Procedures & surgery prices at Mountain View Hospital

Idaho Falls, ID · every code in this section with a posted price and a Medicare benchmark.

2503 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) $4,600 $4,600 1.3×
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $4,185 $4,185 1.2×
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines		 $1,015–$2,703 $1,015–$2,703 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,200–$1,438 $1,200–$1,438 varies
Abdomen Surgery Procedure (22999) $2,855 $2,855 11.7×
Ablate inf turbinate submuc (30802) $2,575 $2,575 1.7×
Ablate Pulm Tumor Perq Crybl (32994) $8,222 $8,222 0.8×
Ablation 1/> liver tumor perq cryoablation (47383) $6,800 $6,800 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 2 matching MRF lines		 $4,400–$6,800 $4,400–$6,800 varies
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $6,800 $6,800 0.9×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,801 $3,801 2.3×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,421 $1,421 0.9×
Acne surgery (10040) $850 $850 4.3×
Acromiopl/Acromionect Partial (23130) $4,120 $4,120 1.3×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)
range across 3 matching MRF lines		 $828–$2,000 $828–$2,000 varies
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,884 $2,884 1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,991 $2,991 0.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,506–$1,751 $1,506–$1,751 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,345 $2,345 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,700 $1,700 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 3 matching MRF lines		 $1,393–$2,107 $1,393–$2,107 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,833 $1,833 0.9×
Amniocentesis diagnostic (59000) $315 $315 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,818 $1,818 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $2,575–$5,175 $2,575–$5,175 varies
Amputate Metacarpal Bone (26910) $3,090 $3,090 1.0×
Amputation foot transmetarsal (28805)
range across 3 matching MRF lines		 $3,296–$3,896 $3,296–$3,896 varies
Amputation metatarsal with toe single (28810) $3,348 $3,348 1.0×
Amputation toe interphalangeal joint (28825) $2,472 $2,472 0.8×
Amputation toe metatarsophalangeal joint (28820)
range across 4 matching MRF lines		 $1,667.50–$3,935 $1,667.50–$3,935 varies
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $3,500 $3,500 1.1×
Amputation, leg, through tibia and fibula; (27880) $5,000 $5,000 0.7×
Amputation, leg, through tibia and fibula; re-amputation (27886) $4,429 $4,429 1.4×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $3,090 $3,090 1.0×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $361 $361 1.2×
Anal/Urinary Muscle Study (51784) $370 $370 2.9×
Ankle Arthroscopy/Surgery (29892) $8,606 $8,606 1.2×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $69–$565 $69–$565 varies
Anoscopy W/Rmvl Foreign Body (46608) $3,953 $3,953 4.3×
Anoscopy; with biopsy, single or multiple (46606) $935 $935 0.8×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $5,300 $5,300 4.5×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $874–$1,748 $874–$1,748 varies
Anterior colporraphy rpr cystocele w/cysto (57240) $5,957 $5,957 1.2×
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines		 $2,919–$5,838 $2,919–$5,838 varies
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,524 $2,524 0.4×
Appl cranial tong/strtctc frame w/removal spx (20660)
range across 2 matching MRF lines		 $400–$800 $400–$800 varies
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $97 $97 0.6×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $252–$1,875 $252–$1,875 varies
Application Finger Splint Dynamic (29131) $205 $205 3.5×
Application finger splint static (29130)
range across 3 matching MRF lines		 $297–$445 $297–$445 varies
Application Hip Spica Cast 1 Leg (29305) $632 $632 2.3×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $165–$1,072 $165–$1,072 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $714–$1,072 $714–$1,072 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $3,296 $3,296 0.3×
Application of long leg cast (29345)
range across 3 matching MRF lines		 $1,250–$1,875 $1,250–$1,875 varies
Application of rigid total contact leg cast (29445) $348 $348 1.3×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $117.93–$118 $117.93–$118 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $127–$848 $127–$848 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $140–$1,072 $140–$1,072 varies
Application uniplane external fixation system (20690) $4,581 $4,581 0.6×
Application, cast; figure-of-eight Facility (29049) $1,250 $1,250 4.5×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $309–$1,875 $309–$1,875 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 5 matching MRF lines		 $163–$326 $163–$326 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $150–$1,875 $150–$1,875 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $3,330 $3,330 0.6×
Arrest Epiphyseal Distal Femur (27475) $4,580 $4,580 0.6×
Arterial puncture (36600) $152 $152 1.2×
Arteriovenous Anastomosis Open Direct (36821) $8,600 $8,600 2.8×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $4,250 $4,250 0.8×
Artery-vein autograft (36825) $8,800 $8,800 1.6×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $8,452 $8,452 0.7×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $7,811 $7,811 1.1×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 2 matching MRF lines		 $1,957–$3,914 $1,957–$3,914 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 3 matching MRF lines		 $13,035–$18,232 $13,035–$18,232 varies
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $4,120 $4,120 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 10 matching MRF lines		 $102–$1,970 $102–$1,970 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 7 matching MRF lines		 $106–$4,766 $106–$4,766 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 13 matching MRF lines		 $118–$1,970 $118–$1,970 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 8 matching MRF lines		 $428–$3,450 $428–$3,450 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 10 matching MRF lines		 $111–$1,970 $111–$1,970 varies
Arthrodesis ankle open (27870)
range across 3 matching MRF lines		 $8,973–$10,173 $8,973–$10,173 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines		 $1,648–$3,296 $1,648–$3,296 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines		 $7,672–$8,872 $7,672–$8,872 varies
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $3,800 $3,800 1.2×
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure		 $4,500 $4,500 0.3×
Arthrodesis Posterior Interbody Lumbar (22630)
likely a partial charge, not the full procedure		 $7,210 $7,210 0.3×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
unusually low: confirm this is the full procedure		 $7,403 $7,403 0.4×
Arthrodesis Posterior/Posterolateral Thoracic (22610)
unusually low: confirm this is the full procedure		 $5,650 $5,650 0.3×
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure		 $6,386 $6,386 0.4×
Arthrodesis subtalar (28725)
range across 3 matching MRF lines		 $13,035–$14,815 $13,035–$14,815 varies
Arthrodesis triple (28715)
range across 2 matching MRF lines		 $7,159–$10,239 $7,159–$10,239 varies
Arthrodesis Wrist Complete W/O Bone Graft (25800) $7,107 $7,107 1.0×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $7,000 $7,000 0.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556)
unusually low: confirm this is the full procedure		 $7,450 $7,450 0.4×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $7,575 $7,575 1.1×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) $7,950 $7,950 0.6×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533)
unusually low: confirm this is the full procedure		 $8,104 $8,104 0.5×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
unusually low: confirm this is the full procedure		 $7,210 $7,210 0.4×
Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) $4,120 $4,120 1.3×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $7,107 $7,107 0.6×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines		 $4,429–$5,629 $4,429–$5,629 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $8,788–$10,335 $8,788–$10,335 varies
Arthroplasty interphalangeal joint each (26535) $5,947 $5,947 1.8×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $5,253–$6,688 $5,253–$6,688 varies
Arthroplasty Patella W/Prosthesis (27438)
unusually low: confirm this is the full procedure		 $4,433 $4,433 0.3×
Arthroplasty radial head (24365)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Arthroplasty Radial Head W/Implant (24366)
unusually low: confirm this is the full procedure		 $6,162 $6,162 0.5×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446)
unusually low: confirm this is the full procedure		 $6,355 $6,355 0.4×
Arthroplasty with prosthetic replacement; distal radius Facility (25441)
unusually low: confirm this is the full procedure		 $5,981 $5,981 0.5×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442)
unusually low: confirm this is the full procedure		 $5,981 $5,981 0.3×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) $6,180 $6,180 1.1×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243)
range across 2 matching MRF lines		 $8,240–$15,861 $8,240–$15,861 varies
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $5,538 $5,538 3.5×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $6,788 $6,788 0.5×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $1,973.50–$3,947 $1,973.50–$3,947 varies
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $2,008.50–$4,017 $2,008.50–$4,017 varies
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $7,210 $7,210 1.0×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,811 $3,811 1.2×
Arthroscopy Elbow Surgical Debridement Extensive (29838)
range across 3 matching MRF lines		 $4,841–$5,441 $4,841–$5,441 varies
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,399 $3,399 1.1×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $3,500 $3,500 1.1×
Arthroscopy hip w/femoroplasty (29914)
range across 2 matching MRF lines		 $7,803–$35,109.50 $7,803–$35,109.50 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $4,609 $4,609 1.4×
Arthroscopy Knee Osteochondral Allograft (29867)
unusually low: confirm this is the full procedure		 $5,871 $5,871 0.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 3 matching MRF lines		 $1,625.50–$3,251 $1,625.50–$3,251 varies
Arthroscopy knee synovectomy limited spx (29875) $5,071 $5,071 1.6×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,528 $4,528 1.4×
Arthroscopy shoulder distal claviculectomy (29824)
range across 3 matching MRF lines		 $1,668.60–$4,263 $1,668.60–$4,263 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $7,830.60–$9,237 $7,830.60–$9,237 varies
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $4,326 $4,326 1.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $4,017 $4,017 1.2×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $3,629 $3,629 0.5×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834)
range across 2 matching MRF lines		 $1,755.50–$3,511 $1,755.50–$3,511 varies
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $7,519 $7,519 1.0×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $5,047 $5,047 0.7×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $7,519 $7,519 2.3×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $5,150 $5,150 0.7×
Arthroscopy, knee, surgical; with lateral release (29873)
range across 3 matching MRF lines		 $2,268–$4,536 $2,268–$4,536 varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)
range across 2 matching MRF lines		 $1,802.50–$4,572 $1,802.50–$4,572 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 4 matching MRF lines		 $3,059.10–$6,718.20 $3,059.10–$6,718.20 varies
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) $3,296 $3,296 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $9,145–$9,745 $9,145–$9,745 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines		 $2,512.50–$5,625 $2,512.50–$5,625 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines		 $4,449.60–$5,684 $4,449.60–$5,684 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 3 matching MRF lines		 $7,553.04–$8,859 $7,553.04–$8,859 varies
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $5,070 $5,070 1.6×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $5,510 $5,510 1.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 3 matching MRF lines		 $3,337.20–$8,527 $3,337.20–$8,527 varies
Arthroscopy, temporomandibular joint, surgical Facility (29804) $4,700 $4,700 1.5×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 3 matching MRF lines		 $5,442–$6,042 $5,442–$6,042 varies
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $4,635 $4,635 0.6×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,817 $3,817 1.2×
Arthrotomy W/Meniscus Repair Knee (27403)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Arthrotomy W/Synovectomy Ankle (27625)
range across 2 matching MRF lines		 $2,111.50–$4,223 $2,111.50–$4,223 varies
Arthrotomy wrist joint with synovectomy (25105) $5,047 $5,047 1.6×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $3,296 $3,296 1.0×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $4,200 $4,200 0.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 3 matching MRF lines		 $11,087.15–$13,487.15 $11,087.15–$13,487.15 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $5,262 $5,262 1.6×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 3 matching MRF lines		 $13,560–$14,760 $13,560–$14,760 varies
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
range across 2 matching MRF lines		 $2,275.50–$4,551 $2,275.50–$4,551 varies
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $5,885 $5,885 1.8×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines		 $7,786.80–$9,947 $7,786.80–$9,947 varies
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
range across 2 matching MRF lines		 $7,803–$10,043 $7,803–$10,043 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 3 matching MRF lines		 $5,810–$7,010 $5,810–$7,010 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 4 matching MRF lines		 $1,905.50–$5,716.50 $1,905.50–$5,716.50 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $4,326–$5,408 $4,326–$5,408 varies
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,512 $3,512 1.1×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $4,395 $4,395 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 4 matching MRF lines		 $2,786–$8,358 $2,786–$8,358 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $4,635 $4,635 1.4×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $4,800 $4,800 1.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,765 $1,765 1.1×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $1,000–$2,000 $1,000–$2,000 varies
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612)
range across 2 matching MRF lines		 $1,699.50–$3,399 $1,699.50–$3,399 varies
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $4,000 $4,000 1.2×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $2,369 $2,369 0.7×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $3,870 $3,870 1.2×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $1,290–$4,935 $1,290–$4,935 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $1,300–$4,935 $1,300–$4,935 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $120–$520 $120–$520 varies
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $1,076–$1,174 $1,076–$1,174 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $1,030–$9,231 $1,030–$9,231 varies
Aspiration Bladder Needle (51100) $725 $725 2.9×
Augmentation, mandibular body or angle; prosthetic material Facility (21125)
unusually low: confirm this is the full procedure		 $2,678 $2,678 0.5×
Autologous Chondrocyte Implantation Knee (27412) $9,500 $9,500 1.3×
Av fistula revision (36833) $9,000 $9,000 1.6×
Av Fistula Revision Open (36832) $9,000 $9,000 1.6×
Av Fuse Uppr Arm Basilic (36819) $10,500 $10,500 1.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines		 $103–$936 $103–$936 varies
Axillary lymphadenectomy; complete (38745) $5,500 $5,500 0.9×
Biopsy Abdominal Mass (49180) $1,749 $1,749 1.1×
Biopsy bone open deep (20245) $2,678 $2,678 0.9×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $2,884–$5,147 $2,884–$5,147 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,859–$1,915 $1,859–$1,915 varies
Biopsy Bone Trocar/Needle Superficial (20220) $1,749 $1,749 1.1×
Biopsy External Auditory Canal (69105)
range across 2 matching MRF lines		 $374–$1,339 $374–$1,339 varies
Biopsy external ear (69100)
range across 3 matching MRF lines		 $234–$999 $234–$999 varies
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $1,749–$2,250 $1,749–$2,250 varies
Biopsy Muscle Superficial (20200)
range across 2 matching MRF lines		 $1,859–$2,764 $1,859–$2,764 varies
Biopsy nail unit (11755) $1,313 $1,313 1.9×
Biopsy Nasopharynx Visible Lesion Simple (42804) $1,854 $1,854 0.6×
Biopsy of breast; open, incisional (19101) $3,238 $3,238 0.8×
Biopsy of floor of mouth (41108)
range across 2 matching MRF lines		 $457–$500 $457–$500 varies
Biopsy of lip (40490) $212 $212 0.9×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,700–$1,749 $1,700–$1,749 varies
Biopsy of nerve (64795)
range across 2 matching MRF lines		 $2,100–$2,256 $2,100–$2,256 varies
Biopsy of palate, uvula (42100)
range across 2 matching MRF lines		 $257–$845 $257–$845 varies
Biopsy of penis (54100) $2,500 $2,500 1.5×
Biopsy of penis; deep structures (54105) $3,000 $3,000 1.0×
Biopsy of rectum (45100) $2,745 $2,745 1.0×
Biopsy of tear sac (68525) $2,266 $2,266 1.0×
Biopsy of upper nose/throat (42806) $3,000 $3,000 0.9×
Biopsy of urethra (53200) $2,565 $2,565 1.2×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $4,190 $4,190 1.1×
Biopsy Oropharynx (42800) $2,060 $2,060 1.3×
Biopsy Salivary Gland Incisional (42405)
range across 2 matching MRF lines		 $1,648–$3,296 $1,648–$3,296 varies
Biopsy Salivary Gland Needle (42400) $1,188 $1,188 1.7×
Biopsy soft tissue forearm&/wrist deep (25066) $2,627 $2,627 0.9×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $2,600 $2,600 0.9×
Biopsy soft tissue leg/ankle area superficial (27613)
range across 2 matching MRF lines		 $1,742–$3,140 $1,742–$3,140 varies
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $2,615–$3,003 $2,615–$3,003 varies
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,750 $1,750 1.1×
Biopsy Soft Tissue Shoulder Deep (23066) $2,678 $2,678 0.9×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,062 $1,062 0.7×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,000 $3,000 1.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,442 $1,442 0.9×
Biopsy Testis Incisional Separate Procedure (54505) $3,000 $3,000 0.9×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $330–$1,133 $330–$1,133 varies
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines		 $1,442–$1,493 $1,442–$1,493 varies
Biopsy Vaginal Mucosa Extensive (57105) $2,289 $2,289 0.7×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $375–$750 $375–$750 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $750 $750 0.8×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $412–$1,133 $412–$1,133 varies
Biopsy/removal lymph nodes (38510) $3,381 $3,381 0.9×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $232–$464 $232–$464 varies
Bladder Irrigation (51700) $263 $263 1.1×
Bladder Scan (51798)
range across 3 matching MRF lines		 $105–$275 $105–$275 varies
Blepharoplasty Lower Eyelid (15820) $4,230 $4,230 2.1×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $2,524 $2,524 1.2×
Blepharoplasty upper eyelid (15822) $3,090 $3,090 1.5×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 4 matching MRF lines		 $1,262–$3,786 $1,262–$3,786 varies
Blepharotomy drainage abscess eyelid (67700)
range across 4 matching MRF lines		 $304–$2,256 $304–$2,256 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $1,000–$1,525 $1,000–$1,525 varies
Bone Graft Any Donor Area Major/Large (20902)
range across 2 matching MRF lines		 $1,545–$3,090 $1,545–$3,090 varies
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $2,080.50–$4,161 $2,080.50–$4,161 varies
Bone graft with microvascular anastomosis; iliac crest Facility (20956) $9,000 $9,000 1.3×
Bone Marrow Biopsy (38221) $1,749 $1,749 1.1×
Bone marrow harvest allogen (38230) $4,120 $4,120 2.7×
Bone Marrow Harvest Autolog (38232) $5,260 $5,260 1.2×
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines		 $399–$798 $399–$798 varies
Breast augmentation with implant (19325) $4,656 $4,656 0.6×
Breast Reduction (19318)
range across 2 matching MRF lines		 $7,141–$12,956.50 $7,141–$12,956.50 varies
Brnchsc Brushing/Protected Brushings (31623)
range across 4 matching MRF lines		 $824–$1,648 $824–$1,648 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,800 $2,800 0.8×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $3,000 $3,000 0.8×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $1,780–$4,271 $1,780–$4,271 varies
Bronchoscopy Reclear Airway (31646) $2,700 $2,700 7.0×
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $772.50–$1,545 $772.50–$1,545 varies
Bronchoscopy W/Excision Tumor (31640) $4,500 $4,500 1.2×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
range across 2 matching MRF lines		 $1,000–$2,000 $1,000–$2,000 varies
Bronchoscopy W/Removal Foreign Body (31635) $3,193 $3,193 1.8×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 3 matching MRF lines		 $850–$1,700 $850–$1,700 varies
Bronchoscopy/Needle Bx Each (31629)
range across 3 matching MRF lines		 $1,004.50–$2,009 $1,004.50–$2,009 varies
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,060 $2,060 0.7×
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines		 $1,645–$2,753 $1,645–$2,753 varies
Bx breast 1st lesion us imag (19083) $1,833 $1,833 1.1×
Bx breast needle core w/o imaging guidance spx (19100) $1,288 $1,288 0.8×
Bx Cervix (57500)
range across 2 matching MRF lines		 $441.50–$883 $441.50–$883 varies
Bx prostate strtctc saturation sampling img gid (55706)
range across 2 matching MRF lines		 $1,442–$2,013 $1,442–$2,013 varies
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $3,011 $3,011 0.9×
Bx prostate transperineal ultrasound-guided (55709) $2,750 $2,750 0.8×
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines		 $2,305.50–$4,611 $2,305.50–$4,611 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $1,648–$4,231 $1,648–$4,231 varies
Canthoplasty (67950)
range across 3 matching MRF lines		 $1,388.50–$2,777 $1,388.50–$2,777 varies
Canthotomy Separate Procedure (67715) $2,276 $2,276 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $1,674–$3,348 $1,674–$3,348 varies
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $3,000 $3,000 1.9×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,803 $1,803 0.6×
Capsulorrhaphy Anterior W/Labral Repair (23455) $8,437 $8,437 1.2×
Capsulotomy wrist (25085) $2,884 $2,884 0.9×
Carpal Tunnel Surgery (64721)
range across 6 matching MRF lines		 $1,332.85–$3,998.55 $1,332.85–$3,998.55 varies
Carpectomy All Bones Proximal Row (25215)
range across 2 matching MRF lines		 $2,317.50–$4,635 $2,317.50–$4,635 varies
Cataract surgery complex (66982) $2,226 $2,226 1.0×
Catheter aspiration nasotracheal spx (31720) $130 $130 0.6×
Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) $973 $973 3.9×
