Procedures & surgery prices at Permian Regional Medical Center Andrews County Ho
Andrews, TX · every code in this section with a posted price and a Medicare benchmark.
881 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) | $1,743.50 | $3,487 | 1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$311.50–$1,350.50 | $623–$2,701 | varies |
| Abdomen Surgery Procedure (22999) | $2,137.50 | $4,275 | 8.6× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,743.50 | $3,487 | 1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,743.50 | $3,487 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,743.50 | $3,487 | 0.5× |
| Amputate Metacarpal Bone (26910) | $2,531 | $5,062 | 0.8× |
| Amputation Foot Midtarsal (28800) | $2,137.50 | $4,275 | 0.7× |
| Amputation foot transmetarsal (28805) | $2,137.50 | $4,275 | 0.7× |
| Amputation metatarsal with toe single (28810) | $2,137.50 | $4,275 | 0.7× |
| Amputation thigh through femur any level (27590) | $3,317 | $6,634 | 1.0× |
| Amputation toe interphalangeal joint (28825) | $2,137.50 | $4,275 | 0.7× |
| Amputation toe metatarsophalangeal joint (28820) | $2,137.50 | $4,275 | 0.7× |
| Amputation, leg, through tibia and fibula; (27880) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | $3,317 | $6,634 | 1.0× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $3,317 | $6,634 | 1.0× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) | $2,137.50 | $4,275 | 0.8× |
| Anoscopy Ablation Lesion (46615) | $2,137.50 | $4,275 | 0.8× |
| Anoscopy Control Bleeding (46614) | $1,350.50 | $2,701 | 1.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$35.50–$1,350.50 | $71–$2,701 | varies |
| Anoscopy remove lesion (46610) | $2,137.50 | $4,275 | 0.8× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.4× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $2,531 | $5,062 | 0.5× |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Application cast elbow finger short arm (29075) | $165.50 | $331 | 0.6× |
| Application finger splint static (29130) | $144.50 | $289 | 1.1× |
| Application long arm splint shoulder hand (29105) | $144.50 | $289 | 0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $233.50 | $467 | 0.8× |
| Application Long Leg Splint (29505) | $144.50 | $289 | 0.9× |
| Application of long leg cast (29345) | $228.50 | $457 | 0.8× |
| Application short arm splint forearm-hand static (29125) | $144.50 | $289 | 1.1× |
| Application short leg splint calf foot (29515) | $144.50 | $289 | 0.9× |
| Application uniplane external fixation system (20690) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Apply hand/wrist cast (29085) | $125.50 | $251 | 0.8× |
| Apply long arm cast (29065) | $169 | $338 | 0.6× |
| Apply Short Leg Cast (29405) | $183 | $366 | 0.7× |
| Apply short leg cast (29425) | $204.50 | $409 | 0.7× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$102.50–$104.50 | $205–$209 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$200–$1,350.50 | $400–$2,701 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$264–$1,350.50 | $528–$2,701 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$174–$1,350.50 | $348–$2,701 | varies |
| Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$3,317 | $6,634 | 0.3× |
| Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$3,317 | $6,634 | 0.3× |
| Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$3,317 | $6,634 | 0.3× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $2,924 | $5,848 | 0.9× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $2,531 | $5,062 | 0.8× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $2,531 | $5,062 | 0.8× |
| Arthrotomy W/Synovectomy Ankle (27625) | $2,531 | $5,062 | 0.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $2,137.50 | $4,275 | 1.3× |
| Aspirate pleura w/ imaging (32555) | $411 | $822 | 0.7× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$354–$411 | $708–$822 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $1,350.50 | $2,701 | 4.4× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$1,088.50–$2,137.50 | $2,177–$4,275 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$174.50–$1,350.50 | $349–$2,701 | varies |
| Axillary lymphadenectomy; complete (38745) | $3,317 | $6,634 | 0.5× |
| Biopsy bone open superficial (20240) | $2,137.50 | $4,275 | 0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,350.50 | $2,701 | 0.8× |
| Biopsy of breast; open, incisional (19101) | $2,137.50 | $4,275 | 0.5× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) | $1,743.50 | $3,487 | 1.9× |
| Biopsy of lip (40490) | $1,350.50 | $2,701 | 5.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,743.50 | $3,487 | 1.1× |
| Biopsy of palate, uvula (42100) | $1,350.50 | $2,701 | 0.9× |
| Biopsy of penis (54100) | $1,743.50 | $3,487 | 1.1× |
| Biopsy of rectum (45100) | $1,743.50 | $3,487 | 0.6× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $2,137.50 | $4,275 | 0.5× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) | $2,137.50 | $4,275 | 0.5× |
| Biopsy Oropharynx (42800) | $1,743.50 | $3,487 | 1.1× |
| Biopsy soft tissue back/flank deep (21925) | $2,137.50 | $4,275 | 1.3× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $2,137.50 | $4,275 | 0.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $1,350.50 | $2,701 | 0.8× |
| Biopsy Soft Tissue Shoulder Deep (23066) | $2,137.50 | $4,275 | 0.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $1,743.50 | $3,487 | 1.1× |
| Biopsy Tongue Posterior One-Third (41105) | $1,743.50 | $3,487 | 0.5× |
| Biopsy Vaginal Mucosa Extensive (57105) | $2,137.50 | $4,275 | 0.7× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,350.50 | $2,701 | 1.5× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,350.50 | $2,701 | 1.5× |
| Biopsy/removal lymph nodes (38510) | $2,137.50 | $4,275 | 0.5× |
| Bladder Irrigation (51700) | $41.13 | $82.25 | 0.2× |
| Blepharotomy drainage abscess eyelid (67700) | $1,350.50 | $2,701 | 4.2× |
| Blood Transfusion Service (36430) | $503.50 | $1,007 | 1.1× |
| Bone Marrow Biopsy (38221) | $1,350.50 | $2,701 | 0.8× |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$660.50–$1,350.50 | $1,321–$2,701 | varies |
| Breast augmentation with implant (19325) range across 2 matching MRF lines |
$3,317–$3,426.50 | $6,634–$6,853 | varies |
| Bx breast 1st lesion us imag (19083) | $1,646.50 | $3,293 | 1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,350.50 | $2,701 | 0.8× |
| Bx Cervix (57500) | $1,350.50 | $2,701 | 1.5× |
| Bx prostate strtctc saturation sampling img gid (55706) | $580.47 | $1,160.93 | 0.2× |
| Bx/exc lymph node open deep axillary node (38525) | $2,137.50 | $4,275 | 0.5× |
| Bx/exc lymph node open superficial (38500) | $2,137.50 | $4,275 | 0.5× |
| Carpal Tunnel Surgery (64721) | $2,137.50 | $4,275 | 1.1× |
| Cataract surgery complex (66982) | $2,137.50 | $4,275 | 0.9× |
| Catheter aspiration nasotracheal spx (31720) range across 3 matching MRF lines |
$49–$108.50 | $98–$217 | varies |
| Cerclage cervix pregnancy vaginal (59320) | $2,137.50 | $4,275 | 0.7× |
| Change Cystostomy Tube Complicated (51710) | $1,474.50 | $2,949 | 2.1× |
| Change Cystostomy Tube Simple (51705) | $1,350.50 | $2,701 | 5.4× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$706–$1,743.50 | $1,412–$3,487 | varies |
| Circumcision 28 days or older (54161) | $2,137.50 | $4,275 | 1.0× |
| Circumcision Neonate (54160) | $860.96 | $1,721.92 | 1.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,137.50 | $4,275 | 1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,289–$1,743.50 | $2,578–$3,487 | varies |
