Procedures & surgery prices at Ridgeview Medical Center

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

1487 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,154.93 $2,357 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 4 matching MRF lines		 $358.19–$959.91 $251–$1,959 varies
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $134.26 $260–$274 0.1×
Ablation 1/> liver tumor perq cryoablation (47383) — $18,358 —
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 2 matching MRF lines		 $371.42 $229–$758 0.2×
Abrasion single lesion (15786)
range across 2 matching MRF lines		 $223.93 $457–$481 1.1×
Acne surgery (10040) $169.05 $345 0.8×
Acromiopl/Acromionect Partial (23130) $7,261.53 $14,819.45 2.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $31,047.12 $63,361.47 8.4×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $4,325.96 $8,828.50 2.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,179.92–$3,710.03 $2,408–$7,571.50 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $1,400.42–$4,980.12 $2,858–$10,163.52 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,992.83 $4,067 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,478.33 $3,017 0.7×
Amniocentesis diagnostic (59000) $201.39 $411 0.2×
Amniocentesis therapeutic (59001) $579.18 $1,182 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,648.38 $9,486.50 1.4×
Amputation metatarsal with toe single (28810) $3,841.35 $7,839.50 1.1×
Amputation toe interphalangeal joint (28825) $3,794.80 $7,744.50 1.1×
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $3,841.35–$5,356.62 $7,839.50–$10,931.88 varies
Anoscopy diagnostic (46600)
range across 4 matching MRF lines		 $119.07–$199.92 $143–$408 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $841.82 $293–$1,718 0.9×
Anoscopy; with biopsy, single or multiple (46606) $4,162.55 $8,495 3.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $12,758.65 $26,038.07 2.4×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $151.90–$400.82 $92–$818 varies
Application Cast Finger (29086)
range across 3 matching MRF lines		 $133.28–$174.93 $100–$357 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $93.10 $70–$190 1.5×
Application finger splint static (29130) — $148 —
Application long arm splint shoulder hand (29105) — $293 —
Application Long Leg Splint (29505)
range across 4 matching MRF lines		 $155.33–$200.41 $135–$409 varies
Application of long leg cast (29345) $385.63 $787 1.3×
Application of rigid total contact leg cast (29445) $647.29 $1,321 2.2×
Application Short Arm Splint Dynamic (29126) $135.24 $276 1.0×
Application short arm splint forearm-hand static (29125) — $236 —
Application short leg splint calf foot (29515) — $255 —
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $166.60 $105–$340 1.0×
Apply long arm cast (29065) $385.63 $787 1.3×
Apply Multlay Comprs Lwr Leg (29581) $424.83 $867 2.5×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $138.67–$314.09 $283–$641 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $129.85–$385.63 $77–$787 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $458.64–$23,652.27 $936–$48,269.94 varies
Arteriovenous Anastomosis Open Direct (36821) $7,889.84 $16,101.71 2.4×
Artery-vein autograft (36825) $8,693.97 $17,742.80 1.5×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $25,993.25 $53,047.44 1.9×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $18,407.80–$21,161.79 $37,566.94–$43,187.33 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $105.84–$747.49 $187–$1,525.50 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $733.04 $1,496 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $157.78–$16,915.41 $226–$34,521.25 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $336.63 $687 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $70.07–$9,239.52 $143–$18,856.17 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $28,869.51–$38,939.29 $58,917.36–$79,467.93 varies
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $854.56 $1,744 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $12,165.78–$14,732.71 $24,828.12–$30,066.75 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612) $31,802.57 $64,903.20 1.7×
Arthrodesis sacroiliac joint percutaneous (27279) $25,235.24 $51,500.50 1.4×
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $26,812.53–$45,537.96 $54,719.45–$92,934.61 varies
Arthrodesis triple (28715) $33,423.15 $68,210.52 2.5×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $28,279.45 $57,713.17 1.0×
Arthroplasty ankle revision total ankle (27703) $35,341.15 $72,124.80 1.9×
Arthroplasty Ankle W/Implant (27702) $33,040.85 $67,430.31 1.2×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $23,273.70–$23,688.47 $47,497.35–$48,343.82 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $25,436.54 $51,911.31 1.9×
Arthroplasty Patella W/Prosthesis (27438) $16,802.86 $34,291.55 1.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $8,937.63 $18,240.07 2.6×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $10,341.94 $21,106 3.0×
Arthroscopy hip w/femoroplasty (29914) $13,404.10 $27,355.30 1.8×
Arthroscopy Knee Osteochondral Allograft (29867) $12,825.52 $26,174.53 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $6,554.97–$7,389.20 $13,377.50–$15,080 varies
Arthroscopy knee synovectomy limited spx (29875) $5,904.25 $12,049.50 1.7×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $9,618.45–$11,103.62 $19,629.50–$22,660.45 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806) $16,390.06 $33,449.10 2.2×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $10,341.94 $21,106 1.4×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $7,654.53 $15,621.50 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $21,696.05 $44,277.66 6.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $12,825.52 $26,174.53 3.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $11,122.46–$13,219.95 $22,698.90–$26,979.50 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $9,618.45–$12,213.25 $19,629.50–$24,925 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822) $9,657.65 $19,709.50 2.8×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $9,878.25–$14,658.97 $20,159.70–$29,916.26 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $12,811.04 $26,144.98 3.7×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $7,083.68 $14,456.50 2.1×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $16,443.63–$16,656.31 $33,558.43–$33,992.46 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $8,703.72 $17,762.70 2.5×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $16,656.25 $33,992.34 1.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $14,205.42 $28,990.65 1.9×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $25,335.41 $51,704.91 1.9×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $8,928.41 $18,221.24 2.6×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $11,962.54 $24,413.35 3.5×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $7,489.65–$15,548.37 $15,285–$31,731.37 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,695.02 $11,622.50 1.7×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $782.53 $1,597 0.5×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)
range across 2 matching MRF lines		 $824.67 $541–$1,683 0.2×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020)
range across 2 matching MRF lines		 $918.26 $599–$1,874 0.3×
Arthrt w/synvct kne ant&post w/pop area (27335) $8,345.21 $17,031.05 1.1×
Artificial insemination intra-cervical (58321) $140.14 $286 0.4×
Artificial insemination intra-uterine (58322) $155.82 $318 0.7×
Aspirate pleura w/ imaging (32555) $1,259.30 $2,570 1.9×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $987.84 $301–$2,016 1.5×
Aspirate/Inj Ganglion Cyst (20612) $450.80 $920 1.4×
Aspiration and/or injection thyroid cyst (60300) $605.15 $1,235 0.8×
Aspiration bladder insert suprapubic catheter (51102) $3,599.78 $7,346.50 1.6×
Aspiration Bladder Needle (51100) $306.74 $626 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $147.98 $302 0.7×
Axillary lymphadenectomy; complete (38745) $9,013.11 $18,394.10 1.4×
Biopsy Abdominal Mass (49180) $3,230.32 $6,592.50 1.9×
Biopsy bone open superficial (20240) $3,728.16 $7,608.50 1.2×
Biopsy bone trocar/needle deep (20225) $9,087.05 $18,545 5.3×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $670.32–$3,113.95 $1,368–$6,355 varies
Biopsy External Auditory Canal (69105)
range across 2 matching MRF lines		 $245.49 $280–$501 0.2×
Biopsy external ear (69100) $220.01 $449 0.9×
Biopsy muscle percutaneous needle (20206) $2,321.13 $4,737 1.3×
Biopsy nail unit (11755)
range across 4 matching MRF lines		 $207.27 $207–$423 0.3×
Biopsy of breast; open, incisional (19101) $557.13 $1,137 0.1×
Biopsy of floor of mouth (41108)
range across 2 matching MRF lines		 $286.16 $266–$584 0.2×
Biopsy of lip (40490) $195.51 $399 0.8×
Biopsy of liver, needle; percutaneous (47000) $1,881.35 $3,839.50 1.1×
Biopsy of palate, uvula (42100)
range across 4 matching MRF lines		 $248.92 $125–$508 0.2×
Biopsy of penis (54100)
range across 3 matching MRF lines		 $343.98 $284–$702 0.2×
Biopsy of rectum (45100) $8,330.73 $17,001.50 2.9×
Biopsy of upper nose/throat (42806) $411.11 $839 0.1×
Biopsy of urethra (53200) $269.50 $550 0.1×
Biopsy Oropharynx (42800)
range across 2 matching MRF lines		 $523.32–$4,487.42 $1,068–$9,158 varies
Biopsy ovary uni/bi separate procedure (58900) $746.76 $1,524 0.2×
Biopsy Pleura Percutaneous Needle (32400) $3,097.29 $6,321 1.8×
Biopsy Salivary Gland Incisional (42405)
range across 2 matching MRF lines		 $236.67–$8,740.62 $483–$17,838 varies
Biopsy Salivary Gland Needle (42400) $1,063.79 $2,171 1.4×
Biopsy soft tissue neck/thorax (21550) $1,950.69 $3,981 1.1×
Biopsy Tongue Anterior Two-Thirds (41100) $372.89 $761 0.7×
Biopsy Tongue Posterior One-Third (41105)
range across 3 matching MRF lines		 $240.59–$5,108.74 $491–$10,426 varies
Biopsy Vaginal Mucosa Simple (57100) $176.40 $360 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $4,410.73 $9,001.50 4.6×
Biopsy, vestibule of mouth (40808) $372.89 $761 0.7×
Biopsy/removal lymph nodes (38510) $9,953.61 $20,313.50 2.4×
Bladder instillation anticarcinogenic agent (51720) $7,621.20 $15,553.46 10.4×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $129.85–$325.85 $265–$665 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $15,650.60–$17,042.93 $40–$34,781.50 varies
Blepharoplasty Lower Eyelid (15820) $9,552.30 $19,494.50 4.4×
Blepharoplasty upper eyelid (15822) $7,881.16 $16,084 3.6×
Blepharotomy drainage abscess eyelid (67700) $333.69 $681 1.0×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $1,304.13–$18,446.46 $2,661.50–$37,645.83 varies
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $16,933.04–$22,476 $34,557.23–$45,869.38 varies
Bone Marrow Biopsy (38221) $1,479.31 $3,019 0.9×
Breast augmentation with implant (19325) $6,244.24 $12,743.35 0.7×
Breast Reduction (19318) $11,218.89 $22,895.70 1.6×
Brnchsc Brushing/Protected Brushings (31623) $3,703.91 $7,559 2.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $9,553.53 $19,497 2.4×
Bronchoscopy Clear Airways (31645)
range across 3 matching MRF lines		 $463.05–$2,039.87 $945–$4,163 varies
Bronchoscopy Reclear Airway (31646) $2,205.49 $4,501 5.4×
Bronchoscopy W/Biopsy(S) (31625) $4,028.29 $8,221 2.2×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $494.41–$2,113.86 $1,009–$4,314 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $9,832.09 $20,065.50 2.5×
Bronchoscopy/Needle Bx Each (31629) $2,076.13 $4,237 0.5×
Bx breast 1st lesion strtctc (19081) $3,446.66 $7,034 2.0×
Bx breast 1st lesion us imag (19083) $2,520.56 $5,144 1.5×
Bx breast needle core w/o imaging guidance spx (19100) $252.84 $516 0.1×
Bx Cervix (57500) $5,093.55 $10,395 5.3×
Bx prst8 trct us w/MRI fus 1 (55708) $7,413.39 $15,129.36 2.0×
Bx/exc lymph node open deep axillary node (38525) $11,128.51 $22,711.25 2.7×
Bx/exc lymph node open superficial (38500) $18,681 $38,124.50 4.6×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $823.69 $516–$1,681 0.2×
Capsulorrhaphy Anterior W/Labral Repair (23455) $13,042.31 $26,616.96 1.7×
Capsulotomy Iphal Joint Each Joint Spx (28272)
range across 2 matching MRF lines		 $647.29 $445–$1,321 0.4×
Capsulotomy Posterior Capsular Release Knee (27435) $9,194.60 $18,764.50 2.7×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $2,053.83–$3,285.20 $4,191.50–$6,704.50 varies
Carpectomy All Bones Proximal Row (25215) $7,969.70 $16,264.70 2.3×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $38.22–$80.85 $78–$165 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $340.55 $695 1.1×
Cautery Cervix Electro/Thermal (57510) $285.18 $582 0.1×
Cerclage cervix pregnancy vaginal (59320) $3,958.46 $8,078.50 1.2×
Cerv artific diskectomy (22856) $22,593.91 $46,110.03 1.2×
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure		 $2,276.54 $4,646 0.3×
Change Cystostomy Tube Complicated (51710) $1,999.20 $4,080 2.7×
Change Cystostomy Tube Simple (51705) $8,762.38 $17,882.41 33.5×
Change of Windpipe Airway (31502) $150.92 $308 0.6×
Change ureter stent percut (50382) $12,227.21 $24,953.50 5.6×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $84.28–$414.54 $172–$846 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $260.68 $161–$532 0.4×
Chemodenerv Eccrine Glands (64650) $150.92 $308 0.5×
Chemodenerv Musc Migraine (64615)
range across 3 matching MRF lines		 $1,914.43 $534–$3,907 6.0×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $236.18 $101–$482 0.7×
Chemodenerv trunk musc 1-5 (64646) $274.89 $561 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $234.71 $65–$479 0.7×
Chest tube placement (32551)
range across 3 matching MRF lines		 $258.72–$1,137.78 $528–$2,322 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,712.55 $3,495 0.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 3 matching MRF lines		 $551.74–$3,069.85 $1,126–$6,265 varies
Circumcision 28 days or older (54161) $5,278.03 $10,771.50 2.4×
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $513–$680 $328–$680 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $559.58 $1,142–$1,737 0.3×
Claviculectomy partial (23120) $23,230.84 $47,409.88 6.8×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $99.47 $203–$558 0.7×
Closed Rx Metacarpal Fx,Percut (26608) $3,493.54 $7,129.68 1.0×
Closed Rx Spontaneous Hip Disloc (27256) $349.86 $714 1.4×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 3 matching MRF lines		 $394.45–$803.11 $161–$1,639 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $423.36–$1,633 $864–$1,633 varies
