Procedures & surgery prices at Same Day Surgery Center LLC

Rapid City, SD · every code in this section with a posted price and a Medicare benchmark.

1063 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,900.12 $2,375.15 2.1×
Ablate inf turbinate submuc (30802) $2,976.14 $3,720.17 1.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,773.79 $4,717.24 1.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $3,773.79 $4,717.24 1.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $7,748.73 $9,685.91 2.1×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,773.79 $4,717.24 1.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,773.79 $4,717.24 1.8×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,773.79 $4,717.24 1.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,773.79 $4,717.24 1.8×
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $6,259.06 $7,823.83 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $6,363.02 $7,953.77 1.9×
Amputation metatarsal with toe single (28810) $6,226.88 $7,783.60 1.9×
Amputation toe interphalangeal joint (28825) $6,226.88 $7,783.60 1.9×
Amputation toe metatarsophalangeal joint (28820) $6,226.88 $7,783.60 1.9×
Anoscopy Ablation Lesion (46615) $6,033.26 $7,541.57 2.1×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $2,593.98 $3,242.47 2.1×
Anoscopy remove lesion (46610) $5,489.09 $6,861.36 1.9×
Anoscopy; with biopsy, single or multiple (46606) $2,281.31 $2,851.64 1.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $5,375.46 $6,719.32 1.9×
Anterior colporraphy rpr cystocele w/cysto (57240) $9,700.98 $12,126.23 1.9×
Anterior Tibial Tubercleplasty (27418) $11,788.58 $14,735.73 1.6×
Application Finger Splint Dynamic (29131) $122.45 $153.06 2.0×
Arteriovenous Anastomosis Open Direct (36821) $6,295.65 $7,869.56 2.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $10,494.82 $13,118.52 1.8×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $13,782.89 $17,228.61 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $574.57 $718.21 1.8×
Arthrodesis great toe interphalangeal joint (28755) $12,681.74 $15,852.18 1.7×
Arthrodesis great toe metatarsophalangeal joint (28750) $12,681.74 $15,852.18 1.7×
Arthrodesis subtalar (28725) $13,782.89 $17,228.61 1.1×
Arthroplasty glenohumeral joint total shoulder (23472) $24,858.80 $31,073.50 1.4×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $6,226.88 $7,783.60 1.9×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $6,226.88 $7,783.60 1.9×
Arthroscopy ankle w/removal loose/foreign body (29894) $6,226.88 $7,783.60 1.9×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $6,226.88 $7,783.60 1.9×
Arthroscopy Knee Osteochondral Allograft (29867) $13,782.89 $17,228.61 1.1×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $6,226.88 $7,783.60 1.9×
Arthroscopy shoulder distal claviculectomy (29824) $6,226.88 $7,783.60 1.9×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $12,681.74 $15,852.18 1.7×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $6,226.88 $7,783.60 1.9×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $6,226.88 $7,783.60 1.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $6,226.88 $7,783.60 1.9×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $12,681.74 $15,852.18 1.7×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $6,226.88 $7,783.60 1.9×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $6,548.64 $8,185.80 2.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $12,681.74 $15,852.18 1.7×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $6,226.88 $7,783.60 1.9×
Arthrotomy W/Synovectomy Ankle (27625) $6,226.88 $7,783.60 1.9×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $20,788.80 $25,986 1.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $12,681.74 $15,852.18 1.7×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $13,782.89 $17,228.61 1.1×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $6,226.88 $7,783.60 1.9×
Arthrs knee debridement/shaving artclr crtlg (29877) $6,226.88 $7,783.60 1.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $6,226.88 $7,783.60 1.9×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $6,784.86 $8,481.08 2.0×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $6,226.88 $7,783.60 1.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,063.17 $3,828.96 1.9×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $6,226.88 $7,783.60 1.9×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $3,063.17 $3,828.96 1.9×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $7,138.14 $8,922.68 2.1×
Av Fistula Revision Open (36832) $10,494.81 $13,118.51 1.8×
Av Fuse Uppr Arm Basilic (36819) $10,494.82 $13,118.52 1.8×
Av fusion/forearm vein (36820) $10,494.81 $13,118.51 1.8×
Axillary lymphadenectomy; complete (38745) $11,132.97 $13,916.21 1.8×
Biopsy Abdominal Mass (49180) $3,299.01 $4,123.76 2.0×
Biopsy bone open superficial (20240) $5,214.02 $6,517.52 1.8×
Biopsy External Auditory Canal (69105) $2,976.14 $3,720.17 1.9×
Biopsy external ear (69100) $3,053.91 $3,817.39 12.6×
Biopsy nail unit (11755) $1,368.34 $1,710.42 1.9×
Biopsy Nasopharynx Visible Lesion Simple (42804) $6,020.06 $7,525.07 1.8×
Biopsy of floor of mouth (41108) $3,046.42 $3,808.02 1.8×
Biopsy of lip (40490) $512.01 $640.01 2.1×
Biopsy of palate, uvula (42100) $2,867.91 $3,584.89 1.8×
Biopsy of rectum (45100) $5,375.46 $6,719.32 1.9×
Biopsy of toe joint lining (28054) $6,226.88 $7,783.60 1.9×
Biopsy of upper nose/throat (42806) $6,020.06 $7,525.07 1.8×
Biopsy of urethra (53200) $4,023.03 $5,028.79 1.9×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $6,947.02 $8,683.78 1.7×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $7,989.94 $9,987.42 2.0×
Biopsy Salivary Gland Incisional (42405) $2,976.14 $3,720.17 1.9×
Biopsy soft tissue neck/thorax (21550) $3,095.40 $3,869.25 1.8×
Biopsy Tongue Anterior Two-Thirds (41100) $995.19 $1,243.99 1.8×
Biopsy Vaginal Mucosa Extensive (57105) $5,771.06 $7,213.82 1.7×
Biopsy Vaginal Mucosa Simple (57100) $1,393.50 $1,741.88 1.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $2,176 $2,720 2.3×
Biopsy, vestibule of mouth (40808) $995.19 $1,243.99 1.8×
Biopsy/removal lymph nodes (38510) $6,947.02 $8,683.78 1.7×
Bladder Scan (51798) $118 $147.50 2.0×
Blepharoplasty Lower Eyelid (15820) $3,773.79 $4,717.24 1.8×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $3,773.79 $4,717.24 1.8×
Blepharoplasty upper eyelid (15822) $3,773.79 $4,717.24 1.8×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $3,773.79 $4,717.24 1.8×
Blepharotomy drainage abscess eyelid (67700) $2,176 $2,720 6.7×
Blood Transfusion Service (36430) $873.54 $1,091.92 1.9×
Blood/Lymph System Procedure (38999) $11,466.40 $14,333 25.4×
Bone Graft Any Donor Area Minor/Small (20900) $7,251.26 $9,064.07 1.0×
Breast augmentation with implant (19325) $9,333.55 $11,666.94 1.1×
Breast Reduction (19318) $9,333.55 $11,666.94 1.4×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $6,815.64 $8,519.55 1.8×
Bx breast 1st lesion strtctc (19081) $3,095.40 $3,869.25 1.8×
Bx breast 1st lesion us imag (19083) $3,095.40 $3,869.25 1.8×
Bx Cervix (57500) $3,545.52 $4,431.90 3.8×
Bx/exc lymph node open deep axillary node (38525) $6,947.02 $8,683.78 1.7×
Bx/exc lymph node open superficial (38500) $6,947.02 $8,683.78 1.7×
Canthoplasty (67950) $4,405.17 $5,506.46 1.8×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $6,226.88 $7,783.60 1.9×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $6,226.88 $7,783.60 1.9×
Carpal Tunnel Surgery (64721) $3,859.66 $4,824.57 1.9×
Cartilage graft; costochondral (20910) $1,111.24 $1,389.05 1.5×
Cataract surgery complex (66982) $4,574.15 $5,717.69 1.9×
Cautery Cervix Cryocautery Initial/Repeat (57511) $642.31 $802.89 2.1×
Cautery Cervix Electro/Thermal (57510) $5,895.03 $7,368.79 1.8×
Cerclage cervix pregnancy vaginal (59320) $5,771.06 $7,213.82 1.7×
Cervical lymphadenectomy (complete) (38720) $18,212.82 $22,766.02 2.7×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $574.57 $718.21 1.8×
Chemodenervation of internal anal sphincter (46505) $2,281.31 $2,851.64 1.9×
Circumcision 28 days or older (54161) $3,944.58 $4,930.72 1.8×
Closed Rx Metacarpal Fx,Percut (26608) $6,226.88 $7,783.60 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,976.14 $3,720.17 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $6,020.06 $7,525.07 1.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,063.17 $3,828.96 1.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $2,861.93 $3,577.41 11.4×
Closed tx septal&nose fx (21337) $6,020.06 $7,525.07 1.8×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $5,885.53 $7,356.91 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,063.17 $3,828.96 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $3,063.17 $3,828.96 12.2×
Cltx tibial shaft fx w/o manipulation (27750) $453.62 $567.02 1.8×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $9,700.98 $12,126.23 1.9×
Collection of venous blood by venipuncture (36415) $6.36 $7.95 0.7×
Colonoscopy thru stoma (44388) $1,746.02 $2,182.53 1.8×
Colonoscopy W/Band Ligation (45398) $2,281.31 $2,851.64 1.9×
Colonoscopy w/submucosal inj (45381) $2,281.31 $2,851.64 1.9×
Colpocleisis (le fort type) (57120) $9,700.98 $12,126.23 1.9×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $5,561.21 $6,951.51 1.7×
Colpopexy extraperitoneal (57282) $14,947.48 $18,684.35 2.0×
