Procedures & surgery prices at Mount San Rafael Hospital
Trinidad, CO · every code in this section with a posted price and a Medicare benchmark.
991 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
— | $745.50–$1,038.50 | — |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 12 matching MRF lines |
— | $258–$1,465 | — |
| Ablate inf turbinate submuc (30802) | — | $712 | — |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | — | $548.50 | — |
| Acne surgery (10040) | — | $209 | — |
| Acromiopl/Acromionect Partial (23130) | — | $1,918 | — |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | — | $2,071 | — |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | — | $3,303.50 | — |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | — | $3,965.50 | — |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 4 matching MRF lines |
— | $2,057–$2,312.50 | — |
| Amputate Metacarpal Bone (26910) | — | $2,669 | — |
| Amputate Thigh,Re-Amputatn (27596) | — | $3,183.50 | — |
| Amputation follow-up surgery (27594) | — | $2,403 | — |
| Amputation foot transmetarsal (28805) | — | $5,549.50 | — |
| Amputation metatarsal with toe single (28810) range across 4 matching MRF lines |
— | $1,375.50–$1,642.50 | — |
| Amputation thigh through femur any level (27590) | — | $2,522 | — |
| Amputation toe interphalangeal joint (28825) range across 4 matching MRF lines |
— | $903–$5,549.50 | — |
| Amputation toe metatarsophalangeal joint (28820) | — | $1,371 | — |
| Amputation, leg, through tibia and fibula; (27880) | — | $3,547 | — |
| Anal/Urinary Muscle Study (51784) | — | $918 | — |
| Ankle Arthroscopy/Surgery (29892) | — | $6,639 | — |
| Anorectal myomectomy (45108) | — | $1,496.50 | — |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) range across 2 matching MRF lines |
— | $866.50–$1,420 | — |
| Anoscopy Ablation Lesion (46615) range across 2 matching MRF lines |
— | $351.50–$663 | — |
| Anoscopy Control Bleeding (46614) range across 4 matching MRF lines |
— | $236.50–$1,562.50 | — |
| Anoscopy diagnostic (46600) range across 8 matching MRF lines |
— | $87.50–$172.50 | — |
| Anoscopy remove lesion (46610) | — | $307 | — |
| Anoscopy W/Rmvl Foreign Body (46608) range across 4 matching MRF lines |
— | $347.50–$771 | — |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
— | $287.50–$299.50 | — |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | — | $470 | — |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) range across 3 matching MRF lines |
— | $2,669–$3,078.50 | — |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 6 matching MRF lines |
— | $2,653–$5,502.50 | — |
| Appendectomy (44950) range across 2 matching MRF lines |
— | $2,509.50–$7,674 | — |
| Application cast elbow finger short arm (29075) range across 6 matching MRF lines |
— | $236.50–$281.50 | — |
| Application finger splint static (29130) range across 4 matching MRF lines |
— | $155.50–$345 | — |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
— | $272–$301 | — |
| Application Long Leg Cast Brace (29358) | — | $508.50 | — |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
— | $169.50–$329 | — |
| Application multiplane external fixation system (20692) | — | $3,580.50 | — |
| Application of long leg cast (29345) range across 4 matching MRF lines |
— | $130–$477 | — |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
— | $199–$411 | — |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
— | $159–$229.50 | — |
| Application uniplane external fixation system (20690) | — | $1,792 | — |
| Apply hand/wrist cast (29085) | — | $239.50 | — |
| Apply Short Leg Cast (29405) range across 8 matching MRF lines |
— | $130–$395 | — |
| Arterial puncture (36600) range across 6 matching MRF lines |
— | $130–$173.50 | — |
| Arteriovenous Anastomosis Open Direct (36821) | — | $2,785.50 | — |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) | — | $17,239.50 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 11 matching MRF lines |
— | $163.50–$285.50 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | — | $293.50 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 19 matching MRF lines |
— | $192–$1,256 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | — | $291 | — |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 12 matching MRF lines |
— | $160–$733 | — |
| Arthrodesis great toe metatarsophalangeal joint (28750) | — | $8,292.50 | — |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | — | $2,649.50 | — |
| Arthroplasty, patella; without prosthesis (27437) | — | $2,913.50 | — |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 4 matching MRF lines |
— | $3,004–$3,087 | — |
| Arthroscopy knee synovectomy limited spx (29875) | — | $1,589.50 | — |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | — | $3,869.50 | — |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | — | $2,239.50 | — |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | — | $2,913.50 | — |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | — | $1,822 | — |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | — | $3,377 | — |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | — | $8,360 | — |
| Arthrotomy W/Meniscus Repair Knee (27403) | — | $2,055 | — |
| Arthrotomy W/Synovectomy Ankle (27625) | — | $4,325 | — |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | — | $4,353 | — |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | — | $3,158.50 | — |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | — | $3,101 | — |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | — | $3,509 | — |
| Arthrs knee debridement/shaving artclr crtlg (29877) | — | $1,993.50 | — |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | — | $1,801 | — |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | — | $8,084.50 | — |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | — | $1,588 | — |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) | — | $8,135 | — |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) | — | $2,848.50 | — |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | — | $5,549.50 | — |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
— | $463.50–$1,345 | — |
| Aspirate Pleura W/O Imaging (32554) range across 8 matching MRF lines |
— | $315.50–$520.50 | — |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
— | $157.50–$252.50 | — |
| Aspiration and/or injection thyroid cyst (60300) | — | $1,038.50 | — |
| Aspiration bladder insert suprapubic catheter (51102) range across 4 matching MRF lines |
— | $992–$1,665.50 | — |
| Av fusion/forearm vein (36820) | — | $3,221.50 | — |
| Avulsion nail plate partial/complete simple 1 (11730) range across 8 matching MRF lines |
— | $214–$624.50 | — |
| Axillary lymphadenectomy; complete (38745) | — | $3,239.50 | — |
| Biopsy bone open superficial (20240) | — | $1,991 | — |
| Biopsy external ear (69100) range across 4 matching MRF lines |
— | $185.50–$829.50 | — |
| Biopsy Muscle Superficial (20200) | — | $362.50 | — |
| Biopsy of breast; open, incisional (19101) range across 6 matching MRF lines |
— | $827.50–$1,829.50 | — |
| Biopsy of liver, needle; percutaneous (47000) range across 4 matching MRF lines |
— | $419.50–$1,711.50 | — |
| Biopsy of penis (54100) | — | $790 | — |
| Biopsy of rectum (45100) | — | $1,100.50 | — |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) range across 4 matching MRF lines |
— | $765.50–$783.50 | — |
| Biopsy Vaginal Mucosa Extensive (57105) | — | $498 | — |
| Biopsy Vaginal Mucosa Simple (57100) | — | $260 | — |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | — | $284.50 | — |
| Biopsy, vestibule of mouth (40808) | — | $404 | — |
| Biopsy/removal lymph nodes (38510) | — | $1,666.50 | — |
| Bladder instillation anticarcinogenic agent (51720) | — | $641.50 | — |
| Bladder Irrigation (51700) range across 4 matching MRF lines |
— | $183.50–$518 | — |
| Bladder Scan (51798) range across 4 matching MRF lines |
— | $179–$186.50 | — |
| Blepharotomy drainage abscess eyelid (67700) range across 4 matching MRF lines |
— | $312.50–$392 | — |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
— | $1,194–$1,276 | — |
| Bone Graft Any Donor Area Major/Large (20902) | — | $724 | — |
| Bone Graft Any Donor Area Minor/Small (20900) | — | $1,919 | — |
| Breast augmentation with implant (19325) | — | $3,028.50 | — |
| Bronchoscopy Clear Airways (31645) | — | $661 | — |
| Bx breast 1st lesion strtctc (19081) range across 7 matching MRF lines |
— | $135–$393 | — |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
— | $2,017–$2,329 | — |
| Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines |
— | $269–$2,322 | — |
| Bx Cervix (57500) range across 3 matching MRF lines |
— | $308–$1,502.50 | — |
| Bx/exc lymph node open deep axillary node (38525) range across 4 matching MRF lines |
— | $1,662–$4,949.50 | — |
| Bx/exc lymph node open superficial (38500) range across 4 matching MRF lines |
— | $929–$1,330.50 | — |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | — | $3,142 | — |
| Carpal Tunnel Surgery (64721) | — | $1,375.50 | — |
| Catheter aspiration nasotracheal spx (31720) | — | $206 | — |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | — | $414.50 | — |
| Cervical lymphadenectomy (complete) (38720) | — | $5,462 | — |
| Change Cystostomy Tube Complicated (51710) | — | $412 | — |
| Change Cystostomy Tube Simple (51705) range across 6 matching MRF lines |
— | $151–$425.50 | — |
| Change of Windpipe Airway (31502) range across 4 matching MRF lines |
— | $244–$561.50 | — |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
— | $132–$329 | — |
| Chest tube placement (32551) range across 6 matching MRF lines |
— | $647–$1,339 | — |
| Circumcision 28 days or older (54161) range across 3 matching MRF lines |
— | $809–$1,007 | — |
| Circumcision Neonate (54160) range across 4 matching MRF lines |
— | $379.50–$1,960.50 | — |
| Circumcision w/clamp/oth dev w/block (54150) | — | $685.50 | — |
| Claviculectomy partial (23120) | — | $1,871.50 | — |
| Clear outer ear canal (69200) range across 6 matching MRF lines |
— | $163.50–$337 | — |
| Closed Rx Metacarpal Fx,Percut (26608) | — | $1,531 | — |
| Closed Treat Vert Body Fract (22310) | — | $1,814.50 | — |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 4 matching MRF lines |
