Procedures & surgery prices at Ochsner Watkins Hospital

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

1152 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $804 $1,200 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $294.80–$751.07 $440–$1,121 varies
Abdomen Surgery Procedure (22999)
range across 2 matching MRF lines		 $847.55–$1,232.13 $1,265–$1,839 varies
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $304.85–$2,846.01 $455–$4,247.78 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 2 matching MRF lines		 $189.61–$1,299.91 $283–$1,940.17 varies
Abrasion single lesion (15786) $211.05 $315 1.2×
Acne surgery (10040) $113.23 $169 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $706.18 $1,054 0.4×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $903.83 $1,349 0.5×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,541 $2,300 0.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,210.69–$3,438.75 $1,807–$5,132.47 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $840.85–$2,825.12 $1,255–$4,216.59 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 4 matching MRF lines		 $767.15–$3,592.27 $1,145–$5,361.59 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $1,118.23–$3,438.75 $1,669–$5,132.47 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $1,015.72–$3,438.75 $1,516–$5,132.47 varies
Amniocentesis diagnostic (59000) $241.20 $360 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,240.12 $4,836 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,240.12 $4,836 1.1×
Amputation toe interphalangeal joint (28825)
range across 4 matching MRF lines		 $938–$6,267.18 $1,400–$9,354 varies
Anal/Urinary Muscle Study (51784) $321.60 $480 2.9×
Anoscopy Control Bleeding (46614) $248.57 $371 0.2×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $99.27–$199.77 $148.17–$298.17 varies
Anoscopy; with biopsy, single or multiple (46606) $274.70 $410 0.3×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $1,508.84 $2,252 0.3×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $182.91 $273 1.3×
Application cast elbow finger short arm (29075)
range across 6 matching MRF lines		 $147.40–$961.45 $220–$1,435 varies
Application Cast Finger (29086) $211.72 $316 1.5×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $105.86–$282.81 $158–$422.10 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $67–$351.08 $100–$524 varies
Application long arm splint shoulder hand (29105)
range across 5 matching MRF lines		 $107.20–$422.77 $160–$631 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $170.18 $254 0.7×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $119.93–$701.49 $179–$1,047 varies
Application of cylinder cast (thigh to ankle) (29365) $191.62 $286 0.8×
Application of long leg cast (29345)
range across 6 matching MRF lines		 $173.53–$961.45 $259–$1,435 varies
Application of rigid total contact leg cast (29445) $203.68 $304 0.8×
Application risser jacket localizer body only (29010) $269.34 $402 1.1×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $122.61–$282.81 $183–$422.10 varies
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines		 $83.75–$422.77 $125–$631 varies
Application short leg splint calf foot (29515)
range across 5 matching MRF lines		 $93.13–$422.77 $139–$631 varies
Application, cast; figure-of-eight Facility (29049) $116.58 $174 0.5×
Apply hand/wrist cast (29085)
range across 5 matching MRF lines		 $107.20–$422.77 $160–$631 varies
Apply long arm cast (29065)
range across 5 matching MRF lines		 $131.32–$961.45 $196–$1,435 varies
Apply Multlay Comprs Lwr Leg (29581) $140.70 $210 1.0×
Apply Short Leg Cast (29405)
range across 6 matching MRF lines		 $143.38–$961.45 $214–$1,435 varies
Apply short leg cast (29425)
range across 4 matching MRF lines		 $167.50–$621.76 $250–$928 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $42.88–$82.31 $64–$122.85 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $127.30–$1,306.50 $190–$1,950 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $125.29–$1,320.57 $187–$1,971 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $383.41–$438.41 $572.25–$654.35 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $301.50–$983.56 $450–$1,468 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $96.48–$1,306.50 $144–$1,950 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $187.60–$1,695.10 $280–$2,530 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $170.85–$1,695.10 $255–$2,530 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 4 matching MRF lines		 $76.38–$437.99 $114–$653.71 varies
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $140.70–$961.45 $210–$1,435 varies
Aspiration bladder insert suprapubic catheter (51102) $502.50 $750 0.3×
Av Fistula Revision Open (36832) $1,641.50 $2,450 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $103.85–$366.49 $155–$547 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $522.60–$999.64 $780–$1,492 varies
Biopsy bone open deep (20245) $874.35 $1,305 0.3×
Biopsy bone open superficial (20240) $670 $1,000 0.3×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,201.31–$1,309.85 $1,793–$1,955 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $318.92–$1,201.31 $476–$1,793 varies
Biopsy External Auditory Canal (69105) $125.96 $188 0.1×
Biopsy external ear (69100) $178.22 $266 0.9×
Biopsy muscle percutaneous needle (20206)
range across 4 matching MRF lines		 $219.09–$1,088.51 $327–$1,624.64 varies
Biopsy nail unit (11755) $125.29 $187 0.2×
Biopsy Nasopharynx Visible Lesion Simple (42804) $288.10 $430 0.1×
Biopsy of breast; open, incisional (19101) $524.61 $783 0.2×
Biopsy of conjunctiva (68100) $473.69 $707 0.2×
Biopsy of floor of mouth (41108) $178.22 $266 0.1×
Biopsy of lacrimal gland (68510) $906.51 $1,353 0.4×
Biopsy of lip (40490) $174.20 $260 0.9×
Biopsy of liver, needle; percutaneous (47000) $999.64 $1,492 0.7×
Biopsy of palate, uvula (42100) $207.70 $310 0.2×
Biopsy of penis (54100) $280.73 $419 0.2×
Biopsy of rectum (45100) $449.57 $671 0.2×
Biopsy of urethra (53200) $425.45 $635 0.2×
Biopsy Oropharynx (42800) $234.50 $350 0.2×
Biopsy Pleura Percutaneous Needle (32400) $999.64 $1,492 0.7×
Biopsy Salivary Gland Incisional (42405) $353.09 $527 0.3×
Biopsy soft tissue back/flank deep (21925) $766.48 $1,144 0.5×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $328.30–$1,730.61 $490–$2,583 varies
Biopsy Soft Tissue Shoulder Superficial (23065) $254.60 $380 0.2×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $622.43 $929 0.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 3 matching MRF lines		 $391.28–$3,039.12 $584–$4,536 varies
Biopsy Tongue Anterior Two-Thirds (41100) $224.45 $335 0.5×
Biopsy Tongue Posterior One-Third (41105) $211.72 $316 0.1×
Biopsy Vaginal Mucosa Extensive (57105) $330.31 $493 0.1×
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 $149.41–$1,076.94 $223–$1,607.38 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 $165.49–$683.72 $247–$1,020.48 varies
Biopsy, vestibule of mouth (40808) $227.80 $340 0.5×
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines		 $239.19–$623.10 $357–$930 varies
Bladder Irrigation (51700)
range across 4 matching MRF lines		 $171.52–$346.87 $256–$517.72 varies
Bladder Scan (51798) $132.26 $197.40 2.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,038.50 $1,550 0.6×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $466.99–$613.72 $697–$916 varies
Blood Transfusion Service (36430) $528.63 $789 1.4×
Bone Marrow Biopsy (38221) $313.56 $468 0.2×
Bone Marrow; Aspiration Only (38220) $291.45 $435 0.2×
Brnchsc Brushing/Protected Brushings (31623) $1,975.37 $2,948.32 1.3×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,779.44 $7,133.50 1.5×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $4,879.94 $7,283.50 1.5×
Bronchoscopy W/Biopsy(S) (31625) $1,975.37 $2,948.32 1.3×
Bronchoscopy W/Removal Foreign Body (31635) $935.99 $1,397 0.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,975.37 $2,948.32 0.6×
Bx breast 1st lesion us imag (19083) $582.90 $870 0.4×
Bx breast needle core w/o imaging guidance spx (19100)
range across 3 matching MRF lines		 $177.55–$2,237.90 $265–$3,340.15 varies
Bx Cervix (57500)
range across 4 matching MRF lines		 $170.85–$1,248.61 $255–$1,863.59 varies
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines		 $451.58–$3,883.99 $674–$5,797 varies
Canthoplasty (67950) $766.48 $1,144 0.4×
Carpal Tunnel Surgery (64721) $1,216.72 $1,816 0.7×
Catheter aspiration nasotracheal spx (31720) $48.24 $72 0.3×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 3 matching MRF lines		 $234.50–$646.68 $350–$965.20 varies
Cerclage cervix pregnancy vaginal (59320) $554.76 $828 0.2×
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines		 $339.02–$1,180.69 $506–$1,762.23 varies
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $164.15–$596.70 $245–$890.59 varies
Change of Windpipe Airway (31502)
range across 4 matching MRF lines		 $187.60–$422.77 $280–$631 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $144.05–$282.74 $215–$422 varies
Chemical peel nonfacial epidermal (15792) $495.80 $740 0.8×
Chemical peel, facial; epidermal (15788) $512.55 $765 1.5×
Chemodenerv 1 extrem 5/> mus (64644) $268 $400 0.4×
Chemodenerv 1 extremity 1-4 (64642) $234.50 $350 0.4×
Chemodenerv Eccrine Glands (64650) $93.80 $140 0.4×
Chemodenerv Musc Migraine (64615) $268 $400 1.0×
Chemodenerv musc neck dyston (64616) $234.50 $350 0.9×
Chemodenerv trunk musc 1-5 (64646) $251.25 $375 0.4×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $361.80 $540 0.6×
Chemodenervation of extraocular muscle (67345) $382.57 $571 1.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $449.57 $671 1.7×
Chest tube placement (32551)
range across 3 matching MRF lines		 $565.48–$1,894.76 $844–$2,828 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $152.09 $227 0.1×
Chorionic Villus Sampling (59015) $215.07 $321 0.3×
Ciliary body dstrj cyclophotocoag transsceral (66710) $703.50 $1,050 0.3×
Circumcision 28 days or older (54161) $454.93 $679 0.3×
Circumcision Neonate (54160) $381.90 $570 0.6×
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $281.40–$2,901.22 $420–$4,330.18 varies
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $694.79 $1,037 0.2×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $1,039.17–$2,078.34 $1,551–$3,102 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 5 matching MRF lines		 $753.08–$7,865.80 $1,124–$11,740 varies
Clear outer ear canal (69200)
range across 5 matching MRF lines		 $110.17–$327.92 $164.43–$489.43 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $253.93–$552.08 $379–$824 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $408.03–$816.73 $609–$1,219 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines		 $298.15–$687.42 $445–$1,026 varies
