Procedures & surgery prices at Optim Medical Center-Tattnall
Reidsville, GA · every code in this section with a posted price and a Medicare benchmark.
1747 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $6,067.20 | $6,067.20 | 7.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $40,575.78 | $40,575.78 | 2.6× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) unusually low: confirm this is the full procedure |
$3,033.60 | $3,033.60 | 0.5× |
| Acetabuloplasty (27120) | $23,257.60 | $23,257.60 | 2.1× |
| Acetabuloplasty resection femoral head (27122) | $23,257.60 | $23,257.60 | 3.7× |
| Acne surgery (10040) | $3,033.60 | $3,033.60 | 17.3× |
| Acromiopl/Acromionect Partial (23130) | $23,257.60 | $23,257.60 | 8.1× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $10,586.89 | $10,586.89 | 5.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $11,628.80 | $11,628.80 | 6.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $19,954.99 | $19,954.99 | 6.4× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $16,288 | $16,288 | 9.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 3 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $11,628.80 | $11,628.80 | 6.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $11,628.80 | $11,628.80 | 6.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $11,628.80 | $11,628.80 | 6.4× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) | $13,954.56 | $13,954.56 | 2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $11,628.80 | $11,628.80 | 4.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 3 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Amputate Metacarpal Bone (26910) | $11,628.80 | $11,628.80 | 4.1× |
| Amputation foot transmetarsal (28805) | $14,334.20 | $14,334.20 | 5.0× |
| Amputation metatarsal with toe single (28810) | $11,628.80 | $11,628.80 | 4.1× |
| Amputation thigh through femur any level (27590) | $23,257.60 | $23,257.60 | 8.1× |
| Amputation toe interphalangeal joint (28825) | $8,721.60 | $8,721.60 | 3.0× |
| Amputation toe metatarsophalangeal joint (28820) | $18,259.61 | $18,259.61 | 6.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $14,334.20 | $14,334.20 | 5.0× |
| Ankle Arthroscopy/Surgery (29892) | $20,931.84 | $20,931.84 | 3.3× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $23,257.60 | $23,257.60 | 28.5× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$712.27–$17,443.20 | $712.27–$17,443.20 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $5,097.80 | $5,097.80 | 6.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $11,628.80 | $11,628.80 | 4.8× |
| Anterior Tibial Tubercleplasty (27418) | $23,257.60 | $23,257.60 | 3.7× |
| Appendectomy (44950) | $9,249.40 | $9,249.40 | 1.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $3,033.60 | $3,033.60 | 21.3× |
| Application Body Cast Shoulder Hips (29035) | $5,814.40 | $5,814.40 | 23.7× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$2,049.82–$4,099.64 | $2,049.82–$4,099.64 | varies |
| Application Finger Splint Dynamic (29131) | $352.59 | $352.59 | 6.8× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$712.27–$718 | $712.27–$718 | varies |
| Application Halo Cranial Including Removal (20661) | $23,257.60 | $23,257.60 | 16.5× |
| Application Hip Spica Cast 1 Leg (29305) | $10,000 | $10,000 | 40.8× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$894.13–$1,788.26 | $894.13–$1,788.26 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$894.13–$1,788.26 | $894.13–$1,788.26 | varies |
| Application multiplane external fixation system (20692) | $80,040.24 | $80,040.24 | 7.1× |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$1,471.68–$3,000 | $1,471.68–$3,000 | varies |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) | $23,257.60 | $23,257.60 | 1.0× |
| Application Short Arm Splint Dynamic (29126) | $712.27 | $712.27 | 6.1× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$359–$1,424.54 | $359–$1,424.54 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$894.13–$1,788.26 | $894.13–$1,788.26 | varies |
| Application uniplane external fixation system (20690) | $40,575.78 | $40,575.78 | 6.4× |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$894.13–$1,516.80 | $894.13–$1,516.80 | varies |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$280.02–$3,033.60 | $280.02–$3,033.60 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$1,471.68–$3,000 | $1,471.68–$3,000 | varies |
| Arrest Epiphyseal Distal Femur (27475) | $23,257.60 | $23,257.60 | 3.7× |
| Arrest Epiphyseal Open Distal Tibia (27730) | $23,257.60 | $23,257.60 | 8.1× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) | $17,443.20 | $17,443.20 | 6.1× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) | $23,257.60 | $23,257.60 | 3.7× |
| Arterial puncture (36600) | $712.27 | $712.27 | 6.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) | $104,659.20 | $104,659.20 | 9.3× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) | $104,659.20 | $104,659.20 | 9.3× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) | $13,954.10 | $13,954.10 | 2.2× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) | $34,886.40 | $34,886.40 | 3.1× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $34,886.40 | $34,886.40 | 3.1× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) | $34,886.40 | $34,886.40 | 5.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$1,516.80–$8,250 | $1,516.80–$8,250 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$3,033.60–$8,250 | $3,033.60–$8,250 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$680–$6,067.20 | $680–$6,067.20 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$3,033.60–$6,067.20 | $3,033.60–$6,067.20 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$1,516.80–$6,067.24 | $1,516.80–$6,067.24 | varies |
| Arthrodesis ankle open (27870) range across 3 matching MRF lines |
$34,886.40–$52,329.60 | $34,886.40–$52,329.60 | varies |
| Arthrodesis great toe interphalangeal joint (28755) range across 2 matching MRF lines |
$34,886.40–$57,770.40 | $34,886.40–$57,770.40 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 4 matching MRF lines |
$34,886.40–$48,328.80 | $34,886.40–$48,328.80 | varies |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) | $13,954.56 | $13,954.56 | 4.9× |
| Arthrodesis Pantalar (28705) | $26,781.10 | $26,781.10 | 1.7× |
| Arthrodesis Posterior Interbody Lumbar (22630) | $104,659.20 | $104,659.20 | 4.4× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) | $104,659.20 | $104,659.20 | 6.8× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) | $104,659.20 | $104,659.20 | 6.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) | $69,000 | $69,000 | 4.5× |
| Arthrodesis subtalar (28725) range across 3 matching MRF lines |
$17,443.20–$34,886.40 | $17,443.20–$34,886.40 | varies |
| Arthrodesis triple (28715) | $34,886.40 | $34,886.40 | 3.1× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) | $40,700.80 | $40,700.80 | 6.4× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) range across 2 matching MRF lines |
$52,329.60–$104,659.20 | $52,329.60–$104,659.20 | varies |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) | $104,659.20 | $104,659.20 | 6.8× |
| Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) | $25,280 | $25,280 | 2.2× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) | $34,886.40 | $34,886.40 | 2.3× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) | $34,886.40 | $34,886.40 | 2.3× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) | $58,144 | $58,144 | 3.8× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) | $40,700.80 | $40,700.80 | 6.4× |
| Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Facility (27286) | $15,000 | $15,000 | 1.3× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) | $104,659.20 | $104,659.20 | 6.8× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) | $104,659.20 | $104,659.20 | 6.8× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) | $104,659.20 | $104,659.20 | 6.8× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) | $69,000 | $69,000 | 4.5× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) | $106,682 | $106,682 | 6.9× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) range across 2 matching MRF lines |
$40,700.80–$62,227.88 | $40,700.80–$62,227.88 | varies |
| Arthrodesis, wrist; with sliding graft Facility (25805) | $40,700.80 | $40,700.80 | 6.4× |
| Arthroplasty Ankle (27700) | $40,576 | $40,576 | 6.4× |
| Arthroplasty ankle revision total ankle (27703) likely a partial charge, not the full procedure |
$3,532 | $3,532 | 0.2× |
| Arthroplasty Ankle W/Implant (27702) | $106,682 | $106,682 | 4.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $104,659.20 | $104,659.20 | 6.8× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) | $104,659.20 | $104,659.20 | 9.3× |
| Arthroplasty interphalangeal joint each (26535) | $34,886.40 | $34,886.40 | 12.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $29,072 | $29,072 | 10.1× |
| Arthroplasty Patella W/Prosthesis (27438) range across 3 matching MRF lines |
$104,659.20–$105,519.20 | $104,659.20–$105,519.20 | varies |
| Arthroplasty radial head (24365) | $29,072 | $29,072 | 2.6× |
| Arthroplasty Radial Head W/Implant (24366) | $29,072 | $29,072 | 2.6× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) | $78,233 | $78,233 | 5.1× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) | $29,072 | $29,072 | 1.9× |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) | $29,072 | $29,072 | 2.6× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) | $23,257.60 | $23,257.60 | 2.1× |
| Arthroplasty, knee, tibial plateau; Facility (27440) | $104,659.20 | $104,659.20 | 9.3× |
| Arthroplasty, patella; without prosthesis (27437) | $29,072 | $29,072 | 4.6× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) | $23,257.60 | $23,257.60 | 16.5× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) | $78,543 | $78,543 | 7.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) range across 3 matching MRF lines |
$10,465.50–$20,931.84 | $10,465.50–$20,931.84 | varies |
| Arthroscopy Ankle Surgical Debridement Limited (29897) range across 2 matching MRF lines |
$10,465.50–$20,931.84 | $10,465.50–$20,931.84 | varies |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) | $20,931.84 | $20,931.84 | 3.3× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $20,931.84 | $20,931.84 | 7.3× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) range across 2 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy Elbow Surgical Debridement Limited (29837) | $23,257.60 | $23,257.60 | 8.1× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) | $17,443.20 | $17,443.20 | 6.1× |
| Arthroscopy hip w/femoroplasty (29914) range across 3 matching MRF lines |
$20,476.61–$40,953.21 | $20,476.61–$40,953.21 | varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) range across 2 matching MRF lines |
$10,465.92–$20,931.84 | $10,465.92–$20,931.84 | varies |
| Arthroscopy Knee Osteochondral Allograft (29867) | $23,257.60 | $23,257.60 | 2.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $23,257.60 | $23,257.60 | 8.1× |
| Arthroscopy knee synovectomy limited spx (29875) range across 3 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $23,257.60 | $23,257.60 | 8.1× |
| Arthroscopy shoulder distal claviculectomy (29824) range across 3 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 3 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) | $17,443.20 | $17,443.20 | 6.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) range across 3 matching MRF lines |
$10,465.50–$20,931.84 | $10,465.50–$20,931.84 | varies |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) range across 2 matching MRF lines |
$23,257.60–$54,604.28 | $23,257.60–$54,604.28 | varies |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) range across 2 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) | $23,257.60 | $23,257.60 | 3.7× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) range across 3 matching MRF lines |
$40,575.78–$49,297.38 | $40,575.78–$49,297.38 | varies |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) | $23,257.60 | $23,257.60 | 3.7× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) | $23,257.60 | $23,257.60 | 8.1× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) | $23,257.60 | $23,257.60 | 3.7× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) | $23,257.60 | $23,257.60 | 3.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 3 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 3 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) | $20,931.84 | $20,931.84 | 7.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) | $20,931.84 | $20,931.84 | 7.3× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) | $20,931.84 | $20,931.84 | 14.9× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 4 matching MRF lines |
$20,287.89–$84,121.27 | $20,287.89–$84,121.27 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $23,257.60 | $23,257.60 | 8.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $40,575.78 | $40,575.78 | 6.4× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) | $23,257.60 | $23,257.60 | 8.1× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) range across 2 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) | $23,257.60 | $23,257.60 | 8.1× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) | $23,257.60 | $23,257.60 | 2.1× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) | $17,443.20 | $17,443.20 | 2.7× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $17,443.20 | $17,443.20 | 6.1× |
| Arthrotomy biopsy interphalangeal joint each (26110) | $11,628.80 | $11,628.80 | 8.3× |
| Arthrotomy W/Meniscus Repair Knee (27403) | $17,443.20 | $17,443.20 | 2.7× |
| Arthrotomy W/Synovectomy Ankle (27625) | $18,260 | $18,260 | 6.4× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) | $23,257.60 | $23,257.60 | 8.1× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) | $23,257.60 | $23,257.60 | 8.1× |
| Arthrotomy Wrist Joint With Biopsy (25100) | $11,628.80 | $11,628.80 | 4.1× |
| Arthrotomy wrist joint with synovectomy (25105) | $11,628.80 | $11,628.80 | 4.1× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) | $11,628.80 | $11,628.80 | 4.1× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) | $17,447.70 | $17,447.70 | 6.1× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) | $17,443.20 | $17,443.20 | 2.7× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) | $18,039 | $18,039 | 6.3× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) | $18,038 | $18,038 | 6.3× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) | $17,443.20 | $17,443.20 | 6.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $104,659.20 | $104,659.20 | 9.3× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $10,059 | $10,059 | 3.5× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) range across 3 matching MRF lines |
$104,000–$156,000 | $104,000–$156,000 | varies |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) | $29,072 | $29,072 | 4.6× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) | $23,257.60 | $23,257.60 | 8.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 3 matching MRF lines |
$17,443.20–$34,886 | $17,443.20–$34,886 | varies |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) | $34,886 | $34,886 | 3.1× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) range across 3 matching MRF lines |
$10,465.50–$20,931.84 | $10,465.50–$20,931.84 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $23,257.60 | $23,257.60 | 8.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 3 matching MRF lines |
$11,628.80–$24,705.60 | $11,628.80–$24,705.60 | varies |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) | $23,257.60 | $23,257.60 | 8.1× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) | $23,257.60 | $23,257.60 | 3.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$23,257.60–$34,886.40 | $23,257.60–$34,886.40 | varies |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) | $17,447.70 | $17,447.70 | 6.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $17,443.20 | $17,443.20 | 6.1× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) | $13,750 | $13,750 | 4.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $11,628.80 | $11,628.80 | 8.3× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $11,628.80 | $11,628.80 | 4.1× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) | $17,443.20 | $17,443.20 | 6.1× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) | $12,374.51 | $12,374.51 | 4.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $13,954.56 | $13,954.56 | 9.9× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $13,954.50 | $13,954.50 | 4.9× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) | $13,954.50 | $13,954.50 | 4.9× |
| Arthrt w/synvct kne ant&post w/pop area (27335) | $12,374.51 | $12,374.51 | 1.9× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $11,628.80 | $11,628.80 | 4.1× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$3,548.69–$10,112 | $3,548.69–$10,112 | varies |
| Aspirate Pleura W/O Imaging (32554) | $3,548.69 | $3,548.69 | 6.5× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$1,667.87–$3,033.60 | $1,667.87–$3,033.60 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $6,067 | $6,067 | 9.8× |
| Autologous Chondrocyte Implantation Knee (27412) | $62,018.72 | $62,018.72 | 9.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$1,107.75–$11,628.80 | $1,107.75–$11,628.80 | varies |
| Axillary lymphadenectomy; complete (38745) | $31,972.67 | $31,972.67 | 6.0× |
| Biopsy bone open deep (20245) | $17,443 | $17,443 | 6.9× |
