Procedures & surgery prices at Rochester General Hospital
Rochester, NY · every code in this section with a posted price and a Medicare benchmark.
1350 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,195.76 | $3,378.09 | 1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $2,195.76 | $3,378.09 | 1.9× |
| Abdomen Surgery Procedure (22999) | $18,672.82 | $28,727.42 | 60.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $14,590.10 | $22,446.30 | 0.7× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $14,590.10 | $22,446.30 | 1.6× |
| Acne surgery (10040) | $584.21 | $898.79 | 2.3× |
| Acromiopl/Acromionect Partial (23130) | $8,441.76 | $12,987.33 | 2.1× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $2,048.16 | $3,151.02 | 0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $2,147.39 | $3,303.67 | 0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $6,343.78 | $9,759.66 | 1.4× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $2,699.50 | $4,153.08 | 1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,299.08 | $3,537.05 | 0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,076.42 | $3,194.49 | 0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $2,699.50 | $4,153.08 | 1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $2,299.08 | $3,537.05 | 0.9× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) | $14,590.10 | $22,446.30 | 1.6× |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) | $7,267.74 | $11,181.14 | 1.8× |
| Amniocentesis diagnostic (59000) | $2,023.38 | $3,112.90 | 1.8× |
| Amniocentesis therapeutic (59001) | $958.48 | $1,474.58 | 2.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $8,441.76 | $12,987.33 | 2.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $8,441.76 | $12,987.33 | 2.1× |
| Amputate Thigh,Re-Amputatn (27596) | $10,645.06 | $16,377.01 | 2.6× |
| Amputation foot transmetarsal (28805) | $6,661.44 | $10,248.37 | 1.6× |
| Amputation metatarsal with toe single (28810) | $6,661.44 | $10,248.37 | 1.6× |
| Amputation thigh through femur any level (27590) | $10,052.96 | $15,466.10 | 2.5× |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$6,661.44–$6,787.76 | $10,248.37–$10,442.70 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $6,661.44 | $10,248.37 | 1.6× |
| Amputation, leg, through tibia and fibula; (27880) | $13,878.33 | $21,351.28 | 1.5× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | $5,940.88 | $9,139.81 | 1.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $5,940.88 | $9,139.81 | 1.5× |
| Anal/Urinary Muscle Study (51784) | $482.35 | $742.07 | 3.0× |
| Anorectal myomectomy (45108) | $7,499.82 | $11,538.19 | 2.2× |
| Anoscopy Control Bleeding (46614) | $2,598.09 | $3,997.06 | 1.7× |
| Anoscopy diagnostic (46600) | $335.52 | $516.18 | 2.0× |
| Anoscopy remove lesion (46610) | $7,499.82 | $11,538.19 | 2.2× |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,985.22 | $3,054.18 | 1.7× |
| Anoscopy; with biopsy, single or multiple (46606) | $2,338.31 | $3,597.40 | 1.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $7,499.82 | $11,538.19 | 2.2× |
| Apheresis Platelets (36513) | $1,049.07 | $1,613.95 | 1.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $4,572.13 | $7,034.04 | 2.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $373.76 | $575.01 | 1.8× |
| Application cast elbow finger short arm (29075) | $850.82 | $1,308.96 | 2.4× |
| Application Finger Splint Dynamic (29131) | $160.91 | $247.56 | 2.2× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$126.95–$239.43 | $195.31–$368.35 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$253.56–$484.07 | $390.09–$744.72 | varies |
| Application Long Leg Cast Brace (29358) | $850.82 | $1,308.96 | 2.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$655.97–$850.82 | $1,009.19–$1,308.96 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$461.03–$484.07 | $709.27–$744.72 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$655.97–$850.82 | $1,009.19–$1,308.96 | varies |
| Application of long leg cast (29345) | $850.82 | $1,308.96 | 2.4× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$655.97–$850.82 | $1,009.18–$1,308.96 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $655.97 | $1,009.19 | 1.9× |
| Application short arm splint forearm-hand static (29125) | $335.52 | $516.18 | 2.0× |
| Application short leg splint calf foot (29515) | $484.07 | $744.72 | 2.4× |
| Apply hand/wrist cast (29085) | $373.76 | $575.01 | 1.8× |
| Apply long arm cast (29065) | $850.82 | $1,308.96 | 2.4× |
| Apply Multlay Comprs Lwr Leg (29581) | $484.07 | $744.72 | 2.4× |
| Apply Short Leg Cast (29405) | $850.82 | $1,308.96 | 2.4× |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$655.97–$850.82 | $1,009.19–$1,308.96 | varies |
| Arterial puncture (36600) | $335.52 | $516.18 | 2.0× |
| Arteriovenous Anastomosis Open Direct (36821) | $5,265.85 | $8,101.31 | 1.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) | $9,246.97 | $14,226.11 | 1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$277.89–$418.44 | $427.53–$643.75 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $852.20 | $1,311.08 | 1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $418.44 | $643.75 | 1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $418.44 | $643.75 | 1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $418.44 | $643.75 | 1.1× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) | $19,836.10 | $30,517.07 | 1.2× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) | $11,613.41 | $17,866.79 | 1.6× |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) unusually low: confirm this is the full procedure |
$15,096.94 | $23,226.06 | 0.4× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) | $5,712.22 | $8,788.03 | 1.4× |
| Arthrotomy Wrist Joint With Biopsy (25100) | $2,726.09 | $4,193.99 | 0.7× |
| Arthrotomy wrist joint with synovectomy (25105) | $8,441.76 | $12,987.33 | 2.1× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) | $8,441.76 | $12,987.33 | 2.1× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) | $8,441.76 | $12,987.33 | 2.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $3,251.90 | $5,002.93 | 1.6× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $8,441.76 | $12,987.33 | 2.1× |
| Aspirate pleura w/ imaging (32555) | $2,053.14 | $3,158.68 | 2.6× |
| Aspirate Pleura W/O Imaging (32554) | $2,053.14 | $3,158.68 | 2.6× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$291.80–$418.44 | $448.93–$643.75 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $1,994.36 | $3,068.25 | 2.3× |
| Aspiration and/or injection thyroid cyst (60300) | $1,994.36 | $3,068.25 | 2.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $5,191.40 | $7,986.77 | 2.0× |
| Aspiration Bladder Needle (51100) | $1,966.48 | $3,025.35 | 6.3× |
| Aspiration bladder trocar/intracatheter (51101) | $3,243.02 | $4,989.26 | 3.0× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) | $3,487.56 | $5,365.48 | 1.2× |
| Av fistula revision (36833) | $9,246.97 | $14,226.11 | 1.3× |
| Av Fistula Revision Open (36832) | $10,013.41 | $15,405.24 | 1.4× |
| Av Fuse Uppr Arm Basilic (36819) | $10,013.41 | $15,405.24 | 1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) | $584.21 | $898.79 | 2.3× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $8,417.52 | $12,950.03 | 1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $14,223.16 | $21,881.79 | 1.1× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $8,417.52 | $12,950.03 | 1.0× |
| Biopsy Abdominal Mass (49180) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$5,610.38–$5,754.62 | $8,631.35–$8,853.26 | varies |
| Biopsy bone trocar/needle deep (20225) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$2,726.09–$2,995.10 | $4,193.99–$4,607.85 | varies |
| Biopsy External Auditory Canal (69105) | $3,239.40 | $4,983.70 | 1.7× |
| Biopsy external ear (69100) | $1,628.32 | $2,505.11 | 5.5× |
| Biopsy muscle percutaneous needle (20206) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy Muscle Superficial (20200) | $4,582.16 | $7,049.47 | 2.2× |
| Biopsy nail unit (11755) | $1,994.36 | $3,068.25 | 2.3× |
| Biopsy of breast; open, incisional (19101) | $9,100.68 | $14,001.05 | 1.9× |
| Biopsy of conjunctiva (68100) | $5,865.26 | $9,023.48 | 2.0× |
| Biopsy of cornea (65410) | $5,865.26 | $9,023.48 | 2.0× |
| Biopsy of floor of mouth (41108) range across 2 matching MRF lines |
$3,433.44–$3,812.63 | $5,282.22–$5,865.59 | varies |
| Biopsy of lip (40490) | $448.85 | $690.54 | 1.5× |
| Biopsy of liver, needle; percutaneous (47000) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy of nerve (64795) | $5,482.43 | $8,434.51 | 2.2× |
| Biopsy of palate, uvula (42100) range across 2 matching MRF lines |
$2,785.18–$3,239.40 | $4,284.89–$4,983.70 | varies |
| Biopsy of penis (54100) | $4,582.16 | $7,049.47 | 2.2× |
| Biopsy of rectum (45100) | $7,499.82 | $11,538.19 | 2.2× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $9,100.68 | $14,001.05 | 1.9× |
| Biopsy Oropharynx (42800) range across 2 matching MRF lines |
$3,239.40–$4,858.50 | $4,983.70–$7,474.61 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy Salivary Gland Incisional (42405) | $3,239.40 | $4,983.70 | 1.7× |
| Biopsy Salivary Gland Needle (42400) range across 2 matching MRF lines |
$1,496.14–$1,994.36 | $2,301.76–$3,068.25 | varies |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $3,419.83 | $5,261.28 | 0.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy soft tissue neck/thorax (21550) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $2,726.09 | $4,193.99 | 1.3× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $2,596.29 | $3,994.29 | 1.3× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,628.32 | $2,505.11 | 2.4× |
| Biopsy Tongue Posterior One-Third (41105) range across 2 matching MRF lines |
$6,004.78–$6,419.65 | $9,238.13–$9,876.39 | varies |
| Biopsy Vaginal Mucosa Simple (57100) | $2,023.38 | $3,112.90 | 1.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $2,023.38 | $3,112.90 | 1.8× |
| Biopsy, vestibule of mouth (40808) | $1,628.32 | $2,505.11 | 2.4× |
| Bladder instillation anticarcinogenic agent (51720) | $293.47 | $451.49 | 0.3× |
| Bladder Irrigation (51700) | $293.47 | $451.49 | 0.9× |
| Bladder Scan (51798) | $192.19 | $295.67 | 2.6× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $3,624.31 | $5,575.86 | 1.9× |
| Blepharotomy drainage abscess eyelid (67700) | $918.99 | $1,413.83 | 2.3× |
| Blood Transfusion Service (36430) | $1,049.07 | $1,613.95 | 1.9× |
| Blood/Lymph System Procedure (38999) | $1,049.07 | $1,613.95 | 1.9× |
| Bone Marrow Biopsy (38221) | $2,726.09 | $4,193.99 | 1.3× |
| Bone Marrow; Aspiration Only (38220) | $4,582.16 | $7,049.47 | 2.2× |
| Brnchsc Brushing/Protected Brushings (31623) | $4,480.42 | $6,892.95 | 2.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $8,641.97 | $13,295.34 | 1.9× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $8,641.97 | $13,295.34 | 1.9× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $8,641.97 | $13,295.34 | 1.9× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $8,641.97 | $13,295.34 | 1.9× |
| Bronchoscopy Balloon Occlusion (31634) | $14,274.44 | $21,960.67 | 1.6× |
| Bronchoscopy Bronch Stents (31636) | $14,274.44 | $21,960.67 | 1.6× |
| Bronchoscopy Clear Airways (31645) | $4,480.42 | $6,892.95 | 2.0× |
| Bronchoscopy Dilate W/Stent (31631) | $12,527.48 | $19,273.05 | 1.4× |
| Bronchoscopy Reclear Airway (31646) | $1,345.65 | $2,070.23 | 2.8× |
| Bronchoscopy W/Biopsy(S) (31625) | $4,480.42 | $6,892.95 | 2.0× |
| Bronchoscopy W/Excision Tumor (31640) | $6,764.52 | $10,406.95 | 1.5× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $12,246.23 | $18,840.35 | 1.4× |
| Bronchoscopy W/Removal Foreign Body (31635) | $4,480.42 | $6,892.95 | 2.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $8,641.97 | $13,295.34 | 1.9× |
| Bronchoscopy/Needle Bx Each (31629) | $8,641.97 | $13,295.34 | 1.9× |
| Bx breast 1st lesion mr imag (19085) | $4,582.16 | $7,049.47 | 2.2× |
| Bx breast 1st lesion strtctc (19081) | $4,582.16 | $7,049.47 | 2.2× |
| Bx breast 1st lesion us imag (19083) | $4,582.16 | $7,049.47 | 2.2× |
| Bx breast needle core w/o imaging guidance spx (19100) | $4,582.16 | $7,049.47 | 2.2× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$1,569.72–$1,927.04 | $2,414.96–$2,964.68 | varies |
| Canthotomy Separate Procedure (67715) | $5,865.26 | $9,023.48 | 2.0× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) | $14,590.10 | $22,446.30 | 1.6× |
| Cataract surgery complex (66982) | $4,946.91 | $7,610.63 | 1.7× |
| Catheter aspiration nasotracheal spx (31720) | $527.84 | $812.06 | 1.9× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $958.48 | $1,474.58 | 2.5× |
| Cautery Cervix Electro/Thermal (57510) | $7,627.40 | $11,734.46 | 1.9× |
| Cerclage cervix pregnancy vaginal (59320) | $7,627.40 | $11,734.46 | 1.9× |
| Cessj Therapy Cath Removal (37214) | $2,535.44 | $3,900.68 | 0.6× |
| Change Cystostomy Tube Complicated (51710) | $1,966.48 | $3,025.35 | 2.3× |
