Procedures & surgery prices at Sauk Prairie Hospital

Prairie Du Sac, WI · every code in this section with a posted price and a Medicare benchmark.

1392 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $171.22–$1,057.36 $313–$1,933 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $77.13–$586.94 $141–$1,073 varies
Abdomen Surgery Procedure (22999) $3,478.10 $6,358.50 14.5×
Acne surgery (10040) $233.57 $427 1.2×
Acromiopl/Acromionect Partial (23130) $3,241.53 $5,926 1.0×
Adding Walker Previously Applied Cast (29440) $137.30 $251 0.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,725.24 $3,154 0.9×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,521.67 $4,610 1.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,379.37 $6,178 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,236.52 $7,745 2.1×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,928.73 $3,526 1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,569.26 $4,697 1.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,731.72 $4,994 1.4×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
unusually low: confirm this is the full procedure		 $2,957.63 $5,407 0.4×
Amniocentesis diagnostic (59000) $830.08 $1,517.50 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,412.19 $6,238 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $278.97–$1,676.29 $510–$3,064.50 varies
Amputate Metacarpal Bone (26910) $1,855.70 $3,392.50 0.6×
Amputation foot transmetarsal (28805) $2,341.06 $4,279.80 0.7×
Amputation metatarsal with toe single (28810) $1,451.31 $2,653.20 0.5×
Amputation thigh through femur any level (27590) $5,548.88 $10,144.20 1.7×
Amputation toe interphalangeal joint (28825) $1,438.34 $2,629.50 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,609.01 $2,941.50 0.5×
Amputation, leg, through tibia and fibula; (27880) $6,269.94 $11,462.40 0.9×
Amputation, leg, through tibia and fibula; re-amputation (27886) $4,462.21 $8,157.60 1.4×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,038.46 $3,726.60 0.6×
Anal/Urinary Muscle Study (51784)
range across 3 matching MRF lines		 $99.56–$499.14 $182–$912.50 varies
Anoscopy Control Bleeding (46614)
range across 3 matching MRF lines		 $87.80–$437.88 $160.50–$800.50 varies
Anoscopy diagnostic (46600)
range across 4 matching MRF lines		 $30.36–$265.19 $55.50–$484.80 varies
Anoscopy; with biopsy, single or multiple (46606) $583.38 $1,066.50 0.5×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $2,171.87 $3,970.50 1.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $293.47 $536.50 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240) $2,189.92 $4,003.50 0.5×
Anterior Tibial Tubercleplasty (27418) $5,419.68 $9,908 0.8×
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,094.74 $3,829.50 0.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $137.85 $252 0.9×
Application cast elbow finger short arm (29075)
range across 4 matching MRF lines		 $25.17–$217.44 $46–$397.50 varies
Application Cast Finger (29086)
range across 2 matching MRF lines		 $25.17–$204.04 $46–$373 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $25.17–$105.58 $46–$193 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $25.17–$226.46 $46–$414 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $352.55 $644.50 1.3×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $25.17–$198.57 $46–$363 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $3,048.44 $5,573 0.2×
Application of cylinder cast (thigh to ankle) (29365) $64.28 $117.50 0.2×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $64.28–$342.97 $117.50–$627 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $68.38–$341.61 $125–$624.50 varies
Application Short Arm Splint Dynamic (29126) $25.17 $46 0.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $25.17–$171.76 $46–$314 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $25.17–$172.58 $46–$315.50 varies
Application uniplane external fixation system (20690)
unusually low: confirm this is the full procedure		 $3,006.04 $5,495.50 0.4×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $25.17–$231.11 $46–$422.50 varies
Apply long arm cast (29065)
range across 4 matching MRF lines		 $25.17–$235.21 $46–$430 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 8 matching MRF lines		 $45.41–$454.01 $83–$830 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $25.17–$224.27 $46–$410 varies
Apply short leg cast (29425) $263.39 $481.50 1.0×
Arterial puncture (36600)
range across 2 matching MRF lines		 $64.28–$198.29 $117.50–$362.50 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $12,759.33 $23,326 1.0×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
likely a partial charge, not the full procedure		 $1,877.58 $3,432.50 0.3×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,330.88 $4,261.20 0.2×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
likely a partial charge, not the full procedure		 $2,096.93 $3,833.50 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 8 matching MRF lines		 $25.17–$345.98 $46–$632.50 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $42.40–$212.51 $77.50–$388.50 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $25.17–$628.78 $46–$1,149.50 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 5 matching MRF lines		 $48.69–$671.17 $89–$1,227 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines		 $25.17–$234.39 $46–$428.50 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $3,274.13 $5,985.60 0.3×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,352.74 $2,473 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,166.12 $3,960 0.3×
Arthrodesis knee any technique (27580)
unusually low: confirm this is the full procedure		 $4,562.31 $8,340.60 0.4×
Arthrodesis Posterior Interbody Lumbar (22630)
unusually low: confirm this is the full procedure		 $10,077.39 $18,423 0.4×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $10,473.41 $19,147 0.6×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,470.04 $4,515.60 0.2×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure		 $10,134.55 $18,527.50 0.4×
Arthroplasty ankle revision total ankle (27703)
likely a partial charge, not the full procedure		 $3,520.93 $6,436.80 0.2×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $3,053.25 $5,581.80 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $4,778.32 $8,735.50 0.3×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $7,961.04 $14,554 0.6×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $5,302.08 $9,693 1.7×
Arthroplasty Patella W/Prosthesis (27438)
unusually low: confirm this is the full procedure		 $4,455.87 $8,146 0.4×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $2,261.30 $4,134 0.2×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $2,821.54 $5,158.20 1.8×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,819.33 $3,326 0.6×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,396.05 $6,208.50 1.1×
Arthroscopy ankle w/removal loose/foreign body (29894) $1,708.29 $3,123 0.5×
Arthroscopy hip w/femoroplasty (29914)
unusually low: confirm this is the full procedure		 $3,146.90 $5,753 0.4×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $2,638.40 $4,823.40 0.8×
Arthroscopy Knee Osteochondral Allograft (29867)
unusually low: confirm this is the full procedure		 $4,217.37 $7,710 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $4,236.41 $7,744.80 1.3×
Arthroscopy knee synovectomy limited spx (29875) $3,199.63 $5,849.40 1.0×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,944.32 $3,554.50 0.6×
Arthroscopy shoulder distal claviculectomy (29824) $4,368.35 $7,986 1.4×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $6,940.45 $12,688.20 1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $1,584.94 $2,897.50 0.5×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
unusually low: confirm this is the full procedure		 $2,575.72 $4,708.80 0.4×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
unusually low: confirm this is the full procedure		 $2,354.51 $4,304.40 0.3×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $2,684.02 $4,906.80 0.8×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
unusually low: confirm this is the full procedure		 $3,477.61 $6,357.60 0.5×
Arthroscopy, knee, surgical; with lateral release (29873) $3,324.67 $6,078 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,483.95 $10,025.50 1.7×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,516.86 $8,257.50 1.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $5,980.79 $10,933.80 0.8×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,072.64 $7,445.40 1.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,720.15 $6,801 1.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $6,761.91 $12,361.80 1.0×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,830.76 $7,003.20 1.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,794.65 $6,937.20 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,083.87 $12,950.40 1.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,719.77 $3,144 0.5×
