Procedures & surgery prices at Munson Medical Center
Traverse City, MI · every code in this section with a posted price and a Medicare benchmark.
811 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 9 matching MRF lines |
$1,599.70–$1,644.75 | $1,882–$1,935 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,288.60 | $1,516 | 1.4× |
| Ablate inf turbinate submuc (30802) | $2,611.88 | $3,072.80 | 1.7× |
| Ablate Pulm Tumor Perq Crybl (32994) | $12,142.25 | $14,285 | 1.1× |
| Ablation 1/> liver tumor perq cryoablation (47383) range across 3 matching MRF lines |
$10,058.90–$10,568.05 | $11,834–$12,433 | varies |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $12,211.95 | $14,367 | 0.7× |
| Ablation ire prst8 1 or more tumors percutaneous (55877) | $13,834.60 | $16,276 | 1.3× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $10,568.05 | $12,433 | 1.5× |
| Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) | $14,918.35 | $17,551 | 1.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $2,913.12 | $3,427.20 | 1.9× |
| Acne surgery (10040) | $268.60 | $316 | 1.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $3,817.35 | $4,491 | 1.9× |
| Amniocentesis diagnostic (59000) range across 10 matching MRF lines |
$1,143.25–$1,200.20 | $1,345–$1,412 | varies |
| Amniocentesis therapeutic (59001) | $940.10 | $1,106 | 3.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $4,750.65 | $5,589 | 1.5× |
| Amputation toe interphalangeal joint (28825) | $4,532.20 | $5,332 | 1.4× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $821.95 | $967 | 2.7× |
| Anal/Urinary Muscle Study (51784) | $390.15 | $459 | 3.0× |
| Anoscopy diagnostic (46600) | $249.90 | $294 | 1.9× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $327.25 | $385 | 2.0× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$129.20–$310.25 | $152–$365 | varies |
| Application finger splint static (29130) range across 5 matching MRF lines |
$263.50–$296.65 | $310–$349 | varies |
| Application long arm splint shoulder hand (29105) range across 5 matching MRF lines |
$510–$562.70 | $600–$662 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $400.35 | $471 | 1.4× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$463.25–$511.70 | $545–$602 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $328.95 | $387 | 1.2× |
| Application of long leg cast (29345) | $386.75 | $455 | 1.4× |
| Application Short Arm Splint Dynamic (29126) | $167.45 | $197 | 1.3× |
| Application short arm splint forearm-hand static (29125) | $562.70 | $662 | 4.2× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$463.25–$511.70 | $545–$602 | varies |
| Apply hand/wrist cast (29085) | $235.45 | $277 | 1.5× |
| Apply long arm cast (29065) | $277.95 | $327 | 1.0× |
| Apply Multlay Comprs Lwr Leg (29581) | $344.25 | $405 | 2.1× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$319.60–$487.90 | $376–$574 | varies |
| Apply short leg cast (29425) | $285.60 | $336 | 1.0× |
| Arterial puncture (36600) range across 9 matching MRF lines |
$232.90–$243.95 | $274–$287 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$818.55–$990.25 | $963–$1,165 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 26 matching MRF lines |
$618.80–$1,290.30 | $728–$1,518 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$818.55–$973.25 | $963–$1,145 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 28 matching MRF lines |
$869.55–$1,578.45 | $1,023–$1,857 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$818.55–$860.20 | $963–$1,012 | varies |
| Aspirate pleura w/ imaging (32555) | $1,609.90 | $1,894 | 2.6× |
| Aspirate Pleura W/O Imaging (32554) | $1,309.85 | $1,541 | 2.1× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$456.45–$503.20 | $537–$592 | varies |
| Aspiration and/or injection thyroid cyst (60300) range across 3 matching MRF lines |
$1,121.15–$1,177.25 | $1,319–$1,385 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 3 matching MRF lines |
$3,783.35–$3,796.95 | $4,451–$4,467 | varies |
| Aspiration Bladder Needle (51100) | $608.60 | $716 | 2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$626.45–$894.20 | $737–$1,052 | varies |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $10,094.60 | $11,876 | 1.0× |
| Biopsy Abdominal Mass (49180) | $2,497.30 | $2,938 | 1.5× |
| Biopsy bone trocar/needle deep (20225) range across 4 matching MRF lines |
$3,181.55–$3,342.20 | $3,743–$3,932 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,040 | $2,400 | 1.2× |
| Biopsy muscle percutaneous needle (20206) range across 6 matching MRF lines |
$2,497.30–$2,623.95 | $2,938–$3,087 | varies |
| Biopsy nail unit (11755) | $736.95 | $867 | 1.0× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $3,695.80 | $4,348 | 1.1× |
| Biopsy of liver, needle; percutaneous (47000) range across 7 matching MRF lines |
$2,085.05–$2,190.45 | $2,453–$2,577 | varies |
| Biopsy of penis (54100) | $2,386.80 | $2,808 | 1.5× |
| Biopsy of upper nose/throat (42806) | $2,937.60 | $3,456 | 0.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,497.30 | $2,938 | 1.5× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $3,976.30 | $4,678 | 1.1× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $4,587.45 | $5,397 | 1.3× |
| Biopsy Salivary Gland Incisional (42405) | $3,795.08 | $4,464.80 | 2.5× |
| Biopsy Salivary Gland Needle (42400) | $1,726.35 | $2,031 | 2.4× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $2,818.60 | $3,316 | 1.7× |
| Biopsy soft tissue neck/thorax (21550) | $3,179 | $3,740 | 1.9× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,353.20 | $1,592 | 2.5× |
| Biopsy Tongue Posterior One-Third (41105) | $2,896.80 | $3,408 | 0.9× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,283.50 | $1,510 | 1.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $173.40 | $204 | 0.2× |
| Bladder instillation anticarcinogenic agent (51720) | $897.60 | $1,056 | 1.3× |
| Bladder Irrigation (51700) range across 4 matching MRF lines |
$854.25–$897.60 | $1,005–$1,056 | varies |
| Bladder Scan (51798) range across 9 matching MRF lines |
$80.75–$272 | $95–$320 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $544 | $640 | 1.7× |
| Blood Transfusion Service (36430) | $1,045.50 | $1,230 | 2.4× |
| Blood/Lymph System Procedure (38999) range across 4 matching MRF lines |
$2,623.10–$2,755.70 | $3,086–$3,242 | varies |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$1,999.20–$2,100.35 | $2,352–$2,471 | varies |
| Bone Marrow; Aspiration Only (38220) range across 4 matching MRF lines |
$1,655.80–$3,555.04 | $1,948–$4,182.40 | varies |
| Bronchoscopy Clear Airways (31645) | $2,159.85 | $2,541 | 1.2× |
| Bx breast 1st lesion mr imag (19085) | $3,847.95 | $4,527 | 2.3× |
| Bx breast 1st lesion strtctc (19081) | $3,486.70 | $4,102 | 2.1× |
| Bx breast 1st lesion us imag (19083) range across 6 matching MRF lines |
$2,822.85–$2,965.65 | $3,321–$3,489 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,947.52 | $2,291.20 | 1.2× |
| Bx Cervix (57500) | $901.85 | $1,061 | 1.0× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) | $3,976.30 | $4,678 | 1.1× |
| Bx prostate transperineal ultrasound-guided (55709) | $3,976.30 | $4,678 | 1.1× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) | $3,976.30 | $4,678 | 1.1× |
| Bx prst8 tprn us w/MRI fus 1 (55710) | $3,976.30 | $4,678 | 1.1× |
| Bx prst8 trct us w/MRI fus 1 (55708) | $3,976.30 | $4,678 | 1.1× |
| Catheter aspiration nasotracheal spx (31720) | $373.15 | $439 | 1.7× |
| Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) | $279.65 | $329 | 1.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $730.15 | $859 | 2.4× |
| Cerclage cervix pregnancy vaginal (59320) | $5,647.40 | $6,644 | 1.8× |
| Cessj Therapy Cath Removal (37214) range across 4 matching MRF lines |
$4,770.20–$5,011.60 | $5,612–$5,896 | varies |
| Change Cystostomy Tube Complicated (51710) | $1,144.95 | $1,347 | 1.6× |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$249.05–$261.80 | $293–$308 | varies |