| Biopsy bone open superficial (20240) | $17,443.20 | $17,443.20 | 6.9× |
| Biopsy bone trocar/needle deep (20225) | $17,443.20 | $17,443.20 | 12.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $17,443.20 | $17,443.20 | 12.1× |
| Biopsy external ear (69100) | $2,500 | $2,500 | 12.0× |
| Biopsy nail unit (11755) | $11,628.80 | $11,628.80 | 18.7× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $18,431 | $18,431 | 6.3× |
| Biopsy of breast; open, incisional (19101) | $11,628.80 | $11,628.80 | 3.4× |
| Biopsy of liver, needle; percutaneous (47000) | $10,784.24 | $10,784.24 | 7.5× |
| Biopsy soft tissue back/flank deep (21925) | $8,721.60 | $8,721.60 | 6.0× |
| Biopsy soft tissue forearm&/wrist deep (25066) | $8,721.60 | $8,721.60 | 3.4× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $11,628.80 | $11,628.80 | 8.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $11,628.80 | $11,628.80 | 4.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $11,628.80 | $11,628.80 | 8.0× |
| Biopsy soft tissue neck/thorax (21550) | $12,374.74 | $12,374.74 | 8.6× |
| Biopsy Soft Tissue Shoulder Deep (23066) | $11,628.80 | $11,628.80 | 4.6× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $8,721.60 | $8,721.60 | 6.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $11,628.80 | $11,628.80 | 4.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $11,628.80 | $11,628.80 | 8.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $6,067.20 | $6,067.20 | 4.2× |
| Biopsy/removal lymph nodes (38510) | $21,088.31 | $21,088.31 | 6.1× |
| Bladder instillation anticarcinogenic agent (51720) | $1,695 | $1,695 | 2.8× |
| Bladder Irrigation (51700) | $1,318.07 | $1,318.07 | 6.0× |
| Bladder Scan (51798) | $352.59 | $352.59 | 6.8× |
| Blepharoplasty Lower Eyelid (15820) | $10,910 | $10,910 | 6.0× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) | $10,910 | $10,910 | 6.0× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$392.70–$2,501.26 | $392.70–$2,501.26 | varies |
| Blood/Lymph System Procedure (38999) | $11,628.80 | $11,628.80 | 30.1× |
| Bone Graft Any Donor Area Major/Large (20902) range across 2 matching MRF lines |
$6,977.28–$13,954.56 | $6,977.28–$13,954.56 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) range across 2 matching MRF lines |
$4,360.80–$8,721.60 | $4,360.80–$8,721.60 | varies |
| Bone graft with microvascular anastomosis; fibula Facility (20955) | $8,721.60 | $8,721.60 | 1.4× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) | $8,721.60 | $8,721.60 | 1.4× |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) | $8,721.60 | $8,721.60 | 1.4× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) | $8,721.60 | $8,721.60 | 1.4× |
| Bone Marrow Harvest Autolog (38232) | $25,518.52 | $25,518.52 | 6.7× |
| Bone Marrow; Aspiration Only (38220) | $11,628.80 | $11,628.80 | 8.0× |
| Breast augmentation with implant (19325) | $17,443.20 | $17,443.20 | 2.4× |
| Breast Reduction (19318) | $17,443.20 | $17,443.20 | 3.0× |
| Buttock fasciotomy (27027) | $17,443.20 | $17,443.20 | 2.7× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$7,767.36–$9,198.60 | $7,767.36–$9,198.60 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $5,814.40 | $5,814.40 | 4.0× |
| Bx/exc lymph node open deep axillary node (38525) | $21,088.31 | $21,088.31 | 6.1× |
| Bx/exc lymph node open superficial (38500) | $21,088.31 | $21,088.31 | 6.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $8,721.60 | $8,721.60 | 3.0× |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) | $17,443.20 | $17,443.20 | 2.7× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $8,721.60 | $8,721.60 | 6.2× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) | $8,721.60 | $8,721.60 | 3.0× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) | $18,260 | $18,260 | 6.4× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) | $40,953 | $40,953 | 6.4× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) | $23,257.60 | $23,257.60 | 3.7× |
| Capsulorrhaphy Anterior With Bone Block (23460) | $23,257.60 | $23,257.60 | 3.7× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) | $23,257.60 | $23,257.60 | 3.7× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $8,721.60 | $8,721.60 | 6.2× |
| Capsulotomy Midtarsal (28264) | $17,443.20 | $17,443.20 | 12.4× |
| Capsulotomy Posterior Capsular Release Knee (27435) | $23,257.60 | $23,257.60 | 8.1× |
| Capsulotomy wrist (25085) | $13,982.56 | $13,982.56 | 4.9× |
| Carpal Tunnel Surgery (64721) range across 4 matching MRF lines |
$6,991.08–$20,973.24 | $6,991.08–$20,973.24 | varies |
| Carpectomy All Bones Proximal Row (25215) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Cataract surg w/iol 1 stage (66983) | $8,335.90 | $8,335.90 | 4.1× |
| Cataract surgery complex (66982) | $11,628.80 | $11,628.80 | 5.8× |
| Cerv artific diskectomy (22856) | $134,325.62 | $134,325.62 | 8.7× |
| Change Cystostomy Tube Simple (51705) | $1,318 | $1,318 | 6.0× |
| Change of Windpipe Airway (31502) | $1,274.86 | $1,274.86 | 6.1× |
| Chemical Cautery Tissue (17250) | $1,107.75 | $1,107.75 | 6.3× |
| Chemodenerv 1 extrem 5/> mus (64644) | $10,112 | $10,112 | 16.3× |
| Chemodenerv 1 extremity 1-4 (64642) | $10,112 | $10,112 | 16.3× |
| Chemodenerv trunk musc 1-5 (64646) | $10,112 | $10,112 | 16.3× |
| Chemodenerv trunk musc 6/> (64647) | $13,982.16 | $13,982.16 | 22.6× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$9,126.87–$18,253.74 | $9,126.87–$18,253.74 | varies |
| Circumcision 28 days or older (54161) | $8,234.45 | $8,234.45 | 4.5× |
| Circumcision Neonate (54160) | $5,814.40 | $5,814.40 | 9.5× |
| Cl Tx Scapular Fx; W Manip (23575) | $8,872 | $8,872 | 6.3× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 4 matching MRF lines |
$1,909.92–$17,443.20 | $1,909.92–$17,443.20 | varies |
| Claviculectomy partial (23120) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Claviculectomy; total (23125) | $17,443.20 | $17,443.20 | 6.1× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$476.72–$953.44 | $476.72–$953.44 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 3 matching MRF lines |
$23,257.60–$34,886.40 | $23,257.60–$34,886.40 | varies |
| Closed rx talotarsal disloc,anesth (28575) | $11,628.80 | $11,628.80 | 4.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 3 matching MRF lines |
$1,528.44–$17,443.20 | $1,528.44–$17,443.20 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $24,072 | $24,072 | 17.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 3 matching MRF lines |
$1,731.40–$17,443.20 | $1,731.40–$17,443.20 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,270 | $1,270 | 5.9× |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$1,269.87–$2,539.74 | $1,269.87–$2,539.74 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $17,443.20 | $17,443.20 | 80.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$1,440.80–$2,881.60 | $1,440.80–$2,881.60 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 5 matching MRF lines |
$1,488.04–$29,072 | $1,488.04–$29,072 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,799.92 | $1,799.92 | 8.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$1,350–$2,250 | $1,350–$2,250 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 3 matching MRF lines |
$1,649.12–$17,443.20 | $1,649.12–$17,443.20 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $17,443.20 | $17,443.20 | 80.7× |
| Closed tx femoral fracture prox head w/o manj (27267) | $18,039 | $18,039 | 6.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $17,443.20 | $17,443.20 | 80.7× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $9,200 | $9,200 | 6.5× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
$1,271–$3,622.80 | $1,271–$3,622.80 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$9,200–$18,400 | $9,200–$18,400 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$1,269.87–$11,628.80 | $1,269.87–$11,628.80 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $13,954.56 | $13,954.56 | 9.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $590.12 | $590.12 | 0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$527.64–$17,443.20 | $527.64–$17,443.20 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 3 matching MRF lines |
$1,847.68–$23,257.60 | $1,847.68–$23,257.60 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$1,402.80–$2,805.60 | $1,402.80–$2,805.60 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $8,721.60 | $8,721.60 | 40.3× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$3,488.64–$13,954.56 | $3,488.64–$13,954.56 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$1,350–$17,443.20 | $1,350–$17,443.20 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 4 matching MRF lines |
$1,759.80–$17,443.20 | $1,759.80–$17,443.20 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $17,443.20 | $17,443.20 | 80.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 4 matching MRF lines |
$1,805.68–$17,443.20 | $1,805.68–$17,443.20 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$1,348.60–$2,697.20 | $1,348.60–$2,697.20 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$1,269.87–$2,539.74 | $1,269.87–$2,539.74 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$9,200.36–$18,400.72 | $9,200.36–$18,400.72 | varies |
| Closed tx talus fracture w/o manipulation (28430) | $11,628.80 | $11,628.80 | 53.8× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $23,257.60 | $23,257.60 | 107.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$1,269.87–$2,539.74 | $1,269.87–$2,539.74 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $1,269.87 | $1,269.87 | 5.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $13,954.56 | $13,954.56 | 9.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $13,954.56 | $13,954.56 | 64.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $1,274.86 | $1,274.86 | 6.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $2,802.24 | $2,802.24 | 5.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,270 | $1,270 | 5.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $11,628.80 | $11,628.80 | 8.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$1,269.87–$2,539.74 | $1,269.87–$2,539.74 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 4 matching MRF lines |
$8,799.69–$17,599.38 | $8,799.69–$17,599.38 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$1,210.04–$17,443.20 | $1,210.04–$17,443.20 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$1,903.32–$13,954.56 | $1,903.32–$13,954.56 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 3 matching MRF lines |
$1,279.32–$17,443.20 | $1,279.32–$17,443.20 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $1,269 | $1,269 | 5.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 3 matching MRF lines |
$1,510.28–$17,443.20 | $1,510.28–$17,443.20 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,058 | $1,058 | 4.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,181.56 | $1,181.56 | 5.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 4 matching MRF lines |
$1,270–$11,628 | $1,270–$11,628 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $11,628 | $11,628 | 53.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 4 matching MRF lines |
$1,047.76–$11,628.80 | $1,047.76–$11,628.80 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$1,269.87–$6,067.20 | $1,269.87–$6,067.20 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$2,336.08–$17,443.20 | $2,336.08–$17,443.20 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 5 matching MRF lines |
$1,977.88–$17,443.20 | $1,977.88–$17,443.20 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $17,442.20 | $17,442.20 | 12.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $23,257.60 | $23,257.60 | 16.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$1,269.87–$11,628.80 | $1,269.87–$11,628.80 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,269.87 | $1,269.87 | 5.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$1,269.87–$17,443.20 | $1,269.87–$17,443.20 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$1,269.87–$23,257.60 | $1,269.87–$23,257.60 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 4 matching MRF lines |
$8,800–$17,600 | $8,800–$17,600 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $17,443.20 | $17,443.20 | 80.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$8,800–$17,443.20 | $8,800–$17,443.20 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$2,916.48–$8,721.60 | $2,916.48–$8,721.60 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$1,269.87–$2,539.74 | $1,269.87–$2,539.74 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$13,954.60–$27,909.16 | $13,954.60–$27,909.16 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $13,954.60 | $13,954.60 | 64.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $23,257.60 | $23,257.60 | 94.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $1,269.87 | $1,269.87 | 5.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,063.96 | $1,063.96 | 4.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$1,682.76–$24,072 | $1,682.76–$24,072 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$1,350–$23,257.60 | $1,350–$23,257.60 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$1,111.80–$11,628.80 | $1,111.80–$11,628.80 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$1,181.52–$11,628.80 | $1,181.52–$11,628.80 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $11,628.80 | $11,628.80 | 8.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $5,889 | $5,889 | 4.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
$1,160.96–$11,628.80 | $1,160.96–$11,628.80 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$1,269.87–$11,628.80 | $1,269.87–$11,628.80 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 4 matching MRF lines |
$6,462.96–$17,599.38 | $6,462.96–$17,599.38 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$1,543.96–$3,087.92 | $1,543.96–$3,087.92 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 4 matching MRF lines |
$1,448.04–$11,628.80 | $1,448.04–$11,628.80 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $24,072 | $24,072 | 111.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$1,630.36–$17,443.20 | $1,630.36–$17,443.20 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$1,351.16–$2,702.32 | $1,351.16–$2,702.32 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 3 matching MRF lines |
$1,569.88–$17,443.20 | $1,569.88–$17,443.20 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$712–$2,539.74 | $712–$2,539.74 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $17,443.20 | $17,443.20 | 12.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $17,443 | $17,443 | 12.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $13,954.60 | $13,954.60 | 9.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $11,628.80 | $11,628.80 | 4.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$1,269.87–$2,539.74 | $1,269.87–$2,539.74 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$910–$17,443.20 | $910–$17,443.20 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $17,443.20 | $17,443.20 | 80.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$8,163.15–$29,072 | $8,163.15–$29,072 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$1,350–$2,700 | $1,350–$2,700 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $17,443.20 | $17,443.20 | 4.0× |
| Coccygectomy, primary (27080) | $17,443.20 | $17,443.20 | 6.1× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$15.95–$24 | $15.95–$24 | varies |
| Colonoscopy Flexible With Decompression (45393) | $11,628.80 | $11,628.80 | 11.1× |
| Colonoscopy thru stoma (44388) | $17,443.20 | $17,443.20 | 21.4× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $6,642.83 | $6,642.83 | 6.3× |
| Colonoscopy w/ablation (45388) | $11,628.80 | $11,628.80 | 11.1× |
| Colonoscopy w/submucosal inj (45381) | $11,628.80 | $11,628.80 | 11.1× |
| Colpopexy extraperitoneal (57282) | $13,954.56 | $13,954.56 | 2.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $11,628.80 | $11,628.80 | 11.1× |
| Combined anteroposterior colporrhaphy; (57260) | $11,628.80 | $11,628.80 | 2.7× |
| Complex drainage wound (10180) | $6,977.28 | $6,977.28 | 2.7× |
| Conization of cervix (57520) | $16,712 | $16,712 | 5.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$712.27–$1,424.54 | $712.27–$1,424.54 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$712.27–$5,056 | $712.27–$5,056 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $3,150 | $3,150 | 6.7× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) | $104,659.20 | $104,659.20 | 9.3× |
| Correction claw finger, other methods Facility (26499) | $23,257.60 | $23,257.60 | 8.1× |
| Correction hammertoe (28285) range across 3 matching MRF lines |
$7,628–$15,256 | $7,628–$15,256 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $23,257.60 | $23,257.60 | 8.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $17,443 | $17,443 | 6.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $40,575.78 | $40,575.78 | 3.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $17,443.20 | $17,443.20 | 2.7× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) range across 3 matching MRF lines |
$40,575.78–$48,203.78 | $40,575.78–$48,203.78 | varies |
| Cross Intrinsic Transfer Each Tendon (26510) | $11,628.80 | $11,628.80 | 4.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$712.27–$13,982.16 | $712.27–$13,982.16 | varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $18,431 | $18,431 | 6.3× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) | $23,257.60 | $23,257.60 | 2.8× |
