Procedures & surgery prices at Ochsner Rush Medical Center

Meridian, MS · every code in this section with a posted price and a Medicare benchmark.

1471 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $390.60 $1,260 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $154–$435.40 $440–$1,404.50 varies
Abdomen Surgery Procedure (22999)
range across 2 matching MRF lines		 $442.75–$643.65 $1,265–$1,839 varies
Ablate inf turbinate submuc (30802) $159.25 $455 0.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $99.05 $283 0.1×
Abrasion single lesion (15786) $110.25 $315 0.6×
Acne surgery (10040) $59.15 $169 0.3×
Acromiopl/Acromionect Partial (23130) $5,019.88 $16,193.16 1.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $368.90 $1,054 0.2×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $472.15 $1,349 0.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $805 $2,300 0.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $632.45 $1,807 0.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $439.25 $1,255 0.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 4 matching MRF lines		 $400.75–$1,876.56 $1,145–$5,361.59 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $584.15 $1,669 0.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $530.60 $1,516 0.3×
Amniocentesis diagnostic (59000) $126 $360 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,443.56 $7,882.45 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,648.30 $8,542.91 0.9×
Amputation foot transmetarsal (28805) $3,257.35 $10,507.58 1.1×
Amputation metatarsal with toe single (28810) $4,041.51 $13,037.12 1.4×
Amputation toe interphalangeal joint (28825)
range across 3 matching MRF lines		 $490–$3,273.90 $1,400–$9,354 varies
Amputation toe metatarsophalangeal joint (28820) $3,000.17 $9,677.95 1.0×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $21.83 $70.41 0.1×
Anal/Urinary Muscle Study (51784) $168 $480 1.5×
Anoscopy Control Bleeding (46614) $129.85 $371 0.1×
Anoscopy diagnostic (46600)
range across 4 matching MRF lines		 $45.93–$133.82 $148.17–$431.67 varies
Anoscopy; with biopsy, single or multiple (46606) $143.50 $410 0.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $1,744.70 $5,628.05 0.7×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $788.20 $2,252 0.2×
Anterior Tibial Tubercleplasty (27418) $17,013.30 $54,881.61 2.7×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $95.55 $273 0.7×
Application cast elbow finger short arm (29075)
range across 4 matching MRF lines		 $77–$386.79 $220–$1,247.72 varies
Application Finger Splint Dynamic (29131) $55.30 $158 1.1×
Application finger splint static (29130)
range across 2 matching MRF lines		 $35–$141.15 $100–$455.31 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $56–$152.04 $160–$434.41 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $88.90 $254 0.4×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $62.65–$141.15 $179–$455.31 varies
Application multiplane external fixation system (20692) $6,854.78 $22,112.18 0.6×
Application of cylinder cast (thigh to ankle) (29365) $100.10 $286 0.4×
Application of long leg cast (29345)
range across 4 matching MRF lines		 $90.65–$420.36 $259–$1,356 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $106.40–$123.69 $304–$399 varies
Application risser jacket localizer body only (29010) $140.70 $402 0.6×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $47.12–$64.05 $152–$183 varies
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $43.75–$170.13 $125–$548.81 varies
Application short leg splint calf foot (29515)
range across 5 matching MRF lines		 $48.65–$170.13 $139–$548.81 varies
Application uniplane external fixation system (20690) $5,150.71 $16,615.21 0.8×
Application, cast; figure-of-eight Facility (29049) $60.90 $174 0.2×
Apply hand/wrist cast (29085)
range across 3 matching MRF lines		 $56–$122.15 $160–$349 varies
Apply long arm cast (29065)
range across 5 matching MRF lines		 $68.60–$386.79 $196–$1,247.72 varies
Apply Multlay Comprs Lwr Leg (29581) $73.50 $210 0.5×
Apply Short Leg Cast (29405)
range across 5 matching MRF lines		 $74.90–$386.79 $214–$1,247.72 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $87.50–$324.80 $250–$928 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $22.40–$37.82 $64–$122 varies
Arteriovenous Anastomosis Open Direct (36821) $3,540.98 $11,422.51 1.3×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $3,421.78 $11,038.02 0.7×
Artery-vein autograft (36825) $4,067.69 $13,121.60 0.8×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $14,353.86 $46,302.78 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $66.50–$884.74 $190–$2,854 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $65.45–$689.85 $187–$1,971 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $229.02–$931.24 $654.35–$3,004 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 6 matching MRF lines		 $157.50–$455.08 $450–$1,468 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines		 $50.40–$884.74 $144–$2,854 varies
Arthrodesis great toe metatarsophalangeal joint (28750) $9,900.96 $31,938.59 1.5×
Arthroplasty glenohumeral joint total shoulder (23472) $12,571.55 $40,553.38 0.8×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,896.16 $12,568.27 1.3×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,806.53 $12,279.14 1.3×
Arthroscopy hip w/femoroplasty (29914) $13,664.91 $44,080.37 2.1×
Arthroscopy knee synovectomy limited spx (29875) $4,207.32 $13,571.99 1.5×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,263.30 $13,752.58 1.5×
Arthroscopy shoulder distal claviculectomy (29824) $5,904.02 $19,045.21 2.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $9,401.49 $30,327.40 1.5×
Arthroscopy, knee, surgical; with lateral release (29873) $4,231.22 $13,649.10 1.5×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,905.25 $12,597.59 1.4×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $6,760.91 $21,809.38 2.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,751.48 $25,004.79 1.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $5,864.50 $18,917.73 2.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $8,116.53 $26,182.36 2.8×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,854.73 $25,337.84 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $9,394.44 $30,304.65 1.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $12,563.80 $40,528.38 1.1×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $16,799.06 $54,190.52 1.5×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $10,707.58 $34,540.57 1.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $4,636.73 $14,957.18 1.6×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,413.52 $14,237.16 1.5×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $4,757.75 $15,347.57 0.7×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,363.64 $14,076.25 1.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,505.03 $8,080.73 1.8×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $98–$428.88 $280–$1,383.50 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $89.25–$1,227.60 $255–$3,960 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 4 matching MRF lines		 $39.90–$284.12 $114–$916.50 varies
Aspiration & Injection Treatment Bone Cyst (20615) $325.50 $1,050 0.5×
Aspiration and/or injection thyroid cyst (60300) $73.50 $210 0.1×
Aspiration bladder insert suprapubic catheter (51102) $262.50 $750 0.1×
Av fistula revision (36833) $5,487.55 $17,701.77 1.1×
Av Fistula Revision Open (36832) $857.50 $2,450 0.2×
Av Fuse Uppr Arm Basilic (36819) $3,530.23 $11,387.84 0.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $54.25–$191.45 $155–$547 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $273–$402.27 $780–$1,297.64 varies
Biopsy bone open deep (20245) $456.75 $1,305 0.2×
Biopsy bone open superficial (20240) $350 $1,000 0.1×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $623.33–$684.25 $1,955–$2,010.75 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $166.60–$483.37 $476–$1,559.25 varies
Biopsy External Auditory Canal (69105) $65.80 $188 0.0×
Biopsy external ear (69100) $93.10 $266 0.4×
Biopsy muscle percutaneous needle (20206)
range across 4 matching MRF lines		 $114.45–$568.62 $327–$1,624.64 varies
Biopsy Muscle Superficial (20200) $671.18 $2,165.10 0.5×
Biopsy nail unit (11755) $65.45 $187 0.1×
Biopsy Nasopharynx Visible Lesion Simple (42804) $150.50 $430 0.1×
Biopsy of breast; open, incisional (19101) $274.05 $783 0.1×
Biopsy of conjunctiva (68100) $247.45 $707 0.1×
Biopsy of floor of mouth (41108) $93.10 $266 0.1×
Biopsy of lacrimal gland (68510) $473.55 $1,353 0.2×
Biopsy of lip (40490) $91 $260 0.4×
Biopsy of liver, needle; percutaneous (47000) $490.20 $1,581.30 0.3×
Biopsy of palate, uvula (42100) $108.50 $310 0.1×
Biopsy of penis (54100) $146.65 $419 0.1×
Biopsy of rectum (45100) $234.85 $671 0.1×
Biopsy of urethra (53200) $222.25 $635 0.1×
Biopsy Oropharynx (42800) $122.50 $350 0.1×
Biopsy Salivary Gland Incisional (42405) $184.45 $527 0.1×
Biopsy Salivary Gland Needle (42400) $541.88 $1,748 0.9×
Biopsy soft tissue back/flank deep (21925) $400.40 $1,144 0.3×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $171.50–$800.73 $490–$2,583 varies
Biopsy Soft Tissue Shoulder Superficial (23065) $133 $380 0.1×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $325.15 $929 0.1×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 3 matching MRF lines		 $204.40–$1,587.60 $584–$4,536 varies
Biopsy Tongue Anterior Two-Thirds (41100) $117.25 $335 0.2×
Biopsy Tongue Posterior One-Third (41105) $110.60 $316 0.0×
Biopsy Vaginal Mucosa Extensive (57105) $172.55 $493 0.1×
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 $78.05–$562.58 $223–$1,607.38 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 $86.45–$357.17 $247–$1,020.48 varies
Biopsy, vestibule of mouth (40808) $119 $340 0.2×
Biopsy/removal lymph nodes (38510) $3,502.89 $11,299.64 1.0×
Bladder instillation anticarcinogenic agent (51720)
range across 4 matching MRF lines		 $124.95–$325.50 $357–$930 varies
Bladder Irrigation (51700)
range across 4 matching MRF lines		 $81.13–$181.20 $256–$517.72 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $61.19–$69.09 $197.40 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $542.50 $1,550 0.3×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $243.95–$246.97 $697–$796.68 varies
Blood Transfusion Service (36430) $212.59 $685.76 0.5×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $163.80–$1,332.38 $468–$4,298 varies
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines		 $152.25–$1,457 $435–$4,700 varies
Brnchsc Brushing/Protected Brushings (31623) $913.98 $2,948.32 0.6×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,211.38 $7,133.50 0.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,257.88 $7,283.50 0.7×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $959.57 $3,095.40 0.3×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $9.04 $29.16 0.0×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,697 $8,700 0.8×
Bronchial Valve Init Insert (31647)
unusually low: confirm this is the full procedure		 $2,223.94 $7,174 0.4×
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure		 $2,223.94 $7,174 0.4×
Bronchoscopy Clear Airways (31645) $1,302.62 $4,202 0.8×
Bronchoscopy Reclear Airway (31646) $301.63 $973 0.9×
Bronchoscopy W/Biopsy(S) (31625) $913.98 $2,948.32 0.6×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
unusually low: confirm this is the full procedure		 $2,223.94 $7,174 0.4×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $488.95–$913.98 $1,397–$2,948.32 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $913.98 $2,948.32 0.3×
Bronchoscopy/Needle Bx Each (31629) $2,097.41 $6,765.85 0.6×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines		 $304.50–$781.20 $870–$2,520 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 3 matching MRF lines		 $92.75–$1,169.05 $265–$3,340.15 varies
Bx Cervix (57500)
range across 3 matching MRF lines		 $89.25–$652.26 $255–$1,863.59 varies
Bx/exc lymph node open deep axillary node (38525) $4,137.90 $13,348.06 1.2×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $235.90–$1,797.07 $674–$5,797 varies
Canthoplasty (67950) $400.40 $1,144 0.2×
Canthotomy Separate Procedure (67715) $1,356.56 $4,376 0.6×
Carpal Tunnel Surgery (64721) $635.60 $1,816 0.4×
Catheter aspiration nasotracheal spx (31720) $127.41 $411 0.7×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 3 matching MRF lines		 $122.50–$337.82 $350–$965.20 varies
Cerclage cervix pregnancy vaginal (59320) $289.80 $828 0.1×
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines		 $177.10–$616.78 $506–$1,762.23 varies
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $85.75–$311.71 $245–$890.59 varies
Change of Windpipe Airway (31502)
range across 4 matching MRF lines		 $98–$220.85 $280–$631 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $75.25–$113.73 $215–$366.86 varies
Chemical peel nonfacial epidermal (15792) $259 $740 0.4×
Chemical peel, facial; epidermal (15788) $267.75 $765 0.7×
Chemodenerv 1 extrem 5/> mus (64644) $140 $400 0.2×
Chemodenerv 1 extremity 1-4 (64642) $122.50 $350 0.2×
Chemodenerv Eccrine Glands (64650) $49 $140 0.2×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $140–$290.94 $400–$938.50 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $122.50–$279.46 $350–$901.50 varies
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $131.25–$385 $375–$1,241.95 varies
Chemodenerv trunk musc 6/> (64647) $10.26 $33.11 0.0×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $189 $540 0.3×
Chemodenervation of extraocular muscle (67345) $199.85 $571 0.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $234.85–$485.65 $671–$1,566.60 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $295.40–$1,116.07 $844–$3,600.23 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $79.45 $227 0.0×
