Procedures & surgery prices at Methodist Jennie Edmundson

Council Bluffs, IA · every code in this section with a posted price and a Medicare benchmark.

1613 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines		 $527.10–$779.70 $1,757–$2,599 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $684.90 $2,283 0.7×
Abdomen Surgery Procedure (22999) $1,710.60 $5,702 6.8×
Ablate inf turbinate submuc (30802) $2,285.70 $7,619 1.4×
Ablate Pulm Tumor Perq Crybl (32994)
unusually low: confirm this is the full procedure		 $4,147.50 $13,825 0.4×
Ablation 1/> liver tumor perq cryoablation (47383) $5,562 $18,540 0.5×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $2,169 $7,230 0.1×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $3,744.60 $12,482 0.5×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,285.70 $7,619 1.4×
Abrasion single lesion (15786) $63.90 $213 0.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,710.60 $5,702 0.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,710.60 $5,702 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $715.50–$1,710.60 $2,385–$5,702 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,710.60 $5,702 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $1,353.90–$1,710.60 $4,513–$5,702 varies
Amniocentesis diagnostic (59000)
range across 4 matching MRF lines		 $319.80–$676.50 $1,066–$2,255 varies
Amniocentesis therapeutic (59001)
range across 2 matching MRF lines		 $485.40–$500.10 $1,618–$1,667 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $1,170–$1,427.70 $3,900–$4,759 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,710.60 $5,702 0.5×
Amputation foot transmetarsal (28805) $2,285.70 $7,619 0.7×
Amputation metatarsal with toe single (28810)
range across 3 matching MRF lines		 $1,386–$1,710.60 $4,620–$5,702 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,710.60–$1,989 $5,702–$6,630 varies
Amputation toe metatarsophalangeal joint (28820)
range across 3 matching MRF lines		 $1,710.60–$1,989.30 $5,702–$6,631 varies
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,285.70 $7,619 0.7×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $1,710.60 $5,702 0.5×
Anal/Urinary Muscle Study (51784) $123.30 $411 0.9×
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,884.60 $6,282 0.7×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $769.50 $2,565 0.8×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $1,636.20 $5,454 0.6×
Anoscopy Ablation Lesion (46615)
range across 2 matching MRF lines		 $1,125.90–$1,636.20 $3,753–$5,454 varies
Anoscopy Control Bleeding (46614) $769.50 $2,565 0.6×
Anoscopy diagnostic (46600) $97.50 $325 0.7×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $815.70 $2,719 0.7×
Anoscopy remove lesion (46610) $1,636.20 $5,454 0.6×
Anoscopy W/Rmvl Foreign Body (46608) $769.50 $2,565 0.8×
Anoscopy; with biopsy, single or multiple (46606)
range across 3 matching MRF lines		 $769.50–$1,125.90 $2,565–$3,753 varies
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $769.50 $2,565 0.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $1,125.90–$1,632.60 $3,753–$5,442 varies
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Apheresis Platelets (36513) $709.80 $2,366 1.6×
Appl cranial tong/strtctc frame w/removal spx (20660) $794.40 $2,648 0.5×
Application cast elbow finger short arm (29075) $220.50 $735 0.8×
Application Cast Finger (29086) $129.60 $432 0.8×
Application Finger Splint Dynamic (29131)
range across 6 matching MRF lines		 $52.20–$72.90 $174–$243 varies
Application finger splint static (29130)
range across 6 matching MRF lines		 $72.90–$78.90 $243–$263 varies
Application long arm splint shoulder hand (29105) $99.30 $331 0.6×
Application Long Leg Splint (29505) $72.90 $243 0.4×
Application of long leg cast (29345) $162.90 $543 0.6×
Application of rigid total contact leg cast (29445) $177.90 $593 0.6×
Application Short Arm Splint Dynamic (29126)
range across 6 matching MRF lines		 $52.20–$99.90 $174–$333 varies
Application short arm splint forearm-hand static (29125)
range across 7 matching MRF lines		 $105.30–$108.60 $351–$362 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $76.80–$77.40 $256–$258 varies
Apply hand/wrist cast (29085) $220.50 $735 1.3×
Apply long arm cast (29065) $162.90 $543 0.6×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $123.60–$247.20 $412–$824 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $162.90–$174 $543–$580 varies
Apply short leg cast (29425) $177.90 $593 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines		 $27–$97.50 $90–$325 varies
Arteriovenous Anastomosis Open Direct (36821) $1,710.60 $5,702 0.5×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 8 matching MRF lines		 $207.90–$1,710.60 $693–$5,702 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $625.80 $2,086 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 9 matching MRF lines		 $205.20–$2,285.70 $684–$7,619 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $219.90–$439.80 $733–$1,466 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $214.20–$1,710.60 $714–$5,702 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.1×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.1×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.1×
Arthroplasty interphalangeal joint each (26535) $1,710.60 $5,702 0.5×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,710.60 $5,702 0.5×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $2,285.70 $7,619 0.7×
Arthroscopy Ankle Surgical Debridement Limited (29897) $2,285.70 $7,619 0.7×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Arthroscopy Elbow Surgical Debridement Limited (29837) $1,710.60 $5,702 0.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,710.60 $5,702 0.5×
Arthroscopy knee synovectomy limited spx (29875) $1,710.60 $5,702 0.5×
Arthroscopy shoulder distal claviculectomy (29824) $2,285.70 $7,619 0.7×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $2,285.70 $7,619 0.7×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $1,710.60 $5,702 0.5×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) $1,710.60 $5,702 0.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $2,285.70 $7,619 0.7×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $2,285.70 $7,619 0.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,285.70 $7,619 0.7×
Arthrotomy biopsy interphalangeal joint each (26110) $1,710.60 $5,702 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,710.60 $5,702 0.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,285.70 $7,619 0.7×
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines		 $558.90–$1,710.60 $1,863–$5,702 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $525.30–$541.20 $1,751–$1,804 varies
Aspirate/Inj Ganglion Cyst (20612) $211.20 $704 0.7×
Aspiration & Injection Treatment Bone Cyst (20615) $329.40 $1,098 0.5×
Aspiration and/or injection thyroid cyst (60300) $328.80 $1,096 0.5×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $898.20–$1,402.20 $2,994–$4,674 varies
Aspiration Bladder Needle (51100) $358.50 $1,195 1.4×
Aspiration bladder trocar/intracatheter (51101) $115.20 $384 0.1×
Aspiration/Release Vitreous Subretinal/Choroidal (67015)
range across 2 matching MRF lines		 $1,487.70–$1,669.20 $4,959–$5,564 varies
Av Fistula Revision Open (36832)
range across 2 matching MRF lines		 $1,710.60–$2,174.40 $5,702–$7,248 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $92.70–$2,285.70 $309–$7,619 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure		 $2,035.50 $6,785 0.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $2,073.90 $6,913 0.2×
Biopsy Abdominal Mass (49180)
range across 4 matching MRF lines		 $1,066.20–$1,464 $3,554–$4,880 varies
Biopsy bone open superficial (20240)
range across 4 matching MRF lines		 $1,512.90–$1,710.60 $5,043–$5,702 varies
Biopsy bone trocar/needle deep (20225) $679.80 $2,266 0.4×
Biopsy Bone Trocar/Needle Superficial (20220) $1,309.20 $4,364 0.8×
Biopsy muscle percutaneous needle (20206)
range across 4 matching MRF lines		 $822.60–$987.30 $2,742–$3,291 varies
Biopsy nail unit (11755) $355.20 $1,184 0.5×
Biopsy of breast; open, incisional (19101) $1,710.60 $5,702 0.4×
Biopsy of liver, needle; percutaneous (47000)
range across 4 matching MRF lines		 $747.90–$2,681.10 $2,493–$8,937 varies
Biopsy of palate, uvula (42100) $536.70 $1,789 0.3×
Biopsy of penis (54100) $924.30 $3,081 0.5×
Biopsy of rectum (45100) $2,262.60 $7,542 0.8×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,582.80 $5,276 0.4×
Biopsy Pleura Percutaneous Needle (32400) $924.30 $3,081 0.5×
Biopsy Salivary Gland Needle (42400) $569.70 $1,899 0.8×
Biopsy soft tissue back/flank deep (21925) $1,728.90 $5,763 1.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,231.80 $4,106 0.4×
Biopsy soft tissue neck/thorax (21550) $739.50 $2,465 0.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $558.30 $1,861 0.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $811.80 $2,706 0.5×
Biopsy Soft Tissue Shoulder Deep (23066) $1,798.50 $5,995 0.6×
Biopsy soft tissue thigh/knee area superficial (27323) $1,387.20 $4,624 0.8×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $136.20–$481.50 $454–$1,605 varies
Biopsy Tongue Posterior One-Third (41105) $1,710.60 $5,702 0.5×
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 $457.80–$1,710.60 $1,526–$5,702 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $362.10–$1,710.60 $1,207–$5,702 varies
Biopsy/removal lymph nodes (38510) $1,710.60 $5,702 0.4×
Bladder instillation anticarcinogenic agent (51720) $601.50 $2,005 0.8×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $138–$142.20 $460–$474 varies
Bladder Scan (51798)
range across 4 matching MRF lines		 $52.50–$54.30 $175–$181 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $742.80 $2,476 0.5×
Blepharotomy drainage abscess eyelid (67700) $255.30 $851 0.8×
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $395.10–$1,710.60 $1,317–$5,702 varies
Blood/Lymph System Procedure (38999)
range across 2 matching MRF lines		 $401.70–$1,103.40 $1,339–$3,678 varies
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Bone Marrow Biopsy (38221)
range across 4 matching MRF lines		 $1,174.80–$1,210.20 $3,916–$4,034 varies
Bone marrow harvest allogen (38230) $1,710.60 $5,702 1.1×
Bone Marrow; Aspiration Only (38220)
range across 5 matching MRF lines		 $1,174.80–$2,285.70 $3,916–$7,619 varies
Breast Reduction (19318)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $711.60–$1,710.60 $2,372–$5,702 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 3 matching MRF lines		 $1,710.60–$1,953.90 $5,702–$6,513 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 3 matching MRF lines		 $1,710.60–$1,953.90 $5,702–$6,513 varies
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,537.20 $5,124 0.8×
Brnchsc Removal Bronchial Valve Initial (31648) $3,205.50 $10,685 0.8×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $5,775.60 $19,252 0.8×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)
range across 2 matching MRF lines		 $1,710.60–$3,022.50 $5,702–$10,075 varies
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630)
range across 2 matching MRF lines		 $1,710.60–$3,024.30 $5,702–$10,081 varies
Bronchial Valve Init Insert (31647) $5,949 $19,830 0.8×
Bronchoscopy Bronch Stents (31636) $3,789 $12,630 0.5×
Bronchoscopy Clear Airways (31645)
range across 3 matching MRF lines		 $711.60–$1,710.60 $2,372–$5,702 varies
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $1,482.90 $4,943 0.2×
Bronchoscopy Reclear Airway (31646) $711.60 $2,372 1.8×
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $711.60–$1,710.60 $2,372–$5,702 varies
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $4,157.70 $13,859 0.6×
Bronchoscopy W/Removal Foreign Body (31635) $711.60 $2,372 0.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $1,270.50–$1,710.60 $4,235–$5,702 varies
Bronchoscopy/Needle Bx Each (31629)
range across 2 matching MRF lines		 $1,482.90–$1,710.60 $4,943–$5,702 varies
Bx breast 1st lesion mr imag (19085) $1,617.90 $5,393 1.0×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $924.30–$1,794.30 $3,081–$5,981 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $924.30–$1,848 $3,081–$6,160 varies
Bx Cervix (57500)
range across 3 matching MRF lines		 $606.90–$1,710.60 $2,023–$5,702 varies
Bx prostate strtctc saturation sampling img gid (55706) $1,125.90 $3,753 0.3×
Bx/exc lymph node open deep axillary node (38525) $1,710.60 $5,702 0.4×
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines		 $2,243.40–$2,310.60 $7,478–$7,702 varies
Canthotomy Separate Procedure (67715) $2,211.30 $7,371 0.9×
Capsulorrhaphy Anterior W/Labral Repair (23455)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,359.30 $4,531 0.8×
Carpal Tunnel Surgery (64721) $1,710.60 $5,702 0.9×
Carpectomy All Bones Proximal Row (25215) $1,710.60 $5,702 0.5×
Cautery Cervix Cryocautery Initial/Repeat (57511) $95.40 $318 0.3×
Cautery Cervix Electro/Thermal (57510)
range across 2 matching MRF lines		 $1,125.90–$1,324.20 $3,753–$4,414 varies
Cerclage cervix pregnancy vaginal (59320) $1,125.90 $3,753 0.3×
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.1×
Cessj Therapy Cath Removal (37214) $2,264.40 $7,548 0.7×
Change Cystostomy Tube Complicated (51710) $1,044.30 $3,481 1.5×
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $210.30–$1,125.90 $701–$3,753 varies
Change of Windpipe Airway (31502)
range across 4 matching MRF lines		 $95.40–$98.40 $318–$328 varies
Change ureter stent percut (50382) $1,407.60 $4,692 0.7×
Chemical Cautery Tissue (17250) $145.80 $486 0.7×
Chemical Pleurodesis (32560) $336.30 $1,121 0.5×
Chemodenerv trunk musc 1-5 (64646) $378 $1,260 0.5×
Chemodenervation of internal anal sphincter (46505)
range across 2 matching MRF lines		 $1,125.90–$1,698.60 $3,753–$5,662 varies
Chest tube placement (32551)
range across 6 matching MRF lines		 $1,016.40–$1,710.60 $3,388–$5,702 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,305.60 $4,352 0.6×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,148.90 $7,163 0.6×
