Procedures & surgery prices at Pella Regional Health Center
Pella, IA · every code in this section with a posted price and a Medicare benchmark.
1163 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) range across 2 matching MRF lines |
— | $412–$1,894 | — |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
— | $377–$1,319 | — |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) range across 3 matching MRF lines |
— | $208–$538 | — |
| Acne surgery (10040) range across 3 matching MRF lines |
— | $22–$281 | — |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | — | $1,650 | — |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | — | $2,058 | — |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | — | $1,930 | — |
| Amputate Metacarpal Bone (26910) | — | $2,235 | — |
| Amputation foot transmetarsal (28805) | — | $1,965 | — |
| Amputation metatarsal with toe single (28810) | — | $1,458 | — |
| Amputation thigh through femur any level (27590) | — | $2,460 | — |
| Amputation toe interphalangeal joint (28825) | — | $841 | — |
| Amputation toe metatarsophalangeal joint (28820) | — | $831 | — |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | — | $1,790 | — |
| Anal/Urinary Muscle Study (51784) range across 4 matching MRF lines |
— | $175–$456 | — |
| Anoscopy Control Bleeding (46614) | — | $436 | — |
| Anoscopy diagnostic (46600) range across 4 matching MRF lines |
— | $19–$361 | — |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | — | $329 | — |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) | — | $2,261 | — |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
— | $284–$1,422 | — |
| Appendectomy (44950) | — | $1,804 | — |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
— | $20–$255 | — |
| Application Finger Splint Dynamic (29131) | — | $82 | — |
| Application finger splint static (29130) range across 5 matching MRF lines |
— | $22–$258 | — |
| Application Hip Spica Cast 1 Leg (29305) range across 3 matching MRF lines |
— | $35–$626 | — |
| Application long arm splint shoulder hand (29105) range across 17 matching MRF lines |
— | $23–$923 | — |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
— | $22–$525 | — |
| Application of long leg cast (29345) range across 2 matching MRF lines |
— | $381–$489 | — |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
— | $577–$782 | — |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
— | $136–$320 | — |
| Application short arm splint forearm-hand static (29125) range across 17 matching MRF lines |
— | $23–$599 | — |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
— | $23–$462 | — |
| Apply hand/wrist cast (29085) | — | $361 | — |
| Apply long arm cast (29065) range across 3 matching MRF lines |
— | $20–$251 | — |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
— | $207–$533 | — |
| Apply Short Leg Cast (29405) | — | $236 | — |
| Arterial puncture (36600) range across 2 matching MRF lines |
— | $69–$175 | — |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | — | $2,039 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 20 matching MRF lines |
— | $78–$907 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | — | $240 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 21 matching MRF lines |
— | $78–$1,290 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 7 matching MRF lines |
— | $269–$1,610 | — |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 119 matching MRF lines |
— | $76–$874 | — |
| Arthrodesis ankle open (27870) range across 3 matching MRF lines |
— | $3,456–$6,911 | — |
| Arthrodesis great toe interphalangeal joint (28755) | — | $1,367 | — |
| Arthrodesis great toe metatarsophalangeal joint (28750) | — | $2,233 | — |
| Arthrodesis subtalar (28725) | — | $2,196 | — |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
— | $784–$3,918 | — |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) | — | $3,435 | — |
| Arthroplasty interphalangeal joint each (26535) | — | $1,275 | — |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | — | $2,142 | — |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | — | $1,574 | — |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | — | $1,300 | — |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) range across 3 matching MRF lines |
— | $2,875–$5,750 | — |
| Arthroscopy hip w/femoroplasty (29914) | — | $2,855 | — |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | — | $2,321 | — |
| Arthroscopy knee synovectomy limited spx (29875) | — | $1,786 | — |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
— | $419–$2,089 | — |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | — | $3,040 | — |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
— | $480–$2,399 | — |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
— | $569–$2,843 | — |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | — | $1,646 | — |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | — | $1,564 | — |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | — | $3,280 | — |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | — | $1,695 | — |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
— | $526–$2,631 | — |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
— | $655–$3,276 | — |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) range across 2 matching MRF lines |
— | $525–$2,626 | — |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | — | $2,200 | — |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
— | $622–$3,105 | — |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | — | $1,939 | — |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | — | $1,892 | — |
| Arthrs knee debridement/shaving artclr crtlg (29877) | — | $1,950 | — |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
— | $377–$1,882 | — |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | — | $1,205 | — |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | — | $902 | — |
| Artificial insemination intra-uterine (58322) range across 3 matching MRF lines |
— | $46–$277 | — |
| Aspirate pleura w/ imaging (32555) range across 19 matching MRF lines |
— | $140–$1,126 | — |
| Aspirate Pleura W/O Imaging (32554) range across 11 matching MRF lines |
— | $140–$689 | — |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
— | $56–$159 | — |
| Aspiration and/or injection thyroid cyst (60300) range across 3 matching MRF lines |
— | $82–$254 | — |
| Aspiration bladder insert suprapubic catheter (51102) | — | $730 | — |
| Autologous Chondrocyte Implantation Knee (27412) | — | $4,718 | — |
| Avulsion nail plate partial/complete simple 1 (11730) range across 35 matching MRF lines |
— | $35–$272 | — |
| Axillary lymphadenectomy; complete (38745) range across 2 matching MRF lines |
— | $542–$2,712 | — |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) range across 2 matching MRF lines |
— | $298–$1,453 | — |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
— | $431–$2,317 | — |
| Biopsy bone open superficial (20240) | — | $368 | — |
| Biopsy bone trocar/needle deep (20225) | — | $361 | — |
| Biopsy Bone Trocar/Needle Superficial (20220) | — | $349 | — |
| Biopsy external ear (69100) range across 3 matching MRF lines |
— | $80–$215 | — |
| Biopsy muscle percutaneous needle (20206) | — | $221 | — |
| Biopsy Muscle Superficial (20200) | — | $463 | — |
| Biopsy nail unit (11755) range across 3 matching MRF lines |
— | $136–$281 | — |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | — | $455 | — |
| Biopsy of breast; open, incisional (19101) | — | $937 | — |
| Biopsy of lip (40490) range across 3 matching MRF lines |
— | $41–$282 | — |
| Biopsy of liver, needle; percutaneous (47000) | — | $458 | — |
| Biopsy of penis (54100) | — | $347 | — |
| Biopsy of rectum (45100) range across 3 matching MRF lines |
— | $58–$853 | — |
| Biopsy of urethra (53200) | — | $510 | — |
| Biopsy ovary uni/bi separate procedure (58900) | — | $1,311 | — |
| Biopsy soft tissue back/flank deep (21925) | — | $1,055 | — |
| Biopsy soft tissue leg/ankle area superficial (27613) | — | $423 | — |
| Biopsy soft tissue neck/thorax (21550) range across 3 matching MRF lines |
— | $125–$520 | — |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | — | $1,811 | — |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | — | $1,306 | — |
| Biopsy Tongue Anterior Two-Thirds (41100) | — | $420 | — |
| Biopsy Tongue Posterior One-Third (41105) range across 3 matching MRF lines |
— | $34–$382 | — |
| Biopsy Vaginal Mucosa Extensive (57105) | — | $396 | — |
| Biopsy Vaginal Mucosa Simple (57100) range across 3 matching MRF lines |
— | $77–$236 | — |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 3 matching MRF lines |
— | $75–$210 | — |
| Biopsy, vestibule of mouth (40808) range across 3 matching MRF lines |
— | $41–$417 | — |
| Biopsy/removal lymph nodes (38510) | — | $1,519 | — |
| Bladder instillation anticarcinogenic agent (51720) range across 5 matching MRF lines |
— | $56–$315 | — |
| Bladder Irrigation (51700) range across 6 matching MRF lines |
— | $56–$361 | — |
| Bladder Scan (51798) range across 5 matching MRF lines |
— | $47–$289 | — |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
— | $110–$570 | — |
| Blood Transfusion Service (36430) | — | $1,270 | — |
| Blood/Lymph System Procedure (38999) | — | $1,252 | — |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
— | $361–$557 | — |
| Bone Marrow; Aspiration Only (38220) range across 4 matching MRF lines |
— | $62–$437 | — |
| Breast Reduction (19318) range across 2 matching MRF lines |
— | $533–$2,665 | — |
| Brnchsc Brushing/Protected Brushings (31623) | — | $646 | — |
| Bronchoscopy W/Biopsy(S) (31625) | — | $410 | — |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | — | $407 | — |
| Bronchoscopy/Needle Bx Each (31629) | — | $431 | — |
| Bx breast 1st lesion strtctc (19081) | — | $2,107 | — |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
— | $1,441–$8,235 | — |
| Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines |
— | $123–$396 | — |
| Bx Cervix (57500) range across 3 matching MRF lines |
— | $78–$358 | — |
| Bx/exc lymph node open deep axillary node (38525) | — | $1,035 | — |
| Bx/exc lymph node open superficial (38500) range across 3 matching MRF lines |
— | $67–$663 | — |
| Canthotomy Separate Procedure (67715) range across 2 matching MRF lines |
— | $373–$679 | — |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 3 matching MRF lines |
— | $610–$1,382 | — |
| Capsulorrhaphy Anterior W/Labral Repair (23455) | — | $2,842 | — |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | — | $1,089 | — |
| Carpal Tunnel Surgery (64721) range across 4 matching MRF lines |
— | $338–$1,689 | — |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 3 matching MRF lines |
— | $39–$323 | — |
| Cautery Cervix Electro/Thermal (57510) | — | $472 | — |
| Change Cystostomy Tube Complicated (51710) range across 3 matching MRF lines |
— | $390–$530 | — |
| Change Cystostomy Tube Simple (51705) range across 7 matching MRF lines |
— | $87–$358 | — |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
— | $35–$438 | — |
