Procedures & surgery prices at Sabetha Community Hospital
Sabetha, KS · every code in this section with a posted price and a Medicare benchmark.
728 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 5 matching MRF lines |
$162.27–$1,639 | $162.27–$1,639 | varies |
| Acne surgery (10040) range across 3 matching MRF lines |
$79.29–$230 | $79.29–$230 | varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $6,000 | $6,000 | 3.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 3 matching MRF lines |
$1,560–$3,085 | $1,560–$3,085 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$724–$3,321 | $724–$3,321 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $3,050 | $3,050 | 1.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$1,015–$4,064 | $1,015–$4,064 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,200 | $1,200 | 0.4× |
| Amputation foot transmetarsal (28805) | $11,999 | $11,999 | 4.0× |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$834.30–$6,662.05 | $834.30–$6,662.05 | varies |
| Amputation thigh through femur any level (27590) | $6,500 | $6,500 | 2.2× |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$500–$5,175 | $500–$5,175 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$272.95–$5,835.30 | $272.95–$5,835.30 | varies |
| Amputation, leg, through tibia and fibula; (27880) | $6,400 | $6,400 | 1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $56.38 | $56.38 | 0.2× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$73.75–$200 | $73.75–$200 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$192–$1,050 | $192–$1,050 | varies |
| Appendectomy (44950) range across 2 matching MRF lines |
$1,200–$7,502 | $1,200–$7,502 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 3 matching MRF lines |
$335–$357 | $335–$357 | varies |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$160–$597 | $160–$597 | varies |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$55–$292 | $55–$292 | varies |
| Application finger splint static (29130) range across 4 matching MRF lines |
$77–$325 | $77–$325 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$127–$318 | $127–$318 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $263 | $263 | 1.0× |
| Application Long Leg Splint (29505) | $159 | $159 | 1.1× |
| Application of cylinder cast (thigh to ankle) (29365) | $227 | $227 | 0.9× |
| Application of long leg cast (29345) | $251 | $251 | 1.0× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$248–$458 | $248–$458 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $218 | $218 | 0.8× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$143–$292 | $143–$292 | varies |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$93–$305 | $93–$305 | varies |
| Application short leg splint calf foot (29515) range across 6 matching MRF lines |
$110–$437 | $110–$437 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$175–$450 | $175–$450 | varies |
| Apply long arm cast (29065) | $176 | $176 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$70–$528 | $70–$528 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$150–$350 | $150–$350 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$144–$440 | $144–$440 | varies |
| Arterial puncture (36600) range across 4 matching MRF lines |
$17–$117 | $17–$117 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 8 matching MRF lines |
$95–$691 | $95–$691 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 5 matching MRF lines |
$103–$534 | $103–$534 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$112–$567 | $112–$567 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 5 matching MRF lines |
$153.47–$568 | $153.47–$568 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$91–$650 | $91–$650 | varies |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) range across 2 matching MRF lines |
$1,354–$9,449 | $1,354–$9,449 | varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) range across 2 matching MRF lines |
$1,071.20–$5,000 | $1,071.20–$5,000 | varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$1,480–$5,149 | $1,480–$5,149 | varies |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$900.69–$3,458 | $900.69–$3,458 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$1,276.17–$5,222 | $1,276.17–$5,222 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$1,591.35–$10,998 | $1,591.35–$10,998 | varies |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) range across 2 matching MRF lines |
$1,900.69–$9,000 | $1,900.69–$9,000 | varies |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$876.53–$4,103 | $876.53–$4,103 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$2,058.97–$6,981 | $2,058.97–$6,981 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$2,788.21–$12,068 | $2,788.21–$12,068 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$1,119.61–$5,553 | $1,119.61–$5,553 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,013.65–$12,068 | $2,013.65–$12,068 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$1,539.85–$11,416.94 | $1,539.85–$11,416.94 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$1,198.07–$5,700 | $1,198.07–$5,700 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$1,172.14–$5,828 | $1,172.14–$5,828 | varies |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) range across 2 matching MRF lines |
$1,150–$11,100 | $1,150–$11,100 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$1,689.20–$5,828 | $1,689.20–$5,828 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) range across 2 matching MRF lines |
$700.81–$1,974.35 | $700.81–$1,974.35 | varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $625 | $625 | 0.2× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$203.41–$1,309 | $203.41–$1,309 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$315–$1,140 | $315–$1,140 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$61.80–$453 | $61.80–$453 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$134–$206 | $134–$206 | varies |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$324–$2,745 | $324–$2,745 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$218–$1,703 | $218–$1,703 | varies |
| Biopsy external ear (69100) range across 3 matching MRF lines |
$70.67–$181 | $70.67–$181 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$90.69–$500 | $90.69–$500 | varies |
| Biopsy of lip (40490) range across 2 matching MRF lines |
$102–$105.14 | $102–$105.14 | varies |
| Biopsy of palate, uvula (42100) | $428 | $428 | 0.3× |
| Biopsy of penis (54100) range across 5 matching MRF lines |
$264–$2,109 | $264–$2,109 | varies |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $4,441 | $4,441 | 1.4× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $100 | $100 | 0.2× |
| Biopsy Vaginal Mucosa Simple (57100) | $173 | $173 | 0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 3 matching MRF lines |
$89.62–$600 | $89.62–$600 | varies |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$945–$6,010 | $945–$6,010 | varies |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$122–$1,096.86 | $122–$1,096.86 | varies |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$92.70–$423.77 | $92.70–$423.77 | varies |
| Bladder Scan (51798) range across 3 matching MRF lines |
$88–$101.05 | $88–$101.05 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $505 | $505 | 1.7× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$425–$1,025 | $425–$1,025 | varies |
| Bronchoscopy Clear Airways (31645) range across 2 matching MRF lines |
$340–$2,170 | $340–$2,170 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$2,149–$2,449.29 | $2,149–$2,449.29 | varies |
| Bx Cervix (57500) range across 2 matching MRF lines |
$247–$1,546 | $247–$1,546 | varies |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$639–$5,734 | $639–$5,734 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$700–$3,034 | $700–$3,034 | varies |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$817.82–$2,465 | $817.82–$2,465 | varies |
