Procedures & surgery prices at OHSU Hospital and Clinics

Portland, OR · every code in this section with a posted price and a Medicare benchmark.

1410 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $2,180.10–$2,398.50 $3,354–$3,690 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $2,180.10–$2,398.50 $3,354–$3,690 varies
Abdomen Surgery Procedure (22999) $625.95 $963 2.3×
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $3,681.60–$6,626.88 $5,664–$10,195.20 varies
Ablate Pulm Tumor Perq Crybl (32994) $23,621.65 $36,341 2.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 2 matching MRF lines		 $17,199–$30,958.20 $26,460–$47,628 varies
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $13,121.55 $20,187 1.6×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,311.10 $5,094 1.8×
Acne surgery (10040) $161.20 $248 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,930 $4,256 1.3×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $3,550 $4,256 1.5×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,550 $12,050 0.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,550 $4,256 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,930 $4,256 1.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,930 $4,256 1.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,550 $4,256 1.5×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,550 $4,256 1.5×
Allogeneic lymphocyte infusions (38242) $1,470.95 $2,263 0.8×
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $7,776.60 $11,964 2.1×
Amniocentesis diagnostic (59000) $2,241.20 $3,448 2.2×
Amniocentesis therapeutic (59001) $1,781 $2,740 5.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $7,515.95–$8,268 $11,563–$12,720 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $7,515.95–$8,268 $11,563–$12,720 varies
Amputation metatarsal with toe single (28810) $7,515.95 $11,563 2.0×
Amputation toe interphalangeal joint (28825) $7,515.95 $11,563 2.0×
Amputation toe metatarsophalangeal joint (28820) $7,515.95 $11,563 2.0×
Anal Sp Inf Pmp W/Reprg&Fill (62369)
range across 2 matching MRF lines		 $250.90–$276.25 $386–$425 varies
Anal/Urinary Muscle Study (51784) $126.75 $195 0.9×
Anoscopy diagnostic (46600)
range across 4 matching MRF lines		 $104.65–$295.10 $161–$454 varies
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $954.85 $1,469 0.7×
Anoscopy W/Rmvl Foreign Body (46608) $2,085.85 $3,209 2.0×
Anoscopy; with biopsy, single or multiple (46606) $2,958.15 $4,551 2.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $6,451.25 $9,925 2.1×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $414.05–$745.29 $637–$1,146.60 varies
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $698.10 $1,074 2.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $414.05 $637 2.3×
Application cast elbow finger short arm (29075) $215.15 $331 0.7×
Application finger splint static (29130)
range across 2 matching MRF lines		 $303.55–$334.10 $467–$514 varies
Application Halo Cranial Including Removal (20661) $7,081.10 $10,894 3.9×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $128.05–$800.28 $197–$1,231.20 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $414.05–$455.65 $637–$701 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $698.10–$1,256.58 $1,074–$1,933.20 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $698.10–$1,256.58 $1,074–$1,933.20 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $303.55–$334.10 $467–$514 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $104.65–$669.24 $161–$1,029.60 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $128.05–$778.05 $197–$1,197 varies
Apply hand/wrist cast (29085) $128.05 $197 0.7×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $215.15–$620.10 $331–$954 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $414.05–$745.29 $637–$1,146.60 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $215.15–$387.27 $331–$595.80 varies
Apply short leg cast (29425)
range across 4 matching MRF lines		 $215.15–$1,165.32 $331–$1,792.80 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $296.40–$393.90 $456–$606 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $319.15–$962.91 $491–$1,481.40 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines		 $560.95–$2,393.82 $863–$3,682.80 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $239.20–$1,010.88 $368–$1,555.20 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $239.20–$552.24 $368–$849.60 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $319.15–$632.97 $491–$973.80 varies
Arthroplasty, temporomandibular joint, with allograft Facility (21242) $13,902.20 $21,388 2.1×
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) $19,784.05 $30,437 0.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $4,034.55–$4,438.20 $6,207–$6,828 varies
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $1,534.65–$3,941.73 $2,361–$6,064.20 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,534.65–$1,903.20 $2,361–$2,928 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $239.20–$294.45 $368–$453 varies
Aspiration & Injection Treatment Bone Cyst (20615) $1,654.90 $2,546 2.1×
Aspiration and/or injection thyroid cyst (60300) $1,654.90 $2,546 2.1×
Aspiration bladder insert suprapubic catheter (51102) $4,533.10 $6,974 1.9×
Aspiration Bladder Needle (51100) $546.65 $841 1.9×
Aspiration/Release Vitreous Subretinal/Choroidal (67015)
range across 4 matching MRF lines		 $3,946.15–$8,043.75 $6,071–$12,375 varies
Augmentation lower jaw bone (21127) $4,824.30 $7,422 0.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $161.20–$831.87 $248–$1,279.80 varies
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $23,621.65 $36,341 2.0×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $13,033.15 $20,051 1.8×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $6,373.25 $9,805 0.9×
Biopsy Abdominal Mass (49180) $4,007.90 $6,166 2.2×
Biopsy bone open deep (20245) $6,968 $10,720 2.1×
Biopsy bone open superficial (20240) $7,097.35 $10,919 2.2×
Biopsy bone trocar/needle deep (20225) $4,007.90 $6,166 2.2×
Biopsy Bone Trocar/Needle Superficial (20220) $4,007.90 $6,166 2.2×
Biopsy External Auditory Canal (69105) $3,681.60 $5,664 2.1×
Biopsy external ear (69100) $188.50 $290 0.7×
Biopsy muscle percutaneous needle (20206) $4,007.90 $6,166 2.2×
Biopsy Muscle Superficial (20200) $1,312.35 $2,019 0.7×
Biopsy nail unit (11755) $570.05 $877 0.7×
Biopsy Nasopharynx Visible Lesion Simple (42804) $7,776.60 $11,964 2.1×
Biopsy of breast; open, incisional (19101) $9,352.20 $14,388 2.1×
Biopsy of conjunctiva (68100)
range across 2 matching MRF lines		 $1,899.95–$3,419.91 $2,923–$5,261.40 varies
Biopsy of cornea (65410) $5,613.40 $8,636 2.1×
Biopsy of floor of mouth (41108)
range across 2 matching MRF lines		 $1,312.35–$4,056.65 $2,019–$6,241 varies
Biopsy of lip (40490) $188.50 $290 0.7×
Biopsy of liver, needle; percutaneous (47000) $4,007.90 $6,166 2.2×
Biopsy of nerve (64795) $4,899.05 $7,537 2.2×
Biopsy of palate, uvula (42100)
range across 2 matching MRF lines		 $1,199.90–$3,825.90 $1,846–$5,886 varies
Biopsy of penis (54100) $1,312.35 $2,019 0.7×
Biopsy of penis; deep structures (54105) $7,097.35 $10,919 2.2×
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $6,451.25–$7,096.70 $9,925–$10,918 varies
Biopsy of tear sac (68525) $4,823.65 $7,421 1.8×
Biopsy of urethra (53200) $4,533.10 $6,974 1.9×
Biopsy Oropharynx (42800)
range across 2 matching MRF lines		 $3,681.60–$4,050.15 $5,664–$6,231 varies
Biopsy Pleura Percutaneous Needle (32400) $4,007.90 $6,166 2.2×
Biopsy Salivary Gland Incisional (42405) $1,199.90 $1,846 0.7×
Biopsy Salivary Gland Needle (42400) $2,657.20 $4,088 3.3×
Biopsy Soft Tissue Back/Flank Superficial (21920) $4,007.90 $6,166 2.2×
Biopsy soft tissue neck/thorax (21550) $4,007.90 $6,166 2.2×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $4,007.90 $6,166 2.2×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $4,007.90 $6,166 2.2×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $7,097.35 $10,919 2.2×
Biopsy soft tissue thigh/knee area superficial (27323) $4,007.90 $6,166 2.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $4,007.90 $6,166 2.2×
Biopsy Testis Incisional Separate Procedure (54505) $7,836.40 $12,056 2.0×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $412.75–$1,197.30 $635–$1,842 varies
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines		 $7,776.60–$13,997.88 $11,964–$21,535.20 varies
Biopsy Vaginal Mucosa Simple (57100) $2,241.20 $3,448 2.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $705.25 $1,085 0.7×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $412.75–$1,197.30 $635–$1,842 varies
Bladder instillation anticarcinogenic agent (51720) $540.80 $832 0.7×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $196.95–$598.65 $303–$921 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $48.10–$243.75 $74–$375 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $3,177.20 $4,888 1.8×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $4,180 $4,256–$7,660.80 1.8×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $686.40–$721.50 $1,056–$1,110 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $906.10–$1,189.50 $1,394–$1,830 varies
Blood/Lymph System Procedure (38999)
range across 12 matching MRF lines		 $925.60–$67,875.60 $1,424–$104,424 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $4,007.90–$7,214.22 $6,166–$11,098.80 varies
Bone marrow harvest allogen (38230) $74,316.45 $114,333 42.5×
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $4,007.90–$7,214.22 $6,166–$11,098.80 varies
Brnchsc Brushing/Protected Brushings (31623) $4,306.90 $6,626 2.2×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $8,845.20 $13,608 2.1×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $8,845.20 $13,608 2.1×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)
range across 2 matching MRF lines		 $8,845.20–$15,921.36 $13,608–$24,494.40 varies
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630)
range across 2 matching MRF lines		 $8,845.20–$15,921.36 $13,608–$24,494.40 varies
Bronchoscopy Clear Airways (31645) $4,306.90 $6,626 2.2×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $1,588.60 $2,444 0.2×
Bronchoscopy W/Biopsy(S) (31625) $4,306.90 $6,626 2.2×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $4,306.90–$4,737.85 $6,626–$7,289 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $8,845.20 $13,608 2.1×
Bronchoscopy/Needle Bx Each (31629) $8,845.20 $13,608 2.1×
Bx breast 1st lesion mr imag (19085) $3,753.10 $5,774 2.0×
Bx breast 1st lesion strtctc (19081) $3,540.55 $5,447 1.9×
Bx breast 1st lesion us imag (19083) $3,540.55 $5,447 1.9×
Bx breast needle core w/o imaging guidance spx (19100) $4,007.90 $6,166 2.2×
Bx Cervix (57500)
range across 2 matching MRF lines		 $705.25–$1,824.55 $1,085–$2,807 varies
Bx/exc lymph node open superficial (38500) $9,352.20 $14,388 2.1×
Canthoplasty (67950)
range across 4 matching MRF lines		 $4,823.65–$9,831.51 $7,421–$15,125.40 varies
Canthotomy Separate Procedure (67715)
range across 4 matching MRF lines		 $5,613.40–$11,115 $8,636–$17,100 varies
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $4,034.55 $6,207 2.2×
Car-t admn autologous (38228) $976.30 $1,502 2.6×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $4,899.05–$8,818.29 $7,537–$13,566.60 varies
Cerclage cervix pregnancy vaginal (59320) $7,798.70 $11,998 2.1×
Cessj Therapy Cath Removal (37214)
range across 2 matching MRF lines		 $6,490.25–$11,682.45 $9,985–$17,973 varies
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $1,504.75–$1,655.55 $2,315–$2,547 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $514.80–$659.10 $792–$1,014 varies
Change of Windpipe Airway (31502) $188.50 $290 0.7×
Change ureter stent percut (50382) $4,121 $6,340 1.8×
Chemical Cautery Tissue (17250) $161.20 $248 0.7×
Chemical Pleurodesis (32560) $1,682.85 $2,589 2.4×
Chemodenerv 1 extrem 5/> mus (64644) $560.95 $863 0.7×
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $560.95–$1,009.71 $863–$1,553.40 varies
Chemodenerv Eccrine Glands (64650) $239.20 $368 0.7×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611)
range across 4 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Chemodenerv trunk musc 1-5 (64646) $560.95 $863 0.7×
Chemodenerv trunk musc 6/> (64647) $579.15 $891 0.7×
Chemodenervation eccrine glands oth area per day (64653) $239.20 $368 0.7×
Chemodenervation Muscle Larynx Unilat W/Emg (64617)
range across 3 matching MRF lines		 $560.95–$1,009.71 $863–$1,553.40 varies
Chemodenervation of extraocular muscle (67345)
range across 2 matching MRF lines		 $637–$1,146.60 $980–$1,764 varies
Chemodenervation of internal anal sphincter (46505) $2,958.15 $4,551 2.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Chest tube placement (32551)
range across 4 matching MRF lines		 $3,484.65–$6,836.31 $5,361–$10,517.40 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 2 matching MRF lines		 $4,533.10–$4,986.80 $6,974–$7,672 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $7,714.85 $11,869 1.9×
Chorionic Villus Sampling (59015) $2,241.20 $3,448 2.2×
Ciliary body dstrj cyclophotocoag transsceral (66710)
range across 4 matching MRF lines		 $4,823.65–$10,572.12 $7,421–$16,264.80 varies
Circumcision 28 days or older (54161) $4,533.10 $6,974 1.9×