| Change Cystostomy Tube Simple (51705) | $293.47 | $451.49 | 0.9× |
| Change of Windpipe Airway (31502) | $618.08 | $950.90 | 2.1× |
| Change ureter stent percut (50382) | $5,191.40 | $7,986.77 | 2.0× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$584.21–$1,306.21 | $898.79–$2,009.56 | varies |
| Chemical Pleurodesis (32560) range across 3 matching MRF lines |
$2,053.14–$11,411.70 | $3,158.68–$17,556.46 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $852.20 | $1,311.08 | 1.0× |
| Chemodenerv 1 extremity 1-4 (64642) | $852.20 | $1,311.08 | 1.0× |
| Chemodenerv Eccrine Glands (64650) | $418.44 | $643.75 | 1.1× |
| Chemodenerv Musc Migraine (64615) | $418.44 | $643.75 | 1.1× |
| Chemodenerv musc neck dyston (64616) | $418.44 | $643.75 | 1.1× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $418.44 | $643.75 | 1.1× |
| Chemodenerv trunk musc 1-5 (64646) | $852.20 | $1,311.08 | 1.0× |
| Chemodenerv trunk musc 6/> (64647) | $852.20 | $1,311.08 | 1.0× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) | $852.20 | $1,311.08 | 1.0× |
| Chemodenervation of extraocular muscle (67345) | $918.99 | $1,413.83 | 2.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $418.44 | $643.75 | 1.1× |
| Chest tube placement (32551) | $2,535.44 | $3,900.68 | 1.3× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $5,191.40 | $7,986.77 | 2.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $8,417.52 | $12,950.03 | 1.9× |
| Chorionic Villus Sampling (59015) | $1,624.23 | $2,498.81 | 1.4× |
| Circumcision w/clamp/oth dev w/block (54150) | $279.18 | $429.50 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $4,572.13 | $7,034.04 | 2.3× |
| Claviculectomy partial (23120) | $8,441.76 | $12,987.33 | 2.1× |
| Clear outer ear canal (69200) | $335.52 | $516.18 | 2.0× |
| Closed Rx Spontaneous Hip Disloc (27256) | $623.11 | $958.63 | 2.0× |
| Closed Treat Vert Body Fract (22310) | $495.44 | $762.22 | 1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $763.42 | $1,174.50 | 2.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $3,638.80 | $5,598.16 | 1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $763.42 | $1,174.50 | 2.5× |
| Closed Treatment Sesamoid Fracture (28530) | $623.11 | $958.63 | 2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$623.11–$763.42 | $958.63–$1,174.50 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $763.42 | $1,174.50 | 2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $4,572.13 | $7,034.04 | 2.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$623.11–$654.26 | $958.63–$1,006.56 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $654.26 | $1,006.56 | 2.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $763.42 | $1,174.50 | 2.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $4,572.13 | $7,034.04 | 2.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $763.42 | $1,174.50 | 2.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $623.11 | $958.63 | 2.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $4,572.13 | $7,034.04 | 2.3× |
| Closed tx knee dislocation w/o anesthesia (27550) | $763.42 | $1,174.50 | 2.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $4,572.13 | $7,034.04 | 2.3× |
| Closed tx mandibular fracture w/manipulation (21451) | $3,762.02 | $5,787.73 | 1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,628.32 | $2,505.11 | 2.4× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $14,043.05 | $21,604.69 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $763.42 | $1,174.50 | 2.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $4,572.13 | $7,034.04 | 2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $3,762.02 | $5,787.73 | 1.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $5,718.87 | $8,798.26 | 1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) | $529.65 | $814.84 | 1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $763.42 | $1,174.50 | 2.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $763.42 | $1,174.50 | 2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$3,465.54–$4,572.13 | $5,331.60–$7,034.04 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $763.42 | $1,174.50 | 2.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $4,572.13 | $7,034.04 | 2.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $623.11 | $958.63 | 2.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $4,572.13 | $7,034.04 | 2.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$623.11–$763.42 | $958.63–$1,174.50 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$622.34–$763.42 | $957.45–$1,174.50 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $763.42 | $1,174.50 | 2.5× |
| Closed tx talus fracture w/o manipulation (28430) | $623.11 | $958.63 | 2.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $3,762.02 | $5,787.73 | 1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $763.42 | $1,174.50 | 2.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $4,572.13 | $7,034.04 | 2.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $763.42 | $1,174.50 | 2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $763.42 | $1,174.50 | 2.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $618.08 | $950.90 | 2.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,628.32 | $2,505.11 | 2.4× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) | $7,627.40 | $11,734.46 | 1.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $763.42 | $1,174.50 | 2.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $763.42 | $1,174.50 | 2.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $4,572.13 | $7,034.04 | 2.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $763.42 | $1,174.50 | 2.5× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $484.69 | $745.67 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $4,572.13 | $7,034.04 | 2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $763.42 | $1,174.50 | 2.5× |
| Clsr Lacrimal Punctum Plug Each (68761) | $918.99 | $1,413.83 | 2.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $492.70 | $758 | 1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $3,413.24 | $5,251.14 | 1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $763.42 | $1,174.50 | 2.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$623.11–$763.42 | $958.63–$1,174.50 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $763.42 | $1,174.50 | 2.5× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $494.49 | $760.75 | 1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $763.42 | $1,174.50 | 2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $763.42 | $1,174.50 | 2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $763.42 | $1,174.50 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $763.42 | $1,174.50 | 2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $763.42 | $1,174.50 | 2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$495.44–$763.42 | $762.22–$1,174.50 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $544.83 | $838.20 | 1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$623.11–$763.42 | $958.63–$1,174.50 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $763.42 | $1,174.50 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $763.42 | $1,174.50 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $763.42 | $1,174.50 | 2.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $567.91 | $873.71 | 1.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $763.42 | $1,174.50 | 2.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $494.49 | $760.75 | 1.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $763.42 | $1,174.50 | 2.5× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$623.11–$654.23 | $958.63–$1,006.51 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$494.49–$623.11 | $760.75–$958.63 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $3,188.88 | $4,905.97 | 1.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $850.82 | $1,308.96 | 2.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $763.42 | $1,174.50 | 2.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $850.82 | $1,308.96 | 2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $763.42 | $1,174.50 | 2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Medial Ankle Fx (27760) | $763.42 | $1,174.50 | 2.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $763.42 | $1,174.50 | 2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $763.42 | $1,174.50 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $763.42 | $1,174.50 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $763.42 | $1,174.50 | 2.5× |
| Cltx post hip arthrp dislc req anes (27266) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) | $763.42 | $1,174.50 | 2.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx prox fibula/shft fx w/o manj (27780) | $623.11 | $958.63 | 2.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $763.42 | $1,174.50 | 2.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$623.11–$763.42 | $958.63–$1,174.50 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$623.11–$763.42 | $958.63–$1,174.50 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $763.42 | $1,174.50 | 2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $4,572.13 | $7,034.04 | 2.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$623.11–$727.07 | $958.63–$1,118.57 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $335.52 | $516.18 | 2.0× |
| Collection of venous blood by venipuncture (36415) | $22.86 | $35.17 | 2.4× |
| Colonoscopy w/ablation (45388) | $3,186.98 | $4,903.04 | 2.1× |
| Colporrhaphy (57200) | $7,627.40 | $11,734.46 | 1.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $958.48 | $1,474.58 | 2.5× |
| Colposcopy Cervix Endocervical Curettage (57456) | $958.48 | $1,474.58 | 2.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $558.63 | $859.43 | 2.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $958.48 | $1,474.58 | 2.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $5,900.14 | $9,077.14 | 1.5× |
| Colposcopy entire vagina w/cervix if present (57420) | $718.54 | $1,105.44 | 1.9× |
| Colposcopy of vulva (56820) | $558.63 | $859.43 | 2.2× |
| Colposcopy Vulva W/Biopsy (56821) | $757.63 | $1,165.59 | 2.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $2,023.38 | $3,112.90 | 1.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $3,186.98 | $4,903.04 | 2.1× |
| Complex Cystometrogram (51726) | $1,966.48 | $3,025.35 | 6.3× |
| Complex drainage wound (10180) | $7,746.22 | $11,917.26 | 2.1× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $7,627.40 | $11,734.46 | 1.9× |
| Contour of face bone lesion (21029) | $7,267.74 | $11,181.14 | 1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$261.42–$335.52 | $402.18–$516.18 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$239.84–$335.52 | $368.99–$516.18 | varies |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$1,152.40–$1,550.78 | $1,772.93–$2,385.81 | varies |
| Conversion ext bil drg cath (47535) | $8,417.52 | $12,950.03 | 1.9× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $4,441.33 | $6,832.82 | 1.9× |
| Convert Nephrostomy Catheter (50434) | $5,191.40 | $7,986.77 | 2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,740.87 | $5,755.19 | 1.8× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $574.95 | $884.54 | 1.0× |
| Correction of trichiasis; epilation, by forceps only (67820) | $335.52 | $516.18 | 2.0× |
| Crd ceramides liq chrom plsm (0119U) | $185.69 | $285.67 | 2.2× |
| Create Eardrum Opening (69433) | $1,152.40 | $1,772.93 | 1.7× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $9,733.81 | $14,975.09 | 1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$264.17–$335.52 | $406.42–$516.18 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $618.08 | $950.90 | 2.1× |
| Curettage postpartum (59160) | $7,627.40 | $11,734.46 | 1.9× |
| Curette/treat cornea (65435) | $2,693.73 | $4,144.20 | 2.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $5,191.40 | $7,986.77 | 2.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $5,191.40 | $7,986.77 | 2.0× |
| Cysto w/insert ureteral stent (52332) | $8,076.85 | $12,425.93 | 1.8× |
| Cysto w/removal of lesions small (52224) | $5,191.40 | $7,986.77 | 1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 3 matching MRF lines |
$3,853.20–$5,191.40 | $5,928–$7,986.77 | varies |
| Cystometrogram W/Up (51727) | $1,966.48 | $3,025.35 | 2.3× |
| Cystometrogram W/Vp (51728) | $1,966.48 | $3,025.35 | 2.3× |
| Cystometrogram W/Vp&Up (51729) | $1,966.48 | $3,025.35 | 2.3× |
| Cystourethroscopy (52000) | $1,966.48 | $3,025.35 | 2.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $5,191.40 | $7,986.77 | 2.0× |
| Cystourethroscopy with biopsy (52204) | $4,211.14 | $6,478.68 | 1.6× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) | $8,076.85 | $12,425.93 | 1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$1,331.20–$1,651.23 | $2,048–$2,540.35 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $7,746.22 | $11,917.26 | 2.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,994.36 | $3,068.25 | 2.3× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,994.36 | $3,068.25 | 2.3× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) | $8,441.76 | $12,987.33 | 2.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) | $6,661.44 | $10,248.37 | 1.6× |
