Procedures & surgery prices at Monument Health Sturgis Hospital

Sturgis, SD · every code in this section with a posted price and a Medicare benchmark.

1231 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $841.60–$2,312.80 $1,052–$2,891 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $606.40–$2,062.40 $758–$2,578 varies
Ablate inf turbinate submuc (30802) $1,835.20 $2,294 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $15,377.60 $19,222 0.9×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,175.20 $2,719 1.4×
Acne surgery (10040)
range across 2 matching MRF lines		 $259.20–$324 $324–$405 varies
Acromiopl/Acromionect Partial (23130) $5,097.60 $6,372 1.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,528.80 $3,161 1.2×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,528.80 $3,161 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $5,111.20 $6,389 1.4×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $4,425.60 $5,532 2.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,957.60 $3,697 1.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,528.80 $3,161 1.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,528.80 $3,161 1.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,616 $3,270 1.2×
Amniocentesis diagnostic (59000) $1,630.40 $2,038 1.7×
Amniocentesis therapeutic (59001) $1,074.40 $1,343 3.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $1,773.60–$7,494.40 $2,217–$9,368 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $7,119.20 $8,899 2.1×
Amputation metatarsal with toe single (28810) $1,129.60 $1,412 0.3×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,588.80–$3,925.60 $1,986–$4,907 varies
Amputation toe metatarsophalangeal joint (28820) $3,908 $4,885 1.2×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $774.40 $968 2.5×
Anal/Urinary Muscle Study (51784) $234.40 $293 1.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $303.20–$343.20 $379–$429 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $844.80–$2,100 $1,056–$2,625 varies
Anoscopy; with biopsy, single or multiple (46606) $2,800.80 $3,501 2.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines		 $98.40–$375.20 $123–$469 varies
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $233.60–$608.80 $292–$761 varies
Application Cast Finger (29086) $358.40 $448 2.2×
Application finger splint static (29130)
range across 2 matching MRF lines		 $111.20–$169.60 $139–$212 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $231.20–$400 $289–$500 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $236–$443.20 $295–$554 varies
Application of long leg cast (29345) $640.80 $801 2.2×
Application of rigid total contact leg cast (29445) $667.20 $834 2.3×
Application Short Arm Splint Dynamic (29126) $280 $350 2.1×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $178.40–$312 $223–$390 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $192–$380 $240–$475 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $256.80–$365.60 $321–$457 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $260–$640.80 $325–$801 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $98.40–$379.20 $123–$474 varies
Apply Short Leg Cast (29405) $667.20 $834 2.3×
Apply short leg cast (29425) $382.40 $478 1.3×
Arterial puncture (36600)
range across 2 matching MRF lines		 $79.20–$294.40 $99–$368 varies
Arteriovenous Anastomosis Open Direct (36821) $6,725.60 $8,407 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $153.60–$756 $192–$945 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $245.60–$1,524 $307–$1,905 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $177.60–$688 $222–$860 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $320–$795.20 $400–$994 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $144.80–$722.40 $181–$903 varies
Arthrodesis great toe interphalangeal joint (28755) $9,035.20 $11,294 1.2×
Arthrodesis great toe metatarsophalangeal joint (28750) $9,035.20 $11,294 1.2×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $16,850.40 $21,063 2.3×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $3,908 $4,885 2.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $908–$1,989.60 $1,135–$2,487 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $674.40–$1,808.80 $843–$2,261 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $175.20–$388.80 $219–$486 varies
Aspiration & Injection Treatment Bone Cyst (20615)
range across 2 matching MRF lines		 $652–$1,740 $815–$2,175 varies
Aspiration and/or injection thyroid cyst (60300) $1,646.40 $2,058 2.3×
Aspiration bladder insert suprapubic catheter (51102) $5,854.40 $7,318 2.7×
Aspiration Bladder Needle (51100) $624.80 $781 2.4×
Autoimmun ibd mrna gen xprsn prfl 17 gen whl bld (0203U) $1,824 $2,280 2.4×
Av Fistula Revision Open (36832) $13,364 $16,705 2.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $321.60–$473.60 $402–$592 varies
Biliary ndsc prq t-tube dilat strix w/stent (47556) $12,109.60 $15,137 1.1×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $7,854.40 $9,818 1.2×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $7,854.40 $9,818 1.2×
Biopsy Abdominal Mass (49180) $3,779.20 $4,724 2.2×
Biopsy bone open superficial (20240) $7,076 $8,845 2.4×
Biopsy bone trocar/needle deep (20225) $2,404.80 $3,006 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $2,349.60 $2,937 1.4×
Biopsy External Auditory Canal (69105) $1,835.20 $2,294 1.2×
Biopsy external ear (69100) $704.80 $881 2.9×
Biopsy muscle percutaneous needle (20206) $3,779.20 $4,724 2.2×
Biopsy Muscle Superficial (20200) $3,602.40 $4,503 2.1×
Biopsy nail unit (11755) $1,488 $1,860 2.1×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $904.80–$8,498.40 $1,131–$10,623 varies
Biopsy of floor of mouth (41108) $2,212.80 $2,766 1.3×
Biopsy of lip (40490) $286.40 $358 1.2×
Biopsy of liver, needle; percutaneous (47000) $2,265.60 $2,832 1.3×
Biopsy of palate, uvula (42100) $1,835.20 $2,294 1.2×
Biopsy of penis; deep structures (54105) $3,737.60 $4,672 1.3×
Biopsy of rectum (45100) $4,356 $5,445 1.5×
Biopsy of toe joint lining (28054) $4,262.40 $5,328 1.3×
Biopsy Oropharynx (42800) $3,543.20 $4,429 2.2×
Biopsy Pleura Percutaneous Needle (32400) $3,360.80 $4,201 2.0×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $4,572 $5,715 1.3×
Biopsy Salivary Gland Incisional (42405) $3,543.20 $4,429 2.2×
Biopsy Salivary Gland Needle (42400) $1,576 $1,970 2.2×
Biopsy Soft Tissue Back/Flank Superficial (21920)
range across 2 matching MRF lines		 $674.40–$2,172 $843–$2,715 varies
Biopsy soft tissue forearm&/wrist superficial (25065) $3,801.60 $4,752 2.3×
Biopsy soft tissue leg/ankle area superficial (27613) $3,819.20 $4,774 2.3×
Biopsy soft tissue neck/thorax (21550) $2,138.40 $2,673 1.3×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $3,308.80 $4,136 2.0×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $3,345.60 $4,182 2.0×
Biopsy soft tissue thigh/knee area superficial (27323) $3,819.20 $4,774 2.3×
Biopsy Tongue Anterior Two-Thirds (41100) $1,222.40 $1,528 2.2×
Biopsy Tongue Posterior One-Third (41105) $7,391.20 $9,239 2.2×
Biopsy Vaginal Mucosa Simple (57100) $1,600.80 $2,001 1.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $265.60–$1,794.40 $332–$2,243 varies
Biopsy, vestibule of mouth (40808) $741.60 $927 1.3×
Biopsy/removal lymph nodes (38510) $4,396.80 $5,496 1.1×
Bladder instillation anticarcinogenic agent (51720) $719.20 $899 1.0×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $223.20–$637.60 $279–$797 varies
Bladder Scan (51798) $193.60 $242 3.2×
Blepharoplasty Lower Eyelid (15820) $2,835.20 $3,544 1.3×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $3,944.80 $4,931 1.9×
Blepharoplasty upper eyelid (15822) $2,835.20 $3,544 1.3×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $4,296 $5,370 2.0×
Blepharotomy drainage abscess eyelid (67700) $781.60 $977 2.4×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $927.20–$966.40 $1,159–$1,208 varies
Blood/Lymph System Procedure (38999) $1,079.20 $1,349 2.4×
Bone Graft Any Donor Area Minor/Small (20900) $9,035.20 $11,294 1.2×
Bone Marrow Biopsy (38221) $3,628.80 $4,536 2.2×
Bone Marrow; Aspiration Only (38220) $3,819.20 $4,774 2.3×
Breast augmentation with implant (19325) $23,656 $29,570 2.8×
Brnchsc Brushing/Protected Brushings (31623) $3,976 $4,970 2.2×
Bronchoscopy Balloon Occlusion (31634) $13,780 $17,225 1.9×
Bronchoscopy Clear Airways (31645) $3,863.20 $4,829 2.1×
Bronchoscopy Reclear Airway (31646) $1,063.20 $1,329 2.7×
Bronchoscopy W/Biopsy(S) (31625) $3,431.20 $4,289 1.9×
Bronchoscopy W/Removal Foreign Body (31635) $2,479.20 $3,099 1.4×
Bronchoscopy/Needle Bx Each (31629) $8,820.80 $11,026 2.3×
Bx breast 1st lesion strtctc (19081) $2,172 $2,715 1.3×
Bx breast 1st lesion us imag (19083) $3,779.20 $4,724 2.2×
Bx breast needle core w/o imaging guidance spx (19100) $3,819.20 $4,774 2.3×
Bx Cervix (57500)
range across 2 matching MRF lines		 $435.20–$1,712.80 $544–$2,141 varies
Bx prostate in-bore CT/MRI trgt les only 1st (55714) $10,056.80 $12,571 1.8×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $8,172.80 $10,216 2.3×
Bx prostate transperineal ultrasound-guided (55709) $7,827.20 $9,784 2.2×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $4,914.40 $6,143 1.4×
Bx prst8 in-bore CT/MRI bx 1 (55713) $10,301.60 $12,877 1.9×
Bx prst8 tprn us w/MRI fus 1 (55710) $8,772.80 $10,966 2.4×
Bx prst8 trct us w/MRI fus 1 (55708) $5,607.20 $7,009 1.6×
Bx/exc lymph node open deep axillary node (38525) $5,012 $6,265 1.3×
Bx/exc lymph node open superficial (38500) $4,396.80 $5,496 1.1×
Canthoplasty (67950) $2,919.20 $3,649 1.2×
Canthotomy Separate Procedure (67715) $4,887.20 $6,109 2.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $1,338.40–$7,137.60 $1,673–$8,922 varies
Capsulotomy Iphal Joint Each Joint Spx (28272)
range across 2 matching MRF lines		 $1,155.20–$2,184.80 $1,444–$2,731 varies
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $1,196.80–$4,684.80 $1,496–$5,856 varies
Catheter aspiration nasotracheal spx (31720) $463.20 $579 2.1×
Cautery Cervix Cryocautery Initial/Repeat (57511) $724 $905 2.3×
Cautery Cervix Electro/Thermal (57510) $6,132 $7,665 1.9×
Cdtb & vinculin igg antibodies by immunoassay (0176U) $154.40 $193 2.4×
Cerclage cervix pregnancy vaginal (59320) $6,438.40 $8,048 1.9×
Cessj Therapy Cath Removal (37214) $2,868.80 $3,586 0.9×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $376.80–$912 $471–$1,140 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $268–$792.80 $335–$991 varies
Change of Windpipe Airway (31502) $595.20 $744 2.5×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $250.40–$473.60 $313–$592 varies
Chemical peel, facial; epidermal (15788) $1,063.20 $1,329 2.6×
Chemodenerv 1 extrem 5/> mus (64644) $560 $700 0.8×