Circumcision w/clamp/oth dev w/block (54150) $346.68 $750 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $3,630.25 $5,585 2.0×
Clear outer ear canal (69200)
range across 8 matching MRF lines		 $104.65–$726.57 $161–$1,117.80 varies
Closed Rx Spontaneous Hip Disloc (27256) $194.35 $299 0.7×
Closed Treat Vert Body Fract (22310) $194.35 $299 0.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $546.65 $841 2.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,630.25 $5,585 2.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,704.95 $2,623 6.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $194.35 $299 0.7×
Closed Treatment Ulnar Styloid Fracture (25650) $625.95 $963 2.3×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $625.95–$772.85 $963–$1,189 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,630.25 $5,585 2.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $625.95 $963 2.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $546.65 $841 2.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $194.35 $299 0.7×
Closed tx carpal scaphoid fracture w/manj (25624) $3,630.25 $5,585 2.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $625.95 $963 2.3×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $7,081.10 $10,894 3.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $194.35 $299 0.7×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $3,630.25–$6,534.45 $5,585–$10,053 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $516.75–$546.65 $795–$841 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,300.40 $6,616 2.4×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $12,627.55 $19,427 1.9×
Closed tx metatarsal fracture w/o manipulation (28470) $194.35 $299 0.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $4,034.55–$4,438.20 $6,207–$6,828 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $3,681.60–$4,050.15 $5,664–$6,231 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 4 matching MRF lines		 $7,776.60–$15,398.37 $11,964–$23,689.80 varies
Closed tx patellar dislocation w/o anesthesia (27560) $1,051.70 $1,618 3.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $194.35 $299 0.7×
Closed tx radial head/neck fx w/manipulation (24655) $3,630.25 $5,585 2.0×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $194.35–$349.83 $299–$538.20 varies
Closed tx radial shaft fracture w/manipulation (25505) $3,630.25 $5,585 2.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $625.95 $963 2.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $4,034.55–$4,438.20 $6,207–$6,828 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $194.35–$568.75 $299–$875 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $194.35 $299 0.7×
Closed Tx Talus Fracture W/Manipulation (28435) $3,630.25 $5,585 2.0×
Closed tx talus fracture w/o manipulation (28430) $194.35 $299 0.7×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $653.25 $1,005 2.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $653.25–$1,175.85 $1,005–$1,809 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,630.25 $5,585 2.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $194.35 $299 0.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $625.95 $963 2.3×
Closure Gastrostomy Surg (43870) $7,598.50 $11,690 1.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $497.25 $765 1.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,262.95 $1,943 2.1×
Closure lacrimal punctum (68760)
range across 2 matching MRF lines		 $755.30–$1,359.54 $1,162–$2,091.60 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $625.95 $963 2.3×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $194.35–$349.83 $299–$538.20 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,328.60 $2,044 2.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $194.35–$349.83 $299–$538.20 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $4,034.55–$4,438.20 $6,207–$6,828 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $932.10 $1,434 3.4×
Clsr Lacrimal Punctum Plug Each (68761)
range across 2 matching MRF lines		 $242.45–$436.41 $373–$671.40 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $194.35 $299 0.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $3,630.25–$6,534.45 $5,585–$10,053 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,556.80 $5,472 2.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $194.35–$349.83 $299–$538.20 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $950.95 $1,463 3.4×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,859.05 $5,937 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,920.75 $2,955 6.9×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $194.35–$502.45 $299–$773 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $968.50 $1,490 3.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $194.35–$542.10 $299–$834 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $194.35–$568.75 $299–$875 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $4,034.55–$7,988.76 $6,207–$12,290.40 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $3,630.25 $5,585 2.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $194.35 $299 0.7×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $3,484 $5,360 1.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $625.95 $963 2.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,630.25 $5,585 2.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $194.35 $299 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $625.95–$689 $963–$1,060 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $194.35 $299 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,726.45 $5,733 2.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $194.35 $299 0.7×
Cltx greater humeral tuberosity fx w/o manj (23620) $194.35 $299 0.7×
Cltx Greater Trochanteric Fx W/O Manj (27246) $625.95 $963 2.3×
Cltx hip dislocation traumatic req anesthesia (27252) $3,630.25 $5,585 2.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $546.65 $841 2.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $625.95 $963 2.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $3,630.25 $5,585 2.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $625.95 $963 2.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $4,034.55 $6,207 2.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $546.65 $841 2.0×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $625.95–$967.85 $963–$1,489 varies
Cltx Med Ankle Fx W/Mnpj (27762) $3,630.25 $5,585 2.0×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $625.95–$689 $963–$1,060 varies
Cltx metacarpal fx w/manipulation each bone (26605) $1,201.20 $1,848 4.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $194.35 $299 0.7×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,630.25 $5,585 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $625.95–$689 $963–$1,060 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $194.35 $299 0.7×
Cltx post hip arthrp dislc req anes (27266) $7,241.65 $11,141 4.0×
Cltx post hip arthrp dislc w/o anes (27265) $1,439.10 $2,214 5.2×
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $4,034.55–$4,438.20 $6,207–$6,828 varies
Cltx prox fibula/shft fx w/o manj (27780) $194.35 $299 0.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,820.05 $5,877 2.1×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $600.60 $924 2.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $625.95–$689 $963–$1,060 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,630.25 $5,585 2.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,630.25 $5,585 2.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,630.25 $5,585 2.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $194.35 $299 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $625.95 $963 2.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $6,973.85 $10,729 1.9×
Cltx tibial fx proximal w/o manipulation (27530) $194.35 $299 0.7×
Cltx tibial shaft fx w/o manipulation (27750) $194.35 $299 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,630.25 $5,585 2.0×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $625.95–$689 $963–$1,060 varies
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $372.45–$421.85 $573–$649 varies
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $23.40–$27.95 $36–$43 varies
Colonoscopy Flexible With Decompression (45393) $2,958.15 $4,551 2.2×
Colonoscopy stoma w/balloon dilation (44405) $2,958.15 $4,551 2.2×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $2,958.15 $4,551 2.2×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $9,649.90 $14,846 1.4×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $2,958.15 $4,551 2.2×
Colonoscopy Stoma W/Submucosal Injection (44404) $2,958.15 $4,551 2.2×
Colonoscopy Through Stoma With Decompression (44408) $2,284.10 $3,514 2.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $2,958.15 $4,551 2.2×
Colonoscopy thru stoma (44388) $2,284.10 $3,514 2.2×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,958.15 $4,551 2.2×
Colonoscopy w/ablation (45388) $2,958.15 $4,551 2.2×
Colonoscopy W/Band Ligation (45398) $2,958.15 $4,551 2.2×
Colonoscopy w/fb removal (45379) $2,958.15 $4,551 2.2×
Colonoscopy w/ndl aspir/bx (44407) $2,958.15 $4,551 2.2×
Colonoscopy W/Resection (45390) $6,451.25 $9,925 2.1×
Colonoscopy w/stent plcmt (45389) $9,649.90 $14,846 1.4×
Colonoscopy w/submucosal inj (45381) $2,958.15 $4,551 2.2×
Colporrhaphy (57200) $7,089.55 $10,907 2.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $246.35 $379 0.7×
Colposcopy Cervix Endocervical Curettage (57456) $246.35 $379 0.7×
Colposcopy cervix upper/adjacent vagina (57452) $163.15 $251 0.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $797.55 $1,227 2.3×
Colposcopy cervix vag eltrd conization cervix (57461) $7,798.70 $11,998 2.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $7,798.70 $11,998 2.1×
Colposcopy entire vagina w/cervix if present (57420) $797.55 $1,227 2.3×
Colposcopy of vulva (56820) $525.85 $809 2.3×
Colposcopy Vulva W/Biopsy (56821) $797.55 $1,227 2.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $2,241.20 $3,448 2.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,958.15 $4,551 2.2×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $2,958.15 $4,551 2.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,958.15 $4,551 2.2×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $2,958.15 $4,551 2.2×
Complex Cystometrogram (51726) $196.95 $303 0.7×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $7,097.35–$7,807.15 $10,919–$12,011 varies
Composite Skin Graft (15760) $2,766.40 $4,256 1.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $7,798.70 $11,998 2.1×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $3,888.30 $5,982 1.5×
Contour of face bone lesion (21029) $7,069.40 $10,876 1.9×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $546.65–$983.97 $841–$1,513.80 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $303.55–$689.13 $467–$1,060.20 varies
Control oropharyngeal hemorrhage simple (42960) $1,114.75 $1,715 1.8×
Conversion ext bil drg cath (47535) $7,714.85 $11,869 1.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $4,258.80 $6,552 2.0×
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $4,533.10–$8,159.58 $6,974–$12,553.20 varies
Cordocentesis (59012) $797.55 $1,227 2.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $5,588.70 $8,598 3.0×
Cornea Scraping Diagnostic Smear &/Culture (65430) $323.70 $498 0.6×
Correction of lid retraction (67911)
range across 2 matching MRF lines		 $4,637.75–$8,347.95 $7,135–$12,843 varies
Correction of trichiasis; epilation, by forceps only (67820)
range across 2 matching MRF lines		 $104.65–$188.37 $161–$289.80 varies
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $4,823.65 $7,421 1.8×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $412.75–$742.95 $635–$1,143 varies
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) $4,899.05 $7,537 2.2×
Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) $5,957.25 $9,165 2.7×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $9,362.60 $14,404 1.5×
Csf shunt reprogram (62252)
range across 2 matching MRF lines		 $243.10–$331.50 $374–$510 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $274.30–$493.74 $422–$759.60 varies
Curettage postpartum (59160)
range across 2 matching MRF lines		 $7,798.70–$8,578.70 $11,998–$13,198 varies
Curette/treat cornea (65435)
range across 4 matching MRF lines		 $1,901.25–$4,502.16 $2,925–$6,926.40 varies
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $1,658.80–$2,985.84 $2,552–$4,593.60 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $4,533.10–$4,986.15 $6,974–$7,671 varies
Cysto w/complex removal stone & stent (52315) $3,745.30 $5,762 1.6×
Cysto w/destruction of lesions (52214) $7,836.40 $12,056 2.0×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $7,836.40–$14,105.52 $12,056–$21,700.80 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $7,836.40–$8,620.30 $12,056–$13,262 varies
Cysto w/removal of lesions small (52224) $7,836.40 $12,056 2.0×
Cysto W/Simple Removal Stone & Stent (52310)
range across 4 matching MRF lines		 $4,533.10–$8,976.24 $6,974–$13,809.60 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines		 $7,836.40–$14,105.52 $12,056–$21,700.80 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $7,836.40–$14,105.52 $12,056–$21,700.80 varies
