Procedures & surgery prices at Riverview Regional Medical Center

Gadsden, AL · every code in this section with a posted price and a Medicare benchmark.

1393 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $809 $3,818.85 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $809 $4,041.79 1.0×
Acne surgery (10040) $179 $353.49 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,841 $7,194.52 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $3,162 $26,096.06–$26,096.10 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,841 $39,005.20 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,841 $2,713.26–$36,859.60 1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,841 $17,114.60 1.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $1,841 $37,781.10–$37,781.11 1.0×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
range across 2 matching MRF lines		 $6,476 $16,148.20–$16,148.22 1.0×
Amniocentesis diagnostic (59000) $822 $801.85 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $2,920 $14,461.40–$19,254.20 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $2,920 $13,636.30–$25,580.90 1.0×
Amputation foot transmetarsal (28805) $2,920 $30,866.60 1.0×
Amputation metatarsal with toe single (28810) $2,920 $20,014 1.0×
Amputation toe interphalangeal joint (28825) $2,920 $21,219.90 1.0×
Amputation toe metatarsophalangeal joint (28820) $2,920 $20,014 1.0×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,920 $19,254.20 1.0×
Ankle Arthroscopy/Surgery (29892) $6,476 $36,416.40 1.0×
Anoscopy diagnostic (46600) $118 $2,291.72 1.0×
Anoscopy W/Rmvl Foreign Body (46608) $830 $2,904.80 1.0×
Anoscopy; with biopsy, single or multiple (46606) $1,068 $4,447.44 1.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,068 $4,447.44 1.0×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $2,477 $13,376.20–$23,739.90 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240) $4,464 $23,631.50 1.0×
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines		 $6,476 $20,807.50–$20,807.51 1.0×
Apheresis Platelets (36513) $393 $3,674.97 1.0×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,435 $5,714.24 1.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $145 $560.50 1.0×
Application cast elbow finger short arm (29075) $249 $457.05 1.0×
Application Finger Splint Dynamic (29131) $52 $559.40 1.0×
Application finger splint static (29130) $118 $573.39 1.0×
Application long arm splint shoulder hand (29105) $145 $1,222.21 1.0×
Application Long Leg Splint (29505) $145 $1,222.21 1.0×
Application multiplane external fixation system (20692)
range across 2 matching MRF lines		 $11,458 $13,676.25–$13,676.30 1.0×
Application of long leg cast (29345) $249 $592.13 1.0×
Application of rigid total contact leg cast (29445) $249 $1,131.35 1.0×
Application Short Arm Splint Dynamic (29126) $118 $911.80 1.0×
Application short arm splint forearm-hand static (29125) $118 $934.60 1.0×
Application short leg splint calf foot (29515) $145 $1,222.21 1.0×
Apply long arm cast (29065) $249 $519.12 1.0×
Apply Multlay Comprs Lwr Leg (29581) $145 $1,222.21 1.0×
Apply Short Leg Cast (29405) $249 $534.11 1.0×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $2,818 $1,057.85 1.0×
Arterial puncture (36600) $118 $538.15 1.0×
Arteriovenous Anastomosis Open Direct (36821) $2,818 $57,543.90 1.0×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $11,458 $6,934.96 1.0×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $11,458 $8,712.24 1.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $11,458 $54,465 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $273 $2,036.23 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $630 $2,535.95 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $273 $2,087.14–$19,609.30 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $273 $1,544 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $273 $2,036.23 1.0×
Arthrodesis ankle open (27870) $11,458 $63,424.30 1.0×
Arthrodesis great toe interphalangeal joint (28755) $6,476 $25,122.60 1.0×
Arthrodesis great toe metatarsophalangeal joint (28750) $6,476 $28,056.90 1.0×
Arthrodesis Posterior Interbody Lumbar (22630) $24,217 $8,288.22 1.0×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $15,649 $9,089.54 1.0×
Arthrodesis sacroiliac joint percutaneous (27279) $15,649 $33,599.40 1.0×
Arthrodesis subtalar (28725) $11,458 $41,719.10 1.0×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $24,217 $7,289.96 1.0×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $6,476 $68,189.50 1.0×
Arthrodesis, wrist; with sliding graft Facility (25805) $6,476 $52,806.60 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $15,649 $44,244.70 1.0×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $11,458 $40,641.90 1.0×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $2,920 $29,385.50 1.0×
Arthroplasty Patella W/Prosthesis (27438) $11,458 $41,580.90 1.0×
Arthroplasty radial head (24365) $11,458 $32,190.90 1.0×
Arthroplasty, patella; without prosthesis (27437) $6,476 $48,892 1.0×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $1,435 $40,641.90 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $2,920 $48,892 1.0×
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $2,920 $23,801.90–$23,801.92 1.0×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $2,920 $44,603.70 1.0×
Arthroscopy Elbow Surgical Debridement Limited (29837) $2,920 $44,067.60 1.0×
Arthroscopy Knee Osteochondral Allograft (29867) $11,458 $40,641.90 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,920 $23,739.90 1.0×
Arthroscopy knee synovectomy limited spx (29875) $2,920 $28,140 1.0×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $2,920 $27,965.40 1.0×
Arthroscopy shoulder distal claviculectomy (29824) $2,920 $36,416.40 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $6,476 $31,101.30 1.0×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
range across 2 matching MRF lines		 $6,476 $69,894.20–$69,894.24 1.0×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
range across 2 matching MRF lines		 $6,476 $42,459.50–$42,459.51 1.0×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $6,476 $37,824.90 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $2,920 $26,154.50 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)
range across 2 matching MRF lines		 $2,920 $11,334.16–$11,334.20 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $2,920 $33,096.40 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $6,476 $9,043.01 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $2,920 $23,631.50 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $2,920 $27,965.40 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $6,476 $23,631.50 1.0×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $2,920 $13,982.70–$13,982.72 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $6,476 $38,106.60 1.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $2,920 $23,631.50 1.0×
Arthrotomy ankle w/expl drainage/removal fb (27610)
range across 2 matching MRF lines		 $2,920 $12,286.50–$12,286.53 1.0×
Arthrotomy W/Meniscus Repair Knee (27403)
range across 2 matching MRF lines		 $6,476 $42,564.69–$42,564.70 1.0×
Arthrotomy wrist joint with synovectomy (25105)
range across 2 matching MRF lines		 $2,920 $20,577.70–$20,577.72 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $11,458 $50,092.10 1.0×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $2,920 $22,149.74 1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $11,458 $46,140.60 1.0×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
range across 2 matching MRF lines		 $6,476 $13,906.38–$13,906.40 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $6,476 $35,760.90 1.0×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $2,920 $48,892 1.0×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $2,920 $27,261.20 1.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,920 $25,944.50 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,920 $26,758.10 1.0×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,920 $6,671.34 1.0×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $1,435 $11,815.77–$11,815.80 1.0×
Arthrt w/synvct kne ant&post w/pop area (27335) $6,476 $33,925.40 1.0×
Aspirate pleura w/ imaging (32555) $559 $2,646.50 1.0×
Aspirate Pleura W/O Imaging (32554) $559 $8,274.94 1.0×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $273 $604.86–$19,254.20 1.0×
Aspiration and/or injection thyroid cyst (60300) $632 $1,003 1.0×
Aspiration bladder insert suprapubic catheter (51102) $1,865 $7,754.10 1.0×
Aspiration Bladder Needle (51100) $222 $2,036.23 1.0×
Av Fistula Revision Open (36832) $4,966 $74,445.90 1.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $179 $869.26–$19,634.10 1.0×
Biopsy Abdominal Mass (49180) $1,474 $4,709.90 1.0×
Biopsy bone open deep (20245) $2,592 $5,157.45 1.0×
Biopsy bone open superficial (20240) $2,592 $4,715.17 1.0×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,474 $7,071.40–$19,254.20 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,474 $6,830.25 1.0×
Biopsy muscle percutaneous needle (20206) $1,474 $6,830.25 1.0×
Biopsy Muscle Superficial (20200) $1,474 $2,774.56 1.0×
Biopsy nail unit (11755) $632 $995.19 1.0×
Biopsy of liver, needle; percutaneous (47000) $1,474 $6,830.25 1.0×
Biopsy of rectum (45100) $2,477 $7,014.22 1.0×
Biopsy Pleura Percutaneous Needle (32400) $1,474 $1,565 1.0×
Biopsy Salivary Gland Needle (42400) $632 $1,411.25 1.0×
Biopsy soft tissue back/flank deep (21925) $1,474 $4,242.84 1.0×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,474 $2,825.94 1.0×
Biopsy soft tissue forearm&/wrist deep (25066) $2,592 $4,242.84 1.0×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,474 $3,345 1.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $2,592 $4,242.84 1.0×
Biopsy soft tissue leg/ankle area superficial (27613) $1,474 $2,159.99 1.0×
Biopsy soft tissue neck/thorax (21550) $1,474 $6,830.25 1.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,474 $3,767.92 1.0×
Biopsy Soft Tissue Shoulder Deep (23066) $2,592 $4,242.84 1.0×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,474 $4,242.84 1.0×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $2,592 $4,780.25 1.0×
Biopsy soft tissue thigh/knee area superficial (27323) $1,474 $4,242.84 1.0×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,474 $4,242.84 1.0×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $3,494 $22,803.15–$22,803.20 1.0×
Bladder Irrigation (51700) $222 $1,041.15 1.0×
Bladder Scan (51798) $52 $257.65 1.0×
Blepharoplasty Lower Eyelid (15820)
range across 2 matching MRF lines		 $1,841 $44,694.50–$44,694.52 1.0×
Blepharoplasty upper eyelid (15822) $1,841 $41,719.10 1.0×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $1,841 $38,101.60–$38,101.62 1.0×
Blepharotomy drainage abscess eyelid (67700) $283 $804.14 1.0×
Blood Transfusion Service (36430) $393 $1,828.80 1.0×
Blood/Lymph System Procedure (38999) $393 $1,914.50 1.0×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $1,474 $7,248.19–$19,254.20 1.0×
Bone Marrow; Aspiration Only (38220) $1,474 $4,170.16 1.0×
Brnchsc Brushing/Protected Brushings (31623) $1,588 $7,150.30 1.0×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,588 $2,646.25 1.0×
Brnchsc Removal Bronchial Valve Initial (31648) $3,327 $4,875 1.0×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $6,298 $3,584 1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,327 $4,394.89 1.0×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,588 $2,646.25 1.0×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $3,327 $4,875 1.0×
Bronch Thermoplsty 1 Lobe (31660) $6,298 $6,618.67 1.0×
Bronchial Valve Init Insert (31647) $6,298 $4,392.97 1.0×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $6,298 $7,023.02 1.0×
Bronchoscopy Balloon Occlusion (31634) $6,298 $15,332.40 1.0×
Bronchoscopy Bronch Stents (31636) $6,298 $5,555.45 1.0×
Bronchoscopy Clear Airways (31645) $1,588 $7,150.30 1.0×
Bronchoscopy Dilate W/Stent (31631) $6,298 $4,290.42 1.0×
Bronchoscopy Reclear Airway (31646) $349 $2,564 1.0×
