Procedures & surgery prices at Samaritan Medical Center
Watertown, NY · every code in this section with a posted price and a Medicare benchmark.
650 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) range across 2 matching MRF lines |
$1,919–$2,242 | $1,919–$2,242 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,919–$2,354 | $1,919–$2,354 | varies |
| Acne surgery (10040) | $426.50 | $426.50 | 1.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $2,734.50 | $2,734.50 | 1.1× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $3,131.50 | $3,131.50 | 1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $6,277.50 | $6,277.50 | 1.4× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $6,227 | $6,227 | 2.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $4,426 | $4,426 | 1.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $3,589.50 | $3,589.50 | 1.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $5,408 | $5,408 | 2.1× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $4,792 | $4,792 | 1.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $6,313.50 | $6,313.50 | 1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $7,019 | $7,019 | 1.7× |
| Amputation metatarsal with toe single (28810) | $7,019 | $7,019 | 1.7× |
| Amputation toe interphalangeal joint (28825) | $6,875 | $6,875 | 1.7× |
| Amputation toe metatarsophalangeal joint (28820) | $7,019 | $7,019 | 1.7× |
| Anal/Urinary Muscle Study (51784) | $466 | $466 | 2.9× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$272.50–$279.50 | $272.50–$279.50 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $2,543 | $2,543 | 1.7× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) | $985.50 | $985.50 | 2.8× |
| Application cast elbow finger short arm (29075) | $988 | $988 | 2.8× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$153–$279.50 | $153–$279.50 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$213.50–$471.50 | $213.50–$471.50 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$392.50–$471.50 | $392.50–$471.50 | varies |
| Application of long leg cast (29345) | $988 | $988 | 2.8× |
| Application of rigid total contact leg cast (29445) | $1,141.50 | $1,141.50 | 3.3× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$279.50–$471.50 | $279.50–$471.50 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$471.50–$666.50 | $471.50–$666.50 | varies |
| Apply hand/wrist cast (29085) | $471.50 | $471.50 | 2.3× |
| Apply long arm cast (29065) | $988 | $988 | 2.8× |
| Apply Multlay Comprs Lwr Leg (29581) | $654.50 | $654.50 | 3.2× |
| Apply Short Leg Cast (29405) | $988 | $988 | 2.8× |
| Apply short leg cast (29425) | $988 | $988 | 2.8× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$197.50–$279.50 | $197.50–$279.50 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$607.50–$1,025 | $607.50–$1,025 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $2,257 | $2,257 | 2.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$441.50–$1,025 | $441.50–$1,025 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,025 | $1,025 | 2.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$607.50–$1,025 | $607.50–$1,025 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,282–$1,873 | $1,282–$1,873 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,282–$1,873 | $1,282–$1,873 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$639–$1,007.50 | $639–$1,007.50 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $7,041 | $7,041 | 2.7× |
| Avulsion nail plate partial/complete simple 1 (11730) | $388.50 | $388.50 | 1.6× |
| Biopsy Abdominal Mass (49180) | $3,510 | $3,510 | 1.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,348.50 | $3,348.50 | 1.6× |
| Biopsy External Auditory Canal (69105) | $3,100 | $3,100 | 1.6× |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$490–$504 | $490–$504 | varies |
| Biopsy muscle percutaneous needle (20206) | $3,510 | $3,510 | 1.7× |
| Biopsy nail unit (11755) | $1,522.50 | $1,522.50 | 1.7× |
| Biopsy of breast; open, incisional (19101) | $7,488 | $7,488 | 1.5× |
| Biopsy of floor of mouth (41108) range across 2 matching MRF lines |
$3,348.50–$6,577.50 | $3,348.50–$6,577.50 | varies |
| Biopsy of lip (40490) range across 2 matching MRF lines |
$464.50–$503 | $464.50–$503 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $3,510 | $3,510 | 1.7× |
| Biopsy of palate, uvula (42100) range across 2 matching MRF lines |
$3,100–$3,388.50 | $3,100–$3,388.50 | varies |
| Biopsy of penis (54100) | $3,505.50 | $3,505.50 | 1.7× |
| Biopsy Oropharynx (42800) range across 2 matching MRF lines |
$3,100–$3,297.50 | $3,100–$3,297.50 | varies |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $7,491 | $7,491 | 1.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $7,491 | $7,491 | 1.7× |
| Biopsy Salivary Gland Incisional (42405) range across 2 matching MRF lines |
$3,100–$3,205 | $3,100–$3,205 | varies |
| Biopsy Salivary Gland Needle (42400) | $1,463.50 | $1,463.50 | 1.7× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $3,510 | $3,510 | 1.7× |
| Biopsy soft tissue neck/thorax (21550) | $3,510 | $3,510 | 1.7× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $3,510 | $3,510 | 1.7× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,020.50 | $1,020.50 | 1.5× |
| Biopsy Tongue Posterior One-Third (41105) | $6,352 | $6,352 | 1.5× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,957.50 | $1,957.50 | 1.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$1,604–$1,957.50 | $1,604–$1,957.50 | varies |
| Biopsy, vestibule of mouth (40808) | $1,020.50 | $1,020.50 | 1.5× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$1,126.50–$1,397 | $1,126.50–$1,397 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$526.50–$865.50 | $526.50–$865.50 | varies |
| Bladder Scan (51798) | $223 | $223 | 3.0× |
| Blepharotomy drainage abscess eyelid (67700) | $631.50 | $631.50 | 1.6× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$1,009–$1,464.50 | $1,009–$1,464.50 | varies |
| Bone Marrow Biopsy (38221) | $3,733 | $3,733 | 1.8× |
| Bone Marrow; Aspiration Only (38220) | $3,733 | $3,733 | 1.8× |
| Brnchsc Brushing/Protected Brushings (31623) | $3,548 | $3,548 | 1.6× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $7,346 | $7,346 | 1.6× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $7,346 | $7,346 | 1.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) range across 2 matching MRF lines |