Closed Treatment Sesamoid Fracture (28530) $207.70 $310 1.0×
Closed Treatment Sternum Fracture (21820) $321.60 $480 1.5×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $301.94–$789.03 $450.65–$1,177.65 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $298.15–$773.85 $445–$1,155 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $477.04–$1,019.74 $712–$1,522 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 4 matching MRF lines		 $301.94–$744.14 $450.65–$1,110.65 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $1,039.17–$2,078.34 $1,551–$3,102 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 5 matching MRF lines		 $168.17–$720.69 $251–$1,075.65 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 3 matching MRF lines		 $765.81–$1,604.65 $1,143–$2,395 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $2,935.27–$5,871.21 $4,381–$8,763 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines		 $298.15–$753.75 $445–$1,125 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Closed tx mandibular fracture w/manipulation (21451) $1,299.91 $1,940.17 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $583.32 $870.62 1.3×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines		 $168.17–$814.49 $251–$1,215.65 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $338.35–$2,846.01 $505–$4,247.78 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $439.52–$2,846.01 $656–$4,247.78 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $2,935.27–$5,871.21 $4,381–$8,763 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 4 matching MRF lines		 $301.94–$744.14 $450.65–$1,110.65 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines		 $623.77–$2,078.34 $931–$3,102 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 4 matching MRF lines		 $160.13–$921.69 $239–$1,375.65 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $765.14–$2,078.34 $1,142–$3,102 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 4 matching MRF lines		 $298.15–$753.08 $445–$1,124 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 5 matching MRF lines		 $887.75–$3,508.79 $1,325–$5,237 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $301.94–$744.81 $450.65–$1,111.65 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 4 matching MRF lines		 $301.94–$697.24 $450.65–$1,040.65 varies
Closed tx septal&nose fx (21337) $2,846.01 $4,247.78 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $1,039.17–$2,078.34 $1,551–$3,102 varies
Closed tx talotarsal joint dislc w/o anes (28570) $298.15 $445 1.4×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $332.99–$718.91 $497–$1,073 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $298.15 $445 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $213.73 $319 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 4 matching MRF lines		 $375.87–$826.78 $561–$1,234 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $301.94–$750.84 $450.65–$1,120.65 varies
Closure lacrimal punctum (68760) $434.16 $648 1.6×
Closure of cystostomy (separate procedure) Facility (51880) $718.91 $1,073 0.2×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $824.10 $1,230 0.2×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $1,039.17–$2,078.34 $1,551–$3,102 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 5 matching MRF lines		 $298.15–$720.25 $445–$1,075 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $301.94–$677.14 $450.65–$1,010.65 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,494.77 $2,231 3.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 4 matching MRF lines		 $187.60–$390.61 $280–$583 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $2,935.27–$5,871.21 $4,381–$8,763 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $502.50–$1,281.71 $750–$1,913 varies
Clsr Lacrimal Punctum Plug Each (68761) $270.68 $404 1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 4 matching MRF lines		 $168.17–$1,677.01 $251–$2,503 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $2,935.27–$5,871.21 $4,381–$8,763 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 4 matching MRF lines		 $298.15–$1,990.15 $445–$2,970.37 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 3 matching MRF lines		 $335–$677.37 $500–$1,011 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $298.15 $445 0.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $446.89–$899.14 $667–$1,342 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $298.15 $445 1.4×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $259.12 $386.75 0.2×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $714.22 $1,066 3.4×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $301.94–$844.64 $450.65–$1,260.65 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $298.15–$479.05 $445–$715 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 4 matching MRF lines		 $132.66–$626.89 $198–$935.65 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $301.94–$1,139.44 $450.65–$1,700.65 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 5 matching MRF lines		 $807.35–$2,078.34 $1,205–$3,102 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432)
range across 4 matching MRF lines		 $911.87–$3,650.33 $1,361–$5,448.25 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,039.17–$2,078.34 $1,551–$3,102 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines		 $699.48–$1,488.74 $1,044–$2,222 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 4 matching MRF lines		 $501.83–$1,456.58 $749–$2,174 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $232.49–$298.15 $347–$445 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 4 matching MRF lines		 $217.75–$519.69 $325–$775.65 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 4 matching MRF lines		 $241.20–$500.32 $360–$746.75 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 4 matching MRF lines		 $188.94–$771.84 $282–$1,152 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $481.73–$1,024.43 $719–$1,529 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 3 matching MRF lines		 $301.94–$955.19 $450.65–$1,425.65 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 3 matching MRF lines		 $613.72–$1,283.72 $916–$1,916 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $2,935.27–$5,871.21 $4,381–$8,763 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 3 matching MRF lines		 $398.65–$885.07 $595–$1,321 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 3 matching MRF lines		 $298.15–$728.96 $445–$1,088 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines		 $406.69–$867.65 $607–$1,295 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 3 matching MRF lines		 $640.52–$3,261.56 $956–$4,868 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $2,935.27 $4,381 12.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $225.79–$298.15 $337–$445 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,935.27 $4,381 12.2×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $259.12–$711.37 $386.75–$1,061.75 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $484.41–$1,000.31 $723–$1,493 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $259.12–$1,582.37 $386.75–$2,361.75 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $301.94–$660.39 $450.65–$985.65 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $259.12 $386.75 0.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,935.27 $4,381 2.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 4 matching MRF lines		 $259.12–$761.62 $386.75–$1,136.75 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 4 matching MRF lines		 $274.70–$576.64 $410–$860.65 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines		 $298.15–$597.64 $445–$892 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 3 matching MRF lines		 $575.53–$7,865.80 $859–$11,740 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 4 matching MRF lines		 $301.94–$800.65 $450.65–$1,195 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 5 matching MRF lines		 $770.50–$7,865.80 $1,150–$11,740 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 3 matching MRF lines		 $298.15–$633.15 $445–$945 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $236.51–$596.30 $353–$890 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,039.17–$2,078.34 $1,551–$3,102 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $842.86–$2,078.34 $1,258–$3,102 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $301.94–$854.69 $450.66–$1,275.66 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 3 matching MRF lines		 $792.61–$1,687.73 $1,183–$2,519 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $305.52 $456 1.4×
Cltx tibial fx proximal w/o manipulation (27530)
range across 4 matching MRF lines		 $301.94–$878.14 $450.65–$1,310.65 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $504.51–$1,047.21 $753–$1,563 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $800.65–$2,078.34 $1,195–$3,102 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines		 $459.62–$978.87 $686–$1,461 varies
Collect Blood From Catheter Venous Nos (36592) $88.44 $132 0.8×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $10.05–$13.40 $15–$20 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,389.50 $2,073.88 1.3×
Colonoscopy thru stoma (44388) $1,389.50 $2,073.88 1.7×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,417.43 $2,115.56 1.4×
Colonoscopy w/ablation (45388) $1,648.58 $2,460.56 1.6×
Colonoscopy W/Resection (45390) $1,757.74 $2,623.50 0.7×
Colonoscopy w/submucosal inj (45381) $1,376.85 $2,055 1.3×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $649.23 $969 0.2×
Colporrhaphy (57200) $598.98 $894 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $234.50–$646.68 $350–$965.20 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 3 matching MRF lines		 $207.70–$619.88 $310–$925.20 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 3 matching MRF lines		 $184.25–$433.66 $275–$647.25 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $203.01–$412.18 $303–$615.20 varies
Colposcopy cervix vag eltrd conization cervix (57461) $698.14 $1,042 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $578.88 $864 0.2×
Colposcopy entire vagina w/cervix if present (57420)
range across 3 matching MRF lines		 $209.04–$621.22 $312–$927.20 varies
Colposcopy of vulva (56820)
range across 3 matching MRF lines		 $167.50–$416.91 $250–$622.25 varies
Colposcopy Vulva W/Biopsy (56821) $210.38 $314 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 3 matching MRF lines		 $221.10–$1,148.63 $330–$1,714.38 varies
Colsc Flexible W/Control Bleeding Any Method (45382) $1,613.80 $2,408.65 1.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,617.42 $2,414.06 1.6×
Complex Cystometrogram (51726) $529.30 $790 2.5×
Complex drainage wound (10180)
