Procedures & surgery prices at Powell Valley Healthcare

Powell, WY · every code in this section with a posted price and a Medicare benchmark.

1288 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines
$846.60–$1,602.17 $996–$1,884.90 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $765.17 $900.20 0.8×
Acetabuloplasty resection femoral head (27122) $8,965.97 $10,548.20 1.2×
Acne surgery (10040) $130.48 $153.50 0.6×
Acromiopl/Acromionect Partial (23130) $3,027.45 $3,561.70 0.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,209.98 $1,423.50 0.6×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,173.88 $2,557.50 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,059.92 $3,599.90 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,121.35 $2,495.70 1.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,782.54 $2,097.10 0.8×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,065.33 $2,429.80 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,648.43 $3,115.80 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,986.54 $2,337.10 0.6×
Amputate Metacarpal Bone (26910) $2,979.34 $3,505.10 0.9×
Amputate Thigh,Re-Amputatn (27596) $4,297.86 $5,056.30 1.3×
Amputation follow-up surgery (27594) $1,712.50 $2,014.70 0.5×
Amputation Foot Midtarsal (28800) $2,691.27 $3,166.20 0.8×
Amputation foot transmetarsal (28805) $2,477.67 $2,914.90 0.7×
Amputation metatarsal with toe single (28810) $1,787.81 $2,103.30 0.5×
Amputation thigh through femur any level (27590) $4,832.76 $5,685.60 1.4×
Amputation toe interphalangeal joint (28825) $1,673.06 $1,968.30 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,952.37 $2,296.90 0.6×
Amputation, leg, through tibia and fibula; (27880) $3,752.41 $4,414.60 0.5×
Anoscopy Ablation Lesion (46615) $916.64 $1,078.40 0.3×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines
$208.34–$225 $245.10–$264.70 varies
Anoscopy remove lesion (46610) $494.70 $582 0.2×
Anoscopy; with biopsy, single or multiple (46606) $314.33 $369.80 0.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $2,871.64 $3,378.40 0.6×
Anterior Tibial Tubercleplasty (27418) $5,660.15 $6,659 0.8×
Appendectomy (44950) $3,395.16 $3,994.30 0.5×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines
$104.21–$109.48 $122.60–$128.80 varies
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines
$218.88–$230.27 $257.50–$270.90 varies
Application Cast Finger (29086) $157.59 $185.40 0.9×
Application finger splint static (29130)
range across 3 matching MRF lines
$123.42–$133.96 $145.20–$157.60 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$183.01–$197.88 $215.30–$232.80 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $429 $504.70 1.5×
Application Long Leg Splint (29505)
range across 3 matching MRF lines
$256.53–$277.53 $301.80–$326.50 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure
$2,303.42 $2,709.90 0.2×
Application of cylinder cast (thigh to ankle) (29365) $348.42 $409.90 1.2×
Application of long leg cast (29345)
range across 2 matching MRF lines
$395.76–$415.91 $465.60–$489.30 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$154.96–$167.20 $182.30–$196.70 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$168.13–$182.07 $197.80–$214.20 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure
$1,657.33 $1,949.80 0.2×
Application, cast; figure-of-eight Facility (29049)
range across 2 matching MRF lines
$344.08–$361.59 $404.80–$425.40 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines
$206.64–$217.09 $243.10–$255.40 varies
Apply long arm cast (29065)
range across 3 matching MRF lines
$281.01–$304.64 $330.60–$358.40 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines
$304.64–$320.45 $358.40–$377 varies
Apply short leg cast (29425)
range across 2 matching MRF lines
$240.81–$253.05 $283.30–$297.70 varies
Arterial puncture (36600)
range across 3 matching MRF lines
$113.82–$126.06 $133.90–$148.30 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $11,129.39 $13,093.40 0.8×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $9,144.64 $10,758.40 0.7×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
unusually low: confirm this is the full procedure
$4,321.49 $5,084.10 0.3×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure
$3,558.02 $4,185.90 0.3×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
unusually low: confirm this is the full procedure
$2,310.47 $2,718.20 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines
$216.24–$231.12 $254.40–$271.90 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines
$247.78–$354.62 $291.50–$417.20 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 6 matching MRF lines
$226.78–$529.72 $266.80–$623.20 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines
$200.52–$231.12 $235.90–$271.90 varies
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure
$5,276.63 $6,207.80 0.4×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure
$1,699.32 $1,999.20 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure
$2,453.19 $2,886.10 0.3×
Arthrodesis Pantalar (28705)
unusually low: confirm this is the full procedure
$6,110.99 $7,189.40 0.3×
Arthrodesis Posterior Interbody Lumbar (22630)
unusually low: confirm this is the full procedure
$10,228.48 $12,033.50 0.4×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $10,228.48 $12,033.50 0.6×
Arthrodesis Posterior/Posterolateral Thoracic (22610)
unusually low: confirm this is the full procedure
$7,387.44 $8,691.10 0.4×
Arthrodesis subtalar (28725)
unusually low: confirm this is the full procedure
$4,068.44 $4,786.40 0.3×
Arthrodesis triple (28715)
unusually low: confirm this is the full procedure
$5,561.21 $6,542.60 0.4×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure
$11,385.92 $13,395.20 0.4×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) $10,462.23 $12,308.50 0.8×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
unusually low: confirm this is the full procedure
$5,196.99 $6,114.10 0.4×
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure
$9,820.48 $11,553.50 0.4×
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure
$7,908.40 $9,304 0.4×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $6,959.38 $8,187.50 0.5×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,534.39 $4,158.10 1.1×
Arthroplasty Patella W/Prosthesis (27438)
unusually low: confirm this is the full procedure
$5,099.83 $5,999.80 0.4×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure
$3,513.39 $4,133.40 0.3×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $4,740.88 $5,577.50 1.4×
Arthroscopy Ankle Surgical Debridement Limited (29897) $4,597.23 $5,408.50 1.4×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,925.73 $4,618.50 1.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $2,398.87 $2,822.20 0.7×
Arthroscopy Knee Osteochondral Allograft (29867) $7,109.06 $8,363.60 0.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $5,713.53 $6,721.80 1.7×
Arthroscopy knee synovectomy limited spx (29875) $4,790.77 $5,636.20 1.4×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,671.69 $5,496.10 1.4×
Arthroscopy shoulder distal claviculectomy (29824) $3,194.73 $3,758.50 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $6,303.60 $7,416 0.9×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $4,289.95 $5,047 1.3×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,389.04 $3,987.10 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $4,790.77 $5,636.20 1.4×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,935.04 $6,982.40 1.8×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $6,287.88 $7,397.50 1.9×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $6,251.07 $7,354.20 0.8×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $5,115.56 $6,018.30 1.5×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $4,676.96 $5,502.30 1.4×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $6,702.85 $7,885.70 0.9×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,687.64 $4,338.40 1.1×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $5,745.92 $6,759.90 0.8×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $4,566.63 $5,372.50 1.4×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,121.20 $3,672 0.9×
Arthrotomy W/Meniscus Repair Knee (27403) $3,846.08 $4,524.80 0.5×
Arthrotomy W/Synovectomy Ankle (27625) $4,281.20 $5,036.70 1.3×
Arthrotomy wrist joint with synovectomy (25105) $3,069.52 $3,611.20 0.9×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $4,723.37 $5,556.90 0.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $12,172.94 $14,321.10 0.9×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $8,510.71 $10,012.60 0.6×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
unusually low: confirm this is the full procedure
$3,389.97 $3,988.20 0.5×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $10,274.04 $12,087.10 1.4×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $7,730.67 $9,094.90 0.6×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $6,457.71 $7,597.30 1.9×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $5,871.97 $6,908.20 1.8×
Arthrs knee debridement/shaving artclr crtlg (29877) $5,108.59 $6,010.10 1.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $7,020.66 $8,259.60 2.1×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $3,305.91 $3,889.30 1.0×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $2,899.69 $3,411.40 0.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,603.02 $1,885.90 1.0×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,003.11 $2,356.60 0.6×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $3,330.39 $3,918.10 1.0×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $979.71 $1,152.60 0.6×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,673.06 $1,968.30 0.5×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $2,104.69 $2,476.10 0.6×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $1,954.15 $2,299 0.6×
Artificial insemination intra-uterine (58322) $435.97 $512.90 2.1×
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines
$1,319.37–$2,293.81 $1,552.20–$2,698.60 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines
$1,272.96–$2,041.70 $1,497.60–$2,402 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$184.71–$194.40 $217.30–$228.70 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$280.16–$288.07 $329.60–$338.90 varies
Axillary lymphadenectomy; complete (38745) $3,656.96 $4,302.30 0.6×
Biopsy Abdominal Mass (49180)
range across 5 matching MRF lines
$711.79–$2,876.06 $837.40–$3,383.60 varies
Biopsy bone open deep (20245) $1,702.89 $2,003.40 0.6×
Biopsy bone open superficial (20240) $939.42 $1,105.20 0.3×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines
$476.26–$804.61 $560.30–$946.60 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 5 matching MRF lines
$378.25–$735.42 $445–$865.20 varies
Biopsy muscle percutaneous needle (20206) $403.58 $474.80 0.2×
Biopsy of breast; open, incisional (19101) $1,132.03 $1,331.80 0.3×
Biopsy of liver, needle; percutaneous (47000)
range across 5 matching MRF lines
$731.09–$805.46 $860.10–$947.60 varies
Biopsy of nerve (64795) $1,136.37 $1,336.90 0.6×
Biopsy of rectum (45100) $1,580.32 $1,859.20 0.6×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,310.62 $1,541.90 0.3×
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines
$252.11–$966.54 $296.60–$1,137.10 varies
Biopsy Soft Tissue Back/Flank Superficial (21920) $308.21 $362.60 0.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,759.76 $2,070.30 0.6×
Biopsy soft tissue neck/thorax (21550) $560.32 $659.20 0.3×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $415.91 $489.30 0.2×
Biopsy Soft Tissue Shoulder Deep (23066) $1,273.90 $1,498.70 0.4×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,994.36 $2,346.30 0.7×
Biopsy Tongue Anterior Two-Thirds (41100) $503.46 $592.30 0.9×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines
$435.12–$457.05 $511.90–$537.70 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $288.92 $339.90 0.3×
Biopsy/removal lymph nodes (38510) $1,273.90 $1,498.70 0.3×
Bladder instillation anticarcinogenic agent (51720) $738.91 $869.30 1.0×
Bladder Irrigation (51700)
range across 3 matching MRF lines
