Procedures & surgery prices at Saint Alphonsus Regional Medical Center
Boise, ID · every code in this section with a posted price and a Medicare benchmark.
1225 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) | $1,386.06 | — | 1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $947.05 | $1,457 | 1.0× |
| Abdomen Surgery Procedure (22999) | $28,435.43 | — | 106.8× |
| Ablate inf turbinate submuc (30802) | $10,700.67 | — | 6.4× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $9,316.45 | $14,333 | 0.8× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,119.30 | $1,722 | 0.7× |
| Acne surgery (10040) | $150.15 | $231 | 0.7× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $20,098.03 | — | 9.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $16,986.53 | — | 4.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $7,235.34 | — | 3.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $9,456.69 | — | 4.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $10,355.57 | — | 4.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $6,496.42 | — | 1.8× |
| Amputation metatarsal with toe single (28810) | $8,023.70 | — | 2.3× |
| Amputation toe interphalangeal joint (28825) | $7,075.22 | — | 2.0× |
| Amputation toe metatarsophalangeal joint (28820) | $9,294.06 | — | 2.6× |
| Ankle Arthroscopy/Surgery (29892) | $16,867.44 | — | 2.2× |
| Anoscopy Control Bleeding (46614) | $890.50 | $1,370 | 0.7× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$182–$791.05 | — | varies |
| Anoscopy remove lesion (46610) | $2,071.55 | $3,187 | 0.7× |
| Anoscopy; with biopsy, single or multiple (46606) | $4,850.04 | — | 3.8× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $6,433.84 | — | 2.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $8,754.13 | — | 1.6× |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $36,631.30 | — | 21.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 3 matching MRF lines |
$131.30–$196.95 | $202–$303 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$218.40–$327.60 | $336–$504 | varies |
| Application finger splint static (29130) | $274.30 | — | 1.9× |
| Application long arm splint shoulder hand (29105) | $314.60 | — | 1.8× |
| Application Long Leg Splint (29505) | $293.15 | — | 1.7× |
| Application of long leg cast (29345) range across 6 matching MRF lines |
$224.90–$337.35 | $346–$519 | varies |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$235.95–$354.25 | $363–$545 | varies |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$134.55–$202.15 | $207–$311 | varies |
| Application short arm splint forearm-hand static (29125) | $274.30 | — | 1.9× |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$221–$290.55 | — | varies |
| Apply hand/wrist cast (29085) | $128.05 | $197 | 0.7× |
| Apply long arm cast (29065) range across 6 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 12 matching MRF lines |
$131.30–$196.95 | $202–$303 | varies |
| Apply Short Leg Cast (29405) range across 6 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Apply short leg cast (29425) range across 3 matching MRF lines |
$254.80–$382.20 | $392–$588 | varies |
| Arterial puncture (36600) | $1,305.20 | — | 9.1× |
| Arteriovenous Anastomosis Open Direct (36821) | $14,402.02 | — | 4.2× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) | $22,351.32 | — | 3.7× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) | $31,010.88 | — | 2.2× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) | $22,368.08 | — | 1.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $36,163.67 | — | 2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$335.40–$742.30 | — | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 6 matching MRF lines |
$468.65–$676.65 | $721–$1,041 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$399.75–$773.50 | — | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$345.80–$568.75 | — | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$508.95–$1,273.35 | — | varies |
| Arthrodesis ankle open (27870) | $34,084.45 | — | 2.5× |
| Arthrodesis great toe interphalangeal joint (28755) | $18,477.20 | — | 2.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $24,533.07 | — | 3.1× |
| Arthrodesis Posterior Interbody Lumbar (22630) | $46,577.41 | — | 1.6× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) range across 3 matching MRF lines |
$23,943.99–$41,756.19 | — | varies |
| Arthrodesis subtalar (28725) | $37,977.29 | — | 2.7× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) range across 2 matching MRF lines |
$25,832.95–$32,456.16 | — | varies |
| Arthrodesis, wrist; with sliding graft Facility (25805) | $29,168.11 | — | 3.7× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $31,094.23 | — | 1.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $14,060.80 | — | 4.0× |
| Arthroplasty Radial Head W/Implant (24366) | $23,029.90 | — | 1.7× |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) | $30,507.76 | — | 3.9× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $25,016.44 | — | 7.1× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $20,293.97 | — | 5.7× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) | $38,986.64 | — | 5.0× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $14,766.78 | — | 4.2× |
| Arthroscopy hip w/femoroplasty (29914) | $15,333 | — | 2.0× |
| Arthroscopy shoulder distal claviculectomy (29824) | $20,472.01 | — | 5.8× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $19,876.01 | — | 2.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $30,438.70 | — | 8.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $21,466.65 | — | 6.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $19,285.12 | — | 5.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $23,050.03 | — | 2.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $19,280.28 | — | 5.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $18,144.26 | — | 2.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $22,688.44 | — | 2.9× |
| Arthrotomy W/Meniscus Repair Knee (27403) | $24,462.13 | — | 3.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$12,737.95–$24,362.42 | — | varies |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $13,266.37 | — | 3.8× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $28,932.57 | — | 2.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $22,910.72 | — | 2.9× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $20,293.97 | — | 5.7× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $11,990.61 | — | 3.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $12,756.38 | — | 3.6× |
| Aspirate pleura w/ imaging (32555) | $1,211.86 | — | 1.8× |
| Aspirate/Inj Ganglion Cyst (20612) | $446.55 | $687 | 1.3× |
| Aspiration and/or injection thyroid cyst (60300) | $946.40 | $1,456 | 1.2× |
| Aspiration bladder insert suprapubic catheter (51102) | $11,083.70 | — | 4.9× |
| Av Fistula Revision Open (36832) | $14,950.39 | — | 2.5× |
| Av Fuse Uppr Arm Basilic (36819) | $19,950.45 | — | 3.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$132.60–$5,237.83 | — | varies |
| Axillary lymphadenectomy; complete (38745) | $13,476.23 | — | 2.1× |
| Biopsy Abdominal Mass (49180) | $1,817.40 | $2,796 | 1.0× |
| Biopsy bone open superficial (20240) | $10,705.95 | — | 3.4× |
| Biopsy bone trocar/needle deep (20225) | $2,341.95 | $3,603 | 1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $11,073.89 | — | 6.2× |
| Biopsy External Auditory Canal (69105) | $1,119.30 | $1,722 | 0.7× |
| Biopsy external ear (69100) | $196.30 | $302 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $1,589.25 | $2,445 | 0.9× |
| Biopsy nail unit (11755) | $531.70 | $818 | 0.7× |
| Biopsy of breast; open, incisional (19101) | $7,181.72 | — | 1.7× |
| Biopsy of floor of mouth (41108) | $1,307.15 | $2,011 | 0.7× |
| Biopsy of lip (40490) | $189.15 | $291 | 0.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,903.20 | $2,928 | 1.1× |
| Biopsy of nerve (64795) | $9,090.09 | — | 4.3× |
| Biopsy of palate, uvula (42100) | $1,119.30 | $1,722 | 0.7× |
| Biopsy Oropharynx (42800) | $1,119.30 | $1,722 | 0.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,285.05 | $1,977 | 0.7× |
| Biopsy Salivary Gland Incisional (42405) | $1,195.35 | $1,839 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,008.15 | $1,551 | 1.3× |
| Biopsy soft tissue back/flank deep (21925) | $2,412.15 | $3,711 | 1.4× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $7,981.13 | — | 2.5× |
| Biopsy soft tissue neck/thorax (21550) | $1,065.35 | $1,639 | 0.6× |
| Biopsy Soft Tissue Shoulder Deep (23066) | $9,115.50 | — | 2.9× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $24,896.15 | — | 7.9× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $770.25 | — | 1.3× |
| Biopsy Tongue Posterior One-Third (41105) | $289.90 | $446 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $5,780.22 | — | 5.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $960.05 | — | 1.0× |
| Biopsy, vestibule of mouth (40808) | $384.80 | $592 | 0.7× |
| Biopsy/removal lymph nodes (38510) | $14,410.34 | — | 3.4× |
| Bladder instillation anticarcinogenic agent (51720) | $12,683.09 | — | 16.8× |
| Bladder Irrigation (51700) | $237.90 | $366 | 0.9× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$208.65–$40,913.28 | — | varies |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $18,972.60 | — | 11.3× |
| Blepharoplasty Lower Eyelid (15820) | $15,249.78 | — | 6.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $9,596.13 | — | 4.3× |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Blood Transfusion Service (36430) | $7,324.75 | — | 15.4× |
| Bone Graft Any Donor Area Major/Large (20902) | $30,506.45 | — | 3.9× |
| Bone Graft Any Donor Area Minor/Small (20900) | $29,989.12 | — | 3.8× |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$323.05–$484.90 | $497–$746 | varies |
| Bone Marrow; Aspiration Only (38220) | $1,546.35 | $2,379 | 0.9× |
| Breast augmentation with implant (19325) range across 2 matching MRF lines |
$13,178.15–$18,395.64 | — | varies |
| Breast Reduction (19318) range across 2 matching MRF lines |
$14,958.92–$19,839.59 | — | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $7,590.83 | — | 3.9× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $10,833.94 | — | 2.7× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $11,813.33 | — | 2.9× |
| Brnchsc Removal Bronchial Valve Initial (31648) | $6,415.17 | — | 1.6× |
| Bronchoscopy Clear Airways (31645) | $12,983.72 | — | 6.8× |
| Bronchoscopy W/Biopsy(S) (31625) | $9,967.55 | — | 5.2× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $13,202.81 | — | 1.7× |
| Bronchoscopy W/Removal Foreign Body (31635) | $2,052.05 | $3,157 | 1.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $12,319.32 | — | 3.1× |
| Bronchoscopy/Needle Bx Each (31629) | $12,319.32 | — | 3.1× |
| Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$2,785.90–$4,178.85 | $4,286–$6,429 | varies |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$2,408.90–$3,613.35 | $3,706–$5,559 | varies |
| Bx breast 1st lesion us imag (19083) range across 6 matching MRF lines |
$2,499.90–$3,749.20 | $3,846–$5,768 | varies |
| Bx Cervix (57500) | $1,409.20 | — | 1.4× |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$18,916.06–$19,048.11 | — | varies |
| Bx/exc lymph node open superficial (38500) | $22,181.43 | — | 5.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $18,972.60 | — | 5.4× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $6,995.43 | — | 4.0× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) | $36,205.45 | — | 4.6× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) | $25,553.50 | — | 3.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $1,209 | $1,860 | 0.7× |
