| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$7,988.61 |
$12,215 |
1.8× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$9,339.12 |
$14,280 |
2.1× |
| Abd paracentesis w/imaging (49083) |
— |
$4,217 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,936 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$3,669 |
— |
Ablate Pulm Tumor Perq Crybl (32994)
range across 2 matching MRF lines |
$1,366.86–$4,865.50 |
$2,090–$7,485.38 |
varies |
Ablation 1/> liver tumor perq cryoablation (47383)
likely a partial charge, not the full procedure |
$1,136.87 |
$1,738.34 |
0.1× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,666.29 |
$7,135 |
0.2× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$11,598.69 |
$17,735 |
1.3× |
Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882)
range across 2 matching MRF lines |
$1,559.79–$24,004.50 |
$2,385–$36,930 |
varies |
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660)
range across 2 matching MRF lines |
$840.39–$6,526 |
$1,285–$10,040 |
varies |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$719.40 |
$1,100 |
0.4× |
| Abrasion single lesion (15786) |
$573.55 |
$876.99 |
2.3× |
Acetabuloplasty (27120)
likely a partial charge, not the full procedure |
$3,253.93 |
$4,975.43 |
0.2× |
| Acetabuloplasty resection femoral head (27122) |
$11,418.84 |
$17,460 |
1.3× |
| Acne surgery (10040) |
— |
$379 |
— |
| Acromiopl/Acromionect Partial (23130) |
$5,447.82 |
$8,330 |
1.3× |
| Adding Walker Previously Applied Cast (29440) |
$155.40 |
$237.62 |
0.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$4,039 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$4,638 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$6,738 |
— |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
— |
$6,331 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$3,845 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$4,062 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$4,570 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$4,278 |
— |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
unusually low: confirm this is the full procedure |
$4,332.75 |
$6,625 |
0.5× |
| Allogeneic lymphocyte infusions (38242) |
— |
$8,663 |
— |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) |
$980.22 |
$1,498.80 |
0.2× |
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines |
$568.98–$846.29 |
$870–$1,301.98 |
varies |
| Amniocentesis therapeutic (59001) |
— |
$2,224 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$5,647.29 |
$8,635 |
1.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$7,915 |
— |
| Amputate Metacarpal Bone (26910) |
$6,428.82 |
$9,830 |
1.6× |
| Amputate Thigh,Re-Amputatn (27596) |
$7,350.96 |
$11,240 |
1.8× |
| Amputation follow-up surgery (27594) |
$2,334.78 |
$3,570 |
0.6× |
| Amputation Foot Midtarsal (28800) |
$6,144.33 |
$9,395 |
1.5× |
| Amputation foot transmetarsal (28805) |
$6,144.33 |
$9,395 |
1.5× |
| Amputation metatarsal with toe single (28810) |
$4,617.24 |
$7,060 |
1.1× |
| Amputation thigh through femur any level (27590) |
$7,350.96 |
$11,240 |
1.8× |
| Amputation toe interphalangeal joint (28825) |
$3,695.10 |
$5,650 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,695.10 |
$5,650 |
0.9× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$5,133.90 |
$7,850 |
1.3× |
Amputation, arm through humerus; open, circular (guillotine) Facility (24920)
likely a partial charge, not the full procedure |
$1,825.01 |
$2,790.54 |
0.1× |
Amputation, arm through humerus; re-amputation Facility (24930)
likely a partial charge, not the full procedure |
$1,931.77 |
$2,953.78 |
0.2× |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
$1,268.69 |
$1,939.90 |
0.3× |
Amputation, arm through humerus; with implant Facility (24931)
likely a partial charge, not the full procedure |
$2,495.35 |
$3,815.52 |
0.2× |
Amputation, arm through humerus; with primary closure Facility (24900)
unusually low: confirm this is the full procedure |
$5,768.28 |
$8,820 |
0.4× |
| Amputation, forearm, through radius and ulna; Facility (25900) |
$7,350.96 |
$11,240 |
0.8× |
Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905)
likely a partial charge, not the full procedure |
$1,746.25 |
$2,670.10 |
0.2× |
| Amputation, forearm, through radius and ulna; re-amputation Facility (25909) |
$6,902.97 |
$10,555 |
0.8× |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
$1,523.55 |
$2,329.59 |
0.4× |
| Amputation, leg, through tibia and fibula; (27880) |
$7,350.96 |
$11,240 |
0.8× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$5,290.86 |
$8,090 |
1.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$7,563.51 |
$11,565 |
1.9× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$2,400.18 |
$3,670 |
0.6× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$2,185.22 |
$3,341.31 |
0.5× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
$2,412.93 |
$3,689.50 |
0.6× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$8,096.52 |
$12,380 |
2.0× |
Anal Sp Inf Pmp W/Reprg&Fill (62369)
range across 2 matching MRF lines |
$529.74–$945.75 |
$810–$1,455 |
varies |
| Anal/Urinary Muscle Study (51784) |
— |
$441 |
— |
Ankle Arthroscopy/Surgery (29892)
unusually low: confirm this is the full procedure |
$4,473.36 |
$6,840 |
0.5× |
Ankle disarticulation (27889)
likely a partial charge, not the full procedure |
$1,649.83 |
$2,522.68 |
0.2× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$3,001.86 |
$4,590 |
0.9× |
| Anorectal myomectomy (45108) |
$931.51 |
$1,424.32 |
0.3× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$423.88 |
$648.13 |
0.4× |
Anosc Rmvl Mult Tumors Cautery/Snare (46612)
range across 2 matching MRF lines |
$640.92–$2,905.10 |
$980–$4,469.38 |
varies |
Anoscopy Ablation Lesion (46615)
range across 2 matching MRF lines |
$994.08–$3,103.48 |
$1,520–$4,774.58 |
varies |
| Anoscopy Control Bleeding (46614) |
$329.02 |
$503.09 |
0.2× |
| Anoscopy diagnostic (46600) |
— |
$411 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$3,402 |
— |
Anoscopy remove lesion (46610)
range across 2 matching MRF lines |
$550.76–$2,934.19 |
$842.14–$4,514.14 |
varies |
| Anoscopy W/Rmvl Foreign Body (46608) |
$213.96 |
$327.15 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$2,258 |
— |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,514.26 |
$2,315.38 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$860.01 |
$1,315 |
0.2× |
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure |
$1,559.99 |
$2,385.30 |
0.2× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,467.44 |
$8,360 |
0.9× |
Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments… (22837)
range across 2 matching MRF lines |
$4,894.50–$4,924.62 |
$7,530 |
varies |
Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments Facility (22836)
range across 2 matching MRF lines |
$4,446–$4,473.36 |
$6,840 |
varies |
| Anterior Tibial Tubercleplasty (27418) |
$9,672.66 |
$14,790 |
1.1× |
| Apheresis Platelets (36513) |
— |
$6,751 |
— |
| Appendectomy (44950) |
$4,829.79 |
$7,385 |
0.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
— |
$342 |
— |
Appl cranial tong/strtctc frame w/removal spx (20660)
range across 2 matching MRF lines |
$2,033.94–$2,704 |
$3,110–$4,160 |
varies |
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325)
range across 2 matching MRF lines |
$1,589.25–$1,599.03 |
$2,445 |
varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$258.91 |
$395.88 |
1.3× |
Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015)
range across 2 matching MRF lines |
$222.36–$403 |
$340–$620 |
varies |
Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017)
range across 2 matching MRF lines |
$591.87–$900.25 |
$905–$1,385 |
varies |
| Application Body Cast Shoulder Hips (29035) |
$548.67 |
$838.95 |
1.6× |
Application Body Cast Shoulder Hips Both Thighs (29046)
range across 2 matching MRF lines |
$561.05–$758.47 |
$857.87–$1,166.87 |
varies |
| Application cast elbow finger short arm (29075) |
— |
$509 |
— |
| Application Cast Finger (29086) |
— |
$356 |
— |
Application Cast Shoulder Spica (29055)
range across 2 matching MRF lines |
$709.59–$867.75 |
$1,085–$1,335 |
varies |
| Application Finger Splint Dynamic (29131) |
— |
$309 |
— |
| Application finger splint static (29130) |
— |
$293 |
— |
| Application Halo Cranial Including Removal (20661) |
$3,469.47 |
$5,305 |
1.7× |
| Application Halo Type Body Cast (29000) |
$781.58 |
$1,195.08 |
2.2× |
Application Hip Spica Cast 1 Leg (29305)
range across 2 matching MRF lines |
$994.50–$1,000.62 |
$1,530 |
varies |
| Application long arm splint shoulder hand (29105) |
— |
$693 |
— |
| Application Long Leg Cast Brace (29358) |
$519.93 |
$795 |
1.5× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$1,151 |
— |
| Application Long Leg Splint (29505) |
— |
$476 |
— |
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure |
$4,342.56 |
$6,640 |
0.3× |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
$494.86 |
$756.66 |
2.4× |
| Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) |
$471.53 |
$720.99 |
1.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$509 |
— |
| Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) |
$5,303.94 |
$8,110 |
2.6× |
| Application of halo, including removal; femoral Facility (20663) |
$1,342.56 |
$2,052.84 |
0.3× |
| Application of long leg cast (29345) |
— |
$716 |
— |
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge, not the full procedure |
$6,078.93 |
$9,295 |
0.2× |
| Application of pelvis brace (20662) |
$1,152.30 |
$1,761.93 |
0.6× |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
$497.04–$522.83 |
$760–$804.35 |
varies |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$678.59 |
$1,037.60 |
1.9× |
Application Patellar Tendon Bearing Cast (29435)
range across 2 matching MRF lines |
$286.81–$485.91 |
$438.55–$747.55 |
varies |
| Application risser jacket localizer body only (29010) |
— |
$2,253 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$777 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$608 |
— |
| Application short leg splint calf foot (29515) |
— |
$477 |
— |
| Application uniplane external fixation system (20690) |
— |
$19,443 |
— |
| Application, cast; figure-of-eight Facility (29049) |
$254.37 |
$388.95 |
0.7× |
| Apply hand/wrist cast (29085) |
— |
$557 |
— |
| Apply long arm cast (29065) |
— |
$719 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$419 |
— |
| Apply Short Leg Cast (29405) |
— |
$517 |
— |
| Apply short leg cast (29425) |
— |
$687 |
— |
| Apply shoulder cast,plastr velpeau (29058) |
$308.41 |
$471.57 |
0.9× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$8,629.53 |
$13,195 |
1.3× |
| Aqueous Shunt Extraocular Reservoir W/O Graft (66179) |
$6,589.05 |
$10,075 |
1.0× |
Arrest Epiphyseal Distal Femur (27475)
unusually low: confirm this is the full procedure |
$3,551.22 |
$5,430 |
0.4× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$1,457.91 |
$2,229.22 |
0.4× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$5,202.57 |
$7,955 |
1.3× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
$4,401.42 |
$6,730 |
1.1× |
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485)
unusually low: confirm this is the full procedure |
$2,786.04 |
$4,260 |
0.3× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$278.33 |
$425.58 |
0.1× |
| Arterial puncture (36600) |
— |
$244 |
— |
Arteriovenous Anastomosis Open Direct (36821)
range across 2 matching MRF lines |
$7,504.25–$7,550.43 |
$11,545 |
varies |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,929.75 |
$12,125 |
1.1× |
| Artery-vein autograft (36825) |
$8,351.58 |
$12,770 |
1.2× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$12,589.50 |
$19,250 |
0.8× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$14,129.67 |
$21,605 |
0.9× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$6,605.40 |
$10,100 |
0.7× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure |
$3,551.22 |
$5,430 |
0.2× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$3,551.22 |
$5,430 |
0.2× |
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
range across 2 matching MRF lines |
$2,485.20–$5,762.38 |
$3,800–$8,865.20 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,409 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$2,601 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$2,661 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$15,108 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$767 |
— |
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure |
$7,102.44 |
$10,860 |
0.4× |
Arthrodesis Glenohumeral Joint (23800)
likely a partial charge, not the full procedure |
$2,561.63 |
$3,916.87 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,801.77 |
$2,755 |
0.2× |
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,805.66 |
$4,290 |
0.3× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$1,739.99 |
$2,660.53 |
0.4× |
Arthrodesis knee any technique (27580)
unusually low: confirm this is the full procedure |
$7,102.44 |
$10,860 |
0.4× |
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure |
$3,071.06 |
$4,695.81 |
0.1× |
Arthrodesis Posterior Interbody Lumbar (22630)
unusually low: confirm this is the full procedure |
$15,686.19 |
$23,985 |
0.5× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$15,620.79 |
$23,885 |
0.7× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
$12,272.31 |
$18,765 |
0.6× |
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure |
$3,763.77 |
$5,755 |
0.2× |
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure |
$3,551.22 |
$5,430 |
0.2× |
| Arthrodesis triple (28715) |
$9,976.77 |
$15,255 |
0.6× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$5,539.38 |
$8,470 |
0.6× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure |
$15,601.17 |
$23,855 |
0.5× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) |
$14,989.68 |
$22,920 |
0.7× |
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548)
unusually low: confirm this is the full procedure |
$5,441.89 |
$8,320.93 |
0.3× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
$19,136.04 |
$29,260 |
0.9× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
$18,979.08 |
$29,020 |
0.9× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) |
$20,417.88 |
$31,220 |
0.9× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$5,601.51 |
$8,565 |
0.6× |
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802)
likely a partial charge, not the full procedure |
$2,498.19 |
$3,819.87 |
0.2× |
Arthrodesis, hip joint (including obtaining graft); Facility (27284)
likely a partial charge, not the full procedure |
$3,831.66 |
$5,858.81 |
0.2× |
Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Facility (27286)
likely a partial charge, not the full procedure |
$4,144.77 |
$6,337.57 |
0.3× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532)
unusually low: confirm this is the full procedure |
$6,907.98 |
$10,562.65 |
0.4× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533)
likely a partial charge, not the full procedure |
$4,205.87 |
$6,430.99 |
0.2× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) |
$19,446.69 |
$29,735 |
1.2× |
| Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) |
$15,408.24 |
$23,560 |
1.0× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$26,016.12 |
$39,780 |
1.2× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
$22,183.68 |
$33,920 |
1.0× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
$13,740.54 |
$21,010 |
0.6× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure |
$2,772.31 |
$4,239.01 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
range across 2 matching MRF lines |
$48,259.25–$48,556.23 |
$74,245 |
varies |
| Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) |
$1,863.68 |
$2,849.67 |
0.5× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
unusually low: confirm this is the full procedure |
$6,213 |
$9,500 |
0.4× |
Arthrodesis, wrist; with sliding graft Facility (25805)
likely a partial charge, not the full procedure |
$2,103.81 |
$3,216.83 |
0.2× |
Arthroplasty Ankle (27700)
likely a partial charge, not the full procedure |
$1,874.88 |
$2,866.79 |
0.2× |
| Arthroplasty ankle revision total ankle (27703) |
$11,902.80 |
$18,200 |
0.5× |
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure |
$10,594.80 |
$16,200 |
0.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$15,287.25 |
$23,375 |
0.7× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$9,800.19 |
$14,985 |
0.6× |
| Arthroplasty interphalangeal joint each (26535) |
$3,855.33 |
$5,895 |
0.9× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$8,302.53 |
$12,695 |
2.0× |
| Arthroplasty Patella W/Prosthesis (27438) |
$8,708.01 |
$13,315 |
0.5× |
Arthroplasty radial head (24365)
unusually low: confirm this is the full procedure |
$6,248.97 |
$9,555 |
0.4× |
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure |
$1,681.19 |
$2,570.62 |
0.1× |
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446)
likely a partial charge, not the full procedure |
$2,870.64 |
$4,389.36 |
0.1× |
Arthroplasty with prosthetic replacement; distal radius Facility (25441)
likely a partial charge, not the full procedure |
$2,257.20 |
$3,451.37 |
0.1× |
Arthroplasty with prosthetic replacement; distal ulna Facility (25442)
likely a partial charge, not the full procedure |
$1,930.50 |
$2,951.83 |
0.1× |
Arthroplasty with prosthetic replacement; lunate Facility (25444)
likely a partial charge, not the full procedure |
$2,055.76 |
$3,143.37 |
0.1× |
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443)
likely a partial charge, not the full procedure |
$1,946.02 |
$2,975.56 |
0.2× |
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361)
likely a partial charge, not the full procedure |
$2,510.45 |
$3,838.61 |
0.1× |
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362)
likely a partial charge, not the full procedure |
$2,645.76 |
$4,045.51 |
0.2× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443)
likely a partial charge, not the full procedure |
$2,035.52 |
$3,112.42 |
0.1× |
Arthroplasty, knee, tibial plateau; Facility (27440)
likely a partial charge, not the full procedure |
$1,989.15 |
$3,041.52 |
0.1× |
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441)
likely a partial charge, not the full procedure |
$2,055.67 |
$3,143.22 |
0.1× |
Arthroplasty, patella; without prosthesis (27437)
likely a partial charge, not the full procedure |
$1,645.53 |
$2,516.10 |
0.2× |
Arthroplasty, temporomandibular joint, with allograft Facility (21242)
unusually low: confirm this is the full procedure |
$2,526.69 |
$3,863.44 |
0.3× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
$9,983.31 |
$15,265 |
1.4× |
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
unusually low: confirm this is the full procedure |
$13,626.09 |
$20,835 |
0.4× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$9,437.22 |
$14,430 |
4.7× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge, not the full procedure |
$2,491.87 |
$3,810.20 |
0.2× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$6,363.42 |
$9,730 |
1.6× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$5,781.36 |
$8,840 |
1.4× |
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
likely a partial charge, not the full procedure |
$2,587.80 |
$3,956.88 |
0.3× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$5,261.43 |
$8,045 |
1.3× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$6,419.01 |
$9,815 |
1.6× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$5,745.39 |
$8,785 |
1.4× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$5,447.82 |
$8,330 |
1.3× |
| Arthroscopy hip w/femoroplasty (29914) |
$7,514.46 |
$11,490 |
0.8× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,727.80 |
$5,700 |
0.9× |
Arthroscopy Knee Osteochondral Allograft (29867)
likely a partial charge, not the full procedure |
$3,201.02 |
$4,894.53 |
0.2× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$6,575.97 |
$10,055 |
1.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$5,369.34 |
$8,210 |
1.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,473.36 |
$6,840 |
1.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$6,867 |
$10,500 |
1.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$11,147.43 |
$17,045 |
1.2× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$6,059.31 |
$9,265 |
1.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$5,496.87 |
$8,405 |
1.3× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$5,539.38 |
$8,470 |
0.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$5,016.18 |
$7,670 |
1.2× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
$5,369.34 |
$8,210 |
0.6× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$8,080.17 |
$12,355 |
0.9× |
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
likely a partial charge, not the full procedure |
$1,753.03 |
$2,680.47 |
0.2× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$1,964.54 |
$3,003.88 |
0.5× |
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868)
unusually low: confirm this is the full procedure |
$4,197.45 |
$6,418.12 |
0.5× |
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
likely a partial charge, not the full procedure |
$2,623.52 |
$4,011.50 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,469.47 |
$5,305 |
0.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$8,714.55 |
$13,325 |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,925.86 |
$10,590 |
1.7× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) |
$1,376.19 |
$2,104.26 |
0.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
$5,434.74 |
$8,310 |
1.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$1,606.56 |
$2,456.51 |
0.8× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$9,309.69 |
$14,235 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,775.44 |
$10,360 |
1.7× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$6,206.46 |
$9,490 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$10,843.32 |
$16,580 |
1.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$6,383.04 |
$9,760 |
1.6× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$6,333.99 |
$9,685 |
1.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$11,595.42 |
$17,730 |
1.3× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
$6,271.86 |
$9,590 |
1.5× |
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907)
likely a partial charge, not the full procedure |
$2,188.13 |
$3,345.76 |
0.1× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
$6,602.13 |
$10,095 |
1.6× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$5,624.40 |
$8,600 |
1.4× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) |
$1,203.84 |
$1,840.74 |
0.3× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$5,817.33 |
$8,895 |
0.6× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$6,144.33 |
$9,395 |
1.5× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$2,799.12 |
$4,280 |
1.4× |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
$1,241.30 |
$1,898.01 |
0.3× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$5,078.31 |
$7,765 |
2.5× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$994.40 |
$1,520.49 |
0.5× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$7,661.61 |
$11,715 |
0.8× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$7,350.96 |
$11,240 |
1.8× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$828.17 |
$1,266.31 |
0.2× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$3,302.70 |
$5,050 |
0.8× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$4,201.95 |
$6,425 |
1.0× |
| Arthrotomy wrist joint with synovectomy (25105) |
$7,350.96 |
$11,240 |
1.8× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$1,034.58 |
$1,581.93 |
0.3× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$6,144.33 |
$9,395 |
1.5× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$8,593.56 |
$13,140 |
0.9× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$4,741.50 |
$7,250 |
1.2× |
| Arthrotomy, temporomandibular joint Facility (21010) |
$6,569.43 |
$10,045 |
1.6× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
$1,455.81 |
$2,226.01 |
0.4× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
$1,232.06 |
$1,883.89 |
0.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$14,715 |
$22,500 |
0.9× |
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines |
$2,398.50–$2,413.26 |
$3,690 |
varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$11,938.77 |
$18,255 |
0.7× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$6,441.90 |
$9,850 |
0.7× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$8,443.14 |
$12,910 |
2.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$10,624.23 |
$16,245 |
1.2× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$12,370.41 |
$18,915 |
0.8× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$4,721.88 |
$7,220 |
1.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$6,667.53 |
$10,195 |
1.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$6,193.38 |
$9,470 |
1.5× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$5,951.40 |
$9,100 |
1.5× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$7,429.44 |
$11,360 |
0.8× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$6,974.91 |
$10,665 |
1.7× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$5,683.26 |
$8,690 |
1.4× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$5,768.28 |
$8,820 |
1.4× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$7,854.54 |
$12,010 |
1.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,815.47 |
$4,305 |
1.4× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$2,995.32 |
$4,580 |
0.7× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$6,746.01 |
$10,315 |
1.7× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$1,598.76 |
$2,444.58 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$727.12 |
$1,111.81 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,770.31 |
$5,765 |
0.9× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$1,327.86 |
$2,030.36 |
0.3× |
Arthrt w/synvct kne ant&post w/pop area (27335)
likely a partial charge, not the full procedure |
$1,891.74 |
$2,892.57 |
0.2× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$4,937.70 |
$7,550 |
1.2× |
| Artificial insemination intra-cervical (58321) |
$247.30 |
$378.14 |
0.7× |
Artificial insemination intra-uterine (58322)
range across 2 matching MRF lines |
$955.50–$961.38 |
$1,470 |
varies |
| Aspirate pleura w/ imaging (32555) |
— |
$2,970 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,911 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$958 |
— |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$2,102.61 |
$3,215 |
2.4× |
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines |
$282.86–$876.52 |
$432.50–$1,348.50 |
varies |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$6,763 |
— |
| Aspiration Bladder Needle (51100) |
$171.08 |
$261.59 |
0.5× |
| Aspiration bladder trocar/intracatheter (51101) |
$362.77 |
$554.69 |
0.3× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
— |
$5,805 |
— |
Augmentation lower jaw bone (21127)
likely a partial charge, not the full procedure |
$2,174.75 |
$3,325.30 |
0.3× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
$10,931.61 |
$16,715 |
1.5× |
Autologous Chondrocyte Implantation Knee (27412)
unusually low: confirm this is the full procedure |
$4,140.23 |
$6,330.63 |
0.5× |
| Av fistula revision (36833) |
$6,320.91 |
$9,665 |
0.9× |
| Av Fistula Revision Open (36832) |
$8,714.55 |
$13,325 |
1.3× |
| Av Fuse Uppr Arm Basilic (36819) |
$9,303.15 |
$14,225 |
1.3× |
| Av fusion/forearm vein (36820) |
$9,581.10 |
$14,650 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$435 |
— |
| Axillary lymphadenectomy; complete (38745) |
$8,096.52 |
$12,380 |
1.1× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure |
$1,042.05 |
$1,593.35 |
0.1× |
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure |
$3,636.24 |
$5,560 |
0.3× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$1,402.22 |
$2,144.07 |
0.1× |
Biliary ndsc prq t-tube w/bx single/multiple (47553)
likely a partial charge, not the full procedure |
$1,032.25 |
$1,578.36 |
0.1× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure |
$1,240.06 |
$1,896.12 |
0.2× |
| Biopsy Abdominal Mass (49180) |
— |
$5,571 |
— |
| Biopsy bone open deep (20245) |
$2,576.76 |
$3,940 |
0.7× |
| Biopsy bone open superficial (20240) |
$1,988.16 |
$3,040 |
0.5× |
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines |
$1,945.65–$17,459 |
$2,975–$26,860 |
varies |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$4,654 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$3,330 |
— |
| Biopsy external ear (69100) |
— |
$941 |
— |
| Biopsy eye muscle (67346) |
$449.32 |
$687.03 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
— |
$5,526 |
— |
Biopsy Muscle Superficial (20200)
range across 2 matching MRF lines |
$1,082.37–$1,295.66 |
$1,655–$1,993.32 |
varies |
| Biopsy nail unit (11755) |
— |
$1,644 |
— |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
— |
$6,171 |
— |
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines |
$3,034.56–$3,407.55 |
$4,640–$5,242.38 |
varies |
| Biopsy of conjunctiva (68100) |
— |
$5,910 |
— |
| Biopsy of cornea (65410) |
$332.89 |
$509.01 |
0.1× |
| Biopsy of epididymis (54800) |
$442.20 |
$676.14 |
0.2× |
| Biopsy of floor of mouth (41108) |
— |
$3,036 |
— |
| Biopsy of foot joint lining (28052) |
$653.25 |
$998.85 |
0.2× |
| Biopsy of foot joint lining (28050) |
$2,714.10 |
$4,150 |
0.7× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
$272.84 |
$417.18 |
0.2× |
Biopsy of lacrimal gland (68510)
range across 2 matching MRF lines |
$1,285.11–$2,024.75 |
$1,965–$3,115 |
varies |
| Biopsy of lip (40490) |
— |
$535 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$5,331 |
— |
| Biopsy of nerve (64795) |
$2,001.24 |
$3,060 |
0.8× |
| Biopsy of palate, uvula (42100) |
— |
$2,846 |
— |
| Biopsy of penis (54100) |
— |
$3,036 |
— |
| Biopsy of penis; deep structures (54105) |
$625.54 |
$956.48 |
0.2× |
| Biopsy of rectum (45100) |
— |
$5,259 |
— |
| Biopsy of tear sac (68525) |
$607.99 |
$929.65 |
0.2× |
| Biopsy of toe joint lining (28054) |
$803 |
$1,227.83 |
0.2× |
| Biopsy of upper nose/throat (42806) |
$634.38 |
$970 |
0.2× |
| Biopsy of urethra (53200) |
$582.06 |
$890 |
0.2× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$2,848.17 |
$4,355 |
0.6× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$3,809.55 |
$5,825 |
0.8× |
| Biopsy Oropharynx (42800) |
— |
$2,846 |
— |
| Biopsy ovary uni/bi separate procedure (58900) |
$975.66 |
$1,491.84 |
0.2× |
| Biopsy Pleura Percutaneous Needle (32400) |
$732.48 |
$1,120 |
0.4× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$896.22 |
$1,370.36 |
0.2× |
| Biopsy Salivary Gland Incisional (42405) |
— |
$4,171 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,919 |
— |
| Biopsy soft tissue back/flank deep (21925) |
$1,497.66 |
$2,290 |
0.7× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$3,036 |
— |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$1,556.52 |
$2,380 |
0.4× |
Biopsy soft tissue forearm&/wrist superficial (25065)
range across 2 matching MRF lines |
$827.31–$1,957.15 |
$1,265–$3,011 |
varies |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$2,308.62 |
$3,530 |
0.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$3,196 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,288 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$3,196 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$2,763.15 |
$4,225 |
1.3× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$1,471.50 |
$2,250 |
0.4× |
Biopsy Soft Tissue Shoulder Superficial (23065)
range across 2 matching MRF lines |
$729.21–$1,445.91 |
$1,115–$2,224.48 |
varies |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,546.71 |
$2,365 |
0.4× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$3,036 |
— |
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 2 matching MRF lines |
$1,278.57–$2,270.75 |
$1,955–$3,493.46 |
varies |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$638.83 |
$976.80 |
0.3× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$1,308 |
$2,000 |
0.3× |
| Biopsy Testis Needle Separate Procedure (54500) |
$252.25 |
$385.71 |
0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$1,349 |
— |
| Biopsy Tongue Posterior One-Third (41105) |
— |
$6,171 |
— |
Biopsy Vaginal Mucosa Extensive (57105)
range across 2 matching MRF lines |
$703.05–$2,314.75 |
$1,075–$3,561.16 |
varies |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$1,651 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$1,473 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$954 |
— |
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines |
$3,230.76–$3,697.41 |
$4,940–$5,688.32 |
varies |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$1,309 |
— |
| Bladder Irrigation (51700) |
— |
$623 |
— |
| Bladder Scan (51798) |
— |
$203 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$9,152 |
— |
Blepharoplasty Lower Eyelid (15820)
range across 2 matching MRF lines |
$3,575–$3,597 |
$5,500 |
varies |
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821)
range across 2 matching MRF lines |
$2,861.25–$3,251.92 |
$4,375–$5,002.95 |
varies |
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines |
$2,246.49–$2,904.41 |
$3,435–$4,468.33 |
varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,332.13 |
$5,095 |
1.3× |
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines |
$1,257.75–$1,396.29 |
$1,935–$2,135 |
varies |
| Blood Transfusion Service (36430) |
— |
$5,034 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$3,220 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
$6,876.81 |
$10,515 |
0.8× |
Bone Graft Any Donor Area Minor/Small (20900)
unusually low: confirm this is the full procedure |
$4,224.84 |
$6,460 |
0.5× |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
$26,006.31 |
$39,765 |
2.9× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
$9,810 |
$15,000 |
1.1× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
$7,624.96 |
$11,658.96 |
0.8× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
$19,947 |
$30,500 |
2.2× |
| Bone Marrow Biopsy (38221) |
— |
$3,519 |
— |
| Bone marrow harvest allogen (38230) |
$3,842.25 |
$5,875 |
2.0× |
Bone Marrow Harvest Autolog (38232)
likely a partial charge, not the full procedure |
$1,327.62 |
$2,030 |
0.2× |
| Bone Marrow; Aspiration Only (38220) |
— |
$3,196 |
— |
| Breast augmentation with implant (19325) |
$8,544.51 |
$13,065 |
0.8× |
| Breast Reduction (19318) |
$16,153.80 |
$24,700 |
1.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,285.11 |
$1,965 |
0.6× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$1,422.45 |
$2,175 |
0.3× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$287.76 |
$440 |
0.1× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$918.87 |
$1,405 |
0.2× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
likely a partial charge, not the full procedure |
$2,210.52 |
$3,380 |
0.3× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,321.70 |
$3,550 |
0.5× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$415.22 |
$634.89 |
0.2× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$1,919.49 |
$2,935 |
0.4× |
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure |
$763.34 |
$1,167.18 |
0.1× |
Bronchial Valve Init Insert (31647)
likely a partial charge, not the full procedure |
$1,183.74 |
$1,810 |
0.1× |
Bronchoscopic Thermoplasty 2/> Lobes (31661)
likely a partial charge, not the full procedure |
$805.30 |
$1,231.35 |
0.1× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,942.38 |
$2,970 |
0.2× |
Bronchoscopy Bronch Stents (31636)
likely a partial charge, not the full procedure |
$2,004.51 |
$3,065 |
0.2× |
| Bronchoscopy Clear Airways (31645) |
$1,393.02 |
$2,130 |
0.6× |
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure |
$2,096.07 |
$3,205 |
0.2× |
| Bronchoscopy Reclear Airway (31646) |
$1,216.44 |
$1,860 |
2.5× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,491.12 |
$2,280 |
0.7× |
| Bronchoscopy W/Excision Tumor (31640) |
$2,400.18 |
$3,670 |
0.5× |
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
likely a partial charge, not the full procedure |
$1,180.47 |
$1,805 |
0.1× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,344.59 |
$3,585 |
1.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$1,641.54 |
$2,510 |
0.4× |
| Bronchoscopy/Needle Bx Each (31629) |
$1,471.50 |
$2,250 |
0.3× |
Buttock fasciotomy (27027)
likely a partial charge, not the full procedure |
$2,195.83 |
$3,357.54 |
0.2× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$3,969.78 |
$6,070 |
1.1× |
| Bx breast 1st lesion mr imag (19085) |
— |
$5,957 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$7,246 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$5,776 |
— |
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines |
$447.99–$961.86 |
$685–$1,479.78 |
varies |
| Bx Cervix (57500) |
— |
$1,473 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
$2,593.11 |
$3,965 |
0.6× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,230.76 |
$4,940 |
0.7× |
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines |
$971.19–$3,562.81 |
$1,485–$5,481.24 |
varies |
Canthoplasty (67950)
range across 2 matching MRF lines |
$4,306.25–$4,332.75 |
$6,625 |
varies |
| Canthotomy Separate Procedure (67715) |
$568.98 |
$870 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,602.30 |
$2,450 |
0.4× |
| Capsular contracture release (23020) |
$4,260.81 |
$6,515 |
1.0× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
$10,977.39 |
$16,785 |
1.2× |
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525)
range across 2 matching MRF lines |
$2,691–$2,707.56 |
$4,140 |
varies |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,639.51 |
$5,565 |
0.9× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
$5,539.38 |
$8,470 |
1.4× |
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450)
likely a partial charge, not the full procedure |
$2,368.04 |
$3,620.86 |
0.3× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$11,572.53 |
$17,695 |
1.3× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$11,503.86 |
$17,590 |
1.3× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$12,321.36 |
$18,840 |
1.4× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$1,602.30 |
$2,450 |
0.8× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$4,303.32 |
$6,580 |
2.1× |
| Capsulotomy Midtarsal (28264) |
$7,556.97 |
$11,555 |
3.8× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$6,471.33 |
$9,895 |
1.6× |
| Capsulotomy wrist (25085) |
$4,535.49 |
$6,935 |
1.1× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$2,903.76 |
$4,440 |
0.7× |
| Car-t admn autologous (38228) |
— |
$1,688 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$8,619 |
— |
| Carpectomy All Bones Proximal Row (25215) |
$3,305.97 |
$5,055 |
0.8× |
| Cartilage graft; costochondral (20910) |
$2,903.76 |
$4,440 |
3.1× |
| Cataract surg w/iol 1 stage (66983) |
$4,237.92 |
$6,480 |
1.5× |
Cataract surgery complex (66982)
range across 2 matching MRF lines |
$7,263.75–$7,308.45 |
$11,175 |
varies |
| Catheter aspiration nasotracheal spx (31720) |
$118.90 |
$181.81 |
0.4× |
| Catheterization with bronchial brush biopsy Facility (31717) |
$251.67 |
$384.81 |
0.5× |
Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866)
range across 2 matching MRF lines |
$215.82–$370.50 |
$330–$570 |
varies |
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines |
$343.66–$616.51 |
$525.48–$948.48 |
varies |
| Cautery Cervix Electro/Thermal (57510) |
$470.88 |
$720 |
0.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,883.52 |
$2,880 |
0.5× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$734.72 |
$1,123.42 |
0.2× |
| Cerv artific diskectomy (22856) |
$17,128.26 |
$26,190 |
0.8× |
| Cervical lymphadenectomy (complete) (38720) |
$9,231.21 |
$14,115 |
1.1× |
| Cessj Therapy Cath Removal (37214) |
$1,458.42 |
$2,230 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,629 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$1,145 |
— |
| Change of Windpipe Airway (31502) |
— |
$688 |
— |
| Change ureter stent percut (50382) |
$2,226.87 |
$3,405 |
0.9× |
| Chemical Cautery Tissue (17250) |
— |
$534 |
— |
Chemical exfoliation for acne (17360)
range across 2 matching MRF lines |
$431.64–$1,200.91 |
$660–$1,847.56 |
varies |
| Chemical peel face dermal (15789) |
$1,465.69 |
$2,241.12 |
1.6× |
| Chemical peel nonfacial dermal (15793) |
$1,332.82 |
$2,037.95 |
2.6× |
Chemical peel nonfacial epidermal (15792)
range across 2 matching MRF lines |
$1,190.35–$1,369.62 |
$1,820.11–$2,107.11 |
varies |
Chemical peel, facial; epidermal (15788)
range across 3 matching MRF lines |
$1,438.80–$2,275 |
$2,200–$3,500 |
varies |
| Chemical Pleurodesis (32560) |
$696.51 |
$1,065 |
0.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$1,603 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,349 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$571 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$894 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$793 |
— |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
— |
$788 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,348 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$1,760 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$750 |
— |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
— |
$1,051 |
— |
Chemodenervation of extraocular muscle (67345)
range across 2 matching MRF lines |
$517.21–$884.55 |
$790.84–$1,360.84 |
varies |
| Chemodenervation of internal anal sphincter (46505) |
$1,406.10 |
$2,150 |
0.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$854 |
— |
| Chest tube placement (32551) |
— |
$4,350 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$745.56 |
$1,140 |