Cautery Cervix Electro/Thermal (57510) $1,628 $1,628 0.5×
Cerclage cervix pregnancy vaginal (59320) $2,847 $2,847 0.9×
Cerv artific diskectomy (22856) $8,883.75 $8,883.75 0.5×
Cervical lymphadenectomy (complete) (38720) $3,901 $3,901 0.6×
Cessj Therapy Cath Removal (37214) $3,000 $3,000 1.0×
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines		 $696–$1,575 $696–$1,575 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $251.50–$794 $251.50–$794 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $225–$1,094 $225–$1,094 varies
Change ureter stent percut (50382)
range across 2 matching MRF lines		 $4,000–$6,000 $4,000–$6,000 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $414–$936 $414–$936 varies
Chemodenerv 1 extrem 5/> mus (64644) $250 $250 0.4×
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $290–$1,245 $290–$1,245 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $389–$400 $389–$400 varies
Chemodenerv musc neck dyston (64616)
range across 3 matching MRF lines		 $315–$1,030 $315–$1,030 varies
Chemodenerv trunk musc 1-5 (64646) $300 $300 0.4×
Chemodenervation of internal anal sphincter (46505) $2,665 $2,665 2.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines		 $225–$390 $225–$390 varies
Chest tube placement (32551)
range across 5 matching MRF lines		 $1,120–$8,704 $1,120–$8,704 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $3,067–$3,633 $3,067–$3,633 varies
Ciliary body dstrj cyclophotocoag transsceral (66710) $2,369 $2,369 1.0×
Circumcision 28 days or older (54161) $4,145.75 $4,145.75 2.0×
Circumcision w/clamp/oth dev w/block (54150) $2,700 $2,700 1.3×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $2,200 $2,200 0.6×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $2,575–$10,452 $2,575–$10,452 varies
Claviculectomy partial (23120)
range across 3 matching MRF lines		 $2,976–$5,952 $2,976–$5,952 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $180–$848 $180–$848 varies
Closed Rx Metacarpal Fx,Percut (26608)
range across 3 matching MRF lines		 $1,854–$4,638 $1,854–$4,638 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $700–$1,606 $700–$1,606 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,000 $1,000 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Treatment Sternum Fracture (21820) $1,195 $1,195 4.9×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $2,060–$10,452 $2,060–$10,452 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $500–$1,792 $500–$1,792 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 3 matching MRF lines		 $2,299–$3,449 $2,299–$3,449 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $200–$1,792 $200–$1,792 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 3 matching MRF lines		 $3,000–$10,452 $3,000–$10,452 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 4 matching MRF lines		 $1,195–$1,844.27 $1,195–$1,844.27 varies
Closed tx fx orbit except blowout w/manipulation (21401)
range across 2 matching MRF lines		 $6,787–$10,180 $6,787–$10,180 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $5,520 $5,520 3.5×
Closed tx mandibular fracture w/manipulation (21451) $6,787 $6,787 4.4×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $439–$2,585 $439–$2,585 varies
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $5,097 $5,097 0.9×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $650–$1,195 $650–$1,195 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,189 $2,189 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $1,850–$6,787 $1,850–$6,787 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 3 matching MRF lines		 $1,138–$11,839 $1,138–$11,839 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $1,697–$2,546 $1,697–$2,546 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines		 $1,692–$10,452 $1,692–$10,452 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $2,060–$10,452 $2,060–$10,452 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $1,000–$1,792 $1,000–$1,792 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 5 matching MRF lines		 $2,060–$10,452 $2,060–$10,452 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed tx septal&nose fx (21337) $2,500 $2,500 0.8×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed tx talotarsal joint dislc w/o anes (28570) $285 $285 1.2×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $3,090 $3,090 12.7×
Closed tx tarsometatarsal dislocation w/o anes (28600) $3,090 $3,090 12.7×
Closed tx temporomandibular dislc comp 1st/sbsq (21485)
range across 2 matching MRF lines		 $6,787–$10,180 $6,787–$10,180 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 3 matching MRF lines		 $1,050–$1,792 $1,050–$1,792 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines		 $2,781–$10,452 $2,781–$10,452 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Closure Gastrostomy Surg (43870)
range across 2 matching MRF lines		 $1,417–$2,834 $1,417–$2,834 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $850–$1,094 $850–$1,094 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $923–$2,585 $923–$2,585 varies
Closure Lacrimal Fistula Spx (68770) $2,781 $2,781 1.2×
Closure lacrimal punctum (68760) $515 $515 1.6×
Closure of cystostomy (separate procedure) Facility (51880) $5,300 $5,300 1.5×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $4,000 $4,000 1.3×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $3,000 $3,000 0.6×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 3 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Clsd tx fx orbit except blowout w/o manipulation (21400)
range across 2 matching MRF lines		 $2,585–$3,877 $2,585–$3,877 varies
Clsd Tx Pelvic Ring Fx (27198) $1,697 $1,697 7.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $1,195 $1,195 4.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $1,800–$10,452 $1,800–$10,452 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $2,781 $2,781 1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,195 $1,195 4.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $645–$2,600 $645–$2,600 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines		 $500–$1,792 $500–$1,792 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $893–$1,792 $893–$1,792 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $518 $518 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $257–$1,195 $257–$1,195 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $2,421–$10,452 $2,421–$10,452 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,884 $2,884 1.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,606 $1,606 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 3 matching MRF lines		 $2,266–$10,452 $2,266–$10,452 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $379–$1,792 $379–$1,792 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $1,195–$1,803 $1,195–$1,803 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $1,195–$1,545 $1,195–$1,545 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $1,236–$6,148 $1,236–$6,148 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $2,060 $2,060 8.5×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 3 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines		 $184–$1,792 $184–$1,792 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,697 $1,697 6.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,195 $1,195 4.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)
range across 2 matching MRF lines		 $9,675–$14,513 $9,675–$14,513 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,250 $1,250 4.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,195 $1,195 4.9×
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $979–$1,195 $979–$1,195 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $824–$1,195 $824–$1,195 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $6,969 $6,969 4.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $6,969 $6,969 4.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $500 $500 2.1×
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $1,818–$10,452 $1,818–$10,452 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 4 matching MRF lines		 $3,000–$10,452 $3,000–$10,452 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines		 $3,000–$10,452 $3,000–$10,452 varies
Cltx prox tibfib jt dislc req anes (27831)
range across 2 matching MRF lines		 $13,920–$20,879 $13,920–$20,879 varies
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines		 $200–$1,792 $200–$1,792 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,725 $1,725 1.1×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $450 $450 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $2,575–$10,452 $2,575–$10,452 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $467 $467 0.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $2,900 $2,900 0.9×
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $960–$1,792 $960–$1,792 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,193 $3,193 0.6×
Coccygectomy, primary (27080) $4,635 $4,635 1.4×
Collect Blood From Catheter Venous Nos (36592) $214 $214 1.6×
Collection of venous blood by venipuncture (36415) $21 $21 2.2×
Colonoscopy Flexible With Decompression (45393) $2,400 $2,400 2.0×
Colonoscopy Stoma Ablation Lesion (44401) $2,400 $2,400 2.0×
Colonoscopy Stoma Control Bleeding (44391) $1,100 $1,100 0.9×
Colonoscopy stoma w/balloon dilation (44405) $1,450 $1,450 1.2×
Colonoscopy Stoma W/Submucosal Injection (44404) $2,400 $2,400 2.0×
Colonoscopy Through Stoma With Decompression (44408) $1,850 $1,850 2.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,050 $1,050 0.9×
Colonoscopy thru stoma (44388) $1,082 $1,082 1.2×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,550 $1,550 1.3×
Colonoscopy w/ablation (45388) $2,080 $2,080 1.8×
Colonoscopy W/Band Ligation (45398) $1,854 $1,854 1.6×
Colonoscopy w/fb removal (45379) $1,050 $1,050 0.9×
Colonoscopy W/Resection (45390) $2,060 $2,060 0.8×
Colonoscopy w/stent plcmt (45389) $11,650 $11,650 1.9×
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $743–$1,486 $743–$1,486 varies
Colpocleisis (le fort type) (57120)
range across 2 matching MRF lines		 $1,802.50–$3,605 $1,802.50–$3,605 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210)
range across 2 matching MRF lines		 $2,064–$12,529 $2,064–$12,529 varies
Colpopexy extraperitoneal (57282)
range across 2 matching MRF lines		 $2,275.50–$4,551 $2,275.50–$4,551 varies
Colpopexy vaginal intraperitoneal approach (57283)
range across 3 matching MRF lines		 $3,219–$6,438 $3,219–$6,438 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $2,163–$4,242 $2,163–$4,242 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,200 $1,200 4.0×
Colposcopy Cervix Endocervical Curettage (57456)
range across 3 matching MRF lines		 $167.50–$335 $167.50–$335 varies
Colposcopy cervix upper/adjacent vagina (57452) $160 $160 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $443 $443 1.5×
Colposcopy cervix vag eltrd conization cervix (57461) $1,649 $1,649 0.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,751 $1,751 0.5×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $316–$350 $316–$350 varies
Colposcopy of vulva (56820) $160 $160 0.8×
Colposcopy Vulva W/Biopsy (56821) $160 $160 0.5×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 2 matching MRF lines		 $316–$1,300 $316–$1,300 varies
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $696–$1,392 $696–$1,392 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,050 $1,050 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,949 $1,949 1.6×
Combined anteroposterior colporrhaphy; (57260)
range across 2 matching MRF lines		 $2,754–$5,508 $2,754–$5,508 varies
Complex drainage wound (10180)
range across 3 matching MRF lines		 $3,005–$7,914 $3,005–$7,914 varies
Composite Skin Graft (15760) $2,475 $2,475 1.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,861 $2,861 0.9×
Conization of cervix (57520) $3,000 $3,000 0.9×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320)
range across 3 matching MRF lines		 $1,500–$4,500 $1,500–$4,500 varies
Conjunctivorhinostomy Insj Tube/Stent (68750) $3,500 $3,500 0.9×
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) $3,837 $3,837 1.6×
Construction of artificial vagina; with graft Facility (57292) $8,003 $8,003 1.6×
Contour cranial bone lesion (21181) $4,310 $4,310 0.7×
Contour of face bone lesion (21029) $4,785 $4,785 1.5×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 4 matching MRF lines		 $323–$848 $323–$848 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 5 matching MRF lines		 $269–$876 $269–$876 varies
Control nose/throat bleeding (42972) $2,800 $2,800 0.9×
Control oropharyngeal hemorrhage simple (42960)
range across 3 matching MRF lines		 $687–$2,585 $687–$2,585 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $9,500 $9,500 0.7×
Conversion ext bil drg cath (47535) $2,500 $2,500 0.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,025 $2,025 1.1×
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $4,500–$6,750 $4,500–$6,750 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,577 $2,577 1.6×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,815 $3,815 1.1×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $4,044 $4,044 1.2×
Correction Everted Punctum Cautery (68705) $541 $541 1.7×
Correction hammertoe (28285)
range across 3 matching MRF lines		 $1,699.50–$3,399 $1,699.50–$3,399 varies
Correction of lid retraction (67911) $2,550 $2,550 1.1×
Correction of trichiasis; epilation, by forceps only (67820) $620 $620 4.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,551 $4,551 1.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,605 $3,605 1.1×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 3 matching MRF lines		 $2,060–$4,120 $2,060–$4,120 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $4,523–$5,123 $4,523–$5,123 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 3 matching MRF lines		 $2,627.50–$5,255 $2,627.50–$5,255 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $4,635 $4,635 0.6×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912)
range across 3 matching MRF lines		 $1,053–$2,106 $1,053–$2,106 varies
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $459–$927 $459–$927 varies
Create Tear Sac-Nasal Fistula (68720) $2,761 $2,761 0.7×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $8,800 $8,800 1.6×
Cryosurgical Ablation Fibroadenoma, Each (19105) $6,708 $6,708 1.7×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $2,316 $2,316 9.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $565–$687 $565–$687 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $1,094–$1,470 $1,094–$1,470 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $4,532 $4,532 1.4×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $2,600–$12,529 $2,600–$12,529 varies
Curette/treat cornea (65435) $750 $750 0.8×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 3 matching MRF lines		 $1,107.50–$2,215 $1,107.50–$2,215 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 3 matching MRF lines		 $475–$4,959 $475–$4,959 varies
Cysto w/complex removal stone & stent (52315) $4,120 $4,120 2.0×
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $1,802.50–$3,605 $1,802.50–$3,605 varies
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $4,170 $4,170 0.8×
Cysto w/insert ureteral stent (52332)
range across 5 matching MRF lines		 $3,020.48–$9,061.43 $3,020.48–$9,061.43 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 3 matching MRF lines		 $1,030–$2,060 $1,030–$2,060 varies
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $1,398–$2,796 $1,398–$2,796 varies
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $1,893–$3,786 $1,893–$3,786 varies
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $2,215 $2,215 0.6×
Cysto W/Simple Removal Stone & Stent (52310)
range across 5 matching MRF lines		 $1,785–$5,579 $1,785–$5,579 varies
Cysto w/up stricture tx (52342) $4,130 $4,130 1.2×
Cysto w/ureter stricture tx (52341) $4,252 $4,252 1.2×
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 3 matching MRF lines		 $2,781–$8,343 $2,781–$8,343 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 3 matching MRF lines		 $1,625.50–$11,162.25 $1,625.50–$11,162.25 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $1,957–$3,914 $1,957–$3,914 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $4,120 $4,120 1.2×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 3 matching MRF lines		 $1,802.50–$3,605 $1,802.50–$3,605 varies
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $11,252.75–$16,879.13 $11,252.75–$16,879.13 varies
Cysto/uretero w/up stricture (52345) $4,250 $4,250 1.2×
Cystolithotomy (51050) $4,120 $4,120 0.8×
Cystometrogram W/Vp (51728)
range across 2 matching MRF lines		 $375–$650 $375–$650 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $5,264 $5,264 0.6×
Cystoscopy implant stent (52282) $3,900 $3,900 1.1×
Cystoscopy inject material (52327) $4,148 $4,148 0.8×
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $3,605–$4,511 $3,605–$4,511 varies
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,000 $1,000 0.5×
Cystouretero w/excise tumor (52355) $3,500 $3,500 0.7×
Cystouretero w/renal strict (52346)
range across 2 matching MRF lines		 $2,189.50–$4,379 $2,189.50–$4,379 varies
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $557–$1,114 $557–$1,114 varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $3,914 $3,914 1.1×
Cystourethroscopy inj chemodenervation bladder (52287)
range across 3 matching MRF lines		 $1,442–$2,884 $1,442–$2,884 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,914 $3,914 1.1×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $3,914 $3,914 0.7×
Cystourethroscopy w/dil bladder general anesth (52260) $1,818 $1,818 0.9×
Cystourethroscopy w/rmvl ureteral calculus (52320) $4,130 $4,130 1.2×
Cystourethroscopy with biopsy (52204)
range across 3 matching MRF lines		 $1,957–$4,925 $1,957–$4,925 varies
Cystourethroscopy with direct vision internal urethrotomy (52276)
range across 2 matching MRF lines		 $1,622.50–$3,245 $1,622.50–$3,245 varies
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865)
unusually low: confirm this is the full procedure		 $3,641 $3,641 0.4×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) $3,914 $3,914 1.1×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $4,380 $4,380 1.3×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $3,914 $3,914 1.9×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $3,914 $3,914 1.1×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $4,130 $4,130 1.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 3 matching MRF lines		 $769–$12,619 $769–$12,619 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $1,538–$3,074 $1,538–$3,074 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $1,538–$3,074 $1,538–$3,074 varies
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $3,350 $3,350 1.0×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $2,575 $2,575 0.8×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $2,575 $2,575 0.8×
Dcmprn fasct leg post compartment only (27601) $2,369 $2,369 0.7×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $376.50–$2,562 $376.50–$2,562 varies
Debride nail 1-5 (11720) $297 $297 5.1×
Debride nail 6 or more (11721) $297 $297 5.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $1,915–$7,298 $1,915–$7,298 varies
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 2 matching MRF lines		 $501–$1,545 $501–$1,545 varies
Debridement Mastoidectomy Cavity Simple (69220) $1,545 $1,545 7.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $376.50–$1,666 $376.50–$1,666 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $484–$514 $484–$514 varies
Decompress Spinal Cord Lmbr (63056) $5,562 $5,562 0.8×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $3,296 $3,296 1.0×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $3,400 $3,400 2.1×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $1,493.50–$2,987 $1,493.50–$2,987 varies
Deep Muscle Biopsy (20205) $3,302 $3,302 1.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,369 $2,369 1.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $3,000 $3,000 1.5×
Delivery of placenta (59414) $12,529 $12,529 3.9×
Denervation of hip joint (27035) $4,429 $4,429 1.4×
Derma-fat-fascia graft (15770) $2,546 $2,546 0.7×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $2,780 $2,780 1.4×
Destr penis lesion(s) (54065) $2,742 $2,742 1.3×
Destr W Neurolytic; Celiac Plexus (64680)
range across 3 matching MRF lines		 $1,535–$2,609 $1,535–$2,609 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $3,029–$4,543 $3,029–$4,543 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $2,415–$3,633 $2,415–$3,633 varies
Destruct B9 Lesion 1-14 (17110)
range across 5 matching MRF lines		 $194–$927 $194–$927 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $217–$2,060 $217–$2,060 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 4 matching MRF lines		 $1,700–$5,100 $1,700–$5,100 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $2,300 $2,300 1.9×
Destruction Lesions Vulva Extensive (56515) $3,672 $3,672 1.8×
Destruction Lesions Vulva Simple (56501) $1,854 $1,854 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $200 $200 1.0×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $445 $445 2.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $221 $221 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $255 $255 1.3×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $302 $302 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $206 $206 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $267 $267 1.3×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $157 $157 0.8×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $2,576–$3,980 $2,576–$3,980 varies
Destruction of lesion of lid margin (up to 1 cm) (67850) $775 $775 0.8×
Destruction of lesion, conjunctiva (68135)
range across 2 matching MRF lines		 $627–$836 $627–$836 varies
Destruction of skin lesions (17106) $299 $299 0.7×
Destruction Premalignant Lesion 15/> (17004) $290 $290 0.7×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $92–$102 $92–$102 varies
Destruction Vaginal Lesions Simple (57061) $1,761 $1,761 0.6×
Diagnostic sigmoidoscopy (45330) $1,082 $1,082 1.2×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,827 $2,827 2.4×
Dilat female urethra general/cndj spinal anes (53665) $2,369 $2,369 1.1×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $105 $105 0.8×
Dilat rct strix spx under anes oth/thn local (45910) $2,781 $2,781 2.4×
Dilat Xst Trc New Access Rcs (50437) $4,395 $4,395 1.3×
Dilate Esophagus 1/Mult Pass (43450) $4,611 $4,611 5.1×
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $1,450–$4,417 $1,450–$4,417 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $845–$1,236 $845–$1,236 varies
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $1,522–$3,044 $1,522–$3,044 varies
Dilation Cervical Canal (57800) $1,854 $1,854 0.6×
Dilation Esophagus Guide Wire (43453) $690 $690 0.4×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $231 $231 0.5×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $2,060 $2,060 0.6×
Dilation of vagina (57400) $2,300 $2,300 0.7×
Dilation Salivary Duct (42650) $1,545 $1,545 1.0×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $8,075 $8,075 1.5×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $8,000 $8,000 1.5×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $4,700 $4,700 0.7×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975)
