesion (41017) $1,012 $1,265 0.3×
Drainage of nose lesion (30000) $226.40 $283 0.9×
Drainage of palmar bursa single bursa (26025) $1,926.40 $2,408 0.5×
Drainage of palmar bursa; multiple bursa Facility (26030) $4,490.40 $5,613 1.3×
Drainage of perineal urinary extravasation; complicated Facility (53085) $1,725.60 $2,157 0.8×
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $1,036 $1,295 1.4×
Drainage of perirenal or renal abscess, open Facility (50020) $3,157.60 $3,947 1.4×
Drainage of rectal abscess (45020) $1,027.20 $1,284 0.3×
Drainage of rectal abscess (45005) $613.60 $767 0.5×
Drainage of salivary cyst (42409) $975.20 $1,219 0.3×
Drainage of salivary gland (42320) $393.60 $492 0.7×
Drainage of salivary gland (42305) $586.40 $733 0.2×
Drainage of scrotal wall abscess (55100) $294.40 $368 0.2×
Drainage of scrotum (54700) $651.20 $814 0.3×
Drainage of skene's gland abscess or cyst (53060) $416 $520 0.2×
Drainage of throat abscess (42725)
likely a partial charge, not the full procedure		 $1,064 $1,330 0.2×
Drainage of urethra abscess (53040) $1,036 $1,295 0.3×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $2,094.40 $2,618 0.6×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $1,661.60 $2,077 0.5×
Draw Blood Off Venous Device (36591)
range across 4 matching MRF lines		 $60.80–$161.98 $76–$202.47 varies
Dressing Change Under Anesthesia (15852) $151.20 $189 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,044.80 $1,306 1.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $256 $320 0.3×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $359.20 $449 0.6×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $328.80 $411 0.1×
Drg privesical/prevesical space absc (51080) $4,191.20 $5,239 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $388 $485 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $223.20–$731.20 $279–$914 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $144.80–$367.20 $181–$459 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $1,148 $1,435 1.4×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,679.20 $2,099 0.8×
Dstrj Extensive Retinopathy (67227) $2,178.40 $2,723 0.5×
Dstrj les/scar vestibule mouth physical meths (40820) $465.60 $582 0.1×
Dstrj Lesion Anus Extensive (46924) $1,673.60 $2,092 0.6×
Dstrj Lesion Anus Simple Chemical (46900) $264.80 $331 0.6×
Dstrj lesion anus simple cryosurgery (46916) $504 $630 2.3×
Dstrj lesion anus simple surg excision (46922) $925.60 $1,157 0.3×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $441.60 $552 0.2×
Dstrj lesion choroid pc 1/> sess (67220) $2,103.20 $2,629 3.6×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $1,028 $1,285 1.7×
Dstrj Lesion Penis Simple Chemical (54050) $269.60 $337 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $353.60 $442 1.6×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $353.60 $442 0.2×
Dstrj lesion penis simple laser (54057) $1,130.40 $1,413 0.5×
Dstrj lesion penis simple surg excision (54060) $734.40 $918 0.3×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $556.80 $696 1.3×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,307.20 $1,634 0.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,062.40 $1,328 1.1×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,046.40 $1,308 1.1×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $184–$2,696 $230–$3,370 varies
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $1,212–$3,238 $1,515–$4,047.50 varies
Dx Bronchoscope/Wash (31622) $1,190.40 $1,488 0.6×
Dx Laryngoscopy Excl Nb (31525) $790.40 $988 0.4×
Dx laryngoscopy w/oper scope (31526) $1,005.60 $1,257 0.5×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 3 matching MRF lines		 $813.40–$1,095.20 $1,016.75–$1,369 varies
Dynamic Cavernosometry Njx Vasoactive Drugs (54231) $994.40 $1,243 3.7×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,337.60 $1,672 0.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,331.20–$2,835.06 $1,664–$3,543.83 varies
Egd cautery tumor polyp (43250) $1,514.40 $1,893 0.7×
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $1,607.20–$2,662.32 $2,009–$3,327.90 varies
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $1,377.60–$3,062.40 $1,722–$3,828 varies
Egd endo mucosal resection (43254) $900.80 $1,126 0.4×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $838.40 $1,048 0.1×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,377.60–$2,717.60 $1,722–$3,397 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $1,217.60–$2,995.13 $1,522–$3,743.91 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,572 $1,965 0.8×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,312.80 $1,641 0.6×
Egd lesion ablation (43270)
range across 2 matching MRF lines		 $1,800–$2,778.50 $2,250–$3,473.13 varies
Egd place gastrostomy tube (43246)
range across 4 matching MRF lines		 $404–$3,345.78 $505–$4,182.22 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $1,514.40–$2,543.20 $1,893–$3,179 varies
Egd Tube/Cath Insertion (43241) $1,223.20 $1,529 0.6×
Egd us exam duodenum/jejunum (43259) $1,122.40 $1,403 0.5×
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $1,560.80–$2,647.20 $1,951–$3,309 varies
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $1,398.40 $1,748 0.2×
Elbow arthroscopy (29830) $1,881.60 $2,352 0.5×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $602.40 $753 1.8×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $135.20 $169 0.4×
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $116.80–$290.40 $146–$363 varies
Electrolysis Epilation Each 30 Minutes (17380) $150.40 $188 0.2×
Emblc/thrmbc ax brach innominate subcla art (34101)
unusually low: confirm this is the full procedure		 $2,152 $2,690 0.4×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201)
range across 2 matching MRF lines		 $717.60–$3,584.80 $897–$4,481 varies
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $3,225.60 $4,032 0.5×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) $4,300 $5,375 0.7×
Endocervical curettage (57505) $240 $300 0.2×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,162.40 $3,953 0.6×
Endometrial Biopsy (58100) $317.60 $397 1.5×
Endoscopic injection/implant (51715) $2,325.60 $2,907 0.6×
Endoscopic plantar fasciotomy (29893) $1,708 $2,135 0.5×
Endoscopy of ureter (50953) $937.60 $1,172 0.2×
Endoscopy Upper Small Intestine (44360)
range across 2 matching MRF lines		 $1,285.60–$2,814 $1,607–$3,517.50 varies
Endoscopy upper small intestine w/biopsy (44361)
range across 2 matching MRF lines		 $1,377.60–$2,805.60 $1,722–$3,507 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 3 matching MRF lines		 $1,184.80–$4,895.20 $1,481–$6,119 varies
Enterorrhaphy single perforation (44602)
range across 2 matching MRF lines		 $651.20–$3,254.40 $814–$4,068 varies
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,434.40 $1,793 0.7×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,308 $1,635 0.6×
Enteroscopy > 2nd prtn conv gstrst tube (44373)
range across 2 matching MRF lines		 $1,285.60–$2,882.40 $1,607–$3,603 varies
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,980.80 $2,476 1.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure		 $1,824.80 $2,281 0.3×
Enteroscopy > 2nd prtn w/plmt prq tube (44372)
range across 2 matching MRF lines		 $1,285.60–$3,202.40 $1,607–$4,003 varies
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,268 $1,585 0.6×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,476.80 $1,846 0.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,434.40 $1,793 0.7×
Enucleation Eye Implt Musc X Attached Implt (65103) $3,272 $4,090 0.8×
Enucleation of Eye W/O Implant (65101) $2,999.20 $3,749 0.7×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,732 $2,165 0.8×
Epididymectomy bilateral (54861) $2,508 $3,135 0.7×
Epididymectomy unilateral (54860) $1,666.40 $2,083 0.4×
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) $3,051.20 $3,814 0.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $339.20–$1,693.60 $424–$2,117 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $786.40–$1,721.60 $983–$2,152 varies
Epidural lysis mult sessions (62263) $1,729.60 $2,162 1.8×
Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) $3,164 $3,955 0.9×
Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) $3,419.20 $4,274 1.0×
Episiotomy or vaginal repair (59300) $753.60 $942 0.2×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure		 $2,622.40 $3,278 0.4×
Ercp duct stent placement (43274)
range across 2 matching MRF lines		 $2,717.60–$5,178.47 $3,397–$6,473.09 varies
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $1,698.40–$5,200.80 $2,123–$6,501 varies
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines		 $1,280–$4,220 $1,600–$5,275 varies
Ercp remove calculi/debris biliary/pancreas duct (43264)
range across 2 matching MRF lines		 $2,885.60–$4,432.57 $3,607–$5,540.71 varies
Ercp remove forgn body duct (43275)
range across 2 matching MRF lines		 $2,237.60–$4,257.80 $2,797–$5,322.25 varies
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure		 $2,526.40 $3,158 0.4×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $1,852 $2,315 0.4×
Ercp W/Biopsy Single/Multiple (43261) $1,900.80 $2,376 0.5×
Ercp w/pressure measurement sphincter of oddi (43263) $2,116.80 $2,646 1.0×
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $2,660–$3,945.60 $3,325–$4,932 varies
Esc i p ulcer w ostect & flap (15946) $2,500.80 $3,126 1.1×
Escharotomy; initial incision (16035) $964 $1,205 2.2×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $1,556.80–$2,904.80 $1,946–$3,631 varies
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,142.40 $1,428 0.6×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,398.40 $1,748 0.7×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,481.60 $1,852 0.7×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,019.20 $1,274 0.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $960.80 $1,201 1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,122.40 $1,403 0.5×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,398.40 $1,748 0.7×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,312.80 $1,641 0.6×
Esophagoscopy rigid trnso dx (43191) $460.80 $576 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,019.20 $1,274 0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,397.60 $1,747 0.7×
Esophagotomy, cervical approach, with removal of foreign body Facility (43020) $2,961.60 $3,702 1.8×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,481.60 $1,852 0.7×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,398.40 $1,748 0.7×
Ethmoidectomy Extranasal Total (31205) $3,263.20 $4,079 0.9×
Ethmoidectomy Intranasal Anterior (31200)
unusually low: confirm this is the full procedure		 $2,198.40 $2,748 0.3×
Ethmoidectomy; intranasal, total Facility (31201) $2,929.60 $3,662 1.8×
Evacuate mole of uterus (59870) $1,160.80 $1,451 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $105.60–$148.80 $132–$186 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,683.20 $3,354 1.5×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines		 $296–$1,477.60 $370–$1,847 varies
Exc abdl tum deep 5 cm/> (22901) $1,376 $1,720 0.4×
Exc arm/elbow les sc < 3 cm (24075) $1,443.20 $1,804 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $260.80–$1,211.20 $326–$1,514 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $732.80 $916 0.4×
Exc Back Les Sc < 3 Cm (21930) $1,376.80 $1,721 0.8×
Exc Back Tum Deep 5 Cm/> (21933) $2,540 $3,175 0.8×
Exc back tum deep < 5 cm (21932) $2,328 $2,910 0.7×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $7,291.20 $9,114 1.1×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $7,291.20 $9,114 1.1×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
unusually low: confirm this is the full procedure		 $2,128.80 $2,661 0.3×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $816 $1,020 0.2×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 3 matching MRF lines		 $247.20–$1,854.40 $309–$2,318 varies
Exc Chalazion Anes Req Hospization Single/Mult (67808) $893.60 $1,117 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $706.40 $883 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $888 $1,110 1.2×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,101.60 $1,377 0.6×
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $182.40–$911.20 $228–$1,139 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $329.60 $412 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $432.80 $541 0.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $576.80 $721 0.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $732.80 $916 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $786.40 $983 0.4×
Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) $392.80 $491 0.2×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390)
unusually low: confirm this is the full procedure		 $3,854.40 $4,818 0.5×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $367.20–$1,836 $459–$2,295 varies
Exc Forearm Tum Deep 3 Cm/> (25073) $2,687.20 $3,359 0.9×
Exc Frenum Labial/Buccal (40819) $559.20 $699 0.3×
Exc ganglion wrist recurrent (25112) $2,188 $2,735 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $277.60 $347 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $353.60 $442 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $96.80–$500.80 $121–$626 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,325.60 $1,657 0.7×
Exc hand tum deep < 1.5 cm (26116) $2,433.60 $3,042 1.4×
Exc hydrocele sprmatic cord uni spx (55500) $1,606.40 $2,008 0.4×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $4,594.40 $5,743 1.8×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $513.60 $642 0.5×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $1,160 $1,450 0.3×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $722.40 $903 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 3 matching MRF lines		 $243.20–$1,820.80 $304–$2,276 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $823.20 $1,029 0.5×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $884 $1,105 0.2×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $1,012 $1,265 0.3×
Exc lesion tongue w/clsr w/local tongue flap (41114) $936.80 $1,171 0.3×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $404.80 $506 0.1×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $683.20 $854 0.2×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,989.60 $2,487 0.6×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,860.80 $2,326 0.9×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $2,759.20 $3,449 1.3×
Exc neuroma hand/foot xcp digital nerve (64782) $1,606.40 $2,008 0.8×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,359.20 $2,949 1.1×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
range across 2 matching MRF lines		 $319.20–$1,596 $399–$1,995 varies
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,018.40 $2,523 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $584.80–$2,923.20 $731–$3,654 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $537.60 $672 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $837.60 $1,047 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,151.20 $1,439 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,072.80 $1,341 0.6×
Exc Skin Benig >4cm Face,Facial (11446) $1,120.80 $1,401 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $155.20–$775.20 $194–$969 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,221.60 $1,527 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,227.20 $1,534 0.7×
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines		 $279.20–$1,394.40 $349–$1,743 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $375.20–$1,874.40 $469–$2,343 varies
Exc thigh/knee tum dep 5cm/> (27339) $2,551.20 $3,189 0.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $449.60 $562 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $316 $395 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $420 $525 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $759.20 $949 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $237.60–$1,186.40 $297–$1,483 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,864.80 $2,331 0.6×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,755.20 $2,194 1.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,135.20 $2,669 1.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,664 $2,080 0.5×
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $536.80–$2,683.20 $671–$3,354 varies
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,972.80 $3,716 1.0×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,636 $3,295 0.8×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 2 matching MRF lines		 $204–$1,020 $255–$1,275 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902) $841.60 $1,052 0.5×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,231.20 $1,539 0.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,356.80 $1,696 0.8×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,958.40 $2,448 0.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $979.20 $1,224 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,178.40 $2,723 0.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $956.80 $1,196 0.5×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $3,164 $3,955 1.0×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,157.60 $1,447 0.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 2 matching MRF lines		 $482.40–$2,408.80 $603–$3,011 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $291.20–$1,453.60 $364–$1,817 varies
Exc urethral diverticulum spx female (53230) $4,136 $5,170 0.7×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $2,440.80 $3,051 0.6×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205)
unusually low: confirm this is the full procedure		 $2,567.20 $3,209 0.3×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure		 $2,252 $2,815 0.3×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
unusually low: confirm this is the full procedure		 $3,869.60 $4,837 0.5×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $335.20–$1,673.60 $419–$2,092 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,208 $1,510 0.7×
Exc/fulguration urethral caruncle (53265) $1,178.40 $1,473 0.5×
Exchange Intraocular Lens (66986) $4,140 $5,175 1.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $624–$1,180 $780–$1,475 varies
Exchange Transfusion (36455) $923.20 $1,154 2.0×
Exchange Transfusion Blood Newborn (36450) $923.20 $1,154 2.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $713.60 $892 0.3×
Excis conjunc lesn+adj sclera (68130) $1,575.20 $1,969 0.6×
Excis Mouth Complex,Exc Thru Muscle (40816) $1,507.20 $1,884 0.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $402.40 $503 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $500.80 $626 0.3×
Excis penile plaque (54110) $2,371.20 $2,964 0.6×
Excis uppr jaw cyst w/repair (21049) $8,127.20 $10,159 1.3×
Excis urethral prolapse (53275) $1,380.80 $1,726 0.4×
Excise breast duct fistula (19112) $1,148.80 $1,436 0.3×
Excise excessive skin arm (15836) $2,754.40 $3,443 0.9×
Excise intraspinal lesion (63267) $6,040.80 $7,551 0.8×
Excise intraspinl lesion crv (63265) $6,712 $8,390 0.9×
Excise mandible lesion (21040) $2,220 $2,775 0.6×
Excise Neurofibroma Extensive (64792) $3,260.80 $4,076 0.9×
Excise oral mucosa for graft (40818) $640 $800 1.1×
Excise Wrist Tendon Sheath (25118) $2,986.40 $3,733 1.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $664 $830 0.9×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $3,166.40 $3,958 1.2×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $3,670.40 $4,588 1.4×
Excision Aural Polyp (69540) $612.80 $766 0.4×
Excision Bone Mandible (21025) $3,441.60 $4,302 0.5×
Excision Chalazion Multiple Same Lid (67801) $476.80 $596 0.4×
Excision Chalazion Single (67800) $356.80 $446 1.0×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125)
unusually low: confirm this is the full procedure		 $2,941.60 $3,677 0.5×
Excision Distal Ulna Partial/Complete (25240) $2,735.20 $3,419 0.8×
Excision Excessive Skin & Subq Tissue Buttock (15835) $2,951.20 $3,689 0.9×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,601.60 $3,252 0.8×
Excision exostosis(es), external auditory canal Facility (69140) $5,293.60 $6,617 0.8×
Excision External Ear Partial Simple Repair (69110) $1,370.40 $1,713 0.4×
Excision external ear; complete amputation Facility (69120)
unusually low: confirm this is the full procedure		 $3,089.60 $3,862 0.5×
Excision Facial Bone (21026) $3,686.40 $4,608 0.6×
Excision first and/or cervical rib for outlet compression syndrome or other cause; with sympathectomy (21616) $4,746.40 $5,933 0.6×
Excision gum each quadrant (41820) $780 $975 0.2×
Excision H/P/P/U Complex Repair (11471) $1,284.80 $1,606 0.4×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,133.60 $1,417 0.4×
Excision Hidradenitis Axillary Complex Repair (11451) $1,422.40 $1,778 0.5×
Excision Hidradenitis Inguinal Complex Repair (11463) $1,284.80 $1,606 0.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,090.40 $1,363 0.4×
Excision Infected Graft Extremity (35903) $2,134.40 $2,668 0.6×
Excision inferior turbinate partial/complete (30130)
range across 2 matching MRF lines		 $1,055.20–$1,583.20 $1,319–$1,979 varies
Excision Lacrimal Sac (68520) $2,757.60 $3,447 0.7×
Excision Lesion Conjunctiva </1 Cm (68110) $502.40 $628 0.2×
Excision lesion conjunctiva > 1 cm (68115) $864.80 $1,081 0.3×
Excision Lesion Cornea Xcp Pterygium (65400) $1,800.80 $2,251 1.7×
Excision lesion meniscus/capsule knee (27347)
range across 2 matching MRF lines		 $915.20–$4,575.20 $1,144–$5,719 varies
Excision lesion mouth roof (42104) $584 $730 0.2×
Excision lesion tendon sheath forearm&/wrist (25110) $1,876.80 $2,346 1.1×
Excision Lesion Tongue W/O Closure (41110) $366.40 $458 0.1×
Excision Lingual Frenum Frenectomy (41115) $644 $805 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $387.20 $484 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $422.40 $528 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $533.60 $667 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $875.20 $1,094 1.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $568.80 $711 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,136.80 $1,421 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,634.40 $2,043 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $450.40 $563 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $593.60 $742 0.8×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $706.40 $883 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $196.80–$977.60 $246–$1,222 varies
Excision malignant tumor mandible (21044) $4,079.20 $5,099 0.6×
Excision Malignant Tumor Maxilla/Zygoma (21034) $4,079.20 $5,099 0.6×
Excision Maxillary Torus Palatinus (21032) $1,230.40 $1,538 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $732 $915 0.2×
Excision Nasal Polyp Extensive (30115) $1,023.20 $1,279 0.3×
Excision nasal polyp(s) simple (30110) $433.60 $542 0.3×
Excision of bartholin's gland or cyst (56740) $999.20 $1,249 0.3×
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) $8,029.60 $10,037 1.3×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
unusually low: confirm this is the full procedure		 $2,311.20 $2,889 0.4×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066)
range across 2 matching MRF lines		 $771.20–$3,854.40 $964–$4,818 varies
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
range across 2 matching MRF lines		 $460.80–$2,300.80 $576–$2,876 varies
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) $4,543.20 $5,679 0.6×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $3,792 $4,740 1.0×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
unusually low: confirm this is the full procedure		 $2,300 $2,875 0.4×
Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556)
unusually low: confirm this is the full procedure		 $2,099.20 $2,624 0.4×
Excision of chalazion; multiple, different lids (67805) $474.40 $593 1.4×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) $4,172 $5,215 0.6×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $1,567.20 $1,959 0.4×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $3,082.40 $3,853 0.9×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $2,827.20 $3,534 0.8×
Excision of extraparenchymal lesion of testis (54512) $1,250.40 $1,563 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,352 $2,940 1.4×
Excision of gum flap (41821) $179.20 $224 0.1×
Excision of gum lesion (41828) $1,131.20 $1,414 0.7×
Excision of hydrocele; bilateral (55041) $2,976 $3,720 0.8×
Excision of hydrocele; unilateral (55040) $1,979.20 $2,474 0.5×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) $3,062.40 $3,828 0.7×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) $3,676 $4,595 0.9×
Excision of lacrimal gland tumor; involving osteotomy Facility (68550) $4,594.40 $5,743 1.1×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
likely a partial charge, not the full procedure		 $1,072.80 $1,341 0.2×
Excision of lingual tonsil (42870)
likely a partial charge, not the full procedure		 $1,064 $1,330 0.2×
Excision of local lesion of epididymis (54830) $1,215.20 $1,519 0.3×
Excision of malignant tumor of mandible; radical resection Facility (21045) $7,369.60 $9,212 1.2×
Excision of Mullerian duct cyst Facility (55680) $5,188.80 $6,486 1.4×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,205.60 $1,507 0.6×
Excision of neuroma; sciatic nerve Facility (64786) $3,360 $4,200 0.9×
Excision of osseous tuberosities, dentoalveolar structures (41823)