Chorionic Villus Sampling (59015) $112.35 $321 0.1×
Ciliary body dstrj cyclophotocoag transsceral (66710) $367.50 $1,050 0.2×
Circumcision 28 days or older (54161) $237.65 $679 0.1×
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $199.50–$1,212.16 $570–$3,910.18 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines		 $147–$1,515.56 $420–$4,330.18 varies
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $362.95 $1,037 0.1×
Cl Tx Tib Shft Fx W Manip (27752)
range across 4 matching MRF lines		 $393.40–$1,762.60 $1,124–$5,036 varies
Clear outer ear canal (69200)
range across 5 matching MRF lines		 $50.97–$171.30 $164.43–$489.43 varies
Closed Rx Metacarpal Fx,Percut (26608) $2,507.74 $8,089.50 0.9×
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $117.49–$288.40 $379–$824 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535) $359.10 $1,026 1.6×
Closed Treatment Sesamoid Fracture (28530) $108.50 $310 0.5×
Closed Treatment Sternum Fracture (21820) $168 $480 0.8×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $139.70–$412.18 $450.65–$1,177.65 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $119.89–$298.20 $386.75–$852 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $404.25–$927.41 $1,155–$2,991.63 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $220.72–$532.70 $712–$1,522 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,582.37 $5,104.42 7.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $139.70–$388.73 $450.65–$1,110.65 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 4 matching MRF lines		 $139.70–$376.48 $450.65–$1,075.65 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 3 matching MRF lines		 $354.33–$838.25 $1,143–$2,395 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $356.19–$393.75 $1,125–$1,149 varies
Closed tx mandibular fracture w/manipulation (21451) $601.45 $1,940.17 0.4×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $139.70–$425.48 $450.65–$1,215.65 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $522.35–$1,044.70 $1,685–$3,370 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $176.75 $505 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $229.60 $656 0.1×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $251.41–$306.25 $811–$875 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $139.70–$388.73 $450.65–$1,110.65 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $325.85–$418.08 $931–$1,348.63 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $139.70–$481.48 $450.65–$1,375.65 varies
Closed tx radial shaft fracture w/manipulation (25505) $399.70 $1,142 0.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $184.14–$393.40 $530–$1,124 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $463.75–$1,832.95 $1,325–$5,237 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $139.70–$389.08 $450.65–$1,111.65 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $139.70–$364.23 $450.65–$1,040.65 varies
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $154.07–$375.55 $497–$1,073 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $86.06 $277.60 0.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $193.44–$431.90 $610–$1,234 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 4 matching MRF lines		 $139.70–$392.23 $450.65–$1,120.65 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $158.72 $512 0.8×
Closure lacrimal punctum (68760) $226.80 $648 0.8×
Closure of cystostomy (separate procedure) Facility (51880) $375.55 $1,073 0.1×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $430.50 $1,230 0.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 3 matching MRF lines		 $168.33–$376.25 $532–$1,075 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $139.70–$353.73 $450.65–$1,010.65 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 3 matching MRF lines		 $93.93–$204.05 $280–$583 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,181.04–$1,212.72 $3,809.81–$3,912 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $257.82–$262.50 $750–$831.67 varies
Clsr Lacrimal Punctum Plug Each (68761) $141.40 $404 0.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 3 matching MRF lines		 $411.25–$876.05 $1,175–$2,503 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,212.72 $3,912 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 4 matching MRF lines		 $336–$1,039.63 $960–$2,970.37 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 3 matching MRF lines		 $158.41–$353.85 $500–$1,011 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $623.21 $2,010.37 0.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $206.77–$469.70 $667–$1,342 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $226.92 $732 1.0×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $373.10 $1,066 1.7×
Cltx dstl fibular fx lat malls w/manj (27788) $119.89 $386.75 0.6×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $139.70–$441.23 $450.65–$1,260.65 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $119.89–$250.25 $386.75–$715 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $139.70–$327.48 $450.65–$935.65 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $139.70–$595.23 $450.65–$1,700.65 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $418.08–$893.77 $1,205–$2,553.63 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432)
range across 3 matching MRF lines		 $476.35–$1,845.55 $1,361–$5,273 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines		 $365.18–$777.70 $1,044–$2,222 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 3 matching MRF lines		 $349.06–$760.90 $1,048–$2,174 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $121.45 $347 0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $113.75–$271.48 $325–$775.65 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 4 matching MRF lines		 $119.89–$261.36 $360–$746.75 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $87.42–$403.20 $282–$1,152 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $222.89–$535.15 $719–$1,529 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 3 matching MRF lines		 $139.70–$498.98 $450.65–$1,425.65 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 3 matching MRF lines		 $283.96–$670.60 $916–$1,916 varies
Cltx hip dislocation traumatic req anesthesia (27252) $560.48 $1,808 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $239.78 $773.48 1.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 3 matching MRF lines		 $208.25–$462.35 $595–$1,321 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $380.80 $1,088 0.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines		 $212.45–$453.25 $607–$1,295 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 3 matching MRF lines		 $334.60–$1,703.80 $956–$4,868 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $117.95–$119.89 $337–$386.75 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $119.89–$371.61 $386.75–$1,061.75 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,582.37 $5,104.42 1.1×
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $224.13–$522.55 $723–$1,493 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $119.89–$826.61 $386.75–$2,361.75 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $139.70–$344.98 $450.65–$985.65 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 4 matching MRF lines		 $119.89–$397.86 $386.75–$1,136.75 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $139.70–$301.23 $410–$860.65 varies
Cltx post hip arthrp dislc req anes (27266) $1,046.25 $3,375 0.7×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $119.89–$312.20 $386.75–$892 varies
Cltx prox fibula/shft fx w/manj (27781) $300.65 $859 0.2×
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $139.70–$413.23 $450.65–$1,180.65 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines		 $402.50–$1,771.70 $1,150–$5,062 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $330.75 $945 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $120.90–$123.55 $353–$390 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $440.30 $1,258 0.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $139.70–$446.48 $450.66–$1,275.66 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 3 matching MRF lines		 $366.73–$881.65 $1,183–$2,519 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $159.60 $456 0.7×
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $139.70–$458.73 $450.65–$1,310.65 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $233.43–$547.05 $753–$1,563 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $418.08–$418.25 $1,195–$1,348.63 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines		 $212.66–$511.35 $686–$1,461 varies
Collect Blood From Catheter Venous Nos (36592) $75.95 $245 0.6×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $4.65–$5.47 $15–$17.64 varies
Colonoscopy Flexible With Decompression (45393) $702.46 $2,266 0.7×
Colonoscopy Stoma Ablation Lesion (44401) $655.82 $2,115.56 0.6×
Colonoscopy Stoma Control Bleeding (44391) $655.82 $2,115.56 0.6×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $623.30 $2,010.66 0.6×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $670.58 $2,163.15 0.8×
Colonoscopy Stoma W/Submucosal Injection (44404) $630.38 $2,033.50 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $642.90 $2,073.88 0.6×
Colonoscopy thru stoma (44388) $642.90 $2,073.88 0.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $655.82 $2,115.56 0.6×
Colonoscopy w/ablation (45388) $762.77 $2,460.56 0.7×
Colonoscopy W/Band Ligation (45398) $903.03 $2,913 0.9×
Colonoscopy w/fb removal (45379) $666.89 $2,151.25 0.6×
Colonoscopy W/Resection (45390) $813.28 $2,623.50 0.3×
Colonoscopy w/submucosal inj (45381) $637.05 $2,055 0.6×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $339.15 $969 0.1×
Colporrhaphy (57200) $312.90 $894 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $122.50–$337.82 $350–$965.20 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 3 matching MRF lines		 $108.50–$323.82 $310–$925.20 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 3 matching MRF lines		 $96.25–$226.54 $275–$647.25 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $106.05–$190.71 $303–$615.20 varies
Colposcopy cervix vag eltrd conization cervix (57461) $364.70 $1,042 0.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $302.40 $864 0.1×
Colposcopy entire vagina w/cervix if present (57420)
range across 3 matching MRF lines		 $109.20–$324.52 $312–$927.20 varies
Colposcopy of vulva (56820)
range across 3 matching MRF lines		 $87.50–$217.79 $250–$622.25 varies
Colposcopy Vulva W/Biopsy (56821) $109.90 $314 0.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 3 matching MRF lines		 $115.50–$600.03 $330–$1,714.38 varies
Colsc Flexible W/Control Bleeding Any Method (45382) $746.68 $2,408.65 0.7×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $738.88 $2,383.50 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $748.36 $2,414.06 0.7×
Complex Cystometrogram (51726) $276.50 $790 1.3×
Complex drainage wound (10180)
range across 4 matching MRF lines		 $219.45–$1,423.12 $627–$4,066.06 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 3 matching MRF lines		 $346.50–$2,353.16 $990–$6,723.30 varies
Conization of cervix (57520) $2,721.83 $8,780.11 1.0×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $341.25 $975 0.2×
Conjunctivorhinostomy W/O Tube (68745) $445.55 $1,273 0.1×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $547.75 $1,565 0.3×
Constj tracheoesophgl fstl&insj sp prosth (31611) $635.25 $1,815 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 4 matching MRF lines		 $86.06–$317.16 $277.60–$1,023.10 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 5 matching MRF lines		 $80.85–$178.01 $231–$555.20 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $402.27–$726.34 $1,297.64–$2,075.25 varies
Cornea Scraping Diagnostic Smear &/Culture (65430) $270.20 $772 0.7×
Correction Everted Punctum Cautery (68705) $277.20 $792 1.0×
Correction hammertoe (28285) $371 $1,060 0.1×
Correction of lid retraction (67911) $366.10 $1,046 0.2×
Correction of trichiasis; epilation, by forceps only (67820) $78.40 $224 0.7×
Create Eardrum Opening (69433)
range across 3 matching MRF lines		 $173.60–$618.45 $496–$1,767 varies
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $4,965.85 $16,018.86 1.0×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $7,813.47 $25,204.74 0.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $43.40 $124 0.8×
Csf shunt reprogram (62252) $78.75 $225 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 4 matching MRF lines		 $86.06–$255.36 $277.60–$729.60 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 3 matching MRF lines		 $170.19–$374.50 $521–$1,070 varies
Curette/treat cornea (65435) $68.95 $197 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $421.40 $1,204 0.2×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 4 matching MRF lines		 $463.40–$1,970.26 $1,324–$5,629.30 varies
Cysto w/complex removal stone & stent (52315) $581 $1,660 0.3×
Cysto w/destruction of lesions (52214)
range across 3 matching MRF lines		 $1,141–$4,163.60 $3,260–$11,896 varies
Cysto w/insert ureteral stent (52332) $596.05 $1,703 0.2×
Cysto w/irrig & evac multple obstructing clots (52001) $318.50 $910 0.1×
Cysto w/removal of lesions small (52224)
range across 3 matching MRF lines		 $1,081.50–$4,104.10 $3,090–$11,726 varies
Cysto w/removal of tumors small (52234)
range across 3 matching MRF lines		 $272.30–$2,625.58 $778–$7,501.65 varies
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $231 $660 0.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $340.90–$1,847.76 $974–$5,279.30 varies
Cysto w/up stricture tx (52342) $478.45 $1,367 0.2×