| Clear outer ear canal (69200) | $149.50 | $299 | 1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $658 | $1,316 | 2.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $668 | $1,336 | 2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$666.50–$1,743.50 | $1,333–$3,487 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $270.50 | $541 | 1.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,743.50 | $3,487 | 1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,743.50 | $3,487 | 7.0× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,743.50 | $3,487 | 7.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,743.50 | $3,487 | 7.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $646.50 | $1,293 | 0.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $453.50 | $907 | 1.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $658 | $1,316 | 2.7× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $1,743.50 | $3,487 | 7.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $562.50 | $1,125 | 2.3× |
| Closure Gastrostomy Surg (43870) | $2,137.50 | $4,275 | 0.6× |
| Closure of urethrovaginal fistula; Facility (57310) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,277.50 | $2,555 | 0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$859.50–$1,743.50 | $1,719–$3,487 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$880–$1,743.50 | $1,760–$3,487 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,743.50 | $3,487 | 1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $551.50 | $1,103 | 2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $806.50 | $1,613 | 3.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$557–$1,743.50 | $1,114–$3,487 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $290.50 | $581 | 1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $328.50 | $657 | 1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$646.50–$1,350.50 | $1,293–$2,701 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $198.50 | $397 | 0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,743.50 | $3,487 | 6.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $272.50 | $545 | 1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,743.50 | $3,487 | 1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $265.50 | $531 | 1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $355 | $710 | 1.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $1,743.50 | $3,487 | 1.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $551.50 | $1,103 | 2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $134 | $268 | 0.5× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,743.50 | $3,487 | 7.0× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$576.50–$1,743.50 | $1,153–$3,487 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $2,924 | $5,848 | 0.6× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$7.50–$13 | $15–$26 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $1,743.50 | $3,487 | 1.5× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $1,743.50 | $3,487 | 1.5× |
| Colonoscopy thru stoma (44388) | $1,743.50 | $3,487 | 1.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,743.50 | $3,487 | 1.5× |
| Colonoscopy w/ablation (45388) | $1,743.50 | $3,487 | 1.5× |
| Colonoscopy w/submucosal inj (45381) | $1,743.50 | $3,487 | 1.5× |
| Colpocleisis (le fort type) (57120) | $2,531 | $5,062 | 0.5× |
| Colpopexy extraperitoneal (57282) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
| Colporrhaphy (57200) | $2,137.50 | $4,275 | 0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $1,350.50 | $2,701 | 4.4× |
| Colposcopy cervix upper/adjacent vagina (57452) | $1,350.50 | $2,701 | 6.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $2,137.50 | $4,275 | 0.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,137.50 | $4,275 | 0.7× |
| Colposcopy entire vagina w/cervix if present (57420) | $1,350.50 | $2,701 | 4.4× |
| Colposcopy of vulva (56820) | $75 | $150 | 0.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,350.50 | $2,701 | 1.5× |
| Colpotomy; with drainage of pelvic abscess (57010) | $2,137.50 | $4,275 | 0.7× |
| Colpotomy; with exploration (57000) | $2,137.50 | $4,275 | 0.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,743.50 | $3,487 | 1.5× |
| Combined anteroposterior colporrhaphy; (57260) | $2,531 | $5,062 | 0.5× |
| Complex drainage wound (10180) | $2,137.50 | $4,275 | 0.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,137.50 | $4,275 | 0.7× |
| Conization of cervix (57520) | $2,137.50 | $4,275 | 0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $161 | $322 | 1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $108 | $216 | 0.8× |
| Control nose/throat bleeding (42972) | $1,743.50 | $3,487 | 0.5× |
| Control oropharyngeal hemorrhage simple (42960) | $1,350.50 | $2,701 | 2.5× |
| Correction hammertoe (28285) | $2,137.50 | $4,275 | 0.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $2,531 | $5,062 | 0.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $2,531 | $5,062 | 0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$2,531 | $5,062 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $2,531 | $5,062 | 0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Create Eardrum Opening (69433) | $1,350.50 | $2,701 | 2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $161 | $322 | 1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $161 | $322 | 0.7× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $2,137.50 | $4,275 | 0.6× |
| Curettage postpartum (59160) | $2,137.50 | $4,275 | 0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $2,137.50 | $4,275 | 1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $1,743.50 | $3,487 | 0.8× |
| Cysto w/complex removal stone & stent (52315) | $2,137.50 | $4,275 | 1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) | $1,743.50 | $3,487 | 0.8× |
| Cystolithotomy (51050) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.4× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$2,137.50 | $4,275 | 0.2× |
| Cystoscopy implant stent (52282) | $2,531 | $5,062 | 0.7× |
| Cystoscopy inject material (52327) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.5× |
| Cystostomy Cystotomy W/Drainage (51040) | $2,137.50 | $4,275 | 1.0× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | $1,350.50 | $2,701 | 0.6× |
| Cystourethroscopy (52000) | $1,350.50 | $2,701 | 1.9× |
| Cystourethroscopy with biopsy (52204) | $2,137.50 | $4,275 | 1.0× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | $2,137.50 | $4,275 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$238–$1,350.50 | $476–$2,701 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,350.50 | $2,701 | 0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,350.50 | $2,701 | 1.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,350.50 | $2,701 | 1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 5 matching MRF lines |
$243–$1,350.50 | $486–$2,701 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$488.50–$1,350.50 | $977–$2,701 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$223–$1,350.50 | $446–$2,701 | varies |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Deep Muscle Biopsy (20205) | $1,743.50 | $3,487 | 0.6× |
| Delivery of placenta (59414) | $2,137.50 | $4,275 | 0.7× |
| Destruct B9 Lesion 1-14 (17110) | $1,350.50 | $2,701 | 6.7× |
| Destruction Benign Lesions 15/> (17111) | $1,350.50 | $2,701 | 6.7× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,350.50 | $2,701 | 1.1× |
| Destruction Lesions Vulva Extensive (56515) | $2,137.50 | $4,275 | 1.0× |
| Destruction Lesions Vulva Simple (56501) | $2,137.50 | $4,275 | 1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $1,350.50 | $2,701 | 6.7× |
| Destruction of rectal tumor transanal approach (45190) | $2,137.50 | $4,275 | 0.8× |
| Destruction of skin lesions (17106) | $1,350.50 | $2,701 | 3.3× |
| Destruction Premalignant Lesion 15/> (17004) | $1,350.50 | $2,701 | 3.3× |
| Destruction premalignant lesion 1st (17000) | $1,350.50 | $2,701 | 6.7× |
| Destruction Vaginal Lesions Extensive (57065) | $2,137.50 | $4,275 | 0.7× |
| Diagnostic sigmoidoscopy (45330) | $1,350.50 | $2,701 | 1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $2,137.50 | $4,275 | 0.7× |