Arthrotomy W/Meniscus Repair Knee (27403)
unusually low: confirm this is the full procedure		 $2,308.34 $4,220 0.3×
Arthrotomy W/Synovectomy Ankle (27625) $1,856.63 $3,394.20 0.6×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $1,965.65 $3,593.50 0.6×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure		 $2,955.45 $5,403 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $9,505.77 $17,378 0.8×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $7,296.44 $13,339 0.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $6,484.96 $11,855.50 0.9×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
unusually low: confirm this is the full procedure		 $4,342.09 $7,938 0.3×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $2,182.53 $3,990 0.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $4,286.95 $7,837.20 1.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,012.91 $7,336.20 1.3×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
unusually low: confirm this is the full procedure		 $2,359.49 $4,313.50 0.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,471.73 $8,175 1.4×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $1,486.20 $2,717 0.5×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,488.85 $4,550 0.8×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,015.24 $1,856 0.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $877.39 $1,604 0.3×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $1,470.61 $2,688.50 0.5×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,547.47 $2,829 1.0×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $2,159.23 $3,947.40 0.7×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $1,193.01 $2,181 0.4×
Arthrt w/synvct kne ant&post w/pop area (27335)
unusually low: confirm this is the full procedure		 $2,501.44 $4,573 0.4×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $1,067.20 $1,951 0.3×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $142.50–$755.69 $260.50–$1,381.50 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $64.28–$2,420.48 $117.50–$4,425 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 4 matching MRF lines		 $25.17–$255.18 $46–$466.50 varies
Aspiration bladder insert suprapubic catheter (51102) $620.30 $1,134 0.3×
Autologous Chondrocyte Implantation Knee (27412) $5,419.41 $9,907.50 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $46.77–$233.57 $85.50–$427 varies
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure		 $2,864.92 $5,237.50 0.5×
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $446.36–$1,104.94 $816–$2,020 varies
Biopsy bone open deep (20245) $1,708.01 $3,122.50 0.6×
Biopsy bone open superficial (20240) $578.73 $1,058 0.2×
Biopsy bone trocar/needle deep (20225) $1,104.94 $2,020 0.7×
Biopsy Bone Trocar/Needle Superficial (20220) $936.47 $1,712 0.6×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $655.58–$1,045.32 $1,198.50–$1,911 varies
Biopsy Muscle Superficial (20200) $501.06 $916 0.3×
Biopsy of breast; open, incisional (19101) $834.18 $1,525 0.2×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,068.84–$1,104.94 $1,954–$2,020 varies
Biopsy of penis (54100) $524.30 $958.50 0.3×
Biopsy of rectum (45100) $832.54 $1,522 0.3×
Biopsy Pleura Percutaneous Needle (32400) $1,123.82 $2,054.50 0.7×
Biopsy Salivary Gland Incisional (42405) $797.80 $1,458.50 0.5×
Biopsy Salivary Gland Needle (42400) $805.74 $1,473 1.2×
Biopsy soft tissue back/flank deep (21925) $1,246.34 $2,278.50 0.8×
Biopsy soft tissue forearm&/wrist superficial (25065) $665.43 $1,216.50 0.4×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,626.51 $2,973.50 0.6×
Biopsy soft tissue leg/ankle area superficial (27613) $661.05 $1,208.50 0.4×
Biopsy soft tissue neck/thorax (21550) $733.26 $1,340.50 0.5×
Biopsy soft tissue thigh/knee area superficial (27323) $706.18 $1,291 0.4×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $720.13 $1,316.50 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $238.22 $435.50 0.3×
Biopsy/removal lymph nodes (38510) $1,288.74 $2,356 0.3×
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines		 $68.65–$342.97 $125.50–$627 varies
Bladder Irrigation (51700)
range across 4 matching MRF lines		 $53.61–$267.76 $98–$489.50 varies
Bladder Scan (51798)
range across 4 matching MRF lines		 $30.36–$62.36 $55.50–$114 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $64.28–$644.92 $117.50–$1,179 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $262.84–$372.51 $480.50–$681 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $908.30 $1,660.50 0.1×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,312.26 $2,399 0.2×
Bone Marrow; Aspiration Only (38220) $447.18 $817.50 0.3×
Buttock fasciotomy (27027)
unusually low: confirm this is the full procedure		 $2,813.77 $5,144 0.4×
Bx breast 1st lesion mr imag (19085) $2,581.02 $4,718.50 1.6×
Bx breast 1st lesion strtctc (19081) $2,329.13 $4,258 1.5×
Bx breast 1st lesion us imag (19083) $1,986.71 $3,632 1.2×
Bx breast needle core w/o imaging guidance spx (19100)
range across 3 matching MRF lines		 $73.03–$365.40 $133.50–$668 varies
Bx Cervix (57500) $387.01 $707.50 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,433.69 $2,621 0.4×
Bx/exc lymph node open superficial (38500) $809.29 $1,479.50 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,292.57 $2,363 0.4×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
unusually low: confirm this is the full procedure		 $3,209.80 $5,868 0.5×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,781.31 $3,256.50 1.1×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,681.48 $3,074 0.5×
Capsulorrhaphy Anterior W/Labral Repair (23455) $6,594.91 $12,056.50 0.9×
Capsulorrhaphy Anterior With Bone Block (23460) $3,600.91 $6,583 0.5×
Capsulotomy Posterior Capsular Release Knee (27435) $2,646.66 $4,838.50 0.8×
Carpal Tunnel Surgery (64721) $2,241.88 $4,098.50 1.2×
Carpectomy All Bones Proximal Row (25215) $4,044.52 $7,394 1.3×
Catheter aspiration nasotracheal spx (31720) $200.48 $366.50 0.9×
Cerv artific diskectomy (22856)
unusually low: confirm this is the full procedure		 $5,241.36 $9,582 0.3×
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines		 $68.38–$340.51 $125–$622.50 varies
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $25.17–$240.96 $46–$440.50 varies
Change of Windpipe Airway (31502) $25.17 $46 0.1×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $36.65–$184.34 $67–$337 varies
Chemodenerv Musc Migraine (64615) $382.08 $698.50 1.3×
Chemodenervation of internal anal sphincter (46505) $1,046.14 $1,912.50 0.9×
Chest tube placement (32551)
range across 3 matching MRF lines		 $629.88–$1,405.79 $1,151.50–$2,570 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,081.97 $1,978 0.3×
Circumcision 28 days or older (54161) $529.77 $968.50 0.3×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $368.68–$374.70 $674–$685 varies
Cl Tx Scapular Fx; W Manip (23575) $278.97 $510 0.2×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $278.97–$2,644.75 $510–$4,835 varies
Claviculectomy partial (23120) $3,102.59 $5,672 1.0×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $25.17–$326.29 $46–$596.50 varies
Closed Rx Metacarpal Fx,Percut (26608) $3,019.99 $5,521 1.0×
Closed Treat Vert Body Fract (22310) $1,782.95 $3,259.50 7.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $278.97–$1,271.78 $510–$2,325 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 3 matching MRF lines		 $279.25–$1,395.68 $510.50–$2,551.50 varies
Closed Treatment Sesamoid Fracture (28530) $354.46 $648 1.5×
Closed Treatment Sternum Fracture (21820) $506.25 $925.50 2.1×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 4 matching MRF lines		 $278.97–$1,809.75 $510–$3,308.50 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $278.97–$1,046.14 $510–$1,912.50 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $278.97–$1,218.99 $510–$2,228.50 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 4 matching MRF lines		 $278.97–$1,528.87 $510–$2,795 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 4 matching MRF lines		 $234.67–$1,174.14 $429–$2,146.50 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 4 matching MRF lines		 $277.33–$1,386.65 $507–$2,535 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,763.53 $3,224 1.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $278.97–$1,417.01 $510–$2,590.50 varies