| Chemical Pleurodesis (32560) | — | $482 | — |
| Chemodenerv 1 extrem 5/> mus (64644) | — | $506 | — |
| Chemodenerv Eccrine Glands (64650) | — | $271 | — |
| Chemodenerv Musc Migraine (64615) range across 3 matching MRF lines |
— | $58–$443 | — |
| Chemodenerv musc neck dyston (64616) range across 9 matching MRF lines |
— | $58–$788 | — |
| Chemodenervation eccrine glands oth area per day (64653) | — | $301 | — |
| Chemodenervation of internal anal sphincter (46505) range across 3 matching MRF lines |
— | $271–$716 | — |
| Chest tube placement (32551) range across 3 matching MRF lines |
— | $513–$898 | — |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | — | $258 | — |
| Circumcision 28 days or older (54161) | — | $554 | — |
| Circumcision Neonate (54160) | — | $682 | — |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
— | $371–$414 | — |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
— | $856–$1,397 | — |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
— | $351–$1,753 | — |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
— | $19–$257 | — |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
— | $876–$1,301 | — |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
— | $1,291–$1,327 | — |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
— | $1,001–$1,280 | — |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
— | $37–$661 | — |
| Closed Treatment Sesamoid Fracture (28530) range across 3 matching MRF lines |
— | $55–$297 | — |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
— | $54–$859 | — |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 4 matching MRF lines |
— | $55–$1,712 | — |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
— | $550–$1,360 | — |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
— | $55–$879 | — |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
— | $55–$682 | — |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
— | $55–$943 | — |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | — | $1,617 | — |
| Closed tx femoral fracture prox head w/o manj (27267) | — | $1,322 | — |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
— | $47–$1,331 | — |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | — | $1,995 | — |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
— | $37–$1,271 | — |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
— | $55–$646 | — |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | — | $1,102 | — |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
— | $361–$589 | — |
| Closed tx patellar dislocation w/anesthesia (27562) range across 3 matching MRF lines |
— | $481–$1,456 | — |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 4 matching MRF lines |
— | $55–$671 | — |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
— | $54–$950 | — |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
— | $54–$810 | — |
| Closed tx radial shaft fracture w/manipulation (25505) | — | $1,566 | — |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
— | $55–$805 | — |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
— | $594–$1,594 | — |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
— | $55–$724 | — |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
— | $55–$741 | — |
| Closed tx talotarsal joint dislc w/o anes (28570) | — | $386 | — |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
— | $77–$1,123 | — |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
— | $54–$654 | — |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | — | $361 | — |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
— | $43–$315 | — |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
— | $55–$726 | — |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
— | $55–$679 | — |
| Closure Gastrostomy Surg (43870) | — | $2,269 | — |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 3 matching MRF lines |
— | $41–$470 | — |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 3 matching MRF lines |
— | $208–$967 | — |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) | — | $1,680 | — |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
— | $1,568–$1,621 | — |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
— | $55–$682 | — |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 4 matching MRF lines |
— | $361–$953 | — |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
— | $55–$763 | — |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 3 matching MRF lines |
— | $499–$1,082 | — |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 3 matching MRF lines |
— | $55–$631 | — |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
— | $1,379–$1,719 | — |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
— | $55–$943 | — |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 4 matching MRF lines |
— | $31–$1,232 | — |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
— | $55–$1,157 | — |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
— | $55–$927 | — |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 4 matching MRF lines |
— | $54–$749 | — |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
— | $55–$574 | — |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
— | $55–$1,035 | — |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
— | $611–$1,661 | — |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | — | $1,424 | — |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | — | $1,401 | — |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | — | $2,274 | — |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
— | $2,597–$2,958 | — |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
— | $411–$580 | — |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 4 matching MRF lines |
— | $54–$432 | — |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 4 matching MRF lines |
— | $54–$594 | — |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
— | $54–$366 | — |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
— | $1,692–$2,530 | — |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
— | $52–$1,020 | — |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
— | $55–$830 | — |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 9 matching MRF lines |
— | $55–$2,637 | — |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
— | $361–$1,996 | — |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
— | $361–$1,008 | — |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
— | $37–$851 | — |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | — | $1,294 | — |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
— | $55–$850 | — |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | — | $1,221 | — |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 3 matching MRF lines |
— | $115–$367 | — |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 4 matching MRF lines |
— | $54–$373 | — |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 4 matching MRF lines |
— | $55–$679 | — |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
— | $55–$823 | — |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 5 matching MRF lines |
— | $55–$853 | — |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
— | $54–$923 | — |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 3 matching MRF lines |
— | $55–$950 | — |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 3 matching MRF lines |
— | $190–$482 | — |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
— | $55–$1,051 | — |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
— | $54–$615 | — |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
— | $384–$1,205 | — |
| Cltx prox fibula/shft fx w/manj (27781) | — | $1,854 | — |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
— | $54–$713 | — |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | — | $1,389 | — |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 4 matching MRF lines |
— | $54–$384 | — |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
— | $91–$1,050 | — |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | — | $520 | — |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
— | $55–$975 | — |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | — | $851 | — |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
— | $55–$890 | — |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
— | $55–$1,001 | — |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
— | $499–$1,407 | — |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
— | $55–$859 | — |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) range across 2 matching MRF lines |
— | $435–$2,173 | — |
| Collect Blood From Catheter Venous Nos (36592) range across 4 matching MRF lines |
— | $54–$110 | — |
| Collection of venous blood by venipuncture (36415) | — | $29 | — |
| Colonoscopy Flexible With Decompression (45393) | — | $1,082 | — |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | — | $1,169 | — |
| Colonoscopy thru stoma (44388) | — | $824 | — |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | — | $1,037 | — |
| Colonoscopy w/ablation (45388) | — | $1,795 | — |
| Colonoscopy w/fb removal (45379) | — | $1,092 | — |
| Colonoscopy w/stent plcmt (45389) | — | $1,173 | — |
| Colonoscopy w/submucosal inj (45381) | — | $894 | — |
| Colpocleisis (le fort type) (57120) range across 2 matching MRF lines |
— | $310–$1,546 | — |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) range across 3 matching MRF lines |
— | $461–$1,169 | — |
| Colpopexy extraperitoneal (57282) range across 2 matching MRF lines |
— | $267–$1,333 | — |
| Colpopexy vaginal intraperitoneal approach (57283) range across 2 matching MRF lines |
— | $341–$1,705 | — |
| Colporrhaphy (57200) range across 2 matching MRF lines |
— | $533–$804 | — |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 3 matching MRF lines |
— | $77–$390 | — |
| Colposcopy Cervix Endocervical Curettage (57456) range across 3 matching MRF lines |
— | $108–$349 | — |
| Colposcopy cervix upper/adjacent vagina (57452) range across 3 matching MRF lines |
— | $37–$292 | — |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 3 matching MRF lines |
— | $77–$363 | — |
| Colposcopy cervix vag eltrd conization cervix (57461) | — | $818 | — |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 3 matching MRF lines |
— | $310–$718 | — |
| Colposcopy entire vagina w/cervix if present (57420) | — | $297 | — |
| Colposcopy of vulva (56820) range across 3 matching MRF lines |
— | $27–$312 | — |
| Colposcopy Vulva W/Biopsy (56821) range across 3 matching MRF lines |
— | $28–$349 | — |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | — | $380 | — |
| Colsc Flexible W/Control Bleeding Any Method (45382) | — | $1,575 | — |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | — | $1,957 | — |
| Colsc flx w/removal lesion by hot bx forceps (45384) | — | $871 | — |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
— | $349–$1,743 | — |
| Complex drainage wound (10180) range across 4 matching MRF lines |
— | $199–$744 | — |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
— | $660–$681 | — |
| Conization of cervix (57520) range across 3 matching MRF lines |