| Carpal Tunnel Surgery (64721) | $6,673.71 | — | 3.2× |
| Carpectomy All Bones Proximal Row (25215) | $15,246.82 | — | 4.3× |
| Cataract surg w/iol 1 stage (66983) | $18,208.03 | — | 7.3× |
| Catheter aspiration nasotracheal spx (31720) | $180.05 | $277 | 0.8× |
| Cerclage cervix pregnancy vaginal (59320) | $8,571.16 | — | 2.5× |
| Cerv artific diskectomy (22856) | $37,203.85 | — | 2.0× |
| Cessj Therapy Cath Removal (37214) | $3,503.50 | $5,390 | 1.0× |
| Change Cystostomy Tube Simple (51705) | $506.35 | $779 | 1.9× |
| Change of Windpipe Airway (31502) | $689.65 | $1,061 | 2.7× |
| Change ureter stent percut (50382) range across 6 matching MRF lines |
$4,317.95–$6,477.25 | $6,643–$9,965 | varies |
| Chemical Cautery Tissue (17250) | $145.60 | $224 | 0.7× |
| Chemodenerv 1 extrem 5/> mus (64644) | $429 | $660 | 0.6× |
| Chemodenerv 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$2,007.85–$2,973.10 | — | varies |
| Chemodenerv Eccrine Glands (64650) | $222.95 | $343 | 0.7× |
| Chemodenerv Musc Migraine (64615) | $240.50 | $370 | 0.7× |
| Chemodenerv musc neck dyston (64616) range across 6 matching MRF lines |
$228.80–$343.20 | $352–$528 | varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $282.75 | $435 | 0.9× |
| Chemodenerv trunk musc 1-5 (64646) | $937.30 | $1,442 | 1.2× |
| Chemodenerv trunk musc 6/> (64647) | $937.30 | $1,442 | 1.2× |
| Chemodenervation of internal anal sphincter (46505) | $7,076.97 | — | 5.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 9 matching MRF lines |
$363.35–$545.35 | $559–$839 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $2,795 | $4,300 | 1.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,908.15 | $7,551 | 1.3× |
| Claviculectomy partial (23120) | $13,381.45 | — | 3.8× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$199.55–$243.75 | — | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $4,591.53 | — | 1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
$204.75–$307.45 | $315–$473 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$287.95–$432.25 | $443–$665 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $273.65 | $421 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$208–$312 | $320–$480 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $181.35 | $279 | 0.7× |
| Closed tx mandibular fracture w/manipulation (21451) | $10,990.36 | — | 6.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $181.35 | $279 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,119.30 | $1,722 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $6,782.65 | — | 1.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$224.25–$390 | $345–$600 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$255.45–$383.50 | $393–$590 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $17,004.06 | — | 9.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $319.15 | $491 | 1.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$453.05–$679.90 | $697–$1,046 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$376.35–$564.85 | $579–$869 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$271.05–$406.90 | $417–$626 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$139.75–$209.95 | $215–$323 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $231.40 | $356 | 0.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 3 matching MRF lines |
$234–$351 | $360–$540 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,460.55 | — | 0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $264.55 | $407 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$184.60–$276.90 | $284–$426 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $365.30 | $562 | 1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $248.95 | $383 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$330.85–$496.60 | $509–$764 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
$184.60–$276.90 | $284–$426 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $379.60 | — | 1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $181.35 | $279 | 0.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $304.20 | $468 | 1.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 3 matching MRF lines |
$1,071.85–$1,608.10 | $1,649–$2,474 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $239.20 | $368 | 0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $180.70 | $278 | 0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $297.05 | $457 | 1.1× |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$237.25–$356.20 | $365–$548 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $181.35 | $279 | 0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $286 | $440 | 1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $258.70 | $398 | 1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$325–$487.50 | $500–$750 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $181.35 | — | 0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$321.75–$482.95 | $495–$743 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$181.35–$258.70 | $279–$398 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,210.95 | — | 0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$187.85–$282.10 | $289–$434 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $113.10 | $174 | 0.8× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$22.10–$15,988.31 | — | varies |
| Colonoscopy Stoma Control Bleeding (44391) | $2,772.33 | — | 2.1× |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$3,680.04–$3,684.75 | — | varies |
| Colonoscopy w/ablation (45388) | $4,174.30 | — | 3.2× |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$3,773.67–$4,991.38 | — | varies |
| Colonoscopy w/submucosal inj (45381) | $5,662.67 | — | 4.4× |
| Colpocleisis (le fort type) (57120) | $12,139.20 | — | 2.2× |
| Colporrhaphy (57200) | $21,375.41 | — | 6.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $755.30 | — | 2.3× |
| Colposcopy Cervix Endocervical Curettage (57456) | $234.65 | $361 | 0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) | $185.25 | $285 | 0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $250.25 | $385 | 0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $2,401.75 | $3,695 | 0.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,401.75 | $3,695 | 0.7× |
| Colposcopy entire vagina w/cervix if present (57420) | $230.10 | $354 | 0.7× |
| Colposcopy of vulva (56820) | $174.85 | $269 | 0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,862.90 | — | 1.9× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $5,983.12 | — | 4.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $3,307.85 | — | 2.6× |
| Combined anteroposterior colporrhaphy; (57260) | $15,519.50 | — | 2.9× |
| Complex drainage wound (10180) | $2,161.90 | $3,326 | 0.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $8,134.20 | — | 2.3× |
| Conization of cervix (57520) | $7,980.54 | — | 2.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $304.20 | — | 2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$338–$1,640.60 | — | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) | $40,108.25 | — | 2.9× |
| Conversion ext bil drg cath (47535) | $4,594.85 | $7,069 | 1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,167.10 | $3,334 | 1.0× |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$5,081.70–$7,622.55 | $7,818–$11,727 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,415.05 | $2,177 | 0.8× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$22,618.17–$34,186.52 | — | varies |
| Correction of lid retraction (67911) | $10,747.64 | — | 4.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $17,267.50 | — | 4.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $27,733.82 | — | 2.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $14,622.01 | — | 4.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $20,160.32 | — | 2.6× |
| Create Eardrum Opening (69433) range across 6 matching MRF lines |
$414.05–$621.40 | $637–$956 | varies |
| Create Tear Sac-Nasal Fistula (68720) | $11,243.04 | — | 2.6× |
| Cricopharyngeal myotomy (43030) | $13,950.57 | — | 2.2× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $19,497.28 | — | 3.2× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) range across 3 matching MRF lines |
$5,166.20–$7,749.30 | $7,948–$11,922 | varies |
| Csf shunt reprogram (62252) | $226.85 | $349 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $320.45 | $493 | 2.2× |
| Curettage postpartum (59160) | $1,861.60 | $2,864 | 0.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $13,554.03 | — | 6.0× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$11,324.43–$14,243.58 | — | varies |
| Cysto w/removal of lesions small (52224) | $12,383.31 | — | 3.3× |
| Cysto w/removal of tumors small (52234) | $13,643.53 | — | 3.6× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $14,134.76 | — | 2.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $14,072 | — | 3.7× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) | $15,976.90 | — | 2.8× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$15,590.65–$20,174.99 | — | varies |
| Cystolithotomy (51050) | $29,065.24 | — | 5.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) | $30,322.39 | — | 3.0× |
| Cystoscopy and radiotracer (52250) | $15,787 | — | 4.1× |
| Cystostomy Cystotomy W/Drainage (51040) | $9,380.77 | — | 4.2× |
| Cystouretero w/excise tumor (52355) | $14,691.75 | — | 2.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $14,853.47 | — | 6.6× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $12,907.89 | — | 3.4× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $14,126.64 | — | 2.4× |
| Cystourethroscopy with biopsy (52204) | $12,447.76 | — | 5.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $462.15 | $711 | 1.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) | $13,329.27 | — | 3.8× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $2,593.50 | $3,990 | 1.2× |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) | $11,655.80 | $17,932 | 1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$462.15–$7,342.72 | — | varies |
| Debride nail 1-5 (11720) | $150.80 | — | 2.4× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$150.15–$207.35 | — | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $10,705.95 | — | 6.0× |
| Debridement Mastoidectomy Cavity Cmplx (69222) range across 6 matching MRF lines |
$487.50–$731.25 | $750–$1,125 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 3 matching MRF lines |
$156–$234 | $240–$360 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$301.60–$447.85 | — | varies |
| Declot vascular device (36593) | $583.70 | $898 | 1.6× |
| Decompress Spinal Cord Lmbr (63056) | $20,461.27 | — | 2.6× |
| Decompression of tibia nerve (28035) | $15,248.32 | — | 7.2× |
| Deep Muscle Biopsy (20205) | $5,885.80 | — | 1.9× |
| Delivery of placenta (59414) | $2,369.90 | $3,646 | 0.7× |
| Destr W Neurolytic; Celiac Plexus (64680) | $3,601 | $5,540 | 3.8× |
| Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
$1,811.55–$2,717.65 | $2,787–$4,181 | varies |
| Destroy lumb/sac facet jnt (64635) range across 6 matching MRF lines |
$2,026.05–$3,039.40 | $3,117–$4,676 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$249.60–$680.55 | — | varies |
| Destruction Benign Lesions 15/> (17111) | $162.50 | $250 | 0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,244.10 | $1,914 | 1.3× |
| Destruction by neurolytic agent; pudendal nerve (64630) | $850.20 | $1,308 | 0.9× |
| Destruction Lesions Vulva Extensive (56515) | $8,443.79 | — | 3.8× |