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $1,125.90–$1,597.50 $3,753–$5,325 varies
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $299.10–$1,645.50 $997–$5,485 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines		 $299.10–$1,710.60 $997–$5,702 varies
Cl Tx Scapular Fx; W Manip (23575) $1,075.80 $3,586 0.7×
Cl Tx Tib Shft Fx W Manip (27752) $1,330.20 $4,434 0.8×
Claviculectomy partial (23120) $1,710.60 $5,702 0.5×
Clear outer ear canal (69200) $53.10 $177 0.4×
Closed Rx Metacarpal Fx,Percut (26608) $2,285.70 $7,619 0.7×
Closed rx talotarsal disloc,anesth (28575) $1,293.30 $4,311 0.4×
Closed Treat Vert Body Fract (22310) $411.60 $1,372 1.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $171.60 $572 0.7×
Closed Treatment Sternum Fracture (21820) $107.70 $359 0.4×
Closed Treatment Ulnar Styloid Fracture (25650) $171.60 $572 0.7×
Closed tx ankle dislocation w/o anesthesia (27840) $411.60 $1,372 1.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $874.20 $2,914 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $107.70 $359 0.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,710.60 $5,702 6.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $171.60 $572 0.7×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,075.80 $3,586 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $297.90 $993 1.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,330.20 $4,434 0.8×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $258.30 $861 0.5×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $3,519.30 $11,731 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $171.60 $572 0.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,337.40 $4,458 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,154.40 $3,848 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $1,125.90–$1,772.70 $3,753–$5,909 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,042.20 $3,474 4.1×
Closed tx patellar dislocation w/o anesthesia (27560) $116.70 $389 0.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $171.60 $572 0.7×
Closed tx radial head/neck fx w/manipulation (24655) $874.20 $2,914 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $171.60 $572 0.7×
Closed tx radial shaft fracture w/manipulation (25505) $874.20 $2,914 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $107.70 $359 0.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $874.20 $2,914 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $107.70 $359 0.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $107.70 $359 0.4×
Closed tx talotarsal joint dislc w/o anes (28570) $411.60 $1,372 1.6×
Closed Tx Talus Fracture W/Manipulation (28435) $1,293.30 $4,311 0.8×
Closed tx talus fracture w/o manipulation (28430) $107.70 $359 0.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $107.70 $359 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $79.20 $264 0.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $874.20 $2,914 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $107.70 $359 0.4×
Closure Gastrostomy Surg (43870) $1,944 $6,480 0.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $221.40 $738 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $504.30 $1,681 0.9×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $2,490.30 $8,301 0.8×
Clsd tx acromioclavicular dislc w/manipulation (23545) $411.60 $1,372 1.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $171.60 $572 0.7×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,330.20 $4,434 0.8×
Clsd tx clavicular fracture w/o manipulation (23500) $107.70 $359 0.4×
Clsd tx fx orbit except blowout w/o manipulation (21400) $504.30 $1,681 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,042.20–$1,125.90 $3,474–$3,753 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $171.60 $572 0.7×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,236.60 $4,122 0.8×
Clsr Anal Fstl W/Rct Advmnt Flap (46288)
range across 2 matching MRF lines		 $1,710.60–$2,469.30 $5,702–$8,231 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,042.20 $3,474 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $873.60 $2,912 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $171.60 $572 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $171.60 $572 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $107.70 $359 0.4×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $874.20 $2,914 0.5×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $279.60–$2,285.70 $932–$7,619 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $107.70 $359 0.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $171.60 $572 0.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $107.70 $359 0.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $101.70–$171.60 $339–$572 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $848.70–$1,183.20 $2,829–$3,944 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $874.20 $2,914 0.5×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $717.60 $2,392 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $992.10 $3,307 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $107.70 $359 0.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $107.70 $359 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $107.70 $359 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $107.70 $359 0.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,330.20–$1,710.60 $4,434–$5,702 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $107.70 $359 0.4×
Cltx hip dislocation traumatic req anesthesia (27252) $1,053.30 $3,511 0.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $171.60 $572 0.7×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $171.60 $572 0.7×
Cltx humeral condylar fx medial/lateral w/manj (24577) $874.20 $2,914 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,075.80 $3,586 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $107.70 $359 0.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $201.30 $671 0.8×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $889.50 $2,965 0.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,042.20 $3,474 3.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $107.70 $359 0.4×
Cltx Med Ankle Fx W/Mnpj (27762) $1,330.20 $4,434 0.8×
Cltx Medial Ankle Fx (27760) $107.70 $359 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $171.60 $572 0.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $107.70 $359 0.4×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $874.20 $2,914 0.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,075.80 $3,586 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $171.60 $572 0.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $107.70 $359 0.4×
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $1,042.20–$1,125.90 $3,474–$3,753 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $101.70–$130.50 $339–$435 varies
Cltx prox fibula/shft fx w/manj (27781) $703.20 $2,344 0.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,330.20 $4,434 0.8×
Cltx prox tibfib jt dislc w/o anes (27830) $107.70 $359 0.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $171.60 $572 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $107.70 $359 0.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $873.60 $2,912 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $874.20 $2,914 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $874.20 $2,914 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $171.60 $572 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $896.70 $2,989 0.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $107.70 $359 0.4×
Cltx tibial shaft fx w/o manipulation (27750) $107.70 $359 0.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $873 $2,910 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $107.70 $359 0.4×
Collect Blood From Catheter Venous Nos (36592) $116.70 $389 0.9×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $8.40–$8.70 $28–$29 varies
Colonoscopy Flexible With Decompression (45393) $778.50 $2,595 0.6×
Colonoscopy Stoma Ablation Lesion (44401) $778.50 $2,595 0.6×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $727.80 $2,426 0.6×
Colonoscopy stoma w/balloon dilation (44405) $778.50 $2,595 0.6×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $778.50 $2,595 0.6×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure		 $1,182 $3,940 0.2×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $778.50 $2,595 0.6×
Colonoscopy Stoma W/Submucosal Injection (44404) $778.50 $2,595 0.6×
Colonoscopy Through Stoma With Decompression (44408) $778.50 $2,595 0.8×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $727.80 $2,426 0.6×
Colonoscopy thru stoma (44388) $727.80 $2,426 0.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $727.80 $2,426 0.6×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $778.50–$1,125.90 $2,595–$3,753 varies
Colonoscopy W/Band Ligation (45398) $778.50 $2,595 0.6×
Colonoscopy w/fb removal (45379) $727.80 $2,426 0.6×
Colonoscopy w/ndl aspir/bx (44407) $778.50 $2,595 0.6×
Colonoscopy W/Resection (45390) $844.20 $2,814 0.3×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $844.20 $2,814 0.1×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $727.80–$2,681.10 $2,426–$8,937 varies
Colpocleisis (le fort type) (57120)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $1,710.60–$2,010.60 $5,702–$6,702 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,125.90 $3,753 3.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $1,710.60 $5,702 5.5×
Colposcopy cervix vag eltrd conization cervix (57461) $1,125.90 $3,753 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,125.90 $3,753 0.3×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $235.50–$1,710.60 $785–$5,702 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,710.60 $5,702 1.8×
Colpotomy; with drainage of pelvic abscess (57010) $1,324.20 $4,414 0.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $727.80 $2,426 0.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $727.80 $2,426 0.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $727.80 $2,426 0.6×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $727.80 $2,426 0.6×
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $1,322.10–$2,484.90 $4,407–$8,283 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,125.90 $3,753 0.3×
Conization of cervix (57520) $1,125.90 $3,753 0.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $86.40–$171.90 $288–$573 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $72.90–$87.30 $243–$291 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $433.80–$447 $1,446–$1,490 varies
Conversion ext bil drg cath (47535) $2,135.40 $7,118 0.6×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $924.30 $3,081 0.5×
Convert Nephrostomy Catheter (50434)
range across 3 matching MRF lines		 $1,065.90–$2,195.10 $3,553–$7,317 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,430.70 $4,769 0.8×
Correction hammertoe (28285) $1,710.60 $5,702 0.5×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,710.60 $5,702 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,710.60 $5,702 0.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $1,710.60 $5,702 0.7×
Create Eardrum Opening (69433) $306.90 $1,023 0.6×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873)
range across 2 matching MRF lines		 $1,710.60–$8,354.40 $5,702–$27,848 varies
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $75 $250 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $72.90–$111.60 $243–$372 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $72.90 $243 0.3×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $1,125.90–$1,851.90 $3,753–$6,173 varies
Cysto Bladder W/Ureteral Catheterization (52005) $1,710.60 $5,702 0.8×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 3 matching MRF lines		 $1,125.90–$1,219.50 $3,753–$4,065 varies
Cysto w/destruction of lesions (52214) $1,710.60 $5,702 0.5×
Cysto w/insert ureteral stent (52332) $1,710.60 $5,702 0.5×
Cysto w/irrig & evac multple obstructing clots (52001) $1,710.60 $5,702 0.5×
Cysto w/removal of lesions small (52224) $1,710.60 $5,702 0.5×
Cysto w/removal of tumors small (52234) $1,710.60 $5,702 0.5×
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $1,183.80–$1,710.60 $3,946–$5,702 varies
Cysto w/ureter stricture tx (52341) $1,710.60 $5,702 0.5×
Cysto w/ureteroscopy w/lithotripsy (52353)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,710.60 $5,702 0.5×
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $1,407.60–$1,710.60 $4,692–$5,702 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $1,710.60–$1,778.70 $5,702–$5,929 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Cysto/uretero w/lithotripsy (52356)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Cystolithotomy (51050)
likely a partial charge, not the full procedure		 $898.20 $2,994 0.2×
Cystostomy Cystotomy W/Drainage (51040) $898.20 $2,994 0.4×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,098 $3,660 0.5×
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $524.70–$1,125.90 $1,749–$3,753 varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,710.60 $5,702 0.5×
Cystourethroscopy inj chemodenervation bladder (52287) $1,125.90 $3,753 0.5×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,710.60 $5,702 0.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $1,710.60 $5,702 0.8×
Cystourethroscopy w/rmvl ureteral calculus (52320) $1,710.60 $5,702 0.5×
Cystourethroscopy with biopsy (52204) $1,710.60 $5,702 0.8×
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,710.60 $5,702 0.8×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,407.60 $4,692 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $277.80–$285.90 $926–$953 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $911.70–$2,285.70 $3,039–$7,619 varies
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,989.90 $6,633 1.0×