Chemodenerv 1 extremity 1-4 (64642) $1,524 $1,905 2.1×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $404–$686.40 $505–$858 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $356.80–$686.40 $446–$858 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $374.40 $468 1.2×
Chemodenerv trunk musc 1-5 (64646) $2,285.60 $2,857 3.2×
Chemodenerv trunk musc 6/> (64647) $1,466.40 $1,833 2.0×
Chemodenervation eccrine glands oth area per day (64653)
range across 2 matching MRF lines		 $289.60–$599.20 $362–$749 varies
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $1,712.80 $2,141 2.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $363.20–$372.80 $454–$466 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $404.80–$2,900.80 $506–$3,626 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $4,752.80 $5,941 2.2×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $7,854.40 $9,818 2.1×
Circumcision 28 days or older (54161) $1,764 $2,205 0.8×
Circumcision Neonate (54160) $686.40 $858 1.0×
Circumcision w/clamp/oth dev w/block (54150) $1,764 $2,205 0.8×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,450.40–$3,984.80 $1,813–$4,981 varies
Claviculectomy partial (23120) $5,097.60 $6,372 1.5×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $293.60–$316.80 $367–$396 varies
Closed Rx Metacarpal Fx,Percut (26608) $7,494.40 $9,368 2.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,764 $4,705 2.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $582.40–$1,341.60 $728–$1,677 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $608–$850.40 $760–$1,063 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $628–$1,032.80 $785–$1,291 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,283.20–$3,784 $1,604–$4,730 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $691.20 $864 2.7×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $641.60 $802 2.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $524–$680.80 $655–$851 varies
Closed tx carpal scaphoid fracture w/manj (25624) $3,825.60 $4,782 2.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $628–$841.60 $785–$1,052 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $573.60 $717 2.3×
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,940.80 $4,926 2.4×
Closed tx knee dislocation w/o anesthesia (27550) $734.40 $918 2.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $3,767.20 $4,709 2.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $7,130.40 $8,913 1.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $573.60–$602.40 $717–$753 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,767.20 $4,709 2.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,322.40 $4,153 2.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $7,812 $9,765 2.3×
Closed tx patellar dislocation w/anesthesia (27562) $1,326.40 $1,658 5.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $628–$1,008.80 $785–$1,261 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $677.60–$838.40 $847–$1,048 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,223.20–$3,940.80 $1,529–$4,926 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $580.80–$728.80 $726–$911 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,378.40–$3,984.80 $1,723–$4,981 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $580.80–$785.60 $726–$982 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,412.80–$3,984.80 $1,766–$4,981 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $609.60–$748.80 $762–$936 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $545.60–$646.40 $682–$808 varies
Closed tx septal&nose fx (21337) $7,067.20 $8,834 2.1×
Closed Tx Talus Fracture W/Manipulation (28435) $3,642.40 $4,553 2.2×
Closed tx talus fracture w/o manipulation (28430) $480.80 $601 1.9×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $609.60 $762 2.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $559.20 $699 2.2×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $3,700.80 $4,626 2.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $370.40–$635.20 $463–$794 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,752 $4,690 2.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $557.60 $697 2.2×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $546.40–$730.40 $683–$913 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $606.40 $758 2.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,431.20 $1,789 2.6×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $600–$612 $750–$765 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,109.60–$2,232 $1,387–$2,790 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $635.20–$892 $794–$1,115 varies
Clsr Lacrimal Punctum Plug Each (68761) $722.40 $903 2.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,984.80 $4,981 2.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $959.20–$3,984.80 $1,199–$4,981 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $503.20–$600 $629–$750 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $556.80–$786.40 $696–$983 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $628 $785 2.5×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,825.60 $4,782 2.3×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $3,756.80 $4,696 2.3×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $635.20–$1,161.60 $794–$1,452 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $654.40–$866.40 $818–$1,083 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $628–$820.80 $785–$1,026 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $514.40–$608 $643–$760 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $603.20–$936.80 $754–$1,171 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,467.20–$3,784 $1,834–$4,730 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $3,869.60 $4,837 2.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $608 $760 2.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $2,007.20–$3,869.60 $2,509–$4,837 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $628 $785 2.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $573.60 $717 2.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $450.40–$628 $563–$785 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $332–$363.20 $415–$454 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,543.20 $4,429 2.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $547.20 $684 2.2×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $587.20–$697.60 $734–$872 varies
Cltx Greater Trochanteric Fx W/O Manj (27246) $556.80 $696 2.2×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,366.40 $4,208 2.0×
Cltx hip dislocation traumatic req anesthesia (27252) $3,940.80 $4,926 2.4×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $459.20–$596.80 $574–$746 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $704.80 $881 2.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $312–$596.80 $390–$746 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $672.80 $841 2.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $603.20–$781.60 $754–$977 varies
Cltx Med Ankle Fx W/Mnpj (27762) $3,767.20 $4,709 2.3×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $609.60–$917.60 $762–$1,147 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $635.20–$913.60 $794–$1,142 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $642.40–$832 $803–$1,040 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,642.40 $4,553 2.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines		 $445.60–$3,957.60 $557–$4,947 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $614.40–$940 $768–$1,175 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $424–$552.80 $530–$691 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,563.20–$3,984.80 $1,954–$4,981 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $635.20–$1,103.20 $794–$1,379 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $1,190.40–$3,767.20 $1,488–$4,709 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $641.60–$854.40 $802–$1,068 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,197.60–$3,940.80 $1,497–$4,926 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $291.20–$635.20 $364–$794 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,105.60–$3,984.80 $1,382–$4,981 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,940.80 $4,926 2.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $788 $985 3.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,825.60 $4,782 2.3×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $648–$850.40 $810–$1,063 varies
Cltx tibial shaft fx w/o manipulation (27750) $608 $760 2.4×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,328–$3,984.80 $1,660–$4,981 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $581.60 $727 2.3×
Co gnotyp gene analysis aqp1 exon 1 (0181U) $444.80 $556 2.4×
Collect Blood From Catheter Venous Nos (36592) $294.40 $368 2.2×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $40–$41.60 $50–$52 varies
Colonoscopy thru stoma (44388) $1,144.80 $1,431 1.2×
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $2,256.80–$2,677.60 $2,821–$3,347 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $1,268–$1,509.60 $1,585–$1,887 varies
Colporrhaphy (57200) $6,371.20 $7,964 1.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $746.40 $933 2.4×
Colposcopy Cervix Endocervical Curettage (57456) $724 $905 2.3×
Colposcopy cervix upper/adjacent vagina (57452) $447.20 $559 2.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $746.40 $933 2.4×
Colposcopy cervix vag eltrd conization cervix (57461) $6,132 $7,665 1.9×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $6,132 $7,665 1.9×
Colposcopy entire vagina w/cervix if present (57420) $782.40 $978 2.5×
Colposcopy of vulva (56820) $471.20 $589 2.3×
Colposcopy Vulva W/Biopsy (56821) $2,388.80 $2,986 7.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,600.80 $2,001 1.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,927.20 $2,409 1.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,388.80 $1,736 1.1×
Complex Cystometrogram (51726) $912 $1,140 3.6×
Complex drainage wound (10180) $3,748 $4,685 1.3×
Composite Skin Graft (15760) $4,565.60 $5,707 2.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $6,116.80 $7,646 1.8×
Conization of cervix (57520) $3,663.20 $4,579 1.1×
Contour of face bone lesion (21029) $3,543.20 $4,429 1.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $342.40–$695.20 $428–$869 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $312–$442.40 $390–$553 varies
Control oropharyngeal hemorrhage simple (42960) $1,303.20 $1,629 2.4×
Conversion ext bil drg cath (47535) $7,700 $9,625 2.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,852 $4,815 2.0×
Convert Nephrostomy Catheter (50434) $2,644 $3,305 1.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,326.40 $4,158 2.0×