likely a partial charge, not the full procedure		 $897.60 $1,122 0.1×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
range across 2 matching MRF lines		 $760.96–$3,804.80 $951.20–$4,756 varies
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425)
unusually low: confirm this is the full procedure		 $2,722.40 $3,403 0.4×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $4,204 $5,255 0.7×
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112)
unusually low: confirm this is the full procedure		 $4,628 $5,785 0.5×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) $3,499.20 $4,374 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $883.20 $1,104 0.3×
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) $3,926.40 $4,908 1.3×
Excision of single external papilla or tag, anus (46220) $343.20 $429 0.3×
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure		 $1,362.40 $1,703 0.2×
Excision of sublingual salivary cyst (ranula) (42408) $975.20 $1,219 0.3×
Excision of submandibular (submaxillary) gland (42440)
range across 2 matching MRF lines		 $612.80–$3,063.20 $766–$3,829 varies
Excision of tonsil tags (42860) $640 $800 0.2×
Excision of tracheal tumor or carcinoma; cervical Facility (31785) $5,250.40 $6,563 0.8×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $4,136 $5,170 0.7×
Excision of vaginal cyst or tumor (57135) $1,556.80 $1,946 0.4×
Excision of vaginal septum (57130) $1,480.80 $1,851 0.4×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)
unusually low: confirm this is the full procedure		 $2,596 $3,245 0.4×
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $432–$2,160 $540–$2,700 varies
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146)
unusually low: confirm this is the full procedure		 $3,064 $3,830 0.4×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) $3,561.60 $4,452 1.0×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $3,620 $4,525 1.0×
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) $4,935.20 $6,169 0.6×
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) $5,435.20 $6,794 0.7×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) $5,744.80 $7,181 0.7×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) $5,196 $6,495 0.7×
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) $5,995.20 $7,494 0.8×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $2,106.40 $2,633 0.6×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
likely a partial charge, not the full procedure		 $2,252 $2,815 0.3×
Excision or fulguration; Skene's glands Facility (53270) $1,036 $1,295 0.3×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $484.80 $606 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,466.40 $1,833 0.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,303.20 $1,629 0.4×
Excision prepatellar bursa (27340) $2,103.20 $2,629 0.6×
Excision Radial Head (24130) $3,438.40 $4,298 1.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $3,988 $4,985 0.6×
Excision soft tissue lesion, external auditory canal (69145) $884.80 $1,106 0.3×
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines		 $1,564–$2,346.40 $1,955–$2,933 varies
Excision synovial cyst popliteal space (27345)
range across 2 matching MRF lines		 $592.80–$2,961.60 $741–$3,702 varies
Excision tendon finger flexor/extensor each (26180) $1,606.40 $2,008 0.9×
Excision tendon palm flexor/extensor single each (26170) $1,606.40 $2,008 0.9×
Excision Thyroglossal Duct Cyst/Sinus (60280)
unusually low: confirm this is the full procedure		 $2,446.40 $3,058 0.4×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281)
unusually low: confirm this is the full procedure		 $2,504.80 $3,131 0.4×
Excision Torus Mandibularis (21031) $864.80 $1,081 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $360–$1,799.20 $450–$2,249 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $247.20–$1,234.40 $309–$1,543 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $180–$899.20 $225–$1,124 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $208–$1,039.20 $260–$1,299 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $309.60–$1,547.20 $387–$1,934 varies
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $2,691.20 $3,364 0.7×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $1,924 $2,405 0.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $1,898.40 $2,373 0.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) $2,951.20 $3,689 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $2,951.20 $3,689 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $1,688.80 $2,111 0.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $2,951.20 $3,689 0.9×
Excision, interdigital (morton) neuroma, single, each (28080) $1,340 $1,675 0.8×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $2,691.20 $3,364 0.7×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $3,267.20 $4,084 1.5×
Excision, lesion of palate, uvula; with local flap closure Facility (42107)
likely a partial charge, not the full procedure		 $1,284.80 $1,606 0.2×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $1,924 $2,405 0.9×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $1,924 $2,405 0.6×
Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) $2,500.80 $3,126 0.8×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $2,691.20 $3,364 0.7×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $3,613.60 $4,517 1.0×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $2,500.80 $3,126 0.7×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $1,924 $2,405 1.1×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $2,691.20 $3,364 1.2×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $3,267.20 $4,084 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $195.20–$1,009.60 $244–$1,262 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $822.40 $1,028 0.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $251.20–$1,253.60 $314–$1,567 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,436.80 $1,796 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,343.20 $1,679 0.8×
Excision/curettage cyst/tumor carpal bones (25130) $3,319.20 $4,149 0.9×
Excision/curettage cyst/tumor phalanx finger (26210) $2,091.20 $2,614 1.2×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $3,419.20 $4,274 1.0×
Excision/destruction intranasal lesion int appr (30117) $2,323.20 $2,904 0.7×
Excision/destruction lesion pharynx any method (42808) $659.20 $824 0.2×
Excision/surgical planing skin nose rhinophyma (30120) $2,354.40 $2,943 0.7×
Excision/Transposition Pterygium W/Grafg (65426) $1,928.80 $2,411 0.8×
Excision/Transposition Pterygium W/O Graft (65420) $1,416 $1,770 0.6×
Excision; trochanteric bursa or calcification (27062) $1,783.20 $2,229 0.5×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) $6,542.40 $8,178 1.6×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) $6,133.60 $7,667 1.5×
Expl penetrating wound spx abdomen/flank/back (20102) $2,773.60 $3,467 1.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure		 $1,956 $2,445 0.3×
Expl po hemrrg thrombosis/infctj xtr (35860) $1,887.20 $2,359 0.6×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $768–$1,152 $960–$1,440 varies
Exploration for undescended testis with abdominal exploration (54560) $2,372 $2,965 1.1×
Exploration maxillary sinus (31020) $1,215.20 $1,519 0.3×
Exploration of hip joint (27033)
range across 2 matching MRF lines		 $829.60–$4,146.40 $1,037–$5,183 varies
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $813.60–$4,068 $1,017–$5,085 varies
Exploration of spinal fusion (22830) $9,551.20 $11,939 1.2×
Exploration penetrating wound spx chest (20101) $3,201.60 $4,002 1.4×
Exploration penetrating wound spx extremity (20103) $2,479.20 $3,099 1.4×
Exploration Penetrating Wound Spx Neck (20100) $2,347.20 $2,934 4.1×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
range across 2 matching MRF lines		 $608.80–$3,044 $761–$3,805 varies
Exploratory elbow surgery (24000) $4,396.80 $5,496 1.3×
Explore eye socket,drainage (67405) $3,120.80 $3,901 1.2×
Explore for undescended testis (54550) $1,920 $2,400 0.5×
Explore inner ear (69806) $7,321.60 $9,152 1.2×
Explore inner ear (69805) $6,102.40 $7,628 1.0×
Explore treat shoulder joint (23107) $5,056 $6,320 0.7×
Explore/Treat Elbow Joint (24101) $4,396.80 $5,496 1.3×
Explore/Treat Hand Joint (26070) $2,214.40 $2,768 1.3×
Explore/Treat Knee Joint (27331) $4,272 $5,340 1.2×
Explore/Treat Wrist Joint (25040) $3,147.20 $3,934 0.9×
Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860)
unusually low: confirm this is the full procedure		 $1,954.40 $2,443 0.3×
Expression of conjunctival follicles (eg, for trachoma) Facility (68040) $238.40 $298 0.7×
Extensive ear canal surgery (69150) $3,310.40 $4,138 0.5×
Extensive mastoid surgery (69511) $6,102.40 $7,628 1.0×
External cephalic version (59412)
range across 2 matching MRF lines		 $147.20–$759.20 $184–$949 varies
Extraction of lens (66940) $3,576 $4,470 1.4×
Extraction of lens (66920) $3,312 $4,140 1.3×
Extraction of lens (66930) $3,764.80 $4,706 0.8×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $1,468 $1,835 0.7×
Fascia lata graft; by stripper Facility (20920) $1,119.20 $1,399 0.5×
Fasciectomy Palm Only (26121)
range across 2 matching MRF lines		 $833.60–$4,168 $1,042–$5,210 varies
Fasciectomy Plantar Fascia Partial Spx (28060) $1,602.40 $2,003 0.5×
Fasciotomy Iliotibial Open (27305)
range across 2 matching MRF lines		 $395.20–$1,974.40 $494–$2,468 varies
Fasciotomy palmar open partial (26045) $1,926.40 $2,408 0.5×
Fasciotomy palmar percutaneous (26040) $1,348 $1,685 0.8×
Fasciotomy Plantar Fascia Radical Spx (28062) $2,725.60 $3,407 0.8×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $232.80–$1,160.80 $291–$1,451 varies
Fasciotomy, hip or thigh, any type (27025) $3,452 $4,315 1.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $991.20–$4,955.20 $1,239–$6,194 varies
Fetal Contraction Stress Test (59020)
range across 3 matching MRF lines		 $104.80–$260.80 $131–$326 varies
Fetal non-stress test (59025)
range across 5 matching MRF lines		 $52–$515.01 $65–$643.76 varies
Fetal Scalp Blood Sampling (59030) $292.80 $366 0.9×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,989.60 $2,487 0.9×
Fine Needle Aspiration Orbital Contents (67415) $538.40 $673 0.2×
Fine needle aspiration without imaging guidance (10021) $256 $320 0.6×
Finger tendon transfer (26497) $4,496 $5,620 1.3×
Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) $3,212.80 $4,016 0.7×
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) $3,425.60 $4,282 0.8×
Fixation contralateral testis separate procedure (54620) $948.80 $1,186 0.3×
Flap; neurovascular pedicle (15750) $3,760.80 $4,701 1.0×
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) $6,837.60 $8,547 0.9×
Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) $4,795.20 $5,994 0.6×
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) $6,394.40 $7,993 0.8×
Fluid Pressure Muscle (20950) $487.20 $609 0.6×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $140.30–$1,115.33 $175.38–$1,394.16 varies
Follicle Puncture Oocyte Retrieval Any Method (58970) $1,965.60 $2,457 2.0×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $301.60–$410.40 $377–$513 varies
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $2,210.40 $2,763 0.6×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $425.60 $532 0.1×
Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) $7,799.20 $9,749 1.0×
Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) $7,324 $9,155 0.9×
Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) $7,324 $9,155 0.9×
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) $7,324 $9,155 0.9×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,617.60 $3,272 1.2×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,595.20 $3,244 1.2×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $3,641.60 $4,552 1.5×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $4,367.20 $5,459 1.8×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,408.80 $3,011 1.1×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,639.20 $2,049 0.7×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,326.40 $1,658 0.6×
Fuse hand bones with graft (25825) $5,338.40 $6,673 0.7×
Fusion Finger Joint (26860) $2,600.80 $3,251 0.7×
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) $4,040.80 $5,051 0.5×
Fusion of elbow joint (24800) $5,212 $6,515 0.7×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $529.60–$2,645.60 $662–$3,307 varies
Fusion of hand bones (25820) $3,921.60 $4,902 0.5×
Fusion of hand joint (26843)
unusually low: confirm this is the full procedure		 $3,366.40 $4,208 0.4×
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure		 $2,828 $3,535 0.4×
Fusion of knuckle joint (26516) $3,212.80 $4,016 0.9×
Fusion of knuckle joints (26518) $5,139.20 $6,424 0.7×
Fusion of knuckle with graft (26852)
unusually low: confirm this is the full procedure		 $3,503.20 $4,379 0.5×
Fusion of shoulder joint (23802)
unusually low: confirm this is the full procedure		 $6,540 $8,175 0.5×
Fusion of spermatic ducts (54900) $2,083.20 $2,604 0.9×
Fusion of tibiofibular joint (27871)
likely a partial charge, not the full procedure		 $3,750.40 $4,688 0.3×
Fusion/graft of hand joint (26844) $4,040.80 $5,051 0.5×
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $388–$1,936.80 $485–$2,421 varies
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840)
range across 2 matching MRF lines		 $535.20–$2,673.60 $669–$3,342 varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830)
range across 2 matching MRF lines		 $416–$2,080 $520–$2,600 varies
Gastrostomy, open; neonatal, for feeding Facility (43831) $2,018.40 $2,523 2.1×
Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) $1,756.80 $2,196 1.8×
Genioplasty Sliding Osteotomy Single Piece (21121) $4,274.40 $5,343 1.2×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $3,489.60 $4,362 0.6×
Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) $5,649.60 $7,062 0.9×
Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) $6,288.80 $7,861 1.8×
Glaucoma surgery (66160) $3,212.80 $4,016 1.3×
Goniotomy (65820) $2,786.40 $3,483 0.6×
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) $1,952 $2,440 0.7×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $5,504 $6,880 0.9×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $3,784 $4,730 0.6×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $4,328 $5,410 1.1×
Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) $6,320 $7,900 2.9×
Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) $5,265.60 $6,582 1.4×
Graft for facial nerve paralysis; regional muscle transfer Facility (15845) $4,916 $6,145 1.3×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $5,159.20 $6,449 0.8×
Grafting of autologous soft tiss by direct exc (15769) $1,127.20 $1,409 0.3×
Gum graft (41870) $975.20 $1,219 0.6×
Hair xplant punch grft 1-15 (15775) $223.20 $279 0.5×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
range across 3 matching MRF lines		 $417.60–$3,128.80 $522–$3,911 varies
Hand tendon reconstruction (26500)
likely a partial charge, not the full procedure		 $2,248 $2,810 0.3×
Head Surgery Procedure (21499) $1,563.20 $1,954 6.2×
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $1,553.60–$7,762.40 $1,942–$9,703 varies
Hemiepiphyseal Arrest (24470) $6,233.60 $7,792 1.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,521.60 $1,902 0.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,359.20 $1,699 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,846.40 $2,308 0.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,937.60 $2,422 0.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $2,028.80 $2,536 0.7×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,509.60 $1,887 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $412–$1,384.80 $515–$1,731 varies
Hemorrhoidopexy by stapling (46947) $704.80 $881 0.2×
Hip arthro acetabuloplasty (29915) $6,024.80 $7,531 0.8×
Hip arthro w/labral repair (29916)
range across 2 matching MRF lines		 $1,257.60–$6,287.20 $1,572–$7,859 varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,597.60 $1,997 0.5×
Hymenotomy Simple Incision (56442) $187.20 $234 0.1×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565)
range across 2 matching MRF lines		 $1,002.40–$5,008.80 $1,253–$6,261 varies
Hysteroscopy Biopsy (58558) $3,071.20 $3,839 0.9×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $3,564.80 $4,456 0.7×
Hysteroscopy Dx Sep Proc (58555) $1,908.80 $2,386 0.6×
Hysteroscopy Endometrial Ablation (58563) $5,595.20 $6,994 1.0×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $3,244 $4,055 0.6×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,526.40 $4,408 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,700 $5,875 0.9×
Hysterotomy Abdominal (59100)
unusually low: confirm this is the full procedure		 $2,473.60 $3,092 0.5×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $603.20 $754 0.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $562.40–$585.60 $703–$732 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $219.20–$412 $274–$515 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $987.20 $1,234 0.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,490.40 $1,863 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $1,223.20–$1,359.20 $1,529–$1,699 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,729.60 $2,162 0.5×
I&d forearm/wrist bursa (25031) $1,368 $1,710 0.8×
I&D Intramural Im/Absc Transanal Anes (46045) $1,400.80 $1,751 0.5×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $3,162.40 $3,953 1.1×
I&D Mouth/Tong Intra,Masticator (41009) $937.60 $1,172 1.6×
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $285.60–$1,424.80 $357–$1,781 varies
I&d perianal abscess superficial (46050) $630.40 $788 0.6×
I&d pilonidal cyst complicated (10081) $688 $860 0.9×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $394.40–$422.40 $493–$528 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $316–$1,580 $395–$1,975 varies
I&d thyroglossal duct cyst infected (60000) $314.40 $393 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,648 $2,060 0.5×
I&d vaginal hematoma obstetrical/postpartum (57022) $570.40 $713 0.2×
Icd Pocket Revision (33223) $1,452.80 $1,816 0.7×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,261.60 $1,577 1.3×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $957.60–$2,414.40 $1,197–$3,018 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $856.80–$3,338.40 $1,071–$4,173 varies
Immediate breast prosthesis (19340)
likely a partial charge, not the full procedure		 $1,720.80 $2,151 0.2×
Implant cochlear device (69930)
likely a partial charge, not the full procedure		 $7,117.60 $8,897 0.2×
Implant eye drug system (67027) $7,921.60 $9,902 0.5×
Implant neuroelectrodes (63650) $6,166.40 $7,708 0.9×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $2,907.20–$4,360.80 $3,634–$5,451 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $1,628 $2,035 0.1×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $2,504.80 $3,131 0.1×
Implant temple bone w/stimul (69714)
unusually low: confirm this is the full procedure		 $5,186.40 $6,483 0.4×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
likely a partial charge, not the full procedure		 $2,368.80 $2,961 0.1×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $5,916.80 $7,396 0.8×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $5,007.20 $6,259 0.5×
Impression & Preparation Auricular Prosthesis (21086) $7,024 $8,780 2.0×
Impression & Preparation Nasal Prosthesis (21087) $7,024 $8,780 1.1×
Impression & Preparation Oral Surgical Splint (21085) $1,820 $2,275 7.2×
Impression & Prepj Palatal Augmentation Prosthes (21082) $5,882.40 $7,353 1.7×
Impression and custom preparation; definitive obturator prosthesis Facility (21080) $7,075.20 $8,844 2.0×
Impression and custom preparation; interim obturator prosthesis Facility (21079) $6,301.60 $7,877 1.8×
Impression and custom preparation; mandibular resection prosthesis Facility (21081) $6,448 $8,060 1.0×
Impression and custom preparation; orbital prosthesis Facility (21077) $9,506.40 $11,883 1.5×
Impression and custom preparation; palatal lift prosthesis Facility (21083) $5,442.40 $6,803 1.5×
Impression and custom preparation; speech aid prosthesis Facility (21084) $6,350.40 $7,938 1.8×
Impression&Preparation Surg Obturator Prosthes (21076) $3,784 $4,730 2.3×
Incise external hemorrhoid (46083) $392.80 $491 1.5×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $395.20–$1,976 $494–$2,470 varies
Incise sperm duct pouch (55600) $2,078.40 $2,598 0.9×
Incise tendon(s) & muscle(s) (23406) $4,979.20 $6,224 0.6×
Incise Wrist/Forearm Tendon (25290) $1,711.20 $2,139 0.5×
Incise/Drain Conjunctiva (68020) $260.80 $326 0.2×
Incision & drainage abscess complicated/multiple (10061) $571.20 $714 1.3×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,352.80 $1,691 0.4×
Incision & drainage leg/ankle infected bursa (27604) $492.80 $616 0.1×
Incision & removal foreign body subq tiss compl (10121) $576 $720 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $42.40–$748.80 $53–$936 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $351.20–$406.40 $439–$508 varies
Incision and drainage of the tear gland (68400) $676 $845 0.6×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $570.40 $713 0.2×
Incision and drainage of vulva or perineal abscess (56405) $358.40 $448 1.1×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
unusually low: confirm this is the full procedure		 $2,344 $2,930 0.3×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,726.40 $2,158 1.0×
Incision bone cortex foot (28005) $1,485.60 $1,857 0.4×
Incision Drainage Lacrimal Sac (68420) $680 $850 0.3×
Incision extensor tendon sheath wrist (25000) $2,044 $2,555 1.2×
Incision of eardrum (69421) $765.60 $957 0.2×
Incision of eardrum (69420) $580 $725 2.3×
Incision of eye (65850) $2,572 $3,215 1.0×
Incision of fibula (27707) $1,861.60 $2,327 0.5×
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $97.60–$484.80 $122–$606 varies
Incision of hip tendon (27001) $1,726.40 $2,158 0.5×
Incision of iris (66500) $1,073.60 $1,342 0.4×
Incision of labial frenum (frenotomy) (40806) $480 $600 0.8×
Incision of lingual frenum (frenotomy) (41010) $465.60 $582 0.3×
Incision of lymph channels (38308) $1,045.60 $1,307 0.2×
Incision of rectal abscess (46040) $1,290.40 $1,613 1.0×
Incision of sperm duct (55200) $1,066.40 $1,333 0.3×
Incision of thigh tendons (27392) $2,382.40 $2,978 0.7×
Incision of tibia & fibula (27709)
unusually low: confirm this is the full procedure		 $4,423.20 $5,529 0.3×
Incision of urethra (53010)
unusually low: confirm this is the full procedure		 $1,725.60 $2,157 0.3×
Incision of urethra (53025) $348 $435 0.2×
Incision of urethra (53000) $829.60 $1,037 0.4×
Incision of urethra (53020) $809.60 $1,012 0.4×
Incision&drainage bursa foot (28001) $397.60 $497 0.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,600 $2,000 0.9×
Incision, anal septum (infant) Facility (46070) $528.80 $661 0.2×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) $3,064 $3,830 1.8×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $2,014.40 $2,518 0.6×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $3,198.40 $3,998 0.9×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) $1,424.80 $1,781 0.4×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $1,906.40 $2,383 0.5×
Incisional biopsy eyelid skin & lid margin (67810) $383.20 $479 1.1×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $478.40–$590.40 $598–$738 varies
Induced abortion dilation and curettage (59840) $1,160.80 $1,451 0.3×
Induced abortion, by dilation and evacuation (59841) $1,232.80 $1,541 0.4×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $108–$233.60 $135–$292 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $2,151.20–$3,227.20 $2,689–$4,034 varies
Inj W/Fluor Eval Cv Device (36598)
range across 3 matching MRF lines		 $210.40–$562.40 $263–$703 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,222.40 $1,528 1.3×
Inject Intravitreal Pharmcologic (67028)
range across 3 matching MRF lines		 $669.26–$999 $836.57–$1,248.75 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $201.60–$302.40 $252–$378 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,160 $1,450 1.2×
Injection aa&/strd genicular nrv branches w/img (64454) $1,152.80 $1,441 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,810.40 $2,263 1.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,022.40 $1,278 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $848 $1,060 2.6×
Injection anesthetic agent suprascapular nerve (64418) $1,087.20 $1,359 1.4×
Injection for identification of sentinel node (38792) $776.80 $971 1.8×
Injection Into Brain Canal (61055) $890.40 $1,113 2.7×
Injection into disk lesion (62292) $4,552.80 $5,691 2.2×
Injection into spinal artery (62294) $866.40 $1,083 0.9×
Injection medication/other subst tenon capsule (67515) $256.80 $321 0.8×
Injection of sclerosing solution, hemorrhoids (46500) $207.20 $259 0.2×
Injection procedure for peyronie disease (54200) $337.60 $422 1.3×
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205)
unusually low: confirm this is the full procedure		 $2,256.80 $2,821 0.4×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $40.80–$201.60 $51–$252 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $185.60–$626.40 $232–$783 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $376.80–$805.60 $471–$1,007 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $278.40 $348 0.2×
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $190.40–$434.40 $238–$543 varies