— | $265–$973 | — |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
— | $61–$545 | — |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
— | $61–$417 | — |
| Control oropharyngeal hemorrhage simple (42960) | — | $447 | — |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) range across 2 matching MRF lines |
— | $952–$4,756 | — |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | — | $2,531 | — |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | — | $2,317 | — |
| Correction hammertoe (28285) | — | $1,523 | — |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | — | $2,533 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | — | $2,960 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | — | $2,371 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | — | $1,969 | — |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | — | $2,869 | — |
| Create Eardrum Opening (69433) | — | $473 | — |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 4 matching MRF lines |
— | $61–$550 | — |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | — | $1,327 | — |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) | — | $670 | — |
| Curettage postpartum (59160) | — | $590 | — |
| Cysto Bladder W/Ureteral Catheterization (52005) | — | $929 | — |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 5 matching MRF lines |
— | $462–$1,017 | — |
| Cysto w/complex removal stone & stent (52315) range across 3 matching MRF lines |
— | $463–$1,330 | — |
| Cysto w/destruction of lesions (52214) | — | $2,067 | — |
| Cysto w/insert ureteral stent (52332) range across 10 matching MRF lines |
— | $661–$1,438 | — |
| Cysto w/irrig & evac multple obstructing clots (52001) | — | $1,248 | — |
| Cysto w/removal of lesions small (52224) | — | $2,373 | — |
| Cysto w/removal of tumors small (52234) range across 3 matching MRF lines |
— | $318–$975 | — |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) | — | $859 | — |
| Cysto W/Simple Removal Stone & Stent (52310) range across 4 matching MRF lines |
— | $368–$2,380 | — |
| Cysto w/ureteroscopy w/lithotripsy (52353) | — | $1,098 | — |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | — | $993 | — |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | — | $846 | — |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) | — | $1,153 | — |
| Cysto/uretero w/lithotripsy (52356) | — | $1,162 | — |
| Cystolithotomy (51050) | — | $1,327 | — |
| Cystometrogram W/Vp&Up (51729) range across 4 matching MRF lines |
— | $290–$776 | — |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) | — | $2,135 | — |
| Cystoscopy and radiotracer (52250) | — | $739 | — |
| Cystoscopy implant stent (52282) | — | $918 | — |
| Cystostomy Cystotomy W/Drainage (51040) | — | $1,123 | — |
| Cystourethroscopy (52000) range across 4 matching MRF lines |
— | $118–$644 | — |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) range across 3 matching MRF lines |
— | $778–$1,704 | — |
| Cystourethroscopy inj chemodenervation bladder (52287) range across 4 matching MRF lines |
— | $368–$923 | — |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | — | $923 | — |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | — | $1,256 | — |
| Cystourethroscopy w/dil bladder general anesth (52260) | — | $607 | — |
| Cystourethroscopy with biopsy (52204) | — | $1,079 | — |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | — | $984 | — |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) | — | $1,237 | — |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
— | $44–$130 | — |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | — | $1,732 | — |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
— | $540–$1,173 | — |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | — | $1,506 | — |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
— | $123–$1,125 | — |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
— | $21–$359 | — |
| Debride nail 6 or more (11721) range across 4 matching MRF lines |
— | $20–$255 | — |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
— | $317–$2,367 | — |
| Debridement Mastoidectomy Cavity Cmplx (69222) | — | $425 | — |
| Debridement Mastoidectomy Cavity Simple (69220) | — | $192 | — |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
— | $107–$1,215 | — |
| Declot vascular device (36593) range across 4 matching MRF lines |
— | $87–$196 | — |
| Decompression of tibia nerve (28035) | — | $1,513 | — |
| Deep Muscle Biopsy (20205) | — | $713 | — |
| Delivery of placenta (59414) | — | $394 | — |
| Destr penis lesion(s) (54065) range across 2 matching MRF lines |
— | $478–$498 | — |
| Destroy cerv/thor facet jnt (64633) range across 7 matching MRF lines |
— | $1,179–$8,073 | — |
| Destroy lumb/sac facet jnt (64635) range across 7 matching MRF lines |
— | $1,189–$7,975 | — |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
— | $21–$255 | — |
| Destruction Benign Lesions 15/> (17111) range across 3 matching MRF lines |
— | $57–$321 | — |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 13 matching MRF lines |
— | $596–$4,576 | — |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | — | $447 | — |
| Destruction Lesions Vulva Extensive (56515) range across 3 matching MRF lines |
— | $87–$563 | — |
| Destruction Lesions Vulva Simple (56501) range across 3 matching MRF lines |
— | $184–$369 | — |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 3 matching MRF lines |
— | $45–$405 | — |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 3 matching MRF lines |
— | $49–$485 | — |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 3 matching MRF lines |
— | $37–$323 | — |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) range across 3 matching MRF lines |
— | $41–$400 | — |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 3 matching MRF lines |
— | $44–$271 | — |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 3 matching MRF lines |
— | $44–$274 | — |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) range across 3 matching MRF lines |
— | $35–$374 | — |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 3 matching MRF lines |
— | $44–$239 | — |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 9 matching MRF lines |
— | $1,047–$7,370 | — |
| Destruction of skin lesions (17106) range across 3 matching MRF lines |
— | $58–$869 | — |
| Destruction Premalignant Lesion 15/> (17004) range across 3 matching MRF lines |
— | $58–$343 | — |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
— | $22–$151 | — |
| Destruction Vaginal Lesions Simple (57061) range across 3 matching MRF lines |
— | $64–$279 | — |
| Diagnostic anoscopy (46601) | — | $336 | — |
| Diagnostic sigmoidoscopy (45330) | — | $400 | — |
| Diaphragm or cervical cap fitting with instructions (57170) range across 3 matching MRF lines |
— | $16–$160 | — |
| Dilat female urethra general/cndj spinal anes (53665) | — | $113 | — |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | — | $195 | — |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | — | $195 | — |
| Dilate Esophagus 1/Mult Pass (43450) | — | $420 | — |
| Dilate Urethra Stricture (53620) | — | $488 | — |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
— | $234–$550 | — |
| Dilation & curettage dx&/ther nonobstetric (58120) | — | $792 | — |
| Dilation Cervical Canal (57800) range across 3 matching MRF lines |
— | $63–$158 | — |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) range across 2 matching MRF lines |
— | $516–$2,576 | — |
| Drain Cerebro Spinal Fluid (62272) | — | $433 | — |
| Drain/inj small joint/bursa w/us (20604) | — | $221 | — |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
— | $308–$793 | — |
| Drainage external ear abscess/hematoma cmplx (69005) range across 3 matching MRF lines |
— | $200–$567 | — |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
— | $51–$373 | — |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
— | $51–$815 | — |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
— | $425–$439 | — |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
— | $190–$390 | — |
| Drainage of rectal abscess (45005) | — | $543 | — |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
— | $660–$1,866 | — |
| Drainage of scrotum (54700) range across 5 matching MRF lines |
— | $141–$575 | — |
| Drainage of skene's gland abscess or cyst (53060) range across 3 matching MRF lines |
— | $246–$556 | — |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | — | $1,236 | — |
| Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
— | $62–$162 | — |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 3 matching MRF lines |
— | $41–$337 | — |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) range across 3 matching MRF lines |
— | $242–$567 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 4 matching MRF lines |
— | $36–$1,106 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 5 matching MRF lines |
— | $35–$433 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
— | $35–$348 | — |
| Dstrj les/scar vestibule mouth physical meths (40820) range across 3 matching MRF lines |
— | $27–$531 | — |
| Dstrj Lesion Anus Extensive (46924) range across 3 matching MRF lines |
— | $478–$1,092 | — |
| Dstrj Lesion Anus Simple Chemical (46900) range across 3 matching MRF lines |
— | $107–$456 | — |
| Dstrj lesion anus simple cryosurgery (46916) range across 3 matching MRF lines |
— | $35–$391 | — |
| Dstrj lesion anus simple surg excision (46922) | — | $560 | — |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) range across 3 matching MRF lines |
— | $131–$540 | — |
| Dstrj Lesion Penis Simple Chemical (54050) range across 3 matching MRF lines |
— | $35–$226 | — |
| Dstrj Lesion Penis Simple Cryosurgery (54056) range across 3 matching MRF lines |
— | $27–$345 | — |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) range across 3 matching MRF lines |
— | $78–$237 | — |
| Dstrj lesion penis simple laser (54057) | — | $3,280 | — |
| Dstrj lesion penis simple surg excision (54060) range across 3 matching MRF lines |
— | $81–$491 | — |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 21 matching MRF lines |
— | $662–$4,080 | — |
| Dx Bone Marrow Bx & Aspir (38222) range across 3 matching MRF lines |
— | $62–$337 | — |
| Dx Bronchoscope/Lavage (31624) | — | $339 | — |
| Dx Bronchoscope/Wash (31622) | — | $328 | — |
| Dx duod intub w/asp spec (43756) | — | $443 | — |
| Dx gastr intub w/asp spec (43754) | — | $267 | — |
| Dx gastr intub w/asp specs (43755) | — | $309 | — |
| Dx Laryngoscopy Excl Nb (31525) | — | $610 | — |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | — | $995 | — |
| Egd cautery tumor polyp (43250) | — | $909 | — |
| Egd control bleeding any (43255) | — | $725 | — |
| Egd dilation gastric/duodenal stricture (43245) | — | $463 | — |
| Egd Flexible Foreign Body Removal (43247) | — | $988 | — |
| Egd guide wire insertion (43248) | — | $395 | — |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
— | $174–$869 | — |
| Egd remove lesion snare (43251) | — | $615 | — |
| Egd Tube/Cath Insertion (43241) | — | $739 | — |
| Electro-Uroflowmetry First (51741) range across 4 matching MRF lines |