| Carpectomy All Bones Proximal Row (25215) range across 2 matching MRF lines |
$899.10–$6,000 | $899.10–$6,000 | varies |
| Cataract surgery complex (66982) | $3,994 | $3,994 | 1.9× |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$987–$1,195 | $987–$1,195 | varies |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$87–$147.29 | $87–$147.29 | varies |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$91.67–$527.86 | $91.67–$527.86 | varies |
| Chemodenerv Musc Migraine (64615) range across 3 matching MRF lines |
$232–$410.56 | $232–$410.56 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$166.36–$657 | $166.36–$657 | varies |
| Chemodenerv trunk musc 1-5 (64646) range across 2 matching MRF lines |
$178.66–$900 | $178.66–$900 | varies |
| Chemodenerv trunk musc 6/> (64647) range across 2 matching MRF lines |
$206.33–$900 | $206.33–$900 | varies |
| Chemodenervation of internal anal sphincter (46505) range across 2 matching MRF lines |
$366–$1,000 | $366–$1,000 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$171.06–$657 | $171.06–$657 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$223.54–$1,000 | $223.54–$1,000 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $435 | $435 | 0.2× |
| Circumcision 28 days or older (54161) range across 3 matching MRF lines |
$290.56–$4,176 | $290.56–$4,176 | varies |
| Circumcision Neonate (54160) | $420.92 | $420.92 | 0.7× |
| Circumcision w/clamp/oth dev w/block (54150) range across 4 matching MRF lines |
$170.12–$3,500 | $170.12–$3,500 | varies |
| Clear outer ear canal (69200) | $152 | $152 | 1.2× |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$1,095–$3,945 | $1,095–$3,945 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $570 | $570 | 2.5× |
| Closed Treat Vert Body Fract (22310) | $575 | $575 | 2.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $820 | $820 | 3.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $910 | $910 | 4.0× |
| Closed Treatment Sesamoid Fracture (28530) | $218 | $218 | 1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $600 | $600 | 2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $700 | $700 | 3.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $619 | $619 | 2.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $462 | $462 | 2.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$420–$1,866 | $420–$1,866 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $975 | $975 | 4.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$309–$1,845 | $309–$1,845 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $900 | $900 | 4.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$397–$653 | $397–$653 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 4 matching MRF lines |
$552–$1,455 | $552–$1,455 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $825 | $825 | 0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$484–$1,040 | $484–$1,040 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,040–$2,058 | $1,040–$2,058 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$472.18–$1,300 | $472.18–$1,300 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $750 | $750 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $525 | $525 | 2.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $430 | $430 | 1.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $675 | $675 | 0.5× |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$248.75–$2,150 | $248.75–$2,150 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $408 | $408 | 1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$145–$199 | $145–$199 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $850 | $850 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $538 | $538 | 2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$343–$2,007 | $343–$2,007 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $660 | $660 | 0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$550–$1,053 | $550–$1,053 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $752 | $752 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$476–$593 | $476–$593 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,000 | $1,000 | 4.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$643–$913 | $643–$913 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $695 | $695 | 0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$327.10–$930 | $327.10–$930 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $568 | $568 | 2.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $640 | $640 | 2.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $705.25 | $705.25 | 3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$440.84–$1,866 | $440.84–$1,866 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $585 | $585 | 2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 4 matching MRF lines |
$325–$690 | $325–$690 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$345–$1,004.25 | $345–$1,004.25 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$637–$1,999 | $637–$1,999 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $975 | $975 | 4.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $895 | $895 | 3.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $336 | $336 | 1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $268 | $268 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $306 | $306 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$180.25–$600 | $180.25–$600 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $585 | $585 | 2.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $499 | $499 | 2.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,425 | $1,425 | 1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $343 | $343 | 1.5× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$556.34–$1,950 | $556.34–$1,950 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$434–$2,007 | $434–$2,007 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 3 matching MRF lines |
$865–$2,100 | $865–$2,100 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $221 | $221 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$625–$718 | $625–$718 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$500–$522 | $500–$522 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$455–$2,150 | $455–$2,150 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$600–$1,060 | $600–$1,060 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 4 matching MRF lines |
$445–$597 | $445–$597 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $775 | $775 | 0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$538.56–$1,650 | $538.56–$1,650 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 4 matching MRF lines |
$366–$1,116 | $366–$1,116 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$600–$2,300 | $600–$2,300 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $566 | $566 | 2.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $870 | $870 | 0.6× |
| Cltx prox tibfib jt dislc req anes (27831) | $750 | $750 | 0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $190 | $190 | 0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $800 | $800 | 0.5× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$497–$2,007 | $497–$2,007 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $560 | $560 | 2.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $641 | $641 | 2.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $968 | $968 | 4.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$1,027.94–$2,697 | $1,027.94–$2,697 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$539.63–$603 | $539.63–$603 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $196.69 | $196.69 | 1.6× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$15.50–$18 | $15.50–$18 | varies |