Colporrhaphy (57200) $5,771.06 $7,213.82 1.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $3,545.52 $4,431.90 11.4×
Colposcopy Cervix Endocervical Curettage (57456) $6,220.37 $7,775.46 20.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $3,545.52 $4,431.90 11.4×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $6,220.40 $7,775.50 1.9×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,329.94 $2,912.42 1.9×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $2,281.31 $2,851.64 1.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,281.31 $2,851.64 1.9×
Combined anteroposterior colporrhaphy; (57260) $9,907.68 $12,384.60 1.9×
Complex drainage wound (10180) $5,214.02 $6,517.53 1.8×
Composite Skin Graft (15760) $3,796.90 $4,746.12 1.8×
Conization cervix w/wo d&c rpr eltrd exc (57522) $5,771.06 $7,213.82 1.7×
Conization of cervix (57520) $5,771.06 $7,213.82 1.7×
Constj tracheoesophgl fstl&insj sp prosth (31611) $6,020 $7,525 1.8×
Contour of face bone lesion (21029) $6,020.06 $7,525.07 1.8×
Control Nasal Hemorrhage Anterior Complex (30903) $2,176 $2,720 16.0×
Control Nasal Hemorrhage Anterior Simple (30901) $2,176 $2,720 16.0×
Control oropharyngeal hemorrhage simple (42960) $995.19 $1,243.99 1.8×
Correction hammertoe (28285) $6,226.88 $7,783.60 1.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $6,226.88 $7,783.60 1.9×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $6,226.88 $7,783.60 1.9×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $12,681.74 $15,852.18 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $12,681.74 $15,852.18 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $6,226.88 $7,783.60 1.9×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $12,681.74 $15,852.18 1.7×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $4,405.17 $5,506.46 1.8×
Cricopharyngeal myotomy (43030) $11,189.31 $13,986.64 1.9×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $10,494.81 $13,118.51 1.8×
Curettage postpartum (59160) $5,771.06 $7,213.82 1.7×
Cysto Bladder W/Ureteral Catheterization (52005) $3,944.58 $4,930.72 1.8×
Cysto calibration dilat urtl strix/stenosis (52281) $3,944.58 $4,930.72 1.8×
Cysto w/complex removal stone & stent (52315) $4,506.73 $5,633.41 2.1×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $22,904.22 $28,630.28 4.2×
Cysto w/insert ureteral stent (52332) $6,767.94 $8,459.93 1.9×
Cysto w/removal of lesions small (52224) $6,767.94 $8,459.93 1.9×
Cysto w/removal of tumors small (52234) $6,767.95 $8,459.94 1.9×
Cysto W/Simple Removal Stone & Stent (52310) $3,944.58 $4,930.72 1.8×
Cysto w/ureteroscopy w/lithotripsy (52353) $9,710.58 $12,138.23 1.8×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $6,767.94 $8,459.93 1.9×
Cysto/uretero w/lithotripsy (52356) $9,710.58 $12,138.22 1.8×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $9,710.58 $12,138.22 1.0×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $3,944.58 $4,930.72 1.8×
Cystourethroscopy (52000) $1,264.49 $1,580.61 1.8×
Cystourethroscopy inj chemodenervation bladder (52287) $3,944.58 $4,930.72 1.8×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $6,767.94 $8,459.93 1.9×
Cystourethroscopy w/dil bladder general anesth (52260) $3,944.58 $4,930.72 1.8×
Cystourethroscopy with biopsy (52204) $3,944.58 $4,930.72 1.8×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $6,226.88 $7,783.60 1.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,592 $3,240 3.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,095.40 $3,869.25 1.8×
Debridement Mastoidectomy Cavity Cmplx (69222) $995.19 $1,243.99 1.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,176 $2,720 5.2×
Decompression of tibia nerve (28035) $3,859.66 $4,824.57 1.9×
Deep Muscle Biopsy (20205) $5,214.02 $6,517.52 1.8×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $3,773.79 $4,717.24 1.8×
Derma-fat-fascia graft (15770) $7,748.73 $9,685.91 2.1×
Dermabrasion regional other than face (15782) $5,214.02 $6,517.53 1.8×
Dermabrasion segmental face (15781) $1,368.33 $1,710.41 1.9×
Destruction Benign Lesions 15/> (17111) $395.01 $493.76 1.9×
Destruction Lesions Vulva Extensive (56515) $3,773.79 $4,717.24 1.8×
Destruction Lesions Vulva Simple (56501) $3,636.56 $4,545.70 1.7×
Destruction of skin lesions (17106) $878.97 $1,098.71 2.1×
Destruction Premalignant Lesion 15/> (17004) $760.85 $951.06 1.8×
Destruction premalignant lesion 1st (17000) $395.01 $493.76 1.9×
Destruction Vaginal Lesions Extensive (57065) $5,771.06 $7,213.82 1.7×
Destruction Vaginal Lesions Simple (57061) $5,561.21 $6,951.51 1.7×
Diagnostic sigmoidoscopy (45330) $1,746.02 $2,182.53 1.8×
Dilation & curettage dx&/ther nonobstetric (58120) $5,771.06 $7,213.82 1.7×
Dilation and catheterization of salivary duct, with or without injection (42660) $1,005.01 $1,256.26 1.8×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $2,176 $2,720 4.8×
Dilation Salivary Duct (42650) $2,976.14 $3,720.17 1.9×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $3,793.83 $4,742.29 2.1×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $11,189.30 $13,986.63 1.9×
Drainage abscess parotid simple (42300) $2,976.14 $3,720.17 1.9×
Drainage external auditory canal abscess (69020) $1,398.20 $1,747.75 1.9×
Drainage external ear abscess/hematoma cmplx (69005) $3,095.40 $3,869.25 1.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $2,176 $2,720 3.0×
Drainage Finger Abscess Complicated (26011) $3,095.40 $3,869.25 1.8×
Drainage of gum lesion (41800) $283.56 $354.45 2.1×
Drainage of hematoma/fluid (10140) $3,095.40 $3,869.25 1.8×
Drainage of hydrocele (55000) $1,368.33 $1,710.41 1.9×
Drainage of nose lesion (30000) $465.52 $581.90 1.9×
Drainage of salivary cyst (42409) $6,020.06 $7,525.07 1.8×
Drainage of salivary gland (42320) $995.19 $1,243.99 1.8×
Drainage of skene's gland abscess or cyst (53060) $4,023.03 $5,028.79 1.9×
Dressing Change Under Anesthesia (15852) $1,153.17 $1,441.46 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,368.33 $1,710.41 1.9×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $1,153.17 $1,441.46 1.5×
Dstrj Lesion Anus Extensive (46924) $5,179.98 $6,474.98 1.8×
Dstrj lesion anus simple surg excision (46922) $5,375.46 $6,719.32 1.9×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $3,773.79 $4,717.24 1.8×
Dx Laryngoscopy Excl Nb (31525) $3,292.06 $4,115.07 1.8×
Dx laryngoscopy w/oper scope (31526) $3,292.06 $4,115.07 1.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,405.02 $3,006.28 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,405.02 $3,006.28 1.2×
Egd control bleeding any (43255) $2,405.02 $3,006.28 1.2×
Egd dilation gastric/duodenal stricture (43245) $2,405.02 $3,006.28 1.2×
Egd Flexible Foreign Body Removal (43247) $1,781.12 $2,226.40 1.9×
Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) $3,274.16 $4,092.70 1.7×
Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) $1,551.92 $1,939.90 1.7×
Egd guide wire insertion (43248) $1,781.12 $2,226.40 1.9×
Egd place gastrostomy tube (43246) $2,405.02 $3,006.28 1.2×
Egd remove lesion snare (43251) $2,405.02 $3,006.28 1.2×
Endocervical curettage (57505) $1,393.50 $1,741.88 1.5×
Endometrial Biopsy (58100) $2,800 $3,500 13.6×
Endoscopic injection/implant (51715) $6,767.94 $8,459.93 1.9×
Endoscopy upper small intestine w/biopsy (44361) $2,405.02 $3,006.28 1.2×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,405.02 $3,006.28 1.2×
Esoph Scope W/Submucous Inj (43201) $4,173.38 $5,216.72 2.1×
Esophagosc Dilate Balloon 30 (43214) $3,988.58 $4,985.72 2.0×
Esophagoscopy rig transoral removal foreign body (43194) $2,405.02 $3,006.28 1.2×
Esophagoscopy rigid trnso dx (43191) $3,445.04 $4,306.30 1.8×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $11,189.30 $13,986.63 1.9×
Esophagoscp Rig Trnso Biopsy (43193) $3,055.04 $3,818.80 1.6×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $3,299.01 $4,123.76 2.0×
Exc abdl tum deep 5 cm/> (22901) $5,214.02 $6,517.52 1.8×
Exc arm/elbow les sc < 3 cm (24075) $3,095.40 $3,869.25 1.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,368.33 $1,710.41 1.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,095.40 $3,869.25 1.8×
Exc Back Les Sc < 3 Cm (21930) $3,095.40 $3,869.25 1.8×
Exc Back Tum Deep 5 Cm/> (21933) $5,214.02 $6,517.52 1.8×
Exc back tum deep < 5 cm (21932) $5,214.02 $6,517.52 1.8×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $11,189.30 $13,986.63 1.9×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $11,189.30 $13,986.63 1.9×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $6,020.06 $7,525.07 1.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $6,947.02 $8,683.78 1.7×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $4,405.17 $5,506.46 1.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,368.33 $1,710.41 1.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,424 $1,780 0.8×
Exc Face Les Sbq 2 Cm/> (21012) $3,095.40 $3,869.25 1.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,368.34 $1,710.42 1.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,368.33 $1,710.41 1.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,368.33 $1,710.41 1.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,304 $1,630 0.8×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,413.62 $3,017.02 1.4×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $11,788.58 $14,735.73 1.6×
