Procedures & surgery prices at Northwest Hills Surgical Hospital

Austin, TX · every code in this section with a posted price and a Medicare benchmark.

3259 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) $3,367.80 $9,355 1.0×
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $3,367.80 $9,355 1.0×
Ablate inf turbinate submuc (30802) $1,706.76 $4,741 1.1×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $12,714.12 $35,317 0.7×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,473.12 $4,092 0.9×
Abrasion single lesion (15786) $1,252.44 $3,479 6.2×
Acne surgery (10040) $1,252.44 $3,479 6.2×
Acromiopl/Acromionect Partial (23130) $4,556.88 $12,658 1.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,761.84 $4,894 0.9×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,018.52 $5,607 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,465.72 $9,627 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,761.84 $4,894 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,761.84 $4,894 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,761.84 $4,894 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,761.84 $4,894 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,978.92 $5,497 1.0×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $6,911.28 $19,198 0.9×
Allogeneic lymphocyte infusions (38242) $1,482.12 $4,117 0.9×
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $3,110.40 $8,640 0.9×
Amniocentesis diagnostic (59000) $854.28 $2,373 0.9×
Amniocentesis therapeutic (59001) $1,512 $4,200 4.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,126.96 $8,686 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,126.96 $8,686 1.0×
Amputate Metacarpal Bone (26910) $3,126.96 $8,686 1.0×
Amputation metatarsal with toe single (28810) $3,126.96 $8,686 1.0×
Amputation toe interphalangeal joint (28825) $3,126.96 $8,686 1.0×
Amputation toe metatarsophalangeal joint (28820) $3,126.96 $8,686 1.0×
Amputation, arm through humerus; secondary closure or scar revision Facility (24925) $3,126.96 $8,686 1.0×
Amputation, forearm, through radius and ulna; re-amputation Facility (25909) $6,911.28 $19,198 0.9×
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $3,126.96 $8,686 1.0×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure		 $3,269.88 $9,083 0.4×
Anal/Urinary Muscle Study (51784) $1,252.44 $3,479 9.7×
Ankle Arthroscopy/Surgery (29892) $8,524.08 $23,678 1.2×
Anoplasty, plastic operation for stricture; adult Facility (46700) $2,712.60 $7,535 1.0×
Anorectal myomectomy (45108) $2,712.60 $7,535 1.0×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $1,517.76 $4,216 1.6×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $2,712.60 $7,535 1.0×
Anoscopy Ablation Lesion (46615) $2,712.60 $7,535 1.0×
Anoscopy Control Bleeding (46614) $1,140.12 $3,167 0.9×
Anoscopy diagnostic (46600) $636.84 $1,769 4.8×
Anoscopy remove lesion (46610) $2,712.60 $7,535 1.0×
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $1,132.20–$1,188.72 $3,145–$3,302 varies
Anoscopy; with biopsy, single or multiple (46606) $1,140.12 $3,167 0.9×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,338.12 $3,717 1.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,712.60 $7,535 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240) $4,804.92 $13,347 1.0×
Anterior Tibial Tubercleplasty (27418) $6,911.28 $19,198 0.9×
Apheresis Platelets (36513) $1,249.20 $3,470 2.8×
Appendectomy (44950) $7,308.72 $20,302 1.1×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,552.68 $4,313 1.0×
Application cast elbow finger short arm (29075) $231.56 $643.23 0.8×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $362.34–$1,252.44 $1,006.50–$3,479 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $57.22–$1,252.44 $158.94–$3,479 varies
Application long arm splint shoulder hand (29105) $131.27 $364.65 0.8×
Application Long Leg Splint (29505) $131.38 $364.95 0.8×
Application multiplane external fixation system (20692) $10,126.80 $28,130 0.8×
Application of halo, including removal; femoral Facility (20663) $3,126.96 $8,686 1.0×
Application of long leg cast (29345) $231.56 $643.23 0.8×
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) $18,003.24 $50,009 0.7×
Application of pelvis brace (20662) $2,118.60 $5,885 1.3×
Application Short Arm Splint Dynamic (29126) $104.92 $291.45 0.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $131.38–$1,193.04 $364.95–$3,314 varies
Application uniplane external fixation system (20690)
range across 2 matching MRF lines		 $4,699.80–$6,911.28 $13,055–$19,198 varies
Apply hand/wrist cast (29085) $131.27 $364.65 0.8×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Apply Short Leg Cast (29405) $231.56 $643.23 0.8×
Apply short leg cast (29425) $231.56 $643.23 0.8×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $3,989.88 $11,083 0.7×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $3,079.08 $8,553 1.0×
Arterial puncture (36600)
range across 2 matching MRF lines		 $478.80–$1,252.44 $1,330–$3,479 varies
Arteriovenous Anastomosis Open Direct (36821) $3,936.96 $10,936 1.2×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $5,308.56 $14,746 0.9×
Artery-vein autograft (36825) $5,308.56 $14,746 0.9×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $9,021.60 $25,060 0.7×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $10,398.96 $28,886 0.8×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $8,845.20 $24,570 0.7×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $9,128.88 $25,358 0.7×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $6,911.28 $19,198 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $358.20 $995 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $636.84 $1,769 2.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $547.20–$636.84 $1,520–$1,769 varies
Arthrodesis ankle open (27870) $8,563.68 $23,788 0.7×
Arthrodesis Glenohumeral Joint (23800) $11,455.20 $31,820 1.6×
Arthrodesis great toe interphalangeal joint (28755) $6,911.28 $19,198 0.9×
Arthrodesis great toe metatarsophalangeal joint (28750) $5,622.84 $15,619 0.8×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $3,126.96 $8,686 1.0×
Arthrodesis Posterior Interbody Lumbar (22630) $18,003.24 $50,009 0.7×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $11,075.40 $30,765 0.6×
Arthrodesis Posterior/Posterolateral Thoracic (22610) $11,629.08 $32,303 0.7×
Arthrodesis sacroiliac joint percutaneous (27279) $13,951.44 $38,754 0.8×
Arthrodesis subtalar (28725) $12,714.12 $35,317 1.0×
Arthrodesis triple (28715) $10,540.44 $29,279 0.8×
Arthrodesis Wrist Complete W/O Bone Graft (25800) $8,524.08 $23,678 1.2×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure		 $9,156.60 $25,435 0.3×
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548)
likely a partial charge, not the full procedure		 $3,053.16 $8,481 0.2×
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808)
likely a partial charge, not the full procedure		 $2,720.52 $7,557 0.2×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $8,524.08 $23,678 1.2×
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802) $12,714.12 $35,317 1.0×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) $9,576.72 $26,602 0.5×
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) $8,316 $23,100 0.6×
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804)
unusually low: confirm this is the full procedure		 $7,560 $21,000 0.4×
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802)
likely a partial charge, not the full procedure		 $2,590.92 $7,197 0.1×
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800)
likely a partial charge, not the full procedure		 $5,231.52 $14,532 0.3×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
unusually low: confirm this is the full procedure		 $5,513.04 $15,314 0.3×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $12,714.12 $35,317 1.0×
Arthrodesis, wrist; with sliding graft Facility (25805) $8,524.08 $23,678 1.2×
Arthroplasty ankle revision total ankle (27703)
unusually low: confirm this is the full procedure		 $8,599.68 $23,888 0.5×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $3,269.88 $9,083 0.1×
Arthroplasty glenohumeral joint total shoulder (23472) $18,123.48 $50,343 1.0×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $10,846.80 $30,130 0.8×
Arthroplasty interphalangeal joint each (26535) $4,078.80 $11,330 1.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,126.96 $8,686 1.0×
Arthroplasty Patella W/Prosthesis (27438) $9,884.88 $27,458 0.8×
Arthroplasty radial head (24365) $12,714.12 $35,317 1.0×
Arthroplasty Radial Head W/Implant (24366) $10,846.80 $30,130 0.8×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) $17,590.32 $48,862 1.0×
Arthroplasty with prosthetic replacement; distal radius Facility (25441) $11,606.40 $32,240 0.9×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442) $10,846.80 $30,130 0.6×
Arthroplasty with prosthetic replacement; lunate Facility (25444)
unusually low: confirm this is the full procedure		 $6,237.72 $17,327 0.5×
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) $5,843.88 $16,233 0.8×
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) $22,296.24 $61,934 1.3×
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) $12,714.12 $35,317 1.0×
Arthroplasty, patella; without prosthesis (27437) $6,911.28 $19,198 0.9×
Arthroplasty, temporomandibular joint, with allograft Facility (21242) $6,437.52 $17,882 1.1×
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) $5,657.40 $15,715 1.0×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) $17,654.40 $49,040 0.6×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $4,753.80 $13,205 2.9×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
unusually low: confirm this is the full procedure		 $6,287.04 $17,464 0.5×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,420 $9,500 1.0×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,126.96 $8,686 1.0×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,249 $9,025 1.0×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $4,109.04 $11,414 1.3×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,604.32 $10,012 1.1×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $3,269.88 $9,083 1.0×
Arthroscopy hip w/femoroplasty (29914) $6,911.28 $19,198 0.9×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,126.96 $8,686 1.0×
Arthroscopy Knee Osteochondral Allograft (29867) $6,716.88 $18,658 0.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,126.96 $8,686 1.0×
Arthroscopy knee synovectomy limited spx (29875) $3,126.96 $8,686 1.0×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,388.68 $9,413 1.0×
Arthroscopy shoulder distal claviculectomy (29824) $3,269.88 $9,083 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $5,862.60 $16,285 0.8×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $4,240.08 $11,778 1.3×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,313.08 $9,203 1.0×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $6,911.28 $19,198 0.9×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $3,269.88 $9,083 1.0×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $12,855.96 $35,711 1.8×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $6,911.28 $19,198 0.9×
Arthroscopy, knee, surgical; with lateral release (29873) $3,126.96 $8,686 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,126.96 $8,686 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,464.28 $9,623 1.1×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $5,214.60 $14,485 0.7×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $5,214.60 $14,485 1.6×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,420 $9,500 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $5,277.60 $14,660 0.7×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,269.88 $9,083 1.0×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $5,475.24 $15,209 1.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $6,208.20 $17,245 0.9×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,126.96 $8,686 1.0×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) $6,911.28 $19,198 0.9×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,126.96 $8,686 1.0×
Arthrotomy biopsy interphalangeal joint each (26110) $1,863.72 $5,177 1.2×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $3,126.96 $8,686 1.0×
Arthrotomy W/Meniscus Repair Knee (27403) $6,911.28 $19,198 0.9×
Arthrotomy W/Synovectomy Ankle (27625) $3,126.96 $8,686 1.0×
Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) $3,126.96 $8,686 1.0×
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $3,126.96 $8,686 1.0×
Arthrotomy Wrist Joint With Biopsy (25100) $3,126.96 $8,686 1.0×
Arthrotomy wrist joint with synovectomy (25105) $3,126.96 $8,686 1.0×
Arthrotomy, elbow; with synovial biopsy only Facility (24100) $3,126.96 $8,686 1.0×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $3,126.96 $8,686 1.0×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $3,126.96 $8,686 1.0×
Arthrotomy, temporomandibular joint Facility (21010) $3,328.20 $9,245 1.0×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $3,817.80 $10,605 1.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $17,717.40 $49,215 1.4×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $11,306.16 $31,406 0.9×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $6,097.32 $16,937 0.8×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $3,961.44 $11,004 1.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $8,118 $22,550 1.1×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $9,468 $26,300 0.7×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $5,475.24 $15,209 1.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,126.96 $8,686 1.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,126.96 $8,686 1.0×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,400.20 $9,445 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,126.96 $8,686 1.0×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $3,126.96 $8,686 1.0×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $3,126.96 $8,686 1.0×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $3,126.96 $8,686 1.0×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,649.88 $4,583 1.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $3,126.96 $8,686 1.0×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $3,126.96 $8,686 1.0×
Arthrt w/synvct kne ant&post w/pop area (27335) $6,911.28 $19,198 0.9×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $3,126.96 $8,686 1.0×
Artificial insemination intra-cervical (58321) $1,252.44 $3,479 4.1×
Artificial insemination intra-uterine (58322) $1,252.44 $3,479 6.2×
Aspirate/Inj Ganglion Cyst (20612) $636.84 $1,769 2.1×
Aspiration & Injection Treatment Bone Cyst (20615) $812.52 $2,257 1.1×
Aspiration and/or injection thyroid cyst (60300) $812.52 $2,257 1.1×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $1,866.60–$1,967.76 $5,185–$5,466 varies
Aspiration Bladder Needle (51100) $636.84 $1,769 2.5×
Aspiration bladder trocar/intracatheter (51101) $1,149.12 $3,192 1.3×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $3,935.16 $10,931 1.7×
Augmentation lower jaw bone (21127) $9,156.96 $25,436 1.5×
Augmentation, mandibular body or angle; prosthetic material Facility (21125) $5,657.40 $15,715 1.0×
Autologous Chondrocyte Implantation Knee (27412) $8,524.08 $23,678 1.2×
Av fistula revision (36833) $5,308.56 $14,746 0.9×
Av Fistula Revision Open (36832) $5,308.56 $14,746 0.9×
Av Fuse Uppr Arm Basilic (36819) $5,308.56 $14,746 0.9×
Av fusion/forearm vein (36820) $5,308.56 $14,746 0.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $547.20–$636.84 $1,520–$1,769 varies
Axillary lymphadenectomy; complete (38745) $5,573.88 $15,483 0.9×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $7,308.72 $20,302 1.1×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $9,944.28 $27,623 0.9×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $9,944.28 $27,623 0.9×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $7,308.72 $20,302 1.1×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $3,763.08 $10,453 0.6×
Biopsy Abdominal Mass (49180) $1,566.36 $4,351 0.9×
Biopsy bone open deep (20245) $2,745 $7,625 0.9×
Biopsy bone open superficial (20240) $2,745 $7,625 0.9×
Biopsy bone trocar/needle deep (20225) $1,631.16 $4,531 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,566.36 $4,351 0.9×
Biopsy External Auditory Canal (69105) $1,738.80 $4,830 1.1×
Biopsy external ear (69100) $1,252.44 $3,479 5.3×
Biopsy eye muscle (67346) $3,735 $10,375 0.9×
Biopsy muscle percutaneous needle (20206) $1,566.36 $4,351 0.9×
Biopsy Muscle Superficial (20200) $1,631.16 $4,531 1.0×
Biopsy nail unit (11755) $1,252.44 $3,479 1.8×
Biopsy Nasopharynx Visible Lesion Simple (42804) $3,110.40 $8,640 0.9×
Biopsy of breast; open, incisional (19101) $3,682.44 $10,229 0.9×
Biopsy of conjunctiva (68100) $2,257.56 $6,271 0.9×
Biopsy of cornea (65410) $2,257.56 $6,271 0.9×
Biopsy of epididymis (54800) $3,137.40 $8,715 1.9×
Biopsy of floor of mouth (41108) $1,566.36 $4,351 0.9×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $1,215.36 $3,376 1.3×
Biopsy of lacrimal gland (68510) $2,334.24 $6,484 1.0×
Biopsy of lip (40490) $1,252.44 $3,479 5.3×
Biopsy of liver, needle; percutaneous (47000) $1,566.36 $4,351 0.9×
Biopsy of palate, uvula (42100) $1,473.12 $4,092 0.9×
Biopsy of penis (54100) $1,941.12 $5,392 1.2×
Biopsy of penis; deep structures (54105) $2,745 $7,625 0.9×
Biopsy of rectum (45100) $2,712.60 $7,535 1.0×
Biopsy of tear sac (68525) $2,257.56 $6,271 0.9×
Biopsy of upper nose/throat (42806) $3,110.40 $8,640 0.9×
Biopsy of urethra (53200) $2,014.92 $5,597 1.0×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $3,682.44 $10,229 0.9×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $3,682.44 $10,229 0.9×
Biopsy Oropharynx (42800) $1,473.12 $4,092 0.9×
Biopsy ovary uni/bi separate procedure (58900) $3,020.04 $8,389 0.9×
Biopsy Pleura Percutaneous Needle (32400) $1,566.36 $4,351 0.9×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $3,367.80 $9,355 1.0×
Biopsy Salivary Gland Incisional (42405) $2,388.96 $6,636 1.5×
Biopsy Salivary Gland Needle (42400) $812.52 $2,257 1.1×
Biopsy soft tissue back/flank deep (21925) $2,232 $6,200 1.3×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,566.36 $4,351 0.9×
Biopsy soft tissue forearm&/wrist deep (25066) $2,745 $7,625 0.9×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,587.60 $4,410 1.0×
Biopsy soft tissue neck/thorax (21550) $1,631.16 $4,531 1.0×
Biopsy Soft Tissue Shoulder Deep (23066) $2,745 $7,625 0.9×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,566.36 $4,351 0.9×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $2,745 $7,625 0.9×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,631.16 $4,531 1.0×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,566.36 $4,351 0.9×
Biopsy Testis Incisional Separate Procedure (54505) $3,367.80 $9,355 1.0×
Biopsy Testis Needle Separate Procedure (54500) $2,745 $7,625 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $943.20 $2,620 1.7×
Biopsy Tongue Posterior One-Third (41105) $3,110.40 $8,640 0.9×
Biopsy Vaginal Mucosa Extensive (57105) $3,020.04 $8,389 0.9×
Biopsy Vaginal Mucosa Simple (57100) $903.60 $2,510 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $812.52 $2,257 0.9×
Biopsy, vestibule of mouth (40808) $636.84 $1,769 1.2×
Biopsy/removal lymph nodes (38510) $3,682.44 $10,229 0.9×
Bladder Irrigation (51700) $226.62 $629.49 0.9×
Bladder Scan (51798) $1,252.44 $3,479 21.1×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $1,625.40 $4,515 1.0×
Blepharoplasty Lower Eyelid (15820) $2,058.12 $5,717 1.0×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $3,384 $9,400 1.6×
Blepharoplasty upper eyelid (15822) $3,384 $9,400 1.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,058.12 $5,717 1.0×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Blood Transfusion Service (36430)
range across 8 matching MRF lines		 $547.20–$636.84 $1,520–$1,769 varies
Bone Graft Any Donor Area Major/Large (20902) $6,911.28 $19,198 0.9×
Bone Graft Any Donor Area Minor/Small (20900) $6,911.28 $19,198 0.9×
Bone Marrow Biopsy (38221) $1,566.36 $4,351 0.9×
Bone marrow harvest allogen (38230) $2,088.36 $5,801 1.3×
Bone Marrow Harvest Autolog (38232)
range across 2 matching MRF lines		 $911.16–$4,819.68 $2,531–$13,388 varies
Bone Marrow; Aspiration Only (38220) $1,566.36 $4,351 0.9×
Breast augmentation with implant (19325) $5,000.40 $13,890 0.6×
Breast Reduction (19318) $4,809.60 $13,360 0.7×
Brnchsc Brushing/Protected Brushings (31623) $1,639.80 $4,555 0.9×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $6,611.76 $18,366 0.9×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,617.64 $10,049 1.0×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,639.80 $4,555 0.9×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $3,617.64 $10,049 1.0×
Bronchoscopy Balloon Occlusion (31634) $6,611.76 $18,366 0.9×
Bronchoscopy Bronch Stents (31636) $4,676.04 $12,989 0.7×
Bronchoscopy Clear Airways (31645) $1,639.80 $4,555 0.9×
Bronchoscopy Dilate W/Stent (31631) $6,611.76 $18,366 0.9×
Bronchoscopy Reclear Airway (31646) $1,014.84 $2,819 2.6×
Bronchoscopy W/Biopsy(S) (31625) $1,639.80 $4,555 0.9×
Bronchoscopy W/Excision Tumor (31640) $3,617.64 $10,049 1.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $6,611.76 $18,366 0.9×
Bronchoscopy W/Removal Foreign Body (31635) $1,639.80 $4,555 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,617.64 $10,049 1.0×
Bronchoscopy/Needle Bx Each (31629) $3,617.64 $10,049 1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,745 $7,625 0.9×
Bx breast 1st lesion us imag (19083) $1,566.36 $4,351 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $1,566.36 $4,351 0.9×
Bx Cervix (57500) $884.52 $2,457 1.0×
Bx prostate strtctc saturation sampling img gid (55706) $3,367.80 $9,355 1.0×
Bx/exc lymph node open deep axillary node (38525) $3,682.44 $10,229 0.9×
Bx/exc lymph node open superficial (38500) $3,682.44 $10,229 0.9×
Canthoplasty (67950) $2,257.56 $6,271 0.9×
Canthotomy Separate Procedure (67715) $2,257.56 $6,271 0.9×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,244.60 $6,235 0.7×
Capsular contracture release (23020) $3,462.48 $9,618 1.1×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,073.24 $5,759 1.3×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $3,126.96 $8,686 1.0×
Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) $3,126.96 $8,686 1.0×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $8,524.08 $23,678 1.2×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $8,524.08 $23,678 1.2×
Capsulotomy wrist (25085) $3,126.96 $8,686 1.0×
Carpal Tunnel Surgery (64721) $1,865.16 $5,181 1.0×
Carpectomy All Bones Proximal Row (25215) $3,394.44 $9,429 1.0×
Cartilage graft; costochondral (20910) $2,058.12 $5,717 2.8×
Cataract surg w/iol 1 stage (66983) $2,292.48 $6,368 1.0×
Cataract surgery complex (66982) $2,504.16 $6,956 1.1×
Catheter aspiration nasotracheal spx (31720) $636.84 $1,769 2.9×
Catheterization with bronchial brush biopsy Facility (31717) $636.84 $1,769 1.6×
Cautery Cervix Cryocautery Initial/Repeat (57511) $636.84 $1,769 2.1×
Cautery Cervix Electro/Thermal (57510) $3,020.04 $8,389 0.9×
Cerclage cervix pregnancy vaginal (59320) $3,020.04 $8,389 0.9×
Cerclage Uterine Cervix Nonobstetrical (57700) $3,020.04 $8,389 0.9×
Cerv artific diskectomy (22856) $10,979.28 $30,498 0.6×
Cervical lymphadenectomy (complete) (38720) $6,299.64 $17,499 0.9×
Change Cystostomy Tube Simple (51705) $547.20 $1,520 2.2×
Change of Windpipe Airway (31502) $636.84 $1,769 2.7×
Change ureter stent percut (50382) $2,523.24 $7,009 1.2×
Chemical Cautery Tissue (17250) $636.84 $1,769 3.2×
Chemical peel face dermal (15789) $1,252.44 $3,479 1.7×
Chemical peel nonfacial dermal (15793) $1,252.44 $3,479 3.1×
Chemical peel nonfacial epidermal (15792) $1,252.44 $3,479 1.7×
Chemical peel, facial; epidermal (15788) $1,252.44 $3,479 3.1×
Chemical Pleurodesis (32560) $996.12 $2,767 1.6×
Chemodenerv 1 extremity 1-4 (64642) $812.52 $2,257 1.1×
Chemodenerv Musc Migraine (64615) $636.84 $1,769 2.1×
Chemodenervation of extraocular muscle (67345) $636.84 $1,769 2.0×
Chemodenervation of internal anal sphincter (46505) $2,345.40 $6,515 2.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $636.84 $1,769 2.1×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,272.60–$1,547.28 $3,535–$4,298 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,967.76 $5,466 0.9×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,342.24 $9,284 0.9×
Chorionic Villus Sampling (59015) $1,252.44 $3,479 1.4×
Ciliary body destruction; cryotherapy Facility (66720) $2,257.56 $6,271 0.9×
Ciliary body destruction; cyclodialysis Facility (66740) $2,257.56 $6,271 0.9×
Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) $2,251.08 $6,253 1.0×
Ciliary body dstrj cyclophotocoag transsceral (66710) $2,257.56 $6,271 0.9×
Circumcision 28 days or older (54161) $2,260.44 $6,279 1.1×
Circumcision Neonate (54160) $2,600.64 $7,224 3.7×
Circumcision w/clamp/oth dev w/block (54150) $2,260.44 $6,279 1.1×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $3,735 $10,375 0.9×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $867.60–$1,552.68 $2,410–$4,313 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,277.02 $3,547.29 0.8×
Claviculectomy partial (23120) $3,126.96 $8,686 1.0×
Claviculectomy; total (23125) $3,126.96 $8,686 1.0×
Clear outer ear canal (69200) $104.92 $291.45 0.8×
Close mastoid fistula (69700) $4,320.72 $12,002 2.8×
Closed Rx Metacarpal Fx,Percut (26608) $3,126.96 $8,686 1.0×
Closed Treat Vert Body Fract (22310) $636.84 $1,769 2.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $838.80–$880.92 $2,330–$2,447 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,277.02 $3,547.29 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $1,022.40–$1,073.52 $2,840–$2,982 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $209.62 $582.27 0.8×
Closed Treatment Sternum Fracture (21820) $636.84 $1,769 2.6×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Closed tx ankle dislocation w/o anesthesia (27840) $209.62 $582.27 0.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,277.02–$1,552.68 $3,547.29–$4,313 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $209.62–$636.84 $582.27–$1,769 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $228.12–$833.04 $633.67–$2,314 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $209.62–$636.84 $582.27–$1,769 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $2,651.40–$2,783.88 $7,365–$7,733 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Closed tx fx orbit except blowout w/manipulation (21401) $1,619.64 $4,499 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $209.62 $582.27 0.8×
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $2,001.60–$2,101.68 $5,560–$5,838 varies
Closed tx mandibular fracture w/manipulation (21451) $3,282.84 $9,119 2.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,016.64 $2,824 1.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $5,657.40 $15,715 1.0×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $209.62–$304.20 $582.27–$845 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,731.60–$1,818.36 $4,810–$5,051 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $1,542.60–$1,619.64 $4,285–$4,499 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,110.40 $8,640 0.9×
Closed Tx Nasomaxillary Complex Fracture (21345) $2,388.96 $6,636 1.5×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $7,208.64 $20,024 2.2×