| Colonoscopy Flexible With Decompression (45393) range across 2 matching MRF lines |
$635–$2,020 | $635–$2,020 | varies |
| Colonoscopy thru stoma (44388) | $1,490 | $1,490 | 1.7× |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$800–$1,920 | $800–$1,920 | varies |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$733–$2,209 | $733–$2,209 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$618–$2,005 | $618–$2,005 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $495 | $495 | 1.8× |
| Colposcopy Cervix Endocervical Curettage (57456) | $1,924 | $1,924 | 6.9× |
| Colposcopy cervix upper/adjacent vagina (57452) | $1,924 | $1,924 | 10.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $583.50 | $583.50 | 2.1× |
| Colposcopy entire vagina w/cervix if present (57420) | $568 | $568 | 2.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 3 matching MRF lines |
$599–$2,149 | $599–$2,149 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$336.77–$2,005 | $336.77–$2,005 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 4 matching MRF lines |
$850–$2,005 | $850–$2,005 | varies |
| Complex drainage wound (10180) range across 6 matching MRF lines |
$227–$5,036 | $227–$5,036 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $400 | $400 | 3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $281 | $281 | 2.3× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$634–$3,240 | $634–$3,240 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$852–$4,580 | $852–$4,580 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure |
$999 | $999 | 0.1× |
| Create Eardrum Opening (69433) | $850 | $850 | 1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $605 | $605 | 4.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $263 | $263 | 1.2× |
| Curettage postpartum (59160) | $2,125 | $2,125 | 0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$762–$3,491 | $762–$3,491 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$432.60–$2,265.02 | $432.60–$2,265.02 | varies |
| Cysto w/complex removal stone & stent (52315) | $2,059 | $2,059 | 1.1× |
| Cysto w/destruction of lesions (52214) range across 2 matching MRF lines |
$435–$3,749 | $435–$3,749 | varies |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$948–$4,569 | $948–$4,569 | varies |
| Cysto w/removal of lesions small (52224) range across 2 matching MRF lines |
$515–$3,775 | $515–$3,775 | varies |
| Cysto w/removal of tumors small (52234) range across 2 matching MRF lines |
$772.50–$5,079 | $772.50–$5,079 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$618–$3,046.61 | $618–$3,046.61 | varies |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) range across 2 matching MRF lines |
$1,150–$6,000 | $1,150–$6,000 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$412–$1,150 | $412–$1,150 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) range across 2 matching MRF lines |
$248–$4,310 | $248–$4,310 | varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) range across 2 matching MRF lines |
$818.85–$4,668.51 | $818.85–$4,668.51 | varies |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) range across 2 matching MRF lines |
$700–$3,850 | $700–$3,850 | varies |
| Cystourethroscopy w/dil bladder general anesth (52260) | $3,740 | $3,740 | 1.9× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$503–$3,365 | $503–$3,365 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$104–$351 | $104–$351 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 4 matching MRF lines |
$602–$4,300 | $602–$4,300 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$198–$1,063 | $198–$1,063 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$19.13–$142 | $19.13–$142 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$32–$432 | $32–$432 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$289–$2,450.87 | $289–$2,450.87 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$78–$612.46 | $78–$612.46 | varies |
| Declot vascular device (36593) | $130 | $130 | 0.4× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$307.18–$4,882 | $307.18–$4,882 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$316.66–$2,200 | $316.66–$2,200 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$110–$1,449 | $110–$1,449 | varies |
| Destruction Benign Lesions 15/> (17111) range across 3 matching MRF lines |
$105–$250 | $105–$250 | varies |
| Destruction Lesions Vulva Simple (56501) | $269 | $269 | 0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 3 matching MRF lines |
$103–$332 | $103–$332 | varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) range across 2 matching MRF lines |
$199.73–$600 | $199.73–$600 | varies |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $249.35 | $249.35 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) range across 2 matching MRF lines |
$291.93–$700 | $291.93–$700 | varies |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $395.29 | $395.29 | 0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 3 matching MRF lines |
$103–$268 | $103–$268 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) range across 2 matching MRF lines |
$165.91–$200 | $165.91–$200 | varies |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 2 matching MRF lines |
$115–$178.83 | $115–$178.83 | varies |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $191.11 | $191.11 | 0.5× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $224.54 | $224.54 | 0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 3 matching MRF lines |
$103–$259 | $103–$259 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 3 matching MRF lines |
$103–$276 | $103–$276 | varies |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $153.01 | $153.01 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 2 matching MRF lines |
$105–$177.25 | $105–$177.25 | varies |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $200.75 | $200.75 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $245.66 | $245.66 | 0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$103.74–$177 | $103.74–$177 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) | $234.60 | $234.60 | 0.1× |
| Destruction of skin lesions (17106) | $640 | $640 | 1.7× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$147.63–$210 | $147.63–$210 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$82.79–$150 | $82.79–$150 | varies |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$133.90–$1,227 | $133.90–$1,227 | varies |
| Dilat rct strix spx under anes oth/thn local (45910) range across 2 matching MRF lines |
$733–$1,135 | $733–$1,135 | varies |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $525 | $525 | 4.3× |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$247.20–$1,130 | $247.20–$1,130 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$503–$2,500 | $503–$2,500 | varies |
| Disarticulation At Knee (27598) | $1,250 | $1,250 | 0.4× |
| Drain Hand Tendon Sheath (26020) range across 2 matching MRF lines |
$750–$3,000 | $750–$3,000 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$154.50–$675 | $154.50–$675 | varies |
| Drainage external auditory canal abscess (69020) | $425 | $425 | 0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) | $399 | $399 | 0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$343–$1,220 | $343–$1,220 | varies |
| Drainage of finger abscess simple (26010) | $501 | $501 | 2.7× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$152–$1,611.01 | $152–$1,611.01 | varies |
| Drainage of palmar bursa single bursa (26025) range across 2 matching MRF lines |
$650–$3,000 | $650–$3,000 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$405–$700 | $405–$700 | varies |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$100–$171.97 | $100–$171.97 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 4 matching MRF lines |