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $295.20–$1,710.60 $984–$5,702 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $55.80–$63.90 $186–$213 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $63.90–$71.70 $213–$239 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $760.20–$1,710.60 $2,534–$5,702 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $285.90–$1,710.60 $953–$5,702 varies
Declot vascular device (36593)
range across 4 matching MRF lines		 $176.40–$181.80 $588–$606 varies
Decomp forearm,1 compart,w/o debride (25020) $1,710.60 $5,702 1.0×
Decompression of tibia nerve (28035) $1,710.60 $5,702 0.9×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,285.70 $7,619 1.1×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $1,324.20–$1,767 $4,414–$5,890 varies
Destr W Neurolytic; Celiac Plexus (64680) $992.70 $3,309 1.1×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines		 $898.20–$1,488.60 $2,994–$4,962 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $898.20–$1,712.70 $2,994–$5,709 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $125.10–$1,710.60 $417–$5,702 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $860.40–$898.20 $2,868–$2,994 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $482.10 $1,607 0.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $1,710.60 $5,702 8.3×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $179.70 $599 0.9×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $898.20–$1,728.30 $2,994–$5,761 varies
Destruction of rectal tumor transanal approach (45190) $1,310.70 $4,369 0.5×
Destruction of skin lesions (17106) $271.50 $905 0.7×
Destruction premalignant lesion 1st (17000) $100.20 $334 0.5×
Destruction Vaginal Lesions Simple (57061) $1,825.80 $6,086 0.6×
Diagnostic anoscopy (46601) $130.50 $435 0.3×
Diagnostic sigmoidoscopy (45330) $1,235.40 $4,118 1.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905)
range across 2 matching MRF lines		 $1,125.90–$1,632.60 $3,753–$5,442 varies
Dilat rct strix spx under anes oth/thn local (45910) $982.50 $3,275 0.8×
Dilat Xst Trc New Access Rcs (50437)
range across 2 matching MRF lines		 $2,836.80–$2,837.40 $9,456–$9,458 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $662.40–$1,710.60 $2,208–$5,702 varies
Dilate Urethra Stricture (53620) $1,341 $4,470 1.9×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $1,710.60–$2,718.60 $5,702–$9,062 varies
Dilation Esophagus Guide Wire (43453) $1,000.80 $3,336 0.5×
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838)
unusually low: confirm this is the full procedure		 $2,174.40 $7,248 0.4×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $324–$333.90 $1,080–$1,113 varies
Drain Hand Tendon Sheath (26020) $1,710.60 $5,702 0.5×
Drain Spinal Cord Cyst (62268) $625.20 $2,084 0.7×
Drain/inj small joint/bursa w/us (20604) $215.10 $717 0.7×
Drainage abscess parotid simple (42300) $1,170.90 $3,903 0.7×
Drainage Abscess/Hematoma Nasal Septum (30020) $289.20 $964 0.5×
Drainage external auditory canal abscess (69020) $354.30 $1,181 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $1,297.50 $4,325 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $354.30 $1,181 0.5×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $843–$1,710.60 $2,810–$5,702 varies
Drainage Mouth Roof Lesion (42000) $221.40 $738 0.9×
Drainage of eye (65800) $927.90 $3,093 0.4×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $157.80–$384.90 $526–$1,283 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $140.10–$157.80 $467–$526 varies
Drainage of hematoma/fluid (10140)
range across 6 matching MRF lines		 $978.90–$1,464 $3,263–$4,880 varies
Drainage of hydrocele (55000) $354.30 $1,181 0.5×
Drainage of nose lesion (30000) $221.40 $738 0.9×
Drainage of rectal abscess (45020) $982.50 $3,275 0.3×
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $858.60–$1,125.90 $2,862–$3,753 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $843–$1,417.80 $2,810–$4,726 varies
Drainage of scrotum (54700)
range across 3 matching MRF lines		 $1,223.40–$1,710.60 $4,078–$5,702 varies
Drainage of skene's gland abscess or cyst (53060) $1,341.60 $4,472 0.6×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $1,246.80 $4,156 0.4×
Draw Blood Off Venous Device (36591) $116.70 $389 0.9×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $536.70 $1,789 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $351.90 $1,173 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $190.80–$221.40 $636–$738 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $101.70–$221.40 $339–$738 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $145.80 $486 0.7×
Dstrj Lesion Anus Extensive (46924)
range across 2 matching MRF lines		 $1,125.90–$1,492.20 $3,753–$4,974 varies
Dstrj Lesion Anus Simple Chemical (46900) $271.50 $905 0.7×
Dstrj lesion anus simple surg excision (46922)
range across 3 matching MRF lines		 $1,125.90–$1,492.20 $3,753–$4,974 varies
Dstrj Lesion Anus Smpl Eltrdsiccation (46910)
range across 2 matching MRF lines		 $1,492.20–$1,710.60 $4,974–$5,702 varies
Dstrj lesion penis simple surg excision (54060) $1,710.60 $5,702 0.8×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,688.40 $5,628 0.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $680.70–$898.20 $2,269–$2,994 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $819.90 $2,733 0.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 5 matching MRF lines		 $1,270.80–$2,618.10 $4,236–$8,727 varies
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $711.60–$1,710.60 $2,372–$5,702 varies
Dx Bronchoscope/Wash (31622) $939.60 $3,132 0.5×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $1,233–$1,445.10 $4,110–$4,817 varies
Dx laryngoscopy w/oper scope (31526) $1,710.60 $5,702 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 4 matching MRF lines		 $207–$1,125.90 $690–$3,753 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $1,000.80 $3,336 0.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,000.80 $3,336 0.5×
Egd cautery tumor polyp (43250) $1,000.80 $3,336 0.5×
Egd control bleeding any (43255) $1,000.80 $3,336 0.5×
Egd dilation gastric/duodenal stricture (43245) $1,000.80 $3,336 0.5×
Egd endo mucosal resection (43254) $1,428.30 $4,761 0.7×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure		 $2,341.20 $7,804 0.4×
Egd Flexible Foreign Body Removal (43247) $858.30 $2,861 0.9×
Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) $2,454 $8,180 1.2×
Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) $422.70 $1,409 0.5×
Egd guide wire insertion (43248) $790.20 $2,634 0.9×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $662.40 $2,208 0.3×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,000.80 $3,336 0.5×
Egd intrmural us needle aspirate/biopsy esophags (43238)
range across 2 matching MRF lines		 $971.40–$1,000.80 $3,238–$3,336 varies
Egd lesion ablation (43270) $1,637.10 $5,457 0.8×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
unusually low: confirm this is the full procedure		 $3,544.20 $11,814 0.3×
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $1,000.80–$1,125.90 $3,336–$3,753 varies
Egd remove lesion snare (43251) $1,000.50 $3,335 0.5×
Egd Tube/Cath Insertion (43241) $662.40 $2,208 0.3×
Egd us exam duodenum/jejunum (43259) $1,080.60 $3,602 0.6×
Egd us transmural injxn/mark (43253) $1,000.80 $3,336 0.5×
Egd Varices Ligation (43244) $1,000.80 $3,336 0.5×
Egd W/Thrml Txmnt Gerd (43257) $1,944 $6,480 0.5×
Egd W/Transmural Drain Cyst (43240)
unusually low: confirm this is the full procedure		 $1,887.90 $6,293 0.3×
Endocervical curettage (57505) $1,710.60 $5,702 1.8×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $107.70–$222.90 $359–$743 varies
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Endoscopic injection/implant (51715) $1,125.90 $3,753 0.3×
Endoscopic plantar fasciotomy (29893) $1,710.60 $5,702 0.5×
Endoscopic us exam esoph (43237) $1,713.90 $5,713 0.9×
Endoscopy Upper Small Intestine (44360) $826.80 $2,756 0.4×
Endoscopy upper small intestine w/biopsy (44361)
range across 2 matching MRF lines		 $802.50–$826.80 $2,675–$2,756 varies
Endovasc Temp Balloon Occlus,Head/Nck (61623) $10,206.90 $34,023 0.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $1,710.60–$3,567.90 $5,702–$11,893 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $1,125.90–$3,567.90 $3,753–$11,893 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $141–$1,710.60 $470–$5,702 varies
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,217.40 $4,058 0.6×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $826.80 $2,756 0.4×
Enteroscopy > 2nd prtn conv gstrst tube (44373)
range across 2 matching MRF lines		 $843.60–$1,305.60 $2,812–$4,352 varies
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,306.50 $4,355 0.7×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,586.10 $5,287 0.8×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $836.40 $2,788 0.4×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,225.50 $4,085 0.6×
Epidural Blood Patch (62273)
range across 6 matching MRF lines		 $660.90–$1,125.90 $2,203–$3,753 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $1,651.20–$1,701 $5,504–$5,670 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure		 $1,909.20 $6,364 0.3×
Ercp duct stent placement (43274)
range across 2 matching MRF lines		 $2,681.10–$4,903.50 $8,937–$16,345 varies
Ercp Dx Collection Specimen Brushing/Washing (43260) $1,909.20 $6,364 0.5×
Ercp ea duct/ampulla dilate (43277) $1,909.20 $6,364 0.5×
Ercp remove calculi/debris biliary/pancreas duct (43264)
range across 2 matching MRF lines		 $1,909.20–$2,681.10 $6,364–$8,937 varies
Ercp remove forgn body duct (43275) $1,909.20 $6,364 1.0×
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure		 $1,909.20 $6,364 0.3×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $1,909.20 $6,364 0.5×
Ercp W/Biopsy Single/Multiple (43261) $1,909.20 $6,364 0.5×
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $1,909.20–$2,681.10 $6,364–$8,937 varies
Esoph Scope W/Submucous Inj (43201) $1,000.80 $3,336 0.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $662.40 $2,208 0.7×
Esophagosc Dilate Balloon 30 (43214) $1,000.80 $3,336 0.5×
Esophagoscop Mucosal Resect (43211) $662.40 $2,208 0.3×
Esophagoscop Stent Placement (43212)
unusually low: confirm this is the full procedure		 $2,341.20 $7,804 0.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,000.80 $3,336 0.5×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $1,944 $6,480 0.5×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,000.80 $3,336 0.5×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,000.80 $3,336 0.5×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $662.40 $2,208 0.7×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $662.40 $2,208 0.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,299.30 $4,331 1.4×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,000.80 $3,336 0.5×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,000.80 $3,336 0.5×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,000.80 $3,336 0.5×
Esophagoscopy Retro Balloon (43213) $1,000.80 $3,336 0.5×
Esophagoscopy rig transoral removal foreign body (43194) $1,000.80 $3,336 0.5×
Esophagoscopy Rigid Balloon (43195) $2,397.30 $7,991 0.6×
Esophagoscopy rigid trnso dx (43191)
range across 2 matching MRF lines		 $662.40–$1,710.60 $2,208–$5,702 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $662.40 $2,208 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,000.80 $3,336 0.5×
Esophagoscp Guide Wire Dilat (43196)
range across 2 matching MRF lines		 $1,013.40–$1,710.60 $3,378–$5,702 varies
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
unusually low: confirm this is the full procedure		 $1,918.20 $6,394 0.3×
Esophagoscp Rig Trnso Biopsy (43193) $1,000.80 $3,336 0.5×
Esophagoscp Rig Trnso Inject (43192) $1,000.80 $3,336 0.5×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,944 $6,480 1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,000.80 $3,336 0.5×
Ethmoidectomy Intranasal Anterior (31200)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Ethmoidectomy; intranasal, total Facility (31201) $2,285.70 $7,619 1.4×
Evacuation of subungual hematoma (11740) $102 $340 0.7×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,710.60 $5,702 1.0×
Exc arm/elbow les sc < 3 cm (24075) $1,710.60 $5,702 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $426.60–$2,681.10 $1,422–$8,937 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $1,064.40–$1,710.60 $3,548–$5,702 varies
Exc Back Les Sc < 3 Cm (21930) $1,710.60 $5,702 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $1,710.60 $5,702 0.6×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $2,285.70 $7,619 0.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $1,097.70–$1,710.60 $3,659–$5,702 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $299.70 $999 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $512.40–$1,710.60 $1,708–$5,702 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $1,151.10–$1,710.60 $3,837–$5,702 varies
Exc Face Les Sbq 2 Cm/> (21012) $2,681.10 $8,937 1.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $492–$1,710.60 $1,640–$5,702 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $492 $1,640 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $571.80–$1,710.60 $1,906–$5,702 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $560.10–$1,710.60 $1,867–$5,702 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $560.10–$1,710.60 $1,867–$5,702 varies
