Procedures & surgery prices at Ridgeview Le Sueur Medical Center

Le Sueur, MN · every code in this section with a posted price and a Medicare benchmark.

1363 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $251.30–$701.40 $359–$1,002 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 4 matching MRF lines		 $175.70–$511.70 $251–$731 varies
Ablate inf turbinate submuc (30802)
range across 4 matching MRF lines		 $492.80–$674.80 $260–$964 varies
Ablation 1/> liver tumor perq cryoablation (47383)
range across 3 matching MRF lines		 $13,906.20 $1,508–$19,866 1.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 4 matching MRF lines		 $370.30–$530.60 $229–$758 varies
Abrasion single lesion (15786)
range across 6 matching MRF lines		 $325.50–$555.80 $329–$794 varies
Acne surgery (10040)
range across 4 matching MRF lines		 $125.30–$282.10 $179–$403 varies
Adding Walker Previously Applied Cast (29440) $67.90 $97 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,223.60 $1,748 0.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $2,097.20 $752–$2,996 0.6×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 4 matching MRF lines		 $1,974.70–$2,417.80 $633–$3,454 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 6 matching MRF lines		 $1,507.80–$1,845.20 $482–$2,636 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 4 matching MRF lines		 $1,373.40–$1,710.10 $481–$2,443 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 4 matching MRF lines		 $1,838.90–$2,240 $573–$3,200 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 4 matching MRF lines		 $1,712.90–$2,105.60 $561–$3,008 varies
Amniocentesis diagnostic (59000) $287.70 $411 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,674.40 $2,392 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,722.70 $2,461 0.5×
Amputation metatarsal with toe single (28810) $1,026.20 $1,466 0.3×
Amputation toe interphalangeal joint (28825)
range across 4 matching MRF lines		 $416.50–$704.90 $412–$1,007 varies
Amputation toe metatarsophalangeal joint (28820)
range across 4 matching MRF lines		 $427–$716.10 $413–$1,023 varies
Anoscopy Control Bleeding (46614) $155.40 $222 0.1×
Anoscopy diagnostic (46600)
range across 5 matching MRF lines		 $100.10–$285.60 $143–$408 varies
Anoscopy remove lesion (46610) $193.20 $276 0.1×
Anoscopy W/Rmvl Foreign Body (46608) $205.10 $293 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $1,490.30 $2,129 0.3×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $431.20 $616 1.5×
Application cast elbow finger short arm (29075)
range across 5 matching MRF lines		 $152.60–$269.50 $92–$385 varies
Application Cast Finger (29086)
range across 4 matching MRF lines		 $120.40–$190.40 $100–$272 varies
Application Cast Shoulder Spica (29055) $335.30 $479 1.1×
Application Finger Splint Dynamic (29131)
range across 4 matching MRF lines		 $84–$133 $70–$190 varies
Application finger splint static (29130)
range across 4 matching MRF lines		 $70.70–$161.70 $101–$231 varies
Application Hip Spica Cast 1 Leg (29305) $385 $550 1.3×
Application long arm splint shoulder hand (29105)
range across 5 matching MRF lines		 $100.80–$481.60 $144–$688 varies
Application Long Leg Cast Brace (29358) $250.60 $358 0.9×
Application Long Leg Cast Walker/Ambulatory Type (29355) $257.60 $368 0.9×
Application Long Leg Splint (29505)
range across 5 matching MRF lines		 $127.40–$287 $135–$410 varies
Application of cylinder cast (thigh to ankle) (29365) $213.50 $305 0.7×
Application of rigid total contact leg cast (29445) $238 $340 0.8×
Application Patellar Tendon Bearing Cast (29435) $210.70 $301 0.7×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $120.40–$193.20 $172–$276 varies
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines		 $98.70–$512.40 $95–$732 varies
Application short leg splint calf foot (29515)
range across 5 matching MRF lines		 $121.10–$303.10 $82–$433 varies
Apply hand/wrist cast (29085)
range across 4 matching MRF lines		 $164.50–$238 $105–$340 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $165.90–$324.10 $237–$463 varies
Apply Multlay Comprs Lwr Leg (29581) $590.80 $844 3.5×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $142.80–$326.90 $204–$467 varies
Apply short leg cast (29425)
range across 4 matching MRF lines		 $131.60–$185.50 $77–$265 varies
Arterial puncture (36600)
range across 3 matching MRF lines		 $35.70–$128.80 $51–$184 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
unusually low: confirm this is the full procedure		 $4,146.10 $5,923 0.3×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,765.40 $2,522 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $88.90–$402.50 $64–$575 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 6 matching MRF lines		 $125.30–$218.40 $133–$312 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $109.90–$663.60 $69–$948 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 7 matching MRF lines		 $142.10–$679 $141–$970 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $86.80–$483 $63–$690 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 3 matching MRF lines		 $817.60–$1,220.80 $1,168–$1,744 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 4 matching MRF lines		 $1,403.50–$1,887.20 $691–$2,696 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $3,847.20 $5,496 0.2×
Arthroplasty interphalangeal joint each (26535) $1,083.60 $1,548 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $989.80 $1,414 0.6×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $840 $1,200 0.2×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024)
range across 2 matching MRF lines		 $753.20–$1,117.90 $1,076–$1,597 varies
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)
range across 4 matching MRF lines		 $799.40–$1,178.10 $541–$1,683 varies
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020)
range across 4 matching MRF lines		 $892.50–$1,311.80 $599–$1,874 varies
Artificial insemination intra-cervical (58321) $200.20 $286 0.6×
Artificial insemination intra-uterine (58322) $222.60 $318 1.1×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $257.60–$753.20 $368–$1,076 varies
Aspirate Pleura W/O Imaging (32554) $210.70 $301 0.3×
Aspirate/Inj Ganglion Cyst (20612)
range across 4 matching MRF lines		 $99.40–$158.20 $84–$226 varies
Aspiration and/or injection thyroid cyst (60300) $115.50 $165 0.2×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $340.20–$2,756.60 $486–$3,938 varies
Aspiration Bladder Needle (51100) $93.80 $134 0.4×
Aspiration bladder trocar/intracatheter (51101) $121.80 $174 0.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $424.90–$498.40 $607–$712 varies
Biopsy Abdominal Mass (49180) $195.30 $279 0.1×
Biopsy bone open superficial (20240) $336.70 $481 0.1×
Biopsy bone trocar/needle deep (20225) $307.30 $439 0.2×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 4 matching MRF lines		 $207.20–$557.90 $296–$797 varies
Biopsy External Auditory Canal (69105)
range across 4 matching MRF lines		 $154.70–$350.70 $221–$501 varies
Biopsy external ear (69100)
range across 4 matching MRF lines		 $111.30–$231.70 $159–$331 varies
Biopsy muscle percutaneous needle (20206) $136.50 $195 0.1×
Biopsy Muscle Superficial (20200) $230.30 $329 0.1×
Biopsy nail unit (11755)
range across 4 matching MRF lines		 $144.90–$296.10 $207–$423 varies
Biopsy of breast; open, incisional (19101) $795.90 $1,137 0.2×
Biopsy of floor of mouth (41108)
range across 4 matching MRF lines		 $222.60–$408.80 $266–$584 varies
Biopsy of lip (40490)
range across 4 matching MRF lines		 $165.90–$296.80 $187–$424 varies
Biopsy of liver, needle; percutaneous (47000) $207.90 $297 0.1×
Biopsy of palate, uvula (42100)
range across 4 matching MRF lines		 $268.10–$355.60 $125–$508 varies
Biopsy of penis (54100)
range across 6 matching MRF lines		 $292.60–$491.40 $284–$702 varies
Biopsy of upper nose/throat (42806)
range across 3 matching MRF lines		 $346.50–$587.30 $495–$839 varies
Biopsy of urethra (53200) $385 $550 0.2×
Biopsy Oropharynx (42800)
range across 4 matching MRF lines		 $286.30–$386.40 $143–$552 varies
Biopsy ovary uni/bi separate procedure (58900) $1,066.80 $1,524 0.3×
Biopsy Pleura Percutaneous Needle (32400) $198.10 $283 0.1×
Biopsy Salivary Gland Incisional (42405)
range across 4 matching MRF lines		 $552.30–$742 $271–$1,060 varies
Biopsy Salivary Gland Needle (42400)
range across 4 matching MRF lines		 $127.40–$231.70 $149–$331 varies
Biopsy soft tissue neck/thorax (21550)
range across 4 matching MRF lines		 $378.70–$647.50 $384–$925 varies
Biopsy Tongue Anterior Two-Thirds (41100)
range across 4 matching MRF lines		 $261.10–$455 $277–$650 varies
Biopsy Tongue Posterior One-Third (41105)
range across 6 matching MRF lines		 $268.10–$457.10 $270–$653 varies
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $158.20–$252 $226–$360 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 4 matching MRF lines		 $142.80–$234.50 $131–$335 varies
Biopsy, vestibule of mouth (40808)
range across 4 matching MRF lines		 $217–$410.90 $277–$587 varies
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $1,012.90–$1,281 $1,447–$1,830 varies
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $72.10–$408.80 $103–$584 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $28–$128.80 $40–$184 varies
Blepharotomy drainage abscess eyelid (67700)
range across 5 matching MRF lines		 $280–$683.20 $400–$976 varies
Blood Transfusion Service (36430) $769.30 $1,099 1.7×
Bone Marrow Biopsy (38221) $168 $240 0.1×
Bone Marrow; Aspiration Only (38220) $160.30 $229 0.1×
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $312.20–$661.50 $446–$945 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 3 matching MRF lines		 $519.40–$2,986.90 $742–$4,267 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $576.10 $823 0.1×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $347.90–$661.50 $497–$945 varies
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $368.90–$840 $527–$1,200 varies
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $415.10–$706.30 $593–$1,009 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $415.10–$894.60 $593–$1,278 varies
Bx breast 1st lesion strtctc (19081) $385.70 $551 0.2×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $364.70–$1,191.40 $521–$1,702 varies
Bx breast needle core w/o imaging guidance spx (19100) $361.20 $516 0.2×
Bx Cervix (57500)
range across 4 matching MRF lines		 $182–$373.10 $260–$533 varies
Bx/exc lymph node open superficial (38500)
range across 6 matching MRF lines		 $620.20–$817.60 $282–$1,168 varies
Canthotomy Separate Procedure (67715) $259 $370 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 4 matching MRF lines		 $815.50–$1,176.70 $516–$1,681 varies
Capsulotomy Iphal Joint Each Joint Spx (28272)
range across 4 matching MRF lines		 $613.20–$924.70 $445–$1,321 varies
Capsulotomy Midtarsal (28264) $1,629.60 $2,328 1.0×
Cataract surgery complex (66982) $5,739.37 $8,199.10 2.4×
Catheter aspiration nasotracheal spx (31720) $115.50 $165 0.5×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $360.50–$486.50 $515–$695 varies
Cautery Cervix Electro/Thermal (57510)
range across 2 matching MRF lines		 $275.10–$407.40 $393–$582 varies
Cerclage cervix pregnancy vaginal (59320) $367.50 $525 0.1×
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure		 $3,252.20 $4,646 0.5×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $192.50–$329.70 $275–$471 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $124.60–$611.80 $178–$874 varies
Change of Windpipe Airway (31502) $84 $120 0.3×
Change ureter stent percut (50382) $589.40 $842 0.3×
Chemical Cautery Tissue (17250) $739.90 $1,057 3.5×
Chemodenerv 1 extremity 1-4 (64642)
range across 4 matching MRF lines		 $259.70–$372.40 $161–$532 varies
Chemodenerv Eccrine Glands (64650)
range across 4 matching MRF lines		 $98.70–$215.60 $141–$308 varies
Chemodenerv Musc Migraine (64615)
range across 4 matching MRF lines		 $298.20–$373.80 $108–$534 varies
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines		 $266.70–$337.40 $101–$482 varies
Chemodenerv trunk musc 1-5 (64646) $392.70 $561 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines		 $335.30 $65–$479 1.0×
Chest tube placement (32551)
range across 2 matching MRF lines		 $369.60–$1,206.10 $528–$1,723 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $186.20 $266 0.1×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $788.20 $1,126 0.2×
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines		 $328–$513 $185–$513 varies
Cl Tx Scapular Fx; W Manip (23575) $952 $1,360 0.6×
Cl Tx Tib Shft Fx W Manip (27752) $1,215.90 $1,737 0.7×
Clear outer ear canal (69200)
range across 5 matching MRF lines		 $114.80–$217 $115–$310 varies
Closed Rx Spontaneous Hip Disloc (27256) $585.90 $837 2.3×
Closed Treat Vert Body Fract (22310) $732.90 $1,047 2.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 5 matching MRF lines		 $563.50–$1,147.30 $161–$1,639 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,117.90 $1,597 0.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,143.10 $1,633 4.4×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $729.40 $1,042 2.8×
Closed Treatment Sesamoid Fracture (28530)
range across 4 matching MRF lines		 $254.80–$291.90 $53–$417 varies
Closed Treatment Sternum Fracture (21820) $371.70 $531 1.4×
Closed Treatment Ulnar Styloid Fracture (25650) $771.40 $1,102 3.0×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $651.70–$966 $931–$1,380 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $868.70–$1,068.90 $1,241–$1,527 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $613.90–$847 $877–$1,210 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,011.50 $1,445 3.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 4 matching MRF lines		 $576.10–$620.20 $63–$886 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,115.80 $1,594 0.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 4 matching MRF lines		 $718.20–$779.10 $87–$1,113 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,341.20 $1,916 0.8×
Closed tx femoral fracture prox head w/o manj (27267) $1,094.80 $1,564 0.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,187.20 $1,696 4.6×
Closed tx knee dislocation w/o anesthesia (27550) $1,168.30 $1,669 4.5×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,225.70 $1,751 0.7×
Closed tx mandibular fracture w/manipulation (21451) $1,547.70 $2,211 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,161.30 $1,659 2.1×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