| Cystourethroscopy (52000) | $17,443.20 | $17,443.20 | 28.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $11,660 | $11,660 | 6.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) | $11,660 | $11,660 | 6.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$3,563.70–$8,721.60 | $3,563.70–$8,721.60 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$1,668.92–$8,721.60 | $1,668.92–$8,721.60 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$3,980.97–$8,721.60 | $3,980.97–$8,721.60 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $8,721.60 | $8,721.60 | 14.1× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) | $17,443.20 | $17,443.20 | 6.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) | $17,443.20 | $17,443.20 | 6.1× |
| Dcmprn fasct leg post compartment only (27601) | $17,443.20 | $17,443.20 | 6.1× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $60,000 | $60,000 | 35.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$3,563.70–$8,721.60 | $3,563.70–$8,721.60 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$352.59–$4,360.80 | $352.59–$4,360.80 | varies |
| Debride nail 6 or more (11721) | $4,360.80 | $4,360.80 | 84.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$8,721.60–$9,198.60 | $8,721.60–$9,198.60 | varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $6,977.28 | $6,977.28 | 14.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$2,288.48–$8,721.60 | $2,288.48–$8,721.60 | varies |
| Declot vascular device (36593) | $2,040.36 | $2,040.36 | 7.0× |
| Decomp forearm,1 compart,w/o debride (25020) | $17,443.20 | $17,443.20 | 12.4× |
| Decompress Fingers/Hand (26035) range across 2 matching MRF lines |
$1,349.92–$17,443.20 | $1,349.92–$17,443.20 | varies |
| Decompress Spinal Cord Lmbr (63056) range across 3 matching MRF lines |
$60,000–$61,250 | $60,000–$61,250 | varies |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) | $17,443.20 | $17,443.20 | 12.4× |
| Decompression of leg (27892) | $17,443.20 | $17,443.20 | 6.1× |
| Decompression of tibia nerve (28035) range across 2 matching MRF lines |
$6,977.28–$13,954.56 | $6,977.28–$13,954.56 | varies |
| Decompressive fasciotomy hand (26037) | $17,443.20 | $17,443.20 | 6.1× |
| Deep Muscle Biopsy (20205) | $11,628.80 | $11,628.80 | 4.6× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) | $11,628.80 | $11,628.80 | 6.4× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) | $7,568.22 | $7,568.22 | 4.2× |
| Delay Flap/Sectioning Flap Trunk (15600) | $22,429 | $22,429 | 7.2× |
| Delivery of placenta (59414) | $236.75 | $236.75 | 0.1× |
| Denervation of hip joint (27035) | $18,039 | $18,039 | 6.3× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) | $19,954.99 | $19,954.99 | 6.4× |
| Derma-fat-fascia graft (15770) | $19,954.99 | $19,954.99 | 6.4× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$10,112–$20,224 | $10,112–$20,224 | varies |
| Destroy lumb/sac facet jnt (64635) range across 5 matching MRF lines |
$10,112–$30,336 | $10,112–$30,336 | varies |
| Destruct B9 Lesion 1-14 (17110) | $11,628.80 | $11,628.80 | 66.1× |
| Destruction Benign Lesions 15/> (17111) | $11,628.80 | $11,628.80 | 66.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $10,112 | $10,112 | 5.9× |
| Destruction premalignant lesion 1st (17000) | $11,628.80 | $11,628.80 | 66.1× |
| Diagnostic sigmoidoscopy (45330) | $13,954.56 | $13,954.56 | 17.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $17,897 | $17,897 | 6.3× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) range across 2 matching MRF lines |
$31,458–$44,263.48 | $31,458–$44,263.48 | varies |
| Disarticulation of shoulder; Facility (23920) | $10,112 | $10,112 | 0.9× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) | $40,575.78 | $40,575.78 | 6.4× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $9,716 | $9,716 | 6.2× |
| Dissection, deep jugular node(s) Facility (38542) | $33,030 | $33,030 | 6.2× |
| Drain Cerebro Spinal Fluid (62272) | $6,067.20 | $6,067.20 | 9.8× |
| Drain Hand Tendon Sheath (26020) | $11,628.80 | $11,628.80 | 4.1× |
| Drain Spinal Cord Cyst (62268) | $6,067.20 | $6,067.20 | 7.8× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$3,033.60–$6,067.20 | $3,033.60–$6,067.20 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $614.20 | $614.20 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $3,980.97 | $3,980.97 | 6.4× |
| Drainage Finger Abscess Complicated (26011) range across 4 matching MRF lines |
$708.32–$5,814.40 | $708.32–$5,814.40 | varies |
| Drainage Mouth Roof Lesion (42000) | $1,398 | $1,398 | 6.7× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$1,009.40–$11,628.80 | $1,009.40–$11,628.80 | varies |
| Drainage of gum lesion (41800) | $1,069.52 | $1,069.52 | 9.2× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$9,198.63–$11,628.80 | $9,198.63–$11,628.80 | varies |
| Drainage of palmar bursa single bursa (26025) | $11,628.80 | $11,628.80 | 4.1× |
| Drainage of palmar bursa; multiple bursa Facility (26030) | $18,529 | $18,529 | 6.5× |
| Drainage of rectal abscess (45005) | $6,642.83 | $6,642.83 | 6.3× |
| Drainage of scrotal wall abscess (55100) | $646.76 | $646.76 | 0.4× |
| Drainage of scrotum (54700) | $958.61 | $958.61 | 0.5× |
| Draw Blood Off Venous Device (36591) | $731 | $731 | 6.3× |
| Dressing Change Under Anesthesia (15852) | $6,067.20 | $6,067.20 | 9.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $3,980.97 | $3,980.97 | 6.4× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $707.52 | $707.52 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $2,288.48 | $2,288.48 | 6.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,107.75 | $1,107.75 | 6.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$575–$1,107.75 | $575–$1,107.75 | varies |
| Dstrj lesion anus simple surg excision (46922) | $11,628.80 | $11,628.80 | 4.8× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $11,628.80 | $11,628.80 | 6.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $10,112 | $10,112 | 13.0× |
| Dx Laryngoscopy Excl Nb (31525) | $17,443.20 | $17,443.20 | 11.2× |
| Dx laryngoscopy w/oper scope (31526) | $9,716 | $9,716 | 6.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $11,628.80 | $11,628.80 | 6.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $11,628.80 | $11,628.80 | 6.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $11,628.80 | $11,628.80 | 6.9× |
| Egd place gastrostomy tube (43246) | $14,523.54 | $14,523.54 | 8.6× |
| Elbow arthroscopy (29830) | $23,257.60 | $23,257.60 | 8.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $23,257.60 | $23,257.60 | 86.4× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $11,628.80 | $11,628.80 | 43.2× |
| Endocervical curettage (57505) | $13,982.16 | $13,982.16 | 17.3× |
| Endoscopic plantar fasciotomy (29893) | $20,931.84 | $20,931.84 | 7.3× |
| Enterorrhaphy single perforation (44602) | $17,443.20 | $17,443.20 | 5.2× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$3,952.52–$8,721.60 | $3,952.52–$8,721.60 | varies |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) | $23,257.60 | $23,257.60 | 8.1× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) | $29,072 | $29,072 | 10.1× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $10,346 | $10,346 | 6.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $11,628.80 | $11,628.80 | 6.9× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$712.27–$11,628.80 | $712.27–$11,628.80 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $11,628.80 | $11,628.80 | 8.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $11,628.80 | $11,628.80 | 8.0× |
| Exc arm/elbow les sc < 3 cm (24075) | $11,628.80 | $11,628.80 | 8.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$468.84–$11,628.80 | $468.84–$11,628.80 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Back Les Sc < 3 Cm (21930) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Back Tum Deep 5 Cm/> (21933) | $23,257.60 | $23,257.60 | 9.1× |
| Exc back tum deep < 5 cm (21932) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) | $11,628.80 | $11,628.80 | 2.2× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $11,628.80 | $11,628.80 | 4.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $5,814.40 | $5,814.40 | 1.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $11,628.80 | $11,628.80 | 18.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $11,628.80 | $11,628.80 | 18.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Face Les Sbq 2 Cm/> (21012) | $3,033.60 | $3,033.60 | 2.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $8,721.60 | $8,721.60 | 14.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $8,721.60 | $8,721.60 | 14.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$3,980.97–$11,628.80 | $3,980.97–$11,628.80 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) range across 3 matching MRF lines |
$8,721.60–$54,604 | $8,721.60–$54,604 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $11,628.80 | $11,628.80 | 4.6× |
| Exc ganglion wrist recurrent (25112) | $11,628.80 | $11,628.80 | 8.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$466.96–$11,628.80 | $466.96–$11,628.80 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $11,628.80 | $11,628.80 | 18.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Exc hand tum deep < 1.5 cm (26116) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $11,628.80 | $11,628.80 | 8.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $18,431 | $18,431 | 6.3× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $17,443.20 | $17,443.20 | 10.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) | $17,443.20 | $17,443.20 | 10.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) | $17,443.20 | $17,443.20 | 10.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $11,628.80 | $11,628.80 | 18.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Skin Benig >4cm Face,Facial (11446) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $11,628.80 | $11,628.80 | 8.0× |
| Exc tendon shth lesion leg/ankle (27630) | $11,628.80 | $11,628.80 | 4.1× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $6,642.83 | $6,642.83 | 6.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $11,628.80 | $11,628.80 | 32.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$3,980.97–$11,628.80 | $3,980.97–$11,628.80 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$8,721.60–$9,198.60 | $8,721.60–$9,198.60 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $3,033.60 | $3,033.60 | 2.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) range across 3 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) range across 2 matching MRF lines |
$6,977.28–$13,954.56 | $6,977.28–$13,954.56 | varies |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $5,814.40 | $5,814.40 | 2.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $5,814.40 | $5,814.40 | 4.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $6,067.20 | $6,067.20 | 2.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $11,628.80 | $11,628.80 | 8.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $9,198.60 | $9,198.60 | 6.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $11,628.80 | $11,628.80 | 4.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $11,628.80 | $11,628.80 | 4.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $11,628.80 | $11,628.80 | 4.6× |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) | $14,536 | $14,536 | 2.3× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) | $17,443.20 | $17,443.20 | 2.7× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) | $17,443.20 | $17,443.20 | 2.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $17,443.20 | $17,443.20 | 6.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $17,443.20 | $17,443.20 | 12.4× |
| Exchange Intraocular Lens (66986) | $5,704.54 | $5,704.54 | 2.8× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $9,731.37 | $9,731.37 | 3.3× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $11,628.80 | $11,628.80 | 8.6× |
| Excise excessive skin arm (15836) | $11,628.80 | $11,628.80 | 4.6× |
| Excise intraspinal lesion (63267) | $69,000 | $69,000 | 10.9× |
| Excise intraspinl lesion crv (63265) | $69,000 | $69,000 | 10.9× |
| Excise tendon forearm/wrist (25109) | $13,982.16 | $13,982.16 | 4.9× |
| Excise Wrist Tendon Sheath (25118) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $11,628.80 | $11,628.80 | 18.7× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) | $931.76 | $931.76 | 0.4× |
| Excision Distal Ulna Partial/Complete (25240) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $11,628.80 | $11,628.80 | 4.6× |
| Excision exostosis(es), external auditory canal Facility (69140) | $13,982.16 | $13,982.16 | 2.7× |
| Excision H/P/P/U Complex Repair (11471) | $11,628.80 | $11,628.80 | 4.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $11,628.80 | $11,628.80 | 4.6× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $11,628.80 | $11,628.80 | 4.6× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $11,628.80 | $11,628.80 | 4.6× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $11,628.80 | $11,628.80 | 4.6× |
| Excision inferior turbinate partial/complete (30130) | $17,443.20 | $17,443.20 | 6.0× |
| Excision lesion meniscus/capsule knee (27347) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Excision lesion mouth roof (42104) | $18,431 | $18,431 | 6.3× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $13,982.16 | $13,982.16 | 9.9× |
| Excision Lingual Frenum Frenectomy (41115) | $17,443.20 | $17,443.20 | 12.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $5,814.40 | $5,814.40 | 9.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $11,628.80 | $11,628.80 | 18.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $11,628.80 | $11,628.80 | 32.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $11,628.80 | $11,628.80 | 18.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $8,721.60 | $8,721.60 | 14.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $11,628.80 | $11,628.80 | 8.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $11,628.80 | $11,628.80 | 4.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $8,721.60 | $8,721.60 | 6.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $8,721.60 | $8,721.60 | 14.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $11,628.80 | $11,628.80 | 18.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $11,628.80 | $11,628.80 | 8.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) | $17,443.20 | $17,443.20 | 6.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) | $17,443.20 | $17,443.20 | 2.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Excision of local lesion of epididymis (54830) | $16,972.77 | $16,972.77 | 5.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $17,443.20 | $17,443.20 | 10.2× |
| Excision of neuroma; sciatic nerve Facility (64786) | $17,443.20 | $17,443.20 | 5.8× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) | $33,523 | $33,523 | 6.5× |
| Excision of pilonidal cyst or sinus; simple (11770) | $17,443.20 | $17,443.20 | 6.9× |
| Excision of single external papilla or tag, anus (46220) | $17,443.20 | $17,443.20 | 16.6× |
| Excision of submandibular (submaxillary) gland (42440) | $33,523 | $33,523 | 6.5× |
| Excision of vaginal cyst or tumor (57135) | $23,257.60 | $23,257.60 | 8.2× |
| Excision olecranon bursa (24105) range across 3 matching MRF lines |
$5,814.40–$24,705.60 | $5,814.40–$24,705.60 | varies |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $17,443.20 | $17,443.20 | 6.1× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) | $40,577 | $40,577 | 6.4× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) | $40,577 | $40,577 | 6.4× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) | $11,628.80 | $11,628.80 | 1.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $11,628.80 | $11,628.80 | 4.1× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) | $17,443.20 | $17,443.20 | 2.7× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $11,628.80 | $11,628.80 | 4.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $11,628.80 | $11,628.80 | 4.6× |
| Excision prepatellar bursa (27340) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Excision Radial Head (24130) | $23,257.60 | $23,257.60 | 8.1× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $11,600 | $11,600 | 2.0× |
| Excision synovial cyst popliteal space (27345) range across 3 matching MRF lines |
$6,977.28–$13,954.56 | $6,977.28–$13,954.56 | varies |
| Excision tendon finger flexor/extensor each (26180) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Excision tendon palm flexor/extensor single each (26170) | $11,628.80 | $11,628.80 | 8.3× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $11,628.80 | $11,628.80 | 2.2× |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) | $11,628.80 | $11,628.80 | 2.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $12,374.68 | $12,374.68 | 8.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $11,628.80 | $11,628.80 | 4.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $11,628.80 | $11,628.80 | 8.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $11,628.80 | $11,628.80 | 8.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $11,628.80 | $11,628.80 | 8.0× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) | $22,429 | $22,429 | 7.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) | $16,266 | $16,266 | 6.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) | $8,721.60 | $8,721.60 | 3.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $11,628.80 | $11,628.80 | 4.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $3,033.60 | $3,033.60 | 2.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $11,628.80 | $11,628.80 | 4.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $11,628.80 | $11,628.80 | 4.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $17,128.96 | $17,128.96 | 6.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $11,628 | $11,628 | 8.0× |