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines		 $204.33 $53–$417 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $485.10 $990 1.9×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $456.68 $932–$1,380 1.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $559.58 $1,142–$1,527 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 4 matching MRF lines		 $488.04–$1,101 $996–$1,210 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 4 matching MRF lines		 $376.81–$434.14 $63–$886 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $545.37 $87–$1,113 2.1×
Closed tx knee dislocation w/o anesthesia (27550) $554.68 $1,132 2.1×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
likely a partial charge, not the full procedure		 $1,849.75 $3,775 0.3×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $289.10–$381.71 $45–$779 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $538.51 $1,099–$2,081 0.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 3 matching MRF lines		 $2,475.72 $206–$5,052.50 1.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $206.78 $422 0.1×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $554.68–$658.07 $1,132–$1,343 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $575.75 $1,175 2.2×
Closed tx radial head/neck fx w/manipulation (24655) $538.51 $1,099 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $3,468.22 $7,078 2.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 4 matching MRF lines		 $390.04–$505.19 $98–$1,031 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $559.58–$909.93 $1,142–$1,857 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $438.06 $894–$938 1.7×
Closed tx talotarsal joint dislc w/o anes (28570) $439.04 $896 1.7×
Closed Tx Talus Fracture W/Manipulation (28435) $2,103.57 $4,293 1.2×
Closed tx talus fracture w/o manipulation (28430) $325.85 $665 1.3×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,982.54 $4,046 1.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 3 matching MRF lines		 $107–$276.36 $107–$564 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,026.06 $2,094 0.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $460.11 $939 1.8×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $423.36–$470.40 $864–$960 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $525.28 $503–$1,072 2.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $430.22 $878 0.8×
Closure of cystostomy (separate procedure) Facility (51880) $788.90 $1,610 0.2×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $1,045.66 $2,134 0.3×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $395.92–$418.46 $808–$854 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,386.70 $2,830 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 4 matching MRF lines		 $554.68–$587.51 $118–$1,199 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,871.80 $1,738–$3,820 1.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $183.75 $375–$1,201 0.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $476.28 $972 1.8×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,189.23 $2,427 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $540.47 $78–$1,103 2.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $461.58 $942 1.8×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $554.68 $1,132–$1,375 2.1×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $509.11–$552.23 $95–$1,127 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $458.64–$564.48 $936–$1,152 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $279.30–$334.18 $570–$690 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $554.68–$599.76 $53–$1,224 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $559.58–$945.21 $1,142–$3,640 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,138.36 $4,364 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $290.08 $532–$592 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $247.94–$279.30 $60–$570 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 4 matching MRF lines		 $183.75–$287.63 $75–$587 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $212.17–$297.92 $433–$608 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,468.13 $5,037 1.5×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $967.26 $618–$1,974 3.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,069.18 $2,182 0.6×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 3 matching MRF lines		 $167.09–$260.19 $89–$531 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $217.56–$311.15 $332–$635 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) — $3,315 —
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $696.78 $146–$1,422 2.4×
Cltx iphal jt dislc w/manj w/o anes (26770) — $1,045 —
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,571–$2,085.93 $1,571–$4,257 varies
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $465.99–$588 $951–$1,200 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $183.75–$583.10 $375–$1,190 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 4 matching MRF lines		 $378.28–$534.10 $52–$1,090 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $294 $600 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines		 $183.75–$603.68 $375–$1,232 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) — $731 —
Cltx post hip arthrp dislc req anes (27266) $939.33 $1,917 0.6×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $718.83 $1,467–$1,484 2.8×
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $2,009 $1,443–$4,100 1.2×
Cltx prox fibula/shft fx w/o manj (27780) $13,430.69 $27,409.58 52.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,551.83 $1,525–$3,167 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $686.98 $1,402 2.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) — $364 —
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,464.12 $1,433–$2,988 0.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) — $2,034 —
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $645.82–$676.20 $1,318–$1,380 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $903.07 $1,843 0.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 4 matching MRF lines		 $258.72–$341.04 $71–$696 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $524.79 $1,071–$1,162 2.0×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $559.58 $1,142–$1,568 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $488.04 $996–$1,060 1.9×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
likely a partial charge, not the full procedure		 $1,478.82 $3,018 0.3×
Collect Blood From Catheter Venous Nos (36592) $410.86 $838.50 2.9×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $6.86–$14.21 $14–$29 varies
Colonoscopy Flexible With Decompression (45393)
range across 3 matching MRF lines		 $417.97–$1,380.33 $853–$2,817 varies
Colonoscopy Stoma W/Submucosal Injection (44404)
range across 2 matching MRF lines		 $710.01–$995.19 $1,449–$2,031 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $4,122.86–$4,327.19 $8,414–$8,831 varies
Colonoscopy thru stoma (44388) $1,692.46 $3,454 1.7×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $4,122.86–$4,327.19 $8,414–$8,831 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $2,643.55–$6,014.26 $5,395–$12,274 varies
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $1,371.02–$1,381.80 $2,798–$2,820 varies
Colonoscopy w/fb removal (45379) $1,672.86 $3,414 1.3×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $3,937.39–$4,043.97 $8,035.50–$8,253 varies
Colonoscopy w/stent plcmt (45389)
range across 2 matching MRF lines		 $480.69–$3,044.86 $981–$6,214 varies
Colonoscopy w/submucosal inj (45381)
range across 4 matching MRF lines		 $4,961.25–$5,059.25 $680–$10,325 varies
Colpocleisis (le fort type) (57120) $5,737.83 $11,709.86 1.1×
Colpopexy extraperitoneal (57282) $20,505.23 $41,847.40 2.6×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,187.76 $2,424 0.2×
Colporrhaphy (57200) $568.89 $1,161 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $287.63 $125–$587 0.9×
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $260.19 $182–$531 0.8×
Colposcopy cervix upper/adjacent vagina (57452)
range across 3 matching MRF lines		 $216.09 $127–$441 1.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $275.87 $563 0.9×
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines		 $593.39 $581–$1,211 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $532.63 $1,087 0.2×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $226.87 $153–$463 0.7×
Colposcopy of vulva (56820) $213.64 $436 1.0×
Colposcopy Vulva W/Biopsy (56821) $286.65 $585 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 2 matching MRF lines		 $303.31 $199–$619 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $5,229.77–$6,635.58 $10,673–$13,542 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $1,025.57–$1,769.39 $2,093–$3,611 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $2,838.57–$4,887.75 $5,793–$9,975 varies
Combined anteroposterior colporrhaphy; (57260) $19,847.60 $40,505.30 3.8×
Complex Cystometrogram (51726) $367.99 $751 1.4×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $446.39 $291–$911 0.1×
Composite Skin Graft (15760)
range across 2 matching MRF lines		 $1,436.19 $519–$2,931 0.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $4,562.63 $9,311.50 1.3×
Conization of cervix (57520) $7,104.51 $14,499 2.1×
Contour of face bone lesion (21029) $1,313.69 $2,681 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 5 matching MRF lines		 $243.53–$412.58 $265–$842 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $220.50 $434–$450 1.6×
Control nose/throat bleeding (42972) $9,175 $18,724.50 2.6×
Control oropharyngeal hemorrhage simple (42960) $274.89 $561 0.5×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $15,661.16 $31,961.55 1.2×
Conversion ext bil drg cath (47535)
range across 3 matching MRF lines		 $1,470–$3,509.87 $2,346–$7,163 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,664.04 $3,396 0.8×
Convert Nephrostomy Catheter (50434) $10,812.09 $22,065.50 4.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,017.66 $6,158.50 1.7×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $1,184.82 $2,418 0.3×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $5,919.38–$14,732.71 $12,080.36–$30,066.75 varies
Correction of inverted nipples (19355) $8,552.95 $17,455 2.1×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $8,585.38 $17,521.19 2.5×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $11,473.19 $23,414.67 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $7,383.19–$9,731.73 $15,067.73–$19,860.67 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $11,867.81 $24,220.02 3.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $9,239.52 $18,856.17 1.2×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $248.43–$356.72 $507–$728 varies
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $10,283.04 $20,985.80 1.8×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $89.18 $182 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 4 matching MRF lines		 $305.76–$592.41 $364–$1,209 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 4 matching MRF lines		 $330.26–$636.02 $456–$1,298 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $4,244.87 $8,663 1.2×
Curettage postpartum (59160) $4,150.30 $8,469.99 1.2×
Cysto calibration dilat urtl strix/stenosis (52281) $5,332.42 $10,882.49 2.4×
Cysto w/destruction of lesions (52214) $3,887.90 $7,934.50 1.1×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $9,082.90 $18,536.53 1.6×
Cysto w/insert ureteral stent (52332) $6,744.48 $13,764.25 1.8×
Cysto w/irrig & evac multple obstructing clots (52001) $5,688.10 $11,608.36 1.5×
Cysto w/removal of lesions small (52224) $12,508.02 $25,526.57 3.4×
Cysto w/removal of tumors small (52234) $6,012.30 $12,270 1.6×
Cysto W/Simple Removal Stone & Stent (52310) $4,852.27 $9,902.60 2.2×
Cysto w/ureteroscopy w/lithotripsy (52353) $19,388.28 $39,567.91 3.5×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $7,197.39 $14,688.56 1.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $6,905.14 $14,092.12 1.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $7,043.69 $14,374.88 1.9×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $8,771.80 $17,901.64 1.6×
Cysto/uretero w/lithotripsy (52356) $8,144.62 $16,621.68 1.5×
Cystometrogram W/Up (51727)
range across 4 matching MRF lines		 $176.40–$618.87 $360–$1,263 varies
Cystometrogram W/Vp (51728)
range across 3 matching MRF lines		 $442.96–$614.95 $904–$1,255 varies
Cystometrogram W/Vp&Up (51729)
range across 4 matching MRF lines		 $208.74–$648.76 $426–$1,324 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,259.30 $2,570 0.1×
Cystostomy Cystotomy W/Drainage (51040) $4,427.09 $9,034.88 2.0×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $1,312.22 $2,678 0.4×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $10,447.73 $21,321.90 2.8×
Cystouretero w/excise tumor (52355) $6,941.77 $14,166.88 1.2×
Cystourethroscopy (52000) $5,517.89 $11,261 7.6×
Cystourethroscopy inj chemodenervation bladder (52287) $8,896.64 $18,156.40 4.1×
Cystourethroscopy tx female urethral syndrome (52285) $592.41 $1,209 0.8×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $7,332.85 $14,965 2.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $10,659.56 $21,754.21 1.9×
Cystourethroscopy w/dil bladder general anesth (52260) $350.84 $716 0.2×
Cystourethroscopy with biopsy (52204) $5,721.53 $11,676.60 2.6×
Cystourethroscopy with direct vision internal urethrotomy (52276) $5,925.81 $12,093.49 2.7×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $15,806.91 $32,259.01 4.3×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $709.03 $1,447 0.3×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $6,044.15 $12,335 2.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $100.45 $110–$205 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 5 matching MRF lines		 $502.74–$1,101.52 $822–$2,248 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 3 matching MRF lines		 $757.54 $596–$1,546 1.0×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 3 matching MRF lines		 $846.23 $705–$1,727 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $5,361.78–$6,921.98 $10,942.40–$14,126.48 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $100.45–$303.31 $197–$619 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $83.30–$403.76 $170–$824 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,360.73 $1,076–$2,777 0.8×
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 2 matching MRF lines		 $367.99 $274–$751 0.7×
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $94.08 $182–$192 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $158.27–$4,270.35 $315–$8,715 varies