Exc Forearm Les Sc 3 Cm/> (25071) $1,125.90 $3,753 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $552.90–$1,710.60 $1,843–$5,702 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $536.70–$1,125.90 $1,789–$3,753 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $560.10–$1,710.60 $1,867–$5,702 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,710.60 $5,702 1.7×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $2,285.70 $7,619 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,710.60 $5,702 1.0×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $1,202.70 $4,009 0.4×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,710.60 $5,702 0.5×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,364.40 $4,548 0.7×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Exc Rct Tum Incl Muscularis Propria (45172) $2,469.30 $8,231 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $1,710.60–$1,884.60 $5,702–$6,282 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $758.40–$1,710.60 $2,528–$5,702 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,151.10–$1,710.60 $3,837–$5,702 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $1,575–$1,710.60 $5,250–$5,702 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $1,151.10–$1,710.60 $3,837–$5,702 varies
Exc Skin Benig >4cm Face,Facial (11446) $1,575 $5,250 0.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $1,151.10–$1,710.60 $3,837–$5,702 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $1,575–$1,710.60 $5,250–$5,702 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $1,151.10–$1,710.60 $3,837–$5,702 varies
Exc tendon shth lesion leg/ankle (27630) $1,710.60 $5,702 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $1,125.90 $3,753 0.4×
Exc thigh/knee tum dep 5cm/> (27339) $1,125.90 $3,753 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 4 matching MRF lines		 $1,125.90–$1,632.60 $3,753–$5,442 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $360.30–$2,681.10 $1,201–$8,937 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $343.80–$1,710.60 $1,146–$5,702 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,151.10–$1,710.60 $3,837–$5,702 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,710.60 $5,702 0.6×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,710.60 $5,702 0.6×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,710.60 $5,702 1.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,710.60 $5,702 0.6×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,125.90 $3,753 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,710.60 $5,702 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,710.60 $5,702 1.0×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,710.60 $5,702 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,125.90 $3,753 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,125.90 $3,753 0.7×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,710.60 $5,702 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,710.60 $5,702 0.6×
Exc urethral diverticulum spx female (53230)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,710.60 $5,702 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,135.40 $7,118 0.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 4 matching MRF lines		 $864.60–$1,851 $2,882–$6,170 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $870.60 $2,902 0.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,710.60 $5,702 1.1×
Excise intraspinal lesion (63267)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Excise tendon forearm/wrist (25109) $1,710.60 $5,702 0.5×
Excise Wrist Tendon Sheath (25118) $1,710.60 $5,702 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $614.40–$1,710.60 $2,048–$5,702 varies
Excision Distal Ulna Partial/Complete (25240) $1,710.60 $5,702 0.5×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,710.60 $5,702 0.6×
Excision External Ear Partial Simple Repair (69110) $1,710.60 $5,702 0.6×
Excision Facial Bone (21026)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Excision H/P/P/U Complex Repair (11471) $1,714.50 $5,715 0.6×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,714.50 $5,715 0.6×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,125.90 $3,753 0.4×
Excision inferior turbinate partial/complete (30130) $2,285.70 $7,619 0.7×
Excision Lingual Frenum Frenectomy (41115) $505.20 $1,684 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $560.10 $1,867 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $492 $1,640 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $277.50–$1,710.60 $925–$5,702 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $560.10 $1,867 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $492 $1,640 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $560.10–$1,710.60 $1,867–$5,702 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $1,575–$1,710.60 $5,250–$5,702 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $560.10 $1,867 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $492 $1,640 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $614.40 $2,048 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $1,151.10–$1,710.60 $3,837–$5,702 varies
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines		 $1,632.60–$1,710.60 $5,442–$5,702 varies
Excision nasal polyp(s) simple (30110)
range across 2 matching MRF lines		 $1,335–$2,285.70 $4,450–$7,619 varies
Excision of bartholin's gland or cyst (56740) $1,710.60 $5,702 0.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,710.60 $5,702 1.0×
Excision of hydrocele; unilateral (55040) $1,710.60 $5,702 0.5×
Excision of local lesion of epididymis (54830) $1,710.60 $5,702 0.5×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $1,710.60–$1,714.50 $5,702–$5,715 varies
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $1,125.90–$1,402.20 $3,753–$4,674 varies
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.2×
Excision of vaginal cyst or tumor (57135) $1,710.60 $5,702 0.5×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,125.90 $3,753 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $1,710.60–$2,305.50 $5,702–$7,685 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,710.60–$1,714.50 $5,702–$5,715 varies
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Excision spermatocele w/wo epididymectomy (54840) $1,710.60 $5,702 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,287–$1,710.60 $4,290–$5,702 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,125.90 $3,753 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,710.60 $5,702 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,710.60 $5,702 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,125.90 $3,753 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,710.60 $5,702 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,125.90 $3,753 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $1,710.60–$2,238.30 $5,702–$7,461 varies
Expl penetrating wound spx abdomen/flank/back (20102) $1,522.80 $5,076 0.7×
Expl po hemrrg thrombosis/infctj xtr (35860) $2,728.80 $9,096 0.8×
Explo/Drain Breast Abscess (19020)
range across 3 matching MRF lines		 $1,367.70–$1,710.60 $4,559–$5,702 varies
Exploration maxillary sinus (31020) $2,285.70 $7,619 0.7×
Exploration of knee joint (27310) $2,285.70 $7,619 0.7×
Exploration penetrating wound spx chest (20101) $1,409.70 $4,699 0.7×
Exploration Penetrating Wound Spx Neck (20100) $538.50 $1,795 1.0×
External cephalic version (59412)
range across 5 matching MRF lines		 $1,523.40–$1,569.30 $5,078–$5,231 varies
Eye Surg Ant Sgmt Proc Unlisted (66999) $1,243.50 $4,145 0.5×
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $1,710.60–$2,762.40 $5,702–$9,208 varies
Fasciotomy palmar open partial (26045) $1,710.60 $5,702 0.5×
Fasciotomy palmar percutaneous (26040) $1,710.60 $5,702 1.0×
Fasciotomy Plantar Fascia Radical Spx (28062) $1,125.90 $3,753 0.3×
Fasciotomy, foot and/or toe (28008)
range across 3 matching MRF lines		 $1,710.60–$1,766.10 $5,702–$5,887 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,710.60 $5,702 0.5×
Fetal Contraction Stress Test (59020) $91.80 $306 0.4×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $236.40 $788 0.8×
Fetal non-stress test (59025)
range across 4 matching MRF lines		 $383.10–$1,125.90 $1,277–$3,753 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $561.60 $1,872 0.8×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $561.60 $1,872 0.8×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $185.10–$190.50 $617–$635 varies
Fixation contralateral testis separate procedure (54620) $1,125.90 $3,753 0.3×
Fluid Pressure Muscle (20950) $354.30 $1,181 0.5×
Fluoro exam of g/colon tube (49465) $153.30 $511 0.6×
Fna Bx W/Fluor Gdn 1St Les (10007) $561.60 $1,872 0.8×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $561.60–$1,710.60 $1,872–$5,702 varies
Forehead flap w/vasc pedicle (15731) $2,285.70 $7,619 0.6×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $210.90–$1,710.60 $703–$5,702 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930) $2,285.70 $7,619 0.7×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $1,344 $4,480 0.6×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,710.60 $5,702 0.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,710.60 $5,702 0.8×
Fusion Finger Joint (26860) $1,710.60 $5,702 0.5×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Fusion of tibiofibular joint (27871)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.1×
Gastrocnemius recession (27687) $1,710.60 $5,702 0.5×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $3,510.60 $11,702 0.6×
Guide Cathet Fluid Drainage (10030)
range across 4 matching MRF lines		 $607.20–$901.20 $2,024–$3,004 varies
Head Surgery Procedure (21499) $2,285.70 $7,619 9.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $1,125.90–$1,884.60 $3,753–$6,282 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $1,125.90–$1,884.60 $3,753–$6,282 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $1,125.90–$1,884.60 $3,753–$6,282 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $775.20 $2,584 0.8×
Hemorrhoidopexy by stapling (46947) $2,469.30 $8,231 0.9×
Hip arthro acetabuloplasty (29915)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Hymenotomy Simple Incision (56442) $2,733.60 $9,112 0.8×
Hysteroscopy Biopsy (58558) $1,710.60 $5,702 0.5×
Hysteroscopy Dx Sep Proc (58555) $1,710.60 $5,702 0.5×
Hysteroscopy Endometrial Ablation (58563)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,710.60 $5,702 0.5×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $200.70–$233.40 $669–$778 varies
I&d abscess simple (10060)
range across 5 matching MRF lines		 $153.30–$1,125.90 $511–$3,753 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines		 $1,182–$2,586 $3,940–$8,620 varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 3 matching MRF lines		 $1,710.60–$1,928.10 $5,702–$6,427 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,427.70 $4,759 0.4×
I&D Intramural Im/Absc Transanal Anes (46045) $1,884.60 $6,282 0.7×
I&D Ischiorct/Intramural Absc W/WO Seton (46060)
range across 3 matching MRF lines		 $1,361.40–$1,710.60 $4,538–$5,702 varies
I&d perianal abscess superficial (46050)
range across 4 matching MRF lines		 $815.70–$1,710.60 $2,719–$5,702 varies
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $853.80–$1,710.60 $2,846–$5,702 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $460.80–$1,710.60 $1,536–$5,702 varies
I&d shoulder deep abscess/hematoma (23030) $1,710.60 $5,702 0.6×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,297.50 $4,325 0.4×
Icd Pocket Revision (33223) $713.10 $2,377 0.3×
Ileoscopy Stoma W/Balloon Dilation (44381) $840.60 $2,802 0.4×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $826.80 $2,756 0.9×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $911.70 $3,039 1.0×
Image Cath Fluid Colxn Visc (49405) $1,207.50 $4,025 0.7×
Image Cath Fluid Peri/Retro (49406)
range across 5 matching MRF lines		 $1,207.50–$1,287 $4,025–$4,290 varies
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.1×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.1×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $2,822.70 $9,409 0.3×
Incise external hemorrhoid (46083) $125.40 $418 0.5×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,236–$1,710.60 $4,120–$5,702 varies
Incise Wrist/Forearm Tendon (25290) $2,285.70 $7,619 0.7×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $153.30–$157.80 $511–$526 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,064.40–$1,261.50 $3,548–$4,205 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $183–$1,125.90 $610–$3,753 varies
Incision and drainage of bartholin's gland abscess (56420) $97.80 $326 0.5×
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $270.30–$1,710.60 $901–$5,702 varies
Incision extensor tendon sheath wrist (25000) $1,710.60 $5,702 1.0×
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $1,405.50–$1,710.60 $4,685–$5,702 varies
Incision of labial frenum (frenotomy) (40806) $460.20 $1,534 0.8×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $505.80–$608.40 $1,686–$2,028 varies
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $883.20–$1,710.60 $2,944–$5,702 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,297.50 $4,325 0.8×
Incisional biopsy skin single lesion (11106)
range across 5 matching MRF lines		 $295.80–$1,710.60 $986–$5,702 varies
Initial Tx 1st Degree Burn Local Tx (16000) $100.80 $336 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $662.10–$1,361.40 $2,207–$4,538 varies
Inj W/Fluor Eval Cv Device (36598) $173.40 $578 0.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines		 $551.40–$1,125.90 $1,838–$3,753 varies
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $220.80–$299.70 $736–$999 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $214.20–$2,285.70 $714–$7,619 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 4 matching MRF lines		 $405–$797.40 $1,350–$2,658 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $660.90 $2,203 0.7×
Injection aa&/strd genicular nrv branches w/img (64454) $604.50 $2,015 0.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines		 $568.20–$898.20 $1,894–$2,994 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $606–$1,212 $2,020–$4,040 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 5 matching MRF lines		 $660.90–$2,285.70 $2,203–$7,619 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $214.20–$219.90 $714–$733 varies
Injection Anes Superior Hypogastric Plexus (64517) $666.60 $2,222 0.7×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $378–$512.70 $1,260–$1,709 varies