range across 2 matching MRF lines		 $1,800–$3,259 $1,800–$3,259 varies
Dissection, deep jugular node(s) Facility (38542) $6,300 $6,300 1.1×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $5,400 $5,400 1.0×
Drain Cerebro Spinal Fluid (62272) $3,177 $3,177 4.6×
Drain Hand Tendon Sheath (26020) $2,369 $2,369 0.7×
Drain Spinal Cord Cyst (62268)
range across 5 matching MRF lines		 $850–$2,070 $850–$2,070 varies
Drain/inj small joint/bursa w/us (20604)
range across 9 matching MRF lines		 $235–$1,970 $235–$1,970 varies
Drainage abscess parotid simple (42300) $3,452 $3,452 2.3×
Drainage Abscess/Hematoma Nasal Septum (30020) $850 $850 1.6×
Drainage external auditory canal abscess (69020)
range across 3 matching MRF lines		 $1,000–$4,612 $1,000–$4,612 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 3 matching MRF lines		 $1,545–$10,948 $1,545–$10,948 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $2,316–$4,612 $2,316–$4,612 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $2,100–$7,298 $2,100–$7,298 varies
Drainage Mouth Roof Lesion (42000) $1,094 $1,094 4.7×
Drainage of finger abscess simple (26010) $936 $936 4.7×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $454–$1,112 $454–$1,112 varies
Drainage of hematoma/fluid (10140)
range across 5 matching MRF lines		 $1,685–$7,298 $1,685–$7,298 varies
Drainage of hydrocele (55000)
range across 4 matching MRF lines		 $707–$1,127 $707–$1,127 varies
Drainage of mouth lesion (41017) $1,500 $1,500 0.5×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $629.50–$752 $629.50–$752 varies
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $2,983 $2,983 4.3×
Drainage of rectal abscess (45020) $12,388 $12,388 4.5×
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $1,813–$5,199 $1,813–$5,199 varies
Drainage of salivary cyst (42409) $2,500 $2,500 0.8×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,489–$7,298 $1,489–$7,298 varies
Drainage of scrotum (54700) $3,121 $3,121 1.5×
Drainage of throat abscess (42725) $5,097 $5,097 0.9×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $3,700 $3,700 1.2×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $2,173 $2,173 0.7×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $168–$173 $168–$173 varies
Dressing Change Under Anesthesia (15852) $881 $881 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $2,585 $2,585 4.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $1,400–$3,074 $1,400–$3,074 varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,060 $2,060 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,666 $1,666 4.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $936 $936 4.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $126–$936 $126–$936 varies
Dstrj les/scar vestibule mouth physical meths (40820)
range across 2 matching MRF lines		 $230–$1,493 $230–$1,493 varies
Dstrj lesion anus simple surg excision (46922) $2,678 $2,678 1.0×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,736 $1,736 0.9×
Dstrj lesion penis simple surg excision (54060)
range across 2 matching MRF lines		 $250–$1,998 $250–$1,998 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $974–$5,844 $974–$5,844 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600)
range across 2 matching MRF lines		 $1,430–$2,145 $1,430–$2,145 varies
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $2,149–$2,500 $2,149–$2,500 varies
Dx Bronchoscope/Lavage (31624)
range across 4 matching MRF lines		 $824–$1,648 $824–$1,648 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,648–$4,663 $1,648–$4,663 varies
Dx gastr intub w/asp spec (43754) $150 $150 0.7×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $3,348–$8,575 $3,348–$8,575 varies
Dx laryngoscopy w/oper scope (31526) $3,296 $3,296 1.9×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 3 matching MRF lines		 $1,600–$2,070 $1,600–$2,070 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $1,061 $1,061 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,545 $1,545 0.8×
Egd cautery tumor polyp (43250) $1,082 $1,082 0.6×
Egd control bleeding any (43255) $1,912 $1,912 1.0×
Egd dilation gastric/duodenal stricture (43245) $1,366 $1,366 0.7×
Egd endo mucosal resection (43254) $1,803 $1,803 1.0×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure		 $2,200 $2,200 0.4×
Egd Flexible Foreign Body Removal (43247) $1,462 $1,462 1.6×
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $769.93–$1,539.85 $769.93–$1,539.85 varies
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,082 $1,082 0.6×
Egd lesion ablation (43270) $2,163 $2,163 1.1×
Egd place gastrostomy tube (43246) $1,706 $1,706 0.9×
Egd remove lesion snare (43251) $1,339 $1,339 0.7×
Egd Tube/Cath Insertion (43241) $975 $975 0.5×
Egd Varices Ligation (43244) $1,100 $1,100 0.6×
Elbow arthroscopy (29830) $4,681 $4,681 1.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $380–$1,725 $380–$1,725 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $347 $347 1.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $358 $358 1.2×
Electro-Uroflowmetry First (51741) $162 $162 0.8×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $14,766 $14,766 2.7×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $422.50–$845 $422.50–$845 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
range across 2 matching MRF lines		 $3,350–$6,300 $3,350–$6,300 varies
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $160–$876 $160–$876 varies
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $10,977 $10,977 2.2×
Endoscopic injection/implant (51715)
range across 2 matching MRF lines		 $1,806–$3,612 $1,806–$3,612 varies
Endoscopic plantar fasciotomy (29893) $3,193 $3,193 1.0×
Endoscopic us exam esoph (43237) $1,600 $1,600 0.8×
Endoscopy Upper Small Intestine (44360) $1,150 $1,150 0.6×
Endoscopy upper small intestine w/biopsy (44361) $1,000 $1,000 0.5×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,272 $4,272 1.4×
Enterorrhaphy single perforation (44602) $7,063 $7,063 1.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,200 $1,200 0.6×
Enteroscopy > 2nd prtn conv gstrst tube (44373)
range across 2 matching MRF lines		 $700–$1,400 $700–$1,400 varies
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,400 $1,400 0.7×
Enucleation Eye Implt Musc X Attached Implt (65103) $3,680 $3,680 0.9×
Enucleation of Eye W/O Implant (65101) $3,296 $3,296 0.8×
Epididymectomy bilateral (54861) $3,500 $3,500 1.0×
Epididymectomy unilateral (54860)
range across 2 matching MRF lines		 $1,551.50–$3,103 $1,551.50–$3,103 varies
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $1,700–$3,177 $1,700–$3,177 varies
Episiotomy or vaginal repair (59300) $2,885 $2,885 0.9×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $6,500 $6,500 1.1×
Ercp duct stent placement (43274) $6,500 $6,500 1.1×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,297 $2,297 0.6×
Ercp ea duct/ampulla dilate (43277) $4,120 $4,120 1.1×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,369 $2,369 0.6×
Ercp remove forgn body duct (43275) $4,120 $4,120 2.2×
Ercp Stent Exchange W/Dilate (43276) $4,120 $4,120 0.7×
Ercp W/Biopsy Single/Multiple (43261) $4,000 $4,000 1.1×
Ercp,Sphincterotomy (43262) $2,575 $2,575 0.7×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $1,082–$1,652 $1,082–$1,652 varies
Esophagoscop Stent Placement (43212) $11,650 $11,650 1.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,082 $1,082 0.6×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,100 $1,100 0.6×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $1,875 $1,875 2.1×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $553–$1,106 $553–$1,106 varies
Esophagoscopy Flexible W/Bleeding Control (43227) $1,100 $1,100 0.6×
Esophagoscopy Retro Balloon (43213) $2,388 $2,388 1.3×
Esophagoscopy rig transoral removal foreign body (43194) $2,050 $2,050 1.1×
Esophagoscopy rigid trnso dx (43191) $2,162 $2,162 1.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,950 $1,950 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,082 $1,082 0.6×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $4,000 $4,000 0.7×
Esophagoscp Rig Trnso Biopsy (43193) $2,050 $2,050 1.1×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,100 $1,100 0.6×
Evacuate mole of uterus (59870) $2,178 $2,178 0.7×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $99–$565 $99–$565 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,678 $2,678 1.6×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 3 matching MRF lines		 $2,678–$3,515 $2,678–$3,515 varies
Exc abdl tum deep 5 cm/> (22901) $2,575 $2,575 0.9×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $765–$1,934 $765–$1,934 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $283.50–$567 $283.50–$567 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,494 $1,494 0.9×
Exc Back Les Sc < 3 Cm (21930)
range across 3 matching MRF lines		 $1,165–$2,330 $1,165–$2,330 varies
Exc Back Tum Deep 5 Cm/> (21933) $3,296 $3,296 1.1×
Exc back tum deep < 5 cm (21932) $2,575 $2,575 0.9×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $4,017 $4,017 0.7×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $4,738 $4,738 0.8×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
range across 3 matching MRF lines		 $5,986–$9,750 $5,986–$9,750 varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810)
range across 2 matching MRF lines		 $3,605–$4,633 $3,605–$4,633 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 3 matching MRF lines		 $4,070–$5,592 $4,070–$5,592 varies
Exc Chalazion Anes Req Hospization Single/Mult (67808) $2,637 $2,637 1.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,545 $1,545 2.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $402–$1,545 $402–$1,545 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,906 $1,906 1.2×
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $1,915–$1,972 $1,915–$1,972 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $178–$515 $178–$515 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $257.50–$515 $257.50–$515 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $335–$840 $335–$840 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,060 $1,060 0.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $927 $927 0.6×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $4,635 $4,635 0.6×
Exc Forearm Les Sc 3 Cm/> (25071) $3,708 $3,708 2.3×
Exc Forearm Tum Deep 3 Cm/> (25073) $2,575 $2,575 0.9×
Exc Frenum Labial/Buccal (40819) $1,841 $1,841 1.2×
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $2,318–$2,976 $2,318–$2,976 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 5 matching MRF lines		 $197–$4,983 $197–$4,983 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $254–$3,090 $254–$3,090 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $254–$1,953 $254–$1,953 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 3 matching MRF lines		 $1,030–$2,060 $1,030–$2,060 varies
Exc hand tum deep < 1.5 cm (26116) $2,575 $2,575 1.6×
Exc hydrocele sprmatic cord uni spx (55500) $2,788 $2,788 0.8×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,683 $1,683 1.7×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $2,163 $2,163 0.7×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106)
range across 2 matching MRF lines		 $1,561.50–$3,123 $1,561.50–$3,123 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $1,305.50–$2,611 $1,305.50–$2,611 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,266 $2,266 1.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 2 matching MRF lines		 $417–$3,092 $417–$3,092 varies
Exc Lesion Tongue W/Clsr Posterior One-Third (41113)
range across 2 matching MRF lines		 $1,030–$2,637 $1,030–$2,637 varies
Exc lesion tongue w/clsr w/local tongue flap (41114) $3,605 $3,605 1.1×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $1,442 $1,442 0.4×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $3,090 $3,090 0.9×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,090 $3,090 0.9×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,112 $2,112 1.1×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $2,056 $2,056 1.1×
Exc neuroma hand/foot xcp digital nerve (64782) $2,056 $2,056 1.1×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,060 $2,060 1.1×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $4,449 $4,449 0.8×
Exc Rct Tum Incl Muscularis Propria (45172) $3,090 $3,090 1.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $3,031 $3,031 1.1×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,090 $3,090 1.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $287–$845 $287–$845 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,389 $2,389 1.5×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $508–$3,296 $508–$3,296 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,502 $3,502 2.1×
Exc Skin Benig >4cm Face,Facial (11446) $2,938 $2,938 1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $469–$1,545 $469–$1,545 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,708 $3,708 1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,854 $1,854 1.1×
Exc tendon shth lesion leg/ankle (27630) $4,223 $4,223 1.3×
Exc thigh/knee les sc 3 cm/> (27337) $2,766 $2,766 1.0×
Exc thigh/knee tum dep 5cm/> (27339) $2,472 $2,472 0.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $2,488–$4,370 $2,488–$4,370 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $226–$1,648 $226–$1,648 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 5 matching MRF lines		 $278–$834 $278–$834 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,357 $2,357 1.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,117 $3,117 1.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014)
range across 2 matching MRF lines		 $2,781–$4,171.50 $2,781–$4,171.50 varies
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)
range across 2 matching MRF lines		 $1,124–$1,700 $1,124–$1,700 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,060 $2,060 1.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,678 $2,678 0.9×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,318 $2,318 0.8×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,193 $3,193 1.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,601 $2,601 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,781 $2,781 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $1,751–$2,123 $1,751–$2,123 varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $2,833 $2,833 1.0×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,747 $1,747 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $2,905–$4,357.50 $2,905–$4,357.50 varies
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,914 $3,914 1.4×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619)
range across 2 matching MRF lines		 $865–$2,198 $865–$2,198 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 3 matching MRF lines		 $1,390.50–$2,781 $1,390.50–$2,781 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $1,390.50–$3,573 $1,390.50–$3,573 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,060 $2,060 1.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,545 $1,545 0.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,538 $1,538 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $3,279–$3,479 $3,279–$3,479 varies
Exc urethral diverticulum spx female (53230)
unusually low: confirm this is the full procedure		 $2,215 $2,215 0.4×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $3,121 $3,121 0.9×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $1,545–$3,090 $1,545–$3,090 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 3 matching MRF lines		 $1,184.50–$2,369 $1,184.50–$2,369 varies
Exc/fulguration urethral caruncle (53265) $2,500 $2,500 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,500 $2,500 0.7×
Exchange Intraocular Lens (66986) $2,757 $2,757 1.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 4 matching MRF lines		 $1,545–$4,500 $1,545–$4,500 varies
Exchange Transfusion Blood Newborn (36450) $1,000 $1,000 2.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,250 $2,250 1.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $2,000 $2,000 0.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $1,442–$1,663 $1,442–$1,663 varies
Excise excessive skin arm (15836) $2,000 $2,000 0.7×
Excise intraspinal lesion (63267) $6,901 $6,901 1.0×
Excise intraspinl lesion crv (63265) $7,991 $7,991 1.1×
Excise mandible lesion (21040) $3,450 $3,450 1.1×
Excise oral mucosa for graft (40818)
range across 2 matching MRF lines		 $412–$824 $412–$824 varies
Excise Wrist Tendon Sheath (25118) $3,348 $3,348 2.1×
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		 $342–$1,030 $342–$1,030 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)
range across 2 matching MRF lines		 $841.50–$1,683 $841.50–$1,683 varies
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $2,210 $2,210 0.9×
Excision Aural Polyp (69540) $1,442 $1,442 0.9×
Excision Bone Mandible (21025)
range across 2 matching MRF lines		 $1,605–$5,097 $1,605–$5,097 varies
Excision Chalazion Multiple Same Lid (67801) $1,350 $1,350 1.4×
Excision Chalazion Single (67800) $700 $700 2.2×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $6,952 $6,952 1.2×
Excision Distal Ulna Partial/Complete (25240)
range across 3 matching MRF lines		 $5,452–$6,052 $5,452–$6,052 varies
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,090 $3,090 1.1×
Excision exostosis(es), external auditory canal Facility (69140) $4,482 $4,482 0.8×
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $1,030–$2,616 $1,030–$2,616 varies
Excision Facial Bone (21026) $5,201 $5,201 0.9×
Excision gum each quadrant (41820) $3,000 $3,000 0.9×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,575 $2,575 0.9×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,296 $3,296 1.1×
Excision inferior turbinate partial/complete (30130) $3,253 $3,253 1.0×
Excision Lesion Conjunctiva </1 Cm (68110) $2,266 $2,266 1.0×
Excision lesion conjunctiva > 1 cm (68115) $2,110 $2,110 0.9×
Excision Lesion Cornea Xcp Pterygium (65400) $2,025 $2,025 2.1×
Excision lesion meniscus/capsule knee (27347) $2,472 $2,472 0.8×
Excision lesion mouth roof (42104) $3,124 $3,124 1.0×
Excision lesion tendon sheath forearm&/wrist (25110) $2,472 $2,472 1.6×
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $383–$766 $383–$766 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $823 $823 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $462 $462 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $364–$1,437.50 $364–$1,437.50 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $440–$1,545 $440–$1,545 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $876 $876 1.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $485–$1,060 $485–$1,060 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,880 $2,880 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $876 $876 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,000 $1,000 1.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $876 $876 1.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $545–$2,781 $545–$2,781 varies
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines		 $1,560.50–$3,121 $1,560.50–$3,121 varies
Excision Nasal Polyp Extensive (30115) $2,575 $2,575 0.8×
Excision of bartholin's gland or cyst (56740)
range across 2 matching MRF lines		 $1,287.50–$2,575 $1,287.50–$2,575 varies
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
unusually low: confirm this is the full procedure		 $2,833 $2,833 0.5×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $4,532 $4,532 1.4×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
unusually low: confirm this is the full procedure		 $2,800 $2,800 0.4×
Excision of chalazion; multiple, different lids (67805) $700 $700 2.2×
Excision of extraparenchymal lesion of testis (54512)
range across 3 matching MRF lines		 $1,560.50–$3,121 $1,560.50–$3,121 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $3,348–$4,248 $3,348–$4,248 varies
Excision of hydrocele; bilateral (55041) $4,031 $4,031 1.1×
Excision of hydrocele; unilateral (55040) $3,605 $3,605 1.0×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $5,600 $5,600 1.0×
Excision of lingual tonsil (42870) $3,348 $3,348 0.6×
Excision of local lesion of epididymis (54830)
range across 2 matching MRF lines		 $1,560–$3,120 $1,560–$3,120 varies
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $2,884 $2,884 1.5×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
range across 3 matching MRF lines		 $5,851–$8,191 $5,851–$8,191 varies
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
range across 3 matching MRF lines		 $4,841–$5,341 $4,841–$5,341 varies
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112)
unusually low: confirm this is the full procedure		 $4,044 $4,044 0.4×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) $4,083 $4,083 0.8×
Excision of pilonidal cyst or sinus; simple (11770) $3,399 $3,399 1.2×
Excision of single external papilla or tag, anus (46220) $2,113 $2,113 1.8×
Excision of sublingual gland (42450) $3,605 $3,605 0.6×
Excision of sublingual salivary cyst (ranula) (42408) $3,000 $3,000 0.9×
Excision of submandibular (submaxillary) gland (42440) $7,664 $7,664 1.3×
Excision of vaginal cyst or tumor (57135) $2,060 $2,060 0.6×
Excision of vaginal septum (57130)
range across 2 matching MRF lines		 $1,238.50–$2,477 $1,238.50–$2,477 varies
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) $3,479 $3,479 0.5×
Excision olecranon bursa (24105)
range across 3 matching MRF lines		 $1,648–$3,296 $1,648–$3,296 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355) $4,551 $4,551 1.4×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $2,636 $2,636 0.8×
Excision or fulguration; Skene's glands Facility (53270) $3,451 $3,451 1.0×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $2,540 $2,540 0.7×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,508 $2,508 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,145 $3,145 1.1×
Excision prepatellar bursa (27340)
range across 3 matching MRF lines		 $1,905.50–$5,031 $1,905.50–$5,031 varies
Excision Radial Head (24130)
range across 2 matching MRF lines		 $1,750–$3,500 $1,750–$3,500 varies
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,990 $2,990 0.5×
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines		 $995–$1,793 $995–$1,793 varies
Excision spermatocele w/wo epididymectomy (54840) $2,575 $2,575 1.2×
Excision synovial cyst popliteal space (27345) $3,966 $3,966 1.2×
Excision Thyroglossal Duct Cyst/Sinus (60280) $4,766 $4,766 0.8×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $5,766 $5,766 1.0×
Excision Torus Mandibularis (21031) $3,500 $3,500 1.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,326–$2,575 $1,326–$2,575 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 3 matching MRF lines		 $1,300.50–$3,176 $1,300.50–$3,176 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,950 $1,950 1.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,210.50–$3,085 $1,210.50–$3,085 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $1,287.50–$2,575 $1,287.50–$2,575 varies
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $2,635 $2,635 0.9×
Excision, interdigital (morton) neuroma, single, each (28080)
range across 4 matching MRF lines		 $1,524.50–$4,573.50 $1,524.50–$4,573.50 varies