Declot vascular device (36593) $1,294.58 $2,642 3.7×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630)
range across 3 matching MRF lines		 $197.47–$4,325.96 $403–$8,828.50 varies
Delivery of placenta (59414)
range across 2 matching MRF lines		 $153.37–$2,624.44 $313–$5,356 varies
Dermabrasion segmental face (15781)
range across 2 matching MRF lines		 $908.95 $377–$1,855 1.2×
Destr penis lesion(s) (54065)
range across 2 matching MRF lines		 $378.77 $178–$773 0.2×
Destr W Neurolytic; Celiac Plexus (64680)
range across 3 matching MRF lines		 $576.73–$1,469.02 $551–$2,998 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $741.37 $852–$1,513 0.4×
Destroy lumb/sac facet jnt (64635) $7,368.86 $15,038.50 3.6×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $130.34–$862.89 $266–$1,761 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $121.52 $248–$462 0.6×
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 2 matching MRF lines		 $153.86 $82–$314 0.5×
Destruction Lesions Vulva Extensive (56515) $472.85 $965 0.2×
Destruction Lesions Vulva Simple (56501) $328.30 $670 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 2 matching MRF lines		 $306.25 $217–$625 1.5×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $451.78 $922 2.2×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283)
range across 2 matching MRF lines		 $413.07 $256–$843 1.0×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284)
range across 2 matching MRF lines		 $468.93 $275–$957 0.6×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286)
range across 2 matching MRF lines		 $601.72 $302–$1,228 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)
range across 2 matching MRF lines		 $209.72 $428–$516 1.0×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $221.48 $452 1.1×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $274.89 $561 1.3×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264)
range across 2 matching MRF lines		 $131.32 $268–$718 0.3×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266)
range across 2 matching MRF lines		 $399.84 $289–$816 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines		 $239.61 $188–$489 1.1×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 2 matching MRF lines		 $161.21 $329–$520 0.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $134.75 $275 0.6×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272)
range across 3 matching MRF lines		 $163.17 $325–$655 0.8×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $167.58 $342 0.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274)
range across 2 matching MRF lines		 $415.52 $273–$848 1.0×
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 2 matching MRF lines		 $170.03 $103–$347 0.8×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $586.04 $240–$1,196 1.4×
Destruction Premalignant Lesion 15/> (17004)
range across 3 matching MRF lines		 $174.93–$529.20 $350–$1,080 varies
Destruction premalignant lesion 1st (17000)
range across 4 matching MRF lines		 $96.04–$963.34 $196–$1,966 varies
Destruction Vaginal Lesions Simple (57061) $286.16 $584 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $1,173.55–$1,181.39 $2,395–$2,411 varies
Diaphragm or cervical cap fitting with instructions (57170) $132.30 $270 0.6×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $129.36 $264 1.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $126.91 $259 0.9×
Dilation & curettage dx&/ther nonobstetric (58120) $8,169.95 $16,673.36 2.4×
Dilation Cervical Canal (57800) $132.79 $271 0.0×
Dilation Salivary Duct (42650)
range across 2 matching MRF lines		 $126.91 $54–$259 0.1×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $7,797.12 $15,912.50 4.2×
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure		 $891.31 $1,819 0.1×
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines		 $140.63–$465.99 $130–$951 varies
Drainage abscess parotid simple (42300)
range across 2 matching MRF lines		 $47.53 $97–$463 0.0×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $459.13 $509–$937 0.8×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $192.57–$4,320.08 $393–$8,816.50 varies
Drainage external ear abscess/hematoma cmplx (69005) $141.12 $288 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 4 matching MRF lines		 $317.03–$385.63 $210–$787 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $273.42–$273.91 $558–$559 varies
Drainage of finger abscess simple (26010) — $1,192 —
Drainage of gum lesion (41800)
range across 4 matching MRF lines		 $196.49–$493.92 $401–$1,008 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $123.97–$4,270.35 $253–$8,715 varies
Drainage of mouth lesion (41017)
range across 2 matching MRF lines		 $787.43 $422–$1,607 0.2×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $343–$450.31 $700–$919 varies
Drainage of rectal abscess (45005) $4,230.17 $8,633 3.4×
Drainage of salivary gland (42320) $444.92 $908 0.8×
Drainage of salivary gland (42305) $739.90 $1,510 0.2×
Drainage of scrotal wall abscess (55100)
range across 4 matching MRF lines		 $393.47–$1,794.87 $219–$3,663 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $256.27–$361.62 $523–$738 varies
Drainage of throat abscess (42725)
likely a partial charge, not the full procedure		 $1,357.30 $2,770 0.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $1,222.06–$17,509.84 $2,494–$35,734.36 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 4 matching MRF lines		 $343–$349.86 $288–$714 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310)
range across 2 matching MRF lines		 $290.57 $124–$593 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $335.16 $684 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $267.54–$310.17 $385–$633 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $146.02–$205.80 $104–$420 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107)
range across 2 matching MRF lines		 $760.48 $308–$1,552 1.0×
Dstrj Lesion Anus Simple Chemical (46900) $408.66 $834 1.0×
Dstrj lesion anus simple cryosurgery (46916)
range across 2 matching MRF lines		 $442.96 $411–$904 2.1×
Dstrj lesion anus simple surg excision (46922) $532.14 $1,086 0.2×
Dstrj Lesion Penis Simple Chemical (54050)
range across 2 matching MRF lines		 $246.47 $131–$503 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 3 matching MRF lines		 $57.33 $115–$504 0.3×
Dstrj Lesion Penis Simple Electrodesiccation (54055)
range across 2 matching MRF lines		 $235.20 $146–$480 0.1×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $482.16 $984 1.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,862.49 $3,801 2.0×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600)
range across 2 matching MRF lines		 $810.46 $831–$1,654 0.9×
Dx Bone Marrow Bx & Aspir (38222) $3,240.86 $6,614 1.1×
Dx Bronchoscope/Lavage (31624) $2,959.60 $6,040 1.6×
Dx Bronchoscope/Wash (31622) $1,203.44 $2,456 0.6×
Dx Laryngoscopy Excl Nb (31525)
range across 3 matching MRF lines		 $147–$868 $300–$868 varies
Dx laryngoscopy w/oper scope (31526) $8,431.67 $17,207.50 4.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,340.64 $2,736 1.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $381.71 $779 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 3 matching MRF lines		 $3,981.98–$4,176.26 $8,126.48–$8,522.98 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $758.03 $968–$1,547 0.4×
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $2,437.99–$3,802.15 $4,975.50–$7,759.50 varies
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $3,878.85–$4,269.12 $7,916.03–$8,712.50 varies
Egd endo mucosal resection (43254)
range across 2 matching MRF lines		 $448.35–$3,343.27 $915–$6,823 varies
Egd Endoscopic Stent Place (43266)
range across 2 matching MRF lines		 $362.11–$3,188.43 $739–$6,507 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,652.52–$29,242.68 $3,372.50–$59,678.93 varies
Egd guide wire insertion (43248)
range across 3 matching MRF lines		 $3,338.47–$3,727.77 $1,424–$7,607.70 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243)
range across 2 matching MRF lines		 $395.43–$1,804.67 $807–$3,683 varies
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242)
range across 2 matching MRF lines		 $436.59–$1,937.95 $891–$3,955 varies
Egd intrmural us needle aspirate/biopsy esophags (43238) $3,294.37 $6,723.20 1.6×
Egd lesion ablation (43270)
range across 2 matching MRF lines		 $1,226.96–$1,972.74 $2,504–$4,026 varies
Egd place gastrostomy tube (43246) $10,162.23 $20,739.25 5.1×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $4,385.74–$4,473.45 $8,950.50–$9,129.50 varies
Egd us exam duodenum/jejunum (43259)
range across 2 matching MRF lines		 $374.85–$2,218.23 $765–$4,527 varies
Egd us transmural injxn/mark (43253)
range across 2 matching MRF lines		 $435.61–$1,794.38 $889–$3,662 varies
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $1,926.92–$2,138.36 $3,932.50–$4,364 varies
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $650.72 $1,328 0.1×
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $10.29–$14.21 $21–$29 varies
Endocervical curettage (57505) $264.60 $540 0.3×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $4,381.58 $8,942 0.8×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $172.48 $134–$352 0.8×
Endoscopic injection/implant (51715) $4,866.68 $9,932 1.3×
Endoscopic us exam esoph (43237)
range across 2 matching MRF lines		 $325.36–$2,080.54 $664–$4,246 varies
Endoscopy Upper Small Intestine (44360)
range across 3 matching MRF lines		 $239.61–$1,845.83 $489–$3,767 varies
Endoscopy upper small intestine w/biopsy (44361)
range across 2 matching MRF lines		 $2,891.24–$3,710.03 $5,900.50–$7,571.50 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,517.13 $5,137 0.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $5,894.70 $12,030 1.8×
Endoven ther chem adhes 1st (36482) $7,852.10 $16,024.70 1.3×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $13,252.51 $27,045.94 6.6×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,058.40 $2,160 0.5×
Epidural Blood Patch (62273) $879.06 $1,794 1.2×
Episiotomy or vaginal repair (59300) $2,023.70 $4,130 0.6×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
range across 2 matching MRF lines		 $718.34–$1,434.23 $1,466–$2,927 varies
Ercp duct stent placement (43274)
range across 2 matching MRF lines		 $767.34–$3,188.43 $1,566–$6,507 varies
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $535.57–$2,020.76 $1,093–$4,124 varies
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines		 $627.20–$2,692.55 $1,280–$5,495 varies
Ercp remove calculi/debris biliary/pancreas duct (43264) $26,124.84 $53,316 6.5×
Ercp remove forgn body duct (43275) $26,124.84 $53,316 13.0×
Ercp Stent Exchange W/Dilate (43276)
range across 2 matching MRF lines		 $798.70–$2,973.81 $1,630–$6,069 varies
Ercp W/Biopsy Single/Multiple (43261)
range across 2 matching MRF lines		 $562.03–$2,020.76 $1,147–$4,124 varies
Ercp,Sphincterotomy (43262) $26,124.84 $53,316 6.5×
Esoph Scope W/Submucous Inj (43201) $439.04 $896 0.2×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $4,916.90–$8,365.27 $10,034.50–$17,071.98 varies
Esophagoscop Stent Placement (43212)
range across 2 matching MRF lines		 $314.58–$3,811.22 $642–$7,778 varies
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)
range across 2 matching MRF lines		 $2,119.74–$2,627.38 $4,326–$5,362 varies
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $709.52 $1,448 0.4×
Esophagoscopy Flexible Guide Wire Dilation (43226)
range across 2 matching MRF lines		 $651.21 $883–$1,329 0.3×
Esophagoscopy Flexible Transnasal With Biopsy (43198)
range across 3 matching MRF lines		 $346.43–$357.70 $335–$730 varies
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,888.55 $5,895 3.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,672.86 $3,414 0.8×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $5,408.37 $11,037.50 2.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $600.74–$1,672.86 $1,226–$3,414 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $662.48–$1,672.86 $1,352–$3,414 varies
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $10,730.36 $21,898.70 1.7×
Ethmoidectomy; intranasal, total Facility (31201) $1,327.41 $2,709 0.8×
Evacuate mole of uterus (59870) $919.73 $1,877 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $86.73 $177–$201 0.6×
Exc arm/elbow les sc < 3 cm (24075)
range across 3 matching MRF lines		 $440.51–$5,957.66 $899–$12,158.50 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $194.04 $396–$446 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $275.87–$4,577.24 $563–$9,341.31 varies
Exc Back Les Sc < 3 Cm (21930) $4,663.57 $9,517.50 2.7×
Exc Back Tum Deep 5 Cm/> (21933) $4,460.71 $9,103.50 1.5×
Exc back tum deep < 5 cm (21932) $3,765.16 $7,684 1.2×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $7,035.08 $14,357.31 1.1×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810)
range across 2 matching MRF lines		 $666.40 $371–$1,360 0.2×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $6,366.81 $12,993.50 1.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $281.26–$3,708.82 $574–$7,569.02 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $497.84–$3,241.10 $1,016–$6,614.50 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $7,870.13 $16,061.50 4.5×
Exc Face Les Sbq 2 Cm/> (21012) $4,395.05 $8,969.50 2.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $180.81–$2,163.84 $369–$4,416 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $172.97–$4,936.75 $353–$10,075 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $367.50–$4,334.54 $750–$8,846 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $409.15 $835 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $5,340.51 $10,899 3.1×
Exc Forearm Les Sc 3 Cm/> (25071) $5,701.15 $11,635 3.3×
Exc Forearm Tum Deep 3 Cm/> (25073) $2,828.28 $5,772 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,955.86 $10,114 2.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $269.01–$4,323.27 $549–$8,823 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $4,323.27 $151–$8,823 2.5×
Exc Hand Les Sc < 1.5 Cm (26115) $5,549 $11,324.50 3.2×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814)
range across 2 matching MRF lines		 $629.65 $305–$1,285 0.2×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106)
range across 2 matching MRF lines		 $425.32 $312–$868 0.1×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,346.62 $4,789.02 1.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 2 matching MRF lines		 $3,464.79–$10,633.39 $7,071–$21,700.79 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $266.56 $544 0.1×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113)