| Change ureter stent percut (50382) | $5,139.10 | $6,046 | 2.5× |
| Chemical Cautery Tissue (17250) | $368.90 | $434 | 1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,024.25 | $1,205 | 1.5× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,024.25 | $1,205 | 1.5× |
| Chemodenerv Eccrine Glands (64650) | $453.90 | $534 | 1.5× |
| Chemodenerv Musc Migraine (64615) | $952 | $1,120 | 3.1× |
| Chemodenerv musc neck dyston (64616) | $507.45 | $597 | 1.7× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $1,435.65 | $1,689 | 4.7× |
| Chemodenerv trunk musc 1-5 (64646) | $1,183.20 | $1,392 | 1.7× |
| Chemodenervation eccrine glands oth area per day (64653) | $459 | $540 | 1.5× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) | $711.45 | $837 | 1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $606.90 | $714 | 2.0× |
| Chest tube placement (32551) range across 5 matching MRF lines |
$1,519.80–$1,520.65 | $1,788–$1,789 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) range across 3 matching MRF lines |
$3,114.40–$3,271.65 | $3,664–$3,849 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,608.70 | $5,422 | 1.3× |
| Circumcision w/clamp/oth dev w/block (54150) | $3,015.80 | $3,548 | 1.4× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,952.45 | $2,297 | 1.2× |
| Clear outer ear canal (69200) | $277.95 | $327 | 2.1× |
| Closed Rx Spontaneous Hip Disloc (27256) | $653.65 | $769 | 2.7× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,320.50 | $2,730 | 1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $823.65 | $969 | 3.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $281.35 | $331 | 1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,354.05 | $1,593 | 0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $474.30 | $558 | 1.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $372.30 | $438 | 1.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $2,227 | $2,620 | 1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $345.95 | $407 | 1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,220.20 | $2,612 | 1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $281.35 | $331 | 1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,877.65 | $2,209 | 1.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$312.80–$402.05 | $368–$473 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,877.65 | $2,209 | 1.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $449.65 | $529 | 1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $436.90 | $514 | 1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $391 | $460 | 1.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,799.45 | $2,117 | 1.1× |
| Closed tx talus fracture w/o manipulation (28430) | $466.65 | $549 | 1.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $270.30 | $318 | 1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $277.95 | $327 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,877.65 | $2,209 | 1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $421.60 | $496 | 1.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $323 | $380 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $912.90 | $1,074 | 3.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $486.20 | $572 | 2.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,043.40 | $2,404 | 1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,490.50 | $2,930 | 1.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $434.35 | $511 | 1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $454.75 | $535 | 1.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $394.40 | $464 | 1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $568.65 | $669 | 2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$610.30–$673.20 | $718–$792 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $478.55 | $563 | 1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,952.45–$2,096.95 | $2,297–$2,467 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,529.15 | $1,799 | 1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,096.95 | $2,467 | 1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $531.25 | $625 | 2.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $304.30 | $358 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $474.30 | $558 | 1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $314.50 | $370 | 1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,122.45 | $2,497 | 1.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,283.10 | $2,686 | 1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $280.50 | $330 | 1.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $3,420.40 | $4,024 | 2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$539.75–$561 | $635–$660 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $816 | $960 | 2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$441.15–$505.75 | $519–$595 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,877.65 | $2,209 | 1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $527.85 | $621 | 2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $440.30 | $518 | 1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$827.05–$912.90 | $973–$1,074 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $714 | $840 | 2.9× |
| Cltx post hip arthrp dislc req anes (27266) | $2,968.20 | $3,492 | 1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $709.75 | $835 | 2.9× |
| Cltx prox fibula/shft fx w/o manj (27780) | $421.60 | $496 | 1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,152.20 | $2,532 | 1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $470.05 | $553 | 1.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,877.65 | $2,209 | 1.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,877.65 | $2,209 | 1.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $489.60 | $576 | 2.0× |
| Cltx tibial fx proximal w/o manipulation (27530) | $453.05 | $533 | 1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) | $350.20 | $412 | 1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,952.45 | $2,297 | 1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $281.35 | $331 | 1.1× |
| Collect Blood From Catheter Venous Nos (36592) | $285.60 | $336 | 2.2× |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$21.25–$22.10 | $25–$26 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $550.80 | $648 | 1.8× |
| Colposcopy Cervix Endocervical Curettage (57456) | $457.30 | $538 | 1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $377.40 | $444 | 1.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $493.85 | $581 | 1.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $2,958 | $3,480 | 0.9× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,641.80 | $3,108 | 0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $901.85 | $1,061 | 1.0× |
| Complex Cystometrogram (51726) | $863.60 | $1,016 | 3.5× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$4,217.70–$4,218.55 | $4,962–$4,963 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$395.25–$1,657.16 | $465–$1,949.60 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) | $426.70 | $502 | 3.2× |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$2,624.12–$2,824.55 | $3,087.20–$3,323 | varies |
| Conversion ext bil drg cath (47535) | $6,159.95 | $7,247 | 1.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,721.70 | $3,202 | 1.4× |
| Convert Nephrostomy Catheter (50434) | $2,037.45 | $2,397 | 1.0× |
| Cordocentesis (59012) | $905.25 | $1,065 | 3.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 5 matching MRF lines |
$2,497.30–$2,705.55 | $2,938–$3,183 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $419.05 | $493 | 3.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $391 | $460 | 1.7× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) range across 2 matching MRF lines |
$3,695.80–$5,666.95 | $4,348–$6,667 | varies |
| Cysto 1st Trurl Prst8 Comis (52443) | $12,320.75 | $14,495 | 1.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $4,764.25 | $5,605 | 2.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $3,106.75 | $3,655 | 1.5× |