| Dilation Esophagus Guide Wire (43453) | $1,350.50 | $2,701 | 0.7× |
| Dilation of vagina (57400) | $2,137.50 | $4,275 | 0.7× |
| Drain Cerebro Spinal Fluid (62272) | $286.50 | $573 | 0.4× |
| Drainage Finger Abscess Complicated (26011) | $1,743.50 | $3,487 | 1.1× |
| Drainage lymph node lesion (38305) | $2,137.50 | $4,275 | 0.7× |
| Drainage of finger abscess simple (26010) | $1,350.50 | $2,701 | 6.7× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$838.50–$1,743.50 | $1,677–$3,487 | varies |
| Drainage of perirenal or renal abscess, open Facility (50020) | $2,137.50 | $4,275 | 1.0× |
| Drainage of rectal abscess (45020) | $1,743.50 | $3,487 | 0.6× |
| Drainage of rectal abscess (45005) | $1,743.50 | $3,487 | 1.5× |
| Drainage of scrotal wall abscess (55100) | $1,743.50 | $3,487 | 1.1× |
| Drainage of scrotum (54700) | $2,137.50 | $4,275 | 1.0× |
| Dressing Change Under Anesthesia (15852) | $1,350.50 | $2,701 | 1.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,350.50 | $2,701 | 1.9× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $1,743.50 | $3,487 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $351 | $702 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$220.50–$1,350.50 | $441–$2,701 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$84–$1,350.50 | $168–$2,701 | varies |
| Dstrj Lesion Anus Extensive (46924) | $2,137.50 | $4,275 | 0.8× |
| Dstrj lesion anus simple surg excision (46922) | $2,137.50 | $4,275 | 0.8× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $2,137.50 | $4,275 | 1.0× |
| Dstrj lesion penis simple surg excision (54060) | $2,137.50 | $4,275 | 1.0× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $80 | $160 | 0.1× |
| Dx Laryngoscopy Excl Nb (31525) | $2,137.50 | $4,275 | 1.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,743.50 | $3,487 | 0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,743.50 | $3,487 | 0.9× |
| Egd control bleeding any (43255) | $1,743.50 | $3,487 | 0.9× |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$857–$1,743.50 | $1,714–$3,487 | varies |
| Egd Flexible Foreign Body Removal (43247) | $1,743.50 | $3,487 | 1.9× |
| Egd guide wire insertion (43248) | $1,743.50 | $3,487 | 1.9× |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$148.75–$1,743.50 | $297.50–$3,487 | varies |
| Egd remove lesion snare (43251) | $1,743.50 | $3,487 | 0.9× |
| Egd Tube/Cath Insertion (43241) | $1,743.50 | $3,487 | 0.9× |
| Emblc/thrmbc ax brach innominate subcla art (34101) | $2,924 | $5,848 | 0.5× |
| Endocervical curettage (57505) | $1,350.50 | $2,701 | 1.5× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $2,531 | $5,062 | 0.5× |
| Endometrial Biopsy (58100) | $1,350.50 | $2,701 | 6.6× |
| Endoscopic plantar fasciotomy (29893) | $2,137.50 | $4,275 | 0.7× |
| Enterorrhaphy single perforation (44602) | $3,317 | $6,634 | 0.9× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | $1,743.50 | $3,487 | 0.9× |
| Epididymectomy bilateral (54861) | $2,137.50 | $4,275 | 0.6× |
| Epididymectomy unilateral (54860) | $2,137.50 | $4,275 | 0.6× |
| Episiotomy or vaginal repair (59300) | $2,595.20 | $5,190.39 | 0.8× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,743.50 | $3,487 | 0.9× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) | $1,743.50 | $3,487 | 0.9× |
| Esophagoscopy Flexible W/Bleeding Control (43227) | $1,743.50 | $3,487 | 0.9× |
| Evacuate mole of uterus (59870) | $2,137.50 | $4,275 | 0.7× |
| Evacuation of subungual hematoma (11740) | $68.50 | $137 | 0.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $2,137.50 | $4,275 | 1.3× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,743.50 | $3,487 | 1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,350.50 | $2,701 | 1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,743.50 | $3,487 | 1.1× |
| Exc Back Les Sc < 3 Cm (21930) | $1,743.50 | $3,487 | 1.1× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $2,137.50 | $4,275 | 0.6× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $2,137.50 | $4,275 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,350.50 | $2,701 | 1.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,350.50 | $2,701 | 1.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,743.50 | $3,487 | 1.1× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,350.50 | $2,701 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,350.50 | $2,701 | 1.9× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,350.50 | $2,701 | 1.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,350.50 | $2,701 | 1.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,350.50 | $2,701 | 0.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,350.50 | $2,701 | 0.8× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $2,137.50 | $4,275 | 1.3× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $2,137.50 | $4,275 | 0.7× |
| Exc ganglion wrist recurrent (25112) | $2,137.50 | $4,275 | 1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,350.50 | $2,701 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,350.50 | $2,701 | 1.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,350.50 | $2,701 | 0.8× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,743.50 | $3,487 | 1.1× |
| Exc hydrocele sprmatic cord uni spx (55500) | $2,137.50 | $4,275 | 0.6× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,350.50 | $2,701 | 1.3× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) | $2,137.50 | $4,275 | 0.6× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) | $1,743.50 | $3,487 | 0.5× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $2,137.50 | $4,275 | 1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $2,137.50 | $4,275 | 1.3× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $1,743.50 | $3,487 | 0.5× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $2,137.50 | $4,275 | 0.6× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $2,137.50 | $4,275 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,350.50 | $2,701 | 1.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,743.50 | $3,487 | 1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,137.50 | $4,275 | 0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,743.50 | $3,487 | 1.1× |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,137.50 | $4,275 | 0.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,350.50 | $2,701 | 0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,137.50 | $4,275 | 0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,743.50 | $3,487 | 1.1× |
| Exc tendon shth lesion leg/ankle (27630) | $2,137.50 | $4,275 | 0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,137.50 | $4,275 | 0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$1,566.50–$1,743.50 | $3,133–$3,487 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,350.50 | $2,701 | 3.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,350.50 | $2,701 | 1.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,743.50 | $3,487 | 1.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $2,137.50 | $4,275 | 0.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $1,350.50 | $2,701 | 0.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $1,743.50 | $3,487 | 1.1× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $2,137.50 | $4,275 | 0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $1,743.50 | $3,487 | 0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $2,137.50 | $4,275 | 0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,743.50 | $3,487 | 1.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $1,709 | $3,418 | 0.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,743.50 | $3,487 | 1.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $1,743.50 | $3,487 | 0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,743.50 | $3,487 | 1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,137.50 | $4,275 | 0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,743.50 | $3,487 | 1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $1,743.50 | $3,487 | 0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,137.50 | $4,275 | 0.7× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $2,137.50 | $4,275 | 0.6× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $2,137.50 | $4,275 | 0.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $2,137.50 | $4,275 | 1.3× |