Closed tx knee dislocation w/o anesthesia (27550) $278.97 $510 1.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines		 $142.50–$990.35 $260.50–$1,810.50 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $278.97–$1,457.21 $510–$2,664 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $142.50 $260.50 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $142.50 $260.50 0.0×
Closed tx patellar dislocation w/anesthesia (27562) $278.97 $510 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $278.97 $510 1.2×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 4 matching MRF lines		 $278.97–$1,493.59 $510–$2,730.50 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $278.97–$2,075.87 $510–$3,795 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 4 matching MRF lines		 $239.32–$1,196.29 $437.50–$2,187 varies
Closed tx radial shaft fracture w/manipulation (25505) $2,412.55 $4,410.50 1.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $278.97–$698.25 $510–$1,276.50 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $278.97–$2,500.07 $510–$4,570.50 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 4 matching MRF lines		 $247.80–$1,237.87 $453–$2,263 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 4 matching MRF lines		 $240.41–$1,202.58 $439.50–$2,198.50 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $142.50–$831.72 $260.50–$1,520.50 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $278.97 $510 1.2×
Closed tx talotarsal joint dislc w/o anes (28570) $642.46 $1,174.50 2.7×
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $133.75–$668.71 $244.50–$1,222.50 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $932.37 $1,704.50 3.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $142.50 $260.50 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $25.17–$415.45 $46–$759.50 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 4 matching MRF lines		 $266.12–$1,329.76 $486.50–$2,431 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 4 matching MRF lines		 $236.58–$1,181.52 $432.50–$2,160 varies
Closure Gastrostomy Surg (43870) $2,331.87 $4,263 0.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $278.97 $510 1.2×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $1,769.82 $3,235.50 0.6×
Clsd tx acromioclavicular dislc w/manipulation (23545) $278.97 $510 1.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $278.97 $510 1.2×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 4 matching MRF lines		 $142.50–$1,110.96 $260.50–$2,031 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $541.81 $990.50 1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 3 matching MRF lines		 $73.30–$366.22 $134–$669.50 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $278.97–$1,099.47 $510–$2,010 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $278.97–$868.64 $510–$1,588 varies
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $1,733.72 $3,169.50 0.6×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 4 matching MRF lines		 $348.44–$3,125.13 $637–$5,713.20 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $278.97–$2,615.76 $510–$4,782 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $278.97–$964.09 $510–$1,762.50 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $278.97–$596.23 $510–$1,090 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $278.97 $510 0.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 4 matching MRF lines		 $162.46–$812.85 $297–$1,486 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $278.97–$905.02 $510–$1,654.50 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,186.99 $2,170 0.8×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $278.97–$1,171.68 $510–$2,142 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $278.97–$1,918.06 $510–$3,506.50 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $278.97 $510 1.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 4 matching MRF lines		 $142.50–$909.39 $260.50–$1,662.50 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $269.40–$1,347.81 $492.50–$2,464 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $278.97–$3,079.34 $510–$5,629.50 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,366.68 $2,498.50 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,195.66 $4,014 1.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines		 $275.15–$1,376.53 $503–$2,516.50 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,249.90 $2,285 5.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,427.70 $4,438.20 1.6×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $142.50–$498.32 $260.50–$911 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 4 matching MRF lines		 $64.28–$357.47 $117.50–$653.50 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $142.50–$412.17 $260.50–$753.50 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 4 matching MRF lines		 $64.28–$333.40 $117.50–$609.50 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $278.97–$1,431.78 $510–$2,617.50 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 4 matching MRF lines		 $183.80–$917.60 $336–$1,677.50 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $1,291.75 $2,361.50 5.4×
Cltx Greater Trochanteric Fx W/O Manj (27246) $1,054.89 $1,928.50 4.4×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $334.77–$4,940.51 $612–$9,032 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $278.97–$479.45 $510–$876.50 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $278.97–$946.31 $510–$1,730 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $278.97 $510 0.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,933.84 $5,363.50 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 4 matching MRF lines		 $142.50–$1,448.19 $260.50–$2,647.50 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 3 matching MRF lines		 $485.19–$2,426.50 $887–$4,436 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $278.97 $510 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $64.28–$322.73 $117.50–$590 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $278.97–$1,008.67 $510–$1,844 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $278.97–$797.80 $510–$1,458.50 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,317.73 $2,409 0.8×
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $179.97–$898.45 $329–$1,642.50 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $278.97–$1,493.59 $510–$2,730.50 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 4 matching MRF lines		 $142.50–$1,350.55 $260.50–$2,469 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $278.97–$2,275.52 $510–$4,160 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $278.97–$1,579.19 $510–$2,887 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 4 matching MRF lines		 $142.50–$911.58 $260.50–$1,666.50 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $278.97–$3,117.08 $510–$5,698.50 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $278.97–$1,069.94 $510–$1,956 varies
Cltx prox fibula/shft fx w/manj (27781) $1,233.22 $2,254.50 0.8×
Cltx prox fibula/shft fx w/o manj (27780)
range across 4 matching MRF lines		 $278.97–$1,399.78 $510–$2,559 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $278.97 $510 0.2×
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines		 $278.97–$1,019.61 $510–$1,864 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $278.97–$1,074.04 $510–$1,963.50 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $64.28–$574.63 $117.50–$1,050.50 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $278.97 $510 0.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $278.97 $510 0.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,623.50 $2,968 1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 4 matching MRF lines		 $278.97–$1,759.43 $510–$3,216.50 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 4 matching MRF lines		 $334.77–$3,182.23 $612–$5,817.60 varies
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $786.59 $1,438 0.2×
Cltx tibial fx proximal w/o manipulation (27530)
range across 4 matching MRF lines		 $278.97–$1,918.06 $510–$3,506.50 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 4 matching MRF lines		 $278.97–$1,627.06 $510–$2,974.50 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,179.34 $2,156 4.9×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $278.97–$2,335.15 $510–$4,269 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 4 matching MRF lines		 $171.76–$857.70 $314–$1,568 varies
Collect Blood From Catheter Venous Nos (36592) $81.23 $148.50 0.6×
Collection of venous blood by venipuncture (36415)
range across 8 matching MRF lines		 $17.51–$61.54 $32–$112.50 varies
Colonoscopy Flexible With Decompression (45393) $1,017.97 $1,861 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,140.23 $2,084.50 1.0×