— | $55–$190 | — |
| Endocervical curettage (57505) range across 3 matching MRF lines |
— | $78–$249 | — |
| Endometrial Biopsy (58100) range across 5 matching MRF lines |
— | $26–$361 | — |
| Endoscopic injection/implant (51715) range across 3 matching MRF lines |
— | $410–$1,067 | — |
| Endoscopy Upper Small Intestine (44360) | — | $687 | — |
| Endoscopy upper small intestine w/biopsy (44361) | — | $385 | — |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) range across 3 matching MRF lines |
— | $415–$2,922 | — |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 3 matching MRF lines |
— | $684–$4,715 | — |
| Enterorrhaphy single perforation (44602) range across 2 matching MRF lines |
— | $652–$3,260 | — |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | — | $852 | — |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | — | $948 | — |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | — | $902 | — |
| Epididymectomy unilateral (54860) | — | $1,161 | — |
| Epidural Blood Patch (62273) range across 5 matching MRF lines |
— | $442–$2,320 | — |
| Episiotomy or vaginal repair (59300) range across 3 matching MRF lines |
— | $126–$435 | — |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | — | $839 | — |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | — | $680 | — |
| Esophagoscopy Flexible W/Bleeding Control (43227) | — | $826 | — |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | — | $952 | — |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | — | $743 | — |
| Evacuate mole of uterus (59870) | — | $1,385 | — |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
— | $21–$199 | — |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | — | $1,244 | — |
| Exc abdl tum deep 5 cm/> (22901) | — | $1,683 | — |
| Exc arm/elbow les sc < 3 cm (24075) | — | $1,027 | — |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
— | $136–$291 | — |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
— | $207–$440 | — |
| Exc Back Les Sc < 3 Cm (21930) range across 3 matching MRF lines |
— | $527–$1,118 | — |
| Exc Back Tum Deep 5 Cm/> (21933) | — | $2,002 | — |
| Exc back tum deep < 5 cm (21932) | — | $1,763 | — |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) | — | $1,841 | — |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | — | $1,331 | — |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 3 matching MRF lines |
— | $207–$516 | — |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
— | $207–$636 | — |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 3 matching MRF lines |
— | $395–$923 | — |
| Exc Face Les Sbq 2 Cm/> (21012) | — | $947 | — |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
— | $136–$325 | — |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
— | $135–$392 | — |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
— | $207–$431 | — |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
— | $207–$551 | — |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
— | $205–$666 | — |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 3 matching MRF lines |
— | $277–$1,192 | — |
| Exc Frenum Labial/Buccal (40819) range across 3 matching MRF lines |
— | $208–$565 | — |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
— | $105–$311 | — |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
— | $183–$388 | — |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 6 matching MRF lines |
— | $41–$408 | — |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
— | $635–$1,427 | — |
| Exc hydrocele sprmatic cord uni spx (55500) | — | $1,130 | — |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | — | $1,099 | — |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | — | $1,188 | — |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 3 matching MRF lines |
— | $129–$632 | — |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | — | $1,591 | — |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
— | $207–$420 | — |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
— | $134–$528 | — |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
— | $91–$724 | — |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
— | $295–$690 | — |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
— | $207–$677 | — |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 3 matching MRF lines |
— | $380–$1,012 | — |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 3 matching MRF lines |
— | $396–$1,072 | — |
| Exc tendon shth lesion leg/ankle (27630) | — | $1,554 | — |
| Exc thigh/knee les sc 3 cm/> (27337) | — | $1,008 | — |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
— | $121–$479 | — |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines |
— | $136–$364 | — |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
— | $136–$387 | — |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
— | $207–$504 | — |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
— | $226–$1,128 | — |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) range across 2 matching MRF lines |
— | $293–$1,465 | — |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | — | $1,297 | — |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | — | $1,588 | — |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | — | $1,829 | — |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | — | $1,214 | — |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
— | $212–$1,059 | — |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | — | $1,374 | — |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 3 matching MRF lines |
— | $330–$1,107 | — |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | — | $1,103 | — |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | — | $1,015 | — |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | — | $1,268 | — |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
— | $223–$1,117 | — |
| Exc urethral diverticulum spx female (53230) | — | $1,650 | — |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | — | $976 | — |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) | — | $1,095 | — |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | — | $1,489 | — |
| Exc/fulguration urethral caruncle (53265) | — | $662 | — |
| Excis Mouth Mucosa/Sub,No Repair (40810) range across 3 matching MRF lines |
— | $94–$422 | — |
| Excise Wrist Tendon Sheath (25118) | — | $1,115 | — |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 3 matching MRF lines |
— | $207–$605 | — |
| Excision Aural Polyp (69540) | — | $406 | — |
| Excision Excessive Skin & Subq Tissue Buttock (15835) range across 3 matching MRF lines |
— | $211–$3,827 | — |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | — | $2,568 | — |
| Excision External Ear Partial Simple Repair (69110) | — | $1,236 | — |
| Excision Hidradenitis Axillary Complex Repair (11451) | — | $1,347 | — |
| Excision lesion meniscus/capsule knee (27347) | — | $1,503 | — |
| Excision Lesion Tongue W/O Closure (41110) range across 3 matching MRF lines |
— | $121–$436 | — |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 3 matching MRF lines |
— | $135–$370 | — |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
— | $136–$431 | — |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
— | $136–$539 | — |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines |
— | $207–$726 | — |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
— | $207–$425 | — |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
— | $207–$671 | — |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 3 matching MRF lines |
— | $349–$1,265 | — |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 3 matching MRF lines |
— | $185–$391 | — |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 3 matching MRF lines |
— | $136–$454 | — |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
— | $207–$591 | — |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 3 matching MRF lines |
— | $376–$770 | — |
| Excision Multiple External Papillae/Tags Anus (46230) | — | $542 | — |
| Excision of bartholin's gland or cyst (56740) range across 3 matching MRF lines |
— | $59–$767 | — |
| Excision of extraparenchymal lesion of testis (54512) | — | $1,485 | — |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | — | $859 | — |
| Excision of hydrocele; unilateral (55040) | — | $953 | — |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) | — | $3,942 | — |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) | — | $2,257 | — |
| Excision of pilonidal cyst or sinus; simple (11770) | — | $811 | — |
| Excision of single external papilla or tag, anus (46220) range across 3 matching MRF lines |
— | $252–$550 | — |
| Excision of vaginal cyst or tumor (57135) range across 3 matching MRF lines |
— | $144–$693 | — |
| Excision of vaginal septum (57130) range across 2 matching MRF lines |
— | $88–$603 | — |
| Excision olecranon bursa (24105) | — | $986 | — |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | — | $1,893 | — |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 4 matching MRF lines |
— | $492–$1,510 | — |
| Excision prepatellar bursa (27340) | — | $1,095 | — |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | — | $2,694 | — |
| Excision spermatocele w/wo epididymectomy (54840) | — | $982 | — |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
— | $206–$1,032 | — |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | — | $1,397 | — |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | — | $1,005 | — |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
— | $231–$1,155 | — |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | — | $1,030 | — |
| Excision, interdigital (morton) neuroma, single, each (28080) | — | $1,511 | — |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | — | $1,166 | — |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | — | $929 | — |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | — | $1,179 | — |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | — | $1,278 | — |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | — | $824 | — |
| Excision/destruction lesion pharynx any method (42808) range across 3 matching MRF lines |
— | $72–$576 | — |
| Expl penetrating wound spx abdomen/flank/back (20102) | — | $1,392 | — |
| Expl po hemrrg thrombosis/infctj xtr (35860) | — | $2,964 | — |
| Explo/Drain Breast Abscess (19020) | — | $1,145 | — |
| Exploration of knee joint (27310) range across 6 matching MRF lines |
— | $454–$2,268 | — |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
— | $86–$1,460 | — |
| External cephalic version (59412) range across 2 matching MRF lines |
— | $297–$499 | — |
| Fasciectomy Plantar Fascia Partial Spx (28060) | — | $1,479 | — |
| Fasciotomy Plantar Fascia Radical Spx (28062) | — | $1,614 | — |
| Fasciotomy, foot and/or toe (28008) | — | $804 | — |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | — | $2,423 | — |
| Fetal Contraction Stress Test (59020) range across 3 matching MRF lines |
— | $123–$395 | — |
| Fetal non-stress test (59025) range across 5 matching MRF lines |