0.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$9,918 |
— |
Chorionic Villus Sampling (59015)
range across 2 matching MRF lines |
$1,706.94–$1,766.78 |
$2,610–$2,718.12 |
varies |
| Ciliary body destruction; cryotherapy Facility (66720) |
$985.13 |
$1,506.32 |
0.3× |
| Ciliary body destruction; cyclodialysis Facility (66740) |
$909.60 |
$1,390.83 |
0.3× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$4,126.74 |
$6,310 |
1.4× |
Ciliary body dstrj cyclophotocoag transsceral (66710)
range across 2 matching MRF lines |
$2,622.54–$3,042 |
$4,010–$4,680 |
varies |
| Circumcision 28 days or older (54161) |
— |
$5,811 |
— |
Circumcision Neonate (54160)
range across 2 matching MRF lines |
$670.35–$3,199.31 |
$1,025–$4,922.02 |
varies |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$5,937 |
— |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
$4,260.81 |
$6,515 |
0.9× |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$4,032 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$4,516 |
— |
| Claviculectomy partial (23120) |
$6,180.30 |
$9,450 |
1.5× |
| Claviculectomy; total (23125) |
$8,933.64 |
$13,660 |
2.2× |
| Clear outer ear canal (69200) |
— |
$334 |
— |
| Close mastoid fistula (69700) |
$1,663.59 |
$2,543.72 |
0.9× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$5,467.44 |
$8,360 |
1.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$736.20 |
$1,125.69 |
2.4× |
| Closed rx talotarsal disloc,anesth (28575) |
$1,635 |
$2,500 |
0.4× |
| Closed Treat Vert Body Fract (22310) |
$2,903.76 |
$4,440 |
9.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$963.87 |
$1,473.80 |
3.1× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,091.87 |
$1,669.53 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,837 |
— |
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines |
$684.87–$1,206.53 |
$1,047.20–$1,856.20 |
varies |
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines |
$951.57–$1,147.25 |
$1,455–$1,765 |
varies |
| Closed Treatment Sternum Fracture (21820) |
$347.98 |
$532.08 |
1.1× |
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines |
$3,438.50–$3,459.66 |
$5,290 |
varies |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,563.06 |
$2,390 |
5.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$5,948 |
— |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines |
$3,260.19–$3,672.50 |
$4,985–$5,650 |
varies |
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines |
$875.70–$1,513.19 |
$1,338.99–$2,327.99 |
varies |
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines |
$2,401.75–$5,398.77 |
$3,695–$8,255 |
varies |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,073.64 |
$1,641.65 |
0.5× |
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines |
$1,618.50–$1,628.46 |
$2,490 |
varies |
Closed Tx Craniofacial Separation (21431)
likely a partial charge, not the full procedure |
$1,926.36 |
$2,945.51 |
0.3× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$1,339.88 |
$2,048.75 |
0.7× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,068.25 |
$1,633.41 |
0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,334.78 |
$3,570 |
7.6× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$749.72 |
$1,146.36 |
0.4× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,517.90 |
$3,850 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,890.06 |
$2,890 |
6.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,189.69 |
$1,819.10 |
0.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,661.36 |
$2,540.31 |
0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,531.20 |
$2,341.29 |
2.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$4,764.39 |
$7,285 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$647 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,695.10 |
$5,650 |
1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$4,286 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$5,863 |
— |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,522.82 |
$2,328.47 |
0.8× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,368.72 |
$6,680 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,200.28 |
$1,835.29 |
3.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$2,427 |
— |
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines |
$2,949.54–$3,672.50 |
$4,510–$5,650 |
varies |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$4,032 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$677 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,516 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$726 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$4,516 |
— |
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines |
$2,161.47–$2,255.50 |
$3,305–$3,470 |
varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$964.65 |
$1,475 |
3.1× |
| Closed tx septal&nose fx (21337) |
$718.84 |
$1,099.14 |
0.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$877.35 |
$1,341.52 |
2.8× |
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines |
$419.85–$668.84 |
$641.98–$1,028.98 |
varies |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$717.38 |
$1,096.91 |
0.4× |
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines |
$2,366–$2,380.56 |
$3,640 |
varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$1,239.33 |
$1,895 |
4.0× |
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines |
$524.19–$866.79 |
$801.52–$1,333.52 |
varies |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$2,936.46 |
$4,490 |
1.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$803 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$4,516 |
— |
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines |
$2,437.50–$5,601.51 |
$3,750–$8,565 |
varies |
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines |
$1,922.76–$2,148.25 |
$2,940–$3,305 |
varies |
| Closure Gastrostomy Surg (43870) |
$6,817.95 |
$10,425 |
1.4× |
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines |
$1,314.54–$1,332.50 |
$2,010–$2,050 |
varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,775.61 |
$2,715 |
2.6× |
| Closure Lacrimal Fistula Spx (68770) |
$1,458.76 |
$2,230.52 |
0.5× |
Closure lacrimal punctum (68760)
range across 2 matching MRF lines |
$654–$955.50 |
$1,000–$1,470 |
varies |
| Closure of cystostomy (separate procedure) Facility (51880) |
$3,479.28 |
$5,320 |
0.8× |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
$2,483.70 |
$3,797.70 |
0.6× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$6,746.01 |
$10,315 |
1.7× |
| Closure of salivary fistula (42600) |
$3,531.60 |
$5,400 |
0.9× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$4,394.88 |
$6,720 |
0.7× |
Closure of urethrovaginal fistula; Facility (57310)
likely a partial charge, not the full procedure |
$1,504.36 |
$2,300.24 |
0.2× |
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330)
likely a partial charge, not the full procedure |
$2,412.39 |
$3,688.67 |
0.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$1,597 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$545.59 |
$834.24 |
1.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$814.14 |
$1,244.87 |
0.4× |
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines |
$1,482–$1,491.12 |
$2,280 |
varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$383.14 |
$585.84 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$5,751 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$2,956 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$568.30 |
$868.96 |
0.3× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$3,227.49 |
$4,935 |
0.9× |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$554 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$3,551.22 |
$5,430 |
11.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,962 |
$3,000 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$4,516 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$666 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$978.36 |
$1,495.96 |
0.5× |
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines |
$1,618.50–$1,628.46 |
$2,490 |
varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,275.30 |
$1,950 |
4.1× |
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)
range across 2 matching MRF lines |
$1,347.24–$1,348.75 |
$2,060–$2,075 |
varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$3,126.12 |
$4,780 |
10.2× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,707.95 |
$2,611.55 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,847 |
— |
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines |
$2,294.50–$2,308.62 |
$3,530 |
varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,256 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines |
$1,306.50–$1,314.54 |
$2,010 |
varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$1,107 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$4,463 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$3,296 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$4,032 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$4,957.32 |
$7,580 |
16.1× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$7,743.36 |
$11,840 |
3.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$2,485.20 |
$3,800 |
8.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$9,708.63 |
$14,845 |
4.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$1,234 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$632 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines |
$1,166.75–$1,173.93 |
$1,795 |
varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$564 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$7,217 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$1,140 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$1,039.86 |
$1,590 |
3.4× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$1,485 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$868.58 |
$1,328.11 |
0.4× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,001.86 |
$4,590 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$1,845 |
— |
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines |
$1,281.84–$1,430 |
$1,960–$2,200 |
varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,244.75 |
$1,903.28 |
0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,208.37 |
$1,847.66 |
0.6× |
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines |
$1,618.50–$1,628.46 |
$2,490 |
varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,867.17 |
$2,855 |
0.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$421.22 |
$644.07 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$837 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,380.51 |
$3,639.92 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,438.80 |
$2,200 |
4.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,000 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,053.34 |
$1,610.61 |
0.5× |
| Cltx Medial Ankle Fx (27760) |
$1,687.32 |
$2,580 |
5.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,238 |
— |
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines |
$1,141.23–$1,189.50 |
$1,745–$1,830 |
varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,602.30 |
$2,450 |
0.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,000.62 |
$1,530 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$927 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$630 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
$3,436.77 |
$5,255 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,673 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$4,329 |
— |
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines |
$1,378–$1,386.48 |
$2,120 |
varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,695.10 |
$5,650 |
1.8× |
| Cltx prox tibfib jt dislc req anes (27831) |
$990.27 |
$1,514.18 |
0.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$853.37 |
$1,304.85 |
2.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$993.79 |
$1,519.56 |
3.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$975 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$5,388 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$4,032 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,238.66 |
$1,893.98 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,390.75 |
$2,126.53 |
0.7× |
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines |
$1,428.99–$1,550.25 |
$2,185–$2,385 |
varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,992.61 |
$3,046.80 |
1.0× |
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 2 matching MRF lines |
$2,174.67–$2,334.78 |
$3,345.64–$3,570 |
varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$646.17 |
$988.02 |
0.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$454.41 |
$694.82 |
1.5× |
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines |
$3,168.63–$3,864.25 |
$4,845–$5,945 |
varies |
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines |
$2,805.66–$3,497 |
$4,290–$5,380 |
varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$1,902 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$4,516 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$2,236.68 |
$3,420 |
7.3× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$7,308.45 |
$11,175 |
1.8× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$7,563.51 |
$11,565 |
1.2× |
| Coccygectomy, primary (27080) |
$2,668.32 |
$4,080 |
0.7× |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$291 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$52 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
$606.53 |
$927.42 |
0.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$528.58 |
$808.22 |
0.4× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$542.17 |
$829.01 |
0.5× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$2,259.57 |
$3,455 |
1.5× |
| Colonoscopy thru stoma (44388) |
$2,060.10 |
$3,150 |
1.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,929.92 |
$4,480 |
2.0× |
| Colonoscopy w/ablation (45388) |
$3,351.75 |
$5,125 |
2.2× |
| Colonoscopy W/Band Ligation (45398) |
$1,926.03 |
$2,945 |
1.3× |
| Colonoscopy w/fb removal (45379) |
$2,007.78 |
$3,070 |
1.3× |
| Colonoscopy W/Resection (45390) |
$2,279.19 |
$3,485 |
0.7× |
Colonoscopy w/stent plcmt (45389)
unusually low: confirm this is the full procedure |
$2,282.46 |
$3,490 |
0.3× |
| Colonoscopy w/submucosal inj (45381) |
$1,896.60 |
$2,900 |
1.3× |
Colpocentesis (57020)
range across 2 matching MRF lines |
$220.45–$2,853.55 |
$337.08–$4,390.08 |
varies |
| Colpocleisis (le fort type) (57120) |
$3,763.77 |
$5,755 |
0.6× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$2,576.76 |
$3,940 |
0.6× |
| Colpopexy extraperitoneal (57282) |
$6,746.01 |
$10,315 |
0.7× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$8,502 |
$13,000 |
0.9× |
| Colporrhaphy (57200) |
$2,501.55 |
$3,825 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$715 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$612 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$483 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$625 |
— |
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines |
$2,727.18–$3,046.13 |
$4,170–$4,686.36 |
varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$1,143 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$843 |
— |
| Colposcopy of vulva (56820) |
— |
$447 |
— |
Colposcopy Vulva W/Biopsy (56821)
range across 2 matching MRF lines |
$1,000.62–$1,394.25 |
$1,530–$2,145 |
varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$1,551 |
— |
| Colpotomy; with drainage of pelvic abscess (57010) |
$2,168.01 |
$3,315 |
0.5× |
| Colpotomy; with exploration (57000) |
$436.85 |
$667.96 |
0.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,557.14 |
$3,910 |
1.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,968.54 |
$3,010 |
1.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,138.58 |
$3,270 |
1.4× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$2,913.57 |
$4,455 |
2.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,746.01 |
$10,315 |
1.1× |
| Complex Cystometrogram (51726) |
— |
$1,177 |
— |
| Complex drainage wound (10180) |
— |
$5,309 |
— |
| Composite Skin Graft (15760) |
$3,789.93 |
$5,795 |
1.5× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$5,819 |
— |
Conization of cervix (57520)
range across 2 matching MRF lines |
$4,319.67–$4,788.88 |
$6,605–$7,367.50 |
varies |
| Conjunctival Flap Total (68362) |
$3,907.65 |
$5,975 |
1.3× |
| Conjunctivoplasty W/Buccal Muc Memb Graft (68325) |
$1,534.30 |
$2,346.03 |
0.3× |
Conjunctivoplasty w/grf/xtnsv rearrangement (68320)
range across 2 matching MRF lines |
$3,413.63–$3,436.77 |
$5,251.74–$5,255 |
varies |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
$5,519.76 |
$8,440 |
1.1× |
| Conjunctivorhinostomy W/O Tube (68745) |
$1,759.38 |
$2,690.18 |
0.4× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$1,642.95 |
$2,512.16 |
0.6× |
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882)
range across 2 matching MRF lines |
$2,782–$2,799.12 |
$4,280 |
varies |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
$2,122.23 |
$3,245 |
0.5× |
| Construct thumb replacement (26550) |
$16,225.74 |
$24,810 |
4.0× |
Construction of artificial vagina; with graft Facility (57292)
unusually low: confirm this is the full procedure |
$1,930.10 |
$2,951.22 |
0.3× |
Construction of vagina (57291)
likely a partial charge, not the full procedure |
$1,253.70 |
$1,916.98 |
0.2× |
Contour cranial bone lesion (21181)
likely a partial charge, not the full procedure |
$1,806.09 |
$2,761.61 |
0.2× |
| Contour of face bone lesion (21029) |
$4,048.26 |
$6,190 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$461 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$354 |
— |
| Control nose/throat bleeding (42972) |
$1,250.87 |
$1,912.64 |
0.3× |
| Control oropharyngeal hemorrhage simple (42960) |
$417.30 |
$638.08 |
0.6× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$17,098.83 |
$26,145 |
1.1× |
| Conversion ext bil drg cath (47535) |
$1,749.45 |
$2,675 |
0.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,213.17 |
$1,855 |
0.5× |
| Cordocentesis (59012) |
— |
$1,121 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$5,605 |
— |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
— |
$780 |
— |
| Corneal transplant (65710) |
$6,396.12 |
$9,780 |
1.0× |
| Corneal Transplant,Penetrat,Aphakia (65750) |
$8,949.99 |
$13,685 |
1.3× |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
$1,279.34 |
$1,956.18 |
0.4× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$1,988.16 |
$3,040 |
0.5× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$2,352.05 |
$3,596.40 |
0.5× |
| Correction claw finger, other methods Facility (26499) |
$8,949.99 |
$13,685 |
2.2× |
| Correction Everted Punctum Cautery (68705) |
$552.02 |
$844.06 |
1.4× |
Correction hammertoe (28285)
range across 2 matching MRF lines |
$2,096.07–$3,259.33 |
$3,205–$5,014.36 |
varies |
| Correction of inverted nipples (19355) |
$5,666.91 |
$8,665 |
1.2× |
| Correction of lid retraction (67911) |
$3,963.24 |
$6,060 |
1.3× |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$263 |
— |
| Correction Trichiasis Inccision Lid Margin (67830) |
$625.96 |
$957.13 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$7,030.50 |
$10,750 |
1.7× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,835.71 |
$5,865 |
0.9× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines |
$7,030.50–$10,537.55 |
$10,750–$16,211.62 |
varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$7,030.50 |
$10,750 |
0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$6,477.87 |
$9,905 |
1.6× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,030.50 |
$10,750 |
0.8× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$3,103.23 |
$4,745 |
1.0× |
| Costotransversectomy (separate procedure) Facility (21610) |
$8,691.66 |
$13,290 |
2.1× |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
$4,738.37 |
$7,245.21 |
0.5× |
| Create Eardrum Opening (69433) |
— |
$1,240 |
— |
| Create Tear Sac-Nasal Fistula (68720) |
$5,143.71 |
$7,865 |
1.0× |
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720)
unusually low: confirm this is the full procedure |
$3,532.01 |
$5,400.63 |
0.3× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$3,119.75 |
$4,770.26 |
1.3× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$2,152.93 |
$3,291.94 |
0.9× |
| Cricopharyngeal myotomy (43030) |
$4,970.40 |
$7,600 |
0.7× |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
$941.69 |
$1,439.90 |
0.8× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$1,416.41 |
$2,165.76 |
0.3× |
Cross-over vein graft (34520)
unusually low: confirm this is the full procedure |
$2,584.67 |
$3,952.09 |
0.4× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$9,819.81 |
$15,015 |
1.4× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$2,929.92 |
$4,480 |
0.6× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$13,165.02 |
$20,130 |
1.1× |
Cryotherapy Co2 Slush Liquid N2 Acne (17340)
range across 2 matching MRF lines |
$114.88–$202.58 |
$175.66–$311.66 |
varies |
Csf shunt reprogram (62252)
range across 2 matching MRF lines |
$379.32 |
$545–$580 |
1.0× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$1,012.03 |
$1,547.45 |
3.4× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
$667.08–$1,355.25 |
$1,020–$2,085 |
varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$783 |
— |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$2,426.34 |
$3,710 |
0.6× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$525.74 |
$803.88 |
0.5× |
Curettage postpartum (59160)
range across 2 matching MRF lines |
$2,785.25–$2,982.24 |
$4,285–$4,560 |
varies |
Curette/treat cornea (65435)
range across 2 matching MRF lines |
$183.22–$1,108.35 |
$280.16–$1,705.16 |
varies |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$4,909 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$4,907 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$7,606 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$8,753 |
— |
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
range across 2 matching MRF lines |
$428.37–$7,166.25 |
$655–$11,025 |
varies |
| Cysto w/insert ureteral stent (52332) |
— |
$6,132 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$6,272 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$6,272 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$7,994 |
— |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$3,302.70 |
$5,050 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$4,809 |
— |
| Cysto w/up stricture tx (52342) |
$4,326.21 |
$6,615 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,770.31 |
$5,765 |
0.9× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,290.86 |
$8,090 |
0.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,587.81 |
$7,015 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$5,127.36 |
$7,840 |
1.2× |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines |
$3,646.50–$3,907.65 |
$5,610–$5,975 |
varies |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,891.92 |
$7,480 |
0.7× |
| Cysto/uretero w/lithotripsy (52356) |
$3,404.07 |
$5,205 |
0.5× |
| Cysto/uretero w/up stricture (52345) |
$5,447.82 |
$8,330 |
1.2× |
| Cystolithotomy (51050) |
$4,260.81 |
$6,515 |
0.6× |
Cystometrogram W/Up (51727)
range across 4 matching MRF lines |
$1,052.94–$2,739.75 |
$550–$4,215 |
varies |
| Cystometrogram W/Vp (51728) |
— |
$1,337 |
— |
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines |
$1,824.66–$2,516.80 |
$725–$3,872 |
varies |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$8,096.52 |
$12,380 |
0.7× |
| Cystoscopy and radiotracer (52250) |
$810.99 |
$1,240.04 |
0.2× |
| Cystoscopy implant stent (52282) |
$3,230.76 |
$4,940 |
0.7× |
Cystoscopy inject material (52327)
unusually low: confirm this is the full procedure |
$3,214.41 |
$4,915 |
0.5× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,077.69 |
$6,235 |
1.6× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$5,133.90 |
$7,850 |
1.2× |
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020)
range across 2 matching MRF lines |
$1,543.62–$4,502.08 |
$2,360.28–$6,926.28 |
varies |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$1,907.02 |
$2,915.93 |
0.4× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$4,015.56 |
$6,140 |
1.5× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) |
$1,933.03 |
$2,955.71 |
0.4× |
Cystouretero W/Congen Repr (52400)
range across 2 matching MRF lines |
$6,370–$6,409.20 |
$9,800 |
varies |
| Cystouretero w/excise tumor (52355) |
$5,843.49 |
$8,935 |
0.9× |
| Cystouretero w/renal strict (52346) |
$6,121.44 |
$9,360 |
0.9× |
| Cystourethroscopy (52000) |
— |
$1,553 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$4,035.18 |
$6,170 |
0.6× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$882.55 |
$1,349.46 |
0.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$4,318 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$5,860 |
— |
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 2 matching MRF lines |
$3,580.65–$3,589.85 |
$5,475–$5,522.85 |
varies |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$6,327.45 |
$9,675 |
0.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,988.16 |
$3,040 |
0.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$2,374.02 |
$3,630 |
0.5× |
| Cystourethroscopy with biopsy (52204) |
— |
$6,682 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$3,266.73 |
$4,995 |
1.3× |
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865)
range across 2 matching MRF lines |
$428.37–$7,761 |
$655–$11,940 |
varies |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,211.14 |
$4,910 |
0.7× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$896.12 |
$1,370.21 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
— |
$5,498 |
— |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$1,419.60 |
$2,170.64 |
1.6× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$1,988.16 |
$3,040 |
0.8× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,308.62 |
$3,530 |
0.9× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
$1,084.46 |
$1,658.19 |
0.2× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$1,435.53 |
$2,195 |
0.6× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$554.77 |
$848.27 |
0.1× |
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305)
likely a partial charge, not the full procedure |
$932.02 |
$1,425.11 |
0.1× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$990.69 |
$1,514.81 |
0.2× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$1,184.26 |
$1,810.79 |
0.3× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$817.95 |
$1,250.69 |
0.3× |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines |
$379.32–$524.95 |
$580–$807.62 |
varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,912.95 |
$2,925 |
0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$3,051 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,226.25 |
$1,875 |
1.4× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$7,635.45 |
$11,675 |
1.9× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$4,770.93 |
$7,295 |
1.2× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$6,677.34 |
$10,210 |
1.6× |
| Dcmprn fasct leg post compartment only (27601) |
$5,477.25 |
$8,375 |
1.3× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$8,004.96 |
$12,240 |
3.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,718 |
— |
| Debride nail 1-5 (11720) |
— |
$172 |
— |
| Debride nail 6 or more (11721) |
— |
$317 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines |
$1,811.58–$1,872 |
$2,770–$2,880 |
varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
— |
$961 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$379 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,220 |
— |
| Declot vascular device (36593) |
— |
$1,840 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,900.49 |
$4,435 |
1.4× |
| Decompress eye socket (61330) |
$19,623.27 |
$30,005 |
4.7× |
| Decompress Fingers/Hand (26035) |
$2,131.12 |
$3,258.59 |
0.5× |
| Decompress Spinal Cord Lmbr (63056) |
$24,554.43 |
$37,545 |
2.7× |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) |
$4,569.69 |
$6,987.30 |
0.6× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$2,534.55 |
$3,875.46 |
1.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$12,278.85 |
$18,775 |
6.1× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$5,146.98 |
$7,870 |
1.3× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$5,964.48 |
$9,120 |
0.7× |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) |
$6,291.48 |
$9,620 |
0.7× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$1,352.26 |
$2,067.67 |
0.3× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$5,879.46 |
$8,990 |
1.4× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$6,768.90 |
$10,350 |
3.4× |
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499)
likely a partial charge, not the full procedure |
$1,744.26 |
$2,667.07 |
0.2× |
| Decompression internal auditory canal Facility (69960) |
$22,752.66 |
$34,790 |
3.1× |
| Decompression of leg (27894) |
$8,116.14 |
$12,410 |
2.0× |
| Decompression of leg (27892) |
$6,752.55 |
$10,325 |
1.7× |
| Decompression of tibia nerve (28035) |
$4,349.10 |
$6,650 |
1.8× |
| Decompressive fasciotomy hand (26037) |
$5,562.27 |
$8,505 |
1.4× |
| Deep Muscle Biopsy (20205) |
$1,386.48 |
$2,120 |
0.4× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
— |
$4,860 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$6,671 |
— |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$1,435.53 |
$2,195 |
0.6× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$1,827.93 |
$2,795 |
0.4× |
| Delivery of placenta (59414) |
$2,236.68 |
$3,420 |
0.6× |
| Denervation of hip joint (27035) |
$11,431.92 |
$17,480 |
2.8× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$1,769.13 |
$2,705.09 |
0.4× |
Derma-fat-fascia graft (15770)
range across 2 matching MRF lines |
$3,783.39–$4,855.64 |
$5,785–$7,470.22 |
varies |
| Dermabrasion regional other than face (15782) |
$1,710.10 |
$2,614.83 |
0.5× |
| Dermabrasion segmental face (15781) |
$1,512.96 |
$2,313.40 |
1.7× |
| Dermabrasion superficial any site (15783) |
$1,310.98 |
$2,004.56 |
2.6× |
| Dermabrasion total face (15780) |
$2,281.01 |
$3,487.79 |
0.6× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$1,399.10 |
$2,139.29 |
0.5× |
| Design custom breast implant (19396) |
$662.19 |
$1,012.52 |
0.1× |
| Destr penis lesion(s) (54065) |
— |
$3,608 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
$401.27 |
$613.57 |
0.4× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$1,739.64–$3,396.25 |
$2,660–$5,225 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$1,706.94–$3,337.75 |
$2,610–$5,135 |
varies |
| Destruc retinal lesn,photocoag (67210) |
— |
$2,597 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$464 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$490 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$869.82 |
$1,330 |
0.8× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$873.31 |
$1,335.34 |
0.4× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$199.23 |
$304.63 |
0.5× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$561.73 |
$858.92 |
0.5× |
| Destruction ciliary body (66700) |
$910.45 |
$1,392.12 |
0.3× |
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 2 matching MRF lines |
$810.96–$1,144 |
$1,240–$1,760 |
varies |
Destruction Lesions Vulva Extensive (56515)
range across 2 matching MRF lines |
$2,132.04–$4,456.66 |
$3,260–$6,856.40 |
varies |
| Destruction Lesions Vulva Simple (56501) |
— |
$3,608 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$661 |
— |
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines |
$967.92–$1,378 |
$1,480–$2,120 |
varies |
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283)
range across 2 matching MRF lines |
$1,160.85–$1,599 |
$1,775–$2,460 |
varies |
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284)
range across 2 matching MRF lines |
$662.08–$1,056.48 |
$1,012.35–$1,625.35 |
varies |
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286)
range across 2 matching MRF lines |
$854.08–$1,247.30 |
$1,305.93–$1,918.93 |
varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$590 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$752 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$874 |
— |
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264)
range across 2 matching MRF lines |
$791.34–$1,215.50 |
$1,210–$1,870 |
varies |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$1,098 |
— |
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines |
$539.55–$919.75 |
$825–$1,415 |
varies |
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 2 matching MRF lines |
$357.49–$569.15 |
$546.62–$875.62 |
varies |
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)
range across 2 matching MRF lines |
$703.05–$1,082.25 |
$1,075–$1,665 |
varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$756 |
— |
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)
range across 2 matching MRF lines |
$967.92–$1,407.25 |
$1,480–$2,165 |
varies |
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274)
range across 2 matching MRF lines |
$579.01–$973.92 |
$885.34–$1,498.34 |
varies |
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 2 matching MRF lines |
$421.83–$757.25 |
$645–$1,165 |
varies |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$7,595 |
— |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$1,122.74 |
$1,716.73 |
1.6× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$1,425.72 |
$2,180 |
3.6× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$505.07 |
$772.28 |
0.4× |
| Destruction of lesion, conjunctiva (68135) |
$663.81 |
$1,015 |
0.2× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$3,188.51 |
$4,875.39 |
0.6× |
| Destruction of rectal tumor transanal approach (45190) |
— |
$7,922 |
— |
| Destruction of skin lesions (17106) |
— |
$782 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$782 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$379 |
— |
Destruction Vaginal Lesions Extensive (57065)
range across 2 matching MRF lines |
$1,350.51–$3,101.42 |
$2,065–$4,771.41 |
varies |
| Destruction Vaginal Lesions Simple (57061) |
— |
$6,125 |
— |
| Diagnostic anoscopy (46601) |
— |
$780 |
— |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$719.40–$996.98 |
$1,100–$1,533.82 |
varies |
Diaphragm or cervical cap fitting with instructions (57170)
range across 2 matching MRF lines |
$216.19–$268.81 |
$330.56–$413.56 |
varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$814.23 |
$1,245 |
0.5× |
| Dilat female urethra general/cndj spinal anes (53665) |
$92.65 |
$141.67 |
0.0× |
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)
range across 2 matching MRF lines |
$330.27–$559 |
$505–$860 |
varies |
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661)
range across 2 matching MRF lines |
$320.46–$549.25 |
$490–$845 |
varies |
| Dilat rct strix spx under anes oth/thn local (45910) |
$922.14 |
$1,410 |
0.6× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$317 |
— |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
— |
$681 |
— |
Dilat Xst Trc New Access Rcs (50437)
range across 2 matching MRF lines |
$2,171.28–$2,827.50 |
$3,320–$4,350 |
varies |
| Dilate Esophagus 1/Mult Pass (43450) |
$601.68 |
$920 |
0.5× |
| Dilate Urethra Stricture (53620) |
— |
$1,812 |
— |
| Dilate Urethra Stricture (53600) |
— |
$555 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$5,819 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$431.64 |
$660 |
0.6× |
| Dilation And Curettage Of Cervical Stump (57558) |
$296.94 |
$454.04 |
0.1× |
Dilation Cervical Canal (57800)
range across 2 matching MRF lines |
$464.34–$2,133.09 |
$710–$3,281.67 |
varies |
| Dilation Esophagus Guide Wire (43453) |
$229.80 |
$351.37 |
0.1× |
Dilation Lacrimal Punctum W/WO Irrgation (68801)
range across 2 matching MRF lines |
$398.94–$466.47 |
$610–$717.65 |
varies |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$268.14 |
$410 |
0.1× |
| Dilation of vagina (57400) |
$513.39 |
$785 |
0.1× |
| Dilation Salivary Duct (42650) |
$300.84 |
$460 |
0.2× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$11,238.99 |
$17,185 |
1.6× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$12,458.70 |
$19,050 |
1.8× |
| Disarticulation At Knee (27598) |
$6,703.50 |
$10,250 |
1.6× |
| Disarticulation of hip Facility (27295) |
$12,285.39 |
$18,785 |
0.6× |
Disarticulation of shoulder; Facility (23920)
likely a partial charge, not the full procedure |
$2,815.85 |
$4,305.58 |
0.2× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
$1,121.01 |
$1,714.09 |
0.4× |
| Disarticulation through wrist; Facility (25920) |
$6,533.46 |
$9,990 |
1.6× |
| Disarticulation through wrist; re-amputation Facility (25924) |
$1,689.60 |
$2,583.48 |
0.4× |
| Disarticulation through wrist; secondary closure or scar revision Facility (25922) |
$1,517.14 |
$2,319.79 |
0.8× |
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)
unusually low: confirm this is the full procedure |
$3,584.55 |
$5,480.97 |
0.4× |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) |
$1,238.32 |
$1,893.45 |
0.4× |
| Discission Secondary Membranous Cataract (66820) |
$916.88 |
$1,401.95 |
0.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
— |
$16,352 |
— |
| Dissection, deep jugular node(s) Facility (38542) |
$4,156.17 |
$6,355 |
0.6× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$4,958.16 |
$7,581.28 |
0.7× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$5,003.10 |
$7,650 |
0.7× |
Division of scalenus anticus; with resection of cervical rib Facility (21705)
likely a partial charge, not the full procedure |
$1,933.71 |
$2,956.74 |
0.2× |
Division of scalenus anticus; without resection of cervical rib Facility (21700)
unusually low: confirm this is the full procedure |
$3,335.40 |
$5,100 |
0.4× |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) |
$1,344.87 |
$2,056.38 |
1.5× |
| Division of stricture of rectum Facility (45150) |
$856.64 |
$1,309.85 |
0.6× |
| Division of symblepharon (68340) |
$1,271.29 |
$1,943.87 |
0.4× |
| Drain ant chmbr,remv vitreous (65810) |
$1,081.48 |
$1,653.64 |
0.4× |
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines |
$745.56–$835.25 |
$1,140–$1,285 |
varies |
| Drain chest lesion (21502) |
$1,284.61 |
$1,964.23 |
0.3× |
| Drain Hand Tendon Sheath (26020) |
$2,181.09 |
$3,335 |
0.5× |
| Drain ovary abscess open (58820) |
$736.93 |
$1,126.80 |
0.2× |
| Drain penis lesion (54015) |
$1,415.91 |
$2,165 |
0.7× |
| Drain shoulder bursa (23031) |
$543.07 |
$830.38 |
0.1× |
| Drain Spinal Cord Cyst (62268) |
$624.36 |
$954.68 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
— |
$1,391 |
— |
Drainage abscess parotid simple (42300)
range across 2 matching MRF lines |
$590.42–$1,920.79 |
$902.79–$2,955.06 |
varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,335 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$1,256 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$3,036 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,256 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$3,271 |
— |
Drainage lymph node lesion (38305)
range across 2 matching MRF lines |
$1,167.93–$2,366.49 |
$1,785.82–$3,640.75 |
varies |
| Drainage Mouth Roof Lesion (42000) |
— |
$800 |
— |
| Drainage of eye (65800) |
— |
$3,992 |
— |
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines |
$801.15–$1,326 |
$1,225–$2,040 |
varies |
| Drainage of gum lesion (41800) |
— |
$936 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,200 |
— |
| Drainage of hydrocele (55000) |
— |
$1,687 |
— |
| Drainage of mouth lesion (41006) |
$1,232.79 |
$1,885 |
0.6× |
Drainage of mouth lesion (41017)
range across 2 matching MRF lines |
$1,504.20–$2,651.11 |
$2,300–$4,078.63 |
varies |
| Drainage of nose lesion (30000) |
— |
$446 |
— |
Drainage of palmar bursa single bursa (26025)
range across 2 matching MRF lines |
$2,377.29–$2,835.61 |
$3,635–$4,362.47 |
varies |
Drainage of palmar bursa; multiple bursa Facility (26030)
range across 2 matching MRF lines |
$2,076.45–$3,001.84 |
$3,175–$4,618.21 |
varies |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
$1,538.73 |
$2,352.80 |
0.6× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
$1,454.21 |
$2,223.57 |
1.7× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$5,150.25 |
$7,875 |
2.0× |
| Drainage of rectal abscess (45020) |
$2,789.31 |
$4,265 |
0.8× |
| Drainage of rectal abscess (45005) |
$794.61 |
$1,215 |
0.5× |
| Drainage of salivary cyst (42409) |
$1,775.61 |
$2,715 |
0.4× |
| Drainage of salivary gland (42320) |
$430.65 |
$658.48 |
0.6× |
| Drainage of salivary gland (42305) |
$1,055.05 |
$1,613.22 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
— |
$4,574 |
— |
| Drainage of scrotum (54700) |
— |
$7,169 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
$1,635 |
$2,500 |
0.6× |
| Drainage of throat abscess (42725) |
$3,803.01 |
$5,815 |
0.5× |
| Drainage of urethra abscess (53040) |
$1,494.39 |
$2,285 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$6,275.13 |
$9,595 |
1.6× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$705.61 |
$1,078.92 |
0.2× |
| Draw Blood Off Venous Device (36591) |
— |
$451 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$1,833 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$770.92 |
$1,178.78 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$1,062 |
— |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$395.45 |
$604.66 |
0.6× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$456.54 |
$698.07 |
0.1× |
| Drg privesical/prevesical space absc (51080) |
$1,342.37 |
$2,052.56 |
0.4× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines |
$435.43–$646.61 |
$665.79–$994.79 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