Exc Forearm Les Sc 3 Cm/> (25071) $3,095.40 $3,869.25 1.8×
Exc Forearm Tum Deep 3 Cm/> (25073) $5,214.02 $6,517.52 1.8×
Exc Frenum Labial/Buccal (40819) $2,976.14 $3,720.17 1.9×
Exc ganglion wrist recurrent (25112) $3,520.90 $4,401.13 2.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $3,095.40 $3,869.25 1.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,368.33 $1,710.41 1.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $3,095.40 $3,869.25 1.8×
Exc Hand Les Sc < 1.5 Cm (26115) $3,095.40 $3,869.25 1.8×
Exc hydrocele sprmatic cord uni spx (55500) $7,051.28 $8,814.10 2.0×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,780.98 $2,226.23 1.7×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $6,020.06 $7,525.07 1.8×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $5,801.14 $7,251.43 1.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $3,063.17 $3,828.96 1.9×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $3,520.90 $4,401.13 2.1×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $6,020.06 $7,525.07 1.8×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $6,020.06 $7,525.07 1.8×
Exc lesion tongue w/clsr w/local tongue flap (41114) $5,801.14 $7,251.43 1.7×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,620.06 $4,525.07 1.1×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $3,620.06 $4,525.07 1.1×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $6,020.06 $7,525.07 1.8×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $11,189.30 $13,986.63 1.9×
Exc Rct Tum Incl Muscularis Propria (45172) $5,375.46 $6,719.32 1.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $5,652.83 $7,066.04 2.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,368.33 $1,710.41 1.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,698.40 $2,123 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $5,214.02 $6,517.52 1.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,095.40 $3,869.25 1.8×
Exc Skin Benig >4cm Face,Facial (11446) $5,214.02 $6,517.53 1.8×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,857.82 $3,572.28 1.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $5,214.02 $6,517.52 1.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,500.42 $3,125.52 1.5×
Exc tendon shth lesion leg/ankle (27630) $6,226.88 $7,783.60 1.9×
Exc thigh/knee les sc 3 cm/> (27337) $5,214.02 $6,517.52 1.8×
Exc thigh/knee tum dep 5cm/> (27339) $5,214.02 $6,517.52 1.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,473.60 $3,092 2.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $760.85 $951.06 1.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,368.34 $1,710.42 1.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,095.40 $3,869.25 1.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,214.02 $6,517.52 1.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $5,214.02 $6,517.52 1.8×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $3,095.40 $3,869.25 1.8×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $5,214.02 $6,517.52 1.8×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $5,214.02 $6,517.52 1.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $5,024.42 $6,280.53 1.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $5,214.02 $6,517.52 1.8×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $6,296.51 $7,870.64 2.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $3,095.40 $3,869.25 1.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $5,214.02 $6,517.52 1.8×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,214.02 $6,517.52 1.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $3,095.40 $3,869.25 1.8×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $5,214.02 $6,517.52 1.8×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $5,214.02 $6,517.52 1.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $5,214.02 $6,517.52 1.8×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $6,226.88 $7,783.60 1.9×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $3,063.17 $3,828.96 1.9×
Excis Mouth Complex,Exc Thru Muscle (40816) $6,020.06 $7,525.07 1.8×
Excis Mouth Mucosa/Sub,No Repair (40810) $6,020.06 $7,525.07 1.8×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,976.14 $3,720.17 1.9×
Excise breast duct fistula (19112) $6,947.03 $8,683.79 1.7×
Excise excessive skin arm (15836) $5,214.02 $6,517.52 1.8×
Excise mandible lesion (21040) $6,020.06 $7,525.07 1.8×
Excise Neurofibroma Extensive (64792) $12,812.69 $16,015.86 3.7×
Excise oral mucosa for graft (40818) $995.19 $1,243.99 1.8×
Excise Wrist Tendon Sheath (25118) $3,063.17 $3,828.96 1.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,368.33 $1,710.41 1.9×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $4,405.17 $5,506.46 1.8×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $4,405.17 $5,506.46 1.8×
Excision Aural Polyp (69540) $2,976.14 $3,720.17 1.9×
Excision Bone Mandible (21025) $6,468.84 $8,086.05 1.1×
Excision Chalazion Single (67800) $574.82 $718.52 1.8×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $11,427.39 $14,284.24 1.9×
Excision Excessive Skin & Subq Tissue Buttock (15835) $6,296.51 $7,870.64 2.1×
Excision Excessive Skin & Subq Tissue Other Area (15839) $5,214.02 $6,517.52 1.8×
Excision exostosis(es), external auditory canal Facility (69140) $11,189.30 $13,986.63 1.9×
Excision External Ear Partial Simple Repair (69110) $5,214.02 $6,517.52 1.8×
Excision external ear; complete amputation Facility (69120) $11,189.30 $13,986.63 1.9×
Excision Facial Bone (21026) $9,589.30 $11,986.63 1.6×
Excision H/P/P/U Complex Repair (11471) $5,214.02 $6,517.52 1.8×
Excision H/P/P/U Simple/Intermediate Repair (11470) $5,214.02 $6,517.52 1.8×
Excision Hidradenitis Axillary Complex Repair (11451) $5,214.02 $6,517.53 1.8×
Excision Hidradenitis Inguinal Complex Repair (11463) $5,214.02 $6,517.53 1.8×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $5,214.02 $6,517.52 1.8×
Excision inferior turbinate partial/complete (30130) $6,020.06 $7,525.07 1.8×
Excision Lesion Tongue W/O Closure (41110) $6,020.06 $7,525.07 1.8×
Excision Lingual Frenum Frenectomy (41115) $2,976.14 $3,720.17 1.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,368.33 $1,710.41 1.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,398.19 $1,747.74 1.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,368.33 $1,710.41 1.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,304 $1,630 0.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $5,214.02 $6,517.52 1.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,857.82 $3,572.28 1.7×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,368.33 $1,710.41 1.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,368.33 $1,710.41 1.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,857.82 $3,572.28 1.7×
Excision Malignant Tumor Maxilla/Zygoma (21034) $11,189.31 $13,986.64 1.9×
Excision Maxillary Torus Palatinus (21032) $6,020.06 $7,525.07 1.8×
Excision nasal polyp(s) simple (30110) $3,196.71 $3,995.89 2.0×
Excision of bartholin's gland or cyst (56740) $5,771.06 $7,213.82 1.7×
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) $11,189.30 $13,986.63 1.9×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $11,189.30 $13,986.63 1.9×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $9,700.98 $12,126.23 1.9×
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) $12,174.66 $15,218.33 1.8×
Excision of extraparenchymal lesion of testis (54512) $6,767.94 $8,459.93 1.9×
Excision of gum lesion (41828) $2,976.14 $3,720.17 1.9×
Excision of hydrocele; bilateral (55041) $7,003.50 $8,754.37 1.9×
Excision of hydrocele; unilateral (55040) $7,003.50 $8,754.37 1.9×
Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) $7,271.98 $9,089.98 1.8×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $13,014.46 $16,268.07 2.2×
Excision of lingual tonsil (42870) $3,400 $4,250 0.6×
Excision of local lesion of epididymis (54830) $6,767.94 $8,459.93 1.9×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $11,189.30 $13,986.63 1.9×
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) $11,189.30 $13,986.63 1.9×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $11,189.30 $13,986.63 1.9×
Excision of pilonidal cyst or sinus; simple (11770) $5,214.02 $6,517.52 1.8×
Excision of single external papilla or tag, anus (46220) $2,281.31 $2,851.64 1.9×
Excision of sublingual gland (42450) $11,189.30 $13,986.63 1.9×
Excision of sublingual salivary cyst (ranula) (42408) $6,020.06 $7,525.07 1.8×
Excision of submandibular (submaxillary) gland (42440) $11,189.30 $13,986.63 1.9×
Excision of tonsil tags (42860) $6,748.76 $8,435.95 2.0×
Excision of vaginal cyst or tumor (57135) $5,771.06 $7,213.82 1.7×
Excision of vaginal septum (57130) $5,771.06 $7,213.83 1.7×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $6,000.45 $7,500.56 1.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $5,214.02 $6,517.53 1.8×
Excision Pilonidal Cyst/Sinus Extensive (11771) $5,214.02 $6,517.53 1.8×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $12,174.67 $15,218.34 1.8×
Excision soft tissue lesion, external auditory canal (69145) $5,214.02 $6,517.52 1.8×
Excision spermatocele w/wo epididymectomy (54840) $3,944.58 $4,930.72 1.8×
Excision synovial cyst popliteal space (27345) $7,138.14 $8,922.68 2.1×