— | $68–$160 | — |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | — | $361 | — |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
— | $19–$318 | — |
| Fixation contralateral testis separate procedure (54620) | — | $1,022 | — |
| Fluoro exam of g/colon tube (49465) | — | $518 | — |
| Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
— | $134–$434 | — |
| Foreskin manipulation (54450) | — | $156 | — |
| Fusion Finger Joint (26860) | — | $1,792 | — |
| Fusion of foot bones (28740) | — | $2,356 | — |
| Gastrocnemius recession (27687) | — | $1,292 | — |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) range across 2 matching MRF lines |
— | $622–$3,112 | — |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) | — | $2,009 | — |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | — | $1,156 | — |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | — | $973 | — |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | — | $1,293 | — |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | — | $1,391 | — |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | — | $1,096 | — |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
— | $163–$615 | — |
| Hemorrhoidopexy by stapling (46947) | — | $1,012 | — |
| Hip arthro w/labral repair (29916) | — | $2,924 | — |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) | — | $1,249 | — |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) range across 3 matching MRF lines |
— | $1,321–$4,980 | — |
| Hysteroscopy Biopsy (58558) range across 4 matching MRF lines |
— | $204–$670 | — |
| Hysteroscopy Dx Sep Proc (58555) range across 3 matching MRF lines |
— | $164–$882 | — |
| Hysteroscopy Endometrial Ablation (58563) range across 3 matching MRF lines |
— | $623–$1,845 | — |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) | — | $885 | — |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 4 matching MRF lines |
— | $269–$987 | — |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | — | $1,054 | — |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
— | $361–$431 | — |
| I&d abscess simple (10060) range across 5 matching MRF lines |
— | $51–$468 | — |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 3 matching MRF lines |
— | $338–$699 | — |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | — | $1,717 | — |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | — | $1,059 | — |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | — | $1,350 | — |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | — | $2,062 | — |
| I&d perianal abscess superficial (46050) range across 4 matching MRF lines |
— | $121–$744 | — |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
— | $50–$560 | — |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 3 matching MRF lines |
— | $397–$1,043 | — |
| I&d vaginal hematoma obstetrical/postpartum (57022) | — | $484 | — |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | — | $522 | — |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | — | $421 | — |
| Implant Neuroelectrodes (64561) range across 3 matching MRF lines |
— | $814–$2,167 | — |
| Implant Periph/Gastric Neurostim/Receiver (64590) | — | $759 | — |
| Incise external hemorrhoid (46083) range across 5 matching MRF lines |
— | $120–$478 | — |
| Incise finger tendon sheath (26055) | — | $1,262 | — |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
— | $51–$588 | — |
| Incision & removal foreign body subq tiss compl (10121) range across 5 matching MRF lines |
— | $219–$611 | — |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
— | $51–$359 | — |
| Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
— | $77–$407 | — |
| Incision and drainage of vulva or perineal abscess (56405) range across 4 matching MRF lines |
— | $78–$361 | — |
| Incision extensor tendon sheath wrist (25000) | — | $974 | — |
| Incision of Foot Tendon (28234) | — | $958 | — |
| Incision of labial frenum (frenotomy) (40806) | — | $289 | — |
| Incision of lingual frenum (frenotomy) (41010) range across 3 matching MRF lines |
— | $221–$503 | — |
| Incision of rectal abscess (46040) range across 4 matching MRF lines |
— | $338–$1,345 | — |
| Incision of urethra (53010) | — | $896 | — |
| Incision of urethra (53020) | — | $447 | — |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
— | $50–$713 | — |
| Incisional biopsy skin single lesion (11106) range across 4 matching MRF lines |
— | $65–$730 | — |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
— | $35–$177 | — |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 9 matching MRF lines |
— | $513–$3,112 | — |
| Inj W/Fluor Eval Cv Device (36598) | — | $480 | — |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 9 matching MRF lines |
— | $713–$3,615 | — |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 12 matching MRF lines |
— | $78–$425 | — |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 7 matching MRF lines |
— | $431–$3,811 | — |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 7 matching MRF lines |
— | $596–$2,477 | — |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 7 matching MRF lines |
— | $375–$2,813 | — |
| Injection Anes Superior Hypogastric Plexus (64517) | — | $521 | — |
| Injection anesthetic agent suprascapular nerve (64418) range across 10 matching MRF lines |
— | $235–$2,022 | — |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
— | $166–$200 | — |
| Injection single tendon origin/insertion (20551) range across 9 matching MRF lines |
— | $78–$1,522 | — |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
— | $78–$660 | — |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
— | $78–$702 | — |
| Injection therapeutic carpal tunnel (20526) range across 12 matching MRF lines |
— | $76–$482 | — |
| Injection, anesthetic agent; brachial plexus, single (64415) | — | $361 | — |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 7 matching MRF lines |
— | $313–$1,858 | — |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 25 matching MRF lines |
— | $65–$1,507 | — |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 3 matching MRF lines |
— | $36–$159 | — |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
— | $27–$128 | — |
| Insert Bladder Cath Complex (51703) range across 6 matching MRF lines |
— | $36–$375 | — |
| Insert cath pleura w/ image (32557) | — | $662 | — |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | — | $2,630 | — |
| Insert cervical dilator (59200) range across 5 matching MRF lines |
— | $39–$212 | — |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
— | $24–$299 | — |
| Insert Gastrostomy Tube Percutaneous (49440) | — | $497 | — |
| Insert multi-comp penis pros (54405) | — | $2,267 | — |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
— | $651–$782 | — |
| Insert pessary/other device (57160) range across 3 matching MRF lines |
— | $27–$195 | — |
| Insert Temp Bladder Cath (51702) range across 9 matching MRF lines |
— | $51–$237 | — |
| Insert tun ip cath perc (49418) | — | $1,842 | — |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
— | $588–$2,943 | — |
| Insert Uro/Ves Nck Sphincter (53445) | — | $2,058 | — |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 8 matching MRF lines |
— | $51–$174 | — |
| Insertion indwelling tunneled pleural catheter (32550) | — | $2,367 | — |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | — | $2,272 | — |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
— | $359–$977 | — |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | — | $1,107 | — |
| Instlj ther agent renal pelvis&/ureter via tub (50391) | — | $2,317 | — |
| Intraoral i&d tongue/floor lingual (41000) range across 3 matching MRF lines |
— | $95–$342 | — |
| Intro Gastrointestinal Tube (44500) range across 2 matching MRF lines |
— | $65–$376 | — |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
— | $128–$725 | — |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
— | $361–$395 | — |
| Knee arthroscopy/drainage (29871) | — | $1,472 | — |
| Knee Arthroscopy/Surgery (29874) | — | $1,556 | — |
| Lap insert tunnel ip cath (49324) | — | $939 | — |
| Lap paraesoph her rpr w/mesh (43282) | — | $4,356 | — |
| Lap paraesophag hern repair (43281) range across 2 matching MRF lines |
— | $673–$3,368 | — |
| Laparo-vag hyst incl t/o (58552) range across 2 matching MRF lines |
— | $479–$2,391 | — |
| Laparoscopic myomectomy (58545) | — | $3,146 | — |
| Laparoscopy aspiration (49322) range across 2 matching MRF lines |
— | $287–$1,436 | — |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines |
— | $507–$2,536 | — |
| Laparoscopy fulguration oviducts (58670) | — | $1,342 | — |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
— | $205–$1,027 | — |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) range across 2 matching MRF lines |
— | $541–$2,707 | — |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
— | $495–$2,476 | — |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
— | $381–$1,909 | — |
| Laparoscopy w/rmvl adnexal structures (58661) range across 6 matching MRF lines |
— | $335–$3,342 | — |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
— | $290–$1,449 | — |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) range across 2 matching MRF lines |
— | $462–$2,311 | — |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines |
— | $695–$3,477 | — |
| Laparoscopy, surgical, splenectomy (38120) | — | $2,573 | — |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 2 matching MRF lines |
— | $486–$2,431 | — |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 2 matching MRF lines |
— | $505–$2,522 | — |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) range across 2 matching MRF lines |
— | $639–$3,194 | — |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
— | $385–$1,928 | — |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) range across 2 matching MRF lines |
— | $551–$2,756 | — |
| Laparoscopy, surgical; partial nephrectomy (50543) | — | $3,828 | — |
| Laparoscopy, surgical; pyeloplasty (50544) | — | $3,331 | — |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
— | $270–$1,349 | — |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) | — | $2,396 | — |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) | — | $1,785 | — |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
— | $281–$1,402 | — |
| Laparoscopy, Tubal Block (58671) | — | $1,229 | — |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
— | $255–$1,278 | — |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
— | $328–$1,640 | — |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) range across 2 matching MRF lines |
— | $460–$2,301 | — |
| Laps surg prst8ect smpl stot robotic assistance (55867) | — | $2,960 | — |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) | — | $2,139 | — |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) range across 2 matching MRF lines |
— | $745–$3,722 | — |
| Laryngoscopy diagnostic (31505) range across 3 matching MRF lines |
— | $57–$209 | — |
| Laryngoscopy flexible diagnostic (31575) | — | $533 | — |
| Laser vaporization of prostate (52648) | — | $4,641 | — |
| Late closure of wound (13160) range across 3 matching MRF lines |