$7,443–$7,976 | $7,443–$7,976 | varies |
| Bronchoscopy Balloon Occlusion (31634) | $13,809.50 | $13,809.50 | 1.6× |
| Bronchoscopy Clear Airways (31645) | $3,548 | $3,548 | 1.6× |
| Bronchoscopy W/Biopsy(S) (31625) | $3,548 | $3,548 | 1.6× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $13,809.50 | $13,809.50 | 1.6× |
| Bronchoscopy W/Removal Foreign Body (31635) range across 2 matching MRF lines |
$3,548–$5,073.50 | $3,548–$5,073.50 | varies |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $7,346 | $7,346 | 1.6× |
| Bronchoscopy/Needle Bx Each (31629) | $7,346 | $7,346 | 1.6× |
| Bx breast 1st lesion strtctc (19081) | $3,337 | $3,337 | 1.6× |
| Bx breast 1st lesion us imag (19083) | $3,337 | $3,337 | 1.6× |
| Bx Cervix (57500) | $1,472 | $1,472 | 1.3× |
| Canthotomy Separate Procedure (67715) | $5,047.50 | $5,047.50 | 1.7× |
| Cautery Cervix Electro/Thermal (57510) | $6,312.50 | $6,312.50 | 1.6× |
| Change Cystostomy Tube Complicated (51710) range across 3 matching MRF lines |
$1,084–$2,395 | $1,084–$2,395 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$631.50–$942.50 | $631.50–$942.50 | varies |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$502.50–$536 | $502.50–$536 | varies |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
$404–$747.50 | $404–$747.50 | varies |
| Chemical peel face dermal (15789) | $1,249 | $1,249 | 1.4× |
| Chemical peel nonfacial dermal (15793) | $803 | $803 | 1.6× |
| Chemical peel nonfacial epidermal (15792) | $1,266.50 | $1,266.50 | 1.4× |
| Chemical peel, facial; epidermal (15788) | $439 | $439 | 0.9× |
| Chemodenerv Eccrine Glands (64650) | $632.50 | $632.50 | 1.7× |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$607.50–$1,025 | $607.50–$1,025 | varies |
| Chemodenerv musc neck dyston (64616) | $620 | $620 | 1.6× |
| Chemodenervation eccrine glands oth area per day (64653) | $631 | $631 | 1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $656.50 | $656.50 | 1.7× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$2,242–$3,335 | $2,242–$3,335 | varies |
| Circumcision 28 days or older (54161) | $4,198.50 | $4,198.50 | 1.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $3,462.50 | $3,462.50 | 1.7× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$248.50–$272.50 | $248.50–$272.50 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $586 | $586 | 1.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $3,462.50 | $3,462.50 | 1.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $686 | $686 | 2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $762.50 | $762.50 | 2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,983.50 | $1,983.50 | 1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) | $762.50 | $762.50 | 2.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $7,609 | $7,609 | 3.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $3,462.50 | $3,462.50 | 1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $3,205 | $3,205 | 1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) | $5,732 | $5,732 | 18.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $681 | $681 | 2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,617.50 | $2,617.50 | 1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,267 | $2,267 | 1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,617 | $2,617 | 1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $586 | $586 | 1.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $752 | $752 | 2.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $3,462.50 | $3,462.50 | 1.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $814 | $814 | 2.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $1,077.50 | $1,077.50 | 3.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $3,462.50 | $3,462.50 | 1.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $768 | $768 | 2.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $6,362.50 | $6,362.50 | 3.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$762.50–$1,245 | $762.50–$1,245 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $654 | $654 | 2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $648 | $648 | 2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $762.50 | $762.50 | 2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $586 | $586 | 1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $3,462.50 | $3,462.50 | 1.7× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $3,462.50 | $3,462.50 | 1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $777 | $777 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $681 | $681 | 2.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $7,105 | $7,105 | 3.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $3,462.50 | $3,462.50 | 1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$463–$762.50 | $463–$762.50 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $1,029 | $1,029 | 3.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,058.50 | $1,058.50 | 3.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $681 | $681 | 2.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $5,043 | $5,043 | 2.5× |
| Cltx post hip arthrp dislc req anes (27266) | $3,462.50 | $3,462.50 | 1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) | $681 | $681 | 2.2× |
| Cltx prox fibula/shft fx w/manj (27781) | $7,105 | $7,105 | 3.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $762.50 | $762.50 | 2.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,888.50 | $1,888.50 | 0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,617 | $2,617 | 1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $5,043 | $5,043 | 2.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $681 | $681 | 2.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $686 | $686 | 2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,983.50–$3,462.50 | $1,983.50–$3,462.50 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $816.50 | $816.50 | 2.7× |
| Collect Blood From Catheter Venous Nos (36592) | $291.50 | $291.50 | 1.8× |
| Collection of venous blood by venipuncture (36415) | $44.50 | $44.50 | 4.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $721 | $721 | 1.9× |
| Colposcopy Cervix Endocervical Curettage (57456) | $721 | $721 | 1.9× |