| Destruction Lesions Vulva Simple (56501) | $318.50 | $490 | 0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $250.25 | $385 | 1.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $203.45 | $313 | 0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $245.05 | $377 | 1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $190.45 | $293 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $200.85 | $309 | 0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $150.15 | $231 | 0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$2,535.65–$3,803.80 | $3,901–$5,852 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $302.25 | $465 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $341.90 | — | 1.6× |
| Diagnostic sigmoidoscopy (45330) | $1,896.99 | — | 1.9× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $3,651.67 | — | 2.8× |
| Dilate Esophagus 1/Mult Pass (43450) | $4,324.84 | — | 4.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$4,892.84–$7,672.40 | — | varies |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) range across 2 matching MRF lines |
$10,950.16–$11,243.04 | — | varies |
| Dilation of vagina (57400) | $5,863.91 | — | 1.7× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) | $16,851.64 | — | 2.6× |
| Drain Cerebro Spinal Fluid (62272) | $523.25 | — | 0.7× |
| Drain Spinal Cord Cyst (62268) | $1,498.25 | $2,305 | 1.6× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$335.40–$538.85 | — | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $436.15 | $671 | 0.7× |
| Drainage external auditory canal abscess (69020) | $531.70 | $818 | 0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $531.70 | $818 | 0.7× |
| Drainage of finger abscess simple (26010) | $394.55 | — | 1.8× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,223.95–$37,692.12 | — | varies |
| Draw Blood Off Venous Device (36591) | $149.50 | $230 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $531.70 | $818 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $121.55 | $187 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $305.50 | — | 1.4× |
| Dstrj Lesion Anus Extensive (46924) | $6,825.55 | — | 2.3× |
| Dstrj lesion anus simple surg excision (46922) | $8,045.63 | — | 2.7× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $1,381.90 | $2,126 | 0.6× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $7,646.90 | — | 3.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$1,470.95–$5,424.83 | — | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $3,601 | $5,540 | 3.8× |
| Dx Bone Marrow Bx & Aspir (38222) range across 8 matching MRF lines |
$1,214.85–$1,822.60 | $1,869–$2,804 | varies |
| Dx Bronchoscope/Lavage (31624) | $11,189.39 | — | 5.8× |
| Dx Bronchoscope/Wash (31622) | $4,338.49 | — | 2.3× |
| Dx Laryngoscopy Excl Nb (31525) | $1,302.60 | $2,004 | 0.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,103.05 | $1,697 | 1.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $4,199.85 | — | 2.0× |
| Egd control bleeding any (43255) | $4,323.41 | — | 2.1× |
| Egd dilation gastric/duodenal stricture (43245) | $4,050.85 | — | 2.0× |
| Egd endo mucosal resection (43254) | $5,547.33 | — | 2.7× |
| Egd Endoscopic Stent Place (43266) | $10,515.08 | — | 1.6× |
| Egd Flexible Foreign Body Removal (43247) | $4,836.65 | — | 4.9× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) | $4,977.28 | — | 5.1× |
| Egd guide wire insertion (43248) | $4,778.99 | — | 4.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $6,004.08 | — | 2.9× |
| Egd lesion ablation (43270) | $9,387.13 | — | 4.5× |
| Egd place gastrostomy tube (43246) | $5,815.87 | — | 2.8× |
| Egd remove lesion snare (43251) | $5,357.93 | — | 2.6× |
| Egd Tube/Cath Insertion (43241) | $7,639.55 | — | 3.7× |
| Egd us exam duodenum/jejunum (43259) | $4,446.62 | — | 2.1× |
| Egd us transmural injxn/mark (43253) | $3,765.09 | — | 1.8× |
| Egd Varices Ligation (43244) | $3,340.54 | — | 1.6× |
| Egd W/Transmural Drain Cyst (43240) | $14,112.37 | — | 2.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $246.35 | $379 | 0.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $498.55 | $767 | 1.5× |
| Endocervical curettage (57505) | $252.20 | $388 | 0.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $8,532.48 | — | 1.6× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$388.05–$483.60 | — | varies |
| Endoscopic plantar fasciotomy (29893) | $12,224.06 | — | 3.5× |
| Endoscopic us exam esoph (43237) | $4,483.15 | — | 2.2× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $16,068.65 | $24,721 | 1.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 3 matching MRF lines |
$6,623.79–$7,629.34 | — | varies |
| Epidural Blood Patch (62273) | $1,235 | $1,900 | 1.6× |
| Ercp duct stent placement (43274) | $10,773.63 | — | 1.6× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) range across 3 matching MRF lines |
$5,306.47–$6,775.11 | — | varies |
| Ercp ea duct/ampulla dilate (43277) | $9,405.53 | — | 2.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $8,787.27 | — | 2.1× |
| Ercp remove forgn body duct (43275) | $8,246.21 | — | 4.0× |
| Ercp Stent Exchange W/Dilate (43276) | $11,996.15 | — | 1.8× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $11,290.81 | — | 2.7× |
| Ercp W/Biopsy Single/Multiple (43261) | $10,041.36 | — | 2.4× |
| Ercp,Sphincterotomy (43262) | $8,669.34 | — | 2.1× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $6,463.31 | — | 6.6× |
| Esophagoscop Stent Placement (43212) | $10,548.30 | — | 1.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $4,546.18 | — | 2.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $4,797.31 | — | 2.3× |
| Evacuation of subungual hematoma (11740) | $276.90 | — | 1.9× |
| Exc arm/elbow les sc < 3 cm (24075) | $5,471.70 | — | 3.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $715 | — | 0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,223.95 | — | 0.7× |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$4,238.65–$5,162.95 | — | varies |
| Exc back tum deep < 5 cm (21932) | $2,161.90 | $3,326 | 0.7× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) | $10,517.25 | — | 4.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $531.70 | $818 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $531.70 | $818 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $18,187.91 | — | 10.2× |
| Exc Face Les Sbq 2 Cm/> (21012) | $10,195.61 | — | 5.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $218.40 | $336 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $209.95 | $323 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $531.70 | $818 | 0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,223.95 | $1,883 | 0.7× |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 3 matching MRF lines |
$1,223.95–$1,286.35 | $1,883–$1,979 | varies |
| Exc Forearm Tum Deep 3 Cm/> (25073) range across 3 matching MRF lines |
$2,161.90–$2,223 | $3,326–$3,420 | varies |
| Exc ganglion wrist recurrent (25112) | $7,368.14 | — | 4.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$1,223.95–$1,983.15 | — | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $531.70 | $818 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $284.05 | $437 | 0.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $11,033.55 | — | 6.2× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $9,316.18 | — | 8.7× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $9,082.12 | — | 5.2× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $9,328.77 | — | 2.6× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $2,449.85 | $3,769 | 0.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) | $12,407.56 | — | 5.9× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $21,899.30 | — | 7.3× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $9,767.47 | — | 3.3× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $14,162.26 | — | 4.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $308.10 | $474 | 0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,223.95 | $1,883 | 0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $19,970.40 | — | 6.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,750.15–$9,069.12 | — | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,161.90 | $3,326 | 0.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,223.95 | $1,883 | 0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,161.90 | $3,326 | 0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $15,095.96 | — | 8.5× |
| Exc tendon shth lesion leg/ankle (27630) | $27,153.17 | — | 7.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,161.90 | $3,326 | 0.7× |
| Exc thigh/knee tum dep 5cm/> (27339) | $12,151.81 | — | 3.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $7,727.72 | — | 6.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $218.40 | $336 | 0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$833.95–$1,063.40 | — | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$1,326–$2,447.90 | — | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $9,294.28 | — | 3.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $8,432.22 | — | 2.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$5,162.95–$7,372.43 | — | varies |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $8,466.73 | — | 2.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $4,238.65 | — | 2.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 3 matching MRF lines |
$1,224.60–$1,836.90 | $1,884–$2,826 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $10,070.58 | — | 3.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$5,162.95–$11,107.85 | — | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 3 matching MRF lines |
$2,162.55–$3,244.15 | $3,327–$4,991 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $15,604.32 | — | 5.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $21,863.89 | — | 6.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $5,452.20 | $8,388 | 1.4× |
| Exchange Intraocular Lens (66986) | $18,878.46 | — | 7.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 6 matching MRF lines |
$2,795–$4,192.50 | $4,300–$6,450 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,961.40 | $4,556 | 1.4× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $2,449.85 | $3,769 | 0.7× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $1,119.30 | $1,722 | 0.7× |
| Excis uppr jaw cyst w/repair (21049) | $20,661.93 | — | 3.2× |
| Excise intraspinal lesion (63267) | $20,656.38 | — | 2.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $368.55 | $567 | 0.5× |
| Excision Bone Mandible (21025) | $9,964.95 | — | 1.6× |
| Excision Chest Wall Tumor Including Ribs (21601) | $2,265.90 | $3,486 | 0.7× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) range across 2 matching MRF lines |
$10,164.41–$34,496.79 | — | varies |
| Excision External Ear Partial Simple Repair (69110) | $2,162.55 | $3,327 | 0.7× |
| Excision inferior turbinate partial/complete (30130) range across 2 matching MRF lines |
$15,283.69–$18,576.25 | — | varies |
| Excision lesion mouth roof (42104) | $3,849.95 | $5,923 | 1.1× |
| Excision Lesion Tongue W/O Closure (41110) | $2,449.85 | $3,769 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $531.70 | $818 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $531.70 | $818 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $308.10 | $474 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $531.70 | $818 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,223.95 | $1,883 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $14,410.34 | — | 4.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,223.95 | $1,883 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $531.70 | $818 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $531.70 | $818 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,223.95 | $1,883 | 0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $6,790.45 | — | 2.3× |
| Excision nasal polyp(s) simple (30110) | $1,119.30 | $1,722 | 0.7× |