— | $287.50–$1,509.50 | — |
| Closed Treatment Sternum Fracture (21820) range across 4 matching MRF lines |
— | $287.50–$826.50 | — |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 4 matching MRF lines |
— | $287.50–$1,458.50 | — |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 4 matching MRF lines |
— | $287.50–$1,036.50 | — |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 4 matching MRF lines |
— | $297.50–$2,379.50 | — |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 6 matching MRF lines |
— | $287.50–$12,568.50 | — |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 4 matching MRF lines |
— | $287.50–$1,060 | — |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 4 matching MRF lines |
— | $345–$1,223.50 | — |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 6 matching MRF lines |
— | $1,619.50–$1,698.50 | — |
| Closed tx knee dislocation w/o anesthesia (27550) range across 4 matching MRF lines |
— | $287.50–$1,252.50 | — |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 4 matching MRF lines |
— | $287.50–$2,117 | — |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 4 matching MRF lines |
— | $224–$2,148 | — |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 4 matching MRF lines |
— | $287.50–$793.50 | — |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 4 matching MRF lines |
— | $287.50–$2,046.50 | — |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 4 matching MRF lines |
— | $537–$560.50 | — |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | — | $4,235.50 | — |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | — | $2,360.50 | — |
| Closed tx patellar dislocation w/anesthesia (27562) range across 4 matching MRF lines |
— | $1,463–$1,746 | — |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 4 matching MRF lines |
— | $277–$977.50 | — |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 4 matching MRF lines |
— | $287.50–$1,204.50 | — |
| Closed tx radial head/neck fx w/manipulation (24655) range across 4 matching MRF lines |
— | $888.50–$1,416 | — |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 4 matching MRF lines |
— | $287.50–$938 | — |
| Closed tx radial shaft fracture w/manipulation (25505) range across 4 matching MRF lines |
— | $287.50–$1,689 | — |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 4 matching MRF lines |
— | $287.50–$990.50 | — |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 6 matching MRF lines |
— | $297.50–$2,513.50 | — |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 4 matching MRF lines |
— | $311.50–$1,322 | — |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 4 matching MRF lines |
— | $287.50–$850.50 | — |
| Closed tx septal&nose fx (21337) | — | $1,065 | — |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 4 matching MRF lines |
— | $287.50–$793.50 | — |
| Closed tx talus fracture w/o manipulation (28430) range across 4 matching MRF lines |
— | $287.50–$1,072 | — |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 4 matching MRF lines |
— | $247.50–$652.50 | — |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 4 matching MRF lines |
— | $287.50–$888.50 | — |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 4 matching MRF lines |
— | $287.50–$1,060 | — |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | — | $1,012 | — |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) | — | $2,130 | — |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) | — | $2,458 | — |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 4 matching MRF lines |
— | $287.50–$791 | — |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 4 matching MRF lines |
— | $287.50–$1,119.50 | — |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 4 matching MRF lines |
— | $287.50–$713 | — |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 4 matching MRF lines |
— | $640.50–$909 | — |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 6 matching MRF lines |
— | $1,273–$1,812 | — |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 6 matching MRF lines |
— | $396–$1,106.50 | — |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 4 matching MRF lines |
— | $287.50–$885.50 | — |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 4 matching MRF lines |
— | $287.50–$1,009.50 | — |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 4 matching MRF lines |
— | $311.50–$866.50 | — |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 4 matching MRF lines |
— | $287.50–$1,493.50 | — |
| Cltx dstl fibular fx lat malls w/o manj (27786) | — | $1,088.50 | — |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 4 matching MRF lines |
— | $287.50–$781.50 | — |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 4 matching MRF lines |
— | $287.50–$509.50 | — |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 6 matching MRF lines |
— | $287.50–$1,150 | — |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 6 matching MRF lines |
— | $317.50–$1,754 | — |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 4 matching MRF lines |
— | $287.50–$1,856 | — |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 4 matching MRF lines |
— | $287.50–$726.50 | — |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 4 matching MRF lines |
— | $287.50–$451 | — |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 6 matching MRF lines |
— | $287.50–$546 | — |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | — | $372 | — |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 4 matching MRF lines |
— | $1,863.50–$1,941 | — |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 4 matching MRF lines |
— | $287.50–$1,393.50 | — |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 4 matching MRF lines |
— | $287.50–$1,021.50 | — |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | — | $1,360.50 | — |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 4 matching MRF lines |
— | $287.50–$1,429.50 | — |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 4 matching MRF lines |
— | $396–$1,991 | — |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 4 matching MRF lines |
— | $287.50–$988.50 | — |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 4 matching MRF lines |
— | $287.50–$2,036 | — |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 4 matching MRF lines |
— | $287.50–$1,193 | — |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 4 matching MRF lines |
— | $287.50–$390.50 | — |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | — | $2,889 | — |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 4 matching MRF lines |
— | $330–$550.50 | — |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 4 matching MRF lines |
— | $287.50–$1,694.50 | — |
| Cltx Medial Ankle Fx (27760) range across 4 matching MRF lines |
— | $287.50–$1,140.50 | — |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 4 matching MRF lines |
— | $345–$1,118 | — |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 8 matching MRF lines |
— | $311.50–$937 | — |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 6 matching MRF lines |
— | $311.50–$1,078 | — |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 6 matching MRF lines |
— | $277–$634.50 | — |
| Cltx post hip arthrp dislc req anes (27266) range across 5 matching MRF lines |
— | $2,433.50–$2,602 | — |
| Cltx post hip arthrp dislc w/o anes (27265) range across 4 matching MRF lines |
— | $287.50–$1,810 | — |
| Cltx prox fibula/shft fx w/manj (27781) range across 4 matching MRF lines |
— | $287.50–$1,261.50 | — |
| Cltx prox fibula/shft fx w/o manj (27780) range across 4 matching MRF lines |
— | $287.50–$936 | — |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 4 matching MRF lines |
— | $287.50–$1,959 | — |
| Cltx prox tibfib jt dislc req anes (27831) | — | $1,255 | — |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 4 matching MRF lines |
— | $287.50–$1,654.50 | — |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 4 matching MRF lines |
— | $380.50–$426.50 | — |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | — | $1,151.50 | — |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 4 matching MRF lines |
— | $287.50–$1,230.50 | — |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | — | $968 | — |
| Cltx tibial fx proximal w/o manipulation (27530) range across 4 matching MRF lines |
— | $287.50–$1,560.50 | — |
| Cltx tibial shaft fx w/o manipulation (27750) range across 4 matching MRF lines |
— | $287.50–$1,531 | — |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 4 matching MRF lines |
— | $287.50–$2,348.50 | — |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 6 matching MRF lines |
— | $330–$2,718.50 | — |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 4 matching MRF lines |
— | $287.50–$1,393.50 | — |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | — | $3,476 | — |
| Collect Blood From Catheter Venous Nos (36592) range across 4 matching MRF lines |
— | $86.50–$88.50 | — |
| Collection of venous blood by venipuncture (36415) range across 11 matching MRF lines |
— | $24.50–$64 | — |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 4 matching MRF lines |
— | $710–$2,696 | — |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) range across 4 matching MRF lines |
— | $980.50–$1,795 | — |
| Colonoscopy w/ablation (45388) range across 4 matching MRF lines |
— | $1,377–$3,534 | — |
| Colonoscopy W/Band Ligation (45398) range across 8 matching MRF lines |
— | $1,604–$4,402.50 | — |
| Colonoscopy w/fb removal (45379) | — | $1,027.50 | — |
| Colonoscopy w/submucosal inj (45381) range across 4 matching MRF lines |
— | $935–$1,071 | — |
| Colpopexy vaginal intraperitoneal approach (57283) range across 2 matching MRF lines |
— | $2,637.50–$2,742.50 | — |
| Colporrhaphy (57200) range across 3 matching MRF lines |
— | $1,122.50–$1,333.50 | — |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 4 matching MRF lines |
— | $454.50–$541 | — |
| Colposcopy Cervix Endocervical Curettage (57456) | — | $411 | — |
| Colposcopy cervix upper/adjacent vagina (57452) | — | $263 | — |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | — | $494.50 | — |
| Colposcopy cervix vag eltrd conization cervix (57461) | — | $720.50 | — |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | — | $648 | — |