Cystometrogram W/Up (51727) $1,504.75 $2,315 1.9×
Cystometrogram W/Vp (51728) $540.80 $832 0.7×
Cystometrogram W/Vp&Up (51729) $540.80 $832 0.7×
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $4,533.10–$4,986.80 $6,974–$7,672 varies
Cystourethroscopy (52000)
range across 4 matching MRF lines		 $540.80–$1,405.30 $832–$2,162 varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $7,124 $10,960 1.8×
Cystourethroscopy inj chemodenervation bladder (52287) $4,533.10 $6,974 1.9×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $6,474 $9,960 1.6×
Cystourethroscopy with biopsy (52204) $4,533.10 $6,974 1.9×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $4,533.10 $6,974 1.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,154.40 $1,776 2.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $6,459.70 $9,938 2.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,562.60 $2,404 2.0×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,561.95 $2,403 2.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $1,577.55–$3,123.90 $2,427–$4,806 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $153.40–$169 $236–$260 varies
Debride nail 6 or more (11721) $48.10 $74 0.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $4,007.90–$4,408.95 $6,166–$6,783 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $412.75 $635 0.7×
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $161.20–$290.16 $248–$446.40 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $1,045.20–$2,069.73 $1,608–$3,184.20 varies
Declot vascular device (36593)
range across 4 matching MRF lines		 $991.25–$1,080.95 $1,525–$1,663 varies
Decompressive fasciotomy hand (26037) $6,462.30 $9,942 1.8×
Deep Muscle Biopsy (20205) $7,097.35 $10,919 2.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,766.40 $4,256 1.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $2,766.40 $4,256 1.2×
Delivery of placenta (59414) $5,028.40 $7,736 1.4×
Dermabrasion segmental face (15781) $877 $877 1.1×
Destr penis lesion(s) (54065) $1,481.35 $2,279 0.6×
Destr W Neurolytic; Celiac Plexus (64680) $3,432 $5,280 3.5×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $4,899.05–$8,818.29 $7,537–$13,566.60 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $4,899.05–$8,818.29 $7,537–$13,566.60 varies
Destruc retinal lesn,photocoag (67210)
range across 2 matching MRF lines		 $1,707.55–$3,073.59 $2,627–$4,728.60 varies
Destruct B9 Lesion 1-14 (17110) $215.24 $248 1.0×
Destruction Benign Lesions 15/> (17111) $215.24 $248 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $3,604.25 $5,545 3.6×
Destruction by neurolytic agent; plantar common digital nerve (64632) $319.15 $491 0.9×
Destruction by neurolytic agent; pudendal nerve (64630) $2,167.10 $3,334 2.2×
Destruction Lesions Vulva Extensive (56515) $2,766.40 $4,256 1.2×
Destruction Lesions Vulva Simple (56501) $1,481.35 $2,279 0.6×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $872.30 $1,342 3.9×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $872.30 $1,342 3.9×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $1,045.20 $1,608 2.3×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $1,577.55 $2,427 1.9×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $1,577.55 $2,427 1.9×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $161.20 $248 0.7×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $161.20 $248 0.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $500.50 $770 2.2×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $1,045.20 $1,608 2.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $500.50 $770 2.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $500.50 $770 2.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $161.20 $248 0.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $161.20 $248 0.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $1,045.20 $1,608 2.3×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $1,045.20 $1,608 2.3×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $161.20 $248 0.7×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $4,749.55–$8,549.19 $7,307–$13,152.60 varies
Destruction of lesion of lid margin (up to 1 cm) (67850)
range across 2 matching MRF lines		 $2,376.40–$4,277.52 $3,656–$6,580.80 varies
Destruction of lesion, conjunctiva (68135)
range across 2 matching MRF lines		 $4,676.10–$8,416.98 $7,194–$12,949.20 varies
Destruction of skin lesions (17106) $323.70 $498 0.7×
Destruction Premalignant Lesion 15/> (17004) $323.70 $498 0.7×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $161.20–$290.16 $248–$446.40 varies
Destruction Vaginal Lesions Simple (57061) $7,798.70 $11,998 2.1×
Diagnostic anoscopy (46601) $323.70 $498 0.6×
Diagnostic sigmoidoscopy (45330) $2,284.10 $3,514 2.2×
Diaphragm or cervical cap fitting with instructions (57170) $525.85 $809 2.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,958.15 $4,551 2.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $410.80 $632 2.8×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $303.55 $467 2.0×
Dilat rct strix spx under anes oth/thn local (45910) $2,958.15 $4,551 2.2×
Dilat Urethral Strix Dilator Male Sbsq (53601) $303.55 $467 2.0×
Dilat Xst Trc New Access Rcs (50437) $7,836.40 $12,056 2.0×
Dilate Esophagus 1/Mult Pass (43450) $2,180.10 $3,354 2.1×
Dilate Urethra Stricture (53620) $1,367.60 $2,104 1.7×
Dilate Urethra Stricture (53600) $196.95 $303 0.7×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $8,578.70–$9,165 $13,198–$14,100 varies
Dilation Cervical Canal (57800) $6,789.90 $10,446 1.9×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $917.15 $1,411 1.8×
Division of symblepharon (68340) $4,676.10 $7,194 1.8×
Drain ant chmbr,remv vitreous (65810)
range across 2 matching MRF lines		 $3,786.90–$4,611.75 $5,826–$7,095 varies
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $1,192.75–$1,721.20 $1,835–$2,648 varies
Drain Hand Tendon Sheath (26020)
range across 2 matching MRF lines		 $7,515.95–$8,268 $11,563–$12,720 varies
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines		 $239.20–$1,529.19 $368–$2,352.60 varies
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $1,328.60–$1,461.85 $2,044–$2,249 varies
Drainage external ear abscess/hematoma cmplx (69005) $3,748.55 $5,767 2.0×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $1,654.90–$1,820.65 $2,546–$2,801 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,312.35–$3,448.90 $2,019–$5,306 varies
Drainage lymph node lesion (38305) $7,097.35 $10,919 2.2×
Drainage Mouth Roof Lesion (42000) $599.95 $923 2.3×
Drainage of eye (65800)
range across 2 matching MRF lines		 $3,786.90–$6,005.35 $5,826–$9,239 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $500.50–$579.80 $770–$892 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $302.90–$702.65 $466–$1,081 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,312.35–$3,748.55 $2,019–$5,767 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $570.05–$1,026.09 $877–$1,578.60 varies
Drainage of mouth lesion (41006) $3,681.60 $5,664 2.1×
Drainage of mouth lesion (41017)
range across 2 matching MRF lines		 $7,776.60–$8,554.65 $11,964–$13,161 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $4,007.90–$4,408.95 $6,166–$6,783 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $4,533.10–$4,986.80 $6,974–$7,672 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $386.75–$421.85 $595–$649 varies
Dressing Change Under Anesthesia (15852) $495.95 $763 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801)
range across 2 matching MRF lines		 $1,328.60–$1,461.85 $2,044–$2,249 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 3 matching MRF lines		 $586.95–$1,820.65 $903–$2,801 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,045.20 $1,608 2.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $500.50–$550.55 $770–$847 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $500.50–$550.55 $770–$847 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $495.95 $763 0.6×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $2,766.40 $4,256 1.2×
Dstrj les/scar vestibule mouth physical meths (40820) $7,776.60 $11,964 2.1×
Dstrj Lesion Anus Simple Chemical (46900) $1,045.20 $1,608 2.3×
Dstrj lesion anus simple cryosurgery (46916) $500.50 $770 2.2×
Dstrj lesion anus simple surg excision (46922) $6,451.25 $9,925 2.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,481.35 $2,279 0.6×
Dstrj lesion choroid pc 1/> sess (67220)
range across 2 matching MRF lines		 $1,259.05–$2,266.29 $1,937–$3,486.60 varies
Dstrj Lesion Choroid Photodynamic Therapy (67221) $1,259.05 $1,937 2.0×
Dstrj Lesion Penis Simple Chemical (54050) $1,045.20 $1,608 2.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $161.20 $248 0.7×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,766.40 $4,256 1.2×
Dstrj lesion penis simple surg excision (54060) $2,766.40 $4,256 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $2,167.10–$3,900.78 $3,334–$6,001.20 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $2,167.10 $3,334 2.2×
Duodenal intubat w/imag guided multiple specimen (43757) $2,180.10 $3,354 2.1×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $7,005.70–$12,610.26 $10,778–$19,400.40 varies
Dx Bronchoscope/Lavage (31624) $4,306.90 $6,626 2.2×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $4,306.90–$4,737.85 $6,626–$7,289 varies
Dx gastr intub w/asp specs (43755) $382.85 $589 2.6×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $4,306.90–$4,737.85 $6,626–$7,289 varies
Dx laryngoscopy w/oper scope (31526) $4,306.90 $6,626 2.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,225.90 $1,886 1.5×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,000 $5,825 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,786.25 $5,825 1.8×
Egd cautery tumor polyp (43250) $3,859.70 $5,938 1.8×
Egd control bleeding any (43255) $4,006.60 $6,164 1.9×
Egd dilation gastric/duodenal stricture (43245) $3,786.25 $5,825 1.8×
Egd endo mucosal resection (43254) $3,786.25 $5,825 1.8×
Egd Endoscopic Stent Place (43266) $9,649.90 $14,846 1.4×
Egd Flexible Foreign Body Removal (43247)
range across 4 matching MRF lines		 $1,000 $3,354–$3,690 1.0×
Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) $2,180.10 $3,354 2.1×
Egd guide wire insertion (43248) $1,894.75 $2,915 1.9×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $3,786.25 $5,825 1.8×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,786.25 $5,825 1.8×
Egd intrmural us needle aspirate/biopsy esophags (43238) $4,226.95 $6,503 2.0×
Egd lesion ablation (43270) $4,258.80 $6,552 2.0×
Egd Optical Endomicroscopy (43252) $6,634.55 $10,207 3.1×
Egd place gastrostomy tube (43246) $3,786.25 $5,825 1.8×
Egd remove lesion snare (43251) $3,786.25 $5,825 1.8×
Egd Tube/Cath Insertion (43241) $3,786.25 $5,825 1.8×
Egd us exam duodenum/jejunum (43259) $4,258.80 $6,552 2.0×
Egd us transmural injxn/mark (43253) $4,006.60 $6,164 1.9×
Egd Varices Ligation (43244) $4,006.60 $6,164 1.9×
Egd W/Transmural Drain Cyst (43240) $8,822.45 $13,573 1.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $243.10 $374 0.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)
range across 2 matching MRF lines		 $243.10–$307.45 $374–$473 varies
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $243.10 $374 0.7×
Electro-Uroflowmetry First (51741) $252.20 $388 1.0×
Electrolysis Epilation Each 30 Minutes (17380) $495.95 $763 0.6×
Endocervical curettage (57505) $705.25 $1,085 0.7×
Endometrial Biopsy (58100)
range across 4 matching MRF lines		 $163.15–$599.95 $251–$923 varies
Endoscopic injection/implant (51715) $7,836.40 $12,056 2.0×
Endoscopic us exam esoph (43237) $3,786.25 $5,825 1.8×
Endoscopy Upper Small Intestine (44360) $4,258.80 $6,552 2.0×
Endoscopy upper small intestine w/biopsy (44361) $4,258.80 $6,552 2.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $17,984.20 $27,668 1.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $3,409.43 $9,985–$17,973 1.0×
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $5,855.56 $17,435–$31,383 0.9×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $4,258.80 $6,552 2.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $4,258.80 $6,552 2.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $4,258.80 $6,552 2.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $4,258.80 $6,552 2.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $9,649.90 $14,846 1.4×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $4,258.80 $6,552 2.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $4,258.80 $6,552 2.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $4,258.80 $6,552 2.0×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,292.85–$1,617.20 $1,989–$2,488 varies
Episiotomy or vaginal repair (59300) $7,798.70 $11,998 2.1×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $9,649.90 $14,846 1.4×
Ercp duct stent placement (43274) $8,822.45 $13,573 1.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $7,598.50 $11,690 1.8×
Ercp ea duct/ampulla dilate (43277) $7,598.50 $11,690 1.8×
Ercp remove calculi/debris biliary/pancreas duct (43264) $7,598.50 $11,690 1.8×
Ercp remove forgn body duct (43275) $6,508.45 $10,013 3.0×