Correction hammertoe (28285) $4,262.40 $5,328 1.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,262.40 $5,328 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $9,035.20 $11,294 0.7×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $9,640 $12,050 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,262.40 $5,328 1.3×
Crd ceramides liq chrom plsm (0119U) $104 $130 1.2×
Create Eardrum Opening (69433) $741.60 $927 1.3×
Crom gnotyp gene analysis cd55 exons 1-10 (0182U) $723.20 $904 2.4×
Csf shunt reprogram (62252) $728.80 $911 2.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $360–$995.20 $450–$1,244 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $567.20–$1,040.80 $709–$1,301 varies
Curettage postpartum (59160) $6,706.40 $8,383 2.0×
Cysto Bladder W/Ureteral Catheterization (52005) $4,700.80 $5,876 2.2×
Cysto calibration dilat urtl strix/stenosis (52281) $4,712.80 $5,891 2.2×
Cysto w/complex removal stone & stent (52315) $4,575.20 $5,719 2.1×
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $2,146.40–$4,882.40 $2,683–$6,103 varies
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $12,187.20 $15,234 2.2×
Cysto w/insert ureteral stent (52332) $4,346.40 $5,433 1.2×
Cysto w/irrig & evac multple obstructing clots (52001) $8,526.40 $10,658 2.4×
Cysto w/removal of lesions small (52224) $2,732.80 $3,416 0.8×
Cysto w/removal of tumors small (52234) $8,305.60 $10,382 2.3×
Cysto W/Simple Removal Stone & Stent (52310) $4,923.20 $6,154 2.3×
Cystometrogram W/Up (51727) $1,296 $1,620 1.8×
Cystometrogram W/Vp (51728) $1,526.40 $1,908 2.1×
Cystometrogram W/Vp&Up (51729) $896.80 $1,121 1.3×
Cystourethroscopy (52000) $1,589.60 $1,987 2.2×
Cystourethroscopy inj chemodenervation bladder (52287) $2,804.80 $3,506 1.3×
Cystourethroscopy tx female urethral syndrome (52285) $2,732.80 $3,416 3.8×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $8,305.60 $10,382 2.3×
Cystourethroscopy with biopsy (52204) $4,779.20 $5,974 2.2×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $7,198.40 $8,998 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $161.60–$788 $202–$985 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,761.60 $4,702 1.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $1,246.40–$1,674.40 $1,558–$2,093 varies
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $7,494.40 $9,368 2.2×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $4,733.60 $5,917 2.4×
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $6,334.40 $7,918 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $634.40–$1,685.60 $793–$2,107 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $90.40–$155.20 $113–$194 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $121.60–$156.80 $152–$196 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $835.20–$3,934.40 $1,044–$4,918 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $741.60 $927 1.3×
Debridement Mastoidectomy Cavity Simple (69220) $292 $365 1.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $369.60–$1,073.60 $462–$1,342 varies
Declot vascular device (36593) $836 $1,045 2.5×
Decompression of tibia nerve (28035) $2,596 $3,245 1.3×
Deep Muscle Biopsy (20205) $5,421.60 $6,777 1.8×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,528.80 $3,161 1.2×
Delivery of placenta (59414) $5,855.20 $7,319 1.8×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,230.40–$4,515.20 $1,538–$5,644 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,242.40–$4,508.80 $1,553–$5,636 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $470.40–$486.40 $588–$608 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $456–$526.40 $570–$658 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $532.80–$2,322.40 $666–$2,903 varies
Destruction by neurolytic agent; plantar common digital nerve (64632) $660.80 $826 2.1×
Destruction Lesions Vulva Extensive (56515) $3,944.80 $4,931 1.9×
Destruction Lesions Vulva Simple (56501) $4,232 $5,290 2.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 2 matching MRF lines		 $497.60–$501.60 $622–$627 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines		 $476–$530.40 $595–$663 varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $473.60 $592 1.1×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $1,514.40 $1,893 2.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)
range across 2 matching MRF lines		 $280–$410.40 $350–$513 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $345.60 $432 1.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $381.60 $477 1.9×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $550.40 $688 1.3×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $847.20 $1,059 2.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines		 $273.60–$388.80 $342–$486 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 2 matching MRF lines		 $286.40–$412 $358–$515 varies
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)
range across 2 matching MRF lines		 $304.80–$459.20 $381–$574 varies
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $342.40 $428 1.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)
range across 2 matching MRF lines		 $539.20–$2,846.40 $674–$3,558 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 2 matching MRF lines		 $272.80–$276.80 $341–$346 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $1,101.60–$4,777.60 $1,377–$5,972 varies
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $628–$936 $785–$1,170 varies
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines		 $469.60–$476 $587–$595 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $214.40–$456 $268–$570 varies
Destruction Vaginal Lesions Extensive (57065) $3,663.20 $4,579 1.1×
Destruction Vaginal Lesions Simple (57061) $6,132 $7,665 1.9×
Di gnotyp gene analysis slc4a1 exon 19 (0183U) $444.80 $556 2.4×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $533.60–$1,144.80 $667–$1,431 varies
Diaphragm or cervical cap fitting with instructions (57170) $470.40 $588 2.3×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $224 $280 1.7×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $307.20 $384 2.3×
Dilat Urethral Strix Dilator Male Sbsq (53601) $253.60 $317 1.9×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $719.20 $899 2.8×
Dilat Xst Trc New Access Rcs (50437) $7,897.60 $9,872 2.2×
Dilate Esophagus 1/Mult Pass (43450) $2,006.40 $2,508 2.2×
Dilate Urethra Stricture (53620) $1,968 $2,460 2.8×
Dilate Urethra Stricture (53600) $369.60 $462 1.4×
Dilation & curettage dx&/ther nonobstetric (58120) $7,586.40 $9,483 2.3×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $532 $665 1.2×
Do gnotyp gene analysis art4 exon 2 (0184U) $444.80 $556 2.4×
Drain Cerebro Spinal Fluid (62272) $1,664 $2,080 2.3×
Drain Spinal Cord Cyst (62268) $2,291.20 $2,864 2.5×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $225.60–$651.20 $282–$814 varies
Drainage abscess parotid simple (42300) $2,951.20 $3,689 1.9×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,242.40 $1,553 2.3×
Drainage external auditory canal abscess (69020) $1,546.40 $1,933 2.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,672.80 $2,091 2.3×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,288–$3,934.40 $1,610–$4,918 varies
Drainage Mouth Roof Lesion (42000) $808.80 $1,011 3.3×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $468.80–$988 $586–$1,235 varies
Drainage of gum lesion (41800) $360 $450 2.6×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $470.40–$3,779.20 $588–$4,724 varies
Drainage of hydrocele (55000) $1,546.40 $1,933 2.1×
Drainage of salivary cyst (42409) $4,221.60 $5,277 1.2×
Drainage of salivary gland (42320) $741.60 $927 1.3×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $633.60–$3,819.20 $792–$4,774 varies
Drainage of scrotum (54700) $4,907.20 $6,134 2.3×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $6,438.40 $8,048 1.9×
Draw Blood Off Venous Device (36591) $294.40 $368 2.2×
Dressing Change Under Anesthesia (15852)
range across 2 matching MRF lines		 $121.60–$1,303.20 $152–$1,629 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,624 $2,030 2.2×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $741.60 $927 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $881.60 $1,102 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $430.40–$730.40 $538–$913 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $232.80–$473.60 $291–$592 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $1,479.20 $1,849 2.0×
Dstrj Lesion Anus Simple Chemical (46900) $933.60 $1,167 2.2×
Dstrj lesion anus simple surg excision (46922) $3,731.20 $4,664 1.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $4,358.40 $5,448 21.3×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276)
range across 2 matching MRF lines		 $501.60–$774.40 $627–$968 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $696–$2,322.40 $870–$2,903 varies
Dx Bone Marrow Bx & Aspir (38222) $3,600 $4,500 1.2×
Dx Bronchoscope/Lavage (31624) $3,712 $4,640 2.0×
Dx Bronchoscope/Wash (31622) $3,513.60 $4,392 1.9×
Dx Laryngoscopy Excl Nb (31525) $2,133.60 $2,667 1.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,756.80 $2,196 2.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $2,534.40–$3,289.60 $3,168–$4,112 varies
Egd cautery tumor polyp (43250) $1,304.80 $1,631 0.7×
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $1,830.40–$4,313.60 $2,288–$5,392 varies
Egd dilation gastric/duodenal stricture (43245) $1,736.80 $2,171 0.9×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,094.40–$2,628 $1,368–$3,285 varies
Egd place gastrostomy tube (43246) $527.20 $659 0.3×
Egd remove lesion snare (43251) $1,432.80 $1,791 0.7×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $731.20 $914 2.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $765.60 $957 2.4×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $743.20 $929 2.4×
Electro-Uroflowmetry First (51741) $234.40 $293 1.1×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $12,082.40 $15,103 2.1×
Endocervical curettage (57505) $1,553.60 $1,942 1.7×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $6,700 $8,375 1.3×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $280.80–$451.20 $351–$564 varies
Endoscopic injection/implant (51715) $8,211.20 $10,264 2.3×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $22,823.20 $28,529 1.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,017.60 $5,022 1.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $5,213.60 $6,517 1.6×
Endoven ther chem adhes 1st (36482) $11,507.20 $14,384 2.0×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $784.80–$1,519.20 $981–$1,899 varies
Episiotomy or vaginal repair (59300) $6,132 $7,665 1.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $8,091.20 $10,114 2.1×
Ercp,Sphincterotomy (43262) $8,091.20 $10,114 2.1×