range across 2 matching MRF lines		 $613.97 $338–$1,253 0.2×
Exc lesion tongue w/clsr w/local tongue flap (41114) $1,055.46 $2,154 0.3×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 2 matching MRF lines		 $374.36 $341–$764 0.1×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510)
range across 2 matching MRF lines		 $833.49 $485–$1,701 0.2×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $701.19 $1,431 0.3×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $11,827.62 $24,138 1.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $403.27–$3,800.45 $815–$7,756.02 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $346.92 $708 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $506.66 $1,034 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,805.85 $9,807.85 2.8×
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $652.19 $235–$1,331 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $412.09–$4,672.39 $829–$9,535.50 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $688.45 $1,405 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $1,390.62–$8,312.02 $2,838–$16,963.30 varies
Exc tendon shth lesion leg/ankle (27630) $3,932.74 $8,026 1.1×
Exc thigh/knee les sc 3 cm/> (27337) $5,957.66 $12,158.50 2.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,677.78 $9,546.50 3.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $325.36–$3,800.45 $542–$7,756.02 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $351.82–$3,991.54 $718–$8,146 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $356.23–$4,007.22 $727–$8,178 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $4,133.64 $8,436 1.4×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013)
range across 2 matching MRF lines		 $273.42 $558–$570 0.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $8,277.32 $16,892.50 2.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $966.77 $1,973 0.3×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $5,497.06 $11,218.50 3.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $7,668.25 $15,649.50 4.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines		 $1,509–$2,385.56 $1,075–$4,868.50 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $4,335.76 $8,848.50 1.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $6,415.81 $13,093.50 2.1×
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure		 $1,031.45 $2,105 0.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $8,394.19 $17,131 2.4×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $734.51 $492–$1,499 0.4×
Exc/fulguration urethral caruncle (53265)
range across 2 matching MRF lines		 $390.04 $143–$796 0.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,834.40 $5,784.50 0.8×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,951.18 $3,982 0.9×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 3 matching MRF lines		 $971.67–$1,827.70 $1,746–$3,730 varies
Excis Mouth Mucosa/Sub,No Repair (40810)
range across 4 matching MRF lines		 $367.99 $325–$751 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $386.61 $789 0.2×
Excis urethral prolapse (53275) $7,596.65 $15,503.36 2.1×
Excise intraspinal lesion (63267)
range across 2 matching MRF lines		 $4,801–$14,539.52 $29,672.50 varies
Excise intraspinl lesion crv (63265) $11,360.54 $23,184.78 1.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $429.24–$3,479 $876–$7,100 varies
Excision Aural Polyp (69540) $359.66 $734 0.2×
Excision Chalazion Single (67800) $217.56 $444 0.7×
Excision Distal Ulna Partial/Complete (25240)
range across 2 matching MRF lines		 $5,792.16–$10,475.56 $11,820.74–$21,378.70 varies
Excision Excessive Skin & Subq Tissue Other Area (15839) $9,630.97 $19,655.05 3.2×
Excision External Ear Partial Simple Repair (69110)
range across 4 matching MRF lines		 $798.70 $490–$1,630 0.3×
Excision Hidradenitis Inguinal Complex Repair (11463)
range across 4 matching MRF lines		 $902.58 $683–$1,842 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 4 matching MRF lines		 $711.48 $582–$1,452 0.2×
Excision inferior turbinate partial/complete (30130) $9,900.83 $20,205.77 2.9×
Excision lesion meniscus/capsule knee (27347) $10,140.56 $20,695.03 3.0×
Excision lesion mouth roof (42104)
range across 2 matching MRF lines		 $369.95 $285–$755 0.1×
Excision Lesion Tongue W/O Closure (41110)
range across 2 matching MRF lines		 $390.53 $345–$797 0.1×
Excision Lingual Frenum Frenectomy (41115) $443.94 $906 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 3 matching MRF lines		 $335.65 $261–$685 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $252.35 $515–$793 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $413.56–$4,045.44 $844–$8,256 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $390.04–$2,617.58 $796–$5,342 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $191.10 $390 0.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $745.78–$7,870.13 $1,522–$16,061.50 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $337.12 $261–$688 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 5 matching MRF lines		 $389.55 $280–$795 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $400.33–$6,477.06 $817–$13,218.50 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $410.13 $837 0.2×
Excision Maxillary Torus Palatinus (21032)
range across 2 matching MRF lines		 $631.12 $385–$1,288 0.2×
Excision Nasal Polyp Extensive (30115) $795.27 $1,623 0.2×
Excision nasal polyp(s) simple (30110) $6,360.93 $12,981.50 3.9×
Excision of bartholin's gland or cyst (56740) $4,743.69 $9,681 1.4×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $776.16 $337–$1,584 0.1×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
likely a partial charge, not the full procedure		 $1,054.48 $2,152 0.2×
Excision of hydrocele; unilateral (55040) $5,831.49 $11,901 1.6×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $732.06 $495–$1,494 0.1×
Excision of local lesion of epididymis (54830) $4,745.65 $9,685 1.3×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $13,365.73 $27,277 2.2×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) — $4,103 —
Excision of pilonidal cyst or sinus; simple (11770) $4,090.52 $8,348 1.3×
Excision of single external papilla or tag, anus (46220) $4,326.21 $8,829 3.5×
Excision of sublingual gland (42450)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $807.03 $376–$1,647 0.1×
Excision of sublingual salivary cyst (ranula) (42408)
range across 2 matching MRF lines		 $917.77 $666–$1,873 0.3×
Excision of submandibular (submaxillary) gland (42440) $8,635.17 $17,622.80 1.4×
Excision of vaginal cyst or tumor (57135) $4,217.43 $8,607 1.2×
Excision of vaginal septum (57130) $392.98 $802 0.1×
Excision or fulguration; Skene's glands Facility (53270) $360.15 $735 0.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $5,353.89 $10,926.30 1.8×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $7,714.07 $15,743 1.1×
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines		 $699.72 $529–$1,428 0.2×
Excision spermatocele w/wo epididymectomy (54840) $5,741.57 $11,717.50 2.6×
Excision Thyroglossal Duct Cyst/Sinus (60280) $11,258.97 $22,977.50 1.8×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281)
likely a partial charge, not the full procedure		 $1,016.26 $2,074 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,663.57 $9,517.50 2.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $6,966.48 $14,217.30 2.3×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,672.79 $7,495.50 2.1×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $5,957.66 $12,158.50 3.4×
Excision, interdigital (morton) neuroma, single, each (28080) $4,420.53 $9,021.50 2.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $5,701.15 $11,635 1.9×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 4 matching MRF lines		 $637 $390–$1,300 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $11,766.61 $24,013.50 3.9×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $877.59 $636–$1,791 0.5×
Excision/destruction intranasal lesion int appr (30117)
range across 4 matching MRF lines		 $1,675.31 $1,438–$3,419 0.5×
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines		 $396.90 $231–$810 0.1×
Excision; trochanteric bursa or calcification (27062) $7,422.39 $15,147.74 2.2×
Expl penetrating wound spx abdomen/flank/back (20102) $3,022.81 $6,169 1.4×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure		 $1,231.86 $2,514 0.2×
Explo/Drain Breast Abscess (19020) $3,777.65 $7,709.50 2.2×
Exploration of knee joint (27310) $7,728.03 $15,771.50 2.3×
Exploratory elbow surgery (24000) $6,545.42 $13,358 1.9×
Explore treat shoulder joint (23107) $5,287.44 $10,790.70 0.7×
Explore/Treat Knee Joint (27331) $8,825.67 $18,011.58 2.6×
External cephalic version (59412) $1,585.15 $3,235 0.5×
Fasciectomy Plantar Fascia Partial Spx (28060) $5,851.58 $11,942 1.7×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,456.70 $7,054.50 1.0×
Fasciotomy, foot and/or toe (28008) $24,137.10 $49,259.38 7.0×
Fetal non-stress test (59025) $587.51 $1,199 2.8×
Fine needle aspiration without imaging guidance (10021)
range across 5 matching MRF lines		 $171.50–$360.15 $162–$735 varies
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $229.81–$620.34 $469–$1,266 varies
Fna bx w/us gdn 1st les (10005) $1,036.84 $2,116 1.4×
Forehead flap w/vasc pedicle (15731)
range across 2 matching MRF lines		 $1,903.16 $443–$3,884 0.5×
Foreskin manipulation (54450)
range across 4 matching MRF lines		 $117.11–$383.18 $44–$782 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930) $202.37 $413 0.1×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574)
range across 2 matching MRF lines		 $1,503.32 $511–$3,068 0.7×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576)
range across 2 matching MRF lines		 $1,127 $2,300–$2,394 0.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,979.60 $4,040 0.9×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 3 matching MRF lines		 $267.05–$14,657.42 $545–$29,913.10 varies
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200)
range across 3 matching MRF lines		 $1,426.88 $583–$2,912 0.7×
Fusion of foot bones (28740) $19,523.50 $39,843.88 2.6×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $794.78 $1,622 0.2×
Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) $9,052.57 $18,474.63 2.4×
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $17,817.12–$21,314.97 $36,361.47–$43,499.93 varies
Graft Ear Crtlg Autogenous Nose/Ear (21235) $8,113.91 $16,559 1.3×
Grafting of autologous fat by lipo 50 cc or less (15771) $8,080.59 $16,491 2.2×
Guide Cathet Fluid Drainage (10030) $1,603.28 $3,272 2.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $4,748.83 $9,691.50 1.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $812.42 $1,658 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,556.26 $9,298.50 1.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $4,750.79 $9,695.50 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $480.69 $314–$981 0.5×
Hip arthro w/labral repair (29916) $13,404.10 $27,355.30 1.8×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $4,679.74 $9,550.50 1.6×
Hymenotomy Simple Incision (56442) $80.85 $165 0.0×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $2,801.33 $5,717 0.5×
Hysteroscopy Biopsy (58558) $4,787.54 $9,770.50 1.4×
Hysteroscopy Div/Rescj Intrauterine Septum (58560)
likely a partial charge, not the full procedure		 $527.24 $1,076 0.1×
Hysteroscopy Dx Sep Proc (58555) $3,775.54 $7,705.18 1.1×
Hysteroscopy Endometrial Ablation (58563) $5,512.50 $11,249.99 1.1×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $6,176.85 $12,605.81 1.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,086.26 $6,298.50 0.9×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $6,542.23 $13,351.49 1.2×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720)
range across 2 matching MRF lines		 $760.48 $218–$1,552 0.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $47.53 $97–$556 0.2×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $107.31–$5,139.19 $219–$10,488.15 varies
I&D Below Fascia Foot 1 Bursal Space (28002)
range across 2 matching MRF lines		 $415.03 $365–$847 0.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,012.45 $10,229.50 1.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $5,805.13 $11,847.20 1.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $5,155.04 $10,520.50 1.5×
I&D Mouth/Tong Intra,Masticator (41009)
range across 2 matching MRF lines		 $718.83 $478–$1,467 1.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,361.78 $10,942.40 1.6×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $5,228.79 $819–$10,671 5.4×
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $583.59–$852.60 $593–$1,740 varies
I&d pilonidal cyst simple (10080) $4,178.23 $8,527 5.6×
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $611.03 $496–$1,247 0.2×
I&d vaginal hematoma obstetrical/postpartum (57022) $309.19 $631 0.1×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,287.81 $4,669 2.4×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $3,467.73 $7,077 3.7×
Image Cath Fluid Colxn Visc (49405) $1,679.23 $3,427 1.0×
Image Cath Fluid Peri/Retro (49406) $1,884.29 $3,845.50 1.1×
Implant neuroelectrodes (63650) $4,968.35 $10,139.50 0.7×
Implant Neuroelectrodes (64561) $25,073.10 $51,169.60 3.8×
Implant Periph/Gastric Neurostim/Receiver (64590) $21,743.28 $44,374.05 1.1×
Implant temple bone w/stimul (69714)
range across 3 matching MRF lines
likely a partial charge, not the full procedure		 $841.33 $1,717–$3,434 0.1×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $14,594.62 $29,784.93 1.1×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $290.57–$353.78 $339–$722 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $2,994.14–$3,200.19 $6,110.50–$6,531 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $127.89–$6,616.96 $261–$13,504 varies
Incision & drainage leg/ankle infected bursa (27604)
range across 3 matching MRF lines		 $741.86–$764.89 $434–$1,561 varies
Incision & removal foreign body subq tiss compl (10121) $4,157.45 $8,484.60 2.4×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $130.34–$2,919.91 $266–$5,959 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 4 matching MRF lines		 $265.09–$317.52 $262–$648 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $545.37 $1,113 0.2×
Incision and drainage of vulva or perineal abscess (56405) — $511 —
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $32,238.19 $65,792.22 4.2×
Incision bone cortex foot (28005) $971.18 $1,982 0.3×
Incision extensor tendon sheath wrist (25000) $6,343.05 $12,945 3.8×