range across 4 matching MRF lines		 $420.09–$2,724.26 $627–$4,066.06 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 3 matching MRF lines		 $663.30–$4,504.61 $990–$6,723.30 varies
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $653.25 $975 0.3×
Conjunctivorhinostomy W/O Tube (68745) $852.91 $1,273 0.3×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $1,048.55 $1,565 0.5×
Constj tracheoesophgl fstl&insj sp prosth (31611) $1,216.05 $1,815 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 5 matching MRF lines		 $185.99–$788.59 $277.60–$1,177 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 6 matching MRF lines		 $154.77–$427.46 $231–$638 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,390.42 $2,075.25 1.0×
Cornea Scraping Diagnostic Smear &/Culture (65430) $517.24 $772 1.3×
Correction Everted Punctum Cautery (68705) $530.64 $792 1.9×
Correction hammertoe (28285) $710.20 $1,060 0.3×
Correction of lid retraction (67911) $700.82 $1,046 0.3×
Correction of trichiasis; epilation, by forceps only (67820) $150.08 $224 1.3×
Create Eardrum Opening (69433)
range across 3 matching MRF lines		 $332.32–$1,183.89 $496–$1,767 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $83.08 $124 1.6×
Csf shunt reprogram (62252) $150.75 $225 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 4 matching MRF lines		 $185.99–$488.83 $277.60–$729.60 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 4 matching MRF lines		 $185.99–$716.90 $277.60–$1,070 varies
Curette/treat cornea (65435) $131.99 $197 0.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $806.68–$4,970.73 $1,204–$7,419 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 4 matching MRF lines		 $887.08–$3,771.63 $1,324–$5,629.30 varies
Cysto w/complex removal stone & stent (52315) $1,112.20 $1,660 0.6×
Cysto w/destruction of lesions (52214)
range across 3 matching MRF lines		 $2,184.20–$7,970.32 $3,260–$11,896 varies
Cysto w/insert ureteral stent (52332) $1,141.01 $1,703 0.4×
Cysto w/irrig & evac multple obstructing clots (52001) $609.70 $910 0.2×
Cysto w/removal of lesions small (52224)
range across 3 matching MRF lines		 $2,070.30–$7,856.42 $3,090–$11,726 varies
Cysto w/removal of tumors small (52234)
range across 3 matching MRF lines		 $521.26–$5,026.11 $778–$7,501.65 varies
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $442.20 $660 0.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 4 matching MRF lines		 $652.58–$3,537.13 $974–$5,279.30 varies
Cysto w/up stricture tx (52342) $915.89 $1,367 0.3×
Cysto w/ureter stricture tx (52341) $814.05 $1,215 0.3×
Cysto w/ureteroscopy w/lithotripsy (52353) $2,034.79 $3,037 0.4×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,628.10 $2,430 0.5×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $915.89 $1,367 0.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $915.89 $1,367 0.3×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $1,161.11 $1,733 0.3×
Cysto/uretero w/lithotripsy (52356) $753.75 $1,125 0.2×
Cysto/uretero w/up stricture (52345) $569.50 $850 0.2×
Cystolithotomy (51050) $790.60 $1,180 0.2×
Cystometrogram W/Up (51727)
range across 2 matching MRF lines		 $562.80–$706.85 $840–$1,055 varies
Cystometrogram W/Vp (51728)
range across 3 matching MRF lines		 $402–$927.95 $600–$1,385 varies
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 $402–$991.60 $600–$1,480 varies
Cystoscopy and radiotracer (52250) $375.20 $560 0.1×
Cystoscopy implant stent (52282) $1,340 $2,000 0.4×
Cystoscopy inject material (52327) $1,963.10 $2,930 0.4×
Cystostomy Cystotomy W/Drainage (51040) $1,340 $2,000 0.7×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $1,024.43 $1,529 0.3×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $837.50 $1,250 0.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $690.10 $1,030 0.4×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $897.80 $1,340 0.3×
Cystouretero W/Congen Repr (52400) $765.81 $1,143 0.3×
Cystouretero w/excise tumor (52355) $787.25 $1,175 0.2×
Cystourethroscopy (52000)
range across 4 matching MRF lines		 $328.30–$1,549.60 $490–$2,312.83 varies
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $629.80 $940 0.1×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,323.92 $1,976 0.4×
Cystourethroscopy inj chemodenervation bladder (52287) $368.50 $550 0.2×
Cystourethroscopy tx female urethral syndrome (52285)
range across 3 matching MRF lines		 $552.08–$1,393.75 $824–$2,080.23 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $790.60 $1,180 0.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $1,199.30 $1,790 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $308.20 $460 0.2×
Cystourethroscopy w/rmvl ureteral calculus (52320) $651.91 $973 0.2×
Cystourethroscopy with biopsy (52204)
range across 3 matching MRF lines		 $911.20–$3,536.76 $1,360–$5,278.75 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $651.24 $972 0.4×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $680.05 $1,015 0.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $871 $1,300 0.5×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $770.50 $1,150 1.3×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $783.90 $1,170 0.4×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $628.46 $938 0.3×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $542.70 $810 0.2×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $533.99 $797 0.3×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,058.60 $1,580 0.3×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $442.20 $660 0.1×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $455.60 $680 0.1×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $368.50 $550 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $173.53–$448.40 $259–$669.26 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $960.78 $1,434 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $960.78 $1,434 1.6×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $533.32–$1,205.33 $796–$1,799 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $52.26–$171.52 $78–$256 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $93.80–$149.42 $140–$223.02 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $557.44–$1,951.48 $832–$2,912.66 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $222.44 $332 0.5×
Debridement Mastoidectomy Cavity Simple (69220) $184.25 $275 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,031.80 $1,540 2.9×
Declot vascular device (36593) $513.07 $765.78 1.8×
Deep Muscle Biopsy (20205) $335.67 $501 0.1×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $752.41 $1,123 0.4×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $832.14 $1,242 0.5×
Delivery of placenta (59414) $1,750.04 $2,612 0.6×
Dermabrasion segmental face (15781) $521.26 $778 0.9×
Dermabrasion superficial any site (15783) $485.08 $724 1.4×
Destr penis lesion(s) (54065) $402 $600 0.2×
Destruc retinal lesn,photocoag (67210) $945.37 $1,411 2.0×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $184.10–$376.54 $274.78–$562 varies
Destruction Benign Lesions 15/> (17111) $199.66 $298 1.2×
Destruction Lesions Vulva Extensive (56515) $681.39 $1,017 0.4×
Destruction Lesions Vulva Simple (56501) $207.70 $310 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $220.43 $329 1.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $257.95 $385 1.5×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $254.60 $380 0.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $170.18 $254 1.0×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $207.70 $310 1.2×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $233.16 $348 1.3×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $244.55 $365 0.7×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $281.40 $420 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $182.24 $272 1.1×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $150.75 $225 0.9×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $188.94 $282 1.1×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $184.25 $275 1.1×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $270.68 $404 0.8×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $298.15 $445 0.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $125.96 $188 0.7×
Destruction neurolytic agt genicular nerve w/img (64624) $619.75 $925 0.4×
Destruction of lesion of lid margin (up to 1 cm) (67850) $534.66 $798 0.6×
Destruction of lesion, conjunctiva (68135) $513.89 $767 0.3×
Destruction of skin lesions (17106) $599.38 $894.60 1.7×
Destruction Premalignant Lesion 15/> (17004) $308.20 $460 0.9×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $99.83–$188.25 $149–$280.97 varies
Destruction Vaginal Lesions Simple (57061)
range across 3 matching MRF lines		 $288.77–$5,226 $431–$7,800 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $156.78–$748.62 $234–$1,117.34 varies
Diaphragm or cervical cap fitting with instructions (57170) $134 $200 0.8×
Dilat female urethra general/cndj spinal anes (53665) $142.04 $212 0.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)
range across 3 matching MRF lines		 $167.50–$371.85 $250–$555 varies
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $164.82 $246 1.4×
Dilat Urethral Strix Dilator Male Sbsq (53601) $181.57 $271 1.6×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $100.50 $150 0.5×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $190.28–$747.16 $284–$1,115.17 varies
Dilate Urethra Stricture (53620)
range across 4 matching MRF lines		 $281.40–$3,792.20 $420–$5,660 varies
Dilate Urethra Stricture (53600) $196.98 $294 0.9×
Dilation Esophagus Guide Wire (43453) $837.50 $1,250 0.5×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $248.57 $371 0.6×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $100.50 $150 0.0×
Dilation Salivary Duct (42650) $113.90 $170 0.1×
Division of symblepharon (68340) $1,023.76 $1,528 0.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $670.67 $1,001 1.4×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $281.40–$318.25 $420–$475 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $296.81–$3,812.97 $443–$5,691 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $251.25–$624.26 $375–$931.73 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $603–$2,456.22 $900–$3,666 varies
Drainage Mouth Roof Lesion (42000) $670.67 $1,001 3.3×
Drainage of eye (65800) $219.09 $327 0.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $152.76–$452.25 $228–$675 varies
Drainage of gum lesion (41800) $281.40 $420 2.5×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $260.26–$2,456.22 $388.45–$3,666 varies
Drainage of hydrocele (55000)
range across 4 matching MRF lines		 $191.62–$944.09 $286–$1,409.09 varies
Drainage of nose lesion (30000)
range across 4 matching MRF lines		 $231.15–$670.67 $345–$1,001 varies