| Colposcopy cervix upper/adjacent vagina (57452) | $438.50 | $438.50 | 1.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $721 | $721 | 1.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $6,273.50 | $6,273.50 | 1.6× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $6,273.50 | $6,273.50 | 1.6× |
| Colposcopy entire vagina w/cervix if present (57420) | $721 | $721 | 1.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,472 | $1,472 | 1.3× |
| Complex Cystometrogram (51726) | $830.50 | $830.50 | 2.7× |
| Complex drainage wound (10180) | $6,192 | $6,192 | 1.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $6,226 | $6,226 | 1.5× |
| Conization of cervix (57520) | $6,312.50 | $6,312.50 | 1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$260–$485.50 | $260–$485.50 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$260–$485.50 | $260–$485.50 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,102 | $1,102 | 1.6× |
| Correction Trichiasis Inccision Lid Margin (67830) | $1,921 | $1,921 | 1.5× |
| Create Eardrum Opening (69433) | $1,020.50 | $1,020.50 | 1.5× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $129 | $129 | 1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $485.50 | $485.50 | 2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $473.50 | $473.50 | 1.6× |
| Curettage postpartum (59160) | $6,613.50 | $6,613.50 | 1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $4,431.50 | $4,431.50 | 1.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$1,433–$4,431.50 | $1,433–$4,431.50 | varies |
| Cysto w/complex removal stone & stent (52315) | $4,198.50 | $4,198.50 | 1.6× |
| Cysto w/destruction of lesions (52214) | $7,156 | $7,156 | 1.6× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $7,185.50 | $7,185.50 | 1.6× |
| Cysto w/removal of lesions small (52224) | $7,174 | $7,174 | 1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) | $4,431.50 | $4,431.50 | 1.7× |
| Cystometrogram W/Up (51727) | $1,397 | $1,397 | 1.6× |
| Cystometrogram W/Vp (51728) | $1,332.50 | $1,332.50 | 1.5× |
| Cystometrogram W/Vp&Up (51729) | $1,307 | $1,307 | 1.5× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$1,091–$2,395 | $1,091–$2,395 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $4,198.50 | $4,198.50 | 1.6× |
| Cystourethroscopy with biopsy (52204) | $4,431.50 | $4,431.50 | 1.7× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) | $4,261 | $4,261 | 1.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,324.50 | $1,324.50 | 2.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $6,192 | $6,192 | 1.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $2,292 | $2,292 | 2.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,138–$1,147 | $1,138–$1,147 | varies |
| Debride nail 1-5 (11720) | $268 | $268 | 3.6× |
| Debride nail 6 or more (11721) | $268 | $268 | 3.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$3,165.50–$5,439 | $3,165.50–$5,439 | varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $1,020.50 | $1,020.50 | 1.5× |
| Debridement Mastoidectomy Cavity Simple (69220) | $404 | $404 | 1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$1,138–$1,147 | $1,138–$1,147 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$690–$760.50 | $690–$760.50 | varies |
| Decompression of tibia nerve (28035) | $4,243.50 | $4,243.50 | 1.7× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) | $2,111.50 | $2,111.50 | 0.8× |
| Delivery of placenta (59414) | $6,444 | $6,444 | 1.6× |
| Dermabrasion segmental face (15781) | $803 | $803 | 0.9× |
| Destr penis lesion(s) (54065) | $3,957.50 | $3,957.50 | 1.5× |
| Destroy cerv/thor facet jnt (64633) | $6,376.50 | $6,376.50 | 2.6× |
| Destroy lumb/sac facet jnt (64635) | $6,376.50 | $6,376.50 | 2.6× |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$413–$702 | $413–$702 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$413–$747.50 | $413–$747.50 | varies |
| Destruction Lesions Vulva Extensive (56515) | $411.50 | $411.50 | 0.2× |
| Destruction Lesions Vulva Simple (56501) | $2,043.50 | $2,043.50 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $330 | $330 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $330 | $330 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $836 | $836 | 1.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $1,249 | $1,249 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $1,266.50 | $1,266.50 | 1.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $545.50 | $545.50 | 2.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $560.50 | $560.50 | 2.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $684.50 | $684.50 | 2.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $909.50 | $909.50 | 1.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $909.50 | $909.50 | 1.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $581.50 | $581.50 | 2.3× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 2 matching MRF lines |
$413.50–$526 | $413.50–$526 | varies |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $607.50 | $607.50 | 2.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $607.50 | $607.50 | 2.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $803 | $803 | 1.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $870.50 | $870.50 | 1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $545.50 | $545.50 | 2.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$4,062–$4,318.50 | $4,062–$4,318.50 | varies |
| Destruction of skin lesions (17106) range across 2 matching MRF lines |
$834–$836 | $834–$836 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $820.50 | $820.50 | 1.6× |
| Destruction premalignant lesion 1st (17000) | $430.50 | $430.50 | 1.7× |
| Diaphragm or cervical cap fitting with instructions (57170) | $435.50 | $435.50 | 1.7× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) range across 2 matching MRF lines |
$84–$332 | $84–$332 | varies |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $184.50 | $184.50 | 1.1× |
| Dilate Urethra Stricture (53600) | $526.50 | $526.50 | 1.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $6,117 | $6,117 | 1.5× |
| Drain Cerebro Spinal Fluid (62272) | $2,680.50 | $2,680.50 | 3.0× |
| Drain/inj small joint/bursa w/us (20604) | $1,025 | $1,025 | 2.7× |
| Drainage abscess parotid simple (42300) | $3,100 | $3,100 | 1.6× |
| Drainage external auditory canal abscess (69020) | $1,449.50 | $1,449.50 | 1.6× |