Bronchoscopy W/Biopsy(S) (31625) $1,588 $7,150.30 1.0×
Bronchoscopy W/Excision Tumor (31640) $3,327 $4,871.05 1.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $6,298 $3,746.02 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $1,588 $1,312.15 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,327 $15,776.50 1.0×
Bronchoscopy/Needle Bx Each (31629) $3,327 $11,281.80 1.0×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,592 $4,242.84 1.0×
Bx breast 1st lesion mr imag (19085) $1,474 $2,669 1.0×
Bx breast 1st lesion strtctc (19081) $1,474 $6,830.25 1.0×
Bx breast 1st lesion us imag (19083) $1,474 $6,830.25 1.0×
Bx breast needle core w/o imaging guidance spx (19100) $1,474 $1,339.50 1.0×
Bx/exc lymph node open deep axillary node (38525) $3,494 $20,014 1.0×
Bx/exc lymph node open superficial (38500) $3,494 $23,631.50 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,920 $20,014 1.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,435 $22,188.40 1.0×
Carpal Tunnel Surgery (64721) $1,742 $19,335 1.0×
Carpectomy All Bones Proximal Row (25215) $2,920 $30,991.10 1.0×
Catheter aspiration nasotracheal spx (31720) $195 $898.55 1.0×
Cessj Therapy Cath Removal (37214) $2,818 $2,618.63 1.0×
Change Cystostomy Tube Complicated (51710) $622 $2,036.23 1.0×
Change Cystostomy Tube Simple (51705) $222 $1,041.15 1.0×
Change of Windpipe Airway (31502) $211 $775.40 1.0×
Change ureter stent percut (50382) $1,865 $4,792.28 1.0×
Chemical Cautery Tissue (17250) $179 $869.26 1.0×
Chest tube placement (32551) $1,404 $6,747.05 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,195 $9,012.17 1.0×
Chorionic Villus Sampling (59015) $822 $2,436.25 1.0×
Circumcision Neonate (54160) — $7,532.10 —
Cl Tx Scapular Fx; W Manip (23575) $1,435 $3,289.35 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,435 $2,407 1.0×
Claviculectomy partial (23120) $2,920 $27,965.40 1.0×
Clear outer ear canal (69200) $118 $869.26 1.0×
Closed Rx Metacarpal Fx,Percut (26608) $2,920 $20,014 1.0×
Closed Rx Spontaneous Hip Disloc (27256) $220 $845.45 1.0×
Closed rx talotarsal disloc,anesth (28575) $2,920 $6,560.90 1.0×
Closed Treat Vert Body Fract (22310) $220 $1,069.15 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $220 $994.34 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,435 $3,177.75 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $220 $1,075.89 1.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $220 $845.45 1.0×
Closed Treatment Sesamoid Fracture (28530) $220 $845.45 1.0×
Closed Treatment Sternum Fracture (21820) $220 $845.45 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $220 $1,069.15 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $220 $1,008.12 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,435 $8,548.82 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $220 $822.28 1.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $220 $2,819 1.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $220 $758 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $1,435 $1,365.48 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $220 $744.72 1.0×
Closed Tx Craniofacial Separation (21431) $5,283 $9,731 1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $220 $1,069.15 1.0×
Closed tx fx orbit except blowout w/manipulation (21401) $1,384 $3,233.30 1.0×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,435 $5,753.40 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $220 $843.25 1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,435 $2,947 1.0×
Closed tx mandibular fracture w/manipulation (21451) $1,384 $4,502 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $481 $926 1.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $5,283 $7,597.06 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $220 $574 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,435 $3,289.35 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,384 $2,529 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,959 $3,139.76 1.0×
Closed Tx Nasomaxillary Complex Fracture (21345) $1,384 $9,731 1.0×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $2,959 $18,650.20 1.0×
Closed tx patellar dislocation w/anesthesia (27562) $220 $2,769.27 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $220 $993.45 1.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $220 $1,069.15 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,435 $1,505.93 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $220 $574 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,435 $1,435.86 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $220 $609 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,435 $6,770.90–$19,824.10 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $220 $795.53 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $220 $845.45 1.0×
Closed tx septal&nose fx (21337) $2,959 $4,543.99 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $220 $857 1.0×
Closed tx talotarsal joint dislc w/o anes (28570) $220 $1,069.15 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,435 $3,289.35 1.0×
Closed tx talus fracture w/o manipulation (28430) $220 $845.45 1.0×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $220 $845.45 1.0×
Closed tx tarsometatarsal dislocation w/o anes (28600) $220 $991.65 1.0×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,384 $9,731 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $220 $560.50 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,435 $5,482.25 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $220 $845.45 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $220 $720.86 1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $211 $634.50 1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $481 $1,966.17 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $220 $1,045 1.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $220 $648.51 1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,435 $8,340.31 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $220 $668.59 1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $481 $3,448.15 1.0×
Clsd Tx Pelvic Ring Fx (27198) $220 $1,374.22 1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $220 $1,069.15 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,435 $8,340.31–$19,254.20 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $220 $1,766.38–$19,254.20 1.0×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,435 $3,289.35 1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $220 $845.45 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,435 $5,482.25 1.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $220 $732 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,435 $1,476.14 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $220 $731.88 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $220 $562.51 1.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,435 $3,289.35 1.0×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $220 $845.45 1.0×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,435 $3,289.35 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $220 $2,375 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $220 $998 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $220 $681.50 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $220 $546.78 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $220 $765 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,435 $6,770.90–$19,668.60 1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,435 $3,289.35 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $220 $1,069.15 1.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,435 $2,235.47 1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $220 $1,069.15 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,435 $2,815.78 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $220 $598.84 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $220 $451.53 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $220 $620.63 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $220 $534.79 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,435 $2,773.14 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $220 $1,069.15 1.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $220 $1,069.15 1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $220 $1,069.15 1.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,435 $6,560.90 1.0×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,435 $8,340.31–$19,254.20 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $220 $1,766.38–$19,254.20 1.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $220 $1,069.15 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,435 $1,487.21 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,435 $5,482.25 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $220 $845.45 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,435 $3,289.35 1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $249 $1,116.45 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $220 $2,036.23 1.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,435 $1,069.15 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $249 $3,410.78 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $220 $1,766.38 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $1,435 $3,023 1.0×
Cltx Medial Ankle Fx (27760) $220 $826.61 1.0×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $220 $786.37–$20,014 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $220 $635 1.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,435 $5,482.25 1.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,435 $6,560.90 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $220 $993.45 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $220 $554 1.0×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,435 $4,386–$19,254.20 1.0×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $220 $993.45–$19,254.20 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,435 $2,835.01 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $220 $751.33 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,435 $2,914.73–$19,254.20 1.0×
Cltx prox tibfib jt dislc w/o anes (27830) $220 $555 1.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $220 $1,069.15 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $220 $2,375 1.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,435 $3,289.35 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,435 $1,363.55 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,435 $1,269.50 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,435 $1,237.20 1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $220 $817.49 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,435 $5,482.25 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $220 $712.50 1.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $2,920 $10,213.30 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $220 $549.87 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $220 $807.80 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $220 $974.70 1.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $220 $845.45 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,435 $8,548.82 1.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $220 $931.31 1.0×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,920 $6,560.90 1.0×
Collect Blood From Catheter Venous Nos (36592) $118 $166.70 1.0×
Collection of venous blood by venipuncture (36415) $9 $100.47 1.0×
Colonoscopy Flexible With Decompression (45393) $1,068 $4,971.45 1.0×
Colonoscopy Stoma Ablation Lesion (44401) $1,068 $2,970.50 1.0×
Colonoscopy Stoma Control Bleeding (44391) $1,068 $3,365.98 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,068 $2,973.31 1.0×
Colonoscopy stoma w/balloon dilation (44405) $1,068 $2,904.80 1.0×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,068 $2,904.80 1.0×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $5,418 $6,618.67 1.0×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $830 $2,904.80 1.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,068 $2,904.80 1.0×
