Procedures & surgery prices at Providence Kodiak Island Medical Ctr
Kodiak, AK · every code in this section with a posted price and a Medicare benchmark.
1016 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$1,651.26–$2,772.90 | $2,117–$3,555 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$702.78–$1,651.26 | $901–$2,117 | varies |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $2,706.60 | $3,470 | 1.6× |
| Acne surgery (10040) | $351.78 | $451 | 1.6× |
| Adding Walker Previously Applied Cast (29440) | $283.92 | $364 | 1.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $8,389.68 | $10,756 | 2.1× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $4,450.68 | $5,706 | 1.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $4,450.68 | $5,706 | 1.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $3,365.70 | $4,315 | 1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $4,450.68 | $5,706 | 1.9× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) | $17,059.38 | $21,871 | 2.1× |
| Amniocentesis diagnostic (59000) | $1,148.16 | $1,472 | 1.1× |
| Amniocentesis therapeutic (59001) | $1,577.94 | $2,023 | 4.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$3,972.54–$5,261.88 | $5,093–$6,746 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 3 matching MRF lines |
$2,648.10–$6,652.62 | $3,395–$8,529 | varies |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$2,721.42–$7,676.76 | $3,489–$9,842 | varies |
| Amputation thigh through femur any level (27590) | $5,896.02 | $7,559 | 1.6× |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$3,059.94–$5,804.76 | $3,923–$7,442 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,658.28–$2,832.18 | $2,126–$3,631 | varies |
| Amputation, forearm, through radius and ulna; Facility (25900) | $5,682.30 | $7,285 | 0.7× |
| Amputation, leg, through tibia and fibula; (27880) | $5,784.48 | $7,416 | 0.7× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $2,141.10 | $2,745 | 6.3× |
| Anoscopy Control Bleeding (46614) | $2,428.14 | $3,113 | 1.8× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$312–$539.76 | $400–$692 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,864.20 | $2,390 | 1.8× |
| Appendectomy (44950) | $7,108.92 | $9,114 | 1.0× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $283.92 | $364 | 1.6× |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $2,797.08 | $3,586 | 1.6× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) | $468 | $600 | 1.5× |
| Application Body Cast Shoulder Hips (29035) | $468 | $600 | 1.5× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$433.68–$829.14 | $556–$1,063 | varies |
| Application Cast Finger (29086) | $283.92 | $364 | 1.6× |
| Application Cast Shoulder Spica (29055) | $468 | $600 | 1.5× |
| Application Finger Splint Dynamic (29131) | $112.32 | $144 | 1.7× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$269.10–$337.74 | $345–$433 | varies |
| Application Halo Cranial Including Removal (20661) | $1,849.38 | $2,371 | 1.0× |
| Application Hip Spica Cast 1 Leg (29305) | $468 | $600 | 1.5× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$274.56–$757.38 | $352–$971 | varies |
| Application Long Leg Cast Brace (29358) | $468 | $600 | 1.5× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$274.56–$716.04 | $352–$918 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $468 | $600 | 1.5× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$433.68–$909.48 | $556–$1,166 | varies |
| Application Short Arm Splint Dynamic (29126) | $226.20 | $290 | 1.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$274.56–$627.12 | $352–$804 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$274.56–$501.54 | $352–$643 | varies |
| Application uniplane external fixation system (20690) | $4,231.50 | $5,425 | 0.5× |
| Application, cast; figure-of-eight Facility (29049) | $468 | $600 | 1.5× |
| Apply hand/wrist cast (29085) | $230.88 | $296 | 1.3× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$433.68–$974.22 | $556–$1,249 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$283.92–$517.14 | $364–$663 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$433.68–$569.40 | $556–$730 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$433.68–$833.82 | $556–$1,069 | varies |
| Apply shoulder cast,plastr velpeau (29058) | $468 | $600 | 1.5× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$144.30–$226.20 | $185–$290 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$508.56–$780.78 | $652–$1,001 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,131.78 | $1,451 | 1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$423.54–$780.78 | $543–$1,001 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,382.16 | $1,772 | 4.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$481.26–$780.78 | $617–$1,001 | varies |
| Arthroplasty interphalangeal joint each (26535) | $5,804.76 | $7,442 | 1.6× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $7,590.18 | $9,731 | 2.1× |
| Arthroscopy knee synovectomy limited spx (29875) | $5,577 | $7,150 | 1.5× |
| Arthroscopy shoulder distal claviculectomy (29824) | $5,850.78 | $7,501 | 1.6× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $10,042.50 | $12,875 | 1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $7,543.38 | $9,671 | 2.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $5,842.98 | $7,491 | 1.6× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $9,705.54 | $12,443 | 1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $9,459.84 | $12,128 | 1.2× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $9,843.60 | $12,620 | 0.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $11,301.42 | $14,489 | 1.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $8,110.44 | $10,398 | 2.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,797.08 | $3,586 | 1.6× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$3,070.86–$3,116.88 | $3,937–$3,996 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,942.20–$2,336.88 | $2,490–$2,996 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$433.68–$550.68 | $556–$706 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $1,265.16 | $1,622 | 1.6× |
| Aspiration bladder insert suprapubic catheter (51102) range across 3 matching MRF lines |
$1,373.58–$2,861.82 | $1,761–$3,669 | varies |
| Aspiration Bladder Needle (51100) | $418.86 | $537 | 1.5× |
| Aspiration bladder trocar/intracatheter (51101) | $1,822.08 | $2,336 | 1.9× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) | $4,211.22 | $5,399 | 1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$230.88–$428.22 | $296–$549 | varies |
| Biopsy bone open superficial (20240) | $5,037.24 | $6,458 | 1.6× |
| Biopsy external ear (69100) | $399.36 | $512 | 1.5× |
| Biopsy of floor of mouth (41108) | $2,924.22 | $3,749 | 1.6× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$843.96–$1,600.56 | $1,082–$2,052 | varies |
| Biopsy soft tissue neck/thorax (21550) | $2,924.22 | $3,749 | 1.6× |
| Biopsy Vaginal Mucosa Simple (57100) | $826.80 | $1,060 | 0.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$559.26–$1,493.70 | $717–$1,915 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $1,415.70 | $1,815 | 1.8× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$433.68–$509.34 | $556–$653 | varies |
| Bladder Scan (51798) range across 4 matching MRF lines |
$112.32–$497.64 | $144–$638 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$673.14–$1,238.64 | $863–$1,588 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$582.66–$875.16 | $747–$1,122 | varies |
| Bronchoscopy Clear Airways (31645) | $3,584.10 | $4,595 | 1.8× |
| Bronchoscopy W/Removal Foreign Body (31635) | $3,584.10 | $4,595 | 1.8× |
| Bx breast 1st lesion us imag (19083) | $3,086.46 | $3,957 | 1.7× |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,632.54 | $2,093 | 0.9× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$843.18–$1,372.02 | $1,081–$1,759 | varies |
| Canthoplasty (67950) | $4,123.08 | $5,286 | 1.6× |
| Canthotomy Separate Procedure (67715) range across 2 matching MRF lines |
$1,007.76–$4,123.08 | $1,292–$5,286 | varies |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$3,505.32–$4,017.78 | $4,494–$5,151 | varies |
| Catheter aspiration nasotracheal spx (31720) | $373.62 | $479 | 1.5× |
| Cautery Cervix Electro/Thermal (57510) range across 2 matching MRF lines |
$946.14–$5,513.82 | $1,213–$7,069 | varies |
| Change Cystostomy Tube Complicated (51710) | $1,343.16 | $1,722 | 1.7× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$502.32–$1,220.70 | $644–$1,565 | varies |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$230.88–$1,145.82 | $296–$1,469 | varies |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$242.58–$351.78 | $311–$451 | varies |
| Chemodenervation of internal anal sphincter (46505) range across 2 matching MRF lines |
$1,786.98–$2,519.40 | $2,291–$3,230 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$2,055.30–$3,357.12 | $2,635–$4,304 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $971.10 | $1,245 | 0.4× |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$559.26–$3,531.06 | $717–$4,527 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,401.66–$5,028.66 | $1,797–$6,447 | varies |
| Claviculectomy partial (23120) | $4,349.28 | $5,576 | 1.2× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$230.88–$709.80 | $296–$910 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $7,676.76 | $9,842 | 2.1× |
| Closed Rx Spontaneous Hip Disloc (27256) | $230.88 | $296 | 0.8× |
| Closed rx talotarsal disloc,anesth (28575) | $5,804.76 | $7,442 | 1.6× |
| Closed Treat Vert Body Fract (22310) | $534.30 | $685 | 2.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$230.88–$4,802.46 | $296–$6,157 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$230.88–$3,395.34 | $296–$4,353 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$254.28–$4,171.44 | $326–$5,348 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $230.88 | $296 | 0.8× |
| Closed Treatment Sesamoid Fracture (28530) | $404.04 | $518 | 1.5× |