| Drainage external ear abscess/hematoma cmplx (69005) | $3,370.50 | $3,370.50 | 1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$1,449.50–$2,292 | $1,449.50–$2,292 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$216.50–$702 | $216.50–$702 | varies |
| Drainage of gum lesion (41800) | $437 | $437 | 2.6× |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
$2,655.50–$4,981.50 | $2,655.50–$4,981.50 | varies |
| Drainage of hydrocele (55000) | $1,522.50 | $1,522.50 | 1.7× |
| Drainage of mouth lesion (41017) | $6,352 | $6,352 | 1.5× |
| Drainage of nose lesion (30000) | $483.50 | $483.50 | 1.6× |
| Drainage of scrotal wall abscess (55100) | $3,370.50 | $3,370.50 | 1.6× |
| Drainage of scrotum (54700) | $4,198.50 | $4,198.50 | 1.6× |
| Drainage of skene's gland abscess or cyst (53060) | $4,246.50 | $4,246.50 | 1.6× |
| Draw Blood Off Venous Device (36591) | $291.50 | $291.50 | 1.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$1,045–$1,463.50 | $1,045–$1,463.50 | varies |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $5,397 | $5,397 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$1,147–$1,448 | $1,147–$1,448 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$747.50–$1,147 | $747.50–$1,147 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$629.50–$747.50 | $629.50–$747.50 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) range across 2 matching MRF lines |
$1,266.50–$1,295.50 | $1,266.50–$1,295.50 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) range across 2 matching MRF lines |
$3,853.50–$4,142.50 | $3,853.50–$4,142.50 | varies |
| Dstrj les/scar vestibule mouth physical meths (40820) range across 2 matching MRF lines |
$6,352–$6,636.50 | $6,352–$6,636.50 | varies |
| Dstrj Lesion Anus Simple Chemical (46900) range across 2 matching MRF lines |
$864.50–$865 | $864.50–$865 | varies |
| Dstrj lesion anus simple cryosurgery (46916) range across 2 matching MRF lines |
$413–$430.50 | $413–$430.50 | varies |
| Dstrj lesion anus simple surg excision (46922) | $5,776.50 | $5,776.50 | 1.7× |
| Dstrj Lesion Penis Simple Chemical (54050) range across 3 matching MRF lines |
$864.50–$865 | $864.50–$865 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) range across 2 matching MRF lines |
$250–$413 | $250–$413 | varies |
| Dstrj lesion penis simple surg excision (54060) range across 3 matching MRF lines |
$3,805–$4,062 | $3,805–$4,062 | varies |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $820.50 | $820.50 | 1.6× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$3,733–$5,953.50 | $3,733–$5,953.50 | varies |
| Dx Bronchoscope/Lavage (31624) | $3,548 | $3,548 | 1.6× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$3,548–$3,614 | $3,548–$3,614 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $3,587 | $3,587 | 1.6× |
| Egd Flexible Foreign Body Removal (43247) | $3,683 | $3,683 | 3.3× |
| Electro-Uroflowmetry First (51741) | $349 | $349 | 1.3× |
| Endometrial Biopsy (58100) | $424.50 | $424.50 | 1.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $4,315.50 | $4,315.50 | 1.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,957.50 | $3,957.50 | 1.5× |
| Epidural Blood Patch (62273) | $2,910.50 | $2,910.50 | 3.3× |
| Episiotomy or vaginal repair (59300) | $6,878.50 | $6,878.50 | 1.7× |
| Escharotomy; initial incision (16035) range across 2 matching MRF lines |
$868.50–$1,147 | $868.50–$1,147 | varies |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $3,585 | $3,585 | 1.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $5,121.50 | $5,121.50 | 2.1× |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$3,337–$3,447.50 | $3,337–$3,447.50 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$1,476.50–$1,522.50 | $1,476.50–$1,522.50 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$3,348.50–$3,505.50 | $3,348.50–$3,505.50 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $3,447.50 | $3,447.50 | 1.7× |
| Exc Back Tum Deep 5 Cm/> (21933) | $5,822.50 | $5,822.50 | 1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,522.50 | $1,522.50 | 1.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$1,449.50–$1,522.50 | $1,449.50–$1,522.50 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $3,505.50 | $3,505.50 | 1.7× |
| Exc Face Les Sbq 2 Cm/> (21012) | $3,398.50 | $3,398.50 | 1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$1,463.50–$1,522.50 | $1,463.50–$1,522.50 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$1,449.50–$1,522.50 | $1,449.50–$1,522.50 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$1,449.50–$1,522.50 | $1,449.50–$1,522.50 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
$3,348.50–$3,505.50 | $3,348.50–$3,505.50 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$3,348.50–$3,370.50 | $3,348.50–$3,370.50 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) | $3,398.50 | $3,398.50 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $3,505.50 | $3,505.50 | 1.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$1,449.50–$2,291 | $1,449.50–$2,291 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $3,505.50 | $3,505.50 | 1.7× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,955.50 | $1,955.50 | 1.6× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) | $6,352 | $6,352 | 1.5× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $6,352 | $6,352 | 1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$1,463.50–$1,522.50 | $1,463.50–$1,522.50 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $3,505.50 | $3,505.50 | 1.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$524–$5,857 | $524–$5,857 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,337 | $3,337 | 1.6× |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$5,767.50–$5,857 | $5,767.50–$5,857 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $3,505.50 | $3,505.50 | 1.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $6,192 | $6,192 | 1.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$3,505.50–$6,476 | $3,505.50–$6,476 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $5,822.50 | $5,822.50 | 1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $6,996.50 | $6,996.50 | 4.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines |
$820.50–$865 | $820.50–$865 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$1,463.50–$1,522.50 | $1,463.50–$1,522.50 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $3,505.50 | $3,505.50 | 1.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $5,723.50 | $5,723.50 | 1.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $6,192 | $6,192 | 1.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $5,822.50 | $5,822.50 | 1.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $3,398.50 | $3,398.50 | 1.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $5,822.50 | $5,822.50 | 1.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $5,822.50 | $5,822.50 | 1.6× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $6,352 | $6,352 | 1.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $3,100 | $3,100 | 1.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,522.50 | $1,522.50 | 1.7× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $5,767.50 | $5,767.50 | 1.6× |
| Excision External Ear Partial Simple Repair (69110) range across 2 matching MRF lines |
$5,723.50–$5,953.50 | $5,723.50–$5,953.50 | varies |
| Excision Hidradenitis Axillary Complex Repair (11451) | $6,192 | $6,192 | 1.7× |
| Excision lesion mouth roof (42104) | $6,155 | $6,155 | 1.5× |
| Excision Lesion Tongue W/O Closure (41110) | $6,352 | $6,352 | 1.5× |
| Excision Lingual Frenum Frenectomy (41115) | $3,081.50 | $3,081.50 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,522.50 | $1,522.50 | 1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,522.50 | $1,522.50 | 1.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $865 | $865 | 1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,119.50 | $1,119.50 | 1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,522.50 | $1,522.50 | 1.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$3,348.50–$3,505.50 | $3,348.50–$3,505.50 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $6,192 | $6,192 | 1.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$3,348.50–$3,505.50 | $3,348.50–$3,505.50 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,522.50 | $1,522.50 | 1.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,522.50 | $1,522.50 | 1.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $3,505.50 | $3,505.50 | 1.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $5,899.50 | $5,899.50 | 1.7× |
| Excision nasal polyp(s) simple (30110) | $3,100 | $3,100 | 1.6× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) | $11,921 | $11,921 | 1.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $6,192 | $6,192 | 1.7× |
| Excision of tonsil tags (42860) | $6,636.50 | $6,636.50 | 1.6× |
| Excision of vaginal cyst or tumor (57135) | $6,613.50 | $6,613.50 | 1.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $6,192 | $6,192 | 1.7× |
| Excision soft tissue lesion, external auditory canal (69145) | $5,767.50 | $5,767.50 | 1.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $3,447.50 | $3,447.50 | 1.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $33,978 | $33,978 | 16.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $3,398.50 | $3,398.50 | 1.6× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) | $7,920 | $7,920 | 1.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $5,953.50 | $5,953.50 | 1.6× |
| Excision/destruction intranasal lesion int appr (30117) | $6,352 | $6,352 | 1.5× |
| Excision/surgical planing skin nose rhinophyma (30120) | $5,884 | $5,884 | 1.4× |
| Explo/Drain Breast Abscess (19020) | $3,337 | $3,337 | 1.6× |
| External cephalic version (59412) | $6,878.50 | $6,878.50 | 1.7× |
| Fetal Contraction Stress Test (59020) | $865 | $865 | 3.4× |
| Fetal non-stress test (59025) | $404 | $404 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$479–$864 | $479–$864 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$1,449.50–$1,476.50 | $1,449.50–$1,476.50 | varies |
| Foreskin manipulation (54450) | $964.50 | $964.50 | 3.1× |
| Frenulotomy of penis (54164) | $4,431.50 | $4,431.50 | 1.7× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) | $4,143 | $4,143 | 1.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $3,217.50 | $3,217.50 | 1.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $3,957.50 | $3,957.50 | 1.5× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $5,094 | $5,094 | 2.0× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) | $12,279 | $12,279 | 1.7× |
| Guide Cathet Fluid Drainage (10030) | $1,476.50 | $1,476.50 | 1.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $5,933 | $5,933 | 1.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $5,933 | $5,933 | 1.7× |
| Hysteroscopy Biopsy (58558) | $6,226 | $6,226 | 1.5× |
| Hysteroscopy Dx Sep Proc (58555) | $6,273.50 | $6,273.50 | 1.6× |
| I&d abscess peritonsillar (42700) range across 3 matching MRF lines |
$464.50–$1,077.50 | $464.50–$1,077.50 | varies |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$404.50–$828.50 | $404.50–$828.50 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $5,622.50 | $5,622.50 | 1.6× |
| I&d perianal abscess superficial (46050) | $1,884 | $1,884 | 1.6× |
| I&d pilonidal cyst complicated (10081) | $1,522.50 | $1,522.50 | 1.7× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$606.50–$1,522.50 | $606.50–$1,522.50 | varies |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $5,361 | $5,361 | 1.5× |
| Implant Neuroelectrodes (64561) | $14,286 | $14,286 | 1.8× |
| Impression & Preparation Auricular Prosthesis (21086) | $6,607 | $6,607 | 1.6× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$526.50–$865.50 | $526.50–$865.50 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$606.50–$831.50 | $606.50–$831.50 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$3,342.50–$3,505.50 | $3,342.50–$3,505.50 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$606.50–$865 | $606.50–$865 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$583.50–$649 | $583.50–$649 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$653–$1,189 | $653–$1,189 | varies |
| Incision of eardrum (69420) | $464.50 | $464.50 | 1.6× |
| Incision of labial frenum (frenotomy) (40806) | $1,020.50 | $1,020.50 | 1.5× |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$3,100–$3,388.50 | $3,100–$3,388.50 | varies |
| Incision of rectal abscess (46040) | $3,825 | $3,825 | 2.6× |
| Incision&drainage bursa foot (28001) | $2,876 | $2,876 | 1.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$3,348.50–$5,599 | $3,348.50–$5,599 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) | $387.50 | $387.50 | 1.0× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$829–$1,242.50 | $829–$1,242.50 | varies |