| Dcmprn fasct leg post compartment only (27601) | $6,661.44 | $10,248.37 | 1.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$1,351.56–$1,651.23 | $2,079.32–$2,540.35 | varies |
| Debride nail 1-5 (11720) | $192.19 | $295.67 | 2.6× |
| Debride nail 6 or more (11721) | $192.19 | $295.67 | 2.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$2,995.10–$4,582.16 | $4,607.85–$7,049.47 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) | $444.74 | $684.22 | 1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$911.47–$1,107.30 | $1,402.26–$1,703.54 | varies |
| Declot vascular device (36593) range across 5 matching MRF lines |
$545.35–$590.24 | $839–$908.06 | varies |
| Decomp forearm,1 compart,w/o debride (25020) | $3,053.43 | $4,697.59 | 1.5× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) | $8,441.76 | $12,987.33 | 2.1× |
| Decompression of leg (27892) | $8,441.76 | $12,987.33 | 2.1× |
| Deep Muscle Biopsy (20205) | $3,419.83 | $5,261.28 | 0.9× |
| Delivery of placenta (59414) range across 3 matching MRF lines |
$7,095.25–$7,627.40 | $10,915.77–$11,734.46 | varies |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) | $2,699.50 | $4,153.08 | 1.0× |
| Destr penis lesion(s) (54065) | $2,699.50 | $4,153.08 | 1.0× |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,188.39 | $3,366.76 | 2.0× |
| Destroy cerv/thor facet jnt (64633) | $5,482.43 | $8,434.51 | 2.2× |
| Destroy lumb/sac facet jnt (64635) | $5,482.43 | $8,434.51 | 2.2× |
| Destruc retinal lesn,photocoag (67210) | $1,639.22 | $2,521.88 | 2.4× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$497.06–$584.21 | $764.71–$898.79 | varies |
| Destruction Benign Lesions 15/> (17111) | $584.21 | $898.79 | 2.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $2,188.39 | $3,366.76 | 2.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $236.11 | $363.24 | 0.6× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $3,186.98 | $4,903.04 | 2.1× |
| Destruction Lesions Vulva Extensive (56515) | $2,699.50 | $4,153.08 | 1.0× |
| Destruction Lesions Vulva Simple (56501) | $2,699.50 | $4,153.08 | 1.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $1,107.30 | $1,703.54 | 4.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $303.83 | $467.43 | 1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $1,107.30 | $1,703.54 | 2.2× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $1,331.20 | $2,048 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $1,651.23 | $2,540.35 | 1.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $497.06 | $764.71 | 2.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $473.39 | $728.29 | 1.9× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $584.21 | $898.79 | 2.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $1,107.30 | $1,703.54 | 2.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $1,107.30 | $1,703.54 | 2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $584.21 | $898.79 | 2.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $584.21 | $898.79 | 2.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $584.21 | $898.79 | 2.3× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $1,107.30 | $1,703.54 | 2.2× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $1,107.30 | $1,703.54 | 2.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $4,556.99 | $7,010.75 | 1.9× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $2,693.73 | $4,144.20 | 2.2× |
| Destruction of rectal tumor transanal approach (45190) | $7,499.82 | $11,538.19 | 2.2× |
| Destruction of skin lesions (17106) | $1,107.30 | $1,703.54 | 2.2× |
| Destruction Premalignant Lesion 15/> (17004) | $1,107.30 | $1,703.54 | 2.2× |
| Destruction premalignant lesion 1st (17000) | $584.21 | $898.79 | 2.3× |
| Diagnostic sigmoidoscopy (45330) | $2,393.41 | $3,682.17 | 2.1× |
| Diaphragm or cervical cap fitting with instructions (57170) | $558.63 | $859.43 | 2.2× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $482.35 | $742.07 | 3.0× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $335.52 | $516.18 | 2.0× |
| Dilat rct strix spx under anes oth/thn local (45910) | $3,186.98 | $4,903.04 | 2.1× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $335.52 | $516.18 | 2.0× |
| Dilat Xst Trc New Access Rcs (50437) | $7,428.10 | $11,427.84 | 1.7× |
| Dilate Esophagus 1/Mult Pass (43450) | $2,195.76 | $3,378.09 | 1.9× |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$293.47–$324.29 | $451.49–$498.91 | varies |
| Dilation Esophagus Guide Wire (43453) range across 2 matching MRF lines |
$3,605.15–$4,441.33 | $5,546.38–$6,832.82 | varies |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $440.81 | $678.17 | 0.8× |
| Dilation of vagina (57400) | $7,627.40 | $11,734.46 | 1.9× |
| Dilation Salivary Duct (42650) | $3,453.20 | $5,312.61 | 1.8× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) | $9,246.97 | $14,226.11 | 1.3× |
| Discission Secondary Membranous Cataract (66820) | $4,946.91 | $7,610.63 | 1.7× |
| Division of scalenus anticus; with resection of cervical rib Facility (21705) | $9,733.81 | $14,975.09 | 1.1× |
| Drain ant chmbr,remv vitreous (65810) | $3,549.34 | $5,460.52 | 1.2× |
| Drain Cerebro Spinal Fluid (62272) | $852.20 | $1,311.08 | 1.0× |
| Drain/inj small joint/bursa w/us (20604) | $418.44 | $643.75 | 1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) range across 2 matching MRF lines |
$1,152.40–$1,628.32 | $1,772.93–$2,505.11 | varies |
| Drainage external auditory canal abscess (69020) | $1,899.40 | $2,922.16 | 2.1× |
| Drainage external ear abscess/hematoma cmplx (69005) | $4,582.16 | $7,049.47 | 2.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$1,496.14–$1,994.36 | $2,301.76–$3,068.25 | varies |
| Drainage Finger Abscess Complicated (26011) | $4,582.16 | $7,049.47 | 2.2× |
| Drainage Mouth Roof Lesion (42000) | $618.08 | $950.90 | 2.1× |
| Drainage of eye (65800) | $4,946.91 | $7,610.63 | 1.7× |
| Drainage of finger abscess simple (26010) | $584.21 | $898.79 | 2.3× |
| Drainage of gum lesion (41800) | $335.52 | $516.18 | 2.0× |
| Drainage of hematoma/fluid (10140) | $4,582.16 | $7,049.47 | 2.2× |
| Drainage of mouth lesion (41017) | $4,858.50 | $7,474.61 | 1.2× |
| Drainage of nose lesion (30000) range across 2 matching MRF lines |
$533.22–$618.08 | $820.34–$950.90 | varies |
| Drainage of palmar bursa single bursa (26025) | $6,184.83 | $9,515.12 | 1.5× |
| Drainage of palmar bursa; multiple bursa Facility (26030) | $8,441.76 | $12,987.33 | 2.1× |
| Drainage of rectal abscess (45020) | $7,499.82 | $11,538.19 | 2.2× |
| Drainage of rectal abscess (45005) | $3,186.98 | $4,903.04 | 2.1× |
| Drainage of scrotal wall abscess (55100) | $4,582.16 | $7,049.47 | 2.2× |
| Drainage of scrotum (54700) | $5,191.40 | $7,986.77 | 2.0× |
| Drainage of throat abscess (42725) | $9,633.61 | $14,820.94 | 1.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $7,627.40 | $11,734.46 | 1.9× |
| Draw Blood Off Venous Device (36591) | $335.52 | $516.18 | 2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $1,628.32 | $2,505.11 | 2.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,994.36 | $3,068.25 | 2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,107.30 | $1,703.54 | 2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $584.21 | $898.79 | 2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $584.21 | $898.79 | 2.3× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $1,651.23 | $2,540.35 | 1.8× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $2,699.50 | $4,153.08 | 1.0× |
| Dstrj Extensive Retinopathy (67227) | $9,033.15 | $13,897.16 | 1.8× |
| Dstrj Lesion Anus Extensive (46924) | $7,499.82 | $11,538.19 | 2.2× |
| Dstrj lesion choroid pc 1/> sess (67220) | $1,223.26 | $1,881.94 | 1.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $584.21 | $898.79 | 2.3× |
| Dstrj lesion penis simple laser (54057) | $2,699.50 | $4,153.08 | 1.0× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $1,107.30 | $1,703.54 | 2.2× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $3,552.48 | $5,465.35 | 1.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,188.39 | $3,366.76 | 2.0× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $2,188.39 | $3,366.76 | 2.0× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,188.39 | $3,366.76 | 2.0× |
| Dx Bone Marrow Bx & Aspir (38222) | $4,582.16 | $7,049.47 | 1.3× |
| Dx Bronchoscope/Lavage (31624) | $4,480.42 | $6,892.95 | 2.0× |
| Dx Bronchoscope/Wash (31622) | $4,480.42 | $6,892.95 | 2.0× |
| Dx gastr intub w/asp spec (43754) | $870.76 | $1,339.63 | 3.2× |
| Dx Laryngoscopy Excl Nb (31525) | $4,480.42 | $6,892.95 | 2.0× |
| Dx laryngoscopy w/oper scope (31526) | $3,404.45 | $5,237.62 | 1.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,231.28 | $1,894.28 | 1.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,520.58 | $5,416.28 | 1.5× |
| Egd Endoscopic Stent Place (43266) | $8,205.35 | $12,623.61 | 1.1× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$1,574.62–$2,195.76 | $2,422.49–$3,378.09 | varies |
| Egd guide wire insertion (43248) range across 2 matching MRF lines |
$1,574.63–$2,195.76 | $2,422.51–$3,378.09 | varies |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $4,441.33 | $6,832.82 | 1.9× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$3,520.58–$4,441.33 | $5,416.28–$6,832.82 | varies |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $205.39 | $315.99 | 0.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $271.85 | $418.23 | 0.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $271.85 | $418.23 | 0.7× |
| Electro-Uroflowmetry First (51741) | $482.35 | $742.07 | 1.8× |
| Electrolysis Epilation Each 30 Minutes (17380) | $1,651.23 | $2,540.35 | 1.8× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) | $10,013.41 | $15,405.24 | 1.4× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) | $10,013.41 | $15,405.24 | 1.4× |
| Endocervical curettage (57505) | $1,648.22 | $2,535.73 | 1.4× |
| Endometrial Biopsy (58100) | $558.63 | $859.43 | 2.2× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $20,251.58 | $31,156.28 | 1.4× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) | $6,509.50 | $10,014.62 | 1.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $5,842.81 | $8,988.94 | 1.5× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $6,509.50 | $10,014.62 | 1.7× |
| Endoven ther chem adhes 1st (36482) | $10,111.66 | $15,556.40 | 1.5× |
| Epidural Blood Patch (62273) range across 4 matching MRF lines |
$852.20–$1,231.28 | $1,311.08–$1,894.28 | varies |
| Episiotomy or vaginal repair (59300) | $6,206.72 | $9,548.80 | 1.5× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $10,488.25 | $16,135.77 | 1.4× |
| Ercp duct stent placement (43274) | $10,488.25 | $16,135.77 | 1.4× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $8,057.87 | $12,396.73 | 1.7× |
| Ercp ea duct/ampulla dilate (43277) | $8,057.87 | $12,396.73 | 1.7× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $8,057.87 | $12,396.73 | 1.7× |
| Ercp remove forgn body duct (43275) | $8,057.87 | $12,396.73 | 3.4× |
| Ercp Stent Exchange W/Dilate (43276) | $10,488.25 | $16,135.77 | 1.4× |
| Ercp,Sphincterotomy (43262) | $8,057.87 | $12,396.73 | 1.7× |
| Esophagoscop Stent Placement (43212) range across 2 matching MRF lines |
$8,557.63–$10,488.25 | $13,165.58–$16,135.77 | varies |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $4,441.33 | $6,832.82 | 1.9× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
$1,706.90–$2,195.76 | $2,626–$3,378.09 | varies |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $3,605.15 | $5,546.38 | 1.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $4,441.33 | $6,832.82 | 1.9× |
| Evacuation of subungual hematoma (11740) | $335.52 | $516.18 | 2.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,994.36 | $3,068.25 | 2.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Back Les Sc < 3 Cm (21930) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) | $11,613.41 | $17,866.79 | 1.6× |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) | $11,725.60 | $18,039.39 | 1.6× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $7,267.74 | $11,181.14 | 1.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $9,100.68 | $14,001.05 | 1.9× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,994.36 | $3,068.25 | 2.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,994.36 | $3,068.25 | 2.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Face Les Sbq 2 Cm/> (21012) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,994.36 | $3,068.25 | 2.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$1,385.57–$1,994.36 | $2,131.64–$3,068.25 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,994.36 | $3,068.25 | 2.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) | $3,762.02 | $5,787.73 | 1.9× |