Colonoscopy thru stoma (44388) $1,009.22 $1,845 1.1×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,082.24 $1,978.50 0.9×
Colonoscopy w/ablation (45388) $1,653.59 $3,023 1.4×
Colonoscopy W/Band Ligation (45398) $1,367.23 $2,499.50 1.2×
Colonoscopy w/submucosal inj (45381) $1,333.32 $2,437.50 1.1×
Colpocleisis (le fort type) (57120) $1,687.50 $3,085 0.3×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,211.06 $2,214 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $493.95 $903 1.7×
Colposcopy Cervix Endocervical Curettage (57456) $437.06 $799 1.5×
Colposcopy cervix upper/adjacent vagina (57452) $357.47 $653.50 1.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $462.49 $845.50 1.6×
Colposcopy entire vagina w/cervix if present (57420)
range across 3 matching MRF lines		 $64.28–$321.91 $117.50–$588.50 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $424.75 $776.50 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,724.42 $3,152.50 1.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,932.28 $3,532.50 1.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,316.36 $2,406.50 1.1×
Combined anteroposterior colporrhaphy; (57260) $2,744.58 $5,017.50 0.6×
Complex Cystometrogram (51726) $682.39 $1,247.50 2.8×
Complex drainage wound (10180)
range across 4 matching MRF lines		 $64.28–$597.06 $117.50–$1,091.50 varies
Conization of cervix (57520) $843.21 $1,541.50 0.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $142.50–$432.68 $260.50–$791 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $64.28–$277.06 $117.50–$506.50 varies
Control oropharyngeal hemorrhage simple (42960) $142.50 $260.50 0.3×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $11,112.58 $20,315.50 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,104.94 $2,020 0.7×
Correction hammertoe (28285) $1,407.98 $2,574 0.4×
Correction of trichiasis; epilation, by forceps only (67820) $25.17 $46 0.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,893.45 $3,461.50 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,148.89 $3,928.50 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $2,252.55 $4,118 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,090.64 $3,822 0.7×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $123.63 $226 2.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $142.50–$1,027 $260.50–$1,877.50 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $142.50 $260.50 0.6×
Curette/treat cornea (65435) $30.36 $55.50 0.0×
Cysto Bladder W/Ureteral Catheterization (52005) $845.12 $1,545 0.4×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 3 matching MRF lines		 $164.10–$821.05 $300–$1,501 varies
Cysto w/complex removal stone & stent (52315) $1,291.20 $2,360.50 0.6×
Cysto w/destruction of lesions (52214) $2,050.43 $3,748.50 0.6×
Cysto w/insert ureteral stent (52332) $1,681.21 $3,073.50 0.5×
Cysto w/irrig & evac multple obstructing clots (52001) $1,165.66 $2,131 0.3×
Cysto w/removal of lesions small (52224) $2,146.16 $3,923.50 0.6×
Cysto w/removal of tumors small (52234) $781.67 $1,429 0.2×
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $152.34–$760.61 $278.50–$1,390.50 varies
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $1,244.98 $2,276 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,123.82 $2,054.50 0.3×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $1,173.87 $2,146 0.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $961.08 $1,757 0.3×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure		 $1,324.02 $2,420.50 0.3×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $1,319.92 $2,413 0.3×
Cystometrogram W/Vp (51728)
range across 3 matching MRF lines		 $163.01–$815.31 $298–$1,490.50 varies
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 $195.83–$979.41 $358–$1,790.50 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $2,358.67 $4,312 0.3×
Cystoscopy and radiotracer (52250) $761.98 $1,393 0.2×
Cystoscopy implant stent (52282) $1,080.60 $1,975.50 0.3×
Cystoscopy inject material (52327)
likely a partial charge, not the full procedure		 $831.99 $1,521 0.2×
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $334.77–$913.77 $612–$1,670.50 varies
Cystouretero W/Congen Repr (52400) $1,515.74 $2,771 0.4×
Cystouretero w/excise tumor (52355)
likely a partial charge, not the full procedure		 $1,484.84 $2,714.50 0.3×
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $128–$638.08 $234–$1,166.50 varies
Cystourethroscopy inj chemodenervation bladder (52287) $978.59 $1,789 0.5×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $916.23 $1,675 0.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $1,244.98 $2,276 0.2×
Cystourethroscopy w/dil bladder general anesth (52260) $679.93 $1,243 0.3×
Cystourethroscopy w/rmvl ureteral calculus (52320) $790.42 $1,445 0.2×
Cystourethroscopy with biopsy (52204)
range across 3 matching MRF lines		 $229.47–$1,146.79 $419.50–$2,096.50 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $846.21 $1,547 0.4×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $880.40 $1,609.50 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $25.17–$171.76 $46–$314 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $278.97–$2,375.08 $510–$4,342 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,535.71 $2,807.50 2.2×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,659.88 $3,034.50 2.4×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $2,053.17 $3,753.50 0.6×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,145.97 $2,095 0.4×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,287.64 $2,354 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $127.18–$634.80 $232.50–$1,160.50 varies
Debride nail 1-5 (11720)
range across 4 matching MRF lines		 $16.96–$85.61 $31–$156.50 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $22.98–$114.60 $42–$209.50 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $165.47–$828.71 $302.50–$1,515 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $64.28–$402.87 $117.50–$736.50 varies
Declot vascular device (36593) $91.63 $167.50 0.3×
Decompress Spinal Cord Lmbr (63056) $4,855.45 $8,876.50 0.7×
Decompression of tibia nerve (28035) $1,396.22 $2,552.50 0.7×
Deep Muscle Biopsy (20205) $697.16 $1,274.50 0.2×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $41.30–$443.35 $75.50–$810.50 varies
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $203.76–$316.99 $372.50–$579.50 varies
Destruction Benign Lesions 15/> (17111)
range across 3 matching MRF lines		 $54.43–$273.78 $99.50–$500.50 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $647.38 $1,183.50 0.6×
Destruction Lesions Vulva Simple (56501) $360.75 $659.50 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $406.43 $743 2.1×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $471.79 $862.50 2.4×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $602.53 $1,101.50 1.5×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $679.93 $1,243 0.9×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $865.09 $1,581.50 1.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $294.29 $538 1.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $376.89 $689 1.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $425.30 $777.50 2.2×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $461.40 $843.50 1.2×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $566.42 $1,035.50 1.4×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines		 $142.50–$294.29 $260.50–$538 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $320.27 $585.50 1.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $345.71 $632 1.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $397.40 $726.50 2.0×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $461.40 $843.50 1.2×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $545.91 $998 1.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $232.21 $424.50 1.2×
Destruction of skin lesions (17106) $1,007.31 $1,841.50 2.6×
Destruction Premalignant Lesion 15/> (17004) $540.71 $988.50 1.4×
Destruction premalignant lesion 1st (17000) $168.21 $307.50 0.9×
Destruction Vaginal Lesions Simple (57061) $320.27 $585.50 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $64.28–$332.31 $117.50–$607.50 varies
Diaphragm or cervical cap fitting with instructions (57170) $259.56 $474.50 1.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $461.13 $843 0.4×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $184.34 $337 1.5×
Dilate Esophagus 1/Mult Pass (43450) $437.06 $799 0.5×
Dilate Urethra Stricture (53600) $223.45 $408.50 0.9×
Dilation & curettage dx&/ther nonobstetric (58120) $712.47 $1,302.50 0.2×
Dilation Cervical Canal (57800) $25.17 $46 0.0×
Dilation Esophagus Guide Wire (43453) $843.21 $1,541.50 0.5×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $172.04 $314.50 0.1×