Closed tx patellar dislocation w/anesthesia (27562) $209.62 $582.27 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $209.62 $582.27 0.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $209.62 $582.27 0.8×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $770.40–$1,552.68 $2,140–$4,313 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,143–$1,552.68 $3,175–$4,313 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $930.60–$1,552.68 $2,585–$4,313 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $271.80–$636.84 $755–$1,769 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $1,737–$3,110.40 $4,825–$8,640 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $601.20–$636.84 $1,670–$1,769 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $1,277.02–$3,118.68 $3,547.29–$8,663 varies
Closed tx talus fracture w/o manipulation (28430) $209.62 $582.27 0.8×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $151.20 $420 0.6×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,971.08 $8,253 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $784.80–$1,552.68 $2,180–$4,313 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Closure Gastrostomy Surg (43870) $3,699.72 $10,277 1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $682.20–$716.40 $1,895–$1,990 varies
Closure Lacrimal Fistula Spx (68770) $2,623.32 $7,287 1.1×
Closure lacrimal punctum (68760) $636.84 $1,769 2.0×
Closure of cystostomy (separate procedure) Facility (51880) $3,740.40 $10,390 1.1×
Closure of esophagostomy or fistula; cervical approach Facility (43420) $3,110.40 $8,640 0.9×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $3,557.16 $9,881 1.1×
Closure of salivary fistula (42600) $3,110.40 $8,640 0.9×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $4,998.60 $13,885 0.9×
Closure of urethrovaginal fistula; Facility (57310) $7,300.08 $20,278 1.0×
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) $7,300.08 $20,278 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $1,666.80–$1,750.32 $4,630–$4,862 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,731.60–$1,818.36 $4,810–$5,051 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $833.04 $2,314 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,413–$1,552.68 $3,925–$4,313 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,552.68 $4,313 1.0×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $2,859.48 $7,943 1.0×
Clsr Lacrimal Punctum Plug Each (68761) $636.84 $1,769 2.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,277.02–$1,552.68 $3,547.29–$4,313 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $781.20–$1,552.68 $2,170–$4,313 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $504–$636.84 $1,400–$1,769 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $1,474.20–$1,552.68 $4,095–$4,313 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,948.68 $5,413 1.2×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,277.02 $3,547.29 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $209.62 $582.27 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $209.62 $582.27 0.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $288–$636.84 $800–$1,769 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $918–$1,552.68 $2,550–$4,313 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,833.48 $5,093 1.1×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,277.02 $3,547.29 0.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $209.62–$1,007.28 $582.27–$2,798 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $209.62 $582.27 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,277.02 $3,547.29 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $209.62–$636.84 $582.27–$1,769 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $209.62–$636.84 $582.27–$1,769 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $209.62 $582.27 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,277.02 $3,547.29 0.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $209.62–$1,007.28 $582.27–$2,798 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,818.36 $5,051 1.1×
Cltx hip dislocation traumatic req anesthesia (27252) $1,277.02 $3,547.29 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $209.62 $582.27 0.8×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $1,305–$1,552.68 $3,625–$4,313 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $459–$1,552.68 $1,275–$4,313 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,483.56 $4,121 5.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $209.62 $582.27 0.8×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $209.62 $582.27 0.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $1,413–$1,483.56 $3,925–$4,121 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,277.02 $3,547.29 0.8×
Cltx Medial Ankle Fx (27760) $209.62 $582.27 0.8×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $406.80–$833.04 $1,130–$2,314 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $946.80–$1,552.68 $2,630–$4,313 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,552.68 $4,313 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $358.20–$833.04 $995–$2,314 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $271.80–$636.84 $755–$1,769 varies
Cltx post hip arthrp dislc req anes (27266) $1,277.02 $3,547.29 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $209.62 $582.27 0.8×
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $598.59–$1,552.68 $1,662.75–$4,313 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $83.88–$636.84 $233–$1,769 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $2,309.40–$2,424.96 $6,415–$6,736 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $636.84 $1,769 2.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $1,499.40–$1,574.28 $4,165–$4,373 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,143–$1,552.68 $3,175–$4,313 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $801–$1,552.68 $2,225–$4,313 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $2,106–$2,211.48 $5,850–$6,143 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $209.62 $582.27 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $101.62 $282.27 0.4×
Cltx tibial shaft fx w/o manipulation (27750) $209.62 $582.27 0.8×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines		 $406.80–$833.04 $1,130–$2,314 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $1,277.02 $3,547.29 0.8×
Cltx trimalleolar ankle fx w/o manipulation (27816) $209.62 $582.27 0.8×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315)
range across 2 matching MRF lines		 $3,227.40–$3,388.68 $8,965–$9,413 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $4,804.92 $13,347 1.0×
Coccygectomy, primary (27080) $3,158.28 $8,773 1.0×
Collect Blood From Catheter Venous Nos (36592) $1,252.44 $3,479 9.4×
Collection of venous blood by venipuncture (36415) $3.24 $9 0.3×
Colonoscopy Stoma Control Bleeding (44391) $1,140.12 $3,167 0.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,140.12 $3,167 0.9×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,087.20 $3,020 1.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,140.12 $3,167 0.9×
Colonoscopy thru stoma (44388) $883.08 $2,453 0.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,140.12 $3,167 0.9×
Colonoscopy w/ablation (45388) $1,087.20 $3,020 0.9×
Colonoscopy W/Band Ligation (45398) $1,461.60 $4,060 1.2×
Colonoscopy w/fb removal (45379) $1,140.12 $3,167 0.9×
Colonoscopy W/Resection (45390) $2,712.60 $7,535 1.0×
Colonoscopy w/submucosal inj (45381) $1,087.20 $3,020 0.9×
Colpocentesis (57020) $4,804.92 $13,347 1.0×
Colpocleisis (le fort type) (57120) $4,804.92 $13,347 1.0×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $3,281.04 $9,114 1.0×
Colpopexy extraperitoneal (57282) $7,300.08 $20,278 1.0×
Colpopexy vaginal intraperitoneal approach (57283) $7,300.08 $20,278 1.0×
Colporrhaphy (57200) $3,020.04 $8,389 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $833.04 $2,314 2.7×
Colposcopy Cervix Endocervical Curettage (57456) $636.84 $1,769 2.1×
Colposcopy cervix upper/adjacent vagina (57452) $833.04 $2,314 4.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $636.84 $1,769 2.1×
Colposcopy cervix vag eltrd conization cervix (57461) $3,020.04 $8,389 0.9×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,020.04 $8,389 0.9×
Colposcopy entire vagina w/cervix if present (57420) $636.84 $1,769 2.1×
Colposcopy of vulva (56820) $636.84 $1,769 3.1×
Colposcopy Vulva W/Biopsy (56821) $636.84 $1,769 2.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $812.52 $2,257 0.9×
Colpotomy; with drainage of pelvic abscess (57010) $3,020.04 $8,389 0.9×
Colpotomy; with exploration (57000) $3,020.04 $8,389 0.9×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,177.20 $3,270 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,350 $3,750 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,140.12 $3,167 0.9×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,534.68 $4,263 1.3×
Combined anteroposterior colporrhaphy; (57260) $4,804.92 $13,347 1.0×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $1,994.40–$2,745 $5,540–$7,625 varies
Composite Skin Graft (15760) $2,058.12 $5,717 1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,020.04 $8,389 0.9×
Conization of cervix (57520) $3,020.04 $8,389 0.9×
Conjunctival Flap Total (68362) $2,292.48 $6,368 1.0×
Conjunctivoplasty W/Buccal Muc Memb Graft (68325) $3,735 $10,375 0.9×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $3,071.16 $8,531 1.3×
Conjunctivorhinostomy Insj Tube/Stent (68750) $3,735 $10,375 0.9×
Conjunctivorhinostomy W/O Tube (68745) $3,735 $10,375 0.9×
Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) $2,715.84 $7,544 1.1×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $2,257.56 $6,271 0.9×
Constj tracheoesophgl fstl&insj sp prosth (31611) $3,110.40 $8,640 0.9×
Construct thumb replacement (26550) $3,126.96 $8,686 1.0×
Construction of artificial vagina; with graft Facility (57292) $4,804.92 $13,347 1.0×
Construction of vagina (57291) $4,804.92 $13,347 1.0×
Contour of face bone lesion (21029) $4,320.72 $12,002 1.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $271.80–$636.84 $755–$1,769 varies
Control nose/throat bleeding (42972) $3,110.40 $8,640 0.9×
Control oropharyngeal hemorrhage simple (42960) $1,946.88 $5,408 3.6×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $7,653.60 $21,260 0.6×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,838.16 $5,106 1.0×
Cordocentesis (59012) $1,252.44 $3,479 4.1×
Cornea Scraping Diagnostic Smear &/Culture (65430) $1,252.44 $3,479 2.8×
Corneal transplant (65710) $5,049 $14,025 0.9×
Corneal Transplant,Penetrat,Aphakia (65750) $5,049 $14,025 0.9×
Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) $2,257.56 $6,271 0.9×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,367.80 $9,355 1.0×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,367.80 $9,355 1.0×
Correction claw finger, other methods Facility (26499) $3,405.96 $9,461 1.0×
Correction Everted Punctum Cautery (68705) $636.84 $1,769 2.0×
Correction hammertoe (28285) $2,052 $5,700 0.6×
Correction of inverted nipples (19355) $3,682.44 $10,229 0.9×
Correction of lid retraction (67911) $2,257.56 $6,271 0.9×
Correction of trichiasis; epilation, by forceps only (67820) $1,252.44 $3,479 9.4×
Correction Trichiasis Inccision Lid Margin (67830) $1,323 $3,675 1.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,420 $9,500 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
unusually low: confirm this is the full procedure		 $5,857.20 $16,270 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $3,420 $9,500 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,126.96 $8,686 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $3,373.20 $9,370 0.5×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $2,381.40 $6,615 1.0×
Costotransversectomy (separate procedure) Facility (21610) $3,126.96 $8,686 1.0×
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) $6,911.28 $19,198 0.9×
Create Eardrum Opening (69433) $1,016.64 $2,824 1.9×
Create Tear Sac-Nasal Fistula (68720) $3,735 $10,375 0.9×
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) $6,435.36 $17,876 0.7×
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) $2,683.80 $7,455 1.4×
Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) $1,865.16 $5,181 1.0×
Cricopharyngeal myotomy (43030) $5,657.40 $15,715 1.0×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $1,595.16 $4,431 1.6×
Cross Intrinsic Transfer Each Tendon (26510) $3,126.96 $8,686 1.0×
Cross-over vein graft (34520) $5,308.56 $14,746 0.9×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $5,308.56 $14,746 0.9×
Cryosurgical Ablation Fibroadenoma, Each (19105) $3,682.44 $10,229 0.9×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $12,563.28 $34,898 1.3×
Csf shunt reprogram (62252) $1,252.44 $3,479 4.1×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $636.84 $1,769 2.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $185.76–$636.84 $516–$1,769 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $4,320.72 $12,002 1.3×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) $883.08 $2,453 0.9×
Curettage postpartum (59160) $3,020.04 $8,389 0.9×
Curette/treat cornea (65435) $1,087.20 $3,020 1.1×
Cysto Bladder W/Ureteral Catheterization (52005) $2,523.24 $7,009 1.2×
Cysto calibration dilat urtl strix/stenosis (52281) $2,106 $5,850 1.0×
Cysto w/complex removal stone & stent (52315) $2,600.64 $7,224 1.2×
Cysto w/destruction of lesions (52214) $3,367.80 $9,355 1.0×
Cysto w/insert ureteral stent (52332) $3,367.80 $9,355 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $3,367.80 $9,355 1.0×
Cysto w/removal of lesions small (52224) $3,367.80 $9,355 1.0×
Cysto w/removal of tumors small (52234) $3,367.80 $9,355 1.0×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $3,367.80 $9,355 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,106 $5,850 1.0×
Cysto w/up stricture tx (52342) $4,003.20 $11,120 1.1×
Cysto w/ureter stricture tx (52341) $3,367.80 $9,355 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $4,998.60 $13,885 0.9×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,367.80 $9,355 1.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $3,367.80 $9,355 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,367.80 $9,355 1.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $4,998.60 $13,885 0.9×
Cysto/uretero w/lithotripsy (52356) $4,998.60 $13,885 0.9×
Cysto/uretero w/up stricture (52345) $3,594.96 $9,986 1.0×
Cystolithotomy (51050) $4,998.60 $13,885 0.9×
Cystometrogram W/Vp&Up (51729) $812.52 $2,257 1.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $8,899.56 $24,721 0.9×
Cystoscopy and radiotracer (52250) $3,367.80 $9,355 1.0×
Cystoscopy implant stent (52282) $4,552.92 $12,647 1.3×
Cystoscopy inject material (52327) $4,998.60 $13,885 0.9×
Cystostomy Cystotomy W/Drainage (51040) $2,523.24 $7,009 1.2×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $3,367.80 $9,355 1.0×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $3,367.80 $9,355 1.0×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $4,063.68 $11,288 1.1×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,186.64 $6,074 1.0×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $3,367.80 $9,355 1.0×
Cystouretero W/Congen Repr (52400) $3,367.80 $9,355 1.0×
Cystouretero w/excise tumor (52355) $4,998.60 $13,885 0.9×
Cystouretero w/renal strict (52346) $6,359.76 $17,666 1.2×
Cystourethroscopy (52000) $2,181.24 $6,059 3.1×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $4,998.60 $13,885 0.9×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $3,367.80 $9,355 1.0×
Cystourethroscopy inj chemodenervation bladder (52287) $2,106 $5,850 1.0×
Cystourethroscopy tx female urethral syndrome (52285) $2,106 $5,850 3.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,367.80 $9,355 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $4,998.60 $13,885 0.9×
Cystourethroscopy w/rmvl ureteral calculus (52320) $3,367.80 $9,355 1.0×
Cystourethroscopy with biopsy (52204) $3,780 $10,500 1.8×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $3,367.80 $9,355 1.0×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) $3,367.80 $9,355 1.0×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $2,106 $5,850 3.0×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $3,367.80 $9,355 1.0×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $4,998.60 $13,885 0.9×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $5,017.68 $13,938 1.4×
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) $3,367.80 $9,355 1.0×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $2,523.24 $7,009 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $714.60–$750.24 $1,985–$2,084 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $311.85–$2,745 $866.25–$7,625 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $900–$945 $2,500–$2,625 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,122.84 $3,119 1.6×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $3,126.96 $8,686 1.0×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $3,126.96 $8,686 1.0×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $3,126.96 $8,686 1.0×
Dcmprn fasct leg post compartment only (27601) $3,126.96 $8,686 1.0×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $4,609.80 $12,805 2.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $285.52–$833.04 $793.10–$2,314 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $547.20–$636.84 $1,520–$1,769 varies
Debride nail 6 or more (11721) $636.84 $1,769 10.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $311.85–$1,566.36 $866.25–$4,351 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $1,619.64 $4,499 3.0×
Debridement Mastoidectomy Cavity Simple (69220) $1,252.44 $3,479 6.2×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $285.52–$833.04 $793.10–$2,314 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $361.80–$636.84 $1,005–$1,769 varies
Decomp forearm,1 compart,w/o debride (25020) $3,112.92 $8,647 1.9×
Decompress eye socket (61330) $4,320.72 $12,002 1.3×
Decompress Fingers/Hand (26035) $3,126.96 $8,686 1.0×
Decompress Spinal Cord Lmbr (63056) $6,911.28 $19,198 0.9×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $1,552.68 $4,313 1.0×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $3,126.96 $8,686 1.0×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $6,911.28 $19,198 0.9×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $5,961.96 $16,561 1.8×
Decompression of tibia nerve (28035) $2,593.08 $7,203 1.3×
Decompressive fasciotomy hand (26037) $3,126.96 $8,686 1.0×
Deep Muscle Biopsy (20205) $2,745 $7,625 0.9×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,058.12 $5,717 1.0×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $2,385.36 $6,626 1.2×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $2,680.20 $7,445 1.3×
Delay Flap/Sectioning Flap Trunk (15600) $3,465.72 $9,627 1.0×
Delivery of placenta (59414) $3,020.04 $8,389 0.9×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $3,465.72 $9,627 1.0×
Dermabrasion regional other than face (15782) $2,745 $7,625 0.9×
Dermabrasion segmental face (15781) $1,252.44 $3,479 1.8×
Dermabrasion superficial any site (15783) $1,252.44 $3,479 3.1×
Dermabrasion total face (15780) $2,745 $7,625 0.9×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $1,863.72 $5,177 0.9×
Design custom breast implant (19396) $3,682.44 $10,229 0.9×
Destr penis lesion(s) (54065) $2,079 $5,775 1.0×
Destr W Neurolytic; Celiac Plexus (64680) $1,425.24 $3,959 1.6×
Destroy cerv/thor facet jnt (64633) $1,865.16 $5,181 1.0×
Destroy lumb/sac facet jnt (64635) $1,865.16 $5,181 1.0×
Destruc retinal lesn,photocoag (67210) $1,394.64 $3,874 2.5×
Destruct B9 Lesion 1-14 (17110) $636.84 $1,769 3.2×
Destruction Benign Lesions 15/> (17111) $636.84 $1,769 3.2×
Destruction by neurolytic agent, intercostal nerve (64620) $1,370.16 $3,806 1.5×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $2,710.44 $7,529 1.4×
Destruction ciliary body (66700) $2,251.08 $6,253 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,211.40 $3,365 1.0×
Destruction Lesions Vulva Extensive (56515) $2,377.80 $6,605 1.1×
Destruction Lesions Vulva Simple (56501) $2,079 $5,775 1.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $636.84 $1,769 3.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $636.84 $1,769 3.2×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $636.84 $1,769 3.2×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $636.84 $1,769 1.6×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $833.04 $2,314 2.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $636.84 $1,769 3.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $636.84 $1,769 3.2×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $636.84 $1,769 3.2×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $636.84 $1,769 1.6×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $878.76 $2,441 2.2×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $636.84 $1,769 3.2×
Destruction neurolytic agt genicular nerve w/img (64624) $5,497.56 $15,271 2.8×
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) $812.52 $2,257 1.5×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $646.56 $1,796 2.0×
Destruction of lesion of lid margin (up to 1 cm) (67850) $1,087.20 $3,020 1.1×
Destruction of lesion, conjunctiva (68135) $2,257.56 $6,271 0.9×
Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) $3,735 $10,375 0.9×
Destruction of rectal tumor transanal approach (45190) $2,712.60 $7,535 1.0×
Destruction of skin lesions (17106) $636.84 $1,769 1.6×
Destruction Premalignant Lesion 15/> (17004) $636.84 $1,769 1.6×
Destruction premalignant lesion 1st (17000) $636.84 $1,769 3.2×
Destruction Vaginal Lesions Extensive (57065) $3,020.04 $8,389 0.9×
Destruction Vaginal Lesions Simple (57061) $3,020.04 $8,389 0.9×
Diagnostic sigmoidoscopy (45330) $883.08 $2,453 0.9×
Diaphragm or cervical cap fitting with instructions (57170) $1,252.44 $3,479 6.2×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,345.40 $6,515 2.0×
Dilat female urethra general/cndj spinal anes (53665) $2,014.92 $5,597 1.0×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $636.84 $1,769 4.9×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $1,252.44 $3,479 9.4×
Dilat rct strix spx under anes oth/thn local (45910) $2,345.40 $6,515 2.0×
Dilat Urethral Strix Dilator Male Sbsq (53601) $636.84 $1,769 4.8×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $646.56 $1,796 2.6×
Dilate Esophagus 1/Mult Pass (43450) $1,087.20 $3,020 1.2×
Dilate Urethra Stricture (53620) $2,251.08 $6,253 3.2×
Dilate Urethra Stricture (53600) $682.20 $1,895 2.7×
Dilation & curettage dx&/ther nonobstetric (58120) $3,020.04 $8,389 0.9×
Dilation and catheterization of salivary duct, with or without injection (42660) $1,402.56 $3,896 2.6×
Dilation And Curettage Of Cervical Stump (57558) $3,020.04 $8,389 0.9×
Dilation Cervical Canal (57800) $3,020.04 $8,389 0.9×
Dilation Esophagus Guide Wire (43453) $1,838.16 $5,106 1.0×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $1,252.44 $3,479 2.8×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $3,367.80 $9,355 1.0×
Dilation of vagina (57400) $3,020.04 $8,389 0.9×
Dilation Salivary Duct (42650) $1,473.12 $4,092 0.9×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $5,308.56 $14,746 0.9×
Disarticulation of shoulder; secondary closure or scar revision Facility (23921) $1,761.84 $4,894 0.9×
Disarticulation through wrist; secondary closure or scar revision Facility (25922) $2,118.60 $5,885 1.3×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $7,883.28 $21,898 1.1×
Discission of vitreous strands (without removal), pars plana approach Facility (67030) $2,251.08 $6,253 1.0×
Discission Secondary Membranous Cataract (66820) $2,251.08 $6,253 1.0×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $255.24 $709 0.1×
Dissection, deep jugular node(s) Facility (38542) $5,573.88 $15,483 0.9×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $5,308.56 $14,746 0.9×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $5,657.40 $15,715 1.0×
Division of scalenus anticus; without resection of cervical rib Facility (21700) $6,911.28 $19,198 0.9×
Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) $1,016.64 $2,824 1.4×
Division of stricture of rectum Facility (45150) $2,345.40 $6,515 2.0×
Drain ant chmbr,remv vitreous (65810) $2,251.08 $6,253 1.0×
Drain Cerebro Spinal Fluid (62272) $812.52 $2,257 1.1×
Drain chest lesion (21502) $3,126.96 $8,686 1.0×
Drain Hand Tendon Sheath (26020) $3,126.96 $8,686 1.0×
Drain ovary abscess open (58820) $3,445.56 $9,571 1.1×
Drain penis lesion (54015) $1,973.16 $5,481 1.2×
Drain shoulder bursa (23031) $2,745 $7,625 0.9×
Drain Spinal Cord Cyst (62268) $1,039.68 $2,888 1.2×
Drain/inj small joint/bursa w/us (20604) $358.20 $995 1.2×
Drainage abscess parotid simple (42300) $1,619.64 $4,499 1.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,270.08 $3,528 2.3×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $628.20–$812.52 $1,745–$2,257 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $1,879.20–$1,973.16 $5,220–$5,481 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $511.20–$812.52 $1,420–$2,257 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $530.15–$1,566.36 $1,472.63–$4,351 varies
Drainage lymph node lesion (38305) $2,745 $7,625 0.9×
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $406.80–$833.04 $1,130–$2,314 varies
Drainage of eye (65800) $2,251.08 $6,253 1.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Drainage of gum lesion (41800) $636.84 $1,769 4.8×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $530.15–$1,566.36 $1,472.63–$4,351 varies
Drainage of hydrocele (55000) $1,252.44 $3,479 1.8×
Drainage of mouth lesion (41006) $2,388.96 $6,636 1.5×
Drainage of mouth lesion (41017) $3,110.40 $8,640 0.9×
Drainage of nose lesion (30000) $636.84 $1,769 2.7×
Drainage of palmar bursa single bursa (26025) $3,126.96 $8,686 1.0×
Drainage of palmar bursa; multiple bursa Facility (26030) $3,126.96 $8,686 1.0×
Drainage of perineal urinary extravasation; complicated Facility (53085) $2,014.92 $5,597 1.0×
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $2,014.92 $5,597 2.9×
Drainage of rectal abscess (45020) $2,712.60 $7,535 1.0×
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $2,233.80–$2,345.40 $6,205–$6,515 varies
Drainage of salivary cyst (42409) $3,110.40 $8,640 0.9×
Drainage of salivary gland (42320) $837.36 $2,326 1.5×
Drainage of salivary gland (42305) $3,110.40 $8,640 0.9×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,278–$1,566.36 $3,550–$4,351 varies
Drainage of scrotum (54700) $2,260.44 $6,279 1.1×
Drainage of skene's gland abscess or cyst (53060) $2,014.92 $5,597 1.0×
Drainage of throat abscess (42725) $5,657.40 $15,715 1.0×
Drainage of urethra abscess (53040) $3,367.80 $9,355 1.0×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $3,445.56 $9,571 1.1×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $3,020.04 $8,389 0.9×
Draw Blood Off Venous Device (36591) $1,252.44 $3,479 9.4×
Dressing Change Under Anesthesia (15852) $1,043.28 $2,898 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $833.04 $2,314 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $636.84 $1,769 1.2×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,745 $7,625 0.9×