| Excision/curettage cyst/tumor carpal bones (25130) | $14,536 | $14,536 | 5.1× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $17,443.20 | $17,443.20 | 12.4× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) range across 2 matching MRF lines |
$7,268–$14,536 | $7,268–$14,536 | varies |
| Excision/destruction intranasal lesion int appr (30117) | $17,443.30 | $17,443.30 | 6.0× |
| Excision/destruction lesion pharynx any method (42808) | $18,431 | $18,431 | 6.3× |
| Excision; trochanteric bursa or calcification (27062) | $18,259.61 | $18,259.61 | 6.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $9,426.30 | $9,426.30 | 5.2× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) | $14,310 | $14,310 | 2.9× |
| Exploration maxillary sinus (31020) | $18,431 | $18,431 | 6.3× |
| Exploration of hip joint (27033) | $17,443.20 | $17,443.20 | 2.7× |
| Exploration of knee joint (27310) | $11,628.80 | $11,628.80 | 4.1× |
| Exploration of spinal fusion (22830) | $17,443.20 | $17,443.20 | 2.7× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$2,232.76–$11,628.80 | $2,232.76–$11,628.80 | varies |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) | $17,443.20 | $17,443.20 | 3.1× |
| Exploratory elbow surgery (24000) | $13,750 | $13,750 | 4.8× |
| Explore for undescended testis (54550) | $1,862.80 | $1,862.80 | 0.6× |
| Explore inner ear (69806) | $29,072 | $29,072 | 5.6× |
| Explore inner ear (69805) | $29,072 | $29,072 | 5.6× |
| Explore treat shoulder joint (23107) | $15,749.37 | $15,749.37 | 2.5× |
| Explore/Treat Elbow Joint (24101) | $11,628.80 | $11,628.80 | 4.1× |
| Explore/Treat Hand Joint (26070) | $11,628.80 | $11,628.80 | 8.3× |
| Explore/Treat Knee Joint (27331) | $11,628.80 | $11,628.80 | 4.1× |
| Explore/Treat Wrist Joint (25040) | $11,334 | $11,334 | 4.0× |
| Extensive mastoid surgery (69511) | $23,257.60 | $23,257.60 | 4.5× |
| Fasciectomy Palm Only (26121) | $17,443.20 | $17,443.20 | 6.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$8,721.60–$24,705.60 | $8,721.60–$24,705.60 | varies |
| Fasciotomy Iliotibial Open (27305) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Fasciotomy palmar open partial (26045) | $17,443.20 | $17,443.20 | 6.1× |
| Fasciotomy palmar percutaneous (26040) range across 3 matching MRF lines |
$17,443.20–$29,072 | $17,443.20–$29,072 | varies |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Fasciotomy, hip or thigh, any type (27025) range across 2 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 4 matching MRF lines |
$8,721.60–$26,164.80 | $8,721.60–$26,164.80 | varies |
| Finger tendon transfer (26497) range across 2 matching MRF lines |
$5,814.40–$24,705.60 | $5,814.40–$24,705.60 | varies |
| Flap; neurovascular pedicle (15750) | $20,537 | $20,537 | 6.6× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) | $13,499 | $13,499 | 2.1× |
| Foreskin manipulation (54450) | $1,318.07 | $1,318.07 | 6.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $17,443.20 | $17,443.20 | 6.0× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) | $8,721.60 | $8,721.60 | 1.4× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $11,628.80 | $11,628.80 | 6.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $10,586.89 | $10,586.89 | 5.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $11,628.80 | $11,628.80 | 6.4× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $11,628.80 | $11,628.80 | 6.4× |
| Fuse hand bones with graft (25825) | $40,700.80 | $40,700.80 | 6.4× |
| Fusion Finger Joint (26860) range across 3 matching MRF lines |
$6,977.28–$13,954.56 | $6,977.28–$13,954.56 | varies |
| Fusion of foot bones (28740) range across 2 matching MRF lines |
$17,443.20–$34,886.40 | $17,443.20–$34,886.40 | varies |
| Fusion of hand bones (25820) range across 2 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Fusion of hand joint (26843) | $13,954.10 | $13,954.10 | 2.2× |
| Fusion of knuckle (26850) range across 4 matching MRF lines |
$13,954.56–$54,604.28 | $13,954.56–$54,604.28 | varies |
| Fusion of knuckle joint (26516) | $17,443.20 | $17,443.20 | 6.1× |
| Fusion of knuckle with graft (26852) | $13,954.56 | $13,954.56 | 2.2× |
| Fusion of tibiofibular joint (27871) | $34,886.40 | $34,886.40 | 3.1× |
| Fusion/graft of hand joint (26844) | $13,954.10 | $13,954.10 | 2.2× |
| Gastrocnemius recession (27687) range across 2 matching MRF lines |
$11,628.80–$24,705.60 | $11,628.80–$24,705.60 | varies |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) | $8,721.60 | $8,721.60 | 1.7× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) | $10,910 | $10,910 | 6.0× |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) | $22,429 | $22,429 | 7.2× |
| Grafting of autologous soft tiss by direct exc (15769) | $19,954.99 | $19,954.99 | 6.4× |
| Hair xplant punch grft 1-15 (15775) | $2,202 | $2,202 | 6.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) | $40,575.78 | $40,575.78 | 6.4× |
| Hand tendon reconstruction (26500) | $17,443.20 | $17,443.20 | 2.7× |
| Hemiarthroplasty hip partial (27125) | $40,700.80 | $40,700.80 | 3.6× |
| Hemiepiphyseal Arrest (24470) | $17,443.20 | $17,443.20 | 6.1× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $17,443.20 | $17,443.20 | 7.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $17,443.20 | $17,443.20 | 7.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $5,097.80 | $5,097.80 | 6.3× |
| Hip arthro acetabuloplasty (29915) range across 3 matching MRF lines |
$20,476.61–$40,953.21 | $20,476.61–$40,953.21 | varies |
| Hip arthro w/labral repair (29916) range across 3 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Hysteroscopy Biopsy (58558) | $17,443.20 | $17,443.20 | 6.1× |
| Hysteroscopy Dx Sep Proc (58555) | $17,443.20 | $17,443.20 | 6.1× |
| Hysteroscopy Endometrial Ablation (58563) | $28,473.01 | $28,473.01 | 6.5× |
| I&d abscess peritonsillar (42700) | $1,274.86 | $1,274.86 | 6.1× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$1,107.75–$8,721.60 | $1,107.75–$8,721.60 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $11,628.80 | $11,628.80 | 8.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 4 matching MRF lines |
$5,814.40–$15,846.35 | $5,814.40–$15,846.35 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $11,628.80 | $11,628.80 | 4.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $11,628.80 | $11,628.80 | 4.1× |
| I&d forearm/wrist bursa (25031) | $11,628.80 | $11,628.80 | 8.3× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $11,628.80 | $11,628.80 | 4.8× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $13,954.56 | $13,954.56 | 5.7× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $23,257.60 | $23,257.60 | 8.1× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$5,097.80–$11,628.80 | $5,097.80–$11,628.80 | varies |
| I&d pilonidal cyst complicated (10081) | $3,980.97 | $3,980.97 | 6.4× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$683.80–$3,980.97 | $683.80–$3,980.97 | varies |
| I&d shoulder deep abscess/hematoma (23030) range across 3 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $11,628.80 | $11,628.80 | 4.6× |
| Immediate breast prosthesis (19340) | $36,456.80 | $36,456.80 | 5.1× |
| Implant cochlear device (69930) | $34,886.40 | $34,886.40 | 1.2× |
| Implant neuroelectrodes (63650) range across 3 matching MRF lines |
$13,954.56–$69,000 | $13,954.56–$69,000 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $50,660 | $50,660 | 3.0× |
| Implant Spine Infusion Pump (62362) | $23,257.60 | $23,257.60 | 1.5× |
| Implant temple bone w/stimul (69714) | $29,072 | $29,072 | 2.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $10,112 | $10,112 | 1.3× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$1,318.07–$11,628.80 | $1,318.07–$11,628.80 | varies |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$6,977.28–$34,886.40 | $6,977.28–$34,886.40 | varies |
| Incise flexor carpi radialis (25001) | $11,628.80 | $11,628.80 | 4.1× |
| Incise Wrist/Forearm Tendon (25290) | $17,443.20 | $17,443.20 | 6.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$2,288.48–$8,721.60 | $2,288.48–$8,721.60 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 3 matching MRF lines |
$1,506.64–$11,628.80 | $1,506.64–$11,628.80 | varies |
| Incision & drainage leg/ankle infected bursa (27604) | $11,628.80 | $11,628.80 | 4.1× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,054.04–$12,374.68 | $1,054.04–$12,374.68 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$2,288.48–$11,628.80 | $2,288.48–$11,628.80 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$1,092.68–$10,112 | $1,092.68–$10,112 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$1,790.93–$10,112 | $1,790.93–$10,112 | varies |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) | $11,628.80 | $11,628.80 | 1.8× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $12,267.16 | $12,267.16 | 8.7× |
| Incision bone cortex foot (28005) | $17,443.20 | $17,443.20 | 6.1× |
| Incision extensor tendon sheath wrist (25000) range across 3 matching MRF lines |
$8,721.60–$24,420.48 | $8,721.60–$24,420.48 | varies |
| Incision of eardrum (69421) | $17,443.20 | $17,443.20 | 6.0× |
| Incision of eardrum (69420) | $17,443.20 | $17,443.20 | 84.0× |
| Incision of fibula (27707) | $17,443.20 | $17,443.20 | 6.1× |
| Incision of Foot Tendon (28234) | $17,443.20 | $17,443.20 | 12.4× |
| Incision of hip tendon (27001) | $20,817.04 | $20,817.04 | 7.3× |
| Incision of labial frenum (frenotomy) (40806) | $11,628.80 | $11,628.80 | 24.6× |
| Incision of lingual frenum (frenotomy) (41010) | $17,443.20 | $17,443.20 | 12.8× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$6,642.83–$8,485.60 | $6,642.83–$8,485.60 | varies |
| Incision of tibia & fibula (27709) | $23,257.60 | $23,257.60 | 2.1× |
| Incision&drainage bursa foot (28001) | $11,628.80 | $11,628.80 | 8.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $13,954.56 | $13,954.56 | 9.6× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) | $23,257.60 | $23,257.60 | 16.5× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) | $23,257.60 | $23,257.60 | 8.1× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) | $13,954.56 | $13,954.56 | 4.9× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) | $11,628.80 | $11,628.80 | 4.1× |
| Incisional biopsy skin single lesion (11106) | $3,563.70 | $3,563.70 | 5.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $1,107.75 | $1,107.75 | 6.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$6,067.20–$18,201.60 | $6,067.20–$18,201.60 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 3 matching MRF lines |
$500–$5,227.48 | $500–$5,227.48 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$1,516.80–$3,033.60 | $1,516.80–$3,033.60 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $6,067.20 | $6,067.20 | 7.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $6,067.20 | $6,067.20 | 7.8× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $3,953 | $3,953 | 6.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $6,067.20 | $6,067.20 | 7.8× |
| Injection anesthetic agent suprascapular nerve (64418) range across 4 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection enzyme palmar fascial cord (20527) | $2,022.40 | $2,022.40 | 7.5× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$1,516.80–$3,033.60 | $1,516.80–$3,033.60 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$1,435.20–$6,067.20 | $1,435.20–$6,067.20 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $6,067.20 | $6,067.20 | 22.6× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $7,434.70 | $7,434.70 | 5.5× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$1,011.20–$2,022.40 | $1,011.20–$2,022.40 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$3,952.52–$12,134.40 | $3,952.52–$12,134.40 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $1,144 | $1,144 | 6.5× |
| Injection, intralesional; up to and including 7 lesions (11900) | $3,033.60 | $3,033.60 | 17.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $3,833.58 | $3,833.58 | 4.9× |
| Ins endovas vena cava filtr (37191) | $31,530 | $31,530 | 6.5× |
| Insert and remove bone pin (20650) | $18,260 | $18,260 | 6.4× |
| Insert Bladder Cath Complex (51703) | $892 | $892 | 7.9× |
| Insert cath pleura w/o image (32556) | $10,683.33 | $10,683.33 | 6.4× |
| Insert Drug Implant Device (11981) | $9,303.04 | $9,303.04 | 79.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $11,628.80 | $11,628.80 | 6.9× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$901.24–$15,205 | $901.24–$15,205 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $394.04 | $394.04 | 0.3× |
| Insert Temp Bladder Cath (51702) | $712.27 | $712.27 | 6.1× |
| Insert tissue expander(s) (11960) | $22,429 | $22,429 | 7.2× |
| Insert tunneled cv cath (36561) | $17,443.20 | $17,443.20 | 6.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $712.27 | $712.27 | 6.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$697.14–$8,957 | $697.14–$8,957 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $50,070 | $50,070 | 6.9× |
| Insertion Vascular Pedicle Carpal Bone (25430) | $14,536 | $14,536 | 5.1× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) | $11,628.80 | $11,628.80 | 5.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $990.12 | $990.12 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$9,126.87–$9,127 | $9,126.87–$9,127 | varies |
| Insj Stablj Dev W/Dcmprn (22867) | $23,257.60 | $23,257.60 | 1.5× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) | $23,257.60 | $23,257.60 | 2.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $17,443.20 | $17,443.20 | 6.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $177,757 | $177,757 | 6.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$712.84 | $712.84 | 0.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $2,288.48 | $2,288.48 | 6.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $2,288.48 | $2,288.48 | 6.4× |
| Intubation endotracheal emergency procedure (31500) | $1,274.86 | $1,274.86 | 6.1× |
| Island pedicle flap graft (15740) | $10,586.89 | $10,586.89 | 5.9× |
| Jaw arthroscopy/surgery (29800) | $18,529.20 | $18,529.20 | 6.5× |
| Knee arthroscopy/drainage (29871) | $23,257.60 | $23,257.60 | 8.1× |
| Knee Arthroscopy/Surgery (29885) | $23,257.60 | $23,257.60 | 3.7× |
| Knee Arthroscopy/Surgery (29874) range across 3 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Knee Arthroscopy/Surgery (29850) | $23,257.60 | $23,257.60 | 16.5× |
| Lam facetec & foramot lumbar (63047) range across 2 matching MRF lines |
$30,000–$60,000 | $30,000–$60,000 | varies |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) | $69,000 | $69,000 | 10.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) | $69,000 | $69,000 | 10.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) | $69,000 | $69,000 | 10.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) | $69,000 | $69,000 | 10.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) range across 3 matching MRF lines |
$34,500–$69,000 | $34,500–$69,000 | varies |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) | $60,000 | $60,000 | 9.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) | $60,000 | $60,000 | 9.4× |
| Laminotomy Single Lumbar (63042) | $60,000 | $60,000 | 9.4× |
| Laparo-vag hyst incl t/o (58552) | $23,257.60 | $23,257.60 | 2.5× |
| Laparoscopy aspiration (49322) | $23,257.60 | $23,257.60 | 4.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $23,257.60 | $23,257.60 | 4.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $24,659.75 | $24,659.75 | 4.7× |
| Laparoscopy w/rmvl adnexal structures (58661) | $23,257.60 | $23,257.60 | 4.4× |
| Laparoscopy, surgical, appendectomy (44970) | $31,972.67 | $31,972.67 | 6.0× |
| Laparoscopy, surgical, splenectomy (38120) | $29,072 | $29,072 | 3.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $23,257.60 | $23,257.60 | 4.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $23,257.60 | $23,257.60 | 4.4× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $78,568.08 | $78,568.08 | 8.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $33,030 | $33,030 | 6.2× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) | $17,443.20 | $17,443.20 | 3.3× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) | $23,257.60 | $23,257.60 | 4.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $23,257.60 | $23,257.60 | 4.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $23,257.60 | $23,257.60 | 4.4× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $14,291 | $14,291 | 4.4× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $1,096.52 | $1,096.52 | 6.3× |
| Laryngoscopy W/Biopsy (31535) | $14,291 | $14,291 | 4.4× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $14,291 | $14,291 | 4.4× |
| Larynscop w/tumr exc + scope (31541) | $14,291 | $14,291 | 4.4× |
| Late closure of wound (13160) range across 4 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Lateral Canthopexy (21282) | $11,628.80 | $11,628.80 | 4.0× |
| Lateral retinacular release open (27425) range across 3 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Lengthen metacarpal/finger (26568) | $17,443.20 | $17,443.20 | 2.7× |
| Lengthen radius or ulna (25391) | $17,443.20 | $17,443.20 | 1.6× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) | $17,443.20 | $17,443.20 | 2.7× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) | $23,257.60 | $23,257.60 | 8.1× |