range across 3 matching MRF lines		 $2,248.40–$2,642.50 $3,212–$3,775 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines		 $513.80–$545.30 $45–$779 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,456.70 $2,081 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 4 matching MRF lines		 $144.20–$370.30 $206–$529 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 4 matching MRF lines		 $229.60–$525 $328–$750 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,215.90 $1,737 4.7×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $483.70–$940.10 $691–$1,343 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $758.80–$822.50 $1,084–$1,175 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,019.20 $1,456 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $623.70 $891 2.4×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,153.60–$1,275.40 $1,648–$1,822 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 4 matching MRF lines		 $653.10–$721.70 $98–$1,031 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $826–$1,299.90 $1,180–$1,857 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $656.60 $938 2.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $613.90 $877 2.4×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $912.10 $1,303 3.5×
Closed tx talotarsal joint dislc w/o anes (28570) $497 $710 1.9×
Closed Tx Talus Fracture W/Manipulation (28435) $821.10 $1,173 0.5×
Closed tx talus fracture w/o manipulation (28430) $527.80 $754 2.0×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,890 $2,700 1.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $74.90 $107 0.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,044.40 $1,492 0.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $676.20 $966 2.6×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $303.80–$672 $434–$960 varies
Closure Gastrostomy Surg (43870) $1,718.50 $2,455 0.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $352.10 $503 1.4×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $485.80 $694 0.9×
Closure of cystostomy (separate procedure) Facility (51880) $1,127 $1,610 0.3×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $1,493.80 $2,134 0.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $815.50 $1,165 3.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $598.50 $855 2.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $840 $1,200 0.5×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $565.60–$578.20 $808–$826 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $417.20 $596 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,014.30 $1,449 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 5 matching MRF lines		 $756.70–$968.10 $118–$1,383 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $604.10 $863 0.4×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,017.10 $1,453 3.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,216.60 $1,738 0.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $840.70 $1,201 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $559.30 $799 2.2×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,061.20 $1,516 0.6×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 4 matching MRF lines		 $717.50–$772.10 $78–$1,103 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $659.40–$788.90 $942–$1,127 varies
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $1,208.90 $1,727 4.7×
Cltx dstl fibular fx lat malls w/manj (27788) $962.50 $1,375 3.7×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $722.40–$788.90 $95–$1,127 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $530.60–$806.40 $758–$1,152 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $477.40–$483 $682–$690 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 5 matching MRF lines		 $585.20–$856.80 $53–$1,224 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $893.20–$1,350.30 $1,276–$1,929 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,334.20 $1,906 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,671.60 $2,388 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,234.10 $1,763 4.8×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,185.80 $1,694 4.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,839.60 $2,628 1.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $372.40 $532 1.4×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 4 matching MRF lines		 $312.20–$354.20 $60–$506 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 5 matching MRF lines		 $358.40–$410.90 $75–$587 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $678.30 $969 2.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,218 $1,740 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $765.80 $1,094 3.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $656.60 $938 2.5×
Cltx Greater Trochanteric Fx W/O Manj (27246) $959.70 $1,371 3.7×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $886.90 $1,267 0.5×
Cltx hip dislocation traumatic req anesthesia (27252) $1,827.70 $2,611 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $432.60 $618 1.7×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $793.10 $1,133 3.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,265.60 $1,808 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,235.50 $1,765 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $744.10 $1,063 2.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,158.50 $1,655 0.7×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 4 matching MRF lines		 $309.40–$371.70 $89–$531 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $232.40–$310.80 $332–$444 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,320.50 $3,315 1.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 4 matching MRF lines		 $893.20–$995.40 $146–$1,422 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 5 matching MRF lines		 $451.50–$731.50 $96–$1,045 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,099.70 $1,571 0.7×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $774.90–$840 $1,107–$1,200 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $543.20–$833 $776–$1,190 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 5 matching MRF lines		 $519.40–$763 $52–$1,090 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines		 $319.90–$420 $457–$600 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $767.20–$862.40 $1,096–$1,232 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $310.80–$511.70 $444–$731 varies
Cltx post hip arthrp dislc req anes (27266) $1,432.20 $2,046 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $1,038.80 $1,484 4.0×
Cltx prox fibula/shft fx w/manj (27781) $1,010.10 $1,443 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $718.20 $1,026 2.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,067.50 $1,525 0.6×
Cltx prox tibfib jt dislc w/o anes (27830) $903 $1,290 3.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,121.40 $1,602 4.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 5 matching MRF lines		 $195.30–$415.80 $85–$594 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,355.90 $1,937 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,003.10 $1,433 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,249.50 $1,785 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,423.80 $2,034 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $884.80–$966 $1,264–$1,380 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,954.40 $2,792 1.2×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 4 matching MRF lines		 $437.50–$487.20 $71–$696 varies
Cltx tibial fx proximal w/o manipulation (27530) $729.40 $1,042 2.8×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $749–$813.40 $1,070–$1,162 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,318.10 $1,883 5.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,097.60 $1,568 0.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $742 $1,060 2.9×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure		 $2,112.60 $3,018 0.4×
Collect Blood From Catheter Venous Nos (36592) $1,254.40 $1,792 9.0×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $12.60–$25.20 $18–$36 varies
Colonoscopy Flexible With Decompression (45393) $597.10 $853 0.5×
Colonoscopy Stoma W/Submucosal Injection (44404)
range across 4 matching MRF lines		 $408.80–$1,014.30 $584–$1,449 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 4 matching MRF lines		 $408.80–$992.60 $584–$1,418 varies
Colonoscopy thru stoma (44388)
range across 3 matching MRF lines		 $372.40–$1,912.40 $532–$2,732 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 3 matching MRF lines		 $535.50–$1,057 $765–$1,510 varies
Colonoscopy w/ablation (45388)
range across 4 matching MRF lines		 $641.90–$5,836.60 $917–$8,338 varies
Colonoscopy W/Band Ligation (45398)
range across 4 matching MRF lines		 $560–$1,974 $800–$2,820 varies
Colonoscopy w/fb removal (45379) $566.30 $809 0.5×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $788.20–$2,425.50 $1,126–$3,465 varies
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $686.70 $981 0.1×
Colonoscopy w/submucosal inj (45381)
range across 4 matching MRF lines		 $476–$2,486.40 $680–$3,552 varies
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $191.10 $273 0.0×
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure		 $1,292.20 $1,846 0.2×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $959.70 $1,371 0.3×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $1,684.20 $2,406 0.2×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,696.80 $2,424 0.2×
Colporrhaphy (57200) $812.70 $1,161 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 4 matching MRF lines		 $323.40–$410.90 $125–$587 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 4 matching MRF lines		 $244.30–$371.70 $182–$531 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 6 matching MRF lines		 $219.80–$308.70 $127–$441 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $394.10 $563 1.2×
Colposcopy cervix vag eltrd conization cervix (57461)
range across 4 matching MRF lines		 $441–$847.70 $581–$1,211 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $385–$760.90 $550–$1,087 varies
Colposcopy entire vagina w/cervix if present (57420)
range across 4 matching MRF lines		 $217–$324.10 $153–$463 varies
Colposcopy of vulva (56820) $305.20 $436 1.4×
Colposcopy Vulva W/Biopsy (56821) $409.50 $585 1.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 4 matching MRF lines		 $294–$433.30 $199–$619 varies
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $613.90–$1,598.80 $877–$2,284 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $503.30–$1,465.10 $719–$2,093 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $543.20–$1,177.40 $776–$1,682 varies
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $1,890 $2,700 0.4×
Complex Cystometrogram (51726)
range across 3 matching MRF lines		 $200.20–$725.90 $286–$1,037 varies
Complex drainage wound (10180)
range across 4 matching MRF lines		 $434–$637.70 $291–$911 varies
Composite Skin Graft (15760)
range across 4 matching MRF lines		 $1,688.40–$2,051.70 $519–$2,931 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 4 matching MRF lines		 $623.70–$739.90 $166–$1,057 varies
Conization of cervix (57520) $724.50 $1,035 0.2×
Contour of face bone lesion (21029)
range across 3 matching MRF lines		 $1,519.70–$1,876.70 $2,171–$2,681 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 4 matching MRF lines		 $185.50–$589.40 $265–$842 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 5 matching MRF lines		 $136.50–$378.70 $195–$541 varies
Control oropharyngeal hemorrhage simple (42960) $392.70 $561 0.7×
Conversion ext bil drg cath (47535)
range across 4 matching MRF lines		 $457.80–$2,100 $654–$3,000 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)
range across 4 matching MRF lines		 $343–$1,892.80 $490–$2,704 varies
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $448–$2,151.10 $640–$3,073 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $359.10 $513 0.2×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $1,692.60 $2,418 0.5×
Correction hammertoe (28285)
range across 4 matching MRF lines		 $944.30–$1,306.90 $518–$1,867 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 4 matching MRF lines		 $1,250.20–$2,135 $1,264–$3,050 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $1,467.90 $2,097 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 4 matching MRF lines		 $1,464.40–$2,469.60 $1,436–$3,528 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 4 matching MRF lines		 $1,238.30–$2,019.50 $1,116–$2,885 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,185.10 $1,693 0.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 4 matching MRF lines		 $1,450.40–$2,445.10 $1,421–$3,493 varies
Create Eardrum Opening (69433)
range across 6 matching MRF lines		 $324.10–$492.10 $240–$703 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $127.40 $182 2.1×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $1,004.50 $1,435 4.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 5 matching MRF lines		 $254.80–$846.30 $364–$1,209 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 4 matching MRF lines		 $319.20–$908.60 $456–$1,298 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,260.70 $1,801 0.4×
Curettage postpartum (59160)
range across 4 matching MRF lines		 $460.60–$667.10 $658–$953 varies
Curette/treat cornea (65435) $167.30 $239 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $318.50 $455 0.1×
Cysto calibration dilat urtl strix/stenosis (52281) $788.20 $1,126 0.4×
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $480.20–$1,876.70 $686–$2,681 varies
Cysto W/Simple Removal Stone & Stent (52310) $771.40 $1,102 0.4×
Cystometrogram W/Up (51727)
range across 3 matching MRF lines		 $252–$884.10 $360–$1,263 varies
Cystometrogram W/Vp (51728)
range across 2 matching MRF lines		 $632.80–$878.50 $904–$1,255 varies
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 $298.20–$926.80 $426–$1,324 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,799 $2,570 0.2×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $1,874.60 $2,678 0.5×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $191.80–$578.90 $274–$827 varies
Cystourethroscopy inj chemodenervation bladder (52287) $935.90 $1,337 0.4×
Cystourethroscopy tx female urethral syndrome (52285) $846.30 $1,209 1.2×
Cystourethroscopy w/dil bladder general anesth (52260) $501.20 $716 0.2×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $337.40–$910.70 $482–$1,301 varies