| Colposcopy entire vagina w/cervix if present (57420) | — | $356 | — |
| Colposcopy of vulva (56820) range across 4 matching MRF lines |
— | $337–$399 | — |
| Colposcopy Vulva W/Biopsy (56821) range across 4 matching MRF lines |
— | $453.50–$455.50 | — |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | — | $484.50 | — |
| Colpotomy; with drainage of pelvic abscess (57010) | — | $1,789 | — |
| Colpotomy; with exploration (57000) | — | $5,184 | — |
| Colsc Flexible W/Control Bleeding Any Method (45382) | — | $4,280 | — |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) range across 4 matching MRF lines |
— | $1,018.50–$2,658 | — |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 6 matching MRF lines |
— | $945–$3,096 | — |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) | — | $1,454 | — |
| Combined anteroposterior colporrhaphy; (57260) | — | $3,278 | — |
| Complex Cystometrogram (51726) | — | $1,202 | — |
| Complex drainage wound (10180) range across 12 matching MRF lines |
— | $654.50–$2,733 | — |
| Composite Skin Graft (15760) | — | $4,858 | — |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | — | $937 | — |
| Conization of cervix (57520) | — | $1,069 | — |
| Construction of vagina (57291) | — | $2,623.50 | — |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
— | $438–$509.50 | — |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
— | $308–$337 | — |
| Correction hammertoe (28285) | — | $4,346 | — |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | — | $8,437.50 | — |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | — | $8,437.50 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | — | $7,748 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | — | $7,055 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | — | $4,916 | — |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | — | $6,994.50 | — |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) | — | $5,506 | — |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | — | $217.50 | — |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 4 matching MRF lines |
— | $273–$986 | — |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | — | $484.50 | — |
| Curette/treat cornea (65435) range across 4 matching MRF lines |
— | $317.50–$752.50 | — |
| Cysto Bladder W/Ureteral Catheterization (52005) | — | $663 | — |
| Cysto calibration dilat urtl strix/stenosis (52281) | — | $2,233.50 | — |
| Cysto w/complex removal stone & stent (52315) | — | $1,241 | — |
| Cysto w/destruction of lesions (52214) | — | $878.50 | — |
| Cysto w/insert ureteral stent (52332) | — | $816 | — |
| Cysto w/irrig & evac multple obstructing clots (52001) | — | $1,753 | — |
| Cysto w/removal of lesions small (52224) | — | $6,237 | — |
| Cysto w/removal of tumors small (52234) | — | $1,326 | — |
| Cysto W/Simple Removal Stone & Stent (52310) | — | $1,847 | — |
| Cysto w/ureter stricture tx (52341) | — | $1,867 | — |
| Cysto w/ureteroscopy w/lithotripsy (52353) | — | $9,449 | — |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | — | $1,836.50 | — |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | — | $1,875 | — |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | — | $1,699.50 | — |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) | — | $1,730 | — |
| Cystoscopy implant stent (52282) | — | $1,679 | — |
| Cystostomy Cystotomy W/Drainage (51040) | — | $1,200 | — |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) | — | $1,866 | — |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | — | $2,064 | — |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
— | $516–$1,881.50 | — |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) | — | $1,456 | — |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) | — | $1,318.50 | — |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | — | $2,230 | — |
| Cystourethroscopy w/dil bladder general anesth (52260) | — | $942 | — |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | — | $1,241 | — |
| Cystourethroscopy with biopsy (52204) | — | $2,589 | — |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | — | $4,543 | — |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 8 matching MRF lines |
— | $108.50–$262 | — |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 4 matching MRF lines |
— | $1,898.50–$2,259 | — |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 6 matching MRF lines |
— | $1,061–$1,926 | — |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) range across 4 matching MRF lines |
— | $1,174–$1,445.50 | — |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) | — | $1,625.50 | — |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) | — | $1,428.50 | — |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 8 matching MRF lines |
— | $301–$1,408 | — |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
— | $86.50–$196 | — |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 8 matching MRF lines |
— | $798–$1,730 | — |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 14 matching MRF lines |
— | $169.50–$783.50 | — |
| Declot vascular device (36593) | — | $840 | — |
| Deep Muscle Biopsy (20205) | — | $557.50 | — |
| Delivery of placenta (59414) range across 4 matching MRF lines |
— | $345–$5,494.50 | — |
| Destroy cerv/thor facet jnt (64633) | — | $716.50 | — |
| Destroy lumb/sac facet jnt (64635) | — | $707.50 | — |
| Destruct B9 Lesion 1-14 (17110) range across 8 matching MRF lines |
— | $88.50–$285.50 | — |
| Destruction Benign Lesions 15/> (17111) | — | $323.50 | — |
| Destruction Lesions Vulva Extensive (56515) | — | $789 | — |
| Destruction Lesions Vulva Simple (56501) range across 4 matching MRF lines |
— | $445.50–$454.50 | — |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | — | $560.50 | — |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | — | $560.50 | — |
| Destruction neurolytic agt genicular nerve w/img (64624) | — | $297.50 | — |
| Destruction premalignant lesion 1st (17000) range across 4 matching MRF lines |
— | $174.50–$208 | — |
| Destruction Vaginal Lesions Extensive (57065) | — | $678 | — |
| Destruction Vaginal Lesions Simple (57061) | — | $388.50 | — |
| Diagnostic sigmoidoscopy (45330) | — | $244 | — |
| Diaphragm or cervical cap fitting with instructions (57170) | — | $225 | — |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | — | $683.50 | — |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | — | $338 | — |
| Dilate Esophagus 1/Mult Pass (43450) | — | $1,652 | — |
| Dilate Urethra Stricture (53600) | — | $439 | — |
| Dilation & curettage dx&/ther nonobstetric (58120) | — | $832.50 | — |
| Dilation Cervical Canal (57800) range across 4 matching MRF lines |
— | $193–$5,494.50 | — |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) | — | $285.50 | — |
| Drain Cerebro Spinal Fluid (62272) | — | $373 | — |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
— | $374–$385 | — |
| Drainage Finger Abscess Complicated (26011) | — | $1,285 | — |
| Drainage Mouth Roof Lesion (42000) range across 4 matching MRF lines |
— | $224–$568.50 | — |
| Drainage of finger abscess simple (26010) range across 6 matching MRF lines |
— | $502.50–$1,391 | — |
| Drainage of gum lesion (41800) range across 6 matching MRF lines |
— | $244–$927.50 | — |
| Drainage of hematoma/fluid (10140) range across 10 matching MRF lines |
— | $396–$3,304.50 | — |
| Drainage of hydrocele (55000) | — | $592 | — |
| Drainage of rectal abscess (45020) | — | $2,100 | — |
| Drainage of scrotal wall abscess (55100) range across 4 matching MRF lines |
— | $623.50–$662 | — |
| Drainage of scrotum (54700) range across 8 matching MRF lines |
— | $816–$2,300.50 | — |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | — | $1,377 | — |
| Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
— | $86.50–$88.50 | — |
| Dressing Change Under Anesthesia (15852) | — | $148 | — |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 4 matching MRF lines |
— | $325–$349.50 | — |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | — | $722 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 6 matching MRF lines |
— | $586.50–$632.50 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
— | $396–$491.50 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 16 matching MRF lines |
— | $123–$451 | — |
| Dstrj Lesion Anus Extensive (46924) range across 4 matching MRF lines |
— | $694–$809 | — |
| Dstrj Lesion Anus Simple Chemical (46900) | — | $520.50 | — |
| Dstrj lesion anus simple surg excision (46922) range across 4 matching MRF lines |
— | $808–$947 | — |
| Dstrj lesion penis simple surg excision (54060) | — | $547 | — |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | — | $298.50 | — |
| Dx Bronchoscope/Wash (31622) | — | $605.50 | — |
| Dx Laryngoscopy Excl Nb (31525) | — | $792.50 | — |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 6 matching MRF lines |
— | $353.50–$2,664 | — |
| Egd cautery tumor polyp (43250) range across 4 matching MRF lines |
— | $725–$4,035 | — |
| Egd control bleeding any (43255) range across 4 matching MRF lines |
— | $1,080–$1,148 | — |
| Egd dilation gastric/duodenal stricture (43245) | — | $2,272.50 | — |
| Egd Flexible Foreign Body Removal (43247) | — | $807 | — |
| Egd guide wire insertion (43248) | — | $724 | — |
| Egd lesion ablation (43270) range across 4 matching MRF lines |
— | $1,023.50–$1,935 | — |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) | — | $7,306.50 | — |
| Egd place gastrostomy tube (43246) range across 6 matching MRF lines |
— | $816–$2,756.50 | — |
| Egd remove lesion snare (43251) range across 6 matching MRF lines |
— | $500–$1,000 | — |
| Endocervical curettage (57505) range across 4 matching MRF lines |
— | $299.50–$349.50 | — |
| Endometrial Biopsy (58100) range across 6 matching MRF lines |
— | $281.50–$349.50 | — |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) | — | $1,378 | — |
| Endoscopic injection/implant (51715) | — | $3,454 | — |
| Enterorrhaphy single perforation (44602) range across 4 matching MRF lines |
— | $4,173.50–$4,234.50 | — |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) range across 3 matching MRF lines |
— | $677–$927.50 | — |
| Epididymectomy unilateral (54860) | — | $1,822 | — |
| Epidural Blood Patch (62273) range across 4 matching MRF lines |