| Lengthening of hamstring tendon; single tendon Facility (27393) | $17,443.20 | $17,443.20 | 2.7× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) | $18,260 | $18,260 | 6.4× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) | $11,628.80 | $11,628.80 | 4.1× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) | $29,072 | $29,072 | 2.6× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $30,394.55 | $30,394.55 | 4.8× |
| Ligamentous reconstruction knee intra-articular (27428) | $29,072 | $29,072 | 2.6× |
| Ligation or biopsy temporal artery (37609) | $17,443.20 | $17,443.20 | 12.1× |
| Lip Surgery Procedure (40799) | $11,628.80 | $11,628.80 | 56.0× |
| Low Back Disk Surgery (63030) range across 2 matching MRF lines |
$69,000–$103,500 | $69,000–$103,500 | varies |
| Lumbar spine fusion combined (22633) | $104,659.20 | $104,659.20 | 4.4× |
| Lysis Intranasal Synechia (30560) | $17,443.20 | $17,443.20 | 36.9× |
| Maniplatn palar fascial crd post inj single cord (26341) | $6,067.20 | $6,067.20 | 28.1× |
| Manipulation Ankle Under General Anesthesia (27860) | $6,067 | $6,067 | 2.1× |
| Manipulation Elbow Under Anesthesia (24300) | $6,067.20 | $6,067.20 | 4.3× |
| Manipulation hip joint general anesthesia (27275) | $10,112 | $10,112 | 7.2× |
| Manipulation knee joint under general anesthesia (27570) | $10,112 | $10,112 | 7.2× |
| Manipulation spine requiring anesthesia (22505) | $10,112 | $10,112 | 7.2× |
| Manipulation wrist under anesthesia (25259) range across 2 matching MRF lines |
$6,067.20–$7,268 | $6,067.20–$7,268 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $9,200.37 | $9,200.37 | 6.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$5,056–$10,112 | $5,056–$10,112 | varies |
| Mast mod rad (19307) | $36,456.80 | $36,456.80 | 6.3× |
| Mastectomy for gynecomastia (19300) | $23,257.60 | $23,257.60 | 6.8× |
| Mastectomy partial (19301) | $21,088.31 | $21,088.31 | 6.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $36,456.80 | $36,456.80 | 6.3× |
| Mastectomy simple complete (19303) | $23,257.60 | $23,257.60 | 4.0× |
| Mastoidectomy; complete (69502) | $23,257.60 | $23,257.60 | 4.5× |
| Middle ear expl thru postaur/ear canal inc (69440) | $17,443.20 | $17,443.20 | 6.0× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $10,586.89 | $10,586.89 | 5.9× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) | $34,427.90 | $34,427.90 | 5.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $19,954.99 | $19,954.99 | 6.4× |
| Muscle-skin graft trunk (15734) | $19,954.99 | $19,954.99 | 6.4× |
| Muscle/tendon transfer upper arm/elbow single (24301) | $17,443.20 | $17,443.20 | 2.7× |
| Myelography Lumbar Injection (62304) | $3,500 | $3,500 | 5.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,500 | $3,500 | 5.1× |
| Myringoplasty (69620) | $17,443.20 | $17,443.20 | 6.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| N Block Inj Paracervical (64435) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| N Block Inj Plantar Digit (64455) | $6,067.20 | $6,067.20 | 22.6× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| N Block Lumbar/Thoracic (64520) | $6,067.20 | $6,067.20 | 7.8× |
| Nasal Endoscopy Dx (31231) | $17,443.20 | $17,443.20 | 99.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $2,316.09 | $2,316.09 | 5.9× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) | $17,443.20 | $17,443.20 | 50.9× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) | $39,180 | $39,180 | 6.3× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) | $33,523 | $33,523 | 6.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $17,443.20 | $17,443.20 | 11.2× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) range across 2 matching MRF lines |
$4,858–$9,716 | $4,858–$9,716 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 3 matching MRF lines |
$6,477.31–$19,431.93 | $6,477.31–$19,431.93 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) | $39,180 | $39,180 | 6.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $39,180 | $39,180 | 6.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $39,180 | $39,180 | 6.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) | $39,180 | $39,180 | 6.3× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) range across 3 matching MRF lines |
$19,590–$58,770 | $19,590–$58,770 | varies |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) | $39,180 | $39,180 | 6.3× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) range across 3 matching MRF lines |
$39,180–$76,459.20 | $39,180–$76,459.20 | varies |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) range across 3 matching MRF lines |
$19,590–$58,770 | $19,590–$58,770 | varies |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 3 matching MRF lines |
$37,279.20–$58,770 | $37,279.20–$58,770 | varies |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) | $69,000 | $69,000 | 10.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 4 matching MRF lines |
$6,977.28–$20,931.84 | $6,977.28–$20,931.84 | varies |
| Neck spine disk surgery (63020) | $69,000 | $69,000 | 10.9× |
| Neck spine fusion (22600) | $104,659.20 | $104,659.20 | 6.8× |
| Needle Biopsy Lymph Nodes (38505) | $6,067.20 | $6,067.20 | 4.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $150 | $150 | 5.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $150 | $150 | 5.9× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) | $17,443.20 | $17,443.20 | 2.3× |
| Nerve Pedicle Transfer First Stage (64905) | $17,443.20 | $17,443.20 | 2.3× |
| Nerve repair w/conduit each nerve (64910) range across 3 matching MRF lines |
$37,901.39–$56,852.09 | $37,901.39–$56,852.09 | varies |
| Nerve Repair W/Nerve Allograft First Strand (64912) | $17,443.20 | $17,443.20 | 2.3× |
| Neurectomy Popliteal (27326) | $11,053 | $11,053 | 6.5× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) | $6,067.20 | $6,067.20 | 3.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 4 matching MRF lines |
$6,991.08–$27,964.32 | $6,991.08–$27,964.32 | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) range across 2 matching MRF lines |
$6,977.05–$13,954.10 | $6,977.05–$13,954.10 | varies |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) | $11,026 | $11,026 | 6.4× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) range across 2 matching MRF lines |
$6,991.08–$13,982.16 | $6,991.08–$13,982.16 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) | $6,067.20 | $6,067.20 | 7.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$500–$3,335.74 | $500–$3,335.74 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$6,067.20–$18,201.60 | $6,067.20–$18,201.60 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $6,067.20 | $6,067.20 | 9.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $6,067.20 | $6,067.20 | 9.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $6,067.20 | $6,067.20 | 9.8× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 3 matching MRF lines |
$19,590–$39,180 | $19,590–$39,180 | varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) | $39,180 | $39,180 | 6.3× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$6,067.20–$12,134.40 | $6,067.20–$12,134.40 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $21,088.31 | $21,088.31 | 6.1× |
| Open Implantation Nea Peripheral Nerve (64575) | $69,000 | $69,000 | 7.1× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) | $177,757 | $177,757 | 6.6× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) | $17,443.20 | $17,443.20 | 2.7× |
| Open Repair of Rotator Cuff Acute (23410) | $29,072 | $29,072 | 4.6× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) | $69,000 | $69,000 | 6.1× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) | $69,000 | $69,000 | 6.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $40,575.78 | $40,575.78 | 6.4× |
| Open treatment calcaneal fracture (28415) | $23,257.60 | $23,257.60 | 3.7× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $23,257.60 | $23,257.60 | 2.1× |
| Open treatment fracture distal tibia only (27827) | $23,257.60 | $23,257.60 | 2.1× |
| Open treatment greater trochanteric fracture (27248) | $23,257.60 | $23,257.60 | 3.7× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | $23,257.60 | $23,257.60 | 3.7× |
| Open Treatment Humeral Condylar Fracture (24579) range across 2 matching MRF lines |
$37,670.27–$75,340.55 | $37,670.27–$75,340.55 | varies |
| Open treatment interphalangeal joint dislocation (28675) | $23,257.60 | $23,257.60 | 8.1× |
| Open Treatment Lunate Dislocation (25695) | $23,257.60 | $23,257.60 | 3.7× |
| Open Treatment Medial Malleolus Fracture (27766) | $29,072 | $29,072 | 4.6× |
| Open treatment metacarpophalangeal dislocation (26715) | $23,257.60 | $23,257.60 | 8.1× |
| Open treatment metatarsal fracture each (28485) range across 3 matching MRF lines |
$40,575.78–$60,863.67 | $40,575.78–$60,863.67 | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 4 matching MRF lines |
$1,273.16–$23,257.60 | $1,273.16–$23,257.60 | varies |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) | $40,575.78 | $40,575.78 | 6.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $17,443.20 | $17,443.20 | 2.7× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) | $29,072 | $29,072 | 4.6× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) | $23,475 | $23,475 | 2.1× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) | $23,257.60 | $23,257.60 | 3.7× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) | $18,260 | $18,260 | 6.4× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) range across 2 matching MRF lines |
$23,257.60–$100,454.06 | $23,257.60–$100,454.06 | varies |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) | $13,286.64 | $13,286.64 | 2.1× |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) | $13,286.64 | $13,286.64 | 2.1× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) | $13,954.56 | $13,954.56 | 4.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) | $17,443.20 | $17,443.20 | 2.7× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) | $40,953.21 | $40,953.21 | 6.4× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) | $17,440 | $17,440 | 6.1× |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) | $29,072 | $29,072 | 4.6× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) | $29,070 | $29,070 | 10.1× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) range across 2 matching MRF lines |
$17,443.20–$54,604.28 | $17,443.20–$54,604.28 | varies |
| Open Treatment of Ulnar Shaft Fracture (25545) | $17,443.20 | $17,443.20 | 2.7× |
| Open treatment of ulnar styloid fracture (25652) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Open treatment posterior malleolus fracture (27769) | $23,257.60 | $23,257.60 | 3.7× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $29,072 | $29,072 | 4.6× |
| Open Treatment Proximal Humeral Fracture (23615) | $75,340.55 | $75,340.55 | 6.7× |
| Open Treatment Radial Shaft Fracture (25515) | $17,443.20 | $17,443.20 | 2.7× |
| Open Treatment Tarsal Bone Dislocation (28555) | $40,575.78 | $40,575.78 | 6.4× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) | $23,257.60 | $23,257.60 | 3.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $23,257.60 | $23,257.60 | 8.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) | $17,443.20 | $17,443.20 | 6.1× |
| Open tx carpal scaphoid navicular fracture (25628) range across 3 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) range across 2 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $29,072 | $29,072 | 4.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $17,443.20 | $17,443.20 | 6.1× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) | $17,443.20 | $17,443.20 | 2.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 3 matching MRF lines |
$11,628.80–$54,604.28 | $11,628.80–$54,604.28 | varies |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $23,257.60 | $23,257.60 | 2.1× |
| Open tx femoral supracondylar fracture w/o xtn (27511) | $23,257.60 | $23,257.60 | 2.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $17,443.20 | $17,443.20 | 6.1× |
| Open Tx Humeral Epicondylar Fracture (24575) | $29,072 | $29,072 | 2.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) | $23,257.60 | $23,257.60 | 2.1× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) range across 3 matching MRF lines |
$11,628.80–$40,575.78 | $11,628.80–$40,575.78 | varies |
| Open tx interphalangeal joint dislocation (26785) | $17,443.20 | $17,443.20 | 6.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $23,257.60 | $23,257.60 | 8.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $17,443.20 | $17,443.20 | 6.1× |
| Open Tx Radial Head/Neck Fracture (24665) | $29,072.80 | $29,072.80 | 4.6× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) | $34,920.90 | $34,920.90 | 3.1× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) | $17,443.20 | $17,443.20 | 2.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) range across 3 matching MRF lines |
$23,257.60–$34,886.40 | $23,257.60–$34,886.40 | varies |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $23,257.60 | $23,257.60 | 3.7× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) | $23,257.60 | $23,257.60 | 3.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $23,257.60 | $23,257.60 | 3.7× |
| Open tx ulnar fx proximal end (24685) range across 3 matching MRF lines |
$29,072–$54,604.28 | $29,072–$54,604.28 | varies |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) | $13,954.56 | $13,954.56 | 4.9× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) | $23,257.60 | $23,257.60 | 8.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 3 matching MRF lines |
$40,575.78–$60,863.67 | $40,575.78–$60,863.67 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $40,575.78 | $40,575.78 | 6.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $58,144 | $58,144 | 9.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) range across 3 matching MRF lines |
$29,072–$100,454.06 | $29,072–$100,454.06 | varies |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $23,257.60 | $23,257.60 | 3.7× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) | $23,257.60 | $23,257.60 | 2.1× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) | $11,628.80 | $11,628.80 | 4.1× |
| Ostc prtl exostc/condylc metar head (28288) | $11,628.80 | $11,628.80 | 4.1× |
| Ostectomy calcaneus (28118) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $23,257.60 | $23,257.60 | 8.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $17,443.20 | $17,443.20 | 6.1× |
| Ostectomy, complete excision; first metatarsal head (28111) | $23,257.60 | $23,257.60 | 8.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $11,628.80 | $11,628.80 | 4.1× |
| Osteochondral allograft knee open (27415) | $34,886.40 | $34,886.40 | 3.1× |
| Osteochondral knee autograft (27416) | $23,257.60 | $23,257.60 | 3.7× |
| Osteochondral talus autogrft (28446) | $23,257.60 | $23,257.60 | 3.7× |
| Osteoplasty Radius/Ulna Shortening (25390) | $17,443.20 | $17,443.20 | 2.7× |
| Osteoplasty, carpal bone, shortening Facility (25394) | $17,443.20 | $17,443.20 | 6.1× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) | $29,072 | $29,072 | 4.6× |
| Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) | $17,443.20 | $17,443.20 | 2.7× |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) | $23,257.60 | $23,257.60 | 2.1× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) | $17,443.20 | $17,443.20 | 2.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 3 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Osteotomy Clavicle W Bone Graft (23485) | $17,443.20 | $17,443.20 | 1.6× |
| Osteotomy Metacarpal Each (26565) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) | $52,329.60 | $52,329.60 | 8.2× |
| Osteotomy Phalanx Finger Each (26567) | $17,443.20 | $17,443.20 | 6.1× |
| Osteotomy radius distal third (25350) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy Radius Middle/Proximal Third (25355) | $17,443.20 | $17,443.20 | 6.1× |
| Osteotomy talus (28302) | $34,427.90 | $34,427.90 | 5.4× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy Tibia (27705) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy Ulna (25360) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy, femoral neck (separate procedure) Facility (27161) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) | $29,072 | $29,072 | 4.6× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) | $29,072 | $29,072 | 4.6× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) | $17,443.20 | $17,443.20 | 2.7× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) | $23,257.60 | $23,257.60 | 2.1× |
| Palatop cl palate soft&/hard palate only (42200) | $13,982.16 | $13,982.16 | 2.7× |
| Palatopharyngoplasty (42145) | $17,443.20 | $17,443.20 | 3.4× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) | $13,982.16 | $13,982.16 | 4.8× |
| Palatoplasty for cleft palate; major revision Facility (42215) | $17,443.20 | $17,443.20 | 3.4× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $33,523 | $33,523 | 6.5× |
| Part exc bone femur prox tibia (27360) | $17,443.20 | $17,443.20 | 6.1× |
| Part remv talus or calcaneus (28120) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Partial excision bone clavicle (23180) | $34,427.90 | $34,427.90 | 5.4× |
| Partial Excision Bone Humerus (24140) | $11,628.80 | $11,628.80 | 4.1× |
| Partial excision bone metacarpal (26230) | $17,443.20 | $17,443.20 | 6.1× |
| Partial excision bone olecranon process (24147) | $11,628.80 | $11,628.80 | 4.1× |
| Partial Excision Bone Radius (25151) | $17,443.20 | $17,443.20 | 6.1× |
| Partial Excision Bone Ulna (25150) | $17,443.20 | $17,443.20 | 6.1× |