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $387.80 $554 0.2×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $1,012.90 $1,447 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 4 matching MRF lines		 $66.50–$143.50 $95–$205 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 6 matching MRF lines		 $998.20–$1,573.60 $822–$2,248 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 6 matching MRF lines		 $665–$1,082.20 $596–$1,546 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 6 matching MRF lines		 $715.40–$1,208.90 $705–$1,727 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 6 matching MRF lines		 $368.90–$562.80 $277–$804 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $107.80 $149–$154 1.7×
Debride nail 6 or more (11721) $94.50 $135 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 6 matching MRF lines		 $541.10–$753.20 $303–$1,076 varies
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 4 matching MRF lines		 $333.90–$525.70 $274–$751 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 4 matching MRF lines		 $124.60–$190.40 $94–$272 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,308.30 $1,869 3.1×
Declot vascular device (36593) $84 $120 0.2×
Decompression of tibia nerve (28035) $875.70 $1,251 0.4×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630)
range across 4 matching MRF lines		 $835.80–$1,124.90 $413–$1,607 varies
Delivery of placenta (59414) $219.10 $313 0.1×
Dermabrasion segmental face (15781)
range across 4 matching MRF lines		 $1,034.60–$1,298.50 $377–$1,855 varies
Destr penis lesion(s) (54065)
range across 4 matching MRF lines		 $416.50–$541.10 $178–$773 varies
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $385.70–$823.90 $551–$1,177 varies
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $462.70–$1,059.10 $661–$1,513 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $463.40–$1,067.50 $662–$1,525 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $350–$506.10 $500–$723 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $725.90 $776–$1,037 3.5×
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 4 matching MRF lines		 $162.40–$219.80 $82–$314 varies
Destruction Lesions Vulva Extensive (56515)
range across 2 matching MRF lines		 $518–$675.50 $740–$965 varies
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines		 $326.20–$469 $466–$670 varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 4 matching MRF lines		 $285.60–$437.50 $217–$625 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 4 matching MRF lines		 $329–$499.10 $243–$713 varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283)
range across 4 matching MRF lines		 $410.90–$590.10 $256–$843 varies
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284)
range across 4 matching MRF lines		 $477.40–$669.90 $275–$957 varies
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286)
range across 4 matching MRF lines		 $648.20–$859.60 $302–$1,228 varies
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)
range across 4 matching MRF lines		 $211.40–$361.20 $214–$516 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)
range across 4 matching MRF lines		 $266.70–$433.30 $238–$619 varies
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)
range across 4 matching MRF lines		 $294.70–$469 $249–$670 varies
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264)
range across 4 matching MRF lines		 $315–$502.60 $268–$718 varies
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266)
range across 4 matching MRF lines		 $368.90–$571.20 $289–$816 varies
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 4 matching MRF lines		 $210.70–$342.30 $188–$489 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 4 matching MRF lines		 $231.70–$364 $189–$520 varies
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)
range across 4 matching MRF lines		 $254.10–$404.60 $215–$578 varies
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272)
range across 4 matching MRF lines		 $292.60–$458.50 $237–$655 varies
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)
range across 4 matching MRF lines		 $330.40–$508.20 $254–$726 varies
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274)
range across 4 matching MRF lines		 $402.50–$593.60 $273–$848 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 4 matching MRF lines		 $170.80–$242.90 $103–$347 varies
Destruction neurolytic agt genicular nerve w/img (64624) $351.40 $502 0.2×
Destruction of skin lesions (17106)
range across 4 matching MRF lines		 $669.20–$837.20 $240–$1,196 varies
Destruction Premalignant Lesion 15/> (17004)
range across 6 matching MRF lines		 $238–$406 $240–$580 varies
Destruction premalignant lesion 1st (17000)
range across 5 matching MRF lines		 $132.30–$164.50 $44–$235 varies
Destruction Vaginal Lesions Simple (57061)
range across 2 matching MRF lines		 $282.10–$408.80 $403–$584 varies
Diagnostic sigmoidoscopy (45330)
range across 6 matching MRF lines		 $136.50–$2,372.30 $195–$3,389 varies
Diaphragm or cervical cap fitting with instructions (57170)
range across 2 matching MRF lines		 $114.10–$189 $163–$270 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $184.80 $264 1.4×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $181.30 $259 1.3×
Dilate Esophagus 1/Mult Pass (43450) $191.10 $273 0.2×
Dilate Urethra Stricture (53620) $207.90 $297 0.3×
Dilate Urethra Stricture (53600) $151.90 $217 0.6×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $568.40–$726.60 $812–$1,038 varies
Dilation Cervical Canal (57800)
range across 2 matching MRF lines		 $116.90–$189.70 $167–$271 varies
Dilation Salivary Duct (42650)
range across 4 matching MRF lines		 $143.50–$181.30 $54–$259 varies
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $234.50 $335 0.1×
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure		 $1,273.30 $1,819 0.2×
Drain Cerebro Spinal Fluid (62272) $221.90 $317 0.3×
Drain shoulder bursa (23031) $545.30 $779 0.2×
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines		 $109.90–$200.90 $130–$287 varies
Drainage abscess parotid simple (42300)
range across 4 matching MRF lines		 $382.20–$524.30 $203–$749 varies
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 4 matching MRF lines		 $299.60–$655.90 $428–$937 varies
Drainage external auditory canal abscess (69020)
range across 5 matching MRF lines		 $351.40–$1,009.40 $305–$1,442 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 5 matching MRF lines		 $394.10–$2,146.20 $200–$3,066 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 5 matching MRF lines		 $305.90–$452.90 $210–$647 varies
Drainage Finger Abscess Complicated (26011) $453.60 $648 0.3×
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $266.70–$391.30 $381–$559 varies
Drainage of finger abscess simple (26010)
range across 5 matching MRF lines		 $346.50–$834.40 $495–$1,192 varies
Drainage of gum lesion (41800)
range across 5 matching MRF lines		 $375.20–$705.60 $472–$1,008 varies
Drainage of hematoma/fluid (10140) $2,438.10 $3,483 1.4×
Drainage of hydrocele (55000) $203.70 $291 0.3×
Drainage of mouth lesion (41017)
range across 4 matching MRF lines		 $829.50–$1,124.90 $422–$1,607 varies
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $296.10–$643.30 $423–$919 varies
Drainage of rectal abscess (45020) $1,379 $1,970 0.5×
Drainage of rectal abscess (45005) $402.50 $575 0.3×
Drainage of salivary gland (42320)
range across 3 matching MRF lines		 $437.50–$635.60 $625–$908 varies
Drainage of salivary gland (42305) $1,057 $1,510 0.3×
Drainage of scrotal wall abscess (55100)
range across 5 matching MRF lines		 $408.80–$2,563.40 $219–$3,662 varies
Drainage of scrotum (54700) $516.60 $738 0.2×
Drainage of skene's gland abscess or cyst (53060) $402.50 $575 0.2×
Drainage of throat abscess (42725)
unusually low: confirm this is the full procedure		 $1,939 $2,770 0.3×
Draw Blood Off Venous Device (36591) $844.90 $1,207 6.1×
Dressing Change Under Anesthesia (15852) $107.10 $153 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 5 matching MRF lines		 $262.50–$490 $288–$700 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310)
range across 4 matching MRF lines		 $328.30–$415.10 $124–$593 varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $512.40 $732 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $318.50–$478.80 $455–$684 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $269.50–$382.20 $385–$546 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 5 matching MRF lines		 $135.80–$303.80 $104–$434 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107)
range across 4 matching MRF lines		 $870.80–$1,086.40 $308–$1,552 varies
Dstrj Lesion Anus Simple Chemical (46900)
range across 2 matching MRF lines		 $334.60–$583.80 $478–$834 varies
Dstrj lesion anus simple cryosurgery (46916)
range across 4 matching MRF lines		 $345.10–$632.80 $411–$904 varies
Dstrj lesion anus simple surg excision (46922) $760.20 $1,086 0.3×
Dstrj Lesion Penis Simple Chemical (54050)
range across 4 matching MRF lines		 $260.40–$352.10 $131–$503 varies
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 4 matching MRF lines		 $272.30–$352.80 $115–$504 varies
Dstrj Lesion Penis Simple Electrodesiccation (54055)
range across 4 matching MRF lines		 $233.80–$336 $146–$480 varies
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276)
range across 2 matching MRF lines		 $485.80–$688.80 $694–$984 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $287–$600.60 $410–$858 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600)
range across 4 matching MRF lines		 $576.10–$1,157.80 $823–$1,654 varies
Dx Bone Marrow Bx & Aspir (38222) $179.20 $256 0.1×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $315.70–$615.30 $451–$879 varies
Dx Bronchoscope/Wash (31622)
range across 4 matching MRF lines		 $314.30–$602.70 $412–$861 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $385.70–$607.60 $551–$868 varies
Dx laryngoscopy w/oper scope (31526) $378 $540 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $203 $290 0.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $545.30 $779 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 3 matching MRF lines		 $366.10–$2,579.50 $523–$3,685 varies
Egd cautery tumor polyp (43250)
range across 5 matching MRF lines		 $405.30–$1,082.90 $579–$1,547 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $475.30–$1,504.30 $679–$2,149 varies
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $417.90–$1,426.60 $597–$2,038 varies
Egd endo mucosal resection (43254) $640.50 $915 0.3×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $517.30 $739 0.1×
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $420.70–$925.40 $601–$1,322 varies
Egd guide wire insertion (43248)
range across 3 matching MRF lines		 $395.50–$1,914.50 $565–$2,735 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $564.90 $807 0.3×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $623.70 $891 0.3×
Egd intrmural us needle aspirate/biopsy esophags (43238) $550.90 $787 0.3×
Egd lesion ablation (43270)
range across 3 matching MRF lines		 $532.70–$1,752.80 $761–$2,504 varies
Egd place gastrostomy tube (43246) $476.70 $681 0.2×
Egd remove lesion snare (43251)
range across 3 matching MRF lines		 $465.50–$2,314.20 $665–$3,306 varies
Egd us exam duodenum/jejunum (43259) $535.50 $765 0.3×
Egd us transmural injxn/mark (43253) $622.30 $889 0.3×
Egd Varices Ligation (43244) $581.70 $831 0.3×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $929.60 $1,328 0.1×
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $14.70–$35 $21–$50 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $267.40–$378 $382–$540 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
range across 2 matching MRF lines		 $561.40–$2,225.30 $802–$3,179 varies
Endometrial Biopsy (58100)
range across 4 matching MRF lines		 $152.60–$246.40 $134–$352 varies
Endoscopic injection/implant (51715)
range across 4 matching MRF lines		 $476.70–$893.90 $596–$1,277 varies
Endoscopic us exam esoph (43237) $464.80 $664 0.2×
Endoscopy Upper Small Intestine (44360) $342.30 $489 0.2×
Endoscopy upper small intestine w/biopsy (44361) $377.30 $539 0.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $485.10 $693 0.2×
Epidural Blood Patch (62273) $271.60 $388 0.4×
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $358.40–$560.70 $512–$801 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
likely a partial charge, not the full procedure		 $1,026.20 $1,466 0.2×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $1,096.20 $1,566 0.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $765.10 $1,093 0.2×
Ercp ea duct/ampulla dilate (43277) $896 $1,280 0.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $862.40 $1,232 0.2×
Ercp remove forgn body duct (43275) $891.80 $1,274 0.4×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $1,141 $1,630 0.2×
Ercp W/Biopsy Single/Multiple (43261) $802.90 $1,147 0.2×
Ercp,Sphincterotomy (43262) $845.60 $1,208 0.2×
Escharotomy; initial incision (16035) $469.70 $671 1.1×
Esoph Scope W/Submucous Inj (43201)
range across 3 matching MRF lines		 $248.50–$627.20 $355–$896 varies
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 3 matching MRF lines		 $330.40–$2,546.60 $472–$3,638 varies
Esophagoscop Stent Placement (43212)
likely a partial charge, not the full procedure		 $449.40 $642 0.1×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)
range across 2 matching MRF lines		 $282.10–$2,149 $403–$3,070 varies
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217)
range across 3 matching MRF lines		 $380.80–$1,013.60 $544–$1,448 varies
Esophagoscopy Flexible Guide Wire Dilation (43226)
range across 4 matching MRF lines		 $312.20–$930.30 $446–$1,329 varies
Esophagoscopy Flexible Transnasal With Biopsy (43198)
range across 5 matching MRF lines		 $234.50–$511 $335–$730 varies
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 4 matching MRF lines		 $211.40–$636.30 $302–$909 varies
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $373.80 $534 0.2×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $473.20 $676 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 3 matching MRF lines		 $246.40–$858.20 $352–$1,226 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $337.40–$946.40 $482–$1,352 varies
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure		 $1,324.40 $1,892 0.2×
Ethmoidectomy; intranasal, total Facility (31201) $1,896.30 $2,709 1.2×
Evacuate mole of uterus (59870) $1,313.90 $1,877 0.4×
Evacuation of subungual hematoma (11740)