| Exc Frenum Labial/Buccal (40819) | $2,785.18 | $4,284.89 | 1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $4,582.16 | $7,049.47 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,994.36 | $3,068.25 | 2.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $2,693.73 | $4,144.20 | 2.2× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) | $7,267.74 | $11,181.14 | 1.8× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) range across 2 matching MRF lines |
$6,004.78–$6,419.65 | $9,238.13–$9,876.39 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $4,572.13 | $7,034.04 | 2.3× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $4,858.50 | $7,474.61 | 1.2× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) range across 2 matching MRF lines |
$4,858.50–$6,419.65 | $7,474.61–$9,876.39 | varies |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $7,267.74 | $11,181.14 | 1.8× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) | $7,267.74 | $11,181.14 | 1.8× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $7,267.74 | $11,181.14 | 1.8× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $7,499.82 | $11,538.19 | 2.2× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $7,499.82 | $11,538.19 | 2.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,994.36 | $3,068.25 | 2.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $7,746.22 | $11,917.26 | 2.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Skin Benig >4cm Face,Facial (11446) | $7,746.22 | $11,917.26 | 2.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $7,746.22 | $11,917.26 | 2.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $4,582.16 | $7,049.47 | 2.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,186.98 | $4,903.04 | 2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,107.30 | $1,703.54 | 2.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,994.36 | $3,068.25 | 2.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $4,582.16 | $7,049.47 | 2.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $7,746.22 | $11,917.26 | 2.1× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $7,746.22 | $11,917.26 | 2.1× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $7,746.22 | $11,917.26 | 2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $7,746.22 | $11,917.26 | 2.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $8,417.52 | $12,950.03 | 1.9× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $5,191.40 | $7,986.77 | 2.0× |
| Exchange Transfusion (36455) | $836.56 | $1,287.01 | 1.5× |
| Exchange Transfusion Blood Newborn (36450) | $1,049.07 | $1,613.95 | 1.9× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $4,441.33 | $6,832.82 | 1.9× |
| Excis Mouth Complex,Exc Thru Muscle (40816) | $7,267.74 | $11,181.14 | 1.8× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $7,267.74 | $11,181.14 | 1.8× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $7,267.74 | $11,181.14 | 3.8× |
| Excise mandible lesion (21040) | $5,695.22 | $8,761.88 | 1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,994.36 | $3,068.25 | 2.3× |
| Excision Bone Mandible (21025) | $11,613.41 | $17,866.79 | 1.6× |
| Excision Chalazion Multiple Same Lid (67801) | $2,693.73 | $4,144.20 | 2.2× |
| Excision Chalazion Single (67800) | $918.99 | $1,413.83 | 2.3× |
| Excision External Ear Partial Simple Repair (69110) | $7,746.22 | $11,917.26 | 2.1× |
| Excision gum each quadrant (41820) | $7,267.74 | $11,181.14 | 1.8× |
| Excision H/P/P/U Complex Repair (11471) | $7,746.22 | $11,917.26 | 2.1× |
| Excision Infected Graft Extremity (35903) | $5,765.71 | $8,870.33 | 1.5× |
| Excision lesion conjunctiva > 1 cm (68115) | $4,817.73 | $7,411.89 | 1.6× |
| Excision Lesion Cornea Xcp Pterygium (65400) | $2,693.73 | $4,144.20 | 2.2× |
| Excision lesion mouth roof (42104) range across 2 matching MRF lines |
$6,004.78–$6,419.65 | $9,238.13–$9,876.39 | varies |
| Excision Lesion Tongue W/O Closure (41110) | $4,858.50 | $7,474.61 | 1.2× |
| Excision Lingual Frenum Frenectomy (41115) | $2,785.20 | $4,284.93 | 1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,994.36 | $3,068.25 | 2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,994.36 | $3,068.25 | 2.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,107.30 | $1,703.54 | 2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,994.36 | $3,068.25 | 2.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,994.36 | $3,068.25 | 2.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $4,582.16 | $7,049.47 | 2.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $7,746.22 | $11,917.26 | 2.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $4,582.16 | $7,049.47 | 2.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,537.43 | $2,365.27 | 1.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,994.36 | $3,068.25 | 2.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $4,582.16 | $7,049.47 | 2.2× |
| Excision Maxillary Torus Palatinus (21032) | $5,718.87 | $8,798.26 | 1.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $7,499.82 | $11,538.19 | 2.2× |
| Excision of bartholin's gland or cyst (56740) | $6,164.57 | $9,483.95 | 1.5× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) | $11,200.30 | $17,231.23 | 1.5× |
| Excision of chalazion; multiple, different lids (67805) | $918.99 | $1,413.83 | 2.3× |
| Excision of gum flap (41821) | $3,762.02 | $5,787.73 | 1.9× |
| Excision of gum lesion (41828) | $7,267.74 | $11,181.14 | 3.8× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) | $14,043.05 | $21,604.69 | 1.9× |
| Excision of osseous tuberosities, dentoalveolar structures (41823) | $14,043.05 | $21,604.69 | 1.9× |
| Excision of single external papilla or tag, anus (46220) | $3,186.98 | $4,903.04 | 2.1× |
| Excision of sublingual gland (42450) | $14,043.05 | $21,604.69 | 1.9× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $7,746.22 | $11,917.26 | 2.1× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $15,027.54 | $23,119.29 | 1.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $4,582.16 | $7,049.47 | 2.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $7,746.22 | $11,917.26 | 2.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $4,582.16 | $7,049.47 | 2.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $4,582.16 | $7,049.47 | 2.2× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) | $2,699.50 | $4,153.08 | 1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $4,582.16 | $7,049.47 | 2.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $7,746.22 | $11,917.26 | 2.1× |
| Excision/curettage cyst/tumor carpal bones (25130) | $8,441.76 | $12,987.33 | 2.1× |
| Excision/destruction intranasal lesion int appr (30117) | $6,419.65 | $9,876.39 | 1.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,699.50 | $4,153.08 | 1.0× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) | $11,200.30 | $17,231.23 | 1.6× |
| Expl po hemrrg thrombosis/infctj xtr (35860) | $5,265.85 | $8,101.31 | 1.3× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$3,631.08–$4,582.16 | $5,586.28–$7,049.47 | varies |
| Exploration penetrating wound spx chest (20101) | $2,699.50 | $4,153.08 | 1.0× |
| Exploration penetrating wound spx extremity (20103) | $1,994.36 | $3,068.25 | 1.0× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) | $6,559.94 | $10,092.22 | 0.8× |
| External cephalic version (59412) | $7,627.40 | $11,734.46 | 1.9× |
| Fasciectomy Palm Only (26121) | $8,441.76 | $12,987.33 | 2.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $5,685.50 | $8,746.92 | 1.4× |
| Fasciotomy, foot and/or toe (28008) | $7,939.45 | $12,214.54 | 1.9× |
| Fasciotomy, hip or thigh, any type (27025) | $1,946.61 | $2,994.79 | 0.5× |
| Fetal Contraction Stress Test (59020) | $558.63 | $859.43 | 2.2× |
| Fetal non-stress test (59025) | $558.63 | $859.43 | 2.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,631.47 | $2,509.95 | 1.8× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,631.47 | $2,509.95 | 1.8× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$683.90–$1,107.30 | $1,052.16–$1,703.54 | varies |
| Fluid Pressure Muscle (20950) | $1,994.36 | $3,068.25 | 2.3× |
| Fluoro exam of g/colon tube (49465) | $875.65 | $1,347.15 | 2.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,631.47 | $2,509.95 | 1.8× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$1,601.11–$1,631.47 | $2,463.25–$2,509.95 | varies |
| Foreskin manipulation (54450) | $293.47 | $451.49 | 0.9× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) | $4,946.91 | $7,610.63 | 1.7× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,299.08 | $3,537.05 | 0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $2,214.37 | $3,406.73 | 0.9× |
| Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) | $14,590.10 | $22,446.30 | 1.6× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) | $1,108.46 | $1,705.33 | 30.3× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) | $11,060.43 | $17,016.04 | 1.5× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) | $6,999.09 | $10,767.83 | 1.6× |
| Guide Cathet Fluid Drainage (10030) | $1,994.36 | $3,068.25 | 2.3× |
| Gum graft (41870) | $7,267.74 | $11,181.14 | 3.8× |
| Hem vw factor&clgn iii bndg (0279U) | $25.56 | $39.33 | 2.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $2,393.41 | $3,682.17 | 2.1× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $11,325.89 | $17,424.44 | 1.8× |
| Hysteroscopy Biopsy (58558) | $7,627.40 | $11,734.46 | 1.9× |
| Hysteroscopy Dx Sep Proc (58555) | $6,209.27 | $9,552.72 | 1.5× |
| Hysteroscopy Endometrial Ablation (58563) | $11,325.89 | $17,424.44 | 1.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $6,519.73 | $10,030.36 | 1.6× |
| I&d abscess peritonsillar (42700) range across 3 matching MRF lines |
$533.22–$618.08 | $820.34–$950.90 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$384.21–$584.21 | $591.09–$898.79 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $3,251.90 | $5,002.93 | 1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $5,776.90 | $8,887.54 | 1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $5,754.62 | $8,853.26 | 1.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $7,499.82 | $11,538.19 | 2.2× |
| I&d perianal abscess superficial (46050) | $2,393.41 | $3,682.17 | 2.1× |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$1,611.17–$1,994.36 | $2,478.72–$3,068.25 | varies |
| I&d pilonidal cyst simple (10080) | $1,994.36 | $3,068.25 | 2.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,582.16 | $7,049.47 | 1.3× |
| Icd Pocket Revision (33223) | $2,699.50 | $4,153.08 | 1.0× |
| Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) | $1,403.51 | $2,159.25 | 2.1× |
| Image Cath Fluid Colxn Visc (49405) | $4,582.16 | $7,049.47 | 2.2× |
| Image Cath Fluid Peri/Retro (49406) | $4,582.16 | $7,049.47 | 2.2× |
| Image Cath Fluid Trns/Vgnl (49407) | $4,582.16 | $7,049.47 | 2.2× |
| Immediate breast prosthesis (19340) | $15,027.54 | $23,119.29 | 1.5× |
| Implant neuroelectrodes (63650) | $9,307.82 | $14,319.73 | 1.2× |
| Implant Spine Infusion Pump (62362) unusually low: confirm this is the full procedure |
$10,406.19 | $16,009.53 | 0.5× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $11,663.44 | $17,943.76 | 1.1× |
| Impression and custom preparation; facial prosthesis Facility (21088) | $6,004.78 | $9,238.13 | 1.5× |
| Incise external hemorrhoid (46083) | $293.47 | $451.49 | 0.9× |
| Incise finger tendon sheath (26055) | $3,251.90 | $5,002.93 | 1.6× |
| Incise tendon(s) & muscle(s) (23406) | $10,599.52 | $16,306.96 | 1.2× |
| Incise/Drain Conjunctiva (68020) | $2,183.25 | $3,358.85 | 1.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$683.90–$1,107.30 | $1,052.16–$1,703.54 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $7,746.22 | $11,917.26 | 2.1× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$3,812.63–$4,582.16 | $5,865.59–$7,049.47 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$883.77–$1,107.30 | $1,359.65–$1,703.54 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$415.62–$558.63 | $639.41–$859.43 | varies |
| Incision and drainage of the tear gland (68400) | $1,964.82 | $3,022.80 | 1.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $958.48 | $1,474.58 | 2.5× |
| Incision of eardrum (69420) | $533.22 | $820.34 | 1.8× |
| Incision of labial frenum (frenotomy) (40806) | $1,628.32 | $2,505.11 | 2.4× |
| Incision of lingual frenum (frenotomy) (41010) | $2,785.18 | $4,284.89 | 1.4× |
| Incision of rectal abscess (46040) | $3,186.98 | $4,903.04 | 2.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $4,582.16 | $7,049.47 | 2.2× |
| Incisional biopsy eyelid skin & lid margin (67810) | $918.99 | $1,413.83 | 2.3× |
| Incisional biopsy skin single lesion (11106) | $912.66 | $1,404.09 | 1.0× |
| Induced abortion, by dilation and evacuation (59841) | $6,206.72 | $9,548.80 | 1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $584.21 | $898.79 | 2.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,188.39 | $3,366.76 | 2.0× |