| Partial Excision Distal Phalanx Finger (26236) | $17,443.20 | $17,443.20 | 12.4× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) | $23,257.60 | $23,257.60 | 3.7× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) | $23,257.60 | $23,257.60 | 3.7× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) | $23,257.60 | $23,257.60 | 3.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | $17,443.20 | $17,443.20 | 12.4× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) | $17,443.20 | $17,443.20 | 6.1× |
| Partial removal of fibula (27641) | $17,443.20 | $17,443.20 | 6.1× |
| Partial removal of radius (24145) | $11,628.80 | $11,628.80 | 1.8× |
| Partial removal of rib (21600) | $17,443.20 | $17,443.20 | 2.7× |
| Partial removal of thyroid (60220) | $33,030 | $33,030 | 6.2× |
| Partial removal of tibia (27640) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Partial removal of toe (28160) | $13,954.56 | $13,954.56 | 4.9× |
| Partical Excision Bone Phalanx Toe (28124) | $11,628.80 | $11,628.80 | 4.1× |
| Patellectomy or hemipatellectomy (27350) | $40,953.21 | $40,953.21 | 6.4× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $17,443.20 | $17,443.20 | 6.1× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) | $29,072 | $29,072 | 4.6× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) | $23,257.60 | $23,257.60 | 16.5× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) | $23,257.60 | $23,257.60 | 8.1× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) | $11,628.80 | $11,628.80 | 1.8× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | $17,443.20 | $17,443.20 | 6.1× |
| Peri-Implant Capsulectomy Breast Complete (19371) | $17,443.20 | $17,443.20 | 5.1× |
| Pericardiocentesis W/Imaging (33016) | $9,168 | $9,168 | 6.6× |
| Perq Cervicothoracic Inject (22510) | $69,000 | $69,000 | 24.1× |
| Perq Lumbosacral Injection (22511) | $69,000 | $69,000 | 24.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $17,443.20 | $17,443.20 | 6.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $69,000 | $69,000 | 10.9× |
| Perq Vertebral Augmentation (22513) | $69,000 | $69,000 | 10.9× |
| Pin Finger Dislocation (26776) | $17,443.50 | $17,443.50 | 6.1× |
| Pin hand dislocation (26676) | $23,257.60 | $23,257.60 | 8.1× |
| Pin knuckle dislocation (26706) | $13,954.56 | $13,954.56 | 4.9× |
| Place Duod/Jej Tube Perc (49441) | $14,523.54 | $14,523.54 | 8.6× |
| Place ndl musc/tis for rt (20555) | $3,033.60 | $3,033.60 | 1.1× |
| Placement of needle for intraosseous infusion (36680) | $2,316.09 | $2,316.09 | 5.9× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $17,443.20 | $17,443.20 | 4.0× |
| Prescrl Fuse W/ Instr L5/S1 (22586) | $17,443.20 | $17,443.20 | 1.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $13,954.56 | $13,954.56 | 17.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $410.56 | $410.56 | 0.2× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) | $17,443.20 | $17,443.20 | 6.1× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) | $34,886.40 | $34,886.40 | 5.5× |
| Prosthesis Removal Humeral/Glenoid Component (23334) | $20,038 | $20,038 | 3.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $6,067.20 | $6,067.20 | 9.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $39,150 | $39,150 | 7.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $17,443.20 | $17,443.20 | 6.1× |
| Prq skel fixj femoral fx prox end neck (27235) range across 2 matching MRF lines |
$23,257.60–$54,604.28 | $23,257.60–$54,604.28 | varies |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) | $23,257.60 | $23,257.60 | 8.1× |
| Prq skel fixj metar fx w/manj (28476) | $23,257.60 | $23,257.60 | 8.1× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) | $23,257.60 | $23,257.60 | 3.7× |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) | $17,443.20 | $17,443.20 | 2.7× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) range across 2 matching MRF lines |
$11,628.80–$23,257.60 | $11,628.80–$23,257.60 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $23,257.60 | $23,257.60 | 8.1× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) | $23,257.60 | $23,257.60 | 3.7× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) | $17,443.20 | $17,443.20 | 6.1× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) range across 2 matching MRF lines |
$17,443.20–$37,793.60 | $17,443.20–$37,793.60 | varies |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 3 matching MRF lines |
$18,259.61–$25,250.69 | $18,259.61–$25,250.69 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$2,288.48–$6,977.28 | $2,288.48–$6,977.28 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $6,067.20 | $6,067.20 | 9.8× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) | $23,257.60 | $23,257.60 | 3.7× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) range across 4 matching MRF lines |
$8,721.60–$30,248.68 | $8,721.60–$30,248.68 | varies |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $17,443.20 | $17,443.20 | 6.1× |
| Rad resect elbow caps/sr bone w rels (24149) | $17,443.20 | $17,443.20 | 2.7× |
| Rad resect hand tumor 3 cm/> (26118) | $17,443.20 | $17,443.20 | 6.9× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) | $81,280 | $81,280 | 31.9× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) | $17,443.20 | $17,443.20 | 6.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) | $17,443.20 | $17,443.20 | 6.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) | $11,628.80 | $11,628.80 | 4.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) | $13,954.56 | $13,954.56 | 5.5× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) | $5,402 | $5,402 | 3.8× |
| Radical resection of tumor, femur or knee Facility (27365) | $17,443.20 | $17,443.20 | 6.1× |
| Radical resection of tumor; fibula Facility (27646) | $23,257.60 | $23,257.60 | 8.1× |
| Radical resection of tumor; phalanx of toe Facility (28175) | $11,628.80 | $11,628.80 | 8.3× |
| Radical resection of tumor; tibia Facility (27645) | $23,257.60 | $23,257.60 | 8.1× |
| Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) | $6,067.20 | $6,067.20 | 1.0× |
| Radical Resection Tumor Metatarsal (28173) | $15,554.50 | $15,554.50 | 5.4× |
| Radical styloidectomy separate procedure (25230) range across 2 matching MRF lines |
$14,536–$29,072 | $14,536–$29,072 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$10,112–$20,224 | $10,112–$20,224 | varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $18,259.61 | $18,259.61 | 6.4× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) | $17,443.20 | $17,443.20 | 6.1× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $29,072 | $29,072 | 10.1× |
| Rcnstj Dislocating Patella (27420) | $23,257.60 | $23,257.60 | 3.7× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Realignment extensor tendon hand each tendon (26437) | $17,443.20 | $17,443.20 | 6.1× |
| Realignment of knee (27457) | $29,072 | $29,072 | 4.6× |
| Realignment of knee (27455) | $29,072 | $29,072 | 4.6× |
| Reconstruct elbow joint (24360) | $17,443.20 | $17,443.20 | 2.7× |
| Reconstruct elbow lat ligmnt (24344) | $17,443.20 | $17,443.20 | 2.7× |
| Reconstruct elbow med ligmnt (24346) | $17,443.20 | $17,443.20 | 1.6× |
| Reconstruct extra finger (26587) range across 2 matching MRF lines |
$17,443.20–$26,164.80 | $17,443.20–$26,164.80 | varies |
| Reconstruct finger joint (26545) | $17,443.20 | $17,443.20 | 6.1× |
| Reconstruct Finger Joint (26548) | $17,443.20 | $17,443.20 | 6.1× |
| Reconstruct lip with flap (40525) | $11,628.80 | $11,628.80 | 4.0× |
| Reconstruct lip with flap (40527) | $13,982.16 | $13,982.16 | 2.7× |
| Reconstruct ulna/radioulnar (25337) | $23,257.60 | $23,257.60 | 3.7× |
| Reconstruct wrist joint (25445) | $29,072 | $29,072 | 4.6× |
| Reconstruction Nail Bed W/Graft (11762) | $11,628.80 | $11,628.80 | 6.4× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) | $29,072 | $29,072 | 4.6× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) | $29,072 | $29,072 | 4.6× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) | $23,257.60 | $23,257.60 | 4.5× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) | $17,443.20 | $17,443.20 | 6.1× |
| Reconstruction Toe Polydactyly (28344) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Reconstruction Tongue Fold (41520) range across 2 matching MRF lines |
$11,628.80–$17,443.20 | $11,628.80–$17,443.20 | varies |
| Reinforce hip bones (27187) | $17,443.20 | $17,443.20 | 2.7× |
| Reinforce humerus (24498) | $29,072 | $29,072 | 2.6× |
| Reinforce radius (25490) | $23,257.60 | $23,257.60 | 3.7× |
| Reinsert spinal fixation (22849) | $104,659.20 | $104,659.20 | 9.3× |
| Release foot/toe nerve (64726) | $6,991.08 | $6,991.08 | 4.1× |
| Release Intrinsic Muscles Hand Each Muscle (26593) | $11,628.80 | $11,628.80 | 4.1× |
| Release of big toe (28240) | $17,443.20 | $17,443.20 | 6.1× |
| Release of shoulder ligament (23415) | $29,072 | $29,072 | 4.6× |
| Release Thenar Muscle (26508) | $11,628.80 | $11,628.80 | 4.1× |
| Relieve Pressure on Nerve(S) (64722) range across 3 matching MRF lines |
$6,991.08–$13,982.16 | $6,991.08–$13,982.16 | varies |
| Rem Endovas Vena Cava Filter (37193) | $18,270 | $18,270 | 6.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $1,623.83 | $1,623.83 | 5.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$1,561.80–$11,628.80 | $1,561.80–$11,628.80 | varies |
| Removal Foreign Body Foot Complicated (28193) | $8,721.60 | $8,721.60 | 6.0× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$1,232.28–$8,721.60 | $1,232.28–$8,721.60 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$3,980.97–$8,721.60 | $3,980.97–$8,721.60 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$495.85–$11,628.80 | $495.85–$11,628.80 | varies |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$2,136.84–$11,628.80 | $2,136.84–$11,628.80 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $13,982.16 | $13,982.16 | 4.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$352.59–$705.18 | $352.59–$705.18 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$352.59–$8,721.60 | $352.59–$8,721.60 | varies |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$11,628.80–$34,886.40 | $11,628.80–$34,886.40 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $9,198.63 | $9,198.63 | 6.4× |
| Removal implantable contraceptive capsules (11976) | $3,964 | $3,964 | 6.4× |
| Removal intact breast implant (19328) | $17,443.20 | $17,443.20 | 5.1× |
| Removal of adenoids (42835) | $8,721.60 | $8,721.60 | 3.0× |
| Removal of adenoids (42831) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Removal of adenoids (42830) | $17,443.20 | $17,443.20 | 6.0× |
| Removal of adenoids (42836) | $8,721.60 | $8,721.60 | 3.0× |
| Removal of anal fissure (46200) | $23,303.60 | $23,303.60 | 9.6× |
| Removal of ankle implant (27704) | $17,400 | $17,400 | 6.1× |
| Removal of anterior instrumentation (22855) | $23,257.60 | $23,257.60 | 3.7× |
| Removal of bladder cyst (51500) | $17,443 | $17,443 | 3.3× |
| Removal of bone lesion (23140) | $23,257.60 | $23,257.60 | 8.1× |
| Removal of calcium deposits (23000) | $13,982.16 | $13,982.16 | 5.5× |
| Removal of foot joint lining (28072) | $11,628.80 | $11,628.80 | 4.1× |
| Removal of foreign body from pharynx (42809) | $2,316.09 | $2,316.09 | 5.9× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Removal of hip prosthesis; (separate procedure) Facility (27090) | $15,000 | $15,000 | 2.4× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) | $20,000 | $20,000 | 1.8× |
| Removal of humerus lesion (23150) | $23,257.60 | $23,257.60 | 8.1× |
| Removal of humerus lesion (23156) | $23,257.60 | $23,257.60 | 3.7× |
| Removal of implant from finger or hand (26320) | $9,198.63 | $9,198.63 | 6.4× |
| Removal of ischial bursa (27060) | $11,628.80 | $11,628.80 | 1.8× |
| Removal of knee prosthesis (27488) | $34,886.40 | $34,886.40 | 3.1× |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$2,288.48–$13,954.56 | $2,288.48–$13,954.56 | varies |
| Removal of posterior segmental instrumentation Facility (22852) range across 2 matching MRF lines |
$40,020.12–$80,040.24 | $40,020.12–$80,040.24 | varies |
| Removal of sesamoid bone (28315) | $17,443.20 | $17,443.20 | 6.1× |
| Removal of tendon for graft (20924) | $22,232 | $22,232 | 3.5× |
| Removal of tonsils (42825) | $17,443.20 | $17,443.20 | 3.4× |
| Removal of tonsils (42826) | $17,443.20 | $17,443.20 | 6.0× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) likely a partial charge, not the full procedure |
$630 | $630 | 0.1× |
| Removal of wrist bone (25210) | $14,536 | $14,536 | 5.1× |
| Removal or bivalving full arm or full leg cast (29705) range across 5 matching MRF lines |
$1,471.68–$3,033.60 | $1,471.68–$3,033.60 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$10,344.02–$20,688.04 | $10,344.02–$20,688.04 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $6,977.28 | $6,977.28 | 39.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $4,028 | $4,028 | 6.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $10,586.89 | $10,586.89 | 5.9× |
| Removal sweat gland lesion (11450) | $11,628.80 | $11,628.80 | 4.6× |
| Removal, under anesthesia, of external fixation system (20694) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$1,471.68–$3,033.60 | $1,471.68–$3,033.60 | varies |
| Remove & graft wrist lesion (25135) | $14,536 | $14,536 | 2.3× |
| Remove Ankle Joint Lining (27626) | $17,443.20 | $17,443.20 | 6.1× |
| Remove drug implant device (11982) | $4,651.50 | $4,651.50 | 11.9× |
| Remove Elbow Joint Lining (24102) | $11,628.80 | $11,628.80 | 4.1× |
| Remove elbow lesion (24120) | $17,443.20 | $17,443.20 | 6.1× |
| Remove femur lesion/graft (27356) | $17,443.20 | $17,443.20 | 1.6× |
| Remove finger bone (26185) | $4,815 | $4,815 | 3.4× |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$1,594.20–$11,628.80 | $1,594.20–$11,628.80 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$712.27–$1,424.54 | $712.27–$1,424.54 | varies |
| Remove groin lymph nodes (38760) | $23,257.60 | $23,257.60 | 4.0× |
| Remove Hand Bone Lesion (26200) | $17,443.20 | $17,443.20 | 12.4× |
| Remove hip pressure sore (15941) | $8,721.60 | $8,721.60 | 3.4× |
| Remove humerus lesion (24110) | $11,628.80 | $11,628.80 | 4.1× |
| Remove Intrauterine Device (58301) | $10,050 | $10,050 | 37.6× |
| Remove knee joint lining (27334) | $12,374.51 | $12,374.51 | 4.3× |
| Remove lamina/facets lumbar (63012) range across 2 matching MRF lines |
$30,000–$60,000 | $30,000–$60,000 | varies |
| Remove Lower Leg Bone Lesion (27635) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Remove mastoid structures (69505) | $33,523 | $33,523 | 6.5× |
| Remove Nasal Foreign Body (30300) | $481.12 | $481.12 | 4.1× |
| Remove part lumbar vertebra (22102) | $23,257.60 | $23,257.60 | 3.7× |
| Remove part of neck vertebra (22110) | $23,257.60 | $23,257.60 | 3.7× |
| Remove part thorax vertebra (22101) | $23,257.60 | $23,257.60 | 3.7× |
| Remove radius head implant (24164) | $18,259.61 | $18,259.61 | 6.4× |
| Remove sacrum pressure sore (15937) | $8,721.60 | $8,721.60 | 4.8× |
| Remove Shoulder Foreign Body (23330) | $11,628.80 | $11,628.80 | 8.0× |
| Remove Skin Nerve Lesion (64774) | $17,443.20 | $17,443.20 | 10.2× |
| Remove spine eltrd plate (63662) | $50,660 | $50,660 | 16.5× |
| Remove spine fixation device (22850) range across 2 matching MRF lines |
$10,465.50–$20,931.84 | $10,465.50–$20,931.84 | varies |
| Remove spine lamina 1/2 lmbr (63005) | $69,000 | $69,000 | 10.9× |
| Remove spine lamina 1/2 thrc (63003) | $69,000 | $69,000 | 10.9× |
| Remove spine lamina >2 thrc (63016) | $69,000 | $69,000 | 10.9× |
| Remove sympathetic nerves (64821) | $13,982.16 | $13,982.16 | 4.9× |
| Remove Tendon Sheath Lesion (26160) range across 4 matching MRF lines |
$5,814.40–$18,606.08 | $5,814.40–$18,606.08 | varies |
| Remove thyroid lesion (60200) | $11,628.80 | $11,628.80 | 2.2× |
| Remove tissue expander (11971) | $15,846.34 | $15,846.34 | 6.2× |
| Remove vc lesion scope/graft (31546) | $39,180 | $39,180 | 6.3× |
| Remove wrist joint cartilage (25107) | $11,628.80 | $11,628.80 | 4.1× |
| Remove/graft finger lesion (26215) | $17,443.20 | $17,443.20 | 6.1× |
| Remove/graft foot lesion (28102) | $16,139.34 | $16,139.34 | 2.5× |
| Remove/graft foot lesion (28107) | $40,576 | $40,576 | 6.4× |
| Remove/graft forearm lesion (25126) range across 2 matching MRF lines |
$9,130–$18,260 | $9,130–$18,260 | varies |
| Remove/graft forearm lesion (25125) | $14,536 | $14,536 | 10.3× |
| Remove/graft leg bone lesion (27637) | $17,443.20 | $17,443.20 | 2.7× |
| Remove/Insert Drug Implant (11983) | $4,651.50 | $4,651.50 | 11.9× |
| Repair Achilles Tendon (27650) | $40,575.78 | $40,575.78 | 6.4× |
| Repair arm/leg nerve (64857) | $13,982.16 | $13,982.16 | 4.7× |
| Repair Blood Vessel Direct Hand Finger (35207) | $11,628.80 | $11,628.80 | 4.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $11,628.80 | $11,628.80 | 4.2× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $40,575.78 | $40,575.78 | 6.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$3,563.70–$11,628.80 | $3,563.70–$11,628.80 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$3,563.70–$11,628.80 | $3,563.70–$11,628.80 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$2,288.48–$11,628.80 | $2,288.48–$11,628.80 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$3,563.70–$11,628.80 | $3,563.70–$11,628.80 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$3,563.70–$11,628.80 | $3,563.70–$11,628.80 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$2,880.80–$11,628.80 | $2,880.80–$11,628.80 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$799.40–$3,563.70 | $799.40–$3,563.70 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$3,563.70–$11,628 | $3,563.70–$11,628 | varies |