$564.41–$601.68 |
$868.33–$920 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$456 |
— |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
— |
$1,736 |
— |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
— |
$7,651 |
— |
Dstrj Extensive Retinopathy (67227)
range across 2 matching MRF lines |
$4,515.87–$5,174 |
$6,905–$7,960 |
varies |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$922.14 |
$1,410 |
0.2× |
| Dstrj Lesion Anus Extensive (46924) |
— |
$5,536 |
— |
Dstrj Lesion Anus Simple Chemical (46900)
range across 2 matching MRF lines |
$703.05–$1,124.50 |
$1,075–$1,730 |
varies |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$905 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$4,945 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$3,608 |
— |
Dstrj lesion choroid pc 1/> sess (67220)
range across 2 matching MRF lines |
$2,877.74–$3,480.89 |
$4,400.22–$5,355.22 |
varies |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
$666.73 |
$1,019.46 |
1.0× |
Dstrj Lesion Penis Simple Chemical (54050)
range across 2 matching MRF lines |
$467.61–$620.75 |
$715–$955 |
varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$379 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$3,798 |
— |
| Dstrj lesion penis simple laser (54057) |
$1,000.62 |
$1,530 |
0.4× |
| Dstrj lesion penis simple surg excision (54060) |
— |
$4,476 |
— |
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276)
range across 2 matching MRF lines |
$668.57–$1,062.93 |
$1,022.28–$1,635.28 |
varies |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$2,253.03 |
$3,445 |
0.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,308 |
— |
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681)
range across 2 matching MRF lines |
$540.26–$1,839.55 |
$826.08–$2,830.08 |
varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,435.53 |
$2,195 |
1.3× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$1,046.61 |
$1,600.32 |
0.9× |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$7,997 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$8,214 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$8,089 |
— |
| Dx duod intub w/asp spec (43756) |
$818.58 |
$1,251.65 |
0.7× |
| Dx gastr intub w/asp spec (43754) |
$291.55 |
$445.80 |
1.1× |
| Dx gastr intub w/asp specs (43755) |
$343.04 |
$524.52 |
2.1× |
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines |
$1,350.51–$2,497.69 |
$2,065–$3,842.60 |
varies |
| Dx laryngoscopy w/oper scope (31526) |
$1,357.05 |
$2,075 |
0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$4,030 |
— |
| Dynamic Cavernosometry Njx Vasoactive Drugs (54231) |
$478.26 |
$731.28 |
1.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,769.07 |
$2,705 |
0.7× |
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines |
$1,268.76–$5,187 |
$1,940–$7,980 |
varies |
| Egd cautery tumor polyp (43250) |
$1,478.04 |
$2,260 |
0.6× |
| Egd control bleeding any (43255) |
$2,181.09 |
$3,335 |
0.9× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,471.50 |
$2,250 |
0.6× |
| Egd endo mucosal resection (43254) |
$2,138.58 |
$3,270 |
0.9× |
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure |
$1,769.07 |
$2,705 |
0.2× |
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines |
$1,556.52–$1,649.39 |
$2,380–$2,537.52 |
varies |
Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290)
range across 2 matching MRF lines |
$510.12–$7,387.25 |
$780–$11,365 |
varies |
Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291)
range across 2 matching MRF lines |
$1,350.51–$2,304.25 |
$2,065–$3,545 |
varies |
| Egd guide wire insertion (43248) |
$1,458.42 |
$2,230 |
1.3× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,066.64 |
$3,160 |
0.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,266.73 |
$4,995 |
1.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,302.08 |
$3,520 |
1.0× |
| Egd lesion ablation (43270) |
$1,854.09 |
$2,835 |
0.8× |
| Egd Optical Endomicroscopy (43252) |
$440.76 |
$673.94 |
0.2× |
| Egd place gastrostomy tube (43246) |
— |
$3,030 |
— |
Egd remove lesion snare (43251)
range across 2 matching MRF lines |
$1,690.59–$2,251.24 |
$2,585–$3,463.44 |
varies |
| Egd Tube/Cath Insertion (43241) |
$1,216.44 |
$1,860 |
0.5× |
| Egd us exam duodenum/jejunum (43259) |
$2,331.51 |
$3,565 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$1,929.30 |
$2,950 |
0.8× |
| Egd Varices Ligation (43244) |
$2,279.19 |
$3,485 |
1.0× |
| Egd W/Thrml Txmnt Gerd (43257) |
$2,341.32 |
$3,580 |
0.5× |
Egd W/Transmural Drain Cyst (43240)
unusually low: confirm this is the full procedure |
$3,103.23 |
$4,745 |
0.4× |
| Elbow arthroscopy (29830) |
$1,135.70 |
$1,736.54 |
0.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$783 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$771 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$610 |
— |
| Electrical stimulation bone healing noninvasive (20974) |
$188.53 |
$288.27 |
2.0× |
| Electro-Uroflowmetry First (51741) |
— |
$396 |
— |
| Electroejaculation (55870) |
$591.77 |
$904.85 |
0.5× |
| Embedded ip cath exit-site (49436) |
$471.34 |
$720.71 |
0.2× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$4,901.73 |
$7,495 |
0.7× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$7,812.03 |
$11,945 |
1.1× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$7,337.88 |
$11,220 |
1.1× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$5,218.92 |
$7,980 |
0.8× |
| Endocervical curettage (57505) |
— |
$1,473 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$3,160.09 |
$4,831.94 |
0.5× |
| Endometrial Biopsy (58100) |
— |
$741 |
— |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$6,954.96 |
$10,634.49 |
1.1× |
| Endoscopic injection/implant (51715) |
— |
$6,272 |
— |
| Endoscopic plantar fasciotomy (29893) |
$3,976.32 |
$6,080 |
1.0× |
| Endoscopic us exam esoph (43237) |
$1,867.17 |
$2,855 |
0.8× |
| Endoscopy of ureter (50953) |
$943.32 |
$1,442.39 |
0.2× |
| Endoscopy Upper Small Intestine (44360) |
$1,926.03 |
$2,945 |
0.8× |
Endoscopy upper small intestine w/biopsy (44361)
range across 2 matching MRF lines |
$2,096.07 |
$1,277.70–$3,205 |
0.9× |
Endovasc Temp Balloon Occlus,Head/Nck (61623)
likely a partial charge, not the full procedure |
$1,458.38 |
$2,229.94 |
0.1× |
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines |
$10,035.63–$13,988 |
$15,345–$21,520 |
varies |
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines |
$6,853.92–$15,216.50 |
$10,480–$23,410 |
varies |
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines |
$1,599.03–$18,993 |
$2,445–$29,220 |
varies |
| Enterorrhaphy single perforation (44602) |
$9,587.64 |
$14,660 |
2.0× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$3,610.08 |
$5,520 |
1.5× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$3,665.67 |
$5,605 |
1.5× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$496.19 |
$758.70 |
0.2× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$4,878.84 |
$7,460 |
2.0× |
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure |
$685 |
$1,047.40 |
0.1× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$3,126.12 |
$4,780 |
1.3× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,495.01 |
$3,815 |
1.0× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$450.63 |
$689.04 |
0.2× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$2,671.59 |
$4,085 |
1.1× |
| Enucleation Eye Implt Musc X Attached Implt (65103) |
$1,785.92 |
$2,730.77 |
0.4× |
| Enucleation of Eye W/O Implant (65101) |
$4,260.81 |
$6,515 |
0.9× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,742.36 |
$2,664.16 |
0.7× |
| Epididymectomy bilateral (54861) |
$1,868.69 |
$2,857.32 |
0.4× |
| Epididymectomy unilateral (54860) |
$2,334.78 |
$3,570 |
0.5× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
$3,576.51 |
$5,468.67 |
0.8× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$4,283.70 |
$6,550 |
1.7× |
| Epidural Blood Patch (62273) |
— |
$2,447 |
— |
| Epidural lysis mult sessions (62263) |
$1,119.04 |
$1,711.07 |
1.0× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
$4,336.02 |
$6,630 |
1.1× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$2,903.76 |
$4,440 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$1,101.99 |
$1,685 |
0.3× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$4,453.74 |
$6,810 |
0.6× |
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure |
$3,659.13 |
$5,595 |
0.5× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$2,691.21 |
$4,115 |
0.6× |
| Ercp ea duct/ampulla dilate (43277) |
$3,034.56 |
$4,640 |
0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,018.83 |
$6,145 |
0.8× |
| Ercp remove forgn body duct (43275) |
$3,018.21 |
$4,615 |
1.3× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,799.74 |
$5,810 |
0.5× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,446.58 |
$5,270 |
0.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,835.09 |
$4,335 |
0.6× |
| Ercp w/pressure measurement sphincter of oddi (43263) |
$1,308.67 |
$2,001.03 |
0.5× |
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines |
$3,345.21–$3,828.68 |
$5,115–$5,890.28 |
varies |
| Esc i p ulcer w ostect & flap (15946) |
$9,437.22 |
$14,430 |
3.7× |
| Escharotomy; initial incision (16035) |
$468.73 |
$716.72 |
0.9× |
| Esoph Optical Endomicroscopy (43206) |
$347.36 |
$531.13 |
0.1× |
Esoph Scope W/Submucous Inj (43201)
range across 2 matching MRF lines |
$397.54–$1,751.01 |
$607.86–$2,693.86 |
varies |
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines |
$1,350.51–$3,162.25 |
$2,065–$4,865 |
varies |
| Esophagosc Dilate Balloon 30 (43214) |
$492.27 |
$752.70 |
0.2× |
| Esophagoscop Mucosal Resect (43211) |
$614.70 |
$939.91 |
0.3× |
Esophagoscop Stent Placement (43212)
likely a partial charge, not the full procedure |
$1,383.21 |
$2,115 |
0.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,115.07 |
$1,705 |
0.5× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$689.11 |
$1,053.69 |
0.3× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$511.02 |
$781.38 |
0.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$419.68 |
$641.72 |
0.2× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$1,115.07 |
$1,705 |
0.5× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$647.02 |
$989.33 |
0.6× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$719.19 |
$1,099.68 |
0.6× |
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines |
$909.06–$1,943.50 |
$1,390–$2,990 |
varies |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,507.47 |
$2,305 |
0.6× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$643.75 |
$984.33 |
0.3× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,089.53 |
$3,195 |
0.9× |
| Esophagoscopy Retro Balloon (43213) |
$906.34 |
$1,385.84 |
0.4× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$1,164.12 |
$1,780 |
0.5× |
| Esophagoscopy Rigid Balloon (43195) |
$1,357.05 |
$2,075 |
0.3× |
| Esophagoscopy rigid trnso dx (43191) |
$922.14 |
$1,410 |
0.4× |
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines |
$951.57–$2,522 |
$1,455–$3,880 |
varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,278.57 |
$1,955 |
0.5× |
| Esophagoscp Guide Wire Dilat (43196) |
$659.09 |
$1,007.79 |
0.3× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$4,234.65 |
$6,475 |
0.6× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$600.35 |
$917.97 |
0.3× |
| Esophagoscp Rig Trnso Inject (43192) |
$1,069.29 |
$1,635 |
0.4× |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
$1,433.44 |
$2,191.80 |
0.7× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$351.77 |
$537.88 |
0.1× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,635 |
$2,500 |
0.7× |
| Ethmoidectomy Extranasal Total (31205) |
$2,104.68 |
$3,218.16 |
0.5× |
Ethmoidectomy Intranasal Anterior (31200)
unusually low: confirm this is the full procedure |
$3,544.68 |
$5,420 |
0.5× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,780.27 |
$2,722.12 |
0.9× |
| Evacuate mole of uterus (59870) |
$4,368.72 |
$6,680 |
1.1× |
| Evacuation of subungual hematoma (11740) |
— |
$264 |
— |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$2,887.41 |
$4,415 |
1.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$8,844 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
$3,155.55 |
$4,825 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$3,686 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,604 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$4,715 |
— |
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines |
$1,621.92–$2,554.18 |
$2,480–$3,929.51 |
varies |
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines |
$3,959.97–$4,333.24 |
$6,055–$6,666.53 |
varies |
Exc back tum deep < 5 cm (21932)
range across 2 matching MRF lines |
$3,297.27–$3,557.76 |
$5,072.72–$5,440 |
varies |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
$7,606.02 |
$11,630 |
1.0× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) |
$6,660.99 |
$10,185 |
0.9× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$4,574.73 |
$6,995 |
0.6× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$2,629.08 |
$4,020 |
0.6× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,218.92 |
$7,980 |
1.1× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$1,631.73 |
$2,495 |
0.5× |
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines |
$1,160.85–$1,703 |
$1,775–$2,620 |
varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$2,559 |
— |
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines |
$2,069.91–$2,915.25 |
$3,165–$4,485 |
varies |
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines |
$1,801.77–$3,423.26 |
$2,755–$5,266.56 |
varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,256 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$1,571 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$1,734 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$2,309 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$2,660 |
— |
| Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) |
$769.07 |
$1,175.95 |
0.4× |
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390)
unusually low: confirm this is the full procedure |
$4,303.32 |
$6,580 |
0.5× |
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines |
$2,272.65–$3,548.45 |
$3,475–$5,459.16 |
varies |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$2,822.01 |
$4,315 |
0.8× |
| Exc Frenum Labial/Buccal (40819) |
— |
$3,827 |
— |
| Exc ganglion wrist recurrent (25112) |
$2,701.02 |
$4,130 |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$1,940 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$2,589 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$4,314 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$3,767 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
$2,324.97 |
$3,555 |
1.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,496.25 |
$6,875 |
1.0× |
| Exc Lacrimal Gland Tumor Frontal Approach (68540) |
$2,150.85 |
$3,288.76 |
0.7× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$2,355 |
— |
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814)
range across 2 matching MRF lines |
$955.64–$3,623.25 |
$1,461.23–$5,574.23 |
varies |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$676.21 |
$1,033.96 |
0.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$2,485.20 |
$3,800 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,968.54 |
$3,010 |
1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$5,949 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$2,053.56 |
$3,140 |
0.5× |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
$1,569.24 |
$2,399.45 |
0.4× |
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 2 matching MRF lines |
$712.86–$2,263.27 |
$1,090–$3,481.95 |
varies |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$782.64 |
$1,196.70 |
0.2× |
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510)
range across 2 matching MRF lines |
$2,949.54–$3,848 |
$4,510–$5,920 |
varies |
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788)
range across 2 matching MRF lines |
$4,234.75–$4,260.81 |
$6,515 |
varies |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$6,108.36 |
$9,340 |
2.5× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$4,260.81 |
$6,515 |
1.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$6,392.85 |
$9,775 |
2.6× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$4,473.36 |
$6,840 |
0.6× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$5,853.30 |
$8,950 |
1.7× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$4,048.26 |
$6,190 |
1.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,711.45 |
$5,675 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$1,759 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$4,213 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$5,309 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$3,218 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$3,726 |
— |
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines |
$1,321.08–$1,836.25 |
$2,020–$2,825 |
varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$6,636 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$3,315 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
$2,485.20 |
$3,800 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,243.22 |
$3,430 |
0.6× |
Exc thigh/knee tum dep 5cm/> (27339)
range across 2 matching MRF lines |
$3,593.73–$4,372.17 |
$5,495–$6,726.41 |
varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$4,330 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,400 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,599 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$3,036 |
— |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines |
$2,396.91–$3,603.74 |
$3,665–$5,544.21 |
varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$5,588 |
— |
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)
range across 2 matching MRF lines |
$2,118.96–$2,707.25 |
$3,240–$4,165 |
varies |
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076)
range across 2 matching MRF lines |
$2,406.72–$2,921.68 |
$3,680–$4,494.89 |
varies |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$5,588 |
— |
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines |
$3,221.61–$3,240.57 |
$4,955–$4,956.33 |
varies |
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines |
$3,695.10–$3,986.05 |
$5,650–$6,132.39 |
varies |
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)
range across 2 matching MRF lines |
$2,380.56–$2,994.97 |
$3,640–$4,607.64 |
varies |
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 2 matching MRF lines |
$2,701.02–$3,907.24 |
$4,130–$6,011.14 |
varies |
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines |
$1,775.61–$2,734.40 |
$2,715–$4,206.77 |
varies |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,400.18 |
$3,670 |
0.7× |
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045)
range across 2 matching MRF lines |
$2,472.19–$2,701.02 |
$3,803.37–$4,130 |
varies |
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines |
$1,533.63–$2,430.88 |
$2,345–$3,739.81 |
varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$3,211.14 |
$4,910 |
0.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$2,727.18 |
$4,170 |
0.8× |
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines |
$1,536.90–$2,606.75 |
$2,350–$4,010.38 |
varies |
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines |
$3,917.46–$4,305.13 |
$5,990–$6,623.27 |
varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$3,382 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,701.02 |
$4,130 |
0.7× |
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines |
$2,701.02–$2,809.96 |
$4,130–$4,323.02 |
varies |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,468.85 |
$3,775 |
0.7× |
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines |
$1,816.75–$1,945.65 |
$2,795–$2,975 |
varies |
| Exc urethral diverticulum spx female (53230) |
$4,816.71 |
$7,365 |
0.7× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$4,473.36 |
$6,840 |
1.0× |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
$5,006.37 |
$7,655 |
0.6× |
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
unusually low: confirm this is the full procedure |
$4,270.62 |
$6,530 |
0.5× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$8,629.53 |
$13,195 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,502.17 |
$5,355 |
0.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,727.80 |
$5,700 |
1.9× |
| Exc/fulguration urethral caruncle (53265) |
$516.69 |
$790.05 |
0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$10,279 |
— |
Exchange Intraocular Lens (66986)
range across 2 matching MRF lines |
$6,704.75–$6,746.01 |
$10,315 |
varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$5,498 |
— |
| Exchange Transfusion (36455) |
$328.65 |
$502.52 |
0.6× |
| Exchange Transfusion Blood Newborn (36450) |
$286.44 |
$437.98 |
0.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$5,190 |
— |
| Excis conjunc lesn+adj sclera (68130) |
$954.30 |
$1,459.18 |
0.3× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
— |
$13,910 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$557 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$3,792 |
— |
| Excis penile plaque (54110) |
$2,769.69 |
$4,235 |
0.6× |
Excis uppr jaw cyst w/repair (21049)
unusually low: confirm this is the full procedure |
$2,947.94 |
$4,507.55 |
0.4× |
| Excis urethral prolapse (53275) |
$880.21 |
$1,345.89 |
0.2× |
| Excise breast duct fistula (19112) |
$2,897.22 |
$4,430 |
0.6× |
| Excise excessive skin arm (15836) |
$4,247.73 |
$6,495 |
1.2× |
| Excise intraspinal lesion (63267) |
$22,013.64 |
$33,660 |
2.4× |
| Excise intraspinl lesion crv (63265) |
$25,486.38 |
$38,970 |
2.8× |
| Excise mandible lesion (21040) |
$2,063.37 |
$3,155 |
0.5× |
| Excise Neurofibroma Extensive (64792) |
$7,455.60 |
$11,400 |
1.7× |
| Excise oral mucosa for graft (40818) |
$2,203.98 |
$3,370 |
3.3× |
| Excise tendon forearm/wrist (25109) |
$3,757.23 |
$5,745 |
0.9× |
| Excise Wrist Tendon Sheath (25118) |
$5,434.74 |
$8,310 |
2.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$1,904 |
— |
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)
range across 2 matching MRF lines |
$3,770.31–$4,927 |
$5,765–$7,580 |
varies |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$1,527.59 |
$2,335.76 |
0.5× |
| Excision Aural Polyp (69540) |
$578.79 |
$885 |
0.3× |
Excision Bone Mandible (21025)
unusually low: confirm this is the full procedure |
$3,054.18 |
$4,670 |
0.4× |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$2,112 |
— |
| Excision Chalazion Single (67800) |
— |
$719 |
— |
| Excision Chest Wall Tumor Including Ribs (21601) |
$8,878.05 |
$13,575 |
2.4× |
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125)
unusually low: confirm this is the full procedure |
$2,547.33 |
$3,895 |
0.3× |
| Excision Distal Ulna Partial/Complete (25240) |
$5,150.25 |
$7,875 |
1.3× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
$2,278.42 |
$3,483.82 |
0.6× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$4,103.85 |
$6,275 |
1.1× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$5,326.83 |
$8,145 |
0.7× |
| Excision External Ear Partial Simple Repair (69110) |
— |
$6,745 |
— |
| Excision external ear; complete amputation Facility (69120) |
$3,786.66 |
$5,790 |
0.5× |
Excision Facial Bone (21026)
likely a partial charge, not the full procedure |
$1,512.66 |
$2,312.93 |
0.2× |
Excision first and/or cervical rib for outlet compression syndrome or other cause; with sympathectomy (21616)
likely a partial charge, not the full procedure |
$2,573 |
$3,934.25 |
0.3× |
| Excision H/P/P/U Complex Repair (11471) |
$1,854.09 |
$2,835 |
0.5× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$7,140 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$2,432.88 |
$3,720 |
0.7× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$1,628.46 |
$2,490 |
0.4× |
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 2 matching MRF lines |
$1,621.92–$4,190.37 |
$2,480–$6,446.73 |
varies |
| Excision Infected Graft Extremity (35903) |
$9,571.29 |
$14,635 |
2.4× |
| Excision inferior turbinate partial/complete (30130) |
$1,507.47 |
$2,305 |
0.4× |
| Excision Lacrimal Sac (68520) |
$1,594.65 |
$2,438.30 |
0.3× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
— |
$5,928 |
— |
| Excision lesion conjunctiva > 1 cm (68115) |
$1,066.02 |
$1,630 |
0.4× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$2,661.78 |
$4,070 |
2.1× |
| Excision lesion meniscus/capsule knee (27347) |
$4,970.40 |
$7,600 |
1.2× |
Excision lesion mouth roof (42104)
range across 2 matching MRF lines |
$719.40–$2,267.39 |
$1,100–$3,488.29 |
varies |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$836.47 |
$1,279.01 |
0.4× |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$5,863 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$2,846 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$1,709 |
— |
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines |
$1,003.89–$1,475.50 |
$1,535–$2,270 |
varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$1,825 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$2,095 |
— |
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines |
$598.41–$1,401.66 |
$915–$2,156.40 |
varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$3,200 |
— |
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines |
$3,175.17–$3,896.75 |
$4,855–$5,995 |
varies |
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines |
$650.73–$1,388.52 |
$995–$2,136.18 |
varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$3,402 |
— |
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines |
$1,167.39–$1,533.45 |
$1,785–$2,359.16 |
varies |
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines |
$1,520.55–$2,236.23 |
$2,325–$3,440.35 |
varies |
| Excision malignant tumor mandible (21044) |
$6,320.91 |
$9,665 |
0.9× |
| Excision Malignant Tumor Maxilla/Zygoma (21034) |
$5,196.03 |
$7,945 |
0.7× |
| Excision Maxillary Torus Palatinus (21032) |
$2,236.68 |
$3,420 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$6,672 |
— |
| Excision Nasal Polyp Extensive (30115) |
$1,896.60 |
$2,900 |
0.5× |
Excision nasal polyp(s) simple (30110)
range across 2 matching MRF lines |
$555.66–$1,338.12 |
$849.64–$2,058.64 |
varies |
| Excision of bartholin's gland or cyst (56740) |
— |
$7,348 |
— |
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047)
unusually low: confirm this is the full procedure |
$3,245.49 |
$4,962.52 |
0.4× |
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
unusually low: confirm this is the full procedure |
$3,122.85 |
$4,775 |
0.4× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$4,568.19 |
$6,985 |
1.1× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
likely a partial charge, not the full procedure |
$2,557.14 |
$3,910 |
0.3× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) |
$5,804.25 |
$8,875 |
0.6× |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
$1,327.06 |
$2,029.14 |
0.3× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
likely a partial charge, not the full procedure |
$1,421.45 |
$2,173.47 |
0.2× |
Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556)
likely a partial charge, not the full procedure |
$1,342.86 |
$2,053.30 |
0.2× |
| Excision of chalazion; multiple, different lids (67805) |
— |
$2,078 |
— |
| Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy Facility (21603) |
$14,025.03 |
$21,445 |
1.5× |
| Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy Facility (21602) |
$11,886.45 |
$18,175 |
1.3× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$1,800.50 |
$2,753.06 |
0.4× |
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555)
unusually low: confirm this is the full procedure |
$2,551.16 |
$3,900.86 |
0.3× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$1,281.17 |
$1,958.98 |
0.3× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$9,365.28 |
$14,320 |
2.3× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$1,576.26 |
$2,410.18 |
0.4× |
| Excision of extraparenchymal lesion of testis (54512) |
$3,874.95 |
$5,925 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$11,348 |
— |
| Excision of gum lesion (41828) |
$764.10 |
$1,168.35 |
0.4× |
Excision of hydrocele; bilateral (55041)
range across 2 matching MRF lines |
$4,975.75–$5,006.37 |
$7,655 |
varies |
| Excision of hydrocele; unilateral (55040) |
— |
$14,611 |
— |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
$2,248.62 |
$3,438.26 |
0.5× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) |
$2,258.73 |
$3,453.72 |
0.5× |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
$2,667.90 |
$4,079.36 |
0.5× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
likely a partial charge, not the full procedure |
$1,098.28 |
$1,679.32 |
0.1× |
Excision of lingual tonsil (42870)
unusually low: confirm this is the full procedure |
$2,795.85 |
$4,275 |
0.4× |
| Excision of local lesion of epididymis (54830) |
$2,308.62 |
$3,530 |
0.5× |
| Excision of malignant tumor of mandible; radical resection Facility (21045) |
$10,303.77 |
$15,755 |
1.4× |
| Excision of Mullerian duct cyst Facility (55680) |
$1,128.03 |
$1,724.81 |
0.3× |
Excision of neuroma; digital nerve, 1 or both, same digit (64776)
range across 2 matching MRF lines |
$2,567.50–$2,583.30 |
$3,950 |
varies |
| Excision of neuroma; sciatic nerve Facility (64786) |
$4,009.02 |
$6,130 |
0.9× |
Excision of osseous tuberosities, dentoalveolar structures (41823)
likely a partial charge, not the full procedure |
$1,126.67 |
$1,722.73 |
0.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$9,777.30 |
$14,950 |
1.3× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
$7,841.46 |
$11,990 |
1.1× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$11,183.40 |
$17,100 |
1.5× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
$7,279.02 |
$11,130 |
0.6× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$5,791.17 |
$8,855 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,066.02 |
$1,630 |
0.3× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$2,601.21 |
$3,977.38 |
0.8× |
| Excision of single external papilla or tag, anus (46220) |
— |
$2,489 |
— |
Excision of sublingual gland (42450)
unusually low: confirm this is the full procedure |
$3,155.55 |
$4,825 |
0.4× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$2,001.24 |
$3,060 |
0.5× |
| Excision of submandibular (submaxillary) gland (42440) |
$4,326.21 |
$6,615 |
0.6× |
| Excision of tonsil tags (42860) |
$461.62 |
$705.84 |
0.1× |
Excision of tracheal tumor or carcinoma; cervical Facility (31785)
unusually low: confirm this is the full procedure |
$2,604.95 |
$3,983.11 |
0.4× |
Excision of urethral diverticulum (separate procedure); male Facility (53235)
unusually low: confirm this is the full procedure |
$2,112.35 |
$3,229.89 |
0.3× |
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines |
$1,350.51–$3,357.88 |
$2,065–$5,165.97 |
varies |
| Excision of vaginal septum (57130) |
$1,602.30 |
$2,450 |
0.4× |
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)
unusually low: confirm this is the full procedure |
$3,924 |
$6,000 |
0.5× |
Excision olecranon bursa (24105)
range across 2 matching MRF lines |
$3,619.10–$3,695.10 |
$5,567.85–$5,650 |
varies |
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146)
unusually low: confirm this is the full procedure |
$3,727.80 |
$5,700 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$1,731.88 |
$2,648.14 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$5,467.44 |
$8,360 |
1.3× |
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357)
likely a partial charge, not the full procedure |
$2,021.71 |
$3,091.30 |
0.2× |
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126)
likely a partial charge, not the full procedure |
$1,612.76 |
$2,465.99 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
$7,491.57 |
$11,455 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
$5,467.44 |
$8,360 |
0.6× |
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115)
likely a partial charge, not the full procedure |
$1,837 |
$2,808.87 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,002.60 |
$1,533.02 |
0.2× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
likely a partial charge, not the full procedure |
$1,454.92 |
$2,224.65 |
0.2× |
| Excision or fulguration; Skene's glands Facility (53270) |
$2,334.78 |
$3,570 |
0.5× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$427.68 |
$653.95 |
0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,812.20 |
$4,300 |
0.8× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,357.67 |
$3,605 |
0.7× |
| Excision prepatellar bursa (27340) |
$3,695.10 |
$5,650 |
0.9× |
| Excision Radial Head (24130) |
$4,103.85 |
$6,275 |
1.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$7,563.51 |
$11,565 |
0.9× |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$6,856 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
$3,763.77 |
$5,755 |
1.4× |
| Excision synovial cyst popliteal space (27345) |
$1,188.57 |
$1,817.38 |
0.3× |
| Excision tendon finger flexor/extensor each (26180) |
$1,765.80 |
$2,700 |
0.9× |
| Excision tendon palm flexor/extensor single each (26170) |
$2,635.62 |
$4,030 |
1.3× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$4,617.24 |
$7,060 |
0.6× |
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281)
likely a partial charge, not the full procedure |
$1,428.46 |
$2,184.19 |
0.2× |
| Excision Torus Mandibularis (21031) |
$2,266.11 |
$3,465 |
0.5× |
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines |
$2,524.44–$3,665.96 |
$3,860–$5,639.94 |
varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,827.93 |
$2,795 |
0.5× |
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines |
$1,298.19–$2,274.07 |
$1,985–$3,498.57 |
varies |
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines |
$2,249.76–$3,543.01 |
$3,440–$5,450.78 |
varies |
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines |
$1,406.10–$3,272.46 |
$2,150–$5,034.56 |
varies |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
$1,899.52 |
$2,904.46 |
0.4× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$1,488.33 |
$2,275.73 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$1,860.46 |
$2,844.74 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$4,901.73 |
$7,495 |
1.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$4,636.86 |
$7,090 |
1.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$3,351.75 |
$5,125 |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$5,248.35 |
$8,025 |
1.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$3,809.55 |
$5,825 |
1.9× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
$2,192.26 |
$3,352.08 |
0.5× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$2,377 |
$3,634.56 |
0.9× |
Excision, lesion of palate, uvula; with local flap closure Facility (42107)
likely a partial charge, not the full procedure |
$854.57 |
$1,306.68 |
0.1× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$5,111.01 |
$7,815 |
2.0× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$3,675.48 |
$5,620 |
1.0× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$2,097.99 |
$3,207.93 |
0.6× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
$2,307.92 |
$3,528.93 |
0.5× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
$2,713.03 |
$4,148.36 |
0.6× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$2,885.98 |
$4,412.81 |
0.7× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$1,462.32 |
$2,235.97 |
0.7× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
$2,195.31 |
$3,356.75 |
0.9× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
$2,420.20 |
$3,700.61 |
0.5× |
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines |
$2,357.67–$3,590.10 |
$3,605–$5,523.23 |
varies |
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines |
$1,373.40–$1,768.17 |
$2,100–$2,720.26 |
varies |
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines |
$2,213.79–$3,525.74 |
$3,385–$5,424.21 |
varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,527.71 |
$3,865 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$4,005.75 |
$6,125 |
1.1× |
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines |
$1,298.19–$2,459.67 |
$1,985–$3,784.11 |
varies |
| Excision/curettage cyst/tumor carpal bones (25130) |
$2,802.39 |
$4,285 |
0.7× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$3,727.80 |
$5,700 |
1.9× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$4,156.17 |
$6,355 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$5,863 |
— |
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines |
$1,101.99–$3,066.58 |
$1,685–$4,717.82 |
varies |
Excision/surgical planing skin nose rhinophyma (30120)
range across 2 matching MRF lines |
$1,250.61–$1,648.89 |
$1,912.25–$2,536.75 |
varies |
Excision/Transposition Pterygium W/Grafg (65426)
range across 2 matching MRF lines |
$3,479.28–$3,687.20 |
$5,320–$5,672.62 |
varies |
Excision/Transposition Pterygium W/O Graft (65420)
range across 2 matching MRF lines |
$1,932.57–$2,566.59 |
$2,955–$3,948.60 |
varies |
| Excision; trochanteric bursa or calcification (27062) |
$4,901.73 |
$7,495 |
1.2× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) |
$3,434.81 |
$5,252 |
0.7× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
$3,275.40 |
$5,008.26 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,374.02 |
$3,630 |
0.9× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$5,964.48 |
$9,120 |
0.9× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$4,676.10 |
$7,150 |
1.2× |
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines |
$1,298.19–$3,013.50 |
$1,985–$4,636.15 |
varies |
| Exploration for undescended testis with abdominal exploration (54560) |
$2,196.81 |
$3,359.03 |
0.8× |
| Exploration maxillary sinus (31020) |
$870.93 |
$1,331.69 |
0.2× |
| Exploration of hip joint (27033) |
$8,593.56 |
$13,140 |
0.9× |
| Exploration of knee joint (27310) |
$8,315.61 |
$12,715 |
2.0× |
| Exploration of spinal fusion (22830) |
$8,642.61 |
$13,215 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$530.38 |
$810.98 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$3,538.14 |
$5,410 |
1.7× |
Exploration Penetrating Wound Spx Neck (20100)
range across 2 matching MRF lines |
$6,065.85–$6,669 |
$9,275–$10,260 |
varies |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
$6,088.74 |
$9,310 |
0.8× |
| Exploratory elbow surgery (24000) |
$5,218.92 |
$7,980 |
1.3× |
| Explore epididymis (54865) |
$1,186.48 |
$1,814.19 |
0.3× |
| Explore eye socket,drainage (67405) |
$1,849.79 |
$2,828.42 |
0.6× |
| Explore for undescended testis (54550) |
$4,636.86 |
$7,090 |
1.0× |
Explore inner ear (69806)
unusually low: confirm this is the full procedure |
$2,296.42 |
$3,511.35 |
0.3× |
Explore inner ear (69805)
unusually low: confirm this is the full procedure |
$2,559.27 |
$3,913.26 |
0.3× |
| Explore treat shoulder joint (23107) |
$4,937.70 |
$7,550 |
0.5× |
| Explore/Treat Elbow Joint (24101) |
$5,715.96 |
$8,740 |
1.4× |
Explore/Treat Hand Joint (26070)
range across 2 matching MRF lines |
$2,311.89–$3,068.39 |
$3,535–$4,720.60 |
varies |
| Explore/Treat Knee Joint (27331) |
$5,993.91 |
$9,165 |
1.5× |
| Explore/Treat Wrist Joint (25040) |
$4,604.16 |
$7,040 |
1.1× |
| Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) |
$6,108.36 |
$9,340 |
0.9× |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) |
$143.08 |
$218.77 |
0.4× |
Extensive ear canal surgery (69150)
unusually low: confirm this is the full procedure |
$2,550.51 |
$3,899.87 |
0.3× |
| Extensive mastoid surgery (69511) |
$10,140.27 |
$15,505 |
1.4× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$7,177.65 |
$10,975 |
10.5× |
| External cephalic version (59412) |
$3,090.15 |
$4,725 |
0.8× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$773.73 |
$1,183.07 |
0.4× |
| Extraction of lens (66940) |
$5,568.81 |
$8,515 |
1.9× |
| Extraction of lens (66920) |
$1,745.43 |
$2,668.86 |
0.6× |
| Extraction of lens (66930) |
$5,421.66 |
$8,290 |
1.1× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$3,270 |
$5,000 |
1.1× |
| Eye surgery procedure (67299) |
$625.43 |
$962.20 |
0.2× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$1,251.29 |
$1,913.29 |
0.5× |
| Fascia lata graft; by stripper Facility (20920) |
$3,479.28 |
$5,320 |
1.4× |
| Fasciectomy Palm Only (26121) |
$6,170.49 |
$9,435 |
1.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$5,169.87 |
$7,905 |
1.3× |
| Fasciotomy Iliotibial Open (27305) |
$2,668.32 |
$4,080 |
0.7× |
| Fasciotomy palmar open partial (26045) |
$4,332.75 |
$6,625 |
1.1× |
| Fasciotomy palmar percutaneous (26040) |
— |
$5,443 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$5,666.91 |
$8,665 |
1.4× |
| Fasciotomy, foot and/or toe (28008) |
$3,001.86 |
$4,590 |
0.7× |
| Fasciotomy, hip or thigh, any type (27025) |
$8,629.53 |
$13,195 |
2.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$7,769.52 |
$11,880 |
1.9× |
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines |
$177.47 |
$145.97–$271.36 |
0.7× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$1,249.14 |
$1,910 |
3.3× |
| Fetal non-stress test (59025) |
— |
$1,521 |
— |
| Fetal Scalp Blood Sampling (59030) |
$352.55 |
$539.07 |
0.9× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$1,082.39 |
$1,655.03 |
2.8× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$1,642.56 |
$2,511.56 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$6,877 |
— |
Fine needle aspiration bx w/mr gdn 1st lesion (10011)
range across 2 matching MRF lines |
$533.01–$2,408.25 |
$815–$3,705 |
varies |
| Fine Needle Aspiration Orbital Contents (67415) |
$240.23 |
$367.33 |
0.1× |
| Fine needle aspiration without imaging guidance (10021) |
— |
$782 |
— |
| Finger tendon transfer (26497) |
$5,738.85 |
$8,775 |
1.4× |
Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155)
unusually low: confirm this is the full procedure |
$2,034 |
$3,110.09 |
0.4× |
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150)
unusually low: confirm this is the full procedure |
$2,023.70 |
$3,094.35 |
0.4× |
| Fixation contralateral testis separate procedure (54620) |
$2,236.68 |
$3,420 |
0.5× |
| Flap; neurovascular pedicle (15750) |
$5,346.45 |
$8,175 |
1.2× |
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316)
likely a partial charge, not the full procedure |
$2,276.14 |
$3,480.34 |
0.3× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
$7,350.96 |
$11,240 |
0.8× |
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331)
likely a partial charge, not the full procedure |
$1,959.80 |
$2,996.64 |
0.2× |
| Fluid Pressure Muscle (20950) |
$223.18 |
$341.26 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$248.52 |
$380 |
0.8× |
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines |
$261.60–$2,424.50 |
$400–$3,730 |
varies |
| Fna bx w/us gdn 1st les (10005) |
— |
$4,349 |
— |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$5,218.92 |
$7,980 |
4.5× |
| Forehead flap w/vasc pedicle (15731) |
— |
$9,758 |
— |
| Foreskin manipulation (54450) |
— |
$726 |
— |
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572)
range across 2 matching MRF lines |
$4,048.26–$4,589 |
$6,190–$7,060 |
varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$1,082.37 |
$1,655 |
0.3× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
$8,039.77 |
$12,293.22 |
0.9× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$10,555.77 |
$16,140.32 |
1.2× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
$7,677.12 |
$11,738.72 |
0.8× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
$21,912.27 |
$33,505 |
2.4× |
| Frenulotomy of penis (54164) |
— |
$7,942 |
— |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$4,532.22 |
$6,930 |
1.8× |
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576)
range across 2 matching MRF lines |
$3,783.39–$4,381 |
$5,785–$6,740 |
varies |
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170)
range across 2 matching MRF lines |
$8,823.75–$8,878.05 |
$13,575 |
varies |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$7,596.21 |
$11,615 |
2.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$3,608 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$3,966 |
— |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$3,024.75 |
$4,625 |
1.2× |
| Fuse hand bones with graft (25825) |
$5,402.04 |
$8,260 |
0.6× |
| Fusion Finger Joint (26860) |
$4,793.82 |
$7,330 |
1.2× |
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820)
likely a partial charge, not the full procedure |
$1,922.15 |
$2,939.06 |
0.2× |
Fusion of elbow joint (24800)
likely a partial charge, not the full procedure |
$2,065.21 |
$3,157.81 |
0.2× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$3,551.22 |
$5,430 |
0.4× |
| Fusion of hand bones (25820) |
$4,803.63 |
$7,345 |
0.5× |
Fusion of hand joint (26843)
likely a partial charge, not the full procedure |
$1,800.34 |
$2,752.82 |
0.2× |
| Fusion of knuckle (26850) |
$6,392.85 |
$9,775 |
0.7× |
| Fusion of knuckle joint (26516) |
$4,336.02 |
$6,630 |
1.1× |
| Fusion of knuckle joints (26518) |
$6,853.92 |
$10,480 |
0.8× |
Fusion of knuckle with graft (26852)
likely a partial charge, not the full procedure |
$1,907.89 |
$2,917.26 |
0.2× |
Fusion of shoulder joint (23802)
unusually low: confirm this is the full procedure |
$7,229.97 |
$11,055 |
0.5× |
| Fusion of spermatic ducts (54900) |
$1,875.28 |
$2,867.40 |
0.7× |
Fusion of tibiofibular joint (27871)
likely a partial charge, not the full procedure |
$1,690.58 |
$2,584.99 |
0.1× |
Fusion/graft of hand joint (26844)
likely a partial charge, not the full procedure |
$1,923.34 |
$2,940.88 |
0.2× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$1,158.38 |
$1,771.23 |
0.3× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$911.56 |
$1,393.83 |
0.2× |
| Gastrocnemius recession (27687) |
$3,891.30 |
$5,950 |
1.0× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$9,587.64 |
$14,660 |
2.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$6,392.85 |
$9,775 |
2.7× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
$1,504.10 |
$2,299.85 |
1.3× |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) |
$9,564.75 |
$14,625 |
8.4× |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
$5,774.82 |
$8,830 |
1.4× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$4,322.94 |
$6,610 |
0.6× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$6,324.18 |
$9,670 |
0.9× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) |
$2,568.22 |
$3,926.94 |
0.6× |
Glaucoma surgery (66160)
range across 2 matching MRF lines |
$2,289.09–$5,040.19 |
$3,500.14–$7,754.14 |
varies |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
— |
$342 |
— |
| Goniotomy (65820) |
$4,617.24 |
$7,060 |
0.9× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) |
$3,198.06 |
$4,890 |
0.9× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
$7,337.88 |
$11,220 |
1.0× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$10,633 |
— |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$5,866.38 |
$8,970 |
1.3× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$13,809.21 |
$21,115 |
5.4× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
$3,874.61 |
$5,924.48 |
0.9× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
$2,359 |
$3,607.03 |
0.5× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
$11,611.77 |
$17,755 |
1.6× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$2,132.04 |
$3,260 |
0.8× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$2,115.69 |
$3,235 |
0.5× |
| Grafting of autologous soft tiss by direct exc (15769) |
$2,109.15 |
$3,225 |
0.5× |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,803 |
— |
| Hair xplant punch grft 1-15 (15775) |
$677.69 |
$1,036.22 |
1.3× |
| Hair xplant punch grft >15 (15776) |
$841.19 |
$1,286.23 |
1.7× |
Hand tendon reconstruction (26500)
unusually low: confirm this is the full procedure |
$3,636.24 |
$5,560 |
0.4× |
| Harvesting conjunctival allograft, living donor Facility (68371) |
$956.97 |
$1,463.25 |
0.3× |
| Hem atyp hemolytic uremc synd gen seq aly 15 gen (0268U) |
— |
$1,960 |
— |
| Hem cgen neutropenia gen seq alys 24 genes (0271U) |
— |
$4,896 |
— |
| Hem gen pltlt do 43 genes (0274U) |
— |
$2,448 |
— |
| Hem gen thrombosis gen seq alys 14 genes (0278U) |
— |
$8,158 |
— |
| Hem genetic bld do 60 genes (0272U) |
— |
$5,595 |
— |
| Hem inh thrombocytopenia 42 (0276U) |
— |
$8,870 |
— |
| Hem vw ds vw factor & collagen IV binding elisa (0280U) |
— |
$129 |
— |
| Hem vw factor&clgn iii bndg (0279U) |
— |
$106 |
— |
| Hem Vwd Propeptide Ag Lvl (0281U) |
— |
$99 |
— |
| Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic… (0277U) |
— |
$1,960 |
— |
| Hemiarthroplasty hip partial (27125) |
$11,104.92 |
$16,980 |
0.7× |
| Hemiepiphyseal Arrest (24470) |
$1,669.28 |
$2,552.41 |
0.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,550.60 |
$3,900 |
0.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,540.17 |
$2,355 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,502.17 |
$5,355 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$2,920.11 |
$4,465 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$3,348.48 |
$5,120 |
1.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,701.02 |
$4,130 |
0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$1,740 |
— |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$1,308 |
$2,000 |
0.4× |
| Hemorrhoidopexy by stapling (46947) |
$950.26 |
$1,453 |
0.3× |
| Hip arthro acetabuloplasty (29915) |
$7,655.07 |
$11,705 |
0.8× |
| Hip arthro w/labral repair (29916) |
$7,655.07 |
$11,705 |
0.8× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$2,884.14 |
$4,410 |
0.8× |
Hrv skin for skin cell ssp agrft 1st 25 sq cm/< (15011)
range across 2 matching MRF lines |
$340.08–$692.25 |
$520–$1,065 |
varies |
| Hymenotomy Simple Incision (56442) |
$111.66 |
$170.74 |
0.0× |
| Hyoid myotomy and suspension Facility (21685) |
$7,746.63 |
$11,845 |
1.0× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
— |
$14,718 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$6,125 |
— |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$4,332.75 |
$6,625 |
0.7× |
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines |
$1,491.12–$3,259.43 |
$2,280–$5,014.51 |
varies |
| Hysteroscopy Endometrial Ablation (58563) |
$11,814.51 |
$18,065 |
1.9× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
range across 2 matching MRF lines |
$3,844.75–$4,120.20 |
$5,915–$6,300 |
varies |
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 2 matching MRF lines |
$4,048.26–$4,644.68 |
$6,190–$7,145.66 |
varies |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,042.34 |
$7,710 |
0.8× |
Hysterotomy Abdominal (59100)
unusually low: confirm this is the full procedure |
$2,148.55 |
$3,285.25 |
0.3× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$1,837.74 |
$2,810 |
0.4× |
| I&d abscess peritonsillar (42700) |
— |
$653 |
— |
| I&d abscess simple (10060) |
— |
$701 |
— |
I&D Below Fascia Foot 1 Bursal Space (28002)
range across 2 matching MRF lines |
$1,563.06–$5,009.60 |
$2,390–$7,707.08 |
varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,997.97 |
$3,055 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$6,984 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,710.83 |
$4,145 |
0.7× |
| I&d forearm/wrist bursa (25031) |
$899.68 |
$1,375.66 |
0.4× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$2,128.77 |
$3,255 |
0.6× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$2,969.16 |
$4,540 |
0.9× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$1,353.78 |
$2,070 |
2.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$2,544.06 |
$3,890 |
0.6× |
| I&d perianal abscess superficial (46050) |
— |
$1,821 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$1,516 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,256 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
$1,298.19 |
$1,985 |
0.4× |
| I&d thyroglossal duct cyst infected (60000) |
$385.10 |
$588.84 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$5,588 |
— |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$2,805.66 |
$4,290 |
0.8× |
| Icd Pocket Revision (33223) |
$5,928.51 |
$9,065 |
2.3× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,000.62 |
$1,530 |
0.9× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$860.01 |
$1,315 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,448.61 |
$2,215 |
0.7× |
| Image Cath Fluid Peri/Retro (49406) |
— |
$5,779 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
$745.09 |
$1,139.28 |
0.4× |
| Immediate breast prosthesis (19340) |
$7,174.38 |
$10,970 |
0.7× |
Implant cochlear device (69930)
unusually low: confirm this is the full procedure |
$16,667.19 |
$25,485 |
0.4× |
Implant eye drug system (67027)
likely a partial charge, not the full procedure |
$1,969.53 |
$3,011.52 |
0.1× |
Implant neuroelectrodes (63650)
range across 2 matching MRF lines |
$7,265.94–$8,719.75 |
$11,110–$13,415 |
varies |
| Implant Neuroelectrodes (64561) |
— |
$7,254 |
— |
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines |
$2,866.50–$2,884.14 |
$4,410 |
varies |
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure |
$6,696.96 |
$10,240 |
0.3× |
| Implant temple bone w/stimul (69714) |
$8,665.50 |
$13,250 |
0.5× |
Implantation iris prosthesis (66683)
range across 2 matching MRF lines |
$1,982.50–$1,994.70 |
$3,050 |
varies |
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
likely a partial charge, not the full procedure |
$1,163.34 |
$1,778.80 |
0.1× |
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716)
range across 2 matching MRF lines |
$5,105.75–$5,137.17 |
$7,855 |
varies |
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729)
range across 2 matching MRF lines |
$1,842.75–$1,854.09 |
$2,835 |
varies |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$9,051.36 |
$13,840 |
1.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$6,284.94 |
$9,610 |
0.6× |
| Impression & Preparation Auricular Prosthesis (21086) |
$5,954.67 |
$9,105 |
1.4× |
| Impression & Preparation Nasal Prosthesis (21087) |
$3,864.51 |
$5,909.03 |
0.5× |
Impression & Preparation Oral Surgical Splint (21085)
range across 2 matching MRF lines |
$5,683.26–$6,337.50 |
$8,690–$9,750 |
varies |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
$4,097.50 |
$6,265.29 |
1.0× |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
$6,373.23 |
$9,745 |
1.5× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$13,452.78 |
$20,570 |
3.3× |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
$5,807.52 |
$8,880 |
0.8× |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
$5,241.91 |
$8,015.16 |
0.7× |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
$3,903.73 |
$5,969.01 |
0.9× |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
$4,466.59 |
$6,829.65 |
1.1× |
| Impression&Preparation Surg Obturator Prosthes (21076) |
$8,678.58 |
$13,270 |
4.5× |
| Incise external hemorrhoid (46083) |
— |
$669 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,785 |
— |
| Incise flexor carpi radialis (25001) |
$839.77 |
$1,284.05 |
0.2× |
| Incise sperm duct pouch (55600) |
$1,421.50 |
$2,173.55 |
0.5× |
| Incise tendon(s) & muscle(s) (23406) |
$7,848 |
$12,000 |
0.9× |
| Incise Wrist/Forearm Tendon (25290) |
$2,877.60 |
$4,400 |
0.7× |
| Incise/Drain Conjunctiva (68020) |
$256.28 |
$391.87 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,693 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,161.47 |
$3,305 |
0.6× |
| Incision & drainage leg/ankle infected bursa (27604) |
$1,579.41 |
$2,415 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,137 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$782 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$646 |
— |
| Incision and drainage of the tear gland (68400) |
$667.92 |
$1,021.28 |
0.5× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$737.08 |
$1,127.04 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$723 |
— |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
unusually low: confirm this is the full procedure |
$3,629.70 |
$5,550 |
0.4× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
unusually low: confirm this is the full procedure |
$3,544.68 |
$5,420 |
0.4× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$2,063.37 |
$3,155 |
1.0× |
| Incision bone cortex foot (28005) |
$2,534.25 |
$3,875 |
0.6× |
| Incision Drainage Lacrimal Sac (68420) |
$753.24 |
$1,151.74 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
— |
$8,022 |
— |
| Incision of eardrum (69421) |
$1,386.48 |
$2,120 |
0.3× |
| Incision of eardrum (69420) |
— |
$436 |
— |
| Incision of eye (65850) |
$6,710.04 |
$10,260 |
2.3× |
| Incision of fibula (27707) |
$4,535.49 |
$6,935 |
1.1× |
Incision of Foot Tendon (28234)
range across 2 matching MRF lines |
$1,003.89–$2,993.80 |
$1,535–$4,605.85 |
varies |
| Incision of hip tendon (27001) |
$3,891.30 |
$5,950 |
1.0× |
Incision of iris (66500)
range across 2 matching MRF lines |
$2,752.75–$2,769.69 |
$4,235 |
varies |
| Incision of labial frenum (frenotomy) (40806) |
— |
$1,203 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$2,846 |
— |
| Incision of lymph channels (38308) |
$1,115.70 |
$1,705.97 |
0.2× |
| Incision of rectal abscess (46040) |
— |
$3,368 |
— |
| Incision of sperm duct (55200) |
$1,704.17 |
$2,605.76 |
0.4× |
| Incision of thigh tendons (27392) |
$7,504.65 |
$11,475 |
1.8× |
| Incision of tibia & fibula (27709) |
$9,267.18 |
$14,170 |
0.6× |
Incision of urethra (53010)
unusually low: confirm this is the full procedure |
$2,132.04 |
$3,260 |
0.3× |
| Incision of urethra (53025) |
$161.78 |
$247.37 |
0.1× |
| Incision of urethra (53000) |
$1,209.90 |
$1,850 |
0.5× |
Incision of urethra (53020)
range across 2 matching MRF lines |
$765.18–$2,643.57 |
$1,170–$4,067.03 |
varies |
| Incision&drainage bursa foot (28001) |
$853.47 |
$1,305 |
0.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$866.55 |
$1,325 |
0.4× |
| Incision, anal septum (infant) Facility (46070) |
$518.37 |
$792.61 |
0.1× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$5,326.83 |
$8,145 |
2.7× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$3,953.43 |
$6,045 |
1.0× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$1,247.44 |
$1,907.40 |
0.3× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) |
$1,109.82 |
$1,696.97 |
0.3× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$2,635.62 |
$4,030 |
0.6× |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$756 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,833 |
— |
| Induced abortion dilation and curettage (59840) |
— |
$5,819 |
— |
| Induced abortion, by dilation and evacuation (59841) |
— |
$5,819 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$454 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,299 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$1,357 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$709.59 |
$1,085 |
0.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$3,991 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$1,440 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$571 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,996 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,507.47 |
$2,305 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$3,370 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,828 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$611.49 |
$935 |
0.6× |
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines |
$837.12–$2,241.20 |
$1,280–$3,448 |
varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,745 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$273.58 |
$418.32 |
0.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$1,190 |
— |
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines |
$533.01–$1,256.65 |
$815–$1,933.31 |
varies |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,348 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$11,129 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,227 |
— |
| Injection Into Brain Canal (61055) |
$423.28 |
$647.22 |
1.1× |
| Injection into disk lesion (62292) |
$1,374.09 |
$2,101.06 |
0.6× |
| Injection into spinal artery (62294) |
$1,878.73 |
$2,872.67 |
1.7× |
| Injection medication/other subst tenon capsule (67515) |
— |
$554 |
— |
Injection of sclerosing solution, hemorrhoids (46500)
range across 2 matching MRF lines |
$579.19–$1,259.45 |
$885.61–$1,937.61 |
varies |
| Injection procedure for peyronie disease (54200) |
— |
$859 |
— |
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205)
likely a partial charge, not the full procedure |
$1,782.30 |
$2,725.23 |
0.3× |
| Injection single tendon origin/insertion (20551) |
— |
$586 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,671 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,914 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$354.02 |
$541.32 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
— |
$571 |
— |
| Injection Turbinate Therapeutic (30200) |
— |
$1,283 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
$529.75–$533.01 |
$815 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$500.31–$787.55 |
$765–$1,211.61 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$2,384 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$973 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$452 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$379 |
— |
Injx anterior chamber eye air/liquid spx (66020)
range across 2 matching MRF lines |
$435.69–$2,127.57 |
$666.19–$3,273.19 |
varies |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$389.11 |
$594.97 |
0.1× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$351.73 |
$537.81 |
0.3× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$367.74 |
$562.30 |
0.3× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$379.96 |
$580.98 |
0.3× |
| Ins cath ren art 1st bilat (36252) |
$3,685.29 |
$5,635 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$2,828.55 |
$4,325 |
0.7× |
| Ins cath ren art 2nd+ bilat (36254) |
$1,110.39 |
$1,697.84 |
0.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,933.81 |
$6,015 |
0.6× |
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure |
$2,671.59 |
$4,085 |
0.4× |
| Ins Vag Brachytx Device (57156) |
— |
$1,738 |
— |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$6,222.81 |
$9,515 |
0.2× |
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure |
$5,068.50 |
$7,750 |
0.5× |
Insert and remove bone pin (20650)
range across 2 matching MRF lines |
$889.44–$3,737.21 |
$1,360–$5,749.56 |
varies |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$7,749.90 |
$11,850 |
1.5× |
| Insert Bladder Cath Complex (51703) |
— |
$612 |
— |
| Insert cath pleura w/ image (32557) |
— |
$7,560 |
— |
| Insert cath pleura w/o image (32556) |
— |
$4,968 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$529.81 |
$810.11 |
0.4× |
| Insert cervical dilator (59200) |
— |
$792 |
— |
| Insert Drug Implant Device (11981) |
— |
$334 |
— |
| Insert eye socket implant (67550) |
$7,782.60 |
$11,900 |
1.6× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,860.63 |
$2,845 |
0.8× |
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure |
$5,827.14 |
$8,910 |
0.4× |
| Insert Heart Pm Ventricular (33207) |
$7,592.94 |
$11,610 |
0.6× |
| Insert hepatic shunt (tips) (37182) |
$11,631.39 |
$17,785 |
0.5× |
| Insert heyman uteri capsule (58346) |
— |
$12,513 |
— |
Insert multi-comp penis pros (54405)
unusually low: confirm this is the full procedure |
$10,267.80 |
$15,700 |
0.4× |
| Insert Nasal Septal Button (30220) |
— |
$3,949 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$7,232 |
— |
| Insert ocular implant (65135) |
$1,722.94 |
$2,634.46 |
0.4× |
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure |
$5,820.60 |
$8,900 |
0.4× |
| Insert pessary/other device (57160) |
— |
$462 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,901 |
— |
| Insert prost urethral stent (53855) |
$1,847.10 |
$2,824.31 |
0.7× |
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines |
$6,054.75–$6,092.01 |
$9,315 |
varies |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$3,616.62 |
$5,530 |
0.2× |
Insert Pulse Gen Sngl Lead (33212)
unusually low: confirm this is the full procedure |
$5,111.01 |
$7,815 |
0.5× |
Insert self-contd prosthesis (54401)
unusually low: confirm this is the full procedure |
$8,224.05 |
$12,575 |
0.3× |
Insert semi-rigid prosthesis (54400)
unusually low: confirm this is the full procedure |
$7,207.08 |
$11,020 |
0.4× |
Insert spine infusion device (62360)
likely a partial charge, not the full procedure |
$760.63 |
$1,163.05 |
0.0× |
Insert tandem cuff (53444)
likely a partial charge, not the full procedure |
$2,635.38 |
$4,029.63 |
0.1× |
| Insert Temp Bladder Cath (51702) |
— |
$464 |
— |
Insert testicular prosthesis (54660)
unusually low: confirm this is the full procedure |
$2,236.68 |
$3,420 |
0.3× |
| Insert tissue expander(s) (11960) |
$5,140.44 |
$7,860 |
1.2× |
| Insert tun ip cath perc (49418) |
$6,301.29 |
$9,635 |
1.4× |
| Insert tunneled cv cath (36561) |
— |
$6,652 |
— |
Insert tunneled cv cath (36563)
unusually low: confirm this is the full procedure |
$3,309.24 |
$5,060 |
0.5× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$2,786.04 |
$4,260 |
0.4× |
Insert Uro/Ves Nck Sphincter (53445)
unusually low: confirm this is the full procedure |
$10,686.36 |
$16,340 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$308 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,968.54 |
$3,010 |
0.4× |
Insertion of cannula (36800)
likely a partial charge, not the full procedure |
$2,024.13 |
$3,095 |
0.3× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$532.64 |
$814.44 |
0.1× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815)
unusually low: confirm this is the full procedure |
$2,089.53 |
$3,195 |
0.3× |
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260)
likely a partial charge, not the full procedure |
$1,640.77 |
$2,508.83 |
0.2× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
$1,873.40 |
$2,864.52 |
0.4× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
$1,698.85 |
$2,597.63 |
0.3× |
Insertion of pin-retained palatal prosthesis Facility (42281)
likely a partial charge, not the full procedure |
$371 |
$567.28 |
0.1× |
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215)
unusually low: confirm this is the full procedure |
$4,401.42 |
$6,730 |
0.4× |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
$1,285.35 |
$1,965.37 |
0.3× |
Insertion phrenic nerve stimulator system (33276)
range across 2 matching MRF lines |
$1,543.75–$1,553.25 |
$2,375 |
varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$7,029 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$8,117 |
— |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,054.18 |
$4,670 |
0.7× |
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
likely a partial charge, not the full procedure |
$1,108.67 |
$1,695.22 |
0.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$12,513 |
— |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$6,392.85 |
$9,775 |
1.6× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$5,663.64 |
$8,660 |
0.5× |
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985)
range across 2 matching MRF lines |
$4,621.50–$4,950.78 |
$7,110–$7,570 |
varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$6,484 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$4,440 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$7,995 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$1,003.30 |
$1,534.10 |
0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$6,701 |
— |
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841)
range across 2 matching MRF lines |
$91.56–$107.25 |
$140–$165 |
varies |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure |
$4,090.77 |
$6,255 |
0.3× |
Insj Subq Impltbl Dfb Elctrd (33271)
likely a partial charge, not the full procedure |
$1,251.97 |
$1,914.33 |
0.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$6,976 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$12,124 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$3,273.27 |
$5,005 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$8,096 |
— |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,024.58 |
$12,270 |
0.8× |
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
likely a partial charge, not the full procedure |
$4,182.33 |
$6,395 |
0.1× |
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines |
$12,298.47–$15,058.82 |
$18,805–$23,167.42 |
varies |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure |
$9,479.73 |
$14,495 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$2,351.13 |
$3,595 |
0.2× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$462.12 |
$706.60 |
0.0× |
| Insrt heart pm atrial & vent (33208) |
$7,727.01 |
$11,815 |
0.6× |
Insrt Pulse Gen W/Dual Leads (33230)
likely a partial charge, not the full procedure |
$997.77 |
$1,525.64 |
0.0× |
Insrt Pulse Gen W/Mult Leads (33231)
likely a partial charge, not the full procedure |
$1,052.21 |
$1,608.88 |
0.0× |
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure |
$1,269.32 |
$1,940.85 |
0.0× |
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure |
$2,769.69 |
$4,235 |
0.1× |
Install spinal shunt (63741)
likely a partial charge, not the full procedure |
$1,811.71 |
$2,770.20 |
0.2× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
— |
$836 |
— |
Int hrhc by ligation single hroid w/o img gdn (46945)
range across 2 matching MRF lines |
$1,612.11–$3,504.58 |
$2,465–$5,391.66 |
varies |
| Interdental fixation (21110) |
$1,982.44 |
$3,031.26 |
1.0× |
| Interdental Wiring Other Than Fracture (21497) |
$1,499.77 |
$2,293.23 |
0.8× |
| Interpelviabdominal amputation (hindquarter amputation) Facility (27290) |
$15,365.73 |
$23,495 |
0.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,226.25 |
$1,875 |
0.7× |
| Interthoracoscapular amputation (forequarter) Facility (23900) |
$12,272.31 |
$18,765 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$3,950 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$850.47 |
$1,300.41 |
1.7× |
| Intranasal Biopsy (30100) |
— |
$2,846 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
$399.04 |
$610.16 |
0.6× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$1,910 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
$1,239.33 |
$1,895 |
0.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,167.39 |
$1,785 |
0.3× |
| Intro cath dialysis circuit (36901) |
$1,272.03 |
$1,945 |
0.6× |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
likely a partial charge, not the full procedure |
$1,893.33 |
$2,895 |
0.3× |
| Intro Gastrointestinal Tube (44500) |
— |
$2,021 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$2,178 |
— |
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625)
range across 2 matching MRF lines |
$3,754–$3,878.22 |
$5,775.39–$5,930 |
varies |
| Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) |
$2,444.99 |
$3,738.51 |
0.8× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
— |
$2,078 |
— |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) |
$903.17 |
$1,380.99 |
0.3× |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$2,324 |
— |
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines |
$618.03–$820.35 |
$945–$1,262.08 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$1,417 |
— |
| Island pedicle flap graft (15740) |
$4,581.27 |
$7,005 |
1.8× |
| IV injection test vascular flow flap/graft (15860) |
$703.05 |
$1,075 |
1.3× |
| Jaw arthroscopy/surgery (29800) |
$3,286.35 |
$5,025 |
0.8× |
Keratoplasty (corneal transplant); endothelial (65756)
range across 2 matching MRF lines |
$8,358.12–$10,156.17 |
$12,780–$15,624.88 |
varies |
Keratoplasty Penetrating Pseudophakia (65755)
range across 2 matching MRF lines |
$9,408.75–$9,466.65 |
$14,475 |
varies |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
$8,472.57 |
$12,955 |
1.6× |
Kidney endoscopy (50575)
unusually low: confirm this is the full procedure |
$2,392.30 |
$3,657.95 |
0.4× |
| Kidney endoscopy (50553) |
$3,855.33 |
$5,895 |
0.6× |
| Kidney endoscopy (50570) |
$1,647.64 |
$2,519.33 |
0.4× |
| Kidney endoscopy (50551) |
$3,593.73 |
$5,495 |
0.5× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
— |
$337 |
— |
| Knee arthroscopy/drainage (29871) |
$5,454.36 |
$8,340 |
1.3× |
| Knee Arthroscopy/Surgery (29885) |
$7,455.60 |
$11,400 |
0.8× |
| Knee Arthroscopy/Surgery (29874) |
$5,758.47 |
$8,805 |
1.4× |
| Knee Arthroscopy/Surgery (29850) |
$5,310.48 |
$8,120 |
2.6× |
Krukenberg procedure Facility (25915)
unusually low: confirm this is the full procedure |
$3,820.14 |
$5,841.20 |
0.4× |
| Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819) |
$21,971.13 |
$33,595 |
1.0× |
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818)
unusually low: confirm this is the full procedure |
$7,974.16 |
$12,192.90 |
0.4× |
Labyrinthectomy; with mastoidectomy Facility (69910)
unusually low: confirm this is the full procedure |
$2,469.91 |
$3,776.62 |
0.3× |
| Labyrinthotomy Transcanal (69801) |
— |
$2,846 |
— |
| Lam facetec & foramot lumbar (63047) |
$18,177.93 |
$27,795 |
2.0× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$5,822.92 |
$8,903.55 |
0.6× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$27,422.22 |
$41,930 |
3.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$18,540.90 |
$28,350 |
2.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$19,839.09 |
$30,335 |
2.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$14,126.40 |
$21,600 |
1.6× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$24,178.38 |
$36,970 |
2.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$20,686.02 |
$31,630 |
2.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$19,760.61 |
$30,215 |
2.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$20,499.63 |
$31,345 |
2.3× |
| Laminotomy Single Lumbar (63042) |
$21,559.11 |
$32,965 |
2.4× |
Lap insert tunnel ip cath (49324)
unusually low: confirm this is the full procedure |
$3,067.26 |
$4,690 |
0.4× |
| Lap paraesoph her rpr w/mesh (43282) |
$18,822.12 |
$28,780 |
1.4× |
| Lap paraesophag hern repair (43281) |
$17,831.31 |
$27,265 |
1.3× |
| Lap replace gastr adj device (43773) |
$9,332.58 |
$14,270 |
1.2× |
Lap revision perm ip cath (49325)
unusually low: confirm this is the full procedure |
$3,309.24 |
$5,060 |
0.4× |
| Laparo ablate liver tumor rf (47370) |
$8,858.43 |
$13,545 |
0.7× |
| Laparo ablate renal cyst (50541) |
$10,879.29 |
$16,635 |
0.8× |
Laparo ablate renal mass (50542)
likely a partial charge, not the full procedure |
$3,854.49 |
$5,893.71 |
0.3× |
| Laparo ligate spermatic vein (55550) |
$3,868.41 |
$5,915 |
0.5× |
| Laparo new ureter/bladder (50947) |
$17,043.24 |
$26,060 |
1.3× |
| Laparo-vag hyst incl t/o (58552) |
$13,599.93 |
$20,795 |
1.0× |
| Laparoscopic myomectomy (58545) |
$13,953.09 |
$21,335 |
1.8× |
| Laparoscopy aspiration (49322) |
$4,215.03 |
$6,445 |
0.6× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$7,769.52 |
$11,880 |
1.0× |
| Laparoscopy fimbrioplasty (58672) |
$7,968.99 |
$12,185 |
1.1× |
| Laparoscopy fulguration oviducts (58670) |
$5,853.30 |
$8,950 |
0.8× |
| Laparoscopy gastrostomy (43653) |
$6,065.85 |
$9,275 |
0.8× |
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure |
$6,291.48 |
$9,620 |
0.5× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure |
$3,211.14 |
$4,910 |
0.4× |
| Laparoscopy surgical orchiectomy (54690) |
$8,309.07 |
$12,705 |
1.1× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$16,709.70 |
$25,550 |
1.3× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,122.51 |
$20,065 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$7,004.34 |
$10,710 |
0.9× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$10,352.82 |
$15,830 |
1.4× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$4,515.87 |
$6,905 |
0.6× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) |
$8,312.34 |
$12,710 |
0.6× |
| Laparoscopy, surgical, appendectomy (44970) |
$4,362.18 |
$6,670 |
0.6× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$9,466.65 |
$14,475 |
0.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$12,887.07 |
$19,705 |
1.0× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
likely a partial charge, not the full procedure |
$2,834.25 |
$4,333.72 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$7,570.05 |
$11,575 |
1.6× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$17,448.72 |
$26,680 |
1.3× |
Laparoscopy, surgical, splenectomy (38120)
unusually low: confirm this is the full procedure |
$6,337.26 |
$9,690 |
0.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,030.33 |
$18,395 |
0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$11,118 |
$17,000 |
1.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$17,285.22 |
$26,430 |
1.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,800.98 |
$8,870 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,837.57 |
$10,455 |
0.5× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$5,490.33 |
$8,395 |
0.7× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
$6,870.27 |
$10,505 |
0.9× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$17,370.24 |
$26,560 |
1.3× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$15,055.08 |
$23,020 |
1.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,234.65 |
$6,475 |
0.6× |
Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648)
likely a partial charge, not the full procedure |
$2,944.12 |
$4,501.71 |
0.2× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure |
$2,011.99 |
$3,076.44 |
0.3× |
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652)
likely a partial charge, not the full procedure |
$1,943.56 |
$2,971.80 |
0.3× |
Laparoscopy, surgical; ureterolithotomy Facility (50945)
unusually low: confirm this is the full procedure |
$3,239.16 |
$4,952.84 |
0.4× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$15,522.69 |
$23,735 |
1.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990)
likely a partial charge, not the full procedure |
$1,785.17 |
$2,729.62 |
0.2× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$13,478.94 |
$20,610 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$11,382.87 |
$17,405 |
0.9× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure |
$3,305.97 |
$5,055 |
0.4× |
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure |
$860.76 |
$1,316.14 |
0.1× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure |
$2,743.53 |
$4,195 |
0.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,455.60 |
$11,400 |
1.0× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$8,073.63 |
$12,345 |
1.7× |
Laps pelvic lymphadec (38573)
range across 2 matching MRF lines |
$9,249.29–$9,515.70 |
$14,229.67–$14,550 |
varies |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$9,643.23 |
$14,745 |
0.7× |
Laps surg prst8ect smpl stot robotic assistance (55867)
range across 2 matching MRF lines |
$4,923.75–$4,954.05 |
$7,575 |
varies |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$7,831.65 |
$11,975 |
1.0× |
Laps Surg Trnsxj Vagus Nrv Truncal (43651)
likely a partial charge, not the full procedure |
$1,662 |
$2,541.28 |
0.2× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$12,746.46 |
$19,490 |
1.7× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$17,085.75 |
$26,125 |
1.3× |
Largsc Arytenoidectomy Microscope/Telescope (31561)
likely a partial charge, not the full procedure |
$838.34 |
$1,281.86 |
0.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$6,530 |
— |
Laryngoplasty, cricoid split, without graft placement Facility (31587)
unusually low: confirm this is the full procedure |
$2,422.39 |
$3,703.96 |
0.3× |
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580)
unusually low: confirm this is the full procedure |
$2,949.98 |
$4,510.68 |
0.4× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
$8,449.68 |
$12,920 |
1.1× |
Laryngoscop w/arytenoidectom (31560)
unusually low: confirm this is the full procedure |
$2,805.66 |
$4,290 |
0.3× |
Laryngoscope Injection Vocal Cord Therapeutic (31570)
range across 2 matching MRF lines |
$1,873.71–$2,548.21 |
$2,865–$3,920.33 |
varies |
| Laryngoscopy and dilation (31528) |
$1,193.55 |
$1,825 |
0.3× |
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines |
$199.93–$417.11 |
$305.71–$641.71 |
varies |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$1,393.02 |
$2,130 |
0.3× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
$478.22 |
$731.22 |
0.1× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$2,020.86 |
$3,090 |
0.4× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$10,146 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$2,546 |
— |
Laryngoscopy flexible rmvl lesion(s) non-laser (31578)
range across 2 matching MRF lines |
$672.44–$2,398.63 |
$1,028.20–$3,690.20 |
varies |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$5,557 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$4,440 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$5,568 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$7,538 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$4,466 |
— |
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531)
range across 2 matching MRF lines |
$1,769.07–$3,670.33 |
$2,705–$5,646.66 |
varies |
Laryngoscopy Indirect W/Biopsy (31510)
range across 2 matching MRF lines |
$295.18–$2,023.67 |
$451.34–$3,113.34 |
varies |
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines |
$313.09–$529.57 |
$478.73–$814.73 |
varies |
Laryngoscopy Indirect W/Removal Lesion (31512)
range across 2 matching MRF lines |
$315.25–$2,982.88 |
$482.04–$4,589.04 |
varies |
Laryngoscopy Indirect W/Vocal Cord Injection (31513)
range across 2 matching MRF lines |
$627.84–$855.24 |
$960–$1,315.76 |
varies |
Laryngoscopy W/Biopsy (31535)
range across 2 matching MRF lines |
$1,514.01–$3,130.11 |
$2,315–$4,815.56 |
varies |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$1,860.63 |
$2,845 |
0.4× |
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines |
$1,690.59–$2,205.10 |
$2,585–$3,392.46 |
varies |
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines |
$814.23–$1,995.92 |
$1,245–$3,070.64 |
varies |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
$1,030.05 |
$1,575 |
2.1× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$4,950.78 |
$7,570 |
1.2× |
| Larynscop w/tumr exc + scope (31541) |
$3,240.57 |
$4,955 |
0.7× |
Laser Surgery Anal Lesions (46917)
range across 2 matching MRF lines |
$1,782.15–$3,267.65 |
$2,725–$5,027.16 |
varies |
Laser Surgery of Cervix (57513)
range across 2 matching MRF lines |
$319.46–$2,307.16 |
$488.47–$3,549.47 |
varies |
Laser Surgery,Sever Vitreous Strands (67031)
range across 2 matching MRF lines |
$825.53–$1,517.93 |
$1,262.28–$2,335.28 |
varies |
Laser treatment of retina (67040)
range across 2 matching MRF lines |
$9,353.50–$10,019.28 |
$14,390–$15,320 |
varies |
| Laser vaporization of prostate (52648) |
$7,671.42 |
$11,730 |
1.1× |
Late closure of wound (13160)
range across 2 matching MRF lines |
$3,168.63–$5,137.05 |
$4,845–$7,903.16 |
varies |
| Lateral Canthopexy (21282) |
$3,636.24 |
$5,560 |
0.9× |
| Lateral retinacular release open (27425) |
$5,604.78 |
$8,570 |
1.4× |
| Lavage cannulation sphenoid sinus (31002) |
$755.37 |
$1,155 |
0.4× |
Lengthen metacarpal/finger (26568)
likely a partial charge, not the full procedure |
$2,197.01 |
$3,359.35 |
0.2× |
Lengthen radius or ulna (25391)
unusually low: confirm this is the full procedure |
$6,994.53 |
$10,695 |
0.4× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$6,000.45 |
$9,175 |
0.7× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