— | $173.50–$425.50 | — |
| Episiotomy or vaginal repair (59300) | — | $880 | — |
| Escharotomy; initial incision (16035) range across 4 matching MRF lines |
— | $42.50–$1,574.50 | — |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 4 matching MRF lines |
— | $673–$2,250 | — |
| Esophagosc Dilate Balloon 30 (43214) | — | $722 | — |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | — | $1,322 | — |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | — | $413 | — |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) | — | $997.50 | — |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | — | $450 | — |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 6 matching MRF lines |
— | $617–$1,617 | — |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
— | $95–$190.50 | — |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | — | $1,288.50 | — |
| Exc abdl tum deep 5 cm/> (22901) | — | $2,939.50 | — |
| Exc arm/elbow les sc < 3 cm (24075) range across 8 matching MRF lines |
— | $1,395.50–$2,360 | — |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 10 matching MRF lines |
— | $260–$473 | — |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 10 matching MRF lines |
— | $566.50–$791 | — |
| Exc Back Les Sc < 3 Cm (21930) range across 4 matching MRF lines |
— | $1,419–$2,049 | — |
| Exc Back Tum Deep 5 Cm/> (21933) range across 3 matching MRF lines |
— | $2,795–$2,904.50 | — |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 6 matching MRF lines |
— | $1,695.50–$6,387.50 | — |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 4 matching MRF lines |
— | $621.50–$882 | — |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 6 matching MRF lines |
— | $684.50–$1,023.50 | — |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 8 matching MRF lines |
— | $1,105.50–$1,828 | — |
| Exc Face Les Sbq 2 Cm/> (21012) | — | $1,079 | — |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 9 matching MRF lines |
— | $360.50–$424.50 | — |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 6 matching MRF lines |
— | $424.50–$523.50 | — |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 10 matching MRF lines |
— | $532–$789 | — |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 8 matching MRF lines |
— | $695–$971.50 | — |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 6 matching MRF lines |
— | $781.50–$884.50 | — |
| Exc Forearm Les Sc 3 Cm/> (25071) | — | $1,707.50 | — |
| Exc ganglion wrist recurrent (25112) | — | $1,446 | — |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 11 matching MRF lines |
— | $298.50–$789 | — |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 8 matching MRF lines |
— | $406–$789 | — |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 10 matching MRF lines |
— | $321–$789 | — |
| Exc Hand Les Sc < 1.5 Cm (26115) | — | $3,047.50 | — |
| Exc hydrocele sprmatic cord uni spx (55500) range across 4 matching MRF lines |
— | $1,505.50–$1,616 | — |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 5 matching MRF lines |
— | $549.50–$752.50 | — |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | — | $1,693.50 | — |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | — | $1,372.50 | — |
| Exc Rct Tum Not Incl Muscularis Propria (45171) range across 4 matching MRF lines |
— | $1,924–$3,125 | — |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 8 matching MRF lines |
— | $482.50–$789 | — |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 6 matching MRF lines |
— | $695–$1,515 | — |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 10 matching MRF lines |
— | $985–$1,884 | — |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 8 matching MRF lines |
— | $857.50–$1,515 | — |
| Exc Skin Benig >4cm Face,Facial (11446) range across 8 matching MRF lines |
— | $1,202–$1,884 | — |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 4 matching MRF lines |
— | $772.50–$833.50 | — |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | — | $1,159.50 | — |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 8 matching MRF lines |
— | $1,164.50–$1,700.50 | — |
| Exc tendon shth lesion leg/ankle (27630) range across 4 matching MRF lines |
— | $1,355.50–$2,339.50 | — |
| Exc thigh/knee les sc 3 cm/> (27337) range across 4 matching MRF lines |
— | $1,670–$1,871.50 | — |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 6 matching MRF lines |
— | $386–$634.50 | — |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 10 matching MRF lines |
— | $366–$424.50 | — |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 8 matching MRF lines |
— | $424.50–$505 | — |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 10 matching MRF lines |
— | $509.50–$915.50 | — |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | — | $1,786.50 | — |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | — | $2,500.50 | — |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | — | $1,424 | — |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | — | $2,435 | — |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | — | $1,677 | — |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 4 matching MRF lines |
— | $1,284–$1,350 | — |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | — | $1,269.50 | — |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | — | $2,179.50 | — |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 4 matching MRF lines |
— | $1,243–$1,572.50 | — |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | — | $3,327 | — |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 4 matching MRF lines |
— | $1,207–$1,868 | — |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | — | $1,493.50 | — |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | — | $1,918 | — |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | — | $1,438.50 | — |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | — | $1,608.50 | — |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | — | $1,966.50 | — |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | — | $1,119.50 | — |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | — | $762.50 | — |
| Excision Chalazion Single (67800) range across 4 matching MRF lines |
— | $339–$393 | — |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | — | $3,941 | — |
| Excision External Ear Partial Simple Repair (69110) | — | $2,128.50 | — |
| Excision Hidradenitis Axillary Complex Repair (11451) | — | $2,466 | — |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 10 matching MRF lines |
— | $415.50–$711 | — |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | — | $583 | — |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
— | $641.50–$3,491.50 | — |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 6 matching MRF lines |
— | $772.50–$836 | — |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 8 matching MRF lines |
— | $482.50–$789 | — |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 4 matching MRF lines |
— | $844–$913.50 | — |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 4 matching MRF lines |
— | $1,574.50–$5,841.50 | — |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 5 matching MRF lines |
— | $465–$2,077.50 | — |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | — | $589.50 | — |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 6 matching MRF lines |
— | $625.50–$857.50 | — |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 4 matching MRF lines |
— | $941–$4,269 | — |
| Excision Multiple External Papillae/Tags Anus (46230) | — | $647 | — |
| Excision of bartholin's gland or cyst (56740) range across 4 matching MRF lines |
— | $804–$5,960 | — |
| Excision of extraparenchymal lesion of testis (54512) | — | $2,008 | — |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 4 matching MRF lines |
— | $1,027.50–$1,235.50 | — |
| Excision of hydrocele; bilateral (55041) | — | $2,052 | — |
| Excision of hydrocele; unilateral (55040) range across 3 matching MRF lines |
— | $1,295.50–$1,428.50 | — |
| Excision of lingual tonsil (42870) | — | $2,210.50 | — |
| Excision of local lesion of epididymis (54830) | — | $1,608.50 | — |
| Excision of pilonidal cyst or sinus; simple (11770) | — | $694 | — |
| Excision of single external papilla or tag, anus (46220) | — | $695 | — |
| Excision of vaginal cyst or tumor (57135) | — | $663 | — |
| Excision of vaginal septum (57130) range across 4 matching MRF lines |
— | $600–$636.50 | — |
| Excision olecranon bursa (24105) | — | $1,131 | — |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | — | $4,916 | — |
| Excision or fulguration; Skene's glands Facility (53270) | — | $665 | — |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | — | $2,243 | — |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | — | $1,549 | — |
| Excision prepatellar bursa (27340) | — | $1,148 | — |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | — | $4,927 | — |
| Excision soft tissue lesion, external auditory canal (69145) | — | $1,865 | — |
| Excision spermatocele w/wo epididymectomy (54840) | — | $1,401.50 | — |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | — | $2,013.50 | — |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | — | $1,866 | — |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | — | $5,509.50 | — |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | — | $1,665.50 | — |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 6 matching MRF lines |
— | $1,234.50–$1,529 | — |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) | — | $2,758 | — |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | — | $1,755 | — |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | — | $1,750.50 | — |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 4 matching MRF lines |
— | $1,649–$1,654.50 | — |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | — | $1,866 | — |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 4 matching MRF lines |
— | $1,122.50–$1,139.50 | — |
| Excision/curettage cyst/tumor phalanx finger (26210) | — | $1,291.50 | — |
| Expl penetrating wound spx abdomen/flank/back (20102) | — | $1,569.50 | — |
| Explo/Drain Breast Abscess (19020) | — | $1,135 | — |
| Exploration penetrating wound spx chest (20101) | — | $1,570.50 | — |
| Exploration penetrating wound spx extremity (20103) range across 6 matching MRF lines |