| Excise mandible lesion (21040) | $2,137.50 | $4,275 | 0.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,350.50 | $2,701 | 1.9× |
| Excision External Ear Partial Simple Repair (69110) | $1,743.50 | $3,487 | 0.6× |
| Excision H/P/P/U Complex Repair (11471) | $2,137.50 | $4,275 | 0.7× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $2,654 | $5,308 | 0.9× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $2,137.50 | $4,275 | 0.7× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $2,137.50 | $4,275 | 0.7× |
| Excision lesion meniscus/capsule knee (27347) | $2,137.50 | $4,275 | 0.7× |
| Excision lesion mouth roof (42104) | $1,743.50 | $3,487 | 0.5× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $2,137.50 | $4,275 | 1.3× |
| Excision Lesion Tongue W/O Closure (41110) | $1,743.50 | $3,487 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,350.50 | $2,701 | 1.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,350.50 | $2,701 | 3.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,350.50 | $2,701 | 1.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,350.50 | $2,701 | 1.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,350.50 | $2,701 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,137.50 | $4,275 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,350.50 | $2,701 | 1.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,350.50 | $2,701 | 1.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,743.50 | $3,487 | 1.1× |
| Excision malignant tumor mandible (21044) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $1,743.50 | $3,487 | 0.6× |
| Excision of bartholin's gland or cyst (56740) | $2,137.50 | $4,275 | 0.7× |
| Excision of extraparenchymal lesion of testis (54512) | $2,137.50 | $4,275 | 0.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,137.50 | $4,275 | 1.3× |
| Excision of hydrocele; bilateral (55041) | $2,531 | $5,062 | 0.7× |
| Excision of hydrocele; unilateral (55040) | $2,531 | $5,062 | 0.7× |
| Excision of local lesion of epididymis (54830) | $2,137.50 | $4,275 | 0.6× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,137.50 | $4,275 | 0.7× |
| Excision of single external papilla or tag, anus (46220) | $1,238.50 | $2,477 | 1.0× |
| Excision of submandibular (submaxillary) gland (42440) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Excision of vaginal cyst or tumor (57135) | $2,137.50 | $4,275 | 0.7× |
| Excision of vaginal septum (57130) | $2,137.50 | $4,275 | 0.7× |
| Excision olecranon bursa (24105) | $2,137.50 | $4,275 | 0.7× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $2,137.50 | $4,275 | 0.7× |
| Excision or fulguration; Skene's glands Facility (53270) | $2,137.50 | $4,275 | 0.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,137.50 | $4,275 | 0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $2,137.50 | $4,275 | 0.7× |
| Excision prepatellar bursa (27340) | $2,137.50 | $4,275 | 0.7× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Excision spermatocele w/wo epididymectomy (54840) | $2,137.50 | $4,275 | 1.0× |
| Excision synovial cyst popliteal space (27345) | $2,137.50 | $4,275 | 0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,137.50 | $4,275 | 1.3× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $2,137.50 | $4,275 | 0.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $1,743.50 | $3,487 | 1.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $2,137.50 | $4,275 | 1.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $2,137.50 | $4,275 | 1.3× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $2,137.50 | $4,275 | 1.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,137.50 | $4,275 | 0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,350.50 | $2,701 | 0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,137.50 | $4,275 | 0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $2,137.50 | $4,275 | 0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,743.50 | $3,487 | 1.1× |
| Excision/Transposition Pterygium W/O Graft (65420) | $1,743.50 | $3,487 | 0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,137.50 | $4,275 | 1.0× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.4× |
| Explo/Drain Breast Abscess (19020) | $2,137.50 | $4,275 | 1.3× |
| Exploration for undescended testis with abdominal exploration (54560) | $2,137.50 | $4,275 | 1.0× |
| Exploration penetrating wound spx chest (20101) | $2,137.50 | $4,275 | 1.0× |
| Exploration penetrating wound spx extremity (20103) | $1,743.50 | $3,487 | 1.1× |
| Explore for undescended testis (54550) | $2,531 | $5,062 | 0.7× |
| Fasciectomy Palm Only (26121) | $2,531 | $5,062 | 0.8× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $2,137.50 | $4,275 | 0.7× |
| Fasciotomy palmar open partial (26045) | $2,531 | $5,062 | 0.8× |
| Fasciotomy palmar percutaneous (26040) | $1,743.50 | $3,487 | 1.1× |
| Fasciotomy, foot and/or toe (28008) | $2,137.50 | $4,275 | 0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $2,531 | $5,062 | 0.8× |
| Fetal non-stress test (59025) | $209 | $418 | 1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,314 | $4,628 | 3.3× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $2,021.50 | $4,043 | 2.8× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$446.50–$1,350.50 | $893–$2,701 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,471.50 | $2,943 | 2.1× |
| Fna bx w/us gdn 1st les (10005) | $1,625.50 | $3,251 | 2.3× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$198–$1,350.50 | $396–$2,701 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,743.50 | $3,487 | 0.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $1,743.50 | $3,487 | 0.8× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $1,743.50 | $3,487 | 0.8× |
| Gastrocnemius recession (27687) | $2,531 | $5,062 | 0.8× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $3,317 | $6,634 | 0.9× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $2,137.50 | $4,275 | 1.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,137.50 | $4,275 | 0.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,137.50 | $4,275 | 0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $2,137.50 | $4,275 | 0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $2,137.50 | $4,275 | 0.8× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $2,137.50 | $4,275 | 0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,350.50 | $2,701 | 1.4× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) | $2,137.50 | $4,275 | 0.8× |
| Hymenotomy Simple Incision (56442) | $2,137.50 | $4,275 | 0.7× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $2,924 | $5,848 | 0.6× |
| Hysteroscopy Biopsy (58558) | $2,137.50 | $4,275 | 0.7× |
| Hysteroscopy Dx Sep Proc (58555) | $2,137.50 | $4,275 | 0.7× |
| Hysteroscopy Endometrial Ablation (58563) | $2,531 | $5,062 | 0.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $2,531 | $5,062 | 0.5× |
| I&d abscess peritonsillar (42700) | $1,350.50 | $2,701 | 5.7× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$238–$1,350.50 | $476–$2,701 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,137.50 | $4,275 | 0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,137.50 | $4,275 | 0.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $2,137.50 | $4,275 | 0.7× |
| I&d perianal abscess superficial (46050) | $1,350.50 | $2,701 | 1.4× |