Excision Thyroglossal Duct Cyst/Sinus (60280) $11,132.97 $13,916.21 1.8×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $11,132.97 $13,916.21 1.8×
Excision Torus Mandibularis (21031) $6,020.06 $7,525.07 1.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,095.40 $3,869.25 1.8×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $5,214.02 $6,517.52 1.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,564.53 $4,455.66 2.1×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $3,342.16 $4,177.70 2.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,982.84 $3,728.55 1.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $5,214.02 $6,517.52 1.8×
Excision, interdigital (morton) neuroma, single, each (28080) $3,063.17 $3,828.96 1.9×
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $11,189.30 $13,986.63 1.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $5,214.02 $6,517.52 1.8×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $3,095.40 $3,869.25 1.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $5,024.42 $6,280.53 1.7×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $5,214.02 $6,517.52 1.8×
Excision/curettage cyst/tumor carpal bones (25130) $6,226.88 $7,783.60 1.9×
Excision/destruction lesion pharynx any method (42808) $6,020.06 $7,525.07 1.8×
Excision/surgical planing skin nose rhinophyma (30120) $6,020.06 $7,525.07 1.8×
Excision/Transposition Pterygium W/Grafg (65426) $4,405.17 $5,506.46 1.8×
Expl po hemrrg thrombosis/infctj xtr (35860) $6,295.65 $7,869.56 2.0×
Explo/Drain Breast Abscess (19020) $3,095.40 $3,869.25 1.8×
Explore/Treat Hand Joint (26070) $3,063.17 $3,828.96 1.9×
Fasciectomy Palm Only (26121) $6,226.88 $7,783.60 1.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $6,226.88 $7,783.60 1.9×
Fasciotomy, foot and/or toe (28008) $6,226.88 $7,783.60 1.9×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $6,226.88 $7,783.60 1.9×
Fine needle aspiration without imaging guidance (10021) $1,616 $2,020 3.9×
Fna bx w/us gdn 1st les (10005) $1,318.58 $1,648.22 1.8×
Forehead flap w/vasc pedicle (15731) $7,748.73 $9,685.91 2.1×
Foreskin manipulation (54450) $564.22 $705.27 2.2×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $6,020.06 $7,525.07 1.8×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,773.79 $4,717.24 1.8×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,773.79 $4,717.24 1.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,773.79 $4,717.24 1.8×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $3,773.79 $4,717.24 1.8×
Fuse hand bones with graft (25825) $14,995.93 $18,744.91 2.0×
Fusion Finger Joint (26860) $6,226.88 $7,783.60 1.9×
Fusion of foot bones (28740) $12,681.74 $15,852.18 1.7×
Fusion of hand bones (25820) $11,885.61 $14,857.01 1.6×
Fusion of knuckle (26850) $12,681.74 $15,852.18 1.7×
Fusion of knuckle joint (26516) $6,226.88 $7,783.60 1.9×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $7,748.73 $9,685.91 2.1×
Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) $7,466.96 $9,333.70 2.1×
Gastrocnemius recession (27687) $6,226.88 $7,783.60 1.9×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $11,189.30 $13,986.63 1.9×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,720.10 $2,150.13 0.8×
Grafting of autologous fat by lipo 50 cc or less (15771) $7,748.73 $9,685.91 2.1×
Grafting of autologous soft tiss by direct exc (15769) $7,748.73 $9,685.91 2.1×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $12,681.74 $15,852.18 1.7×
Head Surgery Procedure (21499) $7,798.27 $9,747.84 32.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,375.46 $6,719.32 1.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $5,375.46 $6,719.32 1.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $5,375.46 $6,719.32 1.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $5,375.46 $6,719.32 1.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $5,375.46 $6,719.32 1.9×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $5,375.46 $6,719.32 1.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,746.03 $2,182.54 1.8×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $5,179.98 $6,474.98 1.8×
Hemorrhoidopexy by stapling (46947) $5,375.46 $6,719.32 1.9×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $5,375.46 $6,719.32 1.9×
Hymenotomy Simple Incision (56442) $5,771.06 $7,213.83 1.7×
Hyoid myotomy and suspension Facility (21685) $10,283.13 $12,853.91 1.7×
Hysteroscopy Biopsy (58558) $5,771.06 $7,213.82 1.7×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $9,700.98 $12,126.23 1.9×
Hysteroscopy Dx Sep Proc (58555) $5,771.06 $7,213.82 1.7×
Hysteroscopy Endometrial Ablation (58563) $9,700.98 $12,126.23 1.9×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $9,700.98 $12,126.23 1.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $5,771.06 $7,213.82 1.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $9,700.98 $12,126.23 1.9×
I&d abscess simple (10060) $2,176 $2,720 10.6×
I&D Intramural Im/Absc Transanal Anes (46045) $5,489.09 $6,861.36 1.9×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $5,375.46 $6,719.32 1.9×
I&d pilonidal cyst complicated (10081) $1,398.19 $1,747.74 1.9×
Immediate breast prosthesis (19340) $8,798.95 $10,998.69 1.1×
Implant cochlear device (69930) $30,326.87 $37,908.59 0.9×
Implant neuroelectrodes (63650) $13,553.50 $16,941.87 2.1×
Implant Neuroelectrodes (64561) $13,553.50 $16,941.87 2.1×
Implant Periph/Gastric Neurostim/Receiver (64590) $19,673.68 $24,592.10 1.0×
Implant temple bone w/stimul (69714) $18,224.03 $22,780.04 1.4×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $28,705.60 $35,882 2.2×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) $20,876.80 $26,096 1.6×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $12,084.62 $15,105.77 1.3×
Impression & Preparation Oral Surgical Splint (21085) $510.89 $638.61 2.1×
Incise external hemorrhoid (46083) $585.50 $731.88 2.3×
Incise finger tendon sheath (26055) $3,063.17 $3,828.96 1.9×
Incision & drainage abscess complicated/multiple (10061) $2,176 $2,720 5.2×
Incision & removal foreign body subq tiss compl (10121) $3,095.40 $3,869.25 1.8×
Incision & removal foreign body subq tiss simple (10120) $3,095.40 $3,869.25 7.5×
Incision and drainage of vulva or perineal abscess (56405) $3,010.26 $3,762.82 9.7×
Incision Drainage Lacrimal Sac (68420) $4,405.17 $5,506.46 1.8×
Incision of labial frenum (frenotomy) (40806) $995.19 $1,243.99 1.8×
Incision of lingual frenum (frenotomy) (41010) $2,976.14 $3,720.17 1.9×
Incision of rectal abscess (46040) $2,281.31 $2,851.64 1.9×
Incision of urethra (53020) $3,944.58 $4,930.72 1.8×
Incisional biopsy skin single lesion (11106) $1,346.69 $1,683.36 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $574.58 $718.22 1.8×
Injection for identification of sentinel node (38792) $829.66 $1,037.08 2.0×
Injection therapeutic carpal tunnel (20526) $574.58 $718.22 1.8×
Injection, Intralesional; More Than 7 Lesions (11901) $395.01 $493.76 1.9×
Injection, intralesional; up to and including 7 lesions (11900) $395.01 $493.76 1.9×
Inner ear surgery proc unlisted (69949) $11,189.30 $13,986.63 46.2×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $8,619.02 $10,773.78 2.0×
Insert Drug Implant Device (11981) $237.34 $296.67 1.7×
Insert Nasal Septal Button (30220) $2,976.14 $3,720.17 1.9×
Insert non-tunnel cv cath (36556) $6,295.65 $7,869.56 2.0×
Insert Temp Bladder Cath (51702) $237.34 $296.67 1.7×
Insert testicular prosthesis (54660) $11,183.97 $13,979.96 2.0×
Insert tunneled cv cath (36561) $6,295.65 $7,869.56 2.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $6,553.76 $8,192.20 2.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,295.65 $7,869.56 2.0×
Insj/rplcmt breast implant sep day mastectomy (19342) $8,798.95 $10,998.69 1.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $23,555.62 $29,444.52 0.7×
Int hrhc by ligation single hroid w/o img gdn (46945) $5,375.46 $6,719.32 1.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $760.85 $951.06 1.8×
Intranasal Biopsy (30100) $2,976.14 $3,720.17 1.9×
Intraoral i&d tongue/floor submndblr space (41008) $6,020.06 $7,525.07 1.8×
Island pedicle flap graft (15740) $4,024.30 $5,030.38 1.9×
IV injection test vascular flow flap/graft (15860) $594.48 $743.10 1.3×
Knee Arthroscopy/Surgery (29874) $6,226.88 $7,783.60 1.9×
Lap insert tunnel ip cath (49324) $11,132.97 $13,916.21 1.8×
Lap paraesoph her rpr w/mesh (43282) $17,196.85 $21,496.06 1.6×
Lap paraesophag hern repair (43281) $17,196.85 $21,496.06 1.6×
Lap replace gastr adj device (43773) $11,132.97 $13,916.21 1.8×
Lap revision perm ip cath (49325) $10,728.13 $13,410.16 1.7×
Laparo-vag hyst incl t/o (58552) $16,547.48 $20,684.35 1.5×
Laparoscopic myomectomy (58545) $11,132.97 $13,916.21 1.8×
Laparoscopy aspiration (49322) $11,132.97 $13,916.21 1.8×
Laparoscopy Enterolysis Separate Procedure (44180) $11,132.97 $13,916.21 1.8×
Laparoscopy fimbrioplasty (58672) $11,368.92 $14,211.15 1.8×
Laparoscopy fulguration oviducts (58670) $11,132.97 $13,916.21 1.8×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $11,132.97 $13,916.21 1.8×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $16,547.48 $20,684.35 1.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $16,547.48 $20,684.35 1.5×
Laparoscopy W/Lysis Of Adhesions (58660) $11,132.97 $13,916.21 1.8×
Laparoscopy w/rmvl adnexal structures (58661) $11,132.97 $13,916.21 1.8×