Drg privesical/prevesical space absc (51080) $2,745 $7,625 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $833.04 $2,314 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $406.80–$833.04 $1,130–$2,314 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $659.52 $1,832 0.9×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,761.84 $4,894 0.9×
Dstrj Extensive Retinopathy (67227) $3,735 $10,375 0.9×
Dstrj les/scar vestibule mouth physical meths (40820) $3,110.40 $8,640 0.9×
Dstrj Lesion Anus Extensive (46924) $2,712.60 $7,535 1.0×
Dstrj Lesion Anus Simple Chemical (46900) $636.84 $1,769 1.6×
Dstrj lesion anus simple cryosurgery (46916) $833.04 $2,314 4.1×
Dstrj lesion anus simple surg excision (46922) $2,712.60 $7,535 1.0×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,079 $5,775 1.0×
Dstrj lesion choroid pc 1/> sess (67220) $1,644.48 $4,568 3.0×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $812.52 $2,257 1.5×
Dstrj Lesion Penis Simple Cryosurgery (54056) $1,252.44 $3,479 6.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,079 $5,775 1.0×
Dstrj lesion penis simple laser (54057) $2,079 $5,775 1.0×
Dstrj lesion penis simple surg excision (54060) $2,079 $5,775 1.0×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $833.04 $2,314 2.0×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $2,332.44 $6,479 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,092.60 $3,035 1.2×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,725.48 $4,793 1.9×
Duodenal intubat w/imag guided multiple specimen (43757) $1,087.20 $3,020 1.2×
Dx Bronchoscope/Lavage (31624) $1,639.80 $4,555 0.9×
Dx Bronchoscope/Wash (31622) $1,639.80 $4,555 0.9×
Dx duod intub w/asp spec (43756) $1,087.20 $3,020 1.2×
Dx gastr intub w/asp spec (43754) $636.84 $1,769 2.9×
Dx gastr intub w/asp specs (43755) $636.84 $1,769 4.9×
Dx Laryngoscopy Excl Nb (31525) $2,041.20 $5,670 1.1×
Dx laryngoscopy w/oper scope (31526) $2,215.08 $6,153 1.2×
Dynamic Cavernosometry Njx Vasoactive Drugs (54231) $1,959.84 $5,444 7.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,838.16 $5,106 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,164.60 $3,235 0.6×
Egd cautery tumor polyp (43250) $1,838.16 $5,106 1.0×
Egd control bleeding any (43255) $1,838.16 $5,106 1.0×
Egd dilation gastric/duodenal stricture (43245) $1,838.16 $5,106 1.0×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $909–$1,087.20 $2,525–$3,020 varies
Egd guide wire insertion (43248) $875.52 $2,432 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,838.16 $5,106 1.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,838.16 $5,106 1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,838.16 $5,106 1.0×
Egd lesion ablation (43270) $2,825.64 $7,849 1.5×
Egd place gastrostomy tube (43246) $1,838.16 $5,106 1.0×
Egd remove lesion snare (43251) $1,157.40 $3,215 0.6×
Egd Tube/Cath Insertion (43241) $1,838.16 $5,106 1.0×
Egd us exam duodenum/jejunum (43259) $1,838.16 $5,106 1.0×
Egd Varices Ligation (43244) $1,838.16 $5,106 1.0×
Egd W/Thrml Txmnt Gerd (43257) $3,699.72 $10,277 1.0×
Egd W/Transmural Drain Cyst (43240) $5,505.84 $15,294 0.9×
Elbow arthroscopy (29830) $3,269.88 $9,083 1.0×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $833.04 $2,314 2.7×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $833.04 $2,314 2.7×
Electro-Uroflowmetry First (51741) $1,252.44 $3,479 5.8×
Embedded ip cath exit-site (49436) $1,838.16 $5,106 1.0×
Emblc/thrmbc ax brach innominate subcla art (34101) $5,308.56 $14,746 0.9×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $7,758.36 $21,551 1.4×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $5,308.56 $14,746 0.9×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) $5,308.56 $14,746 0.9×
Endocervical curettage (57505) $812.52 $2,257 0.9×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $4,804.92 $13,347 1.0×
Endometrial Biopsy (58100) $636.84 $1,769 3.1×
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $4,804.92 $13,347 1.0×
Endoscopic plantar fasciotomy (29893) $10,959.48 $30,443 3.3×
Endoscopic us exam esoph (43237) $1,838.16 $5,106 1.0×
Endoscopy of ureter (50953) $3,367.80 $9,355 1.0×
Endoscopy Upper Small Intestine (44360) $1,838.16 $5,106 1.0×
Endoscopy upper small intestine w/biopsy (44361) $1,838.16 $5,106 1.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $11,818.08 $32,828 1.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,079.08 $8,553 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,242.96 $11,786 1.3×
Enterorrhaphy single perforation (44602) $1,353.60 $3,760 0.3×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,838.16 $5,106 1.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,838.16 $5,106 1.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,838.16 $5,106 1.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $2,030.04 $5,639 1.1×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $5,505.84 $15,294 0.9×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,838.16 $5,106 1.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,838.16 $5,106 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,838.16 $5,106 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,838.16 $5,106 1.0×
Enucleation Eye Implt Musc X Attached Implt (65103) $4,309.20 $11,970 1.1×
Enucleation of Eye W/O Implant (65101) $3,876.48 $10,768 1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,969.56 $5,471 1.0×
Epididymectomy bilateral (54861) $3,367.80 $9,355 1.0×
Epididymectomy unilateral (54860) $3,367.80 $9,355 1.0×
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) $3,367.80 $9,355 1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,419.20 $6,720 1.2×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $721.80–$812.52 $2,005–$2,257 varies
Epidural lysis mult sessions (62263) $1,693.44 $4,704 1.9×
Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) $4,556.88 $12,658 1.4×
Episiotomy or vaginal repair (59300) $3,020.04 $8,389 0.9×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $5,505.84 $15,294 0.9×
Ercp duct stent placement (43274) $5,505.84 $15,294 0.9×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,699.72 $10,277 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,699.72 $10,277 1.0×
Ercp W/Biopsy Single/Multiple (43261) $3,699.72 $10,277 1.0×
Ercp w/pressure measurement sphincter of oddi (43263) $2,661.12 $7,392 1.4×
Ercp,Sphincterotomy (43262) $3,699.72 $10,277 1.0×
Esc i p ulcer w ostect & flap (15946) $2,700.72 $7,502 1.3×
Escharotomy; initial incision (16035) $833.04 $2,314 2.0×
Esoph Scope W/Submucous Inj (43201) $1,838.16 $5,106 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $875.52 $2,432 1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,838.16 $5,106 1.0×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,838.16 $5,106 1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,838.16 $5,106 1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,838.16 $5,106 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,087.20 $3,020 1.2×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,838.16 $5,106 1.0×
Esophagoscopy Flexible W/Bleeding Control (43227) $2,137.68 $5,938 1.1×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,838.16 $5,106 1.0×
Esophagoscopy rigid trnso dx (43191) $2,493 $6,925 1.3×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,838.16 $5,106 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,283.40–$1,838.16 $3,565–$5,106 varies
Esophagoscp Rig Trnso Biopsy (43193) $4,452.12 $12,367 2.3×
Esophagotomy, cervical approach, with removal of foreign body Facility (43020) $1,473.12 $4,092 0.9×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $2,493 $6,925 1.3×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,838.16 $5,106 1.0×
Evacuate mole of uterus (59870) $3,020.04 $8,389 0.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $547.20–$636.84 $1,520–$1,769 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,872 $5,200 1.1×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,232 $6,200 1.3×
Exc abdl tum deep 5 cm/> (22901) $2,745 $7,625 0.9×
Exc arm/elbow les sc < 3 cm (24075) $1,752.12 $4,867 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $812.52 $2,257 1.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,631.16 $4,531 1.0×
Exc Back Les Sc < 3 Cm (21930) $1,733.04 $4,814 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $2,745 $7,625 0.9×
Exc back tum deep < 5 cm (21932) $2,745 $7,625 0.9×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $5,657.40 $15,715 1.0×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $5,657.40 $15,715 1.0×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $5,657.40 $15,715 1.0×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $3,110.40 $8,640 0.9×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $3,682.44 $10,229 0.9×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $2,257.56 $6,271 0.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $833.04 $2,314 1.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $833.04 $2,314 1.2×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,631.16 $4,531 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $1,912.68 $5,313 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $833.04 $2,314 1.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $833.04 $2,314 1.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $812.52 $2,257 1.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,566.36 $4,351 0.9×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,566.36 $4,351 0.9×
Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) $2,122.56 $5,896 1.4×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $6,911.28 $19,198 0.9×
Exc Forearm Les Sc 3 Cm/> (25071) $1,872 $5,200 1.1×
Exc Forearm Tum Deep 3 Cm/> (25073) $2,745 $7,625 0.9×
Exc Frenum Labial/Buccal (40819) $1,931.76 $5,366 1.2×
Exc ganglion wrist recurrent (25112) $2,118.60 $5,885 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,566.36 $4,351 0.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $946.80 $2,630 1.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,566.36 $4,351 0.9×
Exc Hand Les Sc < 1.5 Cm (26115) $1,566.36 $4,351 0.9×
Exc hand tum deep < 1.5 cm (26116) $1,566.36 $4,351 0.9×
Exc hydrocele sprmatic cord uni spx (55500) $3,367.80 $9,355 1.0×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $2,493 $6,925 1.0×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,087.20 $3,020 1.1×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $3,110.40 $8,640 0.9×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $3,110.40 $8,640 0.9×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,019.60 $5,610 1.3×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,120.76 $5,891 1.3×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,110.40 $8,640 0.9×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $3,110.40 $8,640 0.9×
Exc lesion tongue w/clsr w/local tongue flap (41114) $3,110.40 $8,640 0.9×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,110.40 $8,640 0.9×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $3,110.40 $8,640 0.9×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,110.40 $8,640 0.9×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,865.16 $5,181 1.0×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $4,322.52 $12,007 2.2×
Exc neuroma hand/foot xcp digital nerve (64782) $1,939.32 $5,387 1.0×
Exc neuroma major peripheral nrv xcp sciatic (64784) $3,619.44 $10,054 1.8×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $5,657.40 $15,715 1.0×
Exc Rct Tum Incl Muscularis Propria (45172) $3,001.32 $8,337 1.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,712.60 $7,535 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,745 $7,625 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,067.76 $2,966 1.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,631.16 $4,531 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,745 $7,625 0.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,801.08 $5,003 1.1×
Exc Skin Benig >4cm Face,Facial (11446) $2,745 $7,625 0.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,631.16 $4,531 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,745 $7,625 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,638.72 $4,552 1.0×
Exc tendon shth lesion leg/ankle (27630) $3,126.96 $8,686 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $2,745 $7,625 0.9×
Exc thigh/knee tum dep 5cm/> (27339) $2,745 $7,625 0.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $2,233.80–$2,345.40 $6,205–$6,515 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $636.84 $1,769 1.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $812.52 $2,257 1.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,566.36 $4,351 0.9×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,745 $7,625 0.9×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,745 $7,625 0.9×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $2,115 $5,875 1.3×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,116.80 $5,880 1.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,745 $7,625 0.9×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,745 $7,625 0.9×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,745 $7,625 0.9×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,745 $7,625 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,745 $7,625 0.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,880.64 $5,224 1.1×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $2,745 $7,625 0.9×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,745 $7,625 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,566.36 $4,351 0.9×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,857.96 $5,161 1.1×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,745 $7,625 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,869.12 $5,192 1.1×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,745 $7,625 0.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $2,745 $7,625 0.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,745 $7,625 0.9×
Exc urethral diverticulum spx female (53230) $4,998.60 $13,885 0.9×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $3,367.80 $9,355 1.0×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $6,911.28 $19,198 0.9×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $6,911.28 $19,198 0.9×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,126.96 $8,686 1.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,120.76 $5,891 1.3×
Exchange Intraocular Lens (66986) $2,727.36 $7,576 1.2×
Exchange Transfusion (36455) $654.12 $1,817 1.5×
Exchange Transfusion Blood Newborn (36450) $636.84 $1,769 1.4×
Excis conjunc lesn+adj sclera (68130) $2,284.92 $6,347 1.0×
Excis Mouth Complex,Exc Thru Muscle (40816) $3,110.40 $8,640 0.9×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,110.40 $8,640 0.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,619.64 $4,499 1.0×
Excis penile plaque (54110) $3,367.80 $9,355 1.0×
Excis uppr jaw cyst w/repair (21049) $5,657.40 $15,715 1.0×
Excis urethral prolapse (53275) $3,367.80 $9,355 1.0×
Excise breast duct fistula (19112) $3,682.44 $10,229 0.9×
Excise excessive skin arm (15836) $2,745 $7,625 0.9×
Excise intraspinal lesion (63267) $7,393.68 $20,538 1.0×
Excise mandible lesion (21040) $3,110.40 $8,640 0.9×
Excise oral mucosa for graft (40818) $7,187.76 $19,966 13.3×
Excise tendon forearm/wrist (25109) $3,126.96 $8,686 1.0×
Excise Wrist Tendon Sheath (25118) $3,112.92 $8,647 1.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $812.52 $2,257 1.1×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $2,257.56 $6,271 0.9×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $2,257.56 $6,271 0.9×
Excision Aural Polyp (69540) $1,619.64 $4,499 1.0×
Excision Bone Mandible (21025) $5,657.40 $15,715 1.0×
Excision Chalazion Multiple Same Lid (67801) $1,087.20 $3,020 1.1×
Excision Chalazion Single (67800) $636.84 $1,769 2.0×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $5,657.40 $15,715 1.0×
Excision Distal Ulna Partial/Complete (25240) $3,126.96 $8,686 1.0×
Excision Excessive Skin & Subq Tissue Buttock (15835) $2,745 $7,625 0.9×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,891.88 $8,033 1.0×
Excision exostosis(es), external auditory canal Facility (69140) $5,657.40 $15,715 1.0×
Excision External Ear Partial Simple Repair (69110) $2,745 $7,625 0.9×
Excision external ear; complete amputation Facility (69120) $5,657.40 $15,715 1.0×
Excision Facial Bone (21026) $5,657.40 $15,715 1.0×
Excision gum each quadrant (41820) $3,110.40 $8,640 0.9×
Excision H/P/P/U Complex Repair (11471) $3,050.64 $8,474 1.0×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,745 $7,625 0.9×
Excision Hidradenitis Axillary Complex Repair (11451) $2,745 $7,625 0.9×
Excision Hidradenitis Inguinal Complex Repair (11463) $2,969.28 $8,248 1.0×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,745 $7,625 0.9×
Excision Infected Graft Extremity (35903) $3,079.08 $8,553 1.0×
Excision inferior turbinate partial/complete (30130) $3,110.40 $8,640 0.9×
Excision Lacrimal Sac (68520) $3,735 $10,375 0.9×
Excision Lesion Conjunctiva </1 Cm (68110) $2,257.56 $6,271 0.9×
Excision lesion conjunctiva > 1 cm (68115) $2,257.56 $6,271 0.9×
Excision Lesion Cornea Xcp Pterygium (65400) $1,595.16 $4,431 1.6×
Excision lesion meniscus/capsule knee (27347) $3,126.96 $8,686 1.0×
Excision lesion mouth roof (42104) $3,110.40 $8,640 0.9×
Excision lesion tendon sheath forearm&/wrist (25110) $2,118.60 $5,885 1.3×
Excision Lesion Tongue W/O Closure (41110) $3,110.40 $8,640 0.9×
Excision Lingual Frenum Frenectomy (41115) $3,470.04 $9,639 2.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $926.28 $2,573 1.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $812.52 $2,257 1.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $636.84 $1,769 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,192.68 $3,313 1.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $896.04 $2,489 1.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,566.36 $4,351 0.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,745 $7,625 0.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,566.36 $4,351 0.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $812.52 $2,257 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $928.08 $2,578 1.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,631.16 $4,531 1.0×
Excision malignant tumor mandible (21044) $5,657.40 $15,715 1.0×
Excision Malignant Tumor Maxilla/Zygoma (21034) $5,657.40 $15,715 1.0×
Excision Maxillary Torus Palatinus (21032) $3,110.40 $8,640 0.9×
Excision Multiple External Papillae/Tags Anus (46230) $2,712.60 $7,535 1.0×
Excision Nasal Polyp Extensive (30115) $3,110.40 $8,640 0.9×
Excision nasal polyp(s) simple (30110) $1,619.64 $4,499 1.0×
Excision of bartholin's gland or cyst (56740) $3,020.04 $8,389 0.9×
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) $5,657.40 $15,715 1.0×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $5,657.40 $15,715 1.0×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $5,429.88 $15,083 1.5×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $4,804.92 $13,347 1.0×
Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) $4,804.92 $13,347 1.0×
Excision of chalazion; multiple, different lids (67805) $776.88 $2,158 2.4×
Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) $3,126.96 $8,686 1.0×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) $6,299.64 $17,499 0.9×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $3,682.44 $10,229 0.9×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $4,556.88 $12,658 1.4×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $3,126.96 $8,686 1.0×
Excision of extraparenchymal lesion of testis (54512) $3,367.80 $9,355 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,552.68 $4,313 1.0×
Excision of gum flap (41821) $3,902.76 $10,841 2.5×
Excision of gum lesion (41828) $2,825.64 $7,849 1.8×
Excision of hydrocele; bilateral (55041) $3,342.24 $9,284 0.9×
Excision of hydrocele; unilateral (55040) $3,342.24 $9,284 0.9×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) $3,735 $10,375 0.9×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) $3,735 $10,375 0.9×
Excision of lacrimal gland tumor; involving osteotomy Facility (68550) $3,735 $10,375 0.9×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $5,657.40 $15,715 1.0×
Excision of lingual tonsil (42870) $5,657.40 $15,715 1.0×
Excision of local lesion of epididymis (54830) $3,367.80 $9,355 1.0×
Excision of Mullerian duct cyst Facility (55680) $3,367.80 $9,355 1.0×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,865.16 $5,181 1.0×
Excision of osseous tuberosities, dentoalveolar structures (41823) $5,657.40 $15,715 1.0×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $5,657.40 $15,715 1.0×
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) $5,657.40 $15,715 1.0×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $5,657.40 $15,715 1.0×
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) $8,899.56 $24,721 0.9×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) $6,800.40 $18,890 1.3×
Excision of pilonidal cyst or sinus; simple (11770) $2,745 $7,625 0.9×
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) $2,712.60 $7,535 1.0×
Excision of single external papilla or tag, anus (46220) $1,665 $4,625 1.4×
Excision of sublingual gland (42450) $5,657.40 $15,715 1.0×
Excision of sublingual salivary cyst (ranula) (42408) $3,110.40 $8,640 0.9×
Excision of submandibular (submaxillary) gland (42440) $5,657.40 $15,715 1.0×
Excision of tonsil tags (42860) $3,110.40 $8,640 0.9×
Excision of tracheal tumor or carcinoma; cervical Facility (31785) $5,657.40 $15,715 1.0×
Excision of vaginal cyst or tumor (57135) $3,020.04 $8,389 0.9×
Excision of vaginal septum (57130) $3,020.04 $8,389 0.9×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) $7,308.72 $20,302 1.1×
Excision olecranon bursa (24105) $3,126.96 $8,686 1.0×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) $6,911.28 $19,198 0.9×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) $3,126.96 $8,686 1.0×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $3,126.96 $8,686 1.0×
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) $6,911.28 $19,198 0.9×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) $6,911.28 $19,198 0.9×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) $6,911.28 $19,198 0.9×
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) $6,911.28 $19,198 0.9×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $3,126.96 $8,686 1.0×
Excision or fulguration; Skene's glands Facility (53270) $3,367.80 $9,355 1.0×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $3,367.80 $9,355 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,745 $7,625 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,745 $7,625 0.9×
Excision prepatellar bursa (27340) $3,126.96 $8,686 1.0×
Excision Radial Head (24130) $3,126.96 $8,686 1.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $4,968 $13,800 0.7×
Excision soft tissue lesion, external auditory canal (69145) $2,745 $7,625 0.9×
Excision spermatocele w/wo epididymectomy (54840) $2,447.64 $6,799 1.2×
Excision synovial cyst popliteal space (27345) $3,126.96 $8,686 1.0×
Excision tendon finger flexor/extensor each (26180) $1,649.88 $4,583 1.0×
Excision tendon palm flexor/extensor single each (26170) $1,649.88 $4,583 1.0×
Excision Thyroglossal Duct Cyst/Sinus (60280) $5,573.88 $15,483 0.9×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $5,573.88 $15,483 0.9×
Excision Torus Mandibularis (21031) $3,110.40 $8,640 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,232 $6,200 1.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,745 $7,625 0.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,854 $5,150 1.1×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,232 $6,200 1.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,232 $6,200 1.3×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $3,465.72 $9,627 1.0×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $2,745 $7,625 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $2,745 $7,625 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) $2,745 $7,625 0.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $4,246.92 $11,797 1.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $4,326.12 $12,017 1.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $4,016.16 $11,156 1.4×
Excision, interdigital (morton) neuroma, single, each (28080) $2,019.60 $5,610 1.3×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $3,465.72 $9,627 1.0×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $2,806.56 $7,796 1.4×
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $5,657.40 $15,715 1.0×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $2,997.72 $8,327 1.4×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $2,745 $7,625 0.9×
Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) $2,745 $7,625 0.9×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $3,465.72 $9,627 1.0×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $3,572.28 $9,923 1.0×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $3,465.72 $9,627 1.0×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $2,258.64 $6,274 1.4×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $3,581.64 $9,949 1.7×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $5,420.52 $15,057 1.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,745 $7,625 0.9×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,617.84 $4,494 1.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,745 $7,625 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,745 $7,625 0.9×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $2,745 $7,625 0.9×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,744.56 $4,846 1.1×
Excision/curettage cyst/tumor carpal bones (25130) $3,126.96 $8,686 1.0×
Excision/curettage cyst/tumor phalanx finger (26210) $1,649.88 $4,583 1.0×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $3,126.96 $8,686 1.0×
Excision/destruction intranasal lesion int appr (30117) $3,110.40 $8,640 0.9×
Excision/destruction lesion pharynx any method (42808) $3,110.40 $8,640 0.9×
Excision/surgical planing skin nose rhinophyma (30120) $3,110.40 $8,640 0.9×
Excision/Transposition Pterygium W/Grafg (65426) $2,408.04 $6,689 1.0×
Excision/Transposition Pterygium W/O Graft (65420) $2,257.56 $6,271 0.9×
Excision; trochanteric bursa or calcification (27062) $5,961.96 $16,561 1.8×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) $3,876.48 $10,768 1.0×
Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) $5,976.36 $16,601 1.5×
Expl penetrating wound spx abdomen/flank/back (20102) $2,058.12 $5,717 1.0×
Expl po hemrrg thrombosis/infctj xtr (35860) $3,079.08 $8,553 1.0×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,879.20–$1,973.16 $5,220–$5,481 varies
Exploration for undescended testis with abdominal exploration (54560) $2,260.44 $6,279 1.1×
Exploration maxillary sinus (31020) $3,110.40 $8,640 0.9×
Exploration of hip joint (27033) $6,911.28 $19,198 0.9×
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $2,557.72–$3,591 $7,104.78–$9,975 varies
Exploration of spinal fusion (22830) $9,495.72 $26,377 1.3×
Exploration penetrating wound spx chest (20101) $2,360.52 $6,557 1.1×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,224–$1,566.36 $3,400–$4,351 varies
Exploration Penetrating Wound Spx Neck (20100) $1,463.04 $4,064 2.7×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure		 $1,726.56 $4,796 0.3×
Exploratory elbow surgery (24000)
range across 2 matching MRF lines		 $2,964.60–$3,126.96 $8,235–$8,686 varies
Explore epididymis (54865) $3,515.40 $9,765 1.0×