range across 5 matching MRF lines		 $78.40–$175.70 $89–$251 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 4 matching MRF lines		 $809.20–$1,290.10 $687–$1,843 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 4 matching MRF lines		 $205.80–$312.20 $152–$446 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 4 matching MRF lines		 $382.20–$499.10 $167–$713 varies
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure		 $1,311.80 $1,874 0.2×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810)
range across 4 matching MRF lines		 $692.30–$952 $371–$1,360 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 6 matching MRF lines		 $375.20–$575.40 $286–$822 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 6 matching MRF lines		 $438.90–$651 $303–$930 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 4 matching MRF lines		 $677.60–$942.20 $378–$1,346 varies
Exc Face Les Sbq 2 Cm/> (21012) $828.80 $1,184 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 6 matching MRF lines		 $261.10–$348.60 $125–$498 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 6 matching MRF lines		 $324.80–$423.50 $141–$605 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 6 matching MRF lines		 $357.70–$470.40 $161–$672 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 6 matching MRF lines		 $434.70–$554.40 $171–$792 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 6 matching MRF lines		 $546.70–$688.10 $202–$983 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 4 matching MRF lines		 $200.20–$308 $154–$440 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 6 matching MRF lines		 $265.30–$388.50 $176–$555 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 6 matching MRF lines		 $330.40–$436.10 $151–$623 varies
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814)
range across 4 matching MRF lines		 $686–$899.50 $305–$1,285 varies
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106)
range across 4 matching MRF lines		 $389.20–$607.60 $312–$868 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $753.90–$1,127 $1,077–$1,610 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 4 matching MRF lines		 $667.10–$1,022.70 $508–$1,461 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 4 matching MRF lines		 $590.10–$822.50 $332–$1,175 varies
Exc Lesion Tongue W/Clsr Posterior One-Third (41113)
range across 4 matching MRF lines		 $640.50–$877.10 $338–$1,253 varies
Exc lesion tongue w/clsr w/local tongue flap (41114) $1,507.80 $2,154 0.4×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 4 matching MRF lines		 $296.10–$534.80 $341–$764 varies
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510)
range across 4 matching MRF lines		 $851.20–$1,190.70 $485–$1,701 varies
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,001.70 $1,431 0.5×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
likely a partial charge, not the full procedure		 $1,533.70 $2,191 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 6 matching MRF lines		 $364–$481.60 $168–$688 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 6 matching MRF lines		 $439.60–$578.20 $198–$826 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 4 matching MRF lines		 $648.90–$796.60 $211–$1,138 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 6 matching MRF lines		 $603.40–$775.60 $246–$1,108 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 4 matching MRF lines		 $767.20–$931.70 $235–$1,331 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 4 matching MRF lines		 $503.30–$717.50 $306–$1,025 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $983.50 $1,405 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 4 matching MRF lines		 $761.60–$1,086.40 $464–$1,552 varies
Exc tendon shth lesion leg/ankle (27630) $876.40 $1,252 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 4 matching MRF lines		 $276.50–$518.70 $346–$741 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 6 matching MRF lines		 $256.90–$379.40 $175–$542 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines		 $281.40–$417.90 $195–$597 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 6 matching MRF lines		 $400.40–$545.30 $207–$779 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,092 $1,560 0.4×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)
range across 3 matching MRF lines		 $980 $459–$1,400 0.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,291.50 $1,845 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,381.10 $1,973 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,150.10 $1,643 0.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,779.40 $2,542 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 4 matching MRF lines		 $752.50–$1,056.30 $434–$1,509 varies
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure		 $1,473.50 $2,105 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 4 matching MRF lines		 $865.90–$1,270.50 $578–$1,815 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 4 matching MRF lines		 $704.90–$1,049.30 $492–$1,499 varies
Exc/fulguration urethral caruncle (53265)
range across 4 matching MRF lines		 $457.10–$557.20 $143–$796 varies
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $308.70–$1,504.30 $441–$2,149 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $235.20–$1,416.80 $336–$2,024 varies
Exchange Transfusion Blood Newborn (36450) $405.30 $579 0.9×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 4 matching MRF lines		 $165.90–$1,388.10 $237–$1,983 varies
Excis Mouth Mucosa/Sub,No Repair (40810)
range across 4 matching MRF lines		 $298.20–$525.70 $325–$751 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 4 matching MRF lines		 $441.70–$670.60 $327–$958 varies
Excis urethral prolapse (53275) $634.20 $906 0.2×
Excise tendon forearm/wrist (25109) $1,321.60 $1,888 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 6 matching MRF lines		 $464.80–$675.50 $301–$965 varies
Excision Aural Polyp (69540)
range across 2 matching MRF lines		 $318.50–$513.80 $455–$734 varies
Excision Chalazion Single (67800)
range across 2 matching MRF lines		 $245–$310.80 $350–$444 varies
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 4 matching MRF lines		 $1,792–$2,166.50 $535–$3,095 varies
Excision External Ear Partial Simple Repair (69110)
range across 4 matching MRF lines		 $798–$1,141 $490–$1,630 varies
Excision Hidradenitis Inguinal Complex Repair (11463)
range across 4 matching MRF lines		 $811.30–$1,289.40 $683–$1,842 varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 4 matching MRF lines		 $609–$1,016.40 $582–$1,452 varies
Excision inferior turbinate partial/complete (30130) $1,014.30 $1,449 0.3×
Excision lesion mouth roof (42104)
range across 4 matching MRF lines		 $329–$528.50 $285–$755 varies
Excision Lesion Tongue W/O Closure (41110)
range across 4 matching MRF lines		 $316.40–$557.90 $345–$797 varies
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $356.30–$634.20 $509–$906 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 6 matching MRF lines		 $296.80–$479.50 $261–$685 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 6 matching MRF lines		 $358.40–$555.10 $281–$793 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 6 matching MRF lines		 $389.20–$593.60 $292–$848 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 4 matching MRF lines		 $511.70–$753.20 $345–$1,076 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 6 matching MRF lines		 $307.30–$493.50 $266–$705 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 6 matching MRF lines		 $546.70–$763.70 $310–$1,091 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $935.20 $1,336 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 4 matching MRF lines		 $298.90–$481.60 $261–$688 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 6 matching MRF lines		 $360.50–$556.50 $280–$795 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 4 matching MRF lines		 $408.80–$614.60 $294–$878 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 6 matching MRF lines		 $572.60–$817.60 $350–$1,168 varies
Excision Maxillary Torus Palatinus (21032)
range across 4 matching MRF lines		 $632.10–$901.60 $385–$1,288 varies
Excision Multiple External Papillae/Tags Anus (46230) $422.10 $603 0.1×
Excision Nasal Polyp Extensive (30115) $1,136.10 $1,623 0.3×
Excision of bartholin's gland or cyst (56740) $766.50 $1,095 0.2×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
range across 4 matching MRF lines		 $872.90–$1,108.80 $337–$1,584 varies
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
likely a partial charge, not the full procedure		 $1,506.40 $2,152 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $808.50 $1,155 0.5×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
range across 4 matching MRF lines		 $699.30–$1,045.80 $495–$1,494 varies
Excision of lingual tonsil (42870)
likely a partial charge, not the full procedure		 $1,427.30 $2,039 0.2×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $991.20 $1,416 0.5×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure		 $2,568.30 $3,669 0.4×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure		 $2,872.10 $4,103 0.5×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $450.80–$859.60 $644–$1,228 varies
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $296.80–$609 $424–$870 varies
Excision of sublingual gland (42450)
range across 4 matching MRF lines		 $889.70–$1,152.90 $376–$1,647 varies
Excision of sublingual salivary cyst (ranula) (42408)
range across 4 matching MRF lines		 $844.90–$1,311.10 $666–$1,873 varies
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $1,015.70 $1,451 0.2×
Excision of tonsil tags (42860) $477.40 $682 0.1×
Excision of vaginal cyst or tumor (57135)
range across 4 matching MRF lines		 $458.50–$603.40 $207–$862 varies
Excision of vaginal septum (57130) $561.40 $802 0.2×
Excision or fulguration; Skene's glands Facility (53270)
range across 2 matching MRF lines		 $447.30–$514.50 $639–$735 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,096.90–$1,529.50 $1,567–$2,185 varies
Excision soft tissue lesion, external auditory canal (69145)
range across 4 matching MRF lines		 $629.30–$999.60 $529–$1,428 varies
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $1,109.50 $1,585 0.2×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281)
likely a partial charge, not the full procedure		 $1,451.80 $2,074 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,146.60 $1,638 0.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 4 matching MRF lines		 $823.90–$1,153.60 $471–$1,648 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 4 matching MRF lines		 $637–$926.80 $414–$1,324 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $925.40–$1,291.50 $1,322–$1,845 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 4 matching MRF lines		 $637–$910 $390–$1,300 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $997.50 $1,425 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 4 matching MRF lines		 $808.50–$1,253.70 $636–$1,791 varies
Excision/destruction intranasal lesion int appr (30117)
range across 4 matching MRF lines		 $1,006.60–$2,393.30 $1,438–$3,419 varies
Excision/destruction lesion pharynx any method (42808)
range across 4 matching MRF lines		 $405.30–$567 $231–$810 varies
Expl penetrating wound spx abdomen/flank/back (20102) $620.90 $887 0.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure		 $1,759.80 $2,514 0.3×
Explo/Drain Breast Abscess (19020) $766.50 $1,095 0.4×
Exploration penetrating wound spx chest (20101) $507.50 $725 0.2×
Exploration penetrating wound spx extremity (20103) $835.80 $1,194 0.5×
Exploration Penetrating Wound Spx Neck (20100) $1,448.30 $2,069 2.6×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
unusually low: confirm this is the full procedure		 $2,223.20 $3,176 0.3×
External cephalic version (59412) $249.20 $356 0.1×
Fasciectomy Plantar Fascia Partial Spx (28060) $879.20 $1,256 0.3×
Fasciotomy, foot and/or toe (28008)
range across 4 matching MRF lines		 $717.50–$1,033.20 $451–$1,476 varies
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $49.70–$70.70 $71–$101 varies
Fine needle aspiration without imaging guidance (10021)
range across 6 matching MRF lines		 $131.60–$245 $162–$350 varies
Fluid Pressure Muscle (20950) $214.20 $306 0.3×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $72.10–$328.30 $103–$469 varies
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $174.30 $215–$249 0.2×
Forehead flap w/vasc pedicle (15731)
range across 4 matching MRF lines		 $2,408.70–$2,718.80 $443–$3,884 varies
Foreskin manipulation (54450)
range across 4 matching MRF lines		 $136.50–$167.30 $44–$239 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930) $289.10 $413 0.1×
Frenulotomy of penis (54164) $473.20 $676 0.2×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574)
range across 4 matching MRF lines		 $1,789.90–$2,147.60 $511–$3,068 varies
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576)
range across 4 matching MRF lines		 $1,563.80–$1,891.40 $468–$2,702 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 6 matching MRF lines		 $2,041.20–$2,423.40 $546–$3,462 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 6 matching MRF lines		 $1,477–$1,869 $560–$2,670 varies
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200)
range across 6 matching MRF lines		 $1,630.30–$2,038.40 $583–$2,912 varies
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,501.50 $2,145 0.2×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $1,135.40 $1,622 0.3×
Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) $901.60 $1,288 0.2×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,705.90 $2,437 0.8×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 2 matching MRF lines		 $1,388.10–$1,791.30 $1,983–$2,559 varies
Guide Cathet Fluid Drainage (10030)
range across 4 matching MRF lines		 $319.90–$1,528.80 $457–$2,184 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $1,169 $1,670 0.2×
Hand tendon reconstruction (26500)
likely a partial charge, not the full procedure		 $1,687 $2,410 0.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,160.60 $1,658 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 4 matching MRF lines		 $466.90–$686.70 $314–$981 varies
Hymenotomy Simple Incision (56442) $115.50 $165 0.0×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $4,001.90 $5,717 0.8×
Hysteroscopy Biopsy (58558) $557.20 $796 0.2×
Hysteroscopy Div/Rescj Intrauterine Septum (58560)
likely a partial charge, not the full procedure		 $753.20 $1,076 0.1×
Hysteroscopy Dx Sep Proc (58555)
range across 4 matching MRF lines		 $364.70–$872.90 $521–$1,247 varies
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $592.20–$5,044.20 $846–$7,206 varies