Ercp Stent Exchange W/Dilate (43276) $8,822.45 $13,573 1.3×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $7,598.50 $11,690 1.8×
Ercp W/Biopsy Single/Multiple (43261) $7,598.50 $11,690 1.8×
Ercp,Sphincterotomy (43262) $7,598.50 $11,690 1.8×
Esoph Optical Endomicroscopy (43206) $3,969.55 $6,107 1.8×
Esoph Scope W/Submucous Inj (43201) $3,871.40 $5,956 1.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,180.10 $3,354 2.1×
Esophagosc Dilate Balloon 30 (43214) $3,969.55 $6,107 1.8×
Esophagoscop Mucosal Resect (43211) $3,786.25 $5,825 1.8×
Esophagoscop Stent Placement (43212) $8,822.45 $13,573 1.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $4,148.95 $6,383 1.9×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $7,598.50 $11,690 1.8×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $4,258.80 $6,552 2.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $4,258.80 $6,552 2.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $2,180.10 $3,354 2.1×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $2,180.10 $3,354 2.1×
Esophagoscopy Flexible Transoral Diagnostic (43200) $3,675.75 $5,655 3.6×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $4,258.80 $6,552 2.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $4,258.80 $6,552 2.0×
Esophagoscopy Retro Balloon (43213) $3,786.25 $5,825 1.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $4,258.80 $6,552 2.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $4,258.80–$4,565.60 $6,552–$7,024 varies
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $11,485.50 $17,670 1.7×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $104.65–$274.30 $161–$422 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $4,007.90 $6,166 2.2×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $4,007.90 $6,166 2.2×
Exc arm/elbow les sc < 3 cm (24075) $4,007.90 $6,166 2.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $877–$2,404 $877–$2,404 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,007.90 $6,166 2.2×
Exc Back Les Sc < 3 Cm (21930) $4,007.90 $6,166 2.2×
Exc Back Tum Deep 5 Cm/> (21933) $6,451.90 $9,926 2.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,654.90 $2,546 2.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,654.90 $2,546 2.1×
Exc Face Les Sbq 2 Cm/> (21012) $4,094.35 $6,299 2.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,654.90 $2,546 2.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $570.05 $877 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,654.90 $2,546 2.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,007.90 $6,166 2.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $4,007.90 $6,166 2.2×
Exc Forearm Les Sc 3 Cm/> (25071) $4,007.90 $6,166 2.2×
Exc Frenum Labial/Buccal (40819) $3,681.60 $5,664 2.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,007.90 $6,166 2.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,654.90 $2,546 2.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $4,007.90 $6,166 2.2×
Exc Hand Les Sc < 1.5 Cm (26115) $4,007.90 $6,166 2.2×
Exc hand tum deep < 1.5 cm (26116) $4,007.90 $6,166 2.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 2 matching MRF lines		 $2,376.40–$4,277.52 $3,656–$6,580.80 varies
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $7,776.60 $11,964 2.1×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $7,776.60 $11,964 2.1×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 2 matching MRF lines		 $7,776.60–$13,997.88 $11,964–$21,535.20 varies
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 2 matching MRF lines		 $2,626–$7,776.60 $4,040–$11,964 varies
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $7,776.60 $11,964 2.1×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $7,776.60 $11,964 2.1×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,115.28 $7,537 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073) $6,451.90 $9,926 2.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,546 $2,546 3.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $4,007.90 $6,166 2.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $7,097.35 $10,919 2.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,140 $6,166 1.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,312.35 $2,019 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $7,097.35 $10,919 2.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,007.90 $6,166 2.2×
Exc thigh/knee les sc 3 cm/> (27337) $7,097.35 $10,919 2.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $2,958.15–$3,254.55 $4,551–$5,007 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,608 $1,608 3.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $2,546 $2,546 3.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,140 $6,166 1.7×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $7,097.35 $10,919 2.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $7,097.35 $10,919 2.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $4,007.90 $6,166 2.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $3,643.25 $5,605 2.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $7,097.35 $10,919 2.2×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $7,097.35 $10,919 2.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,643.25 $5,605 2.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $4,007.90 $6,166 2.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $4,094.35 $6,299 2.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $7,097.35 $10,919 2.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $4,007.90 $6,166 2.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $7,097.35 $10,919 2.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 4 matching MRF lines		 $7,714.85–$15,275.52 $11,869–$23,500.80 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $4,956.25–$8,921.25 $7,625–$13,725 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $4,258.80–$4,684.55 $6,552–$7,207 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $7,776.60 $11,964 2.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,681.60 $5,664 2.1×
Excise mandible lesion (21040) $7,776.60 $11,964 2.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $570.05 $877 0.7×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)
range across 4 matching MRF lines		 $4,823.65–$9,831.51 $7,421–$15,125.40 varies
Excision & Repair Eyelid One-Fourth Lid Margin (67966)
range across 2 matching MRF lines		 $4,378.40–$7,881.12 $6,736–$12,124.80 varies
Excision Aural Polyp (69540) $3,681.60 $5,664 2.1×
Excision Bone Mandible (21025)
range across 2 matching MRF lines		 $13,902.20–$25,023.96 $21,388–$38,498.40 varies
Excision Chalazion Multiple Same Lid (67801) $2,087.15 $3,211 1.9×
Excision Chalazion Single (67800) $755.30 $1,162 2.1×
Excision gum each quadrant (41820) $7,776.60 $11,964 2.1×
Excision H/P/P/U Simple/Intermediate Repair (11470) $7,097.35 $10,919 2.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 2 matching MRF lines		 $7,097.35–$12,775.23 $10,919–$19,654.20 varies
Excision Lesion Conjunctiva </1 Cm (68110)
range across 2 matching MRF lines		 $1,889.55–$3,401.19 $2,907–$5,232.60 varies
Excision Lesion Cornea Xcp Pterygium (65400) $1,315.60 $2,024 1.2×
Excision lesion mouth roof (42104)
range across 2 matching MRF lines		 $7,776.60–$13,997.88 $11,964–$21,535.20 varies
Excision Lesion Tongue W/O Closure (41110) $7,776.60 $11,964 2.1×
Excision Lingual Frenum Frenectomy (41115) $3,681.60 $5,664 2.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,654.90 $2,546 2.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $570.05 $877 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $323.70 $498 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $570.05 $877 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,654.90 $2,546 2.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $4,007.90 $6,166 2.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $7,097.35 $10,919 2.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $4,007.90 $6,166 2.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,654.90 $2,546 2.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $570.05 $877 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,312.35 $2,019 0.7×
Excision Maxillary Torus Palatinus (21032) $7,776.60 $11,964 2.1×
Excision Multiple External Papillae/Tags Anus (46230) $6,451.25 $9,925 2.1×
Excision nasal polyp(s) simple (30110) $3,681.60 $5,664 2.1×
Excision of bartholin's gland or cyst (56740) $7,798.70 $11,998 2.1×
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) $13,902.20 $21,388 2.1×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
range across 2 matching MRF lines		 $13,902.20–$25,023.96 $21,388–$38,498.40 varies
Excision of chalazion; multiple, different lids (67805)
range across 2 matching MRF lines		 $755.30–$1,359.54 $1,162–$2,091.60 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,733.60 $6,207 1.0×
Excision of gum flap (41821) $1,254.50 $1,930 0.7×
Excision of gum lesion (41828) $3,681.60 $5,664 2.1×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $13,902.20 $21,388 2.1×
Excision of single external papilla or tag, anus (46220) $2,958.15 $4,551 2.2×
Excision of vaginal septum (57130) $7,798.70 $11,998 2.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $7,097.35 $10,919 2.2×
Excision soft tissue lesion, external auditory canal (69145) $7,097.35 $10,919 2.2×
Excision tendon finger flexor/extensor each (26180) $4,034.55 $6,207 2.2×
Excision Torus Mandibularis (21031)
range across 2 matching MRF lines		 $2,570.75–$4,627.35 $3,955–$7,119 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,007.90 $6,166 2.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $7,097.35 $10,919 2.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $4,007.90 $6,166 2.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,007.90 $6,166 2.2×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $4,007.90 $6,166 2.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $7,097.35 $10,919 2.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $4,007.90 $6,166 2.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $7,097.35 $10,919 2.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $7,097.35 $10,919 2.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $4,094.35 $6,299 2.2×
Excision/curettage cyst/tumor phalanx finger (26210) $4,034.55 $6,207 2.2×
Excision/destruction intranasal lesion int appr (30117) $7,776.60 $11,964 2.1×
Excision/destruction lesion pharynx any method (42808) $7,776.60 $11,964 2.1×
Excision/surgical planing skin nose rhinophyma (30120) $7,776.60 $11,964 2.1×
Expl penetrating wound spx abdomen/flank/back (20102) $2,486.90 $3,826 1.1×
Exploration maxillary sinus (31020) $7,776.60 $11,964 2.1×
Exploration of knee joint (27310) $9,231.30 $14,202 2.5×
Exploration penetrating wound spx chest (20101) $2,486.90 $3,826 1.1×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $4,007.90–$4,408.95 $6,166–$6,783 varies
Explore eye socket,drainage (67405) $5,107.05 $7,857 1.9×
Extensive Retinopathy 1/> Sess Preterm Infant (67229)
range across 2 matching MRF lines		 $1,769.30–$3,184.74 $2,722–$4,899.60 varies
External cephalic version (59412) $4,179.50 $6,430 1.1×
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 6 matching MRF lines		 $750–$2,768 $750–$5,952 varies
Fasciectomy Palm Only (26121) $7,515.95 $11,563 2.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $7,515.95 $11,563 2.0×
Fasciotomy palmar percutaneous (26040)
range across 2 matching MRF lines		 $1,733.60 $1,994–$3,589.20 1.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $7,515.95 $11,563 2.0×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $797.55 $1,227 2.3×
Fetal non-stress test (59025) $525.85 $809 2.3×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $797.55 $1,227 2.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,654.90 $2,546 2.1×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,654.90 $2,546 2.1×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Fluid Pressure Muscle (20950) $1,654.90 $2,546 2.1×
Fluoro exam of g/colon tube (49465) $724.75 $1,115 2.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,610.05 $2,477 2.0×
Fna bx w/us gdn 1st les (10005) $1,953.90 $3,006 2.5×
Forehead flap w/vasc pedicle (15731) $7,832.50 $12,050 2.0×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $514.80–$566.80 $792–$872 varies
Frenulotomy of penis (54164) $4,533.10 $6,974 1.9×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,766.40 $4,256 1.2×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,766.40 $4,256 1.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,766.40 $4,256 1.2×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,766.40 $4,256 1.2×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,766.40 $4,256 1.2×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $13,902.20 $21,388 2.1×
Grafting of autologous fat by lipo 25 cc or less (15773) $2,930 $4,256 1.3×
Guide Cathet Fluid Drainage (10030) $588.90 $906 0.7×
Hem vw factor&clgn iii bndg (0279U) $245.05 $377 21.3×
Hem Vwd Propeptide Ag Lvl (0281U)
range across 2 matching MRF lines		 $12.35–$147.55 $19–$227 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $6,451.25 $9,925 2.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $6,451.25 $9,925 2.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $738.40 $1,136 0.7×