| Closed Treatment Sternum Fracture (21820) | $561.60 | $720 | 2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$230.88–$2,529.54 | $296–$3,243 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$230.88–$4,682.34 | $296–$6,003 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$332.28–$4,717.44 | $426–$6,048 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$230.88–$2,474.94 | $296–$3,173 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $404.04 | $518 | 1.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$230.88–$1,882.14 | $296–$2,413 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$559.26–$4,626.18 | $717–$5,931 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$230.88–$2,409.42 | $296–$3,089 | varies |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) range across 2 matching MRF lines |
$5,603.52–$7,676.76 | $7,184–$9,842 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) | $7,676.76 | $9,842 | 2.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$404.04–$4,020.90 | $518–$5,155 | varies |
| Closed tx fx orbit except blowout w/manipulation (21401) | $2,706.60 | $3,470 | 1.6× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$2,738.58–$3,699.54 | $3,511–$4,743 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$230.88–$4,163.64 | $296–$5,338 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $973.44 | $1,248 | 0.5× |
| Closed tx mandibular fracture w/manipulation (21451) | $2,706.60 | $3,470 | 1.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
$2,885.22–$3,399.24 | $3,699–$4,358 | varies |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $10,412.22 | $13,349 | 1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$230.88–$1,633.32 | $296–$2,094 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,797.08 | $3,586 | 1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$1,248–$1,778.40 | $1,600–$2,280 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$2,634.06–$2,677.74 | $3,377–$3,433 | varies |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $7,337.46 | $9,407 | 2.0× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$559.26–$4,086.42 | $717–$5,239 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$230.88–$3,272.10 | $296–$4,195 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$230.88–$2,461.68 | $296–$3,156 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$559.26–$3,769.74 | $717–$4,833 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$230.88–$1,964.04 | $296–$2,518 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$559.26–$3,794.70 | $717–$4,865 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $230.88 | $296 | 0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$559.26–$4,187.04 | $717–$5,368 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$230.88–$2,004.60 | $296–$2,570 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$230.88–$1,723.02 | $296–$2,209 | varies |
| Closed tx septal&nose fx (21337) | $5,548.14 | $7,113 | 1.5× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$559.26–$5,451.42 | $717–$6,989 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$230.88–$1,687.92 | $296–$2,164 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$1,315.08–$2,790.84 | $1,686–$3,578 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$230.88–$2,998.32 | $296–$3,844 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $404.04 | $518 | 1.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$230.88–$1,655.16 | $296–$2,122 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$960.96–$1,034.28 | $1,232–$1,326 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,315.08–$3,944.46 | $1,686–$5,057 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$230.88–$2,432.82 | $296–$3,119 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$230.88–$1,989.78 | $296–$2,551 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$433.68–$939.90 | $556–$1,205 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$559.26–$2,343.90 | $717–$3,005 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$559.26–$3,576.30 | $717–$4,585 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$230.88–$2,651.22 | $296–$3,399 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$1,315.08–$3,784.56 | $1,686–$4,852 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$404.04–$2,045.16 | $518–$2,622 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $890.76 | $1,142 | 1.5× |
| Clsd Tx Pelvic Ring Fx (27198) | $404.04 | $518 | 1.5× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $404.04 | $518 | 1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,254.24–$3,066.18 | $1,608–$3,931 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$274.56–$3,648.06 | $352–$4,677 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 2 matching MRF lines |
$559.26–$3,395.34 | $717–$4,353 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$534.30–$3,782.22 | $685–$4,849 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$4,003.74–$4,179.24 | $5,133–$5,358 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$254.28–$3,208.92 | $326–$4,114 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$230.88–$2,064.66 | $296–$2,647 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,797.08 | $3,586 | 1.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$230.88–$2,271.36 | $296–$2,912 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$230.88–$4,591.08 | $296–$5,886 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $2,797.08 | $3,586 | 1.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $404.04 | $518 | 1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$332.28–$4,254.12 | $426–$5,454 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$230.88–$2,271.36 | $296–$2,912 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$254.28–$1,793.22 | $326–$2,299 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$230.88–$1,768.26 | $296–$2,267 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$274.56–$2,394.60 | $352–$3,070 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$559.26–$5,232.24 | $717–$6,708 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $2,797.08 | $3,586 | 1.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,358.76–$6,687.72 | $1,742–$8,574 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$230.88–$4,066.14 | $296–$5,213 | varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $534.30 | $685 | 0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$230.88–$3,595.02 | $296–$4,609 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$2,362.62–$6,870.24 | $3,029–$8,808 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$254.28–$1,272.96 | $326–$1,632 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$230.88–$1,096.68 | $296–$1,406 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$254.28–$1,226.16 | $326–$1,572 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$404.04–$948.48 | $518–$1,216 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$1,401.66–$4,505.28 | $1,797–$5,776 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$332.28–$2,381.34 | $426–$3,053 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$230.88–$2,031.90 | $296–$2,605 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 2 matching MRF lines |
$559.26–$2,867.28 | $717–$3,676 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$973.44–$3,944.46 | $1,248–$5,057 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$3,134.04–$5,578.56 | $4,018–$7,152 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$696.54–$3,827.46 | $893–$4,907 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$230.88–$2,070.90 | $296–$2,655 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$1,315.08–$5,104.32 | $1,686–$6,544 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,315.08 | $1,686 | 0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$230.88–$2,503.02 | $296–$3,209 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 2 matching MRF lines |
$2,797.08–$3,525.60 | $3,586–$4,520 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $468 | $600 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$230.88–$1,173.12 | $296–$1,504 | varies |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) range across 2 matching MRF lines |
$3,699.54–$6,623.76 | $4,743–$8,492 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$932.88–$2,932.80 | $1,196–$3,760 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$667.68–$2,348.58 | $856–$3,011 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,401.66–$4,849.26 | $1,797–$6,217 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$230.88–$2,504.58 | $296–$3,211 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$254.28–$2,332.20 | $326–$2,990 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$230.88–$2,262 | $296–$2,900 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$2,060.76–$4,258.80 | $2,642–$5,460 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $2,797.08 | $3,586 | 1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$254.28–$2,332.20 | $326–$2,990 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$230.88–$1,728.48 | $296–$2,216 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$3,503.76–$4,654.26 | $4,492–$5,967 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$394.68–$4,851.60 | $506–$6,220 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$973.44–$3,668.34 | $1,248–$4,703 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$230.88–$2,241.72 | $296–$2,874 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$973.44–$4,561.44 | $1,248–$5,848 | varies |
| Cltx prox tibfib jt dislc req anes (27831) | $5,804.76 | $7,442 | 1.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $404.04 | $518 | 1.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$230.88–$3,736.20 | $296–$4,790 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$230.88–$929.76 | $296–$1,192 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $3,699.54 | $4,743 | 2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$559.26–$4,221.36 | $717–$5,412 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,797.08 | $3,586 | 1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$559.26–$5,455.32 | $717–$6,994 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$230.88–$2,852.46 | $296–$3,657 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $3,699.54 | $4,743 | 2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $534.30 | $685 | 2.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $5,804.76 | $7,442 | 1.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$230.88–$1,089.66 | $296–$1,397 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$230.88–$2,744.04 | $296–$3,518 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$332.28–$3,181.62 | $426–$4,079 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $404.04 | $518 | 1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$804.96–$5,717.40 | $1,032–$7,330 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$230.88–$2,336.10 | $296–$2,995 | varies |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $7,676.76 | $9,842 | 2.1× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$226.20–$241.80 | $290–$310 | varies |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$31.20–$78.78 | $40–$101 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $2,402.40 | $3,080 | 1.8× |