| Induced abortion dilation and curettage (59840) | $6,312.50 | $6,312.50 | 1.6× |
| Induced abortion, by dilation and evacuation (59841) | $6,222 | $6,222 | 1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$342.50–$430.50 | $342.50–$430.50 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $3,765 | $3,765 | 3.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,680.50 | $2,680.50 | 2.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$48–$1,025 | $48–$1,025 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,440.50–$1,570.50 | $1,440.50–$1,570.50 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,680.50 | $2,680.50 | 2.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $2,680.50 | $2,680.50 | 3.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $1,025 | $1,025 | 2.7× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,426 | $1,426 | 1.6× |
| Injection procedure for peyronie disease (54200) range across 2 matching MRF lines |
$480–$760 | $480–$760 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$639–$1,025 | $639–$1,025 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$639–$1,025 | $639–$1,025 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$639–$1,025 | $639–$1,025 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,172.50 | $1,172.50 | 1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $2,257.50 | $2,257.50 | 2.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,025–$1,765.50 | $1,025–$1,765.50 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $430.50 | $430.50 | 1.7× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 5 matching MRF lines |
$404–$668 | $404–$668 | varies |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$353–$447.50 | $353–$447.50 | varies |
| Insert cath pleura w/ image (32557) | $3,335 | $3,335 | 1.7× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$3,852–$5,821.50 | $3,852–$5,821.50 | varies |
| Insert cervical dilator (59200) | $680.50 | $680.50 | 1.8× |
| Insert Drug Implant Device (11981) | $278.50 | $278.50 | 1.7× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$4,701–$6,789 | $4,701–$6,789 | varies |
| Insert pessary/other device (57160) | $435.50 | $435.50 | 1.7× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$256.50–$272.50 | $256.50–$272.50 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$272.50–$279.50 | $272.50–$279.50 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $7,544.50 | $7,544.50 | 1.7× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) range across 2 matching MRF lines |
$7,544.50–$11,262.50 | $7,544.50–$11,262.50 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $4,701 | $4,701 | 1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $3,499.50 | $3,499.50 | 0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$3,322–$3,335 | $3,322–$3,335 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $6,789 | $6,789 | 1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$19,346–$29,284.50 | $19,346–$29,284.50 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$908–$1,509 | $908–$1,509 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $908 | $908 | 1.8× |
| Intranasal Biopsy (30100) | $3,100 | $3,100 | 1.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$502.50–$1,060.50 | $502.50–$1,060.50 | varies |
| Island pedicle flap graft (15740) | $4,315.50 | $4,315.50 | 1.7× |
| Labyrinthotomy Transcanal (69801) | $3,100 | $3,100 | 1.6× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$399.50–$695 | $399.50–$695 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $3,569 | $3,569 | 1.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $842.50 | $842.50 | 1.7× |
| Laryngoscopy W/Biopsy (31535) | $7,443 | $7,443 | 1.6× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $7,443 | $7,443 | 1.6× |
| Larynscop w/tumr exc + scope (31541) | $7,443 | $7,443 | 1.6× |
| Late closure of wound (13160) | $3,759.50 | $3,759.50 | 0.8× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $6,809 | $6,809 | 1.7× |
| Lysis Intranasal Synechia (30560) | $1,059.50 | $1,059.50 | 1.6× |
| Lysis of labial adhesions (56441) | $6,273.50 | $6,273.50 | 1.6× |
| Lysis/excision penile postcircumcision adhesions (54162) | $4,261 | $4,261 | 1.6× |
| Marsupialization of bartholin's gland cyst (56440) | $2,526 | $2,526 | 0.6× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) | $1,561.50 | $1,561.50 | 1.7× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) | $1,561.50 | $1,561.50 | 1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $2,680.50 | $2,680.50 | 3.0× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$2,257–$2,680.50 | $2,257–$2,680.50 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$968.50–$1,025 | $968.50–$1,025 | varies |
| N Block Lumbar/Thoracic (64520) | $2,680.50 | $2,680.50 | 2.4× |
| Nasal Endoscopy Dx (31231) | $842.50 | $842.50 | 3.4× |
| Nasal/Orogastric W/Tube Plmt (43752) | $573 | $573 | 1.0× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) | $842.50 | $842.50 | 1.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $3,569 | $3,569 | 1.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,569 | $3,569 | 1.6× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$3,337–$3,510 | $3,337–$3,510 | varies |
| Neuroeltrd Stim Post Tibial (64566) | $651.50 | $651.50 | 1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,680.50 | $2,680.50 | 2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$1,024.50–$1,025 | $1,024.50–$1,025 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $3,765 | $3,765 | 3.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,659 | $1,659 | 1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,248 | $1,248 | 1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,591 | $1,591 | 1.8× |
| Njx Sclrsnt Spider Veins (36468) | $834 | $834 | 1.6× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$1,008–$1,025 | $1,008–$1,025 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $11,272 | $11,272 | 2.8× |
| Open tx interphalangeal joint dislocation (26785) | $7,019 | $7,019 | 1.7× |
| Palatopharyngoplasty (42145) | $12,070.50 | $12,070.50 | 1.6× |
| Partial excision of lip (40520) range across 2 matching MRF lines |
$6,352–$7,017 | $6,352–$7,017 | varies |
| Penile Injection (54235) | $506 | $506 | 1.6× |