Hymenotomy Simple Incision (56442) $7,798.70 $11,998 2.1×
Hysteroscopy Biopsy (58558) $7,798.70 $11,998 2.1×
Hysteroscopy Dx Sep Proc (58555) $7,798.70 $11,998 2.1×
Hysteroscopy Endometrial Ablation (58563) $10,406.50 $16,010 1.9×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $10,406.50 $16,010 1.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $7,798.70 $11,998 2.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $10,406.50 $16,010 1.9×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $599.95–$991.90 $923–$1,526 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $161.20–$462.15 $248–$711 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $6,459.70 $9,938 2.0×
I&D Mouth/Tong Intra,Masticator (41009) $1,262.95 $1,943 2.1×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $7,515.95 $11,563 2.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $2,284.10–$2,512.90 $3,514–$3,866 varies
I&d pilonidal cyst complicated (10081) $1,562.60 $2,404 2.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $1,654.90–$1,820.65 $2,546–$2,801 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $2,317.90 $3,566 0.7×
Icd Pocket Revision (33223) $4,218.50 $6,490 1.8×
Ileoscopy Stoma W/Balloon Dilation (44381) $4,258.80 $6,552 2.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,180.10 $3,354 2.1×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,180.10 $3,354 2.1×
Image Cath Fluid Colxn Visc (49405) $4,007.25 $6,165 2.2×
Image Cath Fluid Peri/Retro (49406) $4,007.90 $6,166 2.2×
Image Cath Fluid Trns/Vgnl (49407)
range across 2 matching MRF lines		 $4,007.90–$4,408.95 $6,166–$6,783 varies
Implant neuroelectrodes (63650) $8,057.40 $12,396 1.1×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $8,057.40–$14,503.32 $12,396–$22,312.80 varies
Implantation intrastromal corneal ring segments (65785) $4,940 $7,600 1.1×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $11,778 $18,120 1.2×
Impression and custom preparation; interim obturator prosthesis Facility (21079) $7,776.60 $11,964 2.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $514.80–$685.10 $792–$1,054 varies
Incise finger tendon sheath (26055)
range across 4 matching MRF lines		 $3,333.20–$7,262.19 $5,128–$11,172.60 varies
Incise/Drain Conjunctiva (68020) $2,376.40 $3,656 2.1×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $4,007.90–$4,408.95 $6,166–$6,783 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $323.70–$984.10 $498–$1,514 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $525.85–$612.30 $809–$942 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $246.35–$770.90 $379–$1,186 varies
Incision Drainage Lacrimal Sac (68420)
range across 2 matching MRF lines		 $5,613.40–$6,175 $8,636–$9,500 varies
Incision extensor tendon sheath wrist (25000) $4,034.55 $6,207 2.2×
Incision of eardrum (69420)
range across 2 matching MRF lines		 $599.95–$1,079.91 $923–$1,661.40 varies
Incision of labial frenum (frenotomy) (40806) $1,227.85 $1,889 2.0×
Incision of lingual frenum (frenotomy) (41010) $3,681.60 $5,664 2.1×
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $2,958.15–$4,372.55 $4,551–$6,727 varies
Incision of urethra (53010) $11,241.10 $17,294 1.9×
Incision of urethra (53025) $4,533.10 $6,974 1.9×
Incision of urethra (53020) $4,533.10 $6,974 1.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $4,007.90 $6,166 2.2×
Incisional biopsy eyelid skin & lid margin (67810)
range across 2 matching MRF lines		 $242.45–$436.41 $373–$671.40 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $1,577.55–$1,735.50 $2,427–$2,670 varies
Induced abortion dilation and curettage (59840)
range across 2 matching MRF lines		 $7,798.70–$8,578.70 $11,998–$13,198 varies
Induced abortion, by dilation and evacuation (59841) $7,798.70 $11,998 2.1×
Initial Tx 1st Degree Burn Local Tx (16000) $462.15 $711 2.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $2,458.95–$4,426.11 $3,783–$6,809.40 varies
Inj W/Fluor Eval Cv Device (36598) $785.20 $1,208 3.3×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,970.15 $3,031 2.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines		 $2,167.10–$3,900.78 $3,334–$6,001.20 varies
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $834.60–$1,502.28 $1,284–$2,311.20 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $2,167.10 $3,334 2.2×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $1,726.40–$3,107.52 $2,656–$4,780.80 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $2,158–$2,373.80 $3,320–$3,652 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)
range across 2 matching MRF lines		 $2,167.10–$3,900.78 $3,334–$6,001.20 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,726.40 $2,656 2.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,192.75 $1,835 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 4 matching MRF lines		 $239.20–$694.98 $368–$1,069.20 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $2,945.15–$5,301.27 $4,531–$8,155.80 varies
Injection anesthetic agent suprascapular nerve (64418) $1,192.75 $1,835 1.5×
Injection enzyme palmar fascial cord (20527)
range across 2 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $895.05–$1,611.09 $1,377–$2,478.60 varies
Injection Into Brain Canal (61055) $748.15 $1,151 2.2×
Injection medication/other subst tenon capsule (67515)
range across 2 matching MRF lines		 $703.95–$1,267.11 $1,083–$1,949.40 varies
Injection of sclerosing solution, hemorrhoids (46500) $738.40 $1,136 0.7×
Injection procedure for peyronie disease (54200) $196.95 $303 0.7×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 9 matching MRF lines		 $239.20–$1,327.95 $368–$2,043 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $239.20–$1,058.85 $368–$1,629 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $3,681.60 $5,664 2.1×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $239.20–$430.56 $368–$662.40 varies
Injection Turbinate Therapeutic (30200) $1,328.60 $2,044 2.2×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines		 $2,167.10–$4,291.56 $3,334–$6,602.40 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines		 $1,192.75–$2,528.37 $1,835–$3,889.80 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $560.95–$2,631.33 $863–$4,048.20 varies
Injection, anesthetic agent; vagus nerve (64408) $319.15 $491 0.9×
Injection, Intralesional; More Than 7 Lesions (11901)
range across 2 matching MRF lines		 $161.20–$290.16 $248–$446.40 varies
Injection, intralesional; up to and including 7 lesions (11900) $161.20 $248 0.7×
Injx anterior chamber eye air/liquid spx (66020) $3,946.15 $6,071 1.5×
Injx Anterior Chamber Eye Medication Spx (66030) $3,946.15 $6,071 1.5×
Ins cath ren art 1st bilat (36252) $13,965.90 $21,486 3.9×
Ins cath ren art 1st unilat (36251) $11,025.95 $16,963 3.1×
Ins cath ren art 2nd+ bilat (36254) $8,120.45 $12,493 2.3×
Ins cath ren art 2nd+ unilat (36253) $11,332.75 $17,435 1.8×
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $11,332.75–$20,398.95 $17,435–$31,383 varies
Ins Vag Brachytx Device (57156) $797.55 $1,227 2.3×
Ins/Rep Subq Defibrillator (33270) $22,534.20 $34,668 0.6×
Insert 1 Electrode Pm-Defib (33216) $8,081.45 $12,433 0.9×
Insert and remove bone pin (20650) $6,973.85 $10,729 1.9×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $126.75–$480.35 $195–$739 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $5,116.80–$9,210.24 $7,872–$14,169.60 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $4,258.80–$4,685.20 $6,552–$7,208 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $4,183.40 $6,436 3.1×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $246.35–$770.90 $379–$1,186 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $104.65–$275.60 $161–$424 varies
Insert Gastrostomy Tube Percutaneous (49440) $4,258.80 $6,552 2.0×
Insert Heart Pm Atrial (33206) $11,335.35 $17,439 1.0×
Insert Heart Pm Ventricular (33207) $11,335.35 $17,439 1.0×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $4,986.15 $7,671 0.2×
Insert Nasal Septal Button (30220) $3,681.60 $5,664 2.1×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $6,490.25–$7,139.60 $9,985–$10,984 varies
Insert Pacing Lead & Connect (33224) $13,533.65 $20,821 1.2×
Insert pessary/other device (57160) $163.15 $251 0.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,110.90 $4,786 1.8×
Insert pulse gen dual leads (33213) $11,676.60 $17,964 1.0×
Insert pulse gen mult leads (33221) $17,881.50 $27,510 0.8×
Insert Pulse Gen Sngl Lead (33212) $7,028.45 $10,813 0.8×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $104.65–$274.30 $161–$422 varies
Insert testicular prosthesis (54660)
range across 2 matching MRF lines		 $4,590 $14,434–$25,981.20 0.8×
Insert tun ip cath perc (49418) $7,714.85 $11,869 1.9×
Insert tunneled cv cath (36561) $6,490.25 $9,985 1.8×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $11,332.75 $17,435 1.8×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $104.65–$315.90 $161–$486 varies
Insertion indwelling tunneled pleural catheter (32550) $7,714.85 $11,869 1.9×
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) $23,686.65 $36,441 1.9×
Insertion phrenic nerve stimulator system (33276) $107,727.75 $165,735 2.2×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $3,110.90–$3,288.35 $4,786–$5,059 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $7,028.45–$7,314.45 $10,813–$11,253 varies
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $10,866.05 $16,717 1.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $8,890.05 $13,677 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $6,490.25 $9,985 1.8×
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $2,988.70–$3,110.90 $4,598–$4,786 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $6,490.25 $9,985 1.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,201.25 $4,925 1.8×
Insj Subq Impltbl Dfb Elctrd (33271) $7,028.45 $10,813 0.8×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $6,490.25 $9,985 1.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,490.25 $9,985 1.8×
Insj/Rplcmt Defib W/Lead(S) (33249) $34,818.55 $53,567 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $7,028.45–$9,919.65 $10,813–$15,261 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $7,028.45 $10,813 0.8×
Insrt heart pm atrial & vent (33208) $11,335.35 $17,439 1.0×
Insrt Pulse Gen W/Dual Leads (33230) $16,960.45 $26,093 0.7×
Insrt Pulse Gen W/Singl Lead (33240) $16,802.50 $25,850 0.7×
Instlj ther agent renal pelvis&/ureter via tub (50391) $514.80 $792 1.8×
Int hrhc by ligation single hroid w/o img gdn (46945) $6,451.25 $9,925 2.1×
Interdental Wiring Other Than Fracture (21497) $3,681.60 $5,664 2.1×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,580.20 $5,508 2.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,783.60 $2,744 3.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $2,052.70 $3,158 4.5×
Intranasal Biopsy (30100) $3,681.60 $5,664 2.1×
Intraoral i&d tongue/floor sublngl supfc (41005) $540.80 $832 2.0×
Intraoral i&d tongue/floor submndblr space (41008)
range across 2 matching MRF lines		 $7,776.60–$8,554.65 $11,964–$13,161 varies
Intro cath dialysis circuit (36901) $3,261.05 $5,017 1.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,498.35 $28,459 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $17,767.10 $27,334 2.8×
Intro Gastrointestinal Tube (44500) $2,180.10 $3,354 2.1×
Intubation endotracheal emergency procedure (31500) $831.35 $1,279 3.1×
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $1,568.45–$2,823.21 $2,413–$4,343.40 varies
Irrigation of corpora cavernosa for priapism (54220) $1,593.15 $2,451 5.7×
Island pedicle flap graft (15740) $2,766.40 $4,256 1.2×
Labyrinthotomy Transcanal (69801) $1,199.90 $1,846 0.7×
Laryngoscopy and dilation (31528) $8,845.20 $13,608 2.1×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $8,845.20 $13,608 2.1×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572)
range across 2 matching MRF lines		 $2,985.45–$5,373.81 $4,593–$8,267.40 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $157.30–$473.85 $242–$729 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $4,306.90 $6,626 2.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines		 $4,306.90–$4,737.85 $6,626–$7,289 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574)
range across 2 matching MRF lines		 $1,396.85–$2,514.33 $2,149–$3,868.20 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,001 $1,540 2.3×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $314.60 $484 0.7×
Laryngoscopy W/Biopsy (31535) $8,845.20 $13,608 2.1×
Larynscop w/tumr exc + scope (31541)
range across 2 matching MRF lines		 $8,845.20–$15,921.36 $13,608–$24,494.40 varies
Laser Surgery of Cervix (57513) $1,000.35 $1,539 0.3×
Laser Surgery,Sever Vitreous Strands (67031) $1,259.05 $1,937 2.0×
Late closure of wound (13160) $2,766.40 $4,256 0.7×
Lateral Canthopexy (21282)
range across 2 matching MRF lines		 $7,776.60–$13,997.88 $11,964–$21,535.20 varies
Ligate leg veins open (37761) $6,490.25 $9,985 1.8×
Ligation of hemorrhoids (46946) $6,451.25 $9,925 2.1×
Ligation or biopsy temporal artery (37609) $4,007.90 $6,166 2.2×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $6,490.25 $9,985 1.8×
Litholapaxy comp/lg > 2.5 cm (52318) $7,836.40 $12,056 2.0×