Injection Turbinate Therapeutic (30200) $145.60 $182 0.3×
Injection, anesthetic agent; brachial plexus, single (64415) $1,151.20 $1,439 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $700–$1,084.80 $875–$1,356 varies
Injection, anesthetic agent; vagus nerve (64408) $956 $1,195 2.9×
Injection, Intralesional; More Than 7 Lesions (11901) $196 $245 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $127.20 $159 0.6×
Injx anterior chamber eye air/liquid spx (66020) $431.20 $539 0.2×
Injx Anterior Chamber Eye Medication Spx (66030) $338.40 $423 0.1×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $968.80 $1,211 1.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $923.20 $1,154 1.0×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $740 $925 0.8×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $2,388–$4,857.60 $2,985–$6,072 varies
Ins cath ren art 1st unilat (36251) $1,738.40 $2,173 0.5×
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure		 $2,569.60 $3,212 0.4×
Insert 1 Electrode Pm-Defib (33216)
likely a partial charge, not the full procedure		 $1,536.80 $1,921 0.2×
Insert and remove bone pin (20650) $509.60 $637 0.1×
Insert Bladder Cath Complex (51703) $351.20 $439 2.5×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $271.20–$1,575.20 $339–$1,969 varies
Insert cath pleura w/o image (32556) $1,428.80 $1,786 0.7×
Insert cervical dilator (59200) $383.20 $479 1.2×
Insert Drug Implant Device (11981) $502.40 $628 3.5×
Insert eye socket implant (67550) $2,676 $3,345 0.6×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $654.40–$3,272 $818–$4,090 varies
Insert Heart Pm Atrial (33206)
likely a partial charge, not the full procedure		 $2,832.80 $3,541 0.3×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $2,918.40–$20,023.66 $3,648–$25,029.57 varies
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $4,958.40 $6,198 0.2×
Insert Nasal Septal Button (30220) $610.40 $763 0.4×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $621.60–$2,967.20 $169–$3,709 varies
Insert ocular implant (65135) $3,408 $4,260 0.8×
Insert pessary/other device (57160) $148 $185 0.7×
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure		 $1,658.40 $2,073 0.1×
Insert Pulse Gen Sngl Lead (33212)
likely a partial charge, not the full procedure		 $1,547.20 $1,934 0.2×
Insert self-contd prosthesis (54401)
likely a partial charge, not the full procedure		 $3,930.40 $4,913 0.2×
Insert semi-rigid prosthesis (54400)
likely a partial charge, not the full procedure		 $3,544.80 $4,431 0.3×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $2,368.80 $2,961 0.1×
Insert Temp Bladder Cath (51702) $193.60 $242 1.4×
Insert testicular prosthesis (54660)
likely a partial charge, not the full procedure		 $833.60 $1,042 0.1×
Insert tun ip cath perc (49418) $1,301.60 $1,627 0.3×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $888–$4,439.20 $1,110–$5,549 varies
Insert Uro/Ves Nck Sphincter (53445)
likely a partial charge, not the full procedure		 $5,307.20 $6,634 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $193.60 $242 1.4×
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $2,543.20–$7,284 $3,179–$9,105 varies
Insertion of cannula (36800)
likely a partial charge, not the full procedure		 $669.60 $837 0.1×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) $1,572 $1,965 0.5×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815)
likely a partial charge, not the full procedure		 $1,100.80 $1,376 0.2×
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260)
unusually low: confirm this is the full procedure		 $2,320.80 $2,901 0.4×
Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) $4,089.60 $5,112 1.0×
Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) $2,999.20 $3,749 0.7×
Insertion of pin-retained palatal prosthesis Facility (42281)
likely a partial charge, not the full procedure		 $703.20 $879 0.1×
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215)
unusually low: confirm this is the full procedure		 $3,602.40 $4,503 0.4×
Insertion of Thomas shunt (separate procedure) Facility (36835) $3,659.20 $4,574 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,981.80 $3,727.25 1.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $14,175.20 $514–$17,719 1.6×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $1,500.80 $1,876 0.4×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
likely a partial charge, not the full procedure		 $1,381.60 $1,727 0.2×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
likely a partial charge, not the full procedure		 $1,685.60 $2,107 0.2×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $3,162.40 $3,953 1.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,045.60 $3,807 0.9×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $2,999.20 $3,749 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $844.80 $1,056 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 4 matching MRF lines		 $410.40–$4,654.94 $513–$5,818.67 varies
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure		 $3,360.80 $4,201 0.4×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
likely a partial charge, not the full procedure		 $2,438.40 $3,048 0.1×
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure		 $3,620 $4,525 0.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $2,540.80 $3,176 0.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $1,302.40–$8,647.20 $1,628–$10,809 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure		 $1,476.80 $1,846 0.2×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $3,164–$18,598.40 $3,955–$23,248 varies
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure		 $1,645.60 $2,057 0.1×
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure		 $2,272 $2,840 0.1×
Install spinal shunt (63741)
likely a partial charge, not the full procedure		 $2,728.80 $3,411 0.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $448 $560 0.2×
Interdental fixation (21110) $1,476 $1,845 0.9×
Interdental Wiring Other Than Fracture (21497) $1,183.20 $1,479 0.7×
Interpelviabdominal amputation (hindquarter amputation) Facility (27290)
unusually low: confirm this is the full procedure		 $8,781.60 $10,977 0.5×
Interthoracoscapular amputation (forequarter) Facility (23900) $7,221.60 $9,027 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,202.40 $1,503 2.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,528.80 $1,911 3.5×
Intranasal Biopsy (30100) $244.80 $306 0.1×
Intraoral i&d tongue/floor lingual (41000) $324 $405 0.6×
Intraoral i&d tongue/floor sublngl supfc (41005) $359.20 $449 1.4×
Intraoral i&d tongue/floor submental space (41007) $937.60 $1,172 0.6×
Intraoral i&d tongue/floor submndblr space (41008) $937.60 $1,172 0.3×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $1,760.80–$1,796.80 $2,201–$2,246 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $10,365.60 $12,957 0.8×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $2,940–$10,020.58 $3,675–$12,525.73 varies
Intro Gastrointestinal Tube (44500) $181.60 $227 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $560–$718.40 $700–$898 varies
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $2,400.80 $3,001 1.0×
Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) $4,367.20 $5,459 1.8×
Iridoplasty photocoagulation 1/> sessions (66762) $2,184 $2,730 3.7×
Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) $860 $1,075 0.3×
Iridotomy/irridectomy laser surg per session (66761) $2,207.20 $2,759 3.7×
Irrigation maxillary sinus (31000) $219.20 $274 0.9×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $600.80–$838.40 $751–$1,048 varies
Island pedicle flap graft (15740) $3,272.80 $4,091 1.5×
IV injection test vascular flow flap/graft (15860) $396 $495 0.8×
Jaw arthroscopy/surgery (29800) $2,561.60 $3,202 0.7×
Keratoplasty Penetrating Pseudophakia (65755) $6,208.80 $7,761 1.4×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $5,780.80 $7,226 1.3×
Kidney endoscopy (50575)
unusually low: confirm this is the full procedure		 $1,887.20 $2,359 0.3×
Kidney endoscopy (50553)
likely a partial charge, not the full procedure		 $993.60 $1,242 0.2×
Kidney endoscopy (50570) $568 $710 0.2×
Kidney endoscopy (50551)
likely a partial charge, not the full procedure		 $474.40 $593 0.1×
Knee arthroscopy/drainage (29871)
range across 2 matching MRF lines		 $543.20–$2,712.80 $679–$3,391 varies
Knee Arthroscopy/Surgery (29885) $4,826.40 $6,033 0.6×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $667.20–$3,336 $834–$4,170 varies
Knee Arthroscopy/Surgery (29850)
range across 2 matching MRF lines		 $3,339.20–$5,008.80 $4,174–$6,261 varies
Krukenberg procedure Facility (25915)
unusually low: confirm this is the full procedure		 $3,649.60 $4,562 0.5×
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818) $20,443.20 $25,554 1.1×
Labyrinthectomy; with mastoidectomy Facility (69910) $6,102.40 $7,628 1.0×
Labyrinthotomy Transcanal (69801) $4,577.60 $5,722 2.8×
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines		 $1,552–$7,758.40 $1,940–$9,698 varies
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) $5,271.20 $6,589 0.7×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $6,712 $8,390 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $5,872.80 $7,341 0.8×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017)
range across 2 matching MRF lines		 $1,486.40–$7,429.60 $1,858–$9,287 varies
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) $6,375.20 $7,969 0.8×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $7,212 $9,015 0.9×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $7,968 $9,960 1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $7,758.40 $9,698 1.0×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) $7,508 $9,385 1.0×
Laminotomy Single Lumbar (63042)
range across 5 matching MRF lines		 $1,442.40–$11,143.20 $1,803–$13,929 varies
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines		 $527.20–$2,632.80 $659–$3,291 varies
Lap paraesoph her rpr w/mesh (43282) $6,015.20 $7,519 0.5×
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $883.20–$4,414.40 $1,104–$5,518 varies
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure		 $1,456.80 $1,821 0.2×
Laparo ablate renal cyst (50541)
unusually low: confirm this is the full procedure		 $3,768.80 $4,711 0.3×
Laparo ligate spermatic vein (55550)
unusually low: confirm this is the full procedure		 $2,596 $3,245 0.4×
Laparo new ureter/bladder (50947)
unusually low: confirm this is the full procedure		 $5,532 $6,915 0.5×
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $1,221.60–$6,322.40 $1,527–$7,903 varies
Laparoscopic myomectomy (58545) $4,851.20 $6,064 0.7×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $413.60–$2,138.40 $517–$2,673 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $586.40–$3,032.80 $733–$3,791 varies
Laparoscopy fimbrioplasty (58672) $4,582.40 $5,728 0.7×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $2,444 $3,055 0.4×
Laparoscopy gastrostomy (43653)
unusually low: confirm this is the full procedure		 $2,018.40 $2,523 0.3×
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure		 $4,185.60 $5,232 0.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 4 matching MRF lines		 $387.20–$2,901.60 $484–$3,627 varies
Laparoscopy surgical orchiectomy (54690)
unusually low: confirm this is the full procedure		 $2,372 $2,965 0.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $5,872.80 $7,341 0.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $881.60–$4,404.80 $1,102–$5,506 varies
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $766.40–$3,964 $958–$4,955 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 5 matching MRF lines		 $735.20–$5,702.40 $919–$7,128 varies
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
unusually low: confirm this is the full procedure		 $2,012.80 $2,516 0.3×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $451.20–$2,255.20 $564–$2,819 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure		 $4,806.40 $6,008 0.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 2 matching MRF lines		 $884.80–$4,420.80 $1,106–$5,526 varies
Laparoscopy, surgical, splenectomy (38120)
unusually low: confirm this is the full procedure		 $4,692.80 $5,866 0.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
range across 2 matching MRF lines		 $840–$4,200 $1,050–$5,250 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
range across 2 matching MRF lines		 $1,138.40–$5,889.60 $1,423–$7,362 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
range across 2 matching MRF lines		 $1,216–$6,076.80 $1,520–$7,596 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $697.60–$3,486.40 $872–$4,358 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $3,688 $4,610 0.3×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
unusually low: confirm this is the full procedure		 $2,372 $2,965 0.4×
Laparoscopy, surgical; pyeloplasty (50544)
unusually low: confirm this is the full procedure		 $4,711.20 $5,889 0.4×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 4 matching MRF lines		 $426.40–$3,196 $533–$3,995 varies
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $4,317.60 $5,397 0.7×
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) $3,635.20 $4,544 0.6×
Laparoscopy, surgical; ureterolithotomy Facility (50945) $3,736.80 $4,671 0.6×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948)
unusually low: confirm this is the full procedure		 $4,904 $6,130 0.4×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $4,372.80 $5,466 0.7×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572)
unusually low: confirm this is the full procedure		 $4,953.60 $6,192 0.4×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
unusually low: confirm this is the full procedure		 $4,744.80 $5,931 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $479.20–$2,393.60 $599–$2,992 varies
Laparoscopy, Tubal Block (58671)
range across 2 matching MRF lines		 $472.80–$2,444 $591–$3,055 varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $463.20–$2,395.20 $579–$2,994 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $839.20–$4,343.20 $1,049–$5,429 varies
Laps Gastric Restrictive Px Remove Device & Port (43774)
range across 2 matching MRF lines		 $652.80–$3,260.80 $816–$4,076 varies
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $4,432 $5,540 0.7×
Laps Surg Trnsxj Vagus Nrv Truncal (43651)
unusually low: confirm this is the full procedure		 $2,585.60 $3,232 0.4×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure		 $2,736 $3,420 0.4×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
range across 2 matching MRF lines		 $1,349.60–$6,983.20 $1,687–$8,729 varies
Largsc Arytenoidectomy Microscope/Telescope (31561)
likely a partial charge, not the full procedure		 $1,773.60 $2,217 0.2×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $1,460 $1,825 0.4×
Laryngoplasty, cricoid split, without graft placement Facility (31587)
unusually low: confirm this is the full procedure		 $3,127.20 $3,909 0.5×
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) $3,476 $4,345 0.5×
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) $3,302.40 $4,128 0.5×
Laryngoscop w/arytenoidectom (31560)
likely a partial charge, not the full procedure		 $1,477.60 $1,847 0.2×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $1,219.20 $1,524 0.3×
Laryngoscopy and dilation (31528) $1,045.60 $1,307 0.3×
Laryngoscopy diagnostic (31505) $289.60 $362 1.4×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $872 $1,090 0.2×
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) $1,739.20 $2,174 0.4×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $1,340 $1,675 0.3×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $200–$402.40 $250–$503 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $1,390.40 $1,738 0.3×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $803.20 $1,004 0.4×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,289.60 $1,612 3.1×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $940.80 $1,176 2.2×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $1,340 $1,675 0.3×
Laryngoscopy Indirect W/Biopsy (31510) $766.40 $958 0.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $872 $1,090 4.1×
Laryngoscopy Indirect W/Removal Lesion (31512) $1,045.60 $1,307 0.3×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $1,390.40 $1,738 3.3×
Laryngoscopy W/Biopsy (31535) $1,214.40 $1,518 0.3×
Laryngoscopy w/biopsy microscope/telescope (31536) $1,461.60 $1,827 0.4×
Laryngoscopy W/Foreign Body Removal (31530) $1,113.60 $1,392 0.6×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $524.80 $656 1.3×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $455.20 $569 1.1×
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $4,359.20 $5,449 1.2×
Larynscop w/tumr exc + scope (31541) $1,744.80 $2,181 0.4×
Laser Surgery Anal Lesions (46917) $1,117.60 $1,397 0.4×
Laser Surgery of Cervix (57513) $1,074.40 $1,343 0.3×
Laser Surgery,Sever Vitreous Strands (67031) $2,142.40 $2,678 3.6×
Laser treatment of retina (67040) $7,571.20 $9,464 1.7×
Laser vaporization of prostate (52648) $8,428.80 $10,536 1.5×
Late closure of wound (13160) $1,316.80 $1,646 0.3×
Lateral Canthopexy (21282) $2,949.60 $3,687 0.8×
Lateral retinacular release open (27425)
range across 2 matching MRF lines		 $506.40–$2,532 $633–$3,165 varies
Lavage cannulation sphenoid sinus (31002) $433.60 $542 0.3×
Lengthen metacarpal/finger (26568) $4,174.40 $5,218 0.5×
Lengthen radius or ulna (25391)
unusually low: confirm this is the full procedure		 $5,470.40 $6,838 0.4×
Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394)
unusually low: confirm this is the full procedure		 $2,898.40 $3,623 0.4×
Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) $3,374.40 $4,218 1.0×
Lengthening of hamstring tendon; single tendon Facility (27393)
likely a partial charge, not the full procedure		 $1,667.20 $2,084 0.2×
Lengthening of palate (42227) $4,857.60 $6,072 0.8×
Lengthening of palate, and pharyngeal flap Facility (42226) $4,857.60 $6,072 0.8×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $1,928.80 $2,411 0.6×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $2,570.40 $3,213 0.7×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $2,393.60 $2,992 0.7×
Lig&div long saph vein saphfem junct/interrupj (37700)
range across 2 matching MRF lines		 $1,428–$2,142.40 $1,785–$2,678 varies
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
unusually low: confirm this is the full procedure		 $5,159.20 $6,449 0.4×
Ligamentous Reconstruction Knee Extra-Articular (27427) $4,009.60 $5,012 0.5×
Ligamentous reconstruction knee intra-articular (27428)
range across 2 matching MRF lines		 $960.80–$4,800.80 $1,201–$6,001 varies
Ligate/strip long leg vein (37722) $1,530.40 $1,913 0.5×
Ligate/strip short leg vein (37718) $1,482.40 $1,853 0.4×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $3,202.40 $4,003 0.9×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $3,378.40 $4,223 1.0×
Ligation External Carotid Artery (37600) $1,812 $2,265 0.5×
Ligation Internal/Common Carotid Artery (37605) $1,845.60 $2,307 0.5×
Ligation Major Artery Abdomen (37617)
unusually low: confirm this is the full procedure		 $2,941.60 $3,677 0.5×
Ligation nasal sinus artery (30915) $2,188 $2,735 0.6×
Ligation of a-v fistula (37607) $1,075.20 $1,344 0.3×
Ligation of femoral vein (37650) $1,343.20 $1,679 0.4×
Ligation of hemorrhoids (46946) $671.20 $839 0.2×
Ligation Of Neck Artery (37615) $1,830.40 $2,288 0.5×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $811.20–$1,216.80 $1,014–$1,521 varies
Ligation salivary duct, intraoral Facility (42665) $236 $295 0.1×
Ligation, internal jugular vein Facility (37565) $1,961.60 $2,452 0.6×
Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) $1,830.40 $2,288 0.5×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,060.80 $1,326 0.3×
Limited pharyngectomy Facility (42890)
unusually low: confirm this is the full procedure		 $2,481.60 $3,102 0.4×
Litholapaxy comp/lg > 2.5 cm (52318) $3,170.40 $3,963 0.8×
Litholapaxy smpl/sm <2.5 cm (52317) $2,364.80 $2,956 0.6×
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines		 $4,624.80–$6,937.60 $5,781–$8,672 varies
Lmtd lmphadec staging spx pel&para-aortic (38562)
unusually low: confirm this is the full procedure		 $3,911.20 $4,889 0.4×
Low Back Disk Surgery (63030)
range across 4 matching MRF lines		 $1,284–$9,913.60 $1,605–$12,392 varies
Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) $1,223.20 $1,529 39.5×
Lsh uterus above 250 g (58543)
range across 2 matching MRF lines		 $552–$2,760 $690–$3,450 varies
Lysis Intranasal Synechia (30560) $340.80 $426 0.6×
Lysis of labial adhesions (56441) $402.40 $503 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $555.20 $694 0.2×
Malar Augmentation Prosthetic Material (21270) $4,423.20 $5,529 0.7×
Male sling procedure (53440)
unusually low: confirm this is the full procedure		 $6,202.40 $7,753 0.4×
Manipulation Ankle Under General Anesthesia (27860) $756.80 $946 0.2×
Manipulation Elbow Under Anesthesia (24300) $1,436 $1,795 0.8×
Manipulation hip joint general anesthesia (27275) $1,168 $1,460 0.7×
Manipulation knee joint under general anesthesia (27570)
range across 3 matching MRF lines		 $176.80–$1,324.80 $221–$1,656 varies
Manipulation spine requiring anesthesia (22505) $548.80 $686 0.3×
Manipulation wrist under anesthesia (25259) $1,482.40 $1,853 0.9×
Manipulation, finger joint, under anesthesia, each joint (26340) $793.60 $992 0.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,102.40 $1,378 0.6×
Manometric stds thru tube/ndwellg urtrl cath (50396) $453.60 $567 0.6×
Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) $189.60 $237 1.4×
Marsupialization of bartholin's gland cyst (56440) $1,133.60 $1,417 0.3×
Marsupialization of urethral diverticulum, male or female Facility (53240) $1,725.60 $2,157 0.5×
Mast mod rad (19307)
range across 4 matching MRF lines		 $597.60–$4,480 $747–$5,600 varies
Mastectomy for gynecomastia (19300)
range across 3 matching MRF lines		 $243.20–$1,819.20 $304–$2,274 varies
Mastectomy partial (19301)
range across 4 matching MRF lines		 $292–$2,190.40 $365–$2,738 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $628.80–$3,141.60 $786–$3,927 varies
Mastectomy simple complete (19303)
range across 4 matching MRF lines		 $404–$3,025.60 $505–$3,782 varies
Mastoid obliteration separate procedure (69670) $6,102.40 $7,628 1.0×
Mastoidectomy (69501) $3,559.20 $4,449 0.6×
Mastoidectomy; complete (69502) $4,729.60 $5,912 0.7×
Mastopexy (19316)
unusually low: confirm this is the full procedure		 $3,248 $4,060 0.5×
Maternity Care Procedure (59899)
range across 4 matching MRF lines		 $198.40–$2,101.60 $248–$2,627 varies
Maxillary impression for palatal prosthesis Facility (42280) $353.60 $442 0.6×
Maxillofacial fixation (21100)
likely a partial charge, not the full procedure		 $664.80 $831 0.1×
Medial Canthopexy Separate Procedure (21280) $3,736.80 $4,671 1.1×
Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) $6,632.80 $8,291 1.0×
Metatarsectomy (28140) $1,856.80 $2,321 0.5×
Middle ear expl thru postaur/ear canal inc (69440) $3,306.40 $4,133 0.9×
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410)
unusually low: confirm this is the full procedure		 $6,394.40 $7,993 0.5×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) $6,837.60 $8,547 2.0×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) $4,786.40 $5,983 1.4×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $1,159.20 $1,449 0.5×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $4,619.20 $5,774 2.1×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $7,658.40 $9,573 1.0×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $4,619.20 $5,774 1.2×
Muscle-skin graft trunk (15734) $5,699.20 $7,124 1.5×
Muscle/tendon transfer upper arm/elbow single (24301) $5,596 $6,995 0.7×
Myelography Lumbar Injection (62304) $1,237.60 $1,547 1.5×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,879.20 $2,349 0.5×
Myringoplasty (69620) $4,068.80 $5,086 1.1×
N Block Inj Celiac Pelus (64530) $2,406.40 $3,008 2.5×
N Block Inj Ilio-Ing/Hypogi (64425) $1,323.20 $1,654 1.7×
N block inj intercost sng (64420) $1,237.60 $1,547 1.6×
N Block Inj Paracervical (64435) $1,015.20 $1,269 1.3×
N Block Inj Plantar Digit (64455) $304.80 $381 0.9×
N Block Inj Pudendal (64430) $1,021.60 $1,277 1.1×
N Block Lumbar/Thoracic (64520) $1,934.40 $2,418 2.0×
Nasal Endoscopy Dx (31231) $649.60 $812 3.0×
Nasal sinus therapy (30210) $100 $125 0.1×
Nasal surgery procedure (30999)
range across 3 matching MRF lines		 $610.40–$4,646.40 $763–$5,808 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $207.20–$390.40 $259–$488 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $1,256 $1,570 3.0×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $2,867.20–$4,300.80 $3,584–$5,376 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 2 matching MRF lines		 $3,017.60–$4,526.40 $3,772–$5,658 varies
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292)
unusually low: confirm this is the full procedure		 $3,348 $4,185 0.4×
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293)
unusually low: confirm this is the full procedure		 $3,766.40 $4,708 0.5×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $4,646.40 $5,808 0.7×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $5,346.40 $6,683 0.8×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $2,328.80–$3,493.60 $2,911–$4,367 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $1,726.40–$2,589.60 $2,158–$3,237 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,510.40 $1,888 0.8×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $3,348 $4,185 0.8×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