Explore eye socket,drainage (67405) $2,623.32 $7,287 1.1×
Explore for undescended testis (54550) $3,342.24 $9,284 0.9×
Explore treat shoulder joint (23107) $6,911.28 $19,198 0.9×
Explore/Treat Elbow Joint (24101) $3,126.96 $8,686 1.0×
Explore/Treat Hand Joint (26070) $1,678.32 $4,662 1.0×
Explore/Treat Knee Joint (27331) $3,126.96 $8,686 1.0×
Explore/Treat Wrist Joint (25040) $3,126.96 $8,686 1.0×
Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) $4,998.60 $13,885 0.9×
Expression of conjunctival follicles (eg, for trachoma) Facility (68040) $1,252.44 $3,479 3.9×
Extensive ear canal surgery (69150) $5,657.40 $15,715 1.0×
Extensive mastoid surgery (69511) $6,705.72 $18,627 1.1×
Extensive Retinopathy 1/> Sess Preterm Infant (67229) $833.04 $2,314 1.5×
External cephalic version (59412) $3,020.04 $8,389 0.9×
Extraction of lens (66940) $2,251.08 $6,253 1.0×
Extraction of lens (66920) $2,972.88 $8,258 1.3×
Extraction of lens (66930) $3,927.60 $10,910 0.9×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,251.08 $6,253 1.0×
Eye surgery procedure (67299) $2,251.08 $6,253 1.0×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $4,836.60 $13,435 2.3×
Fascia lata graft; by stripper Facility (20920) $1,761.84 $4,894 0.9×
Fasciectomy Palm Only (26121) $3,126.96 $8,686 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $2,019.60 $5,610 0.6×
Fasciotomy Iliotibial Open (27305) $3,126.96 $8,686 1.0×
Fasciotomy palmar open partial (26045) $3,126.96 $8,686 1.0×
Fasciotomy palmar percutaneous (26040) $1,717.92 $4,772 1.1×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,126.96 $8,686 1.0×
Fasciotomy, foot and/or toe (28008) $3,126.96 $8,686 1.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,126.96 $8,686 1.0×
Fetal Contraction Stress Test (59020) $1,252.44 $3,479 6.2×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $636.84 $1,769 2.1×
Fetal non-stress test (59025) $1,252.44 $3,479 6.2×
Fetal Scalp Blood Sampling (59030) $1,252.44 $3,479 4.1×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $636.84 $1,769 2.1×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,005.28 $8,348 1.4×
Fine Needle Aspiration Orbital Contents (67415) $2,257.56 $6,271 0.9×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $547.20–$636.84 $1,520–$1,769 varies
Finger tendon transfer (26497) $3,126.96 $8,686 1.0×
Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) $3,927.60 $10,910 0.9×
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) $3,927.60 $10,910 0.9×
Fixation contralateral testis separate procedure (54620) $3,367.80 $9,355 1.0×
Flap; neurovascular pedicle (15750) $3,465.72 $9,627 1.0×
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) $8,524.08 $23,678 1.2×
Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) $8,524.08 $23,678 1.2×
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) $6,911.28 $19,198 0.9×
Fluid Pressure Muscle (20950) $812.52 $2,257 1.1×
Fluoro exam of g/colon tube (49465) $636.84 $1,769 2.7×
Follicle Puncture Oocyte Retrieval Any Method (58970) $1,442.16 $4,006 1.6×
Forehead flap w/vasc pedicle (15731) $3,465.72 $9,627 1.0×
Foreskin manipulation (54450) $782.64 $2,174 3.1×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $3,465.72 $9,627 1.0×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $3,110.40 $8,640 0.9×
Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) $6,911.28 $19,198 0.9×
Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) $6,911.28 $19,198 0.9×
Frenulotomy of penis (54164) $2,260.44 $6,279 1.1×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,600.64 $7,224 1.3×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,058.12 $5,717 1.0×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $2,351.16 $6,531 1.0×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $2,392.92 $6,647 1.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,761.84 $4,894 0.9×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,841.04 $5,114 0.9×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,801.08 $5,003 0.9×
Fuse hand bones with graft (25825) $6,911.28 $19,198 0.9×
Fusion Finger Joint (26860) $3,126.96 $8,686 1.0×
Fusion of elbow joint (24800) $9,548.28 $26,523 1.3×
Fusion of foot bones (28740) $6,928.92 $19,247 1.0×
Fusion of hand bones (25820) $6,911.28 $19,198 0.9×
Fusion of knuckle (26850) $6,911.28 $19,198 0.9×
Fusion of knuckle joint (26516) $3,481.56 $9,671 1.1×
Fusion of knuckle joints (26518) $7,130.88 $19,808 1.0×
Fusion of knuckle with graft (26852) $6,911.28 $19,198 0.9×
Fusion of shoulder joint (23802) $12,714.12 $35,317 1.0×
Fusion of spermatic ducts (54900) $2,260.44 $6,279 1.1×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $4,254.48 $11,818 1.2×
Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) $3,465.72 $9,627 1.0×
Gastrocnemius recession (27687) $3,126.96 $8,686 1.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $2,493 $6,925 1.3×
Gastrostomy, open; neonatal, for feeding Facility (43831) $1,087.20 $3,020 1.2×
Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) $1,221.12 $3,392 1.3×
Genioplasty Sliding Osteotomy Single Piece (21121) $3,110.40 $8,640 0.9×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $5,657.40 $15,715 1.0×
Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) $5,657.40 $15,715 1.0×
Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) $3,110.40 $8,640 0.9×
Glaucoma surgery (66160) $2,251.08 $6,253 1.0×
Goniotomy (65820) $3,927.60 $10,910 0.9×
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) $2,914.56 $8,096 1.0×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $7,133.04 $19,814 1.2×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $5,657.40 $15,715 1.0×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $4,857.48 $13,493 1.4×
Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) $2,058.12 $5,717 1.0×
Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) $4,845.96 $13,461 1.4×
Graft for facial nerve paralysis; regional muscle transfer Facility (15845) $4,227.84 $11,744 1.2×
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $10,636.92 $29,547 1.8×
Grafting of autologous fat by lipo 50 cc or less (15771) $3,465.72 $9,627 1.0×
Grafting of autologous soft tiss by direct exc (15769) $3,465.72 $9,627 1.0×
Gum graft (41870) $2,388.96 $6,636 1.5×
Hair xplant punch grft 1-15 (15775) $1,016.64 $2,824 2.5×
Hair xplant punch grft >15 (15776) $1,016.64 $2,824 2.5×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $3,885.48 $10,793 0.5×
Hand tendon reconstruction (26500) $6,911.28 $19,198 0.9×
Harvesting conjunctival allograft, living donor Facility (68371) $4,263.84 $11,844 1.8×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $3,269.88 $9,083 0.3×
Hemiepiphyseal Arrest (24470) $4,556.88 $12,658 1.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,712.60 $7,535 1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,712.60 $7,535 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,712.60 $7,535 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $2,712.60 $7,535 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $2,712.60 $7,535 1.0×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $2,712.60 $7,535 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $883.08 $2,453 0.9×
Hemorrhoidopexy by stapling (46947) $3,164.04 $8,789 1.1×
Hip arthro acetabuloplasty (29915) $6,911.28 $19,198 0.9×
Hip arthro w/labral repair (29916) $6,911.28 $19,198 0.9×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $2,712.60 $7,535 1.0×
Hymenotomy Simple Incision (56442) $3,020.04 $8,389 0.9×
Hyoid myotomy and suspension Facility (21685) $5,657.40 $15,715 1.0×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $4,804.92 $13,347 1.0×
Hysteroscopy Biopsy (58558) $3,020.04 $8,389 0.9×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $4,804.92 $13,347 1.0×
Hysteroscopy Dx Sep Proc (58555) $3,020.04 $8,389 0.9×
Hysteroscopy Endometrial Ablation (58563) $4,804.92 $13,347 1.0×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $4,804.92 $13,347 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,020.04 $8,389 0.9×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,804.92 $13,347 1.0×
Hysterotomy Abdominal (59100) $4,804.92 $13,347 1.0×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $3,110.40 $8,640 0.9×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $732.60–$769.32 $2,035–$2,137 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $271.80–$636.84 $755–$1,769 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,117.88 $5,883 1.3×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $2,064.60–$2,745 $5,735–$7,625 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,745 $7,625 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,126.96 $8,686 1.0×
I&d forearm/wrist bursa (25031) $2,118.60 $5,885 1.3×
I&D Intramural Im/Absc Transanal Anes (46045) $2,712.60 $7,535 1.0×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,712.60 $7,535 1.0×
I&D Mouth/Tong Intra,Masticator (41009) $3,477.60 $9,660 6.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,126.96 $8,686 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,123.20–$1,179.36 $3,120–$3,276 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,171.80–$1,230.48 $3,255–$3,418 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $565.51–$812.52 $1,570.86–$2,257 varies
I&d shoulder deep abscess/hematoma (23030) $2,745 $7,625 0.9×
I&d thyroglossal duct cyst infected (60000) $1,473.12 $4,092 0.9×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,745 $7,625 0.9×
I&d vaginal hematoma obstetrical/postpartum (57022)
range across 2 matching MRF lines		 $1,171.80–$2,745 $3,255–$7,625 varies
Icd Pocket Revision (33223) $1,994.04 $5,539 1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,087.20 $3,020 1.2×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,087.20 $3,020 1.2×
Immediate breast prosthesis (19340) $6,299.64 $17,499 0.8×
Implant cochlear device (69930) $35,065.08 $97,403 1.1×
Implant eye drug system (67027) $15,247.44 $42,354 1.1×
Implant neuroelectrodes (63650) $5,214.60 $14,485 0.8×
Implant Neuroelectrodes (64561) $5,783.40 $16,065 0.9×
Implant Periph/Gastric Neurostim/Receiver (64590) $16,189.92 $44,972 0.8×
Implant Spine Infusion Pump (62362) $14,526.72 $40,352 0.8×
Implant temple bone w/stimul (69714) $12,714.12 $35,317 1.0×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) $14,526.72 $40,352 0.8×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $6,911.28 $19,198 0.9×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $6,435.36 $17,876 0.7×
Impression & Preparation Auricular Prosthesis (21086) $4,537.80 $12,605 1.4×
Impression & Preparation Nasal Prosthesis (21087) $5,657.40 $15,715 1.0×
Impression & Preparation Oral Surgical Splint (21085) $2,519.28 $6,998 10.6×
Impression & Prepj Palatal Augmentation Prosthes (21082) $5,781.60 $16,060 1.7×
Impression and custom preparation; definitive obturator prosthesis Facility (21080) $4,804.56 $13,346 1.4×
Impression and custom preparation; facial prosthesis Facility (21088) $4,320.72 $12,002 1.3×
Impression and custom preparation; interim obturator prosthesis Facility (21079) $4,320.72 $12,002 1.3×
Impression and custom preparation; mandibular resection prosthesis Facility (21081) $5,657.40 $15,715 1.0×
Impression and custom preparation; orbital prosthesis Facility (21077) $5,690.88 $15,808 1.0×
Impression and custom preparation; palatal lift prosthesis Facility (21083) $4,320.72 $12,002 1.3×
Impression and custom preparation; speech aid prosthesis Facility (21084) $7,881.48 $21,893 2.4×
Impression&Preparation Surg Obturator Prosthes (21076) $2,388.96 $6,636 1.5×
Incise external hemorrhoid (46083) $226.62 $629.49 0.9×
Incise finger tendon sheath (26055) $1,552.68 $4,313 1.0×
Incise flexor carpi radialis (25001) $3,126.96 $8,686 1.0×
Incise sperm duct pouch (55600) $2,260.44 $6,279 1.1×
Incise tendon(s) & muscle(s) (23406)
unusually low: confirm this is the full procedure		 $3,135.60 $8,710 0.4×
Incise Wrist/Forearm Tendon (25290) $3,126.96 $8,686 1.0×
Incise/Drain Conjunctiva (68020) $1,224.72 $3,402 1.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $421.20–$636.84 $1,170–$1,769 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,745 $7,625 0.9×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,749.60–$1,837.08 $4,860–$5,103 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $720–$756 $2,000–$2,100 varies
Incision and drainage of bartholin's gland abscess (56420) $636.84 $1,769 3.1×
Incision and drainage of the tear gland (68400) $1,693.44 $4,704 1.7×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $2,745 $7,625 0.9×
Incision and drainage of vulva or perineal abscess (56405) $833.04 $2,314 2.7×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $4,461.12 $12,392 0.6×
Incision bone cortex foot (28005) $3,126.96 $8,686 1.0×
Incision Drainage Lacrimal Sac (68420) $2,257.56 $6,271 0.9×
Incision extensor tendon sheath wrist (25000) $1,552.68 $4,313 1.0×
Incision of eardrum (69421) $3,110.40 $8,640 0.9×
Incision of eardrum (69420) $1,016.64 $2,824 4.3×
Incision of eye (65850) $2,415.60 $6,710 1.0×
Incision of Foot Tendon (28234) $2,120.76 $5,891 1.3×
Incision of iris (66500) $2,251.08 $6,253 1.0×
Incision of labial frenum (frenotomy) (40806) $2,024.28 $5,623 3.7×
Incision of lingual frenum (frenotomy) (41010) $1,544.04 $4,289 1.0×
Incision of lymph channels (38308) $3,682.44 $10,229 0.9×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,233.80–$2,345.40 $6,205–$6,515 varies
Incision of sperm duct (55200) $3,367.80 $9,355 1.0×
Incision of tibia & fibula (27709) $12,132 $33,700 0.9×
Incision of urethra (53010) $4,998.60 $13,885 0.9×
Incision of urethra (53025) $2,014.92 $5,597 1.0×
Incision of urethra (53000) $2,967.48 $8,243 1.4×
Incision of urethra (53020) $2,014.92 $5,597 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $1,879.20–$1,973.16 $5,220–$5,481 varies
Incision, anal septum (infant) Facility (46070) $2,712.60 $7,535 1.0×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) $3,061.08 $8,503 1.9×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $3,126.96 $8,686 1.0×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $2,867.76 $7,966 0.9×
Incisional biopsy eyelid skin & lid margin (67810) $636.84 $1,769 2.0×
Incisional biopsy skin single lesion (11106) $812.52 $2,257 1.1×
Induced abortion dilation and curettage (59840) $3,020.04 $8,389 0.9×
Induced abortion, by dilation and evacuation (59841) $3,020.04 $8,389 0.9×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $768.60–$992.16 $2,135–$2,756 varies
Inj W/Fluor Eval Cv Device (36598) $833.04 $2,314 3.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,912.68 $5,313 2.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $882–$926.28 $2,450–$2,573 varies
Inject Intravitreal Pharmcologic (67028) $636.84 $1,769 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $636.84 $1,769 2.1×
Injection aa&/strd axillary nerve w/img gdn (64417) $880.56 $2,446 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $812.52 $2,257 1.1×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $880.56 $2,446 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $931.68 $2,588 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $704.52 $1,957 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $812.52 $2,257 1.1×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,252.44 $3,479 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $636.84 $1,769 2.1×
Injection Anes Superior Hypogastric Plexus (64517) $1,096.20 $3,045 1.2×
Injection anesthetic agent suprascapular nerve (64418) $812.52 $2,257 1.1×
Injection for identification of sentinel node (38792) $636.84 $1,769 1.6×
Injection Into Brain Canal (61055) $788.04 $2,189 2.6×
Injection into disk lesion (62292) $1,865.16 $5,181 1.0×
Injection into spinal artery (62294) $1,017 $2,825 1.1×
Injection medication/other subst tenon capsule (67515) $636.84 $1,769 2.0×
Injection of sclerosing solution, hemorrhoids (46500) $1,252.44 $3,479 1.3×
Injection procedure for peyronie disease (54200) $1,252.44 $3,479 5.0×
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) $4,998.60 $13,885 0.9×
Injection single tendon origin/insertion (20551) $636.84 $1,769 2.1×
Injection single/mlt trigger point 1/2 muscles (20552) $636.84 $1,769 2.1×
Injection single/mlt trigger point 3/> muscles (20553) $636.84 $1,769 2.1×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,473.12 $4,092 0.9×
Injection therapeutic carpal tunnel (20526) $636.84 $1,769 2.1×
Injection Turbinate Therapeutic (30200) $1,252.44 $3,479 2.3×
Injection, anesthetic agent; brachial plexus, single (64415) $315 $875 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $1,252.44 $3,479 1.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $668.16 $1,856 0.9×
Injection, Intralesional; More Than 7 Lesions (11901) $636.84 $1,769 3.2×
Injection, intralesional; up to and including 7 lesions (11900) $636.84 $1,769 3.2×
Injx anterior chamber eye air/liquid spx (66020) $2,251.08 $6,253 1.0×
Injx Anterior Chamber Eye Medication Spx (66030) $2,251.08 $6,253 1.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,536.48 $4,268 1.7×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,432.80 $3,980 1.6×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $880.56 $2,446 1.0×
Ins Vag Brachytx Device (57156) $833.04 $2,314 2.7×
Insert 1 Electrode Pm-Defib (33216) $8,207.28 $22,798 1.0×
Insert and remove bone pin (20650) $3,126.96 $8,686 1.0×
Insert Bladder Cath Complex (51703) $133.33 $370.35 1.0×
Insert cath pleura w/o image (32556) $1,400.19 $3,889.41 0.7×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $3,403.80 $9,455 2.8×
Insert cervical dilator (59200) $718.20 $1,995 2.3×
Insert Drug Implant Device (11981) $636.84 $1,769 4.8×
Insert eye socket implant (67550) $4,044.60 $11,235 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $1,838.16 $5,106 1.0×
Insert Heart Pm Atrial (33206) $9,289.44 $25,804 0.9×
Insert Heart Pm Ventricular (33207) $8,937.72 $24,827 0.9×
Insert heyman uteri capsule (58346) $4,804.92 $13,347 1.0×
Insert multi-comp penis pros (54405) $13,197.96 $36,661 0.6×
Insert Nasal Septal Button (30220) $1,803.24 $5,009 1.2×
Insert non-tunnel cv cath (36556) $3,079.08 $8,553 1.0×
Insert ocular implant (65135) $3,735 $10,375 0.9×
Insert Pacing Lead & Connect (33224) $17,694.36 $49,151 1.7×
Insert pessary/other device (57160) $1,252.44 $3,479 6.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $1,609.20–$1,689.84 $4,470–$4,694 varies
Insert prost urethral stent (53855) $3,438 $9,550 1.6×
Insert pulse gen dual leads (33213) $8,937.72 $24,827 0.9×
Insert Pulse Gen Sngl Lead (33212) $8,937.72 $24,827 1.1×
Insert self-contd prosthesis (54401) $13,197.96 $36,661 0.6×
Insert semi-rigid prosthesis (54400) $9,211.68 $25,588 0.7×
Insert spine infusion device (62360) $11,321.28 $31,448 0.6×
Insert tandem cuff (53444)
unusually low: confirm this is the full procedure		 $10,183.32 $28,287 0.5×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Insert testicular prosthesis (54660) $4,377.24 $12,159 0.8×
Insert tissue expander(s) (11960) $4,141.08 $11,503 1.2×
Insert tun ip cath perc (49418) $3,342.24 $9,284 0.9×
Insert tunneled cv cath (36561) $3,079.08 $8,553 1.0×
Insert tunneled cv cath (36563) $6,044.40 $16,790 1.1×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,308.56 $14,746 0.9×
Insert Uro/Ves Nck Sphincter (53445) $13,849.92 $38,472 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $104.92 $291.45 0.8×
Insertion indwelling tunneled pleural catheter (32550) $3,342.24 $9,284 0.9×
Insertion of cannula (36800) $5,308.56 $14,746 0.9×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) $3,489.12 $9,692 1.1×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) $5,308.56 $14,746 0.9×
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) $6,012 $16,700 1.1×
Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) $4,394.16 $12,206 1.1×
Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) $3,735 $10,375 0.9×
Insertion of pin-retained palatal prosthesis Facility (42281) $5,657.40 $15,715 1.0×
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) $6,435.36 $17,876 0.7×
Insertion of Thomas shunt (separate procedure) Facility (36835) $3,489.12 $9,692 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,877.76 $5,216 1.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,342.24 $9,284 0.9×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $4,804.92 $13,347 1.0×
Insertion Vascular Pedicle Carpal Bone (25430) $4,556.88 $12,658 1.4×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $7,478.64 $20,774 0.9×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,466.36 $6,851 1.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,079.08 $8,553 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $2,651.40–$3,079.08 $7,365–$8,553 varies
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $3,079.08 $8,553 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $717.63–$1,547.28 $1,993.41–$4,298 varies
Insj Stablj Dev W/Dcmprn (22867)
unusually low: confirm this is the full procedure		 $8,358.12 $23,217 0.5×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $13,488.84 $37,469 1.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,079.08 $8,553 1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,308.56 $14,746 0.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,912.40 $8,090 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,079.08 $8,553 1.0×
Insj/rplcmt breast implant sep day mastectomy (19342) $9,106.56 $25,296 1.1×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) $21,330.72 $59,252 0.7×
Insj/Rplcmt Defib W/Lead(S) (33249) $32,283 $89,675 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $19,359.36 $53,776 0.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,207.28 $22,798 1.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $5,084.28 $14,123 0.6×
Insrt heart pm atrial & vent (33208) $10,646.28 $29,573 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $25,193.88 $69,983 1.1×
Insrt/Redo Neurostim 1 Array (61885) $18,047.52 $50,132 0.6×
Install spinal shunt (63741) $6,435.36 $17,876 0.7×
Instlj ther agent renal pelvis&/ureter via tub (50391) $636.84 $1,769 2.5×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,712.60 $7,535 1.0×
Interdental fixation (21110) $1,564.92 $4,347 1.0×
Interdental Wiring Other Than Fracture (21497) $1,619.64 $4,499 1.0×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,413.72 $3,927 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $406.80 $1,130 1.0×
Intranasal Biopsy (30100) $1,473.12 $4,092 0.9×
Intraoral i&d tongue/floor lingual (41000)
range across 2 matching MRF lines		 $1,542.60–$1,619.64 $4,285–$4,499 varies
Intraoral i&d tongue/floor sublngl supfc (41005) $636.84 $1,769 2.7×
Intraoral i&d tongue/floor submental space (41007) $2,579.76 $7,166 1.7×
Intraoral i&d tongue/floor submndblr space (41008) $3,110.40 $8,640 0.9×
Intro Gastrointestinal Tube (44500) $1,252.44 $3,479 1.4×
Intubation endotracheal emergency procedure (31500) $636.84 $1,769 2.7×
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $2,251.08 $6,253 1.0×
Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) $3,679.92 $10,222 1.6×
Iridoplasty photocoagulation 1/> sessions (66762) $812.52 $2,257 1.5×
Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) $2,251.08 $6,253 1.0×
Iridotomy/irridectomy laser surg per session (66761) $812.52 $2,257 1.5×
Irrigation maxillary sinus (31000) $1,326.96 $3,686 5.6×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $358.20–$636.84 $995–$1,769 varies
Island pedicle flap graft (15740) $1,829.52 $5,082 0.9×
IV injection test vascular flow flap/graft (15860) $756 $2,100 1.7×
Keratoplasty (corneal transplant); endothelial (65756) $4,095.72 $11,377 1.0×
Keratoplasty Penetrating Pseudophakia (65755) $4,050.36 $11,251 1.0×
Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) $4,230 $11,750 1.0×
Kidney endoscopy (50575) $6,038.64 $16,774 1.1×
Kidney endoscopy (50553) $4,998.60 $13,885 0.9×
Kidney endoscopy (50570) $3,367.80 $9,355 1.0×
Kidney endoscopy (50551) $4,998.60 $13,885 0.9×
Knee arthroscopy/drainage (29871) $3,126.96 $8,686 1.0×
Knee Arthroscopy/Surgery (29874) $3,126.96 $8,686 1.0×
Labyrinthotomy Transcanal (69801) $2,090.52 $5,807 1.3×
Lam facetec & foramot lumbar (63047) $4,656.60 $12,935 0.6×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $6,911.28 $19,198 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $6,911.28 $19,198 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $6,911.28 $19,198 0.9×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $6,911.28 $19,198 0.9×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $4,836.60 $13,435 0.7×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $6,911.28 $19,198 0.9×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) $7,314.48 $20,318 1.0×
Laminotomy Single Lumbar (63042) $6,911.28 $19,198 0.9×
Lap impl electrode antrum (43647) $7,670.52 $21,307 0.7×
Lap insert tunnel ip cath (49324) $5,573.88 $15,483 0.9×
Lap revision perm ip cath (49325) $5,573.88 $15,483 0.9×
Laparo ablate liver tumor rf (47370) $10,710.72 $29,752 1.0×
Laparo ablate renal cyst (50541) $9,944.28 $27,623 0.9×
Laparo ablate renal mass (50542) $12,137.76 $33,716 1.1×
Laparo ligate spermatic vein (55550) $5,573.88 $15,483 0.9×
Laparo new ureter/bladder (50947) $9,944.28 $27,623 0.9×
Laparo-vag hyst incl t/o (58552) $9,944.28 $27,623 0.9×
Laparoscopic myomectomy (58545) $6,664.32 $18,512 1.1×
Laparoscopy aspiration (49322) $5,573.88 $15,483 0.9×
Laparoscopy Enterolysis Separate Procedure (44180) $5,573.88 $15,483 0.9×
Laparoscopy fimbrioplasty (58672) $5,573.88 $15,483 0.9×
Laparoscopy fulguration oviducts (58670) $5,573.88 $15,483 0.9×
Laparoscopy gastrostomy (43653) $5,573.88 $15,483 0.9×
Laparoscopy salpingostomy (58673) $9,944.28 $27,623 0.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $5,573.88 $15,483 0.9×
Laparoscopy surgical orchiectomy (54690) $5,573.88 $15,483 0.9×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $9,944.28 $27,623 0.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $9,944.28 $27,623 0.9×
Laparoscopy W/Lysis Of Adhesions (58660) $5,573.88 $15,483 0.9×
Laparoscopy w/rmvl adnexal structures (58661) $5,573.88 $15,483 0.9×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $5,573.88 $15,483 0.9×
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) $10,710.72 $29,752 1.0×
Laparoscopy, surgical, appendectomy (44970) $5,573.88 $15,483 0.9×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $10,098.36 $28,051 0.9×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $9,944.28 $27,623 0.9×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $11,893.68 $33,038 1.1×
Laparoscopy, surgical, splenectomy (38120) $10,164.60 $28,235 1.0×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $9,944.28 $27,623 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $6,866.28 $19,073 1.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $9,944.28 $27,623 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,573.88 $15,483 0.9×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $9,944.28 $27,623 0.9×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $5,573.88 $15,483 0.9×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) $6,866.28 $19,073 1.1×
Laparoscopy, surgical; partial nephrectomy (50543) $10,283.40 $28,565 1.0×
Laparoscopy, surgical; pyeloplasty (50544) $10,603.08 $29,453 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $5,573.88 $15,483 0.9×
Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648) $9,944.28 $27,623 0.9×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $5,573.88 $15,483 0.9×