Litholapaxy smpl/sm <2.5 cm (52317) $7,836.40 $12,056 2.0×
Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) $66.95 $103 2.1×
Lyse chest fibrin init day (32561) $1,534.65 $2,361 2.2×
Lyse Chest Fibrin Subq Day (32562) $1,368.90 $2,106 1.9×
Lysis Intranasal Synechia (30560) $1,328.60 $2,044 2.2×
Lysis of labial adhesions (56441) $7,798.70 $11,998 2.1×
Lysis/excision penile postcircumcision adhesions (54162) $4,533.10 $6,974 1.9×
Maniplatn palar fascial crd post inj single cord (26341) $625.95 $963 2.3×
Manipulation, finger joint, under anesthesia, each joint (26340) $4,034.55 $6,207 2.2×
Marsupialization of bartholin's gland cyst (56440) $7,798.70 $11,998 2.1×
Mastopexy (19316)
range across 2 matching MRF lines		 $6,480 $20,903–$37,625.40 0.9×
Maternity Care Procedure (59899)
range across 2 matching MRF lines		 $423.15–$525.85 $651–$809 varies
Maxillary impression for palatal prosthesis Facility (42280) $412.75 $635 0.7×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,570.10 $3,954 1.5×
Mech remov tunneled cv cath (36595) $6,490.25 $9,985 1.8×
Middle ear surgery proc unlisted (69799) $161.20 $248 0.6×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,577.55 $2,427 1.9×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,577.55 $2,427 1.9×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $23,686.65 $36,441 1.9×
Multifetal Pregnancy Reduction (59866) $797.55 $1,227 2.3×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $4,676.10 $7,194 1.8×
Myelography Lumbar Injection (62305) $2,224.95 $3,423 2.5×
Myelography Lumbar Injection (62304) $1,769.95 $2,723 2.0×
Myelography via lumbar injection rs&i cervical (62302) $1,769.95 $2,723 2.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,769.95 $2,723 2.0×
Myringoplasty (69620)
range across 2 matching MRF lines		 $7,776.60–$13,997.88 $11,964–$21,535.20 varies
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $3,803.15–$6,845.67 $5,851–$10,531.80 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $560.95–$1,009.71 $863–$1,553.40 varies
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $1,552.20–$3,253.77 $2,388–$5,005.80 varies
N Block Inj Paracervical (64435) $560.95 $863 0.7×
N Block Inj Plantar Digit (64455)
range across 4 matching MRF lines		 $319.15–$631.80 $491–$972 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $2,167.10–$3,900.78 $3,334–$6,001.20 varies
N Block Lumbar/Thoracic (64520) $3,224 $4,960 3.2×
Nasal Endoscopy Dx (31231)
range across 6 matching MRF lines		 $157.30–$1,060.02 $242–$1,630.80 varies
Nasal surgery procedure (30999) $599.95 $923 2.3×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $917.15–$1,009.45 $1,411–$1,553 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $10,300 $13,608–$24,494.40 2.5×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $10,300 $21,388 1.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $2,149–$3,868.20 $2,149–$3,868.20 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 4 matching MRF lines		 $6,626–$10,300 $6,626–$13,120.20 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $15,974.40 $24,576 2.0×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $15,974.40 $24,576 2.0×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $10,300 $24,576 1.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $531.70 $818 1.9×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $2,284.10 $3,514 2.2×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $2,284.10 $3,514 2.2×
Needle Biopsy Lymph Nodes (38505) $4,007.90 $6,166 2.2×
Needle Biopsy Pancreas (48102) $4,007.90 $6,166 2.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $64.35 $99 2.0×
Neuroeltrd Stim Post Tibial (64566) $239.20 $368 0.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,374.10 $2,114 3.3×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $1,612 $2,480 0.8×
Nipple/areola reconstruction (19350)
range across 2 matching MRF lines		 $4,771–$6,690 $4,771–$8,587.80 varies
Njx anes stellate ganglion crv sympathetic (64510) $3,266.90 $5,026 3.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $239.20–$1,535.04 $368–$2,361.60 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $7,714.85 $11,869 1.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $7,714.85 $11,869 1.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $2,458.95–$4,426.11 $3,783–$6,809.40 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $3,250–$5,850 $5,000–$9,000 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,167.10 $3,334 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $924.30–$1,663.74 $1,422–$2,559.60 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,167.10 $3,334 2.2×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $1,981.46 $6,678 0.9×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $1,981.46 $4,256 0.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $1,504.75–$2,708.55 $2,315–$4,167 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,504.75 $2,315 1.9×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $432.78 $1,608–$2,894.40 0.9×
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $432.78 $1,608–$2,894.40 0.9×
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $432.78 $498–$896.40 0.9×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $10,300 $24,576–$44,236.80 1.3×
Obstructive material removal from gi tube (49460) $2,180.10 $3,354 2.1×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $239.20–$1,952.73 $368–$3,004.20 varies
Onc pncrs DNA&mrna seq 74 (0313U) $1,462.50 $2,250 0.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $13,121.55 $20,187 1.6×
Open/Perq Place Stent 1St (37236) $17,984.20 $27,668 1.4×
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $17,984.20–$32,371.56 $27,668–$49,802.40 varies
Orbitotomy w/o bone flap expl w/wo biopsy (67400)
range across 2 matching MRF lines		 $7,510.10–$13,518.18 $11,554–$20,797.20 varies
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $3,786.90 $5,826 1.5×
Partial excision of lip (40520) $7,776.60 $11,964 2.1×
Partial hymenectomy or revision of hymenal ring (56700) $7,798.70 $11,998 2.1×
Partial removal of toe (28160) $6,209.45 $9,553 1.7×
Partical Excision Bone Phalanx Toe (28124) $6,832.15 $10,511 1.9×
Pelvic examination under anesthesia (other than local) (57410) $7,798.70 $11,998 2.1×
Penile Injection (54235)
range across 2 matching MRF lines		 $196.95–$546.65 $303–$841 varies
Perc Cryo Ablate Renal Tum (50593) $23,621.65 $36,341 2.0×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $3,580.20 $5,508 2.3×
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines		 $13,466.70–$24,240.06 $20,718–$37,292.40 varies
Percut Ablate Liver Rf (47382) $13,466.70 $20,718 2.0×
Percut Cath Occlusn Non Cns Lesn (61626) $17,984.20 $27,668 1.4×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $2,735.85–$4,924.53 $4,209–$7,576.20 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $12,995.45 $19,993 3.7×
Pericardiocentesis W/Imaging (33016) $3,530.80 $5,432 2.0×
Perineoplasty rpr perineum nonobstetrical spx (56810)
range across 2 matching MRF lines		 $7,798.70–$8,578.70 $11,998–$13,198 varies
Peritoneal Lavage (49084) $1,775.15 $2,731 1.7×
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $7,816.90 $12,026 0.4×
Perq av fistula creation uxtr sep access sites (36837) $20,034.95 $30,823 1.0×
Perq av fistula creation uxtr single access (36836) $20,034.95 $30,823 1.0×
Perq Cervicothoracic Inject (22510) $7,515.95 $11,563 2.0×
Perq dev breast 1st mr guide (19287) $1,654.90 $2,546 2.1×
Perq dev breast 1st strtctc (19283) $1,476.15 $2,271 1.9×
Perq dev breast 1st us imag (19285) $1,654.90 $2,546 2.1×
Perq device breast 1st imag (19281) $3,540.55 $5,447 1.9×
Perq dilation xst trc endourologic px w/img (50436) $7,836.40 $12,056 2.0×
Perq Lumbosacral Injection (22511) $7,515.95 $11,563 2.0×
Perq p-art revsc 1 nm nt uni (33900) $17,984.20 $27,668 1.4×
Perq p-art revsc st 1st abnor connj unilateral (33902) $21,562.45 $33,173 1.0×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $17,984.20 $27,668 1.4×
Perq p-art revsc st 1st nml native connj bi (33901) $17,984.20 $27,668 1.4×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $13,466.70 $20,718 2.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,654.90 $2,546 2.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $25,088.05 $38,597 1.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $10,097.10 $15,534 1.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $13,121.55 $20,187 1.6×
Perq Vertebral Augmentation (22513) $13,121.55 $20,187 1.6×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $3,409.43 $9,985–$17,973 1.0×
Photopheresis extracorporeal (36522) $11,215.75 $17,255 2.3×
Place Amniotic Membra Ocular Surface W/O Sutures (65778)
range across 2 matching MRF lines		 $2,619.50–$4,715.10 $4,030–$7,254 varies
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $6,490.25–$11,682.45 $9,985–$17,973 varies
Place Cath Thoracic Aorta (36221) $6,490.25 $9,985 1.8×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $11,332.75–$20,398.95 $17,435–$31,383 varies
Place Duod/Jej Tube Perc (49441) $4,258.80 $6,552 2.0×
Place Rt Device/Marker Pros (55876) $1,108.25 $1,705 0.7×
Placement Needle Pelvic Organ Radioelement Appl (55920) $10,406.50 $16,010 1.9×
Placement of needle for intraosseous infusion (36680) $863.85 $1,329 1.7×
Placement of seton (46020) $6,451.25 $9,925 2.1×
Plastic Repair Canaliculi (68700)
range across 4 matching MRF lines		 $4,823.65–$9,185.67 $7,421–$14,131.80 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $13,033.15 $20,051 1.8×
Plmt Bile Duct Stent Prq Existing Access (47538) $13,466.70 $20,718 2.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $13,466.70 $20,718 2.0×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $13,466.70 $20,718 2.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $4,533.10–$8,159.58 $6,974–$12,553.20 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $7,836.40–$14,105.52 $12,056–$21,700.80 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $7,836.40 $12,056 2.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $7,836.40–$14,105.52 $12,056–$21,700.80 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $7,836.40–$14,105.52 $12,056–$21,700.80 varies
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $21,562.45–$38,812.41 $33,173–$59,711.40 varies
Probe lacrimal canaliculi w/wo irrigation (68840)
range across 2 matching MRF lines		 $242.45–$436.41 $373–$671.40 varies
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815)
range across 4 matching MRF lines		 $5,613.40–$11,115 $8,636–$17,100 varies
Probe nasolacrimal duct w/wo irrig req gen anes (68811)
range across 2 matching MRF lines		 $5,103.15–$9,185.67 $7,851–$14,131.80 varies
Probing nasolacrimal duct (68810)
range across 2 matching MRF lines		 $242.45–$436.41 $373–$671.40 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $2,284.10 $3,514 2.2×
Proctosgmdsc Rigid Control Bleeding (45317) $2,958.15 $4,551 2.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $2,958.15 $4,551 2.2×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 2 matching MRF lines		 $1,546.35–$2,783.43 $2,379–$4,282.20 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,726.75 $4,195 3.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $7,714.85 $11,869 1.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,714.85 $11,869 1.9×
Pseudoaneurysm Injection Trt (36002) $1,534.65 $2,361 2.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $323.70–$984.10 $498–$1,514 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $1,791.40–$2,356.90 $2,756–$3,626 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $1,192.75–$1,404.65 $1,835–$2,161 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $4,749.55–$8,549.19 $7,307–$13,152.60 varies
Rcnstj Eyelid Full Thickness Second Stage (67975) $4,823.65 $7,421 1.8×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $13,902.20 $21,388 2.1×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $11,618.75 $17,875 1.7×
Reconstruction of jaw (21249) $5,042.05 $7,757 0.8×
Redo Endovas Vena Cava Filtr (37192) $6,490.25 $9,985 1.8×
Reduction of rectal prolapse (45900) $2,086.50 $3,210 2.0×
Relocation Pocket Pacemaker (33222) $4,218.50 $6,490 1.8×
Rem Endovas Vena Cava Filter (37193) $11,547.90 $17,766 3.3×
Removal Anal Seton Other Marker (46030) $2,958.15 $4,551 2.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,180.10 $3,354 2.1×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $755.30–$831.35 $1,162–$1,279 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $4,007.90–$4,408.95 $6,166–$6,783 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 4 matching MRF lines		 $1,654.90–$2,392.65 $2,546–$3,681 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,748.55 $5,767 2.0×
Removal Foreign Body Scrotum (55120) $4,170.40 $6,416 1.8×
Removal foreign body, intranasal; requiring general anesthesia (30310) $7,776.60 $11,964 2.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 8 matching MRF lines		 $48.10–$294.84 $74–$453.60 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 8 matching MRF lines		 $48.10–$365.04 $74–$561.60 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $7,029.10 $10,814 1.9×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $7,097.35–$12,775.23 $10,919–$19,654.20 varies