— | $323–$2,301 | — |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | — | $2,362 | — |
| Ligate/strip short leg vein (37718) range across 3 matching MRF lines |
— | $469–$1,169 | — |
| Ligation of hemorrhoids (46946) | — | $664 | — |
| Ligation or biopsy temporal artery (37609) | — | $628 | — |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) range across 3 matching MRF lines |
— | $428–$876 | — |
| Lip Surgery Procedure (40799) range across 2 matching MRF lines |
— | $361–$462 | — |
| Litholapaxy comp/lg > 2.5 cm (52318) | — | $1,667 | — |
| Litholapaxy smpl/sm <2.5 cm (52317) | — | $2,015 | — |
| Lithotripsy, extracorporeal shock wave (50590) range across 3 matching MRF lines |
— | $2,025–$4,049 | — |
| Lsh uterus 250 g or less (58541) range across 2 matching MRF lines |
— | $476–$2,380 | — |
| Lsh uterus above 250 g (58543) range across 2 matching MRF lines |
— | $573–$2,864 | — |
| Lsh w/t/o uterus above 250 g (58544) | — | $3,121 | — |
| Lyse chest fibrin init day (32561) | — | $505 | — |
| Lyse Chest Fibrin Subq Day (32562) | — | $505 | — |
| Lysis of labial adhesions (56441) range across 3 matching MRF lines |
— | $21–$330 | — |
| Lysis/excision penile postcircumcision adhesions (54162) range across 3 matching MRF lines |
— | $309–$665 | — |
| Manipulation knee joint under general anesthesia (27570) | — | $444 | — |
| Manipulation tmj therapeutic require anesthesia (21073) | — | $687 | — |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | — | $621 | — |
| Marsupialization of bartholin's gland cyst (56440) range across 3 matching MRF lines |
— | $129–$678 | — |
| Mast mod rad (19307) range across 2 matching MRF lines |
— | $678–$3,389 | — |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
— | $344–$1,724 | — |
| Mastectomy partial (19301) range across 2 matching MRF lines |
— | $316–$1,577 | — |
| Mastectomy partial w/axillary lymphadenectomy (19302) range across 2 matching MRF lines |
— | $589–$2,949 | — |
| Mastectomy simple complete (19303) range across 6 matching MRF lines |
— | $503–$5,021 | — |
| Maternity Care Procedure (59899) | — | $485 | — |
| Muscle-skin graft trunk (15734) range across 2 matching MRF lines |
— | $745–$3,716 | — |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) | — | $2,031 | — |
| N Block Inj Celiac Pelus (64530) | — | $623 | — |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 15 matching MRF lines |
— | $63–$1,938 | — |
| N block inj intercost sng (64420) range across 9 matching MRF lines |
— | $136–$3,383 | — |
| N Block Inj Plantar Digit (64455) range across 21 matching MRF lines |
— | $43–$456 | — |
| N Block Lumbar/Thoracic (64520) | — | $617 | — |
| Nasal/Orogastric W/Tube Plmt (43752) | — | $182 | — |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | — | $972 | — |
| Needle Biopsy Lymph Nodes (38505) range across 6 matching MRF lines |
— | $281–$3,412 | — |
| Needle Biopsy Pancreas (48102) | — | $2,317 | — |
| Needle insertion w/o injection 1 or 2 muscles (20560) | — | $37 | — |
| Needle insertion w/o injection 3 or more muscles (20561) | — | $38 | — |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
— | $384–$1,919 | — |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | — | $815 | — |
| Njx anes stellate ganglion crv sympathetic (64510) range across 3 matching MRF lines |
— | $410–$820 | — |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
— | $373–$541 | — |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | — | $589 | — |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 9 matching MRF lines |
— | $474–$3,623 | — |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
— | $706–$1,751 | — |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
— | $696–$1,751 | — |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | — | $901 | — |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | — | $875 | — |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | — | $615 | — |
| Occipital Nerve Block (64405) range across 12 matching MRF lines |
— | $64–$706 | — |
| Occlusion flp tube dev vag/suprapubic appr (58615) | — | $883 | — |
| Omntc Epiploectomy Rescj Omentum Spx (49255) | — | $1,973 | — |
| Open biopsy/excision inguinofemoral nodes (38531) | — | $1,634 | — |
| Open Repair of Rotator Cuff Acute (23410) | — | $1,917 | — |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
— | $441–$2,151 | — |
| Open treatment calcaneal fracture (28415) | — | $3,233 | — |
| Open treatment fracture distal tibia only (27827) | — | $3,283 | — |
| Open Treatment Medial Malleolus Fracture (27766) | — | $1,716 | — |
| Open treatment metatarsal fracture each (28485) | — | $1,599 | — |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | — | $1,847 | — |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
— | $458–$2,288 | — |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) range across 2 matching MRF lines |
— | $768–$3,838 | — |
| Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
— | $375–$1,869 | — |
| Open treatment posterior malleolus fracture (27769) | — | $2,096 | — |
| Open Treatment Radial Shaft Fracture (25515) | — | $1,943 | — |
| Open tx carpal scaphoid navicular fracture (25628) | — | $2,081 | — |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | — | $1,818 | — |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 3 matching MRF lines |
— | $547–$1,497 | — |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
— | $409–$1,995 | — |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | — | $1,618 | — |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | — | $2,090 | — |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 3 matching MRF lines |
— | $865–$1,814 | — |
| Open Tx Radial Head/Neck Fracture (24665) | — | $1,903 | — |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | — | $1,826 | — |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 3 matching MRF lines |
— | $503–$6,763 | — |
| Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
— | $504–$2,515 | — |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | — | $1,921 | — |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | — | $2,919 | — |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
— | $802–$4,006 | — |
| Orchiectomy partial (54522) | — | $1,651 | — |
| Orchiectomy radical tumor inguinal approach (54530) | — | $1,420 | — |
| Orchiopexy Ingun/Scrot Appr (54640) | — | $1,076 | — |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) | — | $1,995 | — |
| Ostc prtl exostc/condylc metar head (28288) | — | $1,716 | — |
| Ostectomy calcaneus (28118) | — | $1,715 | — |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | — | $1,374 | — |
| Ostectomy, complete excision; fifth metatarsal head (28113) | — | $1,667 | — |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | — | $1,305 | — |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) | — | $1,921 | — |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | — | $1,721 | — |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | — | $1,618 | — |
| Osteotomy calcaneus w/wo internal fixation (28300) | — | $1,846 | — |
| Ovarian cystectomy, unilateral or bilateral (58925) range across 2 matching MRF lines |
— | $374–$1,872 | — |
| Palatopharyngoplasty (42145) | — | $2,345 | — |
| Parathyroidectomy or exploration of parathyroid(s); (60500) range across 2 matching MRF lines |
— | $497–$2,486 | — |
| Part remv talus or calcaneus (28120) | — | $1,916 | — |
| Partial hymenectomy or revision of hymenal ring (56700) range across 2 matching MRF lines |
— | $110–$549 | — |
| Partial removal of penis (54120) | — | $1,763 | — |
| Partial removal of thyroid (60220) range across 2 matching MRF lines |
— | $369–$1,845 | — |
| Partial removal of toe (28160) | — | $1,162 | — |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) range across 2 matching MRF lines |
— | $415–$2,076 | — |
| Partical Excision Bone Phalanx Toe (28124) | — | $1,349 | — |
| Pelvic examination under anesthesia (other than local) (57410) | — | $245 | — |
| Penile Injection (54235) range across 4 matching MRF lines |
— | $56–$361 | — |
| Penis plastic surgery (54360) | — | $2,041 | — |
| Perineoplasty rpr perineum nonobstetrical spx (56810) range across 2 matching MRF lines |
— | $162–$812 | — |
| Perq dev breast 1st strtctc (19283) range across 3 matching MRF lines |
— | $2,718–$5,435 | — |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
— | $842–$1,684 | — |
| Perq device breast 1st imag (19281) | — | $866 | — |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | — | $817 | — |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | — | $1,942 | — |
| Phleb Veins - Extrem 20+ (37766) range across 3 matching MRF lines |
— | $451–$1,441 | — |
| Place Duod/Jej Tube Perc (49441) | — | $3,012 | — |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
— | $188–$201 | — |
| Placement of seton (46020) | — | $599 | — |
| Plmt Nephroureteral Catheter (50433) | — | $984 | — |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 2 matching MRF lines |
— | $291–$1,458 | — |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | — | $321 | — |
| Proctosgmdsc Rigid Control Bleeding (45317) | — | $579 | — |
| Proctosgmdsc rigid w/dilation (45303) | — | $2,852 | — |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | — | $522 | — |
| Prq skel fixj femoral fx prox end neck (27235) | — | $2,153 | — |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | — | $1,676 | — |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
— | $36–$464 | — |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 7 matching MRF lines |
— | $36–$373 | — |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
— | $125–$447 | — |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 7 matching MRF lines |
— | $1,271–$4,662 | — |
| Rcnstj angular dfrm toe soft tiss px only (28313) | — | $1,507 | — |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | — | $2,427 | — |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | — | $1,925 | — |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | — | $1,077 | — |
| Realignment extensor tendon hand each tendon (26437) | — | $1,949 | — |
| Reconstruct elbow med ligmnt (24346) | — | $3,181 | — |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) range across 2 matching MRF lines |
— | $428–$2,143 | — |
| Reduction of rectal prolapse (45900) | — | $704 | — |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
— | $40–$368 | — |
| Removal Foreign Body Deep Thigh/Knee (27372) | — | $1,719 | — |
| Removal foreign body foot deep (28192) range across 4 matching MRF lines |
— | $395–$1,224 | — |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
— | $134–$677 | — |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
— | $392–$667 | — |
| Removal Foreign Body Pelvis/Hip Deep (27087) | — | $1,546 | — |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | — | $516 | — |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 20 matching MRF lines |
— | $12–$114 | — |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
— | $18–$188 | — |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | — | $373 | — |