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $3,863 $3,863 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $1,545–$3,090 $1,545–$3,090 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,545 $1,545 0.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,575 $2,575 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $2,318–$2,938 $2,318–$2,938 varies
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045)
range across 2 matching MRF lines		 $2,554–$4,326 $2,554–$4,326 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 3 matching MRF lines		 $1,030–$2,060 $1,030–$2,060 varies
Excision/curettage cyst/tumor carpal bones (25130) $3,090 $3,090 1.0×
Excision/curettage cyst/tumor phalanx finger (26210) $2,964 $2,964 1.9×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120)
range across 2 matching MRF lines		 $1,950.50–$3,901 $1,950.50–$3,901 varies
Excision/destruction intranasal lesion int appr (30117)
range across 3 matching MRF lines		 $1,300.50–$2,601 $1,300.50–$2,601 varies
Excision/destruction lesion pharynx any method (42808) $2,678 $2,678 0.8×
Excision/surgical planing skin nose rhinophyma (30120) $4,000 $4,000 1.2×
Excision/Transposition Pterygium W/Grafg (65426) $3,296 $3,296 1.4×
Excision; trochanteric bursa or calcification (27062) $4,120 $4,120 1.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $6,500 $6,500 1.2×
Explo/Drain Breast Abscess (19020) $2,987 $2,987 1.8×
Exploration maxillary sinus (31020) $2,250 $2,250 0.7×
Exploration of hip joint (27033) $4,429 $4,429 0.6×
Exploration of knee joint (27310) $4,635 $4,635 1.4×
Exploration of spinal fusion (22830) $5,315 $5,315 0.7×
Exploration penetrating wound spx chest (20101) $3,200 $3,200 1.6×
Exploration penetrating wound spx extremity (20103) $1,375 $1,375 0.8×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $7,606 $7,606 1.2×
Exploratory elbow surgery (24000) $3,296 $3,296 1.0×
Explore eye socket,drainage (67405) $3,837 $3,837 1.6×
Explore for undescended testis (54550) $3,513 $3,513 1.0×
Explore inner ear (69806) $5,500 $5,500 0.9×
Explore inner ear (69805) $4,805 $4,805 0.8×
Explore treat shoulder joint (23107)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Explore/Treat Elbow Joint (24101) $3,296 $3,296 1.0×
Explore/Treat Hand Joint (26070) $2,000 $2,000 1.3×
Explore/Treat Knee Joint (27331)
range across 2 matching MRF lines		 $3,500–$4,100 $3,500–$4,100 varies
Explore/Treat Wrist Joint (25040) $3,296 $3,296 1.0×
Extensive ear canal surgery (69150) $3,241 $3,241 0.6×
Extensive mastoid surgery (69511) $6,345 $6,345 1.1×
Extensive Retinopathy 1/> Sess Preterm Infant (67229)
range across 2 matching MRF lines		 $566–$900 $566–$900 varies
External cephalic version (59412) $2,666 $2,666 0.8×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $2,400 $2,400 1.2×
Fasciectomy Palm Only (26121) $3,399 $3,399 1.1×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,502 $3,502 1.1×
Fasciotomy Iliotibial Open (27305)
range across 2 matching MRF lines		 $1,560.50–$3,121 $1,560.50–$3,121 varies
Fasciotomy palmar open partial (26045) $3,090 $3,090 1.0×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,104 $3,104 1.0×
Fasciotomy, foot and/or toe (28008) $3,947 $3,947 1.2×
Fasciotomy, hip or thigh, any type (27025) $4,429 $4,429 1.4×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 4 matching MRF lines		 $2,420.50–$5,343 $2,420.50–$5,343 varies
Fetal Contraction Stress Test (59020) $881 $881 4.4×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $437–$881 $437–$881 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,650 $1,650 2.4×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $180–$454 $180–$454 varies
Fluid Pressure Muscle (20950) $425 $425 0.6×
Fluoro exam of g/colon tube (49465) $465 $465 2.0×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $314–$1,076 $314–$1,076 varies
Forehead flap w/vasc pedicle (15731) $2,266 $2,266 0.6×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $400–$932 $400–$932 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930)
range across 2 matching MRF lines		 $1,776.75–$2,369 $1,776.75–$2,369 varies
Frenulotomy of penis (54164) $2,627.90 $2,627.90 1.3×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $2,369 $2,369 1.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 3 matching MRF lines		 $1,192.50–$2,385 $1,192.50–$2,385 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,926 $1,926 0.9×
Fuse hand bones with graft (25825) $8,112 $8,112 1.1×
Fusion Finger Joint (26860) $4,500 $4,500 1.4×
Fusion of foot bones (28740)
range across 3 matching MRF lines		 $5,636–$6,836 $5,636–$6,836 varies
Fusion of hand bones (25820) $4,429 $4,429 0.6×
Fusion of hand joint (26843) $4,700 $4,700 0.7×
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure		 $3,251 $3,251 0.5×
Fusion of knuckle with graft (26852) $4,200 $4,200 0.6×
Fusion of tibiofibular joint (27871)
unusually low: confirm this is the full procedure		 $5,665 $5,665 0.4×
Fusion/graft of hand joint (26844)
unusually low: confirm this is the full procedure		 $3,502 $3,502 0.5×
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $1,998.50–$3,997 $1,998.50–$3,997 varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $4,440 $4,440 2.3×
Genioplasty Sliding Osteotomy Single Piece (21121) $2,954 $2,954 0.9×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $4,120 $4,120 0.7×
Goniotomy (65820) $2,379 $2,379 0.6×
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) $3,000 $3,000 1.1×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $5,000 $5,000 0.9×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 2 matching MRF lines		 $1,625.50–$3,251 $1,625.50–$3,251 varies
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $6,000 $6,000 1.0×
Grafting of autologous fat by lipo 25 cc or less (15773) $4,300 $4,300 2.1×
Grafting of autologous fat by lipo 50 cc or less (15771)
range across 2 matching MRF lines		 $669.50–$1,339 $669.50–$1,339 varies
Grafting of autologous soft tiss by direct exc (15769)
range across 2 matching MRF lines		 $2,060–$5,257.50 $2,060–$5,257.50 varies
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $1,110–$1,323 $1,110–$1,323 varies
Gum graft (41870) $4,000 $4,000 2.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $7,803 $7,803 1.1×
Head Surgery Procedure (21499) $3,090 $3,090 13.2×
Hem vw factor&clgn iii bndg (0279U) $394 $394 34.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $3,174–$12,388 $3,174–$12,388 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $3,251–$5,927 $3,251–$5,927 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $2,926–$5,622 $2,926–$5,622 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $2,627 $2,627 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $3,090 $3,090 1.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,162 $2,162 2.4×
Hemorrhoidopexy by stapling (46947) $3,090 $3,090 1.1×
Hip arthro acetabuloplasty (29915) $8,240 $8,240 1.1×
Hip arthro w/labral repair (29916)
range across 2 matching MRF lines		 $8,899.20–$9,499.20 $8,899.20–$9,499.20 varies
Hymenotomy Simple Incision (56442) $2,781 $2,781 0.9×
Hyoid myotomy and suspension Facility (21685) $5,812 $5,812 1.0×
Hysteroscopy Biopsy (58558) $3,500.60 $3,500.60 1.1×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $3,708 $3,708 0.8×
Hysteroscopy Dx Sep Proc (58555) $2,601 $2,601 0.8×
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $2,665.13–$5,330.25 $2,665.13–$5,330.25 varies
Hysteroscopy Lysis Intrauterine Adhesions (58559) $3,500 $3,500 0.7×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,318 $2,318 0.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $5,957 $5,957 1.2×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,957 $1,957 0.6×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $452–$1,094 $452–$1,094 varies
I&d abscess simple (10060)
range across 5 matching MRF lines		 $189–$936 $189–$936 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,500 $2,500 1.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,296 $3,296 1.1×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,266 $2,266 0.8×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,500 $2,500 0.8×
I&D Intramural Im/Absc Transanal Anes (46045) $2,781 $2,781 1.0×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,700 $2,700 1.0×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,090 $3,090 1.0×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $2,162–$3,953 $2,162–$3,953 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,000–$3,074 $1,000–$3,074 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $1,000–$3,074 $1,000–$3,074 varies
I&d shoulder deep abscess/hematoma (23030) $1,957 $1,957 0.7×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,500 $3,500 1.2×
Icd Pocket Revision (33223) $5,500 $5,500 2.7×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,301 $1,301 0.7×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,635 $1,635 1.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,133 $1,133 1.3×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $340–$1,745 $340–$1,745 varies
Image Cath Fluid Peri/Retro (49406) $2,982.85 $2,982.85 1.8×
Immediate breast prosthesis (19340) $7,133 $7,133 0.9×
Implant cochlear device (69930)
range across 3 matching MRF lines		 $7,857–$8,697 $7,857–$8,697 varies
Implant neuroelectrodes (63650)
range across 4 matching MRF lines		 $3,997.98–$8,773 $3,997.98–$8,773 varies
Implant Neuroelectrodes (64561)
range across 3 matching MRF lines		 $4,095.50–$12,287 $4,095.50–$12,287 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines		 $23,000–$34,500 $23,000–$34,500 varies
Implant Spine Infusion Pump (62362) $21,321 $21,321 1.2×
Implant temple bone w/stimul (69714)
unusually low: confirm this is the full procedure		 $5,852 $5,852 0.5×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
likely a partial charge, not the full procedure		 $4,100 $4,100 0.2×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716)
unusually low: confirm this is the full procedure		 $5,200 $5,200 0.4×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $6,850 $6,850 1.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
range across 2 matching MRF lines		 $3,671.95–$7,343.90 $3,671.95–$7,343.90 varies
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $354–$1,228 $354–$1,228 varies
Incise finger tendon sheath (26055)
range across 3 matching MRF lines		 $1,445–$2,890 $1,445–$2,890 varies
Incise tendon(s) & muscle(s) (23406) $4,135 $4,135 0.6×
Incise Wrist/Forearm Tendon (25290) $4,120 $4,120 1.3×
Incise/Drain Conjunctiva (68020) $300 $300 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $300–$2,040 $300–$2,040 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,175 $2,175 0.8×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $2,308–$7,298 $2,308–$7,298 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $236–$1,666 $236–$1,666 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $881–$3,090 $881–$3,090 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $2,200 $2,200 0.8×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $431–$876 $431–$876 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
unusually low: confirm this is the full procedure		 $3,100 $3,100 0.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $3,605 $3,605 0.5×
Incision bone cortex foot (28005) $2,500 $2,500 0.8×
Incision extensor tendon sheath wrist (25000)
range across 3 matching MRF lines		 $1,743–$3,486 $1,743–$3,486 varies
Incision of eardrum (69421)
range across 3 matching MRF lines		 $953–$1,906 $953–$1,906 varies
Incision of eardrum (69420) $1,470 $1,470 6.3×
Incision of fibula (27707) $3,425 $3,425 1.1×
Incision of Foot Tendon (28234) $2,472 $2,472 1.6×
Incision of labial frenum (frenotomy) (40806)
range across 2 matching MRF lines		 $425–$850 $425–$850 varies
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $920.50–$1,841 $920.50–$1,841 varies
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $2,909–$6,985 $2,909–$6,985 varies
Incision of urethra (53010) $4,000 $4,000 0.8×
Incision of urethra (53020)
range across 2 matching MRF lines		 $2,266–$3,046 $2,266–$3,046 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,350 $2,350 1.4×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) $3,000 $3,000 1.9×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $3,438 $3,438 1.1×
Incisional biopsy eyelid skin & lid margin (67810) $309 $309 1.0×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $200–$2,060 $200–$2,060 varies
Initial Tx 1st Degree Burn Local Tx (16000) $253 $253 1.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $2,053–$3,080 $2,053–$3,080 varies
Inj W/Fluor Eval Cv Device (36598)
range across 3 matching MRF lines		 $320–$700 $320–$700 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,060 $2,060 2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 5 matching MRF lines		 $1,955–$3,080 $1,955–$3,080 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 9 matching MRF lines		 $113–$1,970 $113–$1,970 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $850–$1,864 $850–$1,864 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $2,060 $2,060 2.4×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines		 $1,550–$2,550 $1,550–$2,550 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 6 matching MRF lines		 $2,014–$9,240 $2,014–$9,240 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 5 matching MRF lines		 $1,700–$4,200 $1,700–$4,200 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $800–$1,751 $800–$1,751 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $2,060 $2,060 2.4×
Injection Anes Superior Hypogastric Plexus (64517) $1,875 $1,875 2.1×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $850–$1,751 $850–$1,751 varies
Injection for identification of sentinel node (38792) $437 $437 1.1×
Injection Into Brain Canal (61055) $1,211 $1,211 4.0×
Injection procedure for peyronie disease (54200) $235 $235 1.0×
Injection single tendon origin/insertion (20551)
range across 8 matching MRF lines		 $117–$1,313 $117–$1,313 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 6 matching MRF lines		 $105–$1,313 $105–$1,313 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $139–$1,313 $139–$1,313 varies
Injection therapeutic carpal tunnel (20526)
range across 5 matching MRF lines		 $187–$533 $187–$533 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines		 $1,751–$2,160 $1,751–$2,160 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines		 $723–$1,751 $723–$1,751 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 7 matching MRF lines		 $906–$4,766 $906–$4,766 varies
Injection, anesthetic agent; vagus nerve (64408) $618 $618 2.0×
Injection, Intralesional; More Than 7 Lesions (11901) $77 $77 0.4×
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $97–$565 $97–$565 varies
Ins cath ren art 1st bilat (36252) $6,500 $6,500 2.1×
Ins cath ren art 1st unilat (36251) $6,500 $6,500 2.1×
Ins cath ren art 2nd+ bilat (36254) $6,500 $6,500 2.1×
Ins cath ren art 2nd+ unilat (36253) $6,500 $6,500 1.2×
Ins endovas vena cava filtr (37191) $7,700 $7,700 1.4×
Ins/Rep Subq Defibrillator (33270) $48,000 $48,000 1.5×
Insert 1 Electrode Pm-Defib (33216) $9,410.52 $9,410.52 1.2×
Insert and remove bone pin (20650) $3,193 $3,193 1.0×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $185–$721 $185–$721 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,633–$1,832 $1,633–$1,832 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $2,192–$11,806 $2,192–$11,806 varies
Insert Drug Implant Device (11981) $375 $375 2.9×
Insert eye socket implant (67550) $5,025 $5,025 1.3×
Insert Gastrostomy Tube Percutaneous (49440)
range across 3 matching MRF lines		 $1,956–$2,994 $1,956–$2,994 varies
Insert Heart Pm Atrial (33206) $19,000 $19,000 1.8×
Insert Heart Pm Ventricular (33207) $19,000 $19,000 1.8×
Insert hepatic shunt (tips) (37182) $24,000 $24,000 1.3×
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $5,665 $5,665 0.3×
Insert Nasal Septal Button (30220)
range across 5 matching MRF lines		 $565–$2,060 $565–$2,060 varies
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $1,388–$4,203 $1,388–$4,203 varies
Insert Pacing Lead & Connect (33224) $14,000 $14,000 1.4×
Insert pessary/other device (57160) $164 $164 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $1,153–$3,290 $1,153–$3,290 varies
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines		 $6,480–$15,000 $6,480–$15,000 varies
Insert pulse gen mult leads (33221) $24,500 $24,500 1.3×
Insert Pulse Gen Sngl Lead (33212)
range across 2 matching MRF lines		 $15,000–$24,500 $15,000–$24,500 varies
Insert self-contd prosthesis (54401)
unusually low: confirm this is the full procedure		 $6,180 $6,180 0.3×
Insert semi-rigid prosthesis (54400)
unusually low: confirm this is the full procedure		 $4,700 $4,700 0.4×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $3,605 $3,605 0.2×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $125–$175 $125–$175 varies
Insert testicular prosthesis (54660) $3,605 $3,605 0.7×
Insert tun ip cath perc (49418) $3,588 $3,588 1.0×
Insert tunneled cv cath (36561)
range across 4 matching MRF lines		 $1,957–$4,927 $1,957–$4,927 varies
Insert Uro/Ves Nck Sphincter (53445)
unusually low: confirm this is the full procedure		 $6,500 $6,500 0.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $125–$565 $125–$565 varies
Insertion indwelling tunneled pleural catheter (32550) $4,061.50 $4,061.50 1.1×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596)
unusually low: confirm this is the full procedure		 $4,757 $4,757 0.4×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $2,101–$5,043 $2,101–$5,043 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,500 $12,500 1.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $9,410.52 $9,410.52 1.2×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,200 $2,200 1.0×
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $1,215–$1,700 $1,215–$1,700 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $2,730–$2,800 $2,730–$2,800 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,454–$5,803 $1,454–$5,803 varies
Insj Stablj Dev W/Dcmprn (22867) $9,000 $9,000 0.5×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $6,695 $6,695 0.5×
Insj Subq Impltbl Dfb Elctrd (33271) $14,443.95 $14,443.95 1.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $3,800–$4,615 $3,800–$4,615 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $5,150 $5,150 0.6×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
likely a partial charge, not the full procedure		 $4,000 $4,000 0.1×
Insj/Rplcmt Defib W/Lead(S) (33249) $24,500 $24,500 0.8×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 3 matching MRF lines		 $3,849.63–$7,699.25 $3,849.63–$7,699.25 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $9,410–$39,286 $9,410–$39,286 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
range across 2 matching MRF lines		 $9,410–$39,286 $9,410–$39,286 varies
Insrt heart pm atrial & vent (33208) $19,000 $19,000 1.8×
Insrt Pulse Gen W/Dual Leads (33230) $24,500 $24,500 1.1×
Insrt Pulse Gen W/Mult Leads (33231) $24,500 $24,500 0.8×
Insrt Pulse Gen W/Singl Lead (33240)
range across 2 matching MRF lines		 $18,000–$24,500 $18,000–$24,500 varies
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure		 $6,300 $6,300 0.2×
Install spinal shunt (63741) $5,000 $5,000 0.6×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,447 $2,447 0.9×
Interdental fixation (21110) $700 $700 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $1,022–$1,666 $1,022–$1,666 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,666 $1,666 4.1×
Intranasal Biopsy (30100) $1,133 $1,133 0.7×
Intraoral i&d tongue/floor lingual (41000) $2,300 $2,300 4.3×
Intraoral i&d tongue/floor submental space (41007) $2,401 $2,401 1.6×
Intraoral i&d tongue/floor submndblr space (41008) $2,000 $2,000 0.6×
Intro cath dialysis circuit (36901) $4,500 $4,500 2.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $16,000 $16,000 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $13,750 $13,750 2.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $685–$1,094 $685–$1,094 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $690–$830 $690–$830 varies
Island pedicle flap graft (15740) $1,990 $1,990 1.0×
IV injection test vascular flow flap/graft (15860)
range across 2 matching MRF lines		 $112.50–$225 $112.50–$225 varies
Kidney endoscopy (50575) $4,120 $4,120 0.8×
Kidney endoscopy (50570) $2,258 $2,258 0.6×
Knee arthroscopy/drainage (29871)
range across 2 matching MRF lines		 $3,810–$7,003 $3,810–$7,003 varies
Knee Arthroscopy/Surgery (29885) $4,635 $4,635 0.6×
Knee Arthroscopy/Surgery (29874) $3,641 $3,641 1.1×
Knee Arthroscopy/Surgery (29850) $2,987 $2,987 1.9×
Labyrinthotomy Transcanal (69801) $138 $138 0.1×
Lam facetec & foramot lumbar (63047) $8,366 $8,366 1.2×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $7,700 $7,700 1.1×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $6,386 $6,386 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $7,500 $7,500 1.0×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $7,000 $7,000 1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $6,592 $6,592 0.9×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $6,592 $6,592 0.9×
Laminotomy Single Lumbar (63042) $8,122 $8,122 1.1×
Lap insert tunnel ip cath (49324) $4,100 $4,100 0.7×
Lap paraesoph her rpr w/mesh (43282) $10,479 $10,479 1.0×
Lap paraesophag hern repair (43281) $10,479 $10,479 1.0×
Lap revision perm ip cath (49325) $6,155 $6,155 1.0×
Laparo ablate renal cyst (50541) $5,668 $5,668 0.5×
Laparo ligate spermatic vein (55550) $5,150 $5,150 0.9×
Laparo new ureter/bladder (50947)
range across 2 matching MRF lines		 $3,000–$6,000 $3,000–$6,000 varies
Laparo-vag hyst incl t/o (58552) $9,476 $9,476 0.9×
Laparoscope proc ureter (50949) $5,202 $5,202 0.9×
Laparoscopic myomectomy (58545)
range across 2 matching MRF lines		 $2,935.50–$5,871 $2,935.50–$5,871 varies
Laparoscopy aspiration (49322) $6,914.95 $6,914.95 1.2×
Laparoscopy Enterolysis Separate Procedure (44180) $5,665 $5,665 0.9×
Laparoscopy fimbrioplasty (58672) $4,841 $4,841 0.8×
Laparoscopy fulguration oviducts (58670) $5,390.05 $5,390.05 0.9×
Laparoscopy gastrostomy (43653) $5,150 $5,150 0.9×
Laparoscopy salpingostomy (58673) $8,526 $8,526 0.8×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $7,817.70–$11,726.55 $7,817.70–$11,726.55 varies
Laparoscopy surgical orchiectomy (54690) $5,200 $5,200 0.9×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $10,440 $10,440 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $10,897.40–$12,337.40 $10,897.40–$12,337.40 varies
Laparoscopy W/Lysis Of Adhesions (58660) $5,572 $5,572 0.9×
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $3,849.63–$11,548.88 $3,849.63–$11,548.88 varies
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $5,300 $5,300 0.9×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) $6,087 $6,087 0.6×
Laparoscopy, surgical, appendectomy (44970) $6,503 $6,503 1.1×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $9,712.90 $9,712.90 0.9×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $10,174 $10,174 1.0×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $4,500 $4,500 1.2×