| Inj W/Fluor Eval Cv Device (36598) | $503.92 | $775.26 | 1.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $2,053.63 | $3,159.43 | 1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,188.39 | $3,366.76 | 2.0× |
| Inject Intravitreal Pharmcologic (67028) | $842.09 | $1,295.53 | 2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $418.44 | $643.75 | 1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$2,053.63–$2,077.70 | $3,159.43–$3,196.46 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $2,053.63 | $3,159.43 | 1.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,231.28 | $1,894.28 | 1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,188.39 | $3,366.76 | 2.0× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $2,053.63 | $3,159.43 | 1.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,231.28 | $1,894.28 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $852.20 | $1,311.08 | 1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $2,053.63 | $3,159.43 | 1.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $418.44 | $643.75 | 1.1× |
| Injection Anes Superior Hypogastric Plexus (64517) | $2,188.39 | $3,366.76 | 2.0× |
| Injection anesthetic agent suprascapular nerve (64418) | $852.20 | $1,311.08 | 1.0× |
| Injection enzyme palmar fascial cord (20527) | $332.02 | $510.80 | 0.9× |
| Injection for identification of sentinel node (38792) | $732.74 | $1,127.29 | 1.5× |
| Injection medication/other subst tenon capsule (67515) | $918.99 | $1,413.83 | 2.3× |
| Injection of sclerosing solution, hemorrhoids (46500) | $2,393.41 | $3,682.17 | 2.1× |
| Injection single tendon origin/insertion (20551) | $418.44 | $643.75 | 1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $418.44 | $643.75 | 1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) | $418.44 | $643.75 | 1.1× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $3,762.02 | $5,787.73 | 1.9× |
| Injection therapeutic carpal tunnel (20526) | $418.44 | $643.75 | 1.1× |
| Injection Turbinate Therapeutic (30200) | $1,152.40 | $1,772.93 | 1.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $2,188.39 | $3,366.76 | 2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$852.20–$1,276.42 | $1,311.08–$1,963.73 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $852.20 | $1,311.08 | 1.0× |
| Injection, anesthetic agent; vagus nerve (64408) | $332.02 | $510.80 | 0.9× |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$497.06–$584.21 | $764.71–$898.79 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $384.21 | $591.09 | 1.5× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $2,188.39 | $3,366.76 | 2.0× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $2,188.39 | $3,366.76 | 2.0× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $2,188.39 | $3,366.76 | 2.0× |
| Ins cath ren art 1st bilat (36252) | $6,509.50 | $10,014.62 | 1.7× |
| Ins cath ren art 1st unilat (36251) | $6,509.50 | $10,014.62 | 1.7× |
| Ins cath ren art 2nd+ bilat (36254) | $6,509.50 | $10,014.62 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $12,290.60 | $18,908.61 | 1.8× |
| Ins endovas vena cava filtr (37191) | $12,290.60 | $18,908.61 | 1.8× |
| Ins Vag Brachytx Device (57156) | $958.48 | $1,474.58 | 2.5× |
| Ins/Rep Subq Defibrillator (33270) | $25,392.76 | $39,065.78 | 0.6× |
| Insert 1 Electrode Pm-Defib (33216) | $7,025.69 | $10,808.76 | 0.7× |
| Insert Bladder Cath Complex (51703) | $482.35 | $742.07 | 3.0× |
| Insert cath pleura w/ image (32557) | $2,535.44 | $3,900.68 | 1.3× |
| Insert cath pleura w/o image (32556) | $4,441.33 | $6,832.82 | 1.9× |
| Insert cervical dilator (59200) range across 2 matching MRF lines |
$634.54–$958.48 | $976.22–$1,474.58 | varies |
| Insert Drug Implant Device (11981) | $335.52 | $516.18 | 2.0× |
| Insert Gastrostomy Tube Percutaneous (49440) | $4,441.33 | $6,832.82 | 1.9× |
| Insert Heart Pm Atrial (33206) | $11,881.43 | $18,279.12 | 0.9× |
| Insert Heart Pm Ventricular (33207) | $11,881.43 | $18,279.12 | 0.9× |
| Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$1,571.13 | $2,417.13 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,535.44–$5,765.71 | $3,900.68–$8,870.33 | varies |
| Insert Pacing Lead & Connect (33224) | $11,881.43 | $18,279.12 | 0.9× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$392.20–$558.63 | $603.38–$859.43 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,053.14 | $3,158.68 | 1.0× |
| Insert pulse gen dual leads (33213) | $11,881.43 | $18,279.12 | 0.9× |
| Insert pulse gen mult leads (33221) | $20,384.72 | $31,361.10 | 0.8× |
| Insert Pulse Gen Sngl Lead (33212) | $7,025.69 | $10,808.76 | 0.7× |
| Insert Temp Bladder Cath (51702) | $335.52 | $516.18 | 2.0× |
| Insert tun ip cath perc (49418) | $8,417.52 | $12,950.03 | 1.9× |
| Insert tunneled cv cath (36561) | $6,509.50 | $10,014.62 | 1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $335.52 | $516.18 | 2.0× |
| Insertion indwelling tunneled pleural catheter (32550) | $8,417.52 | $12,950.03 | 1.9× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) | $12,290.60 | $18,908.61 | 1.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$2,209.52–$2,320.01 | $3,399.26–$3,569.24 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $5,651.62 | $8,694.80 | 0.5× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $8,417.52 | $12,950.03 | 1.9× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $7,627.40 | $11,734.46 | 1.2× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $7,025.69 | $10,808.76 | 0.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,535.44 | $3,900.68 | 0.6× |
| Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines |
$1,704.76–$1,705.13 | $2,622.70–$2,623.27 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $6,509.50 | $10,014.62 | 1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,535.44 | $3,900.68 | 1.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $6,509.50 | $10,014.62 | 1.7× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $6,509.50 | $10,014.62 | 1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$5,842.81–$6,509.50 | $8,988.94–$10,014.62 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $25,392.76 | $39,065.78 | 0.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $7,025.69 | $10,808.76 | 0.7× |
| Insrt heart pm atrial & vent (33208) | $11,881.43 | $18,279.12 | 0.9× |
| Insrt Pulse Gen W/Dual Leads (33230) | $19,405.31 | $29,854.32 | 0.7× |
| Insrt Pulse Gen W/Mult Leads (33231) | $24,183.59 | $37,205.52 | 0.6× |
| Interdental fixation (21110) | $3,762.02 | $5,787.73 | 1.9× |
| Interdental Wiring Other Than Fracture (21497) | $3,762.02 | $5,787.73 | 1.9× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $4,233.80 | $6,513.54 | 2.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,107.30 | $1,703.54 | 2.2× |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
$1,340.46–$1,628.32 | $2,062.25–$2,505.11 | varies |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $586.66 | $902.56 | 2.0× |
| Intraoral i&d tongue/floor submental space (41007) | $3,762.02 | $5,787.73 | 1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) | $7,267.74 | $11,181.14 | 1.8× |
| Intro cath dialysis circuit (36901) | $2,053.14 | $3,158.68 | 1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $20,251.58 | $31,156.28 | 1.4× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $12,648.13 | $19,458.66 | 1.8× |
| Intubation endotracheal emergency procedure (31500) range across 6 matching MRF lines |
$553.14–$618.08 | $850.99–$950.90 | varies |
| Iridoplasty photocoagulation 1/> sessions (66762) | $1,335.24 | $2,054.22 | 1.9× |
| Iridotomy/irridectomy laser surg per session (66761) | $1,639.22 | $2,521.88 | 2.4× |
| Irrigation maxillary sinus (31000) | $533.22 | $820.34 | 1.8× |
| Irrigation of corpora cavernosa for priapism (54220) | $293.47 | $451.49 | 0.9× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) | $76.13 | $117.12 | 2.1× |
| Laparo-vag hyst incl t/o (58552) | $23,062.44 | $35,480.68 | 1.7× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $14,223.16 | $21,881.79 | 1.9× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | $23,062.44 | $35,480.68 | 1.7× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) | $10,821.09 | $16,647.83 | 1.4× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $14,223.16 | $21,881.79 | 1.9× |
| Laryngoscopy and dilation (31528) | $7,261.94 | $11,172.21 | 1.6× |
| Laryngoscopy diagnostic (31505) | $563.86 | $867.48 | 2.3× |
| Laryngoscopy flexible diagnostic (31575) range across 4 matching MRF lines |
$528.21–$563.86 | $812.63–$867.48 | varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $1,345.65 | $2,070.23 | 2.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$970.57–$1,200.54 | $1,493.19–$1,846.99 | varies |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $7,364.23 | $11,329.58 | 1.6× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $1,345.65 | $2,070.23 | 2.8× |
| Laser Surgery Anal Lesions (46917) | $7,499.82 | $11,538.19 | 2.2× |
| Laser Surgery,Sever Vitreous Strands (67031) | $1,639.22 | $2,521.88 | 2.4× |
| Late closure of wound (13160) | $2,313.36 | $3,559.02 | 0.5× |
| Lig&div long saph vein saphfem junct/interrupj (37700) | $5,265.85 | $8,101.31 | 1.3× |
| Ligation of a-v fistula (37607) | $5,765.71 | $8,870.33 | 1.5× |
| Ligation or biopsy temporal artery (37609) | $3,168 | $4,873.85 | 1.5× |
| Lithotripsy, extracorporeal shock wave (50590) | $11,985.71 | $18,439.55 | 2.7× |
| Maniplatn palar fascial crd post inj single cord (26341) | $495.44 | $762.22 | 1.6× |
| Manipulation knee joint under general anesthesia (27570) | $3,413.24 | $5,251.14 | 1.7× |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $3,188.88 | $4,905.97 | 1.6× |
| Marsupialization of bartholin's gland cyst (56440) | $7,627.40 | $11,734.46 | 1.9× |
| Maternity Care Procedure (59899) | $558.63 | $859.43 | 2.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,535.44 | $3,900.68 | 1.3× |
| Mech remov tunneled cv cath (36595) | $6,509.50 | $10,014.62 | 1.7× |
| Mediastinoscpy w/lmph nod bx (39402) | $11,241.56 | $17,294.70 | 1.5× |
| Metatarsectomy (28140) | $6,661.44 | $10,248.37 | 1.6× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) | $1,351.65 | $2,079.46 | 1.5× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) | $1,351.65 | $2,079.46 | 1.5× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) | $14,590.10 | $22,446.30 | 1.6× |
| Myelography Lumbar Injection (62305) | $1,494.22 | $2,298.80 | 1.5× |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$1,494.22–$2,086.62 | $2,298.80–$3,210.18 | varies |
| Myelography via lumbar injection rs&i cervical (62302) | $1,494.22 | $2,298.80 | 1.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,494.22 | $2,298.80 | 1.5× |
| N Block Inj Celiac Pelus (64530) | $2,188.39 | $3,366.76 | 2.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $852.20 | $1,311.08 | 1.0× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$852.20–$1,161.14 | $1,311.08–$1,786.37 | varies |
| N Block Inj Paracervical (64435) | $1,276.42 | $1,963.73 | 1.4× |
| N Block Inj Plantar Digit (64455) | $418.44 | $643.75 | 1.1× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$1,955.83–$2,053.63 | $3,008.97–$3,159.43 | varies |
| N Block Lumbar/Thoracic (64520) | $2,188.39 | $3,366.76 | 2.0× |
| Nasal Endoscopy Dx (31231) | $456.76 | $702.70 | 1.8× |
| Nasal/Orogastric W/Tube Plmt (43752) | $440.81 | $678.17 | 0.8× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) | $970.57 | $1,493.19 | 2.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $7,364.23 | $11,329.58 | 1.6× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) | $11,051.55 | $17,002.39 | 1.5× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) | $11,051.55 | $17,002.39 | 1.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $3,650.91 | $5,616.78 | 1.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$3,650.91–$4,480.42 | $5,616.78–$6,892.95 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) | $12,181.98 | $18,741.50 | 1.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $12,181.98 | $18,741.50 | 1.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $12,181.98 | $18,741.50 | 1.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) | $12,181.98 | $18,741.50 | 1.4× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) | $12,181.98 | $18,741.50 | 1.4× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) | $12,181.98 | $18,741.50 | 1.4× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) | $12,181.98 | $18,741.50 | 1.4× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $12,181.98 | $18,741.50 | 1.4× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$2,726.09–$4,582.16 | $4,193.99–$7,049.47 | varies |
| Needle Biopsy Pancreas (48102) | $2,726.09 | $4,193.99 | 1.3× |
| Neuro alys b-amyl 1-42&1-40 (0358U) | $542.26 | $834.25 | 2.1× |
| Neuroeltrd Stim Post Tibial (64566) | $418.44 | $643.75 | 1.1× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) | $5,482.43 | $8,434.51 | 2.2× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) range across 3 matching MRF lines |