— | $780–$3,265 | — |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) | — | $3,834.50 | — |
| Explore for undescended testis (54550) | — | $2,122 | — |
| Fasciotomy, hip or thigh, any type (27025) | — | $3,793 | — |
| Fine needle aspiration without imaging guidance (10021) range across 6 matching MRF lines |
— | $265–$327 | — |
| Fixation contralateral testis separate procedure (54620) | — | $1,315 | — |
| Foreskin manipulation (54450) range across 6 matching MRF lines |
— | $272–$407 | — |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) | — | $6,434.50 | — |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | — | $2,977.50 | — |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) range across 4 matching MRF lines |
— | $4,131.50–$4,203 | — |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) range across 4 matching MRF lines |
— | $2,478.50–$2,607 | — |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) | — | $2,149 | — |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) | — | $2,223 | — |
| Hemiarthroplasty hip partial (27125) | — | $3,622.50 | — |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | — | $1,591.50 | — |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 4 matching MRF lines |
— | $1,500.50–$1,717 | — |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 4 matching MRF lines |
— | $1,530–$1,918 | — |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
— | $722–$936 | — |
| Hemorrhoidopexy by stapling (46947) range across 2 matching MRF lines |
— | $1,426.50–$1,482 | — |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) range across 3 matching MRF lines |
— | $1,725–$1,726 | — |
| Hysteroscopy Biopsy (58558) | — | $3,751.50 | — |
| Hysteroscopy Dx Sep Proc (58555) | — | $755.50 | — |
| Hysteroscopy Endometrial Ablation (58563) | — | $5,202 | — |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) range across 2 matching MRF lines |
— | $1,313–$1,366.50 | — |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 4 matching MRF lines |
— | $1,134–$1,154.50 | — |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) range across 2 matching MRF lines |
— | $2,054–$2,180.50 | — |
| I&d abscess peritonsillar (42700) range across 4 matching MRF lines |
— | $224–$672 | — |
| I&d abscess simple (10060) range across 14 matching MRF lines |
— | $275–$856 | — |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 4 matching MRF lines |
— | $1,051.50–$1,881.50 | — |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | — | $1,209 | — |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | — | $2,107.50 | — |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) range across 4 matching MRF lines |
— | $1,784–$6,127 | — |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | — | $5,876.50 | — |
| I&d perianal abscess superficial (46050) range across 6 matching MRF lines |
— | $514–$1,069 | — |
| I&d pilonidal cyst complicated (10081) range across 8 matching MRF lines |
— | $642.50–$1,201 | — |
| I&d pilonidal cyst simple (10080) range across 6 matching MRF lines |
— | $321–$358.50 | — |
| I&d upper arm/elbow deep abscess/hematoma (23930) | — | $820.50 | — |
| Image Cath Fluid Peri/Retro (49406) range across 4 matching MRF lines |
— | $662–$897.50 | — |
| Immediate breast prosthesis (19340) | — | $1,537 | — |
| Incise external hemorrhoid (46083) range across 6 matching MRF lines |
— | $371–$425.50 | — |
| Incise finger tendon sheath (26055) | — | $1,428.50 | — |
| Incision & drainage abscess complicated/multiple (10061) range across 12 matching MRF lines |
— | $325–$1,863.50 | — |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 5 matching MRF lines |
— | $837–$1,714 | — |
| Incision & removal foreign body subq tiss compl (10121) range across 10 matching MRF lines |
— | $712–$1,515 | — |
| Incision & removal foreign body subq tiss simple (10120) range across 11 matching MRF lines |
— | $243–$576.50 | — |
| Incision and drainage of bartholin's gland abscess (56420) range across 6 matching MRF lines |
— | $367–$563 | — |
| Incision and drainage of vulva or perineal abscess (56405) range across 8 matching MRF lines |
— | $356–$498 | — |
| Incision extensor tendon sheath wrist (25000) | — | $1,082 | — |
| Incision of Foot Tendon (28234) | — | $5,235 | — |
| Incision of rectal abscess (46040) range across 8 matching MRF lines |
— | $1,113–$1,993.50 | — |
| Incision of urethra (53020) | — | $5,572 | — |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 4 matching MRF lines |
— | $700.50–$935 | — |
| Incisional biopsy eyelid skin & lid margin (67810) range across 4 matching MRF lines |
— | $339–$427.50 | — |
| Incisional biopsy skin single lesion (11106) | — | $488.50 | — |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
— | $135–$201 | — |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | — | $419.50 | — |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 9 matching MRF lines |
— | $146.50–$266 | — |
| Injection aa&/strd genicular nrv branches w/img (64454) | — | $144 | — |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | — | $173.50 | — |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | — | $173.50 | — |
| Injection for identification of sentinel node (38792) | — | $163.50 | — |
| Injection of sclerosing solution, hemorrhoids (46500) | — | $469 | — |
| Injection single tendon origin/insertion (20551) | — | $162 | — |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
— | $135–$183.50 | — |
| Injection single/mlt trigger point 3/> muscles (20553) range across 6 matching MRF lines |
— | $153.50–$429.50 | — |
| Injection therapeutic carpal tunnel (20526) | — | $219.50 | — |
| Injection, anesthetic agent; brachial plexus, single (64415) | — | $173.50 | — |
| Injection, anesthetic agent; femoral nerve, single (64447) | — | $173.50 | — |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
— | $173.50–$972.50 | — |
| Injx Anterior Chamber Eye Medication Spx (66030) | — | $806 | — |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | — | $1,745 | — |
| Insert Bladder Cath Complex (51703) range across 5 matching MRF lines |
— | $281.50–$523.50 | — |
| Insert cath pleura w/ image (32557) | — | $1,795 | — |
| Insert cath pleura w/o image (32556) | — | $3,527 | — |
| Insert Drug Implant Device (11981) | — | $505 | — |
| Insert Gastrostomy Tube Percutaneous (49440) range across 5 matching MRF lines |
— | $990.50–$2,711 | — |
| Insert non-tunnel cv cath (36556) range across 8 matching MRF lines |
— | $173.50–$1,196.50 | — |
| Insert pessary/other device (57160) | — | $187.50 | — |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | — | $443.50 | — |
| Insert prost urethral stent (53855) | — | $319 | — |
| Insert Temp Bladder Cath (51702) range across 6 matching MRF lines |
— | $116.50–$432 | — |
| Insert testicular prosthesis (54660) | — | $1,569.50 | — |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
— | $1,329.50–$6,709 | — |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | — | $1,353 | — |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 10 matching MRF lines |
— | $106.50–$281.50 | — |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 4 matching MRF lines |
— | $710–$16,187 | — |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 4 matching MRF lines |
— | $1,248–$1,721.50 | — |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | — | $1,271.50 | — |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 8 matching MRF lines |
— | $296.50–$1,467.50 | — |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | — | $1,493.50 | — |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 8 matching MRF lines |
— | $761.50–$1,288.50 | — |
| Intersex surgery; female to male (55980) | — | $4,037.50 | — |
| Intersex surgery; male to female (55970) | — | $4,037.50 | — |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 4 matching MRF lines |
— | $1,070–$1,854 | — |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 4 matching MRF lines |
— | $1,355.50–$2,357 | — |
| Intubation endotracheal emergency procedure (31500) range across 6 matching MRF lines |
— | $231.50–$925.50 | — |
| Knee arthroscopy/drainage (29871) | — | $1,652 | — |
| Knee Arthroscopy/Surgery (29874) | — | $1,721.50 | — |
| Lap paraesophag hern repair (43281) range across 4 matching MRF lines |
— | $5,828–$6,061 | — |
| Laparo new ureter/bladder (50947) | — | $6,763.50 | — |
| Laparo-vag hyst incl t/o (58552) | — | $3,751.50 | — |
| Laparoscopic myomectomy (58545) | — | $2,049 | — |
| Laparoscopy aspiration (49322) range across 6 matching MRF lines |
— | $1,122.50–$1,451 | — |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 3 matching MRF lines |
— | $3,370.50–$6,724.50 | — |
| Laparoscopy fulguration oviducts (58670) | — | $1,453 | — |
| Laparoscopy gastrostomy (43653) | — | $2,215 | — |
| Laparoscopy salpingostomy (58673) range across 3 matching MRF lines |
— | $3,059–$3,780 | — |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | — | $1,630.50 | — |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | — | $5,125 | — |
| Laparoscopy W/Lysis Of Adhesions (58660) | — | $2,345 | — |
| Laparoscopy w/rmvl adnexal structures (58661) | — | $5,842.50 | — |
| Laparoscopy, surgical, appendectomy (44970) | — | $4,869.50 | — |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 4 matching MRF lines |
— | $4,111.50–$4,996.50 | — |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) range across 4 matching MRF lines |
— | $4,208.50–$13,859 | — |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 4 matching MRF lines |
— | $3,504–$11,370 | — |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) range across 4 matching MRF lines |
— | $4,337.50–$5,188 | — |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | — | $5,910 | — |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | — | $3,810 | — |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 4 matching MRF lines |
— | $2,075.50–$2,309 | — |
| Laparoscopy, surgical; ureterolithotomy Facility (50945) | — | $4,265 | — |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
— | $1,054.50–$1,317.50 | — |
| Laparoscopy, Tubal Block (58671) range across 4 matching MRF lines |
— | $1,339–$4,820.50 | — |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 4 matching MRF lines |