Disarticulation At Knee (27598) $2,318.41 $4,238.40 0.7×
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure		 $1,423.57 $2,602.50 0.2×
Drain Hand Tendon Sheath (26020) $1,189.46 $2,174.50 0.4×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $38.84–$193.10 $71–$353 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $64.28–$569.98 $117.50–$1,042 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $64.28–$466.05 $117.50–$852 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $142.50–$982.42 $260.50–$1,796 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $142.50–$743.38 $260.50–$1,359 varies
Drainage of gum lesion (41800) $64.28 $117.50 0.5×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $66.47–$332.31 $121.50–$607.50 varies
Drainage of hydrocele (55000) $377.98 $691 0.5×
Drainage of nose lesion (30000) $591.31 $1,081 2.6×
Drainage of palmar bursa single bursa (26025) $1,156.64 $2,114.50 0.4×
Drainage of rectal abscess (45005) $142.50 $260.50 0.1×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $142.50–$565.06 $260.50–$1,033 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $64.28–$565.60 $117.50–$1,034 varies
Draw Blood Off Venous Device (36591) $51.15 $93.50 0.4×
Dressing Change Under Anesthesia (15852) $124.17 $227 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $64.28 $117.50 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 4 matching MRF lines		 $92.45–$463.86 $169–$848 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 4 matching MRF lines		 $79.05–$395.21 $144.50–$722.50 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $25.17–$226.46 $46–$414 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $1,779.67 $3,253.50 2.5×
Dstrj Lesion Anus Simple Chemical (46900) $577.64 $1,056 1.5×
Dstrj lesion anus simple surg excision (46922) $758.69 $1,387 0.3×
Dstrj Lesion Penis Simple Chemical (54050) $311.25 $569 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $311.25 $569 1.6×
Dstrj lesion penis simple surg excision (54060)
range across 3 matching MRF lines		 $98.46–$492.85 $180–$901 varies
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $653.94 $1,195.50 1.7×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $171.22–$849.50 $313–$1,553 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $563.96 $1,031 0.3×
Egd cautery tumor polyp (43250) $520.48 $951.50 0.3×
Egd control bleeding any (43255) $801.36 $1,465 0.4×
Egd dilation gastric/duodenal stricture (43245) $1,601.62 $2,928 0.9×
Egd Flexible Foreign Body Removal (43247) $623.86 $1,140.50 0.7×
Egd guide wire insertion (43248) $915.96 $1,674.50 1.0×
Egd lesion ablation (43270) $1,867.19 $3,413.50 1.0×
Egd place gastrostomy tube (43246) $743.38 $1,359 0.4×
Egd remove lesion snare (43251) $599.52 $1,096 0.3×
Egd Tube/Cath Insertion (43241) $398.77 $729 0.2×
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $8.48–$42.12 $15.50–$77 varies
Endometrial Biopsy (58100) $303.32 $554.50 1.5×
Endoscopic injection/implant (51715) $910.21 $1,664 0.3×
Enterorrhaphy single perforation (44602) $4,585.51 $8,383 1.2×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $763.62 $1,396 0.4×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 3 matching MRF lines		 $502.97–$2,515.11 $919.50–$4,598 varies
Epididymectomy unilateral (54860) $1,109.87 $2,029 0.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 3 matching MRF lines		 $509.54–$2,546.56 $931.50–$4,655.50 varies
Episiotomy or vaginal repair (59300) $524.58 $959 0.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,080.88 $1,976 1.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $425.02 $777 0.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $25.17–$130.74 $46–$239 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,491.13 $2,726 0.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,312.72 $4,228 1.4×
Exc abdl tum deep 5 cm/> (22901) $2,172.69 $3,972 0.8×
Exc arm/elbow les sc < 3 cm (24075) $1,373.80 $2,511.50 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 4 matching MRF lines		 $60.45–$302.22 $110.50–$552.50 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 4 matching MRF lines		 $64.28–$497.50 $117.50–$909.50 varies
Exc Back Les Sc < 3 Cm (21930) $1,137.76 $2,080 0.7×
Exc Back Tum Deep 5 Cm/> (21933) $2,416.10 $4,417 0.9×
Exc back tum deep < 5 cm (21932) $2,072.31 $3,788.50 0.7×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $1,112.06 $2,033 0.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,505.62 $2,752.50 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $111.32–$556.30 $203.50–$1,017 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $643.28 $1,176 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $942.21 $1,722.50 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $877.39 $1,604 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 4 matching MRF lines		 $64.28–$355.01 $117.50–$649 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 4 matching MRF lines		 $64.28–$413.54 $117.50–$756 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $92.17–$461.67 $168.50–$844 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $565.06 $1,033 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $718.49 $1,313.50 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $1,164.29 $2,128.50 0.7×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,451.47 $2,653.50 0.5×
Exc ganglion wrist recurrent (25112) $1,130.65 $2,067 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 4 matching MRF lines		 $58.81–$294.29 $107.50–$538 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 4 matching MRF lines		 $64.28–$374.70 $117.50–$685 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $83.97–$419.55 $153.50–$767 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,857.07 $3,395 1.2×
Exc hand tum deep < 1.5 cm (26116) $1,435.33 $2,624 0.9×
Exc hydrocele sprmatic cord uni spx (55500) $1,079.51 $1,973.50 0.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,710.20 $3,126.50 1.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,113.70 $2,036 0.7×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,044.50 $1,909.50 0.6×
Exc neuroma hand/foot xcp digital nerve (64782) $1,203.13 $2,199.50 0.6×
Exc Rct Tum Incl Muscularis Propria (45172) $2,688.51 $4,915 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,996.28 $3,649.50 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,206.06 $4,033 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines		 $64.28–$453.47 $117.50–$829 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $64.28–$566.42 $117.50–$1,035.50 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $278.97–$792.61 $510–$1,449 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines		 $64.28–$634.80 $117.50–$1,160.50 varies
Exc Skin Benig >4cm Face,Facial (11446) $920.88 $1,683.50 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $151.80–$757.60 $277.50–$1,385 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,024.54 $1,873 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $161.64–$809.84 $295.50–$1,480.50 varies
Exc tendon shth lesion leg/ankle (27630) $1,994.37 $3,646 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $1,092.36 $1,997 0.4×
Exc thigh/knee tum dep 5cm/> (27339) $2,459.86 $4,497 0.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $142.50–$437.88 $260.50–$800.50 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 4 matching MRF lines		 $64.28–$351.73 $117.50–$643 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $80.41–$402.32 $147–$735.50 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 4 matching MRF lines		 $64.28–$516.37 $117.50–$944 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,220.09 $2,230.50 0.4×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,570.99 $2,872 1.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,736.37 $5,002.50 1.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,464.05 $2,676.50 0.5×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,474.17 $2,695 0.5×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,255.83 $4,124 0.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,486.20 $2,717 0.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,845.04 $3,373 0.7×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,153.63 $2,109 0.7×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,207.78 $2,208 0.4×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,316.36 $2,406.50 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,339.61 $2,449 0.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $2,188.11 $4,000.20 0.8×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $2,807.48 $5,132.50 1.0×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,786.51 $3,266 1.1×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,386.68 $4,363.20 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,017.70 $1,860.50 0.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,224.19 $2,238 0.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,627.71 $6,632 1.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,110.69 $2,030.50 0.4×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $1,005.12 $1,837.50 0.3×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure		 $1,048.06 $1,916 0.1×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