| Excision of bartholin's gland or cyst (56740) | $10,353.36 | — | 3.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $6,883.79 | — | 4.0× |
| Excision of hydrocele; unilateral (55040) | $9,615.48 | — | 2.5× |
| Excision of pilonidal cyst or sinus; simple (11770) | $10,434.55 | — | 3.3× |
| Excision of single external papilla or tag, anus (46220) | $7,734.41 | — | 6.0× |
| Excision of submandibular (submaxillary) gland (42440) | $9,149.85 | — | 1.4× |
| Excision of vaginal cyst or tumor (57135) | $9,296.46 | — | 2.7× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $17,233.90 | — | 2.4× |
| Excision spermatocele w/wo epididymectomy (54840) | $14,691.75 | — | 6.5× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $11,993.93 | — | 1.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,407.25 | — | 0.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $8,878.41 | — | 2.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $7,554.64 | — | 4.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $7,107.36 | — | 4.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$1,407.25–$3,752.45 | — | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $25,146.93 | — | 14.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $7,313.67 | — | 2.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $9,864.98 | — | 3.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $3,982.55 | — | 1.3× |
| Explore inner ear (69806) | $13,700.65 | — | 2.1× |
| External cephalic version (59412) range across 2 matching MRF lines |
$3,319.74–$4,120.02 | — | varies |
| Fasciotomy palmar percutaneous (26040) | $4,393.19 | — | 2.5× |
| Fasciotomy, foot and/or toe (28008) | $52,085.82 | — | 14.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $9,456.69 | — | 2.7× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$152.10–$351 | — | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,184.30 | $1,822 | 1.5× |
| Finger tendon transfer (26497) | $9,211.54 | — | 2.6× |
| Fluid Pressure Muscle (20950) | $531.70 | $818 | 0.7× |
| Fluoro exam of g/colon tube (49465) | $403 | $620 | 1.6× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,184.30 | $1,822 | 1.5× |
| Fna bx w/us gdn 1st les (10005) | $1,000.35 | $1,539 | 1.3× |
| Frenulotomy of penis (54164) | $29,896.85 | — | 13.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $20,170.25 | — | 9.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $11,624.03 | — | 5.2× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $18,788.44 | — | 8.4× |
| Fuse hand bones with graft (25825) | $19,470.16 | — | 2.5× |
| Fusion Finger Joint (26860) | $14,723.05 | — | 4.2× |
| Fusion of foot bones (28740) | $39,704.80 | — | 5.1× |
| Fusion of knuckle (26850) | $19,916.88 | — | 2.5× |
| Gastrocnemius recession (27687) | $18,270.19 | — | 5.2× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) | $27,452.59 | — | 4.3× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) | $17,902.98 | — | 2.8× |
| Grafting of autologous fat by lipo 50 cc or less (15771) range across 2 matching MRF lines |
$10,529.32–$16,846.49 | — | varies |
| Grafting of autologous soft tiss by direct exc (15769) | $12,075.54 | — | 3.2× |
| Guide Cathet Fluid Drainage (10030) | $1,161.45 | — | 1.5× |
| Head Surgery Procedure (21499) | $10,773.85 | — | 42.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $9,974.70 | — | 3.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $8,517.99 | — | 2.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $11,836.40 | — | 3.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $791.05 | — | 0.8× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) | $10,276.14 | — | 3.4× |
| Hip arthro acetabuloplasty (29915) | $18,447.86 | — | 2.4× |
| Hip arthro w/labral repair (29916) | $15,333 | — | 2.0× |
| Hysteroscopy Biopsy (58558) | $12,458.55 | — | 3.6× |
| Hysteroscopy Dx Sep Proc (58555) | $12,903.73 | — | 3.7× |
| Hysteroscopy Endometrial Ablation (58563) | $13,467.67 | — | 2.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $12,370.08 | — | 3.5× |
| I&d abscess peritonsillar (42700) | $455.65 | $701 | 1.8× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$252.20–$394.55 | — | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $7,935 | — | 2.5× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$689–$850.20 | — | varies |
| I&d pilonidal cyst complicated (10081) | $10,686 | — | 14.0× |
| I&d pilonidal cyst simple (10080) | $318.50 | — | 0.4× |
| Icd Pocket Revision (33223) | $3,455.40 | $5,316 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $3,053.05 | $4,697 | 1.7× |
| Image Cath Fluid Peri/Retro (49406) | $2,692.95 | $4,143 | 1.5× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,458.30 | $3,782 | 1.4× |
| Immediate breast prosthesis (19340) range across 3 matching MRF lines |
$48,445.38–$76,479.79 | — | varies |
| Implant cochlear device (69930) | $57,402.23 | — | 1.6× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$5,559.71–$5,803.84 | — | varies |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$6,317.47–$30,238.89 | — | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $30,238.89 | — | 1.4× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) | $27,883.08 | — | 2.0× |
| Incise external hemorrhoid (46083) | $262.60 | $404 | 1.0× |
| Incise finger tendon sheath (26055) | $6,206.62 | — | 3.6× |
| Incise Wrist/Forearm Tendon (25290) | $21,187.96 | — | 6.0× |
| Incision & drainage abscess complicated/multiple (10061) | $463.45 | — | 1.1× |
| Incision & removal foreign body subq tiss compl (10121) | $1,223.95 | $1,883 | 0.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$367.90–$403.65 | — | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $481.65 | — | 2.2× |
| Incision and drainage of vulva or perineal abscess (56405) | $332.15 | — | 1.0× |
| Incision bone cortex foot (28005) | $13,762.68 | — | 3.9× |
| Incision extensor tendon sheath wrist (25000) | $6,698.63 | — | 3.9× |
| Incision of eardrum (69420) range across 3 matching MRF lines |
$252.20–$378.30 | $388–$582 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $1,219.40 | — | 0.7× |
| Incision of rectal abscess (46040) | $7,024 | — | 5.4× |
| Incision of urethra (53010) | $13,717.67 | — | 2.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,223.95 | $1,883 | 0.7× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$662.35–$1,883.05 | — | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $150.15 | $231 | 0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 8 matching MRF lines |
$1,368.25–$2,052.70 | $2,105–$3,158 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$429.65–$644.80 | $661–$992 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 6 matching MRF lines |
$1,593.15–$2,390.05 | $2,451–$3,677 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$397.15–$568.75 | — | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$1,021.80–$1,532.70 | $1,572–$2,358 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$921.05–$1,381.90 | $1,417–$2,126 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$627.90–$941.85 | $966–$1,449 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$1,063.40–$1,595.10 | $1,636–$2,454 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$371.80–$557.70 | $572–$858 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,955.85 | $3,009 | 2.0× |
| Injection anesthetic agent suprascapular nerve (64418) range across 6 matching MRF lines |
$1,021.80–$1,532.70 | $1,572–$2,358 | varies |
| Injection enzyme palmar fascial cord (20527) range across 3 matching MRF lines |
$222.95–$295.10 | $343–$454 | varies |
| Injection for identification of sentinel node (38792) | $11,061.70 | — | 25.6× |
| Injection into spinal artery (62294) | $1,368.25 | $2,105 | 1.4× |
| Injection single tendon origin/insertion (20551) | $148.20 | $228 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$335.40–$378.30 | — | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $184.60 | $284 | 0.6× |
| Injection therapeutic carpal tunnel (20526) range across 6 matching MRF lines |
$181.35–$272.35 | $279–$419 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $884 | $1,360 | 0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 6 matching MRF lines |
$1,444.30–$2,165.80 | $2,222–$3,332 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$680.55–$918.48 | — | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $252.20 | — | 1.2× |
| Ins cath ren art 1st bilat (36252) | $7,277.40 | $11,196 | 2.1× |
| Ins cath ren art 1st unilat (36251) | $4,850.95 | $7,463 | 1.4× |
| Ins cath ren art 2nd+ bilat (36254) | $5,740.80 | $8,832 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $4,578.60 | $7,044 | 0.8× |
| Ins endovas vena cava filtr (37191) | $7,105.15 | $10,931 | 1.2× |
| Ins/Rep Subq Defibrillator (33270) unusually low: confirm this is the full procedure |
$12,684.75 | $19,515 | 0.4× |
| Insert 1 Electrode Pm-Defib (33216) unusually low: confirm this is the full procedure |
$3,868.15 | $5,951 | 0.4× |
| Insert Bladder Cath Complex (51703) | $140.40 | $216 | 1.0× |
| Insert cath pleura w/ image (32557) range across 6 matching MRF lines |
$1,453.40–$2,180.10 | $2,236–$3,354 | varies |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$2,611.70–$3,917.55 | $4,018–$6,027 | varies |
| Insert cervical dilator (59200) | $679.25 | $1,045 | 2.1× |
| Insert Drug Implant Device (11981) | $989.95 | — | 6.9× |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,718.76 | — | 1.8× |
| Insert Heart Pm Atrial (33206) unusually low: confirm this is the full procedure |
$5,123.30 | $7,882 | 0.5× |
| Insert Heart Pm Ventricular (33207) unusually low: confirm this is the full procedure |
$5,123.30 | $7,882 | 0.5× |
| Insert hepatic shunt (tips) (37182) | $10,355.15 | $15,931 | 0.5× |
| Insert multi-comp penis pros (54405) | $29,896.85 | — | 1.3× |
| Insert non-tunnel cv cath (36556) | $2,078.70 | $3,198 | 0.6× |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$4,750.85 | $7,309 | 0.4× |
| Insert pessary/other device (57160) | $114.40 | $176 | 0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,769 | $4,260 | 1.6× |
| Insert pulse gen dual leads (33213) unusually low: confirm this is the full procedure |
$5,188.95 | $7,983 | 0.5× |
| Insert pulse gen mult leads (33221) | $15,830.10 | $24,354 | 0.8× |
| Insert Temp Bladder Cath (51702) | $2,587.32 | — | 18.0× |
| Insert tun ip cath perc (49418) | $6,139.25 | $9,445 | 1.6× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$7,708.99–$10,979.34 | — | varies |
| Insert Uro/Ves Nck Sphincter (53445) | $46,283.72 | — | 2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $321.75 | — | 2.2× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,920.20 | $9,108 | 1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,172.13 | — | 2.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) unusually low: confirm this is the full procedure |
$3,445 | $5,300 | 0.4× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $10,980.22 | — | 2.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $4,936.75 | $7,595 | 0.6× |
| Insj Picc Rs&I <5 Yr (36572) | $1,292.85 | $1,989 | 1.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 3 matching MRF lines |
$5,406.05–$8,109.40 | $8,317–$12,476 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,769 | $4,260 | 1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 6 matching MRF lines |
$4,614.25–$6,921.72 | $7,098.84–$10,648.80 | varies |
| Insj/rplcmt breast implant sep day mastectomy (19342) range across 2 matching MRF lines |
$16,244.70–$17,197.57 | — | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) likely a partial charge, not the full procedure |