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure		 $683.90 $977 0.1×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 4 matching MRF lines		 $534.10–$1,043.70 $728–$1,491 varies
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $861.70 $1,231 0.2×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720)
range across 4 matching MRF lines		 $933.80–$1,086.40 $218–$1,552 varies
I&d abscess peritonsillar (42700)
range across 5 matching MRF lines		 $331.80–$562.80 $196–$804 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $417.90–$639.10 $597–$913 varies
I&D Below Fascia Foot 1 Bursal Space (28002)
range across 4 matching MRF lines		 $337.40–$592.90 $365–$847 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,247.40 $1,782 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $825.30–$1,188.60 $1,179–$1,698 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,690.50 $2,415 0.5×
I&D Mouth/Tong Intra,Masticator (41009)
range across 4 matching MRF lines		 $692.30–$1,026.90 $478–$1,467 varies
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $247.80–$1,409.10 $354–$2,013 varies
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $415.10–$833.70 $593–$1,191 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $917.70 $1,311–$1,322 1.2×
I&d thyroglossal duct cyst infected (60000) $386.40 $552 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 4 matching MRF lines		 $525.70–$872.90 $496–$1,247 varies
I&d vaginal hematoma obstetrical/postpartum (57022) $441.70 $631 0.1×
Ileoscopy Stoma W/Bx Single/Multiple (44382)
range across 4 matching MRF lines		 $177.10–$718.90 $253–$1,027 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 4 matching MRF lines		 $137.90–$476 $197–$680 varies
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $457.10–$2,101.40 $653–$3,002 varies
Image Cath Fluid Peri/Retro (49406)
range across 3 matching MRF lines		 $457.10–$2,102.10 $653–$3,003 varies
Implant cochlear device (69930)
likely a partial charge, not the full procedure		 $2,943.50 $4,205 0.1×
Implant neuroelectrodes (63650)
range across 3 matching MRF lines		 $1,000.30–$5,498.50 $1,429–$7,855 varies
Implant Neuroelectrodes (64561)
range across 4 matching MRF lines		 $729.40–$1,771 $1,042–$2,530 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines		 $711.20–$1,068.90 $1,016–$1,527 varies
Implant temple bone w/stimul (69714)
likely a partial charge, not the full procedure		 $1,201.90 $1,717 0.1×
Incise external hemorrhoid (46083)
range across 5 matching MRF lines		 $268.10–$505.40 $339–$722 varies
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $448–$939.40 $105–$1,342 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $952 $1,360 0.3×
Incision & drainage leg/ankle infected bursa (27604)
range across 5 matching MRF lines		 $788.90–$1,092.70 $434–$1,561 varies
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $444.50–$641.90 $282–$917 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $256.90–$611.10 $161–$873 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 5 matching MRF lines		 $270.20–$453.60 $262–$648 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $779.10 $1,113 0.3×
Incision and drainage of vulva or perineal abscess (56405)
range across 5 matching MRF lines		 $310.10–$516.60 $68–$738 varies
Incision bone cortex foot (28005) $1,387.40 $1,982 0.4×
Incision of eardrum (69421) $369.60 $528 0.1×
Incision of eardrum (69420)
range across 4 matching MRF lines		 $294.70–$464.80 $243–$664 varies
Incision of Foot Tendon (28234) $660.10 $943 0.4×
Incision of labial frenum (frenotomy) (40806)
range across 4 matching MRF lines		 $72.10–$241.50 $103–$345 varies
Incision of lingual frenum (frenotomy) (41010)
range across 4 matching MRF lines		 $268.10–$525 $367–$750 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,038.80–$1,348.90 $1,484–$1,927 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $396.20 $566 0.2×
Incisional biopsy eyelid skin & lid margin (67810)
range across 4 matching MRF lines		 $162.40–$443.10 $232–$633 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $135.80 $194–$344 0.2×
Induced abortion dilation and curettage (59840)
range across 2 matching MRF lines		 $544.60–$613.20 $778–$876 varies
Induced abortion, by dilation and evacuation (59841) $910.70 $1,301 0.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $109.90–$219.10 $157–$313 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $253.40–$466.20 $304–$666 varies
Inj W/Fluor Eval Cv Device (36598)
range across 4 matching MRF lines		 $84–$286.30 $120–$409 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $313.60–$642.60 $448–$918 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $716.10 $1,023 2.2×
Injection aa&/strd axillary nerve w/img gdn (64417) $153.30 $219 0.2×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines		 $197.40–$536.20 $282–$766 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines		 $60.20–$80.50 $29–$115 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $196 $280–$507 0.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 4 matching MRF lines		 $172.90–$383.60 $247–$548 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $255.50 $365 0.8×
Injection Anes Superior Hypogastric Plexus (64517)
range across 4 matching MRF lines		 $303.10–$470.40 $239–$672 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 4 matching MRF lines		 $133–$208.60 $108–$298 varies
Injection for identification of sentinel node (38792) $77 $110 0.2×
Injection medication/other subst tenon capsule (67515)
range across 4 matching MRF lines		 $112–$123.20 $16–$176 varies
Injection single tendon origin/insertion (20551)
range across 5 matching MRF lines		 $93.10–$557.20 $66–$796 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $88.90–$522.20 $55–$746 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $100.80–$522.90 $66–$747 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $217 $310 0.1×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $137.20–$200.20 $90–$286 varies
Injection Turbinate Therapeutic (30200)
range across 4 matching MRF lines		 $144.90–$268.10 $176–$383 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines		 $165.90–$324.10 $226–$463 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $151.20–$280.70 $216–$401 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $100.80–$697.90 $116–$997 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 4 matching MRF lines		 $109.20–$170.10 $87–$243 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 4 matching MRF lines		 $72.10–$139.30 $96–$199 varies
Injx Anterior Chamber Eye Medication Spx (66030) $267.40 $382 0.1×
Ins cath ren art 1st bilat (36252)
range across 4 matching MRF lines		 $840–$3,304 $1,200–$4,720 varies
Ins cath ren art 1st unilat (36251)
range across 5 matching MRF lines		 $600.60–$3,045.70 $858–$4,351 varies
Ins cath ren art 2nd+ unilat (36253)
range across 5 matching MRF lines		 $828.80–$4,751.60 $1,184–$6,788 varies
Ins endovas vena cava filtr (37191)
range across 4 matching MRF lines		 $517.30–$4,765.60 $739–$6,808 varies
Insert 1 Electrode Pm-Defib (33216)
likely a partial charge, not the full procedure		 $884.10 $1,263 0.1×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $182–$361.90 $260–$517 varies
Insert cath pleura w/ image (32557) $352.10 $503 0.2×
Insert cath pleura w/o image (32556) $294.70 $421 0.1×
Insert cervical dilator (59200) $254.80 $364 0.8×
Insert Drug Implant Device (11981) $2,562 $3,660 18.4×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $477.40–$1,971.20 $682–$2,816 varies
Insert Heart Pm Atrial (33206)
likely a partial charge, not the full procedure		 $1,080.10 $1,543 0.1×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $1,902.60 $2,718 0.1×
Insert Nasal Septal Button (30220)
range across 4 matching MRF lines		 $313.60–$737.80 $448–$1,054 varies
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $200.90–$1,999.20 $287–$2,856 varies
Insert pessary/other device (57160)
range across 6 matching MRF lines		 $110.60–$180.60 $100–$258 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $217.70 $311 0.1×
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $60.90–$203.70 $87–$291 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $471.10–$2,328.20 $673–$3,326 varies
Insert tunneled cv cath (36561)
range across 4 matching MRF lines		 $790.30–$2,314.20 $1,129–$3,306 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure		 $772.80 $1,104 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines		 $61.60–$158.90 $67–$227 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $483–$1,855 $690–$2,650 varies
Insertion of cannula (36800)
likely a partial charge, not the full procedure		 $287 $410 0.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $196.70–$2,664.20 $281–$3,806 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $200.20 $286 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $748.30 $1,069 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $224.70 $321 0.1×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure		 $1,047.90 $1,497 0.1×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)
range across 6 matching MRF lines		 $924–$2,933 $1,320–$4,190 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 4 matching MRF lines		 $614.60–$1,956.50 $878–$2,795 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $828.10 $1,183 0.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $380.10 $543 0.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure		 $398.30 $569 0.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 4 matching MRF lines		 $728.70–$1,218 $699–$1,740 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) $927.50 $1,325 2.2×
Intranasal Biopsy (30100)
range across 4 matching MRF lines		 $165.90–$341.60 $237–$488 varies
Intraoral i&d tongue/floor lingual (41000)
range across 4 matching MRF lines		 $253.40–$352.10 $141–$503 varies
Intraoral i&d tongue/floor sublngl supfc (41005)
range across 3 matching MRF lines		 $282.10–$551.60 $403–$788 varies
Intraoral i&d tongue/floor submndblr space (41008)
range across 4 matching MRF lines		 $625.80–$952 $466–$1,360 varies
Intro cath dialysis circuit (36901) $394.80 $564 0.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $739.90–$10,023.30 $1,057–$14,319 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
likely a partial charge, not the full procedure		 $562.80 $804 0.1×
Intro Gastrointestinal Tube (44500) $45.50 $65 0.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $336–$787.50 $480–$1,125 varies
Irrigation maxillary sinus (31000)
range across 4 matching MRF lines		 $270.20–$452.20 $260–$646 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 4 matching MRF lines		 $324.10–$540.40 $309–$772 varies
Island pedicle flap graft (15740)
range across 4 matching MRF lines		 $2,037–$2,459.10 $603–$3,513 varies
Labyrinthotomy Transcanal (69801)
range across 6 matching MRF lines		 $300.30–$553.70 $362–$791 varies
Lam facetec & foramot lumbar (63047)
unusually low: confirm this is the full procedure		 $2,706.20 $3,866 0.4×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure		 $3,155.60 $4,508 0.4×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure		 $3,010.70 $4,301 0.4×
Laminotomy Single Lumbar (63042)
unusually low: confirm this is the full procedure		 $3,163.30 $4,519 0.4×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure		 $4,165.70 $5,951 0.4×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $3,698.80 $5,284 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,378.60 $3,398 0.2×
Laparoscopic myomectomy (58545)
unusually low: confirm this is the full procedure		 $2,188.90 $3,127 0.3×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $910 $1,300 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,223.90 $3,177 0.4×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $905.80 $1,294 0.1×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $1,407.70 $2,011 0.2×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure		 $2,956.10 $4,223 0.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $2,208.50 $3,155 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,662.50 $2,375 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,582 $2,260 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,463.70 $2,091 0.2×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $2,355.50 $3,365 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,601.90 $3,717 0.2×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
likely a partial charge, not the full procedure		 $2,727.90 $3,897 0.2×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $2,300.20 $3,286 0.6×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,961.40 $2,802 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure		 $2,141.30 $3,059 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure		 $2,712.50 $3,875 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,743 $2,490 0.3×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure		 $1,579.90 $2,257 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $836.50 $1,195 0.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $905.80 $1,294 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $800.80 $1,144 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,731.80 $2,474 0.3×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $2,014.60 $2,878 0.2×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,250.20 $1,786 0.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure		 $1,934.10 $2,763 0.3×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $3,160.50 $4,515 0.3×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $597.10 $853 0.2×
Laryngoplasty Medialization Unliateral (31591)
unusually low: confirm this is the full procedure		 $2,671.90 $3,817 0.4×
Laryngoscope Injection Vocal Cord Therapeutic (31570)
range across 4 matching MRF lines		 $550.20–$833 $404–$1,190 varies
Laryngoscopy and dilation (31528) $347.20 $496 0.1×
Laryngoscopy diagnostic (31505) $120.40 $172 0.6×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $578.20 $826 0.1×
Laryngoscopy flexible diagnostic (31575)
range across 5 matching MRF lines		 $165.90–$334.60 $210–$478 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574)
range across 2 matching MRF lines		 $360.50 $515–$2,708 0.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $321.30 $459 0.8×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $324.80 $464 1.6×
Laryngoscopy W/Biopsy (31535) $454.30 $649 0.1×
Laryngoscopy w/biopsy microscope/telescope (31536) $504 $720 0.1×