range across 2 matching MRF lines		 $10,756–$16,134.40 $13,445–$20,168 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines		 $5,848.80–$8,773.60 $7,311–$10,967 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $4,919.20–$7,379.20 $6,149–$9,224 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $5,829.60 $7,287 0.8×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 2 matching MRF lines		 $5,196.80–$7,795.20 $6,496–$9,744 varies
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines		 $1,565.60–$3,131.20 $1,957–$3,914 varies
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 2 matching MRF lines		 $1,565.60–$2,348.80 $1,957–$2,936 varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines		 $3,060.80–$4,591.20 $3,826–$5,739 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines		 $3,620.80–$5,431.20 $4,526–$6,789 varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines		 $4,960.80–$7,441.60 $6,201–$9,302 varies
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $1,341.60 $1,677 0.7×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785)
range across 3 matching MRF lines		 $204–$509.60 $255–$637 varies
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,118.40 $1,398 1.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,308 $1,635 1.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,558.40 $3,198 1.5×
Neck spine disk surgery (63020) $6,626.40 $8,283 0.9×
Neck spine fusion (22600)
unusually low: confirm this is the full procedure		 $8,060 $10,075 0.4×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $352–$1,873.60 $440–$2,342 varies
Needle Biopsy Pancreas (48102) $1,432.80 $1,791 0.8×
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) $5,015.20 $6,269 0.5×
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885)
unusually low: confirm this is the full procedure		 $4,074.40 $5,093 0.4×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) $5,784.80 $7,231 0.6×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) $4,915.20 $6,144 0.5×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) $6,017.60 $7,522 0.6×
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) $4,915.20 $6,144 0.5×
Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) $4,012 $5,015 1.1×
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891)
unusually low: confirm this is the full procedure		 $4,012 $5,015 0.4×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
unusually low: confirm this is the full procedure		 $3,260.80 $4,076 0.3×
Nerve graft arm/leg <4 cm (64892)
unusually low: confirm this is the full procedure		 $3,260.80 $4,076 0.3×
Nerve Pedicle Transfer First Stage (64905)
likely a partial charge, not the full procedure		 $2,787.20 $3,484 0.3×
Nerve pedicle transfer; second stage Facility (64907)
unusually low: confirm this is the full procedure		 $3,918.40 $4,898 0.4×
Neuroeltrd Stim Post Tibial (64566) $419.20 $524 1.3×
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $3,260.80 $4,076 1.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $672–$3,359.20 $840–$4,199 varies
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) $2,831.20 $3,539 1.4×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $3,009.60 $3,762 1.4×
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $3,712 $4,640 1.8×
Neurp major prph nrv opn arm/leg sciatic nrv (64712)
range across 2 matching MRF lines		 $675.20–$3,376.80 $844–$4,221 varies
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $754.40 $943 1.0×
Nipple Exploration (19110) $1,128.80 $1,411 0.3×
Nipple/areola reconstruction (19350) $3,896 $4,870 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $2,068.80 $2,586 2.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $337.60–$756 $422–$945 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $2,475.20–$3,723.43 $3,094–$4,654.29 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $2,106.40–$2,108.94 $2,633–$2,636.17 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,943.31 $2,429.14 2.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,057.45 $2,571.81 2.2×
Njx Sclrsnt 1 Incmptnt Vein (36470) $380.80 $476 0.9×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $423.20 $529 1.0×
Njx Sclrsnt Spider Veins (36468)
range across 3 matching MRF lines		 $83.20–$204.80 $104–$256 varies
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250)
range across 3 matching MRF lines		 $259.20–$647.20 $324–$809 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $3,620.80–$5,431.20 $4,526–$6,789 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
range across 2 matching MRF lines		 $3,320–$4,980 $4,150–$6,225 varies
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $496–$1,631.20 $620–$2,039 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $2,124 $2,655 0.6×
Omntc Epiploectomy Rescj Omentum Spx (49255)
range across 2 matching MRF lines		 $492.80–$2,463.20 $616–$3,079 varies
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $296.80–$1,483.20 $371–$1,854 varies
Open bone biopsy (20251)
unusually low: confirm this is the full procedure		 $3,320 $4,150 0.4×
Open bone biopsy (20250) $3,320 $4,150 0.9×
Open bowel to skin (44300)
range across 2 matching MRF lines		 $504–$2,516.80 $630–$3,146 varies
Open Implantation Nea Peripheral Nerve (64575)
likely a partial charge, not the full procedure		 $1,580 $1,975 0.1×
Open Implantation Nea Sacral Nerve (64581)
unusually low: confirm this is the full procedure		 $2,060 $2,575 0.3×
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580)
likely a partial charge, not the full procedure		 $1,580 $1,975 0.1×
Open nasoethmoid fx w/o fixj (21338) $3,441.60 $4,302 0.5×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
unusually low: confirm this is the full procedure		 $3,540.80 $4,426 0.5×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $1,191.20–$5,955.20 $1,489–$7,444 varies
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
unusually low: confirm this is the full procedure		 $5,458.40 $6,823 0.4×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
unusually low: confirm this is the full procedure		 $5,696.80 $7,121 0.4×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
unusually low: confirm this is the full procedure		 $5,932 $7,415 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $728.80–$3,643.20 $911–$4,554 varies
Open treatment calcaneal fracture (28415)
range across 4 matching MRF lines		 $734.40–$5,503.20 $918–$6,879 varies
Open Treatment Fracture Distal Tibia & Fibula (27828)
range across 2 matching MRF lines		 $1,091.20–$5,452.80 $1,364–$6,816 varies
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $925.60–$4,625.60 $1,157–$5,782 varies
Open treatment greater trochanteric fracture (27248)
range across 2 matching MRF lines		 $481.60–$2,404.80 $602–$3,006 varies
Open Treatment Grter Humeral Tuberosity Fracture (23630)
range across 2 matching MRF lines		 $621.60–$3,107.20 $777–$3,884 varies
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $819.20–$4,095.20 $1,024–$5,119 varies
Open treatment interphalangeal joint dislocation (28675) $1,050.40 $1,313 0.3×
Open Treatment Lunate Dislocation (25695)
unusually low: confirm this is the full procedure		 $3,250.40 $4,063 0.4×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $2,651.20 $3,314 0.3×
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines		 $505.60–$2,524.80 $632–$3,156 varies
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $468.80–$2,341.60 $586–$2,927 varies
Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) $9,268.80 $11,586 1.2×
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) $5,400 $6,750 0.7×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $744–$3,719.20 $930–$4,649 varies
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $4,701.60 $5,877 0.6×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $586.40–$2,930.40 $733–$3,663 varies
Open treatment of coccygeal fracture Facility (27202) $2,291.20 $2,864 0.7×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) $6,632.80 $8,291 1.0×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $6,511.20 $8,139 1.0×
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) $7,221.60 $9,027 1.1×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $6,882.40 $8,603 1.1×
Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433) $7,369.60 $9,212 1.2×
Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal… (21436) $9,824.80 $12,281 1.5×
Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435) $8,400.80 $10,501 1.3×
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) $4,620 $5,775 0.7×
Open treatment of depressed frontal sinus fracture Facility (21343) $4,717.60 $5,897 0.7×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
unusually low: confirm this is the full procedure		 $2,960.80 $3,701 0.5×
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) $4,420.80 $5,526 0.6×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) $4,678.40 $5,848 0.6×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
range across 2 matching MRF lines		 $1,062.40–$5,311.20 $1,328–$6,639 varies
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
range across 2 matching MRF lines		 $1,164.80–$5,816 $1,456–$7,270 varies
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
range across 2 matching MRF lines		 $1,214.40–$6,069.60 $1,518–$7,587 varies
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) $4,914.40 $6,143 0.8×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $5,057.60 $6,322 0.8×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $3,441.60 $4,302 0.5×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $4,287.20 $5,359 0.6×
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $4,881.60 $6,102 0.6×
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) $3,540.80 $4,426 1.0×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
range across 2 matching MRF lines		 $1,141.60–$5,704.80 $1,427–$7,131 varies
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) $6,039.20 $7,549 0.8×
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) $7,072 $8,840 0.9×
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) $4,126.40 $5,158 0.5×
Open treatment of mandibular condylar fracture Facility (21465) $5,896 $7,370 0.9×
Open treatment of mandibular fracture with external fixation Facility (21454) $4,079.20 $5,099 0.6×
Open treatment of nasal fracture; uncomplicated Facility (21325) $2,428.80 $3,036 0.7×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $5,307.20 $6,634 1.5×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $2,164 $2,705 0.6×
Open treatment of nasoethmoid fracture; with external fixation Facility (21339) $3,784 $4,730 0.6×
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) $7,024 $8,780 1.1×
Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)… (21348) $7,075.20 $8,844 1.1×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $5,896 $7,370 0.9×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $4,827.20 $6,034 0.8×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) $5,798.40 $7,248 0.9×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $4,717.60 $5,897 0.7×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $3,342.40 $4,178 0.5×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) $4,521.60 $5,652 0.7×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $3,932 $4,915 0.6×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
range across 2 matching MRF lines		 $812.80–$4,060.80 $1,016–$5,076 varies
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $4,086.40 $5,108 0.5×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
likely a partial charge, not the full procedure		 $1,184.80 $1,481 0.2×
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) $6,901.60 $8,627 2.0×
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) $4,888 $6,110 0.6×
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) $6,901.60 $8,627 0.9×
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) $6,613.60 $8,267 1.9×
Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258)
range across 2 matching MRF lines		 $917.60–$4,585.60 $1,147–$5,732 varies
Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) $5,368 $6,710 1.5×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532)
unusually low: confirm this is the full procedure		 $3,281.60 $4,102 0.4×
Open treatment of sternum fracture with or without skeletal fixation Facility (21825)
unusually low: confirm this is the full procedure		 $2,373.60 $2,967 0.3×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
unusually low: confirm this is the full procedure		 $2,756 $3,445 0.4×
Open treatment of temporomandibular dislocation Facility (21490) $4,325.60 $5,407 1.2×
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $609.60–$3,048 $762–$3,810 varies
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $2,060 $2,575 0.3×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines		 $540–$2,699.20 $675–$3,374 varies
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $820.80–$4,102.40 $1,026–$5,128 varies
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $609.60–$3,048 $762–$3,810 varies
Open Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure		 $2,121.60 $2,652 0.3×
Open tx acute shoulder dislocation (23660)
unusually low: confirm this is the full procedure		 $3,413.60 $4,267 0.4×
Open Tx Acute/Chronic Elbow Dislocation (24615)
unusually low: confirm this is the full procedure		 $3,715.20 $4,644 0.5×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $620–$3,096.80 $775–$3,871 varies
Open tx carpal bone fracture oth/thn scaphoid ea (25645)
range across 2 matching MRF lines		 $412–$2,059.20 $515–$2,574 varies
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines		 $572.80–$2,862.40 $716–$3,578 varies
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $2,763.20 $3,454 0.8×
Open Tx Depressed Malar Fracture (21360) $3,342.40 $4,178 0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $585.60–$2,928 $732–$3,660 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $377.60–$1,888 $472–$2,360 varies
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure		 $2,198.40 $2,748 0.3×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $545.60–$2,728 $682–$3,410 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
range across 2 matching MRF lines		 $1,051.20–$5,254.40 $1,314–$6,568 varies
Open tx femoral supracondylar fracture w/o xtn (27511)
range across 2 matching MRF lines		 $1,062.40–$5,311.20 $1,328–$6,639 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $241.60–$1,205.60 $302–$1,507 varies
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $3,388.80 $4,236 0.2×
Open tx humeral supracondylar fracture w/o xtn (24545)
range across 2 matching MRF lines		 $912.80–$4,562.40 $1,141–$5,703 varies
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
unusually low: confirm this is the full procedure		 $3,684 $4,605 0.5×
Open tx interphalangeal joint dislocation (26785) $1,888 $2,360 0.5×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $5,110.40 $6,388 0.8×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $4,325.60 $5,407 0.7×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $535.20–$2,672.80 $669–$3,341 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 3 matching MRF lines		 $486.40–$2,462.40 $608–$3,078 varies
Open Tx Radial Head/Neck Fracture (24665)
range across 2 matching MRF lines		 $658.40–$3,290.40 $823–$4,113 varies
Open Tx Radial Head/Neck Fracture Prosth (24666)
range across 2 matching MRF lines		 $840.80–$4,204 $1,051–$5,255 varies
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670)
unusually low: confirm this is the full procedure		 $2,664 $3,330 0.3×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
unusually low: confirm this is the full procedure		 $2,398.40 $2,998 0.3×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $769.60–$3,844.80 $962–$4,806 varies
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685)
unusually low: confirm this is the full procedure		 $3,623.20 $4,529 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 3 matching MRF lines		 $850.40–$6,376 $1,063–$7,970 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $724.80–$3,624 $906–$4,530 varies
Open/Perq Place Stent 1St (37236)
likely a partial charge, not the full procedure		 $1,556.80 $1,946 0.1×
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure		 $1,823.20 $2,279 0.1×
Opn tx orbit fx combined (21387) $5,700 $7,125 0.9×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $3,854.40 $4,818 1.1×
Opponensplasty; hypothenar muscle transfer Facility (26494) $5,139.20 $6,424 1.5×
Optic Nerve Decompression (67570) $4,455.20 $5,569 1.1×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $3,837.60 $4,797 1.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $463.20–$2,316 $579–$2,895 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 3 matching MRF lines		 $712.80–$5,342.40 $891–$6,678 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $1,140.80–$5,703.20 $1,426–$7,129 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $886.40–$4,430.40 $1,108–$5,538 varies
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) $4,050.40 $5,063 0.5×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
range across 2 matching MRF lines		 $855.20–$4,274.40 $1,069–$5,343 varies
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $938.40–$4,691.20 $1,173–$5,864 varies
Orbital implant removal/revision (67560) $2,676 $3,345 0.6×
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach… (21268) $21,612 $27,015 3.4×
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) $17,681.60 $22,102 2.8×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $6,236 $7,795 1.5×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $3,786.40 $4,733 0.9×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $3,564 $4,455 1.4×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $3,564 $4,455 1.4×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $4,365.60 $5,457 1.0×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) $5,567.20 $6,959 1.3×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) $5,879.20 $7,349 1.4×
Orchiectomy partial (54522) $1,457.60 $1,822 0.4×
Orchiectomy radical tumor inguinal approach (54530) $2,146.40 $2,683 0.6×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $2,736 $3,420 0.7×
Orchiopexy Ingun/Scrot Appr (54640) $2,819.20 $3,524 0.7×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $2,540.80 $3,176 0.7×
Ostc compl all metar heads w/prtl prox phalangc (28114) $3,016 $3,770 0.9×
Ostc prtl exostc/condylc metar head (28288)
range across 3 matching MRF lines		 $260.80–$1,952.80 $326–$2,441 varies
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $380.80–$1,902.40 $476–$2,378 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 3 matching MRF lines		 $279.20–$4,747.20 $349–$5,934 varies
Ostectomy of sternum, partial Facility (21620) $3,846.40 $4,808 1.1×
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $290.40–$1,448.80 $363–$1,811 varies
Ostectomy, complete excision; first metatarsal head (28111) $1,802.40 $2,253 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 3 matching MRF lines		 $279.20–$2,089.60 $349–$2,612 varies
Osteoplasty Humerus (24420) $6,394.40 $7,993 0.8×
Osteoplasty Radius/Ulna Shortening (25390) $4,786.40 $5,983 0.6×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) $4,177.60 $5,222 0.7×
Osteoplasty, facial bones; reduction (21209) $3,194.40 $3,993 0.5×
Osteoplasty, femur; lengthening Facility (27466) $5,357.60 $6,697 0.7×
Osteoplasty, femur; shortening (excluding 64876) Facility (27465) $4,960.80 $6,201 0.6×
Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) $6,153.60 $7,692 0.8×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715)
range across 2 matching MRF lines		 $1,275.20–$6,376.80 $1,594–$7,971 varies
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305)
likely a partial charge, not the full procedure		 $2,104.80 $2,631 0.3×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
likely a partial charge, not the full procedure		 $1,725.60 $2,157 0.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,808.80 $2,261 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 3 matching MRF lines		 $278.40–$2,084.80 $348–$2,606 varies
Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140)
unusually low: confirm this is the full procedure		 $2,876.80 $3,596 0.4×
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines		 $446.40–$2,230.40 $558–$2,788 varies
Osteotomy Clavicle W Bone Graft (23485)
unusually low: confirm this is the full procedure		 $5,362.40 $6,703 0.4×
Osteotomy Metacarpal Each (26565) $2,891.20 $3,614 0.8×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) $8,532.80 $10,666 1.1×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) $8,440.80 $10,551 1.1×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) $8,304.80 $10,381 1.1×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) $8,399.20 $10,499 1.1×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $7,984.80 $9,981 1.0×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) $7,848 $9,810 1.0×
Osteotomy Phalanx Finger Each (26567) $2,570.40 $3,213 0.7×
Osteotomy radius distal third (25350)
unusually low: confirm this is the full procedure		 $3,760.80 $4,701 0.5×
Osteotomy Radius Middle/Proximal Third (25355) $4,786.40 $5,983 1.4×
Osteotomy talus (28302)
likely a partial charge, not the full procedure		 $2,166.40 $2,708 0.3×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 2 matching MRF lines		 $387.20–$1,935.20 $484–$2,419 varies
Osteotomy Tibia (27705)
unusually low: confirm this is the full procedure		 $3,869.60 $4,837 0.5×
Osteotomy Ulna (25360)
unusually low: confirm this is the full procedure		 $3,760.80 $4,701 0.5×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
unusually low: confirm this is the full procedure		 $3,830.40 $4,788 0.5×
Osteotomy, femoral neck (separate procedure) Facility (27161) $5,463.20 $6,829 0.7×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $3,968.80 $4,961 0.5×
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448)
unusually low: confirm this is the full procedure		 $2,977.60 $3,722 0.4×
Osteotomy, iliac, acetabular or innominate bone; Facility (27146) $5,751.20 $7,189 0.7×
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) $8,337.60 $10,422 1.1×
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Facility (27151) $7,476 $9,345 1.0×
Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) $7,476 $9,345 1.0×
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) $7,073.60 $8,842 0.9×
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $10,169.60 $12,712 1.6×
Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454)
range across 2 matching MRF lines		 $1,072–$5,357.60 $1,340–$6,697 varies
Osteotomy, pelvis, bilateral (eg, congenital malformation) Facility (27158) $8,625.60 $10,782 1.1×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge, not the full procedure		 $2,040 $2,550 0.3×
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712)
unusually low: confirm this is the full procedure		 $4,975.20 $6,219 0.4×
Ovarian cystectomy, unilateral or bilateral (58925)
range across 2 matching MRF lines		 $584.80–$3,024 $731–$3,780 varies
Palatop cl palate soft&/hard palate only (42200) $4,547.20 $5,684 0.7×
Palatopharyngoplasty (42145) $3,624 $4,530 0.6×
Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) $4,781.60 $5,977 1.3×
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) $3,888 $4,860 0.6×
Palatoplasty for cleft palate; major revision Facility (42215) $5,830.40 $7,288 0.9×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $1,928.80 $2,411 0.8×
Parathyroidectomy or exploration of parathyroid(s); (60500) $4,090.40 $5,113 0.6×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $3,736.80 $4,671 0.7×
Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507)
unusually low: confirm this is the full procedure		 $2,528.80 $3,161 0.4×
Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) $3,693.60 $4,617 0.6×
Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) $3,109.60 $3,887 0.9×
Part exc bone femur prox tibia (27360)
range across 2 matching MRF lines		 $724–$3,620 $905–$4,525 varies
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $362.40–$1,810.40 $453–$2,263 varies
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $4,597.60 $5,747 0.6×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182)
unusually low: confirm this is the full procedure		 $3,064 $3,830 0.4×
Partial excision bone clavicle (23180)
unusually low: confirm this is the full procedure		 $3,141.60 $3,927 0.4×
Partial Excision Bone Humerus (24140) $4,795.20 $5,994 1.4×
Partial excision bone metacarpal (26230)
range across 2 matching MRF lines		 $472.80–$2,363.20 $591–$2,954 varies
Partial excision bone olecranon process (24147) $3,198.40 $3,998 0.9×
Partial Excision Bone Radius (25151) $3,419.20 $4,274 1.0×
Partial Excision Bone Ulna (25150) $3,419.20 $4,274 1.0×
Partial Excision Distal Phalanx Finger (26236) $1,797.60 $2,247 1.0×
Partial excision of lip (40520) $1,592 $1,990 0.4×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100)
likely a partial charge, not the full procedure		 $2,136.80 $2,671 0.3×
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112)
unusually low: confirm this is the full procedure		 $2,849.60 $3,562 0.4×
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114)