| Removal Implant Deep (20680) | — | $1,593 | — |
| Removal Implant Superficial Separate Procedure (20670) | — | $1,010 | — |
| Removal implantable contraceptive capsules (11976) range across 3 matching MRF lines |
— | $134–$359 | — |
| Removal of anal fissure (46200) | — | $966 | — |
| Removal of foot joint lining (28072) | — | $1,399 | — |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
— | $410–$428 | — |
| Removal of heel spur (28119) | — | $1,492 | — |
| Removal of nail bed (11750) range across 34 matching MRF lines |
— | $136–$1,308 | — |
| Removal of sesamoid bone (28315) | — | $1,367 | — |
| Removal of sperm cord lesion (55520) | — | $1,247 | — |
| Removal of testis (54520) | — | $1,051 | — |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
— | $35–$214 | — |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 3 matching MRF lines |
— | $35–$163 | — |
| Removal sweat gland lesion (11450) | — | $1,055 | — |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
— | $23–$137 | — |
| Remove Ankle Joint Lining (27626) | — | $1,754 | — |
| Remove armpit lymph nodes (38740) | — | $1,767 | — |
| Remove cerclage suture (59871) range across 3 matching MRF lines |
— | $106–$421 | — |
| Remove drug implant device (11982) | — | $300 | — |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
— | $128–$199 | — |
| Remove groin lymph nodes (38760) | — | $2,483 | — |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
— | $37–$361 | — |
| Remove lung catheter (32552) | — | $634 | — |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
— | $18–$475 | — |
| Remove Peritoneal Foreign Body (49402) | — | $2,082 | — |
| Remove prostate regrowth (52630) | — | $1,421 | — |
| Remove Skin Nerve Lesion (64774) | — | $1,097 | — |
| Remove Tendon Sheath Lesion (26160) | — | $1,551 | — |
| Remove thyroid lesion (60200) | — | $1,784 | — |
| Remove/Insert Drug Implant (11983) range across 3 matching MRF lines |
— | $78–$449 | — |
| Reopen fallopian tube (58350) | — | $309 | — |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
— | $376–$1,877 | — |
| Repair Anorectal Fistula Plug (46707) | — | $1,186 | — |
| Repair Blood Vessel Direct Upper Extremity (35206) | — | $2,576 | — |
| Repair Collat Ankle Ligmnt,Secondary (27698) | — | $2,090 | — |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
— | $1,117–$1,364 | — |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
— | $67–$887 | — |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 4 matching MRF lines |
— | $67–$1,071 | — |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
— | $67–$789 | — |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 4 matching MRF lines |
— | $66–$953 | — |
| Repair complex trunk 2.6-7.5 cm (13101) range across 4 matching MRF lines |
— | $210–$1,215 | — |
| Repair extensor tendon finger w/o graft each (26418) | — | $1,456 | — |
| Repair Finger/Hand Tendon (26350) | — | $2,226 | — |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | — | $1,050 | — |
| Repair Foot Dislocation (28615) | — | $1,835 | — |
| Repair gum (41872) range across 3 matching MRF lines |
— | $494–$998 | — |
| Repair Hallux Rigidus (28289) | — | $1,953 | — |
| Repair Hand Joint (26540) | — | $2,043 | — |
| Repair Hand Tendon (26410) | — | $1,737 | — |
| Repair incomplete circumcision (54163) | — | $750 | — |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | — | $1,781 | — |
| Repair initial femoral hernia, any age; reducible (49550) | — | $1,594 | — |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | — | $1,887 | — |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
— | $67–$646 | — |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
— | $67–$722 | — |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 4 matching MRF lines |
— | $67–$814 | — |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 4 matching MRF lines |
— | $67–$988 | — |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
— | $67–$1,018 | — |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
— | $67–$600 | — |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
— | $67–$718 | — |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
— | $66–$814 | — |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 4 matching MRF lines |
— | $67–$1,027 | — |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
— | $67–$638 | — |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
— | $67–$1,054 | — |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 4 matching MRF lines |
— | $67–$1,207 | — |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
— | $67–$759 | — |
| Repair intrinsic muscles hand each muscle (26591) | — | $1,909 | — |
| Repair of enterocele, vaginal approach (separate procedure) (57268) range across 2 matching MRF lines |
— | $272–$1,360 | — |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) | — | $2,685 | — |
| Repair of hydrocele (55060) | — | $1,065 | — |
| Repair of metatarsals (28322) | — | $1,842 | — |
| Repair of nail bed (11760) range across 4 matching MRF lines |
— | $66–$559 | — |
| Repair of rectocele (45560) range across 2 matching MRF lines |
— | $318–$1,588 | — |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
— | $508–$2,538 | — |
| Repair of urethra injury (53502) | — | $1,462 | — |
| Repair paravag defect vag (57285) range across 2 matching MRF lines |
— | $298–$1,493 | — |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | — | $2,109 | — |
| Repair secondary achilles tendon w/wo graft (27654) | — | $2,054 | — |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | — | $872 | — |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | — | $2,640 | — |
| Repair tongue laceration (41252) range across 3 matching MRF lines |
— | $208–$918 | — |
| Repair tongue laceration (41250) range across 4 matching MRF lines |
— | $41–$518 | — |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) | — | $1,225 | — |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | — | $1,362 | — |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) | — | $1,954 | — |
| Repair/graft achilles tendon (27652) | — | $1,943 | — |
| Replace duodenostomy/jejunostomy tube perq (49451) | — | $1,859 | — |
| Replace/Revise Brain Shunt (62230) | — | $2,237 | — |
| Reposition Gastrostomy Tube (43761) | — | $364 | — |
| Rerepair ing hernia reduce (49520) | — | $1,523 | — |
| Rev/rmv prph sac/gstr npg/r (64595) | — | $756 | — |
| Revise lower leg tendon (27690) | — | $1,825 | — |
| Revise ulnar nerve at wrist (64719) | — | $1,434 | — |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) | — | $1,219 | — |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | — | $2,872 | — |
| Revision of foot (28116) range across 3 matching MRF lines |
— | $2,193–$4,385 | — |
| Revision of foot bones (28737) | — | $1,948 | — |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) | — | $2,783 | — |
| Revision of lower leg tendon (27685) | — | $1,612 | — |
| Revision of scrotum (55180) | — | $1,954 | — |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | — | $1,519 | — |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) | — | $1,505 | — |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) range across 2 matching MRF lines |
— | $1,082–$5,408 | — |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) | — | $5,010 | — |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
— | $917–$4,583 | — |
| Revj/rmvl peripheral neurostimulator electrode (64585) | — | $832 | — |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
— | $188–$391 | — |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
— | $40–$193 | — |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
— | $24–$180 | — |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 4 matching MRF lines |
— | $57–$188 | — |
| Rmvl fecal impaction/fb spx under anes (45915) | — | $640 | — |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 4 matching MRF lines |
— | $129–$646 | — |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | — | $400 | — |
| Rmvl/revj sling stress incontinence (57287) range across 3 matching MRF lines |
— | $333–$3,075 | — |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
— | $45–$1,363 | — |
| Rplcmt compl tun ctr vad w/subq port (36582) | — | $1,569 | — |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
— | $409–$2,045 | — |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
— | $188–$938 | — |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) range across 2 matching MRF lines |
— | $427–$2,112 | — |
| Rpr aa hernia recr 3-10 cm reducible (49615) range across 2 matching MRF lines |
— | $351–$1,753 | — |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | — | $1,567 | — |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | — | $1,156 | — |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
— | $314–$1,569 | — |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
— | $261–$1,305 | — |
| Rpr blood vessel direct lower extremity (35226) | — | $2,605 | — |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) range across 2 matching MRF lines |
— | $130–$653 | — |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | — | $1,400 | — |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 4 matching MRF lines |
— | $67–$755 | — |
| Rpr flexor tendon leg secondary w/o graft each (27659) | — | $1,361 | — |
| Rpr ing hernia init reduce (49500) | — | $931 | — |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 3 matching MRF lines |
— | $208–$1,475 | — |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 3 matching MRF lines |
— | $207–$1,018 | — |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | — | $1,412 | — |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | — | $2,206 | — |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | — | $1,844 | — |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | — | $304 | — |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) | — | $2,582 | — |
| Scrotal exploration (55110) | — | $940 | — |
| Scrotoplasty Simple (55175) | — | $1,054 | — |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | — | $1,565 | — |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | — | $515 | — |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | — | $694 | — |
| Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
— | $27–$246 | — |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
— | $35–$284 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 3 matching MRF lines |
— | $35–$261 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 3 matching MRF lines |
— | $35–$288 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 3 matching MRF lines |
— | $35–$340 | — |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 3 matching MRF lines |
— | $65–$248 | — |
| Shoulder arthroscopy (29820) | — | $1,542 | — |
| Shoulder arthroscopy diagnostic (29805) | — | $1,119 | — |
| Shoulder Arthroscopy/Surgery (29825) range across 2 matching MRF lines |
— | $323–$1,617 | — |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 3 matching MRF lines |
— | $35–$335 | — |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 3 matching MRF lines |
— | $35–$372 | — |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