Escharotomy; initial incision (16035) $847.20 $1,059 2.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,165.60 $1,457 1.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $160–$294.40 $200–$368 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $4,005.60 $5,007 2.4×
Exc arm/elbow les sc < 3 cm (24075) $2,176.80 $2,721 1.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $356.80–$1,546.40 $446–$1,933 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $564.80–$2,172 $706–$2,715 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $1,376–$2,172 $1,720–$2,715 varies
Exc back tum deep < 5 cm (21932) $6,406.40 $8,008 2.2×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $13,740 $17,175 2.3×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $3,543.20 $4,429 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $4,396.80 $5,496 1.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $655.20–$923.20 $819–$1,154 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $738.40–$1,080.80 $923–$1,351 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,172 $2,715 1.3×
Exc Face Les Sbq 2 Cm/> (21012) $3,820 $4,775 2.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $401.60–$923.20 $502–$1,154 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $483.20–$876.80 $604–$1,096 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $534.40–$1,715.20 $668–$2,144 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $627.20–$2,172 $784–$2,715 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,172 $2,715 1.3×
Exc Forearm Les Sc 3 Cm/> (25071) $3,968 $4,960 2.4×
Exc Frenum Labial/Buccal (40819) $1,835.20 $2,294 1.2×
Exc ganglion wrist recurrent (25112) $5,520 $6,900 3.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $356.80–$3,637.60 $446–$4,547 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $444.80–$1,080.80 $556–$1,351 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $497.60–$3,455.20 $622–$4,319 varies
Exc Hand Les Sc < 1.5 Cm (26115) $2,172 $2,715 1.3×
Exc hand tum deep < 1.5 cm (26116) $4,005.60 $5,007 2.4×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,302.40 $1,628 1.3×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $3,543.20 $4,429 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $1,279.20–$3,908 $1,599–$4,885 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,543.20 $4,429 1.0×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $3,543.20 $4,429 1.0×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,543.20 $4,429 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $546.40–$1,457.60 $683–$1,822 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,172 $2,715 1.3×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $904.80–$3,748 $1,131–$4,685 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $865.60–$2,541.60 $1,082–$3,177 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $1,052.80–$3,748 $1,316–$4,685 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $805.60–$2,172 $1,007–$2,715 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $1,105.60–$3,748 $1,382–$4,685 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,064.80 $2,581 1.2×
Exc tendon shth lesion leg/ankle (27630) $4,262.40 $5,328 1.3×
Exc thigh/knee les sc 3 cm/> (27337) $6,416.80 $8,021 2.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $598.40–$2,881.60 $748–$3,602 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $434.40–$813.60 $543–$1,017 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $477.60–$1,732.80 $597–$2,166 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $617.60–$2,172 $772–$2,715 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $6,692.80 $8,366 2.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $6,269.60 $7,837 2.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,916 $4,895 2.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,172 $2,715 1.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $1,196–$2,541.60 $1,495–$3,177 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $3,748 $4,685 1.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $1,074.40–$4,484.80 $1,343–$5,606 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,176 $2,720 1.3×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,948.80 $8,686 1.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,118.40 $3,898 1.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,000.80 $5,001 2.0×
Excis Mouth Complex,Exc Thru Muscle (40816) $3,543.20 $4,429 1.0×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,543.20 $4,429 1.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,543.20 $4,429 2.2×
Excise mandible lesion (21040) $3,543.20 $4,429 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $765.60–$876.80 $957–$1,096 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $2,919.20 $3,649 1.2×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $2,919.20 $3,649 1.2×
Excision Bone Mandible (21025) $6,992 $8,740 1.2×
Excision Chalazion Single (67800) $415.20 $519 1.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,748 $4,685 1.3×
Excision External Ear Partial Simple Repair (69110) $6,273.60 $7,842 2.1×
Excision external ear; complete amputation Facility (69120) $6,992 $8,740 1.2×
Excision gum each quadrant (41820) $4,344 $5,430 1.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,748 $4,685 1.3×
Excision lesion mouth roof (42104) $3,543.20 $4,429 1.0×
Excision Lesion Tongue W/O Closure (41110) $3,543.20 $4,429 1.0×
Excision Lingual Frenum Frenectomy (41115) $3,199.20 $3,999 2.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $550.40–$923.20 $688–$1,154 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $633.60–$923.20 $792–$1,154 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $676.80–$813.60 $846–$1,017 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $852.80–$923.20 $1,066–$1,154 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $565.60–$923.20 $707–$1,154 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $864.80–$2,172 $1,081–$2,715 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $1,280–$3,748 $1,600–$4,685 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,172 $2,715 1.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $635.20–$923.20 $794–$1,154 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $697.60–$1,646.40 $872–$2,058 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,216.80 $2,771 1.3×
Excision nasal polyp(s) simple (30110) $1,835.20 $2,294 1.2×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $7,650.40 $9,563 2.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,785.60 $4,732 2.3×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $1,003.20–$6,416.80 $1,254–$8,021 varies
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $700.80–$3,703.20 $876–$4,629 varies
Excision of sublingual gland (42450) $6,992 $8,740 1.2×
Excision of vaginal cyst or tumor (57135) $6,132 $7,665 1.9×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,748 $4,685 1.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,748 $4,685 1.3×
Excision soft tissue lesion, external auditory canal (69145) $4,384 $5,480 1.5×
Excision Torus Mandibularis (21031) $3,543.20 $4,429 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,234.40–$3,712.80 $1,543–$4,641 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,712.80 $4,641 2.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,005.60 $5,007 2.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,233.60 $2,792 1.3×
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $1,464.80–$2,545.60 $1,831–$3,182 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,298.40 $1,623 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,383.20 $2,979 1.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $4,462.40 $5,578 1.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,172 $2,715 1.3×
Excision/destruction intranasal lesion int appr (30117) $4,221.60 $5,277 1.2×
Excision/destruction lesion pharynx any method (42808) $3,543.20 $4,429 1.0×
Excision/surgical planing skin nose rhinophyma (30120) $3,543.20 $4,429 1.0×
Excision; trochanteric bursa or calcification (27062) $7,880 $9,850 2.4×
Expl penetrating wound spx abdomen/flank/back (20102) $4,232 $5,290 2.0×
Explo/Drain Breast Abscess (19020) $3,637.60 $4,547 2.2×
Exploration of knee joint (27310) $7,137.60 $8,922 2.1×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,553.60–$1,900 $1,942–$2,375 varies
External cephalic version (59412) $6,706.40 $8,383 2.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $4,439.20 $5,549 1.3×
Fasciotomy palmar percutaneous (26040) $3,642.40 $4,553 2.2×
Fasciotomy, foot and/or toe (28008) $7,119.20 $8,899 2.1×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $489.60–$1,529.60 $612–$1,912 varies
Fetal non-stress test (59025) $546.40 $683 2.6×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $280.80–$847.20 $351–$1,059 varies
Fluid Pressure Muscle (20950) $1,592.80 $1,991 2.2×
Fluoro exam of g/colon tube (49465) $652 $815 2.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $791.20 $989 1.1×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $380.80–$1,704 $476–$2,130 varies
Forehead flap w/vasc pedicle (15731) $4,368.80 $5,461 1.2×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $182.40–$784 $228–$980 varies
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,528.80 $3,161 1.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $4,425.60 $5,532 2.1×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,401.60 $3,002 1.1×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $3,944.80 $4,931 1.9×
Fusion of foot bones (28740) $9,035.20 $11,294 1.2×
Fut1 gnotyp gene analysis fut1 exon 4 (0185U) $444.80 $556 2.4×
Fut2 gnotyp gene analysis fut2 exon 2 (0186U) $444.80 $556 2.4×
Fy gnotyp gene analysis ackr1 exons 1-2 (0187U) $659.20 $824 2.4×
Ge gnotyp gene analysis gypc exons 1-4 (0188U) $659.20 $824 2.4×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $6,992 $8,740 1.2×
Grafting of autologous fat by lipo 50 cc or less (15771) $4,798.40 $5,998 1.3×
Guide Cathet Fluid Drainage (10030) $1,979.20 $2,474 2.7×
Gypa gnotyp gene alys gypa introns 1 5 exon 2 (0189U) $659.20 $824 2.4×
Gypb gnotyp alys gypb intron 1 5 pseudoexon 3 (0190U) $659.20 $824 2.4×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $9,035.20 $11,294 1.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $6,248 $7,810 2.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,731.20 $4,664 1.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $800–$1,183.20 $1,000–$1,479 varies
Hymenotomy Simple Incision (56442) $6,438.40 $8,048 1.9×
Hysteroscopy Biopsy (58558) $3,663.20 $4,579 1.1×
Hysteroscopy Dx Sep Proc (58555) $3,663.20 $4,579 1.1×
Hysteroscopy Endometrial Ablation (58563) $6,700 $8,375 1.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,663.20 $4,579 1.1×