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $764.47 $1,141 1.3×
Drainage of rectal abscess (45005) $2,644.72 $3,947.35 2.6×
Drainage of scrotal wall abscess (55100)
range across 4 matching MRF lines		 $625.11–$2,761.07 $933–$4,121 varies
Drainage of scrotum (54700)
range across 3 matching MRF lines		 $631.14–$3,256.70 $942–$4,860.75 varies
Drainage of urethra abscess (53040) $1,092.10 $1,630 0.4×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $119.26–$212.39 $178–$317 varies
Dressing Change Under Anesthesia (15852) $259.96 $388 0.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,299.91 $1,940.17 2.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $261.30–$281.40 $390–$420 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $202.34 $302 0.4×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $355.77 $531 0.1×
Drg privesical/prevesical space absc (51080) $638.51 $953 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $284.75–$1,195.95 $425–$1,785 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $200.33–$282.74 $299–$422 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $104.52–$350.32 $156–$522.86 varies
Dstrj les/scar vestibule mouth physical meths (40820) $328.30 $490 0.1×
Dstrj Lesion Anus Simple Chemical (46900) $281.40 $420 0.8×
Dstrj lesion anus simple cryosurgery (46916) $301.50 $450 1.7×
Dstrj lesion anus simple surg excision (46922) $321.60 $480 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $301.50 $450 0.2×
Dstrj lesion choroid pc 1/> sess (67220) $1,257.59 $1,877 2.7×
Dstrj Lesion Penis Simple Chemical (54050) $211.05 $315 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $207.70 $310 1.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $402 $600 0.2×
Dstrj lesion penis simple surg excision (54060) $390.61 $583 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $385.92–$1,238.97 $576–$1,849.21 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,797.61 $2,683 2.4×
Dx Bone Marrow Bx & Aspir (38222) $368.50 $550 0.1×
Dx Bronchoscope/Lavage (31624) $1,975.37 $2,948.32 1.3×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $473.02–$1,975.43 $706–$2,948.40 varies
Dx Laryngoscopy Excl Nb (31525) $375.87 $561 0.2×
Dx laryngoscopy w/oper scope (31526) $468.33 $699 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $391.10 $583.73 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,625.39 $2,425.95 1.0×
Egd control bleeding any (43255) $1,430.47 $2,135.03 0.9×
Egd dilation gastric/duodenal stricture (43245) $1,625.39 $2,425.95 1.0×
Egd Flexible Foreign Body Removal (43247) $1,697.12 $2,533.02 2.2×
Egd guide wire insertion (43248) $1,625.39 $2,425.95 2.1×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,452.93 $2,168.55 0.9×
Egd lesion ablation (43270) $1,424.67 $2,126.38 0.9×
Egd place gastrostomy tube (43246) $2,675.64 $3,993.50 1.6×
Egd remove lesion snare (43251) $1,625.39 $2,425.95 1.0×
Egd Tube/Cath Insertion (43241) $1,625.39 $2,425.95 1.0×
Egd Varices Ligation (43244) $1,625.39 $2,425.95 1.0×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $150.08 $224 0.6×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $73.03 $109 0.3×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $57.62 $86 0.2×
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $63.65–$197.65 $95–$295 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $168.17–$779.21 $251–$1,163 varies
Endometrial Biopsy (58100)
range across 4 matching MRF lines		 $160.13–$428.51 $239–$639.56 varies
Endoscopic injection/implant (51715) $426.79 $637 0.1×
Endoscopy of ureter (50953) $1,173.17 $1,751 0.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 3 matching MRF lines		 $2,814–$5,986.45 $4,200–$8,935 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $3,082–$6,367.83 $4,600–$9,504.23 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $1,057.93–$8,973.98 $1,579–$13,394 varies
Epidural Blood Patch (62273) $1,673.66 $2,498 2.8×
Ercp duct stent placement (43274) $3,097.06 $4,622.48 0.6×
Ercp ea duct/ampulla dilate (43277) $2,958.66 $4,415.91 0.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,958.66 $4,415.91 0.9×
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $1,101.48–$3,097.06 $1,644–$4,622.48 varies
Escharotomy; initial incision (16035) $368.50 $550 1.1×
Esoph Scope W/Submucous Inj (43201) $1,357.29 $2,025.80 0.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,548.58 $2,311.31 2.0×
Esophagosc Dilate Balloon 30 (43214) $1,596.94 $2,383.50 1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,781.05 $2,658.29 1.1×
Esophagoscopy Flexible Guide Wire Dilation (43226) $456.27 $681 0.3×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $335 $500 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $487.76–$1,405.83 $728–$2,098.26 varies
Esophagoscopy Flexible W/Bleeding Control (43227) $1,625.39 $2,425.95 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,405.83 $2,098.26 0.8×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,733.96 $2,588 1.0×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $61.64–$132.66 $92–$198 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 3 matching MRF lines		 $615.73–$3,263.57 $919–$4,871 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 4 matching MRF lines		 $140.70–$975.96 $210–$1,456.65 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 4 matching MRF lines		 $292.12–$2,333.61 $436–$3,483 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $762.46–$1,730.61 $1,138–$2,583 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $415.40–$1,326.18 $620–$1,979.38 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines		 $519.25–$1,690.41 $775–$2,523 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 3 matching MRF lines		 $609.70–$3,257.54 $910–$4,862 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 3 matching MRF lines		 $603–$3,250.84 $900–$4,852 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 4 matching MRF lines		 $176.88–$1,348.04 $264–$2,012 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $213.06–$1,123.84 $318–$1,677.38 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $249.24–$1,160.02 $372–$1,731.38 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 3 matching MRF lines		 $308.20–$2,956.04 $460–$4,412 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 3 matching MRF lines		 $384.58–$3,032.42 $574–$4,526 varies
Exc Forearm Les Sc 3 Cm/> (25071)
range across 3 matching MRF lines		 $670–$2,730.35 $1,000–$4,075.15 varies
Exc Frenum Labial/Buccal (40819) $402 $600 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $135.34–$2,060.35 $202–$3,075.15 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 4 matching MRF lines		 $176.88–$1,087.66 $264–$1,623.38 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 4 matching MRF lines		 $228.47–$1,622.51 $341–$2,421.66 varies
Exc Hand Les Sc < 1.5 Cm (26115) $921.25 $1,375 0.6×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $522.60 $780 0.6×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $393.29 $587 0.1×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $335 $500 0.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $670 $1,000 0.5×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $501.83 $749 0.2×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $268 $400 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines		 $249.24–$1,961.09 $372–$2,927 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 4 matching MRF lines		 $318.25–$4,066.17 $475–$6,068.91 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines		 $493.79–$4,955.99 $737–$7,397 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $420.76–$2,481.11 $628–$3,703.15 varies
Exc Skin Benig >4cm Face,Facial (11446) $511.88 $764 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $477.71 $713 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $630.47 $941 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 4 matching MRF lines		 $567.49–$3,534.88 $847–$5,275.94 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $619.75–$3,526.21 $925–$5,263 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $288.10–$300.16 $430–$448 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $164.15–$999.41 $245–$1,491.65 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines		 $220.43–$1,055.69 $329–$1,575.65 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 4 matching MRF lines		 $338.35–$4,086.27 $505–$6,098.91 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 3 matching MRF lines		 $804–$4,274.53 $1,200–$6,379.90 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $804 $1,200 0.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $702.16–$3,470.60 $1,048–$5,180 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $931.30 $1,390 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 3 matching MRF lines		 $737–$2,797.35 $1,100–$4,175.15 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $720.25 $1,075 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 3 matching MRF lines		 $571.51–$3,219.35 $853–$4,805 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) $879.04 $1,312 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines		 $566.15–$2,626.50 $845–$3,920.15 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $886.41 $1,323 0.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $636.50 $950 0.3×
Exc urethral diverticulum spx female (53230) $1,195.95 $1,785 0.3×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $653.25 $975 0.5×
Exc/fulguration urethral caruncle (53265) $502.50 $750 0.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $335 $500 0.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $767.15 $1,145 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $207.70 $310 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $275.37 $411 0.2×
Excis urethral prolapse (53275) $417.41 $623 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 4 matching MRF lines		 $397.98–$1,680.80 $594–$2,508.66 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)
range across 2 matching MRF lines		 $984.23–$3,776.79 $1,469–$5,637 varies
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $929.29 $1,387 0.5×
Excision Bone Mandible (21025)
likely a partial charge, not the full procedure		 $924.60 $1,380 0.2×
Excision Chalazion Multiple Same Lid (67801) $516.57 $771 0.6×
Excision Chalazion Single (67800) $208.37 $311 0.8×
Excision Excessive Skin & Subq Tissue Other Area (15839) $907.18 $1,354 0.4×
Excision gum each quadrant (41820) $328.30 $490 0.1×
Excision H/P/P/U Simple/Intermediate Repair (11470) $432.15 $645 0.2×
Excision Lesion Conjunctiva </1 Cm (68110) $548.06 $818 0.3×
Excision lesion conjunctiva > 1 cm (68115) $554.09 $827 0.3×
Excision Lesion Cornea Xcp Pterygium (65400) $755.76 $1,128 0.9×
Excision Lesion Tongue W/O Closure (41110) $243.88 $364 0.1×