$320–$750 | $320–$750 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$266–$706 | $266–$706 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$130–$610 | $130–$610 | varies |
| Dstrj Lesion Penis Simple Chemical (54050) | $247 | $247 | 0.7× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $161.10 | $161.10 | 0.9× |
| Dstrj lesion penis simple surg excision (54060) range across 2 matching MRF lines |
$248.23–$1,773 | $248.23–$1,773 | varies |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $295.85 | $295.85 | 0.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,375 | $1,375 | 0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 3 matching MRF lines |
$705.55–$2,140 | $705.55–$2,140 | varies |
| Egd cautery tumor polyp (43250) | $1,747 | $1,747 | 1.0× |
| Egd control bleeding any (43255) | $1,594 | $1,594 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$667–$1,987 | $667–$1,987 | varies |
| Egd guide wire insertion (43248) range across 2 matching MRF lines |
$661–$1,465 | $661–$1,465 | varies |
| Egd place gastrostomy tube (43246) | $2,775 | $2,775 | 1.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $73.79 | $73.79 | 0.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $55.86 | $55.86 | 0.2× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $39.97 | $39.97 | 0.1× |
| Endocervical curettage (57505) | $698 | $698 | 0.8× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$174–$2,149 | $174–$2,149 | varies |
| Endoscopy Upper Small Intestine (44360) range across 2 matching MRF lines |
$414.06–$1,529 | $414.06–$1,529 | varies |
| Endoscopy upper small intestine w/biopsy (44361) range across 2 matching MRF lines |
$451.14–$1,529 | $451.14–$1,529 | varies |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$1,657–$3,245 | $1,657–$3,245 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$1,661–$3,245 | $1,661–$3,245 | varies |
| Epidural Blood Patch (62273) | $675 | $675 | 1.0× |
| Episiotomy or vaginal repair (59300) | $550 | $550 | 0.2× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 2 matching MRF lines |
$388.50–$4,649 | $388.50–$4,649 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$76–$115 | $76–$115 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 4 matching MRF lines |
$125.76–$995 | $125.76–$995 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
$292.52–$2,500 | $292.52–$2,500 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$657.82–$1,022 | $657.82–$1,022 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$1,371.36–$4,578.02 | $1,371.36–$4,578.02 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 3 matching MRF lines |
$98–$441 | $98–$441 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 4 matching MRF lines |
$273.93–$1,205 | $273.93–$1,205 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$412.54–$1,865 | $412.54–$1,865 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 4 matching MRF lines |
$154.26–$1,209 | $154.26–$1,209 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 4 matching MRF lines |
$199.55–$1,600 | $199.55–$1,600 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 4 matching MRF lines |
$220.01–$1,861 | $220.01–$1,861 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 4 matching MRF lines |
$261.13–$1,973 | $261.13–$1,973 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$330.93–$3,350 | $330.93–$3,350 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$785–$2,395 | $785–$2,395 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$110–$1,287 | $110–$1,287 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$125–$1,730 | $125–$1,730 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$306.94–$2,741 | $306.94–$2,741 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
$885–$2,081 | $885–$2,081 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $675 | $675 | 0.7× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$451–$3,954 | $451–$3,954 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 2 matching MRF lines |
$749–$995 | $749–$995 | varies |
| Exc neuroma hand/foot xcp digital nerve (64782) range across 2 matching MRF lines |
$673–$2,465 | $673–$2,465 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 4 matching MRF lines |
$360–$1,725 | $360–$1,725 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 4 matching MRF lines |
$324–$2,600 | $324–$2,600 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$500–$2,450 | $500–$2,450 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$675.68–$3,154 | $675.68–$3,154 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
$468.85–$1,484 | $468.85–$1,484 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
$315.16–$1,300 | $315.16–$1,300 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 3 matching MRF lines |
$426.19–$4,682 | $426.19–$4,682 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 5 matching MRF lines |
$420–$2,713.36 | $420–$2,713.36 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$762–$3,712 | $762–$3,712 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$352–$2,364 | $352–$2,364 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines |
$192–$1,095 | $192–$1,095 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$44.89–$1,063.70 | $44.89–$1,063.70 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$407–$1,973 | $407–$1,973 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $4,049 | $4,049 | 1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $1,636 | $1,636 | 0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$1,095–$3,130 | $1,095–$3,130 | varies |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) range across 2 matching MRF lines |
$825–$3,100 | $825–$3,100 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$566–$3,195 | $566–$3,195 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 2 matching MRF lines |
$807–$1,000 | $807–$1,000 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$759–$2,385 | $759–$2,385 | varies |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $879 | $879 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 4 matching MRF lines |
$525–$1,189 | $525–$1,189 | varies |
| Excision Chalazion Single (67800) | $1,150 | $1,150 | 3.9× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) range across 2 matching MRF lines |
$549–$4,682 | $549–$4,682 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 3 matching MRF lines |
$178.76–$970 | $178.76–$970 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 4 matching MRF lines |
$425–$1,193 | $425–$1,193 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
$304.88–$1,295 | $304.88–$1,295 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 4 matching MRF lines |
$583–$1,189 | $583–$1,189 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$184.86–$375 | $184.86–$375 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 4 matching MRF lines |
$332.56–$1,600 | $332.56–$1,600 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$570.69–$960 | $570.69–$960 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$179.80–$363 | $179.80–$363 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 4 matching MRF lines |
$338.87–$1,250 | $338.87–$1,250 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 4 matching MRF lines |
$254.90–$1,250 | $254.90–$1,250 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$347.56–$630 | $347.56–$630 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $526 | $526 | 0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$591.19–$3,164 | $591.19–$3,164 | varies |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$515–$3,077 | $515–$3,077 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) range across 3 matching MRF lines |
$507–$2,603 | $507–$2,603 | varies |
| Excision of single external papilla or tag, anus (46220) | $400 | $400 | 0.4× |