Laparoscopy, surgical, splenectomy (38120) $7,622 $7,622 0.7×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $9,476 $9,476 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $9,476 $9,476 1.6×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $7,210 $7,210 0.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,159.40 $6,159.40 1.0×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $5,100 $5,100 0.5×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $4,578 $4,578 0.8×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) $8,400 $8,400 1.4×
Laparoscopy, surgical; partial nephrectomy (50543) $24,792 $24,792 2.4×
Laparoscopy, surgical; pyeloplasty (50544)
range across 3 matching MRF lines		 $6,633–$7,833 $6,633–$7,833 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 3 matching MRF lines		 $9,476–$9,696 $9,476–$9,696 varies
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $5,150 $5,150 0.9×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) $7,500 $7,500 0.7×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $5,150 $5,150 0.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572)
unusually low: confirm this is the full procedure		 $5,200 $5,200 0.5×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
range across 2 matching MRF lines		 $3,347.50–$6,695 $3,347.50–$6,695 varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $2,947.50–$5,895 $2,947.50–$5,895 varies
Laparoscopy, Tubal Block (58671) $5,201 $5,201 0.9×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,503 $6,503 1.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,514.75 $6,514.75 1.1×
Laps Gastric Restrictive Px Remove Device & Port (43774) $5,356 $5,356 1.4×
Laps pelvic lymphadec (38573)
unusually low: confirm this is the full procedure		 $5,200 $5,200 0.5×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
range across 2 matching MRF lines		 $3,750–$7,500 $3,750–$7,500 varies
Laps surg prst8ect smpl stot robotic assistance (55867)
range across 2 matching MRF lines		 $9,094–$9,414 $9,094–$9,414 varies
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $5,557 $5,557 0.9×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $4,839 $4,839 0.8×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $9,279 $9,279 0.9×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $5,023 $5,023 1.4×
Laryngoplasty Medialization Unliateral (31591) $8,500 $8,500 1.5×
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) $7,100 $7,100 1.2×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $3,608 $3,608 1.0×
Laryngoscopy and dilation (31528) $3,752 $3,752 1.0×
Laryngoscopy diagnostic (31505) $288 $288 1.5×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $3,608 $3,608 1.0×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $205–$575 $205–$575 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $673 $673 0.4×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,828 $3,828 2.2×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $2,113 $2,113 1.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $934 $934 2.4×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $458 $458 1.2×
Laryngoscopy W/Biopsy (31535) $3,502 $3,502 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,610 $3,610 1.0×
Laryngoscopy W/Foreign Body Removal (31530) $2,636 $2,636 1.5×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $3,505 $3,505 9.1×
Larynscop w/tumr exc + scope (31541) $2,318 $2,318 0.6×
Laser Surgery Anal Lesions (46917) $2,318 $2,318 0.8×
Late closure of wound (13160) $3,090 $3,090 0.9×
Lateral Canthopexy (21282) $1,900 $1,900 0.6×
Lateral retinacular release open (27425)
range across 2 matching MRF lines		 $1,545–$3,090 $1,545–$3,090 varies
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 4 matching MRF lines		 $3,757–$16,314 $3,757–$16,314 varies
Ligamentous reconstruction knee intra-articular (27428)
range across 2 matching MRF lines		 $8,400–$9,600 $8,400–$9,600 varies
Ligation Major Artery Abdomen (37617) $8,755 $8,755 1.6×
Ligation of hemorrhoids (46946) $2,300 $2,300 0.8×
Ligation Of Neck Artery (37615) $6,000 $6,000 1.9×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $2,009–$3,013.50 $2,009–$3,013.50 varies
Litholapaxy comp/lg > 2.5 cm (52318)
range across 2 matching MRF lines		 $2,189–$4,378 $2,189–$4,378 varies
Litholapaxy smpl/sm <2.5 cm (52317)
range across 2 matching MRF lines		 $1,957–$3,914 $1,957–$3,914 varies
Lithotripsy, extracorporeal shock wave (50590) $11,252.75 $11,252.75 3.2×
Low Back Disk Surgery (63030)
range across 4 matching MRF lines		 $8,878–$15,000 $8,878–$15,000 varies
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,270 $1,270 2.0×
Lsh uterus 250 g or less (58541) $6,100 $6,100 0.6×
Lsh w/t/o uterus above 250 g (58544) $10,000 $10,000 1.0×
Lumbar spine fusion combined (22633)
range across 2 matching MRF lines		 $11,330–$14,210 $11,330–$14,210 varies
Lysis Intranasal Synechia (30560)
range across 2 matching MRF lines		 $270.50–$541 $270.50–$541 varies
Lysis of labial adhesions (56441) $2,300 $2,300 0.7×
Lysis/excision penile postcircumcision adhesions (54162) $2,984 $2,984 1.4×
Malar Augmentation Prosthetic Material (21270) $6,411 $6,411 1.1×
Manipulation Ankle Under General Anesthesia (27860) $1,700 $1,700 0.5×
Manipulation Elbow Under Anesthesia (24300) $1,663 $1,663 1.0×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $1,957–$2,557 $1,957–$2,557 varies
Manipulation spine requiring anesthesia (22505) $2,000 $2,000 1.3×
Manipulation wrist under anesthesia (25259) $2,500 $2,500 1.6×
Manipulation, finger joint, under anesthesia, each joint (26340)
range across 2 matching MRF lines		 $500–$1,000 $500–$1,000 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $1,750–$2,350 $1,750–$2,350 varies
Marsupialization of bartholin's gland cyst (56440) $2,884 $2,884 0.9×
Marsupialization of urethral diverticulum, male or female Facility (53240) $2,700 $2,700 0.8×
Mast mod rad (19307)
range across 3 matching MRF lines		 $8,086–$9,286 $8,086–$9,286 varies
Mastectomy for gynecomastia (19300) $3,605 $3,605 0.9×
Mastectomy partial (19301)
range across 3 matching MRF lines		 $5,150–$8,339 $5,150–$8,339 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $7,137 $7,137 1.1×
Mastectomy simple complete (19303)
range across 4 matching MRF lines		 $3,038.50–$7,277 $3,038.50–$7,277 varies
Mastoidectomy (69501) $4,532 $4,532 0.8×
Mastoidectomy; complete (69502) $4,396 $4,396 0.8×
Mastopexy (19316)
range across 3 matching MRF lines		 $1,699.50–$3,399 $1,699.50–$3,399 varies
Maternity Care Procedure (59899) $1,806 $1,806 9.0×
Metatarsectomy (28140) $2,716 $2,716 0.8×
Middle ear expl thru postaur/ear canal inc (69440) $3,863 $3,863 1.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,222 $1,222 1.7×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,163 $1,163 1.6×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $2,500 $2,500 1.2×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733)
range across 2 matching MRF lines		 $1,596.50–$4,084 $1,596.50–$4,084 varies
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $2,472 $2,472 0.7×
Muscle-skin graft trunk (15734) $3,605 $3,605 1.0×
Myelography Lumbar Injection (62305) $1,586 $1,586 2.0×
Myelography Lumbar Injection (62304) $1,396 $1,396 1.8×
Myelography via lumbar injection rs&i cervical (62302) $1,396 $1,396 1.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,396 $1,396 1.8×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $4,000 $4,000 1.3×
Myringoplasty (69620)
range across 2 matching MRF lines		 $2,487.45–$3,731.18 $2,487.45–$3,731.18 varies
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $2,053–$3,080 $2,053–$3,080 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 5 matching MRF lines		 $821–$4,766 $821–$4,766 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $672–$2,014 $672–$2,014 varies
N Block Inj Plantar Digit (64455)
range across 5 matching MRF lines		 $88–$483 $88–$483 varies
N Block Inj Pudendal (64430)
range across 5 matching MRF lines		 $803–$1,751 $803–$1,751 varies
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines		 $1,955–$3,080 $1,955–$3,080 varies
Nasal Endoscopy Dx (31231)
range across 5 matching MRF lines		 $241–$492 $241–$492 varies
Nasal surgery procedure (30999) $457 $457 2.0×
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines		 $150–$1,847 $150–$1,847 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 3 matching MRF lines		 $2,369–$4,738 $2,369–$4,738 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 2 matching MRF lines		 $1,802.50–$3,605 $1,802.50–$3,605 varies
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $13,390 $13,390 2.3×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $13,390 $13,390 2.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 5 matching MRF lines		 $596–$3,399 $596–$3,399 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 3 matching MRF lines		 $1,289–$2,578 $1,289–$2,578 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 6 matching MRF lines		 $310–$2,984.25 $310–$2,984.25 varies
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239)
range across 2 matching MRF lines		 $5,223–$5,663 $5,223–$5,663 varies
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
unusually low: confirm this is the full procedure		 $2,884 $2,884 0.4×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 3 matching MRF lines		 $3,920.25–$5,227 $3,920.25–$5,227 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $5,201–$7,801.50 $5,201–$7,801.50 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $3,605 $3,605 0.5×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure		 $3,250 $3,250 0.5×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 3 matching MRF lines		 $1,480.63–$2,961.25 $1,480.63–$2,961.25 varies
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 5 matching MRF lines		 $2,961.25–$8,883.75 $2,961.25–$8,883.75 varies
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241)
range across 2 matching MRF lines		 $1,699.50–$3,399 $1,699.50–$3,399 varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 3 matching MRF lines		 $2,051.50–$4,103 $2,051.50–$4,103 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 4 matching MRF lines		 $2,369–$4,738 $2,369–$4,738 varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $6,444 $6,444 0.9×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $3,870 $3,870 2.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $250 $250 1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,050 $1,050 1.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,082 $1,082 1.2×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $5,201–$9,966.50 $5,201–$9,966.50 varies
Neck spine disk surgery (63020) $4,800 $4,800 0.7×
Neck spine fusion (22600)
unusually low: confirm this is the full procedure		 $8,220 $8,220 0.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,953–$2,011 $1,953–$2,011 varies
Needle Biopsy Pancreas (48102) $1,749 $1,749 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $89–$655 $89–$655 varies
Needle insertion w/o injection 3 or more muscles (20561) $300 $300 10.5×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
unusually low: confirm this is the full procedure		 $3,399 $3,399 0.4×
Nerve Pedicle Transfer First Stage (64905)
unusually low: confirm this is the full procedure		 $3,670 $3,670 0.4×
Nerve repair w/conduit each nerve (64910)
unusually low: confirm this is the full procedure		 $3,358 $3,358 0.4×
Nerve Repair W/Nerve Allograft First Strand (64912) $5,600 $5,600 0.6×
Neuroeltrd Stim Post Tibial (64566) $260 $260 0.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $1,625.50–$3,251 $1,625.50–$3,251 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 3 matching MRF lines		 $3,296–$3,896 $3,296–$3,896 varies
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $2,678 $2,678 1.4×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $2,472 $2,472 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,321.50 $1,321.50 3.2×
Nipple Exploration (19110) $3,600 $3,600 0.9×
Nipple/areola reconstruction (19350) $4,000 $4,000 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $2,053 $2,053 2.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $437–$874 $437–$874 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,500 $1,500 0.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,000 $3,000 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $1,955–$3,080 $1,955–$3,080 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines		 $2,070–$2,185 $2,070–$2,185 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $1,700–$1,854 $1,700–$1,854 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,700 $1,700 1.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,854 $1,854 2.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 5 matching MRF lines		 $2,070–$2,174 $2,070–$2,174 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines		 $1,120–$1,154 $1,120–$1,154 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines		 $750–$2,301 $750–$2,301 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $180 $180 0.4×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 5 matching MRF lines		 $1,480.63–$4,441.88 $1,480.63–$4,441.88 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
unusually low: confirm this is the full procedure		 $3,348 $3,348 0.5×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $430–$1,075 $430–$1,075 varies
Ocular Surface Reconstruction Amniotic Membrane (65780) $3,880 $3,880 1.0×
Omntc Epiploectomy Rescj Omentum Spx (49255) $3,650 $3,650 0.6×
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $3,090–$4,635 $3,090–$4,635 varies
Open bowel to skin (44300) $3,875 $3,875 2.0×
Open Implantation Nea Peripheral Nerve (64575)
range across 2 matching MRF lines		 $2,858.25–$3,811 $2,858.25–$3,811 varies
Open Implantation Nea Sacral Nerve (64581) $3,771 $3,771 0.6×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
range across 2 matching MRF lines		 $8,174–$8,675 $8,174–$8,675 varies
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
range across 3 matching MRF lines		 $6,579–$10,462 $6,579–$10,462 varies
Open nasoethmoid fx w/o fixj (21338) $4,300 $4,300 0.7×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $7,148–$7,748 $7,148–$7,748 varies
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
unusually low: confirm this is the full procedure		 $6,000 $6,000 0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) $6,450 $6,450 0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $6,650 $6,650 0.5×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) $6,650 $6,650 0.5×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 3 matching MRF lines		 $2,784.50–$6,769 $2,784.50–$6,769 varies
Open treatment calcaneal fracture (28415) $7,803 $7,803 1.1×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Open treatment fracture distal tibia only (27827) $13,560 $13,560 1.1×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
range across 2 matching MRF lines		 $4,944–$5,544 $4,944–$5,544 varies
Open Treatment Humeral Condylar Fracture (24579)
unusually low: confirm this is the full procedure		 $5,852 $5,852 0.5×
Open Treatment Lunate Dislocation (25695)
unusually low: confirm this is the full procedure		 $3,000 $3,000 0.4×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $7,885–$9,085 $7,885–$9,085 varies
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines		 $2,958–$3,868 $2,958–$3,868 varies
Open treatment metatarsal fracture each (28485)
range across 3 matching MRF lines		 $7,803–$8,403 $7,803–$8,403 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $6,557–$7,157 $6,557–$7,157 varies
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $7,730–$8,330 $7,730–$8,330 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,885 $7,885 1.1×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $5,768 $5,768 1.0×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $7,500 $7,500 1.3×
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) $7,500 $7,500 1.3×
Open treatment of depressed frontal sinus fracture Facility (21343) $5,849 $5,849 1.0×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $3,090 $3,090 0.5×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) $5,665 $5,665 0.8×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $7,806 $7,806 1.1×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $5,871 $5,871 0.8×
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) $6,050 $6,050 1.0×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $6,200 $6,200 1.1×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $4,750 $4,750 0.8×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $6,598 $6,598 0.9×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
unusually low: confirm this is the full procedure		 $5,150 $5,150 0.4×
Open treatment of mandibular condylar fracture Facility (21465) $6,065 $6,065 1.0×
Open treatment of nasal fracture; uncomplicated Facility (21325) $2,884 $2,884 0.9×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $4,540 $4,540 1.4×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $2,575 $2,575 0.8×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $4,635 $4,635 0.8×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $6,334 $6,334 1.1×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $5,722 $5,722 1.0×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $6,334 $6,334 1.1×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) $5,300 $5,300 0.9×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $4,120 $4,120 0.7×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $4,600 $4,600 0.6×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $4,120 $4,120 0.6×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
unusually low: confirm this is the full procedure		 $2,678 $2,678 0.4×
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $5,750–$6,625 $5,750–$6,625 varies
Open treatment of ulnar styloid fracture (25652) $5,150 $5,150 0.7×
Open treatment posterior malleolus fracture (27769) $4,551 $4,551 0.6×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $4,120 $4,120 0.6×
Open Treatment Proximal Humeral Fracture (23615) $13,656 $13,656 1.1×
Open Treatment Radial Shaft Fracture (25515) $6,461 $6,461 0.9×
Open Treatment Tarsal Bone Dislocation (28555) $3,760 $3,760 0.5×
Open Tx Acute/Chronic Elbow Dislocation (24615) $7,000 $7,000 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,090 $3,090 1.0×
Open tx carpal bone fracture oth/thn scaphoid ea (25645)
range across 2 matching MRF lines		 $4,500–$5,630 $4,500–$5,630 varies
Open tx carpal scaphoid navicular fracture (25628) $5,768 $5,768 0.8×
Open Tx Carpometacarpal Dislocate Not Thumb (26685)
range across 2 matching MRF lines		 $1,900–$3,800 $1,900–$3,800 varies
Open Tx Depressed Malar Fracture (21360) $6,658 $6,658 1.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 3 matching MRF lines		 $7,803–$9,003 $7,803–$9,003 varies
Open Tx Distal Phalangeal Fracture Each (26765) $4,523 $4,523 1.4×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
unusually low: confirm this is the full procedure		 $3,500 $3,500 0.5×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $3,365.50–$6,731 $3,365.50–$6,731 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $4,635 $4,635 0.4×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $4,120 $4,120 1.3×
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure		 $6,230 $6,230 0.5×
Open tx humeral supracondylar fracture w/o xtn (24545) $7,660 $7,660 0.6×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $5,150 $5,150 0.7×
Open tx interphalangeal joint dislocation (26785) $2,640 $2,640 0.8×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $5,097 $5,097 0.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 4 matching MRF lines		 $2,317.50–$13,905 $2,317.50–$13,905 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 4 matching MRF lines		 $2,275.50–$9,949 $2,275.50–$9,949 varies
Open Tx Radial Head/Neck Fracture (24665) $5,905 $5,905 0.8×
Open Tx Radial Head/Neck Fracture Prosth (24666)
unusually low: confirm this is the full procedure		 $4,500 $4,500 0.4×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) $4,584 $4,584 0.6×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $4,172 $4,172 0.6×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $5,665 $5,665 0.8×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) $7,000 $7,000 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $7,510–$8,810 $7,510–$8,810 varies
Open tx ulnar fx proximal end (24685) $5,722 $5,722 0.8×
Open/Perq Place Stent 1St (37236) $16,000 $16,000 1.4×
Open/Perq Place Stent Same (37238) $16,000 $16,000 1.4×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 3 matching MRF lines		 $7,821–$8,421 $7,821–$8,421 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 3 matching MRF lines		 $7,730–$12,515 $7,730–$12,515 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $5,356 $5,356 0.7×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure		 $5,773 $5,773 0.5×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $6,000 $6,000 0.8×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
unusually low: confirm this is the full procedure		 $4,635 $4,635 0.4×
Orbital implant removal/revision (67560) $3,932 $3,932 1.0×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $2,163 $2,163 0.6×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $2,106 $2,106 0.9×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $3,853 $3,853 1.6×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $3,708 $3,708 1.0×
Orchiectomy partial (54522) $3,120 $3,120 0.9×
Orchiectomy radical tumor inguinal approach (54530) $3,708 $3,708 1.0×
Orchiopexy Ingun/Scrot Appr (54640)
range across 3 matching MRF lines		 $4,635–$7,822.50 $4,635–$7,822.50 varies
Ostc compl all metar heads w/prtl prox phalangc (28114) $4,900 $4,900 1.5×
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines		 $1,712.50–$3,425 $1,712.50–$3,425 varies
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $1,390.50–$2,781 $1,390.50–$2,781 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $2,884 $2,884 0.9×
Ostectomy of sternum, partial Facility (21620) $2,500 $2,500 0.8×
Ostectomy, complete excision; fifth metatarsal head (28113) $2,472 $2,472 0.8×
Ostectomy, complete excision; first metatarsal head (28111) $2,369 $2,369 0.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 3 matching MRF lines		 $1,596.50–$4,065 $1,596.50–$4,065 varies
Osteochondral allograft knee open (27415) $11,629 $11,629 0.9×
Osteochondral knee autograft (27416) $5,462 $5,462 0.8×
Osteochondral talus autogrft (28446) $7,725 $7,725 1.1×
Osteoplasty Radius/Ulna Shortening (25390)
range across 3 matching MRF lines		 $7,730–$17,126 $7,730–$17,126 varies
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) $4,805 $4,805 0.8×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715)
unusually low: confirm this is the full procedure		 $5,000 $5,000 0.4×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $4,500 $4,500 0.6×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $7,735 $7,735 1.1×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
range across 2 matching MRF lines		 $1,184.50–$2,369 $1,184.50–$2,369 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 3 matching MRF lines		 $1,820.50–$3,641 $1,820.50–$3,641 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 3 matching MRF lines		 $2,266–$5,132 $2,266–$5,132 varies
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $8,500–$9,100 $8,500–$9,100 varies
Osteotomy Metacarpal Each (26565) $4,193 $4,193 1.3×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $6,650 $6,650 0.9×
Osteotomy Phalanx Finger Each (26567) $4,563 $4,563 1.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 2 matching MRF lines		 $2,269–$4,538 $2,269–$4,538 varies