I&d abscess peritonsillar (42700) $648 $810 2.7×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $344.80–$583.20 $431–$729 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $6,544.80 $8,181 4.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,748 $4,685 1.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $6,566.40 $8,208 2.0×
I&d perianal abscess superficial (46050) $2,452 $3,065 2.6×
I&d pilonidal cyst complicated (10081) $1,608.80 $2,011 2.2×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $722.40–$1,604 $903–$2,005 varies
I&d shoulder deep abscess/hematoma (23030) $6,273.60 $7,842 2.1×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $527.20–$2,318.40 $659–$2,898 varies
Image Cath Fluid Colxn Visc (49405) $3,977.60 $4,972 2.4×
Image Cath Fluid Peri/Retro (49406) $4,442.40 $5,553 2.6×
Implant neuroelectrodes (63650) $16,949.60 $21,187 2.6×
Implant Neuroelectrodes (64561) $9,759.20 $12,199 1.5×
Implant Periph/Gastric Neurostim/Receiver (64590) $29,601.60 $37,002 1.5×
In gnotyp gene analysis cd44 exons 2 3 6 (0191U) $659.20 $824 2.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $589.60–$644.80 $737–$806 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,672.80–$3,943.20 $2,091–$4,929 varies
Incise tendon(s) & muscle(s) (23406) $7,720 $9,650 1.0×
Incise Wrist/Forearm Tendon (25290) $7,352 $9,190 2.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $582.40–$872 $728–$1,090 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $6,273.60 $7,842 2.1×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $728–$3,934.40 $910–$4,918 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $418.40–$872 $523–$1,090 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $474.40–$523.20 $593–$654 varies
Incision and drainage of vulva or perineal abscess (56405) $744.80 $931 2.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $16,903.20 $21,129 2.3×
Incision Drainage Lacrimal Sac (68420) $2,919.20 $3,649 1.2×
Incision extensor tendon sheath wrist (25000) $4,927.20 $6,159 3.0×
Incision of eardrum (69420) $329.60 $412 1.4×
Incision of Foot Tendon (28234) $2,176 $2,720 1.3×
Incision of labial frenum (frenotomy) (40806) $741.60 $927 1.3×
Incision of lingual frenum (frenotomy) (41010) $3,360 $4,200 2.1×
Incision of rectal abscess (46040) $3,965.60 $4,957 3.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,819.20 $4,774 2.3×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $440.80–$805.60 $551–$1,007 varies
Initial Tx 1st Degree Burn Local Tx (16000) $473.60 $592 2.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $526.40–$1,472 $658–$1,840 varies
Inj W/Fluor Eval Cv Device (36598) $652.80 $816 3.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,191.20 $2,739 2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $741.60–$1,885.60 $927–$2,357 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $156.80–$844.80 $196–$1,056 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $389.60–$1,962.40 $487–$2,453 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $625.60–$1,756.80 $782–$2,196 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $243.20–$1,255.20 $304–$1,569 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)
range across 2 matching MRF lines		 $104.80–$2,150.40 $131–$2,688 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,687.20 $2,109 2.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $349.60–$1,060.80 $437–$1,326 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $380–$746.40 $475–$933 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $501.60–$2,201.60 $627–$2,752 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $374.40–$1,524 $468–$1,905 varies
Injection enzyme palmar fascial cord (20527) $705.60 $882 2.3×
Injection for identification of sentinel node (38792) $1,320 $1,650 3.2×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $158.40–$678.40 $198–$848 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $146.40–$721.60 $183–$902 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $196–$792.80 $245–$991 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $3,164 $3,955 2.0×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $222.40–$686.40 $278–$858 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $309.60–$1,984 $387–$2,480 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $243.20–$1,876.80 $304–$2,346 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $490.40–$1,524 $613–$1,905 varies
Injection, anesthetic agent; vagus nerve (64408)
range across 2 matching MRF lines		 $224.80–$698.40 $281–$873 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 2 matching MRF lines		 $191.20–$259.20 $239–$324 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $157.60–$267.20 $197–$334 varies
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,814.40 $2,268 2.0×
Ins cath ren art 1st bilat (36252) $7,994.40 $9,993 2.5×
Ins cath ren art 1st unilat (36251) $6,092.80 $7,616 1.9×
Ins cath ren art 2nd+ unilat (36253) $5,266.40 $6,583 0.9×
Ins endovas vena cava filtr (37191) $11,146.40 $13,933 2.0×
Ins Vag Brachytx Device (57156) $927.20 $1,159 3.0×
Insert 1 Electrode Pm-Defib (33216) $20,472 $25,590 2.4×
Insert and remove bone pin (20650) $7,137.60 $8,922 2.1×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $378.40–$417.60 $473–$522 varies
Insert cath pleura w/ image (32557) $4,421.60 $5,527 2.7×
Insert cath pleura w/o image (32556) $4,165.60 $5,207 2.1×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $308–$362.40 $385–$453 varies
Insert Gastrostomy Tube Percutaneous (49440) $2,591.20 $3,239 1.3×
Insert Heart Pm Atrial (33206) $27,072.80 $33,841 2.5×
Insert Heart Pm Ventricular (33207) $27,072.80 $33,841 2.5×
Insert hepatic shunt (tips) (37182) $13,719.20 $17,149 0.7×
Insert Nasal Septal Button (30220) $2,146.40 $2,683 1.4×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $420–$2,820 $525–$3,525 varies
Insert Pacing Lead & Connect (33224) $27,072.80 $33,841 2.5×
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $204.80–$246.40 $256–$308 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,808.80 $2,261 1.1×
Insert pulse gen dual leads (33213) $27,072.80 $33,841 2.5×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $188.80–$294.40 $236–$368 varies
Insert tun ip cath perc (49418) $5,566.40 $6,958 1.5×
Insert tunneled cv cath (36561) $6,987.20 $8,734 2.2×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $12,082.40 $15,103 2.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $122.40–$294.40 $153–$368 varies
Insertion indwelling tunneled pleural catheter (32550) $8,160.80 $10,201 2.2×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $734.40–$2,977.60 $918–$3,722 varies
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $6,706.40 $8,383 1.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $21,496 $26,870 2.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $8,055.20 $10,069 2.5×
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $734.40–$1,743.20 $918–$2,179 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $629.60–$2,581.60 $787–$3,227 varies
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $6,725.60 $8,407 2.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,024.80 $7,531 1.9×
Insj/Rplcmt Defib W/Lead(S) (33249) $81,896 $102,370 2.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $18,521.60 $23,152 2.2×
Insrt heart pm atrial & vent (33208) $28,425.60 $35,532 2.7×
Insrt Pulse Gen W/Dual Leads (33230) $61,408 $76,760 2.7×
Insrt Pulse Gen W/Singl Lead (33240) $61,408 $76,760 2.7×
Instlj ther agent renal pelvis&/ureter via tub (50391) $568.80 $711 2.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $3,731.20 $4,664 1.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,329.60 $1,662 3.2×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $839.20 $1,049 2.0×
Intranasal Biopsy (30100) $1,835.20 $2,294 1.2×
Intraoral i&d tongue/floor lingual (41000) $1,242.40 $1,553 2.3×
Intraoral i&d tongue/floor submndblr space (41008) $7,280 $9,100 2.1×
Intro cath dialysis circuit (36901) $4,758.40 $5,948 3.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,436 $23,045 1.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $14,982.40 $18,728 2.6×
Intro Gastrointestinal Tube (44500) $1,963.20 $2,454 2.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $588.80–$673.60 $736–$842 varies
Irrigation of corpora cavernosa for priapism (54220) $677.60 $847 2.7×
Jk gnotyp gene analysis slc14a1 gen prmtr exon 9 (0192U) $659.20 $824 2.4×
Jr gnotyp gene analysis abcg2 exons 2-26 (0193U) $679.20 $849 2.4×
Kel gnotyp gene analysis kel exon 8 (0194U) $444.80 $556 2.4×
Klf1 targeted sequencing (0195U) $900.80 $1,126 2.4×
Labyrinthotomy Transcanal (69801) $1,835.20 $2,294 1.2×
Lap paraesoph her rpr w/mesh (43282) $24,044.80 $30,056 2.2×
Laparoscopy, surgical, appendectomy (44970) $12,716 $15,895 2.1×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $22,698.40 $28,373 2.1×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $4,217.60 $5,272 1.1×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $4,416.80 $5,521 1.2×
Laryngoscopy flexible diagnostic (31575) $436 $545 2.1×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $7,060 $8,825 1.9×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $8,818.40 $11,023 4.8×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,572 $4,465 2.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,012.80 $1,266 2.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $708 $885 1.8×
Laryngoscopy Indirect W/Biopsy (31510) $4,733.60 $5,917 1.2×
Lateral Canthopexy (21282) $7,382.40 $9,228 2.2×
Lengthening of palate, and pharyngeal flap Facility (42226) $13,740 $17,175 2.3×
Ligation of a-v fistula (37607) $6,928 $8,660 2.1×
Ligation of hemorrhoids (46946) $3,731.20 $4,664 1.3×
Ligation or biopsy temporal artery (37609) $2,172 $2,715 1.3×
Lithotripsy, extracorporeal shock wave (50590) $12,732.80 $15,916 3.5×
Liver disease 10 biochemical assays serum alg (0166U) $1,208 $1,510 2.4×
Lu gnotyp gene analysis bcam exon 3 (0196U) $444.80 $556 2.4×
Lw gnotyp gene analysis icam4 exon 1 (0197U) $444.80 $556 2.4×
Lyse chest fibrin init day (32561) $1,736.80 $2,171 2.7×
Lyse Chest Fibrin Subq Day (32562) $1,531.20 $1,914 2.4×
Lysis Intranasal Synechia (30560) $1,561.60 $1,952 2.8×
Lysis/excision penile postcircumcision adhesions (54162) $4,941.60 $6,177 2.3×
Manipulation Elbow Under Anesthesia (24300) $3,656.80 $4,571 2.2×
Manipulation hip joint general anesthesia (27275) $460 $575 0.3×
Manipulation knee joint under general anesthesia (27570) $2,142.40 $2,678 1.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $3,825.60 $4,782 2.3×
Marsupialization of bartholin's gland cyst (56440) $7,077.60 $8,847 2.1×
Mastectomy for gynecomastia (19300) $4,396.80 $5,496 1.1×