| Excision of vaginal cyst or tumor (57135) | $8,415 | $8,415 | 2.8× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$465–$3,969.40 | $465–$3,969.40 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,594–$5,435 | $1,594–$5,435 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$1,017–$3,245 | $1,017–$3,245 | varies |
| Excision prepatellar bursa (27340) range across 3 matching MRF lines |
$594.24–$3,700 | $594.24–$3,700 | varies |
| Excision soft tissue lesion, external auditory canal (69145) | $750 | $750 | 0.3× |
| Excision spermatocele w/wo epididymectomy (54840) range across 2 matching MRF lines |
$617–$1,673 | $617–$1,673 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$649.93–$3,164 | $649.93–$3,164 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$404–$471 | $404–$471 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,049 | $3,049 | 1.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$1,046–$1,699 | $1,046–$1,699 | varies |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $610 | $610 | 0.4× |
| Excision/curettage cyst/tumor phalanx finger (26210) range across 2 matching MRF lines |
$816–$2,820 | $816–$2,820 | varies |
| Exploration of knee joint (27310) | $1,375 | $1,375 | 0.5× |
| Exploration penetrating wound spx extremity (20103) | $1,080 | $1,080 | 0.7× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$230–$488.39 | $230–$488.39 | varies |
| Fna bx w/us gdn 1st les (10005) | $1,026 | $1,026 | 1.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,888 | $1,888 | 1.0× |
| Fusion Finger Joint (26860) range across 2 matching MRF lines |
$914–$3,000 | $914–$3,000 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 3 matching MRF lines |
$684–$3,400 | $684–$3,400 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$850–$3,665 | $850–$3,665 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$512–$1,000 | $512–$1,000 | varies |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) | $2,100 | $2,100 | 0.8× |
| Hemorrhoidopexy by stapling (46947) range across 2 matching MRF lines |
$500–$1,890 | $500–$1,890 | varies |
| Hysteroscopy Endometrial Ablation (58563) | $4,495 | $4,495 | 1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $5,365 | $5,365 | 1.2× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$159–$1,116 | $159–$1,116 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $840 | $840 | 0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$1,250–$4,836 | $1,250–$4,836 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$386–$1,401 | $386–$1,401 | varies |
| I&d pilonidal cyst complicated (10081) | $510.67 | $510.67 | 0.8× |
| I&d pilonidal cyst simple (10080) range across 5 matching MRF lines |
$253.38–$1,334.06 | $253.38–$1,334.06 | varies |
| Image Cath Fluid Colxn Visc (49405) | $2,800 | $2,800 | 1.8× |
| Implant neuroelectrodes (63650) range across 4 matching MRF lines |
$657.57–$9,999 | $657.57–$9,999 | varies |
| Incise external hemorrhoid (46083) range across 5 matching MRF lines |
$285–$500 | $285–$500 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$678.77–$2,258 | $678.77–$2,258 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$237–$2,080 | $237–$2,080 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$237.39–$1,600 | $237.39–$1,600 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 6 matching MRF lines |
$200–$1,460.19 | $200–$1,460.19 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $253 | $253 | 1.4× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$214–$380 | $214–$380 | varies |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$629.07–$3,200 | $629.07–$3,200 | varies |
| Incision of eardrum (69421) | $1,757 | $1,757 | 0.6× |
| Incision of Foot Tendon (28234) range across 3 matching MRF lines |
$394.26–$1,800 | $394.26–$1,800 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $2,315 | $2,315 | 1.6× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$850–$3,140 | $850–$3,140 | varies |
| Incision of urethra (53020) range across 2 matching MRF lines |
$220–$2,090 | $220–$2,090 | varies |
| Incision&drainage bursa foot (28001) range across 2 matching MRF lines |
$419–$2,764 | $419–$2,764 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $530 | $530 | 0.3× |
| Incisional biopsy eyelid skin & lid margin (67810) range across 2 matching MRF lines |
$103.42–$600 | $103.42–$600 | varies |
| Incisional biopsy skin single lesion (11106) range across 5 matching MRF lines |
$148.32–$1,512 | $148.32–$1,512 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $132 | $132 | 0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$173.97–$861 | $173.97–$861 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 7 matching MRF lines |
$82.40–$298 | $82.40–$298 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $132.56 | $132.56 | 0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,150 | $1,150 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $86 | $86 | 0.1× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$104.03–$197 | $104.03–$197 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$60.05–$480 | $60.05–$480 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$63.16–$448.69 | $63.16–$448.69 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$73–$590 | $73–$590 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$85.20–$650 | $85.20–$650 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$144–$1,305 | $144–$1,305 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 4 matching MRF lines |
$50–$142 | $50–$142 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$24–$118 | $24–$118 | varies |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$132–$500 | $132–$500 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$182.88–$1,200 | $182.88–$1,200 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$115–$263 | $115–$263 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,800 | $1,800 | 1.0× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$3,700–$3,800 | $3,700–$3,800 | varies |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$118–$150 | $118–$150 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$115.36–$196.69 | $115.36–$196.69 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$400–$5,443 | $400–$5,443 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$83–$196.69 | $83–$196.69 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $99 | $99 | 0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $935 | $935 | 0.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$109–$900 | $109–$900 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $4,130 | $4,130 | 1.4× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$540.88–$1,497 | $540.88–$1,497 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$433.75–$885 | $433.75–$885 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$558.80–$1,000 | $558.80–$1,000 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$272–$300 | $272–$300 | varies |
| Knee arthroscopy/drainage (29871) range across 2 matching MRF lines |
$1,165–$2,999 | $1,165–$2,999 | varies |
| Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$1,028.97–$3,870.54 | $1,028.97–$3,870.54 | varies |
| Knee Arthroscopy/Surgery (29850) | $3,100 | $3,100 | 2.1× |
| Lap paraesophag hern repair (43281) range across 2 matching MRF lines |
$1,955–$15,606 | $1,955–$15,606 | varies |
| Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$676.39–$4,600 | $676.39–$4,600 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines |
$1,173–$7,036 | $1,173–$7,036 | varies |
| Laparoscopy fulguration oviducts (58670) | $5,565 | $5,565 | 1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 3 matching MRF lines |
$827.09–$10,922 | $827.09–$10,922 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$2,424–$13,600 | $2,424–$13,600 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
$1,242.81–$6,500 | $1,242.81–$6,500 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 3 matching MRF lines |