$9,954.75 | $15,315 | 0.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $48,769.94 | — | 1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$4,249.70 | $6,538 | 0.5× |
| Insrt heart pm atrial & vent (33208) | $16,304.15 | — | 1.4× |
| Insrt Pulse Gen W/Dual Leads (33230) unusually low: confirm this is the full procedure |
$8,057.40 | $12,396 | 0.3× |
| Insrt Pulse Gen W/Mult Leads (33231) unusually low: confirm this is the full procedure |
$12,149.80 | $18,692 | 0.4× |
| Insrt Pulse Gen W/Singl Lead (33240) likely a partial charge, not the full procedure |
$4,750.85 | $7,309 | 0.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,539.55 | $3,907 | 1.7× |
| Intranasal Biopsy (30100) | $1,119.30 | $1,722 | 0.7× |
| Intro cath dialysis circuit (36901) | $1,875.38 | — | 1.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $13,041.60 | $20,064 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $12,458.71 | — | 2.0× |
| Intro Gastrointestinal Tube (44500) | $1,151.80 | $1,772 | 1.2× |
| Intubation endotracheal emergency procedure (31500) | $412.75 | $635 | 1.6× |
| Labyrinthotomy Transcanal (69801) range across 3 matching MRF lines |
$298.35–$447.85 | $459–$689 | varies |
| Lam facetec & foramot lumbar (63047) range across 2 matching MRF lines |
$17,724.26–$21,589.55 | — | varies |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) | $21,742.92 | — | 2.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) | $22,282.67 | — | 2.8× |
| Laminotomy Single Lumbar (63042) range across 2 matching MRF lines |
$21,661.62–$25,742.91 | — | varies |
| Lap insert tunnel ip cath (49324) | $11,565.20 | — | 1.8× |
| Lap paraesoph her rpr w/mesh (43282) | $29,679.49 | — | 2.6× |
| Lap paraesophag hern repair (43281) | $21,385.23 | — | 1.9× |
| Lap revision perm ip cath (49325) | $8,856.54 | — | 1.4× |
| Laparo ablate renal cyst (50541) | $29,565.20 | — | 2.6× |
| Laparo-vag hyst incl t/o (58552) | $21,664.36 | — | 1.9× |
| Laparoscopy aspiration (49322) | $16,059.95 | — | 2.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $14,704.11 | — | 2.3× |
| Laparoscopy gastrostomy (43653) | $18,095.71 | — | 2.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$19,429.45–$21,248.48 | — | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $20,883.07 | — | 1.8× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $21,025.35 | — | 1.8× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$13,970.75–$14,465.04 | — | varies |
| Laparoscopy, surgical, appendectomy (44970) | $16,118.97 | — | 2.5× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) range across 2 matching MRF lines |
$21,042.12–$28,895.52 | — | varies |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $26,313.69 | — | 2.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $16,448.87 | — | 1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$13,226–$16,862.29 | — | varies |
| Laparoscopy, surgical; partial nephrectomy (50543) | $28,680.44 | — | 2.5× |
| Laparoscopy, surgical; pyeloplasty (50544) | $29,535.23 | — | 2.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$20,196.14–$22,677.27 | — | varies |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) | $28,158.73 | — | 2.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $17,503.95 | — | 2.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $13,004.45 | — | 2.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$16,540.59–$16,784.34 | — | varies |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $13,828.47 | — | 3.3× |
| Laps pelvic lymphadec (38573) | $22,011.24 | — | 1.9× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $29,585.68 | — | 2.6× |
| Laps surg prst8ect smpl stot robotic assistance (55867) | $24,469.82 | — | 2.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $24,410.75 | — | 3.7× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) range across 2 matching MRF lines |
$8,925.64–$12,797.56 | — | varies |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $12,571.65 | — | 3.1× |
| Laryngoscopy flexible diagnostic (31575) | $135.20 | $208 | 0.6× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $1,302.60 | $2,004 | 0.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$316.55–$335.40 | $487–$516 | varies |
| Laryngoscopy W/Biopsy (31535) | $10,130.96 | — | 2.5× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $9,964.21 | — | 2.5× |
| Larynscop w/tumr exc + scope (31541) | $8,756.70 | — | 2.2× |
| Laser Surgery Anal Lesions (46917) | $8,443.79 | — | 2.8× |
| Laser treatment of retina (67040) | $15,137.07 | — | 3.4× |
| Late closure of wound (13160) | $10,802.45 | — | 2.8× |
| Lig&div long saph vein saphfem junct/interrupj (37700) | $12,546.30 | — | 3.7× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $25,798.84 | — | 3.3× |
| Ligation of a-v fistula (37607) | $14,669.89 | — | 4.3× |
| Ligation or biopsy temporal artery (37609) | $11,669.29 | — | 6.5× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $16,058.83 | — | 4.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $29,161.70 | — | 7.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $13,554.03 | — | 3.6× |
| Lithotripsy, extracorporeal shock wave (50590) | $9,726.79 | — | 2.6× |
| Low Back Disk Surgery (63030) range across 3 matching MRF lines |
$19,888.89–$22,580.10 | — | varies |
| Lumbar spine fusion combined (22633) | $50,560.09 | — | 1.7× |
| Lyse chest fibrin init day (32561) | $1,125.15 | $1,731 | 1.7× |
| Lyse Chest Fibrin Subq Day (32562) | $1,051.70 | $1,618 | 1.6× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$3,447.76–$4,715.85 | — | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines |
$1,294.15–$1,941.55 | $1,991–$2,987 | varies |
| Marsupialization of bartholin's gland cyst (56440) | $6,392.62 | — | 1.8× |
| Mast mod rad (19307) | $29,767.17 | — | 4.2× |
| Mastectomy for gynecomastia (19300) | $11,013.60 | — | 2.6× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$13,175.56–$16,095 | — | varies |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$24,377.63–$28,320.62 | — | varies |
| Mastopexy (19316) range across 2 matching MRF lines |
$18,608.77–$19,655.84 | — | varies |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) | $12,630.33 | — | 3.3× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $20,505.36 | — | 9.2× |
| Muscle-skin graft trunk (15734) | $10,097.35 | — | 2.6× |
| Myelography Lumbar Injection (62305) | $1,151.15 | $1,771 | 1.4× |
| Myelography Lumbar Injection (62304) | $1,200.55 | $1,847 | 1.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,200.55 | $1,847 | 1.4× |
| N Block Inj Celiac Pelus (64530) | $1,517.10 | $2,334 | 1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$1,671.80–$2,507.70 | $2,572–$3,858 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$633.10–$949.65 | $974–$1,461 | varies |
| N Block Inj Plantar Digit (64455) range across 6 matching MRF lines |
$150.15–$225.55 | $231–$347 | varies |
| N Block Inj Pudendal (64430) range across 6 matching MRF lines |
$720.85–$1,081.60 | $1,109–$1,664 | varies |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$2,166.45–$3,250 | $3,333–$5,000 | varies |
| Nasal Endoscopy Dx (31231) range across 5 matching MRF lines |
$302.90–$5,690.76 | — | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $323.70 | $498 | 0.7× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 2 matching MRF lines |
$12,275.83–$15,301.96 | — | varies |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) | $24,890.98 | — | 3.3× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) | $14,837.52 | — | 1.9× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) | $15,142.51 | — | 2.4× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) | $4,469.40 | $6,876 | 0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 7 matching MRF lines |
$1,302.60–$1,404.65 | — | varies |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) range across 2 matching MRF lines |
$14,625.49–$15,024.93 | — | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $1,302.60 | $2,004 | 0.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) range across 3 matching MRF lines |
$4,198.35–$6,297.85 | $6,459–$9,689 | varies |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) range across 2 matching MRF lines |
$17,121.86–$18,348.64 | — | varies |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) range across 2 matching MRF lines |
$15,021.35–$21,333.91 | — | varies |
| Nasal/sinus ndsc total with sphenoidotomy (31257) range across 2 matching MRF lines |
$16,477.58–$17,448.70 | — | varies |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) | $21,706.47 | — | 11.3× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 2 matching MRF lines |
$15,175.13–$15,301.96 | — | varies |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) range across 2 matching MRF lines |
$17,448.70–$22,811.26 | — | varies |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 2 matching MRF lines |
$15,102.31–$15,245.47 | — | varies |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) | $24,169.89 | — | 3.1× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $2,506.30 | — | 2.5× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $3,651.67 | — | 3.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $8,834.96 | — | 5.1× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,623.70–$2,436.20 | $2,498–$3,748 | varies |
| Needle Biopsy Pancreas (48102) | $1,853.15 | $2,851 | 1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $22.10 | $34 | 0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $25.35 | $39 | 0.8× |
| Nerve Repair W/Nerve Allograft First Strand (64912) | $25,075.97 | — | 2.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $11,159.07 | — | 5.3× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $32,584.22 | — | 15.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $858.65 | $1,321 | 2.1× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $1,583.40 | $2,436 | 0.7× |
| Nipple/areola reconstruction (19350) | $18,798.52 | — | 4.4× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 3 matching MRF lines |
$755.95–$1,134.25 | $1,163–$1,745 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $464.10 | — | 1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,671.15 | $2,571 | 0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,216.90 | $8,026 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 8 matching MRF lines |
$616.20–$813.15 | $948–$1,251 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,142.05 | $1,757 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,324.05 | $2,037 | 1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,210.30 | $1,862 | 1.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 3 matching MRF lines |
$1,241.50–$1,862.25 | $1,910–$2,865 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$1,099.15–$1,649.05 | $1,691–$2,537 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 2 matching MRF lines |
$16,703.76–$18,234.20 | — | varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) range across 2 matching MRF lines |
$13,233.61–$14,625.49 | — | varies |
| Obstructive material removal from gi tube (49460) | $1,151.80 | $1,772 | 1.2× |
| Occipital Nerve Block (64405) range across 9 matching MRF lines |
$241.15–$362.05 | $371–$557 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $18,718.13 | — | 4.4× |
| Open Implantation Nea Sacral Nerve (64581) | $31,521.34 | — | 4.6× |
| Open Repair of Rotator Cuff Acute (23410) | $18,311.41 | — | 2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $22,577.46 | — | 2.9× |
| Open treatment calcaneal fracture (28415) | $36,665.17 | — | 4.7× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $30,793.63 | — | 2.2× |
| Open treatment fracture distal tibia only (27827) | $16,539.05 | — | 1.2× |