Maternity Care Procedure (59899) $514.40 $643 2.5×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,868.80 $3,586 1.8×
Mech remov tunneled cv cath (36595) $3,261.60 $4,077 1.0×
Medial Canthopexy Separate Procedure (21280) $4,344 $5,430 1.3×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,239.20 $1,549 1.6×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,270.40 $1,588 1.7×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $8,604.80 $10,756 2.4×
Myelography Lumbar Injection (62304) $1,932 $2,415 2.4×
Myelography via lumbar injection rs&i cervical (62302) $1,932 $2,415 2.4×
Myringoplasty (69620) $3,543.20 $4,429 1.0×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $616–$2,201.60 $770–$2,752 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $490.40–$1,524 $613–$1,905 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $268–$1,177.60 $335–$1,472 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $136–$688.80 $170–$861 varies
N Block Inj Pudendal (64430) $1,984 $2,480 2.2×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $612–$2,201.60 $765–$2,752 varies
Nasal Endoscopy Dx (31231) $484.80 $606 2.4×
Nasal surgery procedure (30999) $336.80 $421 1.4×
Nasal/Orogastric W/Tube Plmt (43752) $882.40 $1,103 1.9×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)
range across 2 matching MRF lines		 $688–$992 $860–$1,240 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $8,818.40 $11,023 2.3×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $4,800 $6,000 0.8×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,133.60 $2,667 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,133.60 $2,667 1.2×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $7,839.20 $9,799 1.1×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $7,839.20 $9,799 1.1×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $3,572 $4,465 2.0×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $1,172.80 $1,466 4.6×
Needle Biopsy Lymph Nodes (38505) $3,779.20 $4,724 2.2×
Needle Biopsy Pancreas (48102) $3,738.40 $4,673 2.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $40 $50 1.4×
Needle insertion w/o injection 3 or more muscles (20561) $40 $50 1.4×
Nerve Repair W/Nerve Allograft First Strand (64912) $15,832 $19,790 1.8×
Neuro asd RNA next-gnrj seq saliva alg alys (0170U) $4,212 $5,265 2.2×
Neuro muscular dystrophy dmd seq alys bld/saliva (0218U) $5,469.60 $6,837 2.4×
Neuroeltrd Stim Post Tibial (64566) $610.40 $763 1.9×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $416 $520 0.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $538.40–$1,000 $673–$1,250 varies
Nipple/areola reconstruction (19350) $4,396.80 $5,496 1.1×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $385.60–$2,201.60 $482–$2,752 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $311.20–$686.40 $389–$858 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $7,301.60 $9,127 2.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $8,247.20 $10,309 2.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $484–$1,984 $605–$2,480 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,904.80 $2,381 2.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $711.20–$1,913.60 $889–$2,392 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,583.20 $1,979 2.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,918.40 $2,398 2.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,962.40 $2,453 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $700–$1,729.60 $875–$2,162 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,984 $2,480 2.2×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $2,708 $3,385 1.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,932.80 $2,416 2.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,597.60 $1,997 2.2×
Njx Sclrsnt 1 Incmptnt Vein (36470) $656.80 $821 1.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $656.80 $821 1.6×
Njx Sclrsnt Spider Veins (36468) $968.80 $1,211 2.3×
Nudt15 & tpmt gene analysis common variants (0169U) $1,119.20 $1,399 2.4×
Obstructive material removal from gi tube (49460) $2,006.40 $2,508 2.2×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $266.40–$787.20 $333–$984 varies
Onc brst ca DNA pik3ca gen alys 11 gen vrnt plsm (0177U) $592 $740 2.2×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $8,820 $11,025 1.0×
Onc sld tum somatic mut alys brca1 brca2 alg (0172U) $7,272 $9,090 2.4×
Open biopsy/excision inguinofemoral nodes (38531) $5,012 $6,265 1.3×
Open Implantation Nea Peripheral Nerve (64575) $30,374.40 $37,968 2.7×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $6,992 $8,740 1.2×
Open Tx Distal Phalangeal Fracture Each (26765) $7,494.40 $9,368 2.2×
Open/Perq Place Stent 1St (37236) $26,094.40 $32,618 2.2×
Open/Perq Place Stent Same (37238) $24,721.60 $30,902 2.1×
Oph age-related mac degeneration alys 3 gen vrnt (0205U) $112.80 $141 2.4×
Ostc prtl exostc/condylc metar head (28288) $4,262.40 $5,328 1.3×
Ostectomy calcaneus (28118) $4,262.40 $5,328 1.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $4,262.40 $5,328 1.3×
Part exc bone femur prox tibia (27360) $5,251.20 $6,564 1.6×
Part remv talus or calcaneus (28120) $5,309.60 $6,637 1.6×
Partial Excision Bone Humerus (24140) $5,251.20 $6,564 1.6×
Partial excision bone olecranon process (24147) $5,097.60 $6,372 1.5×
Partial excision of lip (40520) $3,543.20 $4,429 1.0×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) $16,919.20 $21,149 5.1×
Partial removal of toe (28160) $4,262.40 $5,328 1.3×
Partical Excision Bone Phalanx Toe (28124) $3,908 $4,885 1.2×
Patellectomy or hemipatellectomy (27350) $11,233.60 $14,042 1.5×
Penile Injection (54235) $620 $775 2.4×
Perc Rf Ablate Renal Tumor (50592) $10,594.40 $13,243 1.7×
Percut Ablate Liver Rf (47382) $11,504.80 $14,381 1.9×
Percut Cath Occlusn Non Cns Lesn (61626) $29,775.20 $37,219 2.5×
Percut Drain/Inject Renal Cyst (50390) $1,589.60 $1,987 2.2×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,062.40 $8,828 2.2×
Pericardiocentesis W/Imaging (33016) $3,908 $4,885 2.4×
Perm Occlusion/Embolization,Percut,Cns (61624) $23,736.80 $29,671 1.3×
Perq av fistula creation uxtr single access (36836) $36,584 $45,730 2.0×
Perq Cervicothoracic Inject (22510) $7,332.80 $9,166 2.2×
Perq dev breast 1st strtctc (19283) $923.20 $1,154 1.3×
Perq dev breast 1st us imag (19285) $1,979.20 $2,474 2.7×
Perq device breast 1st imag (19281) $1,979.20 $2,474 1.2×
Perq dilation xst trc endourologic px w/img (50436) $4,693.60 $5,867 1.3×
Perq Lumbosacral Injection (22511) $7,332.80 $9,166 2.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $5,495.20 $6,869 7.6×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $24,959.20 $31,199 2.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $8,352.80 $10,441 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $15,882.40 $19,853 2.1×
Place Cath Subclavian Art (36225) $6,962.40 $8,703 2.2×
Place Cath Thoracic Aorta (36221) $6,910.40 $8,638 2.1×
Place Cath Vertebral Art (36226) $10,701.60 $13,377 1.9×
Place Duod/Jej Tube Perc (49441) $4,212 $5,265 2.1×
Placement Needle Pelvic Organ Radioelement Appl (55920) $12,115.20 $15,144 2.4×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $153.60–$916.80 $192–$1,146 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $8,389.60 $10,487 1.3×
Plmt Bile Duct Stent Prq Existing Access (47538) $12,109.60 $15,137 2.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $12,716 $15,895 2.1×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $12,109.60 $15,137 2.0×
Plmt expandable cath brst following prtl mast (19296) $11,905.60 $14,882 1.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $5,758.40 $7,198 2.7×
Plmt Nephroureteral Catheter (50433) $5,575.20 $6,969 1.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $8,477.60 $10,597 2.4×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $7,476 $9,345 2.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $7,870.40 $9,838 2.2×
Prim art mech thrombectomy (37184) $14,930.40 $18,663 0.8×
Probe lacrimal canaliculi w/wo irrigation (68840) $433.60 $542 1.3×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,919.20 $3,649 1.2×
Proctopexy Perineal Approach (45541) $6,613.60 $8,267 2.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,916 $2,395 2.0×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $6,780 $8,475 2.4×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $481.60 $602 0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,691.20 $2,114 2.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $16,652 $20,815 2.6×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,904.80 $2,381 2.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $7,535.20 $9,419 2.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,535.20 $9,419 2.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,262.40 $5,328 1.3×
Prtl Exchange Transfuse Nb (36456) $966.40 $1,208 2.1×
Pseudoaneurysm Injection Trt (36002) $1,586.40 $1,983 2.5×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $466.40–$544.80 $583–$681 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $356.80–$872 $446–$1,090 varies
Puncture Aspiration Cyst Breast (19000) $1,672.80 $2,091 2.3×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,586.40 $1,983 2.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,615.20 $2,019 2.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,638.40 $5,798 2.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $9,035.20 $11,294 1.2×
Reconstruction Tongue Fold (41520) $3,543.20 $4,429 1.0×
Redo Endovas Vena Cava Filtr (37192) $7,721.60 $9,652 2.4×
Reduction of rectal prolapse (45900) $2,012.80 $2,516 2.1×
Relieve Pressure on Nerve(S) (64722) $4,732 $5,915 2.4×
Rem Endovas Vena Cava Filter (37193) $10,974.40 $13,718 3.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,025.60 $2,532 2.2×
Removal Foreign Body Foot Complicated (28193) $2,233.60 $2,792 1.3×
Removal foreign body foot deep (28192) $3,934.40 $4,918 2.3×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $676.80–$1,672.80 $846–$2,091 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $603.20–$2,216.80 $754–$2,771 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $96–$167.20 $120–$209 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $250.40–$300 $313–$375 varies
Removal Implant Deep (20680) $6,586.40 $8,233 2.2×
Removal Implant Superficial Separate Procedure (20670) $2,172 $2,715 1.3×
Removal implantable contraceptive capsules (11976) $923.20 $1,154 1.3×
Removal of a lesion from the floor of the mouth (41116) $3,543.20 $4,429 1.0×
Removal of foreign body from pharynx (42809) $891.20 $1,114 2.0×
Removal of heel spur (28119) $7,953.60 $9,942 2.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $550.40–$908.80 $688–$1,136 varies
Removal of rib (21615) $17,792.11 $22,240.14 2.4×
Removal of tunneled intraperitoneal catheter (49422) $7,005.60 $8,757 2.2×