Incision of eardrum (69421) $258.72 $528 0.1×
Incision of eardrum (69420)
range across 2 matching MRF lines		 $172.97–$3,763.93 $353–$7,681.50 varies
Incision of labial frenum (frenotomy) (40806)
range across 4 matching MRF lines		 $169.05 $103–$345 0.3×
Incision of lingual frenum (frenotomy) (41010) $2,563.43 $5,231.50 1.6×
Incision of rectal abscess (46040) $4,474.43 $9,131.50 3.6×
Incisional biopsy eyelid skin & lid margin (67810)
range across 2 matching MRF lines		 $310.17 $401–$633 0.9×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $263.62 $344–$538 0.3×
Induced abortion dilation and curettage (59840) $429.24 $876 0.1×
Induced abortion, by dilation and evacuation (59841) $3,978.31 $8,119 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $135.24–$164.64 $157–$336 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $326.34 $304–$666 0.4×
Inj W/Fluor Eval Cv Device (36598) $563.74 $1,150.50 2.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $449.82 $918 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $97.02–$17,588.70 $198–$35,895.30 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $7,137.34–$11,025.45 $14,566–$22,500.92 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $375.34 $484–$766 0.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $56.35 $29–$115 0.1×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $385.63 $507–$787 0.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $16,135.19–$29,541.54 $32,928.95–$60,288.85 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $329.28 $239–$672 0.4×
Injection anesthetic agent suprascapular nerve (64418)
range across 4 matching MRF lines		 $146.02–$1,150.03 $108–$2,347 varies
Injection for identification of sentinel node (38792) $15,370.32 $31,368 36.7×
Injection medication/other subst tenon capsule (67515)
range across 2 matching MRF lines		 $86.24 $16–$176 0.3×
Injection single tendon origin/insertion (20551) — $199 —
Injection single/mlt trigger point 1/2 muscles (20552) — $182 —
Injection single/mlt trigger point 3/> muscles (20553) — $210 —
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $140.14 $90–$286 0.4×
Injection Turbinate Therapeutic (30200)
range across 2 matching MRF lines		 $187.67 $176–$383 0.3×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $21,141.38–$22,275.36 $43,145.67–$45,459.91 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $15,792.80–$16,180.35 $32,230.21–$33,021.13 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 — $260–$520 —
Injection, Intralesional; More Than 7 Lesions (11901)
range across 2 matching MRF lines		 $90.65 $185–$243 0.4×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $105.84 $199–$216 0.5×
Ins cath ren art 1st bilat (36252) $2,312.80 $4,720 0.7×
Ins cath ren art 1st unilat (36251)
range across 3 matching MRF lines		 $2,131.99–$4,816.70 $4,351–$9,830 varies
Ins cath ren art 2nd+ unilat (36253)
range across 3 matching MRF lines		 $3,326.12–$6,645.87 $6,788–$13,563 varies
Ins endovas vena cava filtr (37191) $6,387.64 $13,036 1.1×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $253.33–$263.13 $260–$537 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,120.63 $503–$2,287 0.7×
Insert cath pleura w/o image (32556) $1,323.49 $2,701 0.7×
Insert cervical dilator (59200) $477.26 $974 1.5×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $171.01 $133–$349 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $8,377.04 $17,096 4.2×
Insert hepatic shunt (tips) (37182) $28,027.63 $57,199.25 1.5×
Insert Nasal Septal Button (30220) $296.94 $606 0.2×
Insert non-tunnel cv cath (36556) $3,028.69 $6,181 0.9×
Insert pessary/other device (57160)
range across 4 matching MRF lines		 $126.42–$266.56 $100–$544 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $2,061.92 $311–$4,208 1.3×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $16,699.04–$22,418.23 $216–$45,751.50 varies
Insert tun ip cath perc (49418) $6,091.68 $12,432 1.6×
Insert tunneled cv cath (36561) $5,353 $10,924.50 1.6×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $17,830.60–$20,882.98 $155–$42,618.32 varies
Insertion indwelling tunneled pleural catheter (32550) $6,247.99 $12,751 1.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,538.93 $5,181.50 1.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,792.20 $9,780 1.3×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $2,732.24 $286–$5,576 0.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $4,150.79 $8,471 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $157.29–$880.53 $321–$1,797 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure		 $733.53 $1,497 0.1×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)
range across 3 matching MRF lines		 $2,053.10 $2,870–$4,190 0.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,320.75 $12,899.50 1.9×
Insj/rplcmt breast implant sep day mastectomy (19342) $8,698.97 $17,753 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $42,997.74 $87,750.50 1.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,663.82 $9,518 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $852.60 $699–$1,740 2.0×
Intranasal Biopsy (30100)
range across 4 matching MRF lines		 $239.12 $237–$488 0.1×
Intraoral i&d tongue/floor lingual (41000)
range across 4 matching MRF lines		 $246.47–$503 $141–$503 varies
Intraoral i&d tongue/floor sublngl supfc (41005) $386.12 $788 1.6×
Intraoral i&d tongue/floor submndblr space (41008)
range across 4 matching MRF lines		 $666.40–$3,123.75 $466–$6,375 varies
Intro cath dialysis circuit (36901) $11,952.08 $24,392 7.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $7,016.31–$12,044.20 $14,319–$24,580 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,903.94 $16,130.50 1.3×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $13,681.04–$15,916.83 $27,920.50–$32,483.33 varies
Irrigation maxillary sinus (31000) $5,084.24 $10,376 20.5×
Irrigation of corpora cavernosa for priapism (54220)
range across 4 matching MRF lines		 $378.28–$426.30 $309–$870 varies
Island pedicle flap graft (15740) $1,239.21 $2,529 0.6×
IV injection test vascular flow flap/graft (15860) $35,303.64 $72,048.25 75.5×
Knee Arthroscopy/Surgery (29874) $5,436.79 $11,095.50 1.6×
Labyrinthotomy Transcanal (69801) $231.28 $472 0.1×
Lam facetec & foramot lumbar (63047) $15,226.38 $31,074.25 2.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
range across 2 matching MRF lines		 $4,721–$32,527.09 $66,381.81 varies
Laminotomy Single Lumbar (63042)
range across 2 matching MRF lines		 $4,728–$13,758.22 $28,078 varies
Lap paraesoph her rpr w/mesh (43282) $16,496.58 $33,666.50 1.5×
Lap paraesophag hern repair (43281) $15,359.78 $31,346.50 1.4×
Laparo-vag hyst incl t/o (58552) $12,708.57 $25,935.86 1.1×
Laparoscopic myomectomy (58545)
likely a partial charge, not the full procedure		 $1,532.23 $3,127 0.2×
Laparoscopy aspiration (49322) $10,577.21 $21,586.14 1.7×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,556.73 $3,177 0.2×
Laparoscopy fulguration oviducts (58670) $8,765.36 $17,888.50 1.4×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $985.39 $2,011 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $11,130.35 $22,715 1.8×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $13,451.51 $27,452.06 1.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $11,962.40 $24,413.06 1.1×
Laparoscopy W/Lysis Of Adhesions (58660) $7,159.39 $14,611 1.1×
Laparoscopy w/rmvl adnexal structures (58661) $8,295.70 $16,930 1.3×
Laparoscopy, surgical, appendectomy (44970) $8,310.99 $16,961.21 1.3×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $18,440.46 $37,633.59 1.7×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $13,162.01 $26,861.24 1.2×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $12,028.52 $24,548 1.1×
Laparoscopy, surgical, splenectomy (38120) $18,859.64 $38,489.06 1.7×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $11,872.24 $24,229.06 1.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $13,698.86 $27,956.86 2.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $10,711.15 $21,859.50 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $9,609.39 $19,611 1.5×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure		 $1,105.93 $2,257 0.2×
Laparoscopy, surgical; pyeloplasty (50544) $16,918.93 $34,528.42 1.5×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $12,160.82 $24,818 1.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $18,281.97 $37,310.14 1.6×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,932.03 $14,147 1.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $634.06 $1,294 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $7,892.67 $16,107.50 1.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $10,780.03 $22,000.06 1.7×
Laps Gastric Restrictive Px Remove Device & Port (43774) $9,420.38 $19,225.26 2.3×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $18,664.49 $38,090.80 1.7×
Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) $18,057.79 $36,852.63 1.6×
Laps surg prst8ect smpl stot robotic assistance (55867) $20,004.20 $40,824.90 1.8×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $14,948.43 $30,507 2.4×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $6,826.68 $13,932 1.1×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $13,654.76 $27,866.86 1.2×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $5,757.50 $11,750 1.5×
Laryngoplasty Medialization Unliateral (31591)
unusually low: confirm this is the full procedure		 $1,870.33 $3,817 0.3×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $5,117.31 $10,443.50 1.3×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $404.74 $826 0.1×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $158.76–$3,511.34 $320–$7,166 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574)
range across 2 matching MRF lines		 $1,579.27 $2,708–$3,223 0.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $340.06 $459–$694 0.8×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $670.81 $1,369 1.6×
Laryngoscopy W/Biopsy (31535) $5,020.54 $10,246 1.3×
Laryngoscopy w/biopsy microscope/telescope (31536) $5,339.53 $10,897 1.4×
Laryngoscopy W/Foreign Body Removal (31530) $334.18 $682 0.2×
Larynscop w/tumr exc + scope (31541) $4,255.65 $8,685 1.1×
Laser Surgery of Cervix (57513) $351.33 $717 0.1×
Laser vaporization of prostate (52648) $6,340.84 $12,940.50 1.1×
Late closure of wound (13160) $4,248.05 $8,669.50 1.1×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $30,351.03 $61,940.87 2.3×
Ligamentous Reconstruction Knee Extra-Articular (27427) $16,666.62 $34,013.52 2.2×
Ligation arteries; internal maxillary artery, transantral Facility (30920) $1,484.70 $3,030 0.4×
Ligation of a-v fistula (37607) $4,886.03 $9,971.50 1.5×
Ligation or biopsy temporal artery (37609) $5,445.12 $11,112.50 3.1×
Litholapaxy comp/lg > 2.5 cm (52318) $9,226.60 $18,829.80 2.5×
Litholapaxy smpl/sm <2.5 cm (52317) $7,861.19 $16,043.25 2.1×
Lithotripsy, extracorporeal shock wave (50590) $5,658.84 $11,548.66 1.5×
Low Back Disk Surgery (63030) $12,537.63 $25,587 1.6×
Lsh w/t/o uterus above 250 g (58544) $18,529.53 $37,815.36 1.7×
Lumbar spine fusion combined (22633) $41,834.58 $85,376.70 1.5×
Lyse chest fibrin init day (32561)
range across 2 matching MRF lines		 $160.23–$850.15 $327–$1,735 varies
Lyse Chest Fibrin Subq Day (32562)
range across 2 matching MRF lines		 $143.57–$849.66 $293–$1,734 varies
Lysis Intranasal Synechia (30560) $546.35 $1,115 1.0×
Lysis of labial adhesions (56441) $313.60 $640 0.1×
Manipulation hip joint general anesthesia (27275) $2,893.94 $5,906 1.7×
Manipulation knee joint under general anesthesia (27570) $15,693.37 $32,027.29 9.3×
Marsupialization of bartholin's gland cyst (56440) $309.68 $632 0.1×
Mast mod rad (19307) $12,760.63 $26,042.10 1.8×
Mastectomy for gynecomastia (19300) $12,525.79 $25,562.83 3.1×
Mastectomy partial (19301) $10,568.15 $21,567.65 2.6×
Mastectomy simple complete (19303) $26,284.51 $53,641.85 3.8×
Mastoidectomy; complete (69502)
likely a partial charge, not the full procedure		 $1,605.73 $3,277 0.3×
Mastopexy (19316)
range across 2 matching MRF lines		 $19,519.55–$19,896.36 $39,835.81–$40,604.81 varies
Maternity Care Procedure (59899) $209.72 $428 1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $5,543.12 $11,312.50 3.4×
Mech remov tunneled cv cath (36595) $985.39 $2,011 0.3×
Metatarsectomy (28140) $961.38 $1,962 0.3×
Middle ear expl thru postaur/ear canal inc (69440) $9,794.85 $19,989.50 2.8×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,239.21 $2,529 1.6×
Mohs trunk/arm/leg 1st stage 5 blocks (17313)
range across 2 matching MRF lines		 $856.52–$1,322.51 $1,748–$2,699 varies
Myelography Lumbar Injection (62305) $1,275.96 $2,604 1.6×
Myelography Lumbar Injection (62304) $1,984.01 $4,049 2.4×
Myelography via lumbar injection rs&i cervical (62302) $1,958.53 $3,997 2.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $4,109.14 $8,386 5.0×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $970.69 $1,981 0.3×
Myringoplasty (69620) $3,559.11 $7,263.50 1.0×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $386.61–$2,130.03 $789–$4,347 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $187.18 $195–$382 0.3×
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $166.11–$846.23 $140–$1,727 varies
N Block Inj Paracervical (64435)
range across 3 matching MRF lines		 $136.71–$845.25 $128–$1,725 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $88.20–$440.02 $180–$898 varies
N Block Inj Pudendal (64430)
range across 3 matching MRF lines		 $166.60–$710.50 $152–$1,450 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $390.04 $503–$796 0.4×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $277.34–$4,351.20 $536–$8,880 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines		 $66.64–$288.61 $136–$589 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)
range across 3 matching MRF lines		 $450.80–$465.01 $482–$949 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $9,803.43 $20,007 2.5×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $12,737.30 $25,994.50 1.7×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $8,217.08 $16,769.56 1.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $209.72–$7,067.51 $428–$14,423.50 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $11,741.42 $23,962.08 6.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $184.73 $377 0.1×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $10,738.84 $21,916 1.5×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure		 $2,777.81 $5,669 0.4×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $8,150.90 $16,634.50 1.1×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $11,218.01 $22,893.90 1.5×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $10,885.59 $22,215.50 1.5×