| Colonoscopy thru stoma (44388) | $2,143.44 | $2,748 | 2.1× |
| Colonoscopy W/Band Ligation (45398) | $1,026.48 | $1,316 | 0.8× |
| Colonoscopy w/submucosal inj (45381) | $2,509.26 | $3,217 | 1.9× |
| Colpocentesis (57020) range across 2 matching MRF lines |
$757.38–$9,038.64 | $971–$11,588 | varies |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $7,291.44 | $9,348 | 2.0× |
| Colporrhaphy (57200) range across 2 matching MRF lines |
$1,984.32–$7,291.44 | $2,544–$9,348 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $1,037.40 | $1,330 | 3.1× |
| Colposcopy Cervix Endocervical Curettage (57456) | $899.34 | $1,153 | 2.7× |
| Colposcopy cervix upper/adjacent vagina (57452) | $399.36 | $512 | 1.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $916.50 | $1,175 | 2.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,083.38 | $2,671 | 0.6× |
| Colposcopy of vulva (56820) | $347.10 | $445 | 1.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,021.80 | $1,310 | 1.0× |
| Colpotomy; with drainage of pelvic abscess (57010) | $7,291.44 | $9,348 | 2.0× |
| Colpotomy; with exploration (57000) | $7,291.44 | $9,348 | 2.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$2,792.40–$4,023.24 | $3,580–$5,158 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$2,106–$4,266.60 | $2,700–$5,470 | varies |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$973.44–$1,692.60 | $1,248–$2,170 | varies |
| Composite Skin Graft (15760) | $4,450.68 | $5,706 | 1.9× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,268.24 | $2,908 | 0.6× |
| Conization of cervix (57520) | $2,408.64 | $3,088 | 0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$274.56–$958.62 | $352–$1,229 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$274.56–$647.40 | $352–$830 | varies |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$230.88–$1,069.38 | $296–$1,371 | varies |
| Conversion ext bil drg cath (47535) | $9,133.80 | $11,710 | 2.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,924.22 | $3,749 | 1.6× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) | $8,265.66 | $10,597 | 2.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $5,804.76 | $7,442 | 1.6× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $5,804.76 | $7,442 | 1.6× |
| Csf shunt reprogram (62252) | $713.70 | $915 | 2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$230.88–$1,733.16 | $296–$2,222 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$230.88–$1,632.54 | $296–$2,093 | varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) range across 2 matching MRF lines |
$4,871.88–$7,337.46 | $6,246–$9,407 | varies |
| Curettage postpartum (59160) | $7,291.44 | $9,348 | 2.0× |
| Curette/treat cornea (65435) | $1,701.96 | $2,182 | 1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $4,159.74 | $5,333 | 1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $4,159.74 | $5,333 | 1.8× |
| Cysto w/destruction of lesions (52214) | $7,187.70 | $9,215 | 1.8× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) likely a partial charge, not the full procedure |
$1,528.02 | $1,959 | 0.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) range across 2 matching MRF lines |
$2,725.32–$7,187.70 | $3,494–$9,215 | varies |
| Cysto w/removal of lesions small (52224) | $5,241.60 | $6,720 | 1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$1,439.88–$4,159.74 | $1,846–$5,333 | varies |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | $7,187.70 | $9,215 | 1.8× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $7,187.70 | $9,215 | 1.8× |
| Cystostomy Cystotomy W/Drainage (51040) | $4,783.74 | $6,133 | 2.1× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | $4,783.74 | $6,133 | 2.1× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$432.90–$1,752.66 | $555–$2,247 | varies |
| Cystourethroscopy w/dil bladder general anesth (52260) | $1,378.26 | $1,767 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$285.48–$433.68 | $366–$556 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,325.18 | $2,981 | 0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $575.64 | $738 | 0.7× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $863.46 | $1,107 | 1.1× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) | $5,804.76 | $7,442 | 1.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$467.22–$1,290.90 | $599–$1,655 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$115.44–$230.88 | $148–$296 | varies |
| Debride nail 6 or more (11721) | $230.88 | $296 | 3.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$559.26–$1,883.70 | $717–$2,415 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$461.76–$931.32 | $592–$1,194 | varies |
| Declot vascular device (36593) range across 3 matching MRF lines |
$648.96–$4,073.94 | $832–$5,223 | varies |
| Decomp forearm,1 compart,w/o debride (25020) | $2,985.84 | $3,828 | 1.7× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) | $5,804.76 | $7,442 | 1.6× |
| Decompressive fasciotomy hand (26037) | $7,676.76 | $9,842 | 2.1× |
| Delivery of placenta (59414) range across 3 matching MRF lines |
$858–$5,513.82 | $1,100–$7,069 | varies |
| Derma-fat-fascia graft (15770) | $8,389.68 | $10,756 | 2.1× |
| Destroy cerv/thor facet jnt (64633) | $3,989.70 | $5,115 | 1.8× |
| Destroy lumb/sac facet jnt (64635) | $3,395.34 | $4,353 | 1.6× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$351.78–$400.92 | $451–$514 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $428.22 | $549 | 1.9× |
| Destruction of skin lesions (17106) range across 2 matching MRF lines |
$912.60–$2,702.70 | $1,170–$3,465 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $1,447.68 | $1,856 | 3.2× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$351.78–$393.90 | $451–$505 | varies |
| Destruction Vaginal Lesions Simple (57061) | $6,200.22 | $7,949 | 1.7× |
| Diagnostic anoscopy (46601) | $343.20 | $440 | 0.7× |
| Diagnostic sigmoidoscopy (45330) | $2,143.44 | $2,748 | 2.1× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $283.92 | $364 | 2.0× |
| Dilate Urethra Stricture (53620) | $1,219.14 | $1,563 | 1.6× |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$418.86–$915.72 | $537–$1,174 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$2,193.36–$5,513.82 | $2,812–$7,069 | varies |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$1,716–$2,426.58 | $2,200–$3,111 | varies |
| Drain Hand Tendon Sheath (26020) range across 2 matching MRF lines |
$4,219.02–$5,804.76 | $5,409–$7,442 | varies |
| Drain penis lesion (54015) | $2,924.22 | $3,749 | 1.6× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$569.40–$883.74 | $730–$1,133 | varies |
| Drainage abscess parotid simple (42300) | $2,706.60 | $3,470 | 1.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $890.76 | $1,142 | 1.5× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$230.88–$1,304.16 | $296–$1,672 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,924.22 | $3,749 | 1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$230.88–$871.26 | $296–$1,117 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$973.44–$2,708.16 | $1,248–$3,472 | varies |
| Drainage Mouth Roof Lesion (42000) | $405.60 | $520 | 1.5× |
| Drainage of eye (65800) | $4,211.22 | $5,399 | 1.6× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$351.78–$1,539.72 | $451–$1,974 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$230.88–$1,007.76 | $296–$1,292 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$855.66–$973.44 | $1,097–$1,248 | varies |
| Drainage of mouth lesion (41017) | $5,548.14 | $7,113 | 1.5× |
| Drainage of nose lesion (30000) | $405.60 | $520 | 1.5× |
| Drainage of rectal abscess (45005) | $2,111.46 | $2,707 | 1.6× |
| Drainage of salivary gland (42320) | $890.76 | $1,142 | 1.5× |
| Drainage of salivary gland (42305) | $5,548.14 | $7,113 | 1.5× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,029.60–$2,924.22 | $1,320–$3,749 | varies |
| Drainage of scrotum (54700) | $3,616.86 | $4,637 | 1.6× |
| Drainage of skene's gland abscess or cyst (53060) | $3,616.86 | $4,637 | 1.6× |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$230.88–$463.32 | $296–$594 | varies |
| Dressing Change Under Anesthesia (15852) | $1,132.56 | $1,452 | 1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $890.76 | $1,142 | 1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$230.88–$765.18 | $296–$981 | varies |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $890.76 | $1,142 | 1.5× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $5,037.24 | $6,458 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $727.74 | $933 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $609.96 | $782 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$520.26–$609.96 | $667–$782 | varies |
| Dstrj Lesion Anus Simple Chemical (46900) | $727.74 | $933 | 1.6× |
| Dstrj lesion anus simple surg excision (46922) | $2,695.68 | $3,456 | 0.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,418.82 | $1,819 | 1.4× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,661.40 | $2,130 | 1.7× |
| Dx Bronchoscope/Lavage (31624) | $3,584.10 | $4,595 | 1.8× |
| Dx Bronchoscope/Wash (31622) | $3,584.10 | $4,595 | 1.8× |
| Dx gastr intub w/asp spec (43754) | $546 | $700 | 2.3× |
| Dx gastr intub w/asp specs (43755) | $283.92 | $364 | 2.0× |
| Dx Laryngoscopy Excl Nb (31525) | $3,584.10 | $4,595 | 1.8× |
| Dx laryngoscopy w/oper scope (31526) | $3,584.10 | $4,595 | 1.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,669.20 | $2,140 | 2.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,534.26–$4,491.24 | $1,967–$5,758 | varies |