| Cysto w/complex removal stone & stent (52315) | $2,074.85 | $2,441 | 1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) | $5,907.50 | $6,950 | 1.1× |
| Cysto w/insert ureteral stent (52332) range across 5 matching MRF lines |
$4,988.65–$5,241.10 | $5,869–$6,166 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) | $4,611.25 | $5,425 | 1.3× |
| Cysto w/removal of lesions small (52224) | $3,565.75 | $4,195 | 1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,037.45 | $2,397 | 1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) | $5,275.10 | $6,206 | 1.0× |
| Cystometrogram W/Up (51727) | $843.20 | $992 | 1.2× |
| Cystometrogram W/Vp (51728) | $888.25 | $1,045 | 1.3× |
| Cystometrogram W/Vp&Up (51729) | $905.25 | $1,065 | 1.3× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$752.25–$819.40 | $885–$964 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,805.85 | $3,301 | 1.3× |
| Cystourethroscopy with biopsy (52204) | $5,241.10 | $6,166 | 2.5× |
| Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) | $10,617.35 | $12,491 | 1.1× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | $5,139.10 | $6,046 | 1.5× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) | $2,830.50 | $3,330 | 1.4× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) | $5,897.30 | $6,938 | 1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $635.80 | $748 | 1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,469.70 | $4,082 | 1.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $2,500.70 | $2,942 | 3.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,021.70 | $1,202 | 1.4× |
| Debride nail 1-5 (11720) | $310.25 | $365 | 5.3× |
| Debride nail 6 or more (11721) | $310.25 | $365 | 5.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,769.30 | $3,258 | 1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$860.20–$894.20 | $1,012–$1,052 | varies |
| Declot vascular device (36593) range across 14 matching MRF lines |
$765.85–$804.95 | $901–$947 | varies |
| Delivery of placenta (59414) | $4,110.60 | $4,836 | 1.3× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,663.45–$2,495.60 | $1,957–$2,936 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,767.15–$2,495.60 | $2,079–$2,936 | varies |
| Destruct B9 Lesion 1-14 (17110) | $268.60 | $316 | 1.3× |
| Destruction Benign Lesions 15/> (17111) | $304.30 | $358 | 1.5× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,912.50 | $2,250 | 2.2× |
| Destruction Lesions Vulva Extensive (56515) | $3,779.10 | $4,446 | 1.8× |
| Destruction Lesions Vulva Simple (56501) | $3,934.65 | $4,629 | 1.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $592.45 | $697 | 1.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $285.09 | $335.40 | 1.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $264.52 | $311.20 | 1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$3,479.90–$5,219.85 | $4,094–$6,141 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $537.20 | $632 | 1.3× |
| Destruction premalignant lesion 1st (17000) | $268.60 | $316 | 1.3× |
| Diaphragm or cervical cap fitting with instructions (57170) | $570.35 | $671 | 2.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $153.85 | $181 | 1.2× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $197.20 | $232 | 1.5× |
| Dilate Urethra Stricture (53620) | $3,416.15 | $4,019 | 4.9× |
| Dilate Urethra Stricture (53600) | $610.30 | $718 | 2.5× |
| Dilation Salivary Duct (42650) | $4,007.92 | $4,715.20 | 2.6× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$1,068.45–$1,446.70 | $1,257–$1,702 | varies |
| Drain Hand Tendon Sheath (26020) | $3,849.65 | $4,529 | 1.2× |
| Drain Spinal Cord Cyst (62268) | $1,723.80 | $2,028 | 2.0× |
| Drain/inj small joint/bursa w/us (20604) range across 12 matching MRF lines |
$818.55–$1,290.30 | $963–$1,518 | varies |
| Drainage external auditory canal abscess (69020) | $697.85 | $821 | 1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $663 | $780 | 0.9× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$428.40–$447.95 | $504–$527 | varies |
| Drainage of gum lesion (41800) range across 3 matching MRF lines |
$517.65–$3,306.84 | $609–$3,890.40 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$2,255.05–$2,582.30 | $2,653–$3,038 | varies |
| Drainage of hydrocele (55000) range across 4 matching MRF lines |
$1,162.80–$1,209.55 | $1,368–$1,423 | varies |
| Drainage of scrotal wall abscess (55100) | $2,629.05 | $3,093 | 1.6× |
| Drainage of scrotum (54700) | $4,095.30 | $4,818 | 2.0× |
| Draw Blood Off Venous Device (36591) | $225.25 | $265 | 1.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $789.48 | $928.80 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$243.10–$501.50 | $286–$590 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$424.15–$485.35 | $499–$571 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$362.95–$415.65 | $427–$489 | varies |
| Dstrj lesion anus simple surg excision (46922) | $4,700.84 | $5,530.40 | 1.7× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $406.30 | $478 | 2.0× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $1,677.90 | $1,974 | 0.8× |
| Dstrj lesion penis simple surg excision (54060) | $4,052.80 | $4,768 | 2.0× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $6,973.40 | $8,204 | 3.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$2,020.45–$3,031.10 | $2,377–$3,566 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines |
$3,800.35–$3,993.30 | $4,471–$4,698 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $3,593.80 | $4,228 | 2.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,021.70 | $1,202 | 1.5× |
| Egd control bleeding any (43255) | $2,434.40 | $2,864 | 1.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $783.70 | $922 | 2.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $753.10 | $886 | 2.5× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $753.10 | $886 | 2.5× |
| Electro-Uroflowmetry First (51741) | $290.70 | $342 | 1.4× |
| Endocervical curettage (57505) | $1,173.85 | $1,381 | 1.3× |
| Endometrial Biopsy (58100) | $805.80 | $948 | 4.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $18,140.70 | $21,342 | 1.6× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) | $6,642.75 | $7,815 | 2.1× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $6,735.40 | $7,924 | 2.1× |
| Endoven ther chem adhes 1st (36482) | $8,587.55 | $10,103 | 1.5× |
| Epidural Blood Patch (62273) range across 7 matching MRF lines |
$1,743.35–$1,896.35 | $2,051–$2,231 | varies |
| Episiotomy or vaginal repair (59300) | $4,460.80 | $5,248 | 1.4× |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
$166.60–$204 | $196–$240 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$118.15–$813.45 | $139–$957 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,216.80 | $2,608 | 1.3× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $6,330.80 | $7,448 | 1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,482.40 | $1,744 | 2.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,482.40 | $1,744 | 2.1× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $2,703.85 | $3,181 | 1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $813.45 | $957 | 1.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $829.60 | $976 | 1.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,635.40 | $1,924 | 2.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,506.20 | $1,772 | 0.9× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,722.10 | $2,026 | 1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $3,869.20 | $4,552 | 2.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,701.70 | $2,002 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,717.85 | $2,021 | 2.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,875.95 | $2,207 | 1.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,686.85 | $3,161 | 1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,669.40 | $1,964 | 2.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $3,043.85 | $3,581 | 1.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,162.85 | $3,721 | 1.9× |