Excision Lingual Frenum Frenectomy (41115) $281.40 $420 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $201.67–$1,394.04 $301–$2,080.66 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 4 matching MRF lines		 $231.82–$1,067.08 $346–$1,592.65 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 4 matching MRF lines		 $297.48–$960.78 $444–$1,434 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 4 matching MRF lines		 $388.60–$1,782.64 $580–$2,660.66 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 3 matching MRF lines		 $245.89–$1,417.05 $367–$2,115 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $623.10–$2,092.41 $930–$3,123 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $756.43 $1,129 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $197.65 $295 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 3 matching MRF lines		 $273.36–$1,444.52 $408–$2,156 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 3 matching MRF lines		 $325.62–$1,496.78 $486–$2,234 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $504.51 $753 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $361.80 $540 0.2×
Excision nasal polyp(s) simple (30110) $230.48 $344 0.2×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $582.90 $870 0.2×
Excision of chalazion; multiple, different lids (67805) $543.37 $811 2.0×
Excision of gum flap (41821) $80.40 $120 0.1×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $241.20–$1,518.22 $360–$2,266 varies
Excision of tracheal tumor or carcinoma; cervical Facility (31785)
unusually low: confirm this is the full procedure		 $2,152.04 $3,212 0.4×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $873.01 $1,303 0.2×
Excision of vaginal cyst or tumor (57135) $384.58 $574 0.1×
Excision or fulguration; Skene's glands Facility (53270) $523.27 $781 0.2×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $472.35 $705 0.2×
Excision soft tissue lesion, external auditory canal (69145) $341.70 $510 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $804–$2,060.35 $1,200–$3,075.15 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 3 matching MRF lines		 $652.58–$5,114.78 $974–$7,634 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $580.89 $867 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines		 $636.50–$2,696.85 $950–$4,025.15 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 3 matching MRF lines		 $681.39–$2,741.74 $1,017–$4,092.15 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $671.71 $1,002.55 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 3 matching MRF lines		 $502.50–$2,562.85 $750–$3,825.15 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $635.56 $948.60 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 3 matching MRF lines		 $435.50–$3,083.34 $650–$4,602 varies
Excision/destruction intranasal lesion int appr (30117) $499.15 $745 0.2×
Excision/destruction lesion pharynx any method (42808) $381.90 $570 0.1×
Excision/Transposition Pterygium W/O Graft (65420) $714.22 $1,066 0.3×
Expl penetrating wound spx abdomen/flank/back (20102) $4,206.26 $6,278 2.4×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $562.80–$3,812.97 $840–$5,691 varies
Exploration penetrating wound spx chest (20101)
range across 2 matching MRF lines		 $1,625.42–$3,657.39 $2,426–$5,458.79 varies
Exploration penetrating wound spx extremity (20103) $2,456.22 $3,666 1.7×
Exploration Penetrating Wound Spx Neck (20100) $1,299.91 $1,940.17 2.8×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure		 $1,106.17 $1,651 0.2×
Explore for undescended testis (54550) $749.06 $1,118 0.2×
Fasciectomy Plantar Fascia Partial Spx (28060) $787.25 $1,175 0.3×
Fasciotomy palmar percutaneous (26040) $843.53 $1,259 0.6×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $87.10–$302.41 $130–$451.36 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $704.47 $1,051.45 1.2×
Fine needle aspiration without imaging guidance (10021)
range across 4 matching MRF lines		 $164.15–$421.92 $245–$629.73 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $211.05–$281.40 $315–$420 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $117.22–$1,087.38 $174.95–$1,622.95 varies
Forehead flap w/vasc pedicle (15731) $1,474 $2,200 0.5×
Foreskin manipulation (54450) $120.60 $180 0.6×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $178.89 $267 0.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $998.30 $1,490 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $908.52 $1,356 0.5×
Grafting of autologous soft tiss by direct exc (15769) $739.68 $1,104 0.2×
Guide Cathet Fluid Drainage (10030) $925.77 $1,381.75 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 3 matching MRF lines		 $231.15–$1,393.33 $345–$2,079.60 varies
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,128.90 $4,670 0.7×
Hysteroscopy Biopsy (58558)
range across 3 matching MRF lines		 $2,072.97–$5,914.28 $3,093.98–$8,827.28 varies
Hysteroscopy Dx Sep Proc (58555)
range across 3 matching MRF lines		 $681.39–$5,618.62 $1,017–$8,386 varies
Hysteroscopy Endometrial Ablation (58563) $1,878.68 $2,804 0.4×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 3 matching MRF lines		 $509.20–$5,446.43 $760–$8,129 varies
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $536 $800 0.2×
I&d abscess peritonsillar (42700)
range across 4 matching MRF lines		 $254.60–$670.67 $380–$1,001 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $140.03–$1,496.78 $209–$2,234 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $606.35 $905 0.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,152.40 $1,720 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 3 matching MRF lines		 $562.80–$5,025 $840–$7,500 varies
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $247.90–$2,645.16 $370–$3,948 varies
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $286.76–$2,456.22 $428–$3,666 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $174.87–$799.13 $261–$1,192.73 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $396.64–$1,389.50 $592–$2,073.88 varies
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,206 $1,800 0.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $536 $800 0.0×
Impression & Preparation Auricular Prosthesis (21086) $2,578.16 $3,848 0.9×
Impression & Preparation Oral Surgical Splint (21085) $896.46 $1,338 4.4×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $319.59–$1,569.81 $477–$2,343 varies
Incise finger tendon sheath (26055) $1,038.50 $1,550 0.7×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,206.67 $1,801 0.2×
Incise/Drain Conjunctiva (68020) $467.66 $698 0.5×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $225.79–$2,751.02 $337–$4,106 varies
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $300.83–$3,412.31 $449–$5,093 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $150.75–$799.13 $225–$1,192.73 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 4 matching MRF lines		 $204.35–$472.73 $305–$705.56 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $207.03–$475.47 $309–$709.65 varies
Incision bone cortex foot (28005) $1,017.73 $1,519 0.4×
Incision Drainage Lacrimal Sac (68420) $724.27 $1,081 0.4×
Incision of eardrum (69420) $243.88 $364 1.2×
Incision of Foot Tendon (28234) $598.31 $893 0.4×
Incision of labial frenum (frenotomy) (40806) $229.14 $342 0.5×
Incision of lingual frenum (frenotomy) (41010)
range across 3 matching MRF lines		 $237.85–$2,218.81 $355–$3,311.65 varies
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $656.60–$4,652.59 $980–$6,944.17 varies
Incision of urethra (53010) $428.80 $640 0.1×
Incision of urethra (53000) $500.49 $747 0.3×
Incision of urethra (53020) $320.26 $478 0.2×
Incision&drainage bursa foot (28001) $438.85 $655 0.3×
Incisional biopsy eyelid skin & lid margin (67810) $389.27 $581 1.4×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $227.80–$1,330.62 $340–$1,986 varies
Induced abortion dilation and curettage (59840) $361.80 $540 0.1×
Initial Tx 1st Degree Burn Local Tx (16000) $171.52 $256 1.0×
Inject Intravitreal Pharmcologic (67028) $737 $1,100 2.6×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $118.89–$823.66 $177.45–$1,229.35 varies
Injection aa&/strd genicular nrv branches w/img (64454) $323.26 $482.48 0.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $402 $600 0.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $336.34 $502 0.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $209.04 $312 0.3×
Injection anesthetic agent suprascapular nerve (64418) $251.25 $375 0.4×
Injection enzyme palmar fascial cord (20527) $130.80 $195.23 0.5×
Injection for identification of sentinel node (38792) $53.10 $79.25 0.2×
Injection medication/other subst tenon capsule (67515) $100.50 $150 0.4×
Injection of sclerosing solution, hemorrhoids (46500) $234.50 $350 0.3×
Injection procedure for peyronie disease (54200) $202.34 $302 0.9×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $88.44–$692.44 $132–$1,033.50 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $93.80–$562.80 $140–$840 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $100.50–$1,106.50 $150–$1,651.50 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,456.58 $2,174 1.1×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $123.95–$820.08 $185–$1,224 varies
Injection, anesthetic agent; femoral nerve, single (64447) $257.95 $385 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $150.75–$1,049.62 $225–$1,566.60 varies
Injection, Intralesional; More Than 7 Lesions (11901) $87.77 $131 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $67 $100 0.4×
Injx Anterior Chamber Eye Medication Spx (66030) $230.48 $344 0.1×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines		 $182.35–$423.55 $272.16–$632.16 varies
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $278.05–$1,695.10 $415–$2,530 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $201–$1,695.10 $300–$2,530 varies
Insert cervical dilator (59200) $152.76 $228 0.6×
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 $163.94–$381.69 $244.68–$569.68 varies
Insert Gastrostomy Tube Percutaneous (49440) $2,108.49 $3,147 1.3×
Insert Nasal Septal Button (30220) $268 $400 0.2×
Insert non-tunnel cv cath (36556) $2,146.01 $3,203 0.8×
Insert pessary/other device (57160)
range across 3 matching MRF lines		 $113.90–$363.31 $170–$542.25 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $90.45–$790.60 $135–$1,180 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $64.99–$360.23 $97–$537.66 varies
Insert Uro/Ves Nck Sphincter (53445)
likely a partial charge, not the full procedure		 $2,355.72 $3,516 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $110.17–$230.77 $164.43–$344.43 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,750.35 $4,105 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $552.75–$813.38 $825–$1,214 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,360.34 $9,493.05 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $596.97 $891 1.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $775.86 $1,158 2.2×