$205.79–$216.24 $242.10–$254.40 varies
Bladder Scan (51798)
range across 4 matching MRF lines
$78.80–$172.47 $92.70–$202.90 varies
Blepharotomy drainage abscess eyelid (67700) $361.59 $425.40 1.1×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$633.85–$685.53 $745.70–$806.50 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure
$2,089.81 $2,458.60 0.3×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure
$1,092.59 $1,285.40 0.1×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines
$621.61–$685.53 $731.30–$806.50 varies
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines
$551.57–$608.52 $648.90–$715.90 varies
Bronchoscopy W/Biopsy(S) (31625) $1,371.90 $1,614 0.8×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,336.03 $1,571.80 0.5×
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines
$1,766.73–$2,363.85 $2,078.50–$2,781 varies
Bx breast needle core w/o imaging guidance spx (19100) $295.04 $347.10 0.2×
Bx Cervix (57500) $429 $504.70 0.5×
Bx/exc lymph node open deep axillary node (38525) $1,361.45 $1,601.70 0.3×
Bx/exc lymph node open superficial (38500) $778.35 $915.70 0.2×
Capsular contracture release (23020) $3,548.41 $4,174.60 1.1×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,336.74 $2,749.10 1.4×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $2,468.91 $2,904.60 0.7×
Capsulorrhaphy Anterior W/Labral Repair (23455) $6,353.50 $7,474.70 0.9×
Carpal Tunnel Surgery (64721) $2,607.21 $3,067.30 1.3×
Carpectomy All Bones Proximal Row (25215) $3,312.88 $3,897.50 1.0×
Catheter aspiration nasotracheal spx (31720)
range across 3 matching MRF lines
$153.26–$175.95 $180.30–$207 varies
Cautery Cervix Electro/Thermal (57510) $486.80 $572.70 0.1×
Cerclage cervix pregnancy vaginal (59320) $1,593.41 $1,874.60 0.5×
Cerv artific diskectomy (22856) $11,425.28 $13,441.50 0.6×
Cervical lymphadenectomy (complete) (38720) $7,123.09 $8,380.10 1.0×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines
$316.03–$787.95 $371.80–$927 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines
$216.24–$233.75 $254.40–$275 varies
Chemodenerv trunk musc 1-5 (64646) $618.12 $727.20 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $562.96 $662.30 1.8×
Chest tube placement (32551)
range across 6 matching MRF lines
$994.59–$1,095.23 $1,170.10–$1,288.50 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines
$440.39–$463.17 $518.10–$544.90 varies
Circumcision Neonate (54160)
range across 2 matching MRF lines
$495.55–$520.97 $583–$612.90 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines
$430.78–$463.17 $506.80–$544.90 varies
Cl Tx Tib Shft Fx W Manip (27752) $2,058.28 $2,421.50 1.3×
Claviculectomy partial (23120) $3,027.45 $3,561.70 0.9×
Clear outer ear canal (69200)
range across 4 matching MRF lines
$190.83–$223.30 $224.50–$262.70 varies
Closed Rx Metacarpal Fx,Percut (26608) $2,460.16 $2,894.30 0.7×
Closed Treat Vert Body Fract (22310) $830.88 $977.50 3.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,372.75 $1,615 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,419.16 $1,669.60 5.6×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $875.50 $1,030 3.5×
Closed tx ankle dislocation w/o anesthesia (27840) $755.57 $888.90 3.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines
$1,947.10–$2,106.47 $2,290.70–$2,478.20 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines
$1,032.24–$1,116.31 $1,214.40–$1,313.30 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $898.28 $1,056.80 3.6×
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines
$1,419.16–$1,535.61 $1,669.60–$1,806.60 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines
$1,032.24–$1,116.31 $1,214.40–$1,313.30 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $2,295.60 $2,700.70 9.1×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,475.26 $1,735.60 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $747.66 $879.60 3.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $878.14 $1,033.10 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $1,232.67 $1,450.20 4.9×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines
$824.76–$892.16 $970.30–$1,049.60 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,167.05 $1,373 4.6×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines
$1,154.81–$1,248.48 $1,358.60–$1,468.80 varies
Closed tx radial head/neck fx w/o manipulation (24650) $388.71 $457.30 1.5×
Closed tx radial shaft fracture w/manipulation (25505) $2,176.51 $2,560.60 1.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $885.11 $1,041.30 3.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines
$2,241.28–$2,423.35 $2,636.80–$2,851 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,182.78 $1,391.50 4.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $802.83 $944.50 3.2×
Closed tx septal&nose fx (21337) $1,519.89 $1,788.10 0.4×
Closed Tx Talus Fracture W/Manipulation (28435) $1,084.77 $1,276.20 0.7×
Closed tx talus fracture w/o manipulation (28430) $911.37 $1,072.20 3.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $515.70 $606.70 2.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $731.94 $861.10 2.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $948.18 $1,115.50 3.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $540.18 $635.50 2.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $641.75 $755 1.2×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $2,878.61 $3,386.60 0.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,057.57 $1,244.20 0.6×
Clsd tx clavicular fracture w/o manipulation (23500) $674.99 $794.10 2.7×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$1,345.64–$1,455.12 $1,583.10–$1,711.90 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$899.98–$973.59 $1,058.80–$1,145.40 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,409.56 $1,658.30 5.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,266.84 $1,490.40 0.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,130.25 $1,329.70 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $766.11 $901.30 3.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $976.23 $1,148.50 3.9×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines
$1,226.55–$1,327.28 $1,443–$1,561.50 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$894.80–$968.32 $1,052.70–$1,139.20 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $667.17 $784.90 2.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $435.12 $511.90 1.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$1,021.70–$1,104.92 $1,202–$1,299.90 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$1,564.51–$1,692.35 $1,840.60–$1,991 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,564.51 $1,840.60 6.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,277.86 $3,856.30 2.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $618.12 $727.20 2.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $380.89 $448.10 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $464.87 $546.90 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $314.33 $369.80 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,224.62 $2,617.20 1.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,142.57 $1,344.20 4.5×
Cltx greater humeral tuberosity fx w/o manj (23620) $963.05 $1,133 3.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,345.64 $1,583.10 0.8×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines
$1,911.23–$2,067.03 $2,248.50–$2,431.80 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines
$1,449–$1,567.15 $1,704.70–$1,843.70 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines
$415.91–$449.14 $489.30–$528.40 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,810.21 $4,482.60 2.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $699.55 $823 2.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$469.29–$506.94 $552.10–$596.40 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,678.33 $1,974.50 1.0×
Cltx Medial Ankle Fx (27760) $935.94 $1,101.10 3.7×
Cltx metacarpal fx w/manipulation each bone (26605) $1,095.23 $1,288.50 4.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $731.94 $861.10 2.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$864.11–$935 $1,016.60–$1,100 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $500.82 $589.20 2.0×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines
$2,110.81–$2,282.42 $2,483.30–$2,685.20 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines
$1,537.40–$1,662.60 $1,808.70–$1,956 varies
Cltx prox fibula/shft fx w/manj (27781) $1,005.98 $1,183.50 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $768.66 $904.30 3.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,664.30 $1,958 1.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines
$1,407.77–$1,522.52 $1,656.20–$1,791.20 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$377.32–$408 $443.90–$480 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,280.87 $1,506.90 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,979.48 $2,328.80 1.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,011.25 $1,189.70 4.0×
Cltx tibial fx proximal w/o manipulation (27530) $711.79 $837.40 2.8×
Cltx tibial shaft fx w/o manipulation (27750) $1,323.79 $1,557.40 5.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,224.62 $2,617.20 1.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,142.57 $1,344.20 4.5×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $4,838.03 $5,691.80 0.9×
Collect Blood From Catheter Venous Nos (36592) $320.45 $377 2.4×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$30.69–$32.39 $36.10–$38.10 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,078.42 $2,445.20 1.7×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,976 $2,324.70 1.6×
Colonoscopy thru stoma (44388) $1,195.10 $1,406 1.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,016.29 $2,372.10 1.6×
Colonoscopy w/ablation (45388) $1,864.82 $2,193.90 1.5×
Colonoscopy w/fb removal (45379) $1,561.03 $1,836.50 1.3×
Colonoscopy w/submucosal inj (45381) $1,786.02 $2,101.20 1.5×
Colpopexy extraperitoneal (57282) $4,660.30 $5,482.70 0.6×
Colporrhaphy (57200) $1,459.45 $1,717 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $714.43 $840.50 2.3×
Colposcopy Cervix Endocervical Curettage (57456) $618.12 $727.20 2.0×
Colposcopy cervix upper/adjacent vagina (57452) $503.46 $592.30 2.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $697.77 $820.90 2.2×
Colposcopy cervix vag eltrd conization cervix (57461) $1,427.07 $1,678.90 0.4×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,086.33 $2,454.50 0.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $707.37 $832.20 0.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,933.07 $2,274.20 1.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,759.76 $2,070.30 1.4×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 3 matching MRF lines
$1,766.73–$2,576.61 $2,078.50–$3,031.30 varies
Combined anteroposterior colporrhaphy; (57260) $3,766.44 $4,431.10 0.7×
Complex drainage wound (10180) $935 $1,100 0.3×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,619.68 $1,905.50 0.5×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines
$395.76–$428.15 $465.60–$503.70 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 5 matching MRF lines
$266.14–$505.16 $313.10–$594.30 varies
Control oropharyngeal hemorrhage simple (42960) $448.29 $527.40 0.8×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $13,521.21 $15,907.30 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 4 matching MRF lines
$161.08–$1,355.24 $189.50–$1,594.40 varies
Correction hammertoe (28285) $1,576.75 $1,855 0.5×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,792.70 $4,462 1.1×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure
$3,164.98 $3,723.50 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure
$2,923.32 $3,439.20 0.4×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure
$3,202.55 $3,767.70 0.4×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $3,814.55 $4,487.70 0.7×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $197.88 $232.80 3.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines
$764.32–$826.46 $899.20–$972.30 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines
$818.64–$859.78 $963.10–$1,011.50 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $942.91 $1,109.30 0.3×
Curettage postpartum (59160) $993.74 $1,169.10 0.3×
Cysto Bladder W/Ureteral Catheterization (52005) $1,167.05 $1,373 0.5×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure
$3,534.39 $4,158.10 0.4×
Cystostomy Cystotomy W/Drainage (51040) $2,831.35 $3,331 1.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,477.67 $2,914.90 1.2×
Cystourethroscopy (52000) $634.78 $746.80 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $227.63 $267.80 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,076.72 $2,443.20 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,441.09 $1,695.40 2.0×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,416.53 $1,666.50 2.0×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $2,747.29 $3,232.10 0.8×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,771.15 $2,083.70 0.5×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $2,885.67 $3,394.90 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,076.87 $1,266.90 1.4×
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$122.57–$128.69 $144.20–$151.40 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$1,291.41–$1,429.70 $1,519.30–$1,682 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$673.29–$693.43 $792.10–$815.80 varies
Declot vascular device (36593) $249.56 $293.60 0.7×
Decomp forearm,1 compart,w/o debride (25020) $2,158.15 $2,539 1.3×
Decompress Fingers/Hand (26035) $4,669.90 $5,494 1.4×
Decompress Spinal Cord Lmbr (63056) $9,928.17 $11,680.20 1.3×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $2,587.15 $3,043.70 0.8×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $1,870.94 $2,201.10 0.6×
Decompression of tibia nerve (28035) $2,985.46 $3,512.30 1.5×
Decompressive fasciotomy hand (26037) $2,003.11 $2,356.60 0.6×
Deep Muscle Biopsy (20205) $1,024.34 $1,205.10 0.3×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,631.92 $1,919.90 0.8×
Delivery of placenta (59414) $640.90 $754 0.2×
Destroy cerv/thor facet jnt (64633) $2,334.95 $2,747 1.2×
Destroy lumb/sac facet jnt (64635) $2,200.99 $2,589.40 1.1×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$147.99–$155.81 $174.10–$183.30 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines
$344.08–$361.59 $404.80–$425.40 varies
Destruction by neurolytic agent, intercostal nerve (64620) $761.69 $896.10 0.8×
Destruction by neurolytic agent; plantar common digital nerve (64632) $642.60 $756 2.0×
Destruction Lesions Vulva Extensive (56515)
range across 2 matching MRF lines
$1,146.91–$1,204.71 $1,349.30–$1,417.30 varies
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines
$418.46–$439.54 $492.30–$517.10 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $232.05 $273 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $2,816.48 $3,313.50 1.4×
Destruction of skin lesions (17106) $750.30 $882.70 1.8×
Destruction Premalignant Lesion 15/> (17004) $435.97 $512.90 1.0×
Destruction premalignant lesion 1st (17000) $252.11 $296.60 1.2×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$365.08–$1,355.24 $429.50–$1,594.40 varies
Diaphragm or cervical cap fitting with instructions (57170) $130.48 $153.50 0.6×
Dilat rct strix spx under anes oth/thn local (45910) $879.92 $1,035.20 0.7×
Dilate Esophagus 1/Mult Pass (43450) $478.04 $562.40 0.5×
Dilation & curettage dx&/ther nonobstetric (58120) $948.18 $1,115.50 0.3×
Disarticulation At Knee (27598) $5,243.40 $6,168.70 1.6×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $8,104.50 $9,534.70 1.1×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $3,530.90 $4,154 0.6×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines
$548.93–$559.47 $645.80–$658.20 varies
Drain Hand Tendon Sheath (26020) $2,003.11 $2,356.60 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines
$337.96–$365.93 $397.60–$430.50 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines
$1,090.04–$1,145.12 $1,282.40–$1,347.20 varies
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines
$354.62–$383.44 $417.20–$451.10 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines
$427.21–$462.23 $502.60–$543.80 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$346.72–$356.32 $407.90–$419.20 varies
Drainage of hydrocele (55000) $77.01 $90.60 0.1×
Drainage of rectal abscess (45005) $785.32 $923.90 0.6×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines
$389.64–$393.13 $458.40–$462.50 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines
$332.69–$358.96 $391.40–$422.30 varies
Draw Blood Off Venous Device (36591) $320.45 $377 2.4×
Dressing Change Under Anesthesia (15852)
range across 2 matching MRF lines
$180.37–$189.13 $212.20–$222.50 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $326.57 $384.20 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines
$525.30–$567.29 $618–$667.40 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$273.19–$295.04 $321.40–$347.10 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$200.52–$253.90 $235.90–$298.70 varies
Dstrj lesion anus simple surg excision (46922) $1,856.06 $2,183.60 0.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $225.85 $265.70 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $683.74 $804.40 0.8×
Dx Bone Marrow Bx & Aspir (38222)
range across 4 matching MRF lines
$857.99–$945.54 $1,009.40–$1,112.40 varies
Dx Bronchoscope/Wash (31622) $1,111.04 $1,307.10 0.6×
Dx Laryngoscopy Excl Nb (31525) $993.74 $1,169.10 0.5×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines
$573.50–$781.83 $674.70–$919.80 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines
$1,179.29–$1,828.01 $1,387.40–$2,150.60 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines
$1,387.71–$1,655.55 $1,632.60–$1,947.70 varies
Egd control bleeding any (43255) $1,782.54 $2,097.10 0.9×
Egd dilation gastric/duodenal stricture (43245) $1,258.09 $1,480.10 0.6×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines
$1,361.45–$1,954.15 $1,601.70–$2,299 varies
Egd guide wire insertion (43248) $1,310.62 $1,541.90 1.4×
Egd place gastrostomy tube (43246) $1,860.48 $2,188.80 0.9×
Egd remove lesion snare (43251) $1,348.27 $1,586.20 0.7×
Emblc/thrmbc ax brach innominate subcla art (34101)
unusually low: confirm this is the full procedure
$1,889.30 $2,222.70 0.3×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $3,997.55 $4,703 0.7×
Endocervical curettage (57505) $485.01 $570.60 0.5×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $2,674.70 $3,146.70 0.5×
Endometrial Biopsy (58100) $253.05 $297.70 1.2×
Endoscopy upper small intestine w/biopsy (44361) $1,231.82 $1,449.20 0.6×
Enterorrhaphy single perforation (44602) $4,592.04 $5,402.40 1.2×
Epidural Blood Patch (62273) $880.77 $1,036.20 1.2×
Episiotomy or vaginal repair (59300) $926.25 $1,089.70 0.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,047.12 $1,231.90 0.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $787.10 $926 0.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines
$920.13–$1,828.01 $1,082.50–$2,150.60 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,099.65 $1,293.70 0.6×
Evacuate mole of uterus (59870) $1,648.58 $1,939.50 0.5×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$171.62–$175.95 $201.90–$207 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,672.21 $1,967.30 1.0×
Exc abdl tum deep 5 cm/> (22901) $1,759.76 $2,070.30 0.6×
Exc arm/elbow les sc < 3 cm (24075) $1,130.25 $1,329.70 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $308.21 $362.60 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines
$805.46–$845.75 $947.60–$995 varies
Exc Back Les Sc < 3 Cm (21930) $2,271.97 $2,672.90 1.3×
Exc Back Tum Deep 5 Cm/> (21933) $2,764.80 $3,252.70 0.9×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
unusually low: confirm this is the full procedure
$2,911.93 $3,425.80 0.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,830.65 $2,153.70 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,019.07 $1,198.90 1.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,293.96 $1,522.30 1.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,842.04 $2,167.10 1.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $410.64 $483.10 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
$425.51–$447.36 $500.60–$526.30 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $610.22 $717.90 0.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $661.90 $778.70 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $879.92 $1,035.20 0.5×
Exc Forearm Les Sc 3 Cm/> (25071) $2,292.03 $2,696.50 1.4×
Exc Frenum Labial/Buccal (40819) $496.40 $584 0.3×
Exc ganglion wrist recurrent (25112) $1,973.36 $2,321.60 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$323.09–$330.06 $380.10–$388.30 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $382.59 $450.10 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines
$464.87–$488.50 $546.90–$574.70 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,337.73 $1,573.80 0.8×
Exc hand tum deep < 1.5 cm (26116) $2,138.01 $2,515.30 1.3×
Exc hydrocele sprmatic cord uni spx (55500) $1,414.83 $1,664.50 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,466.51 $1,725.30 0.9×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,019.07 $1,198.90 0.6×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $749.45 $881.70 0.2×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,224.62 $2,617.20 1.1×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,939.05 $3,457.70 1.5×
Exc Rct Tum Not Incl Muscularis Propria (45171) $3,461.71 $4,072.60 1.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $443.02 $521.20 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines
$799.34–$839.63 $940.40–$987.80 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $991.95 $1,167 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$822.12–$863.26 $967.20–$1,015.60 varies
Exc Skin Benig >4cm Face,Facial (11446) $1,104.92 $1,299.90 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,128.55 $1,327.70 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,315.04 $1,547.10 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,167.05 $1,373 0.7×
Exc tendon shth lesion leg/ankle (27630) $1,758.91 $2,069.30 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $2,269.33 $2,669.80 0.8×
Exc thigh/knee tum dep 5cm/> (27339) $4,359.14 $5,128.40 1.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $316.97 $372.90 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $355.47 $418.20 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$364.23–$382.59 $428.50–$450.10 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $625.09 $735.40 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,426.92 $2,855.20 0.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,190.68 $1,400.80 0.7×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,851.73 $2,178.50 1.1×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,947.10 $2,290.70 0.7×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,061.85 $2,425.70 0.7×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,989.88 $3,517.50 1.0×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,064.40 $2,428.70 0.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,669.57 $1,964.20 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,320.22 $1,553.20 0.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,673.06 $1,968.30 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,111.89 $1,308.10 0.7×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $3,504.64 $4,123.10 1.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,043.63 $1,227.80 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,662.37 $3,132.20 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,088.26 $1,280.30 0.6×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $3,653.47 $4,298.20 1.2×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,254.60 $1,476 0.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $2,710.57 $3,188.90 0.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,808.80 $2,128 0.6×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure
$2,161.64 $2,543.10 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,479.60 $1,740.70 0.4×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,336.03 $1,571.80 0.8×
Excis Mouth Mucosa/Sub,No Repair (40810) $166.35 $195.70 0.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $464.02 $545.90 0.3×
Excise intraspinal lesion (63267) $8,649.94 $10,176.40 1.2×
Excise Wrist Tendon Sheath (25118) $2,772.70 $3,262 1.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $625.09 $735.40 0.9×
Excision Bone Mandible (21025) $3,297.15 $3,879 0.5×
Excision Distal Ulna Partial/Complete (25240) $2,414.60 $2,840.70 0.7×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,864.67 $3,370.20 1.0×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,775.48 $2,088.80 0.6×
Excision lesion meniscus/capsule knee (27347) $5,374.72 $6,323.20 1.6×
Excision lesion tendon sheath forearm&/wrist (25110) $1,969.88 $2,317.50 1.2×
Excision Lesion Tongue W/O Closure (41110) $216.24 $254.40 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $415.91 $489.30 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $524.45 $617 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $636.48 $748.80 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $834.36 $981.60 1.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $655.78 $771.50 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,566.30 $1,842.70 0.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $554.20 $652 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $772.23 $908.50 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $911.37 $1,072.20 1.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,115.37 $1,312.20 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $316.97 $372.90 0.1×
Excision of bartholin's gland or cyst (56740) $2,400.66 $2,824.30 0.7×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $3,002.97 $3,532.90 0.9×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
unusually low: confirm this is the full procedure
$2,571.34 $3,025.10 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,851.73 $2,178.50 1.1×
Excision of hydrocele; unilateral (55040) $1,889.30 $2,222.70 0.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,372.75 $1,615 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $1,056.72 $1,243.20 0.4×
Excision of single external papilla or tag, anus (46220) $521.82 $613.90 0.4×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines
$948.18–$996.29 $1,115.50–$1,172.10 varies
Excision of vaginal septum (57130)
range across 2 matching MRF lines
$1,310.62–$1,376.32 $1,541.90–$1,619.20 varies
Excision olecranon bursa (24105) $1,740.46 $2,047.60 0.5×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $4,267.17 $5,020.20 1.3×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $2,687.79 $3,162.10 0.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,800.75 $3,295 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines
$2,221.99–$2,333.25 $2,614.10–$2,745 varies
Excision prepatellar bursa (27340) $2,666.79 $3,137.40 0.8×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $5,392.23 $6,343.80 0.8×
Excision tendon palm flexor/extensor single each (26170) $1,715.98 $2,018.80 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,957.64 $2,303.10 1.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,079.50 $1,270 0.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,327.28 $1,561.50 0.8×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,356.18 $1,595.50 0.8×
Excision, interdigital (morton) neuroma, single, each (28080) $1,614.41 $1,899.30 1.0×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $2,614.26 $3,075.60 1.2×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $2,580.09 $3,035.40 0.9×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $2,081.06 $2,448.30 1.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,345.64 $1,583.10 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,033.94 $1,216.40 0.6×
Excision/curettage cyst/tumor carpal bones (25130) $2,400.66 $2,824.30 0.7×
Excision/curettage cyst/tumor phalanx finger (26210) $1,877.99 $2,209.40 1.1×
Excision/destruction intranasal lesion int appr (30117) $1,004.19 $1,181.40 0.3×
Excision; trochanteric bursa or calcification (27062) $1,990.02 $2,341.20 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $2,566.07 $3,018.90 1.2×
Explo/Drain Breast Abscess (19020) $1,025.19 $1,206.10 0.6×
Exploration of knee joint (27310) $4,774.96 $5,617.60 1.4×
Exploration of spinal fusion (22830) $10,715.27 $12,606.20 1.4×
Exploration penetrating wound spx chest (20101) $993.74 $1,169.10 0.5×
Exploration penetrating wound spx extremity (20103) $1,815.77 $2,136.20 1.1×
Exploration Penetrating Wound Spx Neck (20100) $3,380.28 $3,976.80 6.1×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $3,653.47 $4,298.20 0.6×
Exploratory elbow surgery (24000) $3,513.39 $4,133.40 1.1×
Explore treat shoulder joint (23107)
unusually low: confirm this is the full procedure
$3,195.58 $3,759.50 0.4×
Explore/Treat Hand Joint (26070) $2,003.11 $2,356.60 1.2×
Explore/Treat Knee Joint (27331) $3,640.30 $4,282.70 1.1×
Explore/Treat Wrist Joint (25040) $2,834.84 $3,335.10 0.8×
External cephalic version (59412)
range across 2 matching MRF lines
$626.03–$911.37 $736.50–$1,072.20 varies
Fasciectomy Palm Only (26121) $2,970.58 $3,494.80 0.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,724.74 $2,029.10 0.5×
Fasciotomy Iliotibial Open (27305) $1,829.80 $2,152.70 0.5×
Fasciotomy palmar open partial (26045) $1,976 $2,324.70 0.6×
Fasciotomy Plantar Fascia Radical Spx (28062) $2,113.44 $2,486.40 0.6×
Fasciotomy, foot and/or toe (28008) $1,057.57 $1,244.20 0.3×
Fasciotomy, hip or thigh, any type (27025) $3,849.57 $4,528.90 1.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $5,003.53 $5,886.50 1.5×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines
$322.15–$657.48 $379–$773.50 varies
Fetal non-stress test (59025)
range across 6 matching MRF lines
$76.16–$345.87 $89.60–$406.90 varies
Fine needle aspiration without imaging guidance (10021) $316.03 $371.80 0.8×
Finger tendon transfer (26497) $4,409.89 $5,188.10 1.3×
Fluid Pressure Muscle (20950) $757.35 $891 1.0×
Fna bx w/us gdn 1st les (10005)
range across 6 matching MRF lines
$222.36–$532.27 $261.60–$626.20 varies
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $3,164.98 $3,723.50 1.5×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,105.62 $2,477.20 1.0×
Fuse hand bones with graft (25825) $5,379.99 $6,329.40 0.7×
Fusion Finger Joint (26860) $2,483.79 $2,922.10 0.7×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure
$2,967.10 $3,490.70 0.4×
Fusion of hand bones (25820) $3,951.99 $4,649.40 0.5×
Fusion of hand joint (26843)
unusually low: confirm this is the full procedure
$3,224.48 $3,793.50 0.4×
Fusion of knuckle joint (26516) $3,083.55 $3,627.70 0.9×
Gastrocnemius recession (27687) $2,143.19 $2,521.40 0.6×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,935.42 $4,629.90 1.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $2,711.42 $3,189.90 1.4×
Guide Cathet Fluid Drainage (10030)
range across 6 matching MRF lines
$140.08–$1,395.53 $164.80–$1,641.80 varies
Hand tendon reconstruction (26500)
likely a partial charge, not the full procedure
$2,064.40 $2,428.70 0.3×
Hemiarthroplasty hip partial (27125) $8,650.79 $10,177.40 0.7×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,093.30 $2,462.70 0.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,310.62 $1,541.90 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,224.62 $2,617.20 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $527.09 $620.10 0.6×
Hip arthro w/labral repair (29916) $6,303.60 $7,416 0.9×
Hysteroscopy Biopsy (58558) $2,686 $3,160 0.8×
Hysteroscopy Dx Sep Proc (58555) $1,501.53 $1,766.50 0.5×
Hysteroscopy Endometrial Ablation (58563) $2,808.57 $3,304.20 0.5×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $2,714.05 $3,193 0.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,067.74 $3,609.10 0.9×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,029.94 $4,741.10 0.8×
I&d abscess peritonsillar (42700) $478.04 $562.40 2.0×
I&d abscess simple (10060)
range across 6 matching MRF lines
$265.29–$470.99 $312.10–$554.10 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,336.03 $1,571.80 0.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,674.84 $1,970.40 0.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,391.20 $1,636.70 0.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,420.10 $1,670.70 0.4×
I&D Intramural Im/Absc Transanal Anes (46045) $786.17 $924.90 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,224.62 $2,617.20 0.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,541.73 $1,813.80 0.5×
I&d perianal abscess superficial (46050) $689.86 $811.60 0.7×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines
$656.63–$689.86 $772.50–$811.60 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$227.63–$233.75 $267.80–$275 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $1,290.47 $1,518.20 0.4×
Image Cath Fluid Colxn Visc (49405)
range across 4 matching MRF lines
$604.10–$805.46 $710.70–$947.60 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$266.14–$288.07 $313.10–$338.90 varies
Incise finger tendon sheath (26055) $1,737.91 $2,044.60 1.1×
Incision & drainage abscess complicated/multiple (10061) $583.10 $686 1.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,669.57 $1,964.20 0.6×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$710.94–$746.81 $836.40–$878.60 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$280.16–$288.07 $329.60–$338.90 varies
Incision and drainage of bartholin's gland abscess (56420) $337.96 $397.60 1.6×
Incision and drainage of vulva or perineal abscess (56405) $478.04 $562.40 1.5×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $6,319.33 $7,434.50 0.9×
Incision bone cortex foot (28005) $1,912.08 $2,249.50 0.6×
Incision extensor tendon sheath wrist (25000) $1,788.66 $2,104.30 1.1×
Incision of fibula (27707) $2,143.19 $2,521.40 0.6×
Incision of Foot Tendon (28234) $611.07 $718.90 0.4×
Incision of hip tendon (27001) $1,927.89 $2,268.10 0.6×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines
$478.04–$507.79 $562.40–$597.40 varies
Incision of rectal abscess (46040) $786.17 $924.90 0.6×
Incision&drainage bursa foot (28001) $498.19 $586.10 0.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,290.47 $1,518.20 0.8×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $2,790.21 $3,282.60 0.8×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines
$266.14–$280.16 $313.10–$329.60 varies
Initial Tx 1st Degree Burn Local Tx (16000) $136.60 $160.70 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,070.75 $1,259.70 1.2×
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines
$69.19–$567.29 $81.40–$667.40 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,606.59 $1,890.10 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines
$216.24–$222.36 $254.40–$261.60 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,533.91 $1,804.60 1.7×
Injection aa&/strd genicular nrv branches w/img (64454) $1,251.97 $1,472.90 1.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $509.58 $599.50 0.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $843.12 $991.90 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,284.35 $1,511 1.8×
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,003.34 $1,180.40 3.2×
Injection anesthetic agent suprascapular nerve (64418) $765.17 $900.20 1.1×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines
$500.82–$513.91 $589.20–$604.60 varies
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines
$216.24–$226.78 $254.40–$266.80 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$227.63–$238.17 $267.80–$280.20 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$370.35–$387.86 $435.70–$456.30 varies
Injection therapeutic carpal tunnel (20526) $154.96 $182.30 0.5×
Injection, anesthetic agent; brachial plexus, single (64415) $1,296.59 $1,525.40 1.4×
Injection, anesthetic agent; femoral nerve, single (64447) $724.03 $851.80 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines
$155.81–$162.86 $183.30–$191.60 varies
Injection, Intralesional; More Than 7 Lesions (11901) $157.59 $185.40 0.8×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines
$117.30–$118.24 $138–$139.10 varies
Insert and remove bone pin (20650) $531.42 $625.20 0.2×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines
$376.47–$797.56 $442.90–$938.30 varies
Insert cath pleura w/o image (32556) $1,425.28 $1,676.80 0.7×
Insert cervical dilator (59200) $433.42 $509.90 1.4×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines
$341.45–$358.96 $401.70–$422.30 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$708.31–$750.30 $833.30–$882.70 varies
Insert pessary/other device (57160) $207.49 $244.10 1.0×
Insert Temp Bladder Cath (51702) $171.62 $201.90 1.3×
Insert tunneled cv cath (36561) $1,905.11 $2,241.30 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $137.45 $161.70 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 6 matching MRF lines
$414.97–$1,444.58 $488.20–$1,699.50 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure
$591.01 $695.30 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$768.66–$955.15 $904.30–$1,123.70 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,208.90 $2,598.70 0.7×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure
$3,094.94 $3,641.10 0.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$1,301.01–$1,406.92 $1,530.60–$1,655.20 varies
Int hrhc by ligation single hroid w/o img gdn (46945) $449.99 $529.40 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines
$1,256.39–$1,319.37 $1,478.10–$1,552.20 varies
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines
$403.58–$966.54 $474.80–$1,137.10 varies
Irrigation of corpora cavernosa for priapism (54220) $753.78 $886.80 3.0×
Island pedicle flap graft (15740) $3,785.65 $4,453.70 1.8×
Knee arthroscopy/drainage (29871) $3,834.69 $4,511.40 1.1×
Knee Arthroscopy/Surgery (29874) $3,330.39 $3,918.10 1.0×
Lam facetec & foramot lumbar (63047) $9,488.64 $11,163.10 1.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $9,745.17 $11,464.90 1.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $8,499.32 $9,999.20 1.1×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) $8,743.61 $10,286.60 1.2×
Laminotomy Single Lumbar (63042) $8,819.77 $10,376.20 1.2×
Laparo-vag hyst incl t/o (58552) $6,180.18 $7,270.80 0.6×
Laparoscopic myomectomy (58545) $4,675.17 $5,500.20 0.8×
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure
$2,723.66 $3,204.30 0.4×
Laparoscopy Enterolysis Separate Procedure (44180) $3,755.90 $4,418.70 0.6×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure
$2,379.58 $2,799.50 0.4×
Laparoscopy gastrostomy (43653) $4,231.30 $4,978 0.7×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure
$2,735.05 $3,217.70 0.4×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $6,512.87 $7,662.20 0.6×
Laparoscopy W/Lysis Of Adhesions (58660) $3,330.39 $3,918.10 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $3,466.13 $4,077.80 0.6×
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371)
unusually low: confirm this is the full procedure
$3,654.32 $4,299.20 0.3×
Laparoscopy, surgical, appendectomy (44970) $3,921.39 $4,613.40 0.6×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure
$4,315.37 $5,076.90 0.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure
$5,217.13 $6,137.80 0.5×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $5,407.11 $6,361.30 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,428.10 $6,386 0.9×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $6,781.64 $7,978.40 0.6×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure
$2,368.27 $2,786.20 0.4×
Laparoscopy, Tubal Block (58671)
unusually low: confirm this is the full procedure
$2,584.51 $3,040.60 0.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure
$2,713.20 $3,192 0.4×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,330.39 $3,918.10 0.5×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $5,817.74 $6,844.40 0.5×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $5,625.98 $6,618.80 0.9×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $3,537.02 $4,161.20 0.6×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $7,227.30 $8,502.70 0.7×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines
$247.78–$267.92 $291.50–$315.20 varies
Laryngoscopy flexible diagnostic (31575) $462.23 $543.80 2.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $686.38 $807.50 1.7×
Late closure of wound (13160)
range across 2 matching MRF lines
$1,203.86–$1,978.63 $1,416.30–$2,327.80 varies
Lateral retinacular release open (27425) $4,316.22 $5,077.90 1.3×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $4,715.46 $5,547.60 1.5×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $8,343.52 $9,815.90 0.6×
Ligamentous Reconstruction Knee Extra-Articular (27427) $5,906.14 $6,948.40 0.8×
Ligamentous reconstruction knee intra-articular (27428)
unusually low: confirm this is the full procedure
$6,102.24 $7,179.10 0.5×
Ligate/strip short leg vein (37718) $1,926.95 $2,267 0.6×
Ligation Major Artery Abdomen (37617) $5,089.29 $5,987.40 0.9×
Ligation of hemorrhoids (46946) $569.08 $669.50 0.2×
Ligation or biopsy temporal artery (37609) $914.94 $1,076.40 0.5×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,182.78 $1,391.50 0.4×
Low Back Disk Surgery (63030) $7,621.27 $8,966.20 1.0×
Lsh uterus 250 g or less (58541)
unusually low: confirm this is the full procedure
$5,274 $6,204.70 0.5×
Lsh w/t/o uterus above 250 g (58544) $6,591.67 $7,754.90 0.6×
Lumbar spine fusion combined (22633)
unusually low: confirm this is the full procedure
$13,570.25 $15,965 0.5×
Lysis of labial adhesions (56441) $545.45 $641.70 0.2×
Manipulation Ankle Under General Anesthesia (27860) $864.11 $1,016.60 0.3×
Manipulation Elbow Under Anesthesia (24300) $1,586.44 $1,866.40 1.0×
Manipulation hip joint general anesthesia (27275) $1,871.79 $2,202.10 1.1×
Manipulation knee joint under general anesthesia (27570) $1,183.71 $1,392.60 0.7×
Manipulation wrist under anesthesia (25259) $882.47 $1,038.20 0.5×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,168.84 $1,375.10 0.7×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,201.22 $1,413.20 0.7×
Marsupialization of bartholin's gland cyst (56440) $1,019.07 $1,198.90 0.3×
Mast mod rad (19307) $5,018.40 $5,904 0.7×
Mastectomy for gynecomastia (19300) $2,288.54 $2,692.40 0.6×
Mastectomy partial (19301) $1,922.62 $2,261.90 0.5×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure
$3,347.05 $3,937.70 0.5×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $5,007.86 $5,891.60 2.4×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $6,229.23 $7,328.50 0.8×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $5,784.42 $6,805.20 1.6×
Muscle-skin graft trunk (15734) $6,709.82 $7,893.90 1.9×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines
$945.54–$1,422.73 $1,112.40–$1,673.80 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines
$945.54–$1,357.03 $1,112.40–$1,596.50 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines
$945.54–$1,357.03 $1,112.40–$1,596.50 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 2 matching MRF lines
$945.54–$1,313.25 $1,112.40–$1,545 varies
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $2,477.67 $2,914.90 0.7×
N Block Inj Ilio-Ing/Hypogi (64425) $1,054.09 $1,240.10 1.5×
N block inj intercost sng (64420) $1,199.44 $1,411.10 1.7×
N Block Inj Paracervical (64435) $984.98 $1,158.80 1.4×
N Block Inj Plantar Digit (64455) $724.03 $851.80 2.3×
N Block Inj Pudendal (64430) $861.48 $1,013.50 1.0×
N Block Lumbar/Thoracic (64520) $2,768.37 $3,256.90 3.1×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$266.14–$288.07 $313.10–$338.90 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $3,575.53 $4,206.50 2.2×
Neck spine disk surgery (63020) $8,104.50 $9,534.70 1.1×
Neck spine fusion (22600)
unusually low: confirm this is the full procedure
$8,122.86 $9,556.30 0.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$435.97–$548.08 $512.90–$644.80 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $89.34 $105.10 3.0×
Needle insertion w/o injection 3 or more muscles (20561) $135.75 $159.70 4.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,678.89 $4,328.10 1.8×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $3,499.37 $4,116.90 1.8×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $3,256.86 $3,831.60 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $919.28 $1,081.50 2.2×
Nipple Exploration (19110) $1,466.51 $1,725.30 0.4×
Njx anes stellate ganglion crv sympathetic (64510) $966.54 $1,137.10 1.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines
$854.51–$937.64 $1,005.30–$1,103.10 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines
$608.52–$1,036.58 $715.90–$1,219.50 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,415.68 $1,665.50 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines
$801.13–$1,545.30 $942.50–$1,818 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines
$781.83–$1,226.55 $919.80–$1,443 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,554.06 $1,828.30 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines
$597.98–$764.32 $703.50–$899.20 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $209.27 $246.20 0.5×
Njx Sclrsnt Spider Veins (36468) $216.24 $254.40 0.5×
Occipital Nerve Block (64405)
range across 3 matching MRF lines
$830.88–$855.36 $977.50–$1,006.30 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $2,407.63 $2,832.50 0.7×
Open biopsy/excision inguinofemoral nodes (38531) $1,361.45 $1,601.70 0.3×
Open bone biopsy (20251)
likely a partial charge, not the full procedure
$2,127.47 $2,502.90 0.3×
Open bowel to skin (44300) $3,058.13 $3,597.80 1.6×
Open Repair of Rotator Cuff Acute (23410) $4,567.48 $5,373.50 0.6×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) $10,075.22 $11,853.20 0.8×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $9,893.15 $11,639 0.8×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure
$3,667.50 $4,314.70 0.5×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure
$3,567.71 $4,197.30 0.5×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure
$5,526.19 $6,501.40 0.4×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure
$4,611.25 $5,425 0.4×
Open treatment greater trochanteric fracture (27248) $4,029.09 $4,740.10 0.5×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
unusually low: confirm this is the full procedure
$3,505.49 $4,124.10 0.5×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure
$3,466.98 $4,078.80 0.3×
Open Treatment Lunate Dislocation (25695)
unusually low: confirm this is the full procedure
$2,512.69 $2,956.10 0.3×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure
$2,667.64 $3,138.40 0.4×
Open treatment metacarpophalangeal dislocation (26715) $2,483.79 $2,922.10 0.7×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure
$2,174.73 $2,558.50 0.3×
Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) $13,554.53 $15,946.50 1.8×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
unusually low: confirm this is the full procedure
$3,310.24 $3,894.40 0.4×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $4,000.19 $4,706.10 0.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure
$3,192.94 $3,756.40 0.4×
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) $5,646.13 $6,642.50 0.8×
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) $7,831.39 $9,213.40 1.1×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $5,988.42 $7,045.20 0.8×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $7,070.56 $8,318.30 1.0×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $7,860.21 $9,247.30 0.6×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
unusually low: confirm this is the full procedure
$5,863.22 $6,897.90 0.4×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $4,574.53 $5,381.80 0.6×
Open Treatment of Ulnar Shaft Fracture (25545)
unusually low: confirm this is the full procedure
$3,270.89 $3,848.10 0.4×
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure
$2,309.54 $2,717.10 0.3×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure
$2,607.21 $3,067.30 0.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
unusually low: confirm this is the full procedure
$2,612.48 $3,073.50 0.4×