| I&d pilonidal cyst complicated (10081) | $1,743.50 | $3,487 | 2.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$377–$1,350.50 | $754–$2,701 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $2,137.50 | $4,275 | 0.7× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,743.50 | $3,487 | 1.1× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$154–$1,350.50 | $308–$2,701 | varies |
| Incise finger tendon sheath (26055) | $1,743.50 | $3,487 | 1.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$414.50–$1,350.50 | $829–$2,701 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $2,137.50 | $4,275 | 0.7× |
| Incision & drainage leg/ankle infected bursa (27604) | $2,531 | $5,062 | 0.8× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$758–$1,743.50 | $1,516–$3,487 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$219–$1,350.50 | $438–$2,701 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $1,350.50 | $2,701 | 6.6× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$414.50–$1,350.50 | $829–$2,701 | varies |
| Incision of Foot Tendon (28234) | $2,137.50 | $4,275 | 1.3× |
| Incision of labial frenum (frenotomy) (40806) | $1,350.50 | $2,701 | 2.5× |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$511.50–$1,350.50 | $1,023–$2,701 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,274.50–$1,743.50 | $2,549–$3,487 | varies |
| Incision of urethra (53020) | $2,137.50 | $4,275 | 1.0× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) | $1,743.50 | $3,487 | 0.5× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$343.50–$1,350.50 | $687–$2,701 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $113.50 | $227 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$174–$1,350.50 | $348–$2,701 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $49.50 | $99 | 0.1× |
| Injection for identification of sentinel node (38792) | $197 | $394 | 0.5× |
| Injection single tendon origin/insertion (20551) | $159.50 | $319 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $154 | $308 | 0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) | $174 | $348 | 0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $252 | $504 | 0.4× |
| Ins endovas vena cava filtr (37191) | $2,924 | $5,848 | 0.5× |
| Insert and remove bone pin (20650) | $2,531 | $5,062 | 0.8× |
| Insert Bladder Cath Complex (51703) | $100.50 | $201 | 0.8× |
| Insert cervical dilator (59200) range across 2 matching MRF lines |
$265.50–$401.97 | $531–$803.94 | varies |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$238.50–$1,743.50 | $477–$3,487 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,743.50 | $3,487 | 1.1× |
| Insert Pulse Gen Sngl Lead (33212) unusually low: confirm this is the full procedure |
$3,712.50 | $7,425 | 0.4× |
| Insert semi-rigid prosthesis (54400) likely a partial charge, not the full procedure |
$3,712.50 | $7,425 | 0.3× |
| Insert Temp Bladder Cath (51702) | $104.50 | $209 | 0.8× |
| Insert tunneled cv cath (36561) | $2,531 | $5,062 | 0.8× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$83–$104.50 | $166–$209 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$831.50–$1,743.50 | $1,663–$3,487 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,137.50 | $4,275 | 0.7× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $2,137.50 | $4,275 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,743.50 | $3,487 | 1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $2,531 | $5,062 | 0.8× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.5× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,531 | $5,062 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,137.50 | $4,275 | 0.7× |
| Insj/rplcmt breast implant sep day mastectomy (19342) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$3,357 | $6,714 | 0.4× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $2,137.50 | $4,275 | 0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $619.50 | $1,239 | 1.5× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $722 | $1,444 | 1.8× |
| Intraoral i&d tongue/floor lingual (41000) | $1,350.50 | $2,701 | 2.5× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$314–$397 | $628–$794 | varies |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) | $1,350.50 | $2,701 | 0.6× |
| Irrigation maxillary sinus (31000) | $1,350.50 | $2,701 | 5.7× |
| Laparo-vag hyst incl t/o (58552) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laparoscopy aspiration (49322) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $3,317 | $6,634 | 0.5× |
| Laparoscopy fulguration oviducts (58670) unusually low: confirm this is the full procedure |
$2,480.50 | $4,961 | 0.4× |
| Laparoscopy salpingostomy (58673) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $3,317 | $6,634 | 0.5× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $3,317 | $6,634 | 0.5× |
| Laparoscopy w/rmvl adnexal structures (58661) | $3,317 | $6,634 | 0.5× |
| Laparoscopy, surgical, appendectomy (44970) | $3,317 | $6,634 | 0.5× |
| Laparoscopy, surgical, splenectomy (38120) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $3,317 | $6,634 | 0.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $3,317 | $6,634 | 0.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $3,317 | $6,634 | 0.5× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) | $3,317 | $6,634 | 0.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $3,317 | $6,634 | 0.5× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $3,317 | $6,634 | 0.5× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) | $3,317 | $6,634 | 0.5× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Laryngoscopy flexible diagnostic (31575) | $348.50 | $697 | 1.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $362 | $724 | 0.9× |
| Late closure of wound (13160) | $2,137.50 | $4,275 | 0.6× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) | $2,137.50 | $4,275 | 0.7× |
| Lig&div long saph vein saphfem junct/interrupj (37700) | $2,137.50 | $4,275 | 0.7× |
| Ligate/strip long leg vein (37722) | $2,924 | $5,848 | 0.9× |
| Ligate/strip short leg vein (37718) | $2,137.50 | $4,275 | 0.7× |
| Ligation Major Artery Abdomen (37617) | $3,712.50 | $7,425 | 0.7× |
| Ligation of hemorrhoids (46946) | $2,137.50 | $4,275 | 0.8× |
| Ligation or biopsy temporal artery (37609) | $1,743.50 | $3,487 | 1.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $2,137.50 | $4,275 | 0.7× |
| Lsh uterus 250 g or less (58541) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Lsh uterus above 250 g (58543) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Lsh w/t/o uterus above 250 g (58544) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) | $2,137.50 | $4,275 | 1.0× |
| Manipulation knee joint under general anesthesia (27570) | $1,743.50 | $3,487 | 1.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $1,743.50 | $3,487 | 1.1× |
| Marsupialization of bartholin's gland cyst (56440) | $2,137.50 | $4,275 | 0.7× |
| Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
| Mastectomy for gynecomastia (19300) | $2,137.50 | $4,275 | 0.5× |
| Mastectomy partial (19301) | $2,137.50 | $4,275 | 0.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$2,531–$2,996.50 | $5,062–$5,993 | varies |
| Maternity Care Procedure (59899) range across 5 matching MRF lines |
$134.50–$1,350.50 | $268.99–$2,701 | varies |
| Metatarsectomy (28140) | $2,137.50 | $4,275 | 0.7× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) | $2,531 | $5,062 | 0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,350.50 | $2,701 | 1.9× |
| N block inj intercost sng (64420) | $195 | $390 | 0.3× |
| N Block Lumbar/Thoracic (64520) | $552.50 | $1,105 | 0.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $2,137.50 | $4,275 | 1.1× |
| Nipple/areola reconstruction (19350) | $2,137.50 | $4,275 | 0.5× |
| Occipital Nerve Block (64405) | $442 | $884 | 1.4× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) | $3,317 | $6,634 | 0.5× |