$1,509.18–$1,607.28 | $2,321.81–$2,472.74 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $981.72 | $1,510.34 | 2.4× |
| Nfct ds csf metagenomic ngs bioinformatic alys (0480U) | $4,425.95 | $6,809.16 | 2.1× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,425.95 | $6,809.16 | 2.1× |
| Nipple Exploration (19110) | $9,100.68 | $14,001.05 | 1.9× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,188.39 | $3,366.76 | 2.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $418.44 | $643.75 | 1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$6,559.94–$8,417.52 | $10,092.22–$12,950.03 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $8,417.52 | $12,950.03 | 1.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,188.39 | $3,366.76 | 2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $852.20 | $1,311.08 | 1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,276.42 | $1,963.73 | 1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $852.20 | $1,311.08 | 1.0× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) range across 2 matching MRF lines |
$2,203.21–$2,313.36 | $3,389.55–$3,559.02 | varies |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $2,313.36 | $3,559.02 | 0.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,966.48 | $3,025.35 | 2.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,966.48 | $3,025.35 | 2.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $1,107.30 | $1,703.54 | 2.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $1,107.30 | $1,703.54 | 2.2× |
| Njx Sclrsnt Spider Veins (36468) | $911.47 | $1,402.26 | 1.8× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $12,181.98 | $18,741.50 | 1.4× |
| Obstructive material removal from gi tube (49460) | $2,195.76 | $3,378.09 | 1.9× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$303.21–$418.44 | $466.48–$643.75 | varies |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) | $17,600.14 | $27,077.14 | 2.1× |
| Onc urothelial cancer RNA rt-PCR fgfr3 gene alys (0154U) | $1,220.85 | $1,878.23 | 2.5× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) likely a partial charge, not the full procedure |
$15,333.37 | $23,589.80 | 0.3× |
| Open Repair of Rotator Cuff Acute (23410) | $14,590.10 | $22,446.30 | 1.6× |
| Open Treatment Lunate Dislocation (25695) | $14,590.10 | $22,446.30 | 1.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $14,590.10 | $22,446.30 | 1.6× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) | $11,613.41 | $17,866.79 | 1.6× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) | $14,043.05 | $21,604.69 | 1.9× |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) | $11,060.43 | $17,016.04 | 1.5× |
| Open treatment of mandibular condylar fracture Facility (21465) | $11,060.43 | $17,016.04 | 1.5× |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) | $11,613.41 | $17,866.79 | 1.6× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) | $11,613.41 | $17,866.79 | 1.6× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) | $11,411.70 | $17,556.46 | 1.3× |
| Open Treatment Proximal Humeral Fracture (23615) | $13,931.12 | $21,432.50 | 0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$6,055.06–$8,441.76 | $9,315.47–$12,987.33 | varies |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $5,940.88 | $9,139.81 | 1.5× |
| Open tx interphalangeal joint dislocation (26785) | $8,441.76 | $12,987.33 | 2.1× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) | $14,043.05 | $21,604.69 | 1.9× |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) | $14,043.05 | $21,604.69 | 1.9× |
| Open Tx Radial Head/Neck Fracture (24665) | $14,590.10 | $22,446.30 | 1.6× |
| Open/Perq Place Stent 1St (37236) | $20,251.58 | $31,156.28 | 1.4× |
| Open/Perq Place Stent Same (37238) | $20,251.58 | $31,156.28 | 1.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $10,599.52 | $16,306.96 | 1.2× |
| Partial excision bone clavicle (23180) | $10,599.52 | $16,306.96 | 1.2× |
| Partial excision bone metacarpal (26230) | $8,441.76 | $12,987.33 | 2.1× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $10,645.06 | $16,377.01 | 1.4× |
| Penile Injection (54235) | $293.47 | $451.49 | 0.9× |
| Perc Cryo Ablate Renal Tum (50593) | $23,062.44 | $35,480.68 | 1.7× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $4,233.80 | $6,513.54 | 2.5× |
| Perc Rf Ablate Renal Tumor (50592) | $14,223.16 | $21,881.79 | 1.9× |
| Percut Ablate Liver Rf (47382) | $14,223.16 | $21,881.79 | 1.9× |
| Percut Cath Occlusn Non Cns Lesn (61626) range across 2 matching MRF lines |
$19,015.57–$20,251.58 | $29,254.72–$31,156.28 | varies |
| Percut Drain/Inject Renal Cyst (50390) | $1,994.36 | $3,068.25 | 2.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $6,509.50 | $10,014.62 | 1.7× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) | $9,307.82 | $14,319.73 | 0.7× |
| Pericardiocentesis W/Imaging (33016) | $3,377.96 | $5,196.86 | 1.7× |
| Peritoneal Lavage (49084) | $2,195.76 | $3,378.09 | 1.9× |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$1,396.32 | $2,148.19 | 0.1× |
| Perq av fistula creation uxtr sep access sites (36837) | $17,044.88 | $26,222.90 | 0.7× |
| Perq dev breast 1st mr guide (19287) | $1,385.57 | $2,131.64 | 1.6× |
| Perq dev breast 1st strtctc (19283) | $1,994.36 | $3,068.25 | 2.3× |
| Perq dev breast 1st us imag (19285) | $1,994.36 | $3,068.25 | 2.3× |
| Perq device breast 1st imag (19281) | $1,994.36 | $3,068.25 | 1.0× |
| Perq dilation xst trc endourologic px w/img (50436) | $4,335.25 | $6,669.61 | 1.0× |
| Perq Lumbosacral Injection (22511) | $6,661.44 | $10,248.37 | 1.6× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $9,442.38 | $14,526.74 | 0.8× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $14,223.16 | $21,881.79 | 1.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines |
$1,631.47–$1,994.36 | $2,509.95–$3,068.25 | varies |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $20,251.58 | $31,156.28 | 1.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $12,648.13 | $19,458.66 | 1.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $14,590.10 | $22,446.30 | 1.6× |
| Perq Vertebral Augmentation (22513) | $14,590.10 | $22,446.30 | 1.6× |
| Phleb Veins - Extrem 20+ (37766) range across 2 matching MRF lines |
$5,842.81–$6,509.50 | $8,988.94–$10,014.62 | varies |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) | $1,878.02 | $2,889.26 | 1.5× |
| Place Cath Subclavian Art (36225) | $6,509.50 | $10,014.62 | 1.7× |
| Place Cath Thoracic Aorta (36221) | $6,509.50 | $10,014.62 | 1.7× |
| Place Cath Vertebral Art (36226) | $12,290.60 | $18,908.61 | 1.8× |
| Place Duod/Jej Tube Perc (49441) | $4,441.33 | $6,832.82 | 1.9× |
| Place Rt Device/Marker Pros (55876) | $2,829.70 | $4,353.38 | 1.6× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) | $8,400.09 | $12,923.21 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $440.81 | $678.17 | 0.8× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $8,417.52 | $12,950.03 | 1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $14,223.16 | $21,881.79 | 1.9× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $14,223.16 | $21,881.79 | 1.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $14,223.16 | $21,881.79 | 1.9× |
| Plmt expandable cath brst following prtl mast (19296) | $15,655.80 | $24,085.84 | 1.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $5,191.40 | $7,986.77 | 2.0× |
| Plmt Nephroureteral Catheter (50433) | $4,944.19 | $7,606.45 | 1.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $8,076.85 | $12,425.93 | 1.8× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $8,076.85 | $12,425.93 | 1.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $8,076.85 | $12,425.93 | 1.8× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) | $14,043.05 | $21,604.69 | 1.9× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) | $14,043.05 | $21,604.69 | 1.9× |
| Prim art mech thrombectomy (37184) | $12,648.13 | $19,458.66 | 0.6× |
| Probe lacrimal canaliculi w/wo irrigation (68840) | $918.99 | $1,413.83 | 2.3× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $5,865.26 | $9,023.48 | 2.0× |
| Probing nasolacrimal duct (68810) | $918.99 | $1,413.83 | 2.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $2,393.41 | $3,682.17 | 2.1× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $1,639.22 | $2,521.88 | 2.4× |
| Prosthesis Removal Humeral/Glenoid Component (23334) | $7,746.22 | $11,917.26 | 0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,994.36 | $3,068.25 | 2.3× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $2,188.39 | $3,366.76 | 2.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $8,016.68 | $12,333.36 | 1.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $8,417.52 | $12,950.03 | 1.9× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $8,441.76 | $12,987.33 | 2.1× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $6,344.22 | $9,760.34 | 1.6× |
| Pseudoaneurysm Injection Trt (36002) range across 2 matching MRF lines |
$1,673.76–$2,053.14 | $2,575.01–$3,158.68 | varies |
| Pterygomaxillary fossa surgery, any approach Facility (31040) | $11,725.60 | $18,039.39 | 1.6× |
| Punch biopsy skin single lesion (11104) | $497.06 | $764.71 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,107.30 | $1,703.54 | 2.2× |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$1,537.43–$1,994.36 | $2,365.27–$3,068.25 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $852.20 | $1,311.08 | 1.0× |
| Push Transfusion Blood 2 Yr/Under (36440) | $1,049.07 | $1,613.95 | 1.9× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,129.76 | $1,738.10 | 1.3× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) | $7,746.22 | $11,917.26 | 2.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) | $7,746.22 | $11,917.26 | 2.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $4,556.99 | $7,010.75 | 1.9× |
| Reconstruct upper jaw bone (21206) | $11,613.41 | $17,866.79 | 1.6× |
| Redo Endovas Vena Cava Filtr (37192) | $5,491.15 | $8,447.92 | 1.4× |
| Reduction of rectal prolapse (45900) | $2,393.41 | $3,682.17 | 2.1× |
| Relocation Pocket Pacemaker (33222) | $2,699.50 | $4,153.08 | 1.0× |
| Rem Endovas Vena Cava Filter (37193) | $6,509.50 | $10,014.62 | 1.7× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,195.76 | $3,378.09 | 1.9× |
| Removal Embedded Foreign Body Eyelid (67938) | $918.99 | $1,413.83 | 2.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $7,746.22 | $11,917.26 | 2.1× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$3,224.18–$4,582.16 | $4,960.27–$7,049.47 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,994.36 | $3,068.25 | 2.3× |
| Removal foreign body jawbone (41806) | $3,762.02 | $5,787.73 | 1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$4,363.96–$4,582.16 | $6,713.79–$7,049.47 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $6,160.10 | $9,477.08 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $192.19 | $295.67 | 2.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $192.19 | $295.67 | 2.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $6,233.76 | $9,590.40 | 1.5× |
| Removal Implant Deep (20680) | $6,159.80 | $9,476.62 | 1.7× |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$2,995.10–$4,582.16 | $4,607.85–$7,049.47 | varies |
| Removal implantable contraceptive capsules (11976) | $1,994.36 | $3,068.25 | 2.3× |
| Removal intact breast implant (19328) | $7,037.56 | $10,827.01 | 1.4× |
| Removal of a lesion from the floor of the mouth (41116) | $6,004.78 | $9,238.13 | 1.5× |
| Removal of anal fissure (46200) | $7,499.82 | $11,538.19 | 2.2× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) | $11,663.44 | $17,943.76 | 2.7× |
| Removal of foreign body from pharynx (42809) | $766.19 | $1,178.75 | 1.4× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$1,054.58–$1,107.30 | $1,622.43–$1,703.54 | varies |
| Removal of thyroid (60271) | $14,043.05 | $21,604.69 | 1.9× |
| Removal of tonsils (42826) | $7,267.74 | $11,181.14 | 1.8× |
| Removal of tunneled intraperitoneal catheter (49422) | $6,509.50 | $10,014.62 | 1.7× |
| Removal or bivalving full arm or full leg cast (29705) | $850.82 | $1,308.96 | 2.4× |
| Removal Pacemaker Electrode (33235) | $7,400.59 | $11,385.53 | 1.6× |
| Removal ppm generator only (33233) | $7,025.69 | $10,808.76 | 0.7× |
| Removal shoulder foreign body deep subfascial/im (23333) | $4,582.16 | $7,049.47 | 1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $584.21 | $898.79 | 2.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,631.47 | $2,509.96 | 1.8× |
| Removal Submand Stone,Complicated (42335) | $6,419.65 | $9,876.39 | 1.6× |
| Removal, under anesthesia, of external fixation system (20694) | $4,572.13 | $7,034.04 | 2.3× |
| Removal/bivalving gauntlet boot/body cast (29700) | $850.82 | $1,308.96 | 2.4× |
| Remove coronoid process (21070) | $11,060.43 | $17,016.04 | 1.5× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$397.82–$440.81 | $612.03–$678.17 | varies |
| Remove Elctrd Transvenously (33244) | $7,400.59 | $11,385.53 | 1.6× |