Cysto w/ureter stricture tx (52341) $425.25 $1,215 0.1×
Cysto w/ureteroscopy w/lithotripsy (52353) $1,062.95 $3,037 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $850.50 $2,430 0.3×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $478.45 $1,367 0.2×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $478.45 $1,367 0.2×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $606.55 $1,733 0.1×
Cysto/uretero w/lithotripsy (52356) $393.75 $1,125 0.1×
Cysto/uretero w/up stricture (52345) $297.50 $850 0.1×
Cystolithotomy (51050) $413 $1,180 0.1×
Cystometrogram W/Up (51727)
range across 2 matching MRF lines		 $294–$327.05 $840–$1,055 varies
Cystometrogram W/Vp (51728)
range across 3 matching MRF lines		 $186–$484.75 $600–$1,385 varies
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 $186–$518 $600–$1,480 varies
Cystoscopy and radiotracer (52250) $196 $560 0.1×
Cystoscopy implant stent (52282) $700 $2,000 0.2×
Cystoscopy inject material (52327) $1,025.50 $2,930 0.2×
Cystostomy Cystotomy W/Drainage (51040) $700 $2,000 0.4×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $535.15 $1,529 0.2×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $437.50 $1,250 0.1×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $360.50 $1,030 0.2×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $469 $1,340 0.2×
Cystouretero W/Congen Repr (52400) $400.05 $1,143 0.1×
Cystouretero w/excise tumor (52355) $411.25 $1,175 0.1×
Cystourethroscopy (52000)
range across 4 matching MRF lines		 $171.50–$809.49 $490–$2,312.83 varies
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $329 $940 0.1×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $691.60 $1,976 0.2×
Cystourethroscopy inj chemodenervation bladder (52287) $192.50 $550 0.1×
Cystourethroscopy tx female urethral syndrome (52285)
range across 3 matching MRF lines		 $288.40–$728.08 $824–$2,080.23 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $413 $1,180 0.1×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $626.50 $1,790 0.1×
Cystourethroscopy w/dil bladder general anesth (52260) $161 $460 0.1×
Cystourethroscopy w/rmvl ureteral calculus (52320) $340.55 $973 0.1×
Cystourethroscopy with biopsy (52204)
range across 3 matching MRF lines		 $476–$1,847.56 $1,360–$5,278.75 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $340.20 $972 0.2×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $355.25 $1,015 0.1×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $455 $1,300 0.2×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $402.50 $1,150 0.7×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $409.50 $1,170 0.2×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $328.30 $938 0.2×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $283.50 $810 0.1×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $278.95 $797 0.2×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $553 $1,580 0.2×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $231 $660 0.0×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $238 $680 0.1×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $192.50 $550 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $90.65 $259 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,375.48 $10,888.65 1.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,112.15 $6,813.39 3.4×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,426.67 $4,602.15 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $278.60–$485 $796–$1,564.50 varies
Debride nail 1-5 (11720) $27.30 $78 0.5×
Debride nail 6 or more (11721) $49 $140 0.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $291.20–$1,019.43 $832–$2,912.66 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $116.20 $332 0.2×
Debridement Mastoidectomy Cavity Simple (69220) $96.25 $275 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $502.90 $1,622.25 1.4×
Declot vascular device (36593) $237.39 $765.78 0.8×
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $175.35–$683.55 $501–$2,205 varies
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $393.05 $1,123 0.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $434.70 $1,242 0.2×
Delivery of placenta (59414) $2,284.39 $7,369 0.8×
Dermabrasion segmental face (15781) $272.30 $778 0.4×
Dermabrasion superficial any site (15783) $253.40 $724 0.7×
Destr penis lesion(s) (54065) $210 $600 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $738.04 $2,380.78 0.9×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $979.44–$1,694 $3,159.50–$5,464.50 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $993.40–$1,721.90 $3,204.50–$5,554.50 varies
Destruc retinal lesn,photocoag (67210) $493.85 $1,411 1.0×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $96.17–$174.22 $274.78–$562 varies
Destruction Benign Lesions 15/> (17111) $104.30 $298 0.6×
Destruction by neurolytic agent, intercostal nerve (64620) $673.46 $2,172.45 0.9×
Destruction Lesions Vulva Extensive (56515) $355.95 $1,017 0.2×
Destruction Lesions Vulva Simple (56501) $108.50 $310 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $115.15 $329 0.6×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $134.75 $385 0.8×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $133 $380 0.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $88.90 $254 0.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $108.50 $310 0.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $121.80 $348 0.7×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $127.75 $365 0.4×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $147 $420 0.4×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $95.20 $272 0.5×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $78.75 $225 0.4×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $98.70 $282 0.6×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $96.25 $275 0.5×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $141.40 $404 0.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $155.75 $445 0.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $65.80 $188 0.4×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $323.75–$1,316.40 $925–$4,246.45 varies
Destruction of lesion of lid margin (up to 1 cm) (67850) $279.30 $798 0.3×
Destruction of lesion, conjunctiva (68135) $268.45 $767 0.1×
Destruction Premalignant Lesion 15/> (17004) $161 $460 0.4×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $52.15–$87.10 $149–$280.97 varies
Destruction Vaginal Lesions Simple (57061)
range across 3 matching MRF lines		 $150.85–$2,730 $431–$7,800 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $81.90–$346.38 $234–$1,117.34 varies
Diaphragm or cervical cap fitting with instructions (57170) $70 $200 0.4×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,216.89 $7,151.26 2.1×
Dilat female urethra general/cndj spinal anes (53665) $74.20 $212 0.0×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)
range across 3 matching MRF lines		 $87.50–$194.25 $250–$555 varies
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $86.10 $246 0.7×
Dilat Urethral Strix Dilator Male Sbsq (53601) $94.85 $271 0.8×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $52.50 $150 0.2×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $99.40–$345.70 $284–$1,115.17 varies
Dilate Urethra Stricture (53620)
range across 3 matching MRF lines		 $147–$1,869.49 $420–$5,341.40 varies
Dilate Urethra Stricture (53600) $102.90 $294 0.5×
Dilation Esophagus Guide Wire (43453)
range across 2 matching MRF lines		 $437.50–$1,153.51 $1,250–$3,721 varies
Dilation Lacrimal Punctum W/WO Irrgation (68801) $129.85 $371 0.3×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $52.50 $150 0.0×
Dilation Salivary Duct (42650) $59.50 $170 0.0×
Division of symblepharon (68340) $534.80 $1,528 0.3×
Drain Cerebro Spinal Fluid (62272) $400.04 $1,290.45 0.6×
Drainage external auditory canal abscess (69020) $166.25 $475 0.3×
Drainage external ear abscess/hematoma cmplx (69005) $155.05 $443 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $131.25–$288.84 $375–$931.73 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $315–$988.28 $900–$3,188 varies
Drainage of eye (65800) $114.45 $327 0.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $113.21–$236.25 $365.20–$675 varies
Drainage of gum lesion (41800) $113.21 $365.20 1.0×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $135.96–$1,251.76 $388.45–$3,639.50 varies
Drainage of hydrocele (55000)
range across 3 matching MRF lines		 $100.10–$493.18 $286–$1,409.09 varies
Drainage of nose lesion (30000)
range across 3 matching MRF lines		 $120.75–$276.85 $345–$791 varies
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $399.35 $1,141 0.6×
Drainage of scrotal wall abscess (55100)
range across 4 matching MRF lines		 $326.55–$1,442.35 $933–$4,121 varies
Drainage of scrotum (54700)
range across 3 matching MRF lines		 $329.70–$1,701.26 $942–$4,860.75 varies
Drainage of urethra abscess (53040) $570.50 $1,630 0.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $48.06–$98.27 $155.02–$317 varies
Dressing Change Under Anesthesia (15852) $135.80 $388 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $136.50–$288.84 $390–$931.73 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $105.70 $302 0.2×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $185.85 $531 0.1×
Drg privesical/prevesical space absc (51080) $333.55 $953 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $148.75–$481.09 $425–$1,551.90 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $104.65–$113.73 $299–$366.86 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $54.60–$183 $156–$522.86 varies
Dstrj les/scar vestibule mouth physical meths (40820) $171.50 $490 0.1×
Dstrj Lesion Anus Simple Chemical (46900) $147 $420 0.4×
Dstrj lesion anus simple cryosurgery (46916) $157.50 $450 0.9×
Dstrj lesion anus simple surg excision (46922) $168 $480 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $157.50 $450 0.1×
Dstrj lesion choroid pc 1/> sess (67220) $656.95 $1,877 1.4×
Dstrj Lesion Penis Simple Chemical (54050) $110.25 $315 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $108.50 $310 0.6×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $210 $600 0.1×
Dstrj lesion penis simple surg excision (54060) $204.05 $583 0.1×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,506.58 $4,859.95 0.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $201.60–$1,147 $576–$3,700 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $831.73 $2,683 1.1×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $192.50–$808.79 $550–$2,609 varies
Dx Bronchoscope/Lavage (31624) $913.98 $2,948.32 0.6×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $247.10–$914 $706–$2,948.40 varies
Dx Laryngoscopy Excl Nb (31525) $196.35 $561 0.1×
Dx laryngoscopy w/oper scope (31526) $244.65 $699 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $204.31–$567.64 $583.73–$1,831.10 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $738.88 $2,383.50 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $752.04 $2,425.95 0.4×
Egd cautery tumor polyp (43250) $752.04 $2,425.95 0.4×
Egd control bleeding any (43255) $661.86 $2,135.03 0.4×
Egd dilation gastric/duodenal stricture (43245) $752.04 $2,425.95 0.4×
Egd endo mucosal resection (43254) $1,414.22 $4,562 0.8×
Egd Flexible Foreign Body Removal (43247) $785.24 $2,533.02 1.0×
Egd guide wire insertion (43248) $752.04 $2,425.95 0.9×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $672.25 $2,168.55 0.4×
Egd lesion ablation (43270) $659.18 $2,126.38 0.4×
Egd place gastrostomy tube (43246) $1,237.98 $3,993.50 0.7×
Egd remove lesion snare (43251) $752.04 $2,425.95 0.4×
Egd Tube/Cath Insertion (43241) $752.04 $2,425.95 0.4×
Egd Varices Ligation (43244) $752.04 $2,425.95 0.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $78.40–$160.58 $224–$518 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)
range across 2 matching MRF lines		 $38.15–$50.88 $109–$164.14 varies
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)
range across 2 matching MRF lines		 $30.10–$139.81 $86–$451 varies
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $33.25–$103.25 $95–$295 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $87.85–$360.53 $251–$1,163 varies
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $83.65–$223.85 $239–$639.56 varies
Endoscopic injection/implant (51715) $222.95 $637 0.1×
Endoscopy of ureter (50953) $612.85 $1,751 0.2×
Endoscopy Upper Small Intestine (44360) $678.62 $2,189.10 0.4×
Endoscopy upper small intestine w/biopsy (44361) $678.62 $2,189.10 0.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 4 matching MRF lines		 $1,467.85–$3,127.25 $4,200–$8,935 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 4 matching MRF lines		 $1,610–$3,326.48 $4,600–$9,504.23 varies
Endoven ther chem adhes 1st (36482)
range across 3 matching MRF lines		 $552.65–$4,152.14 $1,579–$13,394 varies
Enteroscopy > 2nd prtn conv gstrst tube (44373) $752.04 $2,425.95 0.4×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $655.82 $2,115.56 0.4×
Epidural Blood Patch (62273) $813.42 $2,623.95 1.3×
Epidural lysis mult sessions (62263) $784.13 $2,529.45 1.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $3,359.08 $10,835.75 0.6×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $1,432.97 $4,622.48 0.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $1,432.97 $4,622.48 0.4×
Ercp ea duct/ampulla dilate (43277) $1,368.93 $4,415.91 0.4×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,368.93 $4,415.91 0.4×
Ercp remove forgn body duct (43275) $1,389.88 $4,483.50 0.8×
Ercp Stent Exchange W/Dilate (43276) $3,359.08 $10,835.75 0.6×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $1,368.93 $4,415.91 0.4×
Ercp W/Biopsy Single/Multiple (43261) $1,368.93 $4,415.91 0.4×
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $575.40–$1,432.97 $1,644–$4,622.48 varies