unusually low: confirm this is the full procedure		 $2,430 $4,442.40 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,405.52 $2,569.50 0.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $64.28–$816.40 $117.50–$1,492.50 varies
Excise intraspinal lesion (63267) $4,353.30 $7,958.50 0.6×
Excise Wrist Tendon Sheath (25118) $2,044.69 $3,738 1.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $565.88 $1,034.50 0.8×
Excision Chalazion Single (67800) $488.75 $893.50 1.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,766.46 $5,057.50 1.0×
Excision External Ear Partial Simple Repair (69110) $1,195.47 $2,185.50 0.4×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,148.70 $2,100 0.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,036.02 $1,894 0.4×
Excision lesion meniscus/capsule knee (27347) $3,349.83 $6,124 1.1×
Excision lesion tendon sheath forearm&/wrist (25110) $1,898.92 $3,471.50 1.2×
Excision Lingual Frenum Frenectomy (41115) $549.47 $1,004.50 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $419.55 $767 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 3 matching MRF lines		 $96–$480.54 $175.50–$878.50 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $512.27 $936.50 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $621.12 $1,135.50 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $429.13 $784.50 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $745.57 $1,363 0.5×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 3 matching MRF lines		 $252.72–$1,264.40 $462–$2,311.50 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $404.24 $739 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $476.99 $872 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $616.47 $1,127 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $891.34 $1,629.50 0.6×
Excision Multiple External Papillae/Tags Anus (46230) $769.63 $1,407 0.3×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $2,564.61 $4,688.50 0.8×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $1,397.59 $2,555 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,683.12 $3,077 1.1×
Excision of hydrocele; bilateral (55041) $1,373.80 $2,511.50 0.4×
Excision of hydrocele; unilateral (55040) $945.22 $1,728 0.3×
Excision of local lesion of epididymis (54830) $1,007.03 $1,841 0.3×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $2,115.25 $3,867 1.1×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $3,489.32 $6,379 0.6×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $3,790.44 $6,929.50 0.7×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $142.50–$661.05 $260.50–$1,208.50 varies
Excision of single external papilla or tag, anus (46220)
range across 3 matching MRF lines		 $83.42–$416 $152.50–$760.50 varies
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $1,138.04 $2,080.50 0.2×
Excision of vaginal cyst or tumor (57135) $883.41 $1,615 0.3×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)
likely a partial charge, not the full procedure		 $1,134.48 $2,074 0.2×
Excision olecranon bursa (24105) $1,803.46 $3,297 0.6×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,596.97 $2,919.50 0.5×
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357)
unusually low: confirm this is the full procedure		 $2,583.76 $4,723.50 0.4×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,604.90 $2,934 0.5×
Excision or fulguration; Skene's glands Facility (53270) $545.64 $997.50 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,537.35 $2,810.50 0.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,244.98 $2,276 0.4×
Excision prepatellar bursa (27340) $1,946.78 $3,559 0.6×
Excision soft tissue lesion, external auditory canal (69145) $1,022.35 $1,869 0.4×
Excision spermatocele w/wo epididymectomy (54840) $922.79 $1,687 0.5×
Excision synovial cyst popliteal space (27345) $1,475.26 $2,697 0.5×
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $1,226.11 $2,241.50 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,287.10 $2,353 0.8×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,348.91 $2,466 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,477.18 $2,700.50 0.9×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,568.44 $4,695.50 1.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,742.75 $3,186 1.1×
Excision, interdigital (morton) neuroma, single, each (28080) $1,952.52 $3,569.50 1.3×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,188.91 $2,173.50 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $918.14 $1,678.50 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,141.32 $2,086.50 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,337.69 $2,445.50 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $2,353.75 $4,303 0.8×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,310.34 $2,395.50 0.8×
Excision/curettage cyst/tumor carpal bones (25130) $1,184.26 $2,165 0.4×
Excision/curettage cyst/tumor phalanx finger (26210) $1,158.82 $2,118.50 0.7×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $1,318 $2,409.50 0.4×
Excision; trochanteric bursa or calcification (27062) $1,430.68 $2,615.50 0.5×
Expl penetrating wound spx abdomen/flank/back (20102) $1,375.44 $2,514.50 0.7×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $142.50–$1,323.47 $260.50–$2,419.50 varies
Exploration of knee joint (27310) $3,934.03 $7,192 1.2×
Exploration of spinal fusion (22830)
unusually low: confirm this is the full procedure		 $2,564.34 $4,688 0.4×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $278.97–$1,918.06 $510–$3,506.50 varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
unusually low: confirm this is the full procedure		 $3,051.72 $5,579 0.5×
Exploratory elbow surgery (24000) $1,257.28 $2,298.50 0.4×
Explore treat shoulder joint (23107)
likely a partial charge, not the full procedure		 $2,091.46 $3,823.50 0.3×
Explore/Treat Elbow Joint (24101) $1,368.33 $2,501.50 0.4×
Explore/Treat Hand Joint (26070) $1,601.62 $2,928 1.0×
Explore/Treat Knee Joint (27331) $1,255.37 $2,295 0.4×
External cephalic version (59412) $764.71 $1,398 0.2×
Fasciectomy Palm Only (26121) $1,881.41 $3,439.50 0.6×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,382.82 $2,528 0.4×
Fasciotomy Iliotibial Open (27305) $1,266.86 $2,316 0.4×
Fasciotomy palmar open partial (26045) $2,473.27 $4,521.50 0.8×
Fasciotomy, foot and/or toe (28008) $1,146.79 $2,096.50 0.4×
Fasciotomy, hip or thigh, any type (27025) $2,888.16 $5,280 0.9×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $5,304.26 $9,697 1.7×
Fetal Contraction Stress Test (59020) $183.80 $336 0.9×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $66.19–$122.53 $121–$224 varies
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $73.03–$365.95 $133.50–$669 varies
Fluid Pressure Muscle (20950)
range across 3 matching MRF lines		 $64.28–$663.24 $117.50–$1,212.50 varies
Fluoro exam of g/colon tube (49465) $335.86 $614 1.4×
Fna bx w/us gdn 1st les (10005) $940.02 $1,718.50 1.4×
Foreskin manipulation (54450)
range across 4 matching MRF lines		 $36.65–$182.98 $67–$334.50 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,410.09 $4,406 1.2×
Fusion Finger Joint (26860) $1,438.34 $2,629.50 0.5×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $2,697.81 $4,932 0.4×
Fusion of knuckle (26850)
likely a partial charge, not the full procedure		 $1,789.52 $3,271.50 0.3×
Fusion of tibiofibular joint (27871)
likely a partial charge, not the full procedure		 $2,166.45 $3,960.60 0.2×
Fusion/graft of hand joint (26844)
unusually low: confirm this is the full procedure		 $3,066.21 $5,605.50 0.4×
Gastrocnemius recession (27687) $1,438.18 $2,629.20 0.5×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $4,426.33 $8,092 1.2×
Guide Cathet Fluid Drainage (10030) $2,032.66 $3,716 3.0×
Hemiarthroplasty hip partial (27125) $7,405.29 $13,538 0.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,129.29 $2,064.50 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $983.78 $1,798.50 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,308.98 $2,393 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,443.81 $2,639.50 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $1,531.33 $2,799.50 0.6×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,163.47 $2,127 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 3 matching MRF lines		 $152.07–$761.43 $278–$1,392 varies