| Open Treatment Medial Malleolus Fracture (27766) | $16,174.01 | — | 2.1× |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$19,830–$21,096.85 | — | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $26,068.33 | — | 3.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $23,818.14 | — | 3.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) | $19,805.68 | — | 3.1× |
| Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) | $23,552.78 | — | 3.7× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) range across 2 matching MRF lines |
$22,831.27–$23,303.49 | — | varies |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) | $23,552.78 | — | 3.7× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) | $37,264.64 | — | 2.7× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) | $20,846.08 | — | 3.3× |
| Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
$14,008.60–$20,454.52 | — | varies |
| Open treatment of ulnar styloid fracture (25652) | $21,329.79 | — | 2.7× |
| Open treatment posterior malleolus fracture (27769) | $16,073.50 | — | 2.1× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $24,462.13 | — | 3.1× |
| Open Treatment Proximal Humeral Fracture (23615) | $25,777.41 | — | 1.9× |
| Open Treatment Tarsal Bone Dislocation (28555) | $24,301.62 | — | 3.1× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $18,541.32 | — | 5.2× |
| Open tx carpal scaphoid navicular fracture (25628) | $20,393.81 | — | 2.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $21,706.42 | — | 2.8× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $24,210.61 | — | 3.1× |
| Open Tx Humeral Epicondylar Fracture (24575) | $17,999.12 | — | 1.3× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) | $24,882.78 | — | 3.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $11,943.10 | — | 3.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $13,789.68 | — | 3.9× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $28,437.39 | — | 3.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $23,972.51 | — | 3.1× |
| Open tx ulnar fx proximal end (24685) | $24,445.04 | — | 3.1× |
| Open/Perq Place Stent 1St (37236) | $18,775.18 | — | 1.5× |
| Open/Perq Place Stent Same (37238) | $24,662.01 | — | 2.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $16,716.62 | — | 2.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$18,603.13–$30,146.10 | — | varies |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) | $25,800.91 | — | 1.9× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $34,459.80 | — | 4.4× |
| Orchiopexy Ingun/Scrot Appr (54640) | $10,257.23 | — | 2.7× |
| Ostectomy calcaneus (28118) | $18,498.94 | — | 5.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $15,208.11 | — | 4.3× |
| Osteochondral allograft knee open (27415) | $35,852.27 | — | 2.6× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | $36,586.52 | — | 4.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $23,056.47 | — | 6.5× |
| Osteotomy calcaneus w/wo internal fixation (28300) | $35,096.71 | — | 4.5× |
| Osteotomy radius distal third (25350) | $16,785.39 | — | 2.1× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $35,543.72 | — | 4.5× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $18,892.69 | — | 3.0× |
| Part remv talus or calcaneus (28120) | $13,110.40 | — | 3.7× |
| Partial hymenectomy or revision of hymenal ring (56700) | $7,380.49 | — | 2.1× |
| Partial removal of fibula (27641) | $16,335.62 | — | 4.6× |
| Partial removal of thyroid (60220) | $14,360.76 | — | 2.2× |
| Partical Excision Bone Phalanx Toe (28124) | $15,265.90 | — | 4.3× |
| Pelvic examination under anesthesia (other than local) (57410) | $11,327.16 | — | 3.2× |
| Perc Cryo Ablate Renal Tum (50593) range across 2 matching MRF lines |
$15,719.72–$75,049.01 | — | varies |
| Perc Rf Ablate Renal Tumor (50592) range across 3 matching MRF lines |
$8,788.65–$13,183.30 | $13,521–$20,282 | varies |
| Percut Ablate Liver Rf (47382) | $9,316.45 | $14,333 | 1.4× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $16,872.70 | $25,958 | 1.4× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$1,530.75–$2,296.45 | $2,355–$3,533 | varies |
| Peri-Implant Capsulectomy Breast Complete (19371) range across 2 matching MRF lines |
$14,033.40–$17,551.20 | — | varies |
| Pericardiocentesis W/Imaging (33016) | $963.30 | $1,482 | 0.6× |
| Perm Occlusion/Embolization,Percut,Cns (61624) unusually low: confirm this is the full procedure |
$9,022 | $13,880 | 0.5× |
| Perq Cervicothoracic Inject (22510) | $5,845.45 | $8,993 | 1.7× |
| Perq dev breast 1st mr guide (19287) range across 3 matching MRF lines |
$2,538.90–$3,808.35 | $3,906–$5,859 | varies |
| Perq dev breast 1st us imag (19285) | $3,242.84 | — | 4.2× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$3,008.42–$4,961.89 | — | varies |
| Perq Lumbosacral Injection (22511) | $5,845.45 | $8,993 | 1.7× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $28,643.19 | — | 2.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,324.05 | $2,037 | 1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $8,015.38 | — | 2.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $18,681 | $28,740 | 1.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $7,813 | $12,020 | 1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $25,775.57 | — | 3.3× |
| Perq Vertebral Augmentation (22513) | $33,745.86 | — | 4.3× |
| Phalangectomy toe each toe (28150) | $1,114.75 | $1,715 | 0.3× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$29,324.28–$30,899.11 | — | varies |
| Place Cath Thoracic Aorta (36221) | $4,813.25 | $7,405 | 1.4× |
| Place Cath Vertebral Art (36226) range across 6 matching MRF lines |
$6,983.60–$10,475.40 | $10,744–$16,116 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,778.40 | $2,736 | 0.9× |
| Place Rt Device/Marker Pros (55876) | $10,579.88 | — | 7.1× |
| Placement of seton (46020) | $8,551.69 | — | 2.9× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $5,779.15 | $8,891 | 0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $15,804.02 | — | 2.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $8,622.90 | $13,266 | 1.3× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $8,251.75 | $12,695 | 1.3× |
| Plmt expandable cath brst following prtl mast (19296) range across 3 matching MRF lines |
$5,766.80–$8,650.20 | $8,872–$13,308 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$5,832.59–$8,902.70 | — | varies |
| Plmt Nephroureteral Catheter (50433) | $22,649.51 | — | 6.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
$6,764.55–$10,147.15 | $10,407–$15,611 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 6 matching MRF lines |
$6,764.55–$10,147.15 | $10,407–$15,611 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$5,985.85–$8,979.10 | $9,209–$13,814 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 2 matching MRF lines |
$10,845.93–$11,352.90 | — | varies |
| Prim art mech thrombectomy (37184) range across 6 matching MRF lines |
$8,163.35–$12,245.35 | $12,559–$18,839 | varies |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $11,243.04 | — | 4.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $689 | $1,060 | 0.7× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $890.50 | $1,370 | 0.7× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $17,039.33 | — | 28.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $960.70 | $1,478 | 1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,452.20 | $8,388 | 1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $5,779.15 | $8,891 | 1.5× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) | $9,059.99 | — | 1.2× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) | $27,786.41 | — | 7.9× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $5,436.21 | — | 1.5× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $17,896.63 | — | 5.1× |
| Pseudoaneurysm Injection Trt (36002) | $577.20 | $888 | 0.9× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$523.25–$2,275.65 | — | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$603.20–$1,331.04 | — | varies |
| Puncture Aspiration Cyst Breast (19000) | $653.25 | $1,005 | 0.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $502.45 | $773 | 0.7× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $7,458.11 | — | 4.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) | $16,674.81 | — | 5.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 6 matching MRF lines |
$4,620.20–$6,930.30 | $7,108–$10,662 | varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $16,184.64 | — | 4.6× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) range across 2 matching MRF lines |
$14,747.97–$36,146.51 | — | varies |
| Reconstruct upper jaw bone (21206) | $18,601.05 | — | 2.9× |
| Relocation Pocket Pacemaker (33222) | $2,971.15 | $4,571 | 1.3× |
| Rem Endovas Vena Cava Filter (37193) | $4,860.70 | $7,478 | 1.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,317.55 | $2,027 | 1.3× |
| Removal foreign body foot deep (28192) | $8,354.18 | — | 4.7× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$669.50–$805.35 | — | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,223.95 | $1,883 | 0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$146.90–$863.20 | — | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$148.20–$412.10 | — | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$12,307.07–$15,020.36 | — | varies |
| Removal Implant Superficial Separate Procedure (20670) | $1,223.95 | $1,883 | 0.7× |
| Removal intact breast implant (19328) range across 2 matching MRF lines |
$10,765.16–$11,944.27 | — | varies |
| Removal of adenoids (42831) | $10,586.92 | — | 3.0× |
| Removal of adenoids (42830) | $8,832.59 | — | 2.5× |
| Removal of heel spur (28119) | $20,914.86 | — | 5.9× |
| Removal of kidney stone (50081) | $19,320.05 | — | 1.9× |
| Removal of lens material (66852) | $16,423.48 | — | 3.7× |
| Removal of mammary implant material (19330) range across 2 matching MRF lines |
$13,178.15–$15,321.66 | — | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$403.65–$705.25 | — | varies |
| Removal of sesamoid bone (28315) | $18,443.12 | — | 5.2× |
| Removal of sperm cord lesion (55520) | $22,486.75 | — | 5.9× |
| Removal of thyroid (60271) | $20,263.57 | — | 3.2× |
| Removal of tonsils (42825) | $7,255.07 | — | 1.1× |
| Removal of tonsils (42826) | $8,297.57 | — | 2.3× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,476.39 | — | 1.3× |
| Removal of wrist bone (25210) | $12,397.22 | — | 3.5× |
| Removal Pacemaker Electrode (33235) | $4,179.50 | $6,430 | 1.0× |
| Removal peritoneal-venous shunt (49429) | $3,907.15 | $6,011 | 1.1× |
| Removal ppm generator only (33233) unusually low: confirm this is the full procedure |
$4,058.60 | $6,244 | 0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $452.40 | — | 2.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,607.45 | $2,473 | 2.1× |
| Removal tong/halo applied by another individual (20665) | $176.80 | $272 | 0.4× |
| Removal, under anesthesia, of external fixation system (20694) | $11,061.89 | — | 6.4× |
| Remove Ankle Joint Lining (27626) | $20,343.77 | — | 5.8× |
| Remove drug implant device (11982) | $403.65 | — | 0.8× |
| Remove Elctrd Transvenously (33244) | $4,464.20 | $6,868 | 1.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$97.50–$199.55 | — | varies |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $1,662.70 | $2,558 | 0.7× |
| Remove Intrauterine Device (58301) range across 5 matching MRF lines |
$230.10–$9,564.36 | — | varies |
| Remove intrvas foreign body (37197) | $3,515.20 | $5,408 | 1.0× |
| Remove Lower Leg Bone Lesion (27635) range across 2 matching MRF lines |
$6,897.86–$10,823.23 | — | varies |
| Remove lung catheter (32552) | $1,018.55 | $1,567 | 1.5× |