| Exc Skin Benig >4cm Face,Facial (11446) | $4,015.40 | $4,724 | 1.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,930.35 | $2,271 | 1.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $4,095.30 | $4,818 | 1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,843.25 | $3,345 | 1.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,306.50 | $3,890 | 2.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $894.20 | $1,052 | 2.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $985.15 | $1,159 | 1.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,924.85 | $3,441 | 1.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,082.05 | $1,273 | 0.7× |
| Exc urethral diverticulum spx female (53230) | $8,322.35 | $9,791 | 1.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) range across 4 matching MRF lines |
$5,747.70–$6,038.40 | $6,762–$7,104 | varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,048.50 | $2,410 | 1.0× |
| Exchange Transfusion Blood Newborn (36450) | $2,195.55 | $2,583 | 5.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,207.90 | $3,774 | 1.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,635.40 | $1,924 | 2.3× |
| Excision H/P/P/U Complex Repair (11471) | $7,771.72 | $9,143.20 | 2.7× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $4,866.08 | $5,724.80 | 1.7× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $4,903.48 | $5,768.80 | 1.7× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $5,063.28 | $5,956.80 | 1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,669.40 | $1,964 | 2.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $663 | $780 | 0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,369.35 | $1,611 | 3.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,511.30 | $1,778 | 2.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $663 | $780 | 0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $2,841.04 | $3,342.40 | 1.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $4,015.40 | $4,724 | 1.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,820.70 | $2,142 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,635.40 | $1,924 | 2.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,635.40 | $1,924 | 2.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $3,043.85 | $3,581 | 1.8× |
| Excision of hydrocele; bilateral (55041) | $7,129.80 | $8,388 | 2.0× |
| Excision of single external papilla or tag, anus (46220) | $3,795.76 | $4,465.60 | 3.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $4,868.12 | $5,727.20 | 3.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $4,568.24 | $5,374.40 | 1.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $3,172.88 | $3,732.80 | 1.9× |
| Exploration penetrating wound spx chest (20101) | $6,618.10 | $7,786 | 3.2× |
| Exploration penetrating wound spx extremity (20103) | $3,256.35 | $3,831 | 2.0× |
| External cephalic version (59412) range across 5 matching MRF lines |
$4,245.75–$4,460.80 | $4,995–$5,248 | varies |
| Fetal Contraction Stress Test (59020) | $527.85 | $621 | 2.6× |
| Fetal non-stress test (59025) range across 11 matching MRF lines |
$454.75–$646 | $535–$760 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,032.75 | $1,215 | 1.5× |
| Fine needle aspiration without imaging guidance (10021) | $571.20 | $672 | 1.4× |
| Fluid Pressure Muscle (20950) | $911.20 | $1,072 | 1.3× |
| Fluoro exam of g/colon tube (49465) | $817.70 | $962 | 3.4× |
| Fna bx w/us gdn 1st les (10005) range across 8 matching MRF lines |
$1,032.75–$1,335.35 | $1,215–$1,571 | varies |
| Foreskin manipulation (54450) | $610.30 | $718 | 2.5× |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$1,318.35–$1,384.65 | $1,551–$1,629 | varies |
| Hem gen pltlt do 43 genes (0274U) | $2,389.35 | $2,811 | 3.9× |
| Hem heprn nduc trmbctpna srm (0275U) | $361.25 | $425 | 19.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $4,636.24 | $5,454.40 | 1.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $855.10 | $1,006 | 0.9× |
| I&d abscess peritonsillar (42700) | $584.80 | $688 | 2.5× |
| I&d abscess simple (10060) | $428.40 | $504 | 2.1× |
| I&d perianal abscess superficial (46050) | $1,422.90 | $1,674 | 1.5× |
| I&d pilonidal cyst complicated (10081) | $2,153.90 | $2,534 | 3.1× |
| I&d pilonidal cyst simple (10080) | $663 | $780 | 0.9× |
| Icd Pocket Revision (33223) | $4,220.25 | $4,965 | 2.1× |
| Image Cath Fluid Colxn Visc (49405) range across 3 matching MRF lines |
$3,210.45–$3,373.65 | $3,777–$3,969 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 3 matching MRF lines |
$3,497.75–$3,674.55 | $4,115–$4,323 | varies |
| Implant neuroelectrodes (63650) range across 3 matching MRF lines |
$10,693–$14,926.85 | $12,580–$17,561 | varies |
| Implant Neuroelectrodes (64561) | $11,691.75 | $13,755 | 1.8× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $9,127.30 | $10,738 | 1.0× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$469.20–$487.90 | $552–$574 | varies |
| Incision & drainage abscess complicated/multiple (10061) | $581.40 | $684 | 1.4× |
| Incision & removal foreign body subq tiss compl (10121) | $3,373.65 | $3,969 | 2.1× |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$899.30–$935 | $1,058–$1,100 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
$585.65–$646 | $689–$760 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $513.40 | $604 | 1.7× |
| Incision of lingual frenum (frenotomy) (41010) range across 7 matching MRF lines |
$1,373.60–$2,623.10 | $1,616–$3,086 | varies |
| Incision of rectal abscess (46040) | $3,831.80 | $4,508 | 3.2× |
| Incision of urethra (53020) | $3,079.55 | $3,623 | 1.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,765.90 | $3,254 | 1.7× |
| Incisional biopsy skin single lesion (11106) | $671.50 | $790 | 0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
$286.45–$328.10 | $337–$386 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 5 matching MRF lines |
$56.95–$4,006.05 | $67–$4,713 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $801.55 | $943 | 3.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 4 matching MRF lines |
$1,155.15–$2,323.05 | $1,359–$2,733 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 5 matching MRF lines |
$100.30–$1,547.85 | $118–$1,821 | varies |
| Inject Intravitreal Pharmcologic (67028) | $617.95 | $727 | 1.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 8 matching MRF lines |
$818.55–$860.20 | $963–$1,012 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 5 matching MRF lines |
$1,155.15–$2,495.60 | $1,359–$2,936 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 4 matching MRF lines |
$1,103.30–$1,733.15 | $1,298–$2,039 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 5 matching MRF lines |
$1,264.80–$1,897.20 | $1,488–$2,232 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 5 matching MRF lines |
$1,663.45–$2,844.10 | $1,957–$3,346 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,264.80 | $1,488 | 1.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 5 matching MRF lines |
$1,282.65–$6,194.80 | $1,509–$7,288 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 4 matching MRF lines |
$1,155.15–$1,759.50 | $1,359–$2,070 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$88.40–$1,034.45 | $104–$1,217 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $88.40 | $104 | 0.1× |
| Injection anesthetic agent suprascapular nerve (64418) range across 6 matching MRF lines |
$62.90–$1,978.80 | $74–$2,328 | varies |
| Injection for identification of sentinel node (38792) | $760.75 | $895 | 1.9× |
| Injection into spinal artery (62294) | $1,884.45 | $2,217 | 2.1× |
| Injection procedure for peyronie disease (54200) | $369.75 | $435 | 1.5× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$818.55–$860.20 | $963–$1,012 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 10 matching MRF lines |