Hemorrhoidopexy by stapling (46947) $1,054.07 $1,927 0.4×
Hip arthro acetabuloplasty (29915)
unusually low: confirm this is the full procedure		 $3,356.40 $6,136 0.5×
Hip arthro w/labral repair (29916)
unusually low: confirm this is the full procedure		 $3,214.45 $5,876.50 0.5×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,282.99 $2,345.50 0.5×
I&d abscess peritonsillar (42700) $142.50 $260.50 0.6×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $51.15–$255.45 $93.50–$467 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,111.15 $3,859.50 1.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,520.12 $2,779 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,185.08 $2,166.50 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,486.48 $2,717.50 0.5×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,317.18 $2,408 0.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,628.42 $2,977 0.5×
I&d perianal abscess superficial (46050)
range across 4 matching MRF lines		 $64.28–$576.82 $117.50–$1,054.50 varies
I&d pilonidal cyst complicated (10081)
range across 3 matching MRF lines		 $139.76–$699.62 $255.50–$1,279 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $64.28–$454.84 $117.50–$831.50 varies
I&d shoulder deep abscess/hematoma (23030) $1,144.06 $2,091.50 0.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $707.28 $1,293 0.3×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $547.83 $1,001.50 0.6×
Image Cath Fluid Peri/Retro (49406) $3,154.83 $5,767.50 2.0×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure		 $3,046.79 $5,570 0.5×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $391.93 $716.50 0.0×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $1,013.32 $1,852.50 0.1×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure		 $585.02 $1,069.50 0.1×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $64.28–$416.82 $117.50–$762 varies
Incise finger tendon sheath (26055) $1,580.83 $2,890 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $91.08–$455.66 $166.50–$833 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,670.27 $3,053.50 0.6×
Incision & drainage leg/ankle infected bursa (27604) $1,453.27 $2,656.80 0.5×
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $130.19–$651.48 $238–$1,191 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $57.71–$288.82 $105.50–$528 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $64.28–$339.42 $117.50–$620.50 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $64.28–$312.34 $117.50–$571 varies
Incision extensor tendon sheath wrist (25000) $1,834.92 $3,354.50 1.2×
Incision of fibula (27707) $1,263.90 $2,310.60 0.4×
Incision of Foot Tendon (28234) $1,458.03 $2,665.50 0.9×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $112.69–$473.16 $206–$865 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $278.97–$1,488.12 $510–$2,720.50 varies
Incision of sperm duct (55200) $1,241.69 $2,270 0.4×
Incision of tibia & fibula (27709)
likely a partial charge, not the full procedure		 $3,714.90 $6,791.40 0.3×
Incision of urethra (53020) $258.46 $472.50 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $171.22–$723.14 $313–$1,322 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $78.23–$391.11 $143–$715 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $64.28–$188.17 $117.50–$344 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $605.53–$706.18 $1,107–$1,291 varies
Inj W/Fluor Eval Cv Device (36598) $435.42 $796 2.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines		 $1,805.93–$2,106.23 $3,301.50–$3,850.50 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $25.17–$569.16 $46–$1,040.50 varies
Injection aa&/strd genicular nrv branches w/img (64454) $650.93 $1,190 0.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $507.07–$920.06 $927–$1,682 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $126.36–$465.78 $231–$851.50 varies
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines		 $31.46–$569.16 $57.50–$1,040.50 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 6 matching MRF lines		 $25.17–$545.64 $46–$997.50 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $25.17–$172.04 $46–$314.50 varies
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $41.58–$205.40 $76–$375.50 varies
Injection, anesthetic agent; brachial plexus, single (64415) $64.28 $117.50 0.1×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $64.28–$308.79 $117.50–$564.50 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $25.17–$272.68 $46–$498.50 varies
Injection, intralesional; up to and including 7 lesions (11900) $124.17 $227 0.6×
Insert and remove bone pin (20650) $838.83 $1,533.50 0.3×
Insert Bladder Cath Complex (51703)
range across 6 matching MRF lines		 $65.37–$327.38 $119.50–$598.50 varies
Insert cath pleura w/ image (32557) $900.64 $1,646.50 0.6×
Insert cath pleura w/o image (32556) $2,048.79 $3,745.50 1.1×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $49.51–$391.11 $90.50–$715 varies
Insert Drug Implant Device (11981) $376.34 $688 2.9×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $64.28–$649.29 $117.50–$1,187 varies
Insert pessary/other device (57160) $216.62 $396 1.1×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $856.33 $1,565.50 0.0×
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $59.63–$297.85 $109–$544.50 varies
Insert tunneled cv cath (36561) $3,394.14 $6,205 1.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $25.17–$226.46 $46–$414 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,087.99 $1,989 0.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,729.72 $6,818.50 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $652.03–$773.74 $1,192–$1,414.50 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,223.56 $4,065 0.7×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $2,912.78 $5,325 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $575.72 $1,052.50 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $278.97–$964.91 $510–$1,764 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $278.97–$1,286.82 $510–$2,352.50 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $227.56–$402.87 $416–$736.50 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 4 matching MRF lines		 $122.53–$612.37 $224–$1,119.50 varies
Knee arthroscopy/drainage (29871) $3,306.62 $6,045 1.0×
Knee Arthroscopy/Surgery (29874) $3,481.22 $6,364.20 1.1×
Lam facetec & foramot lumbar (63047) $7,160.78 $13,091 1.0×
Laminotomy Single Lumbar (63042) $8,505.31 $15,549 1.2×
Lap paraesoph her rpr w/mesh (43282) $5,649.97 $10,329 0.5×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $5,029.01 $9,193.80 0.5×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $3,240.43 $5,924 0.3×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,013.32 $1,852.50 0.2×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,500.34 $4,571 0.4×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,009.22 $1,845 0.2×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $1,573.45 $2,876.50 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,171.68 $2,142 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure		 $1,850.51 $3,383 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure		 $1,768.46 $3,233 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,638.82 $2,996 0.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $3,530.34 $6,454 0.3×
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure		 $2,864.92 $5,237.50 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure		 $2,430.33 $4,443 0.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $2,335.15 $4,269 0.4×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $3,637.01 $6,649 0.4×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure		 $1,780.49 $3,255 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,525.04 $2,788 0.3×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $947.96 $1,733 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $895.72 $1,637.50 0.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $1,940.49 $3,547.50 0.3×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,606 $2,936 0.3×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure		 $2,455.49 $4,489 0.4×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $171.22–$277.33 $313–$507 varies
Laryngoscopy flexible diagnostic (31575) $64.28 $117.50 0.3×
Laryngoscopy W/Foreign Body Removal (31530) $171.22 $313 0.1×
Laser vaporization of prostate (52648) $5,700.02 $10,420.50 1.1×
Late closure of wound (13160) $1,956.90 $3,577.50 0.6×
Lateral retinacular release open (27425) $2,360.58 $4,315.50 0.7×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $1,698.44 $3,105 0.6×