Escharotomy; initial incision (16035) $192.50 $550 0.5×
Esoph Scope W/Submucous Inj (43201) $628 $2,025.80 0.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $716.51 $2,311.31 0.9×
Esophagosc Dilate Balloon 30 (43214) $738.88 $2,383.50 0.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $824.07 $2,658.29 0.5×
Esophagoscopy Flex Transoral Injection Varices (43204) $752.04 $2,425.95 0.4×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $2,139.95 $6,903.08 0.6×
Esophagoscopy Flexible Guide Wire Dilation (43226)
range across 2 matching MRF lines		 $238.35–$752.04 $681–$2,425.95 varies
Esophagoscopy Flexible Transnasal Diagnostic (43197) $175 $500 0.2×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $254.80–$650.46 $728–$2,098.26 varies
Esophagoscopy Flexible W/Bleeding Control (43227) $752.04 $2,425.95 0.4×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $650.46 $2,098.26 0.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $785.43 $2,533.65 0.5×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $752.04 $2,425.95 0.4×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $32.20–$69.30 $92–$198 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,487.44 $8,024 1.7×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,409.09 $7,771.25 1.7×
Exc arm/elbow les sc < 3 cm (24075)
range across 3 matching MRF lines		 $321.65–$1,704.85 $919–$4,871 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 4 matching MRF lines		 $73.50–$509.83 $210–$1,530.15 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $152.60–$1,219.05 $436–$3,483 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $398.30–$800.73 $1,138–$2,583 varies
Exc back tum deep < 5 cm (21932) $3,433.23 $11,074.92 1.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $3,394.74–$4,035.99 $10,950.76–$13,019.31 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $217–$692.78 $620–$1,979.38 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines		 $271.25–$883.05 $775–$2,523 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 3 matching MRF lines		 $318.50–$1,701.70 $910–$4,862 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 3 matching MRF lines		 $315–$1,698.20 $900–$4,852 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $92.40–$704.20 $264–$2,012 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $111.30–$587.08 $318–$1,677.38 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $130.20–$605.98 $372–$1,731.38 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 3 matching MRF lines		 $161–$1,544.20 $460–$4,412 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 3 matching MRF lines		 $200.90–$1,584.10 $574–$4,526 varies
Exc Forearm Les Sc 3 Cm/> (25071)
range across 3 matching MRF lines		 $350–$1,426.30 $1,000–$4,075.15 varies
Exc Frenum Labial/Buccal (40819) $210 $600 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $70.70–$953.30 $202–$3,075.15 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $92.40–$568.18 $264–$1,623.38 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $119.35–$847.58 $341–$2,421.66 varies
Exc Hand Les Sc < 1.5 Cm (26115) $481.25 $1,375 0.3×
Exc hand tum deep < 1.5 cm (26116) $2,496.95 $8,054.67 1.7×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $273 $780 0.3×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $205.45 $587 0.1×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $175 $500 0.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $350 $1,000 0.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $262.15 $749 0.1×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $140 $400 0.0×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
unusually low: confirm this is the full procedure		 $2,099.42 $6,772.31 0.4×
Exc Rct Tum Incl Muscularis Propria (45172) $3,379.73 $10,902.37 1.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines		 $130.20–$1,024.45 $372–$2,927 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $166.25–$2,124.12 $475–$6,068.91 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines		 $257.95–$2,588.95 $737–$7,397 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $219.80–$1,296.10 $628–$3,703.15 varies
Exc Skin Benig >4cm Face,Facial (11446) $267.40 $764 0.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $249.55 $713 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $329.35 $941 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $296.45–$1,846.58 $847–$5,275.94 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $323.75–$1,631.53 $925–$5,263 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $150.50 $430 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 4 matching MRF lines		 $85.75–$522.08 $245–$1,530.15 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines		 $115.15–$551.48 $329–$1,575.65 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines		 $176.75–$2,134.62 $505–$6,098.91 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 3 matching MRF lines		 $420–$2,232.96 $1,200–$6,379.90 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $420 $1,200 0.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $366.80–$1,605.80 $1,048–$5,180 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $486.50 $1,390 0.2×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $4,924.25 $15,884.68 1.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,754.28 $8,884.77 1.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 3 matching MRF lines		 $385–$1,461.30 $1,100–$4,175.15 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $376.25 $1,075 0.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 3 matching MRF lines		 $298.55–$1,681.75 $853–$4,805 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) $459.20 $1,312 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,283.98 $7,367.67 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines		 $295.75–$1,372.05 $845–$3,920.15 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $463.05 $1,323 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $332.50 $950 0.1×
Exc urethral diverticulum spx female (53230) $624.75 $1,785 0.1×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $341.25 $975 0.2×
Exc/fulguration urethral caruncle (53265) $262.50 $750 0.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $930 $3,000 0.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $175–$1,212.16 $500–$3,910.18 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $400.75 $1,145 0.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $108.50 $310 0.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $143.85 $411 0.1×
Excis urethral prolapse (53275) $218.05 $623 0.1×
Excise intraspinal lesion (63267) $5,200.14 $16,774.64 0.8×
Excise Wrist Tendon Sheath (25118) $2,255.37 $7,275.39 1.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $207.90–$878.03 $594–$2,508.66 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $514.15 $1,469 0.2×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $485.45 $1,387 0.2×
Excision Bone Mandible (21025)
likely a partial charge, not the full procedure		 $483 $1,380 0.1×
Excision Chalazion Multiple Same Lid (67801) $269.85 $771 0.3×
Excision Chalazion Single (67800) $108.85 $311 0.4×
Excision Excessive Skin & Subq Tissue Other Area (15839) $473.90 $1,354 0.2×
Excision exostosis(es), external auditory canal Facility (69140)
unusually low: confirm this is the full procedure		 $1,775.96 $5,728.91 0.3×
Excision gum each quadrant (41820) $171.50 $490 0.1×
Excision H/P/P/U Simple/Intermediate Repair (11470) $225.75 $645 0.1×
Excision Hidradenitis Axillary Complex Repair (11451) $3,548.71 $11,447.46 1.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,654.51 $8,562.94 1.0×
Excision Infected Graft Extremity (35903) $4,515.56 $14,566.33 1.6×
Excision Lesion Conjunctiva </1 Cm (68110) $286.30 $818 0.1×
Excision lesion conjunctiva > 1 cm (68115) $289.45 $827 0.1×
Excision Lesion Cornea Xcp Pterygium (65400) $394.80 $1,128 0.4×
Excision lesion meniscus/capsule knee (27347) $2,692.44 $8,685.28 0.9×
Excision Lesion Tongue W/O Closure (41110) $127.40 $364 0.0×
Excision Lingual Frenum Frenectomy (41115) $147 $420 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $105.35 $301 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 3 matching MRF lines		 $121.10–$557.43 $346–$1,592.65 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 3 matching MRF lines		 $137.64–$352.84 $444–$1,008.10 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines		 $203–$931.23 $580–$2,660.66 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 3 matching MRF lines		 $128.45–$740.25 $367–$2,115 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $325.50–$968.13 $930–$3,123 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $395.15–$2,064.60 $1,129–$6,660 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $103.25 $295 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 3 matching MRF lines		 $142.80–$754.60 $408–$2,156 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 3 matching MRF lines		 $170.10–$781.90 $486–$2,234 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $263.55 $753 0.2×
Excision Multiple External Papillae/Tags Anus (46230) $189 $540 0.1×
Excision nasal polyp(s) simple (30110) $120.40 $344 0.1×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $304.50 $870 0.1×
Excision of chalazion; multiple, different lids (67805) $283.85 $811 1.0×
Excision of extraparenchymal lesion of testis (54512) $9,182.57 $29,621.18 2.9×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,373.49 $7,656.43 1.7×
Excision of gum flap (41821) $42 $120 0.0×
Excision of hydrocele; unilateral (55040) $2,707.75 $8,734.67 0.9×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $2,921.65 $9,424.67 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $2,314.13 $7,464.94 0.9×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $126–$702.46 $360–$2,266 varies
Excision of submandibular (submaxillary) gland (42440) $3,860.17 $12,452.15 0.7×
Excision of tracheal tumor or carcinoma; cervical Facility (31785)
likely a partial charge, not the full procedure		 $1,124.20 $3,212 0.2×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $456.05 $1,303 0.1×
Excision of vaginal cyst or tumor (57135) $200.90 $574 0.1×
Excision olecranon bursa (24105) $2,696.40 $8,698.07 0.9×
Excision or fulguration; Skene's glands Facility (53270) $273.35 $781 0.1×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $246.75 $705 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,106.02 $10,019.41 1.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,670.71 $8,615.20 1.0×
Excision prepatellar bursa (27340) $2,969.12 $9,577.80 1.0×
Excision Radial Head (24130) $3,972.98 $12,816.06 1.4×
Excision soft tissue lesion, external auditory canal (69145) $178.50 $510 0.1×
Excision Thyroglossal Duct Cyst/Sinus (60280)
unusually low: confirm this is the full procedure		 $1,949.13 $6,287.51 0.4×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281)
unusually low: confirm this is the full procedure		 $2,208.44 $7,123.99 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $420–$953.30 $1,200–$3,075.15 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 3 matching MRF lines		 $340.90–$2,671.90 $974–$7,634 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $303.45 $867 0.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines		 $332.50–$1,408.80 $950–$4,025.15 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 3 matching MRF lines		 $355.95–$1,432.25 $1,017–$4,092.15 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $350.89 $1,002.55 0.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 3 matching MRF lines		 $262.50–$1,338.80 $750–$3,825.15 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $332.01 $948.60 0.1×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $2,373.29–$2,875.92 $7,655.77–$9,277.16 varies
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,061.69 $9,876.41 1.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 3 matching MRF lines		 $227.50–$1,610.70 $650–$4,602 varies
Excision/destruction intranasal lesion int appr (30117) $260.75 $745 0.1×
Excision/destruction lesion pharynx any method (42808) $199.50 $570 0.1×
Excision/Transposition Pterygium W/O Graft (65420) $373.10 $1,066 0.2×
Excision; trochanteric bursa or calcification (27062) $7,178.57 $23,156.68 2.5×
Explo/Drain Breast Abscess (19020) $294 $840 0.2×
Exploration penetrating wound spx chest (20101) $849.10 $2,426 0.5×
Exploration penetrating wound spx extremity (20103) $988.28 $3,188 0.7×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure		 $577.85 $1,651 0.1×
Explore for undescended testis (54550) $391.30 $1,118 0.1×
Explore/Treat Elbow Joint (24101) $2,483.75 $8,012.11 0.9×
Fasciectomy Palm Only (26121) $2,679.01 $8,641.97 0.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $411.25 $1,175 0.1×
Fasciotomy palmar open partial (26045) $2,636.64 $8,505.30 0.9×
Fasciotomy palmar percutaneous (26040) $440.65 $1,259 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,847.72 $9,186.19 1.0×
Fetal non-stress test (59025)
range across 4 matching MRF lines		 $45.50–$157.98 $130–$451.36 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $368.01–$448.88 $1,051.45–$1,448 varies
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $85.75–$220.41 $245–$629.73 varies
Fluid Pressure Muscle (20950) $110.25 $315 0.2×
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines		 $61.23–$568.03 $174.95–$1,622.95 varies
Forehead flap w/vasc pedicle (15731) $770 $2,200 0.2×
Foreskin manipulation (54450) $63 $180 0.3×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $93.45 $267 0.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $521.50 $1,490 0.3×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $474.60 $1,356 0.3×
Fusion Finger Joint (26860) $4,430.27 $14,291.20 1.5×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $3,425.63 $11,050.43 2.0×