| Egd control bleeding any (43255) | $4,274.40 | $5,480 | 2.0× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$4,329.78–$4,491.24 | $5,551–$5,758 | varies |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $4,491.24 | $5,758 | 2.1× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$3,969.42–$4,491.24 | $5,089–$5,758 | varies |
| Egd remove lesion snare (43251) | $4,027.92 | $5,164 | 1.9× |
| Egd Tube/Cath Insertion (43241) | $1,310.40 | $1,680 | 0.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $2,564.64 | $3,288 | 7.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$539.76–$701.22 | $692–$899 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $532.74 | $683 | 1.6× |
| Endocervical curettage (57505) | $682.50 | $875 | 0.7× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $5,863.26 | $7,517 | 1.1× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$347.10–$690.30 | $445–$885 | varies |
| Epidural Blood Patch (62273) range across 4 matching MRF lines |
$973.44–$2,451.54 | $1,248–$3,143 | varies |
| Episiotomy or vaginal repair (59300) range across 4 matching MRF lines |
$1,278.42–$5,513.82 | $1,639–$7,069 | varies |
| Escharotomy; initial incision (16035) range across 2 matching MRF lines |
$727.74–$2,954.64 | $933–$3,788 | varies |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $2,129.40 | $2,730 | 2.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $4,491.24 | $5,758 | 2.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$230.88–$298.74 | $296–$383 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$674.70–$1,265.16 | $865–$1,622 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$1,477.32–$3,892.20 | $1,894–$4,990 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $3,193.32 | $4,094 | 1.7× |
| Exc Back Tum Deep 5 Cm/> (21933) | $4,606.68 | $5,906 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,138.02 | $1,459 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,487.46 | $1,907 | 1.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,265.16 | $1,622 | 1.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,391.52 | $1,784 | 1.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$1,326.78–$1,531.14 | $1,701–$1,963 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$1,658.28–$1,684.02 | $2,126–$2,159 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,852.50 | $2,375 | 1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $2,886.78 | $3,701 | 1.6× |
| Exc ganglion wrist recurrent (25112) | $3,563.04 | $4,568 | 2.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $2,924.22 | $3,749 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$946.14–$3,216.72 | $1,213–$4,124 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,184.82–$3,538.08 | $1,519–$4,536 | varies |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $5,548.14 | $7,113 | 1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$1,318.20–$1,684.02 | $1,690–$2,159 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$1,808.04–$4,281.42 | $2,318–$5,489 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$2,308.80–$5,037.24 | $2,960–$6,458 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,037.36–$2,512.38 | $2,612–$3,221 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $5,037.24 | $6,458 | 1.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,032.68 | $2,606 | 1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$2,183.22–$2,942.94 | $2,799–$3,773 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,638.74 | $3,383 | 0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$1,070.16–$2,773.68 | $1,372–$3,556 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$843.96–$1,391.52 | $1,082–$1,784 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$1,055.34–$1,531.14 | $1,353–$1,963 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$1,645.80–$1,852.50 | $2,110–$2,375 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,088.80 | $3,960 | 1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,552.16 | $3,272 | 1.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $2,924.22 | $3,749 | 1.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $4,335.24 | $5,558 | 1.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,657.46 | $3,407 | 0.8× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $3,322.02 | $4,259 | 0.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $9,133.80 | $11,710 | 2.3× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $4,491.24 | $5,758 | 2.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $2,706.60 | $3,470 | 1.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,795.56 | $2,302 | 2.3× |
| Excision Chalazion Single (67800) | $516.36 | $662 | 1.5× |
| Excision Chest Wall Tumor Including Ribs (21601) | $11,263.20 | $14,440 | 3.5× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $6,661.98 | $8,541 | 2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $894.66 | $1,147 | 1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,035.06 | $1,327 | 2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$2,004.60–$2,064.66 | $2,570–$2,647 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,240.20 | $1,590 | 1.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $2,134.86 | $2,737 | 1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,265.16 | $1,622 | 1.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,212.90 | $1,555 | 1.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,754.22 | $2,249 | 1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) | $5,010.72 | $6,424 | 1.6× |
| Excision of bartholin's gland or cyst (56740) | $5,513.82 | $7,069 | 1.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$2,695.68–$2,797.08 | $3,456–$3,586 | varies |
| Excision of hydrocele; unilateral (55040) | $3,777.54 | $4,843 | 1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$2,857.14–$5,037.24 | $3,663–$6,458 | varies |
| Excision of vaginal cyst or tumor (57135) | $7,291.44 | $9,348 | 2.0× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) range across 2 matching MRF lines |
$1,708.20–$1,772.94 | $2,190–$2,273 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$4,864.86–$6,094.92 | $6,237–$7,814 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$3,851.64–$5,541.12 | $4,938–$7,104 | varies |
| Excision prepatellar bursa (27340) | $3,530.28 | $4,526 | 1.0× |
| Excision soft tissue lesion, external auditory canal (69145) | $5,037.24 | $6,458 | 1.6× |
| Excision spermatocele w/wo epididymectomy (54840) | $3,931.98 | $5,041 | 1.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $4,007.64 | $5,138 | 2.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $3,066.18 | $3,931 | 1.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $4,794.66 | $6,147 | 1.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $3,365.70 | $4,315 | 1.5× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$1,830.66–$3,985.02 | $2,347–$5,109 | varies |
| Exploration of knee joint (27310) range across 2 matching MRF lines |
$5,804.76–$6,055.92 | $7,442–$7,764 | varies |
| Exploration penetrating wound spx chest (20101) | $3,365.70 | $4,315 | 1.5× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$2,924.22–$6,347.64 | $3,749–$8,138 | varies |
| Exploration Penetrating Wound Spx Neck (20100) | $890.76 | $1,142 | 1.5× |
| External cephalic version (59412) range across 3 matching MRF lines |
$961.74–$8,355.36 | $1,233–$10,712 | varies |
| Fetal Contraction Stress Test (59020) | $347.10 | $445 | 1.5× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$347.10–$408.72 | $445–$524 | varies |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $3,365.70 | $4,315 | 1.5× |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$514.02–$779.22 | $659–$999 | varies |
| Fluid Pressure Muscle (20950) | $1,265.16 | $1,622 | 1.6× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$680.94–$1,265.16 | $873–$1,622 | varies |
| Forehead flap w/vasc pedicle (15731) | $8,389.68 | $10,756 | 2.1× |
| Foreskin manipulation (54450) | $418.86 | $537 | 1.5× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) | $4,450.68 | $5,706 | 1.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $4,450.68 | $5,706 | 1.9× |
| Fusion Finger Joint (26860) | $5,804.76 | $7,442 | 1.6× |
| Fusion of hand bones (25820) | $12,898.86 | $16,537 | 1.6× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$554.58–$1,265.16 | $711–$1,622 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$3,485.04–$5,010.72 | $4,468–$6,424 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$5,010.72–$5,530.98 | $6,424–$7,091 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $4,566.12 | $5,854 | 1.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$1,591.98–$1,620.84 | $2,041–$2,078 | varies |
| Hemorrhoidopexy by stapling (46947) | $5,010.72 | $6,424 | 1.6× |
| Hymenotomy Simple Incision (56442) | $7,291.44 | $9,348 | 2.0× |
| Hysteroscopy Biopsy (58558) | $4,533.36 | $5,812 | 1.3× |
| Hysteroscopy Endometrial Ablation (58563) | $9,441.90 | $12,105 | 1.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $2,155.92 | $2,764 | 0.6× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $5,666.70 | $7,265 | 1.0× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) range across 2 matching MRF lines |
$973.44–$1,652.82 | $1,248–$2,119 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$433.68–$1,145.04 | $556–$1,468 | varies |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$274.56–$1,047.54 | $352–$1,343 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$4,419.48–$5,037.24 | $5,666–$6,458 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $5,037.24 | $6,458 | 1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $5,804.76 | $7,442 | 1.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $5,010.72 | $6,424 | 1.6× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $5,804.76 | $7,442 | 1.6× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$964.86–$1,633.32 | $1,237–$2,094 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$973.44–$1,589.64 | $1,248–$2,038 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$230.88–$894.66 | $296–$1,147 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $5,037.24 | $6,458 | 1.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$973.44–$2,271.36 | $1,248–$2,912 | varies |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $5,037.24 | $6,458 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $4,641 | $5,950 | 2.5× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,046.72 | $2,624 | 1.1× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$433.68–$946.14 | $556–$1,213 | varies |