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) $6,866.28 $19,073 1.1×
Laparoscopy, surgical; ureterolithotomy Facility (50945) $5,573.88 $15,483 0.9×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) $9,944.28 $27,623 0.9×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $7,954.92 $22,097 1.3×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $9,944.28 $27,623 0.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $9,944.28 $27,623 0.9×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $5,573.88 $15,483 0.9×
Laparoscopy, Tubal Block (58671) $5,573.88 $15,483 0.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,573.88 $15,483 0.9×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $9,944.28 $27,623 0.9×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $5,573.88 $15,483 0.9×
Laps Surg Trnsxj Vagus Nrv Truncal (43651) $6,866.28 $19,073 1.1×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $5,573.88 $15,483 0.9×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $9,944.28 $27,623 0.9×
Largsc Arytenoidectomy Microscope/Telescope (31561) $6,611.76 $18,366 0.9×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $3,617.64 $10,049 1.0×
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) $5,657.40 $15,715 1.0×
Laryngoscop w/arytenoidectom (31560) $6,611.76 $18,366 0.9×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $3,617.64 $10,049 1.0×
Laryngoscopy and dilation (31528) $3,617.64 $10,049 1.0×
Laryngoscopy diagnostic (31505) $1,252.44 $3,479 6.2×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $3,617.64 $10,049 1.0×
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) $3,617.64 $10,049 1.0×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $3,617.64 $10,049 1.0×
Laryngoscopy flexible diagnostic (31575) $833.04 $2,314 4.2×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $3,617.64 $10,049 1.0×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $1,639.80 $4,555 0.9×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,041.20 $5,670 1.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $781.20–$833.04 $2,170–$2,314 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $833.04 $2,314 2.1×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $3,617.64 $10,049 1.0×
Laryngoscopy Indirect W/Biopsy (31510) $3,617.64 $10,049 1.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $833.04 $2,314 4.2×
Laryngoscopy Indirect W/Removal Lesion (31512) $3,617.64 $10,049 1.0×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $1,678.32 $4,662 4.3×
Laryngoscopy W/Biopsy (31535) $3,617.64 $10,049 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,617.64 $10,049 1.0×
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $1,944–$2,041.20 $5,400–$5,670 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $1,944–$2,041.20 $5,400–$5,670 varies
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $636.84 $1,769 1.6×
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $3,110.40 $8,640 0.9×
Larynscop w/tumr exc + scope (31541) $3,617.64 $10,049 1.0×
Laser Surgery Anal Lesions (46917) $2,712.60 $7,535 1.0×
Laser Surgery of Cervix (57513) $3,020.04 $8,389 0.9×
Laser Surgery,Sever Vitreous Strands (67031) $833.04 $2,314 1.5×
Laser treatment of retina (67040) $3,747.60 $10,410 0.9×
Laser vaporization of prostate (52648) $4,998.60 $13,885 0.9×
Late closure of wound (13160) $1,761.84 $4,894 0.5×
Lateral Canthopexy (21282) $3,110.40 $8,640 0.9×
Lateral retinacular release open (27425) $3,369.96 $9,361 1.0×
Lavage cannulation sphenoid sinus (31002) $3,695.04 $10,264 2.4×
Lengthen metacarpal/finger (26568) $6,911.28 $19,198 0.9×
Lengthen radius or ulna (25391) $8,524.08 $23,678 0.7×
Lengthening of hamstring tendon; single tendon Facility (27393) $6,911.28 $19,198 0.9×
Lengthening of palate (42227) $5,657.40 $15,715 1.0×
Lengthening of palate, and pharyngeal flap Facility (42226) $5,657.40 $15,715 1.0×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $3,126.96 $8,686 1.0×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $3,126.96 $8,686 1.0×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $3,239.64 $8,999 1.0×
Lig&div long saph vein saphfem junct/interrupj (37700) $3,079.08 $8,553 1.0×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $12,714.12 $35,317 1.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $8,524.08 $23,678 1.2×
Ligamentous reconstruction knee intra-articular (27428) $12,714.12 $35,317 1.0×
Ligate leg veins open (37761) $3,079.08 $8,553 1.0×
Ligate/strip long leg vein (37722) $4,242.96 $11,786 1.3×
Ligate/strip short leg vein (37718) $3,097.80 $8,605 1.0×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $4,242.96 $11,786 1.3×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $3,079.08 $8,553 1.0×
Ligation External Carotid Artery (37600) $4,543.56 $12,621 1.4×
Ligation Internal/Common Carotid Artery (37605) $4,242.96 $11,786 1.3×
Ligation Major Artery Abdomen (37617)
unusually low: confirm this is the full procedure		 $1,726.56 $4,796 0.3×
Ligation nasal sinus artery (30915) $3,079.08 $8,553 1.0×
Ligation of a-v fistula (37607) $3,079.08 $8,553 1.0×
Ligation of femoral vein (37650) $4,696.56 $13,046 1.5×
Ligation of hemorrhoids (46946) $2,712.60 $7,535 1.0×
Ligation Of Neck Artery (37615) $3,079.08 $8,553 1.0×
Ligation or biopsy temporal artery (37609) $1,753.92 $4,872 1.1×
Ligation salivary duct, intraoral Facility (42665) $3,110.40 $8,640 0.9×
Ligation, internal jugular vein Facility (37565) $3,079.08 $8,553 1.0×
Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) $3,079.08 $8,553 1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $3,079.08 $8,553 1.0×
Limited pharyngectomy Facility (42890) $5,657.40 $15,715 1.0×
Litholapaxy comp/lg > 2.5 cm (52318) $3,776.40 $10,490 1.1×
Litholapaxy smpl/sm <2.5 cm (52317) $3,367.80 $9,355 1.0×
Lithotripsy, extracorporeal shock wave (50590) $6,811.56 $18,921 1.9×
Low Back Disk Surgery (63030) $4,635 $12,875 0.6×
Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) $1,252.44 $3,479 43.1×
Lsh uterus 250 g or less (58541) $9,944.28 $27,623 0.9×
Lsh uterus above 250 g (58543) $9,944.28 $27,623 0.9×
Lsh w/t/o uterus above 250 g (58544) $9,944.28 $27,623 0.9×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $6,586.20 $18,295 0.2×
Lyse chest fibrin init day (32561) $812.52 $2,257 1.3×
Lyse Chest Fibrin Subq Day (32562) $812.52 $2,257 1.3×
Lysis Intranasal Synechia (30560) $2,063.88 $5,733 3.8×
Lysis of labial adhesions (56441) $3,020.04 $8,389 0.9×
Lysis/excision penile postcircumcision adhesions (54162) $2,260.44 $6,279 1.1×
Malar Augmentation Prosthetic Material (21270) $7,000.56 $19,446 1.2×
Male sling procedure (53440) $8,482.32 $23,562 0.6×
Manipulation Ankle Under General Anesthesia (27860) $3,126.96 $8,686 1.0×
Manipulation Elbow Under Anesthesia (24300) $1,689.84 $4,694 1.0×
Manipulation knee joint under general anesthesia (27570) $1,552.68 $4,313 1.0×
Manipulation spine requiring anesthesia (22505) $1,634.76 $4,541 1.0×
Manipulation tmj therapeutic require anesthesia (21073) $2,037.60 $5,660 1.3×
Manipulation wrist under anesthesia (25259) $1,552.68 $4,313 1.0×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,552.68 $4,313 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,552.68 $4,313 1.0×
Manometric stds thru tube/ndwellg urtrl cath (50396) $924.12 $2,567 1.3×
Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) $4,734.36 $13,151 36.6×
Marsupialization of bartholin's gland cyst (56440) $3,020.04 $8,389 0.9×
Mast mod rad (19307) $6,299.64 $17,499 0.9×
Mastectomy for gynecomastia (19300) $3,682.44 $10,229 0.9×
Mastectomy partial (19301) $3,682.44 $10,229 0.9×
Mastectomy partial w/axillary lymphadenectomy (19302) $6,299.64 $17,499 0.9×
Mastectomy simple complete (19303) $6,299.64 $17,499 0.9×
Mastoid obliteration separate procedure (69670) $6,072.48 $16,868 1.0×
Mastoidectomy (69501) $5,657.40 $15,715 1.0×
Mastoidectomy; complete (69502) $5,657.40 $15,715 1.0×
Mastopexy (19316) $4,788 $13,300 0.7×
Maxillary impression for palatal prosthesis Facility (42280) $636.84 $1,769 1.2×
Maxillofacial fixation (21100) $5,657.40 $15,715 1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,547.28 $4,298 1.0×
Mech remov tunneled cv cath (36595) $3,079.08 $8,553 1.0×
Medial Canthopexy Separate Procedure (21280) $4,320.72 $12,002 1.3×
Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) $5,657.40 $15,715 1.0×
Middle ear expl thru postaur/ear canal inc (69440) $3,110.40 $8,640 0.9×
Middle ear surgery proc unlisted (69799) $4,441.68 $12,338 18.7×
Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) $2,623.32 $7,287 1.1×
Multifetal Pregnancy Reduction (59866) $1,252.44 $3,479 4.1×
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) $12,714.12 $35,317 1.0×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) $4,556.88 $12,658 1.4×
Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) $9,519.84 $26,444 2.9×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $2,257.56 $6,271 0.9×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $1,761.84 $4,894 0.9×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $3,465.72 $9,627 1.0×
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) $8,524.08 $23,678 1.2×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $6,911.28 $19,198 0.9×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $3,465.72 $9,627 1.0×
Muscle-skin graft trunk (15734) $3,465.72 $9,627 1.0×
Muscle/tendon transfer upper arm/elbow single (24301) $6,911.28 $19,198 0.9×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $3,445.56 $9,571 1.1×
Myringoplasty (69620) $3,110.40 $8,640 0.9×
N Block Inj Celiac Pelus (64530) $1,171.80 $3,255 1.3×
N Block Inj Ilio-Ing/Hypogi (64425) $812.52 $2,257 1.1×
N block inj intercost sng (64420) $812.52 $2,257 1.1×
N Block Inj Paracervical (64435) $812.52 $2,257 1.1×
N Block Inj Plantar Digit (64455) $636.84 $1,769 2.1×
N Block Inj Pudendal (64430) $892.08 $2,478 1.0×
N Block Lumbar/Thoracic (64520) $945 $2,625 1.1×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $358.20–$833.04 $995–$2,314 varies
Nasal sinus therapy (30210) $1,473.12 $4,092 0.9×
Nasal surgery procedure (30999)
range across 2 matching MRF lines		 $1,137.60–$1,194.48 $3,160–$3,318 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $478.80–$833.04 $1,330–$2,314 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $3,617.64 $10,049 1.0×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $6,611.76 $18,366 0.9×
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) $6,611.76 $18,366 0.9×
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) $6,611.76 $18,366 0.9×
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) $6,611.76 $18,366 0.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,041.20 $5,670 1.1×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,041.20 $5,670 1.1×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,944–$2,041.20 $5,400–$5,670 varies
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $3,617.64 $10,049 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $6,611.76 $18,366 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $6,611.76 $18,366 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $6,611.76 $18,366 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $6,611.76 $18,366 0.9×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $6,611.76 $18,366 0.9×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $6,611.76 $18,366 0.9×
Nasal/sinus ndsc total with sphenoidotomy (31257) $6,611.76 $18,366 0.9×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $6,611.76 $18,366 0.9×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $6,611.76 $18,366 0.9×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines		 $2,899.80–$6,611.76 $8,055–$18,366 varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $636.84 $1,769 2.5×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $883.08 $2,453 0.9×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $883.08 $2,453 0.9×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,340 $6,500 1.4×
Neck spine disk surgery (63020) $6,911.28 $19,198 0.9×
Neck spine fusion (22600)
unusually low: confirm this is the full procedure		 $7,630.56 $21,196 0.4×
Needle Biopsy Lymph Nodes (38505) $1,566.36 $4,351 0.9×
Needle Biopsy Pancreas (48102) $1,566.36 $4,351 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $636.84 $1,769 21.9×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) $6,435.36 $17,876 0.7×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) $6,435.36 $17,876 0.7×
Nerve repair w/conduit each nerve (64910) $6,435.36 $17,876 0.7×
Nerve Repair W/Nerve Allograft First Strand (64912) $11,685.24 $32,459 1.3×
Neurectomy, Intrinsic Musculature Of Foot (28055) $2,549.52 $7,082 1.3×
Neuroeltrd Stim Post Tibial (64566) $636.84 $1,769 2.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,865.16 $5,181 1.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,865.16 $5,181 1.0×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $3,780 $10,500 1.9×
Nipple Exploration (19110) $3,682.44 $10,229 0.9×
Nipple/areola reconstruction (19350) $3,682.44 $10,229 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $880.56 $2,446 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $636.84 $1,769 2.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $864–$1,081.84 $2,400–$3,005.10 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $765–$812.52 $2,125–$2,257 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $812.52 $2,257 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $765–$812.52 $2,125–$2,257 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $636.84 $1,769 1.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $636.84 $1,769 1.6×
Njx Sclrsnt Spider Veins (36468) $636.84 $1,769 1.6×
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) $636.84 $1,769 2.5×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $6,611.76 $18,366 0.9×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $6,611.76 $18,366 0.9×
Occipital Nerve Block (64405) $636.84 $1,769 2.1×
Occlusion flp tube dev vag/suprapubic appr (58615) $3,171.60 $8,810 1.0×
Ocular Surface Reconstruction Amniotic Membrane (65780) $3,735 $10,375 0.9×
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) $3,735 $10,375 0.9×
Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781) $5,049 $14,025 0.9×
Open bone biopsy (20251) $6,911.28 $19,198 0.9×
Open bone biopsy (20250) $4,390.56 $12,196 1.3×
Open Implantation Nea Peripheral Nerve (64575) $12,519.36 $34,776 1.1×
Open Implantation Nea Sacral Nerve (64581) $7,049.88 $19,583 1.1×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $26,116.20 $72,545 0.6×
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) $10,105.56 $28,071 0.5×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $24,770.52 $68,807 0.8×
Open nasoethmoid fx w/o fixj (21338) $5,657.40 $15,715 1.0×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $6,911.28 $19,198 0.9×
Open Repair of Rotator Cuff Acute (23410) $6,911.28 $19,198 0.9×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
likely a partial charge, not the full procedure		 $1,616.76 $4,491 0.1×
Open Treatment Bimalleolar Ankle Fracture (27814) $6,911.28 $19,198 0.9×
Open treatment calcaneal fracture (28415) $6,911.28 $19,198 0.9×
Open Treatment Fracture Distal Tibia & Fibula (27828) $12,714.12 $35,317 1.0×
Open treatment fracture distal tibia only (27827) $12,714.12 $35,317 1.0×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $6,911.28 $19,198 0.9×
Open Treatment Humeral Condylar Fracture (24579) $12,714.12 $35,317 1.0×
Open treatment interphalangeal joint dislocation (28675) $3,126.96 $8,686 1.0×
Open Treatment Lunate Dislocation (25695) $6,911.28 $19,198 0.9×
Open Treatment Medial Malleolus Fracture (27766) $6,911.28 $19,198 0.9×
Open treatment metacarpophalangeal dislocation (26715) $3,126.96 $8,686 1.0×
Open treatment metatarsal fracture each (28485) $4,559.40 $12,665 0.6×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $6,911.28 $19,198 0.9×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $8,051.40 $22,365 1.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $6,911.28 $19,198 0.9×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $6,594.12 $18,317 1.1×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $8,758.44 $24,329 1.5×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $5,657.40 $15,715 1.0×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure		 $2,615.76 $7,266 0.4×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $1,394.28 $3,873 0.1×
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) $5,657.40 $15,715 1.0×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $5,657.40 $15,715 1.0×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $5,657.40 $15,715 1.0×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $6,911.28 $19,198 0.9×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $11,608.56 $32,246 0.9×
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558)
unusually low: confirm this is the full procedure		 $2,615.76 $7,266 0.4×
Open treatment of mandibular condylar fracture Facility (21465) $5,989.32 $16,637 1.0×
Open treatment of mandibular fracture with external fixation Facility (21454) $8,660.16 $24,056 1.5×
Open treatment of nasal fracture; uncomplicated Facility (21325) $3,110.40 $8,640 0.9×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $3,110.40 $8,640 0.9×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $3,126.96 $8,686 1.0×
Open treatment of nasoethmoid fracture; with external fixation Facility (21339) $5,657.40 $15,715 1.0×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $5,657.40 $15,715 1.0×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) $5,657.40 $15,715 1.0×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $5,657.40 $15,715 1.0×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $5,657.40 $15,715 1.0×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $6,911.28 $19,198 0.9×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $6,911.28 $19,198 0.9×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $6,950.16 $19,306 1.0×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) $8,278.20 $22,995 1.1×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) $3,799.08 $10,553 0.5×
Open treatment of temporomandibular dislocation Facility (21490) $5,218.20 $14,495 1.6×
Open Treatment of Ulnar Shaft Fracture (25545) $6,911.28 $19,198 0.9×
Open treatment of ulnar styloid fracture (25652) $6,911.28 $19,198 0.9×
Open treatment posterior malleolus fracture (27769) $6,911.28 $19,198 0.9×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $6,911.28 $19,198 0.9×
Open Treatment Proximal Humeral Fracture (23615) $8,469 $23,525 0.7×
Open Treatment Radial Shaft Fracture (25515) $6,911.28 $19,198 0.9×
Open Treatment Tarsal Bone Dislocation (28555) $6,911.28 $19,198 0.9×
Open tx acute shoulder dislocation (23660) $6,911.28 $19,198 0.9×
Open Tx Acute/Chronic Elbow Dislocation (24615) $6,911.28 $19,198 0.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,126.96 $8,686 1.0×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $4,787.28 $13,298 1.5×
Open tx carpal scaphoid navicular fracture (25628) $6,911.28 $19,198 0.9×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $3,126.96 $8,686 1.0×
Open Tx Depressed Malar Fracture (21360) $5,657.40 $15,715 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $6,911.28 $19,198 0.9×
Open Tx Distal Phalangeal Fracture Each (26765) $3,126.96 $8,686 1.0×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $6,911.28 $19,198 0.9×
Open Tx Distal Tibiofibular Joint Disruption (27829) $6,911.28 $19,198 0.9×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $6,000.84 $16,669 0.5×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $3,126.96 $8,686 1.0×
Open Tx Humeral Epicondylar Fracture (24575) $12,714.12 $35,317 1.0×
Open tx humeral supracondylar fracture w/o xtn (24545) $9,389.52 $26,082 0.7×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $4,866.84 $13,519 0.7×
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $977.95–$3,126.96 $2,716.54–$8,686 varies
Open Tx Mandibular Fx W/Interdental Fixation (21462) $7,216.20 $20,045 1.2×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $8,219.52 $22,832 1.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,269.88 $9,083 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,126.96 $8,686 1.0×
Open Tx Radial Head/Neck Fracture (24665) $6,911.28 $19,198 0.9×
Open Tx Radial Head/Neck Fracture Prosth (24666) $8,975.52 $24,932 0.7×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) $6,911.28 $19,198 0.9×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $6,911.28 $19,198 0.9×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $2,615.76 $7,266 0.4×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) $6,911.28 $19,198 0.9×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $6,911.28 $19,198 0.9×
Open tx ulnar fx proximal end (24685) $6,911.28 $19,198 0.9×
Opn tx orbit fx combined (21387) $5,796.72 $16,102 1.0×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $3,126.96 $8,686 1.0×
Opponensplasty; hypothenar muscle transfer Facility (26494) $3,126.96 $8,686 1.0×
Optic Nerve Decompression (67570) $3,876.48 $10,768 1.0×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $6,535.80 $18,155 2.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $3,931.56 $10,921 0.5×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $3,866.76 $10,741 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $3,309.84 $9,194 0.5×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $12,714.12 $35,317 1.0×
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226)
unusually low: confirm this is the full procedure		 $3,402 $9,450 0.5×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $2,615.76 $7,266 0.4×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $12,714.12 $35,317 1.0×
Orbital implant removal/revision (67560) $3,735 $10,375 0.9×
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) $5,657.40 $15,715 1.0×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $4,942.44 $13,729 1.3×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $3,735 $10,375 0.9×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $2,257.56 $6,271 0.9×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $2,623.32 $7,287 1.1×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $3,876.48 $10,768 1.0×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) $3,876.48 $10,768 1.0×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $3,876.48 $10,768 1.0×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) $3,876.48 $10,768 1.0×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $3,959.64 $10,999 1.0×
Orchiectomy partial (54522) $3,367.80 $9,355 1.0×
Orchiectomy radical tumor inguinal approach (54530) $3,342.24 $9,284 0.9×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $5,683.32 $15,787 1.6×
Orchiopexy Ingun/Scrot Appr (54640) $3,342.24 $9,284 0.9×
Ostc compl all metar heads w/prtl prox phalangc (28114) $2,155.32 $5,987 0.7×
Ostc prtl exostc/condylc metar head (28288) $2,052 $5,700 0.6×
Ostectomy calcaneus (28118) $3,227.40 $8,965 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $2,070 $5,750 0.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $2,019.60 $5,610 0.6×
Ostectomy, complete excision; first metatarsal head (28111) $3,126.96 $8,686 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $2,142 $5,950 0.7×
Osteochondral allograft knee open (27415) $18,253.80 $50,705 1.4×
Osteochondral knee autograft (27416) $6,911.28 $19,198 0.9×
Osteochondral talus autogrft (28446) $4,092.12 $11,367 0.6×
Osteoplasty Humerus (24420) $6,911.28 $19,198 0.9×
Osteoplasty Radius/Ulna Shortening (25390) $6,911.28 $19,198 0.9×
Osteoplasty, carpal bone, shortening Facility (25394) $5,889.24 $16,359 1.8×
Osteoplasty, facial bones; reduction (21209) $5,657.40 $15,715 1.0×
Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) $7,957.08 $22,103 1.1×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $5,863.68 $16,288 0.8×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $6,911.28 $19,198 0.9×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,320.20 $6,445 0.7×
Osteotomy calcaneus w/wo internal fixation (28300) $6,911.28 $19,198 0.9×
Osteotomy Clavicle W Bone Graft (23485) $12,714.12 $35,317 1.0×
Osteotomy Metacarpal Each (26565) $3,126.96 $8,686 1.0×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) $4,866.84 $13,519 0.7×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $4,866.84 $13,519 0.7×
Osteotomy Phalanx Finger Each (26567) $3,876.48 $10,768 1.2×
Osteotomy radius distal third (25350) $7,954.92 $22,097 1.1×
Osteotomy Radius Middle/Proximal Third (25355) $4,556.88 $12,658 1.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $6,911.28 $19,198 0.9×
Osteotomy Tibia (27705) $6,911.28 $19,198 0.9×
Osteotomy Ulna (25360) $6,911.28 $19,198 0.9×
Osteotomy, clavicle, with or without internal fixation; Facility (23480) $6,911.28 $19,198 0.9×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)
unusually low: confirm this is the full procedure		 $3,269.88 $9,083 0.4×
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448)
unusually low: confirm this is the full procedure		 $3,269.88 $9,083 0.4×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $6,911.28 $19,198 0.9×
Ovarian cystectomy, unilateral or bilateral (58925) $4,804.92 $13,347 1.0×
Palatop cl palate soft&/hard palate only (42200) $5,657.40 $15,715 1.0×
Palatopharyngoplasty (42145) $5,657.40 $15,715 1.0×
Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) $5,590.80 $15,530 1.7×
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) $5,657.40 $15,715 1.0×
Palatoplasty for cleft palate; major revision Facility (42215) $5,657.40 $15,715 1.0×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $2,712.24 $7,534 1.2×
Parathyroidectomy or exploration of parathyroid(s); (60500) $5,657.40 $15,715 1.0×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $4,804.92 $13,347 1.0×
Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) $5,657.40 $15,715 1.0×
Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) $5,657.40 $15,715 1.0×
Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) $4,320.72 $12,002 1.3×
Part exc bone femur prox tibia (27360) $5,866.56 $16,296 1.8×
Part remv talus or calcaneus (28120) $3,126.96 $8,686 1.0×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $6,911.28 $19,198 0.9×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) $6,911.28 $19,198 0.9×
Partial excision bone clavicle (23180) $6,911.28 $19,198 0.9×
Partial Excision Bone Humerus (24140) $3,126.96 $8,686 1.0×
Partial excision bone metacarpal (26230) $3,126.96 $8,686 1.0×
Partial excision bone olecranon process (24147) $3,126.96 $8,686 1.0×
Partial Excision Bone Radius (25151) $3,126.96 $8,686 1.0×
Partial Excision Bone Ulna (25150) $3,126.96 $8,686 1.0×
Partial Excision Distal Phalanx Finger (26236) $1,552.68 $4,313 1.0×
Partial excision of lip (40520) $3,110.40 $8,640 0.9×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) $6,911.28 $19,198 0.9×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,552.68 $4,313 1.0×
Partial hymenectomy or revision of hymenal ring (56700) $3,020.04 $8,389 0.9×
Partial removal of fibula (27641) $3,126.96 $8,686 1.0×
Partial removal of lip (40530) $3,110.40 $8,640 0.9×
Partial removal of nose (30150) $5,657.40 $15,715 1.0×
Partial removal of penis (54120) $3,367.80 $9,355 1.0×
Partial removal of radius (24145) $6,911.28 $19,198 0.9×
Partial removal of rib (21600) $6,911.28 $19,198 0.9×
Partial removal of scapula (23190) $3,572.28 $9,923 1.1×