Open Treatment Proximal Humeral Fracture (23615)
unusually low: confirm this is the full procedure
$4,469.47 $5,258.20 0.3×
Open Treatment Radial Shaft Fracture (25515)
unusually low: confirm this is the full procedure
$3,270.89 $3,848.10 0.4×
Open tx acute shoulder dislocation (23660) $4,609.55 $5,423 0.6×
Open Tx Acute/Chronic Elbow Dislocation (24615)
unusually low: confirm this is the full procedure
$3,291.03 $3,871.80 0.4×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,046.74 $3,584.40 0.9×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $2,212.38 $2,602.80 0.7×
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure
$3,063.40 $3,604 0.4×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $2,783.24 $3,274.40 0.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure
$2,836.62 $3,337.20 0.4×
Open Tx Distal Phalangeal Fracture Each (26765) $1,856.91 $2,184.60 0.6×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
unusually low: confirm this is the full procedure
$2,360.37 $2,776.90 0.3×
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure
$2,641.38 $3,107.50 0.4×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $7,011.91 $8,249.30 0.5×
Open tx femoral supracondylar fracture w/o xtn (27511)
unusually low: confirm this is the full procedure
$6,180.18 $7,270.80 0.5×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,482.23 $1,743.80 0.4×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure
$2,915.42 $3,429.90 0.2×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure
$3,537.02 $4,161.20 0.3×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $4,965.87 $5,842.20 0.7×
Open tx interphalangeal joint dislocation (26785) $1,856.91 $2,184.60 0.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,550.34 $3,000.40 0.8×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,316.59 $2,725.40 0.7×
Open Tx Radial Head/Neck Fracture (24665)
unusually low: confirm this is the full procedure
$2,917.20 $3,432 0.4×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure
$3,615.82 $4,253.90 0.3×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670)
unusually low: confirm this is the full procedure
$2,948.65 $3,469 0.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
unusually low: confirm this is the full procedure
$2,559.10 $3,010.70 0.3×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $4,982.45 $5,861.70 0.7×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $4,277.71 $5,032.60 0.6×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure
$3,027.45 $3,561.70 0.4×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure
$3,132.51 $3,685.30 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $3,952.93 $4,650.50 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $6,358.77 $7,480.90 0.9×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure
$3,765.50 $4,430 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
unusually low: confirm this is the full procedure
$4,721.58 $5,554.80 0.4×
Orchiopexy Ingun/Scrot Appr (54640) $2,520.59 $2,965.40 0.7×
Ostc prtl exostc/condylc metar head (28288) $1,583.81 $1,863.30 0.5×
Ostectomy calcaneus (28118) $2,510.05 $2,953 0.8×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,679.18 $1,975.50 0.5×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,872.72 $2,203.20 0.6×
Ostectomy, complete excision; first metatarsal head (28111) $1,722.10 $2,026 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,653.85 $1,945.70 0.5×
Osteochondral allograft knee open (27415) $8,598.26 $10,115.60 0.7×
Osteochondral knee autograft (27416) $6,739.57 $7,928.90 0.9×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,741.40 $2,048.70 0.5×
Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140)
unusually low: confirm this is the full procedure
$3,208.75 $3,775 0.4×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure
$2,798.12 $3,291.90 0.4×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $11,819.25 $13,905 1.6×
Osteotomy Phalanx Finger Each (26567) $2,336.74 $2,749.10 0.7×
Osteotomy radius distal third (25350)
unusually low: confirm this is the full procedure
$3,664.86 $4,311.60 0.5×
Osteotomy Tibia (27705) $4,051.78 $4,766.80 0.5×
Osteotomy Ulna (25360)
unusually low: confirm this is the full procedure
$3,316.36 $3,901.60 0.4×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
unusually low: confirm this is the full procedure
$2,584.51 $3,040.60 0.3×
Ovarian cystectomy, unilateral or bilateral (58925) $3,660.44 $4,306.40 0.7×
Parathyroidectomy or exploration of parathyroid(s); (60500) $6,206.45 $7,301.70 1.0×
Part exc bone femur prox tibia (27360) $3,719.09 $4,375.40 1.1×
Part remv talus or calcaneus (28120) $2,331.47 $2,742.90 0.7×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184)
unusually low: confirm this is the full procedure
$3,513.39 $4,133.40 0.5×
Partial excision bone clavicle (23180)
unusually low: confirm this is the full procedure
$2,482.09 $2,920.10 0.3×
Partial Excision Bone Humerus (24140) $3,831.21 $4,507.30 1.1×
Partial excision bone metacarpal (26230) $2,008.38 $2,362.80 0.6×
Partial Excision Bone Ulna (25150) $3,309.39 $3,893.40 1.0×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines
$1,828.95–$1,977.78 $2,151.70–$2,326.80 varies
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,058.28 $2,421.50 1.3×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $4,168.23 $4,903.80 1.2×
Partial removal of fibula (27641) $3,670.98 $4,318.80 1.1×
Partial removal of rib (21600)
unusually low: confirm this is the full procedure
$2,363.85 $2,781 0.3×
Partial removal of thyroid (60220) $5,428.10 $6,386 0.9×
Partial removal of tibia (27640) $4,197.13 $4,937.80 1.3×
Partial removal of toe (28160) $1,268.63 $1,492.50 0.4×
Partical Excision Bone Phalanx Toe (28124) $1,477.81 $1,738.60 0.4×
Patellectomy or hemipatellectomy (27350) $5,334.43 $6,275.80 0.7×
Pelvic examination under anesthesia (other than local) (57410) $490.28 $576.80 0.1×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $898.28 $1,056.80 0.3×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,691.50 $1,990 0.5×
Perineoplasty rpr perineum nonobstetrical spx (56810) $1,357.03 $1,596.50 0.4×
Perq dev breast 1st us imag (19285)
range across 8 matching MRF lines
$1,138.15–$1,350.91 $1,339–$1,589.30 varies
Perq device breast 1st imag (19281)
range across 8 matching MRF lines
$503.46–$1,350.91 $592.30–$1,589.30 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,693.06 $3,168.30 0.8×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $22,150.15 $26,059 3.0×
Pin Finger Dislocation (26776) $1,130.25 $1,329.70 0.3×
Pin hand dislocation (26676) $1,942.76 $2,285.60 0.6×
Place Duod/Jej Tube Perc (49441) $5,754.67 $6,770.20 2.9×
Placement of needle for intraosseous infusion (36680)
range across 3 matching MRF lines
$301.16–$335.33 $354.30–$394.50 varies
Placement of seton (46020) $442.17 $520.20 0.2×
Plastic Repair Introitus (56800) $1,422.73 $1,673.80 0.4×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500)
likely a partial charge, not the full procedure
$152.32 $179.20 0.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $2,864.67 $3,370.20 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $188.28 $221.50 0.2×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $596.19 $701.40 0.2×
Proctosgmdsc rigid w/dilation (45303) $251.26 $295.60 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $333.54 $392.40 0.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,357.88 $1,597.50 0.4×
Prq skel fixj femoral fx prox end neck (27235) $6,255.49 $7,359.40 0.8×
Prq skel fixj metar fx w/manj (28476) $1,673.06 $1,968.30 0.5×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $3,794.40 $4,464 0.5×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $1,480.45 $1,741.70 0.4×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $2,352.46 $2,767.60 0.7×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
unusually low: confirm this is the full procedure
$2,232.53 $2,626.50 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,388.33 $2,809.80 0.7×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines
$185.64–$195.25 $218.40–$229.70 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 6 matching MRF lines
$219.73–$655.78 $258.50–$771.50 varies
Puncture Aspiration Cyst Breast (19000)
range across 5 matching MRF lines
$316.97–$655.78 $372.90–$771.50 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $3,845.23 $4,523.80 0.5×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $4,419.49 $5,199.40 2.7×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $3,571.19 $4,201.40 1.1×
Rad resect elbow caps/sr bone w rels (24149) $4,915.98 $5,783.50 0.7×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $4,093.01 $4,815.30 1.4×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $7,109.06 $8,363.60 2.4×
Radical styloidectomy separate procedure (25230) $2,342.01 $2,755.30 0.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,821.04 $2,142.40 0.9×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,103.13 $1,297.80 0.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $4,316.22 $5,077.90 1.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $3,701.58 $4,354.80 1.1×
Rcnstj Dislocating Patella (27420) $5,146.16 $6,054.30 0.7×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure
$2,374.39 $2,793.40 0.3×
Realignment extensor tendon hand each tendon (26437) $2,336.74 $2,749.10 0.7×
Reconstruct elbow med ligmnt (24346)
unusually low: confirm this is the full procedure
$5,481.48 $6,448.80 0.4×
Reconstruct Finger Joint (26548) $3,213.09 $3,780.10 1.0×
Reconstruct ulna/radioulnar (25337) $4,879.17 $5,740.20 0.7×
Reconstruction Nail Bed W/Graft (11762) $1,070.75 $1,259.70 0.5×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $4,946.58 $5,819.50 0.7×
Reinsert spinal fixation (22849) $7,355.99 $8,654.10 0.6×
Release of shoulder ligament (23415)
unusually low: confirm this is the full procedure
$3,149.17 $3,704.90 0.4×
Relieve Pressure on Nerve(S) (64722) $2,784.94 $3,276.40 1.4×
Removal Embedded Foreign Body Eyelid (67938) $238.17 $280.20 0.7×
Removal Foreign Body Deep Thigh/Knee (27372) $2,032.01 $2,390.60 0.7×
Removal Foreign Body Foot Complicated (28193) $1,973.36 $2,321.60 1.2×
Removal foreign body foot deep (28192) $1,376.32 $1,619.20 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $882.47 $1,038.20 1.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $596.19 $701.40 0.4×
Removal Foreign Body Pelvis/Hip Deep (27087) $1,760.61 $2,071.30 0.5×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,196.80 $1,408 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$62.14–$63.92 $73.10–$75.20 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$155.81–$160.23 $183.30–$188.50 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $751.15 $883.70 0.2×
Removal Implant Deep (20680) $1,336.03 $1,571.80 0.5×
Removal Implant Superficial Separate Procedure (20670) $1,343.94 $1,581.10 0.8×
Removal implantable contraceptive capsules (11976) $382.59 $450.10 0.5×
Removal of adenoids (42835) $873.72 $1,027.90 0.3×
Removal of anal fissure (46200) $1,361.45 $1,601.70 0.5×
Removal of ankle implant (27704) $2,572.19 $3,026.10 0.8×
Removal of anterior instrumentation (22855) $7,522.33 $8,849.80 1.0×
Removal of bone lesion (23140) $1,879.69 $2,211.40 0.6×
Removal of cervix (57530)
likely a partial charge, not the full procedure
$1,490.14 $1,753.10 0.3×
Removal of foreign body from pharynx (42809) $460.53 $541.80 1.0×
Removal of heel spur (28119) $2,387.48 $2,808.80 0.7×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $9,316.17 $10,960.20 0.7×
Removal of knee prosthesis (27488)
unusually low: confirm this is the full procedure
$6,300.97 $7,412.90 0.5×
Removal of nail bed (11750) $504.31 $593.30 1.2×
Removal of posterior segmental instrumentation Facility (22852) $3,755.90 $4,418.70 0.5×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $5,522.62 $6,497.20 0.7×
Removal of sesamoid bone (28315) $1,510.28 $1,776.80 0.5×
Removal of sperm cord lesion (55520) $1,406.07 $1,654.20 0.4×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure
$988.47 $1,162.90 0.1×
Removal of testis (54520) $1,490.99 $1,754.10 0.4×
Removal of tonsils (42825)
likely a partial charge, not the full procedure