| Incise finger tendon sheath (26055) | $4,254.12 | $5,454 | 2.4× |
| Incise flexor carpi radialis (25001) | $5,804.76 | $7,442 | 1.6× |
| Incise/Drain Conjunctiva (68020) | $1,881.36 | $2,412 | 1.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$463.32–$1,187.94 | $594–$1,523 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$3,384.42–$5,037.24 | $4,339–$6,458 | varies |
| Incision & drainage leg/ankle infected bursa (27604) | $7,676.76 | $9,842 | 2.1× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,274.52–$1,418.82 | $1,634–$1,819 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$516.36–$802.62 | $662–$1,029 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$407.16–$1,032.72 | $522–$1,324 | varies |
| Incision and drainage of the tear gland (68400) | $1,701.96 | $2,182 | 1.5× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) | $5,037.24 | $6,458 | 1.6× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$793.26–$948.48 | $1,017–$1,216 | varies |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$2,797.08–$3,093.48 | $3,586–$3,966 | varies |
| Incision of eardrum (69420) | $433.68 | $556 | 1.6× |
| Incision of lingual frenum (frenotomy) (41010) | $671.58 | $861 | 0.4× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$973.44–$3,130.14 | $1,248–$4,013 | varies |
| Incision of urethra (53020) | $3,616.86 | $4,637 | 1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$1,832.22–$2,362.62 | $2,349–$3,029 | varies |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$741–$1,133.34 | $950–$1,453 | varies |
| Induced abortion dilation and curettage (59840) | $5,513.82 | $7,069 | 1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$230.88–$325.26 | $296–$417 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,082.60 | $2,670 | 2.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,661.40 | $2,130 | 1.7× |
| Inject Intravitreal Pharmcologic (67028) | $648.96 | $832 | 1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$363.48–$433.68 | $466–$556 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$1,661.40–$3,087.24 | $2,130–$3,958 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,661.40 | $2,130 | 1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,256.58–$2,184 | $1,611–$2,800 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,661.40 | $2,130 | 1.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,256.58 | $1,611 | 1.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$1,256.58–$1,856.40 | $1,611–$2,380 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,661.40 | $2,130 | 1.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $530.40 | $680 | 1.6× |
| Injection of sclerosing solution, hemorrhoids (46500) | $1,620.84 | $2,078 | 1.6× |
| Injection single tendon origin/insertion (20551) | $530.40 | $680 | 1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$433.68–$466.44 | $556–$598 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$433.68–$667.68 | $556–$856 | varies |
| Injection therapeutic carpal tunnel (20526) | $530.40 | $680 | 1.6× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $3,087.24 | $3,958 | 3.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$1,256.58–$2,700.36 | $1,611–$3,462 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$559.26–$872.04 | $717–$1,118 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$278.46–$351.78 | $357–$451 | varies |
| Injx Anterior Chamber Eye Medication Spx (66030) | $4,211.22 | $5,399 | 1.6× |
| Insert and remove bone pin (20650) | $5,804.76 | $7,442 | 1.6× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$351–$871.26 | $450–$1,117 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$3,070.86–$3,735.42 | $3,937–$4,789 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,336.10–$3,396.12 | $2,995–$4,354 | varies |
| Insert cervical dilator (59200) range across 2 matching MRF lines |
$569.40–$900.12 | $730–$1,154 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,396.12 | $4,354 | 1.6× |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$1,421.16–$3,931.98 | $1,822–$5,041 | varies |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$347.10–$429.78 | $445–$551 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,901.60 | $3,720 | 1.7× |
| Insert prost urethral stent (53855) | $3,616.86 | $4,637 | 1.6× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$274.56–$473.46 | $352–$607 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$5,146.44–$5,808.66 | $6,598–$7,447 | varies |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $10,022.22 | $12,849 | 1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 5 matching MRF lines |
$207.48–$612.30 | $266–$785 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $6,906.90 | $8,855 | 1.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$2,901.60–$3,016.26 | $3,720–$3,867 | varies |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $9,133.80 | $11,710 | 2.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $973.44 | $1,248 | 0.3× |
| Insj Picc Rs&I <5 Yr (36572) | $1,127.88 | $1,446 | 1.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$2,006.94–$3,278.34 | $2,573–$4,203 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$1,421.16–$7,849.14 | $1,822–$10,063 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$2,535.78 | $3,251 | 0.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $18,305.04 | $23,468 | 2.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $18,305.04 | $23,468 | 2.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $5,010.72 | $6,424 | 1.6× |
| Interdental fixation (21110) | $2,706.60 | $3,470 | 1.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$755.82–$3,264.30 | $969–$4,185 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$831.48–$3,525.60 | $1,066–$4,520 | varies |
| Intranasal Biopsy (30100) | $2,706.60 | $3,470 | 1.6× |
| Intraoral i&d tongue/floor lingual (41000) | $890.76 | $1,142 | 1.5× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $405.60 | $520 | 1.5× |
| Intraoral i&d tongue/floor submental space (41007) | $2,706.60 | $3,470 | 1.6× |
| Intraoral i&d tongue/floor submndblr space (41008) | $5,548.14 | $7,113 | 1.5× |
| Intro Gastrointestinal Tube (44500) | $1,609.92 | $2,064 | 1.6× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$1,251.90–$2,599.74 | $1,605–$3,333 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$418.86–$1,546.74 | $537–$1,983 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) | $8,591.70 | $11,015 | 1.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $4,160.52 | $5,334 | 0.6× |
| Laparoscopy w/rmvl adnexal structures (58661) | $5,050.50 | $6,475 | 0.8× |
| Laparoscopy, surgical, appendectomy (44970) | $6,136.26 | $7,867 | 0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$11,852.88–$13,440.96 | $15,196–$17,232 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $4,470.18 | $5,731 | 0.7× |
| Laparoscopy, Tubal Block (58671) | $6,084.78 | $7,801 | 0.9× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) unusually low: confirm this is the full procedure |
$2,854.80 | $3,660 | 0.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $6,687.72 | $8,574 | 1.0× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$201.24–$722.28 | $258–$926 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$400.92–$1,341.60 | $514–$1,720 | varies |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) | $7,475.52 | $9,584 | 1.8× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $3,584.10 | $4,595 | 1.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $3,942.90 | $5,055 | 9.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) range across 2 matching MRF lines |
$377.52–$2,245.62 | $484–$2,879 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $3,584.10 | $4,595 | 1.8× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $845.52 | $1,084 | 1.9× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) | $845.52 | $1,084 | 1.9× |
| Late closure of wound (13160) | $3,365.70 | $4,315 | 0.9× |
| Lateral Canthopexy (21282) | $7,337.46 | $9,407 | 2.0× |
| Ligation Of Neck Artery (37615) | $6,679.92 | $8,564 | 1.9× |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$2,492.88–$2,924.22 | $3,196–$3,749 | varies |
| Lyse chest fibrin init day (32561) | $642.72 | $824 | 0.9× |
| Manipulation Elbow Under Anesthesia (24300) | $2,797.08 | $3,586 | 1.6× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$1,560–$2,797.08 | $2,000–$3,586 | varies |
| Manipulation tmj therapeutic require anesthesia (21073) | $3,578.64 | $4,588 | 2.1× |
| Manipulation wrist under anesthesia (25259) | $2,797.08 | $3,586 | 1.6× |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $2,814.24 | $3,608 | 1.6× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $1,893.84 | $2,428 | 1.1× |
| Marsupialization of bartholin's gland cyst (56440) | $5,513.82 | $7,069 | 1.5× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) | $4,123.08 | $5,286 | 1.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $8,389.68 | $10,756 | 2.1× |
| N Block Inj Celiac Pelus (64530) | $1,661.40 | $2,130 | 1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$507–$1,256.58 | $650–$1,611 | varies |
| N block inj intercost sng (64420) | $1,256.58 | $1,611 | 1.6× |
| N Block Inj Plantar Digit (64455) | $530.40 | $680 | 1.6× |
| N Block Inj Pudendal (64430) | $1,661.40 | $2,130 | 1.7× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$400.92–$1,355.64 | $514–$1,738 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 4 matching MRF lines |
$370.50–$736.32 | $475–$944 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,584.10 | $4,595 | 1.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $13,874.64 | $17,788 | 1.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $4,743.96 | $6,082 | 2.7× |