Laryngoscopy W/Foreign Body Removal (31530) $477.40 $682 0.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $267.40 $382 0.7×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $377.30 $539 0.9×
Larynscop w/tumr exc + scope (31541) $630.70 $901 0.2×
Laser Surgery of Cervix (57513) $501.90 $717 0.1×
Late closure of wound (13160) $1,923.60 $2,748 0.5×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $2,121 $3,030 0.6×
Ligation Of Neck Artery (37615) $1,243.90 $1,777 0.4×
Ligation or biopsy temporal artery (37609)
range across 4 matching MRF lines		 $492.10–$751.10 $370–$1,073 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $610.40 $872 0.2×
Lmtd lmphadec staging spx pel&para-aortic (38562)
likely a partial charge, not the full procedure		 $1,713.60 $2,448 0.2×
Low Back Disk Surgery (63030)
likely a partial charge, not the full procedure		 $2,242.10 $3,203 0.3×
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure		 $2,198 $3,140 0.2×
Lyse chest fibrin init day (32561)
range across 2 matching MRF lines		 $159.60–$228.90 $228–$327 varies
Lyse Chest Fibrin Subq Day (32562)
range across 2 matching MRF lines		 $142.80–$205.10 $204–$293 varies
Lysis Intranasal Synechia (30560)
range across 3 matching MRF lines		 $368.90–$780.50 $527–$1,115 varies
Lysis of labial adhesions (56441) $448 $640 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $485.10 $693 0.2×
Marsupialization of bartholin's gland cyst (56440) $442.40 $632 0.1×
Mastoidectomy; complete (69502)
unusually low: confirm this is the full procedure		 $2,293.90 $3,277 0.4×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596)
range across 4 matching MRF lines		 $107.10–$277.20 $153–$396 varies
Mech remov tunneled cv cath (36595)
range across 4 matching MRF lines		 $426.30–$1,407.70 $609–$2,011 varies
Metatarsectomy (28140)
range across 3 matching MRF lines		 $1,033.90–$1,373.40 $1,477–$1,962 varies
Middle ear expl thru postaur/ear canal inc (69440) $1,686.30 $2,409 0.5×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311)
range across 4 matching MRF lines		 $847–$1,646.40 $1,142–$2,352 varies
Mohs trunk/arm/leg 1st stage 5 blocks (17313)
range across 4 matching MRF lines		 $760.20–$1,547.70 $1,086–$2,211 varies
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $818.30 $1,169 0.3×
Myelography Lumbar Injection (62304)
range across 4 matching MRF lines		 $280–$608.30 $400–$869 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 4 matching MRF lines		 $282.80–$611.10 $404–$873 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $282.80 $404 0.3×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,386.70 $1,981 0.4×
Myringoplasty (69620)
range across 2 matching MRF lines		 $1,205.40–$1,802.50 $1,722–$2,575 varies
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $227.50–$552.30 $325–$789 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines		 $130.90–$267.40 $187–$382 varies
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $139.30–$237.30 $140–$339 varies
N Block Inj Paracervical (64435)
range across 4 matching MRF lines		 $105.70–$195.30 $128–$279 varies
N Block Inj Plantar Digit (64455) $828.80 $1,184 2.6×
N Block Inj Pudendal (64430)
range across 4 matching MRF lines		 $131.60–$238 $152–$340 varies
N Block Lumbar/Thoracic (64520)
range across 4 matching MRF lines		 $205.10–$557.20 $293–$796 varies
Nasal Endoscopy Dx (31231)
range across 4 matching MRF lines		 $155.40–$453.60 $222–$648 varies
Nasal/Orogastric W/Tube Plmt (43752) $95.20 $136 0.2×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)
range across 5 matching MRF lines		 $326.90–$664.30 $467–$949 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $432.60 $618 0.1×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $483 $690 0.1×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243)
likely a partial charge, not the full procedure		 $380.10 $543 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 4 matching MRF lines		 $385.70–$623.70 $340–$891 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $383.60 $548 0.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 4 matching MRF lines		 $403.90–$606.20 $289–$866 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 4 matching MRF lines		 $431.20–$4,028.50 $616–$5,755 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $379.40–$3,968.30 $542–$5,669 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
range across 2 matching MRF lines		 $346.50–$3,933.30 $495–$5,619 varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,198.40 $1,712 0.2×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $1,129.80 $1,614 0.2×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $1,069.60 $1,528 0.1×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $1,068.90 $1,527 0.6×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines		 $583.80–$1,057 $834–$1,510 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $907.90 $1,297 0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $775.60 $1,108 0.1×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $175 $250 0.2×
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 4 matching MRF lines		 $213.50–$749 $305–$1,070 varies
Neck spine disk surgery (63020)
unusually low: confirm this is the full procedure		 $2,688.70 $3,841 0.4×
Needle Biopsy Lymph Nodes (38505)
range across 4 matching MRF lines		 $203.70–$420 $291–$600 varies
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) $1,869.70 $2,671 0.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $599.90 $857 1.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 4 matching MRF lines		 $185.50–$354.20 $241–$506 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 5 matching MRF lines		 $125.30–$511.70 $179–$731 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $165.90–$1,005.20 $237–$1,436 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $217.70–$429.10 $302–$613 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines		 $257.60–$635.60 $368–$908 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines		 $238.70–$625.10 $341–$893 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $157.50–$767.20 $225–$1,096 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $362.60–$1,507.80 $518–$2,154 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $637.70 $911 0.1×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $562.10 $803 0.1×
Obstructive material removal from gi tube (49460)
range across 4 matching MRF lines		 $120.40–$1,736.70 $172–$2,481 varies
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $127.40–$183.40 $80–$262 varies
Open Implantation Nea Sacral Nerve (64581)
likely a partial charge, not the full procedure		 $1,579.90 $2,257 0.2×
Open nasoethmoid fx w/o fixj (21338)
likely a partial charge, not the full procedure		 $1,629.60 $2,328 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,380.40 $1,972 0.2×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365)
unusually low: confirm this is the full procedure		 $2,608.20 $3,726 0.4×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470)
unusually low: confirm this is the full procedure		 $2,816.10 $4,023 0.5×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
range across 2 matching MRF lines		 $982.10–$1,327.90 $1,403–$1,897 varies
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
likely a partial charge, not the full procedure		 $1,419.60 $2,028 0.2×
Open treatment of mandibular condylar fracture Facility (21465)
unusually low: confirm this is the full procedure		 $1,926.40 $2,752 0.3×
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347)
unusually low: confirm this is the full procedure		 $2,511.60 $3,588 0.4×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
likely a partial charge, not the full procedure		 $1,678.60 $2,398 0.3×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
unusually low: confirm this is the full procedure		 $1,943.90 $2,777 0.3×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423)
unusually low: confirm this is the full procedure		 $1,928.50 $2,755 0.3×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
range across 4 matching MRF lines		 $1,724.10–$2,180.50 $652–$3,115 varies
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $1,408.40 $2,012 0.4×
Open Tx Depressed Malar Fracture (21360)
likely a partial charge, not the full procedure		 $1,282.40 $1,832 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $1,246.70 $1,781 0.4×
Open Tx Mandibular Fx W/Interdental Fixation (21462)
range across 2 matching MRF lines		 $2,801.40–$4,719.40 $4,002–$6,742 varies
Open Tx Mandibular Fx W/O Interdental Fixation (21461)
range across 2 matching MRF lines		 $2,569.70–$4,428.90 $3,671–$6,327 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $2,132.20 $3,046 0.3×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $1,033.90–$6,496 $1,477–$9,280 varies
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $720.30–$8,154.30 $1,029–$11,649 varies
Ostc prtl exostc/condylc metar head (28288)
range across 4 matching MRF lines		 $1,064–$1,461.60 $568–$2,088 varies
Ostectomy calcaneus (28118) $1,032.50 $1,475 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $764.40 $1,092 0.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,040.90 $1,487 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $717.50–$1,119.30 $1,025–$1,599 varies
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $995.40 $1,422 0.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $948.50–$1,383.90 $1,355–$1,977 varies
Osteotomy Phalanx Finger Each (26567) $1,761.90 $2,517 0.5×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $1,864.80 $2,664 0.4×
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure		 $1,673.70 $2,391 0.3×
Parathyroidectomy or exploration of parathyroid(s); (60500)
unusually low: confirm this is the full procedure		 $2,350.60 $3,358 0.4×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
unusually low: confirm this is the full procedure		 $2,017.40 $2,882 0.4×
Part remv talus or calcaneus (28120)
range across 4 matching MRF lines		 $1,208.90–$1,622.60 $591–$2,318 varies
Partial excision of lip (40520)
range across 2 matching MRF lines		 $869.40–$1,222.90 $1,242–$1,747 varies
Partial hymenectomy or revision of hymenal ring (56700) $495.60 $708 0.1×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,715.70 $2,451 0.3×
Partial removal of toe (28160)
range across 4 matching MRF lines		 $652.40–$987 $478–$1,410 varies
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure		 $2,552.20 $3,646 0.4×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,717.10 $2,453 0.3×
Partical Excision Bone Phalanx Toe (28124)
range across 4 matching MRF lines		 $816.90–$1,155 $483–$1,650 varies
Pelvic examination under anesthesia (other than local) (57410) $256.90 $367 0.1×
Penile Injection (54235) $178.50 $255 0.7×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines		 $1,078–$8,886.50 $1,540–$12,695 varies
Perc Rf Ablate Renal Tumor (50592)
likely a partial charge, not the full procedure		 $808.50 $1,155 0.1×
Percut Ablate Liver Rf (47382)
likely a partial charge, not the full procedure		 $1,731.80 $2,474 0.3×
Percut Drain/Inject Renal Cyst (50390) $222.60 $318 0.3×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $802.90 $1,147 0.2×
Pericardiocentesis W/Imaging (33016) $553.70 $791 0.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $665 $950 0.2×
Perq dev breast 1st us imag (19285) $199.50 $285 0.3×
Perq device breast 1st imag (19281) $233.10 $333 0.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $199.50 $285 0.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $1,036.70–$5,381.60 $1,481–$7,688 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 3 matching MRF lines		 $863.10–$4,279.80 $1,233–$6,114 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $1,141.70–$13,489 $1,631–$19,270 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $1,225–$13,548.50 $1,750–$19,355 varies
Phalangectomy toe each toe (28150) $682.50 $975 0.2×
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $471.10–$2,344.30 $673–$3,349 varies
Place Duod/Jej Tube Perc (49441)
range across 2 matching MRF lines		 $569.80–$2,280.60 $814–$3,258 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $142.80–$317.80 $204–$454 varies
Plastic Repair Introitus (56800) $616.70 $881 0.2×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure		 $784.70 $1,121 0.1×
Plmt Bile Duct Stent Prq Existing Access (47538)
likely a partial charge, not the full procedure		 $547.40 $782 0.1×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540)
likely a partial charge, not the full procedure		 $1,024.10 $1,463 0.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $480.20–$2,151.80 $686–$3,074 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $595.70–$2,679.60 $851–$3,828 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $799.40–$3,173.80 $1,142–$4,534 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 4 matching MRF lines		 $477.40–$2,356.90 $682–$3,367 varies
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500)
range across 4 matching MRF lines		 $843.50–$1,094.80 $359–$1,564 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $1,496.60 $2,138 0.3×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $1,010.80 $1,444 0.1×
Probing nasolacrimal duct (68810) $307.30 $439 0.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $116.20 $166 0.1×
Proctosgmdsc Rigid Control Bleeding (45317) $266.70 $381 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $242.90 $347 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $175.70 $251 0.1×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 4 matching MRF lines		 $779.80–$5,124.70 $1,114–$7,321 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $615.30 $879 0.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $861 $1,230 0.2×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure		 $1,656.20 $2,366 0.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $1,071–$1,432.90 $1,530–$2,047 varies
Pseudoaneurysm Injection Trt (36002)
range across 4 matching MRF lines		 $246.40–$369.60 $176–$528 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $112 $160–$273 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $234.50–$476.70 $115–$681 varies
Puncture Aspiration Cyst Breast (19000)
range across 6 matching MRF lines		 $100.80–$242.90 $144–$347 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $135.80 $194 0.2×
Push Transfusion Blood 2 Yr/Under (36440) $119.70 $171 0.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 4 matching MRF lines		 $186.20–$324.10 $197–$463 varies
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842)
unusually low: confirm this is the full procedure		 $2,443.70 $3,491 0.4×