Colonoscopy Through Stoma With Decompression (44408) $830 $2,904.80 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,068 $2,904.80 1.0×
Colonoscopy thru stoma (44388) $830 $3,850.35 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,068 $2,904.80 1.0×
Colonoscopy w/ablation (45388) $1,068 $4,971.45 1.0×
Colonoscopy W/Band Ligation (45398) $1,068 $4,971.45 1.0×
Colonoscopy w/fb removal (45379) $1,068 $2,904.80 1.0×
Colonoscopy W/Resection (45390) $2,477 $11,828.80 1.0×
Colonoscopy w/stent plcmt (45389) $5,418 $24,010.10 1.0×
Colonoscopy w/submucosal inj (45381) $1,068 $4,971.45 1.0×
Colporrhaphy (57200) $2,889 $3,551.70 1.0×
Colpotomy; with drainage of pelvic abscess (57010) $2,889 $6,500 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,068 $4,971.45 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,068 $4,971.45 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,068 $4,971.45 1.0×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,068 $4,447.44 1.0×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $2,592 $3,472.16–$23,483.80 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $118 $1,292.90 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $118 $934.60 1.0×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $11,458 $58,982.50–$58,982.54 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,712 $2,839.25 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,474 $6,830.25 1.0×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,146 $15,700.20 1.0×
Correction hammertoe (28285) $2,920 $22,727.20 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,920 $23,774.40 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $11,458 $41,719.10 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $6,476 $8,187.97 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,920 $45,336.70 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $6,476 $23,099.90 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $118 $1,325.22 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $1,865 $19,362.70 1.0×
Cysto w/insert ureteral stent (52332) $3,146 $19,471.30 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $3,146 $19,254.20 1.0×
Cysto w/removal of lesions small (52224) $3,146 $23,739.90 1.0×
Cysto w/ureter stricture tx (52341) $3,146 $7,079.76 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $4,785 $20,014 1.0×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,146 $19,760.70 1.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $3,146 $13,342.68–$13,342.70 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,146 $19,254.20 1.0×
Cysto/uretero w/lithotripsy (52356) $4,785 $22,217.60 1.0×
Cystostomy Cystotomy W/Drainage (51040) $1,865 $4,869.47 1.0×
Cystourethroscopy (52000) $622 $19,254.20 1.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330)
range across 2 matching MRF lines		 $3,146 $13,342.68–$13,342.70 1.0×
Cystourethroscopy inj chemodenervation bladder (52287) $1,865 $19,254.20 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,146 $20,014 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $4,785 $41,719.10 1.0×
Cystourethroscopy w/dil bladder general anesth (52260) $1,865 $19,254.20 1.0×
Cystourethroscopy w/rmvl ureteral calculus (52320) $3,146 $19,254.20 1.0×
Cystourethroscopy with biopsy (52204) $1,865 $21,877 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $362 $581.02 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $2,592 $12,875.39–$12,875.40 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $632 $1,407–$19,634.10 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $659 $2,645.85–$19,729.10 1.0×
Debride nail 1-5 (11720) $52 $869.26 1.0×
Debride nail 6 or more (11721) $52 $848.06 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,474 $6,830.25–$21,615.50 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $362 $1,679.85–$20,868.50 1.0×
Declot vascular device (36593) $294 $702.59 1.0×
Decompress Fingers/Hand (26035) $2,920 $25,122.60 1.0×
Decompression of tibia nerve (28035) $1,742 $23,631.50 1.0×
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $2,592 $2,775.73–$16,543.90 1.0×
Destr W Neurolytic; Celiac Plexus (64680) $789 $2,466.30 1.0×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,742 $13,965.15–$13,965.20 1.0×
Destroy lumb/sac facet jnt (64635) $1,742 $20,014 1.0×
Destruct B9 Lesion 1-14 (17110) $179 $19,254.20 1.0×
Destruction by neurolytic agent; pudendal nerve (64630) $789 $2,466.30 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,068 $1,999.25 1.0×
Destruction neurolytic agt genicular nerve w/img (64624) $1,742 $20,014 1.0×
Destruction Premalignant Lesion 15/> (17004) $362 $817.32 1.0×
Destruction premalignant lesion 1st (17000) $179 $262.59 1.0×
Diagnostic sigmoidoscopy (45330) $830 $3,850.35 1.0×
Dilat Xst Trc New Access Rcs (50437) $3,146 $14,634.30 1.0×
Dilate Esophagus 1/Mult Pass (43450) $809 $3,818.85 1.0×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
range across 2 matching MRF lines		 $5,283 $11,308.45–$11,308.50 1.0×
Drain Cerebro Spinal Fluid (62272) $630 $893.75 1.0×
Drain Hand Tendon Sheath (26020) $2,920 $23,673 1.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $481 $1,051.14 1.0×
Drainage external auditory canal abscess (69020) $632 $806.34 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $632 $497 1.0×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,474 $2,088.45–$22,188.40 1.0×
Drainage Mouth Roof Lesion (42000) $211 $623.51 1.0×
Drainage of finger abscess simple (26010) $179 $2,036.23 1.0×
Drainage of gum lesion (41800) $118 $869.26 1.0×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,474 $6,830.25–$21,442.80 1.0×
Drainage of palmar bursa single bursa (26025) $2,920 $6,749.70 1.0×
Drainage of scrotal wall abscess (55100) $1,474 $2,439.58 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $632 $2,695.55 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $362 $608.91 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $179 $843.40 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $179 $869.26 1.0×
Dstrj lesion anus simple surg excision (46922) $2,477 $16,543.90 1.0×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,841 $19,084.70 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $789 $1,802.61 1.0×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $789 $3,956.60 1.0×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $2,592 $11,970.80–$20,014 1.0×
Dx Bronchoscope/Lavage (31624) $1,588 $7,150.30 1.0×
Dx Bronchoscope/Wash (31622) $1,588 $7,150.30 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,588 $3,402 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $630 $3,203.38 1.0×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,712 $8,016.30 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,712 $8,016.30 1.0×
Egd cautery tumor polyp (43250) $1,712 $3,575.28 1.0×
Egd control bleeding any (43255) $1,712 $8,016.30 1.0×
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $1,712 $8,016.30–$19,254.20 1.0×
Egd endo mucosal resection (43254) $1,712 $3,575.28 1.0×
Egd Endoscopic Stent Place (43266) $5,418 $6,618.67 1.0×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $809 $3,818.85–$20,066.90 1.0×
Egd guide wire insertion (43248) $809 $3,818.85 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,712 $2,890 1.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,712 $3,690 1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,712 $3,575.28 1.0×
Egd lesion ablation (43270) $1,712 $8,016.30 1.0×
Egd place gastrostomy tube (43246) $1,712 $8,016.30 1.0×
Egd remove lesion snare (43251) $1,712 $8,016.30 1.0×
Egd Tube/Cath Insertion (43241) $1,712 $8,501.40 1.0×
Egd us exam duodenum/jejunum (43259) $1,712 $3,575.28 1.0×
Egd us transmural injxn/mark (43253)
range across 2 matching MRF lines		 $1,712 $3,690–$19,254.20 1.0×
Egd Varices Ligation (43244) $1,712 $8,016.30 1.0×
Egd W/Transmural Drain Cyst (43240) $5,418 $4,742.61 1.0×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $4,464 $19,254.20 1.0×
Endoscopic us exam esoph (43237) $1,712 $3,575.28 1.0×
Endoscopy Upper Small Intestine (44360) $1,712 $2,890 1.0×
Endoscopy upper small intestine w/biopsy (44361) $1,712 $3,575.28 1.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $10,303 $28,883.60 1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $2,818 $11,798 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,818 $8,011.74 1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,712 $3,575.28 1.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,712 $3,575.28 1.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,712 $3,575.28 1.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,712 $3,575.28 1.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $5,418 $6,618.67 1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,712 $3,575.28 1.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,712 $3,575.28 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,712 $3,575.28 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,712 $3,575.28 1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,841 $4,284.78 1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,841 $6,594.80 1.0×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $630 $2,925.85–$16,543.90 1.0×
Epidural lysis mult sessions (62263) $789 $2,844.40 1.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $5,418 $24,010.10 1.0×
Ercp duct stent placement (43274)
range across 2 matching MRF lines		 $5,418 $21,442.80–$24,010.10 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $3,441 $16,134.20–$21,139.50 1.0×
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines		 $3,441 $16,134.20–$23,739.90 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,441 $16,134.20 1.0×
Ercp remove forgn body duct (43275)
range across 2 matching MRF lines		 $1,712 $8,016.30–$19,814.90 1.0×
Ercp Stent Exchange W/Dilate (43276)
range across 2 matching MRF lines		 $5,418 $6,618.67–$21,497 1.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $3,441 $5,318 1.0×
Ercp W/Biopsy Single/Multiple (43261)
range across 2 matching MRF lines		 $3,441 $4,742.61–$19,254.20 1.0×
Ercp w/pressure measurement sphincter of oddi (43263) $1,712 $15,404 1.0×
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $3,441 $16,134.20–$19,895 1.0×
Escharotomy; initial incision (16035) $362 $923.27 1.0×
Esoph Scope W/Submucous Inj (43201) $1,712 $5,324.30 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $809 $3,818.85 1.0×
Esophagosc Dilate Balloon 30 (43214) $1,712 $3,575.28 1.0×
Esophagoscop Mucosal Resect (43211) $1,712 $3,575.28 1.0×
Esophagoscop Stent Placement (43212) $5,418 $15,875.40 1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,712 $3,575.28 1.0×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,712 $2,890 1.0×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $3,441 $9,575.75 1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,712 $3,575.28 1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,712 $3,575.28 1.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $809 $2,890 1.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $809 $2,890 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $809 $3,818.85 1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,712 $3,575.28 1.0×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,712 $3,575.28 1.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,712 $3,575.28 1.0×
Esophagoscopy Retro Balloon (43213) $1,712 $3,575.28 1.0×
Esophagoscopy Rigid Balloon (43195) $3,441 $3,575.28 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,712 $8,016.30 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,712 $3,575.28 1.0×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,712 $9,575.75 1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,712 $3,575.28 1.0×
Evacuation of subungual hematoma (11740) $118 $860.71 1.0×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 2 matching MRF lines		 $1,474 $12,554.15–$12,554.20 1.0×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,474 $19,254.20 1.0×
Exc abdl tum deep 5 cm/> (22901)