Grafting of autologous soft tiss by direct exc (15769) $386.40 $1,104 0.1×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $325.50–$483.61 $1,050–$1,381.75 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,696.24 $11,923.36 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 4 matching MRF lines		 $120.75–$727.86 $345–$2,079.60 varies
Hemorrhoidopexy by stapling (46947) $4,160.86 $13,422.14 1.7×
Hip arthro acetabuloplasty (29915) $9,257.58 $29,863.15 1.4×
Hip arthro w/labral repair (29916) $10,712.89 $34,557.72 1.7×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $1,634.50 $4,670 0.4×
Hysteroscopy Biopsy (58558)
range across 3 matching MRF lines		 $1,082.89–$3,089.55 $3,093.98–$8,827.28 varies
Hysteroscopy Dx Sep Proc (58555)
range across 3 matching MRF lines		 $355.95–$2,935.10 $1,017–$8,386 varies
Hysteroscopy Endometrial Ablation (58563) $981.40 $2,804 0.2×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 3 matching MRF lines		 $266–$2,845.15 $760–$8,129 varies
Hysteroscopy, surgical; with removal of leiomyomata (58561) $5,237.88 $16,896.38 1.2×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $280 $800 0.1×
I&d abscess peritonsillar (42700)
range across 3 matching MRF lines		 $128.03–$277.55 $380–$793 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $73.15–$753.02 $209–$2,394 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $316.75 $905 0.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $602 $1,720 0.2×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 3 matching MRF lines		 $294–$2,625 $840–$7,500 varies
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $129.50–$1,223.88 $370–$3,948 varies
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $149.80–$1,265.60 $428–$3,616 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $91.35–$417.46 $261–$1,192.73 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382) $642.75 $2,073.38 0.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $207.20–$642.75 $592–$2,073.38 varies
Image Cath Fluid Peri/Retro (49406) $843.20 $2,720 0.6×
Implant neuroelectrodes (63650) $4,373.40 $14,107.73 0.8×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $630 $1,800 0.1×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $280 $800 0.0×
Implant Spine Infusion Pump (62362) $11,441.04 $36,906.58 0.7×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure		 $1,813.96 $5,851.50 0.2×
Impression & Preparation Auricular Prosthesis (21086) $1,346.80 $3,848 0.5×
Impression & Preparation Oral Surgical Splint (21085) $468.30 $1,338 2.2×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $154.69–$341.60 $477–$976 varies
Incise finger tendon sheath (26055) $542.50 $1,550 0.4×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $630.35 $1,801 0.1×
Incise/Drain Conjunctiva (68020) $244.30 $698 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $117.95–$1,367.45 $337–$3,907 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,397.19 $7,732.86 0.9×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $157.15–$1,540.35 $449–$4,401 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $78.75–$417.46 $225–$1,192.73 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 4 matching MRF lines		 $106.75–$246.95 $305–$705.56 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $108.15–$248.38 $309–$709.65 varies
Incision bone cortex foot (28005) $531.65 $1,519 0.2×
Incision Drainage Lacrimal Sac (68420) $378.35 $1,081 0.2×
Incision extensor tendon sheath wrist (25000) $2,261.55 $7,295.32 1.6×
Incision of eardrum (69420) $127.40 $364 0.6×
Incision of Foot Tendon (28234) $312.55 $893 0.2×
Incision of labial frenum (frenotomy) (40806) $119.70 $342 0.3×
Incision of lingual frenum (frenotomy) (41010)
range across 3 matching MRF lines		 $124.25–$1,159.08 $355–$3,311.65 varies
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $343–$2,430.46 $980–$6,944.17 varies
Incision of urethra (53010) $224 $640 0.0×
Incision of urethra (53000) $261.45 $747 0.1×
Incision of urethra (53020) $167.30 $478 0.1×
Incision&drainage bursa foot (28001) $229.25 $655 0.2×
Incisional biopsy eyelid skin & lid margin (67810) $203.35 $581 0.7×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $119–$695.10 $340–$1,986 varies
Induced abortion dilation and curettage (59840) $189 $540 0.1×
Initial Tx 1st Degree Burn Local Tx (16000) $69.14 $223.02 0.4×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $713.62–$1,427.24 $2,302–$4,604 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $717.03 $2,313 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $621.55–$1,243.10 $2,005–$4,010 varies
Inject Intravitreal Pharmcologic (67028) $385 $1,100 1.3×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $178.25–$430.27 $575–$1,229.35 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $374.32 $1,207.50 0.5×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines		 $168.87–$1,135.28 $482.48–$3,662.20 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $210–$1,068.88 $600–$3,448 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $717.03 $2,313 0.9×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 3 matching MRF lines		 $175.70–$567.64 $502–$1,831.10 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $109.20–$358.38 $312–$1,156.05 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $375.63 $1,211.70 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $579.39 $1,869 0.7×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $131.25–$352.84 $375–$1,138.20 varies
Injection enzyme palmar fascial cord (20527) $68.33 $195.23 0.3×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $27.74–$179.43 $79.25–$578.81 varies
Injection medication/other subst tenon capsule (67515) $52.50 $150 0.2×
Injection of sclerosing solution, hemorrhoids (46500) $122.50 $350 0.1×
Injection procedure for peyronie disease (54200) $105.70 $302 0.5×
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines		 $46.20–$361.72 $132–$1,033.50 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $49–$356.96 $140–$1,151.50 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $52.50–$578.02 $150–$1,651.50 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $760.90 $2,174 0.6×
Injection therapeutic carpal tunnel (20526)
range across 5 matching MRF lines		 $64.75–$379.44 $185–$1,224 varies
Injection, anesthetic agent; brachial plexus, single (64415) $365.86 $1,180.20 0.5×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $134.75–$332.99 $385–$1,074.15 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $78.75–$485.65 $225–$1,566.60 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 2 matching MRF lines		 $45.85–$193.02 $131–$622.65 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $35–$199.53 $100–$643.65 varies
Injx Anterior Chamber Eye Medication Spx (66030) $120.40 $344 0.1×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $575.48 $1,856.40 0.7×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $603.80 $1,947.75 0.8×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $872.34 $2,814 1.1×
Ins cath ren art 1st bilat (36252) $1,438.56 $4,640.50 0.5×
Ins endovas vena cava filtr (37191) $2,140.69 $6,905.45 0.4×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines		 $84.37–$221.26 $272.16–$632.16 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $145.25–$1,116.07 $415–$3,600.23 varies
Insert cath pleura w/o image (32556) $105 $300 0.1×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $79.80–$249.55 $228–$805 varies
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 $75.85–$199.39 $244.68–$569.68 varies
Insert Gastrostomy Tube Percutaneous (49440) $634.88 $2,048 0.4×
Insert Heart Pm Ventricular (33207) $5,116.03 $16,503.32 0.6×
Insert Nasal Septal Button (30220) $140 $400 0.1×
Insert non-tunnel cv cath (36556) $1,003.42 $3,236.85 0.4×
Insert pessary/other device (57160)
range across 3 matching MRF lines		 $59.50–$189.79 $170–$542.25 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $1,106.63 $135–$3,569.76 0.8×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $77–$188.18 $220–$537.66 varies
Insert tunneled cv cath (36561) $2,832.74 $9,137.87 1.0×
Insert Uro/Ves Nck Sphincter (53445)
likely a partial charge, not the full procedure		 $1,230.60 $3,516 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $50.97–$120.55 $164.43–$344.43 varies
Insertion indwelling tunneled pleural catheter (32550) $2,770.16 $8,936 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $846.92 $2,732 0.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $5,971.49 $19,262.88 0.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,106.63 $3,569.76 0.4×
Insj Picc Rs&I <5 Yr (36572) $367.04 $1,184 0.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,542.29 $8,200.94 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $288.75–$1,116.07 $825–$3,600.23 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,155.53 $13,404.93 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure		 $10,602.63 $34,202.04 0.4×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $20,063.94 $64,722.38 0.7×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $2,942.85 $9,493.05 0.4×
Insrt heart pm atrial & vent (33208) $5,116.03 $16,503.32 0.6×
Int hrhc by ligation single hroid w/o img gdn (46945) $4,363.79 $14,076.74 1.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $287.06 $926 0.8×
Intranasal Biopsy (30100) $63.70 $182 0.0×
Intro cath dialysis circuit (36901) $541.99 $1,748.34 0.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
unusually low: confirm this is the full procedure		 $1,911.33 $6,165.59 0.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $118.30–$573.53 $338–$1,850.10 varies
Iridoplasty photocoagulation 1/> sessions (66762) $275.45 $787 0.6×
Iridotomy/irridectomy laser surg per session (66761) $261.80 $748 0.5×
Irrigation maxillary sinus (31000) $96.95 $277 0.5×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $144.90–$154.69 $414–$499 varies
Kidney endoscopy (50553) $597.80 $1,708 0.1×
Kidney endoscopy (50551) $287.70 $822 0.1×
Labyrinthotomy Transcanal (69801) $893.90 $2,554 0.7×
Lam facetec & foramot lumbar (63047)
unusually low: confirm this is the full procedure		 $2,782.15 $7,949 0.4×
Lap insert tunnel ip cath (49324) $3,805.25 $12,275.02 0.7×
Lap paraesoph her rpr w/mesh (43282) $6,689.95 $21,580.49 0.7×
Lap paraesophag hern repair (43281) $6,665.85 $21,502.76 0.7×
Lap revision perm ip cath (49325) $3,791.63 $12,231.08 0.7×
Laparo new ureter/bladder (50947)
likely a partial charge, not the full procedure		 $1,169 $3,340 0.1×
Laparoscopy Enterolysis Separate Procedure (44180) $3,803.53 $12,269.46 0.7×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $5,229.52–$5,876.58 $16,869.42–$18,956.71 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $8,705.98 $28,083.79 0.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $735 $2,100 0.1×
Laparoscopy W/Lysis Of Adhesions (58660) $4,456.35 $14,375.33 0.8×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $4,479.82–$5,623.58 $14,451.02–$18,140.57 varies
Laparoscopy, surgical, appendectomy (44970) $5,390.33 $17,388.17 1.0×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $7,481.40 $24,133.55 0.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,153.31 $19,849.38 1.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $11,378.85 $36,705.98 1.2×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $4,922.62 $15,879.42 0.9×
Laparoscopy, surgical; pyeloplasty (50544) $11,062.01 $35,683.90 1.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $5,302.33–$6,334.13 $17,104.28–$20,432.67 varies
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure		 $950.60 $2,716 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $4,738.94 $15,286.89 0.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,200.79 $16,776.76 1.0×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $374.50 $1,070 0.1×
Laryngoscopy diagnostic (31505) $93.80 $268 0.5×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $147.70–$152.76 $422–$492.78 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 3 matching MRF lines		 $248.15–$1,718.85 $709–$4,911 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $215.60 $616 0.6×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 3 matching MRF lines		 $142.80–$329.70 $408–$942 varies
Laryngoscopy Indirect W/Biopsy (31510) $130.55 $373 0.0×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $104.30 $298 0.3×
Laryngoscopy W/Biopsy (31535) $285.25 $815 0.1×
Larynscop w/tumr exc + scope (31541) $2,790.71 $9,002.28 0.8×
Laser vaporization of prostate (52648) $2,387 $6,820 0.5×
Late closure of wound (13160)
range across 2 matching MRF lines		 $480.20–$1,692.22 $1,372–$5,458.79 varies
Lateral Canthopexy (21282) $240.45 $687 0.1×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $18,807.02 $60,667.81 1.7×
Ligamentous Reconstruction Knee Extra-Articular (27427) $10,344.72 $33,370.05 1.6×
Ligate/strip long leg vein (37722) $1,575.88 $5,083.50 0.6×
Ligation of a-v fistula (37607) $313.95 $897 0.1×
Ligation or biopsy temporal artery (37609) $276.85 $791 0.2×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,141.88 $3,683.50 0.4×
Litholapaxy comp/lg > 2.5 cm (52318) $500.15 $1,429 0.2×
Litholapaxy smpl/sm <2.5 cm (52317) $878.85 $2,511 0.3×
Lithotripsy, extracorporeal shock wave (50590) $884.10 $2,526 0.3×
Low Back Disk Surgery (63030) $5,721 $18,454.83 0.9×
Lumbar spine fusion combined (22633) $23,785.92 $76,728.77 1.0×
Lysis Intranasal Synechia (30560) $119.35 $341 0.3×
Lysis of labial adhesions (56441) $129.15 $369 0.0×
Lysis/excision penile postcircumcision adhesions (54162)
range across 3 matching MRF lines		 $234.50–$1,994.65 $670–$5,699 varies
Male sling procedure (53440)
likely a partial charge, not the full procedure		 $733.60 $2,096 0.1×