$8,629.53 |
$13,195 |
2.1× |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
$4,653.21 |
$7,115 |
0.5× |
Lengthening of palate (42227)
likely a partial charge, not the full procedure |
$2,052.47 |
$3,138.33 |
0.3× |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
$6,540 |
$10,000 |
0.9× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$1,418.11 |
$2,168.37 |
0.3× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$2,599.65 |
$3,975 |
0.6× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$1,580.07 |
$2,416.01 |
0.4× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,335.40 |
$5,100 |
0.8× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
$12,769.35 |
$19,525 |
0.8× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$8,302.53 |
$12,695 |
0.9× |
| Ligamentous reconstruction knee intra-articular (27428) |
$11,739.30 |
$17,950 |
0.7× |
| Ligate leg veins open (37761) |
$5,568.81 |
$8,515 |
1.4× |
| Ligate/strip long leg vein (37722) |
$4,126.74 |
$6,310 |
1.0× |
| Ligate/strip short leg vein (37718) |
$1,123.06 |
$1,717.21 |
0.3× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$1,521.72 |
$2,326.79 |
0.4× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$6,101.82 |
$9,330 |
1.5× |
| Ligation External Carotid Artery (37600) |
$4,865.76 |
$7,440 |
1.2× |
| Ligation Internal/Common Carotid Artery (37605) |
$3,737.61 |
$5,715 |
0.9× |
| Ligation Major Artery Abdomen (37617) |
$9,162.54 |
$14,010 |
1.3× |
| Ligation nasal sinus artery (30915) |
$1,386.87 |
$2,120.59 |
0.4× |
| Ligation of a-v fistula (37607) |
$5,326.83 |
$8,145 |
1.4× |
| Ligation of femoral vein (37650) |
$4,653.21 |
$7,115 |
1.2× |
| Ligation of hemorrhoids (46946) |
$1,814.85 |
$2,775 |
0.5× |
| Ligation Of Inf Vena Cava (37619) |
$4,178.16 |
$6,388.62 |
0.6× |
| Ligation Of Neck Artery (37615) |
$4,865.76 |
$7,440 |
1.2× |
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines |
$961.38–$1,264.25 |
$1,470–$1,945 |
varies |
| Ligation salivary duct, intraoral Facility (42665) |
$503.92 |
$770.52 |
0.1× |
| Ligation, internal jugular vein Facility (37565) |
$1,799.56 |
$2,751.62 |
0.5× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) |
$1,251.23 |
$1,913.20 |
0.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$896.67 |
$1,371.05 |
0.2× |
| Limited pharyngectomy Facility (42890) |
$6,752.55 |
$10,325 |
0.9× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$5,974.29 |
$9,135 |
1.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,381.80 |
$6,700 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$6,867 |
$10,500 |
1.6× |
| Lmtd lmphadec staging spx pel¶-aortic (38562) |
$5,398.77 |
$8,255 |
0.5× |
| Low Back Disk Surgery (63030) |
$15,238.20 |
$23,300 |
1.7× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
$122.53 |
$187.35 |
3.4× |
| Lsh uterus 250 g or less (58541) |
$8,740.71 |
$13,365 |
0.7× |
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure |
$2,910.88 |
$4,450.88 |
0.2× |
| Lsh w/t/o uterus above 250 g (58544) |
$10,607.88 |
$16,220 |
0.8× |
Lumbar spine fusion combined (22633)
unusually low: confirm this is the full procedure |
$13,272.93 |
$20,295 |
0.4× |
| Lyse chest fibrin init day (32561) |
— |
$3,639 |
— |
| Lyse Chest Fibrin Subq Day (32562) |
— |
$11,924 |
— |
Lysis Intranasal Synechia (30560)
range across 2 matching MRF lines |
$935.22–$1,244.75 |
$1,430–$1,915 |
varies |
Lysis of labial adhesions (56441)
range across 2 matching MRF lines |
$595.14–$3,339.64 |
$910–$5,137.91 |
varies |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$3,650 |
— |
| Malar Augmentation Prosthetic Material (21270) |
$7,491.57 |
$11,455 |
1.0× |
| Male sling procedure (53440) |
$9,666.12 |
$14,780 |
0.6× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$500.31 |
$765 |
1.6× |
| Manipulation Ankle Under General Anesthesia (27860) |
$869.82 |
$1,330 |
0.2× |
| Manipulation Elbow Under Anesthesia (24300) |
$3,325.59 |
$5,085 |
1.7× |
| Manipulation hip joint general anesthesia (27275) |
$1,000.62 |
$1,530 |
0.5× |
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines |
$1,298.19–$2,044.09 |
$1,985–$3,144.75 |
varies |
| Manipulation spine requiring anesthesia (22505) |
$330.26 |
$504.99 |
0.2× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$1,618.65 |
$2,475 |
0.8× |
| Manipulation wrist under anesthesia (25259) |
$1,015.30 |
$1,552.44 |
0.5× |
Manipulation, finger joint, under anesthesia, each joint (26340)
range across 2 matching MRF lines |
$2,798.25–$8,403.90 |
$4,305–$12,850 |
varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,066.02 |
$1,630 |
0.5× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$389.82 |
$596.06 |
0.4× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
$224.57 |
$343.38 |
1.4× |
| Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of… (0381U) |
— |
$406 |
— |
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines |
$3,204.60–$3,211 |
$4,900–$4,940 |
varies |
| Marsupialization of urethral diverticulum, male or female Facility (53240) |
$1,428.19 |
$2,183.78 |
0.3× |
| Mast mod rad (19307) |
$10,490.16 |
$16,040 |
1.3× |
| Mastectomy for gynecomastia (19300) |
$4,322.94 |
$6,610 |
0.9× |
| Mastectomy partial (19301) |
$3,855.33 |
$5,895 |
0.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$7,622.37 |
$11,655 |
0.9× |
| Mastectomy simple complete (19303) |
$8,054.01 |
$12,315 |
1.0× |
| Mastoid obliteration separate procedure (69670) |
$10,784.46 |
$16,490 |
1.5× |
| Mastoidectomy (69501) |
$8,521.62 |
$13,030 |
1.2× |
| Mastoidectomy; complete (69502) |
$10,297.23 |
$15,745 |
1.4× |
| Mastopexy (19316) |
$9,800.19 |
$14,985 |
1.2× |
| Maxillary impression for palatal prosthesis Facility (42280) |
$542.82 |
$830 |
0.8× |
Maxillofacial fixation (21100)
likely a partial charge, not the full procedure |
$2,180.06 |
$3,333.42 |
0.3× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$108.73 |
$166.26 |
0.1× |
| Mech remov tunneled cv cath (36595) |
$1,376.67 |
$2,105 |
0.3× |
| Medial Canthopexy Separate Procedure (21280) |
$3,188.25 |
$4,875 |
0.8× |
Mediastinoscpy w/lmph nod bx (39402)
unusually low: confirm this is the full procedure |
$2,962.62 |
$4,530 |
0.4× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
$8,734.17 |
$13,355 |
1.2× |
| Metatarsectomy (28140) |
$2,334.78 |
$3,570 |
0.6× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$8,449.68 |
$12,920 |
2.0× |
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730)
range across 2 matching MRF lines |
$4,061.34–$6,613.75 |
$6,210–$10,175 |
varies |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
$680.09 |
$1,039.90 |
0.2× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$1,939 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$1,394 |
— |
Mrgfus Stereotactic Ablation Target Intracranial (61715)
range across 2 matching MRF lines |
$3,428.75–$3,449.85 |
$5,275 |
varies |
| Multifetal Pregnancy Reduction (59866) |
$4,035.18 |
$6,170 |
10.6× |
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410)
likely a partial charge, not the full procedure |
$2,638.56 |
$4,034.49 |
0.2× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
$2,374.43 |
$3,630.62 |
0.6× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
$2,506.51 |
$3,832.59 |
0.6× |
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600)
range across 2 matching MRF lines |
$800.40–$2,883.31 |
$1,223.86–$4,435.86 |
varies |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$6,180.30 |
$9,450 |
2.4× |
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733)
range across 2 matching MRF lines |
$4,738.23–$5,052.45 |
$7,245–$7,773 |
varies |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
$7,386.93 |
$11,295 |
0.8× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$7,030.50 |
$10,750 |
0.8× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$5,941.59 |
$9,085 |
1.3× |
| Muscle-skin graft trunk (15734) |
$5,941.59 |
$9,085 |
1.3× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$8,423.52 |
$12,880 |
0.9× |
| Myelography Lumbar Injection (62305) |
$308.39 |
$471.54 |
0.3× |
| Myelography Lumbar Injection (62304) |
$294.41 |
$450.17 |
0.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$299.04 |
$457.25 |
0.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$303.28 |
$463.73 |
0.3× |
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145)
range across 2 matching MRF lines |
$8,541–$8,593.56 |
$13,140 |
varies |
Myringoplasty (69620)
range across 2 matching MRF lines |
$5,071.77–$7,234.50 |
$7,755–$11,130 |
varies |
| N Block Inj Celiac Pelus (64530) |
— |
$1,871 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,595 |
— |
| N block inj intercost sng (64420) |
— |
$1,483 |
— |
| N Block Inj Paracervical (64435) |
— |
$1,864 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$571 |
— |
| N Block Inj Pudendal (64430) |
— |
$4,032 |
— |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
$533.01–$997.75 |
$815–$1,535 |
varies |
| Nasal Endoscopy Dx (31231) |
— |
$419 |
— |
| Nasal sinus therapy (30210) |
$362.92 |
$554.92 |
0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$1,185 |
— |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$632.90 |
$967.74 |
1.3× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$1,726.56 |
$2,640 |
0.4× |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure |
$1,929.30 |
$2,950 |
0.2× |
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294)
unusually low: confirm this is the full procedure |
$3,000.77 |
$4,588.34 |
0.3× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
$8,194.62 |
$12,530 |
0.9× |
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293)
range across 2 matching MRF lines |
$8,801–$8,855.16 |
$13,540 |
varies |
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243)
range across 2 matching MRF lines |
$418.56–$6,509.75 |
$640–$10,015 |
varies |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
— |
$16,423 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$3,326 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$1,370.13 |
$2,095 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$3,472 |
— |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$4,986.75 |
$7,625 |
1.1× |
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
range across 2 matching MRF lines |
$719.40–$4,515.36 |
$1,100–$6,946.71 |
varies |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines |
$7,001.07–$23,965.50 |
$10,705–$36,870 |
varies |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines |
$7,880.70–$11,254.75 |
$12,050–$17,315 |
varies |
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
range across 2 matching MRF lines |
$6,938.94–$20,946.25 |
$10,610–$32,225 |
varies |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 2 matching MRF lines |
$3,011.67–$5,201.11 |
$4,605–$8,001.71 |
varies |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines |
$2,841.63–$5,119.86 |
$4,345–$7,876.71 |
varies |
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 2 matching MRF lines |
$2,678.13–$5,045.11 |
$4,095–$7,761.71 |
varies |
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241)
range across 2 matching MRF lines |
$2,847–$2,864.52 |
$4,380 |
varies |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines |
$2,408.25–$2,423.07 |
$3,705 |
varies |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$4,581.27 |
$7,005 |
0.5× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines |
$3,594.50–$3,616.62 |
$5,530 |
varies |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$1,043.13 |
$1,595 |
0.5× |
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785)
range across 4 matching MRF lines |
$905.79–$1,172.90 |
$1,175–$1,804.46 |
varies |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,281.84 |
$1,960 |
1.1× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,585.95 |
$2,425 |
1.4× |
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines |
$4,525.64–$4,842.87 |
$6,962.52–$7,405 |
varies |
| Neck spine disk surgery (63020) |
$17,520.66 |
$26,790 |
1.9× |
| Neck spine fusion (22600) |
$12,370.41 |
$18,915 |
0.6× |
| Needle Biopsy Lymph Nodes (38505) |
— |
$4,396 |
— |
| Needle Biopsy Pancreas (48102) |
$801.41 |
$1,225.40 |
0.4× |
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines |
$104.64–$413.40 |
$160–$636 |
varies |
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines |
$71.94–$622.05 |
$110–$957 |
varies |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) |
$21,268.08 |
$32,520 |
1.9× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
$17,958.84 |
$27,460 |
1.6× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$13,315.44 |
$20,360 |
1.2× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
$11,964.93 |
$18,295 |
1.1× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
$13,315.44 |
$20,360 |
1.2× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) |
$11,964.93 |
$18,295 |
1.1× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
$10,006.20 |
$15,300 |
2.3× |
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891)
likely a partial charge, not the full procedure |
$2,853.98 |
$4,363.88 |
0.3× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
$9,303.15 |
$14,225 |
0.8× |
| Nerve graft arm/leg <4 cm (64892) |
$9,303.15 |
$14,225 |
0.8× |
Nerve Pedicle Transfer First Stage (64905)
unusually low: confirm this is the full procedure |
$5,402.04 |
$8,260 |
0.5× |
Nerve pedicle transfer; second stage Facility (64907)
unusually low: confirm this is the full procedure |
$3,997.10 |
$6,111.78 |
0.4× |
| Nerve repair w/conduit each nerve (64910) |
$5,732.31 |
$8,765 |
0.5× |
Nerve Repair W/Nerve Allograft First Strand (64912)
range across 2 matching MRF lines |
$4,293.51–$5,802.78 |
$6,565–$8,927.35 |
varies |
| Neurectomy Popliteal (27326) |
$1,273.97 |
$1,947.96 |
0.5× |
| Neurectomy, hamstring muscle Facility (27325) |
$3,753.96 |
$5,740 |
1.5× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
$889.79 |
$1,360.54 |
0.4× |
| Neuro autism quan meas 16 ctr carbon metabolites (0263U) |
— |
$4,313 |
— |
| Neuroeltrd Stim Post Tibial (64566) |
— |
$612 |
— |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$6,837.57 |
$10,455 |
2.8× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$9,745 |
— |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$1,563.86 |
$2,391.23 |
0.6× |
Neurorraphy w/vein autograft (64911)
likely a partial charge, not the full procedure |
$2,484.45 |
$3,798.86 |
0.2× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$7,442.52 |
$11,380 |
3.1× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
$8,665.50 |
$13,250 |
3.6× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$8,920.56 |
$13,640 |
3.7× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
— |
$1,343 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,343 |
— |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
— |
$213 |
— |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
— |
$6,848 |
— |
| Nipple Exploration (19110) |
$3,799.74 |
$5,810 |
0.8× |
Nipple/areola reconstruction (19350)
range across 2 matching MRF lines |
$7,306–$7,350.96 |
$11,240 |
varies |
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines |
$533.01–$1,140.78 |
$815–$1,755.05 |
varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$692 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$12,026 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$4,707 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$611.49 |
$935 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$2,354 |
— |
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines |
$624.57–$1,216.80 |
$955–$1,872 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$258.33 |
$395 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$271.41 |
$415 |
0.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,961 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$431.64 |
$660 |
0.4× |
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 2 matching MRF lines |
$1,079.10–$14,274 |
$1,650–$21,960 |
varies |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$6,211 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines |
$510.12–$2,044.25 |
$780–$3,145 |
varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$2,128.77 |
$3,255 |
2.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$824 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$1,031 |
— |
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines |
$379.32–$399.10 |
$580–$614 |
varies |
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250)
range across 4 matching MRF lines |
$419.04–$719.37 |
$389.62–$1,106.73 |
varies |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines |
$2,824.25–$2,841.63 |
$4,345 |
varies |
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
range across 2 matching MRF lines |
$2,379–$2,393.64 |
$3,660 |
varies |
| Obstructive material removal from gi tube (49460) |
$3,498.90 |
$5,350 |
3.1× |
| Occipital Nerve Block (64405) |
— |
$762 |
— |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$576.43 |
$881.39 |
0.1× |
Ocular Surface Reconstruction Amniotic Membrane (65780)
range across 2 matching MRF lines |
$5,878.55–$6,340.53 |
$9,043.92–$9,695 |
varies |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$8,237.13 |
$12,595 |
1.7× |
Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781)
unusually low: confirm this is the full procedure |
$3,084 |
$4,715.60 |
0.5× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$4,159.44 |
$6,360 |
0.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$10,245 |
— |
Open bone biopsy (20251)
unusually low: confirm this is the full procedure |
$3,564.30 |
$5,450 |
0.4× |
| Open bone biopsy (20250) |
$3,757.23 |
$5,745 |
0.9× |
| Open bowel to skin (44300) |
$4,636.86 |
$7,090 |
1.9× |
Open Implantation Nea Peripheral Nerve (64575)
unusually low: confirm this is the full procedure |
$4,842.87 |
$7,405 |
0.3× |
Open Implantation Nea Sacral Nerve (64581)
range across 2 matching MRF lines |
$5,950.75–$5,987.37 |
$9,155 |
varies |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure |
$4,914.81 |
$7,515 |
0.1× |
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580)
likely a partial charge, not the full procedure |
$3,489.09 |
$5,335 |
0.1× |
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
range across 2 matching MRF lines |
$5,014.75–$5,045.61 |
$7,715 |
varies |
Open nasoethmoid fx w/o fixj (21338)
likely a partial charge, not the full procedure |
$1,834.55 |
$2,805.12 |
0.2× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$9,904.83 |
$15,145 |
1.1× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,386.93 |
$11,295 |
0.8× |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) |
$15,454.02 |
$23,630 |
1.0× |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) |
$17,586.06 |
$26,890 |
1.1× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
$11,964.93 |
$18,295 |
0.7× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) |
$13,747.08 |
$21,020 |
0.9× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) |
$14,600.55 |
$22,325 |
0.9× |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines |
$8,315.61–$9,668.94 |
$12,715–$14,875.30 |
varies |
| Open treatment calcaneal fracture (28415) |
$7,350.96 |
$11,240 |
0.8× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$14,061 |
$21,500 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$12,811.86 |
$19,590 |
0.8× |
| Open treatment greater trochanteric fracture (27248) |
$5,114.28 |
$7,820 |
0.6× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$5,326.83 |
$8,145 |
0.6× |
Open Treatment Humeral Condylar Fracture (24579)
unusually low: confirm this is the full procedure |
$7,350.96 |
$11,240 |
0.5× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,608.84 |
$2,460 |
0.4× |
Open Treatment Lunate Dislocation (25695)
likely a partial charge, not the full procedure |
$1,574.43 |
$2,407.39 |
0.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$5,964.48 |
$9,120 |
0.7× |
| Open treatment metacarpophalangeal dislocation (26715) |
$2,485.20 |
$3,800 |
0.6× |
| Open treatment metatarsal fracture each (28485) |
$4,901.73 |
$7,495 |
0.5× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
$20,437.50 |
$31,250 |
2.3× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
$16,732.59 |
$25,585 |
1.8× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$6,788.52 |
$10,380 |
0.7× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
unusually low: confirm this is the full procedure |
$3,623.16 |
$5,540 |
0.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$4,901.73 |
$7,495 |
0.5× |
| Open treatment of coccygeal fracture Facility (27202) |
$1,937.87 |
$2,963.10 |
0.5× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366)
unusually low: confirm this is the full procedure |
$2,840.09 |
$4,342.64 |
0.4× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$7,350.96 |
$11,240 |
1.0× |
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344)
unusually low: confirm this is the full procedure |
$3,374.65 |
$5,160.01 |
0.5× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$9,957.15 |
$15,225 |
1.3× |
| Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433) |
$4,257.01 |
$6,509.19 |
0.6× |
| Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal… (21436) |
$4,996.17 |
$7,639.40 |
0.7× |
Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435)
unusually low: confirm this is the full procedure |
$3,060.01 |
$4,678.91 |
0.4× |
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432)
likely a partial charge, not the full procedure |
$1,555.68 |
$2,378.71 |
0.2× |
Open treatment of depressed frontal sinus fracture Facility (21343)
unusually low: confirm this is the full procedure |
$2,969.68 |
$4,540.79 |
0.4× |
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
unusually low: confirm this is the full procedure |
$2,413.26 |
$3,690 |
0.3× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519)
likely a partial charge, not the full procedure |
$2,231.85 |
$3,412.61 |
0.2× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$11,510.40 |
$17,600 |
1.3× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$11,467.89 |
$17,535 |
1.3× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$13,933.47 |
$21,305 |
1.5× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$14,679.03 |
$22,445 |
0.9× |
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408)
likely a partial charge, not the full procedure |
$2,196.44 |
$3,358.47 |
0.3× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$6,441.90 |
$9,850 |
0.9× |
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
likely a partial charge, not the full procedure |
$1,397.68 |
$2,137.13 |
0.2× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$8,518.35 |
$13,025 |
0.9× |
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254)
unusually low: confirm this is the full procedure |
$3,182.14 |
$4,865.66 |
0.4× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$5,683.26 |
$8,690 |
1.4× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$12,896.88 |
$19,720 |
0.8× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557)
likely a partial charge, not the full procedure |
$2,623 |
$4,010.71 |
0.3× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
$6,036.42 |
$9,230 |
0.7× |
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556)
likely a partial charge, not the full procedure |
$2,191.60 |
$3,351.07 |
0.2× |
Open treatment of mandibular condylar fracture Facility (21465)
unusually low: confirm this is the full procedure |
$2,291.07 |
$3,503.16 |
0.3× |
Open treatment of mandibular fracture with external fixation Facility (21454)
unusually low: confirm this is the full procedure |
$3,485.82 |
$5,330 |
0.5× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$2,436.15 |
$3,725 |
0.6× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$1,759.76 |
$2,690.77 |
0.4× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$1,565.15 |
$2,393.20 |
0.4× |
Open treatment of nasoethmoid fracture; with external fixation Facility (21339)
likely a partial charge, not the full procedure |
$2,080.64 |
$3,181.40 |
0.3× |
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347)
unusually low: confirm this is the full procedure |
$2,781.25 |
$4,252.68 |
0.4× |
Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)… (21348)
unusually low: confirm this is the full procedure |
$2,952.67 |
$4,514.79 |
0.4× |
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346)
likely a partial charge, not the full procedure |
$2,192.04 |
$3,351.75 |
0.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$6,762.36 |
$10,340 |
0.9× |
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395)
unusually low: confirm this is the full procedure |
$2,464.79 |
$3,768.79 |
0.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$7,733.55 |
$11,825 |
1.0× |
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385)
likely a partial charge, not the full procedure |
$1,651.83 |
$2,525.74 |
0.2× |
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423)
likely a partial charge, not the full procedure |
$1,937.95 |
$2,963.23 |
0.3× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$5,575.35 |
$8,525 |
0.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$5,438.01 |
$8,315 |
0.6× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$9,646.50 |
$14,750 |
1.1× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) |
$5,562.27 |
$8,505 |
0.6× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$4,636.86 |
$7,090 |
0.5× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$2,487.35 |
$3,803.29 |
1.2× |
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
likely a partial charge, not the full procedure |
$583.34 |
$891.96 |
0.1× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
$9,443.76 |
$14,440 |
2.3× |
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179)
likely a partial charge, not the full procedure |
$2,437.04 |
$3,726.36 |
0.3× |
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181)
unusually low: confirm this is the full procedure |
$2,805.68 |
$4,290.03 |
0.3× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$9,149.46 |
$13,990 |
2.2× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$6,036.42 |
$9,230 |
1.5× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
$3,891.44 |
$5,950.21 |
1.0× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
$6,409.20 |
$9,800 |
0.7× |
Open treatment of sternum fracture with or without skeletal fixation Facility (21825)
likely a partial charge, not the full procedure |
$1,358.55 |
$2,077.29 |
0.1× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
range across 2 matching MRF lines |
$3,901.11–$4,744.42 |
$5,965–$7,299.10 |
varies |
| Open treatment of temporomandibular dislocation Facility (21490) |
$2,261.92 |
$3,458.59 |
0.5× |
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines |
$6,860.75–$7,350.96 |
$10,555–$11,240 |
varies |
| Open treatment of ulnar styloid fracture (25652) |
$6,291.48 |
$9,620 |
0.7× |
| Open treatment posterior malleolus fracture (27769) |
$4,842.87 |
$7,405 |
0.5× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$4,604.16 |
$7,040 |
0.5× |
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure |
$7,988.61 |
$12,215 |
0.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,350.96 |
$11,240 |
0.8× |
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure |
$3,515.25 |
$5,375 |
0.4× |
| Open tx acute shoulder dislocation (23660) |
$4,970.40 |
$7,600 |
0.5× |
Open Tx Acute/Chronic Elbow Dislocation (24615)
unusually low: confirm this is the full procedure |
$3,668.94 |
$5,610 |
0.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,581.27 |
$7,005 |
1.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$5,503.41 |
$8,415 |
1.3× |
| Open tx carpal scaphoid navicular fracture (25628) |
$6,108.36 |
$9,340 |
0.7× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$2,282.46 |
$3,490 |
0.6× |
Open Tx Depressed Malar Fracture (21360)
likely a partial charge, not the full procedure |
$1,304.64 |
$1,994.86 |
0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,539.38 |
$8,470 |
0.6× |
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines |
$4,553.25–$4,581.27 |
$7,005 |
varies |
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
unusually low: confirm this is the full procedure |
$3,198.06 |
$4,890 |
0.4× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines |
$2,786.04–$6,081.61 |
$4,260–$9,356.32 |
varies |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$12,321.36 |
$18,840 |
0.8× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$11,183.40 |
$17,100 |
0.7× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$2,302.08 |
$3,520 |
0.6× |
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure |
$7,350.96 |
$11,240 |
0.5× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$9,110.22 |
$13,930 |
0.6× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$9,515.70 |
$14,550 |
1.1× |
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines |
$2,167.75–$2,181.09 |
$3,335 |
varies |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$7,043.58 |
$10,770 |
1.0× |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
$6,376.50 |
$9,750 |
0.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,469.47 |
$5,305 |
0.8× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,992.67 |
$6,105 |
1.0× |
| Open Tx Radial Head/Neck Fracture (24665) |
$7,350.96 |
$11,240 |
0.8× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$8,557.59 |
$13,085 |
0.5× |
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670)
unusually low: confirm this is the full procedure |
$2,969.16 |
$4,540 |
0.3× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$4,604.16 |
$7,040 |
0.5× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$9,800.19 |
$14,985 |
1.1× |
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685)
likely a partial charge, not the full procedure |
$1,833.10 |
$2,802.91 |
0.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$10,588.26 |
$16,190 |
1.2× |
| Open tx ulnar fx proximal end (24685) |
$7,635.45 |
$11,675 |
0.8× |
Open/Perq Place Stent 1St (37236)
unusually low: confirm this is the full procedure |
$4,708.80 |
$7,200 |
0.3× |
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure |
$2,792.58 |
$4,270 |
0.2× |
Opn tx orbit fx combined (21387)
likely a partial charge, not the full procedure |
$1,725.66 |
$2,638.62 |
0.2× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$5,935.05 |
$9,075 |
1.5× |
| Opponensplasty; hypothenar muscle transfer Facility (26494) |
$7,386.93 |
$11,295 |
1.8× |
| Optic Nerve Decompression (67570) |
$6,000.45 |
$9,175 |
1.2× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$2,841.63 |
$4,345 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,605.40 |
$10,100 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$8,416.98 |
$12,870 |
0.9× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$11,739.30 |
$17,950 |
1.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure |
$7,350.96 |
$11,240 |
0.5× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
$11,297.85 |
$17,275 |
1.2× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$12,115.35 |
$18,525 |
1.3× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$9,839.43 |
$15,045 |
0.6× |
| Orbital implant removal/revision (67560) |
$2,295.87 |
$3,510.50 |
0.5× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach… (21268) |
$4,478.26 |
$6,847.50 |
0.6× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) |
$11,098.38 |
$16,970 |
1.5× |
| Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) |
$3,768.13 |
$5,761.66 |
0.8× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$5,003.10 |
$7,650 |
1.0× |
Orbitotomy W/O Bone Flap W/Removal Lesion (67412)
range across 2 matching MRF lines |
$8,294–$8,345.04 |
$12,760 |
varies |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
$5,326.83 |
$8,145 |
1.8× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$2,919.02 |
$4,463.34 |
0.6× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) |
$2,796.79 |
$4,276.43 |
0.6× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
$3,248.48 |
$4,967.09 |
0.7× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) |
$2,889.74 |
$4,418.56 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$7,988.61 |
$12,215 |
1.6× |
| Orchiectomy partial (54522) |
$3,672.21 |
$5,615 |
0.8× |
| Orchiectomy radical tumor inguinal approach (54530) |
$5,647.29 |
$8,635 |
1.3× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$2,428.54 |
$3,713.37 |
0.6× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$5,362.80 |
$8,200 |
1.2× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$8,384.28 |
$12,820 |
1.9× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$2,036.77 |
$3,114.33 |
0.5× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,727.80 |
$5,700 |
0.9× |
| Ostectomy calcaneus (28118) |
$5,758.47 |
$8,805 |
1.4× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,126.12 |
$4,780 |
0.8× |
| Ostectomy of sternum, partial Facility (21620) |
$6,392.85 |
$9,775 |
1.6× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,936.46 |
$4,490 |
0.7× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$4,401.42 |
$6,730 |
1.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,126.12 |
$4,780 |
0.8× |
| Osteochondral allograft knee open (27415) |
$9,855.78 |
$15,070 |
0.6× |
| Osteochondral knee autograft (27416) |
$5,879.46 |
$8,990 |
0.6× |
| Osteochondral talus autogrft (28446) |
$7,563.51 |
$11,565 |
0.8× |
| Osteoplasty Humerus (24420) |
$10,310.31 |
$15,765 |
1.1× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$5,003.10 |
$7,650 |
0.6× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$1,979.04 |
$3,026.05 |
0.5× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$7,848 |
$12,000 |
1.1× |
Osteoplasty, facial bones; reduction (21209)
range across 2 matching MRF lines |
$5,284.32–$6,502.29 |
$8,080–$10,003.53 |
varies |
| Osteoplasty, femur; lengthening Facility (27466) |
$5,326.83 |
$8,145 |
0.6× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
$5,326.83 |
$8,145 |
0.6× |
Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393)
unusually low: confirm this is the full procedure |
$2,734.84 |
$4,181.71 |
0.3× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
$11,860.29 |
$18,135 |
0.7× |
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305)
likely a partial charge, not the full procedure |
$2,114.88 |
$3,233.76 |
0.2× |
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
unusually low: confirm this is the full procedure |
$3,587.19 |
$5,485 |
0.4× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure |
$3,695.10 |
$5,650 |
0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,891.30 |
$5,950 |
1.0× |
| Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140) |
$17,226.36 |
$26,340 |
1.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$6,392.85 |
$9,775 |
0.7× |
| Osteotomy Clavicle W Bone Graft (23485) |
$8,629.53 |
$13,195 |
0.5× |
| Osteotomy Metacarpal Each (26565) |
$4,901.73 |
$7,495 |
1.2× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) |
$12,641.82 |
$19,330 |
1.4× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224)
unusually low: confirm this is the full procedure |
$4,029.56 |
$6,161.41 |
0.4× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) |
$6,989.01 |
$10,686.56 |
0.8× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) |
$16,179.96 |
$24,740 |
1.8× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
$15,117.21 |
$23,115 |
1.7× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) |
$14,898.12 |
$22,780 |
1.6× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) |
$23,893.89 |
$36,535 |
2.6× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) |
$23,589.78 |
$36,070 |
2.6× |
| Osteotomy Phalanx Finger Each (26567) |
$3,695.10 |
$5,650 |
0.9× |
| Osteotomy radius distal third (25350) |
$6,144.33 |
$9,395 |
0.7× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$6,448.44 |
$9,860 |
1.6× |
Osteotomy talus (28302)
likely a partial charge, not the full procedure |
$1,783.12 |
$2,726.48 |
0.2× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
unusually low: confirm this is the full procedure |
$3,695.10 |
$5,650 |
0.4× |
| Osteotomy Tibia (27705) |
$8,070.36 |
$12,340 |
0.9× |
| Osteotomy Ulna (25360) |
$5,768.28 |
$8,820 |
0.6× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$4,901.73 |
$7,495 |
0.5× |
Osteotomy, femoral neck (separate procedure) Facility (27161)
unusually low: confirm this is the full procedure |
$3,027.11 |
$4,628.61 |
0.3× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$8,914.02 |
$13,630 |
1.0× |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
$6,916.05 |
$10,575 |
0.8× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$9,692.28 |
$14,820 |
1.1× |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) |
$12,177.48 |
$18,620 |
1.3× |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Facility (27151) |
$10,934.88 |
$16,720 |
1.2× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) |
$10,934.88 |
$16,720 |
1.2× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$9,205.05 |
$14,075 |
1.0× |
| Osteotomy, mandible, segmental; with genioglossus advancement (21199) |
$10,503.24 |
$16,060 |
1.4× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
$9,303.15 |
$14,225 |
1.0× |
Osteotomy, pelvis, bilateral (eg, congenital malformation) Facility (27158)
unusually low: confirm this is the full procedure |
$3,513.03 |
$5,371.60 |
0.4× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge, not the full procedure |
$1,175.10 |
$1,796.79 |
0.1× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
$12,399.84 |
$18,960 |
0.8× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$10,601.34 |
$16,210 |
1.7× |
| Palatop cl palate soft&/hard palate only (42200) |
$7,429.44 |
$11,360 |
1.0× |
Palatopharyngoplasty (42145)
range across 2 matching MRF lines |
$5,192.76–$6,721.05 |
$7,940–$10,340.07 |
varies |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
$7,413.09 |
$11,335 |
1.8× |
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225)
likely a partial charge, not the full procedure |
$2,153.33 |
$3,292.55 |
0.3× |
Palatoplasty for cleft palate; major revision Facility (42215)
likely a partial charge, not the full procedure |
$1,772.95 |
$2,710.93 |
0.2× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$4,048.26 |
$6,190 |
1.4× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$12,072.84 |
$18,460 |
1.6× |
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
unusually low: confirm this is the full procedure |
$1,930.39 |
$2,951.67 |
0.3× |
Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507)
likely a partial charge, not the full procedure |
$1,254.62 |
$1,918.38 |
0.2× |
| Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) |
$5,630.94 |
$8,610 |
0.8× |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
$1,536.61 |
$2,349.55 |
0.4× |
| Part exc bone femur prox tibia (27360) |
$5,964.48 |
$9,120 |
1.5× |
| Part remv talus or calcaneus (28120) |
$2,665.05 |
$4,075 |
0.7× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$6,144.33 |
$9,395 |
0.7× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$5,415.12 |
$8,280 |
0.6× |
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure |
$1,662.09 |
$2,541.42 |
0.2× |
| Partial Excision Bone Humerus (24140) |
$9,146.19 |
$13,985 |
2.2× |
| Partial excision bone metacarpal (26230) |
$2,668.32 |
$4,080 |
0.7× |
| Partial excision bone olecranon process (24147) |
$6,144.33 |
$9,395 |
1.5× |
| Partial Excision Bone Radius (25151) |
$6,144.33 |
$9,395 |
1.5× |
| Partial Excision Bone Ulna (25150) |
$6,144.33 |
$9,395 |
1.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,270 |
$5,000 |
1.6× |
| Partial excision of lip (40520) |
$2,701.02 |
$4,130 |
0.7× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100)
likely a partial charge, not the full procedure |
$2,513.51 |
$3,843.28 |
0.3× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112)
unusually low: confirm this is the full procedure |
$3,064.45 |
$4,685.71 |
0.3× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) |
$10,261.26 |
$15,690 |
1.1× |
Partial Excision Proximal/Middle Phalanx Finger (26235)
range across 2 matching MRF lines |
$3,270–$3,458 |
$5,000–$5,320 |
varies |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$6,144.33 |
$9,395 |
1.5× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
$2,101.81 |
$3,213.78 |
0.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$1,706.94 |
$2,610 |
0.4× |
| Partial removal of fibula (27641) |
$5,768.28 |
$8,820 |
1.4× |
| Partial removal of lip (40530) |
$988.51 |
$1,511.49 |
0.2× |
Partial removal of nose (30150)
unusually low: confirm this is the full procedure |
$3,256.92 |
$4,980 |
0.4× |
| Partial removal of penis (54120) |
$3,551.22 |
$5,430 |
0.8× |
Partial removal of radius (24145)
likely a partial charge, not the full procedure |
$1,471.63 |
$2,250.20 |
0.2× |
Partial removal of rib (21600)
unusually low: confirm this is the full procedure |
$3,659.13 |
$5,595 |
0.4× |
| Partial removal of scapula (23190) |
$3,034.56 |
$4,640 |
0.7× |
| Partial removal of thyroid (60220) |
$9,940.80 |
$15,200 |
1.3× |
| Partial removal of tibia (27640) |
$6,144.33 |
$9,395 |
1.5× |
Partial removal of toe (28160)
range across 2 matching MRF lines |
$2,132.04–$3,004.85 |
$3,260–$4,622.84 |
varies |
| Partial removal of tongue (41120) |
$4,790.55 |
$7,325 |
0.6× |
| Partial thyroid excision (60212) |
$10,830.24 |
$16,560 |
1.4× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$8,309.07 |
$12,705 |
1.1× |
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines |
$2,132.04–$3,142.33 |
$3,260–$4,834.35 |
varies |
| Patellectomy or hemipatellectomy (27350) |
$4,617.24 |
$7,060 |
0.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$866.55 |
$1,325 |
0.2× |
| Penile Injection (54235) |
— |
$673 |
— |
Penile Plethysmography (54240)
range across 4 matching MRF lines |
$349.70–$462.61 |