Nasal/sinus ndsc total with sphenoidotomy (31257) $12,385.73 $25,277 1.7×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $9,900.83 $20,205.77 1.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines		 $13,540.17 $911–$27,633 1.8×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $9,586.60 $19,564.50 1.3×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $3,656.13 $7,461.50 3.8×
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 2 matching MRF lines		 $2,044.77–$6,164.29 $4,173–$12,580.18 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $5,594.33–$8,191.57 $11,417–$16,717.50 varies
Neck spine fusion (22600) $32,527.09 $66,381.81 1.8×
Needle Biopsy Lymph Nodes (38505) $2,909.62 $5,938 1.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $32.34 $66 1.1×
Needle insertion w/o injection 3 or more muscles (20561) $32.34 $66 1.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $6,137.98–$6,495.19 $12,526.50–$13,255.50 varies
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714)
range across 2 matching MRF lines		 $2,807–$10,645 $21,724.50 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $419.93 $857 1.0×
Nipple Exploration (19110) $6,254.36 $12,764 1.5×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $247.94 $241–$506 0.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 5 matching MRF lines		 $193.06–$408.66 $179–$834 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $703.64–$750.68 $1,436–$1,532 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,576.42 $5,258 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $300.37 $302–$613 0.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $444.92–$988.33 $540–$2,017 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $903.07 $1,843 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $12,863.29 $26,251.62 13.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,015.03 $2,071.50 1.4×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,035.55 $6,195 1.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $705.11 $1,439 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,055.46 $2,154 1.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $3,470.67 $7,083 8.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $4,293.13 $8,761.50 10.1×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $12,212.51 $24,923.50 1.7×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $393.47 $803 0.1×
Obstructive material removal from gi tube (49460)
range across 3 matching MRF lines		 $493.43–$1,215.69 $1,007–$2,481 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 — $262–$524 —
Open biopsy/excision inguinofemoral nodes (38531) $4,625.60 $9,440 1.1×
Open Implantation Nea Sacral Nerve (64581)
likely a partial charge, not the full procedure		 $1,105.93 $2,257 0.2×
Open nasoethmoid fx w/o fixj (21338)
likely a partial charge, not the full procedure		 $1,140.72 $2,328 0.2×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) $16,493.25 $33,659.70 1.2×
Open Treatment Bimalleolar Ankle Fracture (27814) $14,457.69 $29,505.49 1.9×
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $9,801.62–$15,503.29 $20,003.31–$31,639.37 varies
Open treatment fracture distal tibia only (27827) $16,698.87 $34,079.32 1.2×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $25,689.53 $52,427.62 3.4×
Open Treatment Humeral Condylar Fracture (24579) $14,123.65 $28,823.78 1.1×
Open Treatment Medial Malleolus Fracture (27766) $10,262.09 $20,943.04 1.4×
Open treatment metatarsal fracture each (28485) $6,279.13 $12,814.56 0.8×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $23,992.17 $48,963.61 3.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $11,044.89–$12,382.42 $22,540.60–$25,270.24 varies
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $9,836.54 $20,074.58 1.6×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470)
unusually low: confirm this is the full procedure		 $1,971.27 $4,023 0.3×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $8,812.89 $17,985.50 1.4×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
likely a partial charge, not the full procedure		 $993.72 $2,028 0.2×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $17,541.25 $35,798.46 1.3×
Open treatment of mandibular condylar fracture Facility (21465)
likely a partial charge, not the full procedure		 $1,348.48 $2,752 0.2×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
likely a partial charge, not the full procedure		 $1,175.02 $2,398 0.2×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
likely a partial charge, not the full procedure		 $1,360.73 $2,777 0.2×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $1,526.35 $652–$3,115 0.2×
Open Treatment Proximal Humeral Fracture (23615) $18,800.91 $38,369.20 1.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $11,412.84–$11,896.57 $23,291.52–$24,278.72 varies
Open Tx Distal Phalangeal Fracture Each (26765) $9,073.48 $18,517.30 2.6×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $12,421.22–$14,246 $25,349.42–$29,073.46 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $19,868.75 $40,548.47 1.5×
Open tx humeral supracondylar fracture w/o xtn (24545)
range across 2 matching MRF lines		 $14,825.57–$16,651.87 $30,256.27–$33,983.40 varies
Open Tx Mandibular Fx W/Interdental Fixation (21462) $3,303.58 $6,742 0.5×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $9,651.23 $19,696.38 1.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $9,969.29 $20,345.50 2.9×
Open Tx Radial Head/Neck Fracture Prosth (24666) $48,164.64 $98,295.18 3.6×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $7,301.01 $14,900.03 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $15,936.44–$20,718.93 $32,523.34–$42,283.54 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $12,441.01–$14,246 $25,389.81–$29,073.46 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $12,142.44–$12,695.35 $24,780.48–$25,908.87 varies
Open/Perq Place Stent 1St (37236) $13,389 $27,324.50 1.1×
Open/Perq Place Stent Same (37238)
range across 3 matching MRF lines		 $5,708.01–$9,626.54 $11,649–$19,646 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $9,280.97–$13,900.06 $18,940.75–$28,367.46 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $10,025.66–$10,915.52 $20,460.54–$22,276.58 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $16,742.65 $34,168.67 1.2×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $11,958.59 $24,405.28 1.6×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $8,696.10–$10,166.56 $17,747.15–$20,748.08 varies
Orchiectomy radical tumor inguinal approach (54530) $6,019.65 $12,285 1.6×
Orchiopexy Ingun/Scrot Appr (54640) $6,097.07 $12,443 1.6×
Ostc prtl exostc/condylc metar head (28288) $4,528.09 $9,241 1.3×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $9,228.49–$9,751.98 $18,833.65–$19,902 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,272.95 $6,679.50 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $16,947.04 $34,585.80 4.9×
Ostectomy, complete excision; first metatarsal head (28111) $4,308.32 $8,792.50 1.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $4,503.59–$6,675.76 $9,191–$13,624 varies
Osteochondral allograft knee open (27415) $12,108.79 $24,711.81 0.9×
Osteochondral knee autograft (27416) $9,631.40 $19,655.91 1.3×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
range across 2 matching MRF lines		 $7,905.88–$20,944.90 $16,134.44–$42,744.70 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $8,011.78–$14,732.71 $16,350.57–$30,066.75 varies
Osteotomy calcaneus w/wo internal fixation (28300) $14,787.75 $30,179.09 1.9×
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) — $5,502 —
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $42,086.69 $85,891.20 5.5×
Osteotomy Ulna (25360) $21,990.95 $44,879.50 2.9×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $21,536.86 $43,952.77 2.8×
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge, not the full procedure		 $1,305.36 $2,664 0.2×
Palatopharyngoplasty (42145) $7,797.12 $15,912.50 1.3×
Parathyroidectomy or exploration of parathyroid(s); (60500) $9,776.65 $19,952.35 1.6×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
likely a partial charge, not the full procedure		 $1,412.18 $2,882 0.3×
Part remv talus or calcaneus (28120) $9,017.03 $18,402.11 2.6×
Partial excision of lip (40520) $856.03 $1,747 0.2×
Partial hymenectomy or revision of hymenal ring (56700) $3,360.66 $6,858.50 1.0×
Partial removal of thyroid (60220) $10,262.24 $20,943.35 1.6×
Partial removal of toe (28160) $4,184.35 $8,539.50 1.2×
Partial removal of tongue (41120)
likely a partial charge, not the full procedure		 $1,786.54 $3,646 0.3×
Partial thyroid excision (60212) $9,118.83 $18,609.85 1.4×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $7,462.38 $15,229.35 1.2×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $2,589.89–$7,905.88 $5,285.50–$16,134.44 varies
Patellectomy or hemipatellectomy (27350) $8,791.70 $17,942.24 1.2×
Pelvic examination under anesthesia (other than local) (57410) $2,531.83 $5,167 0.7×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines		 $6,206.34–$6,220.55 $12,666–$12,695 varies
Perc Rf Ablate Renal Tumor (50592) $14,924.17 $30,457.50 2.4×
Percut Ablate Liver Rf (47382) $6,086.29 $12,421 1.0×
Percut Drain/Inject Renal Cyst (50390) $940.80 $1,920 1.3×
Peri-Implant Capsulectomy Breast Complete (19371) $6,244.24 $12,743.35 1.5×
Pericardiocentesis W/Imaging (33016) $3,100.23 $6,327 1.9×
Perineoplasty rpr perineum nonobstetrical spx (56810) $465.50 $950 0.1×
Perq dev breast 1st us imag (19285) $1,994.30 $4,070 2.7×
Perq device breast 1st imag (19281) $1,338.92 $2,732.50 0.8×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $12,515.36 $25,541.56 1.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,323.09 $4,741 3.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,601.79 $9,391.41 1.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $3,767.12–$7,922.32 $7,688–$16,168 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 2 matching MRF lines		 $2,995.86–$7,287.28 $6,114–$14,872 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $11,383.14 $23,230.89 1.5×
Perq Vertebral Augmentation (22513) $15,051.33 $30,717 2.0×
Phleb Veins - Extrem 20+ (37766) $8,326.19 $16,992.22 2.5×
Place Cath Thoracic Aorta (36221) $1,641.01 $3,349 0.5×
Place Duod/Jej Tube Perc (49441)
range across 3 matching MRF lines		 $1,028.51–$1,596.42 $2,099–$3,258 varies
Placement of needle for intraosseous infusion (36680) $264.11 $539 0.6×
Placement of seton (46020) $7,022.43 $14,331.50 2.4×
Plastic Repair Introitus (56800) $6,188.70 $12,630 1.8×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,846.01 $7,849 0.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,092.97 $8,353 0.6×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $6,330.80 $12,920 2.9×
Plmt Nephroureteral Catheter (50433) $6,648.81 $13,569 1.8×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $5,644.55 $11,519.50 1.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,648.38 $9,486.50 1.3×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $766.36 $359–$1,564 0.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $7,803.47 $15,925.45 1.5×
Prim art mech thrombectomy (37184) $27,868.75 $56,875 1.5×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) $17,591.56 $35,901.14 2.3×
Prostate laser enucleation (52649) $8,340.05 $17,020.52 1.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,159.34 $2,366 1.6×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines		 $3,587.29 $6,207–$7,321 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,422.56 $4,944 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,314.45 $8,805 1.2×
Prq skel fixj metar fx w/manj (28476) $4,640.89 $9,471.20 1.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,518.29 $9,221 1.3×
Pseudoaneurysm Injection Trt (36002)
range across 5 matching MRF lines		 $258.72–$542.43 $176–$1,107 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $781.06 $433–$1,594 1.8×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $886.41 $450–$1,809 2.1×
Puncture Aspiration Cyst Breast (19000) $1,126.02 $2,298 1.5×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 3 matching MRF lines		 $226.87–$926.59 $197–$1,891 varies
Rad resect elbow caps/sr bone w rels (24149) $17,831.98 $36,391.79 2.3×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842)
likely a partial charge, not the full procedure		 $1,710.59 $3,491 0.3×
Radical resection of tumor; phalanx of toe Facility (28175) $797.23 $1,627 0.5×
Radical styloidectomy separate procedure (25230) $7,969.70 $16,264.70 2.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $8,439.06 $17,222.57 2.5×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $6,991.24 $14,267.83 0.9×
Reconstruct ulna/radioulnar (25337) $20,080.20 $40,980 2.6×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $9,438.13–$12,287.70 $19,261.50–$25,076.94 varies
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
unusually low: confirm this is the full procedure		 $1,895.81 $3,869 0.3×
Reconstruction Tongue Fold (41520) $4,345.07 $8,867.50 1.3×
Reinforce hip bones (27187) $14,779.98 $30,163.22 1.9×
Reinforce tibia (27745) $21,775.77 $44,440.34 2.9×
Reinsert spinal fixation (22849) $25,177.65 $51,382.96 1.9×
Release foot/toe nerve (64726) $4,095.12 $8,357.38 2.0×
Rem Endovas Vena Cava Filter (37193) $6,355.30 $12,970 1.9×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,215.20 $2,480 1.3×
Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) $5,060.23 $10,327 1.5×
Removal entire oi implt skl perq attachment esp (69726)
range across 3 matching MRF lines		 $810.95–$1,655 $1,655–$3,310 varies
Removal Foreign Body Foot Complicated (28193)
range across 3 matching MRF lines		 $880.04–$2,154.04 $526–$4,396 varies
Removal foreign body foot deep (28192) $4,475.41 $9,133.50 2.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $3,138.69 $831–$6,405.50 4.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $176.89 $352–$361 0.1×
Removal foreign body, intranasal; requiring general anesthesia (30310) $7,265.47 $14,827.50 2.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $54.88–$767.34 $56–$1,566 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $66.15–$3,057.11 $129–$6,239 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $299.88 $612 0.1×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $5,356.62–$7,489.65 $10,931.88–$15,285 varies
Removal Implant Superficial Separate Procedure (20670) $3,149.96 $6,428.50 1.8×
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $246.47 $184–$503 0.3×