| Perq dev breast 1st strtctc (19283) | $1,476.50 | $1,476.50 | 1.7× |
| Perq dev breast 1st us imag (19285) | $1,476.50 | $1,476.50 | 1.7× |
| Place Rt Device/Marker Pros (55876) | $3,127.50 | $3,127.50 | 1.8× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$644–$651 | $644–$651 | varies |
| Prostatic Rf Thermotx (53852) | $5,866.50 | $5,866.50 | 1.3× |
| Punch biopsy skin single lesion (11104) range across 5 matching MRF lines |
$466–$834 | $466–$834 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$602–$822.50 | $602–$822.50 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$1,476.50–$1,522.50 | $1,476.50–$1,522.50 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,522.50–$3,236 | $1,522.50–$3,236 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $3,446 | $3,446 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$182–$272.50 | $182–$272.50 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$129–$272.50 | $129–$272.50 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $6,312.50 | $6,312.50 | 1.6× |
| Removal implantable contraceptive capsules (11976) | $1,522.50 | $1,522.50 | 1.7× |
| Removal of a lesion from the floor of the mouth (41116) | $6,352 | $6,352 | 1.5× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$843.50–$864.50 | $843.50–$864.50 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$1,277–$1,935 | $1,277–$1,935 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $471.50 | $471.50 | 1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$353.50–$450.50 | $353.50–$450.50 | varies |
| Removal sweat gland lesion (11450) | $6,192 | $6,192 | 1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) | $863.50 | $863.50 | 2.5× |
| Remove drug implant device (11982) | $918.50 | $918.50 | 1.6× |
| Remove Forearm Foreign Body (25248) | $3,462.50 | $3,462.50 | 1.7× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$279.50–$375 | $279.50–$375 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$438.50–$574 | $438.50–$574 | varies |
| Remove lung catheter (32552) | $1,282 | $1,282 | 1.6× |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
$260–$417.50 | $260–$417.50 | varies |
| Remove Shoulder Foreign Body (23330) | $3,974 | $3,974 | 1.9× |
| Remove Tendon Sheath Lesion (26160) | $3,103.50 | $3,103.50 | 1.5× |
| Remove/Insert Drug Implant (11983) | $918.50 | $918.50 | 1.6× |
| Repair brow ptosis (67900) | $4,834.50 | $4,834.50 | 1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$726.50–$1,951.50 | $726.50–$1,951.50 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$1,886.50–$1,905.50 | $1,886.50–$1,905.50 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$834–$1,951.50 | $834–$1,951.50 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,192–$1,951.50 | $1,192–$1,951.50 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$908–$1,274 | $908–$1,274 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$722.50–$1,951.50 | $722.50–$1,951.50 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,274 | $1,274 | 1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$1,324.50–$1,935.50 | $1,324.50–$1,935.50 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $6,312 | $6,312 | 3.1× |
| Repair Eyelid Wound (67935) | $5,047.50 | $5,047.50 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$834–$908 | $834–$908 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$498.50–$908 | $498.50–$908 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$655.50–$908 | $655.50–$908 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$905.50–$908 | $905.50–$908 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $908 | $908 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $908 | $908 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$706–$908 | $706–$908 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$706–$908 | $706–$908 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$908–$1,203.50 | $908–$1,203.50 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $3,957.50 | $3,957.50 | 1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$602.50–$908 | $602.50–$908 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$865–$908 | $865–$908 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$865–$908 | $865–$908 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$908–$1,242.50 | $908–$1,242.50 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$706–$908 | $706–$908 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,957.50 | $3,957.50 | 1.5× |
| Repair Leg Fascia Defect (27656) | $9,881 | $9,881 | 2.4× |
| Repair of nail bed (11760) | $1,324.50 | $1,324.50 | 1.4× |
| Repair tongue laceration (41252) | $3,209.50 | $3,209.50 | 10.9× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$783.50–$849 | $783.50–$849 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,347 | $2,347 | 2.1× |
| Replantation digit complete (20822) | $3,313 | $3,313 | 1.7× |
| Resection of scrotum (55150) | $7,291 | $7,291 | 1.7× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $3,348.50 | $3,348.50 | 1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $863.50 | $863.50 | 1.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$279–$375 | $279–$375 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $822 | $822 | 1.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$3,236–$3,337 | $3,236–$3,337 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $6,376.50 | $6,376.50 | 2.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $4,291.50 | $4,291.50 | 2.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,440 | $2,440 | 3.1× |
| Rplc Gtube No Revj Trc (43762) | $917 | $917 | 2.9× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $9,713 | $9,713 | 2.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $6,789 | $6,789 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$334–$552 | $334–$552 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $908 | $908 | 1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,077.50 | $1,077.50 | 3.6× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $7,523 | $7,523 | 2.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $3,209.50 | $3,209.50 | 4.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$3,208.50–$3,209.50 | $3,208.50–$3,209.50 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $865 | $865 | 1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $219.50 | $219.50 | 0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $865 | $865 | 1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $430.50 | $430.50 | 1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$413.50–$430.50 | $413.50–$430.50 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $245.50 | $245.50 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$466–$865 | $466–$865 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $235 | $235 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $865 | $865 | 1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $232.50 | $232.50 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $865 | $865 | 1.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $239 | $239 | 1.0× |