| Repair Elbow Perc (24357) | $13,954.56 | $13,954.56 | 4.9× |
| Repair Extensor Tendon Finger W/Graft Each (26420) | $15,441 | $15,441 | 5.4× |
| Repair extensor tendon finger w/o graft each (26418) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Repair Extensor Tendon Hand W/Graft Each (26412) | $17,443.20 | $17,443.20 | 6.1× |
| Repair Finger Tendon (26433) | $17,443.20 | $17,443.20 | 6.1× |
| Repair Finger/Hand Tendon (26350) | $17,443.20 | $17,443.20 | 6.1× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $17,443.20 | $17,443.20 | 6.1× |
| Repair Foot Dislocation (28615) range across 3 matching MRF lines |
$20,287.89–$118,945.16 | $20,287.89–$118,945.16 | varies |
| Repair Forearm Tendon Sheath (25275) | $17,443.20 | $17,443.20 | 6.1× |
| Repair forearm tendon/muscle (25265) | $17,443.20 | $17,443.20 | 6.1× |
| Repair Hallux Rigidus (28289) | $17,443.20 | $17,443.20 | 6.1× |
| Repair Hand Joint (26540) | $29,072 | $29,072 | 10.1× |
| Repair Hand Tendon (26410) | $17,443.20 | $17,443.20 | 12.4× |
| Repair humerus with graft (24435) | $17,443.20 | $17,443.20 | 1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $23,257.60 | $23,257.60 | 7.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$2,288.48–$11,628.80 | $2,288.48–$11,628.80 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $2,288.48 | $2,288.48 | 6.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $2,288.48 | $2,288.48 | 6.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $2,288.48 | $2,288.48 | 6.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,288.48 | $2,288.48 | 6.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $3,563.70 | $3,563.70 | 5.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$921.36–$2,288.48 | $921.36–$2,288.48 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$2,288.48–$11,628.80 | $2,288.48–$11,628.80 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$3,563.70–$11,628.80 | $3,563.70–$11,628.80 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$10,586.89–$10,910 | $10,586.89–$10,910 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $2,288.48 | $2,288.48 | 6.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$1,353.30–$2,288.48 | $1,353.30–$2,288.48 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$2,288.48–$11,628.80 | $2,288.48–$11,628.80 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$3,336–$3,563.70 | $3,336–$3,563.70 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$2,288.48–$11,628.80 | $2,288.48–$11,628.80 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$10,586.89–$10,910 | $10,586.89–$10,910 | varies |
| Repair intrinsic muscles hand each muscle (26591) | $11,628.80 | $11,628.80 | 4.1× |
| Repair Leg Fascia Defect (27656) | $13,286.64 | $13,286.64 | 4.6× |
| Repair lower leg epiphyses (27734) | $23,257.60 | $23,257.60 | 8.1× |
| Repair lower leg tendons (27676) | $40,575.78 | $40,575.78 | 6.4× |
| Repair Non/Malunion Humerus W/O Graft (24430) | $17,443.20 | $17,443.20 | 1.6× |
| Repair Nonunion Carpal Bone Each Bone (25431) | $29,072 | $29,072 | 4.6× |
| Repair Nonunion Hand (26546) | $23,257.60 | $23,257.60 | 3.7× |
| Repair Nonunion/Malunion Tarsal Bones (28320) | $29,072 | $29,072 | 2.6× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) | $23,257.60 | $23,257.60 | 3.7× |
| Repair of arm tendon (24320) | $39,897 | $39,897 | 6.3× |
| Repair of biceps tendon (24340) | $17,443.20 | $17,443.20 | 2.7× |
| Repair of congenital pseudarthrosis, tibia Facility (27727) | $23,257.60 | $23,257.60 | 8.1× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) | $17,443.20 | $17,443.20 | 4.0× |
| Repair of fibula epiphysis (27732) | $23,257.60 | $23,257.60 | 8.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) | $23,257.60 | $23,257.60 | 3.7× |
| Repair of knee ligaments (27409) | $40,953 | $40,953 | 6.4× |
| Repair of metatarsals (28322) | $29,072 | $29,072 | 4.6× |
| Repair of nail bed (11760) range across 4 matching MRF lines |
$3,563.70–$8,721.60 | $3,563.70–$8,721.60 | varies |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) | $29,072 | $29,072 | 4.6× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $29,072 | $29,072 | 4.6× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) | $29,072 | $29,072 | 4.6× |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) | $23,257.60 | $23,257.60 | 3.7× |
| Repair of Ruptured Tendon (24342) | $40,953.20 | $40,953.20 | 6.4× |
| Repair of shoulder (23420) | $29,072 | $29,072 | 4.6× |
| Repair of web finger (26561) | $13,954.56 | $13,954.56 | 4.9× |
| Repair radius & ulna (25415) | $39,897 | $39,897 | 6.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $17,443.20 | $17,443.20 | 3.1× |
| Repair Rotator Cuff Chronic (23412) | $29,072 | $29,072 | 4.6× |
| Repair secondary achilles tendon w/wo graft (27654) | $23,257.60 | $23,257.60 | 3.7× |
| Repair shoulder capsule (23462) | $23,257.60 | $23,257.60 | 3.7× |
| Repair shoulder capsule (23466) | $18,015.36 | $18,015.36 | 2.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $17,443.20 | $17,443.20 | 6.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $40,575.78 | $40,575.78 | 6.4× |
| Repair Toe Dislocation (28645) | $23,257.60 | $23,257.60 | 8.1× |
| Repair tongue laceration (41252) | $1,237.88 | $1,237.88 | 6.0× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) | $17,443.20 | $17,443.20 | 2.7× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) | $17,443.20 | $17,443.20 | 3.3× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) | $23,257.60 | $23,257.60 | 3.7× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) | $23,257.60 | $23,257.60 | 3.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 3 matching MRF lines |
$20,287.89–$40,575.78 | $20,287.89–$40,575.78 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) range across 2 matching MRF lines |
$17,443.20–$40,955 | $17,443.20–$40,955 | varies |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) | $17,443.20 | $17,443.20 | 6.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) | $17,443.20 | $17,443.20 | 6.1× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) | $17,443.20 | $17,443.20 | 2.7× |
| Repair/graft achilles tendon (27652) | $23,257.60 | $23,257.60 | 3.7× |
| Repair/graft femur head/neck (27170) | $17,443.20 | $17,443.20 | 2.7× |
| Repair/graft finger tendon (26428) | $17,443.20 | $17,443.20 | 6.1× |
| Repair/Graft Wrist Bone (25440) | $29,072 | $29,072 | 4.6× |
| Repair/Revise Wrist Joint (25320) | $23,257.60 | $23,257.60 | 3.7× |
| Repair/transpose nerve (64856) | $13,982.16 | $13,982.16 | 1.8× |
| Replace elbow joint (24363) | $34,886.40 | $34,886.40 | 2.3× |
| Replace g/c tube perc (49450) | $5,064 | $5,064 | 6.4× |
| Replace/Revise Brain Shunt (62230) | $14,340 | $14,340 | 1.9× |
| Replacement Tissue Expander W/Permanent Implant (11970) | $5,963.16 | $5,963.16 | 0.9× |
| Reposition Gastrostomy Tube (43761) | $1,318.07 | $1,318.07 | 6.0× |
| Repr elbow lat ligmnt w/tiss (24343) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Repr Elbw Med Ligmnt W/Tiss (24345) | $17,443.20 | $17,443.20 | 2.7× |
| Repr torn cruciate knee ligam (27407) | $17,443.20 | $17,443.20 | 2.7× |
| Rerepair ing hernia reduce (49520) | $17,443.20 | $17,443.20 | 5.6× |
| Resect back tum < 5 cm (21935) | $23,257.60 | $23,257.60 | 9.1× |
| Resect enlarged toe (28341) | $17,443.20 | $17,443.20 | 6.1× |
| Resect enlarged toe tissue (28340) | $14,536 | $14,536 | 5.1× |
| Resect leg/ankle tum < 5 cm (27615) | $11,628.80 | $11,628.80 | 4.6× |
| Resect Shoulder Tumor 5 Cm/> (23078) | $13,006.40 | $13,006.40 | 5.1× |
| Resection of elbow joint (arthrectomy) Facility (24155) | $29,072 | $29,072 | 10.1× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $13,954.56 | $13,954.56 | 4.9× |
| Resection, humeral head Facility (23195) | $17,443.20 | $17,443.20 | 2.7× |
| Resection, partial or complete, phalangeal base, each toe (28126) | $11,628.80 | $11,628.80 | 4.1× |
| Resection/transplantation long tendon biceps (23440) range across 2 matching MRF lines |
$14,536–$29,072 | $14,536–$29,072 | varies |
| Revis reconst shoulder joint (23473) range across 3 matching MRF lines |
$29,072–$80,040.24 | $29,072–$80,040.24 | varies |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $104,659.20 | $104,659.20 | 9.3× |
| Revise external ear (69300) | $17,443.20 | $17,443.20 | 6.0× |
| Revise finger joint each (26140) | $11,628.80 | $11,628.80 | 8.3× |
| Revise Hand/Foot Nerve (64704) | $14,736.90 | $14,736.90 | 8.6× |
| Revise knuckle joint (26530) | $29,072 | $29,072 | 4.6× |
| Revise lower leg tendon (27690) range across 2 matching MRF lines |
$20,476.50–$40,953 | $20,476.50–$40,953 | varies |
| Revise Lower Leg Tendons (27686) | $23,257.60 | $23,257.60 | 8.1× |
| Revise palsy hand tendon(s) (25315) | $13,499.46 | $13,499.46 | 2.1× |
| Revise radius & ulna (25365) | $17,443.20 | $17,443.20 | 1.6× |
| Revise Spine Eltrd Plate (63664) range across 2 matching MRF lines |
$25,330.13–$50,660.25 | $25,330.13–$50,660.25 | varies |
| Revise thumb tendon (26496) | $8,687.24 | $8,687.24 | 3.0× |
| Revise ulnar nerve at wrist (64719) range across 2 matching MRF lines |
$6,991.08–$13,982.16 | $6,991.08–$13,982.16 | varies |
| Revise Wrist/Forearm Tendon (25280) range across 2 matching MRF lines |
$17,443.20–$78,494.40 | $17,443.20–$78,494.40 | varies |
| Revise/Implant Finger Joint (26536) | $34,886.40 | $34,886.40 | 5.5× |
| Revise/Repair Finger/Toe Nerve (64702) | $13,954.10 | $13,954.10 | 8.2× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862) | $15,500 | $15,500 | 1.0× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) | $23,257.60 | $23,257.60 | 4.5× |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) | $23,257.60 | $23,257.60 | 4.5× |
| Revision of big toe (28310) | $17,443.20 | $17,443.20 | 2.7× |
| Revision of eyelid (67880) | $7,029.90 | $7,029.90 | 3.4× |
| Revision of foot (28116) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Revision of foot and ankle (28262) | $17,443.20 | $17,443.20 | 2.7× |
| Revision of foot bones (28737) | $34,886.10 | $34,886.10 | 3.1× |
| Revision of foot fascia (28250) | $13,954.56 | $13,954.56 | 4.9× |
| Revision of humerus (24400) | $17,443.20 | $17,443.20 | 2.7× |
| Revision of knee joint (27442) | $80,040.24 | $80,040.24 | 7.1× |
| Revision of lower leg tendon (27685) | $23,257.60 | $23,257.60 | 8.1× |
| Revision of neck muscle (21720) | $17,443.20 | $17,443.20 | 6.1× |
| Revision of reconstructed breast (19380) | $17,443.20 | $17,443.20 | 3.0× |
| Revision of toe (28312) | $23,257.60 | $23,257.60 | 8.1× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) | $58,144 | $58,144 | 5.2× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) | $58,144 | $58,144 | 5.2× |
| Revision of wrist joint (25450) | $23,257.60 | $23,257.60 | 8.1× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) | $40,577 | $40,577 | 6.4× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $23,960.14 | $23,960.14 | 7.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $50,660 | $50,660 | 9.1× |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) | $23,257.60 | $23,257.60 | 4.5× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) | $58,144 | $58,144 | 5.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) | $104,659.20 | $104,659.20 | 6.8× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | $69,000 | $69,000 | 6.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $50,660.25 | $50,660.25 | 16.5× |
| Rhinoplasty primary w/major septal repair (30420) | $17,443.20 | $17,443.20 | 3.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $5,063.89 | $5,063.89 | 6.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 3 matching MRF lines |
$3,033.60–$6,977.28 | $3,033.60–$6,977.28 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$2,316.09–$4,632.18 | $2,316.09–$4,632.18 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$712.27–$1,424.54 | $712.27–$1,424.54 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$2,316.09–$4,632.18 | $2,316.09–$4,632.18 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 3 matching MRF lines |
$966.04–$11,628.80 | $966.04–$11,628.80 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$537.04–$11,628.80 | $537.04–$11,628.80 | varies |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) | $17,443.20 | $17,443.20 | 10.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 3 matching MRF lines |
$1,162.88–$23,257.60 | $1,162.88–$23,257.60 | varies |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) | $29,072 | $29,072 | 9.7× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) | $17,443.20 | $17,443.20 | 2.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $13,954.56 | $13,954.56 | 10.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$697.14–$3,549 | $697.14–$3,549 | varies |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $3,033.60 | $3,033.60 | 12.4× |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) | $23,257.60 | $23,257.60 | 8.0× |
| Rplc Gtube No Revj Trc (43762) | $1,923.22 | $1,923.22 | 8.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $17,443.20 | $17,443.20 | 6.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $12,905.42 | $12,905.42 | 4.7× |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) | $69,000 | $69,000 | 23.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $33,030 | $33,030 | 6.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $3,278 | $3,278 | 1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $19,805 | $19,805 | 3.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $33,030 | $33,030 | 6.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $19,805 | $19,805 | 6.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $19,805 | $19,805 | 3.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $31,900.73 | $31,900.73 | 6.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $23,257.60 | $23,257.60 | 8.1× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $17,443.20 | $17,443.20 | 2.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$1,107.75–$1,144 | $1,107.75–$1,144 | varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $3,563.70 | $3,563.70 | 5.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,802.24 | $2,802.24 | 5.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,802.24 | $2,802.24 | 5.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$1,658.20–$11,628.80 | $1,658.20–$11,628.80 | varies |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) | $23,257.60 | $23,257.60 | 3.7× |
| Rpr Nsl Vlv Collapse W/Implt (30468) | $33,523 | $33,523 | 6.5× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) | $23,257.60 | $23,257.60 | 3.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 3 matching MRF lines |
$17,443.20–$26,164.80 | $17,443.20–$26,164.80 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $17,443.20 | $17,443.20 | 6.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $17,443.20 | $17,443.20 | 6.1× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) | $17,443.20 | $17,443.20 | 2.7× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) | $17,443.20 | $17,443.20 | 2.7× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $17,443.20 | $17,443.20 | 6.1× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) | $17,443.20 | $17,443.20 | 2.7× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $17,443.20 | $17,443.20 | 6.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) | $17,443.20 | $17,443.20 | 6.1× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $17,443.20 | $17,443.20 | 6.1× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) | $17,443.20 | $17,443.20 | 2.7× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) | $17,443.20 | $17,443.20 | 6.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $17,443.20 | $17,443.20 | 6.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) | $11,735.15 | $11,735.15 | 4.1× |
| Sequestrectomy Olecranon Process (24138) | $13,954.56 | $13,954.56 | 2.2× |
| Sever cranial nerve (64771) | $13,982.16 | $13,982.16 | 8.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $13,954.56 | $13,954.56 | 17.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $13,954.56 | $13,954.56 | 13.3× |
| Shave skin lesion 0.5 cm/< (11300) | $6,977.28 | $6,977.28 | 19.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $6,977.28 | $6,977.28 | 39.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $6,977.28 | $6,977.28 | 19.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $6,977.28 | $6,977.28 | 39.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $6,977.28 | $6,977.28 | 39.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $6,977.28 | $6,977.28 | 39.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $6,977.28 | $6,977.28 | 19.6× |
| Shorten radius & ulna (25392) | $17,443.20 | $17,443.20 | 2.7× |
| Shoulder arthroscopy (29820) | $23,257.60 | $23,257.60 | 3.7× |
| Shoulder arthroscopy diagnostic (29805) | $23,257.60 | $23,257.60 | 8.1× |
| Shoulder Arthroscopy/Surgery (29825) range across 4 matching MRF lines |
$11,628.80–$34,886.40 | $11,628.80–$34,886.40 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $6,977.28 | $6,977.28 | 39.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $6,977.28 | $6,977.28 | 19.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $6,977.28 | $6,977.28 | 39.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $6,977.28 | $6,977.28 | 19.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $6,977.28 | $6,977.28 | 39.7× |
| Sigmoidoscopy & Polypectomy (45333) | $13,954.56 | $13,954.56 | 17.1× |