Osteotomy Tibia (27705) $7,730 $7,730 1.1×
Osteotomy Ulna (25360)
range across 2 matching MRF lines		 $4,429–$6,313.50 $4,429–$6,313.50 varies
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
range across 2 matching MRF lines		 $4,120–$5,200 $4,120–$5,200 varies
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $7,806 $7,806 1.1×
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $4,800 $4,800 0.8×
Ovarian cystectomy, unilateral or bilateral (58925) $5,002 $5,002 1.0×
Palatop cl palate soft&/hard palate only (42200) $6,695 $6,695 1.1×
Palatopharyngoplasty (42145) $4,568 $4,568 0.8×
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) $4,893 $4,893 0.8×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $3,275–$6,550 $3,275–$6,550 varies
Part exc bone femur prox tibia (27360) $3,399 $3,399 1.1×
Part remv talus or calcaneus (28120)
range across 3 matching MRF lines		 $1,854–$3,708 $1,854–$3,708 varies
Partial excision bone clavicle (23180)
unusually low: confirm this is the full procedure		 $3,188 $3,188 0.4×
Partial Excision Bone Humerus (24140) $5,050 $5,050 1.6×
Partial excision bone metacarpal (26230) $1,854 $1,854 0.6×
Partial excision bone olecranon process (24147)
range across 2 matching MRF lines		 $1,950.50–$3,901 $1,950.50–$3,901 varies
Partial Excision Bone Ulna (25150) $5,293 $5,293 1.6×
Partial Excision Distal Phalanx Finger (26236)
range across 3 matching MRF lines		 $2,136–$5,275 $2,136–$5,275 varies
Partial excision of lip (40520) $2,250 $2,250 0.7×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) $6,798 $6,798 0.9×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,854 $1,854 1.2×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) $4,000 $4,000 1.2×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $3,090–$3,868 $3,090–$3,868 varies
Partial removal of fibula (27641) $3,605 $3,605 1.1×
Partial removal of rib (21600)
unusually low: confirm this is the full procedure		 $3,300 $3,300 0.5×
Partial removal of scapula (23190) $3,296 $3,296 1.0×
Partial removal of thyroid (60220) $7,032 $7,032 1.2×
Partial removal of tibia (27640)
range across 2 matching MRF lines		 $1,957–$4,899 $1,957–$4,899 varies
Partial removal of toe (28160) $2,884 $2,884 0.9×
Partial removal of tongue (41120) $4,700 $4,700 0.8×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $8,533 $8,533 1.4×
Partical Excision Bone Phalanx Toe (28124)
range across 5 matching MRF lines		 $1,170–$3,438 $1,170–$3,438 varies
Patellectomy or hemipatellectomy (27350) $4,635 $4,635 0.6×
Pelvic examination under anesthesia (other than local) (57410) $2,575 $2,575 0.8×
Penile Injection (54235)
range across 2 matching MRF lines		 $235–$523 $235–$523 varies
Penile venous occlusive procedure Facility (37790) $4,044 $4,044 1.2×
Penis plastic surgery (54360) $5,000 $5,000 1.4×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines		 $6,767–$9,000 $6,767–$9,000 varies
Perc Rf Ablate Renal Tumor (50592) $7,800 $7,800 1.3×
Percut Ablate Liver Rf (47382) $7,800 $7,800 1.3×
Percut Drain/Inject Renal Cyst (50390) $1,015 $1,015 1.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $5,000 $5,000 1.6×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $2,575 $2,575 0.8×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure		 $2,884 $2,884 0.4×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $3,296 $3,296 2.1×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $3,752 $3,752 1.2×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $2,860 $2,860 1.8×
Percutaneous skeletal fixation of ulnar styloid fracture (25651)
range across 2 matching MRF lines		 $1,545–$3,090 $1,545–$3,090 varies
Peri-Implant Capsulectomy Breast Complete (19371) $5,914 $5,914 1.5×
Pericardiocentesis W/Imaging (33016) $7,547.70 $7,547.70 4.9×
Perineoplasty rpr perineum nonobstetrical spx (56810)
range across 2 matching MRF lines		 $1,614–$3,228 $1,614–$3,228 varies
Peritoneal Lavage (49084) $1,432 $1,432 1.6×
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $4,953–$5,102 $4,953–$5,102 varies
Perq dev breast 1st strtctc (19283) $763 $763 1.1×
Perq dev breast 1st us imag (19285) $763 $763 1.1×
Perq device breast 1st imag (19281) $763 $763 0.5×
Perq dilation xst trc endourologic px w/img (50436) $6,500 $6,500 1.9×
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $4,953–$5,102 $4,953–$5,102 varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $6,600 $6,600 0.7×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $5,893 $5,893 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,076 $1,076 1.5×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 4 matching MRF lines		 $4,017–$20,879 $4,017–$20,879 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $18,000 $18,000 1.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $11,300 $11,300 2.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $9,000–$18,000 $9,000–$18,000 varies
Perq Vertebral Augmentation (22513)
range across 3 matching MRF lines		 $15,910–$21,833 $15,910–$21,833 varies
Phalangectomy toe each toe (28150) $2,500 $2,500 0.8×
Phleb Veins - Extrem 20+ (37766) $5,125 $5,125 1.6×
Pin Finger Dislocation (26776) $3,605 $3,605 1.1×
Pin hand dislocation (26676)
range across 3 matching MRF lines		 $1,442–$2,884 $1,442–$2,884 varies
Pin knuckle dislocation (26706) $3,233 $3,233 1.0×
Place Amniotic Membrane Ocular Surface Sutured (65779)
range across 3 matching MRF lines		 $1,250–$2,500 $1,250–$2,500 varies
Place Cath Subclavian Art (36225) $3,500 $3,500 1.1×
Place Cath Thoracic Aorta (36221) $6,000 $6,000 1.9×
Place Cath Vertebral Art (36226) $7,000 $7,000 1.3×
Place Duod/Jej Tube Perc (49441)
range across 2 matching MRF lines		 $1,898.63–$1,956 $1,898.63–$1,956 varies
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $669.50–$1,339 $669.50–$1,339 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $388–$1,847 $388–$1,847 varies
Placement of seton (46020)
range across 2 matching MRF lines		 $2,912–$3,364.82 $2,912–$3,364.82 varies
Plastic Repair Canaliculi (68700)
range across 3 matching MRF lines		 $1,081.50–$3,244.50 $1,081.50–$3,244.50 varies
Plastic Repair Introitus (56800) $2,300 $2,300 0.7×
Plastic Repair Of Urethrocele (57230)
range across 2 matching MRF lines		 $2,500–$5,000 $2,500–$5,000 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,400 $3,400 0.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,000 $4,000 0.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,000 $4,000 0.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $4,000 $4,000 0.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 4 matching MRF lines		 $2,490–$6,075 $2,490–$6,075 varies
Plmt Nephroureteral Catheter (50433)
range across 4 matching MRF lines		 $1,422.44–$5,250 $1,422.44–$5,250 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $4,500–$6,750 $4,500–$6,750 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $4,775–$7,160 $4,775–$7,160 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $4,500–$6,750 $4,500–$6,750 varies
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $3,597 $3,597 0.6×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $5,441 $5,441 0.9×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $5,722–$12,254.61 $5,722–$12,254.61 varies
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $5,500 $5,500 0.3×
Probe lacrimal canaliculi w/wo irrigation (68840)
range across 2 matching MRF lines		 $250–$500 $250–$500 varies
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815)
range across 3 matching MRF lines		 $1,133–$2,266 $1,133–$2,266 varies
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $2,879 $2,879 1.2×
Probe nl duct w/balloon (68816) $2,101 $2,101 0.9×
Probing nasolacrimal duct (68810)
range across 2 matching MRF lines		 $1,262.25–$1,683 $1,262.25–$1,683 varies
Proctopexy Perineal Approach (45541) $4,000 $4,000 1.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,000 $1,000 1.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,750 $2,750 1.0×
Prosthesis Removal Humeral/Glenoid Component (23334) $3,605 $3,605 0.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,153 $1,153 1.6×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines		 $1,596.50–$3,193 $1,596.50–$3,193 varies
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,370 $1,370 1.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 3 matching MRF lines		 $2,500–$5,000 $2,500–$5,000 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,500 $2,500 0.7×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 3 matching MRF lines		 $2,575–$3,566 $2,575–$3,566 varies
Prq skel fixj femoral fx prox end neck (27235) $4,378 $4,378 0.6×
Prq skel fixj metar fx w/manj (28476)
range across 4 matching MRF lines		 $3,193–$5,989.50 $3,193–$5,989.50 varies
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 3 matching MRF lines		 $7,735–$8,523 $7,735–$8,523 varies
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $3,605 $3,605 1.1×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650)
range across 2 matching MRF lines		 $3,605–$5,004 $3,605–$5,004 varies
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671)
range across 2 matching MRF lines		 $1,450–$2,900 $1,450–$2,900 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,193 $3,193 1.0×
Pseudoaneurysm Injection Trt (36002) $796 $796 1.3×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $155–$345 $155–$345 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $180–$1,666 $180–$1,666 varies
Puncture Aspiration Cyst Breast (19000) $830 $830 1.2×
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $912–$1,024 $912–$1,024 varies
Push Transfusion Blood 2 Yr/Under (36440) $800 $800 1.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $1,751–$4,025 $1,751–$4,025 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $4,120 $4,120 0.6×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115)
range across 2 matching MRF lines		 $1,210.50–$2,421 $1,210.50–$2,421 varies
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116)
range across 2 matching MRF lines		 $1,133–$2,266 $1,133–$2,266 varies
Rad resect elbow caps/sr bone w rels (24149) $3,605 $3,605 0.5×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,090 $3,090 1.1×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) $6,334 $6,334 1.1×
Radical resection of tumor, distal phalanx of finger Facility (26262) $2,400 $2,400 1.5×
Radical styloidectomy separate procedure (25230)
range across 2 matching MRF lines		 $3,554–$4,154 $3,554–$4,154 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $1,700–$3,500 $1,700–$3,500 varies
Rcnstj angular dfrm toe soft tiss px only (28313) $3,296 $3,296 1.0×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $4,120 $4,120 1.3×
Rcnstj Dislocating Patella (27420) $4,997 $4,997 0.7×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971)
range across 2 matching MRF lines		 $927–$2,350 $927–$2,350 varies
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973)
range across 2 matching MRF lines		 $2,920–$3,689 $2,920–$3,689 varies
Rcnstj Eyelid Full Thickness Second Stage (67975) $2,500 $2,500 1.1×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $5,000 $5,000 0.9×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $2,081–$4,162 $2,081–$4,162 varies
Rdctj torsion tstis w/wo fixj clat testis (54600)
range across 2 matching MRF lines		 $1,287.50–$2,575 $1,287.50–$2,575 varies
Realignment extensor tendon hand each tendon (26437) $3,090 $3,090 1.0×
Realignment of knee (27457) $4,223 $4,223 0.6×
Realignment of knee (27455) $6,905 $6,905 1.0×
Reconst lwr jaw w/fixation (21196) $6,551 $6,551 1.1×
Reconstr lwr jaw segment (21198) $4,635 $4,635 0.8×
Reconstruct cleft palate (42210) $5,500 $5,500 0.9×
Reconstruct elbow lat ligmnt (24344) $7,575 $7,575 1.1×
Reconstruct elbow med ligmnt (24346) $13,300 $13,300 1.0×
Reconstruct finger joint (26545) $3,500 $3,500 1.1×
Reconstruct Finger Joint (26548) $4,120 $4,120 1.3×
Reconstruct midface lefort (21143) $10,000 $10,000 1.7×
Reconstruct ulna/radioulnar (25337) $4,635 $4,635 0.6×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $5,500 $5,500 0.9×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $9,523 $9,523 1.6×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) $8,000 $8,000 1.4×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $7,210 $7,210 1.2×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $6,551 $6,551 1.1×
Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) $9,220 $9,220 1.6×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $2,867.50–$5,735 $2,867.50–$5,735 varies
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $5,202 $5,202 0.9×
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) $5,150 $5,150 0.9×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $6,100 $6,100 1.0×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $4,080 $4,080 1.3×
Reconstruction of throat (42950) $4,017 $4,017 0.7×
Reconstruction of urethra (54326) $5,100 $5,100 1.5×
Reconstruction Toe Polydactyly (28344) $2,472 $2,472 0.8×
Reconstruction Tongue Fold (41520)
range across 2 matching MRF lines		 $1,170.50–$2,341 $1,170.50–$2,341 varies
Redo Endovas Vena Cava Filtr (37192) $7,000 $7,000 2.2×
Reinforce tibia (27745)
range across 2 matching MRF lines		 $7,600–$8,800 $7,600–$8,800 varies
Reinsert spinal fixation (22849) $6,500 $6,500 0.5×
Release foot/toe nerve (64726) $1,648 $1,648 0.9×
Release of big toe (28240) $2,500 $2,500 0.8×
Release of shoulder ligament (23415) $5,150 $5,150 0.7×
Relieve Pressure on Nerve(S) (64722) $2,112 $2,112 1.1×
Relocation Pocket Pacemaker (33222) $5,500 $5,500 2.7×
Rem Endovas Vena Cava Filter (37193) $5,800 $5,800 1.9×
Removal Anal Seton Other Marker (46030) $1,854 $1,854 1.6×
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
unusually low: confirm this is the full procedure		 $8,000 $8,000 0.4×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge, not the full procedure		 $5,488 $5,488 0.3×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416)
likely a partial charge, not the full procedure		 $5,708 $5,708 0.3×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417)
likely a partial charge, not the full procedure		 $4,384 $4,384 0.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,000 $1,000 1.1×
Removal Embedded Foreign Body Eyelid (67938) $773 $773 2.5×
Removal entire oi implt skl perq attachment esp (69726) $6,384 $6,384 2.0×
Removal Foreign Body Deep Thigh/Knee (27372) $3,000 $3,000 1.0×
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $7,298–$10,948 $7,298–$10,948 varies
Removal foreign body foot deep (28192)
range across 4 matching MRF lines		 $1,854–$10,948 $1,854–$10,948 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 4 matching MRF lines		 $763–$4,612 $763–$4,612 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $1,064–$7,298 $1,064–$7,298 varies
Removal Foreign Body Pelvis/Hip Deep (27087)
range across 2 matching MRF lines		 $2,575–$6,100 $2,575–$6,100 varies
Removal Foreign Body Scrotum (55120) $2,575 $2,575 1.2×
Removal foreign body upper arm/elbow deep (24201) $2,575 $2,575 0.9×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,841 $1,841 0.6×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $4,889 $4,889 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $77–$876 $77–$876 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $106–$670 $106–$670 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $12,529 $12,529 3.9×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $3,671.95–$5,507.94 $3,671.95–$5,507.94 varies
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $1,507.50–$3,650 $1,507.50–$3,650 varies
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $225–$476 $225–$476 varies
Removal intact breast implant (19328) $3,605 $3,605 0.9×
Removal of a lesion from the floor of the mouth (41116) $2,318 $2,318 0.7×
Removal of adenoids (42835) $2,730 $2,730 0.8×
Removal of adenoids (42831)
range across 2 matching MRF lines		 $1,536–$3,072 $1,536–$3,072 varies
Removal of adenoids (42830) $4,350 $4,350 1.3×
Removal of adenoids (42836) $2,781 $2,781 0.8×
Removal of anal fissure (46200) $3,605 $3,605 1.3×
Removal of anterior instrumentation (22855) $7,136 $7,136 1.0×
Removal of bladder cyst (51500) $5,232 $5,232 0.9×
Removal of bone lesion (23140) $2,575 $2,575 0.8×
Removal of calcium deposits (23000) $1,957 $1,957 0.7×
Removal of cervix (57530) $3,399 $3,399 0.7×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $5,100 $5,100 1.5×
Removal of esophageal sphincter augmentation device (43285)
unusually low: confirm this is the full procedure		 $2,472 $2,472 0.4×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $80–$1,847 $80–$1,847 varies
Removal of heel spur (28119)
range across 2 matching MRF lines		 $2,008.50–$4,017 $2,008.50–$4,017 varies
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $14,886 $14,886 1.2×
Removal of humerus lesion (23156) $3,589 $3,589 0.5×
Removal of implant from finger or hand (26320) $2,575 $2,575 1.6×
Removal of implanted material, anterior segment of eye (65920) $2,472 $2,472 1.1×
Removal of intranasal lesion (30118) $4,038 $4,038 1.2×
Removal of kidney stone (50081) $9,270 $9,270 1.0×
Removal of knee prosthesis (27488)
unusually low: confirm this is the full procedure		 $6,077 $6,077 0.5×
Removal of lens material (66852) $3,200 $3,200 0.8×
Removal of mammary implant material (19330) $4,129 $4,129 1.1×
Removal of nail bed (11750)
range across 5 matching MRF lines		 $219–$1,666 $219–$1,666 varies
Removal of posterior segmental instrumentation Facility (22852)
range across 2 matching MRF lines		 $2,060–$4,120 $2,060–$4,120 varies
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $12,250 $12,250 1.7×
Removal of residual cervix (57550) $6,726 $6,726 1.4×
Removal of sesamoid bone (28315) $3,090 $3,090 1.0×
Removal of sperm cord lesion (55520) $3,193 $3,193 0.9×
Removal of tendon for graft (20924) $3,641 $3,641 0.5×
Removal of testis (54520) $2,926 $2,926 0.8×
Removal of thyroid (60271) $6,500 $6,500 1.1×
Removal of tonsils (42825) $4,350 $4,350 0.7×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $2,714–$4,205 $2,714–$4,205 varies
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) $8,858 $8,858 1.2×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $2,400–$2,577 $2,400–$2,577 varies
Removal of wrist bone (25210)
range across 2 matching MRF lines		 $1,545–$3,090 $1,545–$3,090 varies
Removal or destruction of bladder canal (urethra) malignancy (53220) $2,575 $2,575 0.7×
Removal Pacemaker Electrode (33235) $7,280 $7,280 2.0×
Removal parotid stone (42340) $1,945 $1,945 0.6×
Removal ppm generator only (33233) $7,280 $7,280 0.9×
Removal shoulder foreign body deep subfascial/im (23333) $3,193 $3,193 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $139–$978 $139–$978 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $2,670–$12,500 $2,670–$12,500 varies
Removal Submand Stone,Complicated (42335) $2,250 $2,250 0.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $552 $552 0.3×
Removal sweat gland lesion (11450) $3,296 $3,296 1.1×
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $1,236–$2,472 $1,236–$2,472 varies
Removal/bivalving gauntlet boot/body cast (29700) $1,250 $1,250 4.5×
Remove & graft wrist lesion (25136) $3,765 $3,765 0.5×
Remove & graft wrist lesion (25135) $4,167 $4,167 0.6×
Remove Ankle Joint Lining (27626)
range across 2 matching MRF lines		 $1,750–$3,500 $1,750–$3,500 varies
Remove armpit lymph nodes (38740) $5,940 $5,940 1.0×
Remove blood clot from eye (65930) $2,550 $2,550 1.1×
Remove brain canal fluid (61050) $1,211 $1,211 4.0×
Remove coronoid process (21070) $9,042 $9,042 1.5×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $1,030–$1,268 $1,030–$1,268 varies
Remove ear lesion (69550) $6,845 $6,845 1.2×
Remove Elbow Joint Lining (24102) $3,399 $3,399 1.1×
Remove elbow lesion (24120) $4,120 $4,120 1.3×
Remove Elctrd Transvenously (33244) $7,280 $7,280 2.0×
Remove eye/attach implant (65105) $4,841 $4,841 1.2×
Remove femur lesion/graft (27356)
range across 2 matching MRF lines		 $11,185–$14,527 $11,185–$14,527 varies
Remove finger bone (26185) $1,969 $1,969 1.2×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $3,500–$6,103 $3,500–$6,103 varies
Remove foreign body from eye (65235) $1,854 $1,854 0.8×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $565–$848 $565–$848 varies
Remove Hand Bone Lesion (26200) $1,906 $1,906 1.2×
Remove humerus lesion (24110) $3,500 $3,500 1.1×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $233–$1,650 $233–$1,650 varies
Remove intrvas foreign body (37197) $3,500 $3,500 1.1×
Remove knee joint lining (27334) $3,090 $3,090 1.0×
Remove lamina/facets lumbar (63012) $7,500 $7,500 1.0×
Remove Lower Leg Bone Lesion (27635) $3,914 $3,914 1.2×
Remove lung catheter (32552) $968 $968 1.6×
Remove mastoid structures (69505) $5,300 $5,300 0.9×
Remove muti-comp penis pros (54406) $4,533 $4,533 1.3×
Remove Nasal Foreign Body (30300) $565 $565 4.3×
Remove palate/lesion (42120) $4,771 $4,771 0.8×
Remove part lumbar vertebra (22102) $5,784 $5,784 0.8×
Remove Peritoneal Foreign Body (49402) $5,500 $5,500 1.6×
Remove prostate regrowth (52630)
range across 2 matching MRF lines		 $1,938–$3,876 $1,938–$3,876 varies
Remove Pulse Generator (33241) $7,280 $7,280 2.0×
Remove renal tube w/fluoro (50389)
range across 3 matching MRF lines		 $800–$1,500 $800–$1,500 varies
Remove Shoulder Foreign Body (23330) $1,800 $1,800 1.1×
Remove shoulder joint lining (23105) $4,017 $4,017 0.6×
Remove Skin Nerve Lesion (64774) $2,256 $2,256 1.2×
Remove spine eltrd plate (63662) $5,000 $5,000 1.4×
Remove spine fixation device (22850)
unusually low: confirm this is the full procedure		 $3,193 $3,193 0.4×
Remove spine lamina 1/2 lmbr (63005) $6,500 $6,500 0.9×
Remove spine lamina 1/2 thrc (63003) $7,475 $7,475 1.0×
Remove Tendon Sheath Lesion (26160)
range across 3 matching MRF lines		 $2,678–$3,463 $2,678–$3,463 varies
Remove thyroid lesion (60200) $7,779 $7,779 1.3×
Remove tissue expander (11971)
range across 2 matching MRF lines		 $2,369–$3,024 $2,369–$3,024 varies
Remove ureter stent percut (50384)
range across 2 matching MRF lines		 $2,566–$3,500 $2,566–$3,500 varies
Remove vc lesion w/scope (31545) $5,023 $5,023 1.4×
Remove wrist joint cartilage (25107) $3,188 $3,188 1.0×
Remove&replace pm gen singl (33227) $18,000 $18,000 2.2×
Remove/graft finger lesion (26215)
range across 3 matching MRF lines		 $1,350–$2,700 $1,350–$2,700 varies
Remove/graft foot lesion (28102) $4,120 $4,120 0.6×
Remove/graft leg bone lesion (27637) $4,000 $4,000 0.6×
Remove/Insert Drug Implant (11983) $1,030 $1,030 2.3×
Remove/replace penis prosth (54410)
unusually low: confirm this is the full procedure		 $6,798 $6,798 0.3×
Remv cartilage for graft nasal (20912)
range across 2 matching MRF lines		 $1,560–$3,120 $1,560–$3,120 varies
Remv&replc cvd gen dual lead (33263) $24,500 $24,500 1.1×
Remv&replc cvd gen mult lead (33264) $24,500 $24,500 0.8×
Remv&replc cvd gen sing lead (33262) $24,500 $24,500 1.1×
Remv&replc pm gen dual lead (33228) $18,000 $18,000 1.7×
Remv&replc pm gen mult leads (33229) $24,500 $24,500 1.3×
Renal Biopsy Perq (50200) $1,749 $1,749 1.1×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) $3,223 $3,223 0.9×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $4,500 $4,500 0.8×
Reopen fallopian tube (58350)
range across 2 matching MRF lines		 $1,954–$3,908 $1,954–$3,908 varies
Repair Achilles Tendon (27650)