Injection for identification of sentinel node (38792)
range across 4 matching MRF lines		 $275.40–$2,285.70 $918–$7,619 varies
Injection Into Brain Canal (61055) $454.20 $1,514 1.4×
Injection into spinal artery (62294) $666.30 $2,221 0.7×
Injection single tendon origin/insertion (20551) $214.20 $714 0.7×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $207.90–$898.20 $693–$2,994 varies
Injection single/mlt trigger point 3/> muscles (20553) $214.20 $714 0.7×
Injection Sinus Tract Therapeutic Separate Proc (20500) $654.90 $2,183 0.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $366.90–$2,285.70 $1,223–$7,619 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 6 matching MRF lines		 $366.90–$2,285.70 $1,223–$7,619 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $366.90–$1,125.90 $1,223–$3,753 varies
Injection, intralesional; up to and including 7 lesions (11900) $173.70 $579 0.8×
Ins cath ren art 1st bilat (36252) $2,592.60 $8,642 0.8×
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $2,592.60–$2,676 $8,642–$8,920 varies
Ins cath ren art 2nd+ bilat (36254) $2,592.60 $8,642 0.8×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure		 $2,592.60 $8,642 0.5×
Ins endovas vena cava filtr (37191) $3,662.70 $12,209 0.6×
Ins Vag Brachytx Device (57156) $381.90 $1,273 1.2×
Ins/Rep Subq Defibrillator (33270)
range across 3 matching MRF lines		 $20,248.50–$24,697.50 $67,495–$82,325 varies
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure		 $3,039.30 $10,131 0.4×
Insert Bladder Cath Complex (51703) $208.80 $696 1.6×
Insert cath pleura w/ image (32557) $1,172.70 $3,909 0.7×
Insert cath pleura w/o image (32556) $1,713.90 $5,713 0.9×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $982.50 $3,275 0.8×
Insert cervical dilator (59200) $374.40 $1,248 1.2×
Insert Drug Implant Device (11981) $1,710.60 $5,702 12.6×
Insert Gastrostomy Tube Percutaneous (49440) $1,322.10 $4,407 0.7×
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure		 $5,253 $17,510 0.5×
Insert Heart Pm Ventricular (33207)
unusually low: confirm this is the full procedure		 $5,253 $17,510 0.5×
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $6,078 $20,260 0.3×
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.1×
Insert non-tunnel cv cath (36556)
range across 8 matching MRF lines		 $951–$1,710.60 $3,170–$5,702 varies
Insert Pacing Lead & Connect (33224) $6,175.50 $20,585 0.6×
Insert pessary/other device (57160) $1,125.90 $3,753 5.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $854.40 $2,848 0.5×
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure		 $4,862.40 $16,208 0.5×
Insert pulse gen mult leads (33221)
range across 3 matching MRF lines		 $8,195.70–$8,441.70 $27,319–$28,139 varies
Insert Pulse Gen Sngl Lead (33212) $4,418.70 $14,729 0.5×
Insert self-contd prosthesis (54401)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.1×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $94.50–$97.50 $315–$325 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $2,494.50–$3,406.20 $8,315–$11,354 varies
Insert tunneled cv cath (36561)
range across 5 matching MRF lines		 $1,710.60–$2,706 $5,702–$9,020 varies
Insert tunneled cv cath (36563)
unusually low: confirm this is the full procedure		 $2,264.40 $7,548 0.4×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure		 $1,587.30 $5,291 0.3×
Insert Uro/Ves Nck Sphincter (53445)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.1×
Insert,Non-Indwelling Bladder Catheter (51701) $97.50 $325 0.7×
Insertion indwelling tunneled pleural catheter (32550)
range across 3 matching MRF lines		 $1,710.60–$2,317.20 $5,702–$7,724 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 5 matching MRF lines		 $1,203.30–$1,239.30 $4,011–$4,131 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,176.90 $23,923 0.8×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421)
range across 3 matching MRF lines		 $1,047–$3,405.60 $3,490–$11,352 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
range across 4 matching MRF lines		 $3,039–$3,039.30 $10,130–$10,131 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $945.90 $3,153 0.3×
Insj Picc Rs&I <5 Yr (36572)
range across 4 matching MRF lines		 $583.50–$601.20 $1,945–$2,004 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 3 matching MRF lines		 $1,317.30–$1,710.60 $4,391–$5,702 varies
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $1,317.30 $4,391 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $854.40 $2,848 0.5×
Insj Subq Impltbl Dfb Elctrd (33271) $6,450.90 $21,503 0.8×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $2,264.40 $7,548 0.7×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,264.40 $7,548 0.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 5 matching MRF lines		 $1,710.60–$2,264.40 $5,702–$7,548 varies
Insj/rplcmt breast implant sep day mastectomy (19342)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Insj/Rplcmt Defib W/Lead(S) (33249) $19,078.20 $63,594 0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 3 matching MRF lines		 $3,039.30–$3,378 $10,131–$11,260 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
range across 3 matching MRF lines		 $3,039.30–$7,848.60 $10,131–$26,162 varies
Insrt heart pm atrial & vent (33208) $6,423.90 $21,413 0.6×
Insrt Pulse Gen W/Dual Leads (33230) $18,274.20 $60,914 0.8×
Insrt Pulse Gen W/Singl Lead (33240) $22,555.50 $75,185 1.0×
Install spinal shunt (63741)
unusually low: confirm this is the full procedure		 $2,819.40 $9,398 0.3×
Instlj ther agent renal pelvis&/ureter via tub (50391) $216.90 $723 0.8×
Int hrhc by ligation single hroid w/o img gdn (46945) $1,884.60 $6,282 0.7×
Interdental fixation (21110) $519 $1,730 0.3×
Interdental Wiring Other Than Fracture (21497) $1,173.90 $3,913 0.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,289.40 $4,298 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $220.50–$230.40 $735–$768 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $220.50–$230.40 $735–$768 varies
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $669.30–$1,400.40 $2,231–$4,668 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $9,538.50 $31,795 0.8×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 3 matching MRF lines		 $1,155.90–$4,719.30 $3,853–$15,731 varies
Intro Gastrointestinal Tube (44500) $330 $1,100 0.4×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $179.10–$184.50 $597–$615 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $125.40–$220.50 $418–$735 varies
IV injection test vascular flow flap/graft (15860) $2,285.70 $7,619 5.0×
Lam facetec & foramot lumbar (63047)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.2×
Lap paraesoph her rpr w/mesh (43282)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.2×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $2,681.10–$4,856.40 $8,937–$16,188 varies
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
range across 2 matching MRF lines		 $2,681.10–$3,398.40 $8,937–$11,328 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laparoscopy, surgical; partial nephrectomy (50543)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laparoscopy, surgical; pyeloplasty (50544)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.2×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $2,285.70 $7,619 0.6×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $1,710.60 $5,702 0.4×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $57.60–$73.20 $192–$244 varies
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) $1,710.60 $5,702 0.4×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $1,710.60 $5,702 0.4×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $121.20–$154.50 $404–$515 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $1,710.60 $5,702 0.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $306.60–$315.90 $1,022–$1,053 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511) $149.10 $497 0.7×
Laryngoscopy W/Biopsy (31535)
range across 2 matching MRF lines		 $1,710.60–$1,856.70 $5,702–$6,189 varies
Laryngoscopy w/biopsy microscope/telescope (31536) $1,710.60 $5,702 0.4×
Laryngoscopy W/Foreign Body Removal (31530) $1,566.30 $5,221 0.9×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,233 $4,110 3.1×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $365.10 $1,217 0.9×
Larynscop w/tumr exc + scope (31541) $1,710.60 $5,702 0.4×
Laser vaporization of prostate (52648)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,478.70–$1,710.60 $4,929–$5,702 varies
Ligation Internal/Common Carotid Artery (37605) $1,710.60 $5,702 0.5×
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $1,710.60–$2,199.30 $5,702–$7,331 varies
Ligation of femoral vein (37650) $988.80 $3,296 0.3×
Ligation of hemorrhoids (46946)
range across 4 matching MRF lines		 $1,125.90–$1,913.70 $3,753–$6,379 varies
Ligation or biopsy temporal artery (37609) $1,125.90 $3,753 0.7×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,230.20 $7,434 0.7×
Litholapaxy comp/lg > 2.5 cm (52318) $1,710.60 $5,702 0.5×
Litholapaxy smpl/sm <2.5 cm (52317) $1,710.60 $5,702 0.5×
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines		 $1,125.90–$3,598.50 $3,753–$11,995 varies
Low Back Disk Surgery (63030)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $2,681.10 $8,937 0.1×
Lyse chest fibrin init day (32561)
range across 2 matching MRF lines		 $373.20–$595.20 $1,244–$1,984 varies
Lyse Chest Fibrin Subq Day (32562)
range across 2 matching MRF lines		 $360.90–$595.20 $1,203–$1,984 varies
Lysis Intranasal Synechia (30560) $2,285.70 $7,619 4.1×
Lysis of labial adhesions (56441) $1,710.60 $5,702 0.5×
Male sling procedure (53440)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Manipulation Elbow Under Anesthesia (24300) $1,379.70 $4,599 0.8×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $1,042.20–$1,125.90 $3,474–$3,753 varies
Marsupialization of bartholin's gland cyst (56440) $1,710.60 $5,702 0.5×
Mast mod rad (19307)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Mastectomy partial (19301) $1,710.60 $5,702 0.4×
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Maternity Care Procedure (59899)
range across 5 matching MRF lines		 $91.80–$2,639.40 $306–$8,798 varies
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $854.40 $2,848 0.5×
Mech remov tunneled cv cath (36595) $945.90 $3,153 0.3×
Multifetal Pregnancy Reduction (59866) $246.60 $822 0.8×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,603.10 $8,677 0.7×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Muscle-skin graft trunk (15734) $2,681.10 $8,937 0.7×
Muscle/tendon transfer upper arm/elbow single (24301)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Myelography Lumbar Injection (62305) $599.70 $1,999 0.7×
Myelography Lumbar Injection (62304) $599.70 $1,999 0.7×
Myelography via lumbar injection rs&i cervical (62302) $599.70 $1,999 0.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $714 $2,380 0.9×
N Block Inj Celiac Pelus (64530) $568.20 $1,894 0.6×
N Block Inj Ilio-Ing/Hypogi (64425) $284.40 $948 0.4×
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $378–$898.20 $1,260–$2,994 varies
N Block Inj Paracervical (64435) $264 $880 0.4×
N Block Inj Pudendal (64430)
range across 4 matching MRF lines		 $521.40–$1,125.90 $1,738–$3,753 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $568.20–$898.20 $1,894–$2,994 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $136.20–$154.50 $454–$515 varies
Nasal surgery procedure (30999) $2,285.70 $7,619 9.4×
Nasal/Orogastric W/Tube Plmt (43752) $306 $1,020 0.7×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $2,285.70 $7,619 0.6×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,710.60 $5,702 0.9×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,285.70 $7,619 1.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,205.10 $4,017 0.7×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Nasal/sinus ndsc total with sphenoidotomy (31257)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785)
range across 2 matching MRF lines		 $208.80–$262.80 $696–$876 varies
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $727.80 $2,426 0.8×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $727.80 $2,426 0.8×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,710.60 $5,702 1.0×
Needle Biopsy Lymph Nodes (38505) $750 $2,500 0.4×
Needle Biopsy Pancreas (48102) $710.40 $2,368 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $84.90 $283 2.9×
Needle insertion w/o injection 3 or more muscles (20561) $84.90 $283 2.9×
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $1,535.40 $5,118 0.8×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,710.60 $5,702 0.9×
Neurorraphy w/vein autograft (64911)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,710.60 $5,702 0.9×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $633.60 $2,112 0.3×
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines		 $660.90–$1,125.90 $2,203–$3,753 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $214.20–$252.90 $714–$843 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 4 matching MRF lines		 $1,457.40–$1,500.90 $4,858–$5,003 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,135.40 $7,118 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $662.10–$898.20 $2,207–$2,994 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $680.70 $2,269 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines		 $680.70–$1,773 $2,269–$5,910 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $660.90–$680.70 $2,203–$2,269 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $680.70 $2,269 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $680.70 $2,269 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 6 matching MRF lines		 $660.90–$898.20 $2,203–$2,994 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $680.70 $2,269 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 5 matching MRF lines		 $514.50–$1,710.60 $1,715–$5,702 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $514.50–$1,028.40 $1,715–$3,428 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $111 $370 0.3×