range across 2 matching MRF lines		 $2,592 $22,743.10–$22,743.11 1.0×
Exc arm/elbow les sc < 3 cm (24075) $1,474 $19,254.20 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $632 $19,735.50–$19,735.51 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,474 $2,713.26 1.0×
Exc Back Les Sc < 3 Cm (21930) $1,474 $9,627.08 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $2,592 $6,418.05 1.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $632 $24,573.07–$24,573.10 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,474 $5,717.88 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $632 $1,141.58 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $632 $1,572 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $632 $1,605.95 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,474 $2,063.57 1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,474 $3,767.92 1.0×
Exc Forearm Les Sc 3 Cm/> (25071) $1,474 $32,134.70 1.0×
Exc Forearm Tum Deep 3 Cm/> (25073)
range across 2 matching MRF lines		 $2,592 $12,700.50–$12,700.54 1.0×
Exc Frenum Labial/Buccal (40819)
range across 2 matching MRF lines		 $1,384 $13,157–$13,157.01 1.0×
Exc ganglion wrist recurrent (25112) $1,435 $22,188.40 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,474 $1,664–$19,254.20 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $632 $1,542–$19,254.20 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,474 $1,913–$19,254.20 1.0×
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $1,474 $19,254.16–$19,254.20 1.0×
Exc hand tum deep < 1.5 cm (26116) $1,474 $19,254.20 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,435 $19,254.20 1.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,435 $19,254.20 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $1,742 $30,991.10 1.0×
Exc Rct Tum Incl Muscularis Propria (45172) $2,477 $30,078.20 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $2,477 $20,514.37–$20,514.40 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $2,592 $19,735.50–$19,735.51 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $632 $18,511.40 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,474 $2,884 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,592 $3,694 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,474 $19,634.10 1.0×
Exc Skin Benig >4cm Face,Facial (11446) $2,592 $9,121.55 1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,474 $4,847.55 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $2,592 $9,121.55–$22,188.40 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $1,474 $14,422.35–$14,422.40 1.0×
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines		 $2,920 $20,636.49–$20,636.50 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $2,592 $19,254.20 1.0×
Exc thigh/knee tum dep 5cm/> (27339) $2,592 $25,122.60 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,068 $2,743.68–$21,822.80 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $632 $1,605.95 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,474 $19,254.20 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,592 $6,578.50 1.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,592 $22,188.40 1.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076)
range across 2 matching MRF lines		 $1,474 $21,176.20–$21,176.21 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,592 $31,969.20 1.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,592 $8,374.21 1.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,592 $19,254.20 1.0×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)
range across 2 matching MRF lines		 $2,592 $19,735.50–$19,735.51 1.0×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $2,592 $21,239.30–$21,239.31 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,474 $22,537.20 1.0×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $2,592 $34,484.10 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,474 $20,014 1.0×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,592 $4,813.54 1.0×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $3,146 $19,254.20 1.0×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $6,476 $23,631.50 1.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,920 $22,188.40 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,195 $7,650.23 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,865 $8,580.80 1.0×
Excise intraspinal lesion (63267) $6,476 $41,719.10 1.0×
Excise Wrist Tendon Sheath (25118) $1,435 $12,141 1.0×
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		 $632 $16,108.60–$16,108.61 1.0×
Excision Chest Wall Tumor Including Ribs (21601)
range across 2 matching MRF lines		 $2,592 $19,735.50–$19,735.51 1.0×
Excision Distal Ulna Partial/Complete (25240)
range across 2 matching MRF lines		 $2,920 $20,577.70–$20,577.72 1.0×
Excision Hidradenitis Axillary Complex Repair (11451) $2,592 $22,188.40 1.0×
Excision Hidradenitis Inguinal Complex Repair (11463) $2,592 $19,254.20 1.0×
Excision Infected Graft Extremity (35903)
range across 2 matching MRF lines		 $2,818 $35,924–$35,924.01 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $632 $7,065.93 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $632 $9,289.24 1.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $1,474 $23,042.40–$23,042.43 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,474 $985.86 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $632 $2,916.70 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $632 $3,882.13 1.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $1,474 $9,121.55–$25,122.60 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $2,477 $3,323.77 1.0×
Excision Nasal Polyp Extensive (30115) $2,959 $28,056.90 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,435 $8,304.15–$19,987.70 1.0×
Excision of hydrocele; unilateral (55040) $3,195 $22,188.40 1.0×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,742 $25,122.60 1.0×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $5,283 $52,571.70 1.0×
Excision of pilonidal cyst or sinus; simple (11770) $2,592 $4,731.97 1.0×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $1,068 $19,735.50–$19,735.51 1.0×
Excision of submandibular (submaxillary) gland (42440) $5,283 $30,613.30 1.0×
Excision of tonsil tags (42860) $2,959 $19,254.20 1.0×
Excision olecranon bursa (24105) $2,920 $21,121.40 1.0×
Excision or curettage of bone cyst or benign tumor of femur; (27355)
range across 2 matching MRF lines		 $2,920 $28,664.56–$28,664.60 1.0×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100)
range across 2 matching MRF lines		 $2,920 $12,875.35–$12,875.40 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,592 $11,624 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,592 $20,918.40 1.0×
Excision prepatellar bursa (27340) $2,920 $21,769.20 1.0×
Excision Radial Head (24130) $2,920 $19,254.20 1.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $5,926 $87,541.10 1.0×
Excision soft tissue lesion, external auditory canal (69145) $2,592 $38,101.60 1.0×
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines		 $1,865 $22,743.10–$22,743.11 1.0×
Excision synovial cyst popliteal space (27345) $2,920 $27,249.10 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,474 $19,634.10 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,592 $19,254.20 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,474 $19,254.20 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,474 $19,254.20 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,435 $19,254.20 1.0×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $1,474 $19,735.50–$19,735.51 1.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,592 $45,662.30 1.0×
Excision/curettage cyst/tumor carpal bones (25130) $2,920 $30,991.10 1.0×
Excision/curettage cyst/tumor phalanx finger (26210) $1,435 $7,546.30 1.0×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $2,920 $27,249.10 1.0×
Excision/destruction intranasal lesion int appr (30117) $2,959 $23,631.50 1.0×
Excision; trochanteric bursa or calcification (27062) $2,920 $6,838.12 1.0×
Expl penetrating wound spx abdomen/flank/back (20102) $1,841 $1,963.25 1.0×
Explo/Drain Breast Abscess (19020) $1,474 $3,175.45 1.0×
Exploration penetrating wound spx extremity (20103) $1,474 $1,963.25 1.0×
Explore/Treat Elbow Joint (24101)
range across 2 matching MRF lines		 $2,920 $29,417.18–$29,417.20 1.0×
Fasciectomy Palm Only (26121) $2,920 $38,101.60 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $2,920 $22,756.10 1.0×
Fasciotomy palmar open partial (26045) $2,920 $8,621.02 1.0×
Fasciotomy Plantar Fascia Radical Spx (28062)
range across 2 matching MRF lines		 $2,920 $10,288.86–$10,288.90 1.0×
Fasciotomy, foot and/or toe (28008) $2,920 $20,014 1.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,920 $24,228 1.0×
Fetal non-stress test (59025) — $702.95 —
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $632 $2,896.70 1.0×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $632 $2,896.70 1.0×
Fine needle aspiration without imaging guidance (10021) $362 $494.47 1.0×
Fluoro exam of g/colon tube (49465) $212 $731.15 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $632 $2,896.70 1.0×
Fna bx w/us gdn 1st les (10005) $632 $2,964.05 1.0×
Foreskin manipulation (54450) $222 $688 1.0×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 2 matching MRF lines		 $1,841 $18,729.70–$18,729.74 1.0×
Fuse hand bones with graft (25825) $6,476 $74,622 1.0×
Fusion Finger Joint (26860) $2,920 $22,188.40 1.0×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $6,476 $14,242.69–$14,242.70 1.0×
Fusion of hand joint (26843) $6,476 $34,484.10 1.0×
Fusion of knuckle (26850) $6,476 $28,056.90 1.0×
Fusion of knuckle joint (26516) $2,920 $25,122.60 1.0×
Fusion of knuckle with graft (26852) $6,476 $28,056.90 1.0×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 2 matching MRF lines		 $5,283 $22,831.16–$22,831.20 1.0×
Guide Cathet Fluid Drainage (10030) $632 $1,996.50 1.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $6,476 $26,546.60 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,477 $21,877 1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,477 $4,432.30 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,477 $32,190.90 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $830 $1,474.49–$20,014 1.0×
Hemorrhoidopexy by stapling (46947) $2,477 $22,908 1.0×
Hip arthro w/labral repair (29916)
range across 2 matching MRF lines		 $6,476 $15,754.36–$15,754.40 1.0×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $2,477 $20,014 1.0×
Hysteroscopy Biopsy (58558) $2,889 $22,188.40 1.0×
Hysteroscopy Endometrial Ablation (58563) $4,464 $19,254.20 1.0×
I&d abscess peritonsillar (42700) $211 $967 1.0×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $179 $843.40–$19,507.50 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $2,592 $4,433–$20,728.40 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,592 $3,193.73 1.0×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $2,920 $4,955–$19,254.20 1.0×
I&d forearm/wrist bursa (25031) $1,435 $7,073.04 1.0×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,477 $23,631.50 1.0×
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $2,920 $4,361.02–$25,122.60 1.0×
I&d perianal abscess superficial (46050) $830 $3,850.35 1.0×
I&d pilonidal cyst complicated (10081) $632 $2,354.82 1.0×
I&d pilonidal cyst simple (10080) $632 $2,964.05 1.0×
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $2,592 $4,687–$21,822.80 1.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,592 $4,615 1.0×
Icd Pocket Revision (33223) $1,841 $7,682.65 1.0×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,712 $2,890 1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $809 $2,890 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $809 $2,890 1.0×
Image Cath Fluid Colxn Visc (49405) $1,474 $6,830.25 1.0×
Image Cath Fluid Peri/Retro (49406) $1,474 $3,195.06 1.0×
Incise external hemorrhoid (46083) $222 $1,041.15 1.0×
Incise finger tendon sheath (26055) $1,435 $20,305.80 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $362 $1,369.62–$19,507.50 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $2,592 $4,242.84–$20,713.30 1.0×