$1,593.41 $1,874.60 0.3×
Removal of tonsils (42826) $1,804.38 $2,122.80 0.5×
Removal of wrist bone (25210) $2,490.84 $2,930.40 0.7×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines
$122.57–$128.69 $144.20–$151.40 varies
Removal ppm generator only (33233)
likely a partial charge, not the full procedure
$1,080.35 $1,271 0.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines
$238.17–$257.38 $280.20–$302.80 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $168.13 $197.80 0.1×
Removal, under anesthesia, of external fixation system (20694) $1,173.17 $1,380.20 0.7×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines
$77.01–$81.43 $90.60–$95.80 varies
Remove Ankle Joint Lining (27626) $3,995.77 $4,700.90 1.2×
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure
$2,713.20 $3,192 0.4×
Remove cerclage suture (59871) $434.27 $510.90 0.1×
Remove drug implant device (11982) $286.28 $336.80 0.6×
Remove elbow lesion (24120) $3,101.91 $3,649.30 0.9×
Remove Forearm Foreign Body (25248) $1,669.57 $1,964.20 1.0×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$180.37–$185.64 $212.20–$218.40 varies
Remove hip pressure sore (15940) $1,994.36 $2,346.30 0.7×
Remove Intrauterine Device (58301) $217.09 $255.40 0.7×
Remove knee joint lining (27334) $5,010.50 $5,894.70 1.5×
Remove lamina/facets lumbar (63012) $8,395.20 $9,876.70 1.1×
Remove Lower Leg Bone Lesion (27635) $3,512.54 $4,132.40 1.1×
Remove lung catheter (32552) $895.65 $1,053.70 1.4×
Remove Nasal Foreign Body (30300)
range across 5 matching MRF lines
$281.95–$372.13 $331.70–$437.80 varies
Remove Peritoneal Foreign Body (49402) $3,481.01 $4,095.30 1.0×
Remove Skin Nerve Lesion (64774) $1,336.03 $1,571.80 0.7×
Remove spine fixation device (22850) $3,742.81 $4,403.30 0.5×
Remove spine lamina 1/2 lmbr (63005) $8,342.67 $9,814.90 1.1×
Remove Tendon Sheath Lesion (26160) $1,537.40 $1,808.70 0.9×
Remove/Insert Drug Implant (11983) $286.28 $336.80 0.6×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure
$490.28 $576.80 0.1×
Repair Achilles Tendon (27650) $3,793.55 $4,463 0.5×
Repair arm/leg nerve (64857) $3,691.13 $4,342.50 1.1×
Repair Collat Ankle Ligmnt,Secondary (27698) $4,587.62 $5,397.20 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,621.46 $1,907.60 2.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines
$761.69–$800.19 $896.10–$941.40 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$1,355.24–$1,395.53 $1,594.40–$1,641.80 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $691.65 $813.70 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$1,019.07–$1,048.82 $1,198.90–$1,233.90 varies
Repair complex trunk 1.1-2.5 cm (13100) $437.75 $515 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $746.81 $878.60 1.0×
Repair Extensor Tendon Finger W/Graft Each (26420) $2,777.97 $3,268.20 0.8×
Repair extensor tendon finger w/o graft each (26418) $1,930.52 $2,271.20 1.2×
Repair Extensor Tendon Hand W/Graft Each (26412) $2,736.83 $3,219.80 0.8×
Repair Finger Tendon (26433) $2,046.89 $2,408.10 0.6×
Repair Finger/Hand Tendon (26350) $2,979.34 $3,505.10 0.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,143.19 $2,521.40 0.6×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure
$2,905.81 $3,418.60 0.4×
Repair Forearm Tendon Sheath (25275) $2,897.91 $3,409.30 0.9×
Repair Hallux Rigidus (28289) $1,807.02 $2,125.90 0.5×
Repair Hand Joint (26540) $2,919.84 $3,435.10 0.9×
Repair Hand Tendon (26410) $1,755.42 $2,065.20 1.1×
Repair humerus with graft (24435)
unusually low: confirm this is the full procedure
$6,091.70 $7,166.70 0.5×
Repair inguinal hernia, sliding, any age (49525) $2,993.36 $3,521.60 0.8×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,967.80 $4,668 1.1×
Repair initial femoral hernia, any age; reducible (49550) $3,027.45 $3,561.70 0.8×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,954.86 $3,476.30 0.8×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $2,818.26 $3,315.60 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$636.48–$654.84 $748.80–$770.40 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$674.14–$694.28 $793.10–$816.80 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$890.38–$916.64 $1,047.50–$1,078.40 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,158.30 $1,362.70 2.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $916.64 $1,078.40 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines
$513.06–$555.05 $603.60–$653 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$610.22–$627.73 $717.90–$738.50 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$747.66–$769.59 $879.60–$905.40 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines
$801.98–$825.61 $943.50–$971.30 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines
$474.56–$513.91 $558.30–$604.60 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines
$499.04–$539.33 $587.10–$634.50 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $940.27 $1,106.20 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$661.90–$681.11 $778.70–$801.30 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,076.87 $1,266.90 0.5×
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure
$3,173.73 $3,733.80 0.4×
Repair Non/Malunion Humerus W/O Graft (24430)
unusually low: confirm this is the full procedure
$4,748.70 $5,586.70 0.4×
Repair Nonunion Carpal Bone Each Bone (25431) $5,542.77 $6,520.90 0.7×
Repair Nonunion Hand (26546)
unusually low: confirm this is the full procedure
$3,607.91 $4,244.60 0.5×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $5,541.92 $6,519.90 0.7×
Repair of anal fistula with fibrin glue (46706) $377.32 $443.90 0.1×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $6,237.05 $7,337.70 0.8×
Repair of knee ligaments (27409) $6,038.32 $7,103.90 0.8×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure
$1,919.13 $2,257.80 0.3×
Repair of nail bed (11760) $879.92 $1,035.20 1.2×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $4,821.37 $5,672.20 0.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $4,001.04 $4,707.10 0.5×
Repair of Ruptured Tendon (24342) $4,567.48 $5,373.50 0.6×
Repair of shoulder (23420) $6,954.96 $8,182.30 0.9×
Repair recurrent femoral hernia; reducible Facility (49555) $3,574.68 $4,205.50 1.0×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $3,607.06 $4,243.60 0.5×
Repair Rotator Cuff Chronic (23412) $6,954.96 $8,182.30 0.9×
Repair secondary achilles tendon w/wo graft (27654) $4,281.20 $5,036.70 0.6×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,033.94 $1,216.40 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $4,374.02 $5,145.90 0.6×
Repair tongue laceration (41252)
range across 2 matching MRF lines
$1,132.03–$1,223.92 $1,331.80–$1,439.90 varies
Repair tongue laceration (41250) $371.20 $436.70 0.8×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) $3,474.89 $4,088.10 0.9×
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $7,861.14 $9,248.40 1.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure
$3,487.98 $4,103.50 0.5×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $4,486.98 $5,278.80 0.6×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $2,414.60 $2,840.70 0.7×
Repair/graft achilles tendon (27652) $4,020.33 $4,729.80 0.5×
Repair/graft finger tendon (26428) $4,087.74 $4,809.10 1.2×
Repair/Graft Wrist Bone (25440) $4,521.07 $5,318.90 0.6×
Repair/Revise Wrist Joint (25320) $5,229.37 $6,152.20 0.7×
Repair/transpose nerve (64856) $4,631.40 $5,448.70 0.5×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines
$608.52–$4,537.73 $715.90–$5,338.50 varies
Replace elbow joint (24363) $9,045.70 $10,642 0.5×
Replace g/c tube perc (49450) $3,856.62 $4,537.20 4.2×
Reposition Venous Catheter (36597) $490.28 $576.80 0.3×
Repr elbow lat ligmnt w/tiss (24343) $4,342.48 $5,108.80 1.3×
Repr Elbw Med Ligmnt W/Tiss (24345) $4,342.48 $5,108.80 0.6×
Rerepair ing hernia reduce (49520) $2,939.05 $3,457.70 0.8×
Resection of scrotum (55150) $2,120.50 $2,494.70 0.6×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $1,495.32 $1,759.20 0.4×
Resection, partial or complete, phalangeal base, each toe (28126) $1,376.32 $1,619.20 0.4×
Revis reconst shoulder joint (23473) $8,059.87 $9,482.20 0.6×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $7,666.75 $9,019.70 0.6×
Revise finger joint each (26140) $2,303.42 $2,709.90 1.4×
Revise Hand/Foot Nerve (64704) $2,224.62 $2,617.20 1.1×
Revise hernia & sperm veins (55540) $2,989.88 $3,517.50 0.8×
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure
$2,919.84 $3,435.10 0.4×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure
$3,133.44 $3,686.40 0.4×
Revise Lower Leg Tendons (27686) $2,422.50 $2,850 0.7×
Revise ulnar nerve at wrist (64719) $2,630.92 $3,095.20 1.3×
Revise/Implant Finger Joint (26536)
unusually low: confirm this is the full procedure
$3,213.09 $3,780.10 0.4×
Revise/Repair Finger/Toe Nerve (64702) $2,792.85 $3,285.70 1.4×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $15,890.33 $18,694.50 0.9×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $3,137.78 $3,691.50 0.9×
Revision of foot (28116) $2,778.82 $3,269.20 0.8×
Revision of foot and ankle (28262) $4,708.41 $5,539.30 0.6×
Revision of foot bones (28737)
likely a partial charge, not the full procedure
$3,346.20 $3,936.70 0.3×
Revision of lower leg tendon (27685) $2,205.41 $2,594.60 0.7×
Revision of toe (28312) $1,270.33 $1,494.50 0.4×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $15,177.69 $17,856.10 1.2×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $9,521.11 $11,201.30 0.7×
Revj Arthrp W/Removal Implant Wrist Joint (25449)
unusually low: confirm this is the full procedure
$3,618.45 $4,257 0.5×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,231.82 $1,449.20 0.3×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,151.33 $1,354.50 0.3×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $20,294.94 $23,876.40 1.5×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $11,230.03 $13,211.80 0.6×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $8,744.46 $10,287.60 0.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,525.86 $2,971.60 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$200.52–$205.79 $235.90–$242.10 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $312.55 $367.70 2.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $153.26 $180.30 0.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,115.37 $1,312.20 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $492.92 $579.90 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $695.13 $817.80 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $656.63 $772.50 1.0×
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines
$266.14–$787.95 $313.10–$927 varies
Rplcmt cath ctr vad subq port/pmp (36578) $2,137.07 $2,514.20 0.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 5 matching MRF lines
$621.61–$942.06 $731.30–$1,108.30 varies
Rplcmt compl tun ctr vad w/subq port (36582) $3,469.62 $4,081.90 1.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $4,530.76 $5,330.30 0.7×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,214.87 $3,782.20 0.9×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $3,536.17 $4,160.20 0.5×
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure
$3,151.80 $3,708 0.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $4,476.44 $5,266.40 0.7×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,002.12 $3,531.90 0.8×
Rpr aa hrn 1st 3-10 rdc (49593) $3,375.10 $3,970.70 0.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $4,315.37 $5,076.90 0.7×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $885.11 $1,041.30 0.6×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $2,016.29 $2,372.10 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$679.41–$699.55 $799.30–$823 varies
Rpr Ing Hernia Baby, Reduc (49495) $2,745.59 $3,230.10 0.8×
Rpr ing hernia init reduce (49500)
unusually low: confirm this is the full procedure
$2,713.20 $3,192 0.4×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,184.56 $1,393.60 1.6×