| Remove eye lesion (66130) | $5,865.26 | $9,023.48 | 2.0× |
| Remove foreign body from eye (65205) | $335.52 | $516.18 | 2.0× |
| Remove Intrauterine Device (58301) | $558.63 | $859.43 | 1.5× |
| Remove intrvas foreign body (37197) | $6,509.50 | $10,014.62 | 1.7× |
| Remove lung catheter (32552) | $2,053.14 | $3,158.68 | 2.6× |
| Remove Nasal Foreign Body (30300) | $335.52 | $516.18 | 2.0× |
| Remove Pulse Generator (33241) | $7,400.59 | $11,385.53 | 1.6× |
| Remove renal tube w/fluoro (50389) | $1,966.48 | $3,025.35 | 2.3× |
| Remove Shoulder Foreign Body (23330) | $1,994.36 | $3,068.25 | 1.0× |
| Remove Tendon Sheath Lesion (26160) | $4,572.13 | $7,034.04 | 2.3× |
| Remove tissue expander (11971) | $7,746.22 | $11,917.26 | 2.1× |
| Remove ureter stent percut (50384) | $5,191.40 | $7,986.77 | 2.0× |
| Remove&replace pm gen singl (33227) | $7,025.69 | $10,808.76 | 0.7× |
| Remove/Insert Drug Implant (11983) | $440.81 | $678.17 | 0.8× |
| Remv&replc cvd gen dual lead (33263) | $19,405.31 | $29,854.32 | 0.7× |
| Remv&replc cvd gen mult lead (33264) | $25,392.76 | $39,065.78 | 0.6× |
| Remv&replc cvd gen sing lead (33262) | $19,405.31 | $29,854.32 | 0.7× |
| Remv&replc pm gen dual lead (33228) | $11,881.43 | $18,279.12 | 0.9× |
| Remv&replc pm gen mult leads (33229) | $20,384.72 | $31,361.10 | 0.8× |
| Renal Biopsy Perq (50200) | $2,726.09 | $4,193.99 | 1.3× |
| Repair Anorectal Fistula Plug (46707) | $7,499.82 | $11,538.19 | 2.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) range across 2 matching MRF lines |
$5,765.71–$6,509.50 | $8,870.33–$10,014.62 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,651.23 | $2,540.35 | 1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$1,351.65–$1,651.23 | $2,079.46–$2,540.35 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$911.47–$1,107.30 | $1,402.26–$1,703.54 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,651.23 | $2,540.35 | 3.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,651.23 | $2,540.35 | 3.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$1,351.65–$1,651.23 | $2,079.46–$2,540.35 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,651.23 | $2,540.35 | 1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$1,351.56–$1,651.23 | $2,079.32–$2,540.35 | varies |
| Repair Detached Retina (67101) | $4,946.91 | $7,610.63 | 1.7× |
| Repair Ectropion Suture (67914) | $5,865.26 | $9,023.48 | 2.0× |
| Repair Elbow Perc (24357) | $7,939.45 | $12,214.54 | 1.9× |
| Repair Entropion Suture (67921) | $5,865.26 | $9,023.48 | 2.0× |
| Repair extensor tendon finger w/o graft each (26418) | $4,572.13 | $7,034.04 | 2.3× |
| Repair Eyelid Wound (67935) | $5,865.26 | $9,023.48 | 2.0× |
| Repair gum (41872) | $7,267.74 | $11,181.14 | 1.8× |
| Repair Hallux Rigidus (28289) | $8,441.76 | $12,987.33 | 2.1× |
| Repair Hand Tendon (26410) | $4,572.13 | $7,034.04 | 2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$868.07–$1,107.30 | $1,335.49–$1,703.54 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,651.23 | $2,540.35 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$1,572.60–$1,651.23 | $2,419.39–$2,540.35 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$886.07–$1,107.30 | $1,363.19–$1,703.54 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$1,054.58–$1,107.30 | $1,622.43–$1,703.54 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,287.20–$1,651.23 | $1,980.30–$2,540.35 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,107.30 | $1,703.54 | 2.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,699.50 | $4,153.08 | 1.0× |
| Repair lead pace-defib dual (33220) | $7,400.59 | $11,385.53 | 1.6× |
| Repair Lead Pace-Defib One (33218) | $7,400.59 | $11,385.53 | 1.6× |
| Repair mouth/nose fistula (30600) | $14,043.05 | $21,604.69 | 1.9× |
| Repair of nail bed (11760) | $1,651.23 | $2,540.35 | 1.8× |
| Repair of urethra injury (53502) | $8,076.85 | $12,425.93 | 1.8× |
| Repair of windpipe (31750) | $11,051.55 | $17,002.39 | 1.5× |
| Repair of windpipe defect (31825) | $6,603.87 | $10,159.80 | 1.6× |
| Repair recurrent femoral hernia; reducible Facility (49555) | $8,417.52 | $12,950.03 | 1.9× |
| Repair Rotator Cuff Chronic (23412) | $14,590.10 | $22,446.30 | 1.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $6,055.06 | $9,315.47 | 1.5× |
| Repair tongue laceration (41252) | $1,628.32 | $2,505.11 | 5.5× |
| Repair tongue laceration (41250) | $335.52 | $516.18 | 0.6× |
| Repair Tooth Socket (41874) | $7,267.74 | $11,181.14 | 1.8× |
| Repair/Revise Wrist Joint (25320) | $14,590.10 | $22,446.30 | 1.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,195.76 | $3,378.09 | 1.9× |
| Replace G-J Tube Perc (49452) | $2,195.76 | $3,378.09 | 1.9× |
| Replace g/c tube perc (49450) | $2,195.76 | $3,378.09 | 1.9× |
| Reposition Gastrostomy Tube (43761) | $293.47 | $451.49 | 0.9× |
| Reposition L Ventric Lead (33226) | $6,509.50 | $10,014.62 | 1.7× |
| Reposition Pacing-Defib Lead (33215) | $6,509.50 | $10,014.62 | 1.7× |
| Reposition Venous Catheter (36597) | $2,535.44 | $3,900.68 | 1.3× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) | $4,946.91 | $7,610.63 | 1.7× |
| Resect hip/pelv tum 5 cm/> (27059) | $7,746.22 | $11,917.26 | 2.1× |
| Retrobulbar injection (67500) | $918.99 | $1,413.83 | 2.3× |
| Revise eyelashes (67825) | $918.99 | $1,413.83 | 2.3× |
| Revise graft w/vein (35884) | $12,290.60 | $18,908.61 | 1.8× |
| Revise Spine Eltrd Plate (63664) | $9,583.07 | $14,743.19 | 0.7× |
| Revision of foot and ankle (28262) | $14,590.10 | $22,446.30 | 1.6× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) | $9,733.81 | $14,975.09 | 1.4× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) | $10,013.41 | $15,405.24 | 1.4× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) | $9,307.82 | $14,319.73 | 0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $12,648.13 | $19,458.66 | 1.8× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $7,796.58 | $11,994.74 | 1.8× |
| Revj/rpr oprative wound anterior segment (66250) | $5,865.26 | $9,023.48 | 2.0× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) | $7,476.83 | $11,502.81 | 1.1× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $7,476.83 | $11,502.81 | 1.1× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $13,317.12 | $20,487.87 | 0.9× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) | $13,317.12 | $20,487.87 | 0.9× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $7,476.83 | $11,502.81 | 1.1× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $7,476.83 | $11,502.81 | 1.1× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $13,317.12 | $20,487.87 | 0.9× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $13,317.12 | $20,487.87 | 0.9× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) | $13,317.12 | $20,487.87 | 0.9× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) | $13,317.12 | $20,487.87 | 0.9× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) | $15,967.11 | $24,564.78 | 0.7× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) | $15,967.11 | $24,564.78 | 0.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $5,191.40 | $7,986.77 | 2.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $3,762.02 | $5,787.73 | 1.9× |
| Rmvl embedded fb vestibule mouth comp (40805) | $1,407.49 | $2,165.37 | 2.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $2,195.76 | $3,378.09 | 1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $440.81 | $678.17 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $335.52 | $516.18 | 2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $440.81 | $678.17 | 0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) | $3,186.98 | $4,903.04 | 2.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $4,363.96 | $6,713.79 | 2.1× |
| Rmvl implnt matl posterior segment extraocular (67120) | $4,946.91 | $7,610.63 | 1.7× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) | $4,946.91 | $7,610.63 | 1.7× |
| Rmvl of subq implantable defibrillator electrode (33272) | $7,400.59 | $11,385.53 | 1.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $7,400.59 | $11,385.53 | 1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,053.14 | $3,158.68 | 1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,053.14 | $3,158.68 | 2.6× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$246.93–$259.28 | $379.89–$398.89 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$246.93–$259.28 | $379.89–$398.89 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) | $6,509.50 | $10,014.62 | 1.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,535.44 | $3,900.68 | 1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,535.44 | $3,900.68 | 1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $6,509.50 | $10,014.62 | 1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $6,509.50 | $10,014.62 | 1.7× |
| Rpr blood vessel direct lower extremity (35226) | $1,994.36 | $3,068.25 | 2.3× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) | $9,733.81 | $14,975.09 | 1.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $2,535.44 | $3,900.68 | 1.3× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $14,590.10 | $22,446.30 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $584.21 | $898.79 | 2.3× |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $14,590.10 | $22,446.30 | 1.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,628.32 | $2,505.11 | 2.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,628.32 | $2,505.11 | 2.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $3,762.02 | $5,787.73 | 1.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $8,441.76 | $12,987.33 | 2.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $8,441.76 | $12,987.33 | 2.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $2,053.14 | $3,158.68 | 2.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $8,441.76 | $12,987.33 | 2.1× |
| Sclerotx Fluid Collection (49185) | $1,994.36 | $3,068.25 | 1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $6,419.65 | $9,876.39 | 1.6× |
| Shave skin lesion 0.5 cm/< (11300) | $584.21 | $898.79 | 1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $584.21 | $898.79 | 2.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $1,107.30 | $1,703.54 | 2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $584.21 | $898.79 | 2.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $584.21 | $898.79 | 2.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $584.21 | $898.79 | 2.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $1,107.30 | $1,703.54 | 2.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $584.21 | $898.79 | 2.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $1,107.30 | $1,703.54 | 2.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $584.21 | $898.79 | 2.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $1,107.30 | $1,703.54 | 2.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $584.21 | $898.79 | 2.3× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) range across 2 matching MRF lines |
$6,147.33–$6,419.65 | $9,457.43–$9,876.39 | varies |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $3,186.98 | $4,903.04 | 2.1× |
| Simple Cystometrogram (51725) | $293.47 | $451.49 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,107.30 | $1,703.54 | 2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $584.21 | $898.79 | 2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $584.21 | $898.79 | 2.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,107.30 | $1,703.54 | 2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $584.21 | $898.79 | 2.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $584.21 | $898.79 | 2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $584.21 | $898.79 | 2.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $584.21 | $898.79 | 2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $584.21 | $898.79 | 2.3× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) | $14,043.05 | $21,604.69 | 1.9× |
| Skin Full Grft Face/Genit/Hf (15240) | $2,313.36 | $3,559.02 | 0.9× |
| Skin Pinch Graft (15050) | $1,651.23 | $2,540.35 | 1.8× |
| Skin sub graft face/nk/hf/g (15275) | $2,699.50 | $4,153.08 | 2.9× |
| Skin sub graft trnk/arm/leg (15271) | $2,699.50 | $4,153.08 | 2.9× |
| Skin sub grft t/arm/lg child (15273) | $8,385.94 | $12,901.44 | 3.3× |
| Skin Tissue Procedure (17999) range across 4 matching MRF lines |
$395.59–$2,147.39 | $608.60–$3,303.67 | varies |
| Skn sub grft f/n/hf/g child (15277) | $2,699.50 | $4,153.08 | 1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $12,290.60 | $18,908.61 | 1.8× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $6,509.50 | $10,014.62 | 1.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $12,290.60 | $18,908.61 | 1.8× |
| Slitting of prepuce (54001) | $3,698.92 | $5,690.64 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$497.06–$584.21 | $764.71–$898.79 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $1,107.30 | $1,703.54 | 2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,107.30 | $1,703.54 | 2.2× |
| Snip Incision Lacrimal Punctum (68440) | $918.99 | $1,413.83 | 2.3× |