$1,112–$8,276 | $1,112–$8,276 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) likely a partial charge, not the full procedure |
$1,650 | $1,650 | 0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$1,033–$10,432 | $1,033–$10,432 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$1,045.50–$14,384 | $1,045.50–$14,384 | varies |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) range across 2 matching MRF lines |
$1,376–$9,100 | $1,376–$9,100 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$622–$7,000 | $622–$7,000 | varies |
| Laparoscopy, Tubal Block (58671) range across 2 matching MRF lines |
$924–$6,175 | $924–$6,175 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$592.12–$4,800 | $592.12–$4,800 | varies |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $11,950 | $11,950 | 1.2× |
| Laryngoscopy flexible diagnostic (31575) | $700 | $700 | 3.8× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$1,200.76–$2,766.83 | $1,200.76–$2,766.83 | varies |
| Lavage cannulation sphenoid sinus (31002) | $500 | $500 | 0.4× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) range across 2 matching MRF lines |
$2,117–$19,985 | $2,117–$19,985 | varies |
| Ligation of hemorrhoids (46946) range across 2 matching MRF lines |
$498.78–$5,316 | $498.78–$5,316 | varies |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$719–$2,659 | $719–$2,659 | varies |
| Litholapaxy comp/lg > 2.5 cm (52318) range across 2 matching MRF lines |
$1,200–$8,820 | $1,200–$8,820 | varies |
| Litholapaxy smpl/sm <2.5 cm (52317) | $2,270 | $2,270 | 0.7× |
| Lysis of labial adhesions (56441) range across 2 matching MRF lines |
$404–$2,885 | $404–$2,885 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) range across 3 matching MRF lines |
$455–$1,673 | $455–$1,673 | varies |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$222–$1,790 | $222–$1,790 | varies |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$987.77–$7,599.87 | $987.77–$7,599.87 | varies |
| Mastectomy simple complete (19303) range across 3 matching MRF lines |
$1,499.63–$9,831.98 | $1,499.63–$9,831.98 | varies |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) range across 2 matching MRF lines |
$1,800–$1,823.10 | $1,800–$1,823.10 | varies |
| Muscle-skin graft trunk (15734) range across 2 matching MRF lines |
$2,200–$5,700 | $2,200–$5,700 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$88.13–$471 | $88.13–$471 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$94.65–$471 | $94.65–$471 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$65–$508 | $65–$508 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$135.07–$719 | $135.07–$719 | varies |
| Nasal Endoscopy Dx (31231) | $900 | $900 | 4.9× |
| Nasal/Orogastric W/Tube Plmt (43752) | $56 | $56 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$1,700–$3,846 | $1,700–$3,846 | varies |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $1,600 | $1,600 | 1.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 2 matching MRF lines |
$771.47–$4,107 | $771.47–$4,107 | varies |
| Needle Biopsy Lymph Nodes (38505) | $928 | $928 | 0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $15 | $15 | 0.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $15 | $15 | 0.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$1,390.50–$3,764 | $1,390.50–$3,764 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $300 | $300 | 0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$126.66–$1,050 | $126.66–$1,050 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$140–$525 | $140–$525 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 5 matching MRF lines |
$109–$1,495 | $109–$1,495 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$176.87–$1,733 | $176.87–$1,733 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$163.75–$1,733 | $163.75–$1,733 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $407 | $407 | 0.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $423 | $423 | 0.7× |
| Occipital Nerve Block (64405) range across 9 matching MRF lines |
$139.20–$1,046 | $139.20–$1,046 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) range across 2 matching MRF lines |
$500–$1,495 | $500–$1,495 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$618–$1,225 | $618–$1,225 | varies |
| Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
$1,446–$7,942 | $1,446–$7,942 | varies |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$661–$13,059 | $661–$13,059 | varies |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$1,275–$7,369 | $1,275–$7,369 | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
$1,065–$3,987 | $1,065–$3,987 | varies |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) range across 2 matching MRF lines |
$814–$5,327 | $814–$5,327 | varies |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) range across 2 matching MRF lines |
$837–$6,100 | $837–$6,100 | varies |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) range across 2 matching MRF lines |
$845–$2,300 | $845–$2,300 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$1,514.10–$12,116 | $1,514.10–$12,116 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 3 matching MRF lines |
$1,480–$3,400 | $1,480–$3,400 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$1,663.45–$8,763.91 | $1,663.45–$8,763.91 | varies |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) range across 2 matching MRF lines |
$640.71–$2,928.62 | $640.71–$2,928.62 | varies |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$870.17–$8,400 | $870.17–$8,400 | varies |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) range across 2 matching MRF lines |
$1,435–$2,995 | $1,435–$2,995 | varies |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
$2,008.50–$11,835.12 | $2,008.50–$11,835.12 | varies |
| Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
$1,050–$6,128.75 | $1,050–$6,128.75 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 3 matching MRF lines |
$1,659.66–$9,435 | $1,659.66–$9,435 | varies |
| Orchiopexy Ingun/Scrot Appr (54640) range across 2 matching MRF lines |
$550–$999 | $550–$999 | varies |
| Ostc prtl exostc/condylc metar head (28288) | $3,760 | $3,760 | 1.2× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $1,400 | $1,400 | 0.3× |
| Part exc bone femur prox tibia (27360) range across 2 matching MRF lines |
$1,328–$5,250 | $1,328–$5,250 | varies |
| Partical Excision Bone Phalanx Toe (28124) | $2,915 | $2,915 | 1.0× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) range across 2 matching MRF lines |
$384.10–$2,875 | $384.10–$2,875 | varies |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$155–$680 | $155–$680 | varies |
| Perq device breast 1st imag (19281) | $387 | $387 | 0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $207 | $207 | 0.3× |
| Pin hand dislocation (26676) range across 2 matching MRF lines |
$1,060–$1,645 | $1,060–$1,645 | varies |
| Place Rt Device/Marker Pros (55876) range across 2 matching MRF lines |
$150–$1,350 | $150–$1,350 | varies |
| Placement of needle for intraosseous infusion (36680) | $405 | $405 | 1.0× |
| Placement of seton (46020) range across 2 matching MRF lines |
$500–$519 | $500–$519 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 3 matching MRF lines |
$86.86–$1,225 | $86.86–$1,225 | varies |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) range across 2 matching MRF lines |
$1,234–$2,870 | $1,234–$2,870 | varies |
| Punch biopsy skin single lesion (11104) range across 5 matching MRF lines |
$61–$1,215 | $61–$1,215 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$123–$1,435 | $123–$1,435 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$203–$624 | $203–$624 | varies |
| Reconstruction Tongue Fold (41520) | $500 | $500 | 0.2× |
| Removal Embedded Foreign Body Eyelid (67938) | $468 | $468 | 1.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,100 | $1,100 | 0.4× |