range across 3 matching MRF lines		 $5,919–$8,930 $5,919–$8,930 varies
Repair Bladder-Vagina Lesion (57320) $4,695 $4,695 0.9×
Repair Blood Vessel Direct Hand Finger (35207) $9,000 $9,000 2.9×
Repair blood vessel direct neck (35201) $5,700 $5,700 1.0×
Repair Blood Vessel Direct Upper Extremity (35206) $5,000 $5,000 1.6×
Repair blood vessel lesion (35266) $7,360 $7,360 1.3×
Repair brow ptosis (67900)
range across 2 matching MRF lines		 $3,251–$4,876.50 $3,251–$4,876.50 varies
Repair Choanal Atresia Intranasal (30540) $7,375 $7,375 1.3×
Repair cleft hand deformity (26580) $4,802 $4,802 1.5×
Repair cleft lip/nasal (40720) $4,805 $4,805 1.5×
Repair cleft lip/nasal (40700) $5,845 $5,845 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 3 matching MRF lines		 $5,665–$6,865 $5,665–$6,865 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $546–$2,562 $546–$2,562 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $729–$2,562 $729–$2,562 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $481–$1,666 $481–$1,666 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $721–$2,562 $721–$2,562 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $540–$2,562 $540–$2,562 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $540–$2,562 $540–$2,562 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $1,030–$2,562 $1,030–$2,562 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $2,060–$2,562 $2,060–$2,562 varies
Repair Ectropion Excision Tarsal Wedge (67916) $2,658 $2,658 1.1×
Repair Ectropion Extensive (67917)
range across 3 matching MRF lines		 $3,271–$4,906.50 $3,271–$4,906.50 varies
Repair Ectropion Suture (67914) $2,106 $2,106 0.9×
Repair Elbow Perc (24357)
range across 3 matching MRF lines		 $3,348–$7,215 $3,348–$7,215 varies
Repair Entropion Excision Tarsal Wedge (67923) $2,215 $2,215 0.9×
Repair Entropion Extensive (67924)
range across 2 matching MRF lines		 $2,163–$3,244.50 $2,163–$3,244.50 varies
Repair Entropion Suture (67921) $2,200 $2,200 0.9×
Repair Extensor Tendon Finger W/Graft Each (26420) $3,090 $3,090 1.0×
Repair extensor tendon finger w/o graft each (26418)
range across 3 matching MRF lines		 $1,287.50–$6,485 $1,287.50–$6,485 varies
Repair Eyelid Wound (67935)
range across 3 matching MRF lines		 $1,440–$2,880 $1,440–$2,880 varies
Repair Finger Tendon (26433) $2,060 $2,060 0.6×
Repair Finger/Hand Tendon (26350) $3,296 $3,296 1.0×
Repair Fistula Oromaxillary (30580) $7,518 $7,518 1.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $1,751–$3,502 $1,751–$3,502 varies
Repair Foot Dislocation (28615)
range across 2 matching MRF lines		 $5,201–$6,401 $5,201–$6,401 varies
Repair Forearm Tendon Sheath (25275) $4,120 $4,120 1.3×
Repair Hallux Rigidus (28289) $3,947 $3,947 1.2×
Repair Hand Joint (26540) $4,841 $4,841 1.5×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $901.50–$1,803 $901.50–$1,803 varies
Repair humerus with graft (24435)
range across 2 matching MRF lines		 $7,575–$16,717 $7,575–$16,717 varies
Repair incomplete circumcision (54163) $2,678 $2,678 1.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,987 $2,987 0.8×
Repair initial femoral hernia, any age; reducible (49550) $2,987 $2,987 0.8×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,771 $3,771 1.1×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $3,479 $3,479 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 4 matching MRF lines		 $193–$1,666 $193–$1,666 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $386–$1,666 $386–$1,666 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $429–$1,666 $429–$1,666 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $419–$1,666 $419–$1,666 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,666 $1,666 4.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $2,562 $2,562 3.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $425–$1,666 $425–$1,666 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 4 matching MRF lines		 $178–$1,666 $178–$1,666 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $381–$2,562 $381–$2,562 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $8,219 $8,219 4.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $515–$1,666 $515–$1,666 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $356–$1,666 $356–$1,666 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $370–$1,666 $370–$1,666 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $500–$2,562 $500–$2,562 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $386–$1,666 $386–$1,666 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $8,219 $8,219 4.0×
Repair Laceration Palate >2 Cm/Complex (42182) $5,000 $5,000 0.9×
Repair lead pace-defib dual (33220) $7,280.34 $7,280.34 2.0×
Repair Lead Pace-Defib One (33218) $7,280.34 $7,280.34 2.0×
Repair Leg Fascia Defect (27656) $3,605 $3,605 1.1×
Repair lower leg tendons (27676) $4,326 $4,326 0.6×
Repair lumbar hernia (49540) $4,120 $4,120 0.7×
Repair mouth/nose fistula (30600) $6,695 $6,695 1.1×
Repair nasal septal perforations (30630)
range across 2 matching MRF lines		 $4,017–$6,236 $4,017–$6,236 varies
Repair Nasal Vestibular Stenosis (30465)
range across 2 matching MRF lines		 $3,553.50–$7,107 $3,553.50–$7,107 varies
Repair Non/Malunion Humerus W/O Graft (24430)
range across 2 matching MRF lines		 $6,695–$14,842 $6,695–$14,842 varies
Repair Nonunion Hand (26546) $3,605 $3,605 0.5×
Repair Nonunion/Malunion Tarsal Bones (28320)
range across 2 matching MRF lines		 $2,200–$4,400 $2,200–$4,400 varies
Repair Nonunion/Malunion Tibia W/O Graft (27720)
range across 2 matching MRF lines		 $3,038.50–$6,077 $3,038.50–$6,077 varies
Repair of biceps tendon (24340) $7,085 $7,085 1.0×
Repair of enterocele, vaginal approach (separate procedure) (57268) $3,605 $3,605 0.7×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $5,665 $5,665 0.8×
Repair of hydrocele (55060) $2,575 $2,575 0.7×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) $4,735 $4,735 1.4×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) $4,000 $4,000 0.8×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) $7,235 $7,235 0.8×
Repair of metatarsals (28322) $5,768 $5,768 0.8×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $464–$2,562 $464–$2,562 varies
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $7,725 $7,725 1.1×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $7,210 $7,210 1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $7,218 $7,218 1.0×
Repair of Ruptured Tendon (24342)
range across 3 matching MRF lines		 $7,885–$8,485 $7,885–$8,485 varies
Repair of shoulder (23420) $8,240 $8,240 1.1×
Repair of traumatic corporeal tear(s) (54437) $3,600 $3,600 1.0×
Repair of urethra injury (53502) $2,540 $2,540 0.7×
Repair of web finger (26560) $2,060 $2,060 1.3×
Repair of windpipe defect (31825) $4,000 $4,000 1.2×
Repair oval window fistula (69666) $4,532 $4,532 1.4×
Repair paravag defect lap (57423)
unusually low: confirm this is the full procedure		 $4,150 $4,150 0.4×
Repair paravag defect vag (57285) $4,551 $4,551 0.6×
Repair radius & ulna (25415) $8,500 $8,500 1.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $3,090 $3,090 0.5×
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $7,885–$8,485 $7,885–$8,485 varies
Repair round window fistula (69667) $4,738 $4,738 1.4×
Repair secondary achilles tendon w/wo graft (27654)
range across 3 matching MRF lines		 $3,611.50–$8,423 $3,611.50–$8,423 varies
Repair shoulder capsule (23462) $4,120 $4,120 0.6×
Repair shoulder capsule (23466) $5,974 $5,974 0.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,417 $3,417 1.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 3 matching MRF lines		 $7,803–$13,336 $7,803–$13,336 varies
Repair Toe Dislocation (28645) $4,120 $4,120 1.3×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $923–$1,094 $923–$1,094 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $565–$798 $565–$798 varies
Repair Tooth Socket (41874) $2,500 $2,500 0.8×
Repair webbed toe(s) (28345) $3,000 $3,000 1.9×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 3 matching MRF lines		 $2,834.50–$5,669 $2,834.50–$5,669 varies
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines		 $2,774.50–$5,549 $2,774.50–$5,549 varies
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $3,708 $3,708 1.1×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $4,120 $4,120 1.3×
Repair/graft achilles tendon (27652) $7,500 $7,500 1.0×
Repair/graft finger tendon (26428) $3,193 $3,193 1.0×
Repair/Graft Wrist Bone (25440) $11,602 $11,602 1.6×
Repair/Revise Wrist Joint (25320) $6,037 $6,037 0.8×
Repair/transpose nerve (64856) $6,459 $6,459 0.7×
Replace duodenostomy/jejunostomy tube perq (49451) $1,250 $1,250 1.4×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $660–$1,225 $660–$1,225 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $1,130–$1,164 $1,130–$1,164 varies
Replace/Revise Brain Shunt (62230) $5,501 $5,501 0.6×
Replacement Tissue Expander W/Permanent Implant (11970)
range across 3 matching MRF lines		 $4,662–$6,993 $4,662–$6,993 varies
Repos Previously Implanted Subq Implantable Dfb (33273) $14,443.95 $14,443.95 3.9×
Reposition Gastrostomy Tube (43761) $1,150 $1,150 4.7×
Reposition L Ventric Lead (33226) $7,280 $7,280 2.3×
Reposition Pacing-Defib Lead (33215) $7,280 $7,280 2.3×
Reposition Venous Catheter (36597)
range across 2 matching MRF lines		 $1,673–$2,500 $1,673–$2,500 varies
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $2,500 $2,500 1.1×
Repr elbow lat ligmnt w/tiss (24343)
range across 3 matching MRF lines		 $1,594–$3,188 $1,594–$3,188 varies
Repr Elbw Med Ligmnt W/Tiss (24345)
unusually low: confirm this is the full procedure		 $3,296 $3,296 0.5×
Repr torn cruciate knee ligam (27407) $6,000 $6,000 0.8×
Rerepair ing hernia reduce (49520) $4,150 $4,150 1.2×
Resection of scrotum (55150) $3,000 $3,000 0.9×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $4,948 $4,948 1.5×
Resection, partial or complete, phalangeal base, each toe (28126) $3,000 $3,000 0.9×
Rev/rmv prph sac/gstr npg/r (64595)
range across 2 matching MRF lines		 $1,674–$3,348 $1,674–$3,348 varies
Revis reconst shoulder joint (23473) $12,747 $12,747 1.0×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $8,500 $8,500 0.7×
Revise external ear (69300)
range across 4 matching MRF lines		 $2,575–$6,134.50 $2,575–$6,134.50 varies
Revise eye with implant (65093) $4,020 $4,020 1.0×
Revise eyelashes (67825) $618 $618 2.0×
Revise graft w/vein (35884) $9,511 $9,511 1.7×
Revise Hand/Foot Nerve (64704)
range across 2 matching MRF lines		 $1,287.50–$2,575 $1,287.50–$2,575 varies
Revise lower leg tendon (27690) $4,120 $4,120 0.6×
Revise Lower Leg Tendons (27686) $3,350 $3,350 1.0×
Revise penis/urethra (54328) $4,000 $4,000 1.1×
Revise penis/urethra (54332) $4,880 $4,880 1.4×
Revise Spine Eltrd Plate (63664)
likely a partial charge, not the full procedure		 $3,000 $3,000 0.3×
Revise ulnar nerve at wrist (64719)
range across 3 matching MRF lines		 $1,030–$2,614 $1,030–$2,614 varies
Revise/Implant Finger Joint (26536) $4,219 $4,219 0.6×
Revise/Repair Finger/Toe Nerve (64702)
range across 2 matching MRF lines		 $2,024–$2,816 $2,024–$2,816 varies
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) $5,000 $5,000 0.7×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $4,429 $4,429 1.4×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $12,434 $12,434 0.7×
Revision of big toe (28310)
range across 2 matching MRF lines		 $1,250–$2,500 $1,250–$2,500 varies
Revision of eyelid (67880) $1,751 $1,751 0.7×
Revision of foot (28116) $4,120 $4,120 1.3×
Revision of foot and ankle (28262) $6,215 $6,215 0.9×
Revision of foot bones (28737)
unusually low: confirm this is the full procedure		 $4,120 $4,120 0.3×
Revision of knee joint (27442)
unusually low: confirm this is the full procedure		 $4,397 $4,397 0.3×
Revision of lower leg tendon (27685)
range across 3 matching MRF lines		 $2,111.50–$4,223 $2,111.50–$4,223 varies
Revision of penis (54300) $4,185 $4,185 1.2×
Revision of penis (54304) $4,250 $4,250 1.2×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) $6,273 $6,273 1.2×
Revision of reconstructed breast (19380)
range across 3 matching MRF lines		 $7,180–$12,162 $7,180–$12,162 varies
Revision of scrotum (55180) $3,000 $3,000 0.6×
Revision of stapedectomy or stapedotomy Facility (69662) $4,532 $4,532 0.8×
Revision of toe (28312) $2,266 $2,266 0.7×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $14,886 $14,886 1.2×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
unusually low: confirm this is the full procedure		 $5,600 $5,600 0.4×
Revision of tracheostomy scar (31830) $4,300 $4,300 1.3×
Revision of urethra (53460) $2,369 $2,369 0.7×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) $7,500 $7,500 0.7×
Revision Peri-Implant Capsule Breast (19370) $6,500 $6,500 1.7×
Revision/replmt neurostimlator eltrd cranial nrv (64569)
unusually low: confirm this is the full procedure		 $3,348 $3,348 0.3×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $2,550 $2,550 1.1×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $3,025 $3,025 0.9×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $7,725 $7,725 1.2×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) $4,948 $4,948 0.8×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $8,700 $8,700 0.7×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $10,300–$10,900 $10,300–$10,900 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $7,284–$7,884 $7,284–$7,884 varies
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $9,827 $9,827 1.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $1,802.50–$3,605 $1,802.50–$3,605 varies
Revj/rmvl neurostimulator pulse generator (61888) $13,644 $13,644 1.2×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 3 matching MRF lines		 $1,986.50–$3,973 $1,986.50–$3,973 varies
Revj/rpr oprative wound anterior segment (66250) $2,000 $2,000 0.9×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $14,443.50 $14,443.50 2.6×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $9,629 $9,629 1.7×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $27,000 $27,000 1.5×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $24,000 $24,000 1.3×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $37,500 $37,500 2.1×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $25,000 $25,000 1.4×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $27,000 $27,000 2.4×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $18,000 $18,000 1.6×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $15,900 $15,900 2.8×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $10,600 $10,600 1.9×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $24,000 $24,000 2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $16,000 $16,000 1.4×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $24,000 $24,000 2.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $16,000 $16,000 1.4×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $27,000 $27,000 1.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $24,000 $24,000 1.3×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $37,500 $37,500 2.1×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $25,000 $25,000 1.4×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $24,000 $24,000 1.3×
Rhinoplasty primary w/major septal repair (30420)
range across 2 matching MRF lines		 $2,163–$4,326 $2,163–$4,326 varies
Rhinoplasty Secondary Major Revision (30450) $7,433 $7,433 1.3×
Rhinoplasty Secondary Minor Revision (30430) $4,100 $4,100 0.7×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $6,952 $6,952 1.2×
Rhinp Prim Complete Xtrnl Parts (30410) $7,000 $7,000 1.2×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $7,134 $7,134 1.2×
Rib cartilage graft (21230) $6,000 $6,000 1.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $3,000–$4,500 $3,000–$4,500 varies
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,814 $2,814 1.2×
Rmvl embedded fb vestibule mouth comp (40805) $2,585 $2,585 4.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $4,041 $4,041 4.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,260 $2,260 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $142–$2,772 $142–$2,772 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines		 $565–$1,826 $565–$1,826 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $1,847–$2,772 $1,847–$2,772 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $2,300–$5,199 $2,300–$5,199 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $4,133–$12,619 $4,133–$12,619 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,315 $2,315 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $984 $984 0.6×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $1,545 $1,545 0.7×
Rmvl Lens Material Phacofragmentation Aspir (66850) $3,200 $3,200 1.4×
Rmvl of subq implantable defibrillator electrode (33272) $14,443.95 $14,443.95 3.9×
Rmvl Previously Implted Ithcl/Edrl Cath (62355)
range across 2 matching MRF lines		 $618–$1,236 $618–$1,236 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $1,184.50–$2,369 $1,184.50–$2,369 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $3,090 $3,090 0.9×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) $5,480 $5,480 0.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $7,280 $7,280 2.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,746–$1,750 $1,746–$1,750 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $1,698–$1,749 $1,698–$1,749 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,318 $2,318 1.0×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $4,300 $4,300 1.9×
Rmvl/revj sling stress incontinence (57287) $7,416 $7,416 2.3×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $4,710 $4,710 1.4×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $295–$1,228 $295–$1,228 varies
Rplcmt cath ctr vad subq port/pmp (36578) $2,500 $2,500 0.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,400 $3,400 2.2×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,928.96 $2,928.96 0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,218 $1,218 0.8×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $3,486–$3,591 $3,486–$3,591 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,486 $3,486 1.1×
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $3,900 $3,900 1.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,150 $7,150 1.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $2,206.50–$4,413 $2,206.50–$4,413 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $6,000 $6,000 0.9×
Rpr aa hernia recr 3-10 cm reducible (49615) $6,399 $6,399 1.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $6,200 $6,200 1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $4,843 $4,843 1.4×
Rpr aa hrn 1st 3-10 rdc (49593) $5,000 $5,000 0.8×
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $9,000–$9,877 $9,000–$9,877 varies
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $3,000 $3,000 0.8×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $2,200 $2,200 0.9×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903)
range across 2 matching MRF lines		 $2,700–$4,050 $2,700–$4,050 varies
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 3 matching MRF lines		 $2,575–$3,862.50 $2,575–$3,862.50 varies
Rpr blood vessel direct lower extremity (35226) $5,046 $5,046 7.2×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,730 $2,730 1.2×
Rpr Component Inflatable Penile Prosthesis (54408) $8,000 $8,000 1.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,350 $2,350 1.5×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675)
range across 2 matching MRF lines		 $1,287.50–$2,575 $1,287.50–$2,575 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
unusually low: confirm this is the full procedure		 $2,575 $2,575 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $936 $936 4.7×
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $7,735–$8,935 $7,735–$8,935 varies
Rpr ing hernia init reduce (49500)
range across 4 matching MRF lines		 $2,008.50–$4,017 $2,008.50–$4,017 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,666 $1,666 2.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,585 $2,585 4.9×
Rpr Lip Full Thickness Vermilion Only (40650) $2,585 $2,585 4.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $923–$6,787 $923–$6,787 varies
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $6,000 $6,000 0.8×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $3,700 $3,700 0.6×
Rpr Nsl Vlv Collapse W/Implt (30468) $6,180 $6,180 1.1×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure		 $3,090 $3,090 0.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $1,545–$3,872 $1,545–$3,872 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,300 $3,300 1.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 3 matching MRF lines		 $3,090–$4,139 $3,090–$4,139 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $913 $913 1.5×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $3,090 $3,090 1.0×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352)
unusually low: confirm this is the full procedure		 $3,090 $3,090 0.4×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $4,635 $4,635 0.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,605 $3,605 1.1×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372)
unusually low: confirm this is the full procedure		 $3,142 $3,142 0.4×
Scleral Reinforcement Spx W/Graft (67255) $2,500 $2,500 0.6×
Sclerotx Fluid Collection (49185) $854 $854 0.5×
Scrotal exploration (55110) $2,575 $2,575 0.7×
Scrotoplasty Simple (55175) $2,788 $2,788 0.8×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $7,000 $7,000 1.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $2,250.55–$4,501.10 $2,250.55–$4,501.10 varies
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $2,500 $2,500 1.1×
Severing tarsorrhaphy (67710) $836 $836 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,082 $1,082 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,082 $1,082 0.9×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $132–$376 $132–$376 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $180–$515 $180–$515 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $192–$515 $192–$515 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $150–$212 $150–$212 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $212 $212 0.5×
Shoulder arthroscopy (29820)
range across 2 matching MRF lines		 $9,279–$9,879 $9,279–$9,879 varies
Shoulder arthroscopy diagnostic (29805) $3,500 $3,500 1.1×
Shoulder Arthroscopy/Surgery (29825) $5,755 $5,755 1.8×
Shoulder joint surgery (23101) $4,167 $4,167 1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $321 $321 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $99–$160 $99–$160 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $242 $242 1.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $2,850 $2,850 0.9×
Sigmoidoscopy & decompress (45337) $1,000 $1,000 1.1×
Sigmoidoscopy & Polypectomy (45333) $1,500 $1,500 1.6×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,400 $2,400 2.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,050 $1,050 0.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,236 $1,236 1.0×
Sigmoidoscopy w/fb removal (45332) $1,000 $1,000 0.8×
Sigmoidoscopy w/plcmt stent (45347) $11,650 $11,650 1.9×