$510.85–$973.25 | $601–$1,145 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 6 matching MRF lines |
$859.35–$1,022.55 | $1,011–$1,203 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$818.55–$860.20 | $963–$1,012 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 8 matching MRF lines |
$2,488.80–$3,732.35 | $2,928–$4,391 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 6 matching MRF lines |
$1,282.65–$2,121.60 | $1,509–$2,496 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 10 matching MRF lines |
$1,241–$6,600.25 | $1,460–$7,765 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $387.60 | $456 | 1.9× |
| Injection, intralesional; up to and including 7 lesions (11900) | $426.70 | $502 | 2.1× |
| Ins cath ren art 1st bilat (36252) | $9,465.60 | $11,136 | 3.0× |
| Ins cath ren art 1st unilat (36251) | $6,528 | $7,680 | 2.1× |
| Ins cath ren art 2nd+ bilat (36254) | $9,484.30 | $11,158 | 3.0× |
| Ins cath ren art 2nd+ unilat (36253) | $7,134.05 | $8,393 | 1.3× |
| Ins endovas vena cava filtr (37191) range across 4 matching MRF lines |
$8,072.45–$8,633.45 | $9,497–$10,157 | varies |
| Ins Vag Brachytx Device (57156) | $963.05 | $1,133 | 3.2× |
| Ins/Rep Subq Defibrillator (33270) | $87,979.25 | $103,505 | 2.8× |
| Insert 1 Electrode Pm-Defib (33216) | $14,171.20 | $16,672 | 1.7× |
| Insert Bladder Cath Complex (51703) | $390.15 | $459 | 3.0× |
| Insert cath pleura w/ image (32557) range across 6 matching MRF lines |
$1,520.65–$1,681.30 | $1,789–$1,978 | varies |
| Insert cath pleura w/o image (32556) | $1,779.90 | $2,094 | 0.9× |
| Insert cervical dilator (59200) | $729.30 | $858 | 2.4× |
| Insert Drug Implant Device (11981) | $197.20 | $232 | 1.5× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,653.70 | $3,122 | 1.4× |
| Insert Heart Pm Atrial (33206) | $19,493.05 | $22,933 | 1.9× |
| Insert Heart Pm Ventricular (33207) | $23,529.70 | $27,682 | 2.3× |
| Insert hepatic shunt (tips) (37182) | $15,019.50 | $17,670 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 8 matching MRF lines |
$3,490.10–$6,082.60 | $4,106–$7,156 | varies |
| Insert Pacing Lead & Connect (33224) | $33,398.20 | $39,292 | 3.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,520.65 | $1,789 | 1.0× |
| Insert pulse gen dual leads (33213) | $25,431.15 | $29,919 | 2.4× |
| Insert pulse gen mult leads (33221) | $30,838 | $36,280 | 1.6× |
| Insert Pulse Gen Sngl Lead (33212) | $18,778.20 | $22,092 | 2.3× |
| Insert Temp Bladder Cath (51702) range across 8 matching MRF lines |
$243.10–$252.45 | $286–$297 | varies |
| Insert tun ip cath perc (49418) | $6,157.40 | $7,244 | 1.7× |
| Insert tunneled cv cath (36561) | $5,467.20 | $6,432 | 1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $244.80 | $288 | 1.8× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,934.70 | $6,982 | 1.7× |
| Insertion of cannula (36800) | $8,010.40 | $9,424 | 1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,648.60 | $3,116 | 1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $17,999.60 | $21,176 | 2.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $4,764.25 | $5,605 | 1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $18,269.90 | $21,494 | 2.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $3,490.10 | $4,106 | 1.1× |
| Insj Picc Rs&I <5 Yr (36572) | $2,604.40 | $3,064 | 4.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,315.40 | $2,724 | 1.5× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $19,611.20 | $23,072 | 2.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $4,428.50 | $5,210 | 1.4× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $73,190.95 | $86,107 | 2.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $71,982.25 | $84,685 | 2.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $13,667.15 | $16,079 | 1.7× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $16,031 | $18,860 | 1.9× |
| Insrt heart pm atrial & vent (33208) | $24,983.20 | $29,392 | 2.4× |
| Insrt Pulse Gen W/Dual Leads (33230) | $56,923.65 | $66,969 | 2.6× |
| Insrt Pulse Gen W/Mult Leads (33231) | $73,231.75 | $86,155 | 2.3× |
| Insrt Pulse Gen W/Singl Lead (33240) | $63,971.85 | $75,261 | 2.9× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) | $717.40 | $844 | 2.9× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,963.10 | $3,486 | 2.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,082.90 | $1,274 | 2.7× |
| Intranasal Biopsy (30100) | $1,657.16 | $1,949.60 | 1.1× |
| Intro cath dialysis circuit (36901) | $1,643.05 | $1,933 | 1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $16,481.50 | $19,390 | 1.4× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $8,557.80 | $10,068 | 1.5× |
| Intubation endotracheal emergency procedure (31500) | $717.40 | $844 | 3.0× |
| Irrigation of corpora cavernosa for priapism (54220) | $819.40 | $964 | 3.3× |
| Laparoscopy w/rmvl adnexal structures (58661) | $8,639.40 | $10,164 | 1.4× |
| Laryngoscopy diagnostic (31505) | $334.05 | $393 | 1.7× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$411.40–$728.45 | $484–$857 | varies |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,483.25 | $1,745 | 3.8× |
| Lip Surgery Procedure (40799) | $4,334.32 | $5,099.20 | 18.4× |
| Lysis of labial adhesions (56441) | $3,503.70 | $4,122 | 1.1× |
| Maniplatn palar fascial crd post inj single cord (26341) | $323.85 | $381 | 1.3× |
| Manipulation Ankle Under General Anesthesia (27860) | $4,026.45 | $4,737 | 1.2× |
| Manipulation Elbow Under Anesthesia (24300) | $2,646.90 | $3,114 | 1.7× |
| Manipulation hip joint general anesthesia (27275) | $2,747.20 | $3,232 | 1.7× |
| Manipulation knee joint under general anesthesia (27570) | $3,180.70 | $3,742 | 2.0× |
| Manipulation spine requiring anesthesia (22505) | $1,767.15 | $2,079 | 1.1× |
| Manipulation tmj therapeutic require anesthesia (21073) | $3,807.15 | $4,479 | 2.5× |
| Manipulation wrist under anesthesia (25259) | $2,738.70 | $3,222 | 1.7× |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $1,479.85 | $1,741 | 0.9× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $2,946.95 | $3,467 | 1.8× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) range across 7 matching MRF lines |
$901–$946.90 | $1,060–$1,114 | varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,086.75 | $2,455 | 1.3× |
| Myelography Lumbar Injection (62305) | $2,091.85 | $2,461 | 2.7× |
| Myelography Lumbar Injection (62304) | $2,041.70 | $2,402 | 2.6× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,091.85 | $2,461 | 2.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,047.65 | $2,409 | 2.6× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$1,578.45–$2,323.05 | $1,857–$2,733 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 5 matching MRF lines |
$1,103.30–$1,912.50 | $1,298–$2,250 | varies |
| N block inj intercost sng (64420) range across 6 matching MRF lines |
$42.50–$1,924.40 | $50–$2,264 | varies |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$297.50–$508.30 | $350–$598 | varies |
| N Block Inj Pudendal (64430) | $1,762.90 | $2,074 | 2.0× |
| N Block Lumbar/Thoracic (64520) range across 6 matching MRF lines |
$1,150.90–$2,495.60 | $1,354–$2,936 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $728.45 | $857 | 1.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $3,555.04 | $4,182.40 | 2.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,723 | $4,380 | 2.1× |
| Needle Biopsy Lymph Nodes (38505) range across 8 matching MRF lines |
$2,497.30–$2,623.95 | $2,938–$3,087 | varies |
| Needle Biopsy Pancreas (48102) | $2,497.30 | $2,938 | 1.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $35.70 | $42 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $52.70 | $62 | 1.8× |
| Neuroeltrd Stim Post Tibial (64566) | $352.75 | $415 | 1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 5 matching MRF lines |
$1,507.90–$2,495.60 | $1,774–$2,936 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 6 matching MRF lines |