| Removal foreign body foot deep (28192) | $890 | $890 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 5 matching MRF lines |
$173–$2,650 | $173–$2,650 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $218 | $218 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$26–$52 | $26–$52 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$51–$600 | $51–$600 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$803.40–$4,275 | $803.40–$4,275 | varies |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$185–$271 | $185–$271 | varies |
| Removal of a lesion from the floor of the mouth (41116) | $575 | $575 | 0.2× |
| Removal of adenoids (42830) | $5,221 | $5,221 | 1.7× |
| Removal of anal fissure (46200) range across 2 matching MRF lines |
$319.30–$5,564 | $319.30–$5,564 | varies |
| Removal of foreign body from pharynx (42809) | $373 | $373 | 0.9× |
| Removal of implant from finger or hand (26320) | $1,174 | $1,174 | 0.8× |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$133–$765 | $133–$765 | varies |
| Removal of sesamoid bone (28315) | $4,720 | $4,720 | 1.6× |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$809–$6,856 | $809–$6,856 | varies |
| Removal of testis (54520) | $1,050 | $1,050 | 0.3× |
| Removal of tonsils (42825) | $2,754 | $2,754 | 0.5× |
| Removal of tonsils (42826) | $3,781.28 | $3,781.28 | 1.2× |
| Removal or bivalving full arm or full leg cast (29705) | $415 | $415 | 1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$98–$958 | $98–$958 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$119–$359 | $119–$359 | varies |
| Remove drug implant device (11982) | $293 | $293 | 0.7× |
| Remove Forearm Foreign Body (25248) range across 3 matching MRF lines |
$616–$1,550 | $616–$1,550 | varies |
| Remove foreign body from eye (65235) | $695 | $695 | 0.3× |
| Remove foreign body from eye (65205) | $87 | $87 | 0.7× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $500 | $500 | 0.3× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$162–$197 | $162–$197 | varies |
| Remove lung catheter (32552) | $846 | $846 | 1.5× |
| Remove Nasal Foreign Body (30300) | $376 | $376 | 3.1× |
| Remove Shoulder Foreign Body (23330) | $515 | $515 | 0.3× |
| Remove Skin Nerve Lesion (64774) range across 2 matching MRF lines |
$652–$2,591 | $652–$2,591 | varies |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$574.99–$2,820 | $574.99–$2,820 | varies |
| Remove/Insert Drug Implant (11983) | $431 | $431 | 1.0× |
| Repair Achilles Tendon (27650) range across 3 matching MRF lines |
$1,164.77–$6,046.44 | $1,164.77–$6,046.44 | varies |
| Repair bladder neck (51845) | $1,115 | $1,115 | 0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$408.10–$795 | $408.10–$795 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$492.39–$950 | $492.39–$950 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$609–$1,087 | $609–$1,087 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 5 matching MRF lines |
$391–$1,532 | $391–$1,532 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$341.43–$655 | $341.43–$655 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 5 matching MRF lines |
$389.34–$885 | $389.34–$885 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$293.63–$630 | $293.63–$630 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 4 matching MRF lines |
$374.55–$825 | $374.55–$825 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$821–$4,165 | $821–$4,165 | varies |
| Repair Foot Dislocation (28615) range across 2 matching MRF lines |
$1,865–$3,850 | $1,865–$3,850 | varies |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$883–$4,400 | $883–$4,400 | varies |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) range across 2 matching MRF lines |
$1,140.96–$4,000 | $1,140.96–$4,000 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $909 | $909 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$254.49–$950 | $254.49–$950 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$291.26–$626 | $291.26–$626 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$313.39–$651 | $313.39–$651 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$318.50–$681 | $318.50–$681 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$609.19–$1,100 | $609.19–$1,100 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$394.64–$750 | $394.64–$750 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$217.39–$540 | $217.39–$540 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$286.44–$976 | $286.44–$976 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$311.79–$680 | $311.79–$680 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$510.23–$983 | $510.23–$983 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$349.94–$710 | $349.94–$710 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$345–$663 | $345–$663 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$285.30–$612.46 | $285.30–$612.46 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$409.85–$786 | $409.85–$786 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$299.63–$590 | $299.63–$590 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$474.83–$884.15 | $474.83–$884.15 | varies |
| Repair of biceps tendon (24340) range across 2 matching MRF lines |
$797–$4,692 | $797–$4,692 | varies |
| Repair of nail bed (11760) range across 4 matching MRF lines |
$250–$612 | $250–$612 | varies |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) range across 2 matching MRF lines |
$1,820–$5,103 | $1,820–$5,103 | varies |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$1,215.68–$6,600 | $1,215.68–$6,600 | varies |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$1,487.05–$8,600.75 | $1,487.05–$8,600.75 | varies |
| Replantation digit complete (20822) | $3,350 | $3,350 | 2.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 2 matching MRF lines |
$475–$3,891 | $475–$3,891 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $204.69 | $204.69 | 0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$185–$1,260 | $185–$1,260 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $111 | $111 | 0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $128 | $128 | 1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $106 | $106 | 0.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,100 | $3,100 | 1.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $390 | $390 | 0.3× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 2 matching MRF lines |
$421–$3,137 | $421–$3,137 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$414–$2,895 | $414–$2,895 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$177–$1,455 | $177–$1,455 | varies |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$175–$702 | $175–$702 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$625–$730 | $625–$730 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,805 | $1,805 | 1.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 3 matching MRF lines |
$1,319–$6,500 | $1,319–$6,500 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$566.50–$5,786 | $566.50–$5,786 | varies |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) range across 2 matching MRF lines |
$816–$8,968 | $816–$8,968 | varies |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
$554–$6,809 | $554–$6,809 | varies |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$719.15–$5,786 | $719.15–$5,786 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$700.40–$7,000 | $700.40–$7,000 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$200–$308 | $200–$308 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$459.33–$890 | $459.33–$890 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,065 | $1,065 | 0.7× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $4,305 | $4,305 | 1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines |
$175–$1,274 | $175–$1,274 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$51.89–$182 | $51.89–$182 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$67.10–$209 | $67.10–$209 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$141.70–$344 | $141.70–$344 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$57.01–$190 | $57.01–$190 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$75.49–$225 | $75.49–$225 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$93.63–$266 | $93.63–$266 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$105.98–$284 | $105.98–$284 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 4 matching MRF lines |
$92.16–$600 | $92.16–$600 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 3 matching MRF lines |
$109.11–$600 | $109.11–$600 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$66–$220 | $66–$220 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$104.44–$285 | $104.44–$285 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$100–$259 | $100–$259 | varies |
| Sigmoidoscopy & decompress (45337) range across 2 matching MRF lines |
$213–$1,250 | $213–$1,250 | varies |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$550–$1,135 | $550–$1,135 | varies |
| Sigmoidoscopy W/Resection (45349) range across 3 matching MRF lines |
$736–$1,450 | $736–$1,450 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$150–$1,227 | $150–$1,227 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $389 | $389 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$150–$202 | $150–$202 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$160–$211 | $160–$211 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $289 | $289 | 0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$175–$254 | $175–$254 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $327 | $327 | 1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 5 matching MRF lines |
$112.27–$610 | $112.27–$610 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $419 | $419 | 2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$200–$237 | $200–$237 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 4 matching MRF lines |
$241.02–$6,843 | $241.02–$6,843 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$212.18–$4,092.66 | $212.18–$4,092.66 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$485–$4,698 | $485–$4,698 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$551–$3,245 | $551–$3,245 | varies |
| Slitting of prepuce (54001) range across 2 matching MRF lines |
$600–$1,673 | $600–$1,673 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 5 matching MRF lines |
$148.32–$869 | $148.32–$869 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$250–$308 | $250–$308 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$363–$423 | $363–$423 | varies |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$300–$1,745 | $300–$1,745 | varies |
| Spinal puncture lumbar diagnostic (62270) | $565 | $565 | 0.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$1,666–$5,110 | $1,666–$5,110 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$1,707–$4,992 | $1,707–$4,992 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$23.32–$355 | $23.32–$355 | varies |
| Strapping knee (29530) | $349 | $349 | 2.9× |
| Strapping Unna Boot (29580) range across 7 matching MRF lines |
$69.01–$1,056 | $69.01–$1,056 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $3,265 | $3,265 | 1.1× |
| Surg tx anal fistula subq (46270) | $3,131 | $3,131 | 1.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $1,115 | $1,115 | 0.4× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) range across 2 matching MRF lines |
$921.57–$6,800 | $921.57–$6,800 | varies |
| Tangential biopsy skin single lesion (11102) range across 4 matching MRF lines |
$59–$900 | $59–$900 | varies |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$1,404.92–$12,116 | $1,404.92–$12,116 | varies |
| Tenolysis flexor foot single tendon (28220) range across 2 matching MRF lines |
$523–$586 | $523–$586 | varies |
| Tenolysis flexor tendon palm/finger each tendon (26440) range across 2 matching MRF lines |
$1,542.94–$1,554 | $1,542.94–$1,554 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 3 matching MRF lines |
$507–$3,010 | $507–$3,010 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$2,200–$2,470 | $2,200–$2,470 | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) range across 2 matching MRF lines |
$1,000.13–$6,761 | $1,000.13–$6,761 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $4,668.85 | $4,668.85 | 1.5× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,550 | $2,550 | 0.2× |
| Transur electr resection of prostate (52601) range across 2 matching MRF lines |
$1,256–$4,113 | $1,256–$4,113 | varies |
| Transurethral resection bladder neck (52500) | $3,900 | $3,900 | 1.2× |
| Treat Big Toe Fracture (28505) range across 2 matching MRF lines |
$913.71–$2,950 | $913.71–$2,950 | varies |
| Treat Hand Bone Lesion (26034) range across 2 matching MRF lines |
$968.35–$1,917 | $968.35–$1,917 | varies |
| Treat humerus fracture (24500) | $663 | $663 | 2.9× |
| Treat Humerus Fracture (24505) | $930 | $930 | 0.6× |
| Treat humerus fracture (23600) range across 4 matching MRF lines |
$605–$1,900 | $605–$1,900 | varies |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$1,200–$6,790 | $1,200–$6,790 | varies |
| Treat Knuckle Dislocation (26700) | $615 | $615 | 2.7× |
| Treat metacarpal fracture (26607) | $875 | $875 | 0.3× |
| Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
$480–$2,300 | $480–$2,300 | varies |
| Treat Thumb Dislocation (26641) | $705 | $705 | 3.1× |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$500–$800 | $500–$800 | varies |
| Treat thumb fracture (26665) range across 2 matching MRF lines |
$1,141.23–$2,170 | $1,141.23–$2,170 | varies |
| Treat Vaginal Bleeding (57180) | $285 | $285 | 1.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $885 | $885 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $685 | $685 | 3.0× |
| Treatment of ankle fracture (27823) range across 2 matching MRF lines |
$2,230–$11,385 | $2,230–$11,385 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$21–$315 | $21–$315 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$29–$589 | $29–$589 | varies |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
$38.07–$680 | $38.07–$680 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$65–$142 | $65–$142 | varies |
| Trurl rescj postop bladder neck contracture (52640) range across 3 matching MRF lines |
$471.98–$1,600 | $471.98–$1,600 | varies |
| Tubal ligation (58600) | $4,413 | $4,413 | 1.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $605 | $605 | 0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) range across 3 matching MRF lines |
$561–$2,931 | $561–$2,931 | varies |
| Tx Missed Abortion Second Trimester Surgical (59821) range across 2 matching MRF lines |
$541.92–$4,936 | $541.92–$4,936 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 3 matching MRF lines |
$314–$1,790 | $314–$1,790 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$410–$530 | $410–$530 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $313 | $313 | 0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $540 | $540 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $395 | $395 | 1.7× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $5,688 | $5,688 | 4.0× |
| Tympanostomy general anesthesia (69436) | $1,950 | $1,950 | 1.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $844 | $844 | 1.0× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$406–$1,515 | $406–$1,515 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
$587.10–$3,407 | $587.10–$3,407 | varies |
| Ventilating tube removal requiring general anesthesia (69424) | $2,900 | $2,900 | 1.0× |
| Wedge excision skin nail fold (11765) | $315 | $315 | 0.8× |
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.