| Spinal puncture lumbar diagnostic (62270) | $852.20 | $1,311.08 | 1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $6,649.42 | $10,229.87 | 1.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 2 matching MRF lines |
$5,842.81–$6,509.50 | $8,988.94–$10,014.62 | varies |
| Sternal debridement (21627) | $10,599.52 | $16,306.96 | 2.6× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$87.45–$484.07 | $134.54–$744.72 | varies |
| Strapping elbow or wrist (29260) | $93.78 | $144.28 | 1.3× |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$91.69–$114.07 | $141.06–$175.49 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$95.30–$335.52 | $146.61–$516.18 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$96.34–$335.52 | $148.22–$516.18 | varies |
| Strapping thorax (29200) | $103.71 | $159.55 | 0.5× |
| Strapping toes (29550) | $192.19 | $295.67 | 2.6× |
| Strapping Unna Boot (29580) | $484.07 | $744.72 | 2.4× |
| Subconjunctival injection (68200) | $335.52 | $516.18 | 0.6× |
| Subcutaneous Hormone Pellet Implantation (11980) | $440.81 | $678.17 | 0.8× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $584.21 | $898.79 | 2.3× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $1,651.23 | $2,540.35 | 1.8× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $6,419.65 | $9,876.39 | 1.6× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) | $6,419.65 | $9,876.39 | 1.6× |
| Suture digital nerve hand/foot 1 nerve (64831) | $3,872.65 | $5,957.93 | 1.6× |
| Sympathectomy; superficial palmar arch (64823) | $4,572.13 | $7,034.04 | 1.1× |
| T-cell depletion of harvest (38210) | $845.49 | $1,300.75 | 1.5× |
| Tangential biopsy skin single lesion (11102) | $497.06 | $764.71 | 1.0× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) likely a partial charge, not the full procedure |
$9,727.28 | $14,965.04 | 0.3× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $21,158.42 | $32,551.42 | 0.9× |
| Tcat Rmvl Perm Ldls Pm (33275) | $5,787.93 | $8,904.51 | 1.5× |
| Temporary Closure Eyelids Suture (67875) | $2,693.73 | $4,144.20 | 2.2× |
| Tenodesis long tendon biceps (23430) | $14,590.10 | $22,446.30 | 1.6× |
| Tenodesis Wrist Flexors Fingers (25300) | $8,441.76 | $12,987.33 | 2.1× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $8,441.76 | $12,987.33 | 2.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) | $5,136.30 | $7,902 | 2.6× |
| Tenotomy Hip Abd/Ext Open (27006) | $7,939.45 | $12,214.54 | 1.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $4,572.13 | $7,034.04 | 2.3× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $5,136.30 | $7,902 | 2.6× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $7,939.45 | $12,214.54 | 1.9× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) | $7,939.45 | $12,214.54 | 1.9× |
| Tenotomy shoulder area single tendon (23405) | $14,590.10 | $22,446.30 | 1.6× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $3,413.24 | $5,251.14 | 1.7× |
| Thaw preserved stem cells (38208) | $845.49 | $1,300.75 | 1.5× |
| Ther Apheresis,Red Blood Cells (36512) | $1,231.72 | $1,894.95 | 0.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,231.28 | $1,894.28 | 1.4× |
| Therapeutic plasma exchange (36514) | $1,231.72 | $1,894.95 | 0.6× |
| Thoracoscopy w/bx nodule (32608) | $11,479.79 | $17,661.21 | 0.9× |
| Thoracoscopy w/bx pleura (32609) | $11,241.56 | $17,294.70 | 1.5× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) | $11,479.79 | $17,661.21 | 0.9× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) | $11,479.79 | $17,661.21 | 1.5× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) | $11,803.64 | $18,159.45 | 1.6× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) | $10,013.41 | $15,405.24 | 1.4× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) | $10,013.41 | $15,405.24 | 1.4× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) | $9,246.97 | $14,226.11 | 1.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $25,833.90 | $39,744.46 | 1.1× |
| Thromblytic art/ven therapy (37213) | $2,535.44 | $3,900.68 | 0.6× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) | $9,733.81 | $14,975.09 | 1.4× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) | $10,013.41 | $15,405.24 | 1.4× |
| Thrombolytic Art Therapy (37211) | $12,290.60 | $18,908.61 | 1.8× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$590.24–$597.01 | $908.06–$918.47 | varies |
| Thrombolytic Venous Therapy (37212) | $6,509.50 | $10,014.62 | 1.7× |
| Thumb fusion with graft (26842) | $14,590.10 | $22,446.30 | 1.6× |
| Thyroid biopsy (60100) | $1,994.36 | $3,068.25 | 2.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,699.50 | $4,153.08 | 1.0× |
| Tooth extraction (41899) range across 12 matching MRF lines |
$268.45–$618.08 | $413–$950.90 | varies |
| Total Knee Arthroplasty (27447) | $13,931.12 | $21,432.50 | 0.9× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $11,985.71 | $18,439.55 | 1.8× |
| Trabeculoplasty by laser surgery (65855) | $1,639.22 | $2,521.88 | 2.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $1,628.32 | $2,505.11 | 2.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,628.32 | $2,505.11 | 5.5× |
| Tracheostomy Fenestration W/Skin Flaps (31610) | $10,989.17 | $16,906.41 | 1.5× |
| Tracheostomy planned (31600) | $5,971.77 | $9,187.34 | 1.4× |
| Transcatheter biopsy (37200) | $12,290.60 | $18,908.61 | 1.8× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $11,985.71 | $18,439.55 | 1.8× |
| Treat Dental Ridge Fracture (21440) | $7,267.74 | $11,181.14 | 1.8× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$623.11–$763.42 | $958.63–$1,174.50 | varies |
| Treat Humerus Fracture (24505) | $4,572.13 | $7,034.04 | 2.3× |
| Treat humerus fracture (23600) | $763.42 | $1,174.50 | 2.5× |
| Treat knee fracture (27532) | $8,441.76 | $12,987.33 | 2.1× |
| Treat Knuckle Dislocation (26700) | $763.42 | $1,174.50 | 2.5× |
| Treat Metatarsal Fracture (28475) | $763.42 | $1,174.50 | 2.5× |
| Treat Thumb Dislocation (26641) | $763.42 | $1,174.50 | 2.5× |
| Treat Thumb Fracture (26645) | $4,572.13 | $7,034.04 | 2.3× |
| Treat toe dislocation (28630) | $763.42 | $1,174.50 | 2.5× |
| Treat vagina infection (57150) | $335.52 | $516.18 | 4.6× |
| Treat Vaginal Bleeding (57180) range across 3 matching MRF lines |
$434.97–$558.63 | $669.18–$859.43 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $4,572.13 | $7,034.04 | 2.3× |
| Treatment closed elbow dislocation w/o anes (24600) | $763.42 | $1,174.50 | 2.5× |
| Treatment extensive retinopathy photocoagulation (67228) | $1,639.22 | $2,521.88 | 2.4× |
| Treatment of foot infection (28003) | $6,055.06 | $9,315.47 | 1.5× |
| Treatment of gum lesion (41850) | $3,762.02 | $5,787.73 | 1.9× |
| Trim skin lesion (11055) | $584.21 | $898.79 | 2.3× |
| Trim skin lesions 2 to 4 (11056) | $584.21 | $898.79 | 2.3× |
| Trim skin lesions over 4 (11057) | $584.21 | $898.79 | 2.3× |
| Trimming Nondystrophic Nails Any Number (11719) | $192.19 | $295.67 | 2.6× |
| Trluml Balo Angiop 1St Art (37246) | $12,648.13 | $19,458.66 | 1.8× |
| Trluml Balo Angiop 1St Vein (37248) range across 2 matching MRF lines |
$12,648.13–$15,429.35 | $19,458.66–$23,737.46 | varies |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) | $845.49 | $1,300.75 | 1.5× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) | $845.49 | $1,300.75 | 1.5× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) | $845.49 | $1,300.75 | 1.5× |
| Trnspl prepj hematop progen tum cell deplj (38211) | $845.49 | $1,300.75 | 1.5× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $3,624.31 | $5,575.86 | 1.9× |
| Tx Gastro Intub W/Asp (43753) | $870.76 | $1,339.63 | 3.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$6,206.72–$6,519.73 | $9,548.80–$10,030.36 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$6,164.57–$6,478.78 | $9,483.95–$9,967.35 | varies |
| Tx Missed Abortion Second Trimester Surgical (59821) range across 2 matching MRF lines |
$6,164.57–$7,627.40 | $9,483.95–$11,734.46 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $4,572.13 | $7,034.04 | 2.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,651.23 | $2,540.35 | 1.8× |
| Tx superficial wound dehiscence w/packing (12021) | $1,107.30 | $1,703.54 | 2.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$623.11–$654.26 | $958.63–$1,006.56 | varies |
| Unlisted Cardiac Surgery (33999) range across 17 matching MRF lines |
$1,359.14–$21,540.15 | $2,090.98–$33,138.69 | varies |
| Unlisted fetal invasive px w/ultrasound (59897) | $1,667.91 | $2,566.01 | 6.6× |
| Unlisted laparoscopy procedure appendix (44979) | $14,223.16 | $21,881.79 | 1.9× |
| Unlisted procedure anus (46999) | $2,393.41 | $3,682.17 | 2.1× |
| Unlisted Procedure Biliary Tract (47999) | $2,195.76 | $3,378.09 | 1.9× |
| Unlisted Procedure Casting/Strapping (29799) | $368.32 | $566.65 | 1.8× |
| Unlisted Procedure Endocrine System (60699) | $14,223.16 | $21,881.79 | 1.9× |
| Unlisted procedure femur or knee (27599) | $544.83 | $838.20 | 1.8× |
| Unlisted procedure foot or toes (28899) | $654.26 | $1,006.56 | 2.1× |
| Unlisted Procedure Hands/Fingers (26989) range across 2 matching MRF lines |
$3,188.88–$3,251.90 | $4,905.97–$5,002.93 | varies |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$1,587.81–$2,195.76 | $2,442.78–$3,378.09 | varies |
| Unlisted procedure lacrimal system (68899) | $918.99 | $1,413.83 | 2.3× |
| Unlisted procedure liver (47399) | $1,385.57 | $2,131.64 | 1.6× |
| Unlisted procedure lungs and pleura (32999) range across 5 matching MRF lines |
$1,338.47–$8,921.65 | $2,059.19–$13,725.62 | varies |
| Unlisted Procedure Muscskeletal System General (20999) range across 2 matching MRF lines |
$763.42–$10,372.22 | $1,174.50–$15,957.26 | varies |
| Unlisted procedure nervous system (64999) range across 8 matching MRF lines |
$256.39–$1,467.95 | $394.44–$2,258.39 | varies |
| Unlisted procedure pelvis/hip joint (27299) range across 3 matching MRF lines |
$3,053.43–$3,251.90 | $4,697.59–$5,002.93 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $618.08 | $950.90 | 2.1× |
| Unlisted Procedure Rectum (45999) | $2,393.41 | $3,682.17 | 2.1× |
| Unlisted procedure shoulder (23929) range across 2 matching MRF lines |
$5,685.50–$8,911.31 | $8,746.92–$13,709.71 | varies |
| Unlisted procedure spine (22899) | $763.42 | $1,174.50 | 2.5× |
| Unlisted procedure stomach (43999) range across 2 matching MRF lines |
$406.89–$2,195.76 | $625.99–$3,378.09 | varies |
| Unlisted Procedure Tongue Floor Mouth (41599) | $618.08 | $950.90 | 2.1× |
| Unlisted Procedure Trachea Bronchi (31899) range across 3 matching MRF lines |
$537.02–$563.86 | $826.19–$867.48 | varies |
| Unlisted Procedure Vascular Surgery (37799) range across 16 matching MRF lines |
$373.11–$20,251.58 | $574.02–$31,156.28 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
$1,722.90–$2,195.76 | $2,650.61–$3,378.09 | varies |
| Unlisted Procedure, Urinary System (53899) range across 2 matching MRF lines |
$293.47–$3,433.44 | $451.49–$5,282.22 | varies |
| Unlisted px female genital system nonobstetrical (58999) | $199.89 | $307.53 | 0.8× |
| Upgrade of pacemaker system (33214) | $11,881.43 | $18,279.12 | 0.9× |
| Urinary Reflex Study (51792) | $192.19 | $295.67 | 2.6× |
| Urine Flow Measurement (51736) | $335.52 | $516.18 | 2.0× |
| Vaginal Delivery After Cesarean Delivery (59612) | $2,837.29 | $4,365.06 | 0.7× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$2,837.29–$7,627.40 | $4,365.06–$11,734.46 | varies |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) | $7,627.40 | $11,734.46 | 1.9× |
| Vasc embolize/occlude artery (37242) | $20,251.58 | $31,156.28 | 0.9× |
| Vasc Embolize/Occlude Bleed (37244) | $20,251.58 | $31,156.28 | 1.4× |
| Vasc Embolize/Occlude Organ (37243) | $20,251.58 | $31,156.28 | 1.4× |
| Vasc embolize/occlude venous (37241) | $20,251.58 | $31,156.28 | 1.4× |
| Venous Cutdown >1 Y/O (36425) | $440.81 | $678.17 | 0.8× |
| Venous Mech Thrombectomy (37187) range across 2 matching MRF lines |
$12,648.13–$15,147.89 | $19,458.66–$23,304.45 | varies |
| Vermilionectomy lip shv w/mucosal advmnt (40500) | $7,267.74 | $11,181.14 | 1.8× |
| Vestibuloplasty Anterior (40840) range across 2 matching MRF lines |
$9,633.61–$11,725.60 | $14,820.94–$18,039.39 | varies |
| Vulvectomy simple partial (56620) | $6,478.78 | $9,967.35 | 1.6× |
| Wash harvest stem cells (38209) | $845.49 | $1,300.75 | 1.5× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$826.18–$1,107.30 | $1,271.04–$1,703.54 | varies |
| Windowing of cast (29730) | $373.76 | $575.01 | 1.8× |
| Wound Prep Trk/Arm/Leg (15002) | $2,186.41 | $3,363.71 | 2.4× |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) | $7,917.08 | $12,180.12 | 1.5× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) | $7,917.08 | $12,180.12 | 1.5× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) | $1,628.32 | $2,505.11 | 2.4× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) | $11,200.30 | $17,231.23 | 1.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.