| Needle Biopsy Lymph Nodes (38505) | $1,205.88 | $1,546 | 0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $48.36 | $62 | 1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $48.36 | $62 | 1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,214.46 | $1,557 | 2.9× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$1,661.40–$2,932.80 | $2,130–$3,760 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$516.36–$1,016.34 | $662–$1,303 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,896.96 | $2,432 | 1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,256.58 | $1,611 | 1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,256.58 | $1,611 | 1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,661.40 | $2,130 | 1.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,256.58–$1,893.84 | $1,611–$2,428 | varies |
| Obstructive material removal from gi tube (49460) | $2,129.40 | $2,730 | 2.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$559.26–$931.32 | $717–$1,194 | varies |
| Open Repair of Rotator Cuff Acute (23410) | $7,977.06 | $10,227 | 1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$6,000.54–$17,059.38 | $7,693–$21,871 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $33,649.20 | $43,140 | 2.4× |
| Open treatment fracture distal tibia only (27827) | $33,649.20 | $43,140 | 2.4× |
| Open Treatment Humeral Condylar Fracture (24579) unusually low: confirm this is the full procedure |
$6,623.76 | $8,492 | 0.5× |
| Open treatment interphalangeal joint dislocation (28675) | $7,676.76 | $9,842 | 2.1× |
| Open Treatment Lunate Dislocation (25695) | $12,898.86 | $16,537 | 1.6× |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$4,920.24–$12,898.86 | $6,308–$16,537 | varies |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$3,769.74–$12,898.86 | $4,833–$16,537 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $12,898.86 | $16,537 | 1.6× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) | $10,251.54 | $13,143 | 1.3× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) | $13,770.12 | $17,654 | 2.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $5,548.14 | $7,113 | 1.5× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) | $7,676.76 | $9,842 | 2.1× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $12,898.86 | $16,537 | 1.6× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $12,898.86 | $16,537 | 1.6× |
| Open Treatment Proximal Humeral Fracture (23615) | $33,649.20 | $43,140 | 2.4× |
| Open Treatment Radial Shaft Fracture (25515) | $5,301.66 | $6,797 | 0.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $5,804.76 | $7,442 | 1.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 3 matching MRF lines |
$5,217.42–$12,898.86 | $6,689–$16,537 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$4,467.06–$5,804.76 | $5,727–$7,442 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $17,059.38 | $21,871 | 2.1× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $8,516.04 | $10,918 | 0.6× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $5,804.76 | $7,442 | 1.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) | $33,649.20 | $43,140 | 2.4× |
| Open tx interphalangeal joint dislocation (26785) range across 2 matching MRF lines |
$5,804.76–$10,268.70 | $7,442–$13,165 | varies |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$4,787.64–$7,676.76 | $6,138–$9,842 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $5,804.76 | $7,442 | 1.6× |
| Open Tx Radial Head/Neck Fracture (24665) | $6,750.12 | $8,654 | 0.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
$6,629.22–$17,059.38 | $8,499–$21,871 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$7,464.60–$15,482.22 | $9,570–$19,849 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 3 matching MRF lines |
$7,939.62–$18,765.24 | $10,179–$24,058 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $8,775 | $11,250 | 1.1× |
| Orbital implant removal/revision (67560) | $6,816.42 | $8,739 | 1.6× |
| Orchiectomy partial (54522) | $5,721.30 | $7,335 | 1.5× |
| Orchiopexy Ingun/Scrot Appr (54640) | $9,133.80 | $11,710 | 2.3× |
| Osteotomy Phalanx Finger Each (26567) | $5,804.76 | $7,442 | 1.6× |
| Partial excision bone metacarpal (26230) | $4,355.52 | $5,584 | 1.2× |
| Partial excision bone olecranon process (24147) | $4,913.22 | $6,299 | 1.4× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$3,357.90–$3,517.02 | $4,305–$4,509 | varies |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | $2,797.08 | $3,586 | 1.6× |
| Partial hymenectomy or revision of hymenal ring (56700) | $7,291.44 | $9,348 | 2.0× |
| Partial removal of tibia (27640) | $6,786 | $8,700 | 1.9× |
| Partial removal of toe (28160) | $5,804.76 | $7,442 | 1.6× |
| Partical Excision Bone Phalanx Toe (28124) | $7,676.76 | $9,842 | 2.1× |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
$670.02–$5,513.82 | $859–$7,069 | varies |
| Penile Injection (54235) | $418.86 | $537 | 1.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $5,804.76 | $7,442 | 1.6× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) | $8,381.88 | $10,746 | 1.0× |
| Pericardiocentesis W/Imaging (33016) | $3,336.84 | $4,278 | 1.9× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$1,358.76–$1,651.26 | $1,742–$2,117 | varies |
| Perq Cervicothoracic Inject (22510) | $7,676.76 | $9,842 | 2.1× |
| Perq Lumbosacral Injection (22511) | $7,676.76 | $9,842 | 2.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $5,804.76 | $7,442 | 1.6× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$230.88–$883.74 | $296–$1,133 | varies |
| Placement of seton (46020) | $5,010.72 | $6,424 | 1.6× |
| Probe lacrimal canaliculi w/wo irrigation (68840) | $516.36 | $662 | 1.5× |
| Proctopexy Perineal Approach (45541) | $6,626.88 | $8,496 | 2.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 3 matching MRF lines |
$615.42–$2,143.44 | $789–$2,748 | varies |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $6,626.88 | $8,496 | 2.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $709.80 | $910 | 0.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $5,804.76 | $7,442 | 1.6× |
| Prq skel fixj femoral fx prox end neck (27235) range across 2 matching MRF lines |
$7,909.20–$17,059.38 | $10,140–$21,871 | varies |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) | $12,898.86 | $16,537 | 1.6× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) | $17,059.38 | $21,871 | 2.1× |
| Pseudoaneurysm Injection Trt (36002) | $1,297.14 | $1,663 | 1.9× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$587.34–$742.56 | $753–$952 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$443.82–$779.22 | $569–$999 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$536.64–$1,265.16 | $688–$1,622 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,256.58 | $1,611 | 1.6× |
| Push Transfusion Blood 2 Yr/Under (36440) | $794.82 | $1,019 | 1.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,943.76 | $2,492 | 2.5× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) range across 2 matching MRF lines |
$4,683.90–$9,717.24 | $6,005–$12,458 | varies |
| Reconstruct Finger Joint (26548) | $7,676.76 | $9,842 | 2.1× |
| Reconstruction Nail Bed W/Graft (11762) | $3,365.70 | $4,315 | 1.5× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) | $5,804.76 | $7,442 | 1.6× |
| Reduction of rectal prolapse (45900) | $1,620.84 | $2,078 | 1.6× |
| Release of big toe (28240) | $5,804.76 | $7,442 | 1.6× |
| Removal Anal Seton Other Marker (46030) | $2,111.46 | $2,707 | 1.6× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$708.24–$948.48 | $908–$1,216 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$4,249.44–$5,037.24 | $5,448–$6,458 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$559.26–$3,029.52 | $717–$3,884 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$973.44–$2,283.06 | $1,248–$2,927 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$559.26–$1,429.74 | $717–$1,833 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$559.26–$1,150.50 | $717–$1,475 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $7,676.76 | $9,842 | 2.1× |
| Removal Foreign Body Scrotum (55120) | $3,616.86 | $4,637 | 1.6× |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$3,265.86–$5,037.24 | $4,187–$6,458 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $3,430.44 | $4,398 | 0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$145.08–$230.88 | $186–$296 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$230.88–$370.50 | $296–$475 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) range across 2 matching MRF lines |
$1,645.80–$7,291.44 | $2,110–$9,348 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$4,654.26–$5,037.24 | $5,967–$6,458 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $2,924.22 | $3,749 | 1.6× |
| Removal implantable contraceptive capsules (11976) | $1,265.16 | $1,622 | 1.6× |
| Removal intact breast implant (19328) | $8,866.26 | $11,367 | 2.0× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$230.88–$974.22 | $296–$1,249 | varies |
| Removal of implant from finger or hand (26320) range across 2 matching MRF lines |
$2,924.22–$5,793.06 | $3,749–$7,427 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$559.26–$861.90 | $717–$1,105 | varies |
| Removal of sperm cord lesion (55520) | $3,058.38 | $3,921 | 0.8× |
| Removal of testis (54520) | $2,960.10 | $3,795 | 0.8× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$230.88–$607.62 | $296–$779 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) | $5,037.24 | $6,458 | 1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$351.78–$391.56 | $451–$502 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,333.02 | $1,709 | 1.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $3,365.70 | $4,315 | 1.5× |
| Removal sweat gland lesion (11450) | $2,387.58 | $3,061 | 0.7× |
| Removal tong/halo applied by another individual (20665) | $736.32 | $944 | 1.5× |
| Removal, under anesthesia, of external fixation system (20694) | $2,797.08 | $3,586 | 1.6× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$380.64–$453.18 | $488–$581 | varies |
| Remove Brain Cavity Fluid (61020) | $1,693.38 | $2,171 | 1.7× |
| Remove cerclage suture (59871) | $5,513.82 | $7,069 | 1.5× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$553.80–$736.32 | $710–$944 | varies |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$1,421.16–$3,029.52 | $1,822–$3,884 | varies |