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $111–$1,125.90 $370–$3,753 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $228.60–$1,710.60 $762–$5,702 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Obstructive material removal from gi tube (49460) $494.40 $1,648 0.5×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $366.90–$378 $1,223–$1,260 varies
Open biopsy/excision inguinofemoral nodes (38531) $1,125.90 $3,753 0.3×
Open bowel to skin (44300) $740.70 $2,469 0.4×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,285.70 $7,619 0.7×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open Tx Distal Phalangeal Fracture Each (26765) $2,285.70 $7,619 0.7×
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $2,013.30–$2,285.70 $6,711–$7,619 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,285.70 $7,619 0.7×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Open/Perq Place Stent 1St (37236) $9,184.20 $30,614 0.8×
Open/Perq Place Stent Same (37238) $9,184.20 $30,614 0.8×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Orchiopexy Ingun/Scrot Appr (54640) $1,710.60 $5,702 0.5×
Ostectomy calcaneus (28118) $1,710.60 $5,702 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,710.60 $5,702 0.5×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,710.60 $5,702 0.5×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Osteotomy Ulna (25360)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Parathyroidectomy or exploration of parathyroid(s); (60500)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Part remv talus or calcaneus (28120) $2,285.70 $7,619 0.7×
Partial Excision Distal Phalanx Finger (26236) $1,190.40 $3,968 0.7×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $1,125.90–$2,288.70 $3,753–$7,629 varies
Partial removal of nose (30150)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Partial removal of tongue (41120)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Partical Excision Bone Phalanx Toe (28124) $1,710.60 $5,702 0.5×
Pelvic examination under anesthesia (other than local) (57410) $1,125.90 $3,753 0.3×
Penile Injection (54235) $210.90 $703 0.8×
Perc Cryo Ablate Renal Tum (50593) $9,405.90 $31,353 0.9×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,236 $4,120 0.9×
Perc Rf Ablate Renal Tumor (50592) $5,271 $17,570 0.9×
Percut Ablate Liver Rf (47382)
unusually low: confirm this is the full procedure		 $3,039.30 $10,131 0.5×
Percut Cath Occlusn Non Cns Lesn (61626) $6,499.20 $21,664 0.6×
Percut Drain/Inject Renal Cyst (50390)
range across 3 matching MRF lines		 $472.80–$945.90 $1,576–$3,153 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,718 $9,060 0.8×
Peri-Implant Capsulectomy Breast Complete (19371) $1,710.60 $5,702 0.4×
Pericardiocentesis W/Imaging (33016)
range across 3 matching MRF lines		 $1,575–$1,581.30 $5,250–$5,271 varies
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $6,415.50 $21,385 0.3×
Perq Cervicothoracic Inject (22510)
range across 4 matching MRF lines		 $2,555.70–$2,834.40 $8,519–$9,448 varies
Perq dev breast 1st mr guide (19287) $332.10 $1,107 0.5×
Perq dev breast 1st strtctc (19283)
range across 5 matching MRF lines		 $527.70–$1,710.60 $1,759–$5,702 varies
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines		 $696.90–$1,710.60 $2,323–$5,702 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $527.70–$1,024.20 $1,759–$3,414 varies
Perq dilation xst trc endourologic px w/img (50436) $2,111.10 $7,037 0.6×
Perq Lumbosacral Injection (22511)
range across 3 matching MRF lines		 $2,555.70–$2,564.70 $8,519–$8,549 varies
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
range across 2 matching MRF lines		 $1,692.30–$4,358.70 $5,641–$14,529 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $527.70 $1,759 0.7×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $9,538.50 $31,795 0.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,719.30 $15,731 0.8×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 3 matching MRF lines		 $1,710.60–$6,231.90 $5,702–$20,773 varies
Perq Vertebral Augmentation (22513)
range across 3 matching MRF lines		 $1,710.60–$6,231.90 $5,702–$20,773 varies
Phalangectomy toe each toe (28150) $1,710.60 $5,702 0.5×
Phleb Veins - Extrem 20+ (37766)
range across 3 matching MRF lines		 $1,710.60–$2,199.30 $5,702–$7,331 varies
Photopheresis extracorporeal (36522) $2,463.60 $8,212 0.6×
Pin hand dislocation (26676) $2,285.70 $7,619 0.7×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $2,228.70–$4,774.20 $7,429–$15,914 varies
Place Cath Thoracic Aorta (36221) $2,228.70 $7,429 0.7×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $3,644.10–$7,953.60 $12,147–$26,512 varies
Place Duod/Jej Tube Perc (49441) $1,059 $3,530 0.5×
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $1,006.80–$1,125.90 $3,356–$3,753 varies
Placement Needle Pelvic Organ Radioelement Appl (55920) $3,086.10 $10,287 0.6×
Placement of needle for intraosseous infusion (36680) $173.40 $578 0.4×
Placement of seton (46020)
range across 2 matching MRF lines		 $1,710.60–$1,884.60 $5,702–$6,282 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,406.20 $11,354 0.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,039.20 $13,464 0.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,039.20 $13,464 0.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $4,039.20 $13,464 0.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 6 matching MRF lines		 $1,434.60–$2,954.70 $4,782–$9,849 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $1,477.50–$2,954.70 $4,925–$9,849 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $3,116.10–$6,232.20 $10,387–$20,774 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $2,959.50–$4,400.70 $9,865–$14,669 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $2,959.50–$5,918.70 $9,865–$19,729 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $2,681.10 $8,937 0.5×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $4,052.10 $13,507 0.2×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $1,710.60 $5,702 0.7×
Proctopexy Perineal Approach (45541) $2,469.30 $8,231 0.9×
Proctoplasty Stenosis (45500) $1,884.60 $6,282 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 3 matching MRF lines		 $634.20–$653.40 $2,114–$2,178 varies
Proctosgmdsc Rigid Control Bleeding (45317) $769.50 $2,565 0.6×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $844.20 $2,814 0.3×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $769.50 $2,565 0.6×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $769.50 $2,565 0.6×
Proctosgmdsc rigid w/dilation (45303) $769.50 $2,565 0.6×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,636.20 $5,454 0.6×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $1,636.20 $5,454 0.6×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $769.50 $2,565 0.6×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $1,636.20 $5,454 0.6×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
unusually low: confirm this is the full procedure		 $2,341.20 $7,804 0.4×
Prostatotomy external drg abscess simple (55720) $3,025.20 $10,084 0.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $329.40 $1,098 0.5×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines		 $2,073.30–$2,135.40 $6,911–$7,118 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)
range across 2 matching MRF lines		 $2,073.30–$2,135.40 $6,911–$7,118 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,710.60 $5,702 0.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,710.60 $5,702 0.5×
Pseudoaneurysm Injection Trt (36002)
range across 5 matching MRF lines		 $102–$446.40 $340–$1,488 varies
Punch biopsy skin single lesion (11104)
range across 6 matching MRF lines		 $166.50–$1,710.60 $555–$5,702 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 6 matching MRF lines		 $180.90–$186.30 $603–$621 varies
Puncture Aspiration Cyst Breast (19000) $439.50 $1,465 0.6×
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 3 matching MRF lines		 $480.30–$494.40 $1,601–$1,648 varies
Pvb thoracic cont infusion (64463) $574.20 $1,914 0.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $557.40–$574.20 $1,858–$1,914 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Radical styloidectomy separate procedure (25230) $1,710.60 $5,702 0.5×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $1,710.60 $5,702 0.5×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,125.90 $3,753 0.3×
Realignment extensor tendon hand each tendon (26437) $1,710.60 $5,702 0.5×
Reconstruct extra finger (26587) $2,202.90 $7,343 0.7×
Reconstruct finger joint (26545) $2,285.70 $7,619 0.7×
Reconstruct Finger Joint (26548) $1,710.60 $5,702 0.5×
Redo Endovas Vena Cava Filtr (37192) $2,264.40 $7,548 0.7×
Reduction of rectal prolapse (45900) $435.90 $1,453 0.5×
Release foot/toe nerve (64726) $1,710.60 $5,702 0.9×
Relocation Pocket Pacemaker (33222)
range across 2 matching MRF lines		 $713.10–$1,652.70 $2,377–$5,509 varies
Rem Endovas Vena Cava Filter (37193) $2,264.40 $7,548 0.7×
Removal Anal Seton Other Marker (46030)
range across 2 matching MRF lines		 $466.80–$1,710.60 $1,556–$5,702 varies
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $473.40 $1,578 0.5×
Removal Embedded Foreign Body Eyelid (67938) $144.60 $482 0.4×
Removal Foreign Body Deep Thigh/Knee (27372) $1,461.90 $4,873 0.5×
Removal Foreign Body Foot Complicated (28193) $552.90 $1,843 0.3×
Removal foreign body foot deep (28192) $1,064.40 $3,548 0.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $552.90–$1,710.60 $1,843–$5,702 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $873–$1,125.90 $2,910–$3,753 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $55.20 $184 0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $50.10 $167 0.8×
Removal Implant Deep (20680) $1,710.60 $5,702 0.6×
Removal Implant Superficial Separate Procedure (20670) $1,710.60 $5,702 1.0×
Removal implantable contraceptive capsules (11976) $1,710.60 $5,702 2.4×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $1,710.60–$2,468.40 $5,702–$8,228 varies
Removal of adenoids (42831) $1,125.90 $3,753 0.3×
Removal of adenoids (42830) $1,125.90 $3,753 0.3×
Removal of cervix (57530)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Removal of foreign body from pharynx (42809) $230.70 $769 0.5×
Removal of heel spur (28119) $1,710.60 $5,702 0.5×
Removal of mammary implant material (19330) $1,710.60 $5,702 0.4×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $300–$1,125.90 $1,000–$3,753 varies
Removal of nose (30160)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Removal of sesamoid bone (28315) $1,710.60 $5,702 0.5×
Removal of sperm cord lesion (55520) $2,681.10 $8,937 0.7×
Removal of testis (54520) $1,710.60 $5,702 0.5×
Removal of thyroid (60271)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Removal of tunneled intraperitoneal catheter (49422)
range across 4 matching MRF lines		 $950.10–$1,710.60 $3,167–$5,702 varies
Removal of wrist bone (25210) $1,710.60 $5,702 0.5×
Removal or bivalving full arm or full leg cast (29705) $145.50 $485 0.5×
Removal Pacemaker Electrode (33235) $3,022.50 $10,075 0.8×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $2,634 $8,780 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $97.50–$1,125.90 $325–$3,753 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 4 matching MRF lines		 $828.30–$852.90 $2,761–$2,843 varies
Removal sweat gland lesion (11450) $1,710.60 $5,702 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $145.50 $485 0.5×
Remove & graft wrist lesion (25135)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Remove Ankle Joint Lining (27626) $2,285.70 $7,619 0.7×
Remove cerclage suture (59871)
range across 2 matching MRF lines		 $1,125.90–$1,772.70 $3,753–$5,909 varies
Remove cranial cavity fluid (61000) $480.30 $1,601 0.7×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $102.60–$1,710.60 $342–$5,702 varies
Remove Elctrd Transvenously (33244) $1,584.60 $5,282 0.4×
Remove foreign body from eye (65235) $1,178.40 $3,928 0.5×
Remove foreign body from eye (65205) $99 $330 0.7×
Remove Int Dwell Ureteral Stent Transurethral (50386) $1,710.60 $5,702 0.8×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $107.70–$1,710.60 $359–$5,702 varies
Remove intrvas foreign body (37197)
range across 2 matching MRF lines		 $2,264.40–$2,676 $7,548–$8,920 varies
Remove lung catheter (32552)
range across 6 matching MRF lines		 $468.60–$1,710.60 $1,562–$5,702 varies
Remove Nasal Foreign Body (30300) $43.80 $146 0.3×
Remove Pulse Generator (33241) $1,584.60 $5,282 0.4×
Remove renal tube w/fluoro (50389)
range across 5 matching MRF lines		 $567.60–$1,710.60 $1,892–$5,702 varies
Remove Tendon Sheath Lesion (26160) $1,710.60 $5,702 1.0×
Remove ureter stent percut (50384)
range across 2 matching MRF lines		 $1,242.90–$2,485.50 $4,143–$8,285 varies
Remove&replace pm gen singl (33227)
range across 3 matching MRF lines		 $5,048.70–$5,200.20 $16,829–$17,334 varies
Remove/Insert Drug Implant (11983) $263.70 $879 0.6×
Remv cartilage for graft nasal (20912) $2,285.70 $7,619 0.6×
Remv&replc cvd gen dual lead (33263)
range across 3 matching MRF lines		 $15,653.70–$16,123.20 $52,179–$53,744 varies
Remv&replc cvd gen mult lead (33264)
range across 3 matching MRF lines		 $15,653.70–$16,123.20 $52,179–$53,744 varies
Remv&replc cvd gen sing lead (33262)
range across 3 matching MRF lines		 $15,653.70–$16,123.20 $52,179–$53,744 varies
Remv&replc pm gen dual lead (33228)
range across 3 matching MRF lines		 $6,310.80–$6,500.40 $21,036–$21,668 varies
Remv&replc pm gen mult leads (33229)
range across 3 matching MRF lines		 $8,195.70–$8,441.70 $27,319–$28,139 varies
Renal Biopsy Perq (50200) $896.10 $2,987 0.5×