Partial removal of thyroid (60220) $5,573.88 $15,483 0.9×
Partial removal of tibia (27640) $3,462.48 $9,618 1.1×
Partial removal of toe (28160) $3,420 $9,500 1.0×
Partial removal of tongue (41120) $5,657.40 $15,715 1.0×
Partial thyroid excision (60212) $5,573.88 $15,483 0.9×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $5,573.88 $15,483 0.9×
Partical Excision Bone Phalanx Toe (28124) $3,126.96 $8,686 1.0×
Pelvic examination under anesthesia (other than local) (57410) $3,020.04 $8,389 0.9×
Penile Injection (54235) $1,252.44 $3,479 5.0×
Penile Plethysmography (54240) $636.84 $1,769 2.9×
Penile venous occlusive procedure Facility (37790) $3,367.80 $9,355 1.0×
Penis plastic surgery (54360) $3,367.80 $9,355 1.0×
Perc Cryo Ablate Renal Tum (50593) $9,944.28 $27,623 0.9×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,338.48 $3,718 1.0×
Perc Rf Ablate Renal Tumor (50592) $5,611.32 $15,587 0.9×
Percut Ablate Liver Rf (47382) $6,059.52 $16,832 1.0×
Percut Cath Occlusn Non Cns Lesn (61626) $10,962 $30,450 0.9×
Percut Drain/Inject Renal Cyst (50390) $1,049.04 $2,914 1.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,936.96 $10,936 1.2×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) $10,315.80 $28,655 0.9×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $3,126.96 $8,686 1.0×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) $6,911.28 $19,198 0.9×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $5,639.76 $15,666 3.5×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) $6,911.28 $19,198 0.9×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $3,432.24 $9,534 1.0×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $4,320.72 $12,002 1.3×
Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) $4,320.72 $12,002 1.3×
Pereyra procedure, including anterior colporrhaphy Facility (57289) $7,300.08 $20,278 1.0×
Peri-Implant Capsulectomy Breast Complete (19371) $4,320 $12,000 1.1×
Perineoplasty rpr perineum nonobstetrical spx (56810) $3,020.04 $8,389 0.9×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) $5,657.40 $15,715 1.0×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) $5,657.40 $15,715 1.0×
Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) $5,657.40 $15,715 1.0×
Perirectal inj sclerosing solution prolapse (45520) $883.08 $2,453 0.9×
Peritoneal Lavage (49084) $1,087.20 $3,020 1.2×
Perq Cervicothoracic Inject (22510) $3,385.08 $9,403 1.0×
Perq Lumbosacral Injection (22511) $3,385.08 $9,403 1.0×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $8,899.56 $24,721 0.9×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $5,611.32 $15,587 0.9×
Perq skel fixj distal radial fx/epiphysl sep (25606) $3,126.96 $8,686 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $6,911.28 $19,198 0.9×
Perq Vertebral Augmentation (22513) $6,911.28 $19,198 0.9×
Petrous apicectomy including radical mastoidectomy Facility (69530) $8,987.04 $24,964 1.5×
Phalangectomy toe each toe (28150) $3,126.96 $8,686 1.0×
Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) $2,388.96 $6,636 1.5×
Phleb Veins - Extrem 20+ (37766) $3,079.08 $8,553 1.0×
Photopheresis extracorporeal (36522) $5,505.48 $15,293 1.3×
Pin Finger Dislocation (26776) $3,126.96 $8,686 1.0×
Pin hand dislocation (26676) $3,126.96 $8,686 1.0×
Pin knuckle dislocation (26706) $3,126.96 $8,686 1.0×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $1,595.16 $4,431 1.6×
Place Amniotic Membrane Ocular Surface Sutured (65779) $3,735 $10,375 0.9×
Place Duod/Jej Tube Perc (49441) $1,838.16 $5,106 1.0×
Place ndl musc/tis for rt (20555) $3,126.96 $8,686 1.0×
Place Rt Device/Marker Pros (55876) $1,338.48 $3,718 1.0×
Placement needle head/neck radioelement applicat (41019) $5,657.40 $15,715 1.0×
Placement Needle Pelvic Organ Radioelement Appl (55920) $4,804.92 $13,347 1.0×
Placement of needle for intraosseous infusion (36680) $636.84 $1,769 1.4×
Placement of seton (46020) $2,712.60 $7,535 1.0×
Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) $3,320.64 $9,224 1.6×
Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) $3,320.64 $9,224 1.6×
Plastic Repair Canaliculi (68700) $2,257.56 $6,271 0.9×
Plastic Repair Introitus (56800) $3,020.04 $8,389 0.9×
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) $5,657.40 $15,715 1.0×
Plastic Repair Of Urethrocele (57230) $3,445.56 $9,571 1.1×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $5,657.40 $15,715 1.0×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $5,657.40 $15,715 1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $4,804.92 $13,347 1.0×
Prim art mech thrombectomy (37184) $16,939.44 $47,054 0.9×
Probe lacrimal canaliculi w/wo irrigation (68840) $636.84 $1,769 2.0×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,257.56 $6,271 0.9×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $2,257.56 $6,271 0.9×
Probe nl duct w/balloon (68816) $2,257.56 $6,271 0.9×
Probing nasolacrimal duct (68810) $636.84 $1,769 2.0×
Proctopexy Perineal Approach (45541) $3,655.44 $10,154 1.3×
Proctoplasty Stenosis (45500) $2,712.60 $7,535 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $883.08 $2,453 0.9×
Proctosgmdsc Rigid Control Bleeding (45317) $1,270.08 $3,528 1.1×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $2,712.60 $7,535 1.0×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $1,649.88 $4,583 1.4×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $1,604.52 $4,457 1.3×
Proctosgmdsc rigid w/dilation (45303) $1,604.52 $4,457 1.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,712.60 $7,535 1.0×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $2,712.60 $7,535 1.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,440.36 $4,001 1.2×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $2,712.60 $7,535 1.0×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) $7,291.80 $20,255 1.2×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $812.52 $2,257 1.5×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) $12,714.12 $35,317 1.0×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) $4,556.88 $12,658 1.4×
Prostatic microwave thermotx (53850) $4,847.76 $13,466 1.4×
Prostatic Rf Thermotx (53852) $4,390.56 $12,196 1.2×
Prostatotomy external drg abscess simple (55720) $3,367.80 $9,355 1.0×
Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) $3,367.80 $9,355 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $952.56 $2,646 1.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $6,156 $17,100 1.0×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,247.40 $3,465 1.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,126.96 $8,686 1.0×
Prq skel fixj femoral fx prox end neck (27235) $6,911.28 $19,198 0.9×
Prq skel fixj metar fx w/manj (28476) $3,364.20 $9,345 1.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $6,911.28 $19,198 0.9×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $6,188.04 $17,189 1.9×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $3,126.96 $8,686 1.0×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $6,911.28 $19,198 0.9×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $3,126.96 $8,686 1.0×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $6,911.28 $19,198 0.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,126.96 $8,686 1.0×
Pseudoaneurysm Injection Trt (36002) $812.52 $2,257 1.3×
Pterygomaxillary fossa surgery, any approach Facility (31040) $5,657.40 $15,715 1.0×
Punch biopsy skin single lesion (11104) $636.84 $1,769 1.6×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $547.20–$636.84 $1,520–$1,769 varies
Puncture Aspiration Cyst Breast (19000) $812.52 $2,257 1.1×
Puncture shunt tube/reservoir aspiration/inj px (61070) $812.52 $2,257 1.1×
Push Transfusion Blood 2 Yr/Under (36440) $636.84 $1,769 1.4×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $6,911.28 $19,198 0.9×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $1,552.68 $4,313 1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $3,126.96 $8,686 1.0×
Rad resect elbow caps/sr bone w rels (24149) $6,911.28 $19,198 0.9×
Rad resect hand tumor 3 cm/> (26118) $2,745 $7,625 0.9×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,061.80 $8,505 1.0×
Rad resect tumor soft tissue hand/finger <3cm (26117) $2,745 $7,625 0.9×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $2,745 $7,625 0.9×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $3,402 $9,450 1.2×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) $5,657.40 $15,715 1.0×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) $5,657.40 $15,715 1.0×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $4,490.64 $12,474 1.5×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $2,745 $7,625 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $2,745 $7,625 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $2,745 $7,625 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) $2,745 $7,625 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $2,745 $7,625 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $2,975.04 $8,264 1.0×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $2,745 $7,625 0.9×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $2,745 $7,625 0.9×
Radical resection of tumor, distal phalanx of finger Facility (26262) $1,649.88 $4,583 1.0×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $3,126.96 $8,686 1.0×
Radical resection of tumor, radial head or neck Facility (24152) $6,911.28 $19,198 0.9×
Radical resection of tumor, radius or ulna (25170) $6,911.28 $19,198 0.9×
Radical resection of tumor, shaft or distal humerus Facility (24150) $6,911.28 $19,198 0.9×
Radical Resection Tumor Metacarpal (26250) $3,369.96 $9,361 1.0×
Radical styloidectomy separate procedure (25230) $3,126.96 $8,686 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,865.16 $5,181 1.0×
Rcnstj angular dfrm toe soft tiss px only (28313) $3,126.96 $8,686 1.0×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $3,126.96 $8,686 1.0×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $3,126.96 $8,686 1.0×
Rcnstj Dislocating Patella (27420) $6,911.28 $19,198 0.9×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $2,264.40 $6,290 0.9×
Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) $2,623.32 $7,287 1.1×
Rcnstj Eyelid Full Thickness Second Stage (67975) $2,257.56 $6,271 0.9×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $6,227.64 $17,299 1.0×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $10,143 $28,175 1.7×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $6,911.28 $19,198 0.9×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,485.16 $9,681 1.0×
Re-explore parathyroids (60502) $5,657.40 $15,715 1.0×
Realignment extensor tendon hand each tendon (26437) $3,126.96 $8,686 1.0×
Realignment of hand (25335) $4,556.88 $12,658 1.4×
Realignment of knee (27457)
unusually low: confirm this is the full procedure		 $2,615.76 $7,266 0.4×
Realignment of knee (27455)
likely a partial charge, not the full procedure		 $1,616.76 $4,491 0.2×
Reconst lwr jaw w/o fixation (21195) $7,401.24 $20,559 1.2×
Reconstruct cleft palate (42220) $5,657.40 $15,715 1.0×
Reconstruct cleft palate (42210) $5,657.40 $15,715 1.0×
Reconstruct elbow joint (24360) $11,223 $31,175 1.5×
Reconstruct elbow lat ligmnt (24344) $8,524.08 $23,678 1.2×
Reconstruct elbow med ligmnt (24346) $12,714.12 $35,317 1.0×
Reconstruct extra finger (26587) $3,126.96 $8,686 1.0×
Reconstruct finger joint (26545) $3,436.20 $9,545 1.0×
Reconstruct Finger Joint (26548) $3,526.92 $9,797 1.1×
Reconstruct lip with flap (40525) $3,110.40 $8,640 0.9×
Reconstruct lip with flap (40527) $5,657.40 $15,715 1.0×
Reconstruct midface lefort (21143) $10,503.36 $29,176 1.8×
Reconstruct ulna/radioulnar (25337) $6,911.28 $19,198 0.9×
Reconstruct upper jaw bone (21206) $5,657.40 $15,715 1.0×
Reconstruct wrist joint (25445) $6,911.28 $19,198 0.9×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) $5,657.40 $15,715 1.0×
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) $10,503.36 $29,176 1.8×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $9,653.76 $26,816 1.6×
Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) $5,657.40 $15,715 1.0×
Reconstruction Nail Bed W/Graft (11762) $2,613.96 $7,261 1.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $6,911.28 $19,198 0.9×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $5,657.40 $15,715 1.0×
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) $3,735 $10,375 0.9×
Reconstruction of jaw (21249) $8,416.08 $23,378 1.4×
Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) $5,657.40 $15,715 1.0×
Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) $5,657.40 $15,715 1.0×
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) $12,693.24 $35,259 2.1×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $5,895 $16,375 1.0×
Reconstruction of mouth (40844) $5,657.40 $15,715 1.0×
Reconstruction of mouth (40842) $5,991.48 $16,643 1.0×
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) $5,657.40 $15,715 1.0×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $3,126.96 $8,686 1.0×
Reconstruction of throat (42950) $5,657.40 $15,715 1.0×
Reconstruction of urethra (54326) $3,367.80 $9,355 1.0×
Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) $5,657.40 $15,715 1.0×
Reconstruction Toe Polydactyly (28344) $3,126.96 $8,686 1.0×
Reconstruction Tongue Fold (41520) $3,110.40 $8,640 0.9×
Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) $5,657.40 $15,715 1.0×
Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) $4,556.88 $12,658 1.4×
Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without… (21742) $4,556.88 $12,658 1.4×
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) $7,108.20 $19,745 1.2×
Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) $5,657.40 $15,715 1.0×
Reduction forehead; contouring only Facility (21137) $3,515.40 $9,765 1.1×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) $3,296.16 $9,156 2.1×
Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) $3,110.40 $8,640 0.9×
Reduction of rectal prolapse (45900) $883.08 $2,453 0.9×
Reduction Overcorrection Ptosis (67909) $2,257.56 $6,271 0.9×
Reinforce clavicle (23490) $8,524.08 $23,678 1.2×
Reinforce humerus (24498) $12,714.12 $35,317 1.0×
Reinforce radius (25490) $6,911.28 $19,198 0.9×
Reinforce tibia (27745) $5,689.80 $15,805 0.8×
Reinforce ulna (25491) $12,714.12 $35,317 1.0×
Reinnervate larynx (31590) $5,657.40 $15,715 1.0×
Reinsert ocular implant (65150) $3,735 $10,375 0.9×
Reinsert spinal fixation (22849) $8,115.84 $22,544 0.6×
Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) $3,876.48 $10,768 1.0×
Release encircling material (67115) $3,927.60 $10,910 0.9×
Release eye tissue (67343) $2,387.16 $6,631 1.0×
Release foot/toe nerve (64726) $1,480.32 $4,112 0.8×
Release Intrinsic Muscles Hand Each Muscle (26593) $3,126.96 $8,686 1.0×
Release of big toe (28240) $3,893.76 $10,816 1.2×
Release of shoulder ligament (23415) $6,911.28 $19,198 0.9×
Release Thenar Muscle (26508) $3,126.96 $8,686 1.0×
Relocation Pocket Pacemaker (33222) $1,888.20 $5,245 0.9×
Removal Anal Seton Other Marker (46030) $1,665 $4,625 1.4×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $13,197.96 $36,661 0.6×
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) $13,197.96 $36,661 0.6×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $748.80–$786.24 $2,080–$2,184 varies
Removal Foreign Body Deep Thigh/Knee (27372) $8,686.44 $24,129 3.0×
Removal Foreign Body Foot Complicated (28193) $1,566.36 $4,351 0.9×
Removal foreign body foot deep (28192) $1,901.52 $5,282 1.1×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,085.40–$1,139.76 $3,015–$3,166 varies
Removal foreign body jawbone (41806) $3,080.88 $8,558 2.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,359–$1,566.36 $3,775–$4,351 varies
Removal Foreign Body Scrotum (55120) $2,260.44 $6,279 1.1×
Removal foreign body upper arm/elbow deep (24201) $2,745 $7,625 0.9×
Removal foreign body, intranasal; requiring general anesthesia (30310)
range across 2 matching MRF lines		 $1,765.80–$3,110.40 $4,905–$8,640 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $57.22 $158.94 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,020.04 $8,389 0.9×
Removal Implant Deep (20680) $1,353.60 $3,760 0.5×
Removal Implant Superficial Separate Procedure (20670) $1,948.68 $5,413 1.2×
Removal implantable contraceptive capsules (11976) $812.52 $2,257 1.1×
Removal intact breast implant (19328) $3,047.40 $8,465 0.8×
Removal of a lesion from the floor of the mouth (41116) $3,110.40 $8,640 0.9×
Removal of adenoids (42835) $3,110.40 $8,640 0.9×
Removal of adenoids (42831) $3,110.40 $8,640 0.9×
Removal of adenoids (42830) $3,110.40 $8,640 0.9×
Removal of adenoids (42836) $3,110.40 $8,640 0.9×
Removal of anal fissure (46200) $2,712.60 $7,535 1.0×
Removal of anterior instrumentation (22855) $6,528.24 $18,134 0.9×
Removal of bladder cyst (51500) $5,573.88 $15,483 0.9×
Removal of bone lesion (23140) $3,126.96 $8,686 1.0×
Removal of calcium deposits (23000) $2,745 $7,625 0.9×
Removal of cervix (57530) $4,804.92 $13,347 1.0×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $6,435.36 $17,876 1.9×
Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) $3,144.96 $8,736 1.6×
Removal of epiglottis (31420) $9,253.44 $25,704 1.6×
Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) $2,251.08 $6,253 1.0×
Removal of eye (65110) $3,876.48 $10,768 1.0×
Removal of foot joint lining (28072) $3,126.96 $8,686 1.0×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) $2,251.08 $6,253 1.0×
Removal of heel spur (28119) $3,126.96 $8,686 1.0×
Removal of humerus lesion (23150) $4,216.68 $11,713 1.3×
Removal of humerus lesion (23156) $6,911.28 $19,198 0.9×
Removal of implant from finger or hand (26320) $1,914.48 $5,318 1.2×
Removal of implanted material, anterior segment of eye (65920) $2,251.08 $6,253 1.0×
Removal of infusion pump (36262) $3,793.68 $10,538 1.0×
Removal of intranasal lesion (30118) $3,110.40 $8,640 0.9×
Removal of iris (66635) $2,424.96 $6,736 1.0×
Removal of iris (66630) $2,251.08 $6,253 1.0×
Removal of jaw joint (21050) $5,657.40 $15,715 1.0×
Removal of kidney stone (50081) $8,899.56 $24,721 0.9×
Removal of lens material (66852) $3,927.60 $10,910 0.9×
Removal of mammary implant material (19330) $3,682.44 $10,229 0.9×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $311.85–$636.84 $866.25–$1,769 varies
Removal of nose (30160) $5,657.40 $15,715 1.0×
Removal of nose lesion (30124) $2,033.64 $5,649 1.3×
Removal of ocular implant (65175) $3,735 $10,375 0.9×
Removal of posterior segmental instrumentation Facility (22852)
unusually low: confirm this is the full procedure		 $3,269.88 $9,083 0.4×
Removal of residual cervix (57550) $4,804.92 $13,347 1.0×
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) $2,251.08 $6,253 1.0×
Removal of sesamoid bone (28315) $3,126.96 $8,686 1.0×
Removal of skin wrinkles (15829) $4,859.28 $13,498 1.4×
Removal of sperm cord lesion (55520) $3,367.80 $9,355 1.0×
Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) $6,647.04 $18,464 2.0×
Removal of tendon for graft (20924) $6,911.28 $19,198 0.9×
Removal of testis (54520) $3,367.80 $9,355 1.0×
Removal of Thiersch wire or suture, anal canal Facility (46754) $2,712.60 $7,535 1.0×
Removal of thymus gland (60520) $5,657.40 $15,715 1.0×
Removal of thyroid (60271) $5,657.40 $15,715 1.0×
Removal of tonsils (42825) $5,657.40 $15,715 1.0×
Removal of tonsils (42826) $3,110.40 $8,640 0.9×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) $4,178.16 $11,606 0.6×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Facility (22865) $14,244.84 $39,569 2.0×
Removal of urethra (53210) $3,367.80 $9,355 1.0×
Removal of vein clot (34490) $3,936.96 $10,936 1.2×
Removal of wrist bone (25210) $3,126.96 $8,686 1.0×
Removal of wrist prosthesis; (separate procedure) Facility (25250) $3,112.92 $8,647 1.9×
Removal of wrist prosthesis; complicated, including total wrist Facility (25251) $3,400.20 $9,445 1.0×
Removal or destruction of bladder canal (urethra) malignancy (53220) $3,367.80 $9,355 1.0×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) $5,501.88 $15,283 1.0×
Removal Pacemaker Electrode (33235) $4,405.68 $12,238 1.2×
Removal parotid stone (42340) $3,110.40 $8,640 0.9×
Removal ppm generator only (33233) $8,207.28 $22,798 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $636.84 $1,769 3.2×
Removal Submand Stone,Complicated (42335) $3,110.40 $8,640 0.9×
Removal Sutures/Staples Requiring Anesthesia (15851) $1,761.84 $4,894 0.9×
Removal sweat gland lesion (11450) $2,745 $7,625 0.9×
Removal tong/halo applied by another individual (20665) $636.84 $1,769 1.4×
Removal, under anesthesia, of external fixation system (20694) $2,118.60 $5,885 1.3×
Remove & graft wrist lesion (25136) $6,911.28 $19,198 0.9×
Remove & graft wrist lesion (25135) $6,911.28 $19,198 0.9×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $2,644.20 $7,345 1.3×
Remove armpit lymph nodes (38740) $5,573.88 $15,483 0.9×
Remove blood clot from eye (65930) $2,251.08 $6,253 1.0×
Remove brain canal fluid (61050) $716.40 $1,990 2.3×
Remove Brain Cavity Fluid (61020) $880.56 $2,446 1.0×
Remove cerclage suture (59871) $3,020.04 $8,389 0.9×
Remove coronoid process (21070) $5,657.40 $15,715 1.0×
Remove cranial cavity fluid (61000) $812.52 $2,257 1.1×
Remove drug implant device (11982) $958.32 $2,662 2.1×
Remove ear lesion (69550) $5,657.40 $15,715 1.0×
Remove elbow joint implant (24160) $3,804.48 $10,568 1.2×
Remove Elbow Joint Lining (24102) $3,126.96 $8,686 1.0×
Remove elbow lesion (24120) $3,126.96 $8,686 1.0×
Remove Elctrd Transvenously (33244) $3,970.80 $11,030 1.1×
Remove eye lesion (66130) $2,257.56 $6,271 0.9×
Remove eye/attach implant (65105) $4,309.20 $11,970 1.1×
Remove finger bone (26185) $1,935.36 $5,376 1.2×
Remove Forearm Foreign Body (25248) $2,118.60 $5,885 1.3×
Remove foreign body from eye (65265) $2,251.08 $6,253 1.0×
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $1,677.60–$2,251.08 $4,660–$6,253 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Remove Gastric Port Open (43887) $2,383.20 $6,620 1.1×
Remove groin lymph nodes (38760) $6,299.64 $17,499 0.9×
Remove Hand Bone Lesion (26200) $2,317.32 $6,437 1.4×
Remove hip pressure sore (15941) $2,818.08 $7,828 1.0×
Remove hip pressure sore (15940) $2,745 $7,625 0.9×
Remove humerus lesion (23174) $6,911.28 $19,198 0.9×
Remove humerus lesion (24110) $3,126.96 $8,686 1.0×
Remove Int Dwell Ureteral Stent Transurethral (50386) $1,967.76 $5,466 0.9×
Remove Intrauterine Device (58301) $636.84 $1,769 2.1×
Remove iris and lesion (66600) $3,927.60 $10,910 0.9×
Remove knee joint lining (27334) $3,126.96 $8,686 1.0×
Remove lamina/facets lumbar (63012) $6,911.28 $19,198 0.9×
Remove Lower Leg Bone Lesion (27635) $3,126.96 $8,686 1.0×
Remove lung catheter (32552) $1,007.28 $2,798 1.6×
Remove mastoid structures (69505) $6,341.04 $17,614 1.1×
Remove middle ear nerve (69676) $4,320.72 $12,002 1.3×
Remove muti-comp penis pros (54406) $3,367.80 $9,355 1.0×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Remove palate/lesion (42120) $5,657.40 $15,715 1.0×
Remove part lumbar vertebra (22102) $6,911.28 $19,198 0.9×
Remove part thorax vertebra (22101) $6,911.28 $19,198 0.9×
Remove Peritoneal Foreign Body (49402) $3,342.24 $9,284 0.9×
Remove prostate regrowth (52630) $4,998.60 $13,885 0.9×
Remove Pulse Generator (33241) $6,484.68 $18,013 1.7×
Remove radius head implant (24164) $3,126.96 $8,686 1.0×
Remove renal tube w/fluoro (50389) $812.52 $2,257 1.2×
Remove sacrum pressure sore (15937) $2,058.12 $5,717 1.0×
Remove self-contd penis pros (54415) $3,367.80 $9,355 1.0×
Remove Shoulder Foreign Body (23330) $1,566.36 $4,351 0.9×
Remove shoulder joint lining (23105) $6,911.28 $19,198 0.9×
Remove spine eltrd plate (63662) $3,286.80 $9,130 0.9×
Remove spine fixation device (22850)
unusually low: confirm this is the full procedure		 $3,494.52 $9,707 0.5×
Remove spine lamina 1/2 lmbr (63005) $6,911.28 $19,198 0.9×
Remove spine lamina 1/2 thrc (63003) $6,911.28 $19,198 0.9×
Remove spine lamina >2 thrc (63016) $6,930.72 $19,252 1.0×
Remove Tendon Sheath Lesion (26160) $1,552.68 $4,313 1.0×
Remove thigh pressure sore (15951) $5,802.48 $16,118 2.0×
Remove thigh pressure sore (15956) $1,761.84 $4,894 0.9×
Remove thyroid lesion (60200) $5,573.88 $15,483 0.9×
Remove tissue expander (11971) $2,745 $7,625 0.9×
Remove ureter stent percut (50384) $2,262.24 $6,284 1.1×
Remove vc lesion scope/graft (31546) $6,611.76 $18,366 0.9×
Remove vc lesion w/scope (31545) $3,617.64 $10,049 1.0×
Remove wrist joint cartilage (25107) $3,126.96 $8,686 1.0×
Remove/graft bone lesion (24125) $3,126.96 $8,686 1.0×
Remove/graft finger lesion (26215) $3,126.96 $8,686 1.0×
Remove/graft foot lesion (28107) $6,911.28 $19,198 0.9×
Remove/graft forearm lesion (25126) $4,537.80 $12,605 1.4×
Remove/graft forearm lesion (25125) $3,112.92 $8,647 1.9×
Remove/graft leg bone lesion (27637) $6,911.28 $19,198 0.9×
Remove/Insert Drug Implant (11983) $636.84 $1,769 1.4×
Remove/replace penis prosth (54410) $13,197.96 $36,661 0.6×
Remv cartilage for graft nasal (20912) $3,465.72 $9,627 1.0×
Remv&replc pm gen mult leads (33229) $18,467.28 $51,298 1.0×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $4,998.60 $13,885 0.9×
Renal Biopsy Perq (50200) $1,566.36 $4,351 0.9×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) $8,899.56 $24,721 0.9×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) $8,899.56 $24,721 0.9×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) $4,998.60 $13,885 0.9×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) $812.52 $2,257 1.2×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) $8,899.56 $24,721 0.9×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) $3,367.80 $9,355 1.0×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $4,998.60 $13,885 0.9×
Renal scope w/tumor resect (50562) $8,899.56 $24,721 0.9×
Reopen fallopian tube (58350) $4,804.92 $13,347 1.0×
Repair Achilles Tendon (27650) $6,911.28 $19,198 0.9×
Repair Anorectal Fistula Plug (46707) $3,711.96 $10,311 1.3×
Repair arm/leg nerve (64857) $6,435.36 $17,876 1.9×
Repair bladder neck (51845) $4,804.92 $13,347 1.0×
Repair Bladder-Vagina Lesion (57320) $4,804.92 $13,347 1.0×
Repair Blood Vessel Direct Hand Finger (35207) $3,079.08 $8,553 1.0×
Repair blood vessel direct neck (35201) $5,308.56 $14,746 0.9×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $2,476.18–$3,079.08 $6,878.28–$8,553 varies
Repair blood vessel lesion (35190) $5,308.56 $14,746 0.9×
Repair blood vessel lesion (35236) $5,308.56 $14,746 0.9×
Repair blood vessel lesion (35266) $5,308.56 $14,746 0.9×
Repair blood vessel with graft other than vein; neck Facility (35261) $3,944.52 $10,957 1.2×
Repair blood vessel with vein graft; lower extremity Facility (35256) $5,450.76 $15,141 1.0×
Repair blood vessel with vein graft; neck Facility (35231) $3,079.08 $8,553 1.0×
Repair brow ptosis (67900) $2,623.32 $7,287 1.1×
Repair Choanal Atresia Intranasal (30540) $5,657.40 $15,715 1.0×
Repair choanal atresia; transpalatine Facility (30545) $5,657.40 $15,715 1.0×
Repair cleft hand deformity (26580) $3,126.96 $8,686 1.0×
Repair cleft lip/nasal (40720) $4,320.72 $12,002 1.3×
Repair cleft lip/nasal (40702) $5,657.40 $15,715 1.0×
Repair cleft lip/nasal (40761) $5,657.40 $15,715 1.0×
Repair cleft lip/nasal (40700) $5,657.40 $15,715 1.0×
Repair clitoris (56805) $3,020.04 $8,389 0.9×