Removal Implant Superficial Separate Procedure (20670)
range across 4 matching MRF lines		 $1,680 $6,166–$12,209.40 0.9×
Removal implantable contraceptive capsules (11976) $1,654.90 $2,546 2.1×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $1,260 $14,388–$25,898.40 0.3×
Removal of a lesion from the floor of the mouth (41116) $2,626 $4,040 0.7×
Removal of foreign body from pharynx (42809) $863.85 $1,329 1.7×
Removal of implanted material, anterior segment of eye (65920) $3,946.15 $6,071 1.5×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $1,045.20–$2,069.73 $1,608–$3,184.20 varies
Removal of testis (54520)
range across 2 matching MRF lines		 $7,836.40–$14,105.52 $12,056–$21,700.80 varies
Removal of tunneled intraperitoneal catheter (49422) $6,490.25 $9,985 1.8×
Removal or bivalving full arm or full leg cast (29705) $635.05 $977 2.0×
Removal Pacemaker Electrode (33235) $6,737.25 $10,365 1.6×
Removal ppm generator only (33233) $8,081.45 $12,433 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $161.20–$358.02 $248–$550.80 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,688.05 $2,597 2.1×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,766.40 $4,256 1.2×
Removal sweat gland lesion (11450)
range across 4 matching MRF lines		 $7,097.35–$14,052.87 $10,919–$21,619.80 varies
Removal tong/halo applied by another individual (20665) $917.15 $1,411 1.8×
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $3,667.30–$6,601.14 $5,642–$10,155.60 varies
Remove Brain Cavity Fluid (61020) $2,115.10 $3,254 2.1×
Remove cerclage suture (59871) $7,798.70 $11,998 2.1×
Remove cranial cavity fluid (61000) $1,142.05 $1,757 1.4×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $323.70–$863.85 $498–$1,329 varies
Remove Elctrd Transvenously (33244) $6,737.25 $10,365 1.6×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $303.55–$334.10 $467–$514 varies
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,533.10 $6,974 1.9×
Remove Intrauterine Device (58301)
range across 4 matching MRF lines		 $246.35–$841.75 $379–$1,295 varies
Remove intrvas foreign body (37197) $6,490.25 $9,985 1.8×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $1,534.65–$2,085.20 $2,361–$3,208 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $303.55–$472.55 $467–$727 varies
Remove Pulse Generator (33241) $6,737.25 $10,365 1.6×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $1,504.75–$2,708.55 $2,315–$4,167 varies
Remove Skin Nerve Lesion (64774) $4,899.05 $7,537 2.2×
Remove Tendon Sheath Lesion (26160) $4,034.55 $6,207 2.2×
Remove tissue expander (11971)
range across 2 matching MRF lines		 $6,459.05–$11,626.29 $9,937–$17,886.60 varies
Remove ureter stent percut (50384) $4,533.10 $6,974 1.9×
Remove&replace pm gen singl (33227) $8,081.45 $12,433 0.9×
Remove/Insert Drug Implant (11983) $323.70 $498 0.6×
Remv&replc cvd gen dual lead (33263) $17,222.40 $26,496 0.7×
Remv&replc cvd gen mult lead (33264) $22,534.20 $34,668 0.6×
Remv&replc cvd gen sing lead (33262) $17,222.40 $26,496 0.7×
Remv&replc pm gen dual lead (33228) $11,902.15 $18,311 1.0×
Remv&replc pm gen mult leads (33229) $17,881.50 $27,510 0.8×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $4,007.90–$7,214.22 $6,166–$11,098.80 varies
Repair Blood Vessel Direct Upper Extremity (35206) $6,490.25 $9,985 1.8×
Repair brow ptosis (67900)
range across 2 matching MRF lines		 $1,050 $8,636–$15,544.80 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $763–$2,319 $763–$2,319 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $763–$2,510 $763–$2,668 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $498–$1,514 $498–$1,514 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $763–$2,319 $763–$2,319 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $1,577.55–$1,735.50 $2,427–$2,670 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $2,427–$2,510 $2,427–$2,670 varies
Repair complex trunk 1.1-2.5 cm (13100) $2,427 $2,427 2.9×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $2,427–$2,510 $2,427–$2,670 varies
Repair Detached Retina (67101) $3,946.15 $6,071 1.5×
Repair detached retina (67105)
range across 2 matching MRF lines		 $2,889.90–$5,201.82 $4,446–$8,002.80 varies
Repair Ectropion Excision Tarsal Wedge (67916)
range across 2 matching MRF lines		 $4,823.65–$8,682.57 $7,421–$13,357.80 varies
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines		 $5,613.40–$10,104.12 $8,636–$15,544.80 varies
Repair Ectropion Suture (67914)
range across 2 matching MRF lines		 $5,585.45–$10,053.81 $8,593–$15,467.40 varies
Repair Elbow Perc (24357) $7,515.95 $11,563 2.0×
Repair Entropion Excision Tarsal Wedge (67923)
range across 2 matching MRF lines		 $4,823.65–$8,682.57 $7,421–$13,357.80 varies
Repair Entropion Extensive (67924)
range across 2 matching MRF lines		 $4,823.65–$8,682.57 $7,421–$13,357.80 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $2,778.10–$4,034.55 $4,274–$6,207 varies
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $5,613.40–$6,175 $8,636–$9,500 varies
Repair Fistula Oromaxillary (30580) $13,902.20 $21,388 2.1×
Repair incomplete circumcision (54163) $4,533.10 $6,974 1.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $1,045.20–$1,348.75 $1,608–$2,075 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $1,045.20–$1,551.55 $1,608–$2,387 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $2,411.50–$2,652.65 $3,710–$4,081 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $323.70–$983.45 $498–$1,513 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $1,577.55–$1,735.50 $2,427–$2,670 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,766.40 $4,256 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $323.70–$984.10 $498–$1,514 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,577.55–$1,735.50 $2,427–$2,670 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $403.65–$2,486.90 $621–$3,826 varies
Repair Lead Pace-Defib One (33218) $6,737.25 $10,365 1.6×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $1,577.55–$1,735.50 $2,427–$2,670 varies
Repair of windpipe defect (31825) $7,776.60 $11,964 2.1×
Repair tongue laceration (41252) $2,008.50 $3,090 7.6×
Repair tongue laceration (41250) $863.85 $1,329 1.7×
Repair Tooth Socket (41874) $2,570.75 $3,955 0.7×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 6 matching MRF lines		 $2,180.10–$2,398.50 $3,354–$3,690 varies
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $2,180.10–$2,398.50 $3,354–$3,690 varies
Replace g/c tube perc (49450)
range across 3 matching MRF lines		 $2,179.45–$2,902.25 $3,353–$4,465 varies
Replace/Revise Brain Shunt (62230)
range across 2 matching MRF lines		 $10,181.60–$10,706.80 $15,664–$16,472 varies
Replantation digit complete (20822) $3,630.25 $5,585 2.0×
Repos Previously Implanted Subq Implantable Dfb (33273) $6,561.75 $10,095 1.6×
Reposition Gastrostomy Tube (43761) $1,855.75 $2,855 6.6×
Reposition Pacing-Defib Lead (33215) $6,086.60 $9,364 1.7×
Reposition Venous Catheter (36597) $3,260.40 $5,016 1.8×
Retrobulbar inject,alcohol (67505) $755.30 $1,162 2.1×
Revise eyelashes (67825)
range across 2 matching MRF lines		 $755.30–$1,359.54 $1,162–$2,091.60 varies
Revision of eyelid (67880)
range across 4 matching MRF lines		 $5,613.40–$11,115 $8,636–$17,100 varies
Revision of leg vein (37780) $6,490.25 $9,985 1.8×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $7,515.95–$13,528.71 $11,563–$20,813.40 varies
Revision of penis (54300) $7,124 $10,960 1.8×
Revision of urethra (53460) $7,836.40 $12,056 2.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $12,441 $19,140 1.9×
Revj/rpr oprative wound anterior segment (66250)
range across 2 matching MRF lines		 $4,823.65–$8,682.57 $7,421–$13,357.80 varies
Rhinoplasty Secondary Minor Revision (30430) $6,060 $19,443 0.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $4,533.10–$8,159.58 $6,974–$12,553.20 varies
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $4,823.65 $7,421 1.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,180.10 $3,354 2.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 4 matching MRF lines		 $4,007.90–$7,936.11 $6,166–$12,209.40 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $863.85 $1,329 1.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $104.65–$274.30 $161–$422 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $917.15 $1,411 1.8×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $1,331.85 $2,049 3.7×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $2,958.15–$3,254.55 $4,551–$5,007 varies
Rmvl of subq implantable defibrillator electrode (33272) $6,561.75 $10,095 1.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $6,737.25 $10,365 1.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,110.90 $4,786 1.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $1,534.65–$1,904.50 $2,361–$2,930 varies
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) $19,569.55 $30,107 1.6×
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $196.95–$546.65 $303–$841 varies
Rplc gtube revj gstrst trc (43763) $196.95 $303 0.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $3,260.40–$3,797.95 $5,016–$5,843 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $3,260.40 $5,016 1.8×
Rplcmt compl tun ctr vad w/subq port (36582) $6,490.25 $9,985 1.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $6,490.25 $9,985 1.8×
Rplcmt/irrigation ventricular catheter (62225) $11,778 $18,120 3.1×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903)
range across 2 matching MRF lines		 $1,050 $7,421–$13,357.80 0.4×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904)
range across 2 matching MRF lines		 $1,050 $7,500–$13,500 0.4×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,654.90–$1,820.65 $2,546–$2,801 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,260.40 $5,016 1.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $816.40 $1,256 3.6×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $4,490.20 $6,908 1.7×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $5,107.05 $7,857 1.9×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $8,663.20 $13,328 2.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $3,436–$4,003 $3,436–$4,003 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $2,044–$3,137 $2,044–$3,137 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $5,435–$5,640 $5,435–$6,149 varies
Rpr Nsl Vlv Collapse W/Implt (30468) $13,902.20 $21,388 2.1×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $5,581.55 $8,587 2.2×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $3,786.25 $5,825 1.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $6,973.85 $10,729 1.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $6,973.85 $10,729 1.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $1,712.10–$1,883.05 $2,634–$2,897 varies
Sclerotx Fluid Collection (49185) $4,007.90 $6,166 2.2×
Severing tarsorrhaphy (67710) $2,087.15 $3,211 1.9×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,284.10 $3,514 2.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,958.15 $4,551 2.2×
Shave skin lesion 0.5 cm/< (11300) $323.70 $498 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $161.20 $248 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $1,045.20 $1,608 2.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $161.20 $248 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $500.50 $770 2.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $500.50 $770 2.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $161.20 $248 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $1,045.20 $1,608 2.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $161.20 $248 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $604.50 $930 1.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $161.20 $248 0.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 2 matching MRF lines		 $7,776.60–$8,554.65 $11,964–$13,161 varies
Sigmoidoscopy & decompress (45337)
range across 2 matching MRF lines		 $2,263.30–$2,284.10 $3,482–$3,514 varies
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,958.15 $4,551 2.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $2,958.15 $4,551 2.2×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $2,958.15 $4,551 2.2×
Sigmoidoscopy w/fb removal (45332) $2,958.15 $4,551 2.2×
Sigmoidoscopy w/plcmt stent (45347) $9,649.90 $14,846 1.4×
Sigmoidoscopy W/Resection (45349) $6,451.25 $9,925 2.1×
Sigmoidoscopy W/Ultrasound (45341) $2,284.10 $3,514 2.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,284.10 $3,514 2.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,958.15 $4,551 2.2×
Simple Cystometrogram (51725) $196.95 $303 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $984.10 $1,514 2.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $500.50–$990.99 $770–$1,524.60 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $500.50–$616.20 $770–$948 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $500.50–$709.80 $770–$1,092 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $500.50–$550.55 $770–$847 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,027 $1,580 4.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $151.45–$709.15 $233–$1,091 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $2,766.40–$3,043.30 $4,256–$4,682 varies