$169.15–$1,319.20 | $199–$1,552 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,760 | $5,600 | 1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,920.25 | $6,965 | 1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 5 matching MRF lines |
$913.75–$2,284.80 | $1,075–$2,688 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,068.45 | $1,257 | 1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$1,133.90–$1,743.35 | $1,334–$2,051 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$1,068.45–$1,282.65 | $1,257–$1,509 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) range across 2 matching MRF lines |
$1,126.25–$1,663.45 | $1,325–$1,957 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $360.40 | $424 | 0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 5 matching MRF lines |
$1,640.50–$2,077.40 | $1,930–$2,444 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 3 matching MRF lines |
$100.30–$1,663.45 | $118–$1,957 | varies |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $4,073.20 | $4,792 | 2.0× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $4,024.75 | $4,735 | 2.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,494.30 | $1,758 | 2.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,494.30 | $1,758 | 2.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $773.50 | $910 | 1.9× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $842.35 | $991 | 2.1× |
| Obstructive material removal from gi tube (49460) | $1,228.25 | $1,445 | 1.4× |
| Occipital Nerve Block (64405) range across 8 matching MRF lines |
$929.90–$1,854.70 | $1,094–$2,182 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,869.20 | $4,552 | 1.2× |
| Open/Perq Place Stent 1St (37236) | $19,793.10 | $23,286 | 1.7× |
| Open/Perq Place Stent Same (37238) range across 4 matching MRF lines |
$18,470.50–$19,404.65 | $21,730–$22,829 | varies |
| Partial Excision Distal Phalanx Finger (26236) | $3,423.80 | $4,028 | 2.1× |
| Penile Injection (54235) | $208.25 | $245 | 0.8× |
| Perc Cryo Ablate Renal Tum (50593) range across 2 matching MRF lines |
$13,570.25–$14,512.90 | $15,965–$17,074 | varies |
| Perc Rf Ablate Renal Tumor (50592) range across 3 matching MRF lines |
$9,910.15–$10,411.65 | $11,659–$12,249 | varies |
| Percut Ablate Liver Rf (47382) range across 3 matching MRF lines |
$9,910.15–$10,411.65 | $11,659–$12,249 | varies |
| Percut Cath Occlusn Non Cns Lesn (61626) | $19,324.75 | $22,735 | 1.7× |
| Percut Drain/Inject Renal Cyst (50390) range across 11 matching MRF lines |
$124.95–$2,233.80 | $147–$2,628 | varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $7,233.50 | $8,510 | 2.3× |
| Pericardiocentesis W/Imaging (33016) range across 4 matching MRF lines |
$1,681.30–$1,827.50 | $1,978–$2,150 | varies |
| Peritoneal Lavage (49084) | $1,662.60 | $1,956 | 1.8× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $24,023.55 | $28,263 | 1.3× |
| Perq Cervicothoracic Inject (22510) | $6,377.55 | $7,503 | 2.0× |
| Perq dev breast 1st mr guide (19287) | $963.05 | $1,133 | 1.4× |
| Perq dev breast 1st strtctc (19283) range across 5 matching MRF lines |
$929.90–$1,660.05 | $1,094–$1,953 | varies |
| Perq dev breast 1st us imag (19285) range across 7 matching MRF lines |
$998.75–$1,048.90 | $1,175–$1,234 | varies |
| Perq device breast 1st imag (19281) range across 8 matching MRF lines |
$1,458.60–$1,531.70 | $1,716–$1,802 | varies |
| Perq Lumbosacral Injection (22511) | $6,377.55 | $7,503 | 2.0× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $10,374.25 | $12,205 | 1.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $10,282.45 | $12,097 | 1.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,365.10 | $1,606 | 1.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $16,473.85 | $19,381 | 1.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $14,979.55 | $17,623 | 2.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $17,307.70 | $20,362 | 2.4× |
| Perq Vertebral Augmentation (22513) | $17,307.70 | $20,362 | 2.4× |
| Phleb Veins - Extrem 20+ (37766) | $6,863.75 | $8,075 | 2.2× |
| Place Cath Subclavian Art (36225) range across 4 matching MRF lines |
$6,967.45–$7,320.20 | $8,197–$8,612 | varies |
| Place Cath Thoracic Aorta (36221) | $6,709.90 | $7,894 | 2.1× |
| Place Cath Vertebral Art (36226) range across 4 matching MRF lines |
$10,347.90–$15,883.10 | $12,174–$18,686 | varies |
| Place Duod/Jej Tube Perc (49441) | $2,721.70 | $3,202 | 1.4× |
| Place Rt Device/Marker Pros (55876) range across 4 matching MRF lines |
$2,626.50–$2,759.10 | $3,090–$3,246 | varies |
| Placement Needle Pelvic Organ Radioelement Appl (55920) | $8,101.35 | $9,531 | 1.6× |
| Placement of needle for intraosseous infusion (36680) | $403.75 | $475 | 0.9× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $7,020.15 | $8,259 | 1.1× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $11,423.15 | $13,439 | 1.9× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $11,198.75 | $13,175 | 1.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $11,650.95 | $13,707 | 1.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $6,728.60 | $7,916 | 3.2× |
| Plmt Nephroureteral Catheter (50433) | $4,551.75 | $5,355 | 1.3× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $9,082.25 | $10,685 | 2.6× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$8,644.50–$9,082.25 | $10,170–$10,685 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $9,082.25 | $10,685 | 2.6× |
| Prim art mech thrombectomy (37184) | $16,980.45 | $19,977 | 0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,395.70 | $1,642 | 2.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) range across 2 matching MRF lines |
$14,353.10–$14,926.85 | $16,886–$17,561 | varies |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $6,159.95 | $7,247 | 1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $6,264.50 | $7,370 | 1.8× |
| Pseudoaneurysm Injection Trt (36002) | $841.50 | $990 | 1.3× |
| Punch biopsy skin single lesion (11104) | $380.80 | $448 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 16 matching MRF lines |
$469.20–$527.85 | $552–$621 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 6 matching MRF lines |
$951.15–$1,069.30 | $1,119–$1,258 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 4 matching MRF lines |
$1,224–$1,286.05 | $1,440–$1,513 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$1,452.65–$2,178.55 | $1,709–$2,563 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $3,479.90 | $4,094 | 1.8× |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $389.30 | $458 | 0.5× |
| Re-explore parathyroids (60502) | $6,087.70 | $7,162 | 1.0× |
| Reconstruction Nail Bed W/Graft (11762) | $4,922.52 | $5,791.20 | 2.4× |
| Redo Endovas Vena Cava Filtr (37192) range across 2 matching MRF lines |
$5,519.05–$5,797.85 | $6,493–$6,821 | varies |
| Relocation Pocket Pacemaker (33222) | $4,251.70 | $5,002 | 2.1× |
| Rem Endovas Vena Cava Filter (37193) range across 4 matching MRF lines |
$6,577.30–$6,909.65 | $7,738–$8,129 | varies |
| Removal Anal Seton Other Marker (46030) | $2,624.12 | $3,087.20 | 2.2× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,444.15 | $1,699 | 1.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$1,172.15–$1,334.50 | $1,379–$1,570 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $3,101.65 | $3,649 | 1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$132.60–$281.35 | $156–$331 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$106.25–$113.05 | $125–$133 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $3,730.65 | $4,389 | 2.3× |
| Removal implantable contraceptive capsules (11976) | $813.45 | $957 | 1.2× |
| Removal of a lesion from the floor of the mouth (41116) | $5,202 | $6,120 | 1.6× |
| Removal of foreign body from pharynx (42809) | $403.75 | $475 | 0.9× |
| Removal of nail bed (11750) | $813.45 | $957 | 2.0× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,906.20 | $5,772 | 1.6× |