unusually low: confirm this is the full procedure		 $2,849.60 $3,562 0.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,926.40 $2,408 1.1×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $3,739.20 $4,674 1.1×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) $2,014.40 $2,518 0.6×
Partial hymenectomy or revision of hymenal ring (56700) $884.80 $1,106 0.3×
Partial removal of fibula (27641) $3,316.80 $4,146 0.9×
Partial removal of lip (40530) $1,546.40 $1,933 0.4×
Partial removal of nose (30150)
likely a partial charge, not the full procedure		 $1,177.60 $1,472 0.2×
Partial removal of penis (54120) $2,823.20 $3,529 0.7×
Partial removal of radius (24145)
unusually low: confirm this is the full procedure		 $3,596.80 $4,496 0.5×
Partial removal of rib (21600)
likely a partial charge, not the full procedure		 $1,900.80 $2,376 0.2×
Partial removal of scapula (23190) $2,490.40 $3,113 0.7×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $623.20–$3,113.60 $779–$3,892 varies
Partial removal of tibia (27640) $3,703.20 $4,629 1.1×
Partial removal of toe (28160) $1,160.80 $1,451 0.3×
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure		 $2,164 $2,705 0.3×
Partial thyroid excision (60212) $3,668.80 $4,586 0.6×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure		 $3,024 $3,780 0.5×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $241.60–$1,208 $302–$1,510 varies
Patellectomy or hemipatellectomy (27350)
range across 2 matching MRF lines		 $882.40–$4,409.60 $1,103–$5,512 varies
Pelvic examination under anesthesia (other than local) (57410) $554.40 $693 0.2×
Penile Injection (54235) $404.80 $506 1.5×
Penile Plethysmography (54240)
range across 3 matching MRF lines		 $208–$518.40 $260–$648 varies
Penile venous occlusive procedure Facility (37790) $2,041.60 $2,552 0.5×
Penis plastic surgery (54360) $4,250.40 $5,313 1.1×
Percut Cath Occlusn Non Cns Lesn (61626) $6,479.20 $8,099 0.5×
Percut Drain/Inject Renal Cyst (50390) $676 $845 0.9×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553)
likely a partial charge, not the full procedure		 $1,055.20 $1,319 0.1×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496)
range across 2 matching MRF lines		 $213.60–$1,064.80 $267–$1,331 varies
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure		 $2,780 $3,475 0.4×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $2,804 $3,505 1.6×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $885.60 $1,107 0.3×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
likely a partial charge, not the full procedure		 $1,764.80 $2,206 0.2×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $995.20 $1,244 0.6×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $1,377.60 $1,722 0.4×
Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) $4,962.40 $6,203 1.4×
Pereyra procedure, including anterior colporrhaphy Facility (57289)
unusually low: confirm this is the full procedure		 $3,533.60 $4,417 0.4×
Peri-Implant Capsulectomy Breast Complete (19371) $3,105.60 $3,882 0.7×
Pericardiocentesis W/Imaging (33016) $1,271.20 $1,589 0.8×
Perineoplasty rpr perineum nonobstetrical spx (56810) $1,148.80 $1,436 0.3×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) $13,752.80 $17,191 2.2×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) $11,001.60 $13,752 1.7×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) $18,172 $22,715 2.9×
Perirectal inj sclerosing solution prolapse (45520) $305.60 $382 0.3×
Peritoneal Lavage (49084) $453.60 $567 0.5×
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $9,412.80 $11,766 0.5×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $549.01–$613.14 $686.26–$766.42 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines		 $260.68–$1,439.08 $325.85–$1,798.85 varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
unusually low: confirm this is the full procedure		 $4,571.20 $5,714 0.5×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $494.40–$2,471.20 $618–$3,089 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $6,709.60–$20,892 $8,387–$26,115 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,168 $5,210 0.7×
Petrous apicectomy including radical mastoidectomy Facility (69530) $7,626.40 $9,533 1.2×
Phalangectomy toe each toe (28150) $1,300.80 $1,626 0.4×
Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) $816 $1,020 0.5×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $448–$2,317.60 $560–$2,897 varies
Photopheresis extracorporeal (36522) $701.60 $877 0.2×
Pin Finger Dislocation (26776)
range across 2 matching MRF lines		 $239.20–$1,192.80 $299–$1,491 varies
Pin hand dislocation (26676) $1,879.20 $2,349 0.5×
Pin knuckle dislocation (26706) $1,544.80 $1,931 0.4×
Place Cath Thoracic Aorta (36221) $1,627.20 $2,034 0.5×
Placement of needle for intraosseous infusion (36680) $345.60 $432 0.7×
Placement of seton (46020) $560.80 $701 0.2×
Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) $3,866.40 $4,833 1.7×
Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) $6,440 $8,050 2.9×
Plastic Repair Canaliculi (68700) $3,369.60 $4,212 1.3×
Plastic Repair Introitus (56800) $1,148.80 $1,436 0.3×
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) $4,882.40 $6,103 0.8×
Plastic Repair Of Urethrocele (57230) $1,748 $2,185 0.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $957.60–$3,247.20 $1,197–$4,059 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $360.80–$4,833.60 $451–$6,042 varies
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500)
likely a partial charge, not the full procedure		 $1,556 $1,945 0.2×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505)
unusually low: confirm this is the full procedure		 $2,333.60 $2,917 0.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $508–$2,453.60 $635–$3,067 varies
Prim art mech thrombectomy (37184) $12,111.20 $15,139 0.6×
Probe lacrimal canaliculi w/wo irrigation (68840) $283.20 $354 0.8×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $958.40 $1,198 0.4×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $813.60 $1,017 0.3×
Probing nasolacrimal duct (68810)
range across 2 matching MRF lines		 $462.40–$693.60 $578–$867 varies
Proctopexy Perineal Approach (45541) $3,508 $4,385 1.2×
Proctoplasty Stenosis (45500) $2,080.80 $2,601 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $184.80 $231 0.2×
Proctosgmdsc Rigid Control Bleeding (45317) $619.20 $774 0.5×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $414.40 $518 0.1×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $414.40 $518 0.3×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $659.20 $824 0.5×
Proctosgmdsc rigid w/dilation (45303) $229.60 $287 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $414.40 $518 0.1×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $659.20 $824 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $292 $365 0.2×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $537.60 $672 0.2×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure		 $269.60 $337 0.0×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 2 matching MRF lines		 $899.55–$2,356.80 $1,124.44–$2,946 varies
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491)
unusually low: confirm this is the full procedure		 $5,744.80 $7,181 0.4×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) $4,444 $5,555 1.3×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
range across 2 matching MRF lines		 $754.40–$3,771.20 $943–$4,714 varies
Prostatic microwave thermotx (53850) $10,256 $12,820 2.7×
Prostatic Rf Thermotx (53852) $8,563.20 $10,704 2.3×
Prostatotomy external drg abscess simple (55720) $2,199.20 $2,749 0.6×
Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) $2,833.60 $3,542 0.8×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
likely a partial charge, not the full procedure		 $1,055.20 $1,319 0.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,388.80 $1,736 0.4×
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $1,060–$5,299.20 $1,325–$6,624 varies
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $640 $800 0.2×
Prq skel fixj metar fx w/manj (28476) $1,748 $2,185 0.5×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $3,764.80 $4,706 0.5×
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
likely a partial charge, not the full procedure		 $1,324 $1,655 0.2×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $1,520.80 $1,901 0.4×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $2,391.20 $2,989 0.7×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
likely a partial charge, not the full procedure		 $1,931.20 $2,414 0.2×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
range across 2 matching MRF lines		 $617.60–$3,087.20 $772–$3,859 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $328.80–$1,643.20 $411–$2,054 varies
Pterygomaxillary fossa surgery, any approach Facility (31040) $5,857.60 $7,322 0.9×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $396–$511.55 $495–$639.44 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $179.20–$412 $224–$515 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $221.60–$1,002.40 $277–$1,253 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $502.40 $628 0.7×
Push Transfusion Blood 2 Yr/Under (36440) $320 $400 0.7×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
unusually low: confirm this is the full procedure		 $2,779.20 $3,474 0.4×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $4,124 $5,155 2.4×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $3,965.60 $4,957 1.1×
Rad resect elbow caps/sr bone w rels (24149) $6,155.20 $7,694 0.8×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $2,808.80 $3,511 0.9×
Rad resect tumor soft tissue hand/finger <3cm (26117) $6,734.40 $8,418 2.2×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $2,804 $3,505 0.9×
Radical resection of sternum; Facility (21630) $5,932 $7,415 0.8×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) $6,379.20 $7,974 1.0×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) $4,784.80 $5,981 0.8×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $2,164.80 $2,706 0.7×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $1,808.80 $2,261 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $6,304 $7,880 2.0×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) $6,637.60 $8,297 2.1×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $6,076 $7,595 2.0×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $7,992.80 $9,991 2.6×
Radical resection of tumor, distal phalanx of finger Facility (26262) $3,208 $4,010 1.9×
Radical resection of tumor, femur or knee Facility (27365) $9,540.80 $11,926 2.7×
Radical resection of tumor, proximal humerus Facility (23220) $7,658.40 $9,573 1.0×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $3,208 $4,010 0.9×
Radical resection of tumor, radial head or neck Facility (24152) $8,792 $10,990 1.1×
Radical resection of tumor, radius or ulna (25170) $5,470.40 $6,838 0.7×
Radical resection of tumor, shaft or distal humerus Facility (24150) $6,793.60 $8,492 0.9×
Radical resection of tumor; clavicle Facility (23200) $4,597.60 $5,747 0.6×
Radical resection of tumor; fibula Facility (27646) $3,869.60 $4,837 1.1×
Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Facility (27076) $8,625.60 $10,782 1.1×
Radical resection of tumor; innominate bone, total Facility (27077) $11,499.20 $14,374 1.5×
Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078)
unusually low: confirm this is the full procedure		 $3,452 $4,315 0.4×
Radical resection of tumor; phalanx of toe Facility (28175) $1,352.80 $1,691 0.8×
Radical resection of tumor; scapula Facility (23210) $7,658.40 $9,573 1.0×
Radical resection of tumor; talus or calcaneus Facility (27647) $4,144.80 $5,181 1.2×
Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) $2,319.20 $2,899 0.7×
Radical resection of tumor; tibia Facility (27645) $4,423.20 $5,529 1.3×
Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) $6,901.60 $8,627 0.9×
Radical Resection Tumor Metacarpal (26250) $3,208 $4,010 0.9×
Radical Resection Tumor Metatarsal (28173) $1,931.20 $2,414 0.6×
Radical styloidectomy separate procedure (25230) $2,600 $3,250 0.7×
Rcnstj angular dfrm toe soft tiss px only (28313) $842.40 $1,053 0.2×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $4,496 $5,620 1.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $3,854.40 $4,818 1.1×
Rcnstj Dislocating Patella (27420)
unusually low: confirm this is the full procedure		 $3,175.20 $3,969 0.4×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $3,670.40 $4,588 1.4×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $4,196 $5,245 1.6×
Rcnstj Eyelid Full Thickness Second Stage (67975) $1,313.60 $1,642 0.5×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $7,613.60 $9,517 1.2×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $9,678.40 $12,098 1.5×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $379.20–$1,892.80 $474–$2,366 varies
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,931.20 $2,414 0.5×
Re-explore parathyroids (60502) $4,358.40 $5,448 0.7×
Realignment extensor tendon hand each tendon (26437) $2,570.40 $3,213 0.7×
Realignment of hand (25335) $8,544 $10,680 2.4×
Realignment of knee (27457)
unusually low: confirm this is the full procedure		 $3,691.20 $4,614 0.5×
Realignment of knee (27455)
unusually low: confirm this is the full procedure		 $3,532.80 $4,416 0.5×
Reconst lwr jaw w/fixation (21196) $11,654.40 $14,568 1.8×
Reconst lwr jaw w/o fixation (21195) $10,758.40 $13,448 1.7×
Reconstr lwr jaw segment (21198) $5,404.80 $6,756 0.9×
Reconstruct cleft palate (42220) $4,468.80 $5,586 0.7×
Reconstruct cleft palate (42210) $6,023.20 $7,529 0.9×
Reconstruct elbow joint (24360) $8,792 $10,990 1.1×
Reconstruct finger joint (26545) $3,212.80 $4,016 0.9×
Reconstruct Finger Joint (26548) $3,533.60 $4,417 1.0×
Reconstruct lip with flap (40525) $3,088 $3,860 0.9×
Reconstruct lip with flap (40527) $3,628.80 $4,536 0.6×
Reconstruct midface lefort (21143) $10,020.80 $12,526 1.6×
Reconstruct ulna/radioulnar (25337) $5,810.40 $7,263 0.7×
Reconstruct upper jaw bone (21206) $8,056.80 $10,071 1.3×
Reconstruct wrist joint (25445) $6,495.20 $8,119 0.8×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $4,192.80 $5,241 0.7×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $10,561.60 $13,202 1.7×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) $11,053.60 $13,817 1.7×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $9,211.20 $11,514 1.5×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $10,093.60 $12,617 1.6×
Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) $11,986.40 $14,983 1.9×
Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) $13,456.80 $16,821 2.1×
Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21159) $20,383.20 $25,479 3.2×
Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21160) $23,672.80 $29,591 3.7×
Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21155) $16,701.60 $20,877 2.6×
Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21154) $14,490.40 $18,113 2.3×
Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) Facility (21188) $11,396 $14,245 1.8×
Reconstruction Nail Bed W/Graft (11762) $750.40 $938 0.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $627.20–$3,136 $784–$3,920 varies
Reconstruction of dislocating patella; with patellectomy Facility (27424)
unusually low: confirm this is the full procedure		 $3,175.20 $3,969 0.4×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $4,192.80 $5,241 0.7×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) $4,719.20 $5,899 1.1×
Reconstruction of jaw (21249) $9,824.80 $12,281 1.5×
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) $9,775.20 $12,219 1.5×
Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) $8,841.60 $11,052 1.4×
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) $6,878.40 $8,598 1.1×
Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247) $9,579.20 $11,974 1.5×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) $12,660.80 $15,826 2.0×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $11,028 $13,785 1.7×
Reconstruction of mouth (40844)
unusually low: confirm this is the full procedure		 $2,704 $3,380 0.4×
Reconstruction of mouth (40842)
likely a partial charge, not the full procedure		 $1,200 $1,500 0.2×
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) $10,807.20 $13,509 1.7×
Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21183) $15,814.40 $19,768 2.5×
Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21184) $17,143.20 $21,429 2.7×
Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21182) $14,439.20 $18,049 2.3×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $3,020.80 $3,776 0.9×
Reconstruction of throat (42950)
unusually low: confirm this is the full procedure		 $2,481.60 $3,102 0.4×
Reconstruction of urethra (54326) $6,181.60 $7,727 1.6×
Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) $8,106.40 $10,133 1.3×
Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) $9,040 $11,300 1.4×
Reconstruction Toe Polydactyly (28344) $1,330.40 $1,663 0.4×
Reconstruction Tongue Fold (41520) $936.80 $1,171 0.3×
Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) $14,244.80 $17,806 2.2×
Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)… (21180) $13,260.80 $16,576 2.1×
Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) $11,789.60 $14,737 1.9×
Reconstructive repair of pectus excavatum or carinatum; open Facility (21740) $5,932 $7,415 0.8×
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) $6,190.40 $7,738 1.0×
Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) $7,418.40 $9,273 1.2×
Reduction forehead; contouring only Facility (21137) $4,962.40 $6,203 1.4×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) $5,944.80 $7,431 3.6×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) $4,864.80 $6,081 1.4×
Reduction of rectal prolapse (45900) $419.20 $524 0.4×
Reduction Overcorrection Ptosis (67909) $2,888.80 $3,611 1.1×
Reinforce clavicle (23490) $4,597.60 $5,747 0.6×
Reinforce hip bones (27187) $6,326.40 $7,908 0.8×
Reinforce humerus (24498)
unusually low: confirm this is the full procedure		 $6,394.40 $7,993 0.5×
Reinforce radius (25490)
unusually low: confirm this is the full procedure		 $3,760.80 $4,701 0.5×
Reinforce tibia (27745) $4,518.40 $5,648 0.6×
Reinforce ulna (25491)
likely a partial charge, not the full procedure		 $3,760.80 $4,701 0.3×
Reinnervate larynx (31590) $3,822.40 $4,778 0.6×
Reinsert ocular implant (65150) $2,999.20 $3,749 0.7×
Reinsert spinal fixation (22849)
range across 2 matching MRF lines		 $1,180–$5,898.40 $1,475–$7,373 varies
Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) $4,089.60 $5,112 1.0×
Release encircling material (67115) $1,700 $2,125 0.4×
Release eye tissue (67343) $2,092 $2,615 0.8×
Release facial nerve (69955) $10,168 $12,710 1.6×
Release facial nerve (69720) $6,102.40 $7,628 1.0×
Release foot/toe nerve (64726) $1,507.20 $1,884 0.7×
Release of big toe (28240) $927.20 $1,159 0.3×
Release of shoulder ligament (23415) $3,984 $4,980 0.5×
Release or recession, hamstring, proximal Facility (27097) $4,026.40 $5,033 1.1×
Release Thenar Muscle (26508) $2,570.40 $3,213 0.7×
Relieve Pressure on Nerve(S) (64722)
range across 2 matching MRF lines		 $444–$2,218.40 $555–$2,773 varies
Relocation Pocket Pacemaker (33222) $1,509.60 $1,887 0.7×
Rem Endovas Vena Cava Filter (37193) $3,260 $4,075 1.0×
Removal Anal Seton Other Marker (46030) $413.60 $517 0.3×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge, not the full procedure		 $4,824.80 $6,031 0.2×
Removal Embedded Foreign Body Eyelid (67938) $297.60 $372 0.9×
Removal Foreign Body Deep Thigh/Knee (27372) $1,646.40 $2,058 0.5×
Removal Foreign Body Foot Complicated (28193) $1,532 $1,915 0.9×
Removal foreign body foot deep (28192) $1,068.80 $1,336 0.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $657.60–$707.20 $822–$884 varies
Removal foreign body jawbone (41806) $392.80 $491 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $409.60 $512 0.2×
Removal Foreign Body Pelvis/Hip Deep (27087) $1,726.40 $2,158 0.5×
Removal Foreign Body Scrotum (55120) $711.20 $889 0.3×
Removal foreign body upper arm/elbow deep (24201) $1,600 $2,000 0.5×
Removal foreign body, intranasal; requiring general anesthesia (30310) $728.80 $911 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $28–$60 $35–$75 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $78.40–$144.80 $98–$181 varies
Removal impacted vag fb spx w/anes oth/thn local (57415)
range across 2 matching MRF lines		 $596–$795.20 $745–$994 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $278.40–$1,392 $348–$1,740 varies
Removal Implant Superficial Separate Procedure (20670) $900 $1,125 0.5×
Removal implantable contraceptive capsules (11976) $320.80 $401 0.4×
Removal intact breast implant (19328) $1,835.20 $2,294 0.4×
Removal of a lesion from the floor of the mouth (41116) $1,168.80 $1,461 0.3×
Removal of adenoids (42835) $649.60 $812 0.2×
Removal of adenoids (42831) $967.20 $1,209 0.3×
Removal of adenoids (42830) $924 $1,155 0.3×
Removal of adenoids (42836) $746.40 $933 0.2×
Removal of anal fissure (46200) $1,101.60 $1,377 0.4×
Removal of ankle implant (27704) $2,923.20 $3,654 0.8×
Removal of anterior instrumentation (22855)
range across 2 matching MRF lines		 $1,492.80–$7,462.40 $1,866–$9,328 varies
Removal of bladder cyst (51500) $6,295.20 $7,869 1.0×
Removal of bone lesion (23140) $2,375.20 $2,969 0.7×
Removal of brow wrinkles (15826) $2,875.20 $3,594 0.8×
Removal of calcium deposits (23000) $2,368.80 $2,961 0.8×
Removal of cervix (57530)
likely a partial charge, not the full procedure		 $1,051.20 $1,314 0.2×
Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) $1,890.40 $2,363 0.9×
Removal of epiglottis (31420) $3,272 $4,090 0.5×
Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) $2,657.60 $3,322 1.1×
Removal of eye (65110) $5,452 $6,815 1.3×
Removal of foot joint lining (28072) $968 $1,210 0.3×
Removal of foreign body from pharynx (42809) $356 $445 0.7×
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) $3,544.80 $4,431 1.4×
Removal of heel spur (28119)
range across 2 matching MRF lines		 $360.80–$1,802.40 $451–$2,253 varies
Removal of hip joint lining (27054) $6,326.40 $7,908 1.8×
Removal of hip prosthesis; (separate procedure) Facility (27090)
range across 2 matching MRF lines		 $699.20–$3,495.20 $874–$4,369 varies
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $9,180 $11,475 0.7×
Removal of humerus lesion (23150) $4,597.60 $5,747 1.3×
Removal of humerus lesion (23156) $4,979.20 $6,224 0.6×
Removal of implant from finger or hand (26320) $1,476.80 $1,846 0.8×
Removal of implanted material, anterior segment of eye (65920) $3,425.60 $4,282 1.4×
Removal of infusion pump (36262) $968.80 $1,211 0.2×
Removal of intranasal lesion (30118) $1,961.60 $2,452 0.6×
Removal of iris (66635) $2,400.80 $3,001 1.0×
Removal of iris (66630) $2,400.80 $3,001 1.0×
Removal of ischial bursa (27060)
likely a partial charge, not the full procedure		 $1,726.40 $2,158 0.2×
Removal of jaw joint (21050) $5,896 $7,370 0.9×
Removal of kidney stone (50081) $5,252.80 $6,566 0.5×
Removal of knee prosthesis (27488)
range across 2 matching MRF lines		 $940.80–$4,700.80 $1,176–$5,876 varies
Removal of lens material (66852) $4,516.80 $5,646 1.0×
Removal of mammary implant material (19330)
range across 3 matching MRF lines		 $459.20–$3,439.20 $574–$4,299 varies
Removal of nail bed (11750)
range across 2 matching MRF lines		 $464.80–$722.40 $581–$903 varies
Removal of nose (30160)
unusually low: confirm this is the full procedure		 $1,961.60 $2,452 0.3×
Removal of nose lesion (30124) $787.20 $984 0.5×
Removal of ocular implant (65175) $2,181.60 $2,727 0.5×
Removal of posterior segmental instrumentation Facility (22852) $4,480 $5,600 0.6×
Removal of residual cervix (57550)
unusually low: confirm this is the full procedure		 $1,878.40 $2,348 0.4×
Removal of rib (21615) $4,320 $5,400 0.6×
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) $1,920 $2,400 0.8×
Removal of sesamoid bone (28315)
range across 4 matching MRF lines		 $234.40–$4,864 $293–$6,080 varies
Removal of skin wrinkles (15829) $8,399.20 $10,499 2.2×
Removal of sperm cord lesion (55520)
range across 3 matching MRF lines		 $321.60–$2,409.60 $402–$3,012 varies
Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) $3,020.80 $3,776 0.9×
Removal of tendon for graft (20924)
range across 2 matching MRF lines		 $228.80–$1,140.80 $286–$1,426 varies
Removal of testis (54520)
range across 2 matching MRF lines		 $1,682.40–$2,524 $2,103–$3,155 varies
Removal of Thiersch wire or suture, anal canal Facility (46754) $448 $560 0.2×
Removal of thymus gland (60520) $4,445.60 $5,557 0.7×
Removal of thyroid (60271) $3,668.80 $4,586 0.6×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $1,231.20 $1,539 0.2×
Removal of tonsils (42826) $1,295.20 $1,619 0.4×
Removal of tumor, temporal bone Facility (69970) $13,604 $17,005 2.1×
Removal of tunneled intraperitoneal catheter (49422) $1,208 $1,510 0.4×
Removal of urethra (53210) $4,482.40 $5,603 1.2×
Removal of vein clot (34490) $2,436 $3,045 0.7×
Removal of wrist bone (25210) $2,735.20 $3,419 0.8×
Removal of wrist prosthesis; (separate procedure) Facility (25250) $1,711.20 $2,139 1.0×
Removal of wrist prosthesis; complicated, including total wrist Facility (25251) $2,259.20 $2,824 0.6×
Removal or bivalving full arm or full leg cast (29705) $131.20 $164 0.4×
Removal or destruction of bladder canal (urethra) malignancy (53220) $3,448 $4,310 0.9×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442)
unusually low: confirm this is the full procedure		 $2,070.40 $2,588 0.4×
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $2,257.60–$5,302.40 $2,822–$6,628 varies