— | $1,245–$10,347 | — |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | — | $2,694 | — |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) range across 4 matching MRF lines |
— | $3,596.50–$4,337.50 | — |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | — | $2,351.50 | — |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) range across 4 matching MRF lines |
— | $2,464–$7,643.50 | — |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) range across 4 matching MRF lines |
— | $4,628.50–$11,370 | — |
| Laryngoscopy diagnostic (31505) range across 6 matching MRF lines |
— | $144–$523.50 | — |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) range across 4 matching MRF lines |
— | $144–$1,632 | — |
| Laryngoscopy W/Foreign Body Removal (31530) range across 4 matching MRF lines |
— | $2,087.50–$2,130 | — |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) range across 4 matching MRF lines |
— | $978.50–$1,395.50 | — |
| Laser vaporization of prostate (52648) | — | $9,724.50 | — |
| Late closure of wound (13160) range across 6 matching MRF lines |
— | $1,651–$3,389 | — |
| Ligate/strip long leg vein (37722) range across 4 matching MRF lines |
— | $1,974.50–$2,297 | — |
| Ligate/strip short leg vein (37718) | — | $1,729 | — |
| Ligation of hemorrhoids (46946) range across 4 matching MRF lines |
— | $724–$894.50 | — |
| Ligation or biopsy temporal artery (37609) range across 9 matching MRF lines |
— | $772.50–$3,636.50 | — |
| Litholapaxy comp/lg > 2.5 cm (52318) range across 3 matching MRF lines |
— | $1,877–$6,993 | — |
| Lithotripsy, extracorporeal shock wave (50590) | — | $2,445.50 | — |
| Lsh uterus 250 g or less (58541) range across 4 matching MRF lines |
— | $3,296.50–$3,851.50 | — |
| Lsh uterus above 250 g (58543) | — | $3,890.50 | — |
| Lsh w/t/o uterus above 250 g (58544) range across 4 matching MRF lines |
— | $3,976–$7,185 | — |
| Manipulation knee joint under general anesthesia (27570) | — | $483.50 | — |
| Marsupialization of bartholin's gland cyst (56440) range across 4 matching MRF lines |
— | $728–$834.50 | — |
| Mast mod rad (19307) range across 4 matching MRF lines |
— | $4,425.50–$4,658.50 | — |
| Mastectomy for gynecomastia (19300) range across 4 matching MRF lines |
— | $1,522–$1,554.50 | — |
| Mastectomy partial (19301) range across 4 matching MRF lines |
— | $2,300.50–$2,403 | — |
| Mastectomy partial w/axillary lymphadenectomy (19302) | — | $3,591.50 | — |
| Mastectomy simple complete (19303) range across 3 matching MRF lines |
— | $744–$2,924 | — |
| Middle ear surgery proc unlisted (69799) | — | $751.50 | — |
| Muscle-skin graft trunk (15734) range across 4 matching MRF lines |
— | $4,489.50–$5,354.50 | — |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) | — | $2,158 | — |
| Myringoplasty (69620) | — | $5,327 | — |
| N Block Inj Ilio-Ing/Hypogi (64425) | — | $438 | — |
| N block inj intercost sng (64420) range across 6 matching MRF lines |
— | $173.50–$636.50 | — |
| Nasal/Orogastric W/Tube Plmt (43752) | — | $143 | — |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | — | $789 | — |
| Needle Biopsy Lymph Nodes (38505) range across 4 matching MRF lines |
— | $397.50–$3,680 | — |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | — | $1,900.50 | — |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
— | $238.50–$278.50 | — |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | — | $7,762.50 | — |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
— | $173.50–$339 | — |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | — | $1,365.50 | — |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | — | $173.50 | — |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
— | $611–$1,055.50 | — |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 4 matching MRF lines |
— | $173.50–$1,365.50 | — |
| Occipital Nerve Block (64405) | — | $922 | — |
| Omntc Epiploectomy Rescj Omentum Spx (49255) range across 3 matching MRF lines |
— | $2,547.50–$2,981.50 | — |
| Open biopsy/excision inguinofemoral nodes (38531) | — | $1,339 | — |
| Open Repair of Rotator Cuff Acute (23410) | — | $2,634 | — |
| Open Treatment Bimalleolar Ankle Fracture (27814) | — | $2,469 | — |
| Open treatment fracture distal tibia only (27827) | — | $3,404 | — |
| Open treatment greater trochanteric fracture (27248) | — | $2,390 | — |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | — | $2,504 | — |
| Open treatment interphalangeal joint dislocation (28675) | — | $1,834.50 | — |
| Open Treatment Medial Malleolus Fracture (27766) range across 4 matching MRF lines |
— | $530–$1,837.50 | — |
| Open treatment metatarsal fracture each (28485) range across 6 matching MRF lines |
— | $1,744–$3,162 | — |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | — | $2,304.50 | — |
| Open Treatment of Ulnar Shaft Fracture (25545) | — | $1,900.50 | — |
| Open treatment of ulnar styloid fracture (25652) | — | $1,895.50 | — |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | — | $2,277 | — |
| Open Treatment Proximal Humeral Fracture (23615) | — | $2,834.50 | — |
| Open Treatment Radial Shaft Fracture (25515) | — | $2,142.50 | — |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 4 matching MRF lines |
— | $2,082–$2,324 | — |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | — | $2,230 | — |
| Open tx femoral supracondylar fracture w/o xtn (27511) | — | $4,390 | — |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | — | $873.50 | — |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | — | $1,842.50 | — |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) | — | $2,733 | — |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | — | $2,886.50 | — |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | — | $2,750.50 | — |
| Open tx ulnar fx proximal end (24685) | — | $2,097.50 | — |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | — | $2,639.50 | — |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | — | $3,364.50 | — |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | — | $3,839.50 | — |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) | — | $2,816.50 | — |
| Orchiectomy radical tumor inguinal approach (54530) | — | $2,288 | — |
| Orchiopexy Ingun/Scrot Appr (54640) | — | $2,013.50 | — |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) | — | $2,916.50 | — |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | — | $750 | — |
| Ostectomy of sternum, partial Facility (21620) | — | $1,289.50 | — |
| Ostectomy, complete excision; fifth metatarsal head (28113) | — | $5,235 | — |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | — | $3,101 | — |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 4 matching MRF lines |
— | $1,912.50–$5,701 | — |
| Osteotomy calcaneus w/wo internal fixation (28300) | — | $9,547.50 | — |
| Ovarian cystectomy, unilateral or bilateral (58925) range across 4 matching MRF lines |
— | $2,821.50–$3,166.50 | — |
| Palatopharyngoplasty (42145) | — | $3,140 | — |
| Partial Excision Distal Phalanx Finger (26236) | — | $1,412.50 | — |
| Partial hymenectomy or revision of hymenal ring (56700) | — | $470 | — |
| Partial removal of thyroid (60220) | — | $2,939 | — |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | — | $3,285.50 | — |
| Partical Excision Bone Phalanx Toe (28124) range across 4 matching MRF lines |
— | $1,531–$5,235 | — |
| Pelvic examination under anesthesia (other than local) (57410) range across 4 matching MRF lines |
— | $404–$709 | — |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | — | $1,465 | — |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | — | $1,564.50 | — |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | — | $1,182 | — |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
— | $349.50–$1,266 | — |
| Perq device breast 1st imag (19281) | — | $1,640.50 | — |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | — | $2,122 | — |
| Phalangectomy toe each toe (28150) | — | $1,575.50 | — |
| Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) | — | $3,118.50 | — |
| Pin hand dislocation (26676) | — | $1,359.50 | — |
| Placement of needle for intraosseous infusion (36680) range across 4 matching MRF lines |
— | $290–$433 | — |
| Placement of seton (46020) range across 2 matching MRF lines |
— | $877–$6,127 | — |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | — | $2,653 | — |
| Proctopexy Perineal Approach (45541) | — | $3,599 | — |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | — | $396 | — |
| Proctosgmdsc Rigid Control Bleeding (45317) | — | $438 | — |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) | — | $314.50 | — |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | — | $415.50 | — |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) range across 4 matching MRF lines |
— | $379.50–$389.50 | — |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 3 matching MRF lines |
— | $293.50–$297.50 | — |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) | — | $404 | — |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | — | $1,329.50 | — |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) range across 4 matching MRF lines |
— | $2,382.50–$10,282 | — |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | — | $4,916 | — |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 8 matching MRF lines |
— | $142–$359.50 | — |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
— | $163.50–$172.50 | — |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | — | $9,547.50 | — |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | — | $1,932 | — |
| Reconstruction Nail Bed W/Graft (11762) range across 4 matching MRF lines |
— | $220.50–$1,508.50 | — |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) | — | $4,108 | — |
| Reduction of rectal prolapse (45900) | — | $754.50 | — |
| Removal Embedded Foreign Body Eyelid (67938) range across 4 matching MRF lines |
— | $120.50–$369.50 | — |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 4 matching MRF lines |
— | $1,529–$1,953 | — |
| Removal Foreign Body Foot Subcutaneous (28190) range across 8 matching MRF lines |
— | $456.50–$1,050 | — |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 6 matching MRF lines |
— | $456.50–$750.50 | — |
| Removal foreign body upper arm/elbow deep (24201) | — | $1,451 | — |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 8 matching MRF lines |