Removal Pacemaker Electrode (33235) $7,964.80 $9,956 2.1×
Removal ppm generator only (33233) $20,472 $25,590 2.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $249.60–$433.60 $312–$542 varies
Removal sweat gland lesion (11450) $3,748 $4,685 1.3×
Removal/bivalving gauntlet boot/body cast (29700) $382.40 $478 1.3×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $4,948 $6,185 2.3×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $410.40–$2,125.60 $513–$2,657 varies
Remove Elctrd Transvenously (33244) $7,964.80 $9,956 2.1×
Remove Forearm Foreign Body (25248) $3,825.60 $4,782 2.3×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $92–$294.40 $115–$368 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $304.80–$446.40 $381–$558 varies
Remove intrvas foreign body (37197) $7,123.20 $8,904 2.2×
Remove lung catheter (32552) $5,592 $6,990 8.7×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $364–$595.20 $455–$744 varies
Remove Pulse Generator (33241) $7,964.80 $9,956 2.1×
Remove renal tube w/fluoro (50389) $1,569.60 $1,962 2.2×
Remove Tendon Sheath Lesion (26160) $3,649.60 $4,562 2.2×
Remove tissue expander (11971) $6,833.60 $8,542 2.3×
Remove ureter stent percut (50384) $5,125.60 $6,407 2.4×
Remove&replace pm gen singl (33227) $20,472 $25,590 2.4×
Remove/Insert Drug Implant (11983) $975.20 $1,219 2.1×
Remv&replc cvd gen dual lead (33263) $61,408 $76,760 2.7×
Remv&replc cvd gen mult lead (33264) $85,990.40 $107,488 2.7×
Remv&replc cvd gen sing lead (33262) $61,408 $76,760 2.7×
Remv&replc pm gen dual lead (33228) $27,072.80 $33,841 2.5×
Renal Biopsy Perq (50200) $2,217.60 $2,772 1.3×
Reopen fallopian tube (58350) $6,700 $8,375 1.3×
Repair Blood Vessel Direct Upper Extremity (35206) $7,062.40 $8,828 2.2×
Repair blood vessel lesion (35266) $12,082.40 $15,103 2.1×
Repair brow ptosis (67900) $2,919.20 $3,649 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $1,170.40–$1,457.60 $1,463–$1,822 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,360.80–$1,685.60 $1,701–$2,107 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $736.80–$1,078.40 $921–$1,348 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,016–$1,307.20 $1,270–$1,634 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $763.20 $954 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $1,060–$1,184.80 $1,325–$1,481 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,340.80 $1,676 1.8×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $1,097.60–$1,457.60 $1,372–$1,822 varies
Repair Ectropion Excision Tarsal Wedge (67916) $2,919.20 $3,649 1.2×
Repair Ectropion Extensive (67917) $2,919.20 $3,649 1.2×
Repair Elbow Perc (24357) $3,984.80 $4,981 1.2×
Repair Entropion Extensive (67924) $2,919.20 $3,649 1.2×
Repair extensor tendon finger w/o graft each (26418) $3,940.80 $4,926 2.4×
Repair Fistula Oromaxillary (30580) $6,992 $8,740 1.2×
Repair Hallux Rigidus (28289) $4,262.40 $5,328 1.3×
Repair Hand Tendon (26410) $3,825.60 $4,782 2.3×
Repair incomplete circumcision (54163) $1,581.60 $1,977 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $791.20–$872 $989–$1,090 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $876.80–$956.80 $1,096–$1,196 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $1,013.60–$1,056 $1,267–$1,320 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $1,065.60–$1,223.20 $1,332–$1,529 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,000.80 $1,251 2.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $1,122.40–$1,425.60 $1,403–$1,782 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $739.20–$918.40 $924–$1,148 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $864–$1,008 $1,080–$1,260 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $1,058.40–$1,372.80 $1,323–$1,716 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $1,069.60–$1,163.20 $1,337–$1,454 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $736.80–$918.40 $921–$1,148 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $859.20–$956.80 $1,074–$1,196 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,170.40–$1,425.60 $1,463–$1,782 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $928–$1,111.20 $1,160–$1,389 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,316–$4,576.80 $1,645–$5,721 varies
Repair of hammertoe (28286) $3,908 $4,885 1.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $524.80–$1,425.60 $656–$1,782 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $11,233.60 $14,042 1.5×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $556–$848.80 $695–$1,061 varies
Repair tongue laceration (41250) $332 $415 0.7×
Repair Tooth Socket (41874) $3,543.20 $4,429 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $2,062.40 $2,578 2.2×
Replace G-J Tube Perc (49452) $1,946.40 $2,433 2.1×
Replace g/c tube perc (49450) $2,084.80 $2,606 2.2×
Reposition Pacing-Defib Lead (33215) $6,924 $8,655 2.1×
Reposition Venous Catheter (36597) $2,868.80 $3,586 1.8×
Rerepair ing hernia reduce (49520) $8,247.20 $10,309 2.3×
Revision of eyelid (67880) $2,919.20 $3,649 1.2×
Revision of foot fascia (28250) $7,494.40 $9,368 2.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $9,759.20 $12,199 1.5×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $17,678.40 $22,098 3.0×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,640 $5,800 1.3×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $12,777.60 $15,972 2.2×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $12,777.60 $15,972 2.2×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $12,777.60 $15,972 0.7×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $12,777.60 $15,972 0.7×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $12,777.60 $15,972 0.7×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $12,777.60 $15,972 0.7×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $12,777.60 $15,972 1.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $12,777.60 $15,972 1.1×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $12,777.60 $15,972 1.1×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $12,777.60 $15,972 1.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $12,777.60 $15,972 2.2×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $12,777.60 $15,972 2.2×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $12,777.60 $15,972 1.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $12,777.60 $15,972 1.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $12,777.60 $15,972 1.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $12,777.60 $15,972 1.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $12,777.60 $15,972 0.7×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $12,777.60 $15,972 0.7×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $12,777.60 $15,972 0.7×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $12,777.60 $15,972 0.7×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $12,777.60 $15,972 0.7×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $12,777.60 $15,972 0.7×
Rhd&rhce gnotyp sanger/chain seq rhd 1-10&rhce 5 (0198U) $679.20 $849 2.4×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $13,794.40 $17,243 2.3×
Rhytidectomy Forehead (15824) $4,009.60 $5,012 1.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $4,478.40 $5,598 2.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,404 $3,005 2.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,637.60 $4,547 2.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $163.20–$964.80 $204–$1,206 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $185.60–$291.20 $232–$364 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $113.60–$975.20 $142–$1,219 varies
Rmvl fecal impaction/fb spx under anes (45915) $2,632 $3,290 2.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $6,693.60 $8,367 2.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,819.20 $4,774 2.3×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $7,964.80 $9,956 2.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,090.40 $2,613 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $452–$1,719.20 $565–$2,149 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $660.80–$752.80 $826–$941 varies
Rplc gtube revj gstrst trc (43763) $927.20 $1,159 3.6×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,868.80 $3,586 1.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,732.80 $3,416 1.7×
Rplcmt compl tun ctr vad w/subq port (36582) $6,725.60 $8,407 2.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $6,843.20 $8,554 2.1×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $2,921.60 $3,652 1.2×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $2,919.20 $3,649 1.2×
Rpr blood vessel direct lower extremity (35226) $987.20 $1,234 1.4×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,919.20 $3,649 1.2×
Rpr blvsl w/grf other/than vein lower extremity (35286) $12,082.40 $15,103 2.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,732.80 $3,416 1.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $464–$666.40 $580–$833 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $847.20–$1,281.60 $1,059–$1,602 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $1,330.40–$1,446.40 $1,663–$1,808 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $1,327.20–$1,431.20 $1,659–$1,789 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $1,590.40–$3,322.40 $1,988–$4,153 varies
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $4,800 $6,000 0.8×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $16,920.80 $21,151 2.3×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,653.60 $2,067 2.6×
Sc gnotyp gene analysis ermap exons 4 12 (0199U) $659.20 $824 2.4×
Sclerotx Fluid Collection (49185) $2,358.40 $2,948 1.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $7,584 $9,480 2.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $849.60 $1,062 0.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $857.60 $1,072 0.7×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $288–$968.80 $360–$1,211 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $259.20–$327.20 $324–$409 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines		 $473.60–$501.60 $592–$627 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $259.20–$301.60 $324–$377 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $272.80–$345.60 $341–$432 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $280–$369.60 $350–$462 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $259.20–$384 $324–$480 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $436–$476 $545–$595 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $259.20–$343.20 $324–$429 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $427.20–$501.60 $534–$627 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $272.80–$388.80 $341–$486 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,543.20 $4,429 1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,860 $2,325 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $835.20 $1,044 0.9×