| Remove Nasal Foreign Body (30300) | $199.55 | — | 1.4× |
| Remove Pulse Generator (33241) | $4,464.20 | $6,868 | 1.1× |
| Remove renal tube w/fluoro (50389) range across 6 matching MRF lines |
$1,319.50–$1,979.25 | $2,030–$3,045 | varies |
| Remove spine lamina 1/2 lmbr (63005) | $21,317.20 | — | 2.7× |
| Remove Tendon Sheath Lesion (26160) | $8,959.09 | — | 5.2× |
| Remove thyroid lesion (60200) | $14,665.66 | — | 2.2× |
| Remove&replace pm gen singl (33227) | $4,941.30 | $7,602 | 0.6× |
| Remove/graft forearm lesion (25125) | $27,076.52 | — | 15.6× |
| Remove/Insert Drug Implant (11983) | $301.60 | $464 | 0.6× |
| Remv&replc cvd gen dual lead (33263) unusually low: confirm this is the full procedure |
$10,507.25 | $16,165 | 0.4× |
| Remv&replc cvd gen mult lead (33264) unusually low: confirm this is the full procedure |
$12,608.05 | $19,397 | 0.4× |
| Remv&replc cvd gen sing lead (33262) likely a partial charge, not the full procedure |
$7,166.25 | $11,025 | 0.3× |
| Remv&replc pm gen dual lead (33228) | $7,967.70 | $12,258 | 0.7× |
| Remv&replc pm gen mult leads (33229) unusually low: confirm this is the full procedure |
$9,659.65 | $14,861 | 0.5× |
| Renal Biopsy Perq (50200) range across 6 matching MRF lines |
$2,157.35–$3,236.35 | $3,319–$4,979 | varies |
| Reopen fallopian tube (58350) | $12,839.09 | — | 2.4× |
| Repair Achilles Tendon (27650) | $15,511.51 | — | 2.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $26,504.45 | — | 3.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $866.45 | — | 2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $11,851.77 | — | 27.0× |
| Repair complex trunk 1.1-2.5 cm (13100) | $462.80 | $712 | 0.6× |
| Repair extensor tendon finger w/o graft each (26418) | $10,847.78 | — | 6.2× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $29,176.57 | — | 8.3× |
| Repair Foot Dislocation (28615) | $24,301.62 | — | 3.1× |
| Repair Hallux Rigidus (28289) | $14,622.01 | — | 4.1× |
| Repair Hand Joint (26540) | $10,483.86 | — | 3.0× |
| Repair humerus with graft (24435) | $42,002.66 | — | 3.0× |
| Repair initial femoral hernia, any age; reducible (49550) | $18,316.68 | — | 4.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$13,472.50–$16,484.55 | — | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $388.70 | $598 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $424.45 | $653 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $403 | $620 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $9,852.96 | — | 22.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $596.05 | — | 1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $2,750.15 | — | 6.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $566.15 | — | 1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $934.70 | — | 2.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $10,710.44 | — | 24.4× |
| Repair lead pace-defib dual (33220) | $3,016.65 | $4,641 | 0.7× |
| Repair Lead Pace-Defib One (33218) | $4,936.75 | $7,595 | 1.2× |
| Repair lower leg tendons (27676) | $15,985.25 | — | 2.0× |
| Repair Nasal Vestibular Stenosis (30465) range across 2 matching MRF lines |
$11,704.30–$17,033.23 | — | varies |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) | $26,002.79 | — | 3.3× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) | $30,275.33 | — | 3.9× |
| Repair of hammertoe (28286) | $43,318.25 | — | 12.3× |
| Repair of metatarsals (28322) | $31,259.03 | — | 4.0× |
| Repair of nail bed (11760) | $13,923 | — | 17.4× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $21,213.40 | — | 2.7× |
| Repair of Ruptured Tendon (24342) | $14,116.11 | — | 1.8× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $18,737.81 | — | 2.7× |
| Repair retinal detach cplx (67113) | $18,122.58 | — | 3.2× |
| Repair Rotator Cuff Chronic (23412) | $17,684.80 | — | 2.3× |
| Repair secondary achilles tendon w/wo graft (27654) | $19,420.60 | — | 2.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $31,259.03 | — | 8.8× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $24,896.28 | — | 3.2× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) | $20,560.01 | — | 2.6× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $27,879.21 | — | 3.6× |
| Repair/Graft Wrist Bone (25440) | $16,420.47 | — | 2.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,296.10 | $1,994 | 1.3× |
| Replace elbow joint (24363) | $41,218.27 | — | 2.2× |
| Replace G-J Tube Perc (49452) | $1,296.10 | $1,994 | 1.3× |
| Replace g/c tube perc (49450) | $1,317.55 | $2,027 | 1.3× |
| Replacement Tissue Expander W/Permanent Implant (11970) range across 2 matching MRF lines |
$14,145.29–$17,140.42 | — | varies |
| Reposition Gastrostomy Tube (43761) | $798.85 | $1,229 | 3.0× |
| Reposition Pacing-Defib Lead (33215) | $4,058.60 | $6,244 | 1.2× |
| Repr torn cruciate knee ligam (27407) | $24,462.13 | — | 3.1× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $2,451.15 | $3,771 | 0.7× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $32,694.15 | — | 2.4× |
| Revise lower leg tendon (27690) | $36,137.48 | — | 4.6× |
| Revise ulnar nerve at wrist (64719) range across 2 matching MRF lines |
$7,692.07–$9,967.75 | — | varies |
| Revision of eyelid (67880) range across 2 matching MRF lines |
$10,517.25–$22,005.94 | — | varies |
| Revision of foot (28116) | $11,478.50 | — | 3.2× |
| Revision of foot bones (28737) | $46,864.54 | — | 3.4× |
| Revision of foot fascia (28250) | $9,482.33 | — | 2.7× |
| Revision of lower leg tendon (27685) | $15,328.04 | — | 4.3× |
| Revision of reconstructed breast (19380) range across 2 matching MRF lines |
$14,570.52–$18,455.05 | — | varies |
| Revision Peri-Implant Capsule Breast (19370) range across 2 matching MRF lines |
$15,003.90–$17,175.75 | — | varies |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) | $67,765.05 | — | 3.6× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $11,083.15 | $17,051 | 1.8× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $14,892.34 | — | 3.9× |
| Revj/rmvl neurostimulator pulse generator (61888) unusually low: confirm this is the full procedure |
$5,821.40 | $8,956 | 0.5× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) range across 3 matching MRF lines |
$4,778.15–$7,167.55 | $7,351–$11,027 | varies |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) range across 6 matching MRF lines |
$4,778.15–$7,167.55 | $7,351–$11,027 | varies |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) range across 3 matching MRF lines |
$11,488.10–$17,232.15 | $17,674–$26,511 | varies |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) range across 3 matching MRF lines |
$11,488.10–$17,232.15 | $17,674–$26,511 | varies |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) range across 3 matching MRF lines |
$16,204.50–$24,306.75 | $24,930–$37,395 | varies |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) range across 3 matching MRF lines |
$16,204.50–$24,306.75 | $24,930–$37,395 | varies |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) range across 3 matching MRF lines |
$4,548.05–$6,822.40 | $6,997–$10,496 | varies |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) range across 3 matching MRF lines |
$4,548.05–$6,822.40 | $6,997–$10,496 | varies |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) range across 3 matching MRF lines |
$9,009–$13,513.50 | $13,860–$20,790 | varies |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) range across 6 matching MRF lines |
$9,009–$13,513.50 | $13,860–$20,790 | varies |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) range across 3 matching MRF lines |
$7,432.75–$11,149.45 | $11,435–$17,153 | varies |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) range across 3 matching MRF lines |
$7,432.75–$11,149.45 | $11,435–$17,153 | varies |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) range across 3 matching MRF lines |
$10,455.90–$15,683.85 | $16,086–$24,129 | varies |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) range across 3 matching MRF lines |
$10,455.90–$15,683.85 | $16,086–$24,129 | varies |
| Rhytidectomy Neck W/Platysmal Tightening (15825) | $27,452.59 | — | 7.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $4,317.95 | $6,643 | 1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$184.60–$322.40 | — | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $97.50 | $150 | 0.7× |
| Rmvl fecal impaction/fb spx under anes (45915) | $3,071.90 | — | 2.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
$1,456–$2,184 | $2,240–$3,360 | varies |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) | $18,433.84 | — | 7.4× |
| Rmvl of subq implantable defibrillator electrode (33272) | $4,179.50 | $6,430 | 1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $16,543.15 | — | 7.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $4,179.50 | $6,430 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,818.82 | — | 1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,422.20 | $2,188 | 2.1× |
| Rplc Gtube No Revj Trc (43762) | $474.50 | — | 1.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,892.80 | $2,912 | 1.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,060.50 | $3,170 | 1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,855.45 | $4,393 | 0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,995.85 | $4,609 | 0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $20,017.89 | — | 3.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $14,142.04 | — | 3.7× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $22,573.85 | — | 3.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $19,316.91 | — | 2.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $10,079 | — | 1.5× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $20,167.35 | — | 2.9× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $13,802.85 | — | 2.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,668.55 | $2,567 | 1.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $11,438.41 | — | 3.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $302.90 | $466 | 1.4× |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $16,323.95 | — | 2.1× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) | $4,469.40 | $6,876 | 0.7× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) | $52,057.09 | — | 6.6× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) range across 2 matching MRF lines |
$16,231.70–$17,693.19 | — | varies |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $18,620.82 | — | 5.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $14,897.09 | — | 4.2× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) | $26,805.23 | — | 3.4× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) | $26,504.45 | — | 3.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,087.45 | $1,673 | 1.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $17,004.06 | — | 4.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $11,968.03 | — | 3.4× |
| Scleral Reinforcement Spx W/Graft (67255) | $12,202.18 | — | 2.7× |
| Sclerotx Fluid Collection (49185) | $2,404.35 | $3,699 | 1.3× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 2 matching MRF lines |
$14,963.53–$21,610.50 | — | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,895.40 | — | 1.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $2,949.38 | — | 2.3× |