Reopen fallopian tube (58350)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $2,697.90 $8,993 0.8×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $1,943.40–$2,285.70 $6,478–$7,619 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $296.40–$1,710.60 $988–$5,702 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $336.60–$1,710.60 $1,122–$5,702 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $220.50–$2,285.70 $735–$7,619 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $336.60–$2,285.70 $1,122–$7,619 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $220.50–$230.40 $735–$768 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $220.50–$1,710.60 $735–$5,702 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 3 matching MRF lines		 $296.40–$2,681.10 $988–$8,937 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines		 $296.40–$1,125.90 $988–$3,753 varies
Repair Ectropion Extensive (67917) $1,710.60 $5,702 0.7×
Repair Elbow Perc (24357) $2,634.90 $8,783 0.8×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,111.80–$1,710.60 $3,706–$5,702 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,710.60 $5,702 0.5×
Repair Hallux Rigidus (28289) $1,710.60 $5,702 0.5×
Repair Hand Joint (26540) $1,710.60 $5,702 0.5×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,111.80–$2,285.70 $3,706–$7,619 varies
Repair initial femoral hernia, any age; reducible (49550) $2,681.10 $8,937 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,710.60 $5,702 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $196.80–$1,710.60 $656–$5,702 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $196.80–$220.50 $656–$735 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $196.80–$220.50 $656–$735 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $278.10–$1,710.60 $927–$5,702 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $220.50–$230.40 $735–$768 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $220.50–$230.40 $735–$768 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $210.60–$217.20 $702–$724 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $196.80–$1,710.60 $656–$5,702 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $430.20–$443.40 $1,434–$1,478 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $904.20–$931.20 $3,014–$3,104 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $220.50–$336.90 $735–$1,123 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $196.80–$1,710.60 $656–$5,702 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $223.80–$1,710.60 $746–$5,702 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $220.50–$336 $735–$1,120 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $220.50–$1,710.60 $735–$5,702 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,189.50–$1,224.90 $3,965–$4,083 varies
Repair Laceration Palate </2 Cm (42180) $221.40 $738 0.4×
Repair lead pace-defib dual (33220) $1,584.90 $5,283 0.4×
Repair Lead Pace-Defib One (33218) $1,584.90 $5,283 0.4×
Repair nasal septal perforations (30630) $2,285.70 $7,619 0.7×
Repair Nasal Vestibular Stenosis (30465)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Repair of anal fistula with fibrin glue (46706)
range across 2 matching MRF lines		 $2,399.70–$2,445 $7,999–$8,150 varies
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Repair of hydrocele (55060) $1,710.60 $5,702 0.5×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $297.90–$2,285.70 $993–$7,619 varies
Repair of rectocele (45560)
range across 2 matching MRF lines		 $1,710.60–$2,469.30 $5,702–$8,231 varies
Repair of rectum (45505) $2,469.30 $8,231 0.9×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Repair Spica/Body/Jacket Cast (29720) $72.90 $243 0.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,447.20 $4,824 0.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $504.30–$522.90 $1,681–$1,743 varies
Repair tongue laceration (41250) $129.60 $432 0.3×
Repair Tooth Socket (41874) $1,125.90 $3,753 0.3×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Repair/Revise Wrist Joint (25320)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 3 matching MRF lines		 $767.40–$790.20 $2,558–$2,634 varies
Replace G-J Tube Perc (49452)
range across 3 matching MRF lines		 $129.60–$456.30 $432–$1,521 varies
Replace g/c tube perc (49450) $328.80 $1,096 0.4×
Replacement Tissue Expander W/Permanent Implant (11970)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Repos Previously Implanted Subq Implantable Dfb (33273) $2,313.90 $7,713 0.6×
Reposition Gastrostomy Tube (43761) $579.30 $1,931 2.3×
Reposition L Ventric Lead (33226) $1,330.50 $4,435 0.4×
Reposition Pacing-Defib Lead (33215) $1,064.10 $3,547 0.3×
Reposition Venous Catheter (36597)
range across 3 matching MRF lines		 $829.80–$854.40 $2,766–$2,848 varies
Repr elbow lat ligmnt w/tiss (24343) $2,285.70 $7,619 0.7×
Repr Elbw Med Ligmnt W/Tiss (24345)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Rerepair ing hernia reduce (49520) $2,681.10 $8,937 0.7×
Resect Shoulder Tumor 5 Cm/> (23078) $1,710.60 $5,702 0.6×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $2,931.30 $9,771 0.9×
Resection, partial or complete, phalangeal base, each toe (28126) $1,710.60 $5,702 0.5×
Retrobulbar injection (67500) $137.70 $459 0.4×
Rev/rmv prph sac/gstr npg/r (64595) $1,125.90 $3,753 0.3×
Revise Hand/Foot Nerve (64704) $2,285.70 $7,619 1.1×
Revise ulnar nerve at wrist (64719) $1,710.60 $5,702 0.9×
Revise/Implant Finger Joint (26536)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $1,710.60 $5,702 0.5×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $1,418.40 $4,728 0.4×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $2,611.50 $8,705 0.7×
Revision of foot (28116) $1,710.60 $5,702 0.5×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $1,418.40 $4,728 0.4×
Revision of knee joint (27442)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Revision of lower leg tendon (27685) $2,285.70 $7,619 0.7×
Revision of toe (28312) $1,710.60 $5,702 0.5×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340)
range across 2 matching MRF lines		 $2,166.90–$2,231.70 $7,223–$7,439 varies
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $2,231.70 $7,439 0.6×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.2×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.1×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,596.60 $15,322 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,125.90 $3,753 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,125.90 $3,753 0.3×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $5,293.50 $17,645 0.9×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $5,293.50 $17,645 0.9×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $17,049.90 $56,833 0.9×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $17,049.90 $56,833 0.9×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $17,049.90 $56,833 0.9×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $17,049.90 $56,833 0.9×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $10,737 $35,790 0.9×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $10,737 $35,790 0.9×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $10,737 $35,790 0.9×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $10,737 $35,790 0.9×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $5,293.50 $17,645 0.9×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $5,293.50 $17,645 0.9×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $10,737 $35,790 0.9×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $10,737 $35,790 0.9×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $10,737 $35,790 0.9×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $17,049.90 $56,833 1.4×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $17,049.90 $56,833 0.9×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $17,049.90 $56,833 0.9×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $17,049.90 $56,833 0.9×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $17,049.90 $56,833 0.9×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $17,049.60 $56,832 0.9×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $17,049.60 $56,832 0.9×
Rhinoplasty primary w/major septal repair (30420)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Rhinp Prim Complete Xtrnl Parts (30410)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $3,140.10 $10,467 0.5×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,325.70 $4,419 0.6×
Rmvl embedded fb vestibule mouth comp (40805) $504.30 $1,681 0.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $481.50 $1,605 0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,461.90 $4,873 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $320.70 $1,069 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $102.90 $343 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $172.20 $574 0.4×
Rmvl fecal impaction/fb spx under anes (45915)
range across 3 matching MRF lines		 $909.60–$1,125.90 $3,032–$3,753 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $873 $2,910 0.5×
Rmvl of subq implantable defibrillator electrode (33272)
range across 2 matching MRF lines		 $2,313.90–$3,445.80 $7,713–$11,486 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,710.60 $5,702 0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,584.60 $5,282 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 7 matching MRF lines		 $829.80–$1,125.90 $2,766–$3,753 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 8 matching MRF lines		 $549.30–$1,125.90 $1,831–$3,753 varies
Rmvl/revj sling stress incontinence (57287) $1,710.60 $5,702 0.5×
Rplc Gtube No Revj Trc (43762) $224.70 $749 0.9×
Rplc gtube revj gstrst trc (43763) $224.70 $749 0.9×
Rplcmt cath ctr vad subq port/pmp (36578) $1,509.90 $5,033 0.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $854.40 $2,848 0.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 3 matching MRF lines		 $821.40–$1,430.70 $2,738–$4,769 varies
Rplcmt compl tun ctr vad w/subq pmp (36583)
unusually low: confirm this is the full procedure		 $2,264.40 $7,548 0.4×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 3 matching MRF lines		 $1,710.60–$2,316.60 $5,702–$7,722 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 3 matching MRF lines		 $1,844.40–$1,899.90 $6,148–$6,333 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,681.10 $8,937 0.7×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,681.10 $8,937 0.7×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $791.10–$1,848.30 $2,637–$6,161 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $854.40 $2,848 0.5×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,710.60 $5,702 0.5×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $110.10 $367 0.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $220.50–$230.40 $735–$768 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $221.40–$250.50 $738–$835 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652) $504.30 $1,681 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $504.30 $1,681 0.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $504.30–$1,710.60 $1,681–$5,702 varies
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $2,000.10–$2,285.70 $6,667–$7,619 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $460.80 $1,536 0.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,285.70 $7,619 0.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $1,710.60 $5,702 0.5×
Sclerotx Fluid Collection (49185) $924.30 $3,081 0.5×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $2,285.70 $7,619 0.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $786.60 $2,622 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $769.50 $2,565 0.6×
Shave skin lesion 0.5 cm/< (11300) $135.30 $451 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $83.10 $277 0.4×
Shoulder Arthroscopy/Surgery (29825) $2,285.70 $7,619 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $83.10 $277 0.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,167.90 $3,893 0.3×
Sigmoidoscopy & decompress (45337) $769.50 $2,565 0.8×
Sigmoidoscopy & Polypectomy (45333) $630.30 $2,101 0.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $815.70 $2,719 0.7×
Sigmoidoscopy flx tndsc balo dilat (45340) $769.50 $2,565 0.6×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $769.50 $2,565 0.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $815.70 $2,719 0.7×
Sigmoidoscopy w/fb removal (45332) $769.50 $2,565 0.6×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $1,688.70 $5,629 0.3×
Sigmoidoscopy W/Resection (45349) $815.70 $2,719 0.3×
Sigmoidoscopy W/Ultrasound (45341) $769.50 $2,565 0.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,235.40 $4,118 1.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $769.50 $2,565 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $201.30 $671 0.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $81–$92.70 $270–$309 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $98.70 $329 0.5×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $285.90 $953 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $104.70 $349 0.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $88.20 $294 0.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 6 matching MRF lines		 $179.40–$2,285.70 $598–$7,619 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $88.20 $294 0.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $88.20 $294 0.4×
Sinusotomy frontal; external, simple (trephine operation) Facility (31070)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,069.20–$1,710.60 $3,564–$5,702 varies
Skin Pinch Graft (15050) $404.70 $1,349 0.5×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $922.50–$1,710.60 $3,075–$5,702 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $922.50–$2,285.70 $3,075–$7,619 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $1,397.70–$2,285.70 $4,659–$7,619 varies
Skin Tissue Procedure (17999)
range across 4 matching MRF lines		 $151.20–$1,710.60 $504–$5,702 varies
Skn sub grft f/n/hf/g child (15277) $1,397.70 $4,659 0.7×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $7,953.60 $26,512 1.4×
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $2,228.70–$4,774.20 $7,429–$15,914 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $3,644.10–$7,953.60 $12,147–$26,512 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Slitting of prepuce (54001) $1,425.60 $4,752 0.7×