Simple Cystometrogram (51725) $417.60 $522 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $592.80–$908.80 $741–$1,136 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $307.20–$473.60 $384–$592 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $317.60–$521.60 $397–$652 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $968 $1,210 2.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $389.60–$574.40 $487–$718 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $411.20 $514 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $259.20–$473.60 $324–$592 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $586.40–$1,098.40 $733–$1,373 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $356–$574.40 $445–$718 varies
Skin Full Grft Face/Genit/Hf (15240) $4,425.60 $5,532 2.1×
Skin Pinch Graft (15050) $1,033.60 $1,292 1.4×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $1,643.20–$2,435.20 $2,054–$3,044 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $427.20–$4,396.80 $534–$5,496 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $4,009.60–$7,679.20 $5,012–$9,599 varies
Skin Tissue Procedure (17999) $492 $615 2.4×
Skn sub grft f/n/hf/g child (15277) $4,576.80 $5,721 2.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,204 $11,505 1.6×
Slctv cath carotid/innom art angio xtrcranl art (36222) $7,401.60 $9,252 2.3×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $10,524 $13,155 1.9×
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $624.80–$4,347.20 $781–$5,434 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $308–$521.60 $385–$652 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $480–$918.40 $600–$1,148 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $560–$1,009.60 $700–$1,262 varies
Sphincterotomy anal division sphincter spx (46080) $3,731.20 $4,664 1.3×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $490.40–$1,696.80 $613–$2,121 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $8,450.40 $10,563 2.3×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,425.60 $5,532 2.1×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $4,700.80 $5,876 1.5×
Strapping ankle (29540) $364 $455 2.2×
Strapping elbow or wrist (29260) $88.80 $111 1.5×
Strapping toes (29550)
range across 2 matching MRF lines		 $52.80–$91.20 $66–$114 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $164.80–$400 $206–$500 varies
Subcutaneous Hormone Pellet Implantation (11980) $532 $665 1.2×
Submucosal abltj tongue rf 1/> sites pr session (41530) $3,543.20 $4,429 1.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $7,812 $9,765 2.3×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,543.20 $4,429 1.0×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $13,452.80 $16,816 2.2×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $13,452.80 $16,816 2.2×
Surg tx anal fistula subq (46270) $3,731.20 $4,664 1.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $6,248 $7,810 2.2×
Syphilis tst non-treponemal antibody ia quan rpr (0210U) $44.80 $56 2.4×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $292.80–$466.40 $366–$583 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $68,596 $85,745 2.3×
Temporary Closure Eyelids Suture (67875) $2,181.60 $2,727 2.1×
Tenotomy Adductor Hip Percutaneous Spx (27000) $3,984.80 $4,981 2.4×
Tenotomy Hip Abd/Ext Open (27006) $7,077.60 $8,847 2.1×
Tenotomy Percutaneous Single Each Digit (26060) $2,524 $3,155 1.5×
Tenotomy Percutaneous Toe Single Tendon (28010) $3,940.80 $4,926 2.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $3,940.80 $4,926 2.4×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $3,984.80 $4,981 1.2×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $7,806.40 $9,758 2.3×
Tenotomy shoulder area single tendon (23405) $16,517.60 $20,647 2.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $3,764 $4,705 2.3×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $5,963.20 $7,454 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,756.80 $2,196 2.4×
Therapeutic plasma exchange (36514) $4,963.20 $6,204 3.1×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $33,310.40 $41,638 2.5×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $11,507.20 $14,384 2.0×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $12,401.60 $15,502 2.2×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $7,880 $9,850 2.4×
Thrmbc/Nfs Dialysis Circuit (36906) $36,584 $45,730 2.0×
Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) $13,802.80 $17,253.50 21.5×
Thromblytic art/ven therapy (37213) $2,868.80 $3,586 0.9×
Thrombolytic Art Therapy (37211) $11,281.60 $14,102 2.0×
Thrombolytic Therapy Stroke (37195) $844 $1,055 2.5×
Thrombolytic Venous Therapy (37212) $6,524 $8,155 2.0×
Thyroid biopsy (60100) $1,588.80 $1,986 2.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,957.60 $3,697 1.4×
Tooth extraction (41899) $582.40 $728 2.4×
Tprnl Plmt Biodegrdabl Matrl (55874) $10,373.60 $12,967 1.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,342.40 $1,678 2.4×
Tracheostoma revj smpl w/o flap rotation (31613) $8,129.60 $10,162 2.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,388.80 $1,736 5.7×
Tracheostomy planned (31600) $6,417.60 $8,022 1.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $709.60 $887 2.3×
Transcatheter biopsy (37200) $11,937.60 $14,922 2.1×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $10,418.40 $13,023 1.9×
Treat Dental Ridge Fracture (21440) $6,111.20 $7,639 1.8×
Treat fracture radius/ulna (25575) $17,660 $22,075 2.4×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $628–$996 $785–$1,245 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,374.40–$3,940.80 $1,718–$4,926 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $582.40–$919.20 $728–$1,149 varies
Treat knee fracture (27532) $7,494.40 $9,368 2.2×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $712.80–$923.20 $891–$1,154 varies
Treat Metatarsal Fracture (28475) $598.40 $748 2.4×
Treat Thumb Dislocation (26641) $628 $785 2.5×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $391.20–$635.20 $489–$794 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,296–$3,984.80 $1,620–$4,981 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $635.20–$1,018.40 $794–$1,273 varies
Treatment mouth roof lesion (42160) $5,932.80 $7,416 1.8×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $204.80–$473.60 $256–$592 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $233.60–$473.60 $292–$592 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $255.20–$456 $319–$570 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $39.20–$92.80 $49–$116 varies
Trluml Balo Angiop 1St Art (37246) $14,405.60 $18,007 2.5×
Trluml Balo Angiop 1St Vein (37248) $14,982.40 $18,728 2.6×
Tubal ligation (58600) $6,706.40 $8,383 2.0×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $52.80–$726.40 $66–$908 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $6,632 $8,290 2.0×
Tx Missed Abortion First Trimester Surgical (59820) $3,663.20 $4,579 1.1×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $1,046.40–$3,543.20 $1,308–$4,429 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $3,656.80 $4,571 2.2×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $830.40–$1,317.60 $1,038–$1,647 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,656.80 $4,571 2.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $438.40–$584.80 $548–$731 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $3,543.20 $4,429 2.2×
Tympanostomy general anesthesia (69436) $3,700.80 $4,626 2.3×
Unlisted Cardiac Surgery (33999) $6,400.80 $8,001 10.0×
Unlisted Procedure Accessory Sinuses (31299) $560 $700 2.3×
Unlisted procedure anus (46999) $2,012.80 $2,516 2.1×
Unlisted procedure breast (19499) $4,396.80 $5,496 1.1×
Unlisted Procedure Casting/Strapping (29799) $383.20 $479 2.3×
Unlisted Procedure Endocrine System (60699) $12,716 $15,895 2.1×
Unlisted Procedure External Ear (69399) $473.60 $592 2.0×
Unlisted procedure femur or knee (27599) $1,278.40 $1,598 5.1×
Unlisted procedure foot or toes (28899) $348 $435 1.4×
Unlisted Procedure Hands/Fingers (26989) $609.60 $762 2.4×
Unlisted procedure humerus/elbow (24999) $3,984.80 $4,981 15.8×
Unlisted Procedure Intestine (44799) $5,639.20 $7,049 6.1×
Unlisted Procedure Leg/Ankle (27899) $573.60 $717 2.3×
Unlisted procedure lungs and pleura (32999) $1,789.60 $2,237 2.8×
Unlisted Procedure Male Genital System (55899) $730.40 $913 2.9×
Unlisted Procedure Muscskeletal System General (20999) $593.60 $742 2.4×
Unlisted procedure neck or thorax (21899) $574.40 $718 2.4×
Unlisted procedure nervous system (64999) $844.80 $1,056 2.7×
Unlisted Procedure Palate Uvula (42299) $328.80 $411 1.4×
Unlisted procedure pelvis/hip joint (27299) $3,984.80 $4,981 15.8×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $482.40 $603 2.0×
Unlisted Procedure Rectum (45999) $2,199.20 $2,749 2.3×
Unlisted procedure spine (22899) $573.60 $717 2.3×
Unlisted procedure stomach (43999) $780 $975 0.8×
Unlisted Procedure Tongue Floor Mouth (41599) $482.40 $603 2.0×
Unlisted Procedure Trachea Bronchi (31899) $611.20 $764 3.0×
Unlisted Procedure Vascular Surgery (37799) $1,760.80 $2,201 2.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,464.80 $3,081 2.7×
Unlisted Procedure, Urinary System (53899) $650.40 $813 2.5×
Unlisted px female genital system nonobstetrical (58999) $455.20 $569 2.2×
Urine Flow Measurement (51736) $169.60 $212 1.2×
Uvulectomy excision of uvula (42140) $3,543.20 $4,429 1.0×
Vaginal Delivery After Cesarean Delivery (59612) $7,479.20 $9,349 2.3×
Vaginal delivery only (59409)
range across 4 matching MRF lines		 $2,028–$3,776.80 $2,535–$4,721 varies
Vasc embolize/occlude artery (37242) $26,094.40 $32,618 1.4×
Vasc Embolize/Occlude Bleed (37244) $30,966.40 $38,708 2.6×
Vasc Embolize/Occlude Organ (37243) $25,958.40 $32,448 2.2×
Vasc embolize/occlude venous (37241) $29,775.20 $37,219 2.5×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $1,022.40–$2,732.80 $1,278–$3,416 varies
Venous Mech Thrombectomy (37187) $13,288.80 $16,611 1.1×
Ventilating tube removal requiring general anesthesia (69424) $3,543.20 $4,429 1.0×
Vermilionectomy lip shv w/mucosal advmnt (40500) $3,543.20 $4,429 1.0×
Vulvectomy simple partial (56620) $7,479.20 $9,349 2.3×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $464.80–$862.40 $581–$1,078 varies
Wound Prep F/N/Hf/G (15004) $1,372.80 $1,716 3.3×
Wound Prep Trk/Arm/Leg (15002) $4,510.40 $5,638 6.0×
Xk gnotyp gene analysis xk exons 1-3 (0200U) $659.20 $824 2.4×
Yt gnotyp gene analysis ache exon 2 (0201U) $444.80 $556 2.4×

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