| Shave skin lesion 0.5 cm/< (11300) | $163.80 | $252 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $149.50 | $230 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $301.60 | $464 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $140.40 | $216 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $187.85 | $289 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $207.35 | $319 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $301.60 | $464 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $204.10 | $314 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $301.60 | $464 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $154.05 | $237 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $188.50 | $290 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $176.80 | $272 | 0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $3,550.45 | — | 2.7× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $3,694.57 | — | 2.9× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $3,725.31 | — | 2.9× |
| Sigmoidoscopy w/fb removal (45332) | $1,519.05 | — | 1.2× |
| Sigmoidoscopy W/Resection (45349) | $5,614.24 | — | 1.9× |
| Sigmoidoscopy W/Ultrasound (45341) | $6,279.29 | — | 6.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,473.15 | — | 2.5× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $3,021.02 | — | 2.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $252.20 | — | 1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $252.20 | — | 1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $252.20 | — | 1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $290.55 | — | 1.3× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) | $15,517.12 | — | 2.4× |
| Skin Full Grft Face/Genit/Hf (15240) | $22,880.41 | — | 10.3× |
| Skin sub graft face/nk/hf/g (15275) | $2,428.52 | — | 3.0× |
| Skin sub graft trnk/arm/leg (15271) | $1,882.40 | $2,896 | 2.4× |
| Skin sub grft t/arm/lg child (15273) | $57,320.05 | — | 25.7× |
| Skin Tissue Procedure (17999) | $12,449.45 | — | 57.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 6 matching MRF lines |
$6,171.10–$9,257.30 | $9,494–$14,242 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 6 matching MRF lines |
$5,406.05–$8,109.40 | $8,317–$12,476 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 6 matching MRF lines |
$8,667.10–$13,000.65 | $13,334–$20,001 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $21,095.70 | — | 3.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $252.20 | — | 1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $301.60 | $464 | 0.7× |
| Sphincterotomy anal division sphincter spx (46080) | $5,164.38 | — | 1.7× |
| Spinal puncture lumbar diagnostic (62270) | $1,008.80 | $1,552 | 1.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$12,493.62–$12,907.63 | — | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $13,577.45 | — | 6.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 2 matching MRF lines |
$9,863.68–$12,546.30 | — | varies |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) | $13,251.09 | — | 2.1× |
| Strapping Unna Boot (29580) range across 12 matching MRF lines |
$117.65–$176.80 | $181–$272 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$10,970.63–$14,963.53 | — | varies |
| Suction assisted lipectomy; trunk (15877) | $20,299.16 | — | 5.3× |
| Suction assisted lipectomy; upper extremity (15878) | $25,843.77 | — | 11.6× |
| Suction Lipectomy Lwr Extrem (15879) | $21,968.28 | — | 5.7× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) | $13,232.73 | — | 3.7× |
| Surg Implnt Neuroelect,Epidural (63655) | $47,817.96 | — | 2.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $16,079.91 | — | 2.5× |
| Surg tx anal fistula subq (46270) | $8,551.69 | — | 2.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $8,733.67 | — | 2.9× |
| Suture digital nerve hand/foot 1 nerve (64831) | $11,571.66 | — | 5.5× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $16,471.04 | — | 2.1× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) | $33,751.82 | — | 4.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $9,211.54 | — | 5.3× |
| Tangential biopsy skin single lesion (11102) | $164.45 | $253 | 0.4× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) | $494 | $760 | 0.6× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $250.25 | $385 | 0.3× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) unusually low: confirm this is the full procedure |
$9,878.70 | $15,198 | 0.3× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) likely a partial charge, not the full procedure |
$5,677.75 | $8,735 | 0.3× |
| Temple bone implant revision (69717) | $30,052.13 | — | 3.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $12,758.46 | — | 3.6× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) | $14,664.06 | — | 4.2× |
| Tenodesis long tendon biceps (23430) | $23,302.81 | — | 3.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $20,149.92 | — | 5.7× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $6,995.43 | — | 2.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 4 matching MRF lines |
$1,311.05–$2,568.15 | — | varies |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) | $13,952.37 | — | 3.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,339.65 | $2,061 | 0.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,063.40 | $1,636 | 1.4× |
| Therapeutic plasma exchange (36514) | $3,069.30 | $4,722 | 1.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) range across 2 matching MRF lines |
$21,848.37–$29,458.24 | — | varies |
| Thrmbc/Nfs Dialysis Circuit (36906) | $18,330 | $28,200 | 0.9× |
| Thromblytic art/ven therapy (37213) | $3,185.65 | $4,901 | 0.9× |
| Thrombolytic Art Therapy (37211) range across 6 matching MRF lines |
$2,254.20–$3,381.30 | $3,468–$5,202 | varies |
| Thrombolytic Venous Therapy (37212) range across 6 matching MRF lines |
$2,254.20–$3,381.30 | $3,468–$5,202 | varies |
| Thyroid biopsy (60100) | $945.10 | $1,454 | 1.2× |
| Thyroidectomy, total or complete (60240) | $15,246.64 | — | 2.3× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) | $23,203.14 | — | 3.6× |
| Tissue Expander Placement Breast Reconstruction (19357) range across 2 matching MRF lines |
$40,143.40–$66,762.67 | — | varies |
| Tlh uterus over 250 g (58572) | $23,134.64 | — | 2.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $8,896.84 | — | 2.5× |
| Tooth extraction (41899) | $18,781.39 | — | 73.4× |
| Total Knee Arthroplasty (27447) | $24,899.70 | — | 1.8× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $10,569.57 | — | 1.8× |
| Transcatheter biopsy (37200) | $3,807.05 | $5,857 | 0.6× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $7,670.68 | — | 3.6× |
| Transoral lower esophageal myotomy (43497) range across 2 matching MRF lines |
$4,819.85–$20,030.27 | — | varies |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) | $23,466.92 | — | 3.0× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) | $19,583.98 | — | 1.9× |
| Treat ectopic pregnancy (59151) | $15,089.01 | — | 2.3× |
| Treat Finger Fracture Each (26727) | $7,047.49 | — | 2.0× |
| Treat fracture radius/ulna (25575) | $25,686.68 | — | 3.3× |
| Treat Fx Rad Extra-Articul (25607) | $19,093.47 | — | 2.4× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$344.50–$516.75 | $530–$795 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$195.65–$293.80 | $301–$452 | varies |
| Treat Kneecap Fracture (27524) | $24,378.64 | — | 3.1× |
| Treat scapula fracture (23585) | $48,435.58 | — | 6.2× |
| Treat thumb fracture (26665) | $15,183.71 | — | 4.3× |
| Treatment of ankle fracture (27823) | $25,111.61 | — | 3.2× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$252.20–$451.75 | — | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$150.15–$252.20 | — | varies |
| Trim skin lesions over 4 (11057) | $150.15 | $231 | 0.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $66.30 | $102 | 1.0× |
| Trluml Balo Angiop 1St Art (37246) range across 4 matching MRF lines |
$8,655.40–$12,983.10 | $13,316–$19,974 | varies |
| Trluml Balo Angiop 1St Vein (37248) | $19,701.33 | — | 3.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $6,951.78 | — | 2.0× |
| Tx Missed Abortion First Trimester Surgical (59820) | $8,204.82 | — | 2.3× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $11,774.65 | — | 3.4× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $10,259.70 | — | 5.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $564.20 | — | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $301.60 | $464 | 0.7× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $25,451.24 | — | 1.8× |
| Tympanoplasty (69631) | $17,317.98 | — | 2.7× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) | $15,204.75 | — | 2.4× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$9,340.55–$12,270.19 | — | varies |
| Unlisted Cardiac Surgery (33999) | $12,814.75 | $19,715 | 18.9× |
| Unlisted laparoscopic procedure liver (47379) | $17,580 | — | 2.7× |
| Unlisted laparoscopy procedure stomach (43659) | $17,920.47 | — | 2.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $24,812.24 | — | 3.8× |
| Unlisted laparoscopy procedure, bladder (51999) | $24,939.82 | — | 3.8× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) | $14,604.04 | — | 2.2× |
| Unlisted laparoscopy procedure, lymphatic system (38589) | $26,768.55 | — | 4.1× |
| Unlisted laparoscopy procedure, uterus (58578) | $18,481.99 | — | 2.8× |
| Unlisted procedure anus (46999) | $3,312.50 | — | 3.3× |
| Unlisted procedure arthroscopy (29999) | $14,358.79 | — | 53.9× |
| Unlisted procedure breast (19499) range across 3 matching MRF lines |
$514.80–$772.20 | $792–$1,188 | varies |
| Unlisted procedure colon (45399) | $20,038.69 | — | 20.0× |
| Unlisted Procedure Esophagus (43499) | $3,761.89 | — | 3.8× |
| Unlisted procedure femur or knee (27599) | $3,380.94 | — | 12.7× |
| Unlisted procedure foot or toes (28899) | $20,132.18 | — | 75.6× |
| Unlisted Procedure Leg/Ankle (27899) | $20,057.37 | — | 75.3× |
| Unlisted procedure lungs and pleura (32999) | $1,493.70 | $2,298 | 2.2× |
| Unlisted Procedure Muscskeletal System General (20999) | $35,096.71 | — | 131.8× |
| Unlisted procedure nervous system (64999) | $2,255.40 | — | 6.8× |
| Unlisted procedure pancreas (48999) | $8,439.95 | — | 11.0× |
| Unlisted procedure pelvis/hip joint (27299) | $18,952.91 | — | 71.2× |
| Unlisted Procedure Rectum (45999) | $19,479.17 | — | 19.4× |
| Unlisted procedure spine (22899) range across 2 matching MRF lines |
$23,943.99–$32,529.33 | — | varies |
| Unlisted procedure stomach (43999) | $6,234.25 | — | 6.4× |
| Unlisted Procedure Vascular Surgery (37799) | $11,086.82 | — | 16.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
$1,103.70–$1,229.15 | $1,698–$1,891 | varies |
| Upgrade of pacemaker system (33214) unusually low: confirm this is the full procedure |
$3,800.55 | $5,847 | 0.3× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) | $22,880.41 | — | 4.0× |
| Uvulectomy excision of uvula (42140) | $8,178.95 | — | 2.3× |
| Vasc embolize/occlude artery (37242) | $53,676.40 | — | 2.7× |
| Vasc Embolize/Occlude Bleed (37244) | $20,163 | $31,020 | 1.6× |
| Vasc Embolize/Occlude Organ (37243) | $18,330 | $28,200 | 1.5× |
| Vasc embolize/occlude venous (37241) | $20,163 | $31,020 | 1.6× |
| Venous Mech Thrombectomy (37187) range across 6 matching MRF lines |
$7,551.05–$11,326.90 | $11,617–$17,426 | varies |
| Vitrectomy mechanical pars plana (67036) | $15,728.34 | — | 3.5× |
| Vitrectomy pars plana remove int memb retina (67042) | $12,928.34 | — | 2.9× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) | $10,339.74 | — | 2.3× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) | $15,651.54 | — | 3.5× |
| Vulvectomy simple partial (56620) | $8,314.08 | — | 2.4× |
| Vulvectomy simple; complete (56625) | $10,164.41 | — | 2.9× |
| Wedge excision skin nail fold (11765) | $403.65 | — | 0.9× |
| Wound Prep F/N/Hf/G (15004) | $7,235.34 | — | 16.5× |
| Wound Prep Trk/Arm/Leg (15002) | $12,718.59 | — | 15.9× |
| Xfer Single Deep Low Leg Tendon (27691) | $20,921.87 | — | 2.7× |
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.