| Remove foreign body from eye (65235) | $4,211.22 | $5,399 | 1.6× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$343.20–$559.26 | $440–$717 | varies |
| Remove Hand Bone Lesion (26200) | $2,797.08 | $3,586 | 1.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $4,783.74 | $6,133 | 2.1× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$284.70–$567.84 | $365–$728 | varies |
| Remove Lower Leg Bone Lesion (27635) | $7,676.76 | $9,842 | 2.1× |
| Remove lung catheter (32552) | $1,127.88 | $1,446 | 1.6× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$230.88–$670.80 | $296–$860 | varies |
| Remove Peritoneal Foreign Body (49402) | $9,133.80 | $11,710 | 2.3× |
| Remove Shoulder Foreign Body (23330) | $2,924.22 | $3,749 | 1.6× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$2,797.08–$3,799.38 | $3,586–$4,871 | varies |
| Remove tissue expander (11971) | $6,661.98 | $8,541 | 2.1× |
| Remove/Insert Drug Implant (11983) | $964.86 | $1,237 | 1.9× |
| Repair Achilles Tendon (27650) range across 3 matching MRF lines |
$6,111.30–$17,059.38 | $7,835–$21,871 | varies |
| Repair arm/leg nerve (64857) | $15,934.62 | $20,429 | 4.2× |
| Repair Blood Vessel Direct Hand Finger (35207) range across 2 matching MRF lines |
$6,679.92–$9,700.86 | $8,564–$12,437 | varies |
| Repair blood vessel direct neck (35201) | $11,525.28 | $14,776 | 1.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) range across 2 matching MRF lines |
$6,679.92–$9,292.92 | $8,564–$11,914 | varies |
| Repair blood vessel lesion (35190) | $11,525.28 | $14,776 | 1.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$603.72–$2,334.54 | $774–$2,993 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$664.56–$2,956.98 | $852–$3,791 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$603.72–$1,977.30 | $774–$2,535 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$664.56–$2,420.34 | $852–$3,103 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$603.72–$1,514.76 | $774–$1,942 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$664.56–$1,893.84 | $852–$2,428 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$603.72–$1,476.54 | $774–$1,893 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$664.56–$2,301.78 | $852–$2,951 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$2,797.08–$5,285.28 | $3,586–$6,776 | varies |
| Repair Extensor Tendon Hand W/Graft Each (26412) | $5,804.76 | $7,442 | 1.6× |
| Repair Eyelid Wound (67935) | $4,123.08 | $5,286 | 1.6× |
| Repair Finger Tendon (26433) | $5,804.76 | $7,442 | 1.6× |
| Repair Finger/Hand Tendon (26350) range across 2 matching MRF lines |
$5,804.76–$6,500.52 | $7,442–$8,334 | varies |
| Repair Hand Joint (26540) range across 2 matching MRF lines |
$5,804.76–$6,449.04 | $7,442–$8,268 | varies |
| Repair Hand Tendon (26410) range across 3 matching MRF lines |
$2,797.08–$4,920.24 | $3,586–$6,308 | varies |
| Repair inguinal hernia, sliding, any age (49525) | $5,440.50 | $6,975 | 1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $5,008.38 | $6,421 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 5 matching MRF lines |
$516.36–$1,633.32 | $662–$2,094 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$567.84–$1,995.24 | $728–$2,558 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$624.78–$2,127.84 | $801–$2,728 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$687.18–$2,487.42 | $881–$3,189 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$914.94–$3,784.56 | $1,173–$4,852 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$687.18–$2,613 | $881–$3,350 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$516.36–$1,339.26 | $662–$1,717 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$567.84–$1,663.74 | $728–$2,133 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$624.78–$2,052.96 | $801–$2,632 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$831.48–$3,784.56 | $1,066–$4,852 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$687.18–$2,351.70 | $881–$3,015 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$516.36–$1,265.94 | $662–$1,623 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$567.84–$1,517.88 | $728–$1,946 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$755.82–$2,715.96 | $969–$3,482 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$624.78–$1,939.86 | $801–$2,487 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$831.48–$2,844.66 | $1,066–$3,647 | varies |
| Repair intrinsic muscles hand each muscle (26591) | $7,676.76 | $9,842 | 2.1× |
| Repair Laceration Palate </2 Cm (42180) range across 2 matching MRF lines |
$433.68–$1,198.86 | $556–$1,537 | varies |
| Repair Laceration Palate >2 Cm/Complex (42182) | $10,412.22 | $13,349 | 1.6× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$230.88–$1,503.84 | $296–$1,928 | varies |
| Repair of rectum (45505) | $5,010.72 | $6,424 | 1.6× |
| Repair of Ruptured Tendon (24342) | $6,651.84 | $8,528 | 0.8× |
| Repair radius & ulna (25415) | $8,585.46 | $11,007 | 1.1× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $6,780.54 | $8,693 | 0.9× |
| Repair Rotator Cuff Chronic (23412) | $7,446.66 | $9,547 | 0.9× |
| Repair Spica/Body/Jacket Cast (29720) | $230.88 | $296 | 1.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) range across 2 matching MRF lines |
$2,839.98–$5,804.76 | $3,641–$7,442 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$6,690.06–$12,898.86 | $8,577–$16,537 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$1,358.76–$3,263.52 | $1,742–$4,184 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$230.88–$1,117.74 | $296–$1,433 | varies |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) | $11,525.28 | $14,776 | 1.9× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $12,898.86 | $16,537 | 1.6× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) | $12,898.86 | $16,537 | 1.6× |
| Repair/graft achilles tendon (27652) | $17,059.38 | $21,871 | 2.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) range across 2 matching MRF lines |
$1,609.92–$5,991.18 | $2,064–$7,681 | varies |
| Replace G-J Tube Perc (49452) | $1,609.92 | $2,064 | 1.6× |
| Replace g/c tube perc (49450) | $1,609.92 | $2,064 | 1.6× |
| Replantation digit complete (20822) | $3,699.54 | $4,743 | 2.1× |
| Reposition Gastrostomy Tube (43761) | $559.26 | $717 | 2.0× |
| Rerepair ing hernia reduce (49520) | $4,927.26 | $6,317 | 1.2× |
| Revise finger joint each (26140) | $2,797.08 | $3,586 | 1.6× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $10,639.98 | $13,641 | 2.7× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) | $4,123.08 | $5,286 | 1.6× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $2,706.60 | $3,470 | 1.6× |
| Rmvl embedded fb vestibule mouth comp (40805) | $1,770.60 | $2,270 | 3.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,609.92 | $2,064 | 1.6× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $3,541.20 | $4,540 | 1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$230.88–$985.14 | $296–$1,263 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$254.28–$1,123.20 | $326–$1,440 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$396.24–$615.42 | $508–$789 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $2,111.46 | $2,707 | 1.6× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) | $3,773.64 | $4,838 | 2.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$1,421.16–$3,189.42 | $1,822–$4,089 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$559.26–$1,723.80 | $717–$2,210 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$559.26–$1,084.20 | $717–$1,390 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $4,635.54 | $5,943 | 2.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$1,758.12–$2,901.60 | $2,254–$3,720 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$1,127.88–$1,830.66 | $1,446–$2,347 | varies |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $468 | $600 | 1.5× |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$455.52–$889.20 | $584–$1,140 | varies |
| Rplc gtube revj gstrst trc (43763) | $500.76 | $642 | 1.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $5,808.66 | $7,447 | 1.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,901.60 | $3,720 | 1.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,901.60 | $3,720 | 1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $5,808.66 | $7,447 | 1.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $7,558.98 | $9,691 | 1.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $3,150.42 | $4,039 | 0.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $4,271.28 | $5,476 | 1.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $5,807.10 | $7,445 | 0.8× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $4,821.96 | $6,182 | 0.7× |
| Rpr blood vessel direct lower extremity (35226) | $1,454.70 | $1,865 | 1.9× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $12,898.86 | $16,537 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$571.74–$1,747.98 | $733–$2,241 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$755.82–$2,754.18 | $969–$3,531 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $405.60 | $520 | 1.5× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $4,123.08 | $5,286 | 1.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $890.76 | $1,142 | 1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $890.76 | $1,142 | 1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,706.60 | $3,470 | 1.6× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $5,804.76 | $7,442 | 1.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$1,421.16–$6,623.76 | $1,822–$8,492 | varies |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines |
$1,421.16–$4,787.64 | $1,822–$6,138 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,127.88 | $1,446 | 1.6× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) | $6,816.42 | $8,739 | 1.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $7,676.76 | $9,842 | 2.1× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $5,804.76 | $7,442 | 1.6× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $5,548.14 | $7,113 | 1.5× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$399.36–$727.74 | $512–$933 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $536.64 | $688 | 2.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $351.78 | $451 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $351.78 | $451 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $641.94 | $823 | 1.4× |