Laparoscopy, surgical, appendectomy (44970) $11,132.97 $13,916.21 1.8×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $19,596.86 $24,496.07 1.8×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $17,196.85 $21,496.06 1.6×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $16,102.29 $20,127.86 1.5×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $6,777.74 $8,472.17 1.7×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $16,547.48 $20,684.35 1.5×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $11,132.97 $13,916.21 1.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,132.97 $13,916.21 1.8×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $11,132.97 $13,916.21 1.0×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $11,132.97 $13,916.21 1.8×
Laparoscopy, surgical; pyeloplasty (50544) $22,904.69 $28,630.86 2.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $11,132.97 $13,916.21 1.8×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $19,596.85 $24,496.06 1.8×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $19,596.85 $24,496.06 1.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $11,132.97 $13,916.21 1.8×
Laparoscopy, Tubal Block (58671) $11,132.97 $13,916.21 1.8×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $11,132.97 $13,916.21 1.8×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $11,132.97 $13,916.21 1.8×
Laps Gastric Restrictive Px Remove Device & Port (43774) $6,777.74 $8,472.17 1.7×
Laps pelvic lymphadec (38573) $19,596.85 $24,496.06 1.8×
Laps surg prst8ect smpl stot robotic assistance (55867) $22,904.69 $28,630.86 2.1×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $11,132.97 $13,916.21 1.8×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $11,132.97 $13,916.21 1.8×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $16,547.48 $20,684.35 1.5×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $6,815.64 $8,519.55 1.8×
Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) $11,189.30 $13,986.63 1.9×
Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) $11,189.30 $13,986.63 1.9×
Laryngoplasty Medialization Unliateral (31591) $11,189.30 $13,986.63 1.9×
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) $11,189.30 $13,986.63 1.9×
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) $11,189.30 $13,986.63 1.9×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $6,815.65 $8,519.56 1.8×
Laryngoscopy and dilation (31528) $6,815.64 $8,519.55 1.8×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $7,373.90 $9,217.37 1.9×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $6,815.64 $8,519.55 1.8×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $6,815.64 $8,519.55 1.8×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $6,815.64 $8,519.55 1.8×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $3,292.06 $4,115.07 1.8×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $3,292.06 $4,115.07 1.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $828.32 $1,035.40 2.1×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $828.32 $1,035.40 2.1×
Laryngoscopy W/Biopsy (31535) $6,815.65 $8,519.56 1.8×
Laryngoscopy w/biopsy microscope/telescope (31536) $6,815.65 $8,519.56 1.8×
Larynscop w/tumr exc + scope (31541) $6,815.64 $8,519.55 1.8×
Laser Surgery Anal Lesions (46917) $5,652.83 $7,066.04 2.0×
Late closure of wound (13160) $3,773.79 $4,717.24 1.0×
Lateral Canthopexy (21282) $5,801.14 $7,251.43 1.7×
Lengthening of palate, and pharyngeal flap Facility (42226) $7,907.66 $9,884.58 1.3×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $6,295.65 $7,869.56 2.0×
Lig&div long saph vein saphfem junct/interrupj (37700) $6,295.65 $7,869.56 2.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $11,788.58 $14,735.73 1.6×
Ligamentous reconstruction knee intra-articular (27428) $16,508.94 $20,636.17 1.3×
Ligate/strip long leg vein (37722) $6,295.65 $7,869.56 2.0×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $6,295.65 $7,869.56 2.0×
Ligation of a-v fistula (37607) $6,295.66 $7,869.57 2.0×
Ligation of hemorrhoids (46946) $5,375.46 $6,719.32 1.9×
Ligation or biopsy temporal artery (37609) $3,095.40 $3,869.25 1.8×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $6,295.65 $7,869.56 2.0×
Litholapaxy comp/lg > 2.5 cm (52318) $6,767.94 $8,459.93 1.9×
Lsh uterus 250 g or less (58541) $11,132.97 $13,916.21 1.0×
Lysis/excision penile postcircumcision adhesions (54162) $3,944.58 $4,930.72 1.8×
Manipulation knee joint under general anesthesia (27570) $3,063.17 $3,828.96 1.9×
Marsupialization of bartholin's gland cyst (56440) $5,771.06 $7,213.82 1.7×
Mast mod rad (19307) $12,174.66 $15,218.33 1.8×
Mastectomy for gynecomastia (19300) $6,947.02 $8,683.78 1.7×
Mastectomy partial (19301) $6,947.02 $8,683.78 1.7×
Mastectomy partial w/axillary lymphadenectomy (19302) $12,174.66 $15,218.33 1.8×
Mastectomy simple complete (19303) $12,174.66 $15,218.33 1.8×
Mastoidectomy (69501) $10,782.42 $13,478.03 1.8×
Mastoidectomy; complete (69502) $10,782.42 $13,478.03 1.8×
Mastopexy (19316) $9,333.55 $11,666.94 1.4×
Medial Canthopexy Separate Procedure (21280) $5,801.14 $7,251.43 1.7×
Middle ear expl thru postaur/ear canal inc (69440) $6,146.76 $7,683.45 1.8×
Middle ear surgery proc unlisted (69799) $11,189.30 $13,986.63 46.2×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $7,520.18 $9,400.22 2.1×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $3,773.79 $4,717.24 1.8×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733)
range across 2 matching MRF lines
$7,253.57–$7,466.96 $9,066.96–$9,333.70 varies
Muscle-skin graft trunk (15734) $7,748.73 $9,685.91 2.1×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $5,771.06 $7,213.82 1.7×
Myringoplasty (69620) $6,020.06 $7,525.07 1.8×
N Block Inj Pudendal (64430) $1,874.80 $2,343.50 2.1×
Nasal Endoscopy Dx (31231) $361.66 $452.07 1.8×
Nasal surgery procedure (30999) $6,020.06 $7,525.07 24.9×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $6,815.64 $8,519.55 1.8×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $9,144.64 $11,430.80 1.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,292.06 $4,115.07 1.8×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $3,292.06 $4,115.07 1.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,292.06 $4,115.07 1.8×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $6,815.64 $8,519.55 1.8×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $9,144.64 $11,430.80 1.3×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $9,144.64 $11,430.80 1.3×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $9,144.64 $11,430.80 1.3×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $9,144.64 $11,430.80 1.3×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $9,144.64 $11,430.80 1.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $9,144.64 $11,430.80 1.3×
Nasal/sinus ndsc total with sphenoidotomy (31257) $9,144.64 $11,430.80 1.3×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $9,144.64 $11,430.80 1.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $9,144.64 $11,430.80 1.3×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $9,144.64 $11,430.80 1.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $3,063.17 $3,828.96 1.9×
Needle Biopsy Lymph Nodes (38505) $3,095.40 $3,869.25 1.8×
Nerve repair w/conduit each nerve (64910) $12,540.63 $15,675.79 1.4×
Nerve Repair W/Nerve Allograft First Strand (64912) $13,963.34 $17,454.17 1.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,859.66 $4,824.57 1.9×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $4,047.18 $5,058.98 2.0×
Nipple Exploration (19110) $6,947.02 $8,683.78 1.7×
Nipple/areola reconstruction (19350) $6,947.02 $8,683.78 1.7×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $9,144.64 $11,430.80 1.3×
Open biopsy/excision inguinofemoral nodes (38531) $6,947.03 $8,683.79 1.7×
Open Implantation Nea Sacral Nerve (64581) $13,553.50 $16,941.87 2.1×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $42,663.02 $53,328.78 0.9×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $42,663.02 $53,328.78 1.4×
Open Treatment Bimalleolar Ankle Fracture (27814) $12,681.74 $15,852.18 1.7×
Open treatment calcaneal fracture (28415) $12,681.74 $15,852.18 1.7×
Open treatment fracture distal tibia only (27827) $13,782.89 $17,228.61 1.1×
Open Treatment Medial Malleolus Fracture (27766) $12,681.74 $15,852.18 1.7×
Open treatment metatarsal fracture each (28485) $12,681.74 $15,852.18 1.7×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $11,788.58 $14,735.73 1.6×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $11,788.58 $14,735.73 1.6×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $10,283.13 $12,853.91 1.7×
Open treatment of depressed frontal sinus fracture Facility (21343) $6,146.76 $7,683.45 1.0×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $10,283.13 $12,853.91 1.7×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $10,283.13 $12,853.91 1.7×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $10,283.13 $12,853.91 1.7×
Open treatment of nasal fracture; uncomplicated Facility (21325) $6,020.06 $7,525.07 1.8×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $6,020.06 $7,525.07 1.8×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,226.88 $7,783.60 1.9×