| Simple Cystometrogram (51725) | $723.50 | $723.50 | 2.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$552–$830 | $552–$830 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$289.50–$552 | $289.50–$552 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$518.50–$552 | $518.50–$552 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$552–$965 | $552–$965 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$260–$552 | $260–$552 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $552 | $552 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$86–$552 | $86–$552 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $552 | $552 | 2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$245.50–$552 | $245.50–$552 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $3,957.50 | $3,957.50 | 1.5× |
| Skin graft, harvest cultured tissue (15040) | $3,957.50 | $3,957.50 | 1.5× |
| Skin Pinch Graft (15050) | $1,318.50 | $1,318.50 | 1.4× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$2,198.50–$3,957.50 | $2,198.50–$3,957.50 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$1,364–$3,957.50 | $1,364–$3,957.50 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$7,191.50–$7,920 | $7,191.50–$7,920 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$2,134–$2,198.50 | $2,134–$2,198.50 | varies |
| Slitting of prepuce (54001) | $4,442.50 | $4,442.50 | 1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$426.50–$552 | $426.50–$552 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$552–$863.50 | $552–$863.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$552–$863.50 | $552–$863.50 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$1,440.50–$2,680.50 | $1,440.50–$2,680.50 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $7,056 | $7,056 | 1.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $7,056 | $7,056 | 2.7× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$342–$471.50 | $342–$471.50 | varies |
| Strapping elbow or wrist (29260) | $471.50 | $471.50 | 6.4× |
| Strapping hand/finger (29280) | $471.50 | $471.50 | 6.4× |
| Strapping knee (29530) range across 3 matching MRF lines |
$279.50–$471.50 | $279.50–$471.50 | varies |
| Strapping shoulder (29240) | $471.50 | $471.50 | 2.8× |
| Strapping toes (29550) | $471.50 | $471.50 | 6.4× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$471.50–$654.50 | $471.50–$654.50 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $863.50 | $863.50 | 1.5× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $426.50 | $426.50 | 1.7× |
| Surg Implnt Neuroelect,Epidural (63655) | $46,389 | $46,389 | 1.9× |
| Suture digital nerve hand/foot 1 nerve (64831) | $13,653 | $13,653 | 5.6× |
| Tangential biopsy skin single lesion (11102) range across 4 matching MRF lines |
$404.50–$466 | $404.50–$466 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $5,346 | $5,346 | 2.7× |
| Thyroid biopsy (60100) | $1,505 | $1,505 | 1.7× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,226 | $4,226 | 1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $6,352 | $6,352 | 1.5× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $10,626.50 | $10,626.50 | 1.6× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) range across 2 matching MRF lines |
$1,020.50–$1,073 | $1,020.50–$1,073 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,752.50 | $2,752.50 | 9.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $3,208.50 | $3,208.50 | 1.7× |
| Treat Big Toe Fracture (28505) | $10,159 | $10,159 | 2.5× |
| Treat Humerus Fracture (24505) | $3,462.50 | $3,462.50 | 1.7× |
| Treat Knuckle Dislocation (26700) | $686 | $686 | 2.2× |
| Treat Metatarsal Fracture (28475) | $709 | $709 | 2.3× |
| Treat Thumb Dislocation (26641) | $586 | $586 | 1.9× |
| Treat toe dislocation (28630) | $709 | $709 | 2.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $5,828.50 | $5,828.50 | 2.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $762.50 | $762.50 | 2.5× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$283–$504 | $283–$504 | varies |
| Trim skin lesions 2 to 4 (11056) | $747.50 | $747.50 | 3.0× |
| Trim skin lesions over 4 (11057) | $747.50 | $747.50 | 3.0× |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$129–$268 | $129–$268 | varies |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) | $5,866.50 | $5,866.50 | 1.3× |
| Tx Gastro Intub W/Asp (43753) | $525.50 | $525.50 | 1.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $6,878.50 | $6,878.50 | 1.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $3,313 | $3,313 | 1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$1,266.50–$1,909.50 | $1,266.50–$1,909.50 | varies |
| Tympanostomy general anesthesia (69436) | $3,100 | $3,100 | 1.6× |
| Unlisted Procedure External Ear (69399) | $450 | $450 | 1.5× |
| Unlisted procedure larynx (31599) | $502.50 | $502.50 | 1.7× |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$589–$2,680.50 | $589–$2,680.50 | varies |
| Unlisted Procedure Trachea Bronchi (31899) | $502.50 | $502.50 | 2.0× |
| Unlisted Procedure, Urinary System (53899) | $510 | $510 | 1.6× |
| Unlisted px female genital system nonobstetrical (58999) | $411 | $411 | 1.6× |
| Unlisted Px Salivary Glands/Ducts (42699) | $450 | $450 | 1.5× |
| Urine Flow Measurement (51736) | $240.50 | $240.50 | 1.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,269.50 | $2,269.50 | 0.9× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) range across 2 matching MRF lines |
$6,746–$7,017 | $6,746–$7,017 | varies |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) range across 2 matching MRF lines |
$11,921–$12,470 | $11,921–$12,470 | varies |
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.