— | $154.50–$252.50 | — |
| Removal Implant Deep (20680) | — | $1,966.50 | — |
| Removal Implant Superficial Separate Procedure (20670) range across 6 matching MRF lines |
— | $545–$677 | — |
| Removal implantable contraceptive capsules (11976) | — | $395 | — |
| Removal intact breast implant (19328) | — | $2,122 | — |
| Removal of anal fissure (46200) | — | $1,465 | — |
| Removal of foreign body from pharynx (42809) range across 4 matching MRF lines |
— | $87.50–$640.50 | — |
| Removal of heel spur (28119) | — | $5,549.50 | — |
| Removal of mammary implant material (19330) | — | $2,425.50 | — |
| Removal of nail bed (11750) range across 10 matching MRF lines |
— | $412–$850.50 | — |
| Removal of nose lesion (30124) range across 6 matching MRF lines |
— | $640.50–$1,248 | — |
| Removal of sperm cord lesion (55520) range across 4 matching MRF lines |
— | $1,691.50–$2,149 | — |
| Removal of testis (54520) range across 3 matching MRF lines |
— | $1,339–$1,570.50 | — |
| Removal of wrist bone (25210) | — | $1,502.50 | — |
| Removal or bivalving full arm or full leg cast (29705) range across 6 matching MRF lines |
— | $130–$179 | — |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 12 matching MRF lines |
— | $135–$307 | — |
| Removal sweat gland lesion (11450) range across 6 matching MRF lines |
— | $818.50–$1,893 | — |
| Removal, under anesthesia, of external fixation system (20694) | — | $1,353 | — |
| Removal/bivalving gauntlet boot/body cast (29700) range across 6 matching MRF lines |
— | $107.50–$155.50 | — |
| Remove armpit lymph nodes (38740) | — | $2,543.50 | — |
| Remove drug implant device (11982) | — | $390.50 | — |
| Remove Forearm Foreign Body (25248) | — | $1,656 | — |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
— | $219.50–$231.50 | — |
| Remove Intrauterine Device (58301) range across 6 matching MRF lines |
— | $183.50–$272 | — |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
— | $142–$301 | — |
| Remove Peritoneal Foreign Body (49402) range across 4 matching MRF lines |
— | $2,756.50–$4,957 | — |
| Remove Skin Nerve Lesion (64774) | — | $1,789 | — |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
— | $1,251.50–$1,836.50 | — |
| Remove thyroid lesion (60200) | — | $2,762 | — |
| Reopen fallopian tube (58350) range across 3 matching MRF lines |
— | $309–$314.50 | — |
| Repair Achilles Tendon (27650) | — | $2,105.50 | — |
| Repair Anorectal Fistula Plug (46707) range across 4 matching MRF lines |
— | $1,773.50–$8,277.50 | — |
| Repair clitoris (56805) range across 6 matching MRF lines |
— | $4,507.50–$5,632.50 | — |
| Repair Collat Ankle Ligmnt,Secondary (27698) | — | $2,843.50 | — |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 4 matching MRF lines |
— | $220.50–$1,422.50 | — |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 8 matching MRF lines |
— | $1,013–$2,774.50 | — |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 6 matching MRF lines |
— | $600–$1,129 | — |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 8 matching MRF lines |
— | $209–$2,196 | — |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 6 matching MRF lines |
— | $968–$1,383.50 | — |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 8 matching MRF lines |
— | $761.50–$1,732 | — |
| Repair complex trunk 1.1-2.5 cm (13100) range across 8 matching MRF lines |
— | $648–$1,580.50 | — |
| Repair complex trunk 2.6-7.5 cm (13101) range across 10 matching MRF lines |
— | $807–$1,844 | — |
| Repair extensor tendon finger w/o graft each (26418) range across 5 matching MRF lines |
— | $1,541.50–$2,288 | — |
| Repair Finger Tendon (26433) range across 4 matching MRF lines |
— | $1,541.50–$2,402 | — |
| Repair Finger/Hand Tendon (26350) | — | $2,286.50 | — |
| Repair Hand Joint (26540) | — | $3,173.50 | — |
| Repair Hand Tendon (26410) range across 6 matching MRF lines |
— | $1,541.50–$2,807 | — |
| Repair incomplete circumcision (54163) | — | $2,512.50 | — |
| Repair inguinal hernia, sliding, any age (49525) range across 3 matching MRF lines |
— | $2,133–$6,724.50 | — |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) range across 2 matching MRF lines |
— | $2,351.50–$2,444.50 | — |
| Repair initial femoral hernia, any age; reducible (49550) range across 4 matching MRF lines |
— | $2,144.50–$2,581 | — |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | — | $2,192 | — |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 8 matching MRF lines |
— | $337–$720.50 | — |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 8 matching MRF lines |
— | $209–$866.50 | — |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 8 matching MRF lines |
— | $201–$1,112 | — |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 6 matching MRF lines |
— | $220.50–$1,446 | — |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 4 matching MRF lines |
— | $1,499.50–$2,021 | — |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 8 matching MRF lines |
— | $220.50–$1,145 | — |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 10 matching MRF lines |
— | $252.50–$855 | — |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 10 matching MRF lines |
— | $232.50–$958.50 | — |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 8 matching MRF lines |
— | $209–$1,190 | — |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 6 matching MRF lines |
— | $648–$1,749.50 | — |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 6 matching MRF lines |
— | $220.50–$1,033 | — |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 8 matching MRF lines |
— | $319–$768.50 | — |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 6 matching MRF lines |
— | $241–$770 | — |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 8 matching MRF lines |
— | $220.50–$1,329.50 | — |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 6 matching MRF lines |
— | $278.50–$866.50 | — |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 6 matching MRF lines |
— | $648–$1,668 | — |
| Repair of biceps tendon (24340) | — | $1,963.50 | — |
| Repair of nail bed (11760) range across 4 matching MRF lines |
— | $220.50–$1,035.50 | — |
| Repair of Ruptured Tendon (24342) | — | $2,489 | — |
| Repair of shoulder (23420) | — | $3,107.50 | — |
| Repair of urethra injury (53502) range across 4 matching MRF lines |
— | $1,815.50–$2,259 | — |
| Repair of windpipe (31750) | — | $9,741 | — |
| Repair Rotator Cuff Chronic (23412) | — | $2,730 | — |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) range across 4 matching MRF lines |
— | $1,524.50–$1,553 | — |
| Repair Toe Dislocation (28645) | — | $6,196.50 | — |
| Repair tongue laceration (41252) range across 4 matching MRF lines |
— | $736.50–$2,284.50 | — |
| Repair tongue laceration (41250) range across 4 matching MRF lines |
— | $256–$648 | — |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 4 matching MRF lines |
— | $1,456–$8,135 | — |
| Repair/graft achilles tendon (27652) range across 4 matching MRF lines |
— | $1,989–$11,383.50 | — |
| Reposition Venous Catheter (36597) range across 4 matching MRF lines |
— | $231.50–$2,783.50 | — |
| Rerepair ing hernia reduce (49520) | — | $2,352.50 | — |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | — | $4,726 | — |
| Resection, partial or complete, phalangeal base, each toe (28126) | — | $4,916 | — |
| Revise knuckle joint (26530) | — | $5,859 | — |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) range across 2 matching MRF lines |
— | $1,773.50–$5,960 | — |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) range across 4 matching MRF lines |
— | $3,932–$4,089 | — |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) range across 4 matching MRF lines |
— | $4,415.50–$4,590 | — |
| Revision of knee joint (27442) | — | $3,899.50 | — |
| Revision of lower leg tendon (27685) | — | $4,505.50 | — |
| Revision of reconstructed breast (19380) | — | $3,092.50 | — |
| Revision of scrotum (55180) | — | $2,920 | — |
| Revision Peri-Implant Capsule Breast (19370) | — | $2,744.50 | — |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | — | $2,397.50 | — |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | — | $3,698 | — |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
— | $463.50–$474 | — |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | — | $441 | — |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
— | $236.50–$299.50 | — |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
— | $276–$290 | — |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 4 matching MRF lines |
— | $247.50–$252.50 | — |
| Rmvl fecal impaction/fb spx under anes (45915) range across 9 matching MRF lines |
— | $386–$1,467.50 | — |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 4 matching MRF lines |
— | $1,470–$1,884 | — |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | — | $535 | — |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | — | $816 | — |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 6 matching MRF lines |
— | $535–$1,379 | — |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | — | $3,327 | — |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | — | $1,456.50 | — |
| Rpr aa hernia recr 3-10 cm reducible (49615) | — | $1,603.50 | — |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | — | $1,824.50 | — |
| Rpr aa hrn 1st 3-10 rdc (49593) | — | $2,433 | — |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | — | $2,053 | — |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) range across 4 matching MRF lines |
— | $1,158.50–$10,282 | — |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 6 matching MRF lines |
— | $225–$1,109.50 | — |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 6 matching MRF lines |
— | $220.50–$1,482 | — |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) range across 4 matching MRF lines |
— | $454.50–$1,769.50 | — |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 4 matching MRF lines |
— | $640.50–$2,045.50 | — |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 4 matching MRF lines |
— | $640.50–$1,548 | — |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 4 matching MRF lines |
— | $640.50–$2,916.50 | — |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 6 matching MRF lines |