Removal parotid stone (42340) $1,946.40 $2,433 0.5×
Removal peritoneal-venous shunt (49429) $1,915.20 $2,394 0.6×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $869.60–$14,446.40 $1,087–$18,058 varies
Removal shoulder foreign body deep subfascial/im (23333) $575.20 $719 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $204 $255 0.9×
Removal subcutaneous cardiac rhythm monitor (33286) $648 $810 0.9×
Removal Submand Stone,Complicated (42335) $1,284.80 $1,606 0.4×
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $196.80–$204 $246–$255 varies
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $1,568.80–$2,353.60 $1,961–$2,942 varies
Removal tong/halo applied by another individual (20665) $283.20 $354 0.6×
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $193.60–$968 $242–$1,210 varies
Removal/bivalving gauntlet boot/body cast (29700) $115.20 $144 0.4×
Remove & graft wrist lesion (25136) $3,982.40 $4,978 0.5×
Remove & graft wrist lesion (25135) $4,076.80 $5,096 0.5×
Remove Ankle Joint Lining (27626) $3,869.60 $4,837 1.1×
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure		 $2,087.20 $2,609 0.3×
Remove blood clot from eye (65930) $2,184 $2,730 0.9×
Remove brain canal fluid (61050) $558.40 $698 1.7×
Remove Brain Cavity Fluid (61020) $612.80 $766 0.6×
Remove cerclage suture (59871) $320.80 $401 0.1×
Remove coronoid process (21070) $4,864.80 $6,081 0.8×
Remove cranial cavity fluid (61000) $558.40 $698 0.7×
Remove drug implant device (11982) $332.80 $416 0.7×
Remove ear lesion (69552) $6,102.40 $7,628 1.0×
Remove ear lesion (69550) $5,084.80 $6,356 0.8×
Remove elbow joint implant (24160) $4,396.80 $5,496 1.3×
Remove Elbow Joint Lining (24102) $5,756 $7,195 1.6×
Remove elbow lesion (24120) $4,200 $5,250 1.2×
Remove Elctrd Transvenously (33244) $3,096 $3,870 0.8×
Remove eye lesion (66130) $2,142.40 $2,678 0.8×
Remove eye/attach implant (65105) $4,089.60 $5,112 1.0×
Remove femur lesion/graft (27356)
unusually low: confirm this is the full procedure		 $4,276.80 $5,346 0.3×
Remove finger bone (26185) $1,735.20 $2,169 1.0×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $392.80–$1,960.80 $491–$2,451 varies
Remove foreign body from eye (65265) $4,089.60 $5,112 1.7×
Remove foreign body from eye (65235) $3,544.80 $4,431 1.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $188–$235.20 $235–$294 varies
Remove Gastric Port Open (43887) $1,048.80 $1,311 0.5×
Remove groin lymph nodes (38760)
unusually low: confirm this is the full procedure		 $2,607.20 $3,259 0.4×
Remove Hand Bone Lesion (26200) $1,926.40 $2,408 1.1×
Remove hip pressure sore (15941) $2,500.80 $3,126 0.8×
Remove hip pressure sore (15940) $1,924 $2,405 0.6×
Remove humerus lesion (23174) $7,658.40 $9,573 1.0×
Remove humerus lesion (24110) $4,940 $6,175 1.4×
Remove inner ear (69905) $5,084.80 $6,356 0.8×
Remove Intrauterine Device (58301) $480 $600 1.5×
Remove intrvas foreign body (37197) $1,884.80 $2,356 0.6×
Remove iris and lesion (66600) $3,212.80 $4,016 0.7×
Remove knee joint lining (27334) $5,264 $6,580 1.5×
Remove lamina/facets lumbar (63012) $6,913.60 $8,642 0.9×
Remove Lower Leg Bone Lesion (27635)
range across 2 matching MRF lines		 $638.40–$3,191.20 $798–$3,989 varies
Remove lung catheter (32552) $604 $755 0.9×
Remove mastoid structures (69505) $5,339.20 $6,674 0.8×
Remove middle ear nerve (69676) $3,559.20 $4,449 1.0×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $356.80–$514.40 $446–$643 varies
Remove palate/lesion (42120)
unusually low: confirm this is the full procedure		 $2,062.40 $2,578 0.3×
Remove part lumbar vertebra (22102)
likely a partial charge, not the full procedure		 $2,136.80 $2,671 0.3×
Remove part of neck vertebra (22110)
unusually low: confirm this is the full procedure		 $2,849.60 $3,562 0.4×
Remove part thorax vertebra (22101)
likely a partial charge, not the full procedure		 $2,136.80 $2,671 0.3×
Remove Peritoneal Foreign Body (49402) $2,324 $2,905 0.6×
Remove prostate regrowth (52630) $4,803.20 $6,004 0.8×
Remove Pulse Generator (33241) $844.80 $1,056 0.2×
Remove radius head implant (24164) $3,997.60 $4,997 1.1×
Remove sacrum pressure sore (15937) $2,500.80 $3,126 1.1×
Remove Shoulder Foreign Body (23330) $461.60 $577 0.3×
Remove shoulder joint lining (23105) $6,892.80 $8,616 0.9×
Remove Skin Nerve Lesion (64774) $1,156 $1,445 0.6×
Remove spine fixation device (22850)
range across 2 matching MRF lines		 $776–$3,880 $970–$4,850 varies
Remove spine lamina 1/2 lmbr (63005)
range across 2 matching MRF lines		 $1,134.40–$5,662.40 $1,418–$7,078 varies
Remove spine lamina 1/2 thrc (63003) $6,712 $8,390 0.9×
Remove spine lamina >2 thrc (63016) $7,549.60 $9,437 1.0×
Remove Tendon Sheath Lesion (26160) $1,748 $2,185 1.0×
Remove thigh pressure sore (15951) $2,500.80 $3,126 0.8×
Remove thigh pressure sore (15956) $1,924 $2,405 0.9×
Remove thyroid lesion (60200)
range across 2 matching MRF lines		 $444.80–$2,224 $556–$2,780 varies
Remove tissue expander (11971) $637.60 $797 0.2×
Remove vc lesion w/scope (31545) $1,646.40 $2,058 0.4×
Remove wrist joint cartilage (25107) $3,896.80 $4,871 1.1×
Remove&replace pm gen singl (33227)
range across 2 matching MRF lines		 $2,255.20–$15,540 $2,819–$19,425 varies
Remove/graft bone lesion (24125) $5,435.20 $6,794 1.6×
Remove/graft finger lesion (26215) $2,567.20 $3,209 0.7×
Remove/graft foot lesion (28102)
unusually low: confirm this is the full procedure		 $2,927.20 $3,659 0.4×
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure		 $2,252 $2,815 0.3×
Remove/graft forearm lesion (25126) $4,102.40 $5,128 1.2×
Remove/graft forearm lesion (25125) $4,102.40 $5,128 2.4×
Remove/graft leg bone lesion (27637) $4,144.80 $5,181 0.5×
Remove/Insert Drug Implant (11983) $833.60 $1,042 1.7×
Remv cartilage for graft nasal (20912) $1,612.80 $2,016 0.4×
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $3,746.40–$16,466.40 $4,683–$20,583 varies
Renal Biopsy Perq (50200)
range across 3 matching MRF lines		 $888–$3,429 $1,110–$4,286.25 varies
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557)
likely a partial charge, not the full procedure		 $1,274.40 $1,593 0.1×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge, not the full procedure		 $1,084.80 $1,356 0.1×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580)
likely a partial charge, not the full procedure		 $1,604 $2,005 0.3×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) $1,084.80 $1,356 1.5×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576)
likely a partial charge, not the full procedure		 $1,368.80 $1,711 0.1×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) $1,133.60 $1,417 0.3×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)
likely a partial charge, not the full procedure		 $1,510.40 $1,888 0.3×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $620 $775 0.1×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $736–$3,677.60 $920–$4,597 varies
Repair arm/leg nerve (64857) $3,009.60 $3,762 0.8×
Repair bladder neck (51845) $4,204 $5,255 0.8×
Repair Bladder-Vagina Lesion (57320) $3,552.80 $4,441 0.7×
Repair Blood Vessel Direct Hand Finger (35207) $3,584 $4,480 1.1×
Repair blood vessel direct neck (35201) $4,174.40 $5,218 0.7×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $696–$3,476.80 $870–$4,346 varies
Repair blood vessel lesion (35190) $4,174.40 $5,218 0.7×
Repair blood vessel lesion (35236) $4,520.80 $5,651 0.8×
Repair blood vessel lesion (35266) $4,520.80 $5,651 0.8×
Repair blood vessel with graft other than vein; neck Facility (35261) $4,520.80 $5,651 1.3×
Repair blood vessel with vein graft; lower extremity Facility (35256) $4,520.80 $5,651 0.8×
Repair blood vessel with vein graft; neck Facility (35231) $4,520.80 $5,651 1.3×
Repair Choanal Atresia Intranasal (30540)
unusually low: confirm this is the full procedure		 $2,387.20 $2,984 0.4×
Repair choanal atresia; transpalatine Facility (30545) $3,577.60 $4,472 0.6×
Repair cleft lip/nasal (40720) $3,610.40 $4,513 1.0×
Repair cleft lip/nasal (40702) $4,244.80 $5,306 0.7×
Repair cleft lip/nasal (40761) $5,092.80 $6,366 0.8×
Repair cleft lip/nasal (40700) $4,244.80 $5,306 0.7×
Repair clitoris (56805) $1,112 $1,390 0.3×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $796.80–$3,985.60 $996–$4,982 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $965.60 $1,207 1.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,648.80 $3,311 3.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,112 $1,390 2.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,157.60 $2,697 5.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $640 $800 1.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,461.60 $1,827 3.4×
Repair complex trunk 1.1-2.5 cm (13100) $586.40 $733 0.7×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $149.60–$747.20 $187–$934 varies
Repair defect w/autograft radius/ulna (25425) $5,127.20 $6,409 0.7×
Repair Detached Retina (67101) $3,786.40 $4,733 1.5×
Repair detached retina (67105) $3,641.60 $4,552 6.2×
Repair Ectropion Excision Tarsal Wedge (67916) $2,351.20 $2,939 0.9×
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines		 $2,623.20–$3,935.20 $3,279–$4,919 varies
Repair Ectropion Suture (67914) $1,764 $2,205 0.7×
Repair Ectropion Thermocauterization (67915) $1,606.40 $2,008 0.6×
Repair Entropion Excision Tarsal Wedge (67923) $2,486.40 $3,108 1.0×
Repair Entropion Extensive (67924) $2,728.80 $3,411 1.1×
Repair Entropion Suture (67921) $1,747.20 $2,184 0.7×
Repair Extensor Tendon Finger W/Graft Each (26420) $2,891.20 $3,614 0.8×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $446.40–$2,232 $558–$2,790 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $2,699.20 $3,374 0.8×
Repair Eyelid Wound (67935) $1,313.60 $1,642 0.5×
Repair facial nerve (69740) $7,117.60 $8,897 1.1×
Repair Finger Tendon (26433) $2,248 $2,810 0.6×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $675.20–$3,376 $844–$4,220 varies
Repair Fistula Oromaxillary (30580)
unusually low: confirm this is the full procedure		 $1,989.60 $2,487 0.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $372.80–$1,861.60 $466–$2,327 varies
Repair Foot Dislocation (28615)
range across 2 matching MRF lines		 $518.40–$2,592 $648–$3,240 varies
Repair forearm tendon/muscle (25265) $3,760.80 $4,701 1.1×
Repair gum (41872) $1,168.80 $1,461 0.3×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $286.40–$1,431.20 $358–$1,789 varies
Repair Hand Joint (26540) $3,212.80 $4,016 0.9×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $413.60–$2,066.40 $517–$2,583 varies
Repair humerus with graft (24435)
range across 3 matching MRF lines		 $1,600–$8,233.60 $2,000–$10,292 varies
Repair incomplete circumcision (54163) $542.40 $678 0.2×
Repair inguinal hernia, sliding, any age (49525)
range across 2 matching MRF lines		 $413.60–$2,065.60 $517–$2,582 varies
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines		 $420–$2,097.60 $525–$2,622 varies
Repair initial femoral hernia, any age; reducible (49550)
range across 2 matching MRF lines		 $363.20–$1,815.20 $454–$2,269 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 4 matching MRF lines		 $436.80–$3,275.20 $546–$4,094 varies
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $2,004.80 $2,506 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $504–$785.60 $630–$982 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $628.80 $786 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $745.60–$1,063.20 $932–$1,329 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $968 $1,210 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $752 $940 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $424.80–$738.40 $531–$923 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $504 $630 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $576 $720 0.7×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,069.60 $1,337 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $696 $870 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $352.80–$690.40 $441–$863 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $92–$836.80 $115–$1,046 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $890.40 $1,113 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $566.40–$880 $708–$1,100 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $210.40–$1,051.20 $263–$1,314 varies
Repair iris ciliary body (66680) $1,972 $2,465 0.8×
Repair Laceration Palate </2 Cm (42180) $431.20 $539 0.7×
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $1,052 $1,315 0.2×
Repair lead pace-defib dual (33220) $1,420 $1,775 0.4×
Repair Lead Pace-Defib One (33218) $1,387.20 $1,734 0.3×
Repair Leg Fascia Defect (27656) $1,661.60 $2,077 0.5×
Repair lower leg epiphyses (27734) $3,720.80 $4,651 1.1×
Repair lower leg tendons (27676)
range across 2 matching MRF lines		 $436.80–$2,183.20 $546–$2,729 varies
Repair lumbar hernia (49540)
range across 2 matching MRF lines		 $407.20–$2,035.20 $509–$2,544 varies
Repair mouth/nose fistula (30600)
unusually low: confirm this is the full procedure		 $1,989.60 $2,487 0.3×
Repair nasal septal perforations (30630) $2,444 $3,055 0.7×
Repair Nasal Vestibular Stenosis (30465) $3,855.20 $4,819 0.6×
Repair Non/Malunion Humerus W/O Graft (24430)
range across 2 matching MRF lines		 $1,400–$6,997.60 $1,750–$8,747 varies
Repair Nonunion Hand (26546)
unusually low: confirm this is the full procedure		 $3,405.60 $4,257 0.4×
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure		 $1,684 $2,105 0.1×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
range across 2 matching MRF lines		 $1,026.40–$5,124.80 $1,283–$6,406 varies
Repair nose to lip fistula (42260)
unusually low: confirm this is the full procedure		 $1,946.40 $2,433 0.3×
Repair of anal fistula with fibrin glue (46706) $524 $655 0.2×
Repair of anal sphincter (46760) $3,901.60 $4,877 1.3×
Repair of arm tendon (24320) $6,394.40 $7,993 0.8×
Repair of biceps tendon (24340) $4,318.40 $5,398 0.6×
Repair of congenital pseudarthrosis, tibia Facility (27727) $6,078.40 $7,598 1.7×
Repair of defect with autograft; radius AND ulna Facility (25426) $5,810.40 $7,263 1.7×
Repair of enterocele, vaginal approach (separate procedure) (57268)
range across 2 matching MRF lines		 $594.40–$3,075.20 $743–$3,844 varies
Repair of entropion; thermocauterization (67922) $1,583.20 $1,979 0.6×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $2,891.20 $3,614 0.8×
Repair of fibula epiphysis (27732) $2,128 $2,660 0.6×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $3,593.60 $4,492 0.5×
Repair of hammertoe (28286) $1,263.20 $1,579 0.4×
Repair of hydrocele (55060) $1,441.60 $1,802 0.4×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) $3,866.40 $4,833 1.0×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) $5,860 $7,325 1.0×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) $5,152.80 $6,441 0.5×
Repair of knee ligaments (27409) $4,167.20 $5,209 0.5×
Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) $492.80 $616 0.2×
Repair of leg nerve (64840)
unusually low: confirm this is the full procedure		 $3,009.60 $3,762 0.3×
Repair of metatarsals (28322)
range across 2 matching MRF lines		 $303.20–$1,516 $379–$1,895 varies
Repair of nail bed (11760) $566.40 $708 0.7×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $6,495.20 $8,119 0.8×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $5,470.40 $6,838 0.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
range across 2 matching MRF lines		 $888.80–$4,444 $1,111–$5,555 varies
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) $7,437.60 $9,297 1.0×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $5,048 $6,310 0.6×
Repair of rectocele (45560) $2,164.80 $2,706 0.7×
Repair of rectum (45505) $2,080.80 $2,601 0.7×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $1,136–$5,676.80 $1,420–$7,096 varies
Repair of scleral staphyloma with graft Facility (66225) $5,568 $6,960 1.0×
Repair of shoulder (23420)
range across 2 matching MRF lines		 $1,814.40–$9,071.20 $2,268–$11,339 varies
Repair of sternum separation (21750)
unusually low: confirm this is the full procedure		 $2,849.60 $3,562 0.4×
Repair of urethra injury (53502) $3,448 $4,310 0.9×
Repair of web finger (26562) $9,633.60 $12,042 2.7×
Repair of web finger (26560) $3,212.80 $4,016 1.9×
Repair of web finger (26561) $3,854.40 $4,818 1.1×
Repair of windpipe (31755) $5,478.40 $6,848 0.9×
Repair of windpipe (31750) $4,565.60 $5,707 0.7×
Repair of windpipe defect (31825) $1,827.20 $2,284 0.5×
Repair oval window fistula (69666) $5,084.80 $6,356 1.4×
Repair palate (42235) $3,538.40 $4,423 0.6×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $1,691.20 $2,114 0.2×
Repair penis post injury (54440) $3,544.80 $4,431 0.9×
Repair radius & ulna (25415) $6,495.20 $8,119 0.8×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $2,191.20 $2,739 0.6×
Repair recurrent femoral hernia; reducible Facility (49555) $1,916.80 $2,396 0.5×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $500.80–$2,501.60 $626–$3,127 varies
Repair Retinal Detachment Scleral Buckling (67107) $5,700.80 $7,126 1.3×
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $1,420–$7,100 $1,775–$8,875 varies
Repair round window fistula (69667) $5,084.80 $6,356 1.4×
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $744.80–$3,720.80 $931–$4,651 varies
Repair shoulder capsule (23462)
range across 2 matching MRF lines		 $1,578.40–$7,889.60 $1,973–$9,862 varies
Repair shoulder capsule (23466)
range across 2 matching MRF lines		 $1,868.80–$9,342.40 $2,336–$11,678 varies
Repair Spica/Body/Jacket Cast (29720) $84.80 $106 0.5×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $846.40 $1,058 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $1,120–$5,599.20 $1,400–$6,999 varies
Repair Toe Dislocation (28645) $1,435.20 $1,794 0.4×
Repair tongue laceration (41252) $1,402.40 $1,753 5.5×
Repair tongue laceration (41250) $386.40 $483 0.8×
Repair Tooth Socket (41874) $819.20 $1,024 0.2×
Repair umbilical lesion (49600) $2,151.20 $2,689 0.6×
Repair uro sphincter (53449)
unusually low: confirm this is the full procedure		 $3,448 $4,310 0.3×
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $4,174.40 $5,218 0.7×
Repair, congenital arteriovenous fistula; extremities Facility (35184) $4,174.40 $5,218 1.2×
Repair, congenital arteriovenous fistula; head and neck Facility (35180) $4,174.40 $5,218 2.5×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
range across 2 matching MRF lines		 $372.80–$1,861.60 $466–$2,327 varies
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) $2,196.80 $2,746 0.6×
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $5,238.40 $6,548 0.7×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $3,968.80 $4,961 0.5×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $3,120.80 $3,901 0.4×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $2,812.80 $3,516 0.4×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $2,735.20 $3,419 0.8×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $3,419.20 $4,274 1.0×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
unusually low: confirm this is the full procedure		 $3,419.20 $4,274 0.4×
Repair/graft achilles tendon (27652) $3,933.60 $4,917 0.5×
Repair/graft femur head/neck (27170) $6,901.60 $8,627 0.9×
Repair/graft finger tendon (26428) $4,496 $5,620 1.3×
Repair/Graft Wrist Bone (25440)
range across 2 matching MRF lines		 $1,094.40–$5,472 $1,368–$6,840 varies
Repair/Revise Wrist Joint (25320) $5,810.40 $7,263 0.7×
Repair/transpose nerve (64856)
unusually low: confirm this is the full procedure		 $3,760.80 $4,701 0.4×
Replace elbow joint (24363) $13,187.20 $16,484 0.7×
Replace eye fluid (67025) $2,228 $2,785 0.9×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $2,568.80–$4,422.40 $3,211–$5,528 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $1,848–$2,713.60 $2,310–$3,392 varies
Replace/Revise Brain Shunt (62230) $5,262.40 $6,578 0.6×
Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) $2,771.20 $3,464 1.3×
Replacement Tissue Expander W/Permanent Implant (11970)
unusually low: confirm this is the full procedure		 $3,284.80 $4,106 0.4×
Reposition Gastrostomy Tube (43761) $332.80 $416 1.2×
Reposition L Ventric Lead (33226) $2,086.40 $2,608 0.6×
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $1,432.80–$6,169.60 $1,791–$7,712 varies
Reposition Venous Catheter (36597) $451.20 $564 0.3×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $2,956.80 $3,696 1.2×
Repr elbow lat ligmnt w/tiss (24343) $3,640.80 $4,551 1.0×
Repr Elbw Med Ligmnt W/Tiss (24345)
unusually low: confirm this is the full procedure		 $3,640.80 $4,551 0.5×
Repr torn cruciate knee ligam (27407)
range across 2 matching MRF lines		 $635.20–$3,175.20 $794–$3,969 varies
Rerepair ing hernia reduce (49520)
range across 3 matching MRF lines		 $436.80–$3,275.20 $546–$4,094 varies
Resect back tum < 5 cm (21935) $3,492 $4,365 1.1×
Resect hip/pelv tum < 5 cm (27049) $8,912.80 $11,141 2.9×
Resect leg/ankle tum < 5 cm (27615) $6,190.40 $7,738 2.0×
Resect shoulder tumor < 5 cm (23077) $11,870.40 $14,838 3.8×
Resect thigh/knee tum < 5 cm (27329) $9,540.80 $11,926 3.1×
Resection of elbow joint (arthrectomy) Facility (24155) $6,155.20 $7,694 1.8×
Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892)
unusually low: confirm this is the full procedure		 $3,084 $3,855 0.5×
Resection of scrotum (55150) $2,083.20 $2,604 0.6×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $1,160.80 $1,451 0.3×
Resection, humeral head Facility (23195) $6,127.20 $7,659 0.8×
Resection, partial or complete, phalangeal base, each toe (28126)
range across 2 matching MRF lines		 $214.40–$1,068.80 $268–$1,336 varies
Resection/transplantation long tendon biceps (23440) $4,597.60 $5,747 0.6×
Retrobulbar inject,alcohol (67505) $449.60 $562 1.3×
Retrobulbar injection (67500) $252.80 $316 0.7×
Rev/rmv prph sac/gstr npg/r (64595) $1,454.40 $1,818 0.4×
Revis reconst shoulder joint (23473) $8,384 $10,480 0.6×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $9,125.60 $11,407 0.7×
Revise Abdomen-Venous Shunt (49426) $2,435.20 $3,044 0.6×
Revise cornea with implant (65770)
unusually low: confirm this is the full procedure		 $5,780.80 $7,226 0.4×
Revise external ear (69300) $2,868.80 $3,586 0.8×
Revise eye (65091) $2,999.20 $3,749 0.7×
Revise eye with implant (65093) $3,272 $4,090 0.8×
Revise eyelashes (67835) $2,623.20 $3,279 1.0×
Revise eyelashes (67825) $383.20 $479 1.1×
Revise eyelid lining (68360) $1,838.40 $2,298 0.4×
Revise finger joint each (26140) $2,245.60 $2,807 1.3×
Revise Hand/Foot Nerve (64704) $1,806.40 $2,258 0.9×
Revise hernia & sperm veins (55540) $2,465.60 $3,082 0.6×
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure		 $3,212.80 $4,016 0.4×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure		 $2,658.40 $3,323 0.3×
Revise Lower Leg Tendons (27686) $2,186.40 $2,733 0.6×
Revise palsy hand tendon(s) (25315) $5,470.40 $6,838 0.7×
Revise penis/urethra (54328) $7,276 $9,095 1.9×
Revise penis/urethra (54332) $6,696.80 $8,371 1.8×
Revise penis/urethra (54336) $7,694.40 $9,618 2.0×
Revise radius & ulna (25365)
unusually low: confirm this is the full procedure		 $5,470.40 $6,838 0.4×
Revise thumb tendon (26496) $5,139.20 $6,424 1.5×
Revise ulnar nerve at wrist (64719) $2,183.20 $2,729 1.0×
Revise ureter (50727) $2,804.80 $3,506 0.7×
Revise Wrist/Forearm Tendon (25280) $2,735.20 $3,419 0.8×
Revise/Implant Finger Joint (26536)
unusually low: confirm this is the full procedure		 $3,533.60 $4,417 0.5×
Revise/remove neuroelectrode (61880) $8,943.20 $11,179 2.4×
Revise/Repair Finger/Toe Nerve (64702) $2,047.20 $2,559 1.0×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $1,604 $2,005 0.5×
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) $6,102.40 $7,628 1.0×
Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) $6,102.40 $7,628 1.0×
Revision mastoidectomy; resulting in tympanoplasty Facility (69604) $6,102.40 $7,628 1.0×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,221.60 $1,527 0.2×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $2,443.20 $3,054 0.6×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346)
range across 2 matching MRF lines		 $591.20–$2,952.80 $739–$3,691 varies
Revision of eyelid (67880) $1,285.60 $1,607 0.5×
Revision of foot (28116)
range across 2 matching MRF lines		 $476.80–$2,381.60 $596–$2,977 varies
Revision of foot and ankle (28262)
unusually low: confirm this is the full procedure		 $3,764.80 $4,706 0.5×
Revision of foot bones (28737)
likely a partial charge, not the full procedure		 $3,307.20 $4,134 0.2×
Revision of foot fascia (28250) $1,599.20 $1,999 0.5×
Revision of humerus (24400) $5,435.20 $6,794 0.7×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $3,240.80 $4,051 0.9×
Revision of implanted intra-arterial infusion pump Facility (36261) $1,162.40 $1,453 0.3×
Revision of knee joint (27442)
likely a partial charge, not the full procedure		 $3,572 $4,465 0.3×
Revision of larynx (31400) $3,811.20 $4,764 0.6×
Revision of leg vein (37780) $1,068 $1,335 0.3×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $542.40–$2,710.40 $678–$3,388 varies
Revision of neck muscle (21720) $2,256.80 $2,821 0.6×
Revision of nose (30462) $5,819.20 $7,274 0.9×
Revision of penis (54300) $3,414.40 $4,268 0.9×
Revision of penis (54304) $4,187.20 $5,234 1.1×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) $8,692.80 $10,866 1.5×
Revision of scrotum (55180)
unusually low: confirm this is the full procedure		 $2,498.40 $3,123 0.4×
Revision of stapedectomy or stapedotomy Facility (69662) $6,812.80 $8,516 1.1×
Revision of toe (28312) $1,009.60 $1,262 0.3×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