| Sigmoidoscopy w/fb removal (45332) | $6,642.83 | $6,642.83 | 6.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $13,954.56 | $13,954.56 | 17.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$2,202–$2,288.48 | $2,202–$2,288.48 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$1,107.75–$1,250 | $1,107.75–$1,250 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$1,107.75–$11,628.80 | $1,107.75–$11,628.80 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$2,202–$2,288.48 | $2,202–$2,288.48 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$1,107.75–$1,144 | $1,107.75–$1,144 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $784.76 | $784.76 | 4.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$1,107.75–$11,628.80 | $1,107.75–$11,628.80 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$880.68–$1,144 | $880.68–$1,144 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$1,107.75–$1,144 | $1,107.75–$1,144 | varies |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) | $33,523 | $33,523 | 6.5× |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) | $33,523 | $33,523 | 6.5× |
| Skin Full Grft Face/Genit/Hf (15240) | $11,628.80 | $11,628.80 | 6.4× |
| Skin graft, harvest cultured tissue (15040) | $10,910 | $10,910 | 6.0× |
| Skin Pinch Graft (15050) range across 2 matching MRF lines |
$2,396.84–$4,793.68 | $2,396.84–$4,793.68 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$5,293.45–$10,586.89 | $5,293.45–$10,586.89 | varies |
| Skin sub graft trnk/arm/leg (15271) | $10,112 | $10,112 | 15.6× |
| Skin Tissue Procedure (17999) | $1,606 | $1,606 | 9.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $13,954.56 | $13,954.56 | 3.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$1,107.75–$2,500 | $1,107.75–$2,500 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$2,202–$2,288.48 | $2,202–$2,288.48 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$2,202–$2,288.48 | $2,202–$2,288.48 | varies |
| So Apol1 Risk Variants G1 G2 (0355U) | $195 | $195 | 1.4× |
| Sphincterotomy anal division sphincter spx (46080) | $8,485.60 | $8,485.60 | 3.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$3,952.52–$6,067.20 | $3,952.52–$6,067.20 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $19,954.99 | $19,954.99 | 6.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $11,628.80 | $11,628.80 | 6.4× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$894.13–$1,788.26 | $894.13–$1,788.26 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$352.59–$705.18 | $352.59–$705.18 | varies |
| Strapping hand/finger (29280) | $352.59 | $352.59 | 6.8× |
| Strapping knee (29530) range across 2 matching MRF lines |
$712.27–$1,424.54 | $712.27–$1,424.54 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$712.27–$1,424.54 | $712.27–$1,424.54 | varies |
| Strapping thorax (29200) | $894.13 | $894.13 | 6.3× |
| Strapping toes (29550) | $352.59 | $352.59 | 6.8× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $1,144 | $1,144 | 6.5× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $3,336 | $3,336 | 5.2× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) | $3,336 | $3,336 | 5.2× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) | $3,336 | $3,336 | 5.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 3 matching MRF lines |
$7,584–$15,168 | $7,584–$15,168 | varies |
| Subtalar arthro w/deb (29906) | $20,931.84 | $20,931.84 | 7.3× |
| Subtalar arthro w/exc (29905) | $20,931.84 | $20,931.84 | 3.3× |
| Surg Implnt Neuroelect,Epidural (63655) range across 2 matching MRF lines |
$65,990.33–$131,980.65 | $65,990.33–$131,980.65 | varies |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $44,698 | $44,698 | 8.6× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) | $33,523 | $33,523 | 6.5× |
| Surg tx anal fistula subq (46270) | $17,443.20 | $17,443.20 | 7.2× |
| Surgery to stop leg growth (27479) | $17,443.20 | $17,443.20 | 2.7× |
| Surgery to stop leg growth (27477) | $23,257.60 | $23,257.60 | 3.7× |
| Suture 1 nerve hand/foot common sensory nerve (64834) | $17,443.20 | $17,443.20 | 5.8× |
| Suture 1 Nerve Median Motor Thenar (64835) | $37,901 | $37,901 | 12.7× |
| Suture digital nerve hand/foot 1 nerve (64831) | $13,982.16 | $13,982.16 | 8.2× |
| Suture infrapatellar tendon primary (27380) | $23,257.60 | $23,257.60 | 3.7× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) | $23,257.60 | $23,257.60 | 3.7× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $23,257.60 | $23,257.60 | 3.7× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) | $23,257.60 | $23,257.60 | 3.7× |
| Suture of sciatic nerve (64858) | $13,982.10 | $13,982.10 | 8.2× |
| Synovectomy carpometacarpal joint (26130) | $18,039 | $18,039 | 6.3× |
| Synovectomy Tendon Sheath Foot Extensor (28088) | $11,628.80 | $11,628.80 | 4.1× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $11,628.80 | $11,628.80 | 4.1× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) | $15,554.50 | $15,554.50 | 5.4× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) | $11,628.80 | $11,628.80 | 4.1× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) unusually low: confirm this is the full procedure |
$3,005.61 | $3,005.61 | 0.5× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $11,628.80 | $11,628.80 | 8.3× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) | $3,336 | $3,336 | 5.2× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $3,336 | $3,336 | 5.2× |
| Temple bone implant revision (69717) | $23,257.60 | $23,257.60 | 3.7× |
| Temporary Closure Eyelids Suture (67875) | $7,029.90 | $7,029.90 | 8.0× |
| Tendon lengthening upper arm/elbow ea tendon (24305) | $17,443.20 | $17,443.20 | 6.1× |
| Tendon shortening (26477) | $11,628.80 | $11,628.80 | 4.1× |
| Tendon transfer with graft (26492) | $24,705.60 | $24,705.60 | 8.6× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $11,628.80 | $11,628.80 | 4.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) | $18,015.36 | $18,015.36 | 6.3× |
| Tenodesis distal joint each (26474) | $11,628.80 | $11,628.80 | 8.3× |
| Tenodesis long tendon biceps (23430) range across 3 matching MRF lines |
$14,536–$46,950 | $14,536–$46,950 | varies |
| Tenodesis proximal interphalangeal joint each (26471) | $8,721.60 | $8,721.60 | 3.0× |
| Tenodesis Wrist Extensors Fingers (25301) | $13,499 | $13,499 | 4.7× |
| Tenodesis Wrist Flexors Fingers (25300) | $13,499 | $13,499 | 4.7× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) | $11,628.80 | $11,628.80 | 4.1× |
| Tenolysis extensor foot single tendon (28225) | $11,628.80 | $11,628.80 | 4.1× |
| Tenolysis Flexor Foot Multiple Tendons (28222) | $18,529 | $18,529 | 6.5× |
| Tenolysis flexor foot single tendon (28220) | $17,443.20 | $17,443.20 | 12.4× |
| Tenolysis flexor tendon palm&finger each tendo (26442) | $11,628.80 | $11,628.80 | 4.1× |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $11,628.80 | $11,628.80 | 8.3× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $14,536 | $14,536 | 5.1× |
| Tenolysis Triceps (24332) | $17,443.20 | $17,443.20 | 6.1× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) range across 3 matching MRF lines |
$11,628.80–$69,379.68 | $11,628.80–$69,379.68 | varies |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) | $17,443.20 | $17,443.20 | 6.1× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) range across 2 matching MRF lines |
$14,536–$27,327.68 | $14,536–$27,327.68 | varies |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) | $14,536 | $14,536 | 5.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) | $8,872 | $8,872 | 6.3× |
| Tenotomy extensor hand/finger open each tendon (26460) | $11,628.80 | $11,628.80 | 8.3× |
| Tenotomy Flexor Finger Open Each Tendon (26455) | $11,628.80 | $11,628.80 | 8.3× |
| Tenotomy Flexor Palm Open Each Tendon (26450) | $11,628.80 | $11,628.80 | 4.1× |
| Tenotomy Hip Abd/Ext Open (27006) | $20,817.04 | $20,817.04 | 7.3× |
| Tenotomy Percutaneous Single Each Digit (26060) | $11,628.80 | $11,628.80 | 8.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $13,954.56 | $13,954.56 | 9.9× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $17,443.20 | $17,443.20 | 12.4× |
| Tenotomy shoulder area single tendon (23405) | $23,257.60 | $23,257.60 | 3.7× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) | $17,443.20 | $17,443.20 | 6.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $8,721.60 | $8,721.60 | 6.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) range across 2 matching MRF lines |
$75,843–$78,543 | $75,843–$78,543 | varies |
| Thrombolytic Therapy Stroke (37195) | $2,040.36 | $2,040.36 | 7.0× |
| Tibial Arthroscopy/Surgery (29855) | $23,257.60 | $23,257.60 | 3.7× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $8,144 | $8,144 | 4.5× |
| Tissue Expander Placement Breast Reconstruction (19357) | $23,435.94 | $23,435.94 | 1.9× |
| Tnot elbow lateral/medial debride open (24358) range across 3 matching MRF lines |
$6,977.28–$13,954.56 | $6,977.28–$13,954.56 | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $13,954.56 | $13,954.56 | 4.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $17,443.20 | $17,443.20 | 6.0× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) | $134,325.62 | $134,325.62 | 8.7× |
| Total Knee Arthroplasty (27447) range across 3 matching MRF lines |
$104,659.20–$157,038.63 | $104,659.20–$157,038.63 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,274.86 | $1,274.86 | 6.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $896.28 | $896.28 | 0.7× |
| Tracheostomy planned (31600) | $18,431 | $18,431 | 6.3× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 3 matching MRF lines |
$6,991.08–$20,973.24 | $6,991.08–$20,973.24 | varies |
| Transfer skin pedicle flap (15650) | $11,628.80 | $11,628.80 | 6.4× |
| Transfer, free toe joint, with microvascular anastomosis Facility (26556) | $17,443.20 | $17,443.20 | 2.7× |
| Transfer/transplant tendon palmar w/o graft each (26485) | $17,443.20 | $17,443.20 | 6.1× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) | $69,000 | $69,000 | 10.9× |
| Transplant hand tendon (26480) | $11,628.80 | $11,628.80 | 4.1× |
| Transplant of thigh tendon (27396) | $40,576 | $40,576 | 6.4× |
| Transplant/graft hand tendon (26483) | $11,628.80 | $11,628.80 | 4.1× |
| Transplant/graft palm tendon (26489) | $11,628.80 | $11,628.80 | 4.1× |
| Treat ankle dislocation (27848) | $33,636 | $33,636 | 5.3× |
| Treat ankle fracture (28445) | $23,257.60 | $23,257.60 | 3.7× |
| Treat Big Toe Fracture (28505) | $23,257.60 | $23,257.60 | 8.1× |
| Treat dislocation/fracture (23670) | $23,257.60 | $23,257.60 | 3.7× |
| Treat dislocation/fracture (23680) | $78,543 | $78,543 | 7.0× |
| Treat elbow fracture (24586) | $29,072 | $29,072 | 2.6× |
| Treat Elbow Fracture (24635) | $29,072 | $29,072 | 4.6× |
| Treat elbow fracture (24587) | $19,825 | $19,825 | 1.8× |
| Treat Finger Fracture Each (26727) | $18,259.61 | $18,259.61 | 6.4× |
| Treat forearm bone lesion (25035) | $11,628.80 | $11,628.80 | 1.8× |
| Treat fracture radius/ulna (25575) | $17,443.20 | $17,443.20 | 2.7× |
| Treat Fx Rad Extra-Articul (25607) | $40,575.78 | $40,575.78 | 6.4× |
| Treat Hand Bone Lesion (26034) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Treat humerus fracture (24500) | $6,977.30 | $6,977.30 | 32.3× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$8,800–$17,443.20 | $8,800–$17,443.20 | varies |
| Treat humerus fracture (23616) | $29,072 | $29,072 | 1.9× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$1,350–$2,250 | $1,350–$2,250 | varies |
| Treat knee fracture (27532) | $17,443.20 | $17,443.20 | 6.1× |
| Treat kneecap dislocation (27566) range across 2 matching MRF lines |
$20,997–$54,604.28 | $20,997–$54,604.28 | varies |
| Treat Kneecap Fracture (27524) | $17,443.20 | $17,443.20 | 2.7× |
| Treat Knuckle Dislocation (26700) | $1,172.52 | $1,172.52 | 5.4× |
| Treat lower leg bone lesion (27607) | $11,628.80 | $11,628.80 | 4.1× |
| Treat lower leg dislocation (27832) | $23,257.60 | $23,257.60 | 3.7× |
| Treat metacarpal fracture (26607) range across 2 matching MRF lines |
$5,814.40–$11,628.80 | $5,814.40–$11,628.80 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$879.20–$23,257.60 | $879.20–$23,257.60 | varies |
| Treat midfoot fracture (28456) | $23,257.60 | $23,257.60 | 3.7× |
| Treat scapula fracture (23585) | $17,844.18 | $17,844.18 | 2.8× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$1,301.96–$2,603.92 | $1,301.96–$2,603.92 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$1,494.36–$2,988.72 | $1,494.36–$2,988.72 | varies |
| Treat thumb fracture (26665) | $23,257.60 | $23,257.60 | 8.1× |
| Treat toe dislocation (28630) | $1,269.87 | $1,269.87 | 5.9× |
| Treat/graft heel fracture (28420) | $23,257.60 | $23,257.60 | 2.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 4 matching MRF lines |
$5,900–$13,954.56 | $5,900–$13,954.56 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$1,408.08–$2,816.16 | $1,408.08–$2,816.16 | varies |
| Treatment of ankle fracture (27823) | $40,575.78 | $40,575.78 | 6.4× |
| Treatment of foot infection (28003) | $11,628.80 | $11,628.80 | 4.1× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $34,886.40 | $34,886.40 | 5.5× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) | $29,072 | $29,072 | 10.1× |
| Treatment of slipped femoral epiphysis; by traction, without reduction Facility (27175) | $29,072 | $29,072 | 10.1× |
| Treatment of tibia fracture (27756) | $17,443.20 | $17,443.20 | 2.7× |
| Trim skin lesion (11055) | $4,360.80 | $4,360.80 | 24.8× |
| Trim skin lesions 2 to 4 (11056) | $4,360.80 | $4,360.80 | 24.8× |
| Trim skin lesions over 4 (11057) | $4,360.80 | $4,360.80 | 24.8× |
| Trimming Nondystrophic Nails Any Number (11719) | $4,360.80 | $4,360.80 | 84.3× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $11,628.80 | $11,628.80 | 8.5× |
| Tubal ligation (58600) | $17,443.20 | $17,443.20 | 6.1× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $29,072 | $29,072 | 2.6× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $34,886.40 | $34,886.40 | 5.5× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 3 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $17,443.20 | $17,443.20 | 12.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $23,257.60 | $23,257.60 | 16.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$3,563.70–$5,814.40 | $3,563.70–$5,814.40 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $2,288.48 | $2,288.48 | 6.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
$1,033.36–$7,651.80 | $1,033.36–$7,651.80 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $23,257.60 | $23,257.60 | 107.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $23,257.60 | $23,257.60 | 2.1× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $17,443.20 | $17,443.20 | 12.8× |
| Tympanoplasty (69631) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) | $23,257.60 | $23,257.60 | 4.5× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$17,443.20–$26,164.80 | $17,443.20–$26,164.80 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $2,911.12 | $2,911.12 | 0.9× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $23,257.60 | $23,257.60 | 4.4× |
| Unlisted procedure anus (46999) | $24,268.80 | $24,268.80 | 29.8× |
| Unlisted procedure arthroscopy (29999) range across 2 matching MRF lines |
$8,721.50–$17,443 | $8,721.50–$17,443 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $894.13 | $894.13 | 6.3× |
| Unlisted procedure femur or knee (27599) | $23,257.60 | $23,257.60 | 107.6× |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$2,790.42–$5,580.84 | $2,790.42–$5,580.84 | varies |
| Unlisted procedure forearm or wrist (25999) | $11,628.60 | $11,628.60 | 53.8× |
| Unlisted Procedure Hands/Fingers (26989) | $1,606 | $1,606 | 7.4× |
| Unlisted procedure humerus/elbow (24999) | $6,669.48 | $6,669.48 | 30.9× |
| Unlisted Procedure Leg/Ankle (27899) range across 2 matching MRF lines |
$4,268.94–$8,537.88 | $4,268.94–$8,537.88 | varies |
| Unlisted Procedure Muscskeletal System General (20999) | $3,033.60 | $3,033.60 | 14.0× |
| Unlisted procedure nervous system (64999) | $6,067.20 | $6,067.20 | 22.6× |
| Unlisted procedure pelvis/hip joint (27299) range across 2 matching MRF lines |
$34,500–$69,000 | $34,500–$69,000 | varies |
| Unlisted procedure shoulder (23929) | $10,112 | $10,112 | 46.8× |
| Unlisted procedure spine (22899) | $23,257.60 | $23,257.60 | 107.6× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $1,347 | $1,347 | 6.5× |
| Unlisted Procedure Vascular Surgery (37799) | $10,000 | $10,000 | 18.2× |
| Uvulectomy excision of uvula (42140) | $17,443.20 | $17,443.20 | 6.0× |
| Vaginal delivery only (59409) | $3,303.76 | $3,303.76 | 1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $8,234.45 | $8,234.45 | 4.5× |
| Ventilating tube removal requiring general anesthesia (69424) range across 3 matching MRF lines |
$17,443.20–$26,164.80 | $17,443.20–$26,164.80 | varies |
| Wedge excision skin nail fold (11765) range across 4 matching MRF lines |
$2,180.40–$4,360.80 | $2,180.40–$4,360.80 | varies |
| Wedging of cast (29740) | $1,471.68 | $1,471.68 | 6.0× |
| Windowing of cast (29730) | $894.13 | $894.13 | 6.3× |
| Wound Prep F/N/Hf/G (15004) | $5,814.40 | $5,814.40 | 16.3× |
| Wound Prep Trk/Arm/Leg (15002) | $10,586.89 | $10,586.89 | 16.3× |
| Wrist arthroscopy (29840) | $11,628.80 | $11,628.80 | 4.1× |
| Wrist arthroscopy with partial removal of joint lining (29844) range across 2 matching MRF lines |
$8,721.60–$17,443.20 | $8,721.60–$17,443.20 | varies |
| Xfer Single Deep Low Leg Tendon (27691) range across 3 matching MRF lines |
$5,814.40–$54,604.28 | $5,814.40–$54,604.28 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.