Incision & drainage leg/ankle infected bursa (27604) $2,920 $7,867.83 1.0×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $362 $1,679.85–$19,254.20 1.0×
Incision and drainage of bartholin's gland abscess (56420) $180 $1,005.24 1.0×
Incision and drainage of vulva or perineal abscess (56405) $271 $2,087.14 1.0×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,435 $7,186.77 1.0×
Incision bone cortex foot (28005)
range across 2 matching MRF lines		 $2,920 $19,735.50–$19,735.51 1.0×
Incision extensor tendon sheath wrist (25000) $1,435 $16,543.90 1.0×
Incision of Foot Tendon (28234) $1,435 $8,074.11 1.0×
Incision of hip tendon (27001) $2,920 $13,010.70 1.0×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,068 $5,792.43–$19,634.10 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,474 $2,866.39 1.0×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992)
range across 2 matching MRF lines		 $2,920 $574.81–$27,965.40 1.0×
Incisional biopsy skin single lesion (11106) $659 $1,570.40 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $179 $843.40 1.0×
Inj W/Fluor Eval Cv Device (36598) $189 $935.90 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $789 $1,441.45 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $789 $2,000 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $273 $567.75 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $789 $3,839.90 1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $789 $3,360.30 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $789 $1,568 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $789 $3,360.30 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $630 $2,913.35 1.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $789 $3,360.30 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $273 $671.28 1.0×
Injection Anes Superior Hypogastric Plexus (64517) $789 $2,466.30 1.0×
Injection anesthetic agent suprascapular nerve (64418) $630 $908 1.0×
Injection for identification of sentinel node (38792) $356 $2,977.11 1.0×
Injection Into Brain Canal (61055) $273 $1,541 1.0×
Injection into disk lesion (62292) $1,742 $4,620.20 1.0×
Injection of sclerosing solution, hemorrhoids (46500) $830 $1,573.88 1.0×
Injection single tendon origin/insertion (20551) $273 $487.88 1.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $273 $2,036.23–$16,543.90 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $273 $740.25 1.0×
Injection therapeutic carpal tunnel (20526) $273 $507.64 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $789 $3,839.90 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $630 $2,913.35 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $630 $2,913.35 1.0×
Injection, anesthetic agent; vagus nerve (64408) $273 $1,056.05 1.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $789 $1,789.50 1.0×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $789 $20,102.30 1.0×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $789 $11,990.60 1.0×
Ins cath ren art 1st bilat (36252) $2,818 $21,397.20 1.0×
Ins cath ren art 1st unilat (36251) $2,818 $20,875.30 1.0×
Ins cath ren art 2nd+ bilat (36254) $2,818 $21,397.20 1.0×
Ins cath ren art 2nd+ unilat (36253) $4,966 $7,141 1.0×
Ins endovas vena cava filtr (37191) $4,966 $25,810.70 1.0×
Ins/Rep Subq Defibrillator (33270) $28,015 $99,469.30 1.0×
Insert 1 Electrode Pm-Defib (33216) $7,385 $35,791.10 1.0×
Insert Bladder Cath Complex (51703) $114 $411.25 1.0×
Insert cath pleura w/ image (32557) $1,404 $3,704.05 1.0×
Insert cath pleura w/o image (32556) $1,712 $8,016.30 1.0×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,068 $4,984.50 1.0×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $118 $18,166–$18,166.04 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $1,712 $1,706.64 1.0×
Insert Heart Pm Atrial (33206) $9,328 $46,367 1.0×
Insert Heart Pm Ventricular (33207) $9,328 $44,986.10 1.0×
Insert hepatic shunt (tips) (37182) $16,361 $14,292 1.0×
Insert non-tunnel cv cath (36556) $2,818 $13,428.40 1.0×
Insert Pacing Lead & Connect (33224) $9,328 $17,570.90 1.0×
Insert pessary/other device (57160) $180 $421.77 1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,404 $4,426.54 1.0×
Insert pulse gen dual leads (33213) $9,328 $37,820.20 1.0×
Insert pulse gen mult leads (33221) $17,191 $92,826.80 1.0×
Insert Pulse Gen Sngl Lead (33212) $7,385 $30,090.50 1.0×
Insert Temp Bladder Cath (51702) $118 $709.77 1.0×
Insert tun ip cath perc (49418) $3,195 $7,089 1.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,818 $11,236.70–$19,625.30 1.0×
Insert tunneled cv cath (36563) $4,966 $11,385.80 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $4,966 $11,385.80 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $118 $538.15 1.0×
Insertion indwelling tunneled pleural catheter (32550) $3,195 $10,885.50 1.0×
Insertion of cannula (36800) $4,966 $5,096.09 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,404 $7,206.47 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,385 $37,020.60 1.0×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $4,966 $11,385.80 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $7,385 $30,090.50 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,818 $3,045.68 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,818 $13,428.40 1.0×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $2,818 $11,236.70 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $1,404 $8,073.11–$8,274.94 1.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $2,818 $4,955.29 1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $4,966 $11,385.80 1.0×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,818 $11,236.70 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,818 $9,441.86–$20,014 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $28,015 $138,599 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $27,541 $10,546.08–$10,546.10 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $7,385 $35,791.10 1.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $7,385 $30,090.50 1.0×
Insrt heart pm atrial & vent (33208) $9,328 $44,986.10 1.0×
Insrt Pulse Gen W/Dual Leads (33230) $19,852 $112,293 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $19,852 $27,320.60 1.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,477 $2,180.15 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $362 $2,036.23 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $362 $2,036.23 1.0×
Intraoral i&d tongue/floor lingual (41000) $481 $3,233.30 1.0×
Intro cath dialysis circuit (36901) $1,404 $3,038 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $5,079 $17,459.70–$36,416.40 1.0×
Intro Gastrointestinal Tube (44500) $809 $2,627.47 1.0×
Intubation endotracheal emergency procedure (31500) $211 $1,029 1.0×
Irrigation maxillary sinus (31000) $211 $1,420.75 1.0×
Irrigation of corpora cavernosa for priapism (54220) $222 $649.50 1.0×
Knee arthroscopy/drainage (29871) $2,920 $23,739.90 1.0×
Knee Arthroscopy/Surgery (29885) $6,476 $32,190.90 1.0×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $2,920 $28,664.56–$28,664.60 1.0×
Knee Arthroscopy/Surgery (29850) $1,435 $32,190.90 1.0×
Lam facetec & foramot lumbar (63047) $6,476 $34,484.10 1.0×
Laminotomy Single Lumbar (63042) $6,476 $34,484.10 1.0×
Lap insert tunnel ip cath (49324) $5,395 $24,544.50 1.0×
Lap paraesoph her rpr w/mesh (43282)
range across 2 matching MRF lines		 $9,487 $50,529.49–$50,529.50 1.0×
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $9,487 $45,989.10–$45,989.12 1.0×
Laparo-vag hyst incl t/o (58552) $9,487 $36,292.90 1.0×
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $5,395 $24,222.30–$24,222.33 1.0×
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines		 $5,395 $12,733.10–$12,733.12 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $5,395 $25,570.50 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $9,487 $19,660.80–$19,660.84 1.0×
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $5,395 $27,930.29–$27,930.30 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $5,395 $8,374.21 1.0×
Laparoscopy, surgical, appendectomy (44970) $5,395 $22,949.10 1.0×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 2 matching MRF lines		 $9,487 $30,774.58–$30,774.60 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $5,395 $38,101.60 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,395 $29,373.90 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $5,395 $22,188.40 1.0×
Laparoscopy, Tubal Block (58671) $5,395 $19,254.20 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $5,395 $27,714.58–$27,714.60 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $5,395 $16,063.47–$16,063.50 1.0×
Laryngoscopy diagnostic (31505) $178 $448.90 1.0×
Laryngoscopy flexible diagnostic (31575) $178 $639.92 1.0×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,588 $4,759.50 1.0×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $349 $1,932 1.0×
Laryngoscopy W/Biopsy (31535) $3,327 $20,014 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,327 $23,631.50 1.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $349 $6,297.75 1.0×
Late closure of wound (13160)
range across 2 matching MRF lines		 $3,162 $2,436.23–$20,966.60 1.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $6,476 $52,262.10 1.0×
Ligation of hemorrhoids (46946) $2,477 $2,406.50 1.0×
Ligation Of Inf Vena Cava (37619) $4,966 $6,135.08 1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,818 $20,014 1.0×
Lithotripsy, extracorporeal shock wave (50590) $3,146 $18,530.20 1.0×
Low Back Disk Surgery (63030) $6,476 $35,113.20 1.0×
Lumbar spine fusion combined (22633)
range across 2 matching MRF lines		 $24,217 $11,537–$11,537.02 1.0×
Manipulation Elbow Under Anesthesia (24300) $1,435 $16,957.50 1.0×
Manipulation knee joint under general anesthesia (27570) $1,435 $16,543.90 1.0×
Manipulation, finger joint, under anesthesia, each joint (26340)
range across 2 matching MRF lines		 $1,435 $11,852.60–$11,852.62 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $1,435 $12,788.10–$12,788.12 1.0×
Mast mod rad (19307)
range across 2 matching MRF lines		 $5,926 $18,166–$18,166.04 1.0×
Mastectomy for gynecomastia (19300) $3,494 $52,571.70 1.0×
Mastectomy partial (19301) $3,494 $22,461.80 1.0×
Mastectomy partial w/axillary lymphadenectomy (19302) $5,926 $34,484.10 1.0×
Mastectomy simple complete (19303) $5,926 $38,101.60 1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,404 $2,035.23 1.0×
Mech remov tunneled cv cath (36595) $2,818 $3,995.96 1.0×
Myelography Lumbar Injection (62305) $699 $6,393.38 1.0×
Myelography Lumbar Injection (62304) $699 $5,080.34 1.0×
Myelography via lumbar injection rs&i cervical (62302) $699 $5,994.66 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $699 $3,781.79 1.0×
N Block Inj Celiac Pelus (64530) $789 $1,803.43 1.0×
N Block Inj Ilio-Ing/Hypogi (64425) $630 $1,106.86 1.0×
N block inj intercost sng (64420) $630 $1,175.97 1.0×
N Block Inj Paracervical (64435) $630 $1,755.51 1.0×
N Block Inj Plantar Digit (64455) $273 $1,247.75 1.0×
N Block Inj Pudendal (64430) $789 $3,360.30 1.0×
N Block Lumbar/Thoracic (64520) $789 $2,002.58 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $398 $2,123.49 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,588 $20,232.20 1.0×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $6,298 $4,240.67 1.0×
Nasal/sinus ndsc total with sphenoidotomy (31257) $6,298 $2,952.39 1.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $6,298 $3,381.82 1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $830 $2,904.80 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $830 $2,904.80 1.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,435 $22,839.90 1.0×
Needle Biopsy Lymph Nodes (38505) $1,474 $4,709.90 1.0×
Needle Biopsy Pancreas (48102) $1,474 $1,647.32 1.0×
Nerve repair w/conduit each nerve (64910)
range across 2 matching MRF lines		 $7,832 $14,598.77–$14,598.80 1.0×