Radical resection of tumor; phalanx of toe Facility (28175) $1,138.90 $1,627 0.7×
Rcnstj angular dfrm toe soft tiss px only (28313) $884.10 $1,263 0.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $1,190.70–$1,624 $1,701–$2,320 varies
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,096.90 $1,567 0.3×
Reconstruction Nail Bed W/Graft (11762) $452.20 $646 0.2×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
unusually low: confirm this is the full procedure		 $2,708.30 $3,869 0.4×
Reconstruction Tongue Fold (41520)
range across 4 matching MRF lines		 $613.20–$890.40 $396–$1,272 varies
Reduction of rectal prolapse (45900) $517.30 $739 0.5×
Rem Endovas Vena Cava Filter (37193)
range across 4 matching MRF lines		 $812.70–$3,542 $1,161–$5,060 varies
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)
range across 2 matching MRF lines		 $226.80–$1,164.10 $324–$1,663 varies
Removal Embedded Foreign Body Eyelid (67938) $282.80 $404 0.9×
Removal entire oi implt skl perq attachment esp (69726) $1,158.50 $1,655 0.3×
Removal Foreign Body Deep Thigh/Knee (27372) $981.40 $1,402 0.3×
Removal Foreign Body Foot Complicated (28193)
range across 4 matching MRF lines		 $889–$1,257.20 $526–$1,796 varies
Removal foreign body foot deep (28192)
range across 4 matching MRF lines		 $755.30–$1,108.10 $504–$1,583 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 5 matching MRF lines		 $322–$1,240.40 $371–$1,772 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 4 matching MRF lines		 $360.50–$529.90 $242–$757 varies
Removal Foreign Body Scrotum (55120) $863.10 $1,233 0.4×
Removal foreign body upper arm/elbow deep (24201) $988.40 $1,412 0.3×
Removal foreign body, intranasal; requiring general anesthesia (30310) $507.50 $725 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $466.20–$756 $556–$1,080 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $447.30 $497–$639 7.2×
Removal impacted vag fb spx w/anes oth/thn local (57415) $428.40 $612 0.1×
Removal Implant Deep (20680)
range across 4 matching MRF lines		 $1,023.40–$1,458.10 $621–$2,083 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $352.80–$860.30 $504–$1,229 varies
Removal implantable contraceptive capsules (11976)
range across 4 matching MRF lines		 $223.30–$352.10 $184–$503 varies
Removal of a lesion from the floor of the mouth (41116)
range across 4 matching MRF lines		 $527.10–$809.90 $404–$1,157 varies
Removal of adenoids (42835) $487.90 $697 0.1×
Removal of adenoids (42831) $567.70 $811 0.2×
Removal of adenoids (42830) $522.90 $747 0.2×
Removal of adenoids (42836) $602 $860 0.2×
Removal of ankle implant (27704) $1,386.70 $1,981 0.4×
Removal of cervix (57530)
likely a partial charge, not the full procedure		 $914.90 $1,307 0.2×
Removal of esophageal sphincter augmentation device (43285)
likely a partial charge, not the full procedure		 $1,628.90 $2,327 0.3×
Removal of foreign body from pharynx (42809)
range across 4 matching MRF lines		 $309.40–$504 $278–$720 varies
Removal of nail bed (11750) $664.30 $949 1.6×
Removal of residual cervix (57550)
likely a partial charge, not the full procedure		 $1,054.90 $1,507 0.2×
Removal of sesamoid bone (28315) $795.20 $1,136 0.2×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $658 $940 0.1×
Removal of tonsils (42826) $626.50 $895 0.2×
Removal of tunneled intraperitoneal catheter (49422) $529.90 $757 0.2×
Removal or bivalving full arm or full leg cast (29705) $107.10 $153 0.4×
Removal parotid stone (42340)
range across 3 matching MRF lines		 $843.50–$1,297.80 $1,205–$1,854 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $544.60 $635–$778 2.6×
Removal Submand Stone,Complicated (42335)
range across 4 matching MRF lines		 $643.30–$1,054.20 $587–$1,506 varies
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $79.80–$157.50 $114–$225 varies
Remove cerclage suture (59871) $324.10 $463 0.1×
Remove cranial cavity fluid (61000) $277.90 $397 0.4×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $786.10 $879–$1,123 1.7×
Remove Forearm Foreign Body (25248) $1,048.60 $1,498 0.6×
Remove foreign body from eye (65205)
range across 4 matching MRF lines		 $68.60–$279.30 $98–$399 varies
Remove Intrauterine Device (58301)
range across 4 matching MRF lines		 $159.60–$268.10 $155–$383 varies
Remove lung catheter (32552)
range across 2 matching MRF lines		 $375.20–$439.60 $536–$628 varies
Remove Nasal Foreign Body (30300)
range across 5 matching MRF lines		 $220.50–$511 $302–$730 varies
Remove renal tube w/fluoro (50389)
range across 4 matching MRF lines		 $126–$984.20 $180–$1,406 varies
Remove Shoulder Foreign Body (23330)
range across 4 matching MRF lines		 $411.60–$732.90 $459–$1,047 varies
Remove spine eltrd plate (63662) $2,092.30 $2,989 0.6×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $1,627.50 $2,325 0.3×
Remove ureter stent percut (50384)
range across 3 matching MRF lines		 $532.70–$2,033.50 $761–$2,905 varies
Remove vc lesion w/scope (31545) $866.60 $1,238 0.2×
Remove/Insert Drug Implant (11983)
range across 4 matching MRF lines		 $248.50–$344.40 $137–$492 varies
Remv cartilage for graft nasal (20912) $1,177.40 $1,682 0.3×
Renal Biopsy Perq (50200) $299.60 $428 0.2×
Reopen fallopian tube (58350)
range across 4 matching MRF lines		 $232.40–$374.50 $203–$535 varies
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,605.80 $2,294 0.2×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,554.70 $2,221 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 4 matching MRF lines		 $667.10–$1,022 $507–$1,460 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 5 matching MRF lines		 $803.60–$1,199.80 $566–$1,714 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 5 matching MRF lines		 $581–$945 $510–$1,350 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 5 matching MRF lines		 $724.50–$1,136.80 $589–$1,624 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 4 matching MRF lines		 $556.50–$858.20 $431–$1,226 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 5 matching MRF lines		 $618.80–$1,027.60 $584–$1,468 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 4 matching MRF lines		 $481.60–$823.90 $489–$1,177 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 4 matching MRF lines		 $592.90–$959 $523–$1,370 varies
Repair extensor tendon finger w/o graft each (26418) $1,533 $2,190 0.9×
Repair Eyelid Wound (67935)
range across 4 matching MRF lines		 $1,046.50–$1,442.70 $566–$2,061 varies
Repair Finger/Hand Tendon (26350) $1,829.10 $2,613 0.5×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $905.10 $1,293 0.3×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $1,125.60–$1,665.30 $1,608–$2,379 varies
Repair Hand Tendon (26410) $1,474.20 $2,106 0.9×
Repair incomplete circumcision (54163) $532.70 $761 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 5 matching MRF lines		 $409.50–$686.70 $396–$981 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 5 matching MRF lines		 $480.90–$764.40 $405–$1,092 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 5 matching MRF lines		 $518.70–$879.90 $516–$1,257 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $530.60–$926.80 $758–$1,324 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,012.20 $1,446 2.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $662.20 $946 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 5 matching MRF lines		 $350.70–$638.40 $411–$912 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 5 matching MRF lines		 $471.80–$751.10 $399–$1,073 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 5 matching MRF lines		 $517.30–$926.80 $585–$1,324 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $855.40 $1,222 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 5 matching MRF lines		 $583.10–$942.90 $514–$1,347 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 5 matching MRF lines		 $366.10–$643.30 $387–$919 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 5 matching MRF lines		 $459.20–$841.40 $396–$1,202 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $682.50 $975 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 5 matching MRF lines		 $495.60–$976.50 $451–$1,395 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $792.40 $1,132 0.4×
Repair Laceration Palate </2 Cm (42180)
range across 3 matching MRF lines		 $457.10–$620.20 $653–$886 varies
Repair Laceration Palate >2 Cm/Complex (42182)
range across 2 matching MRF lines		 $627.90–$802.20 $897–$1,146 varies
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,489.60 $2,128 0.2×
Repair nasal septal perforations (30630) $1,629.60 $2,328 0.5×
Repair Nasal Vestibular Stenosis (30465)
unusually low: confirm this is the full procedure		 $2,495.50 $3,565 0.4×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,234.10 $1,763 0.2×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $1,411.20 $2,016 0.2×
Repair of nail bed (11760)
range across 5 matching MRF lines		 $265.30–$583.10 $261–$833 varies
Repair oval window fistula (69666) $1,966.30 $2,809 0.6×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $1,680.70 $2,401 0.2×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,746.50 $2,495 0.2×
Repair Spica/Body/Jacket Cast (29720) $105.70 $151 0.6×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $785.40 $1,122 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,842.40 $2,632 0.2×
Repair tongue laceration (41252) $506.80 $724 2.0×
Repair tongue laceration (41250)
range across 5 matching MRF lines		 $373.80–$686.70 $447–$981 varies
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,190.70 $1,701 0.2×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 4 matching MRF lines		 $207.90–$1,507.80 $297–$2,154 varies
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $319.90–$1,831.20 $457–$2,616 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $154–$1,410.50 $220–$2,015 varies
Reposition Gastrostomy Tube (43761)
range across 4 matching MRF lines		 $249.20–$298.20 $70–$426 varies
Reposition Venous Catheter (36597)
range across 4 matching MRF lines		 $142.10–$265.30 $203–$379 varies
Resection, partial or complete, phalangeal base, each toe (28126)
range across 2 matching MRF lines		 $613.20–$947.10 $876–$1,353 varies
Rev/rmv prph sac/gstr npg/r (64595)
range across 2 matching MRF lines		 $555.10–$881.30 $793–$1,259 varies
Revise Hand/Foot Nerve (64704) $792.40 $1,132 0.4×
Revise knuckle joint (26530)
likely a partial charge, not the full procedure		 $1,337.70 $1,911 0.2×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $1,557.50 $2,225 0.2×
Revise/Repair Finger/Toe Nerve (64702) $1,262.10 $1,803 0.6×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $1,220.80 $1,744 0.4×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $888.30 $1,269 0.1×
Revision of lower leg tendon (27685) $1,141 $1,630 0.3×
Revision of stapedectomy or stapedotomy Facility (69662)
unusually low: confirm this is the full procedure		 $2,808.40 $4,012 0.5×
Revision of urethra (57220)
likely a partial charge, not the full procedure		 $844.90 $1,207 0.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge, not the full procedure		 $1,092 $1,560 0.2×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601)
unusually low: confirm this is the full procedure		 $2,471.70 $3,531 0.4×
Revj Transvns Intrahepatic Portosystemic Shunt (37183)
range across 2 matching MRF lines		 $873.60–$13,700.40 $1,248–$19,572 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $732.20 $1,046 0.2×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $348.60–$586.60 $498–$838 varies
Rhinoplasty primary w/major septal repair (30420) $3,525.90 $5,037 0.6×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $195.30–$1,308.30 $279–$1,869 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 4 matching MRF lines		 $471.80–$742.70 $387–$1,061 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 4 matching MRF lines		 $277.20–$459.20 $260–$656 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $232.40 $332 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 5 matching MRF lines		 $99.40–$301 $68–$430 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $120.40–$163.80 $172–$234 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $85.40–$92.40 $122–$132 varies
Rmvl fecal impaction/fb spx under anes (45915) $555.10 $793 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $599.90–$1,123.50 $857–$1,605 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 4 matching MRF lines		 $415.10–$756.70 $488–$1,081 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 4 matching MRF lines		 $346.50–$535.50 $270–$765 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 4 matching MRF lines		 $801.50–$1,660.40 $1,145–$2,372 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines		 $452.90–$534.80 $647–$764 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines		 $324.80–$395.50 $464–$565 varies
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $198.10 $283 0.7×
Rmvl/revj sling stress incontinence (57287) $1,804.60 $2,578 0.5×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $2,037.70 $2,911 0.6×
Rplc Gtube No Revj Trc (43762) $89.60 $128 0.3×
Rplcmt cath ctr vad subq port/pmp (36578)
range across 4 matching MRF lines		 $486.50–$1,026.20 $695–$1,466 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 6 matching MRF lines		 $154–$449.40 $220–$642 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 4 matching MRF lines		 $137.90–$770.70 $197–$1,101 varies
Rplcmt compl tun ctr vad w/subq port (36582)
range across 6 matching MRF lines		 $683.20–$2,070.60 $976–$2,958 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 4 matching MRF lines		 $433.30–$1,834.70 $619–$2,621 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $825.30 $1,179 0.2×
Rpr blood vessel direct lower extremity (35226) $1,960.70 $2,801 2.6×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $889 $1,270 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $226.80–$542.50 $324–$775 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $1,155.70 $1,651 0.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $771.40 $1,102 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $446.60 $638 1.8×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $336 $480 0.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 4 matching MRF lines		 $882.70–$1,260.70 $540–$1,801 varies
Rpr Lip Full Thickness Vermilion Only (40650) $774.90 $1,107 1.4×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 5 matching MRF lines		 $1,040.20–$1,899.80 $555–$2,714 varies
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $363.30 $519–$7,910 0.1×