$337.76–$711.71 |
varies |
| Penile venous occlusive procedure Facility (37790) |
$1,154.77 |
$1,765.70 |
0.3× |
| Penis plastic surgery (54360) |
$4,012.29 |
$6,135 |
0.9× |
| Perc Cryo Ablate Renal Tum (50593) |
$6,775.44 |
$10,360 |
0.5× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$652.38 |
$997.52 |
0.4× |
| Perc Rf Ablate Renal Tumor (50592) |
$7,998.42 |
$12,230 |
1.1× |
| Percut Ablate Liver Rf (47382) |
$5,879.46 |
$8,990 |
0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$19,128 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
$1,242.60 |
$1,900 |
1.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$726.05 |
$1,110.17 |
0.2× |
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553)
likely a partial charge, not the full procedure |
$376.56 |
$575.78 |
0.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$1,690.59 |
$2,585 |
0.4× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$7,386.93 |
$11,295 |
0.8× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$1,781.72 |
$2,724.34 |
0.9× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$1,670.97 |
$2,555 |
0.4× |
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
likely a partial charge, not the full procedure |
$1,113.28 |
$1,702.27 |
0.1× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$840.55 |
$1,285.24 |
0.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,182.20 |
$1,807.65 |
0.3× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$877.16 |
$1,341.23 |
0.2× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$1,873.63 |
$2,864.88 |
0.5× |
Pereyra procedure, including anterior colporrhaphy Facility (57289)
likely a partial charge, not the full procedure |
$2,365.60 |
$3,617.12 |
0.3× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$7,350.96 |
$11,240 |
1.5× |
| Pericardiocentesis W/Imaging (33016) |
— |
$6,518 |
— |
Perineoplasty rpr perineum nonobstetrical spx (56810)
range across 2 matching MRF lines |
$4,065.75–$4,090.77 |
$6,255 |
varies |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) |
$6,671.64 |
$10,201.28 |
0.9× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) |
$3,921.37 |
$5,995.98 |
0.5× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) |
$5,977.53 |
$9,139.95 |
0.8× |
| Perirectal inj sclerosing solution prolapse (45520) |
$382.15 |
$584.32 |
0.3× |
| Peritoneal Lavage (49084) |
$663.81 |
$1,015 |
0.6× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$13,456.05 |
$20,575 |
0.6× |
Perq av fistula creation uxtr single access (36836)
range across 2 matching MRF lines |
$1,556.52–$32,318 |
$2,380–$49,720 |
varies |
| Perq Cervicothoracic Inject (22510) |
$3,381.18 |
$5,170 |
0.8× |
| Perq dev breast 1st mr guide (19287) |
$3,120.80 |
$4,771.86 |
3.5× |
| Perq dev breast 1st strtctc (19283) |
$966.89 |
$1,478.42 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$1,922.76 |
$2,940 |
2.2× |
| Perq device breast 1st imag (19281) |
$971.19 |
$1,485 |
0.5× |
Perq dilation xst trc endourologic px w/img (50436)
range across 2 matching MRF lines |
$1,308–$1,686.75 |
$2,000–$2,595 |
varies |
| Perq Lumbosacral Injection (22511) |
$2,926.65 |
$4,475 |
0.7× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$10,581.72 |
$16,180 |
0.9× |
Perq p-art revsc 1 nm nt uni (33900)
range across 2 matching MRF lines |
$1,612–$1,621.92 |
$2,480 |
varies |
Perq p-art revsc st 1st abnor connj unilateral (33902)
range across 2 matching MRF lines |
$2,047.50–$2,060.10 |
$3,150 |
varies |
Perq p-art revsc st 1st abnormal connj bilateral (33903)
range across 2 matching MRF lines |
$2,414.75–$2,429.61 |
$3,715 |
varies |
Perq p-art revsc st 1st nml native connj bi (33901)
range across 2 matching MRF lines |
$2,119–$2,132.04 |
$3,260 |
varies |
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
likely a partial charge, not the full procedure |
$955.59 |
$1,461.14 |
0.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$2,861 |
— |
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines |
$4,839.25–$4,869.03 |
$7,445 |
varies |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$3,744.15 |
$5,725 |
0.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$12,285.39 |
$18,785 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$5,084.85 |
$7,775 |
0.6× |
| Petrous apicectomy including radical mastoidectomy Facility (69530) |
$4,013.48 |
$6,136.82 |
0.5× |
Phalangectomy toe each toe (28150)
range across 2 matching MRF lines |
$668.41–$3,032.93 |
$1,022.04–$4,666.04 |
varies |
| Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) |
$1,838.89 |
$2,811.76 |
0.9× |
| Phleb Veins - Extrem 20+ (37766) |
$5,022.72 |
$7,680 |
1.3× |
| Photopheresis extracorporeal (36522) |
— |
$10,248 |
— |
| Pin Finger Dislocation (26776) |
$1,795.23 |
$2,745 |
0.4× |
| Pin hand dislocation (26676) |
$2,161.47 |
$3,305 |
0.5× |
| Pin knuckle dislocation (26706) |
$1,052.21 |
$1,608.89 |
0.3× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
— |
$2,387 |
— |
Place Amniotic Membrane Ocular Surface Sutured (65779)
range across 2 matching MRF lines |
$4,689.18–$8,625.50 |
$7,170–$13,270 |
varies |
Place breast rad tube/caths (19298)
likely a partial charge, not the full procedure |
$788.47 |
$1,205.61 |
0.0× |
| Place Cath Subclavian Art (36225) |
$3,132.66 |
$4,790 |
0.8× |
| Place Cath Thoracic Aorta (36221) |
$2,151.66 |
$3,290 |
0.5× |
Place Cath Vertebral Art (36226)
unusually low: confirm this is the full procedure |
$3,430.23 |
$5,245 |
0.5× |
| Place Duod/Jej Tube Perc (49441) |
$1,890.06 |
$2,890 |
0.8× |
Place ndl musc/tis for rt (20555)
range across 2 matching MRF lines |
$1,251.25–$1,258.95 |
$1,925 |
varies |
| Place Rt Device/Marker Pros (55876) |
— |
$3,599 |
— |
Placement needle head/neck radioelement applicat (41019)
likely a partial charge, not the full procedure |
$1,081.55 |
$1,653.75 |
0.1× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$3,404.07 |
$5,205 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
— |
$15,108 |
— |
| Placement of seton (46020) |
— |
$10,189 |
— |
| Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) |
$2,677.89 |
$4,094.64 |
1.0× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) |
$2,513.92 |
$3,843.91 |
1.0× |
| Plastic Repair Canaliculi (68700) |
— |
$5,462 |
— |
| Plastic Repair Introitus (56800) |
$3,479.28 |
$5,320 |
0.9× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
$6,925.86 |
$10,590 |
0.9× |
| Plastic Repair Of Urethrocele (57230) |
$933.61 |
$1,427.54 |
0.2× |
| Plmt expandable cath brst following prtl mast (19296) |
$11,012.18 |
$16,838.19 |
1.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$8,242 |
— |
| Plmt Nephroureteral Catheter (50433) |
$2,115.69 |
$3,235 |
0.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$2,455.77 |
$3,755 |
0.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,096.07 |
$3,205 |
0.5× |
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500)
unusually low: confirm this is the full procedure |
$2,880.87 |
$4,405 |
0.4× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$3,884.76 |
$5,940 |
0.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,440.66 |
$6,790 |
0.7× |
Preparation skin cell ssp agrft 1st 25 sq cm/< (15013)
range across 2 matching MRF lines |
$683.43–$1,027 |
$1,045–$1,580 |
varies |
Prescrl Fuse W/ Instr L5/S1 (22586)
unusually low: confirm this is the full procedure |
$9,764.22 |
$14,930 |
0.4× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$5,817.33 |
$8,895 |
0.3× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
— |
$1,470 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$1,334.16 |
$2,040 |
0.4× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$768.45 |
$1,175 |
0.3× |
| Probe nl duct w/balloon (68816) |
$1,422.45 |
$2,175 |
0.5× |
Probing nasolacrimal duct (68810)
range across 2 matching MRF lines |
$761.91–$933.74 |
$1,165–$1,436.53 |
varies |
| Proctopexy Perineal Approach (45541) |
$6,533.46 |
$9,990 |
1.9× |
| Proctoplasty Stenosis (45500) |
$1,269.06 |
$1,940.46 |
0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$1,740 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,101.99 |
$1,685 |
0.7× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$647.46 |
$990 |
0.2× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,242.60 |
$1,900 |
0.8× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
$286.11 |
$437.48 |
0.2× |
| Proctosgmdsc rigid w/dilation (45303) |
$231.46 |
$353.91 |
0.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$467.61 |
$715 |
0.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$282.24 |
$431.56 |
0.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$474.48 |
$725.51 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$266.20 |
$407.03 |
0.1× |
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure |
$1,085.64 |
$1,660 |
0.1× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
— |
$1,458 |
— |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491)
likely a partial charge, not the full procedure |
$2,526.35 |
$3,862.92 |
0.2× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) |
$2,252.32 |
$3,443.91 |
0.6× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$6,392.85 |
$9,775 |
0.7× |
Prostate laser enucleation (52649)
unusually low: confirm this is the full procedure |
$3,251.09 |
$4,971.09 |
0.5× |
| Prostatic microwave thermotx (53850) |
$8,980.33 |
$13,731.39 |
2.0× |
| Prostatic Rf Thermotx (53852) |
$9,875.40 |
$15,100 |
2.2× |
| Prostatotomy external drg abscess simple (55720) |
$3,763.77 |
$5,755 |
0.9× |
| Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) |
$1,507.71 |
$2,305.36 |
0.3× |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
$8,139.03 |
$12,445 |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,514.01 |
$2,315 |
1.7× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines |
$1,994.70–$8,173.75 |
$3,050–$12,575 |
varies |
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264)
range across 2 matching MRF lines |
$1,327.62–$2,128.75 |
$2,030–$3,275 |
varies |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,279.19 |
$3,485 |
0.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,700.40 |
$2,600 |
0.4× |
| Prq skel fixj femoral fx prox end neck (27235) |
$10,274.34 |
$15,710 |
1.1× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$477.41 |
$729.98 |
0.1× |
| Prq skel fixj metar fx w/manj (28476) |
$857.64 |
$1,311.38 |
0.2× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,284.94 |
$9,610 |
0.7× |
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
likely a partial charge, not the full procedure |
$982.71 |
$1,502.62 |
0.1× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$962.71 |
$1,472.03 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,943.62 |
$6,030 |
1.0× |
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
unusually low: confirm this is the full procedure |
$3,973.05 |
$6,075 |
0.4× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$1,312.24 |
$2,006.49 |
0.3× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$7,076.28 |
$10,820 |
0.8× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$2,132.04 |
$3,260 |
0.5× |
| Pseudoaneurysm Injection Trt (36002) |
— |
$2,381 |
— |
| Pterygomaxillary fossa surgery, any approach Facility (31040) |
$5,460.90 |
$8,350 |
0.7× |
| Punch biopsy skin single lesion (11104) |
— |
$1,179 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,350 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
$369.51–$862.95 |
$565–$1,327.62 |
varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$2,177 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
$142.55 |
$217.97 |
0.3× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$3,349 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$8,109.60 |
$12,400 |
0.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$6,971.64 |
$10,660 |
3.5× |
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116)
range across 2 matching MRF lines |
$6,142.50–$6,180.30 |
$9,450 |
varies |
| Rad resect elbow caps/sr bone w rels (24149) |
$11,042.79 |
$16,885 |
1.2× |
| Rad resect hand tumor 3 cm/> (26118) |
$5,559 |
$8,500 |
1.5× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$6,562.89 |
$10,035 |
1.8× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$3,260.19 |
$4,985 |
0.9× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$8,361.39 |
$12,785 |
2.3× |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
$5,421.66 |
$8,290 |
1.5× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$6,356.88 |
$9,720 |
1.8× |
Radical resection of sternum; Facility (21630)
unusually low: confirm this is the full procedure |
$2,946.81 |
$4,505.83 |
0.3× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$6,572.70 |
$10,050 |
0.9× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
$4,421.04 |
$6,760 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$2,644.18 |
$4,043.09 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$6,817.95 |
$10,425 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
— |
$6,136 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$5,640.75 |
$8,625 |
1.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$3,783.39 |
$5,785 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$2,202.86 |
$3,368.29 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$6,415.74 |
$9,810 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$3,750.69 |
$5,735 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$7,069.74 |
$10,810 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$4,182.33 |
$6,395 |
1.2× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$3,253.65 |
$4,975 |
1.6× |
| Radical resection of tumor, femur or knee Facility (27365) |
$10,431.30 |
$15,950 |
2.6× |
| Radical resection of tumor, proximal humerus Facility (23220) |
$9,044.82 |
$13,830 |
1.0× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
$2,002.63 |
$3,062.12 |
0.5× |
| Radical resection of tumor, radial head or neck Facility (24152) |
$6,190.11 |
$9,465 |
0.7× |
| Radical resection of tumor, radius or ulna (25170) |
$7,151.49 |
$10,935 |
0.8× |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
$7,877.43 |
$12,045 |
0.9× |
Radical resection of tumor; clavicle Facility (23200)
unusually low: confirm this is the full procedure |
$3,797.66 |
$5,806.82 |
0.4× |
| Radical resection of tumor; fibula Facility (27646) |
$7,275.75 |
$11,125 |
1.8× |
| Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Facility (27076) |
$6,389.19 |
$9,769.40 |
0.7× |
| Radical resection of tumor; innominate bone, total Facility (27077) |
$7,133.81 |
$10,907.96 |
0.8× |
| Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078) |
$5,201.73 |
$7,953.72 |
0.6× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$1,143.26 |
$1,748.10 |
0.6× |
Radical resection of tumor; scapula Facility (23210)
unusually low: confirm this is the full procedure |
$4,464.89 |
$6,827.05 |
0.5× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$8,139.03 |
$12,445 |
2.0× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
$1,969 |
$3,010.71 |
0.5× |
| Radical resection of tumor; tibia Facility (27645) |
$8,976.15 |
$13,725 |
2.2× |
| Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) |
$5,273.61 |
$8,063.62 |
0.6× |
Radical Resection Tumor Metacarpal (26250)
range across 2 matching MRF lines |
$4,689.75–$4,718.61 |
$7,215 |
varies |
| Radical Resection Tumor Metatarsal (28173) |
$1,789.91 |
$2,736.86 |
0.4× |
| Radical styloidectomy separate procedure (25230) |
$5,218.92 |
$7,980 |
1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$6,780 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$4,702.26 |
$7,190 |
1.2× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$7,314.99 |
$11,185 |
1.8× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$8,416.98 |
$12,870 |
2.1× |
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure |
$1,831.59 |
$2,800.60 |
0.2× |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
$1,676.13 |
$2,562.89 |
0.6× |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
$6,857.19 |
$10,485 |
2.3× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
$5,320.29 |
$8,135 |
1.8× |
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248)
unusually low: confirm this is the full procedure |
$2,732.35 |
$4,177.90 |
0.4× |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
$11,945.31 |
$18,265 |
1.6× |
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure |
$3,907.65 |
$5,975 |
0.4× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$5,356.26 |
$8,190 |
1.2× |
| Re-explore parathyroids (60502) |
$11,824.32 |
$18,080 |
1.6× |
| Realignment extensor tendon hand each tendon (26437) |
— |
$8,993 |
— |
| Realignment of hand (25335) |
$11,366.52 |
$17,380 |
2.8× |
| Realignment of knee (27457) |
$9,603.99 |
$14,685 |
1.1× |
| Realignment of knee (27455) |
$5,768.28 |
$8,820 |
0.6× |
| Reconst lwr jaw w/fixation (21196) |
$12,524.10 |
$19,150 |
1.7× |
Reconst lwr jaw w/o fixation (21195)
unusually low: confirm this is the full procedure |
$3,289.68 |
$5,030.09 |
0.4× |
| Reconstr lwr jaw segment (21198) |
$10,117.38 |
$15,470 |
1.4× |
| Reconstruct cleft palate (42220) |
$4,018.83 |
$6,145 |
0.5× |
| Reconstruct cleft palate (42210) |
$7,550.43 |
$11,545 |
1.0× |
Reconstruct elbow joint (24360)
likely a partial charge, not the full procedure |
$2,243.72 |
$3,430.77 |
0.2× |
| Reconstruct elbow lat ligmnt (24344) |
$10,928.34 |
$16,710 |
1.2× |
| Reconstruct elbow med ligmnt (24346) |
$10,928.34 |
$16,710 |
0.7× |
| Reconstruct extra finger (26587) |
$6,248.97 |
$9,555 |
1.5× |
| Reconstruct finger joint (26545) |
$5,202.57 |
$7,955 |
1.3× |
| Reconstruct Finger Joint (26548) |
$5,895.81 |
$9,015 |
1.4× |
| Reconstruct lip with flap (40525) |
$1,349.59 |
$2,063.59 |
0.3× |
Reconstruct lip with flap (40527)
range across 2 matching MRF lines |
$5,814.25–$5,850.03 |
$8,945 |
varies |
| Reconstruct midface lefort (21143) |
$12,383.49 |
$18,935 |
1.7× |
| Reconstruct ulna/radioulnar (25337) |
$9,267.18 |
$14,170 |
1.0× |
| Reconstruct upper jaw bone (21206) |
$9,276.99 |
$14,185 |
1.3× |
Reconstruct wrist joint (25445)
likely a partial charge, not the full procedure |
$1,776.02 |
$2,715.63 |
0.2× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
$6,671.34 |
$10,200.82 |
0.9× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
$4,182.67 |
$6,395.52 |
0.6× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
$4,421.61 |
$6,760.87 |
0.6× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$11,379.60 |
$17,400 |
1.5× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$4,016.48 |
$6,141.41 |
0.5× |
| Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) |
$4,083.73 |
$6,244.24 |
0.6× |
| Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) |
$5,040.37 |
$7,706.99 |
0.7× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21159) |
$8,511.58 |
$13,014.65 |
1.2× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21160) |
$8,515.79 |
$13,021.08 |
1.2× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21155) |
$5,529.20 |
$8,454.43 |
0.7× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21154) |
$19,659.24 |
$30,060 |
2.7× |
| Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) Facility (21188) |
$3,799.42 |
$5,809.51 |
0.5× |
| Reconstruction Nail Bed W/Graft (11762) |
$1,314.54 |
$2,010 |
0.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$5,006.37 |
$7,655 |
0.6× |
Reconstruction of dislocating patella; with patellectomy Facility (27424)
likely a partial charge, not the full procedure |
$1,863.33 |
$2,849.13 |
0.2× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$11,637.93 |
$17,795 |
1.6× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$2,149.08 |
$3,286.06 |
0.4× |
| Reconstruction of jaw (21249) |
$3,753.83 |
$5,739.80 |
0.5× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$8,485.65 |
$12,975 |
1.1× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) |
$8,544.51 |
$13,065 |
1.2× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
$8,799.57 |
$13,455 |
1.2× |
| Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247) |
$3,703.88 |
$5,663.43 |
0.5× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) |
$13,456.05 |
$20,575 |
1.8× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) |
$11,003.55 |
$16,825 |
1.5× |
| Reconstruction of mouth (40844) |
$7,982.07 |
$12,205 |
1.1× |
| Reconstruction of mouth (40842) |
$4,891.92 |
$7,480 |
0.7× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$9,702.09 |
$14,835 |
1.3× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21183) |
$5,213.58 |
$7,971.83 |
0.7× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21184) |
$5,898.98 |
$9,019.85 |
0.8× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21182) |
$7,778.99 |
$11,894.47 |
1.1× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$4,604.16 |
$7,040 |
1.1× |
| Reconstruction of throat (42950) |
$3,907.65 |
$5,975 |
0.5× |
| Reconstruction of urethra (54326) |
$10,653.66 |
$16,290 |
2.4× |
Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255)
unusually low: confirm this is the full procedure |
$3,199.64 |
$4,892.41 |
0.4× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$17,952.30 |
$27,450 |
2.4× |
| Reconstruction Toe Polydactyly (28344) |
$4,404.69 |
$6,735 |
1.1× |
| Reconstruction Tongue Fold (41520) |
$1,814.85 |
$2,775 |
0.4× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$22,082.31 |
$33,765 |
3.0× |
Reconstruction, cleft foot Facility (28360)
unusually low: confirm this is the full procedure |
$2,964.18 |
$4,532.39 |
0.3× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)… (21180) |
$18,370.86 |
$28,090 |
2.5× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) |
$4,399.88 |
$6,727.64 |
0.6× |
Reconstructive repair of pectus excavatum or carinatum; open Facility (21740)
likely a partial charge, not the full procedure |
$2,625.03 |
$4,013.80 |
0.3× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,714.72 |
$5,680 |
0.9× |
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138)
likely a partial charge, not the full procedure |
$2,064.93 |
$3,157.38 |
0.3× |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) |
$10,091.22 |
$15,430 |
1.4× |
| Reduction forehead; contouring only Facility (21137) |
$7,334.61 |
$11,215 |
1.8× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) |
$456.87 |
$698.58 |
0.2× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) |
$3,462.93 |
$5,295 |
0.8× |
| Reduction of rectal prolapse (45900) |
$509.25 |
$778.67 |
0.4× |
| Reduction Overcorrection Ptosis (67909) |
$1,253.68 |
$1,916.94 |
0.4× |
Reinforce clavicle (23490)
likely a partial charge, not the full procedure |
$2,150.20 |
$3,287.76 |
0.2× |
| Reinforce hip bones (27187) |
$11,232.45 |
$17,175 |
1.2× |
Reinforce humerus (24498)
likely a partial charge, not the full procedure |
$2,164.51 |
$3,309.65 |
0.1× |
Reinforce radius (25490)
unusually low: confirm this is the full procedure |
$3,842.25 |
$5,875 |
0.4× |
Reinforce tibia (27745)
likely a partial charge, not the full procedure |
$1,883.80 |
$2,880.43 |
0.2× |
Reinforce ulna (25491)
likely a partial charge, not the full procedure |
$1,842.46 |
$2,817.21 |
0.1× |
Reinnervate larynx (31590)
likely a partial charge, not the full procedure |
$2,149.87 |
$3,287.26 |
0.3× |
| Reinsert ocular implant (65150) |
$1,341.24 |
$2,050.82 |
0.3× |
Reinsert spinal fixation (22849)
unusually low: confirm this is the full procedure |
$5,908.89 |
$9,035 |
0.4× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$1,960.50 |
$2,997.70 |
0.4× |
Release encircling material (67115)
likely a partial charge, not the full procedure |
$1,160.29 |
$1,774.14 |
0.2× |
| Release eye tissue (67343) |
$4,702.26 |
$7,190 |
1.6× |
| Release facial nerve (69955) |
$4,809.40 |
$7,353.83 |
0.7× |
| Release facial nerve (69720) |
$13,426.62 |
$20,530 |
1.8× |
| Release foot/toe nerve (64726) |
$650.97 |
$995.37 |
0.3× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$4,440.66 |
$6,790 |
1.1× |
| Release of big toe (28240) |
$2,132.04 |
$3,260 |
0.5× |
Release of shoulder ligament (23415)
likely a partial charge, not the full procedure |
$1,734.54 |
$2,652.20 |
0.2× |
| Release or recession, hamstring, proximal Facility (27097) |
$1,697.47 |
$2,595.52 |
0.4× |
| Release Thenar Muscle (26508) |
$4,604.16 |
$7,040 |
1.1× |
| Relieve Pressure on Nerve(S) (64722) |
$5,405.31 |
$8,265 |
2.2× |
| Relocation Pocket Pacemaker (33222) |
$4,842.87 |
$7,405 |
1.9× |
| Rem Endovas Vena Cava Filter (37193) |
$3,714.72 |
$5,680 |
0.9× |
Removal Anal Seton Other Marker (46030)
range across 2 matching MRF lines |
$604.95–$1,019.99 |
$925–$1,569.22 |
varies |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
unusually low: confirm this is the full procedure |
$10,496.70 |
$16,050 |
0.4× |
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge, not the full procedure |
$6,369.96 |
$9,740 |
0.2× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416)
unusually low: confirm this is the full procedure |
$7,982.07 |
$12,205 |
0.3× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417)
unusually low: confirm this is the full procedure |
$9,777.30 |
$14,950 |
0.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$4,326 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
$564.19 |
$862.67 |
1.4× |
Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727)
range across 2 matching MRF lines |
$1,319.50–$1,327.62 |
$2,030 |
varies |
Removal entire oi implt skl perq attachment esp (69726)
range across 2 matching MRF lines |
$1,157–$1,164.12 |
$1,780 |
varies |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,664.43 |
$2,545 |
0.5× |
| Removal Foreign Body Foot Complicated (28193) |
$1,468.23 |
$2,245 |
0.7× |
Removal foreign body foot deep (28192)
range across 2 matching MRF lines |
$1,386.48–$2,398.23 |
$2,120–$3,689.58 |
varies |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,651 |
— |
| Removal foreign body jawbone (41806) |
$1,563.06 |
$2,390 |
0.8× |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines |
$1,350.51–$1,412.89 |
$2,065–$2,173.67 |
varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$2,452.50 |
$3,750 |
0.6× |
| Removal Foreign Body Scrotum (55120) |
$1,638.27 |
$2,505 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,595.76 |
$2,440 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$837.12 |
$1,280 |
0.2× |
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584)
range across 2 matching MRF lines |
$1,842.75–$1,854.09 |
$2,835 |
varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$174 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$189 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$6,804 |
— |
Removal Implant Deep (20680)
range across 2 matching MRF lines |
$12,965.55–$16,777 |
$19,825–$25,810.77 |
varies |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$3,359 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$1,256 |
— |
Removal intact breast implant (19328)
range across 2 matching MRF lines |
$3,410.61–$5,724.11 |
$5,215–$8,806.32 |
varies |
Removal of a lesion from the floor of the mouth (41116)
range across 2 matching MRF lines |
$1,975.08–$3,483.56 |
$3,020–$5,359.33 |
varies |
| Removal of adenoids (42835) |
$1,736.37 |
$2,655 |
0.4× |
| Removal of adenoids (42831) |
$1,755.99 |
$2,685 |
0.4× |
| Removal of adenoids (42830) |
$1,670.97 |
$2,555 |
0.4× |
| Removal of adenoids (42836) |
$2,302.08 |
$3,520 |
0.6× |
| Removal of anal fissure (46200) |
$1,939.11 |
$2,965 |
0.6× |
Removal of ankle implant (27704)
range across 2 matching MRF lines |
$5,011.50–$5,042.34 |
$7,710 |
varies |
| Removal of anterior instrumentation (22855) |
$11,860.29 |
$18,135 |
1.3× |
| Removal of bladder cyst (51500) |
$5,019.45 |
$7,675 |
0.7× |
| Removal of bone lesion (23140) |
$2,400.18 |
$3,670 |
0.6× |
| Removal of calcium deposits (23000) |
$923.45 |
$1,412 |
0.3× |
| Removal of cervix (57530) |
$4,970.40 |
$7,600 |
0.8× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$4,156.17 |
$6,355 |
1.0× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$1,642.35 |
$2,511.24 |
0.7× |
| Removal of epiglottis (31420) |
$5,202.57 |
$7,955 |
0.7× |
| Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) |
$2,233.01 |
$3,414.39 |
0.8× |
| Removal of eye (65110) |
$8,521.62 |
$13,030 |
1.7× |
| Removal of foot joint lining (28072) |
$810.91 |
$1,239.92 |
0.2× |
| Removal of foreign body from pharynx (42809) |
— |
$1,185 |
— |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$2,218.25 |
$3,391.82 |
0.8× |
| Removal of heel spur (28119) |
$1,667.70 |
$2,550 |
0.4× |
| Removal of hip joint lining (27054) |
$1,692.94 |
$2,588.59 |
0.4× |
Removal of hip prosthesis; (separate procedure) Facility (27090)
unusually low: confirm this is the full procedure |
$3,273.27 |
$5,005 |
0.4× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$9,724.98 |
$14,870 |
0.6× |
| Removal of humerus lesion (23150) |
$6,000.45 |
$9,175 |
1.5× |
| Removal of humerus lesion (23156) |
$6,497.49 |
$9,935 |
0.7× |
| Removal of implant from finger or hand (26320) |
$844.14 |
$1,290.73 |
0.4× |
| Removal of implanted material, anterior segment of eye (65920) |
$4,725.15 |
$7,225 |
1.6× |
| Removal of infusion pump (36262) |
$1,399.56 |
$2,140 |
0.3× |
| Removal of intranasal lesion (30118) |
$4,002.48 |
$6,120 |
1.0× |
| Removal of iris (66635) |
$1,332.18 |
$2,036.97 |
0.5× |
| Removal of iris (66630) |
$1,318.93 |
$2,016.71 |
0.5× |
Removal of ischial bursa (27060)
likely a partial charge, not the full procedure |
$1,153.62 |
$1,763.95 |
0.1× |
| Removal of jaw joint (21050) |
$9,437.22 |
$14,430 |
1.3× |
| Removal of kidney stone (50081) |
$12,177.48 |
$18,620 |
1.0× |
Removal of knee prosthesis (27488)
unusually low: confirm this is the full procedure |
$5,683.26 |
$8,690 |
0.4× |
| Removal of lens material (66852) |
$5,169.87 |
$7,905 |
1.0× |
Removal of mammary implant material (19330)
range across 2 matching MRF lines |
$3,659.13–$3,685.21 |
$5,595–$5,669.56 |
varies |
| Removal of nail bed (11750) |
— |
$945 |
— |
| Removal of nose (30160) |
$6,065.85 |
$9,275 |
0.8× |
Removal of nose lesion (30124)
range across 2 matching MRF lines |
$686.10–$2,231.50 |
$1,049.08–$3,433.08 |
varies |
| Removal of ocular implant (65175) |
$1,525.21 |
$2,332.12 |
0.3× |
| Removal of posterior segmental instrumentation Facility (22852) |
$7,625.64 |
$11,660 |
0.8× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$9,702.09 |
$14,835 |
1.1× |
Removal of residual cervix (57550)
likely a partial charge, not the full procedure |
$961.99 |
$1,470.93 |
0.2× |
Removal of rib (21615)
likely a partial charge, not the full procedure |
$1,579.48 |
$2,415.10 |
0.2× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$1,648.52 |
$2,520.68 |
0.6× |
| Removal of sesamoid bone (28315) |
$4,349.10 |
$6,650 |
1.1× |
Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Facility (61892)
range across 2 matching MRF lines |
$2,151.50–$2,164.74 |
$3,310 |
varies |
| Removal of sperm cord lesion (55520) |
$4,689.18 |
$7,170 |
1.1× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$2,165.56 |
$3,311.26 |
0.5× |
Removal of tendon for graft (20924)
unusually low: confirm this is the full procedure |
$3,479.28 |
$5,320 |
0.4× |
| Removal of testis (54520) |
$4,175.79 |
$6,385 |
0.9× |
| Removal of Thiersch wire or suture, anal canal Facility (46754) |
$699.61 |
$1,069.74 |
0.2× |
| Removal of thymus gland (60520) |
$10,653.66 |
$16,290 |
1.4× |
| Removal of thyroid (60271) |
$10,405.14 |
$15,910 |
1.4× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,387.10 |
$3,650 |
0.3× |
| Removal of tonsils (42826) |
$2,393.64 |
$3,660 |
0.6× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
$5,776.76 |
$8,832.96 |
0.6× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Facility (22865) |
$5,153.15 |
$7,879.43 |
0.6× |
| Removal of tumor, temporal bone Facility (69970) |
$24,390.93 |
$37,295 |
3.3× |
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines |
$3,096.69–$5,490.47 |
$4,735–$8,446.87 |
varies |
| Removal of urethra (53210) |
$9,303.15 |
$14,225 |
2.1× |
| Removal of vein clot (34490) |
$1,582.82 |
$2,420.21 |
0.4× |
| Removal of wrist bone (25210) |
$2,485.20 |
$3,800 |
0.6× |
| Removal of wrist prosthesis; (separate procedure) Facility (25250) |
$1,315.34 |
$2,011.22 |
0.7× |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
$1,727.54 |
$2,641.50 |
0.4× |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$504 |
— |
| Removal or destruction of bladder canal (urethra) malignancy (53220) |
$5,980.83 |
$9,145 |
1.4× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
$6,183.57 |
$9,455 |
0.9× |
| Removal Pacemaker Electrode (33235) |
$8,443.14 |
$12,910 |
1.8× |
| Removal parotid stone (42340) |
$828.99 |
$1,267.57 |
0.2× |
| Removal peritoneal-venous shunt (49429) |
$1,166 |
$1,782.88 |
0.3× |
Removal phrenic nerve stimulator system (33278)
range across 2 matching MRF lines |
$1,540.50–$1,549.98 |
$2,370 |
varies |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$3,986.13 |
$6,095 |
0.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,546.33 |
$2,364.42 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$379 |
— |
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines |
$984.27–$1,472.25 |
$1,505–$2,265 |
varies |
| Removal Submand Stone,Complicated (42335) |
$1,667.70 |
$2,550 |
0.4× |
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines |
$2,317.25–$2,331.51 |
$3,565 |
varies |
| Removal sweat gland lesion (11450) |
$1,236.06 |
$1,890 |
0.3× |
| Removal tong/halo applied by another individual (20665) |
$244.95 |
$374.54 |
0.4× |
Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69728)
range across 2 matching MRF lines |
$1,625–$1,635 |
$2,500 |
varies |
| Removal, under anesthesia, of external fixation system (20694) |
$1,883.52 |
$2,880 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$530 |
— |
Remove & graft wrist lesion (25136)
likely a partial charge, not the full procedure |
$1,222.62 |
$1,869.45 |
0.1× |
Remove & graft wrist lesion (25135)
likely a partial charge, not the full procedure |
$1,385.43 |
$2,118.40 |
0.2× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$1,713.48 |
$2,620 |
0.7× |
| Remove Ankle Joint Lining (27626) |
$8,613.18 |
$13,170 |
2.1× |
| Remove armpit lymph nodes (38740) |
$4,336.02 |
$6,630 |
0.6× |
| Remove blood clot from eye (65930) |
$1,477.83 |
$2,259.68 |
0.5× |
| Remove brain canal fluid (61050) |
$330.87 |
$505.91 |
0.9× |
| Remove Brain Cavity Fluid (61020) |
$712.86 |
$1,090 |
0.6× |
| Remove cerclage suture (59871) |
— |
$8,765 |
— |
| Remove coronoid process (21070) |
$5,931.78 |
$9,070 |
0.8× |
| Remove cranial cavity fluid (61000) |
$297.08 |
$454.25 |
0.3× |
| Remove drug implant device (11982) |
— |
$787 |
— |
| Remove ear lesion (69552) |
$6,837.90 |
$10,455.51 |
0.9× |
| Remove ear lesion (69550) |
$11,065.68 |
$16,920 |
1.5× |
| Remove elbow joint implant (24160) |
$3,118.45 |
$4,768.27 |
0.8× |
| Remove Elbow Joint Lining (24102) |
$1,515.54 |
$2,317.34 |
0.4× |
| Remove elbow lesion (24120) |
$3,835.71 |
$5,865 |
0.9× |
| Remove Elctrd Transvenously (33244) |
$11,781.81 |
$18,015 |
2.5× |
| Remove eye lesion (66130) |
$1,315.46 |
$2,011.41 |
0.4× |
| Remove eye/attach implant (65105) |
$5,003.10 |
$7,650 |
1.0× |
Remove femur lesion/graft (27356)
unusually low: confirm this is the full procedure |
$6,994.53 |
$10,695 |
0.4× |
| Remove finger bone (26185) |
$3,855.33 |
$5,895 |
1.9× |
| Remove Forearm Foreign Body (25248) |
$4,617.24 |
$7,060 |
2.3× |
| Remove foreign body from eye (65265) |
$2,496.90 |
$3,817.89 |
0.9× |
| Remove foreign body from eye (65235) |
$1,651.53 |
$2,525.27 |
0.6× |
| Remove foreign body from eye (65205) |
— |
$303 |
— |
| Remove Gastric Port Open (43887) |
$823.78 |
$1,259.60 |
0.3× |
| Remove groin lymph nodes (38760) |
$5,683.26 |
$8,690 |
0.7× |
| Remove Hand Bone Lesion (26200) |
$3,632.97 |
$5,555 |
1.8× |
| Remove hip pressure sore (15941) |
$2,213.79 |
$3,385 |
0.6× |
| Remove hip pressure sore (15940) |
$4,077.69 |
$6,235 |
1.1× |
| Remove humerus lesion (23174) |
$6,072.39 |
$9,285 |
0.7× |
| Remove humerus lesion (24110) |
$4,970.40 |
$7,600 |
1.2× |
Remove inner ear (69905)
unusually low: confirm this is the full procedure |
$2,227.58 |
$3,406.09 |
0.3× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$1,275.30 |
$1,950 |
0.5× |
| Remove Intrauterine Device (58301) |
— |
$782 |
— |
| Remove intrvas foreign body (37197) |
$2,822.01 |
$4,315 |
0.7× |
| Remove iris and lesion (66600) |
$5,673.45 |
$8,675 |
1.1× |
| Remove knee joint lining (27334) |
$8,168.46 |
$12,490 |
2.0× |
| Remove lamina/facets lumbar (63012) |
$18,639 |
$28,500 |
2.1× |
| Remove Lower Leg Bone Lesion (27635) |
$6,994.53 |
$10,695 |
1.7× |
Remove lung catheter (32552)
range across 2 matching MRF lines |
$1,294.92–$1,475.50 |
$1,980–$2,270 |
varies |
| Remove mastoid structures (69505) |
$12,703.95 |
$19,425 |
1.7× |
| Remove middle ear nerve (69676) |
$2,020.38 |
$3,089.26 |
0.5× |
| Remove muti-comp penis pros (54406) |
$7,749.90 |
$11,850 |
1.8× |
| Remove Nasal Foreign Body (30300) |
— |
$337 |
— |
Remove palate/lesion (42120)
unusually low: confirm this is the full procedure |
$2,438.82 |
$3,729.08 |
0.3× |
| Remove part lumbar vertebra (22102) |
$8,168.46 |
$12,490 |
0.9× |
Remove part of neck vertebra (22110)
unusually low: confirm this is the full procedure |
$2,728.30 |
$4,171.72 |
0.3× |
Remove part thorax vertebra (22101)
likely a partial charge, not the full procedure |
$2,055.42 |
$3,142.84 |
0.2× |
| Remove Peritoneal Foreign Body (49402) |
$6,170.49 |
$9,435 |
1.4× |
| Remove prostate regrowth (52630) |
$5,084.85 |
$7,775 |
0.8× |
| Remove Pulse Generator (33241) |
$3,721.26 |
$5,690 |
0.8× |
| Remove radius head implant (24164) |
$1,800.65 |
$2,753.28 |
0.4× |
| Remove renal tube w/fluoro (50389) |
$523.20 |
$800 |
0.6× |
| Remove sacrum pressure sore (15937) |
$2,530.53 |
$3,869.31 |
1.0× |
| Remove self-contd penis pros (54415) |
$5,748.66 |
$8,790 |
1.3× |
| Remove Shoulder Foreign Body (23330) |
$562.47 |
$860.04 |
0.3× |
Remove shoulder joint lining (23105)
likely a partial charge, not the full procedure |
$1,576.77 |
$2,410.96 |
0.2× |
| Remove Skin Nerve Lesion (64774) |
— |
$5,627 |
— |
| Remove spine eltrd plate (63662) |
$6,150.87 |
$9,405 |
1.4× |
| Remove spine fixation device (22850) |
$5,836.95 |
$8,925 |
0.6× |
| Remove spine lamina 1/2 lmbr (63005) |
$17,393.13 |
$26,595 |
1.9× |
| Remove spine lamina 1/2 thrc (63003) |
$19,966.62 |
$30,530 |
2.2× |
| Remove spine lamina >2 thrc (63016) |
$23,851.38 |
$36,470 |
2.6× |
| Remove sympathetic nerves (64821) |
$6,870.27 |
$10,505 |
1.7× |
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines |
$2,245.75–$2,259.57 |
$3,455 |
varies |
| Remove thigh pressure sore (15951) |
$2,137.24 |
$3,267.95 |
0.6× |
| Remove thigh pressure sore (15956) |
$2,824.87 |
$4,319.38 |
1.1× |
| Remove thyroid lesion (60200) |
$4,002.48 |
$6,120 |
0.5× |
| Remove tissue expander (11971) |
$2,135.31 |
$3,265 |
0.6× |
| Remove ureter stent percut (50384) |
$2,086.26 |
$3,190 |
0.8× |
Remove vc lesion scope/graft (31546)
likely a partial charge, not the full procedure |
$1,346.51 |
$2,058.89 |
0.2× |
| Remove vc lesion w/scope (31545) |
$2,867.79 |
$4,385 |
0.6× |
| Remove wrist joint cartilage (25107) |
$5,836.95 |
$8,925 |
1.4× |
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure |
$3,453.12 |
$5,280 |
0.3× |
| Remove/graft bone lesion (24125) |
$1,543.19 |
$2,359.62 |
0.4× |
| Remove/graft finger lesion (26215) |
$4,067.88 |
$6,220 |
1.0× |
| Remove/graft foot lesion (28102) |
$4,695.72 |
$7,180 |
0.5× |
Remove/graft foot lesion (28107)
unusually low: confirm this is the full procedure |
$3,567.57 |
$5,455 |
0.4× |
| Remove/graft forearm lesion (25126) |
$4,437.39 |
$6,785 |
1.1× |
| Remove/graft forearm lesion (25125) |
$1,485.53 |
$2,271.46 |
0.7× |
| Remove/graft leg bone lesion (27637) |
$7,606.02 |
$11,630 |
0.8× |
| Remove/Insert Drug Implant (11983) |
— |
$813 |
— |
Remove/replace penis prosth (54410)
unusually low: confirm this is the full procedure |
$10,248.18 |
$15,670 |
0.4× |
| Remv cartilage for graft nasal (20912) |
$3,198.06 |
$4,890 |
0.7× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$3,897.84 |
$5,960 |
0.1× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$4,041.72 |
$6,180 |
0.1× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$3,750.69 |
$5,735 |
0.1× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$3,600.27 |
$5,505 |
0.3× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$3,744.15 |
$5,725 |
0.2× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$7,422.90 |
$11,350 |
1.1× |
| Renal Biopsy Perq (50200) |
— |
$4,807 |
— |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557)
likely a partial charge, not the full procedure |
$992.83 |
$1,518.09 |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
unusually low: confirm this is the full procedure |
$4,198.68 |
$6,420 |
0.4× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580)
unusually low: confirm this is the full procedure |
$2,021.63 |
$3,091.17 |
0.3× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$1,798.31 |
$2,749.71 |
2.1× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576)
likely a partial charge, not the full procedure |
$1,890.24 |
$2,890.28 |
0.2× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$7,073.01 |
$10,815 |
1.6× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$4,872.30 |
$7,450 |
0.7× |
| Renal scope w/tumor resect (50562) |
$6,484.41 |
$9,915 |
0.5× |
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure |
$712.86 |
$1,090 |
0.1× |
| Repair Achilles Tendon (27650) |
$8,515.08 |
$13,020 |
0.9× |
| Repair Anorectal Fistula Plug (46707) |
$1,174.95 |
$1,796.56 |
0.3× |
| Repair arm/leg nerve (64857) |
$6,677.34 |
$10,210 |
1.6× |
Repair bladder neck (51845)
unusually low: confirm this is the full procedure |
$1,918.38 |
$2,933.30 |
0.3× |
Repair Bladder-Vagina Lesion (57320)
likely a partial charge, not the full procedure |
$1,253.37 |