Sigmoidoscopy W/Resection (45349) $4,008 $4,008 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $960 $960 1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,030 $1,030 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,666 $1,666 4.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $267–$936 $267–$936 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $190–$936 $190–$936 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,666 $1,666 4.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $936–$4,361 $936–$4,361 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $936 $936 4.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $146–$936 $146–$936 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $936 $936 4.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $377–$936 $377–$936 varies
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $7,725 $7,725 1.3×
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) $6,592 $6,592 1.1×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $7,744 $7,744 1.3×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $7,160 $7,160 1.2×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $965.50–$1,931 $965.50–$1,931 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $408.50–$817 $408.50–$817 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $2,056–$2,251 $2,056–$2,251 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $250–$600 $250–$600 varies
Skn sub grft f/n/hf/g child (15277) $1,140 $1,140 0.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $8,000 $8,000 1.5×
Slctv cath carotid/innom art angio xtrcranl art (36222) $8,000 $8,000 2.6×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $7,000 $7,000 1.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $2,842.80–$5,685.60 $2,842.80–$5,685.60 varies
Slitting of prepuce (54001) $2,369 $2,369 1.1×
Small bowel endoscopy (44384) $3,605 $3,605 1.9×
Small bowel endoscopy (44366) $1,400 $1,400 0.7×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
range across 2 matching MRF lines		 $2,416–$8,587.05 $2,416–$8,587.05 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $264–$936 $264–$936 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,666 $1,666 4.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $500–$1,666 $500–$1,666 varies
Snip Incision Lacrimal Punctum (68440)
range across 4 matching MRF lines		 $270.50–$541 $270.50–$541 varies
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $3,817 $3,817 1.4×
Sphincterotomy anal division sphincter spx (46080) $2,472 $2,472 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $1,000–$3,177 $1,000–$3,177 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 3 matching MRF lines		 $1,311–$2,622 $1,311–$2,622 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,605 $3,605 1.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $4,500 $4,500 1.4×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $5,812 $5,812 1.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $5,201 $5,201 0.9×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $3,328 $3,328 1.4×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $2,642 $2,642 0.7×
Strapping ankle (29540)
range across 3 matching MRF lines		 $119–$1,072 $119–$1,072 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $170–$255 $170–$255 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $170–$255 $170–$255 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $119–$848 $119–$848 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $79–$848 $79–$848 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $297–$445 $297–$445 varies
Strapping Unna Boot (29580)
range across 8 matching MRF lines		 $140–$1,072 $140–$1,072 varies
Subconjunctival injection (68200) $213 $213 0.5×
Subcutaneous Hormone Pellet Implantation (11980) $120 $120 0.3×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $361 $361 1.8×
Submucosal abltj tongue rf 1/> sites pr session (41530) $2,378 $2,378 0.7×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $6,686.10–$10,029.15 $6,686.10–$10,029.15 varies
Subtalar arthro w/deb (29906)
range across 2 matching MRF lines		 $1,761.50–$3,523 $1,761.50–$3,523 varies
Suction assisted lipectomy; head and neck (15876) $2,575 $2,575 0.7×
Suction assisted lipectomy; trunk (15877) $2,369 $2,369 0.7×
Suction assisted lipectomy; upper extremity (15878) $2,500 $2,500 1.2×
Suction Lipectomy Lwr Extrem (15879) $2,500 $2,500 0.7×
Suprahyoid lymphadenectomy (38700) $4,120 $4,120 0.6×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $4,283 $4,283 1.3×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $4,799 $4,799 0.3×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 3 matching MRF lines		 $3,500–$7,190 $3,500–$7,190 varies
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $3,000 $3,000 0.5×
Surg tx anal fistula subq (46270) $2,926 $2,926 1.1×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,369 $2,369 0.9×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $4,155 $4,155 1.8×
Suture 1 nerve hand/foot common sensory nerve (64834) $3,500 $3,500 1.0×
Suture 1 Nerve Median Motor Thenar (64835) $3,635 $3,635 1.1×
Suture digital nerve hand/foot 1 nerve (64831) $4,120 $4,120 2.1×
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure		 $3,250 $3,250 0.5×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $3,788 $3,788 0.5×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 3 matching MRF lines		 $7,803–$8,403 $7,803–$8,403 varies
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure		 $2,575 $2,575 0.4×
Suture of; brachial plexus Facility (64861) $3,502 $3,502 1.8×
Suture/repair testicular injury (54670) $2,628 $2,628 0.8×
Synovectomy carpometacarpal joint (26130) $1,900 $1,900 0.6×
Synovectomy Tendon Sheath Foot Extensor (28088) $2,436 $2,436 0.8×
Synovectomy Tendon Sheath Foot Flexor (28086) $2,950 $2,950 0.9×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $3,554 $3,554 1.1×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure		 $2,450 $2,450 0.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)
range across 2 matching MRF lines		 $1,287.50–$2,575 $1,287.50–$2,575 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $183–$335 $183–$335 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $32,000 $32,000 1.1×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $20,030–$22,000 $20,030–$22,000 varies
Tcat Rmvl Perm Ldls Pm (33275) $12,185 $12,185 3.9×
Temple bone implant revision (69717) $5,638 $5,638 0.8×
Temporary Closure Eyelids Suture (67875) $891 $891 0.9×
Tendon lengthening upper arm/elbow ea tendon (24305) $3,300 $3,300 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $7,293–$11,539.50 $7,293–$11,539.50 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $5,202 $5,202 1.6×
Tenodesis long tendon biceps (23430)
range across 3 matching MRF lines		 $1,668.60–$7,769.60 $1,668.60–$7,769.60 varies
Tenodesis proximal interphalangeal joint each (26471) $2,000 $2,000 0.6×
Tenodesis Wrist Extensors Fingers (25301) $3,350 $3,350 1.0×
Tenolysis extensor foot single tendon (28225) $4,490 $4,490 1.4×
Tenolysis Flexor Foot Multiple Tendons (28222) $2,500 $2,500 0.8×
Tenolysis flexor foot single tendon (28220) $2,000 $2,000 1.3×
Tenolysis flexor tendon palm&finger each tendo (26442) $3,500 $3,500 1.1×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,692 $1,692 1.1×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 2 matching MRF lines		 $4,635–$6,952.50 $4,635–$6,952.50 varies
Tenolysis Triceps (24332) $3,500 $3,500 1.1×
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 2 matching MRF lines		 $1,203–$2,406 $1,203–$2,406 varies
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295)
range across 2 matching MRF lines		 $1,442–$2,884 $1,442–$2,884 varies
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $3,296 $3,296 1.0×
Tenotomy Adductor Hip Percutaneous Spx (27000) $2,493 $2,493 1.6×
Tenotomy extensor hand/finger open each tendon (26460) $2,750 $2,750 1.7×
Tenotomy Flexor Finger Open Each Tendon (26455) $2,730 $2,730 1.7×
Tenotomy Hip Abd/Ext Open (27006)
range across 2 matching MRF lines		 $4,120–$4,375 $4,120–$4,375 varies
Tenotomy Percutaneous Single Each Digit (26060) $2,060 $2,060 1.3×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $1,699.50–$3,399 $1,699.50–$3,399 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,451 $3,451 1.1×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,485 $2,485 1.6×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $2,493 $2,493 0.8×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $4,120 $4,120 1.3×
Tenotomy shoulder area single tendon (23405) $4,230 $4,230 0.6×
Tenotomy, hip flexor(s), open (27005) $3,605 $3,605 1.1×
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) $2,575 $2,575 0.8×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 2 matching MRF lines		 $1,344–$2,688 $1,344–$2,688 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,700 $1,700 2.4×
Therapeutic plasma exchange (36514) $3,500 $3,500 2.3×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $7,000 $7,000 0.6×
Thrmbc/Nfs Dialysis Circuit (36906) $22,000 $22,000 1.2×
Thromblytic art/ven therapy (37213) $3,000 $3,000 1.0×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,500 $2,500 0.5×
Thrombolytic Venous Therapy (37212) $2,500 $2,500 0.8×
Thumb fusion with graft (26842) $3,927 $3,927 0.5×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $750–$763 $750–$763 varies
Thyroidectomy Post Prev Thyr Surg (60260)
range across 2 matching MRF lines		 $6,180–$7,757 $6,180–$7,757 varies
Thyroidectomy, total or complete (60240) $9,557 $9,557 1.6×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $9,785 $9,785 1.7×
Tibial Arthroscopy/Surgery (29855) $5,170 $5,170 0.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 3 matching MRF lines		 $1,130–$3,120 $1,130–$3,120 varies
Tissue Expander Placement Breast Reconstruction (19357)
range across 2 matching MRF lines		 $8,008–$16,439 $8,008–$16,439 varies
Tlh uterus over 250 g (58572) $9,373 $9,373 0.9×
Tnot elbow lateral/medial debride open (24358) $3,950 $3,950 1.2×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $3,950–$4,550 $3,950–$4,550 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,714 $2,714 0.8×
Tooth extraction (41899)
range across 3 matching MRF lines		 $846–$6,850 $846–$6,850 varies
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
unusually low: confirm this is the full procedure		 $7,500 $7,500 0.4×
Total Knee Arthroplasty (27447)
range across 5 matching MRF lines		 $10,068.25–$16,317.25 $10,068.25–$16,317.25 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $9,044 $9,044 1.5×
Tprnl Plmt Biodegrdabl Matrl (55874) $4,635 $4,635 0.9×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720)
range across 2 matching MRF lines		 $2,936–$7,841 $2,936–$7,841 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,094 $1,094 4.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $6,787 $6,787 4.4×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $315 $315 1.0×
Transcatheter biopsy (37200) $4,500 $4,500 0.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772)
range across 2 matching MRF lines		 $3,090–$6,180 $3,090–$6,180 varies
Transfer skin pedicle flap (15650) $2,622 $2,622 1.3×
Translum Dil Eye Canal (66174) $3,900 $3,900 1.0×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $7,500 $7,500 1.0×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $6,180 $6,180 1.2×
Transplant hand tendon (26480)
range across 2 matching MRF lines		 $1,802.50–$3,605 $1,802.50–$3,605 varies
Transplant/graft hand tendon (26483) $2,554 $2,554 0.8×
Transur electr resection of prostate (52601) $5,562 $5,562 1.0×
Transurethral incision of prostate (52450) $4,200 $4,200 1.2×
Transurethral resection bladder neck (52500) $2,266 $2,266 0.7×
Treat ankle fracture (28445)
range across 3 matching MRF lines		 $4,326–$6,489 $4,326–$6,489 varies
Treat Big Toe Fracture (28505) $4,326 $4,326 1.3×
Treat Dental Ridge Fracture (21440) $2,331 $2,331 0.7×
Treat dental ridge fracture (21445)
unusually low: confirm this is the full procedure		 $2,800 $2,800 0.5×
Treat dislocation/fracture (23680)
unusually low: confirm this is the full procedure		 $4,635 $4,635 0.4×
Treat ectopic pregnancy (59151) $5,332 $5,332 0.9×
Treat elbow fracture (24586)
unusually low: confirm this is the full procedure		 $4,326 $4,326 0.3×
Treat Elbow Fracture (24635) $4,367 $4,367 0.6×
Treat Finger Fracture Each (26727)
range across 3 matching MRF lines		 $4,611–$13,920 $4,611–$13,920 varies
Treat fracture radius/ulna (25575) $4,635 $4,635 0.6×
Treat Fx Rad Extra-Articul (25607)
range across 3 matching MRF lines		 $7,802–$8,402 $7,802–$8,402 varies
Treat Hand Bone Lesion (26034) $2,060 $2,060 1.3×
Treat Hip Socket Fracture (27222)
range across 2 matching MRF lines		 $9,723–$14,584 $9,723–$14,584 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Treat Humerus Fracture (24505)
range across 3 matching MRF lines		 $757–$10,452 $757–$10,452 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Treat knee fracture (27532) $3,296 $3,296 1.0×
Treat kneecap dislocation (27566) $3,962 $3,962 0.6×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $3,579.50–$7,159 $3,579.50–$7,159 varies
Treat Knuckle Dislocation (26700) $1,195 $1,195 4.9×
Treat lower leg bone lesion (27607) $2,472 $2,472 0.8×
Treat lower leg dislocation (27832) $4,841 $4,841 0.7×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $831–$1,195 $831–$1,195 varies
Treat scapula fracture (23585) $7,144 $7,144 1.0×
Treat skull fracture (62000) $11,839 $11,839 3.6×
Treat Tail Bone Fracture (27200) $1,195 $1,195 4.9×
Treat Thumb Fracture (26645) $669 $669 0.4×
Treat thumb fracture (26665) $4,635 $4,635 1.4×
Treat toe dislocation (28630) $1,195 $1,195 4.9×
Treat Vaginal Bleeding (57180) $484 $484 2.4×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $1,800–$10,452 $1,800–$10,452 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $1,195–$1,792 $1,195–$1,792 varies
Treatment mouth roof lesion (42160) $1,493 $1,493 0.5×
Treatment of ankle fracture (27823)
range across 3 matching MRF lines		 $7,510–$11,330 $7,510–$11,330 varies
Treatment of foot infection (28003) $2,500 $2,500 0.8×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $6,200 $6,200 0.9×
Treatment of nose fracture (21330) $3,142 $3,142 0.5×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $5,300 $5,300 1.6×
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure		 $3,000 $3,000 0.4×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $145–$265 $145–$265 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $134–$166 $134–$166 varies
Trim skin lesions over 4 (11057) $465 $465 2.3×
Trimming Nondystrophic Nails Any Number (11719) $297 $297 5.1×
Trluml Balo Angiop 1St Art (37246) $15,000 $15,000 2.7×
Trluml Balo Angiop 1St Vein (37248) $15,000 $15,000 2.7×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $462 $462 1.1×
Trnsplj autologous hematopoietic cells per donor (38241) $3,902 $3,902 2.5×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854)
range across 2 matching MRF lines		 $3,000–$3,300 $3,000–$3,300 varies
Trurl rescj postop bladder neck contracture (52640) $4,379 $4,379 1.3×
Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) $12,078 $12,078 1.3×
Tubal ligation (58600) $3,700 $3,700 1.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,884 $2,884 1.1×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $103–$1,339 $103–$1,339 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure		 $4,326 $4,326 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $3,293–$12,529 $3,293–$12,529 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $6,500 $6,500 0.9×
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $3,435.05–$4,189.45 $3,435.05–$4,189.45 varies
Tx Missed Abortion Second Trimester Surgical (59821) $2,167 $2,167 0.7×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 4 matching MRF lines		 $1,159–$2,318 $1,159–$2,318 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,100 $2,100 1.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $6,969–$10,452 $6,969–$10,452 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $773–$1,725 $773–$1,725 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $6,969 $6,969 4.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $1,195 $1,195 4.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $5,768–$10,067 $5,768–$10,067 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 3 matching MRF lines		 $518–$2,163 $518–$2,163 varies
Tympanolysis transcanal (69450) $4,570 $4,570 1.4×
Tympanoplasty (69631)
range across 3 matching MRF lines		 $2,072.88–$4,145.75 $2,072.88–$4,145.75 varies
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $4,948 $4,948 0.8×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $7,489 $7,489 1.3×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $4,738 $4,738 0.8×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $5,250 $5,250 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643)
range across 2 matching MRF lines		 $5,946–$6,586 $5,946–$6,586 varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $5,250 $5,250 0.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
range across 3 matching MRF lines		 $5,196–$6,276 $5,196–$6,276 varies
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $4,635 $4,635 0.8×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
range across 2 matching MRF lines		 $6,180–$7,748 $6,180–$7,748 varies
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines		 $805–$2,415 $805–$2,415 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $2,678 $2,678 0.8×
Unlisted Cardiac Surgery (33999) $4,000 $4,000 6.5×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $1,400 $1,400 6.0×
Unlisted hysteroscopy procedure, uterus (58579) $3,605 $3,605 18.0×
Unlisted laparoscopic procedure liver (47379) $4,120 $4,120 0.7×
Unlisted laparoscopy procedure appendix (44979)
range across 2 matching MRF lines		 $2,918.50–$5,837 $2,918.50–$5,837 varies
Unlisted laparoscopy procedure oviduct ovary (58679)
range across 2 matching MRF lines		 $2,874–$3,152 $2,874–$3,152 varies
Unlisted laparoscopy procedure stomach (43659) $5,253 $5,253 0.9×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $3,394.50–$6,789 $3,394.50–$6,789 varies
Unlisted laparoscopy procedure, biliary tract (47579) $5,253 $5,253 0.9×
Unlisted laparoscopy procedure, bladder (51999) $4,944 $4,944 0.8×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $3,152 $3,152 0.5×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $7,210 $7,210 1.2×
Unlisted laparoscopy procedure, lymphatic system (38589) $6,180 $6,180 1.0×
Unlisted laparoscopy procedure, rectum (45499) $6,500 $6,500 1.1×
Unlisted laparoscopy procedure, spermatic cord (55559)
range across 2 matching MRF lines		 $3,887–$7,774 $3,887–$7,774 varies
Unlisted laparoscopy procedure, spleen (38129) $4,635 $4,635 0.8×
Unlisted laparoscopy procedure, uterus (58578) $5,665 $5,665 0.9×
Unlisted Procedure Accessory Sinuses (31299) $2,369 $2,369 10.1×
Unlisted procedure anus (46999)
range across 3 matching MRF lines		 $850–$1,700 $850–$1,700 varies
Unlisted procedure arthroscopy (29999)
range across 3 matching MRF lines		 $2,802.50–$11,642.25 $2,802.50–$11,642.25 varies
Unlisted Procedure Biliary Tract (47999) $3,100 $3,100 3.5×
Unlisted procedure breast (19499) $4,005 $4,005 1.0×
Unlisted Procedure Casting/Strapping (29799) $412 $412 2.6×
Unlisted Procedure Conjunctiva (68399) $1,385 $1,385 4.4×
Unlisted Procedure Esophagus (43499) $1,751 $1,751 2.0×
Unlisted procedure excision pressure ulcer (15999) $705 $705 1.0×
Unlisted Procedure External Ear (69399) $4,120 $4,120 17.6×
Unlisted procedure femur or knee (27599)
range across 3 matching MRF lines		 $500–$1,973 $500–$1,973 varies
Unlisted procedure foot or toes (28899) $9,039 $9,039 37.1×
Unlisted procedure humerus/elbow (24999) $2,678 $2,678 11.0×
Unlisted Procedure Intestine (44799) $4,150 $4,150 4.6×
Unlisted procedure lacrimal system (68899) $1,030 $1,030 3.3×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines		 $680–$2,678 $680–$2,678 varies
Unlisted Procedure Muscskeletal System General (20999)
range across 3 matching MRF lines		 $1,900–$3,800 $1,900–$3,800 varies
Unlisted procedure nervous system (64999)
range across 5 matching MRF lines		 $406–$1,087 $406–$1,087 varies
Unlisted procedure pelvis/hip joint (27299) $569.15 $569.15 2.3×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $773 $773 3.3×
Unlisted Procedure Rectum (45999) $1,000 $1,000 1.1×
Unlisted procedure spine (22899) $902 $902 3.7×
Unlisted Procedure Trachea Bronchi (31899) $1,728 $1,728 8.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 3 matching MRF lines		 $2,785–$4,041 $2,785–$4,041 varies
Unlisted procedure, temporal bone, middle fossa approach (69979) $3,500 $3,500 15.0×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $863–$1,726 $863–$1,726 varies
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $1,648.60–$2,414 $1,648.60–$2,414 varies
Unlisted Px Salivary Glands/Ducts (42699) $3,955 $3,955 16.9×
Upgrade of pacemaker system (33214) $13,360 $13,360 1.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $4,120 $4,120 0.8×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $4,120 $4,120 0.8×
Ureteral endoscopy via ureterostomy (50951) $1,726 $1,726 0.5×
Urethrectomy, total, including cystostomy; male Facility (53215) $3,605 $3,605 0.7×
Urethrlys Transvag W/ Scope (53500) $2,678 $2,678 0.8×
Urethromeatoplasty W/Mucosal Advancement (53450) $2,472 $2,472 0.7×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410)
range across 2 matching MRF lines		 $5,150–$8,002 $5,150–$8,002 varies
Uvulectomy excision of uvula (42140) $1,442 $1,442 0.4×
Vag hyst complex (58290)
unusually low: confirm this is the full procedure		 $3,605 $3,605 0.5×
Vag hyst incl t/o complex (58291) $6,180 $6,180 1.3×
Vag hyst w/t/o & vag repair (58263) $5,693 $5,693 1.2×
Vaginal Delivery After Cesarean Delivery (59612) $7,460 $7,460 2.3×
Vaginal delivery only (59409) $12,529 $12,529 3.9×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $5,508 $5,508 1.1×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $7,290 $7,290 1.5×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $6,227 $6,227 1.3×
Vasc embolize/occlude artery (37242) $16,000 $16,000 0.9×
Vasc Embolize/Occlude Bleed (37244) $16,000 $16,000 1.4×
Vasc Embolize/Occlude Organ (37243) $16,000 $16,000 1.4×
Vasc embolize/occlude venous (37241) $16,000 $16,000 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 4 matching MRF lines		 $2,500–$3,001 $2,500–$3,001 varies
Vasovasostomy vasovasorrhaphy (55400)
range across 2 matching MRF lines		 $2,575–$3,862.50 $2,575–$3,862.50 varies
Venous Mech Thrombectomy (37187) $9,000 $9,000 0.8×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $1,442–$2,163 $1,442–$2,163 varies
Vestibuloplasty Anterior (40840)
unusually low: confirm this is the full procedure		 $2,678 $2,678 0.5×
Vitrectomy mechanical pars plana (67036) $4,300 $4,300 1.1×
Vulvectomy simple partial (56620) $3,090 $3,090 1.0×
Wedge excision skin nail fold (11765) $1,666 $1,666 4.1×
Wound Prep F/N/Hf/G (15004) $567 $567 1.4×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $400–$800 $400–$800 varies
Wrist arthroscopy (29840) $3,296 $3,296 1.0×
Wrist arthroscopy with partial removal of joint lining (29844) $4,738 $4,738 1.5×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $3,362 $3,362 0.6×
Xfer Single Deep Low Leg Tendon (27691)
range across 3 matching MRF lines		 $2,769–$6,138 $2,769–$6,138 varies
Xtroral I&D Floor Masticator Space (41018) $1,905 $1,905 1.2×

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.