Manipulation knee joint under general anesthesia (27570) $1,685.36 $5,436.65 1.2×
Manipulation, finger joint, under anesthesia, each joint (26340) $308 $880 0.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,709.20 $5,513.54 1.2×
Manometric stds thru tube/ndwellg urtrl cath (50396) $94.50 $270 0.2×
Marsupialization of bartholin's gland cyst (56440) $337.40 $964 0.1×
Marsupialization of urethral diverticulum, male or female Facility (53240) $322.70 $922 0.1×
Mast mod rad (19307) $5,002.28 $16,136.39 0.9×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $4,322.21–$11,376.51 $13,942.62–$36,698.42 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $4,399.66 $14,192.45 0.8×
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $5,173.94–$5,404.65 $16,690.14–$17,434.34 varies
Maternity Care Procedure (59899) $131.75 $425 0.7×
Medial Canthopexy Separate Procedure (21280) $347.55 $993 0.1×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $526.40 $1,504 0.8×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $492.10 $1,406 0.8×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $268.80 $768 0.1×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $315–$527 $900–$1,700 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $222.25–$527 $635–$1,700 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines		 $239.75–$527 $685–$1,700 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $236.25 $675 0.3×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $620.55 $1,773 0.2×
Myringoplasty (69620) $2,184.17 $7,045.70 0.7×
N Block Inj Celiac Pelus (64530) $586.23 $1,891.05 0.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $91–$386.37 $260–$1,246.35 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $140–$426.08 $400–$1,374.45 varies
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $43.75–$300.65 $125–$859 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $117.25–$463.92 $335–$1,496.50 varies
N Block Lumbar/Thoracic (64520) $607.38 $1,959.30 0.8×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $116.87–$291.55 $377–$833 varies
Nasal sinus therapy (30210) $103.25 $295 0.1×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $43.40–$132.95 $124–$428.87 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $144.90 $414 0.4×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $596.05 $1,703 0.2×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $755.65 $2,159 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $574.70 $1,642 0.4×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $425.60 $1,216 0.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $691.60 $1,976 0.4×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure		 $1,050 $3,000 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $980 $2,800 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $910 $2,600 0.1×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $574.70 $1,642 0.1×
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 2 matching MRF lines		 $3,437.25–$3,657.20 $11,087.92–$11,797.41 varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $755.65 $2,159 0.1×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $893.90 $2,554 0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
unusually low: confirm this is the full procedure		 $2,925.40 $9,436.78 0.5×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $163.10 $466 0.1×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $135.45 $387 0.6×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)
range across 2 matching MRF lines		 $190.75–$613.58 $545–$1,979.29 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386) $613.58 $1,979.29 0.7×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $119.70–$2,672.82 $342–$8,622 varies
Needle Biopsy Pancreas (48102) $510.27 $1,646.03 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $75.25 $242.74 2.9×
Needle insertion w/o injection 3 or more muscles (20561) $81.14 $261.74 3.2×
Nerve Pedicle Transfer First Stage (64905)
likely a partial charge, not the full procedure		 $647.50 $1,850 0.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,090.40 $9,969.04 1.8×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,822.53 $9,104.95 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $355.57 $1,147 0.9×
Nipple/areola reconstruction (19350) $646.45 $1,847 0.2×
Njx anes stellate ganglion crv sympathetic (64510) $536.10 $1,729.35 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $88.55–$459.93 $253–$1,483.65 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,127.51 $6,862.93 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $721.99–$1,443.98 $2,329–$4,658 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $646.15 $2,084.34 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $541.78 $1,747.68 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $646.15 $2,084.34 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $190.40–$401.82 $544–$1,296.18 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $557.25 $1,797.58 0.7×
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 4 matching MRF lines		 $735–$2,107 $2,100–$6,020 varies
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $1,327.88 $4,283.50 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $70–$354.95 $200–$1,145 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $354.95 $1,145 0.6×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $100.45–$440.30 $287–$1,258 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 3 matching MRF lines		 $125.65–$613.18 $359–$1,978 varies
Njx Sclrsnt Spider Veins (36468) $105 $300 0.3×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $893.90 $2,554 0.1×
Occipital Nerve Block (64405)
range across 6 matching MRF lines		 $88.90–$1,006.88 $254–$3,248 varies
Open biopsy/excision inguinofemoral nodes (38531) $3,486.01 $11,245.19 1.0×
Open Repair of Rotator Cuff Acute (23410) $7,143.78 $23,044.44 1.1×
Open Treatment Bimalleolar Ankle Fracture (27814) $6,267.45 $20,217.58 1.0×
Open Treatment Fracture Distal Tibia & Fibula (27828) $10,644.57 $34,337.32 0.9×
Open treatment fracture distal tibia only (27827) $6,585.37 $21,243.13 0.6×
Open Treatment Humeral Condylar Fracture (24579)
unusually low: confirm this is the full procedure		 $5,178.59 $16,705.14 0.5×
Open Treatment Medial Malleolus Fracture (27766) $4,948.62 $15,963.30 0.8×
Open treatment metatarsal fracture each (28485) $3,819.80 $12,321.94 0.6×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $7,509.04 $24,222.70 1.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $6,363.51 $20,527.45 1.0×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $3,932.43 $12,685.26 0.6×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $9,153.24 $29,526.58 0.8×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
likely a partial charge, not the full procedure		 $1,100.05 $3,143 0.2×
Open Treatment Proximal Humeral Fracture (23615) $9,839.50 $31,740.32 0.9×
Open Treatment Radial Shaft Fracture (25515) $7,079.05 $22,835.64 1.1×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $2,766.17 $8,923.13 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $5,400.99 $17,422.55 0.8×
Open Tx Distal Phalangeal Fracture Each (26765) $367.50 $1,050 0.1×
Open Tx Distal Tibiofibular Joint Disruption (27829) $6,758.55 $21,801.77 1.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $386.05–$1,917.66 $1,103–$6,186 varies
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure		 $4,841.60 $15,618.07 0.4×
Open tx humeral supracondylar fracture w/o xtn (24545) $7,749.18 $24,997.37 0.7×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $442.75 $1,265 0.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,307.82 $10,670.38 1.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $5,226.79 $16,860.62 0.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $733.25 $2,095 0.1×
Open tx ulnar fx proximal end (24685) $6,911.91 $22,296.49 1.1×
Open/Perq Place Stent 1St (37236)
unusually low: confirm this is the full procedure		 $3,813 $12,300 0.4×
Open/Perq Place Stent Same (37238) $6,779.70 $21,870 0.7×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $5,734.21 $18,497.46 0.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $5,839 $18,835.50 0.9×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $10,548.15 $34,026.28 0.9×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $636.30 $1,818 0.2×
Orchiopexy Ingun/Scrot Appr (54640) $3,158.79 $10,189.66 1.0×
Osteochondral allograft knee open (27415) $10,497.11 $33,861.63 0.9×
Osteotomy radius distal third (25350) $7,496.07 $24,180.87 1.2×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $387.80 $1,108 0.2×
Parathyroidectomy or exploration of parathyroid(s); (60500) $5,290.72 $17,066.83 1.0×
Partial excision of lip (40520) $374.50 $1,070 0.1×
Partial hymenectomy or revision of hymenal ring (56700) $209.30 $598 0.1×
Partial removal of thyroid (60220) $4,575.15 $14,758.54 0.9×
Partial removal of toe (28160) $338.80 $968 0.1×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $4,822.37 $15,556.03 0.9×
Partical Excision Bone Phalanx Toe (28124) $399 $1,140 0.1×
Pelvic examination under anesthesia (other than local) (57410) $2,171.61 $7,005.19 0.8×
Penile Injection (54235)
range across 3 matching MRF lines		 $70–$273.59 $200–$781.68 varies
Penis plastic surgery (54360) $568.40 $1,624 0.2×
Perc Cryo Ablate Renal Tum (50593) $6,035.39 $19,469 0.6×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $149.80–$366.72 $428–$1,182.98 varies
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $2,477.98 $7,993.49 0.9×
Pericardiocentesis W/Imaging (33016) $193.55 $553 0.1×
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $490–$1,311.44 $1,400–$4,230.45 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $402.50–$417.39 $1,150–$1,346.43 varies
Perq device breast 1st imag (19281) $417.39 $1,346.43 0.3×
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $464.10–$1,280.19 $1,326–$4,129.65 varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
likely a partial charge, not the full procedure		 $897.75 $2,565 0.1×
Perq p-art revsc 1 nm nt uni (33900) $9,049.83 $29,193 0.9×
Perq p-art revsc st 1st abnor connj unilateral (33902) $14,644.09 $47,239 0.9×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $9,049.83 $29,193 0.9×
Perq p-art revsc st 1st nml native connj bi (33901) $9,049.83 $29,193 0.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 4 matching MRF lines		 $249.90–$543.90 $714–$1,554 varies
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $2,490.90–$4,510.45 $8,035.16–$14,549.83 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure		 $3,863.08 $12,461.55 0.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,315.51 $13,921 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $416.50–$2,104.36 $1,190–$6,788.25 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $446.25–$2,196.47 $1,275–$7,085.40 varies
Phleb Veins - Extrem 20+ (37766)
range across 4 matching MRF lines		 $770–$2,238.70 $2,200–$6,396.28 varies
Placement of needle for intraosseous infusion (36680) $119.27 $384.73 0.3×
Placement of seton (46020) $226.99 $648.53 0.1×
Plastic Repair Canaliculi (68700) $363.65 $1,039 0.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $609.35–$992 $1,741–$3,200 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $189 $540 0.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $227.60 $650.28 0.1×
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $6,779.70–$13,559.40 $21,870–$43,740 varies
Probe lacrimal canaliculi w/wo irrigation (68840) $147.70 $422 0.5×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $460.95 $1,317 0.2×
Probing nasolacrimal duct (68810) $181.30 $518 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $63–$528.24 $180–$1,703.99 varies
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)
range across 2 matching MRF lines		 $87.85–$468.41 $251–$1,511 varies
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $341.25 $975 0.7×
Prostatic microwave thermotx (53850) $2,581.25 $7,375 0.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $384.09 $1,239 0.6×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $4,373.40 $14,107.73 0.8×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $32.97 $106.34 0.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $930 $3,000 0.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,554.71 $8,241 0.8×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,361.74 $7,618.52 0.8×
Prq skel fixj femoral fx prox end neck (27235) $4,753.64 $15,334.33 0.7×
Prq skel fixj metar fx w/manj (28476) $3,228.80 $10,415.48 1.1×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $2,379.36 $7,675.35 0.4×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $122.50–$257.70 $350–$831.29 varies
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $99.32–$259.53 $283.78–$837.18 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $58.10–$465.46 $166–$1,501.50 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $134.75–$588.92 $385–$1,682.64 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $220.15–$348.01 $629–$1,122.60 varies
Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075)
likely a partial charge, not the full procedure		 $1,666.35 $4,761 0.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $394.25–$1,316.40 $1,126.43–$4,246.45 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $4,890.18 $15,774.77 1.7×
Rcnstj Eyelid Full Thickness Second Stage (67975) $450.45 $1,287 0.2×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $3,774.40 $12,175.50 0.6×
Realignment extensor tendon hand each tendon (26437) $2,596.05 $8,374.35 0.9×
Reconstruct extra finger (26587) $554.75 $1,585 0.2×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $9,277.30 $29,926.79 1.4×
Reconstruction Tongue Fold (41520) $1,330.68 $4,292.50 0.5×
Release of big toe (28240) $347.90 $994 0.1×