| Open bowel to skin (44300) | $3,317 | $6,634 | 1.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Open treatment calcaneal fracture (28415) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$3,317 | $6,634 | 0.3× |
| Open treatment interphalangeal joint dislocation (28675) | $2,137.50 | $4,275 | 0.7× |
| Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Open treatment metatarsal fracture each (28485) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Open Treatment Tarsal Bone Dislocation (28555) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,137.50 | $4,275 | 0.7× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $2,137.50 | $4,275 | 0.7× |
| Open tx interphalangeal joint dislocation (26785) | $2,137.50 | $4,275 | 0.7× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $2,137.50 | $4,275 | 0.7× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Orchiectomy partial (54522) | $2,137.50 | $4,275 | 0.6× |
| Orchiectomy radical tumor inguinal approach (54530) | $2,531 | $5,062 | 0.7× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) | $2,531 | $5,062 | 0.7× |
| Orchiopexy Ingun/Scrot Appr (54640) | $2,531 | $5,062 | 0.7× |
| Ostc prtl exostc/condylc metar head (28288) | $2,137.50 | $4,275 | 0.7× |
| Ostectomy calcaneus (28118) | $2,137.50 | $4,275 | 0.7× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $2,137.50 | $4,275 | 0.7× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $2,137.50 | $4,275 | 0.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $2,137.50 | $4,275 | 0.7× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $2,137.50 | $4,275 | 0.7× |
| Osteotomy calcaneus w/wo internal fixation (28300) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $2,531 | $5,062 | 0.5× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Part remv talus or calcaneus (28120) | $2,137.50 | $4,275 | 0.7× |
| Partial excision of lip (40520) | $1,743.50 | $3,487 | 0.5× |
| Partial hymenectomy or revision of hymenal ring (56700) | $2,137.50 | $4,275 | 0.7× |
| Partial removal of lip (40530) | $2,137.50 | $4,275 | 0.6× |
| Partial removal of penis (54120) | $2,531 | $5,062 | 0.7× |
| Partial removal of thyroid (60220) | $3,317 | $6,634 | 0.5× |
| Partial thyroid excision (60212) | $3,317 | $6,634 | 0.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $3,317 | $6,634 | 0.5× |
| Partical Excision Bone Phalanx Toe (28124) | $2,137.50 | $4,275 | 0.7× |
| Pelvic examination under anesthesia (other than local) (57410) | $2,137.50 | $4,275 | 0.7× |
| Percut Drain/Inject Renal Cyst (50390) | $1,743.50 | $3,487 | 2.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $2,137.50 | $4,275 | 0.7× |
| Peri-Implant Capsulectomy Breast Complete (19371) | $2,531 | $5,062 | 0.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $2,137.50 | $4,275 | 0.7× |
| Perq dev breast 1st us imag (19285) | $920.50 | $1,841 | 1.3× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$359–$1,743.50 | $718–$3,487 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $2,137.50 | $4,275 | 0.7× |
| Placement of seton (46020) | $2,137.50 | $4,275 | 0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $2,531 | $5,062 | 0.5× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) | $2,137.50 | $4,275 | 0.9× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $1,743.50 | $3,487 | 1.5× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $2,137.50 | $4,275 | 0.7× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$343.50–$1,350.50 | $687–$2,701 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$238–$1,350.50 | $476–$2,701 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,350.50 | $2,701 | 1.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $2,137.50 | $4,275 | 1.3× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) | $2,137.50 | $4,275 | 0.7× |
| Radical resection of tumor; phalanx of toe Facility (28175) | $2,137.50 | $4,275 | 1.3× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $2,137.50 | $4,275 | 0.7× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $2,137.50 | $4,275 | 0.6× |
| Reduction of rectal prolapse (45900) | $1,350.50 | $2,701 | 1.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $2,137.50 | $4,275 | 0.7× |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$660.50–$1,350.50 | $1,321–$2,701 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$1,119.50–$1,743.50 | $2,239–$3,487 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$292.50–$1,350.50 | $585–$2,701 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $1,743.50 | $3,487 | 0.6× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $1,743.50 | $3,487 | 0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $86.50 | $173 | 1.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $2,137.50 | $4,275 | 0.7× |
| Removal Implant Deep (20680) | $2,137.50 | $4,275 | 0.7× |
| Removal Implant Superficial Separate Procedure (20670) | $1,743.50 | $3,487 | 1.1× |
| Removal intact breast implant (19328) | $2,531 | $5,062 | 0.6× |
| Removal of adenoids (42830) | $2,137.50 | $4,275 | 0.6× |
| Removal of anal fissure (46200) | $2,137.50 | $4,275 | 0.8× |
| Removal of ankle implant (27704) | $2,137.50 | $4,275 | 0.7× |
| Removal of bone lesion (23140) | $2,137.50 | $4,275 | 0.7× |
| Removal of cervix (57530) | $2,531 | $5,062 | 0.5× |
| Removal of heel spur (28119) | $2,137.50 | $4,275 | 0.7× |
| Removal of mammary implant material (19330) | $2,531 | $5,062 | 0.6× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$341.50–$1,350.50 | $683–$2,701 | varies |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) | $1,350.50 | $2,701 | 0.6× |
| Removal of sesamoid bone (28315) | $2,137.50 | $4,275 | 0.7× |
| Removal of sperm cord lesion (55520) | $2,137.50 | $4,275 | 0.6× |
| Removal of testis (54520) | $2,137.50 | $4,275 | 0.6× |
| Removal of tonsils (42825) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.4× |
| Removal of tonsils (42826) | $2,137.50 | $4,275 | 0.6× |
| Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $1,350.50 | $2,701 | 6.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $1,350.50 | $2,701 | 0.7× |
| Removal sweat gland lesion (11450) | $2,137.50 | $4,275 | 0.7× |
| Removal, under anesthesia, of external fixation system (20694) | $2,137.50 | $4,275 | 1.3× |
| Remove Ankle Joint Lining (27626) | $2,531 | $5,062 | 0.8× |
| Remove cerclage suture (59871) | $2,137.50 | $4,275 | 0.7× |
| Remove Forearm Foreign Body (25248) | $2,137.50 | $4,275 | 1.3× |
| Remove foreign body from eye (65205) | $130 | $260 | 1.0× |
| Remove groin lymph nodes (38760) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Remove Intrauterine Device (58301) | $1,350.50 | $2,701 | 4.4× |
| Remove Lower Leg Bone Lesion (27635) | $2,531 | $5,062 | 0.8× |
| Remove Nasal Foreign Body (30300) | $147.50 | $295 | 1.1× |
| Remove Peritoneal Foreign Body (49402) | $2,137.50 | $4,275 | 0.6× |
| Remove Tendon Sheath Lesion (26160) | $1,743.50 | $3,487 | 1.1× |
| Remove thyroid lesion (60200) | $3,317 | $6,634 | 0.5× |
| Remove tissue expander (11971) | $2,137.50 | $4,275 | 0.7× |
| Remove/graft leg bone lesion (27637) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Reopen fallopian tube (58350) | $2,531 | $5,062 | 0.5× |
| Repair Achilles Tendon (27650) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
| Repair Anorectal Fistula Plug (46707) | $2,480.50 | $4,961 | 0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,531 | $5,062 | 0.8× |
| Repair Collat Ankle Ligmnt,Secondary (27698) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $414.50 | $829 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$619.50–$1,350.50 | $1,239–$2,701 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$465.50–$1,350.50 | $931–$2,701 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$670.50–$1,350.50 | $1,341–$2,701 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $447 | $894 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$682–$1,350.50 | $1,364–$2,701 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$345–$1,350.50 | $690–$2,701 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$547.50–$1,350.50 | $1,095–$2,701 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,743.50 | $3,487 | 1.1× |