Nerve Repair W/Nerve Allograft First Strand (64912) $7,832 $48,596.60 1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,742 $21,654.90 1.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,742 $27,249.10 1.0×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $1,742 $27,249.10 1.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $416 $2,136 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $789 $1,746.08 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $273 $1,247.75 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,195 $6,531.33 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $789 $1,224 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $789 $3,831.96 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $630 $3,041.88–$17,114.50 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $630 $1,510.39 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $789 $2,466.30 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $789 $3,831.96 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $630 $3,041.88–$19,987.70 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $789 $2,466.30 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $622 $1,717.45 1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $362 $868.25 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $362 $868.25 1.0×
Njx Sclrsnt Spider Veins (36468) $362 $525.15 1.0×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $6,298 $3,381.82 1.0×
Obstructive material removal from gi tube (49460) $809 $1,016.86 1.0×
Occipital Nerve Block (64405) $273 $1,095.67 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $3,494 $19,254.20 1.0×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
range across 2 matching MRF lines		 $6,476 $31,638.25–$31,638.30 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $6,476 $33,579.70 1.0×
Open treatment calcaneal fracture (28415) $6,476 $53,318.40 1.0×
Open Treatment Fracture Distal Tibia & Fibula (27828) $11,458 $81,054.50 1.0×
Open treatment fracture distal tibia only (27827) $11,458 $34,303.70 1.0×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $6,476 $32,995.70 1.0×
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $11,458 $31,638.25–$31,638.30 1.0×
Open treatment interphalangeal joint dislocation (28675) $2,920 $27,249.10 1.0×
Open Treatment Medial Malleolus Fracture (27766) $6,476 $27,690.50 1.0×
Open treatment metatarsal fracture each (28485) $6,476 $27,507.50 1.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $6,476 $37,795.20 1.0×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $6,476 $44,867.40 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $6,476 $67,054.40 1.0×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $11,458 $50,962.60 1.0×
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557)
range across 2 matching MRF lines		 $6,476 $45,989.10–$45,989.12 1.0×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336)
range across 2 matching MRF lines		 $2,920 $11,415.58–$11,415.60 1.0×
Open Treatment of Ulnar Shaft Fracture (25545) $6,476 $27,249.10 1.0×
Open treatment of ulnar styloid fracture (25652) $6,476 $30,866.60 1.0×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $6,476 $33,925.40 1.0×
Open Treatment Proximal Humeral Fracture (23615) $11,458 $50,501.40 1.0×
Open Treatment Radial Shaft Fracture (25515) $6,476 $27,249.10 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,920 $24,035.50 1.0×
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines		 $6,476 $25,122.60–$25,122.64 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $6,476 $32,190.90 1.0×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $2,920 $7,136.17–$25,440.30 1.0×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
range across 2 matching MRF lines		 $6,476 $13,018–$13,018.05 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829) $6,476 $33,360.60 1.0×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $11,458 $39,321.70 1.0×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $2,920 $25,852.70 1.0×
Open Tx Humeral Epicondylar Fracture (24575) $11,458 $38,716.30 1.0×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
range across 2 matching MRF lines		 $6,476 $20,514.37–$20,514.40 1.0×
Open tx interphalangeal joint dislocation (26785) $2,920 $27,249.10 1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,920 $30,143.10 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $2,920 $7,136.17–$33,278.30 1.0×
Open Tx Radial Head/Neck Fracture (24665) $6,476 $28,056.90 1.0×
Open Tx Radial Head/Neck Fracture Prosth (24666)
range across 2 matching MRF lines		 $11,458 $37,781.10–$37,781.11 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $6,476 $30,991.10 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $6,476 $34,484.10 1.0×
Open tx ulnar fx proximal end (24685) $6,476 $31,900.20 1.0×
Open/Perq Place Stent 1St (37236) $10,303 $46,346.30 1.0×
Open/Perq Place Stent Same (37238) $10,303 $17,714 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $6,476 $27,249.10 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $6,476 $27,827.90 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $11,458 $35,392.50 1.0×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $11,458 $36,416.40 1.0×
Ostc compl all metar heads w/prtl prox phalangc (28114) $2,920 $6,812.26 1.0×
Ostc prtl exostc/condylc metar head (28288) $2,920 $20,014 1.0×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $2,920 $15,131.77–$15,131.80 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $2,920 $21,822.80 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $2,920 $20,014 1.0×
Ostectomy, complete excision; first metatarsal head (28111)
range across 2 matching MRF lines		 $2,920 $13,342.68–$13,342.70 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $2,920 $19,507.50 1.0×
Osteochondral allograft knee open (27415) $11,458 $49,092.90 1.0×
Osteochondral knee autograft (27416) $6,476 $44,867.40 1.0×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $6,476 $6,838.12 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
range across 2 matching MRF lines		 $6,476 $26,171.80–$26,171.82 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,920 $19,254.20 1.0×
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines		 $6,476 $11,617.50–$11,617.52 1.0×
Osteotomy Metacarpal Each (26565) $2,920 $6,671.34 1.0×
Osteotomy radius distal third (25350)
range across 2 matching MRF lines		 $6,476 $24,277.60–$24,277.62 1.0×
Osteotomy Tibia (27705)
range across 2 matching MRF lines		 $6,476 $24,277.60–$24,277.62 1.0×
Palatopharyngoplasty (42145) $5,283 $24,166.20 1.0×
Parathyroidectomy or exploration of parathyroid(s); (60500) $5,283 $29,660.70 1.0×
Part exc bone femur prox tibia (27360) $2,920 $7,186.77 1.0×
Part remv talus or calcaneus (28120) $2,920 $32,190.90 1.0×
Partial excision bone metacarpal (26230) $2,920 $5,406.36 1.0×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,435 $7,848.07–$28,056.90 1.0×
Partial removal of thyroid (60220) $5,395 $36,416.40 1.0×
Partial removal of tibia (27640) $2,920 $7,186.77 1.0×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $5,395 $48,954.20 1.0×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $2,920 $12,191.70–$20,014 1.0×
Patellectomy or hemipatellectomy (27350)
range across 2 matching MRF lines		 $6,476 $19,735.50–$19,735.51 1.0×
Percut Cath Occlusn Non Cns Lesn (61626) $10,303 $11,517.40 1.0×
Percut Drain/Inject Renal Cyst (50390) $632 $4,709.90 1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,818 $8,052.81 1.0×
Peritoneal Lavage (49084) $809 $1,699.40 1.0×
Perm Occlusion/Embolization,Percut,Cns (61624) $16,361 $1,557 1.0×
Perq av fistula creation uxtr single access (36836) $16,361 $57,543.90 1.0×
Perq Cervicothoracic Inject (22510) $2,920 $4,200.88 1.0×
Perq dev breast 1st mr guide (19287) $632 $3,545 1.0×
Perq dev breast 1st strtctc (19283) $632 $2,964.05 1.0×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $632 $1,808–$23,739.90 1.0×
Perq device breast 1st imag (19281) $1,474 $2,401.57 1.0×
Perq dilation xst trc endourologic px w/img (50436)
range across 2 matching MRF lines		 $3,146 $8,698.75–$28,056.90 1.0×
Perq Lumbosacral Injection (22511) $2,920 $5,075.91 1.0×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,920 $24,837.40 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $6,476 $11,801.70–$19,673.30 1.0×
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $6,476 $11,514–$19,987.70 1.0×
Pin Finger Dislocation (26776)
range across 2 matching MRF lines		 $2,920 $20,514.37–$20,514.40 1.0×
Place Cath Subclavian Art (36225) $2,818 $21,397.20 1.0×
Place Cath Thoracic Aorta (36221) $2,818 $7,240.97 1.0×
Place Cath Vertebral Art (36226) $4,966 $25,810.70 1.0×
Place Duod/Jej Tube Perc (49441) $1,712 $3,383.60 1.0×
Placement of needle for intraosseous infusion (36680) $398 $404.85 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,865 $8,580.80 1.0×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $5,283 $27,249.10 1.0×
Prim art mech thrombectomy (37184) $16,361 $8,272.88 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $830 $2,637.09 1.0×
Proctosgmdsc Rigid Control Bleeding (45317) $1,068 $4,683.45 1.0×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 2 matching MRF lines		 $2,477 $4,447.44–$19,254.20 1.0×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) $5,418 $10,840.70 1.0×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,920 $28,496.40 1.0×
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $6,476 $22,743.10–$22,743.11 1.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $6,476 $22,910 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,920 $28,778.50 1.0×
Pseudoaneurysm Injection Trt (36002) $559 $3,067.57 1.0×
Punch biopsy skin single lesion (11104) $362 $882.25 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $362 $1,679.85 1.0×
Puncture Aspiration Cyst Breast (19000) $632 $2,964.05 1.0×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115)
range across 2 matching MRF lines		 $1,435 $20,577.70–$20,577.72 1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116)
range across 2 matching MRF lines		 $2,920 $13,687.35–$13,687.40 1.0×
Rad resect elbow caps/sr bone w rels (24149)
range across 2 matching MRF lines		 $6,476 $26,659.20–$26,659.22 1.0×
Radical resection of tumor; scapula Facility (23210) $6,476 $61,769.40 1.0×
Radical styloidectomy separate procedure (25230) $2,920 $7,074.27 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,742 $20,014 1.0×
Rcnstj angular dfrm toe soft tiss px only (28313) $2,920 $5,667.08 1.0×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $2,920 $34,484.10 1.0×
Rcnstj Dislocating Patella (27420)
range across 2 matching MRF lines		 $6,476 $27,094.60–$27,094.62 1.0×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $6,476 $30,866.60 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,146 $4,427.82 1.0×
Realignment extensor tendon hand each tendon (26437) $2,920 $30,991.10 1.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $6,476 $34,484.10 1.0×
Redo Endovas Vena Cava Filtr (37192) $2,818 $18,989.30 1.0×
Relieve Pressure on Nerve(S) (64722) $1,742 $20,014 1.0×
Relocation Pocket Pacemaker (33222) $1,841 $7,682.65 1.0×
Rem Endovas Vena Cava Filter (37193) $2,818 $18,989.30 1.0×
Removal Embedded Foreign Body Eyelid (67938) $283 $1,227.25 1.0×
Removal Foreign Body Deep Thigh/Knee (27372) $2,592 $19,254.20 1.0×
Removal foreign body foot deep (28192) $1,474 $3,388.68 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $632 $1,397.82 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,474 $3,767.92–$19,254.20 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $52 $573.39 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $52 $257.65 1.0×
Removal Implant Deep (20680) $2,592 $26,438.60 1.0×
Removal of adenoids (42831) $2,959 $8,154.55 1.0×
Removal of adenoids (42830)
range across 2 matching MRF lines		 $2,959 $13,157–$13,157.01 1.0×
Removal of anterior instrumentation (22855) $6,476 $5,892.68 1.0×
Removal of bladder cyst (51500)
range across 2 matching MRF lines		 $5,395 $35,346.20–$35,346.21 1.0×
Removal of foot joint lining (28072)
range across 2 matching MRF lines		 $2,920 $15,754.36–$15,754.40 1.0×