| Removal or bivalving full arm or full leg cast (29705) | $511.70 | $602 | 1.8× |
| Removal Pacemaker Electrode (33235) | $5,839.50 | $6,870 | 1.6× |
| Removal ppm generator only (33233) | $14,688.85 | $17,281 | 1.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $426.70 | $502 | 2.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$1,258.85–$2,196.40 | $1,481–$2,584 | varies |
| Removal sweat gland lesion (11450) | $5,060.56 | $5,953.60 | 1.7× |
| Remove drug implant device (11982) | $513.40 | $604 | 1.2× |
| Remove Elctrd Transvenously (33244) | $6,048.60 | $7,116 | 1.6× |
| Remove foreign body from eye (65235) | $3,766.35 | $4,431 | 1.6× |
| Remove foreign body from eye (65205) | $396.10 | $466 | 3.0× |
| Remove Intrauterine Device (58301) | $378.25 | $445 | 1.2× |
| Remove intrvas foreign body (37197) | $6,263.65 | $7,369 | 2.0× |
| Remove lung catheter (32552) range across 3 matching MRF lines |
$1,407.60–$1,552.95 | $1,656–$1,827 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$266.90–$277.10 | $314–$326 | varies |
| Remove Pulse Generator (33241) | $5,308.25 | $6,245 | 1.4× |
| Remove renal tube w/fluoro (50389) | $1,434.80 | $1,688 | 2.1× |
| Remove ureter stent percut (50384) | $3,546.20 | $4,172 | 1.7× |
| Remove&replace pm gen singl (33227) | $16,430.50 | $19,330 | 2.0× |
| Remove/Insert Drug Implant (11983) | $511.70 | $602 | 1.1× |
| Remv&replc cvd gen dual lead (33263) | $64,023.70 | $75,322 | 2.9× |
| Remv&replc cvd gen mult lead (33264) | $73,952.55 | $87,003 | 2.4× |
| Remv&replc cvd gen sing lead (33262) | $54,182.40 | $63,744 | 2.4× |
| Remv&replc pm gen dual lead (33228) | $19,663.90 | $23,134 | 1.9× |
| Remv&replc pm gen mult leads (33229) | $30,712.20 | $36,132 | 1.6× |
| Renal Biopsy Perq (50200) | $2,547.45 | $2,997 | 1.5× |
| Repair Blood Vessel Direct Hand Finger (35207) | $4,378.35 | $5,151 | 1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,279.25 | $1,505 | 1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,413.55 | $1,663 | 1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,279.25 | $1,505 | 3.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,202.75 | $1,415 | 3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,252.90 | $1,474 | 3.1× |
| Repair complex trunk 2.6-7.5 cm (13101) | $734.40 | $864 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$513.40–$587.35 | $604–$691 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$512.55–$586.50 | $603–$690 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $643.45 | $757 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $816.68 | $960.80 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$1,080.35–$1,080.52 | $1,271–$1,271.20 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$516.80–$544 | $608–$640 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $583.10 | $686 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $684.25 | $805 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,105.85 | $1,301 | 2.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$537.20–$558.45 | $632–$657 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$563.55–$586.50 | $663–$690 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,506.88 | $1,772.80 | 2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$665.55–$691.90 | $783–$814 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,746.52 | $3,231.20 | 1.3× |
| Repair lead pace-defib dual (33220) | $7,154.45 | $8,417 | 1.9× |
| Repair Lead Pace-Defib One (33218) | $6,122.55 | $7,203 | 1.6× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$766.70–$1,010.65 | $902–$1,189 | varies |
| Repair tongue laceration (41250) | $411.40 | $484 | 0.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,297.95 | $1,527 | 1.4× |
| Replace G-J Tube Perc (49452) | $1,374.45 | $1,617 | 1.5× |
| Replace g/c tube perc (49450) | $1,297.95 | $1,527 | 1.4× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $6,083.45 | $7,157 | 1.6× |
| Reposition Gastrostomy Tube (43761) range across 3 matching MRF lines |
$1,715.30–$1,802 | $2,018–$2,120 | varies |
| Reposition L Ventric Lead (33226) | $5,066.85 | $5,961 | 1.6× |
| Reposition Pacing-Defib Lead (33215) | $4,894.30 | $5,758 | 1.6× |
| Reposition Venous Catheter (36597) | $2,128.40 | $2,504 | 1.4× |
| Revise Spine Eltrd Plate (63664) | $28,688.35 | $33,751 | 2.6× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $14,244.30 | $16,758 | 2.2× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $11,747.85 | $13,821 | 2.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $5,799.55 | $6,823 | 1.7× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) range across 2 matching MRF lines |
$7,407.75–$14,815.50 | $8,715–$17,430 | varies |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) range across 2 matching MRF lines |
$7,407.75–$14,815.50 | $8,715–$17,430 | varies |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) range across 2 matching MRF lines |
$7,407.75–$14,815.50 | $8,715–$17,430 | varies |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) range across 2 matching MRF lines |
$7,407.75–$14,815.50 | $8,715–$17,430 | varies |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) range across 2 matching MRF lines |
$15,024.60–$30,050.05 | $17,676–$35,353 | varies |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) range across 2 matching MRF lines |
$23,858.65–$47,718.15 | $28,069–$56,139 | varies |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 3 matching MRF lines |
$3,191.75–$3,354.10 | $3,755–$3,946 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,211.25 | $1,425 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $403.75 | $475 | 0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $249.90 | $294 | 1.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$403.75–$447.10 | $475–$526 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $4,924.90 | $5,794 | 1.7× |
| Rmvl of subq implantable defibrillator electrode (33272) | $5,814.85 | $6,841 | 1.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $5,952.55 | $7,003 | 1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,460.75 | $2,895 | 1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 5 matching MRF lines |
$1,584.40–$1,696.60 | $1,864–$1,996 | varies |
| Rplc Gtube No Revj Trc (43762) | $502.35 | $591 | 2.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) range across 2 matching MRF lines |
$2,231.25–$2,344.30 | $2,625–$2,758 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,604.40 | $3,064 | 1.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,978.90 | $7,034 | 1.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $5,402.60 | $6,356 | 1.7× |
| Rpr blood vessel direct lower extremity (35226) | $1,467.10 | $1,726 | 2.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $3,060 | $3,600 | 2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$375.70–$420.75 | $442–$495 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $890.80 | $1,048 | 1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $581.40 | $684 | 2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,419.16 | $1,669.60 | 2.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,274.15 | $1,499 | 2.0× |
| Sclerotx Fluid Collection (49185) | $2,538.10 | $2,986 | 1.5× |