Rpr Nsl Vlv Collapse W/Implt (30468)
likely a partial charge, not the full procedure		 $407.40 $582 0.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $798 $1,140 0.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,561.70 $2,231 0.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,220.80 $1,744 0.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 6 matching MRF lines		 $79.10–$345.10 $113–$493 varies
Sclerotx Fluid Collection (49185) $281.40 $402 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,645 $2,350 0.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $160.30–$701.40 $229–$1,002 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $287–$722.40 $410–$1,032 varies
Shave skin lesion 0.5 cm/< (11300)
range across 4 matching MRF lines		 $81.90–$243.60 $117–$348 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $839.30 $844–$1,199 4.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 4 matching MRF lines		 $229.60–$438.20 $298–$626 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 4 matching MRF lines		 $89.60–$254.80 $128–$364 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 4 matching MRF lines		 $116.90–$296.80 $167–$424 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 4 matching MRF lines		 $149.10–$335.30 $213–$479 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 4 matching MRF lines		 $167.30–$352.80 $239–$504 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 4 matching MRF lines		 $149.80–$331.10 $214–$473 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 4 matching MRF lines		 $177.10–$376.60 $253–$538 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $465.50 $420–$665 2.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 4 matching MRF lines		 $170.10–$367.50 $243–$525 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 4 matching MRF lines		 $142.80–$331.80 $204–$474 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 4 matching MRF lines		 $403.90–$570.50 $238–$815 varies
Sigmoidoscopy & decompress (45337) $272.30 $389 0.3×
Sigmoidoscopy & Polypectomy (45333)
range across 4 matching MRF lines		 $225.40–$791.70 $322–$1,131 varies
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)
range across 2 matching MRF lines		 $382.20–$5,461.40 $546–$7,802 varies
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $406 $580 0.3×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $366.80 $524 0.1×
Sigmoidoscopy W/Resection (45349) $470.40 $672 0.2×
Sigmoidoscopy W/Ultrasound (45341) $296.10 $423 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 4 matching MRF lines		 $173.60–$690.90 $248–$987 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)
range across 4 matching MRF lines		 $280.70–$1,182.30 $401–$1,689 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $307.30 $439 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 5 matching MRF lines		 $133.70–$375.20 $191–$536 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 5 matching MRF lines		 $139.30–$446.60 $199–$638 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $370.30 $529 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 5 matching MRF lines		 $180.60–$517.30 $237–$739 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $417.20 $596 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 8 matching MRF lines		 $108.50–$432.60 $155–$618 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $346.50 $495 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 5 matching MRF lines		 $177.10–$686 $209–$980 varies
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
likely a partial charge, not the full procedure		 $1,446.20 $2,066 0.2×
Skin Full Grft Face/Genit/Hf (15240)
range across 6 matching MRF lines		 $1,925.70–$2,255.40 $471–$3,222 varies
Skin Pinch Graft (15050) $1,109.50 $1,585 1.4×
Skin sub graft face/nk/hf/g (15275) $1,956.50 $2,795 2.5×
Skin sub graft trnk/arm/leg (15271) $4,475.10 $6,393 5.8×
Skin sub grft t/arm/lg child (15273) $466.90 $667 0.2×
Skn sub grft f/n/hf/g child (15277) $532.70 $761 0.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $1,805.30 $2,579 0.3×
Slitting of prepuce (54001) $340.90 $487 0.2×
Slitting of prepuce (54000) $270.20 $386 0.1×
Small bowel endoscopy (44366) $568.40 $812 0.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $582.40 $832 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 5 matching MRF lines		 $142.10–$702.80 $193–$1,004 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $228.20–$539 $326–$770 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $278.60–$604.80 $398–$864 varies
Sperm washing artificial insemination (58323)
range across 2 matching MRF lines		 $36.40 $42–$52 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $153.30–$940.80 $219–$1,344 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 6 matching MRF lines		 $1,668.80–$2,049.60 $544–$2,928 varies
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
unusually low: confirm this is the full procedure		 $2,244.90 $3,207 0.4×
Strapping ankle (29540) $315 $450 1.9×
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $45.50–$70.70 $65–$101 varies
Strapping hand/finger (29280) $48.30 $69 0.8×
Strapping Hip (29520) $44.10 $63 0.3×
Strapping knee (29530) $42.70 $61 0.3×
Strapping shoulder (29240) $42.70 $61 0.3×
Strapping thorax (29200) $44.10 $63 0.3×
Strapping toes (29550) $26.60 $38 0.4×
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $63–$274.40 $90–$392 varies
Subconjunctival injection (68200)
range across 4 matching MRF lines		 $81.90–$100.10 $26–$143 varies
Submucosal abltj tongue rf 1/> sites pr session (41530)
range across 4 matching MRF lines		 $913.50–$2,199.40 $1,305–$3,142 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $429.10–$717.50 $613–$1,025 varies
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure		 $1,954.40 $2,792 0.3×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820)
range across 4 matching MRF lines		 $809.90–$1,082.90 $390–$1,547 varies
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 2 matching MRF lines		 $583.80–$6,699 $834–$9,570 varies
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
likely a partial charge, not the full procedure		 $417.90 $597 0.1×
Surg tx anal fistula subq (46270) $978.60 $1,398 0.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $562.80 $804 0.2×
Suture digital nerve hand/foot 1 nerve (64831) $1,694.70 $2,421 0.8×
Suture pharynx for wound or injury (42900) $805 $1,150 0.5×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $90.30 $129–$219 0.2×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,592.50 $2,275 0.9×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 4 matching MRF lines		 $508.90–$571.20 $89–$816 varies
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 4 matching MRF lines		 $682.50–$769.30 $124–$1,099 varies
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $205.10 $293 0.0×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure		 $996.10 $1,423 0.1×
Thrmbc/Nfs Dialysis Circuit (36906)
likely a partial charge, not the full procedure		 $1,196.30 $1,709 0.1×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure		 $908.60 $1,298 0.2×
Thrombolytic Therapy Stroke (37195) $761.60 $1,088 2.2×
Thrombolytic Venous Therapy (37212) $791.70 $1,131 0.2×
Thyroid biopsy (60100) $182 $260 0.2×
Thyroidectomy Post Prev Thyr Surg (60260)
unusually low: confirm this is the full procedure		 $2,632 $3,760 0.4×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,221.10 $3,173 0.4×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $3,191.30 $4,559 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 6 matching MRF lines		 $1,606.50–$1,864.80 $369–$2,664 varies
Tlh uterus over 250 g (58572)
likely a partial charge, not the full procedure		 $2,460.50 $3,515 0.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $744.10 $1,063 0.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $816.90 $1,167 0.2×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 4 matching MRF lines		 $278.60–$417.20 $198–$596 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $788.20 $1,126 3.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $765.80 $1,094 0.5×
Tracheostomy Fenestration W/Skin Flaps (31610)
unusually low: confirm this is the full procedure		 $2,319.80 $3,314 0.4×
Tracheostomy planned (31600) $730.80 $1,044 0.2×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure		 $501.90 $717 0.1×
Treat Ankle Dislocation (27846)
likely a partial charge, not the full procedure		 $1,778 $2,540 0.2×
Treat Dental Ridge Fracture (21440) $1,467.90 $2,097 0.4×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,892.10 $2,703 0.3×
Treat humerus fracture (24500) $844.20 $1,206 3.3×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $546–$1,129.80 $780–$1,614 varies
Treat humerus fracture (23600) $798 $1,140 3.1×
Treat knee fracture (27532) $1,431.50 $2,045 0.4×
Treat Knee Fracture(S) (27538) $1,121.40 $1,602 4.3×
Treat Knuckle Dislocation (26700)
range across 3 matching MRF lines		 $460.60–$856.80 $658–$1,224 varies
Treat metacarpal fracture (26607) $1,254.40 $1,792 0.4×
Treat Metatarsal Fracture (28475) $570.50 $815 2.2×
Treat Tail Bone Fracture (27200) $481.60 $688 1.9×
Treat Thumb Dislocation (26641)
range across 3 matching MRF lines		 $959.70–$1,054.20 $1,371–$1,506 varies
Treat Thumb Fracture (26645) $989.80 $1,414 0.6×
Treat toe dislocation (28630) $271.60 $388 1.1×
Treat vagina infection (57150) $62.30 $89 1.0×
Treat Vaginal Bleeding (57180) $294.70 $421 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,187.20 $1,696 0.7×
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $506.80–$948.50 $724–$1,355 varies
Treatment mouth roof lesion (42160)
range across 4 matching MRF lines		 $342.30–$549.50 $296–$785 varies
Treatment of anal fissure (46940) $351.40 $502 0.1×
Treatment of foot infection (28003)
range across 4 matching MRF lines		 $620.90–$910.70 $414–$1,301 varies
Trim skin lesion (11055) $195.30 $279 0.9×
Trim skin lesions 2 to 4 (11056) $210.70 $301 1.0×
Trim skin lesions over 4 (11057)
range across 6 matching MRF lines		 $68.60–$218.40 $98–$312 varies
Trimming Nondystrophic Nails Any Number (11719) $557.90 $797 9.0×
Trluml Balo Angiop 1St Vein (37248)
likely a partial charge, not the full procedure		 $696.50 $995 0.1×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $353.50 $505 0.2×
Tubal ligation (58600) $904.40 $1,292 0.3×
Tx Gastro Intub W/Asp (43753) $51.80 $74 0.2×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $753.20–$887.60 $1,076–$1,268 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $947.80–$1,076.60 $1,354–$1,538 varies
Tx Missed Abortion Second Trimester Surgical (59821)
range across 4 matching MRF lines		 $926.10–$1,060.50 $192–$1,515 varies
Tx open tendon flexor toe 1 tendon spx (28232) $589.40 $842 0.3×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $695.10 $993 0.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $879.20 $1,256 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $455.70–$727.30 $388–$1,039 varies
Tx superficial wound dehiscence w/packing (12021) $342.30 $489 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $565.60 $808 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 4 matching MRF lines		 $478.80–$528.50 $71–$755 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 4 matching MRF lines		 $698.60–$932.40 $334–$1,332 varies
Tympanoplasty (69631)
unusually low: confirm this is the full procedure		 $2,165.10 $3,093 0.3×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $3,578.40 $5,112 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $3,807.30 $5,439 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $3,647 $5,210 0.6×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $3,248 $4,640 0.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
unusually low: confirm this is the full procedure		 $2,530.50 $3,615 0.4×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
unusually low: confirm this is the full procedure		 $2,557.80 $3,654 0.4×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
unusually low: confirm this is the full procedure		 $2,625.70 $3,751 0.4×
Tympanostomy general anesthesia (69436) $389.90 $557 0.2×
Uvulectomy excision of uvula (42140)
range across 4 matching MRF lines		 $399–$755.30 $509–$1,079 varies
Vag hyst complex (58290)
unusually low: confirm this is the full procedure		 $2,788.80 $3,984 0.4×
Vag hyst incl t/o complex (58291) $3,012.10 $4,303 0.6×
Vag hyst w/t/o & vag repair (58263)
unusually low: confirm this is the full procedure		 $2,412.20 $3,446 0.5×
Vaginal Delivery After Cesarean Delivery (59612) $2,191 $3,130 0.6×
Vaginal delivery only (59409) $1,933.40 $2,762 0.6×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure		 $2,037.70 $2,911 0.4×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure		 $2,170 $3,100 0.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $2,251.20 $3,216 0.4×
Vaginectomy, partial removal of vaginal wall; (57106) $1,311.10 $1,873 0.4×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $1,114.40–$16,692.20 $1,592–$23,846 varies
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $1,543.50–$15,452.50 $2,205–$22,075 varies
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $1,309–$20,227.90 $1,870–$28,897 varies
Vasc embolize/occlude venous (37241)
range across 2 matching MRF lines		 $1,001–$10,920.70 $1,430–$15,601 varies
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 4 matching MRF lines		 $557.90–$812.70 $364–$1,161 varies
Vein Access Cutdown < 1 Yr (36420) $114.10 $163 0.8×
Venous Cutdown >1 Y/O (36425) $94.50 $135 0.2×
Venous Mech Thrombectomy (37187)
range across 6 matching MRF lines		 $921.90–$3,999.10 $1,317–$5,713 varies
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $147–$309.40 $210–$442 varies
Vermilionectomy lip shv w/mucosal advmnt (40500)
range across 4 matching MRF lines		 $904.40–$1,288 $548–$1,840 varies
Vulvectomy simple partial (56620) $1,434.30 $2,049 0.4×
Wedge excision skin nail fold (11765)
range across 5 matching MRF lines		 $225.40–$655.90 $253–$937 varies
Wedging of cast (29740) $165.90 $237 0.6×
Windowing of cast (29730) $108.50 $155 0.6×
Wound Prep F/N/Hf/G (15004) $620.90 $887 1.5×
Wound Prep Trk/Arm/Leg (15002) $525.70 $751 0.7×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $9,210.25 $13,157.50 1.7×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015)
range across 3 matching MRF lines		 $723.10–$965.30 $1,033–$1,379 varies
Xtroral I&D Floor Masticator Space (41018)
range across 4 matching MRF lines		 $967.40–$1,268.40 $430–$1,812 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.