Intranasal Biopsy (30100) $121.94 $182 0.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $226.46–$1,425.76 $338–$2,128 varies
Iridoplasty photocoagulation 1/> sessions (66762) $527.29 $787 1.1×
Iridotomy/irridectomy laser surg per session (66761) $501.16 $748 1.1×
Irrigation maxillary sinus (31000) $185.59 $277 0.9×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $277.38–$384.58 $414–$574 varies
Kidney endoscopy (50553) $1,144.36 $1,708 0.2×
Kidney endoscopy (50551) $550.74 $822 0.1×
Labyrinthotomy Transcanal (69801) $1,711.18 $2,554 1.3×
Lam facetec & foramot lumbar (63047) $5,325.83 $7,949 0.9×
Laparo new ureter/bladder (50947)
likely a partial charge, not the full procedure		 $2,237.80 $3,340 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,407 $2,100 0.2×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
unusually low: confirm this is the full procedure		 $1,819.72 $2,716 0.3×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $716.90 $1,070 0.2×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $175.54–$179.56 $262–$268 varies
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $282.74–$379.89 $422–$567 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 3 matching MRF lines		 $475.03–$3,290.37 $709–$4,911 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $412.72–$693.48 $616–$1,035.05 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 3 matching MRF lines		 $273.36–$631.14 $408–$942 varies
Laryngoscopy Indirect W/Biopsy (31510) $249.91 $373 0.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $330.16 $492.78 1.9×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $199.66 $298 0.6×
Laryngoscopy W/Biopsy (31535) $546.05 $815 0.2×
Laryngoscopy W/Foreign Body Removal (31530) $3,602.02 $5,376.15 2.3×
Laser vaporization of prostate (52648) $4,569.40 $6,820 1.0×
Late closure of wound (13160)
range across 2 matching MRF lines		 $919.24–$3,657.39 $1,372–$5,458.79 varies
Lateral Canthopexy (21282) $460.29 $687 0.2×
Ligation of a-v fistula (37607) $600.99 $897 0.2×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $529.97–$3,747.92 $791–$5,593.91 varies
Litholapaxy comp/lg > 2.5 cm (52318) $957.43 $1,429 0.3×
Litholapaxy smpl/sm <2.5 cm (52317) $1,682.37 $2,511 0.6×
Lithotripsy, extracorporeal shock wave (50590) $1,692.42 $2,526 0.6×
Lysis Intranasal Synechia (30560) $228.47 $341 0.5×
Lysis of labial adhesions (56441) $247.23 $369 0.1×
Lysis/excision penile postcircumcision adhesions (54162)
range across 3 matching MRF lines		 $448.90–$3,818.33 $670–$5,699 varies
Male sling procedure (53440)
likely a partial charge, not the full procedure		 $1,404.32 $2,096 0.1×
Manipulation, finger joint, under anesthesia, each joint (26340) $589.60 $880 0.4×
Manometric stds thru tube/ndwellg urtrl cath (50396) $180.90 $270 0.3×
Marsupialization of bartholin's gland cyst (56440) $645.88 $964 0.2×
Marsupialization of urethral diverticulum, male or female Facility (53240) $617.74 $922 0.2×
Medial Canthopexy Separate Procedure (21280) $665.31 $993 0.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,007.68 $1,504 1.6×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $942.02 $1,406 1.5×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $514.56 $768 0.3×
Myelography Lumbar Injection (62305) $603 $900 0.9×
Myelography Lumbar Injection (62304) $425.45 $635 0.6×
Myelography via lumbar injection rs&i cervical (62302) $458.95 $685 0.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $452.25 $675 0.7×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,187.91 $1,773 0.4×
N Block Inj Ilio-Ing/Hypogi (64425) $174.20 $260 0.3×
N block inj intercost sng (64420) $268 $400 0.4×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $83.75–$575.53 $125–$859 varies
N Block Inj Pudendal (64430) $224.45 $335 0.3×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $252.59–$558.11 $377–$833 varies
Nasal sinus therapy (30210) $197.65 $295 0.1×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $83.08–$330.31 $124–$493 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $277.38 $414 0.8×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $1,141.01 $1,703 0.4×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $1,446.53 $2,159 0.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,100.14 $1,642 0.7×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $814.72 $1,216 0.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,323.92 $1,976 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure		 $2,010 $3,000 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure		 $1,876 $2,800 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $1,742 $2,600 0.3×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,100.14 $1,642 0.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $1,446.53 $2,159 0.2×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $1,711.18 $2,554 0.3×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $312.22 $466 0.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $259.29 $387 1.2×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $365.15 $545 0.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $229.14–$3,321.19 $342–$4,957 varies
Needle Biopsy Pancreas (48102) $1,268.31 $1,893 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $162.64 $242.74 6.5×
Needle insertion w/o injection 3 or more muscles (20561) $175.37 $261.74 7.0×
Nerve Pedicle Transfer First Stage (64905)
likely a partial charge, not the full procedure		 $1,239.50 $1,850 0.2×
Nipple/areola reconstruction (19350) $1,237.49 $1,847 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $169.51–$795.29 $253–$1,187 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $364.48 $544 0.6×
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 3 matching MRF lines		 $1,407–$4,033.40 $2,100–$6,020 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $134 $200 0.2×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $192.29–$842.86 $287–$1,258 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $240.53 $359 0.7×
Njx Sclrsnt Spider Veins (36468) $201 $300 0.6×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $1,711.18 $2,554 0.3×
Occipital Nerve Block (64405)
range across 5 matching MRF lines		 $170.18–$1,257.79 $254–$1,877.30 varies
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
unusually low: confirm this is the full procedure		 $2,105.81 $3,143 0.4×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $703.50–$5,012.27 $1,050–$7,481 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $739.01 $1,103 0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $847.55 $1,265 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,403.65 $2,095 0.2×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $1,218.06 $1,818 0.4×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $742.36 $1,108 0.4×
Partial excision of lip (40520) $716.90 $1,070 0.3×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $400.66–$3,903.42 $598–$5,826 varies
Partial removal of toe (28160) $648.56 $968 0.2×
Partical Excision Bone Phalanx Toe (28124) $763.80 $1,140 0.3×
Penile Injection (54235)
range across 3 matching MRF lines		 $134–$523.73 $200–$781.68 varies
Penis plastic surgery (54360) $1,088.08 $1,624 0.4×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $286.76–$911.20 $428–$1,360 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,948 $4,400 1.1×
Pericardiocentesis W/Imaging (33016) $370.51 $553 0.3×
Peritoneal Lavage (49084) $788.62 $1,177.05 1.0×
Perq Cervicothoracic Inject (22510) $938 $1,400 0.3×
Perq dev breast 1st us imag (19285) $770.50 $1,150 1.3×
Perq Lumbosacral Injection (22511) $888.42 $1,326 0.3×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
likely a partial charge, not the full procedure		 $1,718.55 $2,565 0.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 3 matching MRF lines		 $478.38–$1,041.18 $714–$1,554 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $797.30 $1,190 0.1×
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure		 $854.25 $1,275 0.1×
Phleb Veins - Extrem 20+ (37766)
range across 3 matching MRF lines		 $1,474–$4,285.51 $2,200–$6,396.28 varies
Placement of needle for intraosseous infusion (36680) $296.14 $442 0.8×
Placement of seton (46020) $434.52 $648.53 0.2×
Plastic Repair Canaliculi (68700) $696.13 $1,039 0.3×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,166.47 $1,741 0.6×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $361.80 $540 0.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $435.69 $650.28 0.1×
Probe lacrimal canaliculi w/wo irrigation (68840) $282.74 $422 1.0×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $882.39 $1,317 0.4×
Probing nasolacrimal duct (68810) $347.06 $518 1.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $120.60–$1,094.78 $180–$1,634 varies
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $4,005.70 $5,978.66 1.7×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)
range across 2 matching MRF lines		 $168.17–$1,012.37 $251–$1,511 varies
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $653.25 $975 1.4×
Prostatic microwave thermotx (53850) $4,941.25 $7,375 1.6×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $5,012.27 $7,481 1.8×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $234.50–$640.52 $350–$956 varies
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $190.13–$338.64 $283.78–$505.43 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $111.22–$814.72 $166–$1,216 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $257.95–$1,127.37 $385–$1,682.64 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $421.43 $629 0.7×
Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) $3,189.87 $4,761 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $754.71 $1,126.43 0.4×
Rcnstj Eyelid Full Thickness Second Stage (67975) $862.29 $1,287 0.4×
Reconstruct extra finger (26587) $1,061.95 $1,585 0.4×
Reconstruction Nail Bed W/Graft (11762) $3,248.83 $4,849 1.8×
Release of big toe (28240) $665.98 $994 0.2×
Removal Anal Seton Other Marker (46030) $215.07 $321 0.2×
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		 $1,192.60 $1,780 0.1×
Removal Embedded Foreign Body Eyelid (67938)
range across 3 matching MRF lines		 $378.80–$559.45 $565.38–$835 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $4,511.11–$9,022.22 $6,733–$13,466 varies