| Shoulder arthroscopy diagnostic (29805) | $4,002.96 | $5,132 | 1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $602.94 | $773 | 2.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $637.26 | $817 | 1.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $479.70 | $615 | 2.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $541.32 | $694 | 2.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $5,548.14 | $7,113 | 1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,446.90 | $1,855 | 1.4× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $2,792.40 | $3,580 | 2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$629.46–$2,245.62 | $807–$2,879 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$429.78–$1,187.94 | $551–$1,523 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$472.68–$1,432.08 | $606–$1,836 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$691.86–$3,093.48 | $887–$3,966 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$520.26–$1,432.08 | $667–$1,836 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$761.28–$3,635.58 | $976–$4,661 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$429.78–$948.48 | $551–$1,216 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$692.64–$2,264.34 | $888–$2,903 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$521.04–$1,526.46 | $668–$1,957 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $4,450.68 | $5,706 | 1.9× |
| Skin graft, harvest cultured tissue (15040) | $1,217.58 | $1,561 | 0.5× |
| Skin Pedicle Flap Trunk (15570) | $6,858.54 | $8,793 | 3.0× |
| Skin Pinch Graft (15050) | $1,132.56 | $1,452 | 1.4× |
| Skin sub graft face/nk/hf/g (15275) | $936.78 | $1,201 | 1.1× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$748.02–$4,450.68 | $959–$5,706 | varies |
| Skin sub grft t/arm/lg child (15273) | $2,341.56 | $3,002 | 1.0× |
| Slitting of prepuce (54001) | $3,616.86 | $4,637 | 1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$472.68–$1,187.94 | $606–$1,523 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$573.30–$1,663.74 | $735–$2,133 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$630.24–$1,861.08 | $808–$2,386 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$666.12–$2,451.54 | $854–$3,143 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $8,389.68 | $10,756 | 2.1× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $8,446.62 | $10,829 | 3.7× |
| Strapping ankle (29540) | $283.92 | $364 | 1.6× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$112.32–$248.04 | $144–$318 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$112.32–$259.74 | $144–$333 | varies |
| Strapping Hip (29520) | $226.20 | $290 | 1.5× |
| Strapping knee (29530) | $226.20 | $290 | 1.5× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$226.20–$322.92 | $290–$414 | varies |
| Strapping thorax (29200) | $283.92 | $364 | 1.6× |
| Strapping toes (29550) | $112.32 | $144 | 1.7× |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$278.46–$355.68 | $357–$456 | varies |
| Subconjunctival injection (68200) | $736.32 | $944 | 1.5× |
| Surg tx anal fistula subq (46270) | $5,010.72 | $6,424 | 1.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $5,010.72 | $6,424 | 1.6× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $4,123.08 | $5,286 | 1.6× |
| Suture digital nerve hand/foot 1 nerve (64831) | $3,505.32 | $4,494 | 1.6× |
| Suture infrapatellar tendon primary (27380) range across 2 matching MRF lines |
$4,880.46–$12,898.86 | $6,257–$16,537 | varies |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $13,291.98 | $17,041 | 1.7× |
| Suture pharynx for wound or injury (42900) | $2,706.60 | $3,470 | 1.6× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$351.78–$473.46 | $451–$607 | varies |
| Temporary Closure Eyelids Suture (67875) | $1,701.96 | $2,182 | 1.5× |
| Tenodesis long tendon biceps (23430) | $6,055.92 | $7,764 | 0.8× |
| Tenotomy extensor hand/finger open each tendon (26460) | $2,797.08 | $3,586 | 1.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $2,669.16 | $3,422 | 3.4× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) | $11,525.28 | $14,776 | 1.9× |
| Thrombolytic Therapy Stroke (37195) | $1,762.02 | $2,259 | 4.8× |
| Thrombolytic Venous Therapy (37212) | $7,682.22 | $9,849 | 2.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,450.68 | $5,706 | 1.9× |
| Tooth extraction (41899) | $536.64 | $688 | 2.0× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $3,633.24 | $4,658 | 1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $486.72 | $624 | 0.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$1,358.76–$3,935.88 | $1,742–$5,046 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$4,090.32–$4,500.60 | $5,244–$5,770 | varies |
| Tracheostomy planned (31600) | $6,133.14 | $7,863 | 1.7× |
| Transrectal Drainage of Pelvic Abscess (45000) | $2,111.46 | $2,707 | 1.6× |
| Transur electr resection of prostate (52601) range across 2 matching MRF lines |
$6,800.04–$8,080.02 | $8,718–$10,359 | varies |
| Treat Ankle Dislocation (27846) | $17,059.38 | $21,871 | 2.1× |
| Treat Big Toe Fracture (28505) | $5,804.76 | $7,442 | 1.6× |
| Treat Dental Ridge Fracture (21440) | $7,337.46 | $9,407 | 2.0× |
| Treat dental ridge fracture (21445) | $13,770.12 | $17,654 | 2.1× |
| Treat Elbow Fracture (24635) | $17,059.38 | $21,871 | 2.1× |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$3,879.72–$5,804.76 | $4,974–$7,442 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$5,291.52–$12,898.86 | $6,784–$16,537 | varies |
| Treat Hip Socket Fracture (27222) | $588.12 | $754 | 2.1× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$230.88–$2,623.92 | $296–$3,364 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,315.08–$4,252.56 | $1,686–$5,452 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$230.88–$2,461.68 | $296–$3,156 | varies |
| Treat knee fracture (27532) | $5,804.76 | $7,442 | 1.6× |
| Treat Knee Fracture(S) (27538) | $404.04 | $518 | 1.5× |
| Treat Kneecap Fracture (27524) | $6,190.08 | $7,936 | 0.8× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$230.88–$3,367.26 | $296–$4,317 | varies |
| Treat metacarpal fracture (26607) | $5,804.76 | $7,442 | 1.6× |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$254.28–$1,977.30 | $326–$2,535 | varies |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$230.88–$1,638 | $296–$2,100 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$230.88–$3,392.22 | $296–$4,349 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$559.26–$3,095.82 | $717–$3,969 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$230.88–$1,203.54 | $296–$1,543 | varies |
| Treat vagina infection (57150) | $283.92 | $364 | 4.3× |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
$347.10–$757.38 | $445–$971 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$2,596.62–$3,960.84 | $3,329–$5,078 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$667.68–$4,042.74 | $856–$5,183 | varies |
| Treatment mouth roof lesion (42160) | $5,548.14 | $7,113 | 1.5× |
| Treatment of tibia fracture (27756) | $17,059.38 | $21,871 | 2.1× |
| Trim skin lesion (11055) | $351.78 | $451 | 1.6× |
| Trim skin lesions 2 to 4 (11056) | $351.78 | $451 | 1.6× |
| Trim skin lesions over 4 (11057) | $351.78 | $451 | 1.6× |
| Trimming Nondystrophic Nails Any Number (11719) | $112.32 | $144 | 1.7× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) | $4,121.52 | $5,284 | 2.1× |
| Tx Gastro Intub W/Asp (43753) range across 4 matching MRF lines |
$240.24–$546 | $308–$700 | varies |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $33,649.20 | $43,140 | 2.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $1,421.16 | $1,822 | 0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) | $5,513.82 | $7,069 | 1.5× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $5,513.82 | $7,069 | 1.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $3,429.66 | $4,397 | 1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$559.26–$1,468.74 | $717–$1,883 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$433.68–$1,160.64 | $556–$1,488 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
$1,315.08–$2,280.72 | $1,686–$2,924 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$230.88–$1,733.16 | $296–$2,222 | varies |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $7,917 | $10,150 | 0.6× |
| Unlisted procedure anus (46999) | $2,143.44 | $2,748 | 2.1× |
| Unlisted Procedure Hands/Fingers (26989) | $534.30 | $685 | 2.0× |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$311.22–$2,129.40 | $399–$2,730 | varies |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$701.22–$2,002.26 | $899–$2,567 | varies |
| Unlisted Procedure Rectum (45999) | $2,143.44 | $2,748 | 2.1× |
| Unlisted procedure shoulder (23929) | $534.30 | $685 | 2.0× |
| Unlisted Procedure Vascular Surgery (37799) | $229.32 | $294 | 0.3× |
| Unlisted Procedure, Urinary System (53899) | $554.58 | $711 | 2.0× |
| Unlisted px female genital system nonobstetrical (58999) | $459.42 | $589 | 2.0× |
| Unlisted Px Salivary Glands/Ducts (42699) | $405.60 | $520 | 1.5× |
| Vaginal Delivery After Cesarean Delivery (59612) | $7,291.44 | $9,348 | 2.0× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$5,066.88–$7,468.50 | $6,496–$9,575 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,985.84 | $3,828 | 1.3× |
| Vein Access Cutdown < 1 Yr (36420) | $226.20 | $290 | 1.5× |
| Venous Cutdown >1 Y/O (36425) | $736.32 | $944 | 1.5× |
| Vulvectomy simple partial (56620) | $5,789.94 | $7,423 | 1.6× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$230.88–$652.86 | $296–$837 | varies |
| Wedging of cast (29740) | $468 | $600 | 1.5× |
| Windowing of cast (29730) range across 2 matching MRF lines |
$230.88–$371.28 | $296–$476 | varies |
| Wound Prep F/N/Hf/G (15004) | $1,497.60 | $1,920 | 3.3× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$3,473.34–$4,450.68 | $4,453–$5,706 | varies |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $3,336.84 | $4,278 | 1.9× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) | $890.76 | $1,142 | 1.5× |
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.