— | $1,983–$3,158.50 | — |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | — | $3,076 | — |
| Scrotal exploration (55110) | — | $1,655.50 | — |
| Scrotoplasty Simple (55175) | — | $1,574.50 | — |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 4 matching MRF lines |
— | $2,650.50–$6,253.50 | — |
| Shave skin lesion 0.5 cm/< (11300) range across 4 matching MRF lines |
— | $112–$118.50 | — |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 6 matching MRF lines |
— | $135–$355 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 4 matching MRF lines |
— | $127–$132 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | — | $201 | — |
| Shoulder arthroscopy diagnostic (29805) | — | $1,513.50 | — |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | — | $237.50 | — |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | — | $243 | — |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 4 matching MRF lines |
— | $197–$205 | — |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | — | $294.50 | — |
| Sigmoidoscopy & decompress (45337) | — | $567.50 | — |
| Sigmoidoscopy & Polypectomy (45333) | — | $438 | — |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | — | $2,153.50 | — |
| Sigmoidoscopy flx tndsc balo dilat (45340) | — | $2,028.50 | — |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | — | $910 | — |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | — | $1,836.50 | — |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | — | $299.50 | — |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 4 matching MRF lines |
— | $664–$2,779.50 | — |
| Simple Cystometrogram (51725) range across 4 matching MRF lines |
— | $311.50–$1,163 | — |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 4 matching MRF lines |
— | $232.50–$1,151.50 | — |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 8 matching MRF lines |
— | $396–$548.50 | — |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 6 matching MRF lines |
— | $321–$584.50 | — |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 4 matching MRF lines |
— | $220.50–$1,715 | — |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 6 matching MRF lines |
— | $332.50–$880 | — |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 4 matching MRF lines |
— | $220.50–$1,827 | — |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 6 matching MRF lines |
— | $321–$546 | — |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 6 matching MRF lines |
— | $232.50–$1,408 | — |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 6 matching MRF lines |
— | $412–$634.50 | — |
| Skin Full Grft Face/Genit/Hf (15240) | — | $2,976.50 | — |
| Skin Pinch Graft (15050) range across 4 matching MRF lines |
— | $648–$1,568.50 | — |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 4 matching MRF lines |
— | $2,715.50–$3,248 | — |
| Slitting of prepuce (54001) | — | $601 | — |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 8 matching MRF lines |
— | $319–$679 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 6 matching MRF lines |
— | $319–$996.50 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 6 matching MRF lines |
— | $278.50–$1,247 | — |
| Spinal puncture lumbar diagnostic (62270) range across 6 matching MRF lines |
— | $173.50–$980.50 | — |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | — | $3,628.50 | — |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | — | $2,714.50 | — |
| Strapping ankle (29540) range across 4 matching MRF lines |
— | $142–$192 | — |
| Strapping elbow or wrist (29260) range across 4 matching MRF lines |
— | $142–$177 | — |
| Strapping hand/finger (29280) | — | $116.50 | — |
| Strapping knee (29530) range across 2 matching MRF lines |
— | $169.50–$209 | — |
| Strapping shoulder (29240) range across 4 matching MRF lines |
— | $155.50–$337 | — |
| Strapping thorax (29200) | — | $222.50 | — |
| Strapping toes (29550) range across 3 matching MRF lines |
— | $64–$142 | — |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | — | $6,253.50 | — |
| Suprahyoid lymphadenectomy (38700) | — | $3,043.50 | — |
| Surg Tx Anal Fistula 2nd Stage (46285) | — | $1,426.50 | — |
| Surg tx anal fistula subq (46270) | — | $1,302.50 | — |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) range across 3 matching MRF lines |
— | $1,538–$1,627.50 | — |
| Suture infrapatellar tendon primary (27380) | — | $2,901.50 | — |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | — | $1,853 | — |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) | — | $3,953 | — |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | — | $1,984 | — |
| Tenodesis long tendon biceps (23430) | — | $5,238.50 | — |
| Thrombolytic Therapy Stroke (37195) | — | $1,282.50 | — |
| Thyroid biopsy (60100) range across 3 matching MRF lines |
— | $319–$1,321 | — |
| Thyroidectomy, total or complete (60240) | — | $4,139 | — |
| Total Knee Arthroplasty (27447) | — | $10,096.50 | — |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 6 matching MRF lines |
— | $738–$2,176.50 | — |
| Transur electr resection of prostate (52601) | — | $10,701.50 | — |
| Transurethral resection bladder neck (52500) | — | $2,402 | — |
| Treat Big Toe Fracture (28505) | — | $2,084 | — |
| Treat ectopic pregnancy (59151) range across 4 matching MRF lines |
— | $2,656–$7,643.50 | — |
| Treat Finger Fracture Each (26727) | — | $1,498.50 | — |
| Treat fracture radius/ulna (25575) | — | $2,793 | — |
| Treat Fx Rad Extra-Articul (25607) range across 6 matching MRF lines |
— | $2,356–$3,569.50 | — |
| Treat humerus fracture (24500) range across 4 matching MRF lines |
— | $287.50–$1,095.50 | — |
| Treat Humerus Fracture (24505) range across 4 matching MRF lines |
— | $345–$1,877 | — |
| Treat humerus fracture (23600) range across 4 matching MRF lines |
— | $287.50–$1,088.50 | — |
| Treat knee fracture (27532) | — | $1,763 | — |
| Treat Knee Fracture(S) (27538) | — | $1,540 | — |
| Treat Kneecap Fracture (27524) | — | $2,414.50 | — |
| Treat Knuckle Dislocation (26700) range across 4 matching MRF lines |
— | $396–$792.50 | — |
| Treat Metatarsal Fracture (28475) range across 4 matching MRF lines |
— | $287.50–$747 | — |
| Treat Tail Bone Fracture (27200) range across 4 matching MRF lines |
— | $287.50–$816 | — |
| Treat Thumb Dislocation (26641) range across 4 matching MRF lines |
— | $311.50–$1,066 | — |
| Treat toe dislocation (28630) range across 4 matching MRF lines |
— | $277–$579 | — |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 4 matching MRF lines |
— | $1,619.50–$1,654.50 | — |
| Treatment closed elbow dislocation w/o anes (24600) range across 4 matching MRF lines |
— | $384–$1,101.50 | — |
| Treatment of ankle fracture (27823) | — | $2,549 | — |
| Trim skin lesion (11055) range across 10 matching MRF lines |
— | $77–$487 | — |
| Trim skin lesions 2 to 4 (11056) | — | $142 | — |
| Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
— | $51.50–$106.50 | — |
| Tubal ligation (58600) range across 2 matching MRF lines |
— | $1,463–$1,649 | — |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) range across 4 matching MRF lines |
— | $2,756.50–$4,134 | — |
| Tx Gastro Intub W/Asp (43753) range across 4 matching MRF lines |
— | $592–$744 | — |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | — | $1,126 | — |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | — | $3,953.50 | — |
| Tx Missed Abortion First Trimester Surgical (59820) | — | $1,329.50 | — |
| Tx Missed Abortion Second Trimester Surgical (59821) | — | $1,540 | — |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 8 matching MRF lines |
— | $254–$1,329 | — |
| Tx superficial wound dehiscence w/packing (12021) | — | $667 | — |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 4 matching MRF lines |
— | $287.50–$977.50 | — |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | — | $3,069 | — |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) range across 4 matching MRF lines |
— | $2,113.50–$2,327 | — |
| Unlisted laparoscopic procedure liver (47379) | — | $4,329 | — |
| Unlisted laparoscopy procedure appendix (44979) | — | $3,904 | — |
| Unlisted laparoscopy procedure oviduct ovary (58679) | — | $3,175.50 | — |
| Unlisted laparoscopy procedure, biliary tract (47579) range across 4 matching MRF lines |
— | $1,409–$3,507 | — |
| Unlisted procedure anus (46999) | — | $866.50 | — |
| Unlisted procedure excision pressure ulcer (15999) | — | $1,109.50 | — |
| Unlisted procedure forearm or wrist (25999) | — | $611 | — |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | — | $508.50 | — |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) | — | $1,581 | — |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) | — | $3,430.50 | — |
| Urethroplasty, reconstruction of female urethra Facility (53430) | — | $4,256.50 | — |
| Urine Flow Measurement (51736) range across 4 matching MRF lines |
— | $49.50–$225 | — |
| Vag hyst complex (58290) range across 2 matching MRF lines |
— | $4,574.50–$5,671 | — |
| Vag hyst incl t/o complex (58291) | — | $4,303.50 | — |
| Vag hyst w/t/o & vag repair (58263) | — | $3,429.50 | — |
| Vaginal delivery only (59409) range across 8 matching MRF lines |
— | $477–$3,288.50 | — |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | — | $3,283.50 | — |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) range across 4 matching MRF lines |
— | $3,056–$3,954.50 | — |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | — | $3,524.50 | — |
| Vaginoplasty for intersex state Facility (57335) | — | $5,056 | — |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 10 matching MRF lines |
— | $685.50–$3,021 | — |
| Venous Cutdown >1 Y/O (36425) range across 6 matching MRF lines |
— | $127–$298.50 | — |
| Venous Mech Thrombectomy (37187) | — | $1,890 | — |
| Ventilating tube removal requiring general anesthesia (69424) | — | $3,608.50 | — |
| Vulvectomy simple partial (56620) range across 4 matching MRF lines |
— | $1,931–$2,007 | — |
| Wedge excision skin nail fold (11765) range across 6 matching MRF lines |
— | $199–$565 | — |
| Windowing of cast (29730) range across 2 matching MRF lines |
— | $130–$139 | — |
| Wound Prep F/N/Hf/G (15004) | — | $1,103.50 | — |
| Wound Prep Trk/Arm/Leg (15002) | — | $1,013 | — |
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.