$1,916.47 |
0.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$10,957.77 |
$16,755 |
2.8× |
| Repair blood vessel direct neck (35201) |
$10,539.21 |
$16,115 |
1.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$11,019.90 |
$16,850 |
2.8× |
| Repair blood vessel lesion (35190) |
$10,078.14 |
$15,410 |
1.5× |
| Repair blood vessel lesion (35236) |
$12,527.37 |
$19,155 |
1.8× |
| Repair blood vessel lesion (35266) |
$9,839.43 |
$15,045 |
1.4× |
| Repair blood vessel with graft other than vein; neck Facility (35261) |
$2,782.53 |
$4,254.64 |
0.7× |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
$13,442.97 |
$20,555 |
1.9× |
| Repair blood vessel with vein graft; neck Facility (35231) |
$13,890.96 |
$21,240 |
3.5× |
| Repair brow ptosis (67900) |
$5,388.96 |
$8,240 |
1.8× |
| Repair Choanal Atresia Intranasal (30540) |
$4,617.24 |
$7,060 |
0.6× |
Repair choanal atresia; transpalatine Facility (30545)
unusually low: confirm this is the full procedure |
$2,921.08 |
$4,466.49 |
0.4× |
| Repair cleft hand deformity (26580) |
$13,299.09 |
$20,335 |
3.3× |
Repair cleft lip/nasal (40720)
range across 2 matching MRF lines |
$7,517.25–$7,563.51 |
$11,565 |
varies |
Repair cleft lip/nasal (40702)
unusually low: confirm this is the full procedure |
$2,349.78 |
$3,592.94 |
0.3× |
Repair cleft lip/nasal (40761)
unusually low: confirm this is the full procedure |
$2,376.71 |
$3,634.11 |
0.3× |
| Repair cleft lip/nasal (40700) |
$6,481.14 |
$9,910 |
0.9× |
| Repair clitoris (56805) |
$5,326.83 |
$8,145 |
1.3× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$5,398.77 |
$8,255 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,703 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$2,052 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,858 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$4,399 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,217 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$2,941 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,281 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,500 |
— |
Repair defect w/autograft radius/ulna (25425)
likely a partial charge, not the full procedure |
$2,399.20 |
$3,668.50 |
0.3× |
| Repair Detached Retina (67101) |
$1,561.07 |
$2,386.95 |
0.5× |
Repair detached retina (67105)
range across 2 matching MRF lines |
$1,491.32–$2,214.10 |
$2,280.31–$3,406.31 |
varies |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$3,495.63 |
$5,345 |
1.2× |
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines |
$3,783.39–$5,421 |
$5,785–$8,340 |
varies |
| Repair Ectropion Suture (67914) |
$1,451.88 |
$2,220 |
0.5× |
| Repair Ectropion Thermocauterization (67915) |
$984.87 |
$1,505.91 |
0.3× |
Repair Elbow Perc (24357)
range across 2 matching MRF lines |
$2,334.78–$4,029.81 |
$3,570–$6,199.71 |
varies |
| Repair Entropion Excision Tarsal Wedge (67923) |
$999.29 |
$1,527.96 |
0.3× |
Repair Entropion Extensive (67924)
range across 2 matching MRF lines |
$3,855.33–$12,174.50 |
$5,895–$18,730 |
varies |
| Repair Entropion Suture (67921) |
$1,621.92 |
$2,480 |
0.5× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$5,575.35 |
$8,525 |
1.4× |
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines |
$3,090.15–$3,183.49 |
$4,725–$4,897.67 |
varies |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$5,235.27 |
$8,005 |
1.3× |
| Repair Eyelid Wound (67935) |
$3,806.28 |
$5,820 |
1.3× |
Repair facial nerve (69740)
unusually low: confirm this is the full procedure |
$2,836.55 |
$4,337.24 |
0.4× |
| Repair finger deformity (26590) |
$5,637.48 |
$8,620 |
2.8× |
Repair Finger Tendon (26433)
range across 2 matching MRF lines |
$2,245.75–$2,259.57 |
$3,455 |
varies |
| Repair Finger/Hand Tendon (26350) |
$5,218.92 |
$7,980 |
1.3× |
Repair Fistula Oromaxillary (30580)
unusually low: confirm this is the full procedure |
$3,168.63 |
$4,845 |
0.4× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$4,901.73 |
$7,495 |
1.2× |
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure |
$3,243.84 |
$4,960 |
0.4× |
| Repair Forearm Tendon Sheath (25275) |
$6,510.57 |
$9,955 |
1.6× |
| Repair forearm tendon/muscle (25265) |
$1,863.52 |
$2,849.42 |
0.5× |
| Repair gum (41872) |
$927.02 |
$1,417.46 |
0.2× |
| Repair Hallux Rigidus (28289) |
$3,659.13 |
$5,595 |
0.9× |
| Repair Hand Joint (26540) |
$7,704.12 |
$11,780 |
1.9× |
Repair Hand Tendon (26410)
range across 2 matching MRF lines |
$3,071.25–$3,090.15 |
$4,725 |
varies |
| Repair humerus with graft (24435) |
$10,189.32 |
$15,580 |
0.6× |
| Repair incomplete circumcision (54163) |
$2,465.58 |
$3,770 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,473.36 |
$6,840 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,476.63 |
$6,845 |
1.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,090.77 |
$6,255 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,218.92 |
$7,980 |
1.2× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$1,536.68 |
$2,349.66 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,479 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,739 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,877 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,919 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,377.64 |
$2,106.48 |
2.7× |
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines |
$1,415.91–$1,777.75 |
$2,165–$2,735 |
varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$896 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,205 |
— |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines |
$1,121.61–$1,524.25 |
$1,715–$2,345 |
varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$918.65 |
$1,404.67 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,554 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,186 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,160 |
— |
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines |
$1,576.14–$2,307.50 |
$2,410–$3,550 |
varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,256 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,827.93 |
$2,795 |
0.7× |
| Repair intrinsic muscles hand each muscle (26591) |
$1,035.30 |
$1,583.02 |
0.3× |
| Repair iris ciliary body (66680) |
$3,786.66 |
$5,790 |
1.3× |
| Repair Laceration Palate </2 Cm (42180) |
$450.70 |
$689.14 |
0.7× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$626.27 |
$957.60 |
0.1× |
| Repair lead pace-defib dual (33220) |
$1,013.71 |
$1,550.02 |
0.2× |
| Repair Lead Pace-Defib One (33218) |
$5,081.58 |
$7,770 |
1.1× |
| Repair Leg Fascia Defect (27656) |
$982.87 |
$1,502.86 |
0.2× |
| Repair lower leg epiphyses (27734) |
$3,237.30 |
$4,950 |
0.8× |
| Repair lower leg tendons (27676) |
$5,254.89 |
$8,035 |
0.6× |
| Repair lumbar hernia (49540) |
$4,581.27 |
$7,005 |
0.6× |
Repair mouth/nose fistula (30600)
unusually low: confirm this is the full procedure |
$3,168.63 |
$4,845 |
0.4× |
| Repair nasal septal perforations (30630) |
$3,695.10 |
$5,650 |
0.9× |
| Repair Nasal Vestibular Stenosis (30465) |
$6,795.06 |
$10,390 |
0.9× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$8,629.53 |
$13,195 |
0.5× |
| Repair Nonunion Carpal Bone Each Bone (25431) |
$6,428.82 |
$9,830 |
0.7× |
| Repair Nonunion Hand (26546) |
$6,916.05 |
$10,575 |
0.8× |
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure |
$1,468.81 |
$2,245.89 |
0.1× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$9,872.13 |
$15,095 |
1.1× |
| Repair nose to lip fistula (42260) |
$3,727.80 |
$5,700 |
0.5× |
| Repair of anal fistula with fibrin glue (46706) |
$443.03 |
$677.41 |
0.1× |
| Repair of anal sphincter (46760) |
$2,642.28 |
$4,040.18 |
0.8× |
| Repair of arm tendon (24320) |
$8,099.79 |
$12,385 |
0.9× |
| Repair of biceps tendon (24340) |
$6,458.25 |
$9,875 |
0.7× |
| Repair of congenital pseudarthrosis, tibia Facility (27727) |
$2,938.10 |
$4,492.50 |
0.7× |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
$2,806.68 |
$4,291.56 |
0.7× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$3,724.53 |
$5,695 |
0.6× |
| Repair of entropion; thermocauterization (67922) |
$953.90 |
$1,458.56 |
0.3× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$1,573.78 |
$2,406.39 |
0.4× |
| Repair of fibula epiphysis (27732) |
$1,811.58 |
$2,770 |
0.4× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$9,829.62 |
$15,030 |
1.1× |
| Repair of hammertoe (28286) |
$960.65 |
$1,468.88 |
0.2× |
| Repair of hydrocele (55060) |
$2,272.65 |
$3,475 |
0.5× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$6,994.53 |
$10,695 |
1.6× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$4,464.10 |
$6,825.84 |
0.7× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) |
$10,653.66 |
$16,290 |
0.9× |
Repair of knee ligaments (27409)
likely a partial charge, not the full procedure |
$2,406.94 |
$3,680.34 |
0.3× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$1,173.10 |
$1,793.73 |
0.4× |
Repair of leg nerve (64840)
likely a partial charge, not the full procedure |
$2,370.95 |
$3,625.30 |
0.2× |
Repair of metatarsals (28322)
likely a partial charge, not the full procedure |
$1,407.32 |
$2,151.87 |
0.2× |
| Repair of nail bed (11760) |
— |
$3,327 |
— |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)
unusually low: confirm this is the full procedure |
$2,917.67 |
$4,461.27 |
0.3× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$9,692.28 |
$14,820 |
1.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$8,024.58 |
$12,270 |
0.9× |
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725)
unusually low: confirm this is the full procedure |
$3,049.84 |
$4,663.36 |
0.3× |
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722)
likely a partial charge, not the full procedure |
$2,221.51 |
$3,396.80 |
0.2× |
| Repair of rectocele (45560) |
$1,661.70 |
$2,540.82 |
0.5× |
| Repair of rectum (45505) |
$3,695.10 |
$5,650 |
1.1× |
| Repair of Ruptured Tendon (24342) |
$8,763.60 |
$13,400 |
1.0× |
Repair of scleral staphyloma with graft Facility (66225)
unusually low: confirm this is the full procedure |
$2,155.31 |
$3,295.58 |
0.3× |
| Repair of shoulder (23420) |
$12,079.38 |
$18,470 |
1.3× |
| Repair of sternum separation (21750) |
$8,927.10 |
$13,650 |
1.0× |
| Repair of urethra injury (53502) |
$1,609.23 |
$2,460.59 |
0.4× |
| Repair of web finger (26562) |
$11,824.32 |
$18,080 |
2.9× |
| Repair of web finger (26560) |
$6,935.67 |
$10,605 |
3.5× |
| Repair of web finger (26561) |
$4,669.56 |
$7,140 |
1.1× |
| Repair of windpipe (31755) |
$4,162.76 |
$6,365.07 |
0.6× |
| Repair of windpipe (31750) |
$5,222.19 |
$7,985 |
0.7× |
| Repair of windpipe defect (31825) |
$2,913.57 |
$4,455 |
0.7× |
| Repair oval window fistula (69666) |
$1,969.46 |
$3,011.41 |
0.5× |
Repair palate (42235)
likely a partial charge, not the full procedure |
$1,799.03 |
$2,750.81 |
0.2× |
Repair paravag defect lap (57423)
likely a partial charge, not the full procedure |
$2,166.77 |
$3,313.10 |
0.2× |
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure |
$1,590.03 |
$2,431.24 |
0.2× |
| Repair penis post injury (54440) |
$3,260.19 |
$4,985 |
0.7× |
| Repair radius & ulna (25415) |
$10,473.81 |
$16,015 |
1.2× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$5,526.30 |
$8,450 |
1.2× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$1,503.83 |
$2,299.44 |
0.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$5,523.03 |
$8,445 |
0.7× |
| Repair retinal detach cplx (67113) |
— |
$11,464 |
— |
| Repair Retinal Detachment Scleral Buckling (67107) |
$9,146.19 |
$13,985 |
1.8× |
| Repair Rotator Cuff Chronic (23412) |
$6,935.67 |
$10,605 |
0.8× |
| Repair round window fistula (69667) |
$1,967.65 |
$3,008.64 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$8,982.69 |
$13,735 |
1.0× |
| Repair shoulder capsule (23462) |
$12,321.36 |
$18,840 |
1.4× |
| Repair shoulder capsule (23466) |
$10,817.16 |
$16,540 |
1.2× |
Repair Spica/Body/Jacket Cast (29720)
range across 2 matching MRF lines |
$210.88–$355.19 |
$322.44–$546.44 |
varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,132.04 |
$3,260 |
0.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,880.08 |
$10,520 |
0.8× |
| Repair Toe Dislocation (28645) |
$1,818.12 |
$2,780 |
0.4× |
| Repair tongue laceration (41252) |
$1,066.02 |
$1,630 |
3.6× |
| Repair tongue laceration (41250) |
— |
$1,196 |
— |
| Repair Tooth Socket (41874) |
$938.10 |
$1,434.41 |
0.2× |
| Repair umbilical lesion (49600) |
$1,762.07 |
$2,694.29 |
0.4× |
Repair uro sphincter (53449)
unusually low: confirm this is the full procedure |
$4,829.79 |
$7,385 |
0.4× |
| Repair webbed toe(s) (28345) |
$5,859.84 |
$8,960 |
2.9× |
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188)
unusually low: confirm this is the full procedure |
$2,751.97 |
$4,207.91 |
0.4× |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
$2,886.76 |
$4,414 |
0.7× |
| Repair, congenital arteriovenous fistula; head and neck Facility (35180) |
$2,223.33 |
$3,399.59 |
1.1× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure |
$992.27 |
$1,517.24 |
0.1× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$5,071.77 |
$7,755 |
1.1× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$5,604.78 |
$8,570 |
0.7× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$11,078.76 |
$16,940 |
1.2× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$9,872.13 |
$15,095 |
1.1× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure |
$3,479.28 |
$5,320 |
0.4× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,210.35 |
$11,025 |
0.8× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$1,376.74 |
$2,105.10 |
0.3× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$1,667.47 |
$2,549.65 |
0.4× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure |
$1,555.79 |
$2,378.88 |
0.2× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$1,657.07 |
$2,533.75 |
0.2× |
| Repair/graft femur head/neck (27170) |
$13,243.50 |
$20,250 |
1.5× |
| Repair/graft finger tendon (26428) |
$1,760.78 |
$2,692.32 |
0.4× |
| Repair/Graft Wrist Bone (25440) |
$6,101.82 |
$9,330 |
0.7× |
| Repair/Revise Wrist Joint (25320) |
$9,636.69 |
$14,735 |
1.1× |
Repair/transpose nerve (64856)
likely a partial charge, not the full procedure |
$2,510.97 |
$3,839.41 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$905.79 |
$1,385 |
0.8× |
| Replace elbow joint (24363) |
$12,461.97 |
$19,055 |
0.6× |
Replace eye fluid (67025)
range across 2 matching MRF lines |
$1,468.39–$5,819.61 |
$2,245.24–$8,953.24 |
varies |
| Replace G-J Tube Perc (49452) |
— |
$2,651 |
— |
| Replace g/c tube perc (49450) |
— |
$4,183 |
— |
| Replace/Revise Brain Shunt (62230) |
$12,455.43 |
$19,045 |
1.1× |
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69730)
range across 2 matching MRF lines |
$1,885–$1,896.60 |
$2,900 |
varies |
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719)
range across 2 matching MRF lines |
$1,690–$1,700.40 |
$2,600 |
varies |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) |
$1,328.52 |
$2,031.38 |
0.5× |
Replacement Tissue Expander W/Permanent Implant (11970)
unusually low: confirm this is the full procedure |
$3,489.09 |
$5,335 |
0.4× |
| Replantation digit complete (20822) |
$21,183.06 |
$32,390 |
10.6× |
Replantation Hand Complete Amputation (20808)
unusually low: confirm this is the full procedure |
$9,680.91 |
$14,802.62 |
0.4× |
Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation Facility (20802)
unusually low: confirm this is the full procedure |
$6,911.58 |
$10,568.17 |
0.3× |
| Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) |
$5,144.78 |
$7,866.63 |
2.6× |
Replantation, foot, complete amputation Facility (20838)
unusually low: confirm this is the full procedure |
$7,194.10 |
$11,000.16 |
0.3× |
Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation Facility (20805)
unusually low: confirm this is the full procedure |
$7,997.27 |
$12,228.24 |
0.4× |
| Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Facility (20824) |
$21,013.02 |
$32,130 |
10.5× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
$20,774.31 |
$31,765 |
10.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$1,016.34 |
$1,554.04 |
0.2× |
| Reposition Gastrostomy Tube (43761) |
$1,268.76 |
$1,940 |
4.1× |
| Reposition L Ventric Lead (33226) |
$4,885.38 |
$7,470 |
1.2× |
| Reposition Pacing-Defib Lead (33215) |
$4,205.22 |
$6,430 |
1.1× |
| Reposition Venous Catheter (36597) |
$562.44 |
$860 |
0.3× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$6,085.47 |
$9,305 |
2.1× |
Repositioning phrenic nrv stimulator transvns ld (33281)
range across 2 matching MRF lines |
$1,004.25–$1,010.43 |
$1,545 |
varies |
| Repr elbow lat ligmnt w/tiss (24343) |
$7,187.46 |
$10,990 |
1.8× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$7,187.46 |
$10,990 |
0.8× |
| Repr torn cruciate knee ligam (27407) |
$9,162.54 |
$14,010 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$4,999.83 |
$7,645 |
1.1× |
| Resect back tum < 5 cm (21935) |
$4,865.76 |
$7,440 |
1.3× |
| Resect enlarged toe (28341) |
$1,589.97 |
$2,431.14 |
0.4× |
| Resect enlarged toe tissue (28340) |
$1,372.82 |
$2,099.12 |
0.3× |
| Resect forarm/wrist tum 3cm> (25078) |
$5,899.08 |
$9,020 |
1.6× |
| Resect hip/pelv tum 5 cm/> (27059) |
$9,728.25 |
$14,875 |
2.7× |
| Resect hip/pelv tum < 5 cm (27049) |
$6,736.20 |
$10,300 |
1.9× |
| Resect leg/ankle tum < 5 cm (27615) |
$5,163.33 |
$7,895 |
1.4× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$7,292.10 |
$11,150 |
2.0× |
| Resect shoulder tumor < 5 cm (23077) |
$5,820.60 |
$8,900 |
1.6× |
| Resect thigh/knee tum < 5 cm (27329) |
$4,502.79 |
$6,885 |
1.2× |
| Resection of elbow joint (arthrectomy) Facility (24155) |
$2,127.53 |
$3,253.11 |
0.5× |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
$4,579.79 |
$7,002.74 |
0.6× |
| Resection of scrotum (55150) |
— |
$6,602 |
— |
Resection, condyle(s), distal end of phalanx, each toe Facility (28153)
range across 2 matching MRF lines |
$2,001.24–$2,990 |
$3,060–$4,600 |
varies |
Resection, humeral head Facility (23195)
likely a partial charge, not the full procedure |
$1,881.19 |
$2,876.43 |
0.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,001.24 |
$3,060 |
0.5× |
Resection/transplantation long tendon biceps (23440)
likely a partial charge, not the full procedure |
$1,872.76 |
$2,863.54 |
0.2× |
| Retrobulbar inject,alcohol (67505) |
$187.74 |
$287.07 |
0.5× |
| Retrobulbar injection (67500) |
— |
$614 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
$2,011.05 |
$3,075 |
0.5× |
Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370)
unusually low: confirm this is the full procedure |
$5,359.33 |
$8,194.70 |
0.3× |
| Revis reconst shoulder joint (23473) |
$8,652.42 |
$13,230 |
0.5× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$7,014.15 |
$10,725 |
0.4× |
| Revise Abdomen-Venous Shunt (49426) |
$4,669.56 |
$7,140 |
1.0× |
Revise cornea with implant (65770)
likely a partial charge, not the full procedure |
$3,251.29 |
$4,971.39 |
0.2× |
| Revise external ear (69300) |
$5,663.64 |
$8,660 |
1.4× |
| Revise eye (65091) |
$4,260.81 |
$6,515 |
0.9× |
| Revise eye with implant (65093) |
$5,326.83 |
$8,145 |
1.1× |
| Revise eyelashes (67835) |
$1,016.28 |
$1,553.94 |
0.3× |
| Revise eyelashes (67825) |
— |
$905 |
— |
| Revise eyelid lining (68360) |
$2,001.24 |
$3,060 |
0.4× |
| Revise finger joint each (26140) |
$2,177.82 |
$3,330 |
1.1× |
| Revise graft w/vein (35884) |
$5,369.29 |
$8,209.92 |
0.8× |
| Revise Hand/Foot Nerve (64704) |
$5,277.78 |
$8,070 |
2.2× |
| Revise hernia & sperm veins (55540) |
$1,398.28 |
$2,138.05 |
0.3× |
| Revise knuckle joint (26530) |
$4,869.03 |
$7,445 |
0.5× |
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure |
$2,969.16 |
$4,540 |
0.3× |
| Revise Lower Leg Tendons (27686) |
$2,759.88 |
$4,220 |
0.7× |
Revise palsy hand tendon(s) (25315)
unusually low: confirm this is the full procedure |
$3,976.32 |
$6,080 |
0.4× |
| Revise penis/urethra (54328) |
$8,099.79 |
$12,385 |
1.8× |
| Revise penis/urethra (54332) |
$13,570.50 |
$20,750 |
3.1× |
| Revise penis/urethra (54336) |
$15,254.55 |
$23,325 |
3.5× |
| Revise radius & ulna (25365) |
$8,070.36 |
$12,340 |
0.5× |
Revise reconst elbow joint (24371)
likely a partial charge, not the full procedure |
$6,165.44 |
$9,427.28 |
0.3× |
Revise Spine Eltrd Plate (63664)
unusually low: confirm this is the full procedure |
$6,010.26 |
$9,190 |
0.4× |
| Revise thumb tendon (26496) |
$8,665.50 |
$13,250 |
2.1× |
| Revise ulnar nerve at wrist (64719) |
$5,254.89 |
$8,035 |
2.2× |
| Revise ureter (50727) |
$1,669.03 |
$2,552.04 |
0.4× |
| Revise Wrist/Forearm Tendon (25280) |
$4,793.82 |
$7,330 |
1.2× |
| Revise/Implant Finger Joint (26536) |
$7,265.94 |
$11,110 |
0.8× |
| Revise/remove neuroelectrode (61880) |
$7,030.50 |
$10,750 |
1.6× |
| Revise/Repair Finger/Toe Nerve (64702) |
$5,065.23 |
$7,745 |
2.1× |
Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering,… (22838)
range across 2 matching MRF lines |
$4,959.50–$4,990.02 |
$7,630 |
varies |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$8,593.56 |
$13,140 |
0.9× |
Revision including removal of prosthetic vaginal graft vaginal approach (57295)
range across 2 matching MRF lines |
$4,696.25–$4,725.15 |
$7,225 |
varies |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862)
likely a partial charge, not the full procedure |
$5,908.38 |
$9,034.22 |
0.3× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861)
likely a partial charge, not the full procedure |
$4,855.39 |
$7,424.14 |
0.2× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
$12,605.85 |
$19,275 |
1.7× |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) |
$14,479.56 |
$22,140 |
2.0× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$13,544.34 |
$20,710 |
1.8× |
Revision of big toe (28310)
unusually low: confirm this is the full procedure |
$3,695.10 |
$5,650 |
0.4× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$10,522.86 |
$16,090 |
2.4× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$11,938.77 |
$18,255 |
2.7× |
| Revision of eyelid (67880) |
— |
$5,909 |
— |
| Revision of foot (28116) |
$4,545.30 |
$6,950 |
1.1× |
| Revision of foot and ankle (28262) |
$6,154.14 |
$9,410 |
0.7× |
Revision of foot bones (28737)
likely a partial charge, not the full procedure |
$1,661.86 |
$2,541.07 |
0.1× |
| Revision of foot fascia (28250) |
$3,129.39 |
$4,785 |
0.8× |
| Revision of humerus (24400) |
$6,144.33 |
$9,395 |
0.7× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$10,006.20 |
$15,300 |
2.3× |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
$1,831.20 |
$2,800 |
0.4× |
| Revision of knee joint (27442) |
$9,175.62 |
$14,030 |
0.6× |
Revision of larynx (31400)
unusually low: confirm this is the full procedure |
$2,410.42 |
$3,685.65 |
0.3× |
| Revision of leg vein (37780) |
$2,001.24 |
$3,060 |
0.5× |
| Revision of lower leg tendon (27685) |
$2,334.78 |
$3,570 |
0.6× |
| Revision of neck muscle (21720) |
$1,175.09 |
$1,796.77 |
0.3× |
| Revision of nose (30462) |
$11,510.40 |
$17,600 |
1.6× |
| Revision of penis (54300) |
$5,326.83 |
$8,145 |
1.2× |
| Revision of penis (54304) |
$9,339.12 |
$14,280 |
2.1× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$4,816.22 |
$7,364.25 |
0.7× |
Revision of reconstructed breast (19380)
range across 2 matching MRF lines |
$8,884.59–$9,535.07 |
$13,585–$14,669.34 |
varies |
| Revision of scrotum (55180) |
$7,988.61 |
$12,215 |
1.2× |
| Revision of stapedectomy or stapedotomy Facility (69662) |
$13,825.56 |
$21,140 |
1.9× |
| Revision of toe (28312) |
$3,695.10 |
$5,650 |
0.9× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$15,460.56 |
$23,640 |
1.0× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$16,104.75 |
$24,625 |
1.0× |
| Revision of tracheostomy scar (31830) |
$4,254.27 |
$6,505 |
1.0× |
| Revision of urethra (53460) |
$3,770.31 |
$5,765 |
0.9× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$756.70 |
$1,157.03 |
0.1× |
| Revision of wrist joint (25450) |
$2,455.77 |
$3,755 |
0.6× |
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583)
range across 2 matching MRF lines |
$4,335.50–$4,362.18 |
$6,670 |
varies |
Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth… (61891)
range across 2 matching MRF lines |
$1,569.75–$1,579.41 |
$2,415 |
varies |
| Revision Peri-Implant Capsule Breast (19370) |
$6,036.42 |
$9,230 |
1.2× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$14,587.47 |
$22,305 |
2.1× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879)
unusually low: confirm this is the full procedure |
$2,403.10 |
$3,674.47 |
0.3× |
Revision/replmt neurostimlator eltrd cranial nrv (64569)
unusually low: confirm this is the full procedure |
$4,414.50 |
$6,750 |
0.3× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$5,369.34 |
$8,210 |
1.9× |
Revj Arthrp W/Removal Implant Wrist Joint (25449)
likely a partial charge, not the full procedure |
$2,520.41 |
$3,853.84 |
0.3× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$3,044.37 |
$4,655 |
0.7× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$2,890.68 |
$4,420 |
0.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$4,103.85 |
$6,275 |
0.5× |
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881)
unusually low: confirm this is the full procedure |
$2,650.01 |
$4,052.01 |
0.4× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
$10,653.66 |
$16,290 |
1.4× |
| Revj Shunt Extraocular Reservoir W/O Graft (66184) |
$5,555.73 |
$8,495 |
1.9× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$20,378.64 |
$31,160 |
1.3× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$18,377.40 |
$28,100 |
0.8× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$11,739.30 |
$17,950 |
0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$6,952.02 |
$10,630 |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$6,392.85 |
$9,775 |
1.5× |
Revj/rmvl neurostimulator pulse generator (61888)
likely a partial charge, not the full procedure |
$4,012.29 |
$6,135 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$10,487 |
— |
Revj/rpr oprative wound anterior segment (66250)
range across 2 matching MRF lines |
$4,041.72–$4,530.50 |
$6,180–$6,970 |
varies |
| Rhinoplasty primary w/major septal repair (30420) |
$9,381.63 |
$14,345 |
1.3× |
Rhinoplasty Secondary Intermediate Revision (30435)
range across 2 matching MRF lines |
$7,439.25–$7,485.03 |
$11,445 |
varies |
| Rhinoplasty Secondary Major Revision (30450) |
$10,346.28 |
$15,820 |
1.4× |
| Rhinoplasty Secondary Minor Revision (30430) |
$5,277.78 |
$8,070 |
0.7× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
$6,042.96 |
$9,240 |
0.8× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$7,883.97 |
$12,055 |
1.1× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
$5,526.30 |
$8,450 |
0.7× |
Rhytidectomy Cheek Chin & Neck (15828)
range across 2 matching MRF lines |
$11,527.75–$11,598.69 |
$17,735 |
varies |
| Rib cartilage graft (21230) |
$8,806.11 |
$13,465 |
1.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,079.10 |
$1,650 |
0.4× |
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436)
range across 2 matching MRF lines |
$1,631.73–$2,549.96 |
$2,495–$3,923.01 |
varies |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$615.80 |
$941.59 |
0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,111.80 |
$1,700 |
1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$2,267 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$640.92 |
$980 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$787 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$755 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$677 |
— |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$2,174.55 |
$3,325 |
5.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,111.80 |
$1,700 |
0.7× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$2,903.76 |
$4,440 |
1.5× |
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines |
$3,404.07–$3,703.31 |
$5,205–$5,697.40 |
varies |
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 2 matching MRF lines |
$618.54–$1,542.31 |
$945.78–$2,372.78 |
varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,739.64 |
$2,660 |
0.8× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$4,326.21 |
$6,615 |
1.5× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$7,507.92 |
$11,480 |
2.6× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$4,774.20 |
$7,300 |
1.7× |
Rmvl Lens Material Phacofragmentation Aspir (66850)
range across 2 matching MRF lines |
$5,294.25–$5,326.83 |
$8,145 |
varies |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,695.10 |
$5,650 |
0.8× |
Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280)
range across 2 matching MRF lines |
$539.50–$542.82 |
$830 |
varies |
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279)
range across 2 matching MRF lines |
$929.50–$935.22 |
$1,430 |
varies |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$5,199.30 |
$7,950 |
2.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,691.21 |
$4,115 |
1.1× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$5,124.09 |
$7,835 |
1.2× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$5,895.81 |
$9,015 |
0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$7,164.57 |
$10,955 |
1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,901 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,922 |
— |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,501.55 |
$3,825 |
0.9× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$1,257.13 |
$1,922.22 |
0.4× |
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287)
range across 2 matching MRF lines |
$1,036.75–$1,043.13 |
$1,595 |
varies |
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288)
range across 2 matching MRF lines |
$1,368.25–$1,376.67 |
$2,105 |
varies |
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710)
range across 2 matching MRF lines |
$305.22–$504.20 |
$466.69–$775.69 |
varies |
Rmvl/revj sling stress incontinence (57287)
range across 2 matching MRF lines |
$11,222.25–$11,291.31 |
$17,265 |
varies |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
$2,093.70 |
$3,201.37 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
— |
$986 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,279 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,772.96 |
$4,240 |
0.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$624.57 |
$955 |
0.3× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$699.54 |
$1,069.64 |
0.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$3,901 |
— |
Rplcmt compl tun ctr vad w/subq pmp (36583)
likely a partial charge, not the full procedure |
$861.99 |
$1,318.03 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,701.02 |
$4,130 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$9,793 |
— |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) |
$1,831.70 |
$2,800.76 |
0.4× |
| Rplcmt/irrigation ventricular catheter (62225) |
$6,520.38 |
$9,970 |
1.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines |
$3,766.75–$3,789.93 |
$5,795 |
varies |
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines |
$1,725.75–$1,736.37 |
$2,655 |
varies |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
range across 2 matching MRF lines |
$3,880.50–$3,904.38 |
$5,970 |
varies |
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines |
$3,224–$3,243.84 |
$4,960 |
varies |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
range across 2 matching MRF lines |
$2,882.75–$2,900.49 |
$4,435 |
varies |
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines |
$2,125.50–$2,138.58 |
$3,270 |
varies |
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines |
$2,889.25–$2,907.03 |
$4,445 |
varies |
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines |
$2,401.75–$2,416.53 |
$3,695 |
varies |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$1,682.53 |
$2,572.68 |
0.3× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
$6,481.14 |
$9,910 |
2.2× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$4,525.68 |
$6,920 |
1.5× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$4,757.85 |
$7,275 |
1.6× |
| Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) |
$1,175.64 |
$1,797.62 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$10,653.66 |
$16,290 |
12.1× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$3,708.18 |
$5,670 |
1.2× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$11,605.23 |
$17,745 |
1.7× |
Rpr Component Inflatable Penile Prosthesis (54408)
unusually low: confirm this is the full procedure |
$2,609.64 |
$3,990.27 |
0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,782.15 |
$2,725 |
0.9× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$4,440.66 |
$6,790 |
1.1× |
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure |
$884.42 |
$1,352.33 |
0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,511 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$6,428.82 |
$9,830 |
0.7× |
| Rpr ing hern premie blocked (49492) |
$1,998.18 |
$3,055.32 |
0.4× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$3,168.63 |
$4,845 |
0.7× |
Rpr ing hernia init reduce (49500)
unusually low: confirm this is the full procedure |
$2,949.54 |
$4,510 |
0.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,818.12 |
$2,780 |
2.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$581.30 |
$888.84 |
2.0× |
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286)
range across 2 matching MRF lines |
$4,325.75–$4,352.37 |
$6,655 |
varies |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$480.69 |
$735 |
0.2× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$4,891.92 |
$7,480 |
0.7× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$1,345.52 |
$2,057.37 |
0.3× |
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280)
likely a partial charge, not the full procedure |
$1,556.36 |
$2,379.75 |
0.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$2,462 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$2,209 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$4,375.26 |
$6,690 |
2.3× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$11,539.83 |
$17,645 |
1.3× |
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
range across 2 matching MRF lines |
$412.02–$6,886.75 |
$630–$10,595 |
varies |
Rpr Nsl Vlv Collapse W/Implt (30468)
range across 2 matching MRF lines |
$457.80–$8,047 |
$700–$12,380 |
varies |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$4,721.88 |
$7,220 |
0.5× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
— |
$5,186 |
— |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$12,546.99 |
$19,185 |
2.4× |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
$3,417.15 |
$5,225 |
1.2× |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
$4,113.66 |
$6,290 |
0.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,842.87 |
$7,405 |
1.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$10,084.68 |
$15,420 |
2.5× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,446.58 |
$5,270 |
0.8× |
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure |
$1,384.80 |
$2,117.43 |
0.2× |
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
unusually low: confirm this is the full procedure |
$3,126.12 |
$4,780 |
0.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,605 |
— |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$1,135.55 |
$1,736.32 |
0.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$4,509.33 |
$6,895 |
1.1× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$7,527.54 |
$11,510 |
0.8× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$8,168.46 |
$12,490 |
0.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$16,575 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$6,137.79 |
$9,385 |
1.5× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$4,067.88 |
$6,220 |
1.0× |
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372)
range across 2 matching MRF lines |
$2,159.14–$5,173.64 |
$3,301.44–$7,959.44 |
varies |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$5,859.84 |
$8,960 |
1.4× |
| Salpingostomy (salpingoneostomy) (58770) |
$2,013.27 |
$3,078.40 |
0.5× |
| Saphenopopliteal vein anastomosis Facility (34530) |
$11,078.76 |
$16,940 |
2.8× |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
$5,683.26 |
$8,690 |
0.6× |
| Scleral reinforcement (separate procedure); without graft Facility (67250) |
$1,810.47 |
$2,768.31 |
0.6× |
| Scleral Reinforcement Spx W/Graft (67255) |
$6,458.25 |
$9,875 |
1.3× |
| Sclerotx Fluid Collection (49185) |
— |
$3,057 |
— |
| Scrotal exploration (55110) |
$1,805.04 |
$2,760 |
0.4× |
| Scrotoplasty Simple (55175) |
$4,211.76 |
$6,440 |
1.0× |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
$7,684.50 |
$11,750 |
1.0× |
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620)
likely a partial charge, not the full procedure |
$1,502.03 |
$2,296.68 |
0.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,871.68 |
$5,920 |
0.9× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$1,392.85 |
$2,129.74 |
0.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$1,280.66 |
$1,958.19 |
0.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) |
$1,457.92 |
$2,229.24 |
0.4× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) |
$1,405.98 |
$2,149.81 |
0.3× |
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134)
likely a partial charge, not the full procedure |
$1,861.87 |
$2,846.89 |
0.2× |
Sequestrectomy Olecranon Process (24138)
likely a partial charge, not the full procedure |
$1,676.33 |
$2,563.19 |
0.2× |
| Sever cranial nerve (64771) |
$7,030.50 |
$10,750 |
2.9× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$718.41 |
$1,098.49 |
1.0× |
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880)
likely a partial charge, not the full procedure |
$1,537.68 |
$2,351.20 |
0.3× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
$1,370.12 |
$2,094.98 |
0.5× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$4,260.81 |
$6,515 |
1.5× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$4,054.80 |
$6,200 |
1.4× |
| Severing tarsorrhaphy (67710) |
— |
$1,784 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$974.46 |
$1,490 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,605.57 |
$2,455 |
1.1× |
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines |
$248.52–$386.75 |
$380–$595 |
varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$416 |
— |
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines |
$526.47–$760.50 |
$805–$1,170 |
varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$379 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$499 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$635 |
— |
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 2 matching MRF lines |
$434.91–$627.25 |
$665–$965 |
varies |
| Shorten radius & ulna (25392) |
$7,207.08 |
$11,020 |
0.8× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$1,455.27 |
$2,225.18 |
0.4× |
| Shoulder arthroscopy (29820) |
$5,886 |
$9,000 |
0.6× |
| Shoulder arthroscopy diagnostic (29805) |
$6,023.34 |
$9,210 |
1.5× |
| Shoulder Arthroscopy/Surgery (29825) |
$6,327.45 |
$9,675 |
1.5× |
| Shoulder joint surgery (23101) |
$1,114.21 |
$1,703.68 |
0.3× |
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines |
$366.24–$520 |
$560–$800 |
varies |
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines |
$405.48–$650 |
$620–$1,000 |
varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$459 |
— |
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines |
$447.99–$580.92 |
$685–$893.72 |
varies |
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines |
$349.89–$578.50 |
$535–$890 |
varies |
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 2 matching MRF lines |
$1,000.62–$2,305.49 |
$1,530–$3,546.91 |
varies |
| Sigmoidoscopy & decompress (45337) |
$1,612.11 |
$2,465 |
1.4× |
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines |
$1,242.60–$1,589.25 |
$1,900–$2,445 |
varies |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,088.91 |
$1,665 |
0.7× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$2,848.17 |
$4,355 |
1.9× |
| Sigmoidoscopy w/fb removal (45332) |
$1,160.85 |
$1,775 |
0.8× |
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure |
$1,216.44 |
$1,860 |
0.2× |
| Sigmoidoscopy W/Ultrasound (45341) |
$1,968.54 |
$3,010 |
1.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$3,016 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,242.60 |
$1,900 |
0.8× |
| Simple Cystometrogram (51725) |
— |
$711 |
— |
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines |
$509.85–$656.88 |
$779.59–$1,010.59 |
varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$885 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$939 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$639 |
$977.06 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,198 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$800.03 |
$1,223.29 |
3.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$669 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$556.38 |
$850.73 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,083 |
— |
Sinusotomy frontal; external, simple (trephine operation) Facility (31070)
likely a partial charge, not the full procedure |
$1,055.86 |
$1,614.46 |
0.1× |
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086)
unusually low: confirm this is the full procedure |
$2,695.30 |
$4,121.26 |
0.4× |
Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087)
unusually low: confirm this is the full procedure |
$2,601.73 |
$3,978.18 |
0.4× |
Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080)
unusually low: confirm this is the full procedure |
$2,478.08 |
$3,789.11 |
0.3× |
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084)
unusually low: confirm this is the full procedure |
$2,771.38 |
$4,237.59 |
0.4× |
Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085)
unusually low: confirm this is the full procedure |