Removal of a lesion from the floor of the mouth (41116)
range across 2 matching MRF lines		 $566.93 $404–$1,157 0.2×
Removal of adenoids (42835) $341.53 $697 0.1×
Removal of adenoids (42831) $5,823.65 $11,885 1.7×
Removal of adenoids (42830) $5,288.32 $10,792.50 1.5×
Removal of adenoids (42836) $421.40 $860 0.1×
Removal of anal fissure (46200) $4,492.32 $9,168 1.5×
Removal of ankle implant (27704) $47,833.60 $97,619.60 14.0×
Removal of cervix (57530)
likely a partial charge, not the full procedure		 $640.43 $1,307 0.1×
Removal of foreign body from pharynx (42809)
range across 4 matching MRF lines		 $321.44–$352.80 $278–$720 varies
Removal of heel spur (28119)
range across 2 matching MRF lines		 $9,370.10–$9,941.12 $19,122.66–$20,288 varies
Removal of implant from finger or hand (26320) $3,059.07 $6,243 1.8×
Removal of intranasal lesion (30118) $10,424.75 $21,275 3.0×
Removal of kidney stone (50081) $13,098.04 $26,730.70 1.3×
Removal of mammary implant material (19330) $8,698.97 $17,753 2.1×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $147.49–$2,639.87 $293–$5,387.50 varies
Removal of posterior segmental instrumentation Facility (22852) $13,950.02 $28,469.43 1.8×
Removal of residual cervix (57550)
likely a partial charge, not the full procedure		 $738.43 $1,507 0.1×
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $5,356.62–$7,825.84 $10,931.88–$15,971.11 varies
Removal of tendon for graft (20924) $11,506.67 $23,483 1.5×
Removal of testis (54520) $4,766.96 $9,728.50 1.3×
Removal of thymus gland (60520) $11,628.36 $23,731.35 1.9×
Removal of tonsils (42825) $4,665.78 $9,522 0.8×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $5,038.42 $940–$10,282.50 1.5×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $370.93–$4,362.96 $757–$8,904 varies
Removal parotid stone (42340)
range across 3 matching MRF lines		 $908.46 $1,205–$1,854 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $99.47 $203–$449 0.5×
Removal subcutaneous cardiac rhythm monitor (33286) $11,121.78 $22,697.51 15.0×
Removal Submand Stone,Complicated (42335)
range across 2 matching MRF lines		 $737.94 $587–$1,506 0.2×
Removal Sutures/Staples Requiring Anesthesia (15851) $13,235.19 $27,010.59 6.1×
Removal, under anesthesia, of external fixation system (20694) $16,698.87 $34,079.32 9.9×
Removal/bivalving gauntlet boot/body cast (29700) $110.25 $225 0.4×
Remove armpit lymph nodes (38740) $7,094.22 $14,478 1.1×
Remove cerclage suture (59871) $226.87 $463 0.1×
Remove drug implant device (11982) $6,951.32 $14,186.36 14.9×
Remove elbow lesion (24120) $7,137.34 $14,566 2.1×
Remove Forearm Foreign Body (25248) $734.02 $1,498 0.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 — $98–$1,701 —
Remove Intrauterine Device (58301) $6,661.05 $13,593.98 20.9×
Remove knee joint lining (27334) $8,368.95 $17,079.50 2.4×
Remove lung catheter (32552) $307.72 $628 0.5×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $360.64 $730–$1,054 2.6×
Remove prostate regrowth (52630) $5,488.49 $11,201 1.0×
Remove renal tube w/fluoro (50389)
range across 3 matching MRF lines		 $1,444.76 $360–$2,948.50 2.0×
Remove Shoulder Foreign Body (23330)
range across 2 matching MRF lines		 $513.03 $459–$1,047 0.3×
Remove spine eltrd plate (63662) $11,589.97 $23,653 3.2×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $2,445.83–$4,633.93 $4,991.50–$9,457 varies
Remove thyroid lesion (60200) $12,152.42 $24,800.85 1.9×
Remove tissue expander (11971) $4,805.85 $9,807.85 1.6×
Remove ureter stent percut (50384) $10,812.09 $22,065.50 4.9×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $241.08 $137–$492 0.5×
Remv cartilage for graft nasal (20912) $824.18 $1,682 0.2×
Renal Biopsy Perq (50200) $2,081.76 $4,248.50 1.2×
Reopen fallopian tube (58350)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $262.15 $203–$535 0.1×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $7,041.79–$7,504.11 $14,371–$15,314.52 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $12,373.29–$21,775.77 $25,251.61–$44,440.34 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 5 matching MRF lines		 $707.56–$715.40 $507–$1,460 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 4 matching MRF lines		 $724.22–$839.86 $566–$1,714 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $673.75 $1,375 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $497.84 $1,016 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 5 matching MRF lines		 $392.49–$600.74 $431–$1,226 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $509.60 $1,040 1.2×
Repair complex trunk 1.1-2.5 cm (13100)
range across 4 matching MRF lines		 $576.73 $489–$1,177 0.7×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $403.76–$856.52 $824–$1,748 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $4,420.04–$5,742.06 $9,020.50–$11,718.50 varies
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $1,009.89 $566–$2,061 0.4×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $9,073.48–$11,555.18 $18,517.30–$23,582 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $9,494.71 $19,376.96 2.8×
Repair Foot Dislocation (28615) $6,783.62 $13,844.12 0.9×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $4,118.20–$7,555.42 $8,404.50–$15,419.23 varies
Repair inguinal hernia, sliding, any age (49525) $9,126.30 $18,625.10 2.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $12,539.33 $25,590.47 3.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $9,650.11 $19,694.10 2.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $327.32–$3,012.76 $668–$6,148.50 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $777.14–$4,664.06 $1,547–$9,518.50 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $3,241.10 $6,614.50 7.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $7,870.13 $16,061.50 18.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $336.14 $686 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $400.33–$6,477.06 $817–$13,218.50 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $648.76–$762.93 $585–$1,557 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $663.95–$5,462.52 $1,355–$11,148 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $401.31–$3,991.54 $807–$8,146 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $350.35–$4,045.44 $715–$8,256 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $6,110.05 $12,469.50 7.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $424.83–$3,096.80 $867–$6,320 varies
Repair Laceration Palate </2 Cm (42180) $434.14 $886 0.8×
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $561.54 $1,146 0.1×
Repair nasal septal perforations (30630) $8,175.40 $16,684.50 2.4×
Repair Nasal Vestibular Stenosis (30465) $6,161.50 $12,574.50 1.0×
Repair Non/Malunion Humerus W/O Graft (24430) $12,907.54 $26,341.91 1.0×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $17,560.19 $35,837.12 2.3×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $863.87 $1,763 0.2×
Repair of metatarsals (28322) $20,529.42 $41,896.78 2.7×
Repair of nail bed (11760) — $640 —
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $12,697.24 $25,912.74 1.7×
Repair of Ruptured Tendon (24342) $9,329.49 $19,039.78 1.2×
Repair of traumatic corporeal tear(s) (54437) $6,060.45 $12,368.26 1.6×
Repair oval window fistula (69666) $1,376.41 $2,809 0.4×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $1,176.49 $2,401 0.2×
Repair recurrent femoral hernia; reducible Facility (49555) $18,809.14 $38,386.01 5.0×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $10,497.37 $21,423.21 1.5×
Repair Rotator Cuff Chronic (23412) $12,323.74 $25,150.50 1.6×
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $9,228.49–$9,941.12 $18,833.65–$20,288 varies
Repair shoulder capsule (23462) $17,013.87 $34,722.19 2.2×
Repair shoulder capsule (23466) $28,575.11 $58,316.55 3.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $8,341.26 $17,022.98 2.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $13,370.78 $27,287.30 1.8×
Repair Toe Dislocation (28645) $20,944.90 $42,744.70 6.1×
Repair tongue laceration (41252) $708.54 $1,446 2.9×
Repair tongue laceration (41250) $5,477.22 $11,178 11.7×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $11,896.57–$26,426.26 $24,278.72–$53,931.15 varies
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines		 $8,329.63–$25,335.41 $16,999.24–$51,704.91 varies
Replace duodenostomy/jejunostomy tube perq (49451) $1,467.30 $2,994.50 1.5×
Replace elbow joint (24363)
range across 2 matching MRF lines		 $28,740.18–$38,813.77 $58,653.42–$79,211.77 varies
Replace G-J Tube Perc (49452) $1,507.97 $3,077.50 1.6×
Replace g/c tube perc (49450) $984.90 $2,010 1.0×
Replacement Tissue Expander W/Permanent Implant (11970) $8,832.74 $18,026 1.2×
Reposition Gastrostomy Tube (43761)
range across 3 matching MRF lines		 $208.74–$1,082.41 $70–$2,209 varies
Reposition Venous Catheter (36597)
range across 3 matching MRF lines		 $185.71–$1,323 $379–$2,700 varies
Rerepair ing hernia reduce (49520) $8,177.90 $16,689.60 2.2×
Resection, partial or complete, phalangeal base, each toe (28126) $662.97 $1,353 0.2×
Rev/rmv prph sac/gstr npg/r (64595) $3,502.37 $7,147.70 1.0×
Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) $12,838.24 $26,200.50 1.0×
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $14,400.36–$19,394.64 $29,388.50–$39,580.89 varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $28,077.70 $57,301.43 2.1×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $854.56 $1,744 0.3×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $34,710.79 $70,838.34 1.9×
Revision of big toe (28310) $15,427.23 $31,484.14 2.0×
Revision of foot (28116) $12,373.29 $25,251.61 3.6×
Revision of foot and ankle (28262) $32,774.14 $66,886 4.3×
Revision of foot bones (28737) $16,933.04 $34,557.23 1.3×
Revision of lower leg tendon (27685) $7,068.74 $14,426 2.1×
Revision of reconstructed breast (19380) $7,783.89 $15,885.50 1.1×
Revision of stapedectomy or stapedotomy Facility (69662)
unusually low: confirm this is the full procedure		 $1,965.88 $4,012 0.3×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $22,537.20 $45,994.28 1.7×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $15,759.38 $32,162 1.2×
Revision of urethra (57220)
likely a partial charge, not the full procedure		 $591.43 $1,207 0.1×
Revision Peri-Implant Capsule Breast (19370) $8,832.74 $18,026 2.2×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601)
likely a partial charge, not the full procedure		 $1,730.19 $3,531 0.3×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $16,788.23 $34,261.70 1.2×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $19,328.05–$39,123.04 $39,445–$79,842.94 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $12,042.11 $24,575.73 0.9×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,926.46 $10,054 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $6,138.23 $12,527 1.7×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,502.37 $7,147.70 1.0×
Rhinoplasty primary w/major septal repair (30420) $10,158.68 $20,732 1.6×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,491.25 $7,125 1.6×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 2 matching MRF lines		 $519.89 $387–$1,061 0.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 4 matching MRF lines		 $171.01–$321.44 $260–$656 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,374.54 $4,846 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) — $210 —
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines		 $114.66–$228.83 $172–$467 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $64.68–$476.77 $132–$973 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $786.45–$3,199.21 $1,605–$6,529 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) — $1,081 —
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) — $765 —
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $1,162.28 $1,227–$2,372 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,096.22 $4,278 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,034.88 $2,112 1.6×
Rmvl/revj sling stress incontinence (57287) $1,263.22 $2,578 0.4×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $6,605.20 $13,480 1.9×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $360.15 $128–$735 1.4×
Rplcmt cath ctr vad subq port/pmp (36578) $718.34 $1,466 0.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,823.13 $5,761.50 1.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,729.45 $3,529.50 1.0×
Rplcmt compl tun ctr vad w/subq port (36582) $6,443.01 $13,149 1.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,306.85 $8,789.50 1.3×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $11,557.61 $23,586.95 1.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $9,261.73 $18,901.50 2.5×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $10,561.65 $21,554.38 1.6×
Rpr aa hernia recr 3-10 cm reducible (49615) $12,375.45 $25,256.03 1.8×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $11,896.62 $24,278.82 1.9×
Rpr aa hrn 1st 3-10 rdc (49593) $10,696.70 $21,830 1.6×
Rpr aa hrn 1st < 3 ncr/strn (49592) $10,118.69 $20,650.38 1.6×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,585.24 $5,276 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $290.57–$292.53 $324–$597 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652) — $1,801 —
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $600.25–$1,107 $1,107–$1,225 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) — $2,041 —
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $20,857.83 $42,567 2.7×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $8,945.93 $18,257 1.4×
Rpr Nsl Vlv Collapse W/Implt (30468) $8,448.09 $17,241 1.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $9,751.98 $19,902 2.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 4 matching MRF lines		 $241.57–$811.44 $380–$1,656 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $11,555.18 $23,582 3.4×
Sclerotx Fluid Collection (49185) $1,630.72 $3,328 0.9×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $5,814.58 $11,866.50 1.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 3 matching MRF lines		 $1,173.55–$4,509.96 $1,002–$9,204 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 3 matching MRF lines		 $1,733.62–$1,869.10 $1,032–$3,814.50 varies