Removal of foreign body from pharynx (42809) $398 $2,036.23 1.0×
Removal of heel spur (28119) $2,920 $19,254.20 1.0×
Removal of humerus lesion (23156)
range across 2 matching MRF lines		 $6,476 $28,664.56–$28,664.60 1.0×
Removal of implant from finger or hand (26320) $1,474 $19,254.20 1.0×
Removal of mammary implant material (19330)
range across 2 matching MRF lines		 $3,494 $31,638.25–$31,638.30 1.0×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $362 $4,002.66–$20,014 1.0×
Removal of sesamoid bone (28315) $2,920 $9,960 1.0×
Removal of testis (54520) $3,146 $19,254.20 1.0×
Removal of thyroid (60271) $5,283 $48,954.20 1.0×
Removal of tonsils (42826) $2,959 $23,631.50 1.0×
Removal of tunneled intraperitoneal catheter (49422) $2,818 $7,081.80 1.0×
Removal or bivalving full arm or full leg cast (29705) $249 $298.78 1.0×
Removal Pacemaker Electrode (33235) $3,335 $4,924.39 1.0×
Removal ppm generator only (33233) $7,385 $35,791.10 1.0×
Removal shoulder foreign body deep subfascial/im (23333) $2,592 $27,249.10 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $179 $351.53 1.0×
Removal subcutaneous cardiac rhythm monitor (33286)
range across 3 matching MRF lines		 $632 $2,746–$23,631.50 1.0×
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $1,435 $32,288.96–$32,289 1.0×
Removal/bivalving gauntlet boot/body cast (29700) $249 $290 1.0×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $1,865 $5,589 1.0×
Remove elbow lesion (24120)
range across 2 matching MRF lines		 $2,920 $14,792.27–$14,792.30 1.0×
Remove Elctrd Transvenously (33244) $3,335 $4,867.47 1.0×
Remove foreign body from eye (65205) $118 $411 1.0×
Remove Hand Bone Lesion (26200) $1,435 $19,254.20 1.0×
Remove Int Dwell Ureteral Stent Transurethral (50386) $1,865 $5,589 1.0×
Remove Intrauterine Device (58301) $271 $491 1.0×
Remove intrvas foreign body (37197) $2,818 $5,536.40 1.0×
Remove Lower Leg Bone Lesion (27635) $2,920 $20,014 1.0×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $559 $903.54–$20,014 1.0×
Remove Nasal Foreign Body (30300) $118 $538.15 1.0×
Remove prostate regrowth (52630) $4,785 $34,484.10 1.0×
Remove Pulse Generator (33241) $3,335 $19,958.80 1.0×
Remove renal tube w/fluoro (50389) $622 $1,387.02 1.0×
Remove Tendon Sheath Lesion (26160) $1,435 $20,094.90 1.0×
Remove&replace pm gen singl (33227) $7,385 $35,791.10 1.0×
Remv cartilage for graft nasal (20912)
range across 2 matching MRF lines		 $3,162 $18,250.10–$18,250.14 1.0×
Remv&replc cvd gen dual lead (33263) $19,852 $99,303.10 1.0×
Remv&replc cvd gen mult lead (33264) $28,015 $138,599 1.0×
Remv&replc cvd gen sing lead (33262) $19,852 $99,303.10 1.0×
Remv&replc pm gen dual lead (33228) $9,328 $44,986.10 1.0×
Remv&replc pm gen mult leads (33229) $17,191 $93,056.30 1.0×
Renal Biopsy Perq (50200) $1,474 $7,248.19 1.0×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580)
range across 2 matching MRF lines		 $4,785 $11,371.50–$11,371.55 1.0×
Repair Achilles Tendon (27650) $6,476 $33,037.10 1.0×
Repair Blood Vessel Direct Hand Finger (35207) $2,818 $14,716.60 1.0×
Repair Blood Vessel Direct Upper Extremity (35206) $2,818 $12,463.70 1.0×
Repair brow ptosis (67900) $2,121 $57,998 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $6,476 $34,484.10 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $659 $1,547.73 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $659 $1,623 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $362 $1,034 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $362 $1,419.30–$23,631.50 1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $362 $904 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $362 $1,151 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $659 $7,056.05 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $659 $2,036.23 1.0×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,435 $3,907.67–$21,210.30 1.0×
Repair Finger Tendon (26433) $2,920 $20,966.60 1.0×
Repair Finger/Hand Tendon (26350) $2,920 $30,991.10 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,920 $27,994.60 1.0×
Repair Foot Dislocation (28615) $6,476 $39,910.40 1.0×
Repair Forearm Tendon Sheath (25275) $2,920 $33,925.40 1.0×
Repair Hallux Rigidus (28289) $2,920 $22,425.70 1.0×
Repair Hand Joint (26540) $2,920 $23,282.80 1.0×
Repair Hand Tendon (26410) $1,435 $19,254.20 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,195 $23,631.50 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $362 $1,679.85 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $362 $1,679.85 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $362 $820.97 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $362 $2,087.14 1.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $362 $1,367.83 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $659 $2,036.23 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $362 $1,679.85 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $362 $1,679.85 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $659 $1,718.16 1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,841 $2,436.23 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $362 $1,679.85 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $362 $1,048.06 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $362 $1,679.85 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $659 $2,645.85 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $362 $1,679.85 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,841 $1,899.22 1.0×
Repair lead pace-defib dual (33220) $3,335 $19,958.80 1.0×
Repair Lead Pace-Defib One (33218) $3,335 $5,640.26 1.0×
Repair lower leg tendons (27676) $6,476 $61,757 1.0×
Repair nasal septal perforations (30630) $2,959 $41,719.10 1.0×
Repair Nasal Vestibular Stenosis (30465) $5,283 $7,181.96 1.0×
Repair Non/Malunion Humerus W/O Graft (24430) $11,458 $61,769.40 1.0×
Repair Nonunion Hand (26546) $6,476 $34,484.10 1.0×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
range across 2 matching MRF lines		 $6,476 $24,222.30–$24,222.33 1.0×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $6,476 $18,869.50 1.0×
Repair of metatarsals (28322) $6,476 $34,520.20 1.0×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $659 $2,645.85–$28,056.90 1.0×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $6,476 $32,190.90 1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $6,476 $35,689.90 1.0×
Repair of rectocele (45560)
range across 2 matching MRF lines		 $2,477 $31,638.25–$31,638.30 1.0×
Repair of Ruptured Tendon (24342) $6,476 $35,158 1.0×
Repair penis post injury (54440) $3,146 $20,014 1.0×
Repair secondary achilles tendon w/wo graft (27654) $6,476 $23,631.50 1.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $6,476 $38,342.50 1.0×
Repair Toe Dislocation (28645) $2,920 $7,023.65 1.0×
Repair tongue laceration (41252) $211 $2,036.23 1.0×
Repair tongue laceration (41250) $398 $848.06 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $6,476 $34,484.10 1.0×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines		 $6,476 $21,222.46–$21,222.50 1.0×
Repair/Graft Wrist Bone (25440) $6,476 $30,991.10 1.0×
Repair/Revise Wrist Joint (25320) $6,476 $24,166.20 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $809 $1,553.25 1.0×
Replace elbow joint (24363)
range across 2 matching MRF lines		 $15,649 $64,849.50–$64,849.51 1.0×
Replace G-J Tube Perc (49452) $809 $1,545 1.0×
Replace g/c tube perc (49450) $809 $861.18 1.0×
Reposition Gastrostomy Tube (43761) $222 $7,924.46 1.0×
Reposition L Ventric Lead (33226) $2,818 $5,728.44 1.0×
Reposition Pacing-Defib Lead (33215) $2,818 $13,428.40 1.0×
Reposition Venous Catheter (36597) $1,404 $6,154.64 1.0×
Repr elbow lat ligmnt w/tiss (24343) $2,920 $27,965.40 1.0×
Repr Elbw Med Ligmnt W/Tiss (24345)
range across 2 matching MRF lines		 $6,476 $16,095.46–$16,095.50 1.0×
Rerepair ing hernia reduce (49520) $3,195 $30,991.10 1.0×
Resection, partial or complete, phalangeal base, each toe (28126)
range across 2 matching MRF lines		 $2,920 $15,162.08–$15,162.10 1.0×
Revis reconst shoulder joint (23473) $11,458 $40,641.90 1.0×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $11,458 $44,867.40 1.0×
Revise Abdomen-Venous Shunt (49426) $3,195 $7,837.71 1.0×
Revise external ear (69300) $2,959 $51,530.80 1.0×
Revise Hand/Foot Nerve (64704) $1,742 $7,581.03 1.0×
Revise ulnar nerve at wrist (64719) $1,742 $7,230.07 1.0×
Revise/Repair Finger/Toe Nerve (64702)
range across 2 matching MRF lines		 $1,742 $11,178.90–$11,178.91 1.0×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $2,889 $20,014 1.0×
Revision of big toe (28310) $6,476 $6,055.58 1.0×
Revision of lower leg tendon (27685) $2,920 $19,254.20 1.0×
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $5,926 $50,178.05–$50,178.10 1.0×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $11,458 $48,954.20 1.0×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $6,476 $28,056.90 1.0×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $3,162 $17,981.10 1.0×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $15,649 $60,360.90 1.0×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $11,458 $38,468.10 1.0×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,120 $61,757 1.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,384 $5,185.74 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $809 $336.29 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,474 $20,014 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $398 $1,678.55 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $118 $442.81 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $398 $491.81 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $1,068 $4,971.45 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,592 $19,254.20 1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,474 $1,305 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,335 $16,543.90 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,404 $2,439.36–$19,366.20 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $559 $6,279.72–$20,014 1.0×
Rmvl/revj sling stress incontinence (57287) $2,889 $23,739.90 1.0×
Rplc Gtube No Revj Trc (43762) $222 $1,186.03 1.0×
Rplc gtube revj gstrst trc (43763) $222 $1,157.10 1.0×
Rplcmt cath ctr vad subq port/pmp (36578) $2,818 $3,886 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,404 $2,736.24 1.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,818 $6,741.99 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,404 $2,564 1.0×
Rplcmt compl tun ctr vad w/subq pmp (36583) $4,966 $11,385.80 1.0×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $2,818 $2,382.34–$28,926.40 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $2,818 $3,949–$23,631.50 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $5,395 $36,322.20 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $3,195 $20,502.77–$20,502.80 1.0×
Rpr aa hrn 1st 3-10 rdc (49593) $5,778 $31,236.80 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $5,395 $41,410.20 1.0×
Rpr blood vessel direct lower extremity (35226) $632 $3,600.85 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,404 $2,382.34 1.0×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $2,920 $27,249.10 1.0×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $6,476 $27,965.40 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $179 $1,438.29 1.0×
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $6,476 $17,167.10–$17,167.14 1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $659 $2,336.23 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $481 $1,850.62 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $481 $2,317.90 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,384 $2,036.23 1.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $6,476 $34,484.10 1.0×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $3,689 $10,142.30 1.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,920 $32,797.20 1.0×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,920 $8,047.73 1.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $2,920 $21,364–$21,364.04 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $559 $2,440.30 1.0×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426)