Skin Pinch Graft (15050) $1,577.55 $2,427 1.9×
Skin sub graft face/nk/hf/g (15275) $2,766.40 $4,256 3.3×
Skin sub graft trnk/arm/leg (15271) $2,766.40 $4,256 3.3×
Skin Tissue Procedure (17999) $248 $248 1.1×
Skn sub grft f/n/hf/g child (15277) $2,766.40 $4,256 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $11,332.75–$20,398.95 $17,435–$31,383 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $7,649.20–$13,768.56 $11,768–$21,182.40 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $11,332.75–$20,398.95 $17,435–$31,383 varies
Slitting of prepuce (54001) $4,533.10 $6,974 1.9×
Small bowel endoscopy (44366) $4,258.80 $6,552 2.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $4,258.80 $6,552 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $500.50–$616.20 $770–$948 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $984.10 $1,514 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,100.45 $1,693 2.4×
Snip Incision Lacrimal Punctum (68440)
range across 2 matching MRF lines		 $637–$1,146.60 $980–$1,764 varies
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $1,579.50–$1,889.55 $2,430–$2,907 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,832.50 $12,050 2.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,766.40 $4,256 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $3,409.43 $9,985–$17,973 1.0×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $414.05–$745.29 $637–$1,146.60 varies
Subconjunctival injection (68200)
range across 2 matching MRF lines		 $323.70–$582.66 $498–$896.40 varies
Subcutaneous Hormone Pellet Implantation (11980) $323.70 $498 0.6×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $1,577.55 $2,427 1.9×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $1,577.55 $2,427 1.9×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $1,577.55 $2,427 1.9×
Suction assisted lipectomy; trunk (15877) $7,100 $12,050 1.8×
Suprachoroidal space njx pharmacologic agent (67516) $269.10 $414 0.7×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $7,776.60 $11,964 2.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $5,613.40–$6,175 $8,636–$9,500 varies
Suture 1 nerve hand/foot common sensory nerve (64834) $11,066.25 $17,025 2.9×
T-cell depletion of harvest (38210)
range across 2 matching MRF lines		 $17,847.70–$25,076.35 $27,458–$38,579 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $161.20–$455 $248–$700 varies
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $1,577.55 $2,427 1.9×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $19,949.66 $30,691.79 0.6×
Tcat Insj/Rpl Perm Ldls Pm (33274) $21,858.20 $33,628 1.0×
Tcat Rmvl Perm Ldls Pm (33275) $6,086.60 $9,364 1.7×
Temporary Closure Eyelids Suture (67875)
range across 4 matching MRF lines		 $2,376.40–$4,705.74 $3,656–$7,239.60 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $7,515.95–$13,528.71 $11,563–$20,813.40 varies
Tenolysis flexor tendon palm&finger each tendo (26442) $6,832.15 $10,511 1.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $4,034.55 $6,207 2.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 2 matching MRF lines		 $4,034.55–$7,262.19 $6,207–$11,172.60 varies
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $4,034.55 $6,207 2.2×
Thaw preserved stem cells (38208)
range across 3 matching MRF lines		 $1,719.25–$1,911 $2,645–$2,940 varies
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $11,180.65 $17,201 2.3×
Ther Apheresis,Red Blood Cells (36512) $3,208.40 $4,936 1.8×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,218.75 $1,875 1.5×
Therapeutic Apheresis White Blood Cells (36511) $3,208.40 $4,936 1.8×
Therapeutic plasma exchange (36514) $3,208.40 $4,936 1.8×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $17,199 $26,460 1.2×
Thrmbc/Nfs Dialysis Circuit (36906) $20,700.55 $31,847 1.0×
Thromblytic art/ven therapy (37213)
range across 2 matching MRF lines		 $6,490.25–$11,682.45 $9,985–$17,973 varies
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $11,332.75–$20,398.95 $17,435–$31,383 varies
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $779.35–$962.65 $1,199–$1,481 varies
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $6,490.25–$11,682.45 $9,985–$17,973 varies
Thyroid biopsy (60100) $1,654.25 $2,545 2.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $2,930 $4,256–$7,660.80 1.3×
Tprnl Plmt Biodegrdabl Matrl (55874) $11,968.45 $18,413 2.0×
Trabeculoplasty by laser surgery (65855)
range across 2 matching MRF lines		 $1,781–$3,205.80 $2,740–$4,932 varies
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 4 matching MRF lines		 $412.75–$1,648.40 $635–$2,536 varies
Tracheostoma revj smpl w/o flap rotation (31613) $7,776.60 $11,964 2.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,905.15 $2,931 7.2×
Tracheostomy planned (31600) $7,776.60 $11,964 2.1×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $797.55 $1,227 2.3×
Transcatheter biopsy (37200) $11,332.75 $17,435 1.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $4,899.05 $7,537 2.2×
Transoral lower esophageal myotomy (43497) $8,772.40 $13,496 1.3×
Transrectal Drainage of Pelvic Abscess (45000) $2,958.15 $4,551 2.2×
Treat Dental Ridge Fracture (21440)
range across 2 matching MRF lines		 $2,772.25–$6,864 $4,265–$10,560 varies
Treat Hip Socket Fracture (27222) $551.85 $849 2.0×
Treat humerus fracture (24500) $194.35 $299 0.7×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $4,034.55–$4,438.20 $6,207–$6,828 varies
Treat humerus fracture (23600) $194.35 $299 0.7×
Treat knee fracture (27532)
range across 2 matching MRF lines		 $6,973.85–$12,552.93 $10,729–$19,312.20 varies
Treat Knee Fracture(S) (27538) $625.95 $963 2.3×
Treat Knuckle Dislocation (26700) $546.65 $841 2.0×
Treat Metatarsal Fracture (28475) $546.65 $841 2.0×
Treat Tail Bone Fracture (27200) $194.35 $299 0.7×
Treat Thumb Dislocation (26641) $546.65 $841 2.0×
Treat toe dislocation (28630) $653.25 $1,005 2.4×
Treat Vaginal Bleeding (57180) $468 $720 2.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,630.25 $5,585 2.0×
Treatment closed elbow dislocation w/o anes (24600) $629.20 $968 2.3×
Treatment extensive retinopathy photocoagulation (67228)
range across 2 matching MRF lines		 $2,020.20–$3,636.36 $3,108–$5,594.40 varies
Treatment of retina (67141)
range across 2 matching MRF lines		 $659.75–$1,187.55 $1,015–$1,827 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $500.50–$550.55 $770–$847 varies
Trim skin lesions 2 to 4 (11056) $500.50 $770 2.2×
Trim skin lesions over 4 (11057) $500.50 $770 2.2×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $48.10–$139.10 $74–$214 varies
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $15,024.10–$27,043.38 $23,114–$41,605.20 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $15,443.35–$27,798.03 $23,759–$42,766.20 varies
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 5 matching MRF lines		 $4,622.80–$5,725.20 $7,112–$8,808 varies
Trnspl Prepj Hematop Progen Concentration Plsm (38215)
range across 3 matching MRF lines		 $1,591.85–$1,911 $2,449–$2,940 varies
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214)
range across 2 matching MRF lines		 $1,337.05–$1,485.90 $2,057–$2,286 varies
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212)
range across 2 matching MRF lines		 $3,976.70–$5,250.70 $6,118–$8,078 varies
Trnsplj allogeneic hematopoietic cells per donor (38240) $79,913.60 $122,944 1.1×
Trnsplj autologous hematopoietic cells per donor (38241) $5,311.80 $8,172 3.0×
Trnsplj Hematopoietic Cell Boost (38243) $1,536.60 $2,364 0.9×
Tx Gastro Intub W/Asp (43753) $726.70 $1,118 3.0×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $7,798.70–$8,578.70 $11,998–$13,198 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $7,798.70–$8,578.70 $11,998–$13,198 varies
Tx open tendon flexor toe 1 tendon spx (28232) $4,034.55 $6,207 2.2×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $3,333.20 $5,128 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $1,577.55–$1,735.50 $2,427–$2,670 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $323.70–$984.10 $498–$1,514 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $625.95 $963 2.3×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 2 matching MRF lines		 $3,681.60–$6,626.88 $5,664–$10,195.20 varies
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $3,681.60–$6,626.88 $5,664–$10,195.20 varies
Umbilical cord occlud w/us (59072) $797.55 $1,227 2.3×
Unlisted Cardiac Surgery (33999)
range across 9 matching MRF lines		 $2,026.70–$19,110 $3,118–$29,400 varies
Unlisted Craniofacial & Maxillofacial Procedure (21299)
range across 2 matching MRF lines		 $3,330.60–$5,995.08 $5,124–$9,223.20 varies
Unlisted fetal invasive px w/ultrasound (59897) $525.85 $809 2.3×
Unlisted laparoscopy procedure stomach (43659) $13,466.70 $20,718 2.0×
Unlisted laparoscopy procedure, biliary tract (47579) $13,466.70 $20,718 2.0×
Unlisted procedure anus (46999) $2,284.10 $3,514 2.2×
Unlisted Procedure Biliary Tract (47999)
range across 4 matching MRF lines		 $1,500.85–$8,565.70 $2,309–$13,178 varies
Unlisted procedure colon (45399)
range across 4 matching MRF lines		 $2,086.50–$8,622.90 $3,210–$13,266 varies
Unlisted Procedure Endocrine System (60699)
range across 3 matching MRF lines		 $13,466.05–$17,199 $20,717–$26,460 varies
Unlisted Procedure Esophagus (43499)
range across 4 matching MRF lines		 $2,180.10–$12,404.60 $3,354–$19,084 varies
Unlisted Procedure External Ear (69399)
range across 2 matching MRF lines		 $188.50–$339.30 $290–$522 varies
Unlisted procedure eyelids (67999) $980 $980 2.7×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $516.75–$930.15 $795–$1,431 varies
Unlisted procedure foot or toes (28899) $625.95 $963 2.3×
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $516.75–$930.15 $795–$1,431 varies
Unlisted Procedure Intestine (44799)
range across 14 matching MRF lines		 $1,774.50–$6,363.50 $2,730–$9,790 varies
Unlisted procedure lacrimal system (68899) $755.30 $1,162 2.1×
Unlisted procedure larynx (31599)
range across 2 matching MRF lines		 $863–$923 $863–$923 varies
Unlisted Procedure Leg/Ankle (27899) $625.95 $963 2.3×
Unlisted procedure lungs and pleura (32999) $4,258.80 $6,552 6.0×
Unlisted Procedure Male Genital System (55899)
range across 2 matching MRF lines		 $1,527–$2,510 $1,527–$2,748.60 varies
Unlisted Procedure Muscskeletal System General (20999) $13,121.55 $20,187 47.4×
Unlisted procedure neck or thorax (21899)
range across 2 matching MRF lines		 $599.95–$1,079.91 $923–$1,661.40 varies
Unlisted procedure nervous system (64999)
range across 42 matching MRF lines		 $239.20–$5,411.25 $368–$8,325 varies
Unlisted procedure pancreas (48999)
range across 2 matching MRF lines		 $1,500.85–$1,528.80 $2,309–$2,352 varies
Unlisted procedure pelvis/hip joint (27299) $516.75 $795 1.9×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $599.95 $923 2.3×
Unlisted Procedure Rectum (45999) $2,284.10 $3,514 2.2×
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $501.80–$625.95 $772–$963 varies
Unlisted procedure spine (22899)
range across 2 matching MRF lines		 $1,654.90–$3,343.60 $2,546–$5,144 varies
Unlisted procedure stomach (43999)
range across 9 matching MRF lines		 $759.20–$9,250.80 $1,168–$14,232 varies
Unlisted Procedure Vascular Surgery (37799)
range across 7 matching MRF lines		 $1,394.90–$11,332.75 $2,146–$17,435 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 6 matching MRF lines		 $2,180.10–$10,393.50 $3,354–$15,990 varies
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $516.75–$3,493.75 $795–$5,375 varies
Unlisted px female genital system nonobstetrical (58999) $3,213.60 $4,944 14.2×
Upgrade of pacemaker system (33214) $11,676.60 $17,964 1.0×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $11,241.10 $17,294 1.9×
Urine Flow Measurement (51736) $104.65 $161 0.7×
Vaginal Delivery After Cesarean Delivery (59612) $4,806.75 $7,395 1.3×
Vaginal delivery only (59409)
range across 3 matching MRF lines		 $4,597.45–$8,578.70 $7,073–$13,198 varies
Vasc embolize/occlude artery (37242) $21,562.45 $33,173 1.0×
Vasc Embolize/Occlude Bleed (37244) $17,984.20 $27,668 1.4×
Vasc Embolize/Occlude Organ (37243) $17,984.20 $27,668 1.4×
Vasc embolize/occlude venous (37241) $17,984.20 $27,668 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,658.80 $2,552 0.7×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $17,984.20–$32,371.56 $27,668–$49,802.40 varies
Ventricular puncture previous burr hole w/inj (61026) $1,142.05 $1,757 1.4×
Vermilionectomy lip shv w/mucosal advmnt (40500) $7,776.60 $11,964 2.1×
Von willebrand factor type 2b plasma (0283U) $187.20 $288 10.2×
Vulvectomy simple partial (56620) $7,798.70 $11,998 2.1×
Vw factor type 2n eval plsm (0284U) $268.45 $413 15.5×
Wash harvest stem cells (38209) $1,719.25 $2,645 3.5×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $1,045.20–$1,149.85 $1,608–$1,769 varies
Wedging of cast (29740) $698.10 $1,074 2.2×
Windowing of cast (29730) $128.05 $197 0.7×
Wound Prep F/N/Hf/G (15004) $1,577.55 $2,427 3.5×
Xtrnl fixj w/strtctc adjustment exchange strut (20697) $4,034.55 $6,207 2.2×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $1,328.60 $2,044 2.2×
Xtroral I&D Floor Masticator Space (41018) $3,681.60 $5,664 2.1×

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.