Rpr Lip Full Thickness Vermilion Only (40650) $1,217.80 $1,432.70 2.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,919.98 $2,258.80 1.2×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $7,188.71 $8,457.30 1.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $5,015.77 $5,900.90 0.7×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,006.68 $2,360.80 0.6×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,666.79 $3,137.40 0.8×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,111.74 $2,484.40 0.6×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $2,934.71 $3,452.60 0.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,036.06 $4,748.30 1.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $4,316.22 $5,077.90 1.3×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $3,502.85 $4,121 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,057.57 $1,244.20 1.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $727.52 $855.90 0.6×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines
$266.14–$280.16 $313.10–$329.60 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $363.38 $427.50 1.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $414.97 $488.20 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $280.16 $329.60 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $298.52 $351.20 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $348.42 $409.90 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $457.05 $537.70 1.1×
Shoulder arthroscopy (29820) $3,808.43 $4,480.50 0.5×
Shoulder Arthroscopy/Surgery (29825) $4,384.47 $5,158.20 1.3×
Shoulder joint surgery (23101) $3,208.75 $3,775 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $333.54 $392.40 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $383.44 $451.10 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $320.45 $377 1.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $610.22 $717.90 1.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $333.54 $392.40 1.6×
Sigmoidoscopy & Polypectomy (45333) $527.09 $620.10 0.6×
Sigmoidoscopy w/fb removal (45332) $679.41 $799.30 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $494.70 $582 0.5×
Simple Cystometrogram (51725) $722.33 $849.80 2.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $824.76 $970.30 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$390.49–$401.88 $459.40–$472.80 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$474.56–$488.50 $558.30–$574.70 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$521.82–$536.69 $613.90–$631.40 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$361.59–$372.13 $425.40–$437.80 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $826.46 $972.30 4.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$636.48–$654.84 $748.80–$770.40 varies
Skin Full Grft Face/Genit/Hf (15240) $3,177.22 $3,737.90 1.5×
Skin Pinch Graft (15050) $1,639.82 $1,929.20 2.2×
Skin sub graft trnk/arm/leg (15271) $513.06 $603.60 0.7×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,709.34 $5,540.40 0.9×
Slitting of prepuce (54001) $464.87 $546.90 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines
$474.56–$513.91 $558.30–$604.60 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$610.22–$627.73 $717.90–$738.50 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $874.65 $1,029 2.1×
Sphincterotomy anal division sphincter spx (46080) $694.28 $816.80 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 6 matching MRF lines
$502.52–$588.37 $591.20–$692.20 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,745.59 $3,230.10 0.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,972.37 $3,496.90 1.4×
Strapping ankle (29540)
range across 2 matching MRF lines
$105.91–$112.03 $124.60–$131.80 varies
Strapping elbow or wrist (29260) $99.79 $117.40 1.7×
Strapping knee (29530) $128.69 $151.40 0.9×
Strapping shoulder (29240)
range across 2 matching MRF lines
$120.79–$124.36 $142.10–$146.30 varies
Strapping toes (29550) $86.70 $102 1.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$147.05–$154.96 $173–$182.30 varies
Subcutaneous Injection Filling Material 1 Cc/< (11950) $348.42 $409.90 1.7×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $362.44 $426.40 0.5×
Surg Implnt Neuroelect,Epidural (63655)
unusually low: confirm this is the full procedure
$8,773.36 $10,321.60 0.4×
Surg Tx Anal Fistula 2nd Stage (46285) $1,511.13 $1,777.80 0.5×
Surg tx anal fistula subq (46270) $1,574.12 $1,851.90 0.6×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,173.88 $2,557.50 0.8×
Suture 1 nerve hand/foot common sensory nerve (64834) $2,403.29 $2,827.40 0.7×
Suture 1 Nerve Ulnar Motor (64836) $2,930.29 $3,447.40 0.8×
Suture digital nerve hand/foot 1 nerve (64831) $2,125.68 $2,500.80 1.1×
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure
$3,049.38 $3,587.50 0.4×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $4,943.09 $5,815.40 0.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) $3,741.87 $4,402.20 0.5×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $4,899.32 $5,763.90 0.7×
Suture pharynx for wound or injury (42900) $1,562.81 $1,838.60 1.0×
Synovectomy Tendon Sheath Foot Flexor (28086) $2,133.59 $2,510.10 0.6×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,671.13 $3,142.50 1.6×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $4,001.04 $4,707.10 1.2×
Tenodesis long tendon biceps (23430) $4,114.85 $4,841 0.6×
Tenolysis flexor tendon palm&finger each tendo (26442) $3,308.54 $3,892.40 1.0×
Tenolysis flexor tendon palm/finger each tendon (26440) $2,043.40 $2,404 1.2×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,838.55 $2,163 0.5×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $1,813.14 $2,133.10 0.5×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,219.44 $2,611.10 0.7×
Tenotomy Adductor Hip Percutaneous Spx (27000) $950.81 $1,118.60 0.6×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,610.92 $1,895.20 1.0×
Tenotomy Flexor Palm Open Each Tendon (26450) $1,459.45 $1,717 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $660.11 $776.60 0.4×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,310.62 $1,541.90 0.4×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure
$3,682.37 $4,332.20 0.5×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines
$620.76–$858.84 $730.30–$1,010.40 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines
$608.52–$1,403.44 $715.90–$1,651.10 varies
Thyroidectomy Post Prev Thyr Surg (60260) $5,765.21 $6,782.60 1.0×
Thyroidectomy, total or complete (60240) $7,123.09 $8,380.10 1.2×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $7,610.73 $8,953.80 1.3×
Tnot elbow lateral/medial debride open (24358) $2,764.80 $3,252.70 0.8×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,290.10 $3,870.70 1.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,883.18 $2,215.50 0.6×
Total Knee Arthroplasty (27447) $10,805.46 $12,712.30 0.8×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $6,099.60 $7,176 1.0×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,635.40 $1,924 0.5×
Tracheostoma revj smpl w/o flap rotation (31613) $1,525.16 $1,794.30 0.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,018.07 $2,374.20 1.3×
Tracheostomy planned (31600) $1,273.90 $1,498.70 0.4×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,885.81 $2,218.60 0.9×
Transfer/transplant tendon palmar w/o graft each (26485) $4,129.73 $4,858.50 1.2×
Transmetacarpal amputation; Facility (25927) $3,297.15 $3,879 1.0×
Transplant hand tendon (26480) $3,033.65 $3,569 0.9×
Transplant/graft palm tendon (26489) $4,612.10 $5,426 1.4×
Treat ankle dislocation (27848) $3,889.01 $4,575.30 0.5×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure
$3,567.71 $4,197.30 0.5×
Treat Big Toe Fracture (28505) $1,441.09 $1,695.40 0.4×
Treat dislocation/fracture (23670)
unusually low: confirm this is the full procedure
$3,676.25 $4,325 0.5×
Treat ectopic pregnancy (59151) $4,022.03 $4,731.80 0.7×
Treat Elbow Fracture (24635) $4,120.97 $4,848.20 0.6×
Treat Finger Fracture Each (26727) $1,592.56 $1,873.60 0.5×
Treat forearm bone lesion (25035)
unusually low: confirm this is the full procedure
$2,601.09 $3,060.10 0.4×
Treat fracture radius/ulna (25575) $4,770.63 $5,612.50 0.6×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure
$2,693.06 $3,168.30 0.4×
Treat Hand Bone Lesion (26034) $2,138.01 $2,515.30 1.3×
Treat humerus fracture (24500) $900.92 $1,059.90 3.6×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines
$1,542.67–$1,668.72 $1,814.90–$1,963.20 varies
Treat humerus fracture (23616)
unusually low: confirm this is the full procedure
$8,049.33 $9,469.80 0.4×
Treat humerus fracture (23600) $963.05 $1,133 3.8×
Treat knee fracture (27532) $2,034.65 $2,393.70 0.6×
Treat kneecap dislocation (27566) $3,879.32 $4,563.90 0.5×
Treat Kneecap Fracture (27524) $4,490.47 $5,282.90 0.6×
Treat Knuckle Dislocation (26700) $667.17 $784.90 2.6×
Treat lower leg bone lesion (27607) $2,448.77 $2,880.90 0.7×
Treat Metatarsal Fracture (28475) $924.55 $1,087.70 3.7×
Treat scapula fracture (23585) $4,699.65 $5,529 0.6×
Treat thumb fracture (26665) $4,347.75 $5,115 1.3×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines
$1,180.14–$1,276.45 $1,388.40–$1,501.70 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
$850.09–$919.28 $1,000.10–$1,081.50 varies
Treatment of ankle fracture (27823) $5,052.49 $5,944.10 0.7×
Treatment of foot infection (28003) $1,794.78 $2,111.50 0.5×
Treatment of gum lesion (41850) $147.99 $174.10 0.1×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $5,815.96 $6,842.30 0.8×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $6,785.13 $7,982.50 2.0×
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure
$3,335.66 $3,924.30 0.4×
Trim skin lesion (11055) $143.57 $168.90 0.7×
Trim skin lesions 2 to 4 (11056) $162.86 $191.60 0.8×
Trim skin lesions over 4 (11057) $175.10 $206 0.9×
Trimming Nondystrophic Nails Any Number (11719) $85.77 $100.90 1.4×
Tubal ligation (58600) $2,543.37 $2,992.20 0.8×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,453.19 $2,886.10 0.9×
Tx Gastro Intub W/Asp (43753)
range across 3 matching MRF lines
$101.58–$593.56 $119.50–$698.30 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure
$4,481.71 $5,272.60 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,336.03 $1,571.80 0.4×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $6,378.06 $7,503.60 0.9×
Tx Missed Abortion First Trimester Surgical (59820) $1,515.47 $1,782.90 0.5×
Tx Missed Abortion Second Trimester Surgical (59821) $1,598.68 $1,880.80 0.5×
Tx open tendon flexor toe 1 tendon spx (28232) $506.01 $595.30 0.3×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $999.86 $1,176.30 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$537.54–$553.35 $632.40–$651 varies
Tx superficial wound dehiscence w/packing (12021) $568.23 $668.50 1.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $825.61 $971.30 3.3×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure
$5,052.49 $5,944.10 0.4×
Unlisted laparoscopy procedure, biliary tract (47579) $4,736.46 $5,572.30 0.8×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines
$190.83–$200.52 $224.50–$235.90 varies
Unlisted Procedure Muscskeletal System General (20999) $51.68 $60.80 0.2×
Unlisted procedure nervous system (64999) $218.88 $257.50 0.7×
Unlisted Procedure, Urinary System (53899) $4,030.79 $4,742.10 15.8×
Vag hyst complex (58290) $6,429.66 $7,564.30 0.8×
Vag hyst incl t/o complex (58291) $5,977.88 $7,032.80 1.2×
Vag hyst w/t/o & vag repair (58263) $5,631.25 $6,625 1.1×
Vaginal delivery only (59409) $2,533.68 $2,980.80 0.8×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $6,320.26 $7,435.60 1.2×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $6,658.22 $7,833.20 1.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines
$1,080.35–$1,134.67 $1,271–$1,334.90 varies
Vulvectomy simple partial (56620) $2,659.74 $3,129.10 0.8×
Wedge excision skin nail fold (11765) $447.36 $526.30 1.1×
Wedging of cast (29740)
range across 2 matching MRF lines
$142.72–$150.62 $167.90–$177.20 varies
Windowing of cast (29730) $96.31 $113.30 0.6×
Wound Prep F/N/Hf/G (15004) $1,186.35 $1,395.70 2.9×
Wound Prep Trk/Arm/Leg (15002) $934.15 $1,099 1.2×
Xfer Single Deep Low Leg Tendon (27691) $3,977.41 $4,679.30 0.5×

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.