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $1,603.31–$4,041.44 $2,393–$6,032 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $3,412.31–$6,825.29 $5,093–$10,187 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $438.85–$3,206.62 $655–$4,786 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 4 matching MRF lines		 $387.26–$3,035.10 $578–$4,530 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $3,412.31–$6,825.29 $5,093–$10,187 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $98.49–$301.50 $147–$450 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines		 $93.13–$253.26 $139–$378 varies
Removal Implant Deep (20680) $582.90 $870 0.2×
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $684.07–$3,331.91 $1,021–$4,973 varies
Removal implantable contraceptive capsules (11976)
range across 3 matching MRF lines		 $224.57–$1,135.36 $335.18–$1,694.56 varies
Removal intact breast implant (19328) $846.88 $1,264 0.3×
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $970.83 $1,449 0.2×
Removal of foreign body from pharynx (42809) $126.63 $189 0.3×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $261.30–$1,096.56 $390–$1,636.65 varies
Removal of urethra (53210) $1,083.39 $1,617 0.4×
Removal or bivalving full arm or full leg cast (29705)
range across 4 matching MRF lines		 $184.25–$638.51 $275–$953 varies
Removal or destruction of bladder canal (urethra) malignancy (53220) $666.65 $995 0.2×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) $1,118.90 $1,670 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $107.20–$230.31 $160–$343.75 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $129.31 $193 0.1×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $73.70–$211.72 $110–$316 varies
Remove Brain Cavity Fluid (61020) $217.75 $325 0.3×
Remove cerclage suture (59871) $214.40 $320 0.1×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $184.92–$580.62 $276–$866.60 varies
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $4,336.91–$8,673.15 $6,473–$12,945 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $182.91–$194.97 $273–$291 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $153.43–$565.61 $229–$844.20 varies
Remove lung catheter (32552) $268 $400 0.5×
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines		 $110.17–$368.12 $164.43–$549.43 varies
Remove prostate regrowth (52630) $1,299.80 $1,940 0.3×
Remove renal tube w/fluoro (50389) $100.50 $150 0.2×
Remove Shoulder Foreign Body (23330)
range across 3 matching MRF lines		 $414.73–$2,262.59 $619–$3,377 varies
Remove tissue expander (11971) $1,664.28 $2,484 0.7×
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $395.70–$797.70 $590.60–$1,190.60 varies
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $938 $1,400 0.2×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $963.46–$1,373.50 $1,438–$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		 $1,380.20 $2,060 0.2×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge, not the full procedure		 $1,368.81 $2,043 0.2×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $1,334.64 $1,992 0.3×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,139 $1,700 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $7,875.18 $11,754 2.9×
Repair Blood Vessel Direct Upper Extremity (35206) $6,887.60 $10,280 2.5×
Repair brow ptosis (67900) $898.47 $1,341 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $496.47–$876.36 $741–$1,308 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $876.36–$960.78 $1,308–$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		 $433.49–$596.97 $647–$891 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $759.78–$876.36 $1,134–$1,308 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $371.18–$596.97 $554–$891 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $588.26–$596.97 $878–$891 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $341.03–$876.36 $509–$1,308 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 4 matching MRF lines		 $420.76–$1,182.73 $628–$1,765.27 varies
Repair Detached Retina (67101) $968.15 $1,445 0.5×
Repair Ectropion Excision Tarsal Wedge (67916) $1,154.41 $1,723 0.6×
Repair Ectropion Extensive (67917) $951.40 $1,420 0.5×
Repair Ectropion Suture (67914) $864.30 $1,290 0.4×
Repair Entropion Excision Tarsal Wedge (67923) $1,137.66 $1,698 0.6×
Repair Entropion Suture (67921) $834.82 $1,246 0.4×
Repair extensor tendon finger w/o graft each (26418) $3,240.12 $4,836 2.3×
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $1,146.37–$3,776.79 $1,711–$5,637 varies
Repair Finger Tendon (26433) $3,650.33 $5,448.25 1.3×
Repair Finger/Hand Tendon (26350) $6,048.39 $9,027.45 2.1×
Repair Fistula Oromaxillary (30580)
likely a partial charge, not the full procedure		 $895.12 $1,336 0.2×
Repair Hand Joint (26540) $3,650.33 $5,448.25 1.3×
Repair Hand Tendon (26410) $2,817.34 $4,204.98 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $290.78–$596.97 $434–$891 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $251.92–$467.14 $376–$697.23 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $251.92–$418.75 $376–$625 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $251.92–$408.03 $376–$609 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $596.97 $891 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $218.81–$470.06 $326.58–$701.58 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $251.92–$301.50 $376–$450 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $251.92–$334.33 $376–$499 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $251.92–$502.50 $376–$750 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $218.81–$447.28 $326.58–$667.58 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $460.96–$979.94 $688–$1,462.59 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $596.97 $891 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 4 matching MRF lines		 $225.51–$542.42 $336.58–$809.58 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $596.97 $891 0.3×
Repair Nasal Vestibular Stenosis (30465)
likely a partial charge, not the full procedure		 $1,293.10 $1,930 0.3×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $234.50–$251.92 $350–$376 varies
Repair of urethra injury (53502) $723.60 $1,080 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,265.22 $6,366 1.5×
Repair tongue laceration (41252) $1,494.77 $2,231 7.3×
Repair tongue laceration (41250) $213.73 $319 0.6×
Repair Tooth Socket (41874) $368.50 $550 0.1×
Repair uro sphincter (53449)
likely a partial charge, not the full procedure		 $917.90 $1,370 0.1×
Replace duodenostomy/jejunostomy tube perq (49451) $1,064.35 $1,588.58 1.4×
Replace eye fluid (67025) $1,283.72 $1,916 0.6×
Replace G-J Tube Perc (49452) $1,541 $2,300 2.0×
Replace g/c tube perc (49450) $980.14 $1,462.90 1.3×
Reposition Gastrostomy Tube (43761) $1,047.21 $1,563 4.9×
Resect enlarged toe tissue (28340) $857.60 $1,280 0.3×
Retrobulbar injection (67500) $116.58 $174 0.4×
Revise eyelashes (67825) $361.80 $540 1.3×
Revision of eyelid (67880) $847.55 $1,265 0.4×
Revision of urethra (53460) $661.29 $987 0.2×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $832.14 $1,242 0.3×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure		 $3,300.42 $4,926 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,100.40 $6,120 1.4×
Revj/rpr oprative wound anterior segment (66250) $724.27 $1,081 0.4×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $584.91 $873 0.3×
Rmvl embedded fb vestibule mouth comp (40805) $1,299.91 $1,940.17 2.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 4 matching MRF lines		 $126.63–$1,371.28 $189–$2,046.68 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $182.91 $273 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $182.91–$469 $273–$700 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $182.91–$208.37 $273–$311 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530) $970.16 $1,448 3.5×
Rmvl fecal impaction/fb spx under anes (45915) $442.20 $660 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,922.71 $5,854.79 1.6×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $399.99 $597 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $960.78–$1,920.89 $1,434–$2,867 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $575.53–$2,634.61 $859–$3,932.25 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines		 $351.08–$1,406.33 $524–$2,099 varies
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $333.96–$922.09 $498.45–$1,376.25 varies
Rplc gtube revj gstrst trc (43763) $526.62 $786 2.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $117.25 $175 0.1×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $885.74 $1,322 0.4×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $1,202.65 $1,795 0.6×
Rpr blood vessel direct lower extremity (35226) $3,322.53 $4,959 5.4×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $842.19 $1,257 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $251.92 $376 1.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $596.97 $891 0.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $583.32 $870.62 2.9×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $751.74 $1,122 0.4×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $306.86 $458 0.1×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $897.80 $1,340 0.2×
Rpr Lip Full Thickness Vermilion Only (40650) $1,494.77 $2,231 3.2×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $1,565.79 $2,337 0.8×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $626.45 $935 0.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $4,678.98 $6,983.55 1.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $6,086.28 $9,084 2.2×
Severing Adhesions Anterior Segment Laser Spx (65860) $397.31 $593 0.8×
Severing tarsorrhaphy (67710) $454.93 $679 0.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $981.22 $1,464.50 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $495.13–$1,012.37 $739–$1,511 varies
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 $101.17–$607.61 $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		 $135.34–$473.69 $202–$707 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $169.51 $253 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $88.44 $132 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $176.88–$221.10 $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		 $122.61–$385.54 $183–$575.43 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $145.39 $217 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines		 $186.93–$449.86 $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		 $137.35–$643.79 $205–$960.88 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 3 matching MRF lines		 $103.85–$366.78 $155–$547.43 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $140.70 $210 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 3 matching MRF lines		 $156.11–$419.04 $233–$625.43 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 2 matching MRF lines		 $262.64–$4,007.27 $392–$5,981 varies
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,005.85 $1,501.27 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $981.22 $1,464.50 1.0×