| Shave skin lesion 0.5 cm/< (11300) | $516.80 | $608 | 1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $426.70 | $502 | 2.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $798.15 | $939 | 2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$153.85–$426.70 | $181–$502 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $435.20 | $512 | 2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $478.55 | $563 | 2.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $553.35 | $651 | 1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $729.30 | $858 | 3.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $801.55 | $943 | 2.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $435.20 | $512 | 2.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $526.15 | $619 | 1.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $478.55 | $563 | 2.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $407.15 | $479 | 0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $704.65 | $829 | 1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $361.25 | $425 | 1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$331.50–$508.30 | $390–$598 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$349.35–$399.50 | $411–$470 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $624.75 | $735 | 3.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $361.25 | $425 | 1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $610.30 | $718 | 3.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $399.50 | $470 | 2.0× |
| Skin Full Grft Face/Genit/Hf (15240) | $3,490.44 | $4,106.40 | 1.7× |
| Skin sub graft face/nk/hf/g (15275) | $2,385.95 | $2,807 | 3.2× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$2,227.85–$5,635.50 | $2,621–$6,630 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$2,986.05–$5,236.85 | $3,513–$6,161 | varies |
| Skin Tissue Procedure (17999) | $1,363.40 | $1,604 | 6.8× |
| Skn sub grft f/n/hf/g child (15277) | $2,371.50 | $2,790 | 1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 8 matching MRF lines |
$13,226–$13,243.85 | $15,560–$15,581 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 8 matching MRF lines |
$9,321.95–$9,333.85 | $10,967–$10,981 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 7 matching MRF lines |
$12,367.50–$12,382.80 | $14,550–$14,568 | varies |
| Slitting of prepuce (54001) | $2,150.50 | $2,530 | 1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $379.95 | $447 | 1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $446.25 | $525 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $446.25 | $525 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) range across 6 matching MRF lines |
$1,021.70–$11,548.10 | $1,202–$13,586 | varies |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $6,365.65 | $7,489 | 2.0× |
| Strapping ankle (29540) | $149.60 | $176 | 0.9× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$293.25–$325.55 | $345–$383 | varies |
| Subconjunctival injection (68200) | $1,763.75 | $2,075 | 4.0× |
| Subcutaneous Hormone Pellet Implantation (11980) | $450.54 | $530.04 | 1.0× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $1,015.92 | $1,195.20 | 5.1× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $990.76 | $1,165.60 | 1.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $2,725.10 | $3,206 | 1.7× |
| Tangential biopsy skin single lesion (11102) | $369.75 | $435 | 0.9× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $61,432.90 | $72,274 | 2.1× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $33,450.05 | $39,353 | 1.7× |
| Tcat Rmvl Perm Ldls Pm (33275) | $6,182.05 | $7,273 | 2.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,068.45 | $1,257 | 1.5× |
| Therapeutic plasma exchange (36514) | $3,774 | $4,440 | 2.4× |
| Therapeutic pneumothorax (32960) | $1,725.50 | $2,030 | 2.8× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) | $9,389.95 | $11,047 | 1.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $27,254.40 | $32,064 | 1.5× |
| Thromblytic art/ven therapy (37213) range across 4 matching MRF lines |
$4,777–$5,018.40 | $5,620–$5,904 | varies |
| Thrombolytic Art Therapy (37211) | $6,056.25 | $7,125 | 1.1× |
| Thrombolytic Therapy Stroke (37195) | $625.60 | $736 | 1.9× |
| Thrombolytic Venous Therapy (37212) range across 5 matching MRF lines |
$3,263.15–$3,490.10 | $3,839–$4,106 | varies |
| Thyroid biopsy (60100) | $1,178.95 | $1,387 | 1.7× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$4,619.75–$4,993.24 | $5,435–$5,874.40 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,297.55 | $2,703 | 1.5× |
| Transcatheter biopsy (37200) range across 3 matching MRF lines |
$5,662.70–$6,056.25 | $6,662–$7,125 | varies |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $3,857.30 | $4,538 | 1.2× |
| Transfusion Intrauterine Fetal (36460) | $986 | $1,160 | 2.2× |
| Treat Hip Socket Fracture (27222) | $4,454 | $5,240 | 18.1× |
| Treat humerus fracture (24500) | $424.15 | $499 | 1.7× |
| Treat humerus fracture (23600) | $485.35 | $571 | 2.0× |
| Treat Knuckle Dislocation (26700) | $612.85 | $721 | 2.5× |
| Treat Thumb Dislocation (26641) | $493.85 | $581 | 2.0× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$359.55–$374 | $423–$440 | varies |
| Treat Vaginal Bleeding (57180) | $1,127.10 | $1,326 | 5.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $351.90 | $414 | 0.2× |
| Treatment closed elbow dislocation w/o anes (24600) | $366.35 | $431 | 1.5× |
| Trim skin lesion (11055) | $426.70 | $502 | 2.1× |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$380.80–$393.55 | $448–$463 | varies |
| Trim skin lesions over 4 (11057) | $567.80 | $668 | 2.8× |
| Trimming Nondystrophic Nails Any Number (11719) | $310.25 | $365 | 5.3× |
| Trluml Balo Angiop 1St Art (37246) range across 4 matching MRF lines |
$8,146.40–$8,557.80 | $9,584–$10,068 | varies |
| Trluml Balo Angiop 1St Vein (37248) | $8,557.80 | $10,068 | 1.5× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $4,346.56 | $5,113.60 | 2.8× |
| Tx Gastro Intub W/Asp (43753) | $306 | $360 | 1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $4,359.65 | $5,129 | 1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
$1,003.85–$1,149.20 | $1,181–$1,352 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
$572.90–$1,005.55 | $674–$1,183 | varies |
| Unlisted Cardiac Surgery (33999) range across 3 matching MRF lines |
$4,499.90–$9,898.25 | $5,294–$11,645 | varies |
| Unlisted laparoscopy procedure, testis (54699) | $4,172.46 | $4,908.77 | 0.7× |
| Unlisted procedure foot or toes (28899) | $3,588.70 | $4,222 | 14.6× |
| Unlisted Procedure Hands/Fingers (26989) | $3,938.90 | $4,634 | 16.0× |
| Unlisted procedure humerus/elbow (24999) | $4,698.80 | $5,528 | 19.1× |
| Unlisted Procedure Intestine (44799) | $5,049 | $5,940 | 5.6× |
| Unlisted procedure lungs and pleura (32999) | $1,545.30 | $1,818 | 2.5× |
| Unlisted Procedure Male Genital System (55899) | $4,158.88 | $4,892.80 | 16.7× |
| Unlisted Procedure Muscskeletal System General (20999) | $4,013.70 | $4,722 | 16.3× |
| Unlisted procedure neck or thorax (21899) | $643.45 | $757 | 2.7× |
| Unlisted procedure nervous system (64999) range across 9 matching MRF lines |
$1,440.75–$2,261.85 | $1,695–$2,661 | varies |
| Unlisted Procedure Palate Uvula (42299) | $3,306.84 | $3,890.40 | 14.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) range across 2 matching MRF lines |
$2,937.60–$2,991.15 | $3,456–$3,519 | varies |
| Unlisted Procedure Tongue Floor Mouth (41599) | $4,993.24 | $5,874.40 | 21.2× |
| Unlisted Procedure Vascular Surgery (37799) | $2,392.75 | $2,815 | 3.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $5,411.95 | $6,367 | 6.0× |
| Unlisted Procedure, Urinary System (53899) | $4,075.75 | $4,795 | 16.4× |
| Unlisted procedure, vestibule of mouth (40899) | $5,470.60 | $6,436 | 23.2× |
| Upgrade of pacemaker system (33214) | $20,931.25 | $24,625 | 2.0× |
| Vasc embolize/occlude artery (37242) | $18,605.65 | $21,889 | 1.0× |
| Vasc Embolize/Occlude Bleed (37244) | $18,240.15 | $21,459 | 1.6× |
| Vasc Embolize/Occlude Organ (37243) range across 3 matching MRF lines |
$17,708.90–$18,605.65 | $20,834–$21,889 | varies |
| Vasc embolize/occlude venous (37241) range across 3 matching MRF lines |
$17,708.90–$18,605.65 | $20,834–$21,889 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $3,389.80 | $3,988 | 1.6× |
| Venous Mech Thrombectomy (37187) range across 4 matching MRF lines |
$15,640.85–$16,726.30 | $18,401–$19,678 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$497.25–$516.80 | $585–$608 | varies |
| Wrist arthroscopy (29840) | $134.30 | $158 | 0.0× |
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.