range across 2 matching MRF lines		 $2,920 $37,781.10–$37,781.11 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,920 $35,170.60 1.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370)
range across 2 matching MRF lines		 $2,920 $28,699.60–$28,699.64 1.0×
Sclerotx Fluid Collection (49185) $1,474 $4,709.90 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $2,959 $10,995.30–$22,188.40 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $830 $3,850.35 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,068 $4,971.45 1.0×
Shoulder Arthroscopy/Surgery (29825) $2,920 $23,739.90 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $179 $35,329.65–$35,329.70 1.0×
Sigmoidoscopy & decompress (45337) $830 $2,904.80 1.0×
Sigmoidoscopy & Polypectomy (45333) $830 $2,637.09 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,068 $2,904.80 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,068 $4,971.45 1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,068 $4,971.45 1.0×
Sigmoidoscopy w/fb removal (45332)
range across 2 matching MRF lines		 $1,068 $4,971.45–$22,188.40 1.0×
Sigmoidoscopy w/plcmt stent (45347) $5,418 $6,618.67 1.0×
Sigmoidoscopy W/Resection (45349) $2,477 $4,681.95 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $830 $3,850.35 1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,068 $4,971.45 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $362 $819.60 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $179 $848.06 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $179 $1,058.94 1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $362 $973 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $179 $1,248.61 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $179 $1,132.85 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $179 $1,058.94 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $179 $1,059 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $179 $1,438.29–$20,014 1.0×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,841 $14,995.30–$14,995.31 1.0×
Skin Pinch Graft (15050) $659 $1,611 1.0×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $659 $7,056.05–$20,713.30 1.0×
Skin sub graft trnk/arm/leg (15271) $659 $7,682.65 1.0×
Skin sub grft t/arm/lg child (15273) $1,841 $2,504.13 1.0×
Skn sub grft f/n/hf/g child (15277) $1,841 $4,680.92 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $4,966 $25,810.70 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,818 $21,397.20 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $4,966 $23,151.10 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $4,464 $24,909.60 1.0×
Slitting of prepuce (54001) $1,865 $3,174.52 1.0×
Small bowel endoscopy (44384) $1,712 $6,618.67 1.0×
Small bowel endoscopy (44366) $1,712 $3,575.28 1.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,712 $3,575.28 1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $5,418 $6,618.67 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $179 $1,248.61 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $362 $1,679.85 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $362 $1,765 1.0×
Sphincterotomy anal division sphincter spx (46080) $2,477 $20,014 1.0×
Spinal puncture lumbar diagnostic (62270) $630 $2,925.85 1.0×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,162 $5,651.15 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,841 $23,631.50 1.0×
Strapping ankle (29540) $145 $663.80 1.0×
Strapping elbow or wrist (29260) $52 $257.65 1.0×
Strapping hand/finger (29280) $52 $205 1.0×
Strapping Hip (29520) $118 $258.64 1.0×
Strapping knee (29530) $118 $243 1.0×
Strapping shoulder (29240) $118 $538.15 1.0×
Strapping thorax (29200) $145 $775.40 1.0×
Strapping toes (29550) $52 $271 1.0×
Strapping Unna Boot (29580) $145 $1,222.21 1.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $2,959 $11,012.20–$11,012.23 1.0×
Suction assisted lipectomy; trunk (15877) $3,162 $23,091.10 1.0×
Surg Implnt Neuroelect,Epidural (63655)
range across 2 matching MRF lines		 $17,314 $21,092.17–$21,092.20 1.0×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $5,283 $5,547.10 1.0×
Surg tx anal fistula subq (46270) $2,477 $20,014 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $1,742 $23,631.50 1.0×
Suture infrapatellar tendon primary (27380) $6,476 $27,249.10 1.0×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
range across 2 matching MRF lines		 $6,476 $40,867.96–$40,868 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385) $6,476 $46,980.20 1.0×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $6,476 $32,190.90 1.0×
Synovectomy Tendon Sheath Foot Extensor (28088) $2,920 $23,631.50 1.0×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)
range across 2 matching MRF lines		 $1,435 $26,285.86–$26,285.90 1.0×
Tangential biopsy skin single lesion (11102) $362 $882.25 1.0×
Tendon lengthening upper arm/elbow ea tendon (24305) $2,920 $22,989.40 1.0×
Tenodesis long tendon biceps (23430) $6,476 $32,190.90 1.0×
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 2 matching MRF lines		 $1,435 $11,944.96–$11,945 1.0×
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 2 matching MRF lines		 $2,920 $11,778.90–$11,778.94 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,435 $4,709.90 1.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 2 matching MRF lines		 $2,920 $15,328.80–$15,328.83 1.0×
Ther Apheresis,Red Blood Cells (36512) $1,390 $4,433.89 1.0×
Therapeutic Apheresis White Blood Cells (36511) $1,390 $3,936.48 1.0×
Therapeutic plasma exchange (36514) $1,390 $3,751 1.0×
Thoracoscopy w/bx nodule (32608) $9,487 $7,890 1.0×
Thoracoscopy w/bx pleura (32609) $5,395 $7,672 1.0×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) $9,487 $7,890 1.0×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) $5,395 $7,875 1.0×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) $9,487 $7,875 1.0×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $5,395 $5,481.50 1.0×
Thromblytic art/ven therapy (37213) $2,818 $3,938 1.0×
Thrombolytic Art Therapy (37211) $4,966 $4,955.98 1.0×
Thrombolytic Therapy Stroke (37195) $294 $2,112.19 1.0×
Thrombolytic Venous Therapy (37212) $2,818 $4,511.17 1.0×
Thyroid biopsy (60100) $632 $2,964.05 1.0×
Thyroidectomy, total or complete (60240) $5,395 $36,292.90 1.0×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $5,283 $41,719.10 1.0×
Tibial Arthroscopy/Surgery (29855) $6,476 $49,718 1.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,841 $38,326.70 1.0×
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines		 $2,920 $15,444.30–$15,444.32 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359) $2,920 $24,544.50 1.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,959 $25,122.60 1.0×
Total Knee Arthroplasty (27447) $11,458 $47,133.30 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $211 $2,251.87 1.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,384 $2,196 1.0×
Tracheostomy planned (31600) $2,959 $4,878.37 1.0×
Transcatheter biopsy (37200) $4,966 $3,965.73 1.0×
Transplant hand tendon (26480) $2,920 $30,866.60 1.0×
Transur electr resection of prostate (52601) $4,785 $33,278.30 1.0×
Treat ankle fracture (28445) $6,476 $27,249.10 1.0×
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $2,920 $29,044.66–$29,044.70 1.0×
Treat Dental Ridge Fracture (21440) $2,959 $9,731 1.0×
Treat dislocation/fracture (23680) $11,458 $27,965.40 1.0×
Treat Elbow Fracture (24635) $6,476 $21,192.20 1.0×
Treat Finger Fracture Each (26727) $2,920 $20,918.40 1.0×
Treat fracture radius/ulna (25575) $6,476 $52,571.70 1.0×
Treat Fx Rad Extra-Articul (25607) $6,476 $26,462.60 1.0×
Treat Hip Socket Fracture (27222) $220 $2,958.33 1.0×
Treat humerus fracture (24500) $220 $1,002.35 1.0×
Treat Humerus Fracture (24505) $1,435 $5,482.25 1.0×
Treat humerus fracture (23600) $220 $710 1.0×
Treat knee fracture (27532) $2,920 $6,560.90 1.0×
Treat Knee Fracture(S) (27538) $220 $1,069.15 1.0×
Treat kneecap dislocation (27566) $6,476 $27,965.40 1.0×
Treat Kneecap Fracture (27524) $6,476 $30,110.80 1.0×
Treat Knuckle Dislocation (26700) $220 $620 1.0×
Treat Metatarsal Fracture (28475) $220 $993.45 1.0×
Treat scapula fracture (23585) $6,476 $34,484.10 1.0×
Treat Tail Bone Fracture (27200) $220 $845.45 1.0×
Treat Thumb Dislocation (26641) $220 $639.39 1.0×
Treat Thumb Fracture (26645) $1,435 $5,482.25 1.0×
Treat toe dislocation (28630) $220 $542 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,435 $2,879.98 1.0×
Treatment closed elbow dislocation w/o anes (24600) $220 $993.45 1.0×
Treatment of ankle fracture (27823) $6,476 $45,336.70 1.0×
Treatment of nose fracture (21330) $5,283 $38,101.60 1.0×
Trim skin lesion (11055) $179 $843.40 1.0×
Trim skin lesions 2 to 4 (11056) $179 $917.79 1.0×
Trim skin lesions over 4 (11057) $179 $354.60 1.0×
Trimming Nondystrophic Nails Any Number (11719) $52 $337.93 1.0×
Trluml Balo Angiop 1St Art (37246) $5,079 $24,115.80 1.0×
Trluml Balo Angiop 1St Vein (37248) $5,079 $24,115.80 1.0×
Tx Gastro Intub W/Asp (43753) $192 $269 1.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $11,458 $44,867.40 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,889 $5,584.28 1.0×
Tx open tendon flexor toe 1 tendon spx (28232) $1,435 $4,365.78 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,435 $4,386 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $659 $1,164.23 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,435 $5,482.25 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $220 $579.80 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $11,458 $38,529.20 1.0×
Tympanoplasty (69631) $5,283 $41,882 1.0×
Tympanostomy general anesthesia (69436) $1,384 $19,254.20 1.0×
Unlisted Cardiac Surgery (33999) $559 $3,100 1.0×
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $5,395 $15,536.08–$15,536.10 1.0×
Unlisted laparoscopy procedure stomach (43659) $5,395 $39,321.70 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $5,395 $14,808.90–$14,808.91 1.0×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
range across 2 matching MRF lines		 $5,395 $23,668.39–$23,668.40 1.0×
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $830 $20,514.37–$20,514.40 1.0×
Unlisted procedure arthroscopy (29999) $220 $46,747.80 1.0×
Unlisted Procedure Casting/Strapping (29799) $145 $357.72 1.0×
Unlisted Procedure Endocrine System (60699) $5,395 $21,198 1.0×
Unlisted Procedure Esophagus (43499) $809 $4,127.55 1.0×
Unlisted procedure femur or knee (27599) $220 $34,484.10 1.0×
Unlisted procedure foot or toes (28899) $220 $19,634.10 1.0×
Unlisted Procedure Intestine (44799) $809 $3,929.60 1.0×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines		 $220 $17,167.10–$17,167.14 1.0×
Unlisted procedure nervous system (64999) $273 $1,247.75 1.0×
Unlisted procedure pelvis/hip joint (27299) $220 $38,155.80 1.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $211 $1,058 1.0×
Unlisted procedure stomach (43999) $809 $4,230.74 1.0×
Unlisted Procedure Vascular Surgery (37799) $559 $4,476.05 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $809 $4,048 1.0×
Upgrade of pacemaker system (33214) $9,328 $19,895.60 1.0×
Vaginal delivery only (59409) $2,889 $4,199 1.0×
Vasc embolize/occlude artery (37242) $16,361 $14,621 1.0×
Vasc Embolize/Occlude Bleed (37244) $10,303 $14,755.10 1.0×
Vasc Embolize/Occlude Organ (37243) $10,303 $19,612.50 1.0×
Vasc embolize/occlude venous (37241) $10,303 $21,602.90 1.0×
Venous Mech Thrombectomy (37187) $10,303 $46,346.30 1.0×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $2,959 $20,014–$20,014.02 1.0×
Wedge excision skin nail fold (11765) $362 $1,679.85 1.0×
Wedging of cast (29740) $249 $237.08 1.0×
Windowing of cast (29730) $145 $294.80 1.0×
Wound Prep F/N/Hf/G (15004) $362 $1,619.01 1.0×
Wound Prep Trk/Arm/Leg (15002) $659 $1,563.65 1.0×
Wrist arthroscopy (29840)
range across 2 matching MRF lines		 $2,920 $22,905.95–$22,906 1.0×

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.