| Repair Finger/Hand Tendon (26350) | $2,531 | $5,062 | 0.8× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $2,137.50 | $4,275 | 0.7× |
| Repair Foot Dislocation (28615) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Repair Hand Joint (26540) | $1,743.50 | $3,487 | 0.5× |
| Repair Hand Tendon (26410) | $1,743.50 | $3,487 | 1.1× |
| Repair inguinal hernia, sliding, any age (49525) | $2,531 | $5,062 | 0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $2,531 | $5,062 | 0.7× |
| Repair initial femoral hernia, any age; reducible (49550) | $2,531 | $5,062 | 0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $2,531 | $5,062 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$337–$1,350.50 | $674–$2,701 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $414.50 | $829 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$465.50–$1,350.50 | $931–$2,701 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $517.50 | $1,035 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $826 | $1,652 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $363 | $726 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $257.50 | $515 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$345–$1,350.50 | $690–$2,701 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$450.50–$1,350.50 | $901–$2,701 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $784 | $1,568 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$521.50–$1,350.50 | $1,043–$2,701 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$240–$1,350.50 | $480–$2,701 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$367–$1,350.50 | $734–$2,701 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$645–$1,350.50 | $1,290–$2,701 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$489.50–$1,350.50 | $979–$2,701 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,332.50 | $2,665 | 0.6× |
| Repair Laceration Palate </2 Cm (42180) | $1,350.50 | $2,701 | 2.5× |
| Repair Leg Fascia Defect (27656) | $2,137.50 | $4,275 | 0.7× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) | $2,531 | $5,062 | 0.5× |
| Repair of hammertoe (28286) | $2,137.50 | $4,275 | 0.7× |
| Repair of hydrocele (55060) | $2,137.50 | $4,275 | 0.6× |
| Repair of rectocele (45560) | $2,531 | $5,062 | 0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.4× |
| Repair secondary achilles tendon w/wo graft (27654) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
| Repair Toe Dislocation (28645) | $2,137.50 | $4,275 | 0.7× |
| Repair tongue laceration (41252) | $1,350.50 | $2,701 | 5.7× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$196.50–$1,350.50 | $393–$2,701 | varies |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Reposition Venous Catheter (36597) | $1,743.50 | $3,487 | 1.1× |
| Rerepair ing hernia reduce (49520) | $2,531 | $5,062 | 0.7× |
| Resect back tum < 5 cm (21935) | $2,137.50 | $4,275 | 0.7× |
| Resect hip/pelv tum < 5 cm (27049) | $1,743.50 | $3,487 | 0.6× |
| Resect leg/ankle tum < 5 cm (27615) | $1,743.50 | $3,487 | 0.6× |
| Revise hernia & sperm veins (55540) | $2,531 | $5,062 | 0.7× |
| Revise lower leg tendon (27690) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $2,531 | $5,062 | 0.7× |
| Revision of foot (28116) | $2,137.50 | $4,275 | 0.7× |
| Revision of foot and ankle (28262) likely a partial charge, not the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Revision of lower leg tendon (27685) | $2,531 | $5,062 | 0.8× |
| Revision of tracheostomy scar (31830) | $2,137.50 | $4,275 | 0.6× |
| Revision Peri-Implant Capsule Breast (19370) | $2,531 | $5,062 | 0.6× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) | $2,137.50 | $4,275 | 0.6× |
| Revj/rmvl neurostimulator pulse generator (61888) likely a partial charge, not the full procedure |
$2,531 | $5,062 | 0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $2,137.50 | $4,275 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $205.50 | $411 | 0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,743.50 | $3,487 | 1.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,137.50 | $4,275 | 0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,137.50 | $4,275 | 0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,743.50 | $3,487 | 1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,350.50 | $2,701 | 2.1× |
| Rmvl/revj sling stress incontinence (57287) | $2,531 | $5,062 | 0.8× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$321.50–$1,350.50 | $643–$2,701 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$321.50–$1,350.50 | $643–$2,701 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,743.50 | $3,487 | 1.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,743.50 | $3,487 | 1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,531 | $5,062 | 0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,137.50 | $4,275 | 0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,743.50 | $3,487 | 1.1× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $2,137.50 | $4,275 | 0.7× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $378 | $756 | 1.9× |
| Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$2,137.50 | $4,275 | 0.3× |
| Rpr Ing Hernia Baby, Reduc (49495) | $2,531 | $5,062 | 0.7× |
| Rpr ing hernia init reduce (49500) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $661.50 | $1,323 | 0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,350.50 | $2,701 | 0.9× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) unusually low: confirm this is the full procedure |
$2,531 | $5,062 | 0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $2,137.50 | $4,275 | 0.7× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $2,531 | $5,062 | 0.8× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $2,531 | $5,062 | 0.8× |
| Salpingostomy (salpingoneostomy) (58770) | $2,531 | $5,062 | 0.8× |
| Scrotal exploration (55110) | $2,137.50 | $4,275 | 0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,743.50 | $3,487 | 1.5× |
| Shave skin lesion 0.5 cm/< (11300) | $1,350.50 | $2,701 | 3.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $1,350.50 | $2,701 | 6.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $1,350.50 | $2,701 | 3.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $1,350.50 | $2,701 | 6.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $1,350.50 | $2,701 | 6.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $1,350.50 | $2,701 | 6.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $1,350.50 | $2,701 | 3.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $1,350.50 | $2,701 | 6.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $1,350.50 | $2,701 | 3.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $1,350.50 | $2,701 | 6.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $1,350.50 | $2,701 | 3.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $1,350.50 | $2,701 | 6.7× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $1,743.50 | $3,487 | 0.5× |
| Sigmoidoscopy & Polypectomy (45333) | $1,350.50 | $2,701 | 1.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $1,743.50 | $3,487 | 1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,350.50 | $2,701 | 1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $472 | $944 | 1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$225.50–$1,350.50 | $451–$2,701 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $202.50 | $405 | 1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $621 | $1,242 | 1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$237–$1,350.50 | $474–$2,701 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $775.50 | $1,551 | 3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$196.50–$1,350.50 | $393–$2,701 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $476.50 | $953 | 2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$245–$1,350.50 | $490–$2,701 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,743.50 | $3,487 | 0.8× |