$3,543.90 |
$5,418.80 |
0.5× |
| Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) |
$3,967.18 |
$6,066.02 |
0.5× |
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075)
likely a partial charge, not the full procedure |
$1,876.57 |
$2,869.37 |
0.3× |
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030)
unusually low: confirm this is the full procedure |
$3,502.17 |
$5,355 |
0.5× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
likely a partial charge, not the full procedure |
$1,385 |
$2,117.73 |
0.2× |
Sinusotomy, sphenoid, with or without biopsy; Facility (31050)
unusually low: confirm this is the full procedure |
$3,230.76 |
$4,940 |
0.4× |
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051)
likely a partial charge, not the full procedure |
$1,551.60 |
$2,372.48 |
0.2× |
| Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) |
$6,150.87 |
$9,405 |
0.8× |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$4,387 |
— |
| Skin graft, harvest cultured tissue (15040) |
$797.88 |
$1,220 |
0.3× |
| Skin Pedicle Flap Trunk (15570) |
$4,162.71 |
$6,365 |
1.6× |
| Skin Pinch Graft (15050) |
$1,083.59 |
$1,656.86 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,897 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,810 |
— |
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines |
$846.93–$3,951.68 |
$1,295–$6,079.50 |
varies |
| Skin Tissue Procedure (17999) |
— |
$570 |
— |
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines |
$961.38–$2,536.68 |
$1,470–$3,902.59 |
varies |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
unusually low: confirm this is the full procedure |
$3,145.74 |
$4,810 |
0.5× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$2,736.99 |
$4,185 |
0.7× |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
unusually low: confirm this is the full procedure |
$3,423.69 |
$5,235 |
0.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,309.69 |
$14,235 |
1.5× |
Slitting of prepuce (54001)
range across 2 matching MRF lines |
$758.64–$897 |
$1,160–$1,380 |
varies |
| Slitting of prepuce (54000) |
$542.27 |
$829.16 |
0.1× |
| Small bowel endoscopy (44366) |
$3,096.69 |
$4,735 |
1.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,962.62 |
$4,530 |
1.2× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
likely a partial charge, not the full procedure |
$1,047.39 |
$1,601.52 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$873 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$2,113 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$2,322 |
— |
| Snip Incision Lacrimal Punctum (68440) |
— |
$2,444 |
— |
| So Apol1 Risk Variants G1 G2 (0355U) |
— |
$788 |
— |
Sperm washing artificial insemination (58323)
range across 2 matching MRF lines |
$60.82–$243.75 |
$93–$375 |
varies |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$1,829.80 |
$2,797.86 |
0.5× |
| Sphincterotomy anal division sphincter spx (46080) |
$817.50 |
$1,250 |
0.2× |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
$2,240.95 |
$3,426.53 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,660 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,568.19 |
$6,985 |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$4,417.77 |
$6,755 |
1.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,763.77 |
$5,755 |
1.0× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661)
unusually low: confirm this is the full procedure |
$2,935.13 |
$4,487.96 |
0.4× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$11,337.09 |
$17,335 |
1.5× |
| Stapes mobilization (69650) |
$1,952.82 |
$2,985.97 |
0.5× |
| Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) |
$4,532.74 |
$6,930.80 |
1.1× |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) |
$1,273.55 |
$1,947.33 |
0.5× |
| Sternal debridement (21627) |
$5,326.83 |
$8,145 |
1.3× |
| Strabismus Any Superior Oblique Muscle (67318) |
$3,753.96 |
$5,740 |
1.3× |
Strabismus Recession/Rescj 1 Hrzntl Musc (67311)
range across 2 matching MRF lines |
$4,192.14–$6,246.50 |
$6,410–$9,610 |
varies |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$4,368.72 |
$6,680 |
1.5× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$5,133.90 |
$7,850 |
1.0× |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
$1,855.02 |
$2,836.42 |
0.6× |
| Strapping ankle (29540) |
— |
$336 |
— |
| Strapping elbow or wrist (29260) |
— |
$332 |
— |
Strapping hand/finger (29280)
range across 2 matching MRF lines |
$248.52–$360.75 |
$380–$555 |
varies |
| Strapping Hip (29520) |
$147.27 |
$225.18 |
0.9× |
Strapping knee (29530)
range across 2 matching MRF lines |
$154.27–$234.57 |
$235.88–$360.88 |
varies |
| Strapping shoulder (29240) |
$152.91 |
$233.80 |
0.9× |
Strapping thorax (29200)
range across 2 matching MRF lines |
$155–$235.30 |
$237–$362 |
varies |
Strapping toes (29550)
range across 2 matching MRF lines |
$183.12–$204.50 |
$280–$314.62 |
varies |
| Strapping Unna Boot (29580) |
— |
$404 |
— |
Stump elongation, upper extremity Facility (24935)
likely a partial charge, not the full procedure |
$2,298.18 |
$3,514.04 |
0.3× |
| Subconjunctival injection (68200) |
— |
$766 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$828 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$443 |
— |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
— |
$1,136 |
— |
Subcutaneous Injection Filling Matrl >10.0 Cc (11954)
range across 2 matching MRF lines |
$673.62–$1,056.25 |
$1,030–$1,625 |
varies |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$309.44 |
$473.15 |
0.3× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$327.16 |
$500.24 |
0.4× |
| Submucosal abltj tongue rf 1/> sites pr session (41530) |
$1,018.55 |
$1,557.41 |
0.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,701.02 |
$4,130 |
0.7× |
| Subtalar arthro w/deb (29906) |
$7,138.41 |
$10,915 |
1.7× |
| Subtalar arthro w/exc (29905) |
$6,775.44 |
$10,360 |
0.7× |
Suction assisted lipectomy; trunk (15877)
range across 2 matching MRF lines |
$8,053.50–$8,103.06 |
$12,390 |
varies |
Suction Lipectomy Lwr Extrem (15879)
range across 2 matching MRF lines |
$2,818.74–$4,216.55 |
$4,310–$6,487 |
varies |
Suprachoroidal space njx pharmacologic agent (67516)
range across 2 matching MRF lines |
$251.79–$312 |
$385–$480 |
varies |
| Suprahyoid lymphadenectomy (38700) |
$6,958.56 |
$10,640 |
0.8× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
— |
$7,433 |
— |
| Surg Implnt Neuroelect,Epidural (63655) |
$12,739.92 |
$19,480 |
0.5× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 2 matching MRF lines |
$12,996.93–$15,186.03 |
$19,872.98–$23,363.13 |
varies |
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
range across 2 matching MRF lines |
$12,647.48–$14,754.76 |
$19,338.66–$22,699.62 |
varies |
Surg Tx Anal Fistula 2nd Stage (46285)
range across 2 matching MRF lines |
$2,174.55–$4,027.64 |
$3,325–$6,196.37 |
varies |
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines |
$2,125.50–$3,313.19 |
$3,250–$5,097.22 |
varies |
Surgery to stop leg growth (27479)
unusually low: confirm this is the full procedure |
$4,336.02 |
$6,630 |
0.5× |
Surgery to stop leg growth (27477)
unusually low: confirm this is the full procedure |
$3,551.22 |
$5,430 |
0.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,452.50 |
$3,750 |
0.7× |
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines |
$554.76–$2,639.17 |
$848.26–$4,060.26 |
varies |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$1,804.41 |
$2,759.03 |
0.4× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$2,036.80 |
$3,114.38 |
0.5× |
| Suture 1 Nerve Ulnar Motor (64836) |
$2,006.32 |
$3,067.77 |
0.5× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,230.76 |
$4,940 |
1.3× |
Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745)
unusually low: confirm this is the full procedure |
$3,016.39 |
$4,612.22 |
0.4× |
| Suture infrapatellar tendon primary (27380) |
$6,925.86 |
$10,590 |
0.8× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$4,532.22 |
$6,930 |
1.6× |
| Suture of facial nerve; extracranial Facility (64864) |
$6,677.34 |
$10,210 |
0.6× |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
$2,694.86 |
$4,120.58 |
0.6× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$8,629.53 |
$13,195 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,344.42 |
$11,230 |
0.8× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$8,982.69 |
$13,735 |
1.0× |
| Suture of sciatic nerve (64858) |
$2,952.27 |
$4,514.18 |
1.2× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) |
$959.78 |
$1,467.55 |
0.2× |
| Suture of; brachial plexus Facility (64861) |
$3,112.82 |
$4,759.67 |
1.3× |
| Suture of; lumbar plexus Facility (64862) |
$4,054.26 |
$6,199.17 |
1.0× |
| Suture pharynx for wound or injury (42900) |
$827.41 |
$1,265.16 |
0.4× |
| Suture/repair testicular injury (54670) |
$1,347.03 |
$2,059.68 |
0.3× |
| Sympathectomy cervical (64802) |
$1,563.45 |
$2,390.59 |
0.6× |
| Sympathectomy, cervicothoracic Facility (64804) |
$2,386.35 |
$3,648.86 |
1.0× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$7,043.58 |
$10,770 |
2.9× |
| Sympathectomy; superficial palmar arch (64823) |
$1,965.85 |
$3,005.89 |
0.5× |
| Sympathectomy; ulnar artery (64822) |
$1,669.69 |
$2,553.05 |
0.4× |
| Syndactylization toes (28280) |
$2,485.20 |
$3,800 |
0.6× |
| Synovectomy carpometacarpal joint (26130) |
$4,048.26 |
$6,190 |
1.0× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$935.79 |
$1,430.87 |
0.2× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$882.40 |
$1,349.23 |
0.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$1,233.55 |
$1,886.16 |
0.3× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$4,545.30 |
$6,950 |
1.1× |
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure |
$3,090.15 |
$4,725 |
0.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$4,270.62 |
$6,530 |
2.1× |
| T-cell depletion of harvest (38210) |
$272.46 |
$416.61 |
0.5× |
Talectomy (astragalectomy) Facility (28130)
unusually low: confirm this is the full procedure |
$3,018.21 |
$4,615 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
— |
$775 |
— |
Tattooing incl micropigmentation 6.0 cm/< (11920)
range across 2 matching MRF lines |
$472.29–$1,128.50 |
$722.16–$1,736.16 |
varies |
Tattooing incl micropigmentation 6.1-20.0 cm (11921)
range across 2 matching MRF lines |
$660.54–$1,203.74 |
$1,010–$1,851.90 |
varies |
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure |
$1,474.77 |
$2,255 |
0.0× |
Tcat Insj/Rpl Perm Ldls Pm (33274)
likely a partial charge, not the full procedure |
$2,799.12 |
$4,280 |
0.1× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$1,543.44 |
$2,360 |
0.4× |
Temple bone implant revision (69717)
unusually low: confirm this is the full procedure |
$2,745.96 |
$4,198.71 |
0.3× |
| Temporary Closure Eyelids Suture (67875) |
— |
$1,784 |
— |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$2,769.69 |
$4,235 |
0.7× |
| Tendon shortening (26477) |
$1,370.15 |
$2,095.03 |
0.3× |
| Tendon transfer with graft (26492) |
$2,157.41 |
$3,298.79 |
0.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$7,915 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$4,332.75 |
$6,625 |
1.1× |
| Tenodesis distal joint each (26474) |
$2,586.57 |
$3,955 |
1.3× |
| Tenodesis long tendon biceps (23430) |
$7,776.06 |
$11,890 |
0.9× |
| Tenodesis proximal interphalangeal joint each (26471) |
$2,570.22 |
$3,930 |
0.6× |
| Tenodesis Wrist Extensors Fingers (25301) |
$5,683.26 |
$8,690 |
1.4× |
| Tenodesis Wrist Flexors Fingers (25300) |
$6,356.88 |
$9,720 |
1.6× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
$2,802.39 |
$4,285 |
0.7× |
Tenolysis extensor foot single tendon (28225)
range across 2 matching MRF lines |
$611.73–$2,976.58 |
$935.36–$4,579.36 |
varies |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$3,695.10 |
$5,650 |
0.9× |
| Tenolysis flexor foot single tendon (28220) |
$2,602.92 |
$3,980 |
1.3× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$3,871.68 |
$5,920 |
0.9× |
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 2 matching MRF lines |
$2,551.25–$2,566.95 |
$3,925 |
varies |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$4,048.26 |
$6,190 |
1.0× |
| Tenolysis Triceps (24332) |
$1,521.24 |
$2,326.05 |
0.4× |
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 2 matching MRF lines |
$2,369.25–$2,383.83 |
$3,645 |
varies |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$3,695.10 |
$5,650 |
0.9× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$3,574.11 |
$5,465 |
0.9× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$4,865.76 |
$7,440 |
1.2× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
— |
$6,863 |
— |
Tenotomy extensor hand/finger open each tendon (26460)
range across 2 matching MRF lines |
$1,748.50–$1,759.26 |
$2,690 |
varies |
Tenotomy Flexor Finger Open Each Tendon (26455)
range across 2 matching MRF lines |
$1,816.75–$1,827.93 |
$2,795 |
varies |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$1,811.58 |
$2,770 |
0.4× |
| Tenotomy Hip Abd/Ext Open (27006) |
$5,964.48 |
$9,120 |
1.5× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$638.66 |
$976.55 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,049.67 |
$1,605 |
0.5× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$2,132.04 |
$3,260 |
0.5× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$4,124 |
— |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,001.24 |
$3,060 |
0.5× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$1,955.46 |
$2,990 |
0.5× |
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines |
$5,328.18–$5,683.26 |
$8,197.20–$8,690 |
varies |
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003)
likely a partial charge, not the full procedure |
$1,481.81 |
$2,265.77 |
0.2× |
| Tenotomy, hip flexor(s), open (27005) |
$4,770.93 |
$7,295 |
1.2× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
— |
$9,003 |
— |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$1,434.59 |
$2,193.56 |
0.4× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$3,734.34 |
$5,710 |
0.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$769.17 |
$1,176.10 |
0.4× |
| Thaw preserved stem cells (38208) |
— |
$2,801 |
— |
Ther Apheresis W/Extracorporeal Immunoadsorption (36516)
likely a partial charge, not the full procedure |
$179.25 |
$274.08 |
0.0× |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$6,165 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$3,948 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$7,401 |
— |
| Therapeutic plasma exchange (36514) |
— |
$6,704 |
— |
| Therapeutic pneumothorax (32960) |
$295.01 |
$451.09 |
0.4× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
range across 2 matching MRF lines |
$2,681.25–$2,697.75 |
$4,125 |
varies |
Thoracoscopy w/bx nodule (32608)
likely a partial charge, not the full procedure |
$2,132.04 |
$3,260 |
0.2× |
Thoracoscopy w/bx pleura (32609)
likely a partial charge, not the full procedure |
$1,527.09 |
$2,335 |
0.2× |
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607)
likely a partial charge, not the full procedure |
$1,798.50 |
$2,750 |
0.1× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$4,447.20 |
$6,800 |
0.6× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)
likely a partial charge, not the full procedure |
$1,242.08 |
$1,899.20 |
0.1× |
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
unusually low: confirm this is the full procedure |
$3,109.77 |
$4,755 |
0.4× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$7,802.22 |
$11,930 |
1.1× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$12,638.55 |
$19,325 |
1.8× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$4,901.73 |
$7,495 |
1.2× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$3,976.32 |
$6,080 |
0.6× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
$2,821.51 |
$4,314.24 |
3.6× |
| Thromblytic art/ven therapy (37213) |
$1,582.68 |
$2,420 |
0.4× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$11,716.41 |
$17,915 |
1.7× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$12,357.33 |
$18,895 |
1.8× |
| Thrombolytic Art Therapy (37211) |
$4,012.29 |
$6,135 |
0.6× |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,266 |
— |
| Thrombolytic Venous Therapy (37212) |
$3,544.68 |
$5,420 |
0.9× |
| Thumb fusion with graft (26842) |
$8,309.07 |
$12,705 |
0.9× |
Thyroid biopsy (60100)
range across 2 matching MRF lines |
$817.50–$1,059.50 |
$1,250–$1,630 |
varies |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$8,842.08 |
$13,520 |
1.2× |
| Thyroidectomy, total or complete (60240) |
$10,934.88 |
$16,720 |
1.4× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$14,201.61 |
$21,715 |
1.9× |
| Tibial Arthroscopy/Surgery (29855) |
$7,968.99 |
$12,185 |
0.9× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$3,704 |
— |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$1,478.16 |
$2,260.19 |
0.3× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$1,599.10 |
$2,445.10 |
0.6× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$12,072.84 |
$18,460 |
0.7× |
| Tlh uterus over 250 g (58572) |
$14,885.04 |
$22,760 |
1.1× |
| Tnot elbow lateral/medial debride open (24358) |
$3,198.06 |
$4,890 |
0.8× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,907.65 |
$5,975 |
1.0× |
Tongue suspension (41512)
likely a partial charge, not the full procedure |
$1,558.61 |
$2,383.20 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,848.17 |
$4,355 |
0.7× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge, not the full procedure |
$4,463.40 |
$6,824.77 |
0.2× |
| Total Knee Arthroplasty (27447) |
$15,843.15 |
$24,225 |
1.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$7,560.24 |
$11,560 |
1.0× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
— |
$13,404 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$1,839 |
— |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
$128.95 |
$197.17 |
0.0× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$1,298.19 |
$1,985 |
0.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$1,361 |
— |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
$5,797.71 |
$8,865 |
0.8× |
Tracheostoma revj smpl w/o flap rotation (31613)
range across 2 matching MRF lines |
$3,103.23–$3,770.47 |
$4,745–$5,800.73 |
varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,075.83 |
$1,645 |
3.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,955.46 |
$2,990 |
1.0× |
| Tracheostomy Fenestration W/Skin Flaps (31610) |
$4,829.79 |
$7,385 |
0.7× |
| Tracheostomy planned (31600) |
— |
$11,040 |
— |
Tracheostomy Planned Under 2 Years Spx (31601)
likely a partial charge, not the full procedure |
$2,203.98 |
$3,370 |
0.3× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$1,268.76 |
$1,940 |
3.3× |
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure |
$3,096.69 |
$4,735 |
0.4× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$4,290.24 |
$6,560 |
1.1× |
Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580)
range across 2 matching MRF lines |
$1,043.13–$8,290.75 |
$1,595–$12,755 |
varies |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
$1,287.89 |
$1,969.25 |
0.5× |
| Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) |
$1,362.37 |
$2,083.14 |
0.6× |
Transection or avulsion of; greater occipital nerve Facility (64744)
range across 2 matching MRF lines |
$4,199–$4,224.84 |
$6,460 |
varies |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) |
$6,213 |
$9,500 |
2.5× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$1,347.99 |
$2,061.14 |
0.6× |
| Transection or avulsion of; lingual nerve Facility (64740) |
$1,106.54 |
$1,691.96 |
0.5× |
| Transection or avulsion of; mental nerve Facility (64736) |
$972.69 |
$1,487.30 |
0.4× |
| Transection or avulsion of; phrenic nerve Facility (64746) |
$1,095.23 |
$1,674.67 |
0.4× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$927.25 |
$1,417.82 |
0.4× |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) |
$1,107.52 |
$1,693.46 |
0.5× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$3,835.71 |
$5,865 |
1.6× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) |
$5,402.04 |
$8,260 |
0.6× |
| Transfer iliopsoas; to femoral neck Facility (27111) |
$2,243.82 |
$3,430.91 |
0.5× |
| Transfer of embryo (58976) |
$1,242.60 |
$1,900 |
3.3× |
| Transfer of embryo (58974) |
$3,806.28 |
$5,820 |
3.3× |
Transfer of iliopsoas muscle (27110)
likely a partial charge, not the full procedure |
$2,415.44 |
$3,693.34 |
0.3× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$10,156.62 |
$15,530 |
2.5× |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) |
$2,158.78 |
$3,300.88 |
0.5× |
| Transfer skin pedicle flap (15650) |
$1,955.46 |
$2,990 |
0.8× |
| Transfer, adductor to ischium Facility (27098) |
$1,728.84 |
$2,643.49 |
0.4× |
| Transfer, finger to another position without microvascular anastomosis Facility (26555) |
$8,302.53 |
$12,695 |
0.9× |
| Transfer, free toe joint, with microvascular anastomosis Facility (26556) |
$7,049.56 |
$10,779.15 |
0.8× |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
$5,931.78 |
$9,070 |
0.7× |
| Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft Facility (26551) |
$8,207.10 |
$12,549.08 |
0.9× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double Facility (26554) |
$10,982.60 |
$16,792.97 |
1.2× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single Facility (26553) |
$6,272.27 |
$9,590.63 |
0.7× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$6,320.91 |
$9,665 |
1.5× |
| Transfusion Intrauterine Fetal (36460) |
— |
$1,500 |
— |
| Translum Dil Eye Canal (66174) |
$7,243.05 |
$11,075 |
1.4× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) |
$3,921.51 |
$5,996.19 |
0.6× |
| Transmetacarpal amputation; Facility (25927) |
$7,988.61 |
$12,215 |
2.0× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$7,988.61 |
$12,215 |
2.0× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$1,374.95 |
$2,102.37 |
0.5× |
Transoral lower esophageal myotomy (43497)
range across 2 matching MRF lines |
$2,294.50–$2,308.62 |
$3,530 |
varies |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$27,082.14 |
$41,410 |
3.0× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$8,171.73 |
$12,495 |
1.2× |
Transplant hand tendon (26480)
range across 2 matching MRF lines |
$5,505.50–$5,539.38 |
$8,470 |
varies |
Transplant of thigh tendon (27396)
likely a partial charge, not the full procedure |
$1,531.20 |
$2,341.29 |
0.2× |
Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397)
likely a partial charge, not the full procedure |
$2,284.55 |
$3,493.19 |
0.3× |
| Transplant/graft hand tendon (26483) |
$6,902.97 |
$10,555 |
1.7× |
| Transplant/graft palm tendon (26489) |
$2,284.40 |
$3,492.96 |
0.6× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
$5,611.32 |
$8,580 |
1.3× |
Transrectal abltj mal prst8 tissue hifu w/us (55880)
range across 2 matching MRF lines |
$5,619.25–$5,653.83 |
$8,645 |
varies |
| Transrectal Drainage of Pelvic Abscess (45000) |
$2,485.20 |
$3,800 |
1.7× |
| Transur electr resection of prostate (52601) |
$8,521.62 |
$13,030 |
1.3× |
| Transurethral incision of prostate (52450) |
$5,169.87 |
$7,905 |
1.2× |
| Transurethral resection bladder neck (52500) |
$4,970.40 |
$7,600 |
1.1× |
| Transvesical ureterolithotomy Facility (51060) |
$1,921.42 |
$2,937.95 |
0.7× |
Treat ankle dislocation (27848)
unusually low: confirm this is the full procedure |
$3,727.80 |
$5,700 |
0.4× |
Treat Ankle Dislocation (27846)
unusually low: confirm this is the full procedure |
$2,975.70 |
$4,550 |
0.3× |
| Treat ankle fracture (28445) |
$6,369.96 |
$9,740 |
0.7× |
| Treat Big Toe Fracture (28505) |
$2,302.08 |
$3,520 |
0.6× |
Treat clavicle dislocation (23530)
likely a partial charge, not the full procedure |
$1,424.52 |
$2,178.17 |
0.2× |
| Treat Dental Ridge Fracture (21440) |
$1,413.16 |
$2,160.79 |
0.3× |
Treat dental ridge fracture (21445)
likely a partial charge, not the full procedure |
$1,897.23 |
$2,900.96 |
0.3× |
| Treat dislocation/fracture (23670) |
$6,916.05 |
$10,575 |
0.8× |
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure |
$2,309.33 |
$3,531.09 |
0.1× |
| Treat ectopic pregnancy (59151) |
$20,807.01 |
$31,815 |
2.8× |
Treat elbow fracture (24586)
unusually low: confirm this is the full procedure |
$7,350.96 |
$11,240 |
0.5× |
| Treat Elbow Fracture (24635) |
$7,350.96 |
$11,240 |
0.8× |
Treat elbow fracture (24587)
likely a partial charge, not the full procedure |
$2,716.99 |
$4,154.42 |
0.2× |
| Treat Finger Fracture Each (26727) |
— |
$11,747 |
— |
Treat forearm bone lesion (25035)
likely a partial charge, not the full procedure |
$2,619.27 |
$4,005 |
0.3× |
| Treat fracture radius/ulna (25575) |
$7,350.96 |
$11,240 |
0.8× |
| Treat Fx Rad Extra-Articul (25607) |
$5,758.47 |
$8,805 |
0.6× |
| Treat Hand Bone Lesion (26034) |
$2,501.55 |
$3,825 |
1.2× |
| Treat Hip Socket Fracture (27222) |
$5,935.05 |
$9,075 |
19.3× |
Treat humerus fracture (24500)
range across 2 matching MRF lines |
$1,330.89–$1,433.25 |
$2,035–$2,205 |
varies |
| Treat Humerus Fracture (24505) |
— |
$4,516 |
— |
| Treat humerus fracture (23616) |
$16,382.70 |
$25,050 |
0.7× |
Treat humerus fracture (23600)
range across 2 matching MRF lines |
$1,258.95–$1,319.50 |
$1,925–$2,030 |
varies |
| Treat knee fracture (27532) |
— |
$7,915 |
— |
| Treat Knee Fracture(S) (27538) |
$4,067.88 |
$6,220 |
13.2× |
Treat kneecap dislocation (27566)
likely a partial charge, not the full procedure |
$2,229.55 |
$3,409.10 |
0.2× |
| Treat Kneecap Fracture (27524) |
$7,350.96 |
$11,240 |
0.8× |
| Treat Knuckle Dislocation (26700) |
— |
$1,641 |
— |
Treat lower jaw fracture (21452)
likely a partial charge, not the full procedure |
$1,406.13 |
$2,150.04 |
0.2× |
| Treat lower leg bone lesion (27607) |
$2,593.11 |
$3,965 |
0.6× |
Treat lower leg dislocation (27832)
likely a partial charge, not the full procedure |
$1,883.78 |
$2,880.40 |
0.2× |
| Treat metacarpal fracture (26607) |
$3,469.47 |
$5,305 |
0.8× |
| Treat Metatarsal Fracture (28475) |
— |
$978 |
— |
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure |
$788.92 |
$1,206.30 |
0.1× |
| Treat scapula fracture (23585) |
$6,746.01 |
$10,315 |
0.7× |
| Treat skull fracture (62000) |
$10,800.81 |
$16,515 |
2.6× |
| Treat Tail Bone Fracture (27200) |
$439.67 |
$672.28 |
1.4× |
| Treat Thumb Dislocation (26641) |
$1,549.98 |
$2,370 |
5.0× |
Treat Thumb Fracture (26645)
range across 2 matching MRF lines |
$968.67–$1,400.84 |
$1,481.14–$2,155.14 |
varies |
| Treat thumb fracture (26665) |
$4,869.03 |
$7,445 |
1.2× |
| Treat toe dislocation (28630) |
— |
$435 |
— |
| Treat Trigeminal Nerve (61790) |
$11,503.86 |
$17,590 |
4.7× |
| Treat vagina infection (57150) |
— |
$311 |
— |
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines |
$336.14–$523.88 |
$513.97–$805.97 |
varies |
| Treat/graft heel fracture (28420) |
$10,084.68 |
$15,420 |
0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,893.33 |
$2,895 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,807 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$1,688 |
— |
| Treatment mouth roof lesion (42160) |
$571.09 |
$873.22 |
0.1× |
| Treatment of anal fissure (46940) |
$709.59 |
$1,085 |
0.2× |
| Treatment of ankle fracture (27823) |
$11,824.32 |
$18,080 |
1.3× |
| Treatment of foot infection (28003) |
$1,962 |
$3,000 |
0.5× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$12,746.46 |
$19,490 |
1.4× |
Treatment of nose fracture (21330)
likely a partial charge, not the full procedure |
$1,398.26 |
$2,138.01 |
0.2× |
| Treatment of penis lesion (54115) |
— |
$8,219 |
— |
Treatment of retina (67141)
range across 2 matching MRF lines |
$4,028.64–$4,234.75 |
$6,160–$6,515 |
varies |
| Treatment of retinal lesion (67208) |
$1,336.32 |
$2,043.31 |
3.4× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$9,721.71 |
$14,865 |
2.4× |
| Treatment of slipped femoral epiphysis; by traction, without reduction Facility (27175) |
$4,901.73 |
$7,495 |
1.2× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$1,428.70 |
$2,184.55 |
0.2× |
| Trim skin lesion (11055) |
— |
$484 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$486 |
— |
| Trim skin lesions over 4 (11057) |
— |
$535 |
— |
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines |
$247–$248.52 |
$380 |
varies |
Trluml Balo Angiop 1St Art (37246)
unusually low: confirm this is the full procedure |
$3,113.04 |
$4,760 |
0.4× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
— |
$6,284 |
— |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
— |
$1,739 |
— |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
— |
$1,628 |
— |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$42.43 |
$64.88 |
0.1× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$163.78 |
$250.43 |
0.3× |
| Trnspl prepj hematop progen tum cell deplj (38211) |
$246.13 |
$376.34 |
0.4× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$10,613 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$20,342 |
— |
| Trnsplj Hematopoietic Cell Boost (38243) |
$394.14 |
$602.66 |
0.2× |
| Trurl drainage prostatic abscess (52700) |
$3,734.34 |
$5,710 |
0.8× |
Trurl dstrj prst8 tiss rf wv thermotherapy (53854)
range across 2 matching MRF lines |
$7,615.83–$16,090.75 |
$11,645–$24,755 |
varies |
| Trurl rescj postop bladder neck contracture (52640) |
$4,002.48 |
$6,120 |
0.9× |
| Trurl Rf Female Bladder Neck Strs Urin Incont (53860) |
$5,505.45 |
$8,418.12 |
2.1× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$860.01 |
$1,315 |
0.4× |
| Tubal ligation (58600) |
$4,424.31 |
$6,765 |
1.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,230.76 |
$4,940 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
— |
$790 |
— |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure |
$7,350.96 |
$11,240 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$7,435 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$14,165.64 |
$21,660 |
1.6× |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$6,125 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$5,683.26 |
$8,690 |
1.4× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$902.52 |
$1,380 |
0.4× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,301.46 |
$1,990 |
0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,803.01 |
$5,815 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,217 |
— |
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines |
$801.15–$864.50 |
$1,225–$1,330 |
varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$691.17 |
$1,056.83 |
0.3× |
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines |
$1,855.75–$1,867.17 |
$2,855 |
varies |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$12,030.33 |
$18,395 |
0.8× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$1,317.81 |
$2,015 |
0.7× |
| Tympanolysis transcanal (69450) |
$6,660.99 |
$10,185 |
1.6× |
Tympanoplasty (69631)
range across 2 matching MRF lines |
$10,813.89–$16,126.50 |
$16,535–$24,810 |
varies |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$16,958.22 |
$25,930 |
2.3× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637)
unusually low: confirm this is the full procedure |
$3,434.72 |
$5,251.87 |
0.5× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$13,563.96 |
$20,740 |
1.8× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$14,096.97 |
$21,555 |
1.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$15,960.87 |
$24,405 |
2.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$16,425.21 |
$25,115 |
2.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$16,049.16 |
$24,540 |
2.2× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low: confirm this is the full procedure |
$3,251.29 |
$4,971.39 |
0.4× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$13,357.95 |
$20,425 |
1.8× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$12,426 |
$19,000 |
1.7× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$12,426 |
$19,000 |
1.7× |
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines |
$2,265.25–$2,279.19 |
$3,485 |
varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$2,972.43 |
$4,545 |
0.7× |
| Umbilical cord occlud w/us (59072) |
$1,082.39 |
$1,655.03 |
2.8× |
Unlisted laparoscopy procedure, endocrine system (60659)
unusually low: confirm this is the full procedure |
$2,681.40 |
$4,100 |
0.4× |
Unlisted laparoscopy procedure, uterus (58578)
range across 2 matching MRF lines |
$3,055–$3,073.80 |
$4,700 |
varies |
| Unlisted Procedure Biliary Tract (47999) |
$3,132.66 |
$4,790 |
2.8× |
| Unlisted procedure colon (45399) |
$2,943 |
$4,500 |
2.5× |
| Unlisted Procedure Esophagus (43499) |
$1,798.50 |
$2,750 |
1.6× |
| Unlisted procedure foot or toes (28899) |
$1,543.78 |
$2,360.52 |
5.0× |
Unlisted Procedure Intestine (44799)
range across 2 matching MRF lines |
$6,292–$12,360.60 |
$9,680–$18,900 |
varies |
| Unlisted procedure nervous system (64999) |
— |
$1,021 |
— |
Unlisted Procedure Palate Uvula (42299)
range across 2 matching MRF lines |
$3,906.34–$4,004.65 |
$5,973–$6,161 |
varies |
| Unlisted procedure pancreas (48999) |
$3,924 |
$6,000 |
4.4× |
| Unlisted procedure shoulder (23929) |
— |
$553 |
— |
| Unlisted procedure spine (22899) |
— |
$2,480 |
— |
| Unlisted procedure stomach (43999) |
$12,360.60 |
$18,900 |
10.9× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$1,012.61 |
$1,548.33 |
3.4× |
| Unlisted Procedure Trachea Bronchi (31899) |
$10,877.33 |
$16,632 |
43.7× |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$5,109 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$530 |
— |
| Upgrade of pacemaker system (33214) |
$7,400.01 |
$11,315 |
0.6× |
| Ureter endoscopy (50970) |
$1,244.58 |
$1,903.02 |
0.3× |
Ureter endoscopy & biopsy (50955)
likely a partial charge, not the full procedure |
$1,007.88 |
$1,541.10 |
0.2× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
likely a partial charge, not the full procedure |
$916.95 |
$1,402.06 |
0.1× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957)
likely a partial charge, not the full procedure |
$1,017.60 |
$1,555.97 |
0.2× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980)
likely a partial charge, not the full procedure |
$1,194.39 |
$1,826.28 |
0.2× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974)
likely a partial charge, not the full procedure |
$1,583.73 |
$2,421.60 |
0.2× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$1,197.28 |
$1,830.71 |
0.3× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976)
likely a partial charge, not the full procedure |
$1,560.67 |
$2,386.34 |
0.2× |
| Ureteral endoscopy via ureterostomy (50951) |
$890.79 |
$1,362.07 |
0.2× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$11,559.45 |
$17,675 |
1.7× |
| Urethrlys Transvag W/ Scope (53500) |
$2,433.39 |
$3,720.78 |
0.6× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$3,230.76 |
$4,940 |
0.7× |
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316)
likely a partial charge, not the full procedure |
$3,344.91 |
$5,114.54 |
0.3× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$10,006.20 |
$15,300 |
2.3× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$8,770.14 |
$13,410 |
1.3× |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) |
$6,268.59 |
$9,585 |
1.4× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$12,569.88 |
$19,220 |
1.9× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$7,707.39 |
$11,785 |
1.2× |
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420)
likely a partial charge, not the full procedure |
$1,990.77 |
$3,043.99 |
0.3× |
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425)
unusually low: confirm this is the full procedure |
$3,121.93 |
$4,773.60 |
0.5× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$6,196.65 |
$9,475 |
0.9× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$5,326.83 |
$8,145 |
0.8× |
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405)
unusually low: confirm this is the full procedure |
$2,912.63 |
$4,453.56 |
0.4× |
Urethrorrhaphy sutr urethral wound/inj penile (53505)
likely a partial charge, not the full procedure |
$1,614.88 |
$2,469.23 |
0.2× |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) |
$4,980.21 |
$7,615 |
0.7× |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) |
$6,958.56 |
$10,640 |
1.0× |
Urinary Reflex Study (51792)
range across 4 matching MRF lines |
$820.25–$988.13 |
$675–$1,520.20 |
varies |
| Urine Flow Measurement (51736) |
— |
$244 |
— |
| Uvulectomy excision of uvula (42140) |
$742.29 |
$1,135 |
0.2× |
| Vag hyst complex (58290) |
$14,832.72 |
$22,680 |
1.6× |
| Vag hyst incl t/o complex (58291) |
$16,333.65 |
$24,975 |
2.6× |
| Vag hyst w/t/o & vag repair (58263) |
$14,273.55 |
$21,825 |
2.3× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$11,716.41 |
$17,915 |
2.9× |
| Vaginal delivery only (59409) |
— |
$19,397 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$10,225.29 |
$15,635 |
1.6× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$8,760.33 |
$13,395 |
1.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$17,304.84 |
$26,460 |
1.9× |
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294)
unusually low: confirm this is the full procedure |
$2,873.68 |
$4,394.01 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$12,959.01 |
$19,815 |
2.1× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$4,855.95 |
$7,425 |
1.2× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) |
$11,964.93 |
$18,295 |
3.0× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$4,422.75 |
$6,762.62 |
1.1× |
| Vaginoplasty for intersex state Facility (57335) |
$3,511.40 |
$5,369.12 |
0.6× |
| Valvuloplasty Femoral Vein (34501) |
$7,812.03 |
$11,945 |
1.1× |
| Vasc embolize/occlude artery (37242) |
$16,134.18 |
$24,670 |
0.7× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,343.63 |
$17,345 |
0.8× |
| Vasc Embolize/Occlude Organ (37243) |
$16,229.01 |
$24,815 |
1.1× |
| Vasc embolize/occlude venous (37241) |
$7,622.37 |
$11,655 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$7,478 |
— |
| Vasovasostomy vasovasorrhaphy (55400) |
$6,108.36 |
$9,340 |
1.4× |
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines |
$116.51–$440.28 |
$178.15–$677.35 |
varies |
| Venous Cutdown >1 Y/O (36425) |
$506.85 |
$775 |
0.9× |
| Venous Mech Thrombectomy (37187) |
— |
$18,444 |
— |
Venous valve transposition, any vein donor Facility (34510)
unusually low: confirm this is the full procedure |
$3,062.13 |
$4,682.15 |
0.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$810.96 |
$1,240 |
0.2× |
| Ventricular puncture previous burr hole w/inj (61026) |
$1,775.61 |
$2,715 |
2.0× |
Vermilionectomy lip shv w/mucosal advmnt (40500)
range across 2 matching MRF lines |
$1,231.74–$5,093.01 |
$1,883.40–$7,835.40 |
varies |
| Vestibular nerve section, translabyrinthine approach Facility (69915) |
$3,736.77 |
$5,713.71 |
0.9× |
| Vestibuloplasty Anterior (40840) |
$4,702.26 |
$7,190 |
0.6× |
Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845)
unusually low: confirm this is the full procedure |
$3,023.65 |
$4,623.32 |
0.4× |
Vestibuloplasty Posterior Bilateral (40843)
unusually low: confirm this is the full procedure |
$2,687.38 |
$4,109.15 |
0.4× |
| Vit for membrane dissect (67043) |
$8,161.92 |
$12,480 |
1.6× |
Vitrectomy mechanical pars plana (67036)
range across 2 matching MRF lines |
$6,435.84–$6,775.44 |
$9,901.29–$10,360 |
varies |
| Vitrectomy pars plana remove int memb retina (67042) |
$9,983.31 |
$15,265 |
1.9× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$8,217.51 |
$12,565 |
1.6× |
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039)
range across 2 matching MRF lines |
$8,217.51–$8,697 |
$12,565–$13,380 |
varies |
| Von willebrand factor type 2b plasma (0283U) |
— |
$106 |
— |
| Vulvectomy simple partial (56620) |
— |
$10,094 |
— |
| Vulvectomy simple; complete (56625) |
$6,925.86 |
$10,590 |
1.7× |
| Vulvectomy, radical, partial; Facility (56630) |
$9,054.63 |
$13,845 |
1.5× |
| Wash harvest stem cells (38209) |
$42.43 |
$64.88 |
0.1× |
| Wedge excision skin nail fold (11765) |
— |
$782 |
— |
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure |
$1,690.05 |
$2,584.18 |
0.2× |
| Wedging of cast (29740) |
— |
$530 |
— |
Wedging of clubfoot cast (29750)
range across 2 matching MRF lines |
$232.26–$376.43 |
$355.13–$579.13 |
varies |
Windowing of cast (29730)
range across 2 matching MRF lines |
$320.46–$461.50 |
$490–$710 |
varies |
| Wound Prep F/N/Hf/G (15004) |
— |
$3,173 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$3,798 |
— |
| Wrist arthroscopy (29840) |
$4,780.74 |
$7,310 |
1.2× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$5,375.88 |
$8,220 |
1.3× |
Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987)
unusually low: confirm this is the full procedure |
$2,060.10 |
$3,150 |
0.4× |
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
range across 2 matching MRF lines |
$5,625.75–$5,660.37 |
$8,655 |
varies |
Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988)
range across 2 matching MRF lines |
$5,707–$5,742.12 |
$8,780 |
varies |
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989)
range across 2 matching MRF lines |
$7,046–$7,089.36 |
$10,840 |
varies |
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure |
$3,479.28 |
$5,320 |
0.4× |
Xtrnl Cannula Decltng Spx W/Balo Cath (36861)
likely a partial charge, not the full procedure |
$475.23 |
$726.65 |
0.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$258.86 |
$395.81 |
0.1× |
Xtrnl fixj w/strtctc adjustment exchange strut (20697)
range across 2 matching MRF lines |
$5,087.74–$6,794.71 |
$7,779.42–$10,453.40 |
varies |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
$1,190.28 |
$1,820 |
1.8× |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
likely a partial charge, not the full procedure |
$1,635 |
$2,500 |
0.2× |
| Xtroral I&D Floor Masticator Space (41018) |
$1,880.25 |
$2,875 |
1.0× |