Repair Collat Ankle Ligmnt,Secondary (27698) $4,012.20 $11,145 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,016.64 $2,824 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $721.80–$1,016.64 $2,005–$2,824 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $285.52–$833.04 $793.10–$2,314 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $770.40–$1,016.64 $2,140–$2,824 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $570.60–$1,016.64 $1,585–$2,824 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $833.04–$864 $2,314–$2,400 varies
Repair complex trunk 2.6-7.5 cm (13101) $1,016.64 $2,824 1.4×
Repair defect w/autograft radius/ulna (25425) $8,524.08 $23,678 1.2×
Repair Detached Retina (67101) $2,251.08 $6,253 1.0×
Repair detached retina (67105) $1,394.64 $3,874 2.5×
Repair Ectropion Excision Tarsal Wedge (67916) $2,257.56 $6,271 0.9×
Repair Ectropion Extensive (67917) $2,257.56 $6,271 0.9×
Repair Ectropion Suture (67914) $2,257.56 $6,271 0.9×
Repair Ectropion Thermocauterization (67915) $2,257.56 $6,271 0.9×
Repair Elbow Perc (24357) $3,126.96 $8,686 1.0×
Repair Entropion Extensive (67924) $2,257.56 $6,271 0.9×
Repair Entropion Suture (67921) $2,257.56 $6,271 0.9×
Repair Extensor Tendon Finger W/Graft Each (26420) $3,126.96 $8,686 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,552.68 $4,313 1.0×
Repair Eyelid Wound (67935) $2,257.56 $6,271 0.9×
Repair finger deformity (26590) $1,649.88 $4,583 1.0×
Repair Finger Tendon (26433) $3,126.96 $8,686 1.0×
Repair Finger/Hand Tendon (26350) $3,126.96 $8,686 1.0×
Repair Fistula Oromaxillary (30580) $5,657.40 $15,715 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,126.96 $8,686 1.0×
Repair Foot Dislocation (28615) $6,911.28 $19,198 0.9×
Repair Forearm Tendon Sheath (25275) $3,309.48 $9,193 1.0×
Repair forearm tendon/muscle (25265) $7,286.04 $20,239 2.2×
Repair gum (41872) $3,539.88 $9,833 1.1×
Repair Hallux Rigidus (28289) $2,730.60 $7,585 0.8×
Repair Hand Joint (26540) $3,126.96 $8,686 1.0×
Repair Hand Tendon (26410) $2,243.52 $6,232 1.4×
Repair humerus with graft (24435) $10,122.84 $28,119 0.8×
Repair incomplete circumcision (54163) $2,260.44 $6,279 1.1×
Repair inguinal hernia, sliding, any age (49525) $3,342.24 $9,284 0.9×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,342.24 $9,284 0.9×
Repair initial femoral hernia, any age; reducible (49550) $3,342.24 $9,284 0.9×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,407.76 $9,466 0.9×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $3,342.24 $9,284 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $307.80–$636.84 $855–$1,769 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $297–$636.84 $825–$1,769 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $352.80 $980 0.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $406.80 $1,130 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $468 $1,300 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $189.57–$636.84 $526.59–$1,769 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $322.20–$636.84 $895–$1,769 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $437.40 $1,215 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $631.80–$833.04 $1,755–$2,314 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $306.95–$636.84 $852.63–$1,769 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $311.40–$636.84 $865–$1,769 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $833.04–$968.40 $2,314–$2,690 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $423–$833.04 $1,175–$2,314 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,761.84–$1,854 $4,894–$5,150 varies
Repair intrinsic muscles hand each muscle (26591) $3,126.96 $8,686 1.0×
Repair iris ciliary body (66680) $2,251.08 $6,253 1.0×
Repair Laceration Palate </2 Cm (42180) $636.84 $1,769 1.2×
Repair Laceration Palate >2 Cm/Complex (42182) $5,657.40 $15,715 1.0×
Repair lead pace-defib dual (33220) $3,793.68 $10,538 1.0×
Repair Lead Pace-Defib One (33218) $3,793.68 $10,538 1.0×
Repair Leg Fascia Defect (27656) $3,126.96 $8,686 1.0×
Repair lower leg tendons (27676) $6,950.16 $19,306 1.0×
Repair lumbar hernia (49540) $5,573.88 $15,483 0.9×
Repair mouth/nose fistula (30600) $5,657.40 $15,715 1.0×
Repair nasal septal perforations (30630) $3,110.40 $8,640 0.9×
Repair Nasal Vestibular Stenosis (30465) $5,657.40 $15,715 1.0×
Repair Non/Malunion Humerus W/O Graft (24430) $12,714.12 $35,317 1.0×
Repair Nonunion Carpal Bone Each Bone (25431) $6,911.28 $19,198 0.9×
Repair Nonunion Hand (26546) $6,911.28 $19,198 0.9×
Repair Nonunion/Malunion Tarsal Bones (28320) $12,714.12 $35,317 1.0×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $6,911.28 $19,198 0.9×
Repair nose to lip fistula (42260) $5,657.40 $15,715 1.0×
Repair of anal fistula with fibrin glue (46706) $3,164.04 $8,789 1.1×
Repair of anal sphincter (46760) $3,164.04 $8,789 1.1×
Repair of arm tendon (24320) $6,911.28 $19,198 0.9×
Repair of biceps tendon (24340) $6,911.28 $19,198 0.9×
Repair of defect with autograft; radius AND ulna Facility (25426) $5,501.88 $15,283 1.7×
Repair of enterocele, vaginal approach (separate procedure) (57268) $4,804.92 $13,347 1.0×
Repair of entropion; thermocauterization (67922) $2,257.56 $6,271 0.9×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $3,126.96 $8,686 1.0×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $6,911.28 $19,198 0.9×
Repair of hammertoe (28286) $5,235.84 $14,544 1.6×
Repair of hydrocele (55060) $3,367.80 $9,355 1.0×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) $3,367.80 $9,355 1.0×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) $4,998.60 $13,885 0.9×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) $8,899.56 $24,721 0.9×
Repair of knee ligaments (27409) $8,524.08 $23,678 1.2×
Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) $3,604.32 $10,012 1.5×
Repair of metatarsals (28322) $6,911.28 $19,198 0.9×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $135.14–$636.84 $375.38–$1,769 varies
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $8,524.08 $23,678 1.2×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $6,911.28 $19,198 0.9×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $8,524.08 $23,678 1.2×
Repair of rectocele (45560) $3,164.04 $8,789 1.1×
Repair of rectum (45505) $3,164.04 $8,789 1.1×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $3,135.60 $8,710 0.4×
Repair of scleral staphyloma with graft Facility (66225) $5,049 $14,025 0.9×
Repair of shoulder (23420) $6,911.28 $19,198 0.9×
Repair of urethra injury (53502) $3,367.80 $9,355 1.0×
Repair of web finger (26562) $3,126.96 $8,686 1.0×
Repair of web finger (26560) $1,649.88 $4,583 1.0×
Repair of web finger (26561) $4,957.56 $13,771 1.5×
Repair of windpipe (31755) $5,657.40 $15,715 1.0×
Repair of windpipe (31750) $5,657.40 $15,715 1.0×
Repair of windpipe defect (31825) $3,110.40 $8,640 0.9×
Repair oval window fistula (69666) $4,320.72 $12,002 1.3×
Repair palate (42235) $5,657.40 $15,715 1.0×
Repair paravag defect lap (57423) $9,944.28 $27,623 0.9×
Repair paravag defect vag (57285) $7,300.08 $20,278 1.0×
Repair penis post injury (54440) $3,367.80 $9,355 1.0×
Repair radius & ulna (25415) $8,524.08 $23,678 1.2×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $3,342.24 $9,284 0.9×
Repair recurrent femoral hernia; reducible Facility (49555) $3,398.40 $9,440 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $7,308.72 $20,302 1.1×
Repair retinal detach cplx (67113) $4,744.80 $13,180 0.9×
Repair Retinal Detachment Scleral Buckling (67107) $3,927.60 $10,910 0.9×
Repair Rotator Cuff Chronic (23412) $6,911.28 $19,198 0.9×
Repair round window fistula (69667) $4,320.72 $12,002 1.3×
Repair secondary achilles tendon w/wo graft (27654) $6,911.28 $19,198 0.9×
Repair shoulder capsule (23462) $6,911.28 $19,198 0.9×
Repair shoulder capsule (23466) $6,911.28 $19,198 0.9×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,126.96 $8,686 1.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $4,339.80–$6,911.28 $12,055–$19,198 varies
Repair Toe Dislocation (28645) $3,126.96 $8,686 1.0×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $682.20–$833.04 $1,895–$2,314 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $406.80–$833.04 $1,130–$2,314 varies
Repair Tooth Socket (41874) $3,110.40 $8,640 0.9×
Repair umbilical lesion (49600) $3,342.24 $9,284 0.9×
Repair uro sphincter (53449) $8,899.56 $24,721 0.9×
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $5,308.56 $14,746 0.9×
Repair, congenital arteriovenous fistula; extremities Facility (35184) $3,079.08 $8,553 1.0×
Repair, congenital arteriovenous fistula; head and neck Facility (35180) $2,990.16 $8,306 1.9×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $4,750.56 $13,196 0.7×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) $3,342.24 $9,284 0.9×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) $5,573.88 $15,483 0.9×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $5,951.16 $16,531 0.8×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $3,409.20 $9,470 0.5×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $6,911.28 $19,198 0.9×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $3,126.96 $8,686 1.0×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) $3,857.40 $10,715 1.2×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $6,911.28 $19,198 0.9×
Repair/graft achilles tendon (27652) $8,524.08 $23,678 1.2×
Repair/graft femur head/neck (27170)
unusually low: confirm this is the full procedure		 $3,269.88 $9,083 0.4×
Repair/graft finger tendon (26428) $3,126.96 $8,686 1.0×
Repair/Graft Wrist Bone (25440) $6,911.28 $19,198 0.9×
Repair/Revise Wrist Joint (25320) $6,911.28 $19,198 0.9×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $802.80–$1,087.20 $2,230–$3,020 varies
Replace elbow joint (24363) $15,970.68 $44,363 0.9×
Replace eye fluid (67025) $3,935.16 $10,931 1.7×
Replace G-J Tube Perc (49452) $993.60 $2,760 1.1×
Replace g/c tube perc (49450) $662.40 $1,840 0.7×
Replace/Revise Brain Shunt (62230) $6,435.36 $17,876 0.7×
Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) $1,865.16 $5,181 1.0×
Replacement Tissue Expander W/Permanent Implant (11970) $6,911.28 $19,198 0.9×
Replantation digit complete (20822) $2,768.76 $7,691 1.7×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $792–$831.60 $2,200–$2,310 varies
Reposition L Ventric Lead (33226) $3,079.08 $8,553 1.0×
Reposition Pacing-Defib Lead (33215) $3,079.08 $8,553 1.0×
Reposition Venous Catheter (36597) $1,547.28 $4,298 1.0×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $2,251.08 $6,253 1.0×
Repr elbow lat ligmnt w/tiss (24343) $4,777.92 $13,272 1.5×
Repr Elbw Med Ligmnt W/Tiss (24345) $6,911.28 $19,198 0.9×
Repr torn cruciate knee ligam (27407) $8,524.08 $23,678 1.2×
Rerepair ing hernia reduce (49520) $3,342.24 $9,284 0.9×
Resect back tum < 5 cm (21935) $2,745 $7,625 0.9×
Resect forarm/wrist tum 3cm> (25078) $2,745 $7,625 0.9×
Resect hip/pelv tum < 5 cm (27049) $2,745 $7,625 0.9×
Resect leg/ankle tum < 5 cm (27615) $2,745 $7,625 0.9×
Resect Shoulder Tumor 5 Cm/> (23078) $2,745 $7,625 0.9×
Resect shoulder tumor < 5 cm (23077) $2,745 $7,625 0.9×
Resection of elbow joint (arthrectomy) Facility (24155) $3,462.48 $9,618 1.1×
Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) $5,657.40 $15,715 1.0×
Resection of scrotum (55150) $3,367.80 $9,355 1.0×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,420 $9,500 1.0×
Resection, humeral head Facility (23195) $6,911.28 $19,198 0.9×
Resection, partial or complete, phalangeal base, each toe (28126) $3,420 $9,500 1.0×
Resection/transplantation long tendon biceps (23440) $6,911.28 $19,198 0.9×
Retrobulbar inject,alcohol (67505) $708.84 $1,969 2.2×
Retrobulbar injection (67500) $1,252.44 $3,479 3.9×
Rev/rmv prph sac/gstr npg/r (64595) $3,286.80 $9,130 0.9×
Revis reconst shoulder joint (23473) $10,125 $28,125 0.8×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $10,846.80 $30,130 0.8×
Revise Abdomen-Venous Shunt (49426) $3,342.24 $9,284 0.9×
Revise cornea with implant (65770) $9,675 $26,875 0.7×
Revise external ear (69300) $3,110.40 $8,640 0.9×
Revise eye (65091) $3,876.48 $10,768 1.0×
Revise eye with implant (65093) $3,876.48 $10,768 1.0×
Revise eyelashes (67835) $3,710.16 $10,306 1.6×
Revise eyelashes (67825) $1,252.44 $3,479 3.9×
Revise eyelid lining (68360) $3,735 $10,375 0.9×
Revise finger joint each (26140) $1,552.68 $4,313 1.0×
Revise graft w/vein (35884) $5,308.56 $14,746 0.9×
Revise Hand/Foot Nerve (64704) $2,173.68 $6,038 1.1×
Revise hernia & sperm veins (55540) $4,190.04 $11,639 1.2×
Revise knuckle joint (26530) $6,911.28 $19,198 0.9×
Revise lower leg tendon (27690) $6,911.28 $19,198 0.9×
Revise palsy hand tendon(s) (25315) $6,911.28 $19,198 0.9×
Revise penis/urethra (54328) $3,367.80 $9,355 1.0×
Revise penis/urethra (54332) $3,367.80 $9,355 1.0×
Revise penis/urethra (54336) $3,367.80 $9,355 1.0×
Revise radius & ulna (25365) $12,714.12 $35,317 1.0×
Revise Spine Eltrd Plate (63664) $10,105.56 $28,071 0.9×
Revise thumb tendon (26496) $3,349.08 $9,303 1.0×
Revise ulnar nerve at wrist (64719) $1,865.16 $5,181 1.0×
Revise ureter (50727) $3,367.80 $9,355 1.0×
Revise Wrist/Forearm Tendon (25280) $3,126.96 $8,686 1.0×
Revise/Implant Finger Joint (26536) $6,911.28 $19,198 0.9×
Revise/remove neuroelectrode (61880) $4,798.80 $13,330 1.4×
Revise/Repair Finger/Toe Nerve (64702) $2,077.20 $5,770 1.1×
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) $7,300.08 $20,278 1.0×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $3,020.04 $8,389 0.9×
Revision of big toe (28310) $6,911.28 $19,198 0.9×
Revision of eyelid (67880) $2,257.56 $6,271 0.9×
Revision of foot (28116) $3,126.96 $8,686 1.0×
Revision of foot bones (28737) $8,093.16 $22,481 0.6×
Revision of foot fascia (28250) $4,452.12 $12,367 1.4×
Revision of humerus (24400) $8,524.08 $23,678 1.2×
Revision of implanted intra-arterial infusion pump Facility (36261) $4,294.08 $11,928 1.1×
Revision of knee joint (27442) $11,551.68 $32,088 0.9×
Revision of larynx (31400) $5,657.40 $15,715 1.0×
Revision of leg vein (37780) $3,079.08 $8,553 1.0×
Revision of lower leg tendon (27685) $3,126.96 $8,686 1.0×
Revision of neck muscle (21720) $3,126.96 $8,686 1.0×
Revision of penis (54300) $3,402 $9,450 1.0×
Revision of penis (54304) $3,367.80 $9,355 1.0×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) $4,998.60 $13,885 0.9×
Revision of reconstructed breast (19380) $5,040 $14,000 0.8×
Revision of scrotum (55180) $4,998.60 $13,885 0.9×
Revision of stapedectomy or stapedotomy Facility (69662) $5,657.40 $15,715 1.0×
Revision of toe (28312) $3,126.96 $8,686 1.0×
Revision of tracheostomy scar (31830) $3,110.40 $8,640 0.9×
Revision of urethra (53460) $3,753.72 $10,427 1.1×
Revision of urethra (57220) $4,804.92 $13,347 1.0×
Revision of wrist joint (25450) $4,556.88 $12,658 1.4×
Revision Peri-Implant Capsule Breast (19370) $4,320 $12,000 1.1×
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) $5,308.56 $14,746 0.9×
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) $5,308.56 $14,746 0.9×
Revision/replmt neurostimlator eltrd cranial nrv (64569)
unusually low: confirm this is the full procedure		 $4,228.56 $11,746 0.4×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $2,819.88 $7,833 1.2×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $6,911.28 $19,198 0.9×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $3,465.72 $9,627 1.0×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $3,465.72 $9,627 1.0×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $6,606.72 $18,352 1.0×
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) $5,308.56 $14,746 0.9×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $20,987.28 $58,298 1.6×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $18,655.56 $51,821 1.1×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $3,269.88 $9,083 0.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $9,773.28 $27,148 1.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,914.28 $10,873 1.1×
Revj/rmvl neurostimulator pulse generator (61888) $13,159.44 $36,554 1.2×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,286.80 $9,130 0.9×
Revj/rpr oprative wound anterior segment (66250) $2,257.56 $6,271 0.9×
Rhinoplasty primary w/major septal repair (30420) $4,860 $13,500 0.8×
Rhinoplasty Secondary Intermediate Revision (30435) $5,657.40 $15,715 1.0×
Rhinoplasty Secondary Major Revision (30450) $5,657.40 $15,715 1.0×
Rhinoplasty Secondary Minor Revision (30430) $5,657.40 $15,715 1.0×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $5,657.40 $15,715 1.0×
Rhinp Prim Complete Xtrnl Parts (30410) $4,860 $13,500 0.8×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $5,657.40 $15,715 1.0×
Rhytidectomy Cheek Chin & Neck (15828) $4,122 $11,450 1.2×
Rhytidectomy Forehead (15824) $2,702.88 $7,508 1.3×
Rhytidectomy Neck W/Platysmal Tightening (15825) $3,904.92 $10,847 1.1×
Rib cartilage graft (21230) $5,657.40 $15,715 1.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,967.76 $5,466 0.9×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,257.56 $6,271 0.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,388.96 $6,636 1.5×
Rmvl embedded fb vestibule mouth comp (40805) $2,139.48 $5,943 3.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,252.44 $3,479 1.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $2,125.80–$2,232 $5,905–$6,200 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530) $1,177.56 $3,271 3.7×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $1,409.40–$1,479.96 $3,915–$4,111 varies
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $1,619.64 $4,499 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,745 $7,625 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $1,099.80–$1,566.36 $3,055–$4,351 varies
Rmvl implnt matl posterior segment extraocular (67120) $2,251.08 $6,253 1.0×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $3,935.16 $10,931 1.7×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $2,251.08 $6,253 1.0×
Rmvl Lens Material Phacofragmentation Aspir (66850) $2,972.88 $8,258 1.3×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,268 $6,300 1.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,988.28 $5,523 1.0×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $6,435.36 $17,876 1.9×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) $6,911.28 $19,198 0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,793.68 $10,538 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,547.28 $4,298 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $812.52 $2,257 1.3×
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,863.44 $7,954 1.2×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $3,935.16 $10,931 1.7×
Rmvl/revj sling stress incontinence (57287) $3,445.56 $9,571 1.1×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $4,320.72 $12,002 1.3×
Rplc Gtube No Revj Trc (43762) $5,337.72 $14,827 21.3×
Rplcmt cath ctr vad subq port/pmp (36578) $3,079.08 $8,553 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,678.32 $4,662 1.1×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,079.08 $8,553 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $1,119.60–$1,547.28 $3,110–$4,298 varies
Rplcmt compl tun ctr vad w/subq pmp (36583) $14,694.84 $40,819 2.6×
Rplcmt compl tun ctr vad w/subq port (36582) $3,099.60 $8,610 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,079.08 $8,553 1.0×
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $6,435.36 $17,876 1.9×
Rplcmt/irrigation ventricular catheter (62225) $6,435.36 $17,876 1.9×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,651.80 $21,255 1.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $5,199.84 $14,444 1.4×
Rpr aa hernia recr 3-10 cm reducible (49615) $5,199.84 $14,444 0.8×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $7,651.80 $21,255 1.3×
Rpr aa hrn 1st 3-10 rdc (49593) $5,199.84 $14,444 0.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $5,497.56 $15,271 0.9×
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) $3,735 $10,375 0.9×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) $2,479.68 $6,888 1.0×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $2,257.56 $6,271 0.9×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $2,257.56 $6,271 0.9×
Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) $3,735 $10,375 0.9×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $565.51–$1,755.72 $1,570.86–$4,877 varies
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $2,257.56 $6,271 0.9×
Rpr blvsl w/grf other/than vein lower extremity (35286) $5,843.88 $16,233 1.0×
Rpr Component Inflatable Penile Prosthesis (54408) $5,373.36 $14,926 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,077.20 $5,770 1.3×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $3,799.08 $10,553 1.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $6,911.28 $19,198 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $271.80 $755 1.3×
Rpr flexor tendon leg secondary w/o graft each (27659) $6,911.28 $19,198 0.9×
Rpr ing hern premie blocked (49492) $3,342.24 $9,284 0.9×
Rpr Ing Hernia Baby, Reduc (49495) $3,342.24 $9,284 0.9×
Rpr ing hernia init reduce (49500) $7,308.72 $20,302 1.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $406.80 $1,130 0.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $833.04 $2,314 3.5×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $2,251.08 $6,253 1.0×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $2,886.12 $8,017 1.2×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $5,049 $14,025 0.9×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $3,735 $10,375 0.9×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $5,049 $14,025 0.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,120.68 $3,113 2.1×
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $727.20–$1,016.64 $2,020–$2,824 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $1,384.20–$1,473.12 $3,845–$4,092 varies
Rpr Nsl Vlv Collapse W/Implt (30468) $17,766 $49,350 3.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $6,911.28 $19,198 0.9×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $2,251.08 $6,253 1.0×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $4,368.60 $12,135 1.1×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $2,388.96 $6,636 1.0×
Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) $3,735 $10,375 0.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,842.28 $10,673 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,126.96 $8,686 1.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,126.96 $8,686 1.0×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $6,911.28 $19,198 0.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $833.04 $2,314 1.3×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $3,735 $10,375 0.9×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $3,126.96 $8,686 1.0×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $6,911.28 $19,198 0.9×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $6,911.28 $19,198 0.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,126.96 $8,686 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $3,126.96 $8,686 1.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $3,126.96 $8,686 1.0×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) $6,911.28 $19,198 0.9×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $3,126.96 $8,686 1.0×
Salpingostomy (salpingoneostomy) (58770) $3,445.56 $9,571 1.1×
Saphenopopliteal vein anastomosis Facility (34530) $3,936.96 $10,936 1.2×
Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) $6,911.28 $19,198 0.9×
Scleral reinforcement (separate procedure); without graft Facility (67250) $2,440.08 $6,778 1.0×
Scleral Reinforcement Spx W/Graft (67255) $3,927.60 $10,910 0.9×
Scrotal exploration (55110) $3,367.80 $9,355 1.0×
Scrotoplasty Simple (55175) $3,367.80 $9,355 1.0×
Secondary revision of orbitocraniofacial reconstruction Facility (21275) $5,657.40 $15,715 1.0×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $5,657.40 $15,715 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $4,320 $12,000 1.3×
Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) $3,126.96 $8,686 1.0×
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) $3,126.96 $8,686 1.0×
Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) $3,126.96 $8,686 1.0×
Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) $3,126.96 $8,686 1.0×
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) $6,911.28 $19,198 0.9×
Sequestrectomy Olecranon Process (24138) $6,911.28 $19,198 0.9×
Severing Adhesions Anterior Segment Laser Spx (65860) $1,252.44 $3,479 2.3×
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) $3,927.60 $10,910 0.9×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $2,268 $6,300 1.0×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $2,251.08 $6,253 1.0×
Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) $2,251.08 $6,253 1.0×
Severing tarsorrhaphy (67710) $1,087.20 $3,020 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $883.08 $2,453 0.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,140.12 $3,167 0.9×
Shave skin lesion 0.5 cm/< (11300) $1,252.44 $3,479 3.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $1,252.44 $3,479 6.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $1,252.44 $3,479 3.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $1,252.44 $3,479 6.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $1,252.44 $3,479 6.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $1,252.44 $3,479 6.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $1,252.44 $3,479 3.1×
Shorten radius & ulna (25392) $6,911.28 $19,198 0.9×
Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) $3,126.96 $8,686 1.0×
Shoulder arthroscopy diagnostic (29805) $3,492.72 $9,702 1.1×
Shoulder Arthroscopy/Surgery (29825) $5,475.24 $15,209 1.7×
Shoulder joint surgery (23101) $3,126.96 $8,686 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $1,252.44 $3,479 6.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $1,252.44 $3,479 3.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $1,252.44 $3,479 6.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $1,252.44 $3,479 3.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $1,252.44 $3,479 6.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,110.40 $8,640 0.9×
Sigmoidoscopy & decompress (45337) $1,087.20 $3,020 1.2×
Sigmoidoscopy & Polypectomy (45333) $882.72 $2,452 0.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,292.76 $3,591 1.1×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,349.64 $3,749 1.1×
Sigmoidoscopy w/fb removal (45332) $1,140.12 $3,167 0.9×
Sigmoidoscopy W/Ultrasound (45341) $1,087.20 $3,020 1.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $883.08 $2,453 0.9×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,140.12 $3,167 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $406.80 $1,130 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $547.20 $1,520 2.7×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $406.80 $1,130 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $271.80 $755 1.3×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $406.80 $1,130 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $135.14–$636.84 $375.38–$1,769 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $406.80–$1,007.28 $1,130–$2,798 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $176.04–$271.80 $489–$755 varies
Sinusotomy frontal; external, simple (trephine operation) Facility (31070) $5,657.40 $15,715 1.0×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) $15,456.60 $42,935 2.6×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) $7,741.44 $21,504 1.3×
Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) $6,138.72 $17,052 1.0×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $5,657.40 $15,715 1.0×
Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) $8,164.80 $22,680 1.4×
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) $5,657.40 $15,715 1.0×
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) $5,657.40 $15,715 1.0×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $5,657.40 $15,715 1.0×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $5,657.40 $15,715 1.0×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) $5,657.40 $15,715 1.0×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) $5,657.40 $15,715 1.0×
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) $5,657.40 $15,715 1.0×
Skin Full Grft Face/Genit/Hf (15240) $1,761.84 $4,894 0.9×
Skin graft, harvest cultured tissue (15040) $2,058.12 $5,717 1.0×
Skin Pedicle Flap Trunk (15570) $3,144.96 $8,736 1.5×
Skin Pinch Graft (15050) $833.04 $2,314 1.1×
Skin sub graft face/nk/hf/g (15275) $1,761.84 $4,894 2.4×
Skin sub graft trnk/arm/leg (15271) $1,761.84 $4,894 2.4×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $847.80–$890.28 $2,355–$2,473 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,804.92 $13,347 1.0×
Slitting of prepuce (54001) $2,014.92 $5,597 1.0×
Small bowel endoscopy (44366) $1,838.16 $5,106 1.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,838.16 $5,106 1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $5,505.84 $15,294 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $406.80–$1,345.68 $1,130–$3,738 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $406.80–$1,007.28 $1,130–$2,798 varies
Snip Incision Lacrimal Punctum (68440) $636.84 $1,769 2.0×
Sperm washing artificial insemination (58323) $1,252.44 $3,479 6.2×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $3,621.24 $10,059 1.3×
Sphincterotomy anal division sphincter spx (46080) $2,712.60 $7,535 1.0×
Sphnctrop Anal Levator Musc Imbrcj (46761) $3,216.96 $8,936 1.2×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $460.80–$812.52 $1,280–$2,257 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,465.72 $9,627 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,625.12 $7,292 1.3×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,079.08 $8,553 1.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $5,657.40 $15,715 1.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $5,657.40 $15,715 1.0×
Stapes mobilization (69650) $3,110.40 $8,640 0.9×
Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) $6,435.36 $17,876 1.9×
Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) $1,865.16 $5,181 1.0×
Strabismus Any Superior Oblique Muscle (67318) $2,387.16 $6,631 1.0×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $2,387.16 $6,631 1.0×
Strabismus Recession/Rescj 1 Ver Musc (67314) $2,387.16 $6,631 1.0×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $3,735 $10,375 0.9×
Strabismus Recession/Rescj 2/More Ver Musc (67316) $2,547.72 $7,077 1.1×
Strapping ankle (29540) $1,252.44 $3,479 7.7×
Strapping hand/finger (29280) $29.76 $82.68 0.5×
Strapping knee (29530) $57.22 $158.94 0.4×
Strapping shoulder (29240) $57.19 $158.85 0.4×
Stump elongation, upper extremity Facility (24935) $8,524.08 $23,678 1.2×
Subconjunctival injection (68200) $1,252.44 $3,479 2.8×
Subcutaneous Hormone Pellet Implantation (11980) $636.84 $1,769 1.4×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $2,426.76 $6,741 12.0×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $1,383.48 $3,843 1.9×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $1,252.44 $3,479 1.7×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $1,252.44 $3,479 1.7×
Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) $812.52 $2,257 1.1×
Submucosal abltj tongue rf 1/> sites pr session (41530) $3,110.40 $8,640 0.9×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $3,060 $8,500 0.9×
Suction assisted lipectomy; head and neck (15876) $4,343.40 $12,065 1.2×
Suction assisted lipectomy; trunk (15877) $3,384 $9,400 1.0×
Suction assisted lipectomy; upper extremity (15878) $3,364.20 $9,345 1.6×
Suction Lipectomy Lwr Extrem (15879) $3,465.72 $9,627 1.0×
Suprahyoid lymphadenectomy (38700) $6,299.64 $17,499 0.9×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,110.40 $8,640 0.9×
Surg Implnt Neuroelect,Epidural (63655) $11,737.08 $32,603 0.6×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $5,657.40 $15,715 1.0×
Surg Tx Anal Fistula 2nd Stage (46285) $2,712.60 $7,535 1.0×
Surg tx anal fistula subq (46270) $2,712.60 $7,535 1.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,712.60 $7,535 1.0×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $1,807.20–$2,257.56 $5,020–$6,271 varies
Suture digital nerve hand/foot 1 nerve (64831) $1,865.16 $5,181 1.0×
Suture infrapatellar tendon primary (27380) $6,911.28 $19,198 0.9×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $2,468.52 $6,857 1.1×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $6,162.48 $17,118 0.8×
Suture of quadriceps or hamstring muscle rupture primary (27385) $6,911.28 $19,198 0.9×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $6,911.28 $19,198 0.9×
Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) $3,110.40 $8,640 0.9×
Suture pharynx for wound or injury (42900) $2,564.64 $7,124 1.6×
Suture/repair testicular injury (54670) $3,367.80 $9,355 1.0×
Sympathectomy; digital arteries, each digit Facility (64820) $3,885.12 $10,792 2.0×
Sympathectomy; superficial palmar arch (64823) $4,488.84 $12,469 1.4×
Sympathectomy; ulnar artery (64822) $5,622.84 $15,619 1.7×
Synovectomy carpometacarpal joint (26130) $3,126.96 $8,686 1.0×
Synovectomy Tendon Sheath Foot Extensor (28088) $3,126.96 $8,686 1.0×
Synovectomy Tendon Sheath Foot Flexor (28086) $3,708.36 $10,301 1.1×
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) $3,126.96 $8,686 1.0×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $3,126.96 $8,686 1.0×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $6,911.28 $19,198 0.9×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,552.68 $4,313 1.0×
T-cell depletion of harvest (38210) $1,252.44 $3,479 2.8×
Tattooing incl micropigmentation 6.0 cm/< (11920) $805.32 $2,237 1.1×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $636.84 $1,769 0.9×
Temporary Closure Eyelids Suture (67875) $1,122.84 $3,119 1.1×
Tendon lengthening upper arm/elbow ea tendon (24305) $3,827.16 $10,631 1.2×
Tendon shortening (26477) $3,126.96 $8,686 1.0×
Tendon transfer with graft (26492) $3,126.96 $8,686 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,462.48 $9,618 1.1×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $4,556.88 $12,658 1.4×
Tenodesis distal joint each (26474) $2,818.08 $7,828 1.7×
Tenodesis long tendon biceps (23430) $4,339.80 $12,055 0.6×
Tenodesis proximal interphalangeal joint each (26471) $3,126.96 $8,686 1.0×
Tenodesis Wrist Extensors Fingers (25301) $3,126.96 $8,686 1.0×
Tenodesis Wrist Flexors Fingers (25300) $3,126.96 $8,686 1.0×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $3,126.96 $8,686 1.0×
Tenolysis extensor foot single tendon (28225) $3,126.96 $8,686 1.0×
Tenolysis Flexor Foot Multiple Tendons (28222) $3,126.96 $8,686 1.0×
Tenolysis flexor foot single tendon (28220) $2,120.76 $5,891 1.3×
Tenolysis flexor tendon palm&finger each tendo (26442) $3,126.96 $8,686 1.0×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,552.68 $4,313 1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $3,126.96 $8,686 1.0×
Tenolysis Triceps (24332) $4,672.08 $12,978 1.4×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,126.96 $8,686 1.0×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $3,142.44 $8,729 1.0×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $3,126.96 $8,686 1.0×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $4,378.68 $12,163 1.3×
Tenotomy extensor hand/finger open each tendon (26460) $1,899.36 $5,276 1.2×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,733.04 $4,814 1.1×
Tenotomy Flexor Palm Open Each Tendon (26450) $3,126.96 $8,686 1.0×
Tenotomy Percutaneous Single Each Digit (26060) $1,649.88 $4,583 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,545.48 $4,293 1.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,126.96 $8,686 1.0×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,120.76 $5,891 1.3×
Tenotomy shoulder area single tendon (23405) $6,911.28 $19,198 0.9×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $3,126.96 $8,686 1.0×
Thaw preserved stem cells (38208) $1,252.44 $3,479 2.8×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $4,470.48 $12,418 1.0×
Ther Apheresis,Red Blood Cells (36512) $1,482.12 $4,117 0.9×
Therapeutic Apheresis White Blood Cells (36511) $1,568.88 $4,358 1.0×
Therapeutic plasma exchange (36514) $1,482.12 $4,117 0.9×
Therapeutic pneumothorax (32960) $1,252.44 $3,479 2.0×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) $6,291.72 $17,477 1.0×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) $9,944.28 $27,623 0.9×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $5,573.88 $15,483 0.9×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $5,308.56 $14,746 0.9×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $5,308.56 $14,746 0.9×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $3,936.96 $10,936 1.2×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $5,308.56 $14,746 0.9×
Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) $3,936.96 $10,936 6.2×
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) $5,308.56 $14,746 0.9×
Thrombolytic Therapy Stroke (37195) $1,252.44 $3,479 3.8×
Thrombolytic Venous Therapy (37212) $2,476.18 $6,878.28 0.8×
Thyroid biopsy (60100) $812.52 $2,257 1.1×
Thyroidectomy Post Prev Thyr Surg (60260) $5,657.40 $15,715 1.0×
Thyroidectomy, total or complete (60240) $5,573.88 $15,483 0.9×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $5,942.16 $16,506 1.0×
Tibial Arthroscopy/Surgery (29855) $6,233.40 $17,315 0.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,761.84 $4,894 0.9×
Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) $3,465.72 $9,627 1.0×
Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) $1,761.84 $4,894 0.9×
Tissue Expander Placement Breast Reconstruction (19357) $7,261.20 $20,170 0.5×
Tlh uterus over 250 g (58572) $9,944.28 $27,623 0.9×
Tnot elbow lateral/medial debride open (24358) $3,126.96 $8,686 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,126.96 $8,686 1.0×
Tongue suspension (41512) $6,964.56 $19,346 1.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,110.40 $8,640 0.9×
Tooth extraction (41899)
range across 2 matching MRF lines		 $981–$1,029.96 $2,725–$2,861 varies
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $16,766.28 $46,573 1.0×
Total Knee Arthroplasty (27447) $13,459.68 $37,388 1.0×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $5,573.88 $15,483 0.9×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $3,110.40 $8,640 0.9×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $5,280.84 $14,669 1.6×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,532.88 $4,258 2.8×
Tracheostoma Revj Cplx W/Flap Rotation (31614) $5,657.40 $15,715 1.0×
Tracheostoma revj smpl w/o flap rotation (31613) $3,110.40 $8,640 0.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,011.24 $2,809 4.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,473.12 $4,092 0.9×
Tracheostomy Fenestration W/Skin Flaps (31610) $5,657.40 $15,715 1.0×
Tracheostomy planned (31600) $3,110.40 $8,640 0.9×
Tracheostomy Planned Under 2 Years Spx (31601) $5,657.40 $15,715 1.0×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $636.84 $1,769 2.1×
Transcatheter biopsy (37200) $5,308.56 $14,746 0.9×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $3,020.04 $8,389 0.9×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,865.16 $5,181 1.0×
Transfer of embryo (58976) $636.84 $1,769 2.1×
Transfer of embryo (58974) $812.52 $2,257 0.9×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $3,507.84 $9,744 1.1×
Transfer skin pedicle flap (15650) $2,077.20 $5,770 1.0×
Transfer, finger to another position without microvascular anastomosis Facility (26555) $6,911.28 $19,198 0.9×
Transfer/transplant tendon palmar w/o graft each (26485) $3,222.36 $8,951 1.0×
Transfusion Intrauterine Fetal (36460) $979.20 $2,720 2.2×
Translum Dil Eye Canal (66174) $3,989.88 $11,083 1.0×
Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175) $5,049 $14,025 0.9×
Transmetacarpal amputation; re-amputation Facility (25931) $3,126.96 $8,686 1.0×
Transmetacarpal amputation; secondary closure or scar revision Facility (25929) $1,761.84 $4,894 0.9×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $6,911.28 $19,198 0.9×
Transplant hand tendon (26480) $3,126.96 $8,686 1.0×
Transplant/graft hand tendon (26483) $3,161.88 $8,783 1.0×
Transplant/graft palm tendon (26489) $3,315.24 $9,209 1.0×
Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) $3,367.80 $9,355 1.0×
Transrectal Drainage of Pelvic Abscess (45000) $2,345.40 $6,515 2.0×
Transur electr resection of prostate (52601) $4,998.60 $13,885 0.9×
Transurethral incision of prostate (52450) $3,367.80 $9,355 1.0×
Transurethral resection bladder neck (52500) $3,367.80 $9,355 1.0×
Transvesical ureterolithotomy Facility (51060) $3,557.16 $9,881 1.7×
Treat ankle dislocation (27848) $6,911.28 $19,198 0.9×
Treat Ankle Dislocation (27846) $6,911.28 $19,198 0.9×
Treat ankle fracture (28445) $6,911.28 $19,198 0.9×
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $2,921.40–$3,126.96 $8,115–$8,686 varies
Treat clavicle dislocation (23530) $6,911.28 $19,198 0.9×
Treat Dental Ridge Fracture (21440) $3,110.40 $8,640 0.9×
Treat dental ridge fracture (21445) $5,657.40 $15,715 1.0×
Treat dislocation/fracture (23670) $6,911.28 $19,198 0.9×
Treat dislocation/fracture (23680) $12,714.12 $35,317 1.0×
Treat ectopic pregnancy (59151) $5,573.88 $15,483 0.9×
Treat elbow fracture (24586) $12,714.12 $35,317 1.0×
Treat Elbow Fracture (24635) $7,420.32 $20,612 1.0×
Treat elbow fracture (24587) $7,391.88 $20,533 0.6×
Treat Finger Fracture Each (26727) $3,126.96 $8,686 1.0×
Treat forearm bone lesion (25035) $6,911.28 $19,198 0.9×
Treat fracture radius/ulna (25575) $7,391.88 $20,533 1.0×
Treat Fx Rad Extra-Articul (25607) $3,957.12 $10,992 0.5×
Treat Hand Bone Lesion (26034) $1,752.12 $4,867 1.1×
Treat Hip Socket Fracture (27222) $209.62 $582.27 0.8×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $383.40–$636.84 $1,065–$1,769 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,094.40–$1,552.68 $3,040–$4,313 varies
Treat humerus fracture (23616) $13,804.56 $38,346 0.8×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $478.80–$636.84 $1,330–$1,769 varies
Treat knee fracture (27532) $2,557.72 $7,104.78 0.8×
Treat Knee Fracture(S) (27538) $209.62 $582.27 0.8×
Treat kneecap dislocation (27566) $6,911.28 $19,198 0.9×
Treat Kneecap Fracture (27524) $6,911.28 $19,198 0.9×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Treat lower jaw fracture (21452) $6,781.32 $18,837 1.1×
Treat lower leg bone lesion (27607) $3,126.96 $8,686 1.0×
Treat metacarpal fracture (26607) $3,126.96 $8,686 1.0×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $209.62–$959.40 $582.27–$2,665 varies
Treat scapula fracture (23585) $6,911.28 $19,198 0.9×
Treat skull fracture (62000) $3,110.40 $8,640 0.9×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $462.60–$1,552.68 $1,285–$4,313 varies
Treat thumb fracture (26665) $3,269.88 $9,083 1.0×
Treat toe dislocation (28630) $209.62 $582.27 0.8×
Treat Trigeminal Nerve (61790) $2,715.84 $7,544 1.4×
Treat vagina infection (57150) $1,252.44 $3,479 21.1×
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $547.20–$1,252.44 $1,520–$3,479 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,978.20–$2,077.20 $5,495–$5,770 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $360–$636.84 $1,000–$1,769 varies
Treatment extensive retinopathy photocoagulation (67228) $812.52 $2,257 1.5×
Treatment mouth roof lesion (42160) $3,110.40 $8,640 0.9×
Treatment of anal fissure (46940) $2,712.60 $7,535 1.0×
Treatment of ankle fracture (27823) $8,048.88 $22,358 1.1×
Treatment of foot infection (28003) $3,126.96 $8,686 1.0×
Treatment of gum lesion (41850) $2,313.36 $6,426 1.5×
Treatment of nose fracture (21330) $5,657.40 $15,715 1.0×
Treatment of penis lesion (54115) $2,874.60 $7,985 1.0×
Treatment of retina (67141) $833.04 $2,314 2.6×
Treatment of retinal lesion (67208) $1,394.64 $3,874 4.4×
Trim skin lesion (11055) $636.84 $1,769 3.2×
Trim skin lesions 2 to 4 (11056) $636.84 $1,769 3.2×
Trim skin lesions over 4 (11057) $636.84 $1,769 3.2×
Trimming Nondystrophic Nails Any Number (11719) $1,252.44 $3,479 21.1×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $1,252.44 $3,479 2.8×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $1,252.44 $3,479 2.8×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $1,252.44 $3,479 2.8×
Trnspl Prepj Hematop Progen Pltlt Deplj (38213) $1,252.44 $3,479 2.8×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $1,252.44 $3,479 2.8×
Trnspl prepj hematop progen tum cell deplj (38211) $5,475.24 $15,209 12.4×
Trnsplj allogeneic hematopoietic cells per donor (38240)
unusually low: confirm this is the full procedure		 $19,622.52 $54,507 0.3×
Trnsplj autologous hematopoietic cells per donor (38241) $3,418.92 $9,497 2.2×
Trurl drainage prostatic abscess (52700) $3,367.80 $9,355 1.0×
Trurl rescj postop bladder neck contracture (52640) $3,367.80 $9,355 1.0×
Trurl Rf Female Bladder Neck Strs Urin Incont (53860) $2,106 $5,850 1.0×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $1,639.80 $4,555 0.9×
Tubal ligation (58600) $3,445.56 $9,571 1.1×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,712.60 $7,535 1.0×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $468–$636.84 $1,300–$1,769 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $12,714.12 $35,317 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,020.04 $8,389 0.9×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $2,615.76 $7,266 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $3,020.04 $8,389 0.9×
Tx Missed Abortion Second Trimester Surgical (59821) $3,020.04 $8,389 0.9×
Tx open tendon flexor toe 1 tendon spx (28232) $2,120.76 $5,891 1.3×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,120.76 $5,891 1.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,277.02 $3,547.29 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $1,159.20–$1,436.40 $3,220–$3,990 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $959.40 $2,665 3.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $12,714.12 $35,317 1.0×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,500.56 $6,946 1.6×
Tympanolysis transcanal (69450) $4,320.72 $12,002 1.3×
Tympanoplasty (69631) $5,657.40 $15,715 1.0×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $5,657.40 $15,715 1.0×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $5,927.04 $16,464 1.0×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $5,657.40 $15,715 1.0×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $5,657.40 $15,715 1.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $6,377.04 $17,714 1.1×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $6,204.96 $17,236 1.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $5,657.40 $15,715 1.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $5,792.76 $16,091 1.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $5,657.40 $15,715 1.0×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $5,657.40 $15,715 1.0×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $5,657.40 $15,715 1.0×
Tympanostomy general anesthesia (69436) $1,619.64 $4,499 1.0×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $5,497.56 $15,271 1.5×
Umbilical cord occlud w/us (59072) $636.84 $1,769 2.1×
Unlisted laparoscopic procedure liver (47379) $5,573.88 $15,483 0.9×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $5,573.88 $15,483 0.9×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $6,866.28 $19,073 1.1×
Unlisted laparoscopy procedure, spermatic cord (55559) $5,573.88 $15,483 0.9×
Unlisted procedure anus (46999) $2,345.40 $6,515 2.5×
Unlisted procedure arthroscopy (29999) $3,439.80 $9,555 13.9×
Unlisted procedure breast (19499) $3,682.44 $10,229 0.9×
Unlisted Procedure Casting/Strapping (29799) $131.27 $364.65 0.8×
Unlisted Procedure Conjunctiva (68399) $2,260.44 $6,279 7.1×
Unlisted Procedure Endocrine System (60699) $5,573.88 $15,483 0.9×
Unlisted Procedure External Ear (69399) $185.76 $516 0.8×
Unlisted procedure eyelids (67999) $591.84 $1,644 1.9×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $2,415.60–$2,536.56 $6,710–$7,046 varies
Unlisted procedure foot or toes (28899) $3,477.60 $9,660 14.0×
Unlisted procedure forearm or wrist (25999) $2,118.60 $5,885 8.5×
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $2,127.60–$2,234.16 $5,910–$6,206 varies
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $209.62–$636.84 $582.27–$1,769 varies
Unlisted Procedure Intestine (44799) $5,337.36 $14,826 5.9×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines		 $1,155.60–$1,213.56 $3,210–$3,371 varies
Unlisted Procedure Male Genital System (55899) $226.62 $629.49 0.9×
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $216.36–$5,004 $601–$13,900 varies
Unlisted procedure neck or thorax (21899) $561.96 $1,561 2.4×
Unlisted procedure nervous system (64999) $1,663.20 $4,620 5.4×
Unlisted procedure pelvis/hip joint (27299) $5,250.60 $14,585 21.2×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $185.76 $516 0.8×
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $700.36–$5,337.36 $1,945.44–$14,826 varies
Unlisted procedure shoulder (23929) $636.84 $1,769 2.6×
Unlisted procedure spine (22899) $1,417.68 $3,938 5.7×
Unlisted procedure stomach (43999) $1,087.20 $3,020 1.2×
Unlisted Procedure Tongue Floor Mouth (41599) $710.64 $1,974 3.0×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $613.80–$833.04 $1,705–$2,314 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,232 $6,200 2.4×
Unlisted Procedure, Urinary System (53899) $226.62 $629.49 0.9×
Unlisted px female genital system nonobstetrical (58999) $3,445.56 $9,571 17.0×
Unlisted Px Salivary Glands/Ducts (42699) $971.64 $2,699 4.1×
Upgrade of pacemaker system (33214) $10,646.28 $29,573 1.0×
Ureter endoscopy (50970) $4,594.68 $12,763 1.3×
Ureter endoscopy & biopsy (50955) $4,998.60 $13,885 0.9×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $4,998.60 $13,885 0.9×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $4,998.60 $13,885 0.9×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) $4,998.60 $13,885 0.9×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) $4,998.60 $13,885 0.9×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $3,367.80 $9,355 1.0×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) $4,998.60 $13,885 0.9×
Ureteral endoscopy via ureterostomy (50951) $3,367.80 $9,355 1.0×
Urethrectomy, total, including cystostomy; male Facility (53215) $4,998.60 $13,885 0.9×
Urethrlys Transvag W/ Scope (53500) $3,367.80 $9,355 1.0×
Urethromeatoplasty W/Mucosal Advancement (53450) $3,367.80 $9,355 1.0×
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) $8,899.56 $24,721 0.9×
Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) $3,749.76 $10,416 1.1×
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) $5,823 $16,175 1.1×
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) $3,367.80 $9,355 1.0×
Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) $4,998.60 $13,885 0.9×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $4,998.60 $13,885 0.9×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) $4,998.60 $13,885 0.9×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) $4,998.60 $13,885 0.9×
Urethroplasty, reconstruction of female urethra Facility (53430) $4,998.60 $13,885 0.9×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $4,998.60 $13,885 0.9×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) $4,998.60 $13,885 0.9×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $4,998.60 $13,885 0.9×
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) $4,998.60 $13,885 0.9×
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) $4,998.60 $13,885 0.9×
Urinary Reflex Study (51792) $1,252.44 $3,479 21.1×
Urine Flow Measurement (51736) $1,252.44 $3,479 9.4×
Uvulectomy excision of uvula (42140) $3,110.40 $8,640 0.9×
Vag hyst complex (58290) $7,300.08 $20,278 1.0×
Vag hyst incl t/o complex (58291) $9,434.88 $26,208 1.9×
Vag hyst w/t/o & vag repair (58263) $5,832.72 $16,202 1.2×
Vaginal Delivery After Cesarean Delivery (59612) $3,020.04 $8,389 0.9×
Vaginal delivery only (59409) $3,020.04 $8,389 0.9×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $4,804.92 $13,347 1.0×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $4,819.68 $13,388 1.0×
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) $7,300.08 $20,278 1.0×
Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) $4,804.92 $13,347 1.0×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $4,804.92 $13,347 1.0×
Vaginectomy, partial removal of vaginal wall; (57106) $3,020.04 $8,389 0.9×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $3,445.56 $9,571 1.1×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) $3,445.56 $9,571 1.1×
Vaginoplasty for intersex state Facility (57335) $4,804.92 $13,347 1.0×
Valvuloplasty Femoral Vein (34501) $5,308.56 $14,746 0.9×
Vasc Embolize/Occlude Bleed (37244) $10,627.56 $29,521 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,260.44 $6,279 1.1×
Vasovasostomy vasovasorrhaphy (55400) $3,367.80 $9,355 1.0×
Venous Cutdown >1 Y/O (36425) $636.84 $1,769 1.4×
Venous Mech Thrombectomy (37187) $10,627.56 $29,521 0.9×
Venous valve transposition, any vein donor Facility (34510) $5,308.56 $14,746 0.9×
Ventilating tube removal requiring general anesthesia (69424) $3,110.40 $8,640 0.9×
Ventricular puncture previous burr hole w/inj (61026) $812.52 $2,257 1.1×
Vermilionectomy lip shv w/mucosal advmnt (40500) $3,110.40 $8,640 0.9×
Vestibuloplasty Anterior (40840) $5,675.76 $15,766 1.0×
Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) $5,923.44 $16,454 1.0×
Vestibuloplasty Posterior Bilateral (40843) $5,657.40 $15,715 1.0×
Vit for membrane dissect (67043) $4,551.12 $12,642 1.1×
Vitrectomy mechanical pars plana (67036) $3,927.60 $10,910 0.9×
Vitrectomy pars plana remove int memb retina (67042) $3,747.60 $10,410 0.9×
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $3,747.60 $10,410 0.9×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $3,927.60 $10,910 0.9×
Vulvectomy simple partial (56620) $3,020.04 $8,389 0.9×
Vulvectomy simple; complete (56625) $3,020.04 $8,389 0.9×
Wedge excision skin nail fold (11765) $636.84 $1,769 1.6×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) $7,300.08 $20,278 1.0×
Wedging of cast (29740) $231.56 $643.23 0.8×
Wound Prep F/N/Hf/G (15004) $833.04 $2,314 2.0×
Wound Prep Trk/Arm/Leg (15002) $1,761.84 $4,894 2.4×
Wrist arthroscopy with partial removal of joint lining (29844) $3,126.96 $8,686 1.0×
Xfer Single Deep Low Leg Tendon (27691) $4,339.80 $12,055 0.6×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $5,308.56 $14,746 0.9×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $1,547.28 $4,298 1.0×
Xtrnl fixj w/strtctc adjustment exchange strut (20697) $2,521.44 $7,004 1.6×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $636.84 $1,769 1.2×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $5,657.40 $15,715 1.0×
Xtroral I&D Floor Masticator Space (41018) $1,473.12 $4,092 0.9×

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.