| Skin Pedicle Flap Trunk (15570) | $2,137.50 | $4,275 | 1.0× |
| Skin sub graft face/nk/hf/g (15275) | $1,743.50 | $3,487 | 2.3× |
| Skin sub graft trnk/arm/leg (15271) | $1,743.50 | $3,487 | 2.3× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$114.50–$1,350.50 | $229–$2,701 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $2,924 | $5,848 | 0.6× |
| Slitting of prepuce (54001) | $1,820 | $3,640 | 0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$205.50–$1,350.50 | $411–$2,701 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$337–$1,350.50 | $674–$2,701 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $440.50 | $881 | 1.1× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) | $2,531 | $5,062 | 0.9× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$243–$1,350.50 | $486–$2,701 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,137.50 | $4,275 | 0.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,137.50 | $4,275 | 1.0× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$98–$144.50 | $196–$289 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$129–$144.50 | $258–$289 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$136–$144.50 | $272–$289 | varies |
| Strapping Hip (29520) | $99.50 | $199 | 0.7× |
| Strapping knee (29530) | $161 | $322 | 1.2× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$144.50–$167 | $289–$334 | varies |
| Strapping thorax (29200) | $142 | $284 | 0.9× |
| Strapping toes (29550) | $74 | $148 | 1.2× |
| Strapping Unna Boot (29580) | $102.50 | $205 | 0.6× |
| Surg tx anal fistula subq (46270) | $2,137.50 | $4,275 | 0.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $1,946 | $3,892 | 0.7× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$343.50–$1,350.50 | $687–$2,701 | varies |
| Tenotomy Percutaneous Single Each Digit (26060) | $1,743.50 | $3,487 | 1.1× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) | $2,137.50 | $4,275 | 0.7× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $2,137.50 | $4,275 | 1.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $2,137.50 | $4,275 | 1.3× |
| Thyroidectomy, total or complete (60240) | $3,317 | $6,634 | 0.5× |
| Tlh uterus over 250 g (58572) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $2,137.50 | $4,275 | 0.6× |
| Tooth extraction (41899) | $93 | $186 | 0.4× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) | $3,317 | $6,634 | 0.5× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $2,137.50 | $4,275 | 0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,743.50 | $3,487 | 1.1× |
| Tracheostomy planned (31600) | $2,137.50 | $4,275 | 0.6× |
| Tracheostomy Planned Under 2 Years Spx (31601) unusually low: confirm this is the full procedure |
$2,137.50 | $4,275 | 0.4× |
| Transplant hand tendon (26480) | $2,531 | $5,062 | 0.8× |
| Treat Big Toe Fracture (28505) | $2,137.50 | $4,275 | 0.7× |
| Treat ectopic pregnancy (59151) | $3,317 | $6,634 | 0.5× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$477.50–$1,743.50 | $955–$3,487 | varies |
| Treat humerus fracture (23600) | $1,743.50 | $3,487 | 7.0× |
| Treat knee fracture (27532) | $1,743.50 | $3,487 | 0.5× |
| Treat Knee Fracture(S) (27538) | $1,743.50 | $3,487 | 7.0× |
| Treat kneecap dislocation (27566) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$3,317 | $6,634 | 0.5× |
| Treat Knuckle Dislocation (26700) | $272.50 | $545 | 1.1× |
| Treat lower leg bone lesion (27607) | $2,137.50 | $4,275 | 0.7× |
| Treat Thumb Fracture (26645) | $1,350.50 | $2,701 | 0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,743.50 | $3,487 | 1.1× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$315.50–$1,350.50 | $631–$2,701 | varies |
| Treatment mouth roof lesion (42160) | $1,743.50 | $3,487 | 0.5× |
| Trim skin lesion (11055) | $1,350.50 | $2,701 | 6.7× |
| Trim skin lesions 2 to 4 (11056) | $1,350.50 | $2,701 | 6.7× |
| Trim skin lesions over 4 (11057) | $1,350.50 | $2,701 | 6.7× |
| Tubal ligation (58600) | $2,531 | $5,062 | 0.8× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$114–$156.50 | $228–$313 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,137.50 | $4,275 | 0.7× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,137.50 | $4,275 | 0.7× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $2,137.50 | $4,275 | 0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,350.50 | $2,701 | 1.8× |
| Tympanostomy general anesthesia (69436) | $1,743.50 | $3,487 | 1.1× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $2,137.50 | $4,275 | 0.6× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) | $1,350.50 | $2,701 | 5.7× |
| Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines |
$2,485–$2,924 | $4,970–$5,848 | varies |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 2 matching MRF lines |
$2,924–$2,948.50 | $5,848–$5,897 | varies |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Unlisted laparoscopy procedure, lymphatic system (38589) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Unlisted laparoscopy procedure, uterus (58578) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.5× |
| Unlisted procedure anus (46999) | $1,350.50 | $2,701 | 1.4× |
| Unlisted procedure arthroscopy (29999) | $2,531 | $5,062 | 10.2× |
| Unlisted Procedure Biliary Tract (47999) | $2,531 | $5,062 | 2.8× |
| Unlisted procedure breast (19499) | $2,137.50 | $4,275 | 0.5× |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$152.50–$210.50 | $305–$421 | varies |
| Unlisted procedure colon (45399) | $1,743.50 | $3,487 | 1.9× |
| Unlisted Procedure Endocrine System (60699) | $3,317 | $6,634 | 0.5× |
| Unlisted procedure foot or toes (28899) | $1,743.50 | $3,487 | 7.0× |
| Unlisted Procedure Hands/Fingers (26989) range across 2 matching MRF lines |
$159.50–$1,350.50 | $319–$2,701 | varies |
| Unlisted procedure lungs and pleura (32999) | $1,743.50 | $3,487 | 2.8× |
| Unlisted Procedure Male Genital System (55899) | $1,350.50 | $2,701 | 5.4× |
| Unlisted Procedure Muscskeletal System General (20999) | $2,137.50 | $4,275 | 8.6× |
| Unlisted procedure nervous system (64999) | $1,350.50 | $2,701 | 4.4× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $1,350.50 | $2,701 | 5.7× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $1,350.50 | $2,701 | 5.7× |
| Unlisted Procedure Trachea Bronchi (31899) | $1,743.50 | $3,487 | 8.7× |
| Unlisted Procedure Vascular Surgery (37799) | $1,350.50 | $2,701 | 2.1× |
| Unlisted Procedure, Urinary System (53899) | $1,350.50 | $2,701 | 5.4× |
| Unlisted px female genital system nonobstetrical (58999) | $1,350.50 | $2,701 | 6.6× |
| Uvulectomy excision of uvula (42140) | $1,743.50 | $3,487 | 0.5× |
| Vag hyst w/t/o & vag repair (58263) | $2,531 | $5,062 | 0.5× |
| Vaginal delivery only (59409) | $464 | $928 | 0.1× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $2,531 | $5,062 | 0.5× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) | $2,531 | $5,062 | 0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $2,531 | $5,062 | 0.5× |
| Vaginectomy, partial removal of vaginal wall; (57106) | $2,137.50 | $4,275 | 0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,137.50 | $4,275 | 1.0× |
| Vasovasostomy vasovasorrhaphy (55400) | $2,137.50 | $4,275 | 0.6× |
| Ventilating tube removal requiring general anesthesia (69424) | $1,743.50 | $3,487 | 0.5× |
| Vulvectomy simple partial (56620) | $2,137.50 | $4,275 | 0.7× |
| Wedge excision skin nail fold (11765) | $1,350.50 | $2,701 | 3.3× |
| Xfer Single Deep Low Leg Tendon (27691) unusually low: confirm this is the full procedure |
$2,924 | $5,848 | 0.4× |
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.