Release of shoulder ligament (23415) $4,905.55 $15,824.34 0.8×
Removal Anal Seton Other Marker (46030) $112.35 $321 0.1×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge, not the full procedure		 $623 $1,780 0.0×
Removal Embedded Foreign Body Eyelid (67938) $292.25 $835 1.0×
Removal Foreign Body Deep Thigh/Knee (27372) $1,814.98 $5,854.79 0.7×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $229.25–$645 $655–$2,080.66 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $202.30–$1,585.50 $578–$4,530 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $45.57–$91.14 $147–$294 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $46.19–$106.20 $139–$328.86 varies
Removal Implant Deep (20680) $304.50 $870 0.1×
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $357.35–$1,740.55 $1,021–$4,973 varies
Removal implantable contraceptive capsules (11976)
range across 3 matching MRF lines		 $117.31–$593.10 $335.18–$1,694.56 varies
Removal intact breast implant (19328) $442.40 $1,264 0.1×
Removal of anterior instrumentation (22855) $3,998.29 $12,897.72 0.6×
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $507.15 $1,449 0.1×
Removal of bone lesion (23140) $3,533.85 $11,399.51 1.2×
Removal of implant from finger or hand (26320) $2,121.02 $6,841.99 1.5×
Removal of infusion pump (36262) $111.76 $360.52 0.0×
Removal of kidney stone (50081) $5,651.57 $18,230.87 0.7×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $136.50–$572.83 $390–$1,636.65 varies
Removal of testis (54520) $4,630.92 $14,938.45 1.5×
Removal of tonsils (42825)
unusually low: confirm this is the full procedure		 $2,049.02 $6,609.75 0.4×
Removal of tonsils (42826) $2,222.36 $7,168.91 0.8×
Removal of tunneled intraperitoneal catheter (49422) $2,678.94 $8,641.73 1.0×
Removal of urethra (53210) $565.95 $1,617 0.2×
Removal of wrist bone (25210) $2,897.25 $9,345.98 1.0×
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $96.25–$333.55 $275–$953 varies
Removal or destruction of bladder canal (urethra) malignancy (53220) $348.25 $995 0.1×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) $584.50 $1,670 0.1×
Removal Pacemaker Electrode (33235) $1,271.74 $4,102.40 0.4×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,513.75 $11,334.69 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $56–$120.31 $160–$343.75 varies
Removal subcutaneous cardiac rhythm monitor (33286) $559.83 $1,805.90 0.9×
Removal Sutures/Staples Requiring Anesthesia (15851) $67.55 $193 0.0×
Removal sweat gland lesion (11450) $2,824.27 $9,110.54 1.1×
Removal, under anesthesia, of external fixation system (20694) $1,959.43 $6,320.74 1.4×
Removal/bivalving gauntlet boot/body cast (29700) $38.50 $110 0.2×
Remove Brain Cavity Fluid (61020) $113.75 $325 0.1×
Remove cerclage suture (59871) $112 $320 0.0×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $96.60–$303.31 $276–$866.60 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $73.64–$101.85 $237.55–$291 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $80.15–$295.47 $229–$844.20 varies
Remove Lower Leg Bone Lesion (27635) $2,879.25 $9,287.90 1.0×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $140–$470.89 $400–$1,519 varies
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines		 $50.97–$192.30 $164.43–$549.43 varies
Remove part thorax vertebra (22101) $4,531.85 $14,618.88 0.7×
Remove prostate regrowth (52630) $679 $1,940 0.1×
Remove Pulse Generator (33241) $1,059.84 $3,418.85 0.3×
Remove renal tube w/fluoro (50389) $52.50 $150 0.1×
Remove Shoulder Foreign Body (23330) $216.65 $619 0.1×
Remove spine eltrd plate (63662) $3,323.49 $10,720.92 1.1×
Remove Tendon Sheath Lesion (26160) $2,316.48 $7,472.51 1.6×
Remove tissue expander (11971) $869.40 $2,484 0.3×
Remove&replace pm gen singl (33227) $7,103.65 $22,915 1.0×
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $183.09–$416.71 $590.60–$1,190.60 varies
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure		 $7,033.08 $22,687.35 0.4×
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure		 $10,602.63 $34,202.04 0.4×
Remv&replc pm gen dual lead (33228) $4,872.41 $15,717.45 0.5×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure		 $6,315.37 $20,372.16 0.4×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $490 $1,400 0.1×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $387.57–$717.50 $1,250.24–$2,050 varies
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557)
likely a partial charge, not the full procedure		 $721 $2,060 0.1×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge, not the full procedure		 $715.05 $2,043 0.1×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $697.20 $1,992 0.1×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $595 $1,700 0.1×
Repair Blood Vessel Direct Upper Extremity (35206) $2,771 $8,938.71 1.0×
Repair brow ptosis (67900) $469.35 $1,341 0.2×
Repair Collat Ankle Ligmnt,Secondary (27698) $8,180.89 $26,389.98 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $259.35 $741 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $306.90–$501.90 $990–$1,434 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $226.45–$240.12 $647–$774.59 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $352.55–$396.90 $1,134–$1,137.27 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $193.90 $554 0.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $240.12–$307.30 $774.59–$878 varies
Repair complex trunk 1.1-2.5 cm (13100) $178.15 $509 0.3×
Repair complex trunk 2.6-7.5 cm (13101)
range across 4 matching MRF lines		 $219.80–$617.84 $628–$1,765.27 varies
Repair Detached Retina (67101) $505.75 $1,445 0.2×
Repair Ectropion Excision Tarsal Wedge (67916) $603.05 $1,723 0.3×
Repair Ectropion Extensive (67917) $497 $1,420 0.2×
Repair Ectropion Suture (67914) $451.50 $1,290 0.2×
Repair Entropion Excision Tarsal Wedge (67923) $594.30 $1,698 0.3×
Repair Entropion Suture (67921) $436.10 $1,246 0.2×
Repair extensor tendon finger w/o graft each (26418) $2,604.88 $8,402.83 1.8×
Repair Eyelid Wound (67935) $598.85 $1,711 0.3×
Repair Finger/Hand Tendon (26350) $3,132.26 $10,104.06 1.1×
Repair Fistula Oromaxillary (30580)
likely a partial charge, not the full procedure		 $467.60 $1,336 0.1×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,134.70 $10,111.94 1.1×
Repair Foot Dislocation (28615) $4,007.45 $12,927.26 0.6×
Repair Hand Joint (26540) $4,616.32 $14,891.36 1.6×
Repair Hand Tendon (26410) $1,212.72 $3,912 0.9×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,077.35 $13,152.74 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $151.90–$240.12 $434–$774.59 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $101.24–$244.03 $326.58–$697.23 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $207.70–$218.75 $625–$670 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $101.24–$213.15 $326.58–$609 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $101.24–$245.55 $326.58–$701.58 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $101.24–$157.50 $326.58–$450 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $174.65–$216.07 $499–$697 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $101.24–$262.50 $326.58–$750 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $101.24–$233.65 $326.58–$667.58 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $240.12–$511.91 $688–$1,462.59 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 4 matching MRF lines		 $104.34–$283.35 $336.58–$809.58 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $276.21 $891 0.2×
Repair lower leg tendons (27676) $3,469.52 $11,191.99 0.5×
Repair Nasal Vestibular Stenosis (30465)
likely a partial charge, not the full procedure		 $675.50 $1,930 0.1×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $5,889.07 $18,996.99 0.9×
Repair of metatarsals (28322) $4,661.14 $15,035.92 0.7×
Repair of nail bed (11760) $122.50 $350 0.2×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $7,096.07 $22,890.55 1.1×
Repair of Ruptured Tendon (24342) $5,696.44 $18,375.61 0.9×
Repair of urethra injury (53502) $378 $1,080 0.1×
Repair Rotator Cuff Chronic (23412) $7,706.10 $24,858.38 1.2×
Repair secondary achilles tendon w/wo graft (27654) $7,936.63 $25,602.04 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $4,561.23 $14,713.64 0.7×
Repair tongue laceration (41250) $156.55 $505 0.4×
Repair Tooth Socket (41874) $192.50 $550 0.1×
Repair uro sphincter (53449)
likely a partial charge, not the full procedure		 $479.50 $1,370 0.1×
Replace duodenostomy/jejunostomy tube perq (49451) $556 $1,588.58 0.7×
Replace eye fluid (67025) $670.60 $1,916 0.3×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $547.15–$805 $1,765–$2,300 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $512.02–$590.55 $1,462.90–$1,905 varies
Reposition Gastrostomy Tube (43761) $509.08 $1,642.20 2.3×
Reposition Pacing-Defib Lead (33215) $1,059.84 $3,418.85 0.4×
Rerepair ing hernia reduce (49520) $4,168.73 $13,447.51 1.3×
Resect enlarged toe tissue (28340) $448 $1,280 0.2×
Retrobulbar injection (67500) $60.90 $174 0.2×
Revis reconst shoulder joint (23473) $8,250.18 $26,613.50 0.7×
Revise eyelashes (67825) $189 $540 0.7×
Revise ulnar nerve at wrist (64719) $2,563.28 $8,268.64 1.5×
Revision of eyelid (67880) $442.75 $1,265 0.2×
Revision of urethra (53460) $345.45 $987 0.1×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $434.70 $1,242 0.1×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $4,681.01 $15,100.03 0.8×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure		 $1,724.10 $4,926 0.2×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $27,848.22 $89,832.97 1.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,689.96 $5,451.50 0.5×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,789.68 $5,773.15 0.6×
Revj/rpr oprative wound anterior segment (66250) $378.35 $1,081 0.2×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $305.55 $873 0.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 3 matching MRF lines		 $109.20–$716.34 $312–$2,046.68 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $1,359.35–$1,510.86 $4,385–$4,873.74 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $218.93 $706.22 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $73.64–$245 $237.55–$700 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $108.85 $311 0.3×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $506.80 $1,448 1.8×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $231–$689.35 $660–$2,223.71 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,602.90 $5,170.64 0.6×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $208.95 $597 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $386.46 $1,246.65 0.3×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $1,388.02 $4,477.50 0.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,069.96 $3,451.50 0.6×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $17.39 $56.10 0.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines		 $300.65–$1,376.29 $859–$3,950 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $183.40–$734.65 $524–$2,099 varies
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $174.46–$481.69 $498.45–$1,376.25 varies
Rplc gtube revj gstrst trc (43763) $243.66 $786 1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $61.25–$846.92 $175–$2,732 varies
Rplcmt compl tun ctr vad w/subq port (36582) $3,430.36 $11,065.68 1.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,851.69 $9,198.98 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $5,018.56 $16,188.90 0.9×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,482.01 $11,232.28 1.1×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $7,623.25 $24,591.14 1.3×
Rpr aa hernia recr 3-10 cm reducible (49615) $3,696.45 $11,924.04 0.6×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $4,478.62 $14,447.16 0.8×
Rpr aa hrn 1st 3-10 rdc (49593) $4,678.94 $15,093.34 0.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $3,371.63 $10,876.23 0.6×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $462.70 $1,322 0.2×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $628.25 $1,795 0.3×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $439.95 $1,257 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $101.24 $326.58 0.6×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $392.70 $1,122 0.2×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $160.30 $458 0.1×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $469 $1,340 0.1×
Rpr Lip Full Thickness Vermilion Only (40650) $289.54 $934 0.6×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $817.95 $2,337 0.4×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $327.25 $935 0.2×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,364.26 $7,626.65 0.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,297.37 $7,410.86 0.8×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $2,470.64 $7,969.79 0.8×
Severing Adhesions Anterior Segment Laser Spx (65860) $207.55 $593 0.4×
Severing tarsorrhaphy (67710) $237.65 $679 0.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $454 $1,464.50 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $258.65–$468.41 $739–$1,511 varies
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 $52.85–$317.41 $151–$906.88 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 3 matching MRF lines		 $70.70–$247.45 $202–$707 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $88.55 $253 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $46.20 $132 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $92.40–$102.30 $264–$330 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 3 matching MRF lines		 $64.05–$201.40 $183–$575.43 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $75.95 $217 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines		 $97.65–$235 $279–$671.43 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 3 matching MRF lines		 $71.75–$336.31 $205–$960.88 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 3 matching MRF lines		 $54.25–$191.60 $155–$547.43 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $73.50 $210 0.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 3 matching MRF lines		 $81.55–$218.90 $233–$625.43 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 2 matching MRF lines		 $137.20–$1,854.11 $392–$5,981 varies