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) $10,283.13 $12,853.91 1.7×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $10,782.42 $13,478.03 1.8×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $10,283.13 $12,853.91 1.7×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $10,283.13 $12,853.91 1.7×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $11,747.27 $14,684.09 1.9×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $11,788.58 $14,735.73 1.6×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $12,681.74 $15,852.18 1.7×
Open tx carpal scaphoid navicular fracture (25628) $13,281.70 $16,602.12 1.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $12,681.74 $15,852.18 1.7×
Open Tx Distal Tibiofibular Joint Disruption (27829) $12,681.74 $15,852.18 1.7×
Open Tx Humeral Epicondylar Fracture (24575) $16,581.92 $20,727.40 1.3×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $10,283.13 $12,853.91 1.7×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,226.88 $7,783.60 1.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $6,226.88 $7,783.60 1.9×
Open Tx Radial Head/Neck Fracture (24665) $14,073.50 $17,591.88 1.9×
Open Tx Radial Head/Neck Fracture Prosth (24666) $16,581.92 $20,727.40 1.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $12,681.74 $15,852.18 1.7×
Opn tx orbit fx combined (21387) $10,283.13 $12,853.91 1.7×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $11,788.58 $14,735.73 1.6×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $11,885.61 $14,857.01 1.6×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $20,788.80 $25,986 1.6×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $4,405.17 $5,506.46 1.8×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $7,271.98 $9,089.98 1.8×
Orchiectomy radical tumor inguinal approach (54530) $7,003.50 $8,754.38 1.9×
Orchiopexy Ingun/Scrot Appr (54640) $7,003.50 $8,754.37 1.9×
Ostc prtl exostc/condylc metar head (28288) $6,226.88 $7,783.60 1.9×
Ostectomy calcaneus (28118) $6,226.88 $7,783.60 1.9×
Ostectomy, complete excision; fifth metatarsal head (28113) $6,226.88 $7,783.60 1.9×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $6,226.88 $7,783.60 1.9×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $6,548.66 $8,185.82 2.0×
Osteotomy calcaneus w/wo internal fixation (28300) $12,681.74 $15,852.18 1.7×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $12,681.74 $15,852.18 1.7×
Ovarian cystectomy, unilateral or bilateral (58925) $9,700.98 $12,126.23 1.9×
Palatopharyngoplasty (42145) $7,313.49 $9,141.86 1.2×
Parathyroidectomy or exploration of parathyroid(s); (60500) $11,189.30 $13,986.63 1.9×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $10,197.60 $12,747 2.0×
Part remv talus or calcaneus (28120) $6,226.88 $7,783.60 1.9×
Partial excision of lip (40520) $6,020.06 $7,525.07 1.8×
Partial hymenectomy or revision of hymenal ring (56700) $5,771.06 $7,213.82 1.7×
Partial removal of nose (30150) $11,189.31 $13,986.64 1.9×
Partial removal of thyroid (60220) $11,132.97 $13,916.21 1.8×
Partial removal of toe (28160) $6,226.88 $7,783.60 1.9×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $11,132.97 $13,916.21 1.8×
Partical Excision Bone Phalanx Toe (28124) $6,226.88 $7,783.60 1.9×
Pelvic examination under anesthesia (other than local) (57410) $5,771.06 $7,213.82 1.7×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $6,020.06 $7,525.07 1.8×
Peri-Implant Capsulectomy Breast Complete (19371) $6,947.03 $8,683.79 1.7×
Perineoplasty rpr perineum nonobstetrical spx (56810) $5,771.06 $7,213.83 1.7×
Perq av fistula creation uxtr single access (36836) $24,048.80 $30,061 1.3×
Perq dev breast 1st mr guide (19287) $1,398.19 $1,747.74 1.9×
Perq dev breast 1st strtctc (19283) $1,368.33 $1,710.41 1.9×
Perq dev breast 1st us imag (19285) $1,368.33 $1,710.41 1.9×
Perq device breast 1st imag (19281) $1,368.33 $1,710.41 0.8×
Perq skel fixj distal radial fx/epiphysl sep (25606) $6,226.88 $7,783.60 1.9×
Petrous apicectomy including radical mastoidectomy Facility (69530) $11,189.30 $13,986.63 1.9×
Phleb Veins - Extrem 20+ (37766) $6,295.65 $7,869.56 2.0×
Placement of seton (46020) $5,375.46 $6,719.32 1.9×
Plmt expandable cath brst following prtl mast (19296) $9,239.72 $11,549.65 1.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $9,700.98 $12,126.23 1.9×
Probe lacrimal canaliculi w/wo irrigation (68840) $2,176 $2,720 6.7×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $4,405.17 $5,506.46 1.8×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $4,405.17 $5,506.46 1.8×
Probing nasolacrimal duct (68810) $2,176 $2,720 6.7×
Proctopexy Perineal Approach (45541) $5,375.46 $6,719.32 1.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $2,281.31 $2,851.64 1.9×
Prostatic microwave thermotx (53850) $6,767.95 $8,459.94 1.9×
Prostatic Rf Thermotx (53852) $3,944.58 $4,930.73 1.1×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $6,000.45 $7,500.56 1.8×
Prq skel fixj metar fx w/manj (28476) $6,226.88 $7,783.60 1.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $11,837.10 $14,796.37 1.6×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $6,226.88 $7,783.60 1.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $6,226.88 $7,783.60 1.9×
Punch biopsy skin single lesion (11104) $733.18 $916.48 1.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $760.85 $951.06 1.8×
Rcnstj angular dfrm toe soft tiss px only (28313) $6,548.66 $8,185.82 2.0×
Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) $4,482.61 $5,603.26 1.8×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $11,189.30 $13,986.63 1.9×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $12,681.74 $15,852.18 1.7×
Re-explore parathyroids (60502) $11,189.31 $13,986.64 1.9×
Reconst lwr jaw w/fixation (21196) $13,014.46 $16,268.07 2.2×
Reconstruct cleft palate (42210) $12,275.36 $15,344.20 2.0×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $14,614.46 $18,268.07 2.4×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $11,788.58 $14,735.73 1.6×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $11,189.30 $13,986.63 1.9×
Reconstruction Toe Polydactyly (28344) $6,226.88 $7,783.60 1.9×
Reconstruction Tongue Fold (41520) $3,620.06 $4,525.07 1.1×
Reduction of rectal prolapse (45900) $1,828.29 $2,285.36 1.9×
Relieve Pressure on Nerve(S) (64722) $3,859.66 $4,824.57 1.9×
Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) $7,138.14 $8,922.68 2.1×
Removal foreign body foot deep (28192) $3,095.40 $3,869.25 1.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,982.84 $3,728.55 1.8×
Removal foreign body, intranasal; requiring general anesthesia (30310) $5,144.42 $6,430.52 1.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $122.40 $153 2.0×
Removal impacted vag fb spx w/anes oth/thn local (57415) $5,771.06 $7,213.82 1.7×
Removal Implant Deep (20680) $5,214.02 $6,517.53 1.8×
Removal Implant Superficial Separate Procedure (20670) $3,095.40 $3,869.25 1.8×
Removal intact breast implant (19328) $6,947.02 $8,683.78 1.7×
Removal of a lesion from the floor of the mouth (41116) $6,020.06 $7,525.07 1.8×
Removal of adenoids (42835) $3,400 $4,250 1.0×
Removal of adenoids (42831) $3,400 $4,250 1.0×
Removal of adenoids (42830) $3,400 $4,250 1.0×
Removal of adenoids (42836) $3,400 $4,250 1.0×
Removal of cervix (57530) $9,700.98 $12,126.23 1.9×
Removal of eye (65110) $7,271.98 $9,089.98 1.8×
Removal of heel spur (28119) $6,226.88 $7,783.60 1.9×
Removal of mammary implant material (19330) $6,947.02 $8,683.78 1.7×
Removal of nail bed (11750) $760.85 $951.06 1.8×
Removal of nose (30160) $11,189.30 $13,986.63 1.9×
Removal of sesamoid bone (28315) $6,226.88 $7,783.60 1.9×
Removal of skin wrinkles (15829) $7,748.73 $9,685.91 2.1×
Removal of tendon for graft (20924) $8,269.73 $10,337.16 1.1×
Removal of testis (54520) $6,767.95 $8,459.94 1.9×
Removal of thymus gland (60520) $11,189.30 $13,986.63 1.9×
Removal of tonsils (42825) $3,400 $4,250 0.6×
Removal of tonsils (42826) $3,400 $4,250 1.0×
Removal of tunneled intraperitoneal catheter (49422) $6,295.65 $7,869.56 2.0×
Removal of wrist bone (25210) $6,226.88 $7,783.60 1.9×
Removal parotid stone (42340) $6,146.76 $7,683.45 1.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $395.01 $493.76 1.9×
Removal subcutaneous cardiac rhythm monitor (33286) $1,368.34 $1,710.42 1.9×
Removal Sutures/Staples Requiring Anesthesia (15851) $1,153.17 $1,441.46 0.5×
Removal sweat gland lesion (11450) $5,214.02 $6,517.52 1.8×
Remove drug implant device (11982) $594.48 $743.10 1.3×
Remove eye/attach implant (65105) $7,271.98 $9,089.98 1.8×
Remove Gastric Port Open (43887) $3,773.79 $4,717.24 1.8×
Remove Intrauterine Device (58301) $619.26 $774.07 2.0×
Remove Lower Leg Bone Lesion (27635) $6,226.88 $7,783.60 1.9×
Remove Peritoneal Foreign Body (49402) $7,792.25 $9,740.31 2.1×
Remove Tendon Sheath Lesion (26160) $3,063.17 $3,828.96 1.9×
Remove tissue expander (11971) $5,214.02 $6,517.52 1.8×
Remv cartilage for graft nasal (20912) $3,087.32 $3,859.15 0.9×
Reopen fallopian tube (58350) $9,700.98 $12,126.23 1.9×
Repair Achilles Tendon (27650) $12,681.74 $15,852.18 1.7×
Repair cleft lip/nasal (40700) $13,014.45 $16,268.06 2.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,153.17 $1,441.46 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $760.85 $951.06 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,153.17 $1,441.46 2.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,153.17 $1,441.46 2.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,153.17 $1,441.46 2.8×