Small bowel endoscopy (44384) $1,013.40 $3,378 0.5×
Small bowel endoscopy (44366) $1,217.40 $4,058 0.6×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,217.40 $4,058 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $135.30 $451 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $285.90 $953 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $118.80 $396 0.3×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $2,469.30 $8,231 0.9×
Sphincterotomy anal division sphincter spx (46080)
range across 2 matching MRF lines		 $1,125.90–$1,632.60 $3,753–$5,442 varies
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $321.30–$330.90 $1,071–$1,103 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,710.60 $5,702 0.5×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,710.60 $5,702 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines		 $1,710.60–$2,199.30 $5,702–$7,331 varies
Strapping ankle (29540)
range across 3 matching MRF lines		 $48–$72.90 $160–$243 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $52.20–$72.90 $174–$243 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $52.20–$72.90 $174–$243 varies
Strapping Hip (29520)
range across 3 matching MRF lines		 $60.60–$72.90 $202–$243 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $52.20–$72.90 $174–$243 varies
Strapping shoulder (29240) $72.90 $243 0.5×
Strapping toes (29550)
range across 3 matching MRF lines		 $30.60–$1,710.60 $102–$5,702 varies
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $78.30–$156.30 $261–$521 varies
Subconjunctival injection (68200) $173.40 $578 0.4×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,285.70 $7,619 0.7×
Surg Tx Anal Fistula 2nd Stage (46285) $1,884.60 $6,282 0.7×
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $1,710.60–$1,884.60 $5,702–$6,282 varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275)
range across 2 matching MRF lines		 $1,710.60–$1,884.60 $5,702–$6,282 varies
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,292.70 $4,309 0.5×
Suture 1 Nerve Ulnar Motor (64836) $2,285.70 $7,619 0.7×
Suture digital nerve hand/foot 1 nerve (64831) $2,285.70 $7,619 1.1×
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $1,710.60 $5,702 0.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,710.60 $5,702 1.0×
Tangential biopsy skin single lesion (11102)
range across 4 matching MRF lines		 $166.50–$171.60 $555–$572 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $18,959.70 $63,199 0.6×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 3 matching MRF lines		 $9,922.20–$14,463.90 $33,074–$48,213 varies
Tcat Rmvl Perm Ldls Pm (33275) $2,560.50 $8,535 0.8×
Tendon lengthening upper arm/elbow ea tendon (24305) $1,710.60 $5,702 0.5×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $1,710.60 $5,702 0.5×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Tenodesis proximal interphalangeal joint each (26471) $1,710.60 $5,702 0.5×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,710.60 $5,702 1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $2,285.70 $7,619 0.7×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $1,710.60 $5,702 0.5×
Tenotomy Adductor Hip Percutaneous Spx (27000) $1,682.10 $5,607 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $1,359.30–$1,710.60 $4,531–$5,702 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,682.10 $5,607 0.5×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,766.10 $5,887 1.1×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $1,618.50 $5,395 0.5×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $2,543.10 $8,477 0.8×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure		 $2,634.90 $8,783 0.4×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,710.60 $5,702 1.0×
Thaw preserved stem cells (38208) $669.60 $2,232 1.5×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $1,233 $4,110 0.3×
Ther Apheresis,Red Blood Cells (36512) $709.80 $2,366 0.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,005.60 $3,352 1.4×
Therapeutic Apheresis White Blood Cells (36511) $709.80 $2,366 0.4×
Therapeutic plasma exchange (36514) $954.30 $3,181 0.6×
Therapeutic pneumothorax (32960) $495.60 $1,652 0.8×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.1×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
unusually low: confirm this is the full procedure		 $2,174.40 $7,248 0.4×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
unusually low: confirm this is the full procedure		 $2,204.10 $7,347 0.4×
Thrmbc/Nfs Dialysis Circuit (36906) $14,457.60 $48,192 0.8×
Thromblytic art/ven therapy (37213) $2,264.40 $7,548 0.7×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,218.80 $7,396 0.4×
Thrombolytic Therapy Stroke (37195) $164.40 $548 0.5×
Thrombolytic Venous Therapy (37212) $1,695.30 $5,651 0.5×
Thyroid biopsy (60100) $270.60 $902 0.4×
Thyroidectomy Post Prev Thyr Surg (60260)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,305.90–$1,710.60 $4,353–$5,702 varies
Tissue Expander Placement Breast Reconstruction (19357)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Tlh uterus over 250 g (58572)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Tnot elbow lateral/medial debride open (24358) $1,710.60 $5,702 0.5×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,710.60 $5,702 0.5×
Tooth extraction (41899)
range across 2 matching MRF lines		 $116.70–$1,125.90 $389–$3,753 varies
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $2,285.70 $7,619 0.2×
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,820.10 $6,067 0.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $356.10 $1,187 0.6×
Tracheostoma revj smpl w/o flap rotation (31613) $1,772.70 $5,909 0.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $504.30 $1,681 2.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $682.80 $2,276 0.4×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $2,070.90 $6,903 0.4×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345)
range across 2 matching MRF lines		 $1,246.80–$1,710.60 $4,156–$5,702 varies
Transoral lower esophageal myotomy (43497)
unusually low: confirm this is the full procedure		 $2,560.20 $8,534 0.4×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $3,897.30 $12,991 0.7×
Transrectal Drainage of Pelvic Abscess (45000) $1,884.60 $6,282 1.5×
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Transurethral incision of prostate (52450) $1,710.60 $5,702 0.5×
Transurethral resection bladder neck (52500) $1,710.60 $5,702 0.5×
Treat Dental Ridge Fracture (21440) $1,806.90 $6,023 0.5×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Treat Finger Fracture Each (26727) $2,285.70 $7,619 0.7×
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×
Treat humerus fracture (24500) $171.60 $572 0.7×
Treat Humerus Fracture (24505) $873.60 $2,912 0.5×
Treat knee fracture (27532) $1,293.30 $4,311 0.4×
Treat Knee Fracture(S) (27538) $216.90 $723 0.9×
Treat Knuckle Dislocation (26700) $171.60 $572 0.7×
Treat Metatarsal Fracture (28475) $171.60 $572 0.7×
Treat skull fracture (62000) $1,656.90 $5,523 0.5×
Treat Tail Bone Fracture (27200) $107.70 $359 0.4×
Treat Thumb Dislocation (26641) $407.10 $1,357 1.6×
Treat Thumb Fracture (26645) $874.20 $2,914 0.5×
Treat toe dislocation (28630) $122.70 $409 0.5×
Treat Trigeminal Nerve (61790) $1,662.60 $5,542 0.8×
Treat Vaginal Bleeding (57180) $95.40 $318 0.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,042.20 $3,474 0.6×
Treatment closed elbow dislocation w/o anes (24600) $171.60 $572 0.7×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $100.80–$149.70 $336–$499 varies
Trim skin lesions 2 to 4 (11056) $92.70 $309 0.5×
Trim skin lesions over 4 (11057) $92.70 $309 0.5×
Trimming Nondystrophic Nails Any Number (11719) $35.70 $119 0.6×
Trluml Balo Angiop 1St Art (37246) $4,719.30 $15,731 0.8×
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $4,719.30–$5,014.80 $15,731–$16,716 varies
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 2 matching MRF lines		 $395.10–$2,592.30 $1,317–$8,641 varies
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $642.60 $2,142 0.4×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280)
range across 2 matching MRF lines		 $1,710.60–$1,884.60 $5,702–$6,282 varies
Tx Gastro Intub W/Asp (43753) $151.80 $506 0.7×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $1,125.90–$1,324.20 $3,753–$4,414 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 3 matching MRF lines		 $1,125.90–$1,417.80 $3,753–$4,726 varies
Tx Missed Abortion Second Trimester Surgical (59821)
range across 4 matching MRF lines		 $1,125.90–$2,010.30 $3,753–$6,701 varies
Tx open tendon flexor toe 1 tendon spx (28232) $1,394.40 $4,648 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $383.70–$1,710.60 $1,279–$5,702 varies
Tx superficial wound dehiscence w/packing (12021) $1,003.80 $3,346 2.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $124.80 $416 0.5×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $6,726.30 $22,421 0.5×
Tympanostomy general anesthesia (69436) $2,285.70 $7,619 1.4×
Unlisted Cardiac Surgery (33999)
range across 2 matching MRF lines		 $528.90–$549.60 $1,763–$1,832 varies
Unlisted hysteroscopy procedure, uterus (58579) $1,710.60 $5,702 8.3×
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Unlisted laparoscopy procedure oviduct ovary (58679)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.3×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure		 $2,681.10 $8,937 0.4×
Unlisted Procedure Accessory Sinuses (31299)
range across 2 matching MRF lines		 $337.80–$2,285.70 $1,126–$7,619 varies
Unlisted procedure anus (46999)
range across 3 matching MRF lines		 $406.20–$1,125.90 $1,354–$3,753 varies
Unlisted procedure arthroscopy (29999) $1,710.60 $5,702 6.8×
Unlisted Procedure Biliary Tract (47999) $1,237.50 $4,125 1.3×
Unlisted procedure breast (19499) $1,463.70 $4,879 0.4×
Unlisted Procedure Casting/Strapping (29799)
range across 3 matching MRF lines		 $63.30–$122.70 $211–$409 varies
Unlisted procedure colon (45399) $778.50 $2,595 0.8×
Unlisted Procedure Endocrine System (60699)
range across 3 matching MRF lines		 $3,321.30–$5,271 $11,071–$17,570 varies
Unlisted Procedure Esophagus (43499) $662.40 $2,208 0.7×
Unlisted Procedure External Ear (69399) $116.70 $389 0.5×
Unlisted procedure femur or knee (27599) $1,125.90 $3,753 4.5×
Unlisted procedure foot or toes (28899) $1,710.60 $5,702 6.8×
Unlisted Procedure Hands/Fingers (26989) $131.70 $439 0.5×
Unlisted Procedure Intestine (44799)
range across 4 matching MRF lines		 $1,798.20–$1,851.90 $5,994–$6,173 varies
Unlisted procedure larynx (31599)
range across 2 matching MRF lines		 $72.90–$1,710.60 $243–$5,702 varies
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines		 $131.70–$2,285.70 $439–$7,619 varies
Unlisted procedure liver (47399) $411.60 $1,372 0.6×
Unlisted procedure lungs and pleura (32999) $330.60 $1,102 0.5×
Unlisted Procedure Male Genital System (55899) $176.70 $589 0.7×
Unlisted Procedure Muscskeletal System General (20999)
range across 3 matching MRF lines		 $1,682.10–$1,710.60 $5,607–$5,702 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $214.20–$435.90 $714–$1,453 varies
Unlisted procedure pancreas (48999)
range across 2 matching MRF lines		 $406.20–$9,000.60 $1,354–$30,002 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $75–$1,201.20 $250–$4,004 varies
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $365.40–$392.10 $1,218–$1,307 varies
Unlisted procedure spine (22899) $1,756.80 $5,856 7.0×
Unlisted procedure stomach (43999)
range across 3 matching MRF lines		 $642.90–$662.40 $2,143–$2,208 varies
Unlisted Procedure Tongue Floor Mouth (41599) $116.70 $389 0.5×
Unlisted Procedure Trachea Bronchi (31899) $682.80 $2,276 3.3×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines		 $591.30–$1,710.60 $1,971–$5,702 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 3 matching MRF lines		 $1,521.30–$1,710.60 $5,071–$5,702 varies
Unlisted procedure, orbit (67599) $211.20 $704 0.7×
Unlisted Procedure, Urinary System (53899) $203.10 $677 0.8×
Unlisted px female genital system nonobstetrical (58999)
range across 4 matching MRF lines		 $128.70–$1,710.60 $429–$5,702 varies
Unlisted Px Salivary Glands/Ducts (42699) $75 $250 0.3×
Upgrade of pacemaker system (33214) $6,423.90 $21,413 0.6×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980)
likely a partial charge, not the full procedure		 $1,125.90 $3,753 0.2×
Uvulectomy excision of uvula (42140) $1,585.80 $5,286 0.5×
Vaginal Delivery After Cesarean Delivery (59612) $1,162.80 $3,876 0.4×
Vaginal delivery only (59409)
range across 5 matching MRF lines		 $1,162.80–$1,324.20 $3,876–$4,414 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $2,681.10 $8,937 0.5×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $1,710.60 $5,702 0.3×
Vaginectomy, partial removal of vaginal wall; (57106) $2,288.70 $7,629 0.7×
Vasc embolize/occlude artery (37242) $9,849.30 $32,831 0.5×
Vasc Embolize/Occlude Bleed (37244)
range across 3 matching MRF lines		 $9,619.20–$9,849.30 $32,064–$32,831 varies
Vasc Embolize/Occlude Organ (37243) $9,849.30 $32,831 0.8×
Vasc embolize/occlude venous (37241) $9,849.30 $32,831 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,125.90 $3,753 0.5×
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $18.60–$97.50 $62–$325 varies
Venous Cutdown >1 Y/O (36425) $173.40 $578 0.4×
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure		 $3,106.50 $10,355 0.3×
Vulvectomy simple partial (56620) $1,125.90 $3,753 0.3×
Wedge excision skin nail fold (11765) $285.90 $953 0.7×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure		 $1,710.60 $5,702 0.2×
Windowing of cast (29730) $72.90 $243 0.4×
Wound Prep F/N/Hf/G (15004) $324.30 $1,081 0.8×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $698.10–$2,285.70 $2,327–$7,619 varies
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $2,285.70 $7,619 0.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.