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $265.09 $348–$541 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $298.41 $609 1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $189.14 $386 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $169.54 $346–$364 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $416.50 $850 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $184.24 $376 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $233.73 $477 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $230.30 $470–$473 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $182.77 $373 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $283.22 $420–$578 1.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $276.36 $564 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $296.94 $606 1.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $159.74 $326 0.0×
Sigmoidoscopy & decompress (45337)
range across 2 matching MRF lines		 $190.61–$1,110.83 $389–$2,267 varies
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines		 $554.19 $809–$1,131 0.6×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)
range across 2 matching MRF lines		 $1,454.07–$5,398.33 $2,967.50–$11,017 varies
Sigmoidoscopy flx tndsc balo dilat (45340) $1,412.18 $2,882 1.1×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342)
range across 2 matching MRF lines		 $284.20–$1,663.55 $580–$3,395 varies
Sigmoidoscopy w/fb removal (45332) $1,813.49 $3,701 1.4×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $256.76 $524 0.0×
Sigmoidoscopy W/Resection (45349)
range across 2 matching MRF lines		 $329.28–$1,698.83 $672–$3,467 varies
Sigmoidoscopy W/Ultrasound (45341)
range across 2 matching MRF lines		 $207.27–$1,164.24 $423–$2,376 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $1,534.19–$1,580.74 $3,131–$3,226 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)
range across 2 matching MRF lines		 $1,506.26–$2,029.58 $3,074–$4,142 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $316.05 $439–$645 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) — $389 —
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) — $405 —
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 4 matching MRF lines		 $242.55–$265.09 $237–$541 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) — $327 —
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $406.70 $495–$830 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 4 matching MRF lines		 $226.38–$330.26 $209–$674 varies
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
likely a partial charge, not the full procedure		 $1,012.34 $2,066 0.2×
Skin Full Grft Face/Genit/Hf (15240) $1,942.85 $3,965 0.9×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $1,984.01 $549–$4,049 2.6×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $2,396.10 $533–$4,890 3.1×
Skin sub grft t/arm/lg child (15273) $4,271.82 $8,718 2.0×
Skin Tissue Procedure (17999) $13,460.10 $27,469.60 64.1×
Skn sub grft f/n/hf/g child (15277) $3,032.12 $6,188 1.4×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $8,022.94 $16,373.35 1.5×
Slitting of prepuce (54001) $6,558.16 $13,384 3.0×
Small bowel endoscopy (44366)
range across 2 matching MRF lines		 $1,824.02–$1,864.69 $3,722.50–$3,805.50 varies
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $407.68 $832 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) — $396 —
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $301.35–$355.74 $326–$726 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $347.41–$381.22 $398–$778 varies
Sperm washing artificial insemination (58323) $25.48 $52 0.1×
Spinal puncture lumbar diagnostic (62270) $1,313.20 $2,680 1.8×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 3 matching MRF lines		 $1,434.72 $544–$2,928 0.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $8,326.19 $16,992.22 2.5×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
likely a partial charge, not the full procedure		 $1,571.43 $3,207 0.3×
Strapping ankle (29540)
range across 2 matching MRF lines		 $47.53–$127.40 $97–$260 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $49.49–$85.26 $101–$174 varies
Strapping shoulder (29240) $192.57 $393 1.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $718.83 $221–$1,467 4.2×
Subconjunctival injection (68200)
range across 2 matching MRF lines		 $70.07 $26–$143 0.1×
Submucosal abltj tongue rf 1/> sites pr session (41530)
range across 2 matching MRF lines		 $1,539.58 $1,837–$3,142 0.4×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $6,473.63 $13,211.50 1.9×
Suction assisted lipectomy; trunk (15877)
range across 2 matching MRF lines		 $19,519.55–$19,896.36 $39,835.81–$40,604.81 varies
Suction Lipectomy Lwr Extrem (15879) $17,593.73 $35,905.57 4.7×
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure		 $1,368.08 $2,792 0.2×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $6,534.64 $13,336 1.9×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $4,789.50 $9,774.50 0.8×
Surg tx anal fistula subq (46270) $4,184.60 $8,540 1.4×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,224.11 $4,539 0.9×
Suture infrapatellar tendon primary (27380) $8,547.65 $17,444.18 1.1×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $11,960.44 $24,409.06 1.6×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $9,027.02–$11,158.21 $18,422.48–$22,771.86 varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $5,391.71 $11,003.50 3.2×
Tangential biopsy skin single lesion (11102) $1,004.99 $2,051 2.4×
Tenodesis long tendon biceps (23430) $12,323.74 $25,150.50 1.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $43.61 $89 0.0×
Tenotomy shoulder area single tendon (23405) $6,922.33 $14,127.20 0.9×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $4,503.59 $9,191 2.7×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $17,301.41 $35,309 1.3×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $9,341.52 $19,064.33 1.5×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure		 $636.02 $1,298 0.1×
Thrombolytic Therapy Stroke (37195) $447.37 $913 1.3×
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $554.19–$4,394.81 $1,131–$8,969 varies
Thyroid biopsy (60100) $1,223.04 $2,496 1.6×
Thyroidectomy Post Prev Thyr Surg (60260) $10,298.01 $21,016.35 1.7×
Thyroidectomy, total or complete (60240) $11,754.05 $23,987.85 1.9×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $11,345.14 $23,153.35 1.8×
Tibial Arthroscopy/Surgery (29855) $15,548.37 $31,731.37 2.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,494.01–$4,009.18 $3,049–$8,182 varies
Tissue Expander Placement Breast Reconstruction (19357) $37,208.30 $75,935.30 2.6×
Tlh uterus over 250 g (58572) $13,863.11 $28,292.06 1.2×
Tnot elbow lateral/medial debride open (24358) $6,718.33 $13,710.88 2.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $5,317.97 $10,853 1.5×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $16,129.28–$16,965.16 $32,916.89–$34,622.77 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $571.83 $1,167 0.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $150.92 $308 0.3×
Tracheostomy Fenestration W/Skin Flaps (31610)
likely a partial charge, not the full procedure		 $1,623.86 $3,314 0.3×
Tracheostomy planned (31600) $511.56 $1,044 0.1×
Transcatheter biopsy (37200) $36,282.78 $74,046.50 6.2×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $5,361.82 $10,942.50 2.6×
Transplant hand tendon (26480)
range across 2 matching MRF lines		 $5,792.16–$10,475.56 $11,820.74–$21,378.70 varies
Transur electr resection of prostate (52601) $4,714.39 $9,621.20 0.8×
Transurethral resection bladder neck (52500) $4,374.77 $8,928.10 1.2×
Treat ankle fracture (28445) $10,262.09 $20,943.04 1.4×
Treat Big Toe Fracture (28505) $3,454.74 $7,050.50 1.0×
Treat dislocation/fracture (23670) $11,268.42 $22,996.77 1.5×
Treat ectopic pregnancy (59151) $8,169.95 $16,673.36 1.3×
Treat elbow fracture (24586) $17,909.12 $36,549.23 1.3×
Treat Finger Fracture Each (26727) $3,235.88 $6,603.84 0.9×
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $9,474.69–$11,096.63 $19,336.10–$22,646.18 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $519.89 $1,061–$1,206 2.0×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,166.20 $1,614–$2,380 0.7×
Treat humerus fracture (23600) $488.04 $996 1.9×
Treat knee fracture (27532) — $2,045 —
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $8,674.93–$13,919.96 $17,703.94–$28,408.08 varies
Treat Knuckle Dislocation (26700)
range across 3 matching MRF lines		 $183.75–$599.76 $375–$1,224 varies
Treat Tail Bone Fracture (27200) $300.86 $614 1.2×
Treat Thumb Dislocation (26641) $737.94 $1,506 2.9×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $295.47 $388–$603 1.1×
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $272.44–$663.95 $556–$1,355 varies
Treatment mouth roof lesion (42160)
range across 2 matching MRF lines		 $384.65 $296–$785 0.1×
Treatment of ankle fracture (27823) $19,906.26 $40,625.03 2.6×
Treatment of foot infection (28003)
range across 4 matching MRF lines		 $637.49 $414–$1,301 0.2×
Trim skin lesion (11055)
range across 4 matching MRF lines		 $133.28–$432.67 $247–$883 varies
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines		 $141.61–$702.66 $285–$1,434 varies
Trim skin lesions over 4 (11057) $164.64 $336 0.8×
Trimming Nondystrophic Nails Any Number (11719) $138.67 $283 2.2×
Trluml Balo Angiop 1St Art (37246) $5,462.03 $11,147 0.9×
Trluml Balo Angiop 1St Vein (37248) $16,699.20 $34,080 2.8×
Trurl rescj postop bladder neck contracture (52640) $6,108.36 $12,466.04 1.7×
Tubal ligation (58600) $9,327.57 $19,035.86 2.8×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $4,649.85 $9,489.50 1.6×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $16,053.26 $32,761.76 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,542.21 $7,229 1.0×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $19,212.84 $39,209.88 2.5×
Tx Missed Abortion First Trimester Surgical (59820) $3,326.61 $6,789 1.0×
Tx Missed Abortion Second Trimester Surgical (59821) $4,683.91 $9,559 1.4×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $4,570.96–$22,906.77 $9,328.50–$46,748.51 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $7,068.74 $14,426 4.2×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $416.01–$509.11 $388–$1,039 varies
Tx superficial wound dehiscence w/packing (12021) $5,882.69 $12,005.50 13.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $369.95 $71–$755 1.4×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $13,430.69–$16,652.57 $27,409.58–$33,984.84 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,942.94 $6,006 1.8×
Tympanoplasty (69631) $7,497.73 $15,301.50 1.2×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645)
unusually low: confirm this is the full procedure		 $2,504.88 $5,112 0.4×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646)
unusually low: confirm this is the full procedure		 $2,665.11 $5,439 0.4×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)
unusually low: confirm this is the full procedure		 $2,552.90 $5,210 0.4×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low: confirm this is the full procedure		 $2,273.60 $4,640 0.4×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
likely a partial charge, not the full procedure		 $1,771.35 $3,615 0.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
likely a partial charge, not the full procedure		 $1,790.46 $3,654 0.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
likely a partial charge, not the full procedure		 $1,837.99 $3,751 0.3×
Tympanostomy general anesthesia (69436) $3,057.11 $6,239 1.9×
Unlisted hysteroscopy procedure, uterus (58579) $5,415.72 $11,052.48 25.6×
Unlisted laparoscopic procedure liver (47379) $9,739.24 $19,876 1.5×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $10,100.31 $20,612.88 1.6×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $10,961.34 $22,370.09 1.7×
Unlisted procedure anus (46999) $4,601.59 $9,391 4.7×
Unlisted procedure arthroscopy (29999) $18,541.26 $37,839.31 71.8×
Unlisted procedure breast (19499) $855.54 $1,746 0.2×
Unlisted procedure excision pressure ulcer (15999) $3,707.58 $7,566.50 5.0×
Unlisted procedure femur or knee (27599) $17,098.46 $34,894.82 66.2×
Unlisted procedure foot or toes (28899) $3,600.27 $7,347.50 13.9×
Unlisted Procedure Intestine (44799) $6,164.29 $12,580.18 6.5×
Unlisted Procedure Leg/Ankle (27899) $29,878.24 $60,976 115.7×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $15,936.44–$16,676.88 $32,523.34–$34,034.45 varies
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $8,113.20–$8,406.64 $16,557.55–$17,156.40 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $265.09 $541 1.1×
Unlisted procedure stomach (43999) $1,487.64 $3,036 1.6×
Unlisted Procedure Vascular Surgery (37799) $7,830.45 $15,980.51 11.9×
Unlisted Procedure, Urinary System (53899) $19,896.15 $40,604.38 76.0×
Unlisted px female genital system nonobstetrical (58999) $4,173.33 $8,516.99 19.7×
Uvulectomy excision of uvula (42140) $5,823.65 $11,885 1.7×
Vag hyst complex (58290)
likely a partial charge, not the full procedure		 $1,952.16 $3,984 0.3×
Vag hyst incl t/o complex (58291)
unusually low: confirm this is the full procedure		 $2,108.47 $4,303 0.4×
Vag hyst w/t/o & vag repair (58263)
unusually low: confirm this is the full procedure		 $1,688.54 $3,446 0.3×
Vaginal Delivery After Cesarean Delivery (59612) $1,533.70 $3,130 0.5×
Vaginal delivery only (59409) $5,959.38 $12,162 1.8×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $8,654.31 $17,661.86 1.7×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $12,326.37 $25,155.86 2.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $15,715.88 $32,073.22 3.0×
Vaginectomy, partial removal of vaginal wall; (57106) $5,350.49 $10,919.36 1.6×
Vasc embolize/occlude artery (37242) $34,387.95 $70,179.50 1.8×
Vasc Embolize/Occlude Bleed (37244)
range across 3 matching MRF lines		 $10,317.44–$10,816.75 $21,056–$22,075 varies
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $21,279.96 $43,428.50–$57,794 1.8×
Vasc embolize/occlude venous (37241) $22,438.08 $45,792 1.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,938.37 $8,037.50 1.8×
Venous Mech Thrombectomy (37187) $26,827.99 $54,751 2.2×
Ventilating tube removal requiring general anesthesia (69424) $3,371.93 $6,881.50 1.0×
Vermilionectomy lip shv w/mucosal advmnt (40500)
range across 2 matching MRF lines		 $901.60 $548–$1,840 0.3×
Vulvectomy simple partial (56620) $4,185.33 $8,541.50 1.2×
Wedge excision skin nail fold (11765)
range across 4 matching MRF lines		 $281.75–$307.23 $253–$627 varies
Wound Prep F/N/Hf/G (15004) $4,845.85 $9,889.50 11.4×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $13,009.38–$21,314.97 $26,549.76–$43,499.93 varies
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $675.71 $1,379 1.2×
Xtroral I&D Floor Masticator Space (41018)
range across 2 matching MRF lines		 $887.88 $430–$1,812 0.5×

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