Sigmoidoscopy w/fb removal (45332) $951.73 $1,420.49 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $228.47–$1,012.37 $341–$1,511 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $923.97 $1,379.06 0.9×
Simple Cystometrogram (51725)
range across 4 matching MRF lines		 $113.90–$502.50 $170–$750 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $251.92 $376 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $213.06–$251.92 $318–$376 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $233.16–$251.92 $348–$376 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $251.92 $376 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $251.92–$272.02 $376–$406 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $251.92 $376 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $204.35–$423.16 $305–$631.58 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $251.92 $376 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $247.23–$251.92 $369–$376 varies
Skin Full Grft Face/Genit/Hf (15240) $986.91 $1,473 0.6×
Skin Pedicle Flap Trunk (15570) $951.40 $1,420 0.5×
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $301.50–$1,914.12 $450–$2,856.90 varies
Skin sub graft trnk/arm/leg (15271) $1,239.50 $1,850 1.9×
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $402–$1,876 $600–$2,800 varies
Skin Tissue Procedure (17999)
range across 6 matching MRF lines		 $402–$730.30 $12–$1,090 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $368.50–$1,876 $550–$2,800 varies
Slitting of prepuce (54001)
range across 4 matching MRF lines		 $450.91–$4,094.37 $673–$6,111 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $214.40–$433.21 $320–$646.58 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $251.92–$310.88 $376–$464 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $251.92 $376 0.7×
Snip Incision Lacrimal Punctum (68440) $448.23 $669 1.6×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $240.53–$848.89 $359–$1,267 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,239.50 $1,850 0.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines		 $837.50–$3,649.01 $1,250–$5,446.28 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $53.60–$211.72 $80–$316 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $211.72–$422.77 $316–$631 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $81.07–$422.77 $121–$631 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $83.75–$89.78 $125–$134 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $98.49–$211.72 $147–$316 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $49.58–$211.72 $74–$316 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $87.10–$367.83 $130–$549 varies
Subconjunctival injection (68200) $191.62 $286 0.5×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $108.54 $162 0.6×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $236.51 $353 0.4×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $662.63 $989 0.2×
Surg tx anal fistula subq (46270) $626.45 $935 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $918.57 $1,371 0.4×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $824.77 $1,231 0.4×
Synovectomy Tendon Sheath Foot Extensor (28088) $726.95 $1,085 0.3×
Tangential biopsy skin single lesion (11102) $149.41 $223 0.4×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $249.24 $372 0.4×
Temporary Closure Eyelids Suture (67875) $660.62 $986 0.8×
Tenolysis extensor foot single tendon (28225) $604.34 $902 0.2×
Tenolysis flexor foot single tendon (28220) $672.68 $1,004 0.5×
Tenotomy Adductor Hip Percutaneous Spx (27000) $702.16 $1,048 0.5×
Tenotomy Hip Abd/Ext Open (27006) $1,094.11 $1,633 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $550.74 $822 0.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $661.96 $988 0.5×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $647.89 $967 0.2×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $746.38 $1,114 0.3×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $970.16 $1,448 0.2×
Tenotomy, hip flexor(s), open (27005) $1,090.09 $1,627 0.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $253.93 $379 0.4×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $224.45–$999.64 $335–$1,492 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,350.05–$2,825.12 $2,015–$4,216.59 varies
Trabeculoplasty by laser surgery (65855) $611.71 $913 1.3×
Tracheobrnchsc Thru Est Trachs Inc (31615) $374.53 $559 0.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,494.77 $2,231 7.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,494.77 $2,231 1.1×
Tracheostomy planned (31600) $955.42 $1,426 0.3×
Transur electr resection of prostate (52601) $1,352.73 $2,019 0.3×
Transurethral incision of prostate (52450) $976.19 $1,457 0.3×
Transurethral resection bladder neck (52500) $817.40 $1,220 0.3×
Treat Big Toe Fracture (28505) $799.31 $1,193 0.3×
Treat fracture radius/ulna (25575) $11,786.64 $17,592 1.9×
Treat humerus fracture (24500)
range across 4 matching MRF lines		 $485.75–$1,005 $725–$1,500 varies
Treat Humerus Fracture (24505)
range across 5 matching MRF lines		 $298.15–$3,369.43 $445–$5,029 varies
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $228.64–$747.89 $341.25–$1,116.25 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $3,932.90–$7,865.80 $5,870–$11,740 varies
Treat Knee Fracture(S) (27538)
range across 5 matching MRF lines		 $408.03–$1,372.16 $609–$2,048 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $298.15–$492.45 $445–$735 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $298.15–$434.16 $445–$648 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $263.31–$298.15 $393–$445 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $298.15–$603 $445–$900 varies
Treat Thumb Fracture (26645)
range across 4 matching MRF lines		 $622.43–$3,243.47 $929–$4,841 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $214.40–$298.15 $320–$445 varies
Treat vagina infection (57150) $93.80 $140 1.8×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $565.48–$5,871.21 $844–$8,763 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $298.15–$596.30 $445–$890 varies
Treatment extensive retinopathy photocoagulation (67228) $1,356.75 $2,025 2.9×
Treatment of foot infection (28003) $1,055.92 $1,576 0.4×
Treatment of retina (67141) $693.45 $1,035 2.5×
Treatment of retinal lesion (67208) $1,090.76 $1,628 4.0×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $49.58–$169.18 $74–$252.50 varies
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines		 $62.31–$338.35 $93–$505 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $75.71–$338.64 $113–$505.43 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 4 matching MRF lines		 $46.90–$117.92 $70–$176 varies
Trurl drainage prostatic abscess (52700) $685.41 $1,023 0.2×
Trurl rescj postop bladder neck contracture (52640) $728.29 $1,087 0.2×
Tx Gastro Intub W/Asp (43753) $387.25 $577.98 2.1×
Tx Missed Abortion First Trimester Surgical (59820) $499.82 $746 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $607.69 $907 0.4×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $603 $900 0.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $2,935.27–$5,871.21 $4,381–$8,763 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $468.33–$1,453.90 $699–$2,170 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $206.36–$518.98 $308–$774.59 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $298.15–$457.61 $445–$683 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 3 matching MRF lines		 $301.94–$678.48 $450.65–$1,012.65 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $456.94 $682 0.3×
Unlisted laparoscopy procedure stomach (43659)
range across 3 matching MRF lines		 $757.10–$5,021.65 $1,130–$7,495 varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $1,207.34–$2,164.10 $1,802–$3,230 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $3,816.32 $5,696 0.7×
Unlisted procedure arthroscopy (29999) $1,370.15 $2,045 6.4×
Unlisted Procedure Intestine (44799) $1,444.24 $2,155.58 1.8×
Unlisted procedure larynx (31599) $286.76 $428 1.4×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $150.75–$1,195.28 $225–$1,784 varies
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines		 $827.45–$2,775.81 $1,235–$4,143 varies
Unlisted px female genital system nonobstetrical (58999) $209.71 $313 1.2×
Ureter endoscopy (50970) $616.40 $920 0.2×
Ureter endoscopy & biopsy (50955) $1,430.45 $2,135 0.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $1,508.84 $2,252 0.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $1,359.43 $2,029 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) $542.70 $810 0.1×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) $804 $1,200 0.2×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $549.40 $820 0.2×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) $770.50 $1,150 0.2×
Ureteral endoscopy via ureterostomy (50951) $581.56 $868 0.2×
Urethrectomy, total, including cystostomy; male Facility (53215) $1,835.13 $2,739 0.4×
Urethromeatoplasty W/Mucosal Advancement (53450) $591.61 $883 0.2×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $1,453.90 $2,170 0.3×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) $1,386.90 $2,070 0.3×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) $1,407 $2,100 0.3×
Urethroplasty, reconstruction of female urethra Facility (53430) $1,420.40 $2,120 0.3×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $1,185.90 $1,770 0.3×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) $1,299.80 $1,940 0.3×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $716.90 $1,070 0.2×
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) $944.70 $1,410 0.2×
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) $1,172.50 $1,750 0.3×
Urine Flow Measurement (51736)
range across 2 matching MRF lines		 $87.77–$164.15 $131–$245 varies
Vaginal delivery only (59409) $1,393.60 $2,080 0.5×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $1,845.85 $2,755 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $670–$3,295.56 $1,000–$4,918.75 varies
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure		 $2,948 $4,400 0.3×
Ventilating tube removal requiring general anesthesia (69424) $402 $600 0.1×
Ventricular puncture previous burr hole w/inj (61026) $212.39 $317 0.3×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $171.52–$174.20 $256–$260 varies
Wedging of cast (29740) $123.28 $184 0.5×
Wedging of clubfoot cast (29750) $140.03 $209 0.6×
Windowing of cast (29730) $211.72 $316 1.5×
Wound Prep F/N/Hf/G (15004)
range across 3 matching MRF lines		 $619.28–$1,391.02 $924.30–$2,076.15 varies
Wound Prep Trk/Arm/Leg (15002)
range across 3 matching MRF lines		 $586.25–$2,198.87 $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.