Repair complex trunk 1.1-2.5 cm (13100) $1,153.17 $1,441.46 1.5×
Repair complex trunk 2.6-7.5 cm (13101) $1,153.17 $1,441.46 1.5×
Repair Ectropion Excision Tarsal Wedge (67916) $4,405.17 $5,506.46 1.8×
Repair Ectropion Extensive (67917) $4,405.17 $5,506.46 1.8×
Repair Ectropion Suture (67914) $4,651.28 $5,814.10 1.9×
Repair Entropion Excision Tarsal Wedge (67923) $4,405.17 $5,506.46 1.8×
Repair Entropion Extensive (67924) $4,405.17 $5,506.46 1.8×
Repair Finger Tendon (26433) $6,226.88 $7,783.60 1.9×
Repair Fistula Oromaxillary (30580) $11,189.30 $13,986.63 1.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $6,226.88 $7,783.60 1.9×
Repair Foot Dislocation (28615) $12,681.74 $15,852.18 1.7×
Repair Hallux Rigidus (28289) $6,226.88 $7,783.60 1.9×
Repair Hand Joint (26540) $6,226.88 $7,783.60 1.9×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $7,792.25 $9,740.31 2.1×
Repair initial femoral hernia, any age; reducible (49550) $7,792.25 $9,740.31 2.1×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $7,792.25 $9,740.31 2.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $760.85 $951.06 1.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $760.85 $951.06 1.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $760.85 $951.06 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $760.85 $951.06 1.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $760.85 $951.06 1.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,153.17 $1,441.46 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $760.85 $951.06 1.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $760.85 $951.06 1.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,153.17 $1,441.46 1.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,773.79 $4,717.24 1.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $760.85 $951.06 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $760.85 $951.06 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,153.17 $1,441.46 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $760.85 $951.06 1.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,773.79 $4,717.24 1.8×
Repair lower leg tendons (27676) $12,681.74 $15,852.18 1.7×
Repair lumbar hernia (49540) $11,466.73 $14,333.41 1.9×
Repair mouth/nose fistula (30600) $11,189.30 $13,986.63 1.9×
Repair nasal septal perforations (30630) $6,020.06 $7,525.07 1.8×
Repair Nasal Vestibular Stenosis (30465) $11,189.30 $13,986.63 1.9×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $12,681.74 $15,852.18 1.7×
Repair of enterocele, vaginal approach (separate procedure) (57268) $9,700.99 $12,126.24 1.9×
Repair of hammertoe (28286) $6,226.88 $7,783.60 1.9×
Repair of hydrocele (55060) $6,767.94 $8,459.93 1.9×
Repair of metatarsals (28322) $12,681.74 $15,852.18 1.7×
Repair of rectocele (45560) $5,375.46 $6,719.32 1.9×
Repair of rectum (45505) $6,033.26 $7,541.57 2.1×
Repair of Ruptured Tendon (24342) $11,788.58 $14,735.73 1.6×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $7,792.25 $9,740.31 2.1×
Repair recurrent femoral hernia; reducible Facility (49555) $7,792.25 $9,740.31 2.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $7,792.25 $9,740.31 1.2×
Repair Rotator Cuff Chronic (23412) $9,097.50 $11,371.88 1.2×
Repair secondary achilles tendon w/wo graft (27654) $12,681.74 $15,852.18 1.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $6,226.88 $7,783.60 1.9×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $11,788.58 $14,735.73 1.6×
Repair tongue laceration (41252) $465.52 $581.90 1.9×
Repair Tooth Socket (41874) $3,620.06 $4,525.07 1.1×
Repair, primary, disrupted ligament, ankle; collateral (27695) $12,681.74 $15,852.18 1.7×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $6,226.88 $7,783.60 1.9×
Repair/Graft Wrist Bone (25440) $11,963.90 $14,954.87 1.6×
Repair/Revise Wrist Joint (25320) $11,885.61 $14,857.01 1.6×
Replace/Revise Brain Shunt (62230) $12,540.63 $15,675.79 1.4×
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69730) $20,876.80 $26,096 1.6×
Replacement Tissue Expander W/Permanent Implant (11970) $7,977.56 $9,971.95 1.1×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $4,574.15 $5,717.69 1.9×
Repr elbow lat ligmnt w/tiss (24343) $6,226.88 $7,783.60 1.9×
Rerepair ing hernia reduce (49520) $7,792.25 $9,740.31 2.1×
Resection of scrotum (55150) $6,521.84 $8,152.30 1.8×
Resection, partial or complete, phalangeal base, each toe (28126) $6,226.88 $7,783.60 1.9×
Rev/rmv prph sac/gstr npg/r (64595) $7,205.66 $9,007.07 2.0×
Revis reconst shoulder joint (23473) $18,013.55 $22,516.94 1.4×
Revise Abdomen-Venous Shunt (49426) $7,003.50 $8,754.38 1.9×
Revise external ear (69300) $6,748.77 $8,435.96 2.0×
Revise hernia & sperm veins (55540) $6,859.50 $8,574.37 1.9×
Revise/Repair Finger/Toe Nerve (64702) $3,859.66 $4,824.57 1.9×
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) $14,239.60 $17,799.50 1.9×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $5,771.06 $7,213.82 1.7×
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) $11,747.27 $14,684.09 1.9×
Revision of eyelid (67880) $4,405.17 $5,506.46 1.8×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $7,748.73 $9,685.91 2.1×
Revision of lower leg tendon (27685) $6,226.88 $7,783.60 1.9×
Revision of nose (30462) $11,427.39 $14,284.24 1.9×
Revision of penis (54300) $6,767.94 $8,459.93 1.9×
Revision of reconstructed breast (19380) $9,333.55 $11,666.94 1.4×
Revision of stapedectomy or stapedotomy Facility (69662) $11,189.30 $13,986.63 1.9×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $7,748.73 $9,685.91 2.1×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $7,748.73 $9,685.91 2.1×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $13,553.50 $16,941.87 2.1×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) $10,782.42 $13,478.03 1.8×
Revj/rmvl peripheral neurostimulator electrode (64585) $7,205.66 $9,007.07 2.0×
Rhinoplasty primary w/major septal repair (30420) $11,189.30 $13,986.63 1.9×
Rhinoplasty Secondary Major Revision (30450) $11,189.30 $13,986.63 1.9×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $11,427.39 $14,284.24 1.9×
Rhinp Prim Complete Xtrnl Parts (30410) $11,189.30 $13,986.63 1.9×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $11,189.30 $13,986.63 1.9×
Rhytidectomy Cheek Chin & Neck (15828) $7,748.73 $9,685.91 2.1×
Rhytidectomy Forehead (15824) $3,773.79 $4,717.24 1.8×
Rhytidectomy Neck W/Platysmal Tightening (15825) $7,748.73 $9,685.91 2.1×
Rib cartilage graft (21230) $11,189.30 $13,986.63 1.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,816.16 $2,270.20 2.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,095.40 $3,869.25 1.8×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $574.82 $718.52 1.8×
Rmvl fecal impaction/fb spx under anes (45915) $2,281.31 $2,851.64 1.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,024.42 $6,280.53 1.7×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $5,214.02 $6,517.52 1.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,095.40 $3,869.25 1.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $3,859.66 $4,824.57 1.9×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $12,540.63 $15,675.79 3.6×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) $11,788.58 $14,735.73 1.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,093.50 $3,866.88 1.9×
Rmvl/revj sling stress incontinence (57287) $5,771.06 $7,213.82 1.7×
Rplc Gtube No Revj Trc (43762) $564.22 $705.27 2.2×
Rplcmt compl tun ctr vad w/subq pmp (36583) $11,519.02 $14,398.78 2.0×
Rplcmt compl tun ctr vad w/subq port (36582) $6,295.65 $7,869.56 2.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $11,466.40 $14,333 1.9×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $7,792.24 $9,740.30 2.1×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $7,792.24 $9,740.30 1.2×
Rpr aa hernia recr 3-10 cm reducible (49615) $7,792.24 $9,740.30 1.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $11,466.40 $14,333 1.9×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $7,792.24 $9,740.30 2.1×
Rpr aa hrn 1st 3-10 rdc (49593) $7,792.24 $9,740.30 1.2×
Rpr aa hrn 1st < 3 ncr/strn (49592) $11,466.40 $14,333 1.9×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $4,496.14 $5,620.18 1.9×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $4,405.17 $5,506.46 1.8×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $4,405.17 $5,506.46 1.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,093.50 $3,866.88 1.9×
Rpr ing hernia init reduce (49500) $7,792.25 $9,740.31 1.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,153.17 $1,441.46 1.5×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $11,747.20 $14,684 1.9×
Rpr Nsl Vlv Collapse W/Implt (30468) $10,782.42 $13,478.03 1.8×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $6,226.88 $7,783.60 1.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $6,226.88 $7,783.60 1.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $6,226.88 $7,783.60 1.9×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $6,226.88 $7,783.60 1.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,226.88 $7,783.60 1.9×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $6,226.88 $7,783.60 1.9×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $6,020.06 $7,525.07 1.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,281.31 $2,851.64 1.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $395.01 $493.76 1.9×