— | $27–$283 | — |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 3 matching MRF lines |
— | $45–$351 | — |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 3 matching MRF lines |
— | $35–$331 | — |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | — | $511 | — |
| Sigmoidoscopy & Polypectomy (45333) | — | $606 | — |
| Sigmoidoscopy flx tndsc balo dilat (45340) | — | $1,315 | — |
| Sigmoidoscopy w/fb removal (45332) | — | $579 | — |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | — | $362 | — |
| Simple Cystometrogram (51725) | — | $191 | — |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 4 matching MRF lines |
— | $67–$902 | — |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
— | $67–$378 | — |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
— | $67–$462 | — |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | — | $1,154 | — |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 4 matching MRF lines |
— | $67–$390 | — |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
— | $67–$473 | — |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
— | $533–$890 | — |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
— | $67–$566 | — |
| Skin Full Grft Face/Genit/Hf (15240) | — | $2,661 | — |
| Skin Pinch Graft (15050) | — | $1,472 | — |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
— | $436–$2,890 | — |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
— | $256–$2,995 | — |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
— | $1,065–$5,024 | — |
| Skin Tissue Procedure (17999) | — | $533 | — |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
— | $1,043–$3,027 | — |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
— | $369–$1,845 | — |
| Slitting of prepuce (54001) range across 2 matching MRF lines |
— | $533–$548 | — |
| Slitting of prepuce (54000) | — | $381 | — |
| Small bowel endoscopy (44366) | — | $1,002 | — |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
— | $67–$491 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 4 matching MRF lines |
— | $67–$566 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 4 matching MRF lines |
— | $67–$825 | — |
| Sperm washing artificial insemination (58323) range across 2 matching MRF lines |
— | $44–$46 | — |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) | — | $1,960 | — |
| Sphincterotomy anal division sphincter spx (46080) | — | $615 | — |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
— | $140–$566 | — |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | — | $1,905 | — |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | — | $2,411 | — |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 3 matching MRF lines |
— | $141–$610 | — |
| Strapping ankle (29540) range across 3 matching MRF lines |
— | $22–$97 | — |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
— | $23–$97 | — |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
— | $23–$120 | — |
| Strapping knee (29530) range across 3 matching MRF lines |
— | $22–$160 | — |
| Strapping shoulder (29240) range across 3 matching MRF lines |
— | $23–$97 | — |
| Strapping toes (29550) range across 3 matching MRF lines |
— | $22–$64 | — |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
— | $22–$743 | — |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | — | $1,020 | — |
| Surg tx anal fistula subq (46270) | — | $1,238 | — |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | — | $1,166 | — |
| Suture infrapatellar tendon primary (27380) | — | $1,557 | — |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | — | $1,859 | — |
| Syndactylization toes (28280) | — | $1,453 | — |
| Tangential biopsy skin single lesion (11102) range across 4 matching MRF lines |
— | $36–$1,068 | — |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) | — | $2,076 | — |
| Tenodesis long tendon biceps (23430) | — | $2,433 | — |
| Tenolysis flexor foot single tendon (28220) | — | $1,277 | — |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | — | $1,214 | — |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 3 matching MRF lines |
— | $312–$673 | — |
| Tenotomy shoulder area single tendon (23405) | — | $2,382 | — |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) | — | $1,401 | — |
| Thyroid biopsy (60100) | — | $202 | — |
| Thyroidectomy, total or complete (60240) range across 2 matching MRF lines |
— | $412–$2,060 | — |
| Tibial Arthroscopy/Surgery (29855) | — | $1,837 | — |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 3 matching MRF lines |
— | $614–$3,034 | — |
| Tlh uterus over 250 g (58572) range across 2 matching MRF lines |
— | $588–$2,942 | — |
| Tnot elbow lateral/medial debride open (24358) range across 2 matching MRF lines |
— | $318–$1,589 | — |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
— | $853–$4,265 | — |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) range across 3 matching MRF lines |
— | $103–$812 | — |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | — | $499 | — |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | — | $1,356 | — |
| Transur electr resection of prostate (52601) | — | $2,044 | — |
| Transurethral incision of prostate (52450) | — | $1,318 | — |
| Transurethral resection bladder neck (52500) | — | $1,368 | — |
| Treat ankle dislocation (27848) | — | $2,267 | — |
| Treat ankle fracture (28445) | — | $2,983 | — |
| Treat Big Toe Fracture (28505) | — | $1,877 | — |
| Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
— | $424–$2,122 | — |
| Treat Finger Fracture Each (26727) | — | $1,554 | — |
| Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
— | $538–$2,684 | — |
| Treat Fx Rad Extra-Articul (25607) | — | $2,125 | — |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
— | $54–$908 | — |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
— | $1,280–$1,584 | — |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
— | $54–$1,025 | — |
| Treat kneecap dislocation (27566) | — | $2,571 | — |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
— | $407–$2,034 | — |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
— | $373–$1,257 | — |
| Treat metacarpal fracture (26607) range across 2 matching MRF lines |
— | $1,344–$1,397 | — |
| Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
— | $55–$671 | — |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
— | $54–$878 | — |
| Treat toe dislocation (28630) range across 4 matching MRF lines |
— | $55–$372 | — |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
— | $188–$248 | — |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
— | $479–$1,682 | — |
| Treatment closed elbow dislocation w/o anes (24600) range across 4 matching MRF lines |
— | $54–$832 | — |
| Treatment mouth roof lesion (42160) range across 3 matching MRF lines |
— | $116–$460 | — |
| Treatment of anal fissure (46940) | — | $671 | — |
| Trim skin lesion (11055) range across 4 matching MRF lines |
— | $27–$263 | — |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
— | $26–$276 | — |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
— | $27–$185 | — |
| Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
— | $11–$167 | — |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) | — | $1,070 | — |
| Trurl rescj postop bladder neck contracture (52640) | — | $903 | — |
| Tubal ligation (58600) | — | $1,300 | — |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | — | $1,344 | — |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
— | $150–$533 | — |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | — | $2,476 | — |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | — | $1,037 | — |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 2 matching MRF lines |
— | $568–$2,839 | — |
| Tx Missed Abortion First Trimester Surgical (59820) | — | $958 | — |
| Tx Missed Abortion Second Trimester Surgical (59821) | — | $1,085 | — |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 3 matching MRF lines |
— | $295–$945 | — |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | — | $1,102 | — |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
— | $67–$678 | — |
| Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
— | $45–$433 | — |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
— | $54–$633 | — |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) range across 2 matching MRF lines |
— | $572–$2,858 | — |
| Tympanolysis transcanal (69450) | — | $1,683 | — |
| Unlisted hysteroscopy procedure, uterus (58579) | — | $882 | — |
| Unlisted laparoscopic procedure liver (47379) | — | $3,269 | — |
| Unlisted laparoscopy procedure appendix (44979) | — | $198 | — |
| Unlisted laparoscopy procedure oviduct ovary (58679) | — | $2,720 | — |
| Unlisted laparoscopy procedure stomach (43659) range across 4 matching MRF lines |
— | $313–$1,581 | — |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 2 matching MRF lines |
— | $255–$1,278 | — |
| Unlisted laparoscopy procedure, biliary tract (47579) range across 2 matching MRF lines |
— | $458–$2,292 | — |
| Unlisted laparoscopy procedure, bladder (51999) range across 2 matching MRF lines |
— | $262–$1,312 | — |
| Unlisted laparoscopy procedure, esophagus (43289) | — | $2,611 | — |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | — | $2,598 | — |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) range across 2 matching MRF lines |
— | $316–$1,581 | — |
| Unlisted laparoscopy procedure, spermatic cord (55559) | — | $1,256 | — |
| Unlisted laparoscopy procedure, uterus (58578) | — | $804 | — |
| Unlisted procedure arthroscopy (29999) | — | $1,950 | — |
| Unlisted Procedure Biliary Tract (47999) | — | $4,393 | — |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
— | $470–$1,412 | — |
| Unlisted procedure humerus/elbow (24999) | — | $520 | — |
| Unlisted Procedure Muscskeletal System General (20999) | — | $495 | — |
| Unlisted procedure nervous system (64999) range across 6 matching MRF lines |
— | $64–$1,845 | — |
| Unlisted procedure pelvis/hip joint (27299) | — | $2,770 | — |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
— | $128–$641 | — |
| Unlisted Procedure, Urinary System (53899) | — | $211 | — |
| Unlisted px female genital system nonobstetrical (58999) range across 2 matching MRF lines |
— | $138–$687 | — |
| Urethromeatoplasty W/Mucosal Advancement (53450) | — | $1,014 | — |
| Vag hyst complex (58290) range across 2 matching MRF lines |
— | $658–$3,287 | — |
| Vaginal Delivery After Cesarean Delivery (59612) | — | $2,310 | — |
| Vaginal delivery only (59409) | — | $2,321 | — |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) range across 2 matching MRF lines |
— | $469–$2,347 | — |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 2 matching MRF lines |
— | $478–$2,388 | — |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
— | $358–$1,145 | — |
| Vulvectomy simple partial (56620) range across 2 matching MRF lines |
— | $312–$1,557 | — |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
— | $44–$404 | — |
| Xfer Single Deep Low Leg Tendon (27691) | — | $2,121 | — |
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.