range across 2 matching MRF lines		 $2,242.40–$11,212 $2,803–$14,015 varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
range across 2 matching MRF lines		 $2,310.40–$11,549.60 $2,888–$14,437 varies
Revision of tracheostomy scar (31830) $1,370.40 $1,713 0.4×
Revision of urethra (53460) $1,580 $1,975 0.4×
Revision of urethra (57220)
unusually low: confirm this is the full procedure		 $1,839.20 $2,299 0.3×
Revision of wrist joint (25450) $2,052 $2,565 0.6×
Revision Peri-Implant Capsule Breast (19370) $2,676 $3,345 0.6×
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) $4,147.20 $5,184 0.7×
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) $4,978.40 $6,223 0.8×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $2,443.20 $3,054 1.0×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $4,102.40 $5,128 0.5×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,133.60 $1,417 0.3×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,100.80 $1,376 0.3×
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) $5,232.80 $6,541 0.9×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) $3,814.40 $4,768 0.6×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
range across 2 matching MRF lines		 $2,256.80–$11,281.60 $2,821–$14,102 varies
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $1,676.80–$8,380 $2,096–$10,475 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $1,276–$6,377.60 $1,595–$7,972 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,100 $2,625 0.6×
Revj/rmvl neurostimulator pulse generator (61888)
likely a partial charge, not the full procedure		 $1,553.60 $1,942 0.1×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,677.60 $2,097 0.4×
Revj/rpr oprative wound anterior segment (66250) $2,356.80 $2,946 0.9×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines		 $248–$1,240 $310–$1,550 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $26,192 $32,740 2.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $2,259.20–$14,240 $2,824–$17,800 varies
Rhinoplasty primary w/major septal repair (30420) $5,481.60 $6,852 0.9×
Rhinoplasty Secondary Intermediate Revision (30435)
unusually low: confirm this is the full procedure		 $2,584 $3,230 0.4×
Rhinoplasty Secondary Major Revision (30450) $4,131.20 $5,164 0.7×
Rhinoplasty Secondary Minor Revision (30430)
likely a partial charge, not the full procedure		 $1,592 $1,990 0.3×
Rhinp Dfrm W/Colum Lngth Tip Only (30460)
unusually low: confirm this is the full procedure		 $2,188 $2,735 0.3×
Rhinp Prim Complete Xtrnl Parts (30410) $4,131.20 $5,164 0.7×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $3,179.20 $3,974 0.5×
Rhytidectomy Cheek Chin & Neck (15828) $7,275.20 $9,094 1.9×
Rhytidectomy Forehead (15824) $2,951.20 $3,689 1.3×
Rhytidectomy Neck W/Platysmal Tightening (15825) $3,373.60 $4,217 0.9×
Rib cartilage graft (21230) $5,601.60 $7,002 0.9×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $431.20 $539 0.2×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $353.60 $442 0.2×
Rmvl embedded fb vestibule mouth comp (40805) $928 $1,160 1.6×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $360 $450 0.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $1,036.80–$1,555.20 $1,296–$1,944 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $208.80–$285.60 $261–$357 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $303.20 $379 2.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $256 $320 0.5×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $2,145.60 $2,682 6.3×
Rmvl fecal impaction/fb spx under anes (45915) $692.80 $866 0.5×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $1,572 $1,965 0.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,189.60 $1,487 0.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $419.20 $524 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $482.40 $603 0.3×
Rmvl implnt matl posterior segment extraocular (67120) $2,139.20 $2,674 0.9×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $2,907.20 $3,634 1.2×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $3,500.80 $4,376 1.4×
Rmvl Lens Material Phacofragmentation Aspir (66850) $3,764.80 $4,706 1.5×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,276.80 $2,846 1.1×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $1,502.40 $1,878 0.4×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) $4,496 $5,620 0.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,710.40 $2,138 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $185.60–$927.20 $232–$1,159 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $560.80–$1,755.20 $701–$2,194 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $3,855.20 $4,819 1.6×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $4,497.60 $5,622 1.8×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $227.20 $284 0.8×
Rmvl/revj sling stress incontinence (57287) $2,204.80 $2,756 0.6×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $246.40–$700.80 $308–$876 varies
Rplcmt cath ctr vad subq port/pmp (36578) $1,829.60 $2,287 0.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $951.20 $1,189 0.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,193.60 $2,742 1.3×
Rplcmt compl tun ctr vad w/subq port (36582) $3,646.40 $4,558 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 3 matching MRF lines		 $290.66–$4,181.92 $363.33–$5,227.40 varies
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $2,519.20 $3,149 0.7×
Rplcmt/irrigation ventricular catheter (62225) $3,602.40 $4,503 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $380–$1,898.40 $475–$2,373 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $173.60–$867.20 $217–$1,084 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
range across 2 matching MRF lines		 $392–$1,958.40 $490–$2,448 varies
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines		 $325.60–$1,625.60 $407–$2,032 varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $1,453.60 $1,817 0.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,068.80 $1,336 0.3×
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $291.20–$1,456 $364–$1,820 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $242.40–$1,209.60 $303–$1,512 varies
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $3,183.20 $3,979 0.8×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $3,183.20 $3,979 1.2×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $4,625.60 $5,782 1.8×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $4,405.60 $5,507 1.7×
Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) $4,186.40 $5,233 1.0×
Rpr blood vessel direct lower extremity (35226) $3,297.60 $4,122 4.3×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $3,425.60 $4,282 1.3×
Rpr blvsl w/grf other/than vein lower extremity (35286) $4,520.80 $5,651 0.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $765.60 $957 0.5×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675)
range across 2 matching MRF lines		 $332.80–$1,661.60 $416–$2,077 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
range across 2 matching MRF lines		 $288–$1,440.80 $360–$1,801 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $544–$574.40 $680–$718 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $479.20–$2,392.80 $599–$2,991 varies
Rpr Ing Hernia Baby, Reduc (49495)
range across 2 matching MRF lines		 $1,984.80–$2,977.60 $2,481–$3,722 varies
Rpr ing hernia init reduce (49500)
range across 2 matching MRF lines		 $357.60–$1,788 $447–$2,235 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,074.40 $1,343 1.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $324 $405 1.3×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $1,636.80 $2,046 0.7×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $397.60 $497 0.2×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $4,362.40 $5,453 0.8×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $710.40 $888 0.2×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $3,272 $4,090 0.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,275.20 $1,594 2.2×
Rpr Lip Full Thickness Vermilion Only (40650) $968 $1,210 1.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,878.40 $2,348 1.1×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
range across 2 matching MRF lines		 $1,156–$5,804 $1,445–$7,255 varies
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $10,740.54 $13,425.67 1.7×
Rpr Nsl Vlv Collapse W/Implt (30468) $6,763.20 $8,454 1.1×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $4,357.60 $5,447 0.6×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $4,455.20 $5,569 1.8×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $8,906.40 $11,133 2.0×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $1,575.20 $1,969 0.6×
Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) $2,360.80 $2,951 0.6×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,599.20 $1,999 0.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $592–$2,959.20 $740–$3,699 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $493.60–$2,465.60 $617–$3,082 varies
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
range across 2 matching MRF lines		 $404–$2,018.40 $505–$2,523 varies
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
likely a partial charge, not the full procedure		 $1,117.60 $1,397 0.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $466.40 $583 0.7×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $2,181.60 $2,727 0.5×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $3,212.80 $4,016 0.9×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $4,468 $5,585 0.6×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $5,924 $7,405 0.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $926.40–$4,631.20 $1,158–$5,789 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $5,300 $6,625 1.5×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370)
range across 2 matching MRF lines		 $794.40–$3,969.60 $993–$4,962 varies
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) $4,496 $5,620 0.6×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $3,969.60 $4,962 1.1×
Salpingostomy (salpingoneostomy) (58770) $4,198.40 $5,248 1.2×
Saphenopopliteal vein anastomosis Facility (34530) $2,784.80 $3,481 0.8×
Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) $7,658.40 $9,573 1.0×
Scleral reinforcement (separate procedure); without graft Facility (67250) $2,836 $3,545 1.1×
Scleral Reinforcement Spx W/Graft (67255) $3,547.20 $4,434 0.8×
Scrotal exploration (55110) $1,250.40 $1,563 0.3×
Scrotoplasty Simple (55175) $1,666.40 $2,083 0.4×
Secondary revision of orbitocraniofacial reconstruction Facility (21275) $10,807.20 $13,509 1.7×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $3,378.40 $4,223 0.5×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,172 $3,965 0.9×
Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) $3,448 $4,310 1.0×
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) $4,102.40 $5,128 1.2×
Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) $4,795.20 $5,994 1.4×
Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) $4,597.60 $5,747 1.3×
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) $4,795.20 $5,994 0.6×
Sequestrectomy Olecranon Process (24138) $4,795.20 $5,994 0.6×
Sever cranial nerve (64771) $2,508.80 $3,136 1.2×
Severing Adhesions Anterior Segment Laser Spx (65860) $1,713.60 $2,142 2.9×
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) $1,843.20 $2,304 0.4×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $1,843.20 $2,304 0.7×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $1,843.20 $2,304 0.7×
Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) $2,572 $3,215 1.0×
Severing tarsorrhaphy (67710) $331.20 $414 0.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $1,092–$2,483.20 $1,365–$3,104 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $1,205.60–$2,669.86 $1,507–$3,337.33 varies
Shave skin lesion 0.5 cm/< (11300) $169.60 $212 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $208 $260 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $338.40 $423 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $183.20 $229 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $221.60 $277 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $260 $325 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $288.80 $361 0.7×
Shorten radius & ulna (25392) $5,810.40 $7,263 0.7×
Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) $2,570.40 $3,213 0.7×
Shoulder arthroscopy (29820)
range across 2 matching MRF lines		 $614.40–$3,071.20 $768–$3,839 varies
Shoulder arthroscopy diagnostic (29805) $1,826.40 $2,283 0.5×
Shoulder Arthroscopy/Surgery (29825) $3,616 $4,520 1.0×
Shoulder joint surgery (23101) $4,060.80 $5,076 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $246.40 $308 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $285.60 $357 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $208 $260 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $312 $390 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $246.40 $308 1.1×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $586.40 $733 0.2×
Sigmoidoscopy & decompress (45337) $808.80 $1,011 0.8×
Sigmoidoscopy & Polypectomy (45333) $1,000 $1,250 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)
range across 2 matching MRF lines		 $1,157.60–$2,692 $1,447–$3,365 varies
Sigmoidoscopy flx tndsc balo dilat (45340)
range across 2 matching MRF lines		 $488–$2,599.20 $610–$3,249 varies
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $443.20 $554 0.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $532.80 $666 0.4×
Sigmoidoscopy w/fb removal (45332) $578.40 $723 0.5×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $788 $985 0.1×
Sigmoidoscopy W/Ultrasound (45341) $387.20 $484 0.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $560–$1,101.35 $700–$1,376.69 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,013.60 $1,267 0.8×
Simple Cystometrogram (51725)
range across 3 matching MRF lines		 $195.20–$488 $244–$610 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $721.60 $902 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $332.80–$335.20 $416–$419 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $376–$396 $470–$495 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,341.60 $1,677 3.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $430.40–$452.80 $538–$566 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $297.60 $372 1.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $325.60–$664.80 $407–$831 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $417.60–$435.20 $522–$544 varies
Sinusotomy frontal; external, simple (trephine operation) Facility (31070)
unusually low: confirm this is the full procedure		 $2,093.60 $2,617 0.3×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) $5,020 $6,275 0.8×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) $5,020 $6,275 0.8×
Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) $4,184.80 $5,231 0.7×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $5,020 $6,275 0.8×
Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) $5,020 $6,275 0.8×
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) $4,184.80 $5,231 0.7×
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) $3,556.80 $4,446 0.6×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030)
unusually low: confirm this is the full procedure		 $2,804 $3,505 0.4×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
unusually low: confirm this is the full procedure		 $3,140 $3,925 0.5×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) $4,184.80 $5,231 0.7×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) $4,392.80 $5,491 0.7×
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) $6,275.20 $7,844 1.0×
Skin Full Grft Face/Genit/Hf (15240) $2,087.20 $2,609 0.9×
Skin Pedicle Flap Trunk (15570) $2,317.60 $2,897 1.0×
Skin Pinch Graft (15050) $943.20 $1,179 1.2×
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $64.80–$4,330.24 $81–$5,412.80 varies
Skin sub graft trnk/arm/leg (15271)
range across 4 matching MRF lines		 $160.80–$4,325.85 $201–$5,407.31 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $151.20–$756 $189–$945 varies
Skin Tissue Procedure (17999)
range across 4 matching MRF lines		 $768–$2,970.40 $960–$3,713 varies
Skn sub grft f/n/hf/g child (15277) $1,160 $1,450 0.5×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,554.40 $3,193 0.8×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $788–$3,937.60 $985–$4,922 varies
Slitting of prepuce (54001) $468 $585 0.2×
Slitting of prepuce (54000) $312.80 $391 0.1×
Small bowel endoscopy (44366)
range across 2 matching MRF lines		 $1,836–$2,715.60 $2,295–$3,394.50 varies
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,476.80 $1,846 0.7×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
unusually low: confirm this is the full procedure		 $1,960.80 $2,451 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $357.60–$358.40 $447–$448 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $473.60–$550.40 $592–$688 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $528–$607.20 $660–$759 varies
Snip Incision Lacrimal Punctum (68440) $346.40 $433 1.0×
Sperm washing artificial insemination (58323) $323.20 $404 1.5×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $3,064 $3,830 1.0×
Sphincterotomy anal division sphincter spx (46080) $1,084.80 $1,356 0.4×
Sphnctrop Anal Levator Musc Imbrcj (46761) $5,571.20 $6,964 1.9×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $815.20–$1,058.40 $1,019–$1,323 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $478.40–$2,391.20 $598–$2,989 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $355.20–$1,772.80 $444–$2,216 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $1,896–$4,744 $2,370–$5,930 varies
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $5,696 $7,120 0.9×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $5,696 $7,120 0.9×
Stapes mobilization (69650) $3,559.20 $4,449 1.0×
Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) $9,966.40 $12,458 2.7×
Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) $3,357.60 $4,197 1.6×
Sternal debridement (21627) $4,033.60 $5,042 1.2×
Strabismus Any Superior Oblique Muscle (67318) $3,212.80 $4,016 1.3×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $2,676 $3,345 1.1×
Strabismus Recession/Rescj 1 Ver Musc (67314) $2,941.60 $3,677 1.2×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $3,212.80 $4,016 0.8×
Strabismus Recession/Rescj 2/More Ver Musc (67316) $3,676 $4,595 1.4×
Strapping ankle (29540) $112 $140 0.6×
Strapping elbow or wrist (29260) $99.20 $124 1.6×
Strapping hand/finger (29280) $84.80 $106 1.3×
Strapping Hip (29520) $169.60 $212 1.2×
Strapping knee (29530) $131.20 $164 0.9×
Strapping shoulder (29240) $112 $140 0.8×
Strapping thorax (29200) $112 $140 0.6×
Strapping toes (29550) $70.40 $88 1.1×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $172–$588.80 $215–$736 varies
Stump elongation, upper extremity Facility (24935) $4,887.20 $6,109 0.6×
Subconjunctival injection (68200) $288 $360 0.6×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $414.40 $518 1.9×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $451.20 $564 0.6×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $487.20 $609 0.6×
Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) $396 $495 0.5×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $1,636.80–$2,455.20 $2,046–$3,069 varies
Suprahyoid lymphadenectomy (38700)
range across 2 matching MRF lines		 $3,224–$4,836 $4,030–$6,045 varies
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $1,370.40 $1,713 0.4×
Surg Implnt Neuroelect,Epidural (63655)
unusually low: confirm this is the full procedure		 $7,047.20 $8,809 0.3×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $8,627.20 $10,784 1.4×
Surg Tx Anal Fistula 2nd Stage (46285) $997.60 $1,247 0.3×
Surg tx anal fistula subq (46270) $1,176 $1,470 0.4×
Surgery to stop leg growth (27479) $4,171.20 $5,214 0.5×
Surgery to stop leg growth (27477)
unusually low: confirm this is the full procedure		 $3,651.20 $4,564 0.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,560.80 $1,951 0.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $973.60 $1,217 0.4×
Suture 1 nerve hand/foot common sensory nerve (64834) $2,059.20 $2,574 0.6×
Suture 1 Nerve Median Motor Thenar (64835) $2,159.20 $2,699 0.6×
Suture 1 Nerve Ulnar Motor (64836) $2,508.80 $3,136 0.7×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $376.80–$1,881.60 $471–$2,352 varies
Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) $10,168 $12,710 1.6×
Suture infrapatellar tendon primary (27380)
range across 3 matching MRF lines		 $421.60–$3,157.60 $527–$3,947 varies
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $2,356.80 $2,946 1.0×
Suture of facial nerve; extracranial Facility (64864)
unusually low: confirm this is the full procedure		 $3,412 $4,265 0.4×
Suture of facial nerve; infratemporal, with or without grafting Facility (64865) $4,264 $5,330 1.2×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
unusually low: confirm this is the full procedure		 $2,779.20 $3,474 0.4×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 4 matching MRF lines		 $532–$3,988 $665–$4,985 varies
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
range across 2 matching MRF lines		 $635.20–$3,175.20 $794–$3,969 varies
Suture of sciatic nerve (64858) $3,512 $4,390 1.7×
Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) $1,402.40 $1,753 0.4×
Suture of; brachial plexus Facility (64861) $3,512 $4,390 1.7×
Suture of; lumbar plexus Facility (64862) $4,414.40 $5,518 1.2×
Suture pharynx for wound or injury (42900) $994.40 $1,243 0.6×
Suture/repair testicular injury (54670) $1,636.80 $2,046 0.4×
Sympathectomy cervical (64802) $3,635.20 $4,544 1.7×
Sympathectomy, cervicothoracic Facility (64804) $5,315.20 $6,644 2.5×
Sympathectomy; digital arteries, each digit Facility (64820) $1,858.40 $2,323 0.9×
Syndactylization toes (28280) $1,054.40 $1,318 0.3×
Synovectomy carpometacarpal joint (26130) $2,888 $3,610 0.8×
Synovectomy Tendon Sheath Foot Extensor (28088) $1,576.80 $1,971 0.4×
Synovectomy Tendon Sheath Foot Flexor (28086) $1,690.40 $2,113 0.5×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $3,419.20 $4,274 1.0×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $2,567.20 $3,209 0.7×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
likely a partial charge, not the full procedure		 $1,208 $1,510 0.2×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,567.20 $3,209 1.5×
Talectomy (astragalectomy) Facility (28130)
unusually low: confirm this is the full procedure		 $2,701.60 $3,377 0.3×
Tangential biopsy skin single lesion (11102) $316 $395 0.7×
Tattooing incl micropigmentation 6.0 cm/< (11920) $936 $1,170 1.2×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $1,867.20 $2,334 2.4×
Temple bone implant revision (69717) $5,339.20 $6,674 0.7×
Temporary Closure Eyelids Suture (67875) $528 $660 0.5×
Tendon lengthening upper arm/elbow ea tendon (24305) $2,496 $3,120 0.7×
Tendon shortening (26477) $1,928.80 $2,411 0.6×
Tendon transfer with graft (26492) $4,818.40 $6,023 1.4×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $888.80–$4,444 $1,111–$5,555 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $4,786.40 $5,983 1.4×
Tenodesis distal joint each (26474) $1,928.80 $2,411 1.1×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $1,073.60–$5,365.60 $1,342–$6,707 varies
Tenodesis proximal interphalangeal joint each (26471) $3,212.80 $4,016 0.9×
Tenodesis Wrist Extensors Fingers (25301) $4,102.40 $5,128 1.2×
Tenodesis Wrist Flexors Fingers (25300) $4,786.40 $5,983 1.4×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $2,987.20 $3,734 0.9×
Tenolysis extensor foot single tendon (28225) $737.60 $922 0.2×
Tenolysis Flexor Foot Multiple Tendons (28222) $1,556.80 $1,946 0.4×
Tenolysis flexor foot single tendon (28220) $1,263.20 $1,579 0.7×
Tenolysis flexor tendon palm&finger each tendo (26442) $2,891.20 $3,614 0.8×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,928.80 $2,411 1.1×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,661.60 $2,077 0.5×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $1,992 $2,490 0.6×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $968.80 $1,211 0.3×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,464 $3,080 0.7×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $2,186.40 $2,733 0.6×
Tenotomy Adductor Hip Percutaneous Spx (27000) $864.80 $1,081 0.5×
Tenotomy extensor hand/finger open each tendon (26460) $1,608 $2,010 0.9×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,608 $2,010 0.9×
Tenotomy Flexor Palm Open Each Tendon (26450) $1,608 $2,010 0.5×
Tenotomy Hip Abd/Ext Open (27006) $2,300.80 $2,876 0.7×
Tenotomy Percutaneous Single Each Digit (26060) $960.80 $1,201 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $512.80 $641 0.3×
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 2 matching MRF lines		 $219.20–$1,093.60 $274–$1,367 varies
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $779.20 $974 0.5×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $1,317.60 $1,647 0.4×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $1,974.40 $2,468 0.6×
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $789.60–$3,945.60 $987–$4,932 varies
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003)
likely a partial charge, not the full procedure		 $2,014.40 $2,518 0.3×
Tenotomy, hip flexor(s), open (27005) $2,300.80 $2,876 0.7×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310)