Sigmoidoscopy & Polypectomy (45333) $1,746.03 $2,182.54 1.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,746.02 $2,182.53 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $395.01 $493.76 1.9×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $11,189.30 $13,986.63 1.9×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $11,189.30 $13,986.63 1.9×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) $10,782.42 $13,478.03 1.8×
Skin Full Grft Face/Genit/Hf (15240) $3,773.79 $4,717.24 1.8×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines
$1,034.99–$4,024.30 $1,293.74–$5,030.38 varies
Skin sub graft trnk/arm/leg (15271) $1,034.98 $1,293.73 1.4×
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines
$3,325.07–$7,748.73 $4,156.34–$9,685.91 varies
Skin Tissue Procedure (17999) $395.01 $493.76 1.9×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines
$1,034.99–$4,024.30 $1,293.74–$5,030.38 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $9,700.99 $12,126.24 1.9×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $5,489.09 $6,861.36 1.9×
Sphincterotomy anal division sphincter spx (46080) $5,375.46 $6,719.32 1.9×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,748.73 $9,685.91 2.1×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,773.79 $4,717.24 1.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $6,295.65 $7,869.56 2.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $11,189.30 $13,986.63 1.9×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $11,189.30 $13,986.63 1.9×
Stapes mobilization (69650) $6,020.06 $7,525.07 1.8×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $6,020.06 $7,525.07 1.8×
Suction assisted lipectomy; head and neck (15876) $7,748.73 $9,685.91 2.1×
Suction assisted lipectomy; trunk (15877) $7,748.73 $9,685.91 2.1×
Suction assisted lipectomy; upper extremity (15878) $3,773.79 $4,717.24 1.8×
Suction Lipectomy Lwr Extrem (15879) $7,748.73 $9,685.91 2.1×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $13,014.46 $16,268.07 2.2×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $13,014.45 $16,268.06 2.2×
Surg Tx Anal Fistula 2nd Stage (46285) $5,375.46 $6,719.32 1.9×
Surg tx anal fistula subq (46270) $6,033.26 $7,541.57 2.1×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $5,375.46 $6,719.32 1.9×
Suture of quadriceps or hamstring muscle rupture primary (27385) $15,716.21 $19,645.26 2.1×
Syndactylization toes (28280) $7,138.15 $8,922.69 2.1×
Tangential biopsy skin single lesion (11102) $397.28 $496.60 1.0×
Temple bone implant revision (69717) $13,782.89 $17,228.61 1.9×
Temporary Closure Eyelids Suture (67875) $1,716.22 $2,145.28 1.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $6,000.45 $7,500.56 1.8×
Tenodesis long tendon biceps (23430) $9,770.27 $12,212.84 1.3×
Tenolysis flexor tendon palm/finger each tendon (26440) $3,520.90 $4,401.13 2.1×
Tenolysis Triceps (24332) $6,226.88 $7,783.60 1.9×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $6,226.88 $7,783.60 1.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $3,063.17 $3,828.96 1.9×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $6,226.88 $7,783.60 1.9×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $10,494.81 $13,118.51 1.8×
Thyroidectomy Post Prev Thyr Surg (60260) $11,189.30 $13,986.63 1.9×
Thyroidectomy, total or complete (60240) $11,132.97 $13,916.21 1.8×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $11,189.30 $13,986.63 1.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,773.79 $4,717.24 1.8×
Tissue Expander Placement Breast Reconstruction (19357) $13,918.68 $17,398.35 1.0×
Tlh uterus over 250 g (58572) $16,547.48 $20,684.35 1.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,400 $4,250 1.0×
Tooth extraction (41899) $2,976 $3,720 12.3×
Total Knee Arthroplasty (27447) $20,788.80 $25,986 1.6×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $11,132.97 $13,916.21 1.8×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $6,748.76 $8,435.95 2.0×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $5,771.06 $7,213.82 1.7×
Tracheostoma revj smpl w/o flap rotation (31613) $6,020.06 $7,525.07 1.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $4,047.18 $5,058.98 2.0×
Transplant hand tendon (26480) $6,226.88 $7,783.60 1.9×
Transurethral resection bladder neck (52500) $6,767.94 $8,459.93 1.9×
Treat ankle fracture (28445) $12,681.74 $15,852.18 1.7×
Treat ectopic pregnancy (59151) $11,132.97 $13,916.21 1.8×
Treat Finger Fracture Each (26727) $6,226.88 $7,783.60 1.9×
Treat fracture radius/ulna (25575) $11,788.58 $14,735.73 1.6×
Treat Fx Rad Extra-Articul (25607) $11,788.58 $14,735.73 1.6×
Treat Hand Bone Lesion (26034) $3,063.17 $3,828.96 1.9×
Treat Kneecap Fracture (27524) $12,681.74 $15,852.18 1.7×
Treatment of ankle fracture (27823) $12,681.74 $15,852.18 1.7×
Treatment of gum lesion (41850) $3,258.82 $4,073.52 2.1×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $3,944.58 $4,930.72 1.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,771.06 $7,213.82 1.7×
Tx Missed Abortion First Trimester Surgical (59820) $5,771.06 $7,213.82 1.7×
Tx Missed Abortion Second Trimester Surgical (59821) $5,771.06 $7,213.82 1.7×
Tx open tendon flexor toe 1 tendon spx (28232) $3,063.17 $3,828.96 1.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,020 $2,525 2.7×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,976.14 $3,720.17 1.9×
Tympanolysis transcanal (69450) $6,020.06 $7,525.07 1.8×
Tympanoplasty (69631) $11,189.30 $13,986.63 1.9×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $11,189.30 $13,986.63 1.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $11,189.30 $13,986.63 1.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $11,189.30 $13,986.63 1.9×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $11,189.30 $13,986.63 1.9×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $11,189.30 $13,986.63 1.9×
Tympanostomy general anesthesia (69436) $2,976.14 $3,720.17 1.9×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $7,003.50 $8,754.37 1.9×
Unlisted laparoscopic procedure liver (47379) $10,728.14 $13,410.17 1.7×
Unlisted laparoscopy procedure appendix (44979) $11,132.97 $13,916.21 1.8×
Unlisted laparoscopy procedure stomach (43659) $11,132.97 $13,916.21 1.8×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $11,132.97 $13,916.21 1.8×
Unlisted laparoscopy procedure, biliary tract (47579) $11,132.97 $13,916.21 1.8×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $11,368.92 $14,211.15 1.8×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $11,132.97 $13,916.21 1.8×
Unlisted laparoscopy procedure, lymphatic system (38589) $11,368.92 $14,211.15 1.8×
Unlisted laparoscopy procedure, spermatic cord (55559) $7,792.24 $9,740.30 1.3×
Unlisted Procedure Accessory Sinuses (31299) $9,144.64 $11,430.80 37.8×
Unlisted procedure anus (46999) $2,473.59 $3,091.99 2.6×
Unlisted procedure arthroscopy (29999) $6,226.88 $7,783.60 24.7×
Unlisted procedure breast (19499) $6,947.02 $8,683.78 1.7×
Unlisted Procedure Esophagus (43499) $6,155.20 $7,694 6.6×
Unlisted Procedure External Ear (69399) $11,189.30 $13,986.63 46.2×
Unlisted procedure eyelids (67999) $4,405.17 $5,506.46 13.6×
Unlisted procedure foot or toes (28899) $6,226.88 $7,783.60 24.7×
Unlisted procedure neck or thorax (21899) $7,520 $9,400 31.1×
Unlisted Procedure Palate Uvula (42299) $7,907.66 $9,884.58 32.7×
Unlisted Procedure Rectum (45999) $5,489.09 $6,861.36 5.8×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines
$7,520.18–$11,132.97 $9,400.22–$13,916.21 varies
Unlisted Procedure Trachea Bronchi (31899) $6,815.64 $8,519.55 33.4×
Unlisted Procedure Vascular Surgery (37799) $10,494.81 $13,118.51 16.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $4,269.46 $5,336.82 4.6×
Unlisted Procedure, Urinary System (53899) $6,767.94 $8,459.93 26.5×
Unlisted px female genital system nonobstetrical (58999) $3,440 $4,300 16.7×
Urethromeatoplasty W/Mucosal Advancement (53450) $7,587.74 $9,484.67 2.1×
Uvulectomy excision of uvula (42140) $6,020.06 $7,525.07 1.8×
Vag hyst complex (58290) $14,947.48 $18,684.35 2.0×
Vag hyst incl t/o complex (58291) $9,700.98 $12,126.23 1.9×
Vag hyst w/t/o & vag repair (58263) $9,700.98 $12,126.23 1.9×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $9,700.98 $12,126.23 1.9×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $9,700.98 $12,126.23 1.9×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $9,700.98 $12,126.23 1.9×
Vaginectomy, partial removal of vaginal wall; (57106) $5,771.06 $7,213.83 1.7×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $5,771.06 $7,213.82 1.7×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,944.58 $4,930.72 1.8×
Ventilating tube removal requiring general anesthesia (69424) $2,845.74 $3,557.18 0.8×
Vulvectomy simple partial (56620) $5,771.06 $7,213.82 1.7×
Vulvectomy simple; complete (56625) $5,771.06 $7,213.83 1.7×
Vulvectomy, radical, partial; Facility (56630) $9,700.98 $12,126.23 1.9×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) $15,236 $19,045 2.0×
Wound Prep F/N/Hf/G (15004) $1,153.17 $1,441.46 2.8×
Wound Prep Trk/Arm/Leg (15002) $3,773.79 $4,717.24 5.0×
Xfer Single Deep Low Leg Tendon (27691) $12,681.74 $15,852.18 1.7×

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.