Sigmoidoscopy & decompress (45337) $416.11 $1,342.29 0.5×
Sigmoidoscopy & Polypectomy (45333) $468.41 $1,511 0.6×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $465.39 $1,501.27 0.4×
Sigmoidoscopy flx tndsc balo dilat (45340) $454 $1,464.50 0.4×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $903.03 $2,913 0.9×
Sigmoidoscopy w/fb removal (45332) $528.24 $1,703.99 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $119.35–$468.41 $341–$1,511 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $427.51 $1,379.06 0.4×
Simple Cystometrogram (51725)
range across 4 matching MRF lines		 $59.50–$262.50 $170–$750 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $101.37 $327 0.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $101.24–$111.30 $318–$326.58 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $101.24–$121.80 $326.58–$348 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $101.24–$142.10 $326.58–$406 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $101.24–$221.05 $305–$631.58 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $101.24–$129.15 $326.58–$369 varies
Skin Full Grft Face/Genit/Hf (15240) $515.55 $1,473 0.3×
Skin Pedicle Flap Trunk (15570) $497 $1,420 0.3×
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $157.50–$999.92 $450–$2,856.90 varies
Skin sub graft trnk/arm/leg (15271) $834.02 $2,690.40 1.3×
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $210–$1,368.97 $600–$4,416.03 varies
Skin Tissue Procedure (17999)
range across 6 matching MRF lines		 $210–$381.50 $12–$1,090 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $192.50–$746.14 $550–$2,406.90 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $2,492.40–$4,984.80 $8,040–$16,080 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,431.83 $11,070.41 0.8×
Slitting of prepuce (54001)
range across 3 matching MRF lines		 $235.55–$2,095.55 $673–$5,987.29 varies
Small bowel endoscopy (44366) $715.50 $2,308.07 0.4×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $753.39 $2,430.28 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $101.24–$226.30 $320–$646.58 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $101.24–$162.40 $326.58–$464 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $174.84 $564 0.5×
Snip Incision Lacrimal Punctum (68440) $234.15 $669 0.8×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $125.65–$481.41 $359–$1,552.95 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,697.05 $8,700.17 0.9×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $647.50 $1,850 0.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 4 matching MRF lines		 $437.50–$1,906.20 $1,250–$5,446.28 varies
Strapping ankle (29540) $28 $80 0.2×
Strapping elbow or wrist (29260) $85.07 $274.41 1.6×
Strapping hand/finger (29280) $42.35 $121 0.8×
Strapping knee (29530) $43.75 $125 0.4×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $51.45–$85.07 $147–$274.41 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $25.90–$85.07 $74–$274.41 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $45.50–$170.19 $130–$549 varies
Subconjunctival injection (68200) $100.10 $286 0.3×
Subcutaneous Hormone Pellet Implantation (11980) $236.53 $763 0.6×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $56.70 $162 0.3×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954)
range across 2 matching MRF lines		 $123.55–$335.79 $353–$1,083.20 varies
Suprahyoid lymphadenectomy (38700)
unusually low: confirm this is the full procedure		 $2,093.61 $6,753.59 0.4×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $346.15 $989 0.1×
Surg tx anal fistula subq (46270) $327.25 $935 0.1×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $479.85 $1,371 0.2×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $430.85 $1,231 0.2×
Suture infrapatellar tendon primary (27380) $5,450.58 $17,582.51 0.9×
Suture of quadriceps or hamstring muscle rupture primary (27385) $5,308.19 $17,123.20 0.8×
Synovectomy Tendon Sheath Foot Extensor (28088) $379.75 $1,085 0.1×
Tangential biopsy skin single lesion (11102) $78.05 $223 0.2×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $130.20 $372 0.2×
Tcat Insj/Rpl Perm Ldls Pm (33274) $13,983.17 $45,107 0.8×
Temporary Closure Eyelids Suture (67875) $345.10 $986 0.4×
Tenodesis long tendon biceps (23430) $6,663.58 $21,495.42 1.0×
Tenolysis extensor foot single tendon (28225) $315.70 $902 0.1×
Tenolysis flexor foot single tendon (28220) $351.40 $1,004 0.2×
Tenotomy Adductor Hip Percutaneous Spx (27000) $366.80 $1,048 0.3×
Tenotomy Hip Abd/Ext Open (27006) $571.55 $1,633 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $287.70 $822 0.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $345.80 $988 0.2×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $338.45 $967 0.1×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $389.90 $1,114 0.1×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $506.80 $1,448 0.1×
Tenotomy, hip flexor(s), open (27005) $569.45 $1,627 0.2×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $132.65–$567.64 $379–$1,831.10 varies
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $5,983.31 $19,301 0.5×
Thoracoscopy w/bx pleura (32609) $13,747.58 $44,347.02 2.6×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $4,190.44 $13,517.53 0.9×
Thrombolytic Therapy Stroke (37195) $221.65 $715 0.8×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $117.25–$402.27 $335–$1,297.64 varies
Thyroidectomy, total or complete (60240) $5,224.07 $16,851.84 1.0×
Tibial Arthroscopy/Surgery (29855) $6,837.19 $22,055.46 1.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $705.25 $2,015 0.4×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,495.15 $11,274.67 1.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,214.76 $7,144.38 0.8×
Tooth extraction (41899) $2,298.22 $7,413.62 11.0×
Total Knee Arthroplasty (27447) $11,330.15 $36,548.88 1.0×
Trabeculoplasty by laser surgery (65855) $319.55 $913 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $195.65–$913.98 $559–$2,948.32 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $601.45 $1,940.17 2.9×
Tracheostomy planned (31600) $499.10 $1,426 0.2×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $270.94 $874 1.0×
Transur electr resection of prostate (52601) $706.65 $2,019 0.1×
Transurethral incision of prostate (52450) $509.95 $1,457 0.2×
Transurethral resection bladder neck (52500) $427 $1,220 0.1×
Treat Big Toe Fracture (28505) $417.55 $1,193 0.1×
Treat ectopic pregnancy (59151) $5,348.35 $17,252.73 1.0×
Treat elbow fracture (24586) $12,221.80 $39,425.17 1.1×
Treat Finger Fracture Each (26727) $2,436.96 $7,861.17 0.8×
Treat fracture radius/ulna (25575) $5,453.52 $17,592 0.9×
Treat Fx Rad Extra-Articul (25607) $5,849.20 $18,868.37 0.9×
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $240.25–$525 $725–$1,500 varies
Treat Humerus Fracture (24505)
range across 3 matching MRF lines		 $390.95–$1,760.15 $1,117–$5,029 varies
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $105.79–$390.69 $341.25–$1,116.25 varies
Treat Knee Fracture(S) (27538)
range across 3 matching MRF lines		 $325.81–$716.80 $997–$2,048 varies
Treat kneecap dislocation (27566) $4,945.83 $15,954.29 0.8×
Treat Kneecap Fracture (27524) $6,095.22 $19,662 1.0×
Treat Knuckle Dislocation (26700) $257.25 $735 1.2×
Treat lower leg dislocation (27832) $9,618.53 $31,027.52 1.5×
Treat Metatarsal Fracture (28475) $226.80 $648 1.0×
Treat Tail Bone Fracture (27200) $137.55 $393 0.6×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $186–$315 $600–$900 varies
Treat Thumb Fracture (26645)
range across 3 matching MRF lines		 $325.15–$1,694.35 $929–$4,841 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $96.72–$112 $312–$320 varies
Treat Trigeminal Nerve (61790) $13.11 $42.29 0.0×
Treat vagina infection (57150) $49 $140 0.9×
Treat Vaginal Bleeding (57180) $3,782.07 $12,200.23 21.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $295.40 $844 0.2×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $119.89–$305.55 $386.75–$873 varies
Treatment extensive retinopathy photocoagulation (67228) $708.75 $2,025 1.5×
Treatment of foot infection (28003) $551.60 $1,576 0.2×
Treatment of retina (67141) $362.25 $1,035 1.3×
Treatment of retinal lesion (67208) $569.80 $1,628 2.0×
Trim skin lesion (11055)
range across 4 matching MRF lines		 $25.90–$88.38 $74–$252.50 varies
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines		 $32.55–$169.90 $93–$505 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $39.55–$176.90 $113–$505.43 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $24.50–$61.60 $70–$176 varies
Trluml Balo Angiop 1St Vein (37248) $4,315.51 $13,921 0.9×
Trurl drainage prostatic abscess (52700) $358.05 $1,023 0.1×
Trurl rescj postop bladder neck contracture (52640) $380.45 $1,087 0.1×
Tx Gastro Intub W/Asp (43753) $179.17 $577.98 0.9×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $8,361.66 $26,973.10 0.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,456.29 $7,923.51 0.9×
Tx Missed Abortion First Trimester Surgical (59820) $261.10 $746 0.1×
Tx open tendon flexor toe 1 tendon spx (28232) $317.45 $907 0.2×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $315 $900 0.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,181.04 $3,809.81 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $244.65–$759.50 $699–$2,170 varies
Tx superficial wound dehiscence w/packing (12021) $107.80 $308 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $239.05 $683 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 3 matching MRF lines		 $139.70–$354.43 $450.65–$1,012.65 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $8,406.62 $27,118.14 0.7×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $238.70 $682 0.2×
Tympanoplasty (69631)
unusually low: confirm this is the full procedure		 $2,495.83 $8,051.08 0.5×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $1,733.65–$1,810.52 $5,592.43–$5,840.39 varies
Unlisted laparoscopy procedure stomach (43659)
range across 3 matching MRF lines		 $395.50–$2,623.25 $1,130–$7,495 varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $630.70–$1,130.50 $1,802–$3,230 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure		 $1,993.60 $5,696 0.4×
Unlisted procedure anus (46999) $2,534.41 $8,175.52 3.1×
Unlisted procedure arthroscopy (29999) $715.75 $2,045 3.3×
Unlisted procedure femur or knee (27599) $4,655.87 $15,018.94 21.4×
Unlisted procedure foot or toes (28899) $3,928.25 $12,671.79 18.0×
Unlisted Procedure Intestine (44799) $668.23 $2,155.58 0.8×
Unlisted procedure larynx (31599) $149.80 $428 0.7×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $78.75–$553.04 $225–$1,784 varies
Unlisted procedure pelvis/hip joint (27299) $5,293.56 $17,076.01 24.3×
Unlisted Procedure Vascular Surgery (37799)
range across 6 matching MRF lines		 $37.82–$1,450.05 $122–$4,143 varies
Unlisted px female genital system nonobstetrical (58999) $97.03 $313 0.5×
Ureter endoscopy (50970) $322 $920 0.1×
Ureter endoscopy & biopsy (50955) $747.25 $2,135 0.2×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $788.20 $2,252 0.2×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $710.15 $2,029 0.1×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) $283.50 $810 0.1×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) $420 $1,200 0.1×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $287 $820 0.1×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) $402.50 $1,150 0.1×
Ureteral endoscopy via ureterostomy (50951) $303.80 $868 0.1×
Urethrectomy, total, including cystostomy; male Facility (53215) $958.65 $2,739 0.2×
Urethromeatoplasty W/Mucosal Advancement (53450) $309.05 $883 0.1×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $759.50 $2,170 0.2×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) $724.50 $2,070 0.2×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) $735 $2,100 0.2×
Urethroplasty, reconstruction of female urethra Facility (53430) $742 $2,120 0.2×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $619.50 $1,770 0.1×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) $679 $1,940 0.1×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $374.50 $1,070 0.1×
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) $493.50 $1,410 0.1×
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) $612.50 $1,750 0.1×
Urine Flow Measurement (51736)
range across 2 matching MRF lines		 $45.85–$75.95 $131–$245 varies
Vaginal delivery only (59409) $728 $2,080 0.3×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $964.25 $2,755 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $350–$1,721.56 $1,000–$4,918.75 varies
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure		 $2,277.83 $7,347.83 0.2×
Ventilating tube removal requiring general anesthesia (69424) $210 $600 0.1×
Ventricular puncture previous burr hole w/inj (61026) $110.95 $317 0.2×
Vulvectomy simple; complete (56625) $2,596.15 $8,374.68 0.9×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $91–$238.73 $260–$770.11 varies
Wedging of cast (29740) $64.40 $184 0.3×
Wedging of clubfoot cast (29750) $73.15 $209 0.3×
Wound Prep F/N/Hf/G (15004)
range across 4 matching MRF lines		 $323.50–$726.65 $924.30–$2,076.15 varies
Wound Prep Trk/Arm/Leg (15002)
range across 4 matching MRF lines		 $306.25–$1,148.66 $875–$3,281.90 varies

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.