range across 2 matching MRF lines		 $416–$2,079.20 $520–$2,599 varies
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) $1,786.40 $2,233 0.5×
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) $1,192 $1,490 0.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $697.60 $872 0.4×
Therapeutic plasma exchange (36514) $494.40 $618 0.3×
Therapeutic pneumothorax (32960) $323.20 $404 0.5×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606)
likely a partial charge, not the full procedure		 $1,475.20 $1,844 0.2×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)
likely a partial charge, not the full procedure		 $1,659.20 $2,074 0.1×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure		 $1,108 $1,385 0.2×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
unusually low: confirm this is the full procedure		 $2,328 $2,910 0.4×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876)
unusually low: confirm this is the full procedure		 $2,668.80 $3,336 0.4×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $2,368 $2,960 0.7×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
unusually low: confirm this is the full procedure		 $2,236.80 $2,796 0.4×
Thrmbc/Nfs Dialysis Circuit (36906) $17,092.80 $21,366 0.9×
Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) $2,436 $3,045 3.6×
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) $4,520.80 $5,651 0.8×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
range across 2 matching MRF lines		 $717.60–$3,584.80 $897–$4,481 varies
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure		 $1,616.80 $2,021 0.3×
Thrombolytic Therapy Stroke (37195) $1,797.60 $2,247 5.1×
Thrombolytic Venous Therapy (37212) $1,800.80 $2,251 0.5×
Thumb fusion with graft (26842) $4,040.80 $5,051 0.5×
Thyroid biopsy (60100)
range across 3 matching MRF lines		 $400.80–$1,004.61 $501–$1,255.76 varies
Thyroidectomy Post Prev Thyr Surg (60260) $3,583.20 $4,479 0.6×
Thyroidectomy, total or complete (60240)
range across 4 matching MRF lines		 $734.40–$5,503.20 $918–$6,879 varies
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $4,963.20 $6,204 0.8×
Tibial Arthroscopy/Surgery (29855)
range across 2 matching MRF lines		 $715.20–$3,575.20 $894–$4,469 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,822.40 $3,528 1.3×
Tissue Expander Placement Breast Reconstruction (19357)
unusually low: confirm this is the full procedure		 $5,576.80 $6,971 0.4×
Tlh uterus over 250 g (58572)
unusually low: confirm this is the full procedure		 $5,036 $6,295 0.4×
Tnot elbow lateral/medial debride open (24358) $1,767.20 $2,209 0.5×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $613.60–$3,068 $767–$3,835 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,362.40 $1,703 0.4×
Tooth extraction (41899) $140 $175 0.6×
Total Knee Arthroplasty (27447)
range across 4 matching MRF lines		 $1,398.40–$10,485.60 $1,748–$13,107 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
range across 2 matching MRF lines		 $734.40–$3,668.80 $918–$4,586 varies
Tprnl Plmt Biodegrdabl Matrl (55874)
range across 2 matching MRF lines		 $7,498.40 $337–$9,373 1.3×
Trabeculoplasty by laser surgery (65855) $2,315.20 $2,894 3.9×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $368 $460 0.1×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,431.20 $1,789 0.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $914.40 $1,143 1.6×
Tracheostoma Revj Cplx W/Flap Rotation (31614)
unusually low: confirm this is the full procedure		 $2,740 $3,425 0.4×
Tracheostoma revj smpl w/o flap rotation (31613) $1,370.40 $1,713 0.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,599.20 $1,999 6.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,827.20 $2,284 1.1×
Tracheostomy Fenestration W/Skin Flaps (31610)
unusually low: confirm this is the full procedure		 $2,740 $3,425 0.4×
Tracheostomy planned (31600) $1,647.20 $2,059 0.5×
Tracheostomy Planned Under 2 Years Spx (31601)
likely a partial charge, not the full procedure		 $1,827.20 $2,284 0.3×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure		 $1,371.20 $1,714 0.2×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $1,520.80 $1,901 0.4×
Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) $1,507.20 $1,884 0.7×
Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) $2,259.20 $2,824 1.1×
Transection or avulsion of; greater occipital nerve Facility (64744) $1,756.80 $2,196 0.8×
Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) $2,207.20 $2,759 1.1×
Transection or avulsion of; infraorbital nerve Facility (64734) $1,507.20 $1,884 0.7×
Transection or avulsion of; lingual nerve Facility (64740) $2,759.20 $3,449 1.3×
Transection or avulsion of; mental nerve Facility (64736) $1,806.40 $2,258 0.9×
Transection or avulsion of; phrenic nerve Facility (64746) $1,254.40 $1,568 0.6×
Transection or avulsion of; supraorbital nerve Facility (64732) $1,507.20 $1,884 0.7×
Transection/Avulsion Facial Nrv Different/Cmpl (64742) $2,759.20 $3,449 1.3×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,507.20 $1,884 0.7×
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) $5,751.20 $7,189 0.7×
Transfer iliopsoas; to femoral neck Facility (27111) $4,600.80 $5,751 1.3×
Transfer of embryo (58976) $2,443.20 $3,054 7.5×
Transfer of embryo (58974) $700.80 $876 0.7×
Transfer of iliopsoas muscle (27110) $7,187.20 $8,984 0.9×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $5,460 $6,825 1.6×
Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) $5,751.20 $7,189 1.6×
Transfer skin pedicle flap (15650) $1,642.40 $2,053 0.7×
Transfer, adductor to ischium Facility (27098) $4,600.80 $5,751 1.3×
Transfer, finger to another position without microvascular anastomosis Facility (26555) $5,139.20 $6,424 0.7×
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400)
unusually low: confirm this is the full procedure		 $2,382.40 $2,978 0.3×
Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft Facility (26551) $13,676 $17,095 1.8×
Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single Facility (26553) $11,878.40 $14,848 1.5×
Transfer/transplant tendon palmar w/o graft each (26485) $4,302.40 $5,378 1.2×
Transfusion Intrauterine Fetal (36460) $1,844 $2,305 3.9×
Transmetacarpal amputation; Facility (25927) $3,268 $4,085 0.9×
Transmetacarpal amputation; re-amputation Facility (25931) $3,268 $4,085 0.9×
Transmetacarpal amputation; secondary closure or scar revision Facility (25929) $1,091.20 $1,364 0.5×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $8,596 $10,745 1.1×
Transplant hand tendon (26480) $3,341.60 $4,177 1.0×
Transplant of thigh tendon (27396)
unusually low: confirm this is the full procedure		 $2,382.40 $2,978 0.3×
Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397)
unusually low: confirm this is the full procedure		 $2,779.20 $3,474 0.4×
Transplant/graft hand tendon (26483) $4,111.20 $5,139 1.2×
Transplant/graft palm tendon (26489) $5,074.40 $6,343 1.4×
Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) $2,083.20 $2,604 0.6×
Transrectal Drainage of Pelvic Abscess (45000) $800 $1,000 0.6×
Transur electr resection of prostate (52601) $4,429.60 $5,537 0.8×
Transurethral incision of prostate (52450) $2,023.20 $2,529 0.5×
Transurethral resection bladder neck (52500) $2,592 $3,240 0.7×
Transvesical ureterolithotomy Facility (51060) $7,448 $9,310 3.3×
Treat ankle dislocation (27848)
unusually low: confirm this is the full procedure		 $3,750.40 $4,688 0.5×
Treat Ankle Dislocation (27846)
unusually low: confirm this is the full procedure		 $3,344 $4,180 0.4×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure		 $3,668.80 $4,586 0.5×
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $312–$1,559.20 $390–$1,949 varies
Treat clavicle dislocation (23530)
unusually low: confirm this is the full procedure		 $2,844.80 $3,556 0.4×
Treat Dental Ridge Fracture (21440) $1,624.80 $2,031 0.5×
Treat dental ridge fracture (21445)
unusually low: confirm this is the full procedure		 $2,164 $2,705 0.3×
Treat dislocation/fracture (23670) $4,374.40 $5,468 0.6×
Treat dislocation/fracture (23680)
unusually low: confirm this is the full procedure		 $5,085.60 $6,357 0.4×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $645.60–$3,340 $807–$4,175 varies
Treat elbow fracture (24586)
range across 2 matching MRF lines		 $1,074.40–$5,370.40 $1,343–$6,713 varies
Treat Elbow Fracture (24635)
range across 2 matching MRF lines		 $958.40–$4,789.60 $1,198–$5,987 varies
Treat elbow fracture (24587) $7,167.20 $8,959 0.5×
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $347.20–$1,736 $434–$2,170 varies
Treat forearm bone lesion (25035)
unusually low: confirm this is the full procedure		 $2,735.20 $3,419 0.4×
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $864–$4,316.80 $1,080–$5,396 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $606.40–$3,031.20 $758–$3,789 varies
Treat Hand Bone Lesion (26034) $2,052.80 $2,566 1.2×
Treat Hip Socket Fracture (27222) $2,723.20 $3,404 10.3×
Treat humerus fracture (24500) $1,119.20 $1,399 4.2×
Treat Humerus Fracture (24505) $1,848.80 $2,311 1.1×
Treat humerus fracture (23616)
range across 2 matching MRF lines		 $1,406.40–$7,028.80 $1,758–$8,786 varies
Treat humerus fracture (23600) $940.80 $1,176 3.6×
Treat knee fracture (27532) $1,572 $1,965 0.4×
Treat Knee Fracture(S) (27538) $1,280 $1,600 4.8×
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure		 $2,948 $3,685 0.4×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $693.60–$3,464.80 $867–$4,331 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $676–$1,211.20 $845–$1,514 varies
Treat lower jaw fracture (21452) $3,784 $4,730 0.6×
Treat lower leg bone lesion (27607)
range across 2 matching MRF lines		 $437.60–$2,186.40 $547–$2,733 varies
Treat lower leg dislocation (27832)
likely a partial charge, not the full procedure		 $2,232 $2,790 0.3×
Treat metacarpal fracture (26607) $2,023.20 $2,529 0.6×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $910.40–$963.20 $1,138–$1,204 varies
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure		 $1,654.40 $2,068 0.2×
Treat scapula fracture (23585) $3,982.40 $4,978 0.5×
Treat skull fracture (62000) $5,871.20 $7,339 1.7×
Treat Tail Bone Fracture (27200) $576 $720 2.2×
Treat Thumb Dislocation (26641) $910.40 $1,138 3.4×
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $1,248.80–$1,589.60 $1,561–$1,987 varies
Treat thumb fracture (26665) $3,535.20 $4,419 1.0×
Treat toe dislocation (28630) $512.80 $641 1.9×
Treat Trigeminal Nerve (61790) $6,811.20 $8,514 3.3×
Treat vagina infection (57150) $172 $215 2.7×
Treat Vaginal Bleeding (57180) $513.60 $642 2.4×
Treat/graft heel fracture (28420)
unusually low: confirm this is the full procedure		 $4,470.40 $5,588 0.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,468 $1,835 0.9×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $979.20–$1,371.20 $1,224–$1,714 varies
Treatment extensive retinopathy photocoagulation (67228)
range across 2 matching MRF lines		 $1,034.32–$2,250.40 $1,292.90–$2,813 varies
Treatment mouth roof lesion (42160) $243.20 $304 0.1×
Treatment of anal fissure (46940) $280.80 $351 0.1×
Treatment of ankle fracture (27823)
range across 2 matching MRF lines		 $1,004.80–$5,021.60 $1,256–$6,277 varies
Treatment of foot infection (28003) $1,392.80 $1,741 0.4×
Treatment of gum lesion (41850) $392.80 $491 0.2×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $1,064–$5,317.60 $1,330–$6,647 varies
Treatment of nose fracture (21330) $3,392 $4,240 0.5×
Treatment of penis lesion (54115) $1,553.60 $1,942 0.5×
Treatment of retina (67141) $2,271.20 $2,839 6.7×
Treatment of retinal lesion (67208) $2,028 $2,535 6.0×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176)
range across 2 matching MRF lines		 $1,150.40–$5,751.20 $1,438–$7,189 varies
Treatment of slipped femoral epiphysis; by traction, without reduction Facility (27175) $4,026.40 $5,033 1.1×
Treatment of tibia fracture (27756)
range across 2 matching MRF lines		 $643.20–$3,215.20 $804–$4,019 varies
Trim skin lesion (11055) $96 $120 0.4×
Trim skin lesions 2 to 4 (11056) $128.80 $161 0.6×
Trim skin lesions over 4 (11057) $140.80 $176 0.7×
Trimming Nondystrophic Nails Any Number (11719) $72 $90 1.1×
Trluml Balo Angiop 1St Vein (37248) $3,908.80 $4,886 0.6×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure		 $1,344.80 $1,681 0.0×
Trnsplj autologous hematopoietic cells per donor (38241) $1,213.60 $1,517 0.7×
Trurl drainage prostatic abscess (52700) $1,918.40 $2,398 0.5×
Trurl rescj postop bladder neck contracture (52640) $2,563.20 $3,204 0.7×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $472 $590 0.2×
Tubal ligation (58600)
range across 2 matching MRF lines		 $388–$2,005.60 $485–$2,507 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,810.40 $2,263 0.6×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines		 $1,074.40–$5,370.40 $1,343–$6,713 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $248–$1,280.80 $310–$1,601 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $1,140.80–$5,704 $1,426–$7,130 varies
Tx Missed Abortion First Trimester Surgical (59820) $1,168.80 $1,461 0.3×
Tx Missed Abortion Second Trimester Surgical (59821) $1,540 $1,925 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $403.20 $504 0.2×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 2 matching MRF lines		 $758.40–$1,137.60 $948–$1,422 varies
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,504 $3,130 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,160 $1,450 1.5×
Tx superficial wound dehiscence w/packing (12021) $460 $575 1.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,104 $1,380 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $840.80 $1,051 3.2×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $1,028–$5,139.20 $1,285–$6,424 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $460.80 $576 0.3×
Tympanolysis transcanal (69450) $3,306.40 $4,133 0.9×
Tympanoplasty (69631) $5,656 $7,070 0.9×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $6,864.80 $8,581 1.1×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $7,117.60 $8,897 1.1×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $6,356 $7,945 1.0×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $6,762.40 $8,453 1.1×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $7,372 $9,215 1.2×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $7,524.80 $9,406 1.2×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $7,117.60 $8,897 1.1×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $7,219.20 $9,024 1.1×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $7,072 $8,840 1.1×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $6,610.40 $8,263 1.0×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $6,203.20 $7,754 1.0×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $1,051.20–$1,576.80 $1,314–$1,971 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,409.60 $1,762 0.4×
Unlisted Craniofacial & Maxillofacial Procedure (21299)
range across 3 matching MRF lines		 $353.60–$1,754.40 $442–$2,193 varies
Unlisted laparoscopic procedure liver (47379)
range across 3 matching MRF lines		 $493.60–$2,496.80 $617–$3,121 varies
Unlisted laparoscopy procedure appendix (44979)
range across 2 matching MRF lines		 $451.20–$2,255.20 $564–$2,819 varies
Unlisted laparoscopy procedure stomach (43659)
range across 2 matching MRF lines		 $2,552.80–$2,927.20 $3,191–$3,659 varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 12 matching MRF lines		 $492.80–$3,747.20 $616–$4,684 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 10 matching MRF lines		 $378.40–$4,655.20 $473–$5,819 varies
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
range across 4 matching MRF lines		 $460–$2,673.60 $575–$3,342 varies
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure		 $743.20 $929 0.1×
Unlisted laparoscopy procedure, spleen (38129)
range across 2 matching MRF lines		 $444.80–$2,223.20 $556–$2,779 varies
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $1,912.80 $2,391 0.3×
Unlisted procedure anus (46999)
range across 5 matching MRF lines		 $353.60–$1,521.60 $442–$1,902 varies
Unlisted procedure arthroscopy (29999)
range across 15 matching MRF lines		 $370.40–$6,864.80 $463–$8,581 varies
Unlisted Procedure Biliary Tract (47999)
range across 2 matching MRF lines		 $2,554.40–$4,528 $3,193–$5,660 varies
Unlisted procedure colon (45399) $1,133.60 $1,417 1.1×
Unlisted Procedure Endocrine System (60699)
likely a partial charge, not the full procedure		 $1,572.80 $1,966 0.2×
Unlisted Procedure Esophagus (43499) $1,464.80 $1,831 1.5×
Unlisted procedure excision pressure ulcer (15999) $3,720.80 $4,651 4.9×
Unlisted procedure femur or knee (27599)
range across 8 matching MRF lines		 $1,365.60–$5,704 $1,707–$7,130 varies
Unlisted procedure foot or toes (28899)
range across 10 matching MRF lines		 $257.60–$7,787.20 $322–$9,734 varies
Unlisted procedure forearm or wrist (25999)
range across 2 matching MRF lines		 $1,683.20–$1,964.80 $2,104–$2,456 varies
Unlisted procedure humerus/elbow (24999) $1,898.40 $2,373 7.2×
Unlisted Procedure Intestine (44799)
range across 10 matching MRF lines		 $229.60–$3,233.60 $287–$4,042 varies
Unlisted procedure larynx (31599)
range across 2 matching MRF lines		 $1,393.60–$1,665.60 $1,742–$2,082 varies
Unlisted Procedure Leg/Ankle (27899)
range across 4 matching MRF lines		 $656.80–$3,938.40 $821–$4,923 varies
Unlisted procedure liver (47399) $2,633.60 $3,292 3.5×
Unlisted procedure lungs and pleura (32999) $1,251.20 $1,564 1.9×
Unlisted Procedure Male Genital System (55899)
range across 2 matching MRF lines		 $256–$1,792.80 $320–$2,241 varies
Unlisted Procedure Muscskeletal System General (20999) $384 $480 1.5×
Unlisted procedure neck or thorax (21899)
range across 4 matching MRF lines		 $479.20–$3,974.40 $599–$4,968 varies
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $424.80–$1,084.80 $531–$1,356 varies
Unlisted Procedure Palate Uvula (42299)
range across 2 matching MRF lines		 $236–$2,618.40 $295–$3,273 varies
Unlisted procedure pelvis/hip joint (27299)
range across 6 matching MRF lines		 $234.40–$3,540.80 $293–$4,426 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $272 $340 1.1×
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $3,136–$3,616.80 $3,920–$4,521 varies
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $300–$1,500 $375–$1,875 varies
Unlisted procedure stomach (43999)
range across 5 matching MRF lines		 $240.80–$3,811.20 $301–$4,764 varies
Unlisted Procedure Tongue Floor Mouth (41599) $366.40 $458 1.4×
Unlisted Procedure Trachea Bronchi (31899)
range across 2 matching MRF lines		 $431.20–$472 $539–$590 varies
Unlisted Procedure Vascular Surgery (37799)
range across 12 matching MRF lines		 $376.80–$3,916 $471–$4,895 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 11 matching MRF lines		 $656–$3,542.40 $820–$4,428 varies
Unlisted Procedure, Urinary System (53899) $2,325.60 $2,907 8.7×
Unlisted px female genital system nonobstetrical (58999)
range across 8 matching MRF lines		 $186.40–$2,636.80 $233–$3,296 varies
Unlisted Px Salivary Glands/Ducts (42699)
range across 2 matching MRF lines		 $195.20–$1,620 $244–$2,025 varies
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure		 $3,377.60 $4,222 0.3×
Ureter endoscopy (50970) $516.80 $646 0.1×
Ureter endoscopy & biopsy (50955)
likely a partial charge, not the full procedure		 $1,031.20 $1,289 0.2×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
likely a partial charge, not the full procedure		 $1,449.60 $1,812 0.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957)
likely a partial charge, not the full procedure		 $1,217.60 $1,522 0.2×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980)
likely a partial charge, not the full procedure		 $1,544.80 $1,931 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974)
likely a partial charge, not the full procedure		 $1,122.40 $1,403 0.2×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $1,031.20 $1,289 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976)
likely a partial charge, not the full procedure		 $1,309.60 $1,637 0.2×
Ureteral endoscopy via ureterostomy (50951) $424.80 $531 0.1×
Urethrectomy, total, including cystostomy; male Facility (53215) $5,512.80 $6,891 1.0×
Urethromeatoplasty W/Mucosal Advancement (53450) $1,436 $1,795 0.4×
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) $6,440 $8,050 0.6×
Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) $5,796.80 $7,246 1.5×
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) $5,152.80 $6,441 0.9×
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) $4,090.40 $5,113 1.1×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $5,512.80 $6,891 1.0×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) $6,202.40 $7,753 1.1×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) $6,202.40 $7,753 1.1×
Urethroplasty, reconstruction of female urethra Facility (53430) $4,824.80 $6,031 0.8×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $3,448 $4,310 0.6×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) $4,824.80 $6,031 0.8×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $3,448 $4,310 0.6×
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) $4,482.40 $5,603 0.8×
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) $6,689.60 $8,362 1.2×
Urinary Reflex Study (51792)
range across 3 matching MRF lines		 $204–$509.60 $255–$637 varies
Urine Flow Measurement (51736)
range across 3 matching MRF lines		 $88.80–$221.60 $111–$277 varies
Uvulectomy excision of uvula (42140) $844.80 $1,056 0.2×
Vag hyst complex (58290)
range across 2 matching MRF lines		 $866.40–$4,331.20 $1,083–$5,414 varies
Vag hyst incl t/o complex (58291)
range across 2 matching MRF lines		 $930.40–$4,649.60 $1,163–$5,812 varies
Vag hyst w/t/o & vag repair (58263)
range across 2 matching MRF lines		 $856–$4,427.20 $1,070–$5,534 varies
Vaginal Delivery After Cesarean Delivery (59612) $2,348 $2,935 0.7×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $442.40–$2,287.20 $553–$2,859 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260)
range across 2 matching MRF lines		 $766.40–$3,963.20 $958–$4,954 varies
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
range across 2 matching MRF lines		 $798.40–$4,130.40 $998–$5,163 varies
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292)
range across 2 matching MRF lines		 $1,042.40–$5,210.40 $1,303–$6,513 varies
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294)
range across 2 matching MRF lines		 $908–$4,538.40 $1,135–$5,673 varies
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
range across 2 matching MRF lines		 $808.80–$4,184.80 $1,011–$5,231 varies
Vaginectomy, partial removal of vaginal wall; (57106) $3,616.80 $4,521 1.0×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $3,698.40 $4,623 1.1×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) $5,261.60 $6,577 1.5×
Vaginoplasty for intersex state Facility (57335) $4,005.60 $5,007 0.7×
Valvuloplasty Femoral Vein (34501)
unusually low: confirm this is the full procedure		 $2,262.40 $2,828 0.4×
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $5,417.60–$9,889.60 $6,772–$12,362 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $1,071.20 $1,339 0.5×
Vasovasostomy vasovasorrhaphy (55400) $4,411.20 $5,514 1.2×
Vein Access Cutdown < 1 Yr (36420) $205.60 $257 1.4×
Venous Cutdown >1 Y/O (36425) $169.60 $212 0.4×
Venous valve transposition, any vein donor Facility (34510)
unusually low: confirm this is the full procedure		 $2,750.40 $3,438 0.5×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $928.80–$1,393.60 $1,161–$1,742 varies
Ventricular puncture previous burr hole w/inj (61026) $612.80 $766 0.8×
Vermilionectomy lip shv w/mucosal advmnt (40500) $1,874.40 $2,343 0.5×
Vestibular nerve section, translabyrinthine approach Facility (69915) $9,152 $11,440 2.6×
Vestibuloplasty Anterior (40840)
likely a partial charge, not the full procedure		 $1,546.40 $1,933 0.2×
Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) $3,281.60 $4,102 0.5×
Vestibuloplasty Posterior Bilateral (40843)
likely a partial charge, not the full procedure		 $1,699.20 $2,124 0.3×
Vitrectomy mechanical pars plana (67036) $6,457.60 $8,072 1.5×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $6,850.40 $8,563 1.5×
Vulvectomy simple partial (56620) $2,480.80 $3,101 0.7×
Vulvectomy simple; complete (56625) $2,984.80 $3,731 0.9×
Vulvectomy, radical, partial; Facility (56630) $3,824.80 $4,781 0.7×
Wedge excision skin nail fold (11765) $312 $390 0.7×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
unusually low: confirm this is the full procedure		 $2,727.20 $3,409 0.3×
Wedging of cast (29740) $148.80 $186 0.5×
Wedging of clubfoot cast (29750) $131.20 $164 0.4×
Windowing of cast (29730) $103.20 $129 0.6×
Wound Prep F/N/Hf/G (15004) $683.20 $854 1.6×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $115.20–$575.20 $144–$719 varies
Wrist arthroscopy (29840) $1,990.40 $2,488 0.6×
Wrist arthroscopy with partial removal of joint lining (29844) $3,164 $3,955 0.9×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $718.40–$3,592.80 $898–$4,491 varies
Xtrnl Cannula Decltng Spx W/Balo Cath (36861)
likely a partial charge, not the full procedure		 $904 $1,130 0.2×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $589.60 $737 0.3×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $973.60 $1,217 1.7×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
likely a partial charge, not the full procedure		 $780 $975 0.1×
Xtroral I&D Floor Masticator Space (41018) $1,012 $1,265 0.6×

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.