Lig&div long saph vein saphfem junct/interrupj (37700) $710.01 $1,298 0.2×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
unusually low: confirm this is the full procedure		 $3,937.58 $7,198.50 0.3×
Ligamentous Reconstruction Knee Extra-Articular (27427)
unusually low: confirm this is the full procedure		 $2,247.63 $4,109 0.3×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $3,577.38 $6,540 0.3×
Ligate/strip long leg vein (37722) $1,624.59 $2,970 0.5×
Ligate/strip short leg vein (37718) $1,484.84 $2,714.50 0.5×
Ligation Major Artery Abdomen (37617) $3,589.69 $6,562.50 0.7×
Ligation of femoral vein (37650) $1,295.85 $2,369 0.4×
Ligation of hemorrhoids (46946) $722.87 $1,321.50 0.3×
Ligation or biopsy temporal artery (37609) $818.59 $1,496.50 0.5×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $973.12 $1,779 0.3×
Litholapaxy comp/lg > 2.5 cm (52318) $1,504.80 $2,751 0.4×
Litholapaxy smpl/sm <2.5 cm (52317) $2,654.87 $4,853.50 0.8×
Lithotripsy, extracorporeal shock wave (50590) $1,884.15 $3,444.50 0.6×
Low Back Disk Surgery (63030) $6,268.62 $11,460 0.9×
Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) $145.51 $266 5.2×
Lumbar spine fusion combined (22633) $13,668.99 $24,989 0.5×
Lysis/excision penile postcircumcision adhesions (54162) $810.39 $1,481.50 0.4×
Manipulation Ankle Under General Anesthesia (27860) $455.93 $833.50 0.1×
Manipulation hip joint general anesthesia (27275) $483.01 $883 0.3×
Manipulation knee joint under general anesthesia (27570) $792.61 $1,449 0.5×
Manipulation tmj therapeutic require anesthesia (21073) $334.77 $612 0.2×
Manipulation, finger joint, under anesthesia, each joint (26340) $782.21 $1,430 0.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,044.50 $1,909.50 0.7×
Mast mod rad (19307) $3,903.67 $7,136.50 0.6×
Mastectomy for gynecomastia (19300) $1,731.81 $3,166 0.5×
Mastectomy partial (19301) $2,126.19 $3,887 0.6×
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure		 $2,927.55 $5,352 0.5×
Mastectomy simple complete (19303) $3,291.19 $6,016.80 0.5×
Muscle-skin graft trunk (15734) $4,728.82 $8,645 1.4×
N Block Inj Ilio-Ing/Hypogi (64425) $343.79 $628.50 0.5×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $287.45–$513.64 $525.50–$939 varies
N Block Inj Plantar Digit (64455)
range across 5 matching MRF lines		 $24.89–$498.87 $45.50–$912 varies
N Block Lumbar/Thoracic (64520) $499.14 $912.50 0.6×
Nasal/Orogastric W/Tube Plmt (43752) $115.70 $211.50 0.3×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $902.01 $1,649 1.0×
Neck spine fusion (22600) $9,481.16 $17,333 0.6×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $351.45–$1,146.24 $642.50–$2,095.50 varies
Needle Biopsy Pancreas (48102) $1,325.93 $2,424 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $28.18 $51.50 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $28.18 $51.50 1.0×
Neuroeltrd Stim Post Tibial (64566)
range across 3 matching MRF lines		 $71.66–$358.29 $131–$655 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,102.59 $5,672 1.6×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,298.58 $2,374 0.7×
Njx anes stellate ganglion crv sympathetic (64510) $588.58 $1,076 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $64.28–$320.55 $117.50–$586 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $481.64–$661.05 $880.50–$1,208.50 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines		 $596.78–$740.10 $1,091–$1,353 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $526.77–$706.18 $963–$1,291 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $769.63 $1,407 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $908.02 $1,660 1.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $420.10 $768 0.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $448.54 $820 0.7×
Njx Sclrsnt 1 Incmptnt Vein (36470) $406.15 $742.50 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $496.41 $907.50 1.3×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $88.89–$303.32 $162.50–$554.50 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure		 $2,593.61 $4,741.50 0.4×
Open biopsy/excision inguinofemoral nodes (38531) $1,156.64 $2,114.50 0.3×
Open bowel to skin (44300) $2,756.61 $5,039.50 1.5×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $5,122.66 $9,365 0.7×
Open Repair of Rotator Cuff Acute (23410) $5,366.90 $9,811.50 0.8×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
unusually low: confirm this is the full procedure		 $4,689.98 $8,574 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814) $4,905.28 $8,967.60 0.7×
Open treatment calcaneal fracture (28415) $3,547.52 $6,485.40 0.5×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,117.93 $7,528.20 0.3×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $3,480.57 $6,363 0.3×
Open treatment greater trochanteric fracture (27248)
unusually low: confirm this is the full procedure		 $2,431.15 $4,444.50 0.3×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
unusually low: confirm this is the full procedure		 $2,141.78 $3,915.50 0.3×
Open treatment interphalangeal joint dislocation (28675) $1,867.79 $3,414.60 0.6×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $3,275.17 $5,987.50 0.5×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure		 $2,887.89 $5,279.50 0.4×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
unusually low: confirm this is the full procedure		 $3,073.60 $5,619 0.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $3,859.09 $7,055 0.5×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
unusually low: confirm this is the full procedure		 $3,181.90 $5,817 0.5×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $4,379.51 $8,006.40 0.6×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
unusually low: confirm this is the full procedure		 $4,049.99 $7,404 0.3×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
unusually low: confirm this is the full procedure		 $2,675.49 $4,891.20 0.4×
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) $2,992.09 $5,470 0.9×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure		 $3,304.43 $6,041 0.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
likely a partial charge, not the full procedure		 $2,113.34 $3,863.50 0.3×
Open Treatment of Ulnar Shaft Fracture (25545)
unusually low: confirm this is the full procedure		 $3,333.42 $6,094 0.5×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,642.37 $3,002.50 0.2×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,407.02 $4,400.40 0.3×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $1,893.99 $3,462.50 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $2,805.02 $5,128 0.2×
Open Treatment Radial Shaft Fracture (25515) $3,580.67 $6,546 0.5×
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure		 $2,341.44 $4,280.50 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,856.90 $7,051 1.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $3,824.36 $6,991.50 0.5×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $278.97–$1,314.17 $510–$2,402.50 varies
Open Tx Distal Tibiofibular Joint Disruption (27829) $4,361.45 $7,973.40 0.6×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $3,160.90 $5,778.60 0.3×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $3,257.72 $5,955.60 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,592.87 $2,912 0.5×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $2,433.06 $4,448 0.2×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
unusually low: confirm this is the full procedure		 $2,561.28 $4,682.40 0.4×
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $278.97–$1,441.90 $510–$2,636 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,575.74 $6,537 1.1×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,100.13 $5,667.50 1.0×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,903.29 $3,479.50 0.3×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $2,932.47 $5,361 0.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $5,512.12 $10,077 0.8×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $3,484.94 $6,371 0.5×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $5,255.03 $9,607 0.7×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $6,701.30 $12,251 1.0×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $7,827.03 $14,309 1.1×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
unusually low: confirm this is the full procedure		 $5,689.08 $10,400.50 0.5×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $3,787.76 $6,924.60 0.5×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
unusually low: confirm this is the full procedure		 $5,802.58 $10,608 0.5×
Orchiectomy radical tumor inguinal approach (54530) $1,338.24 $2,446.50 0.4×
Orchiopexy Ingun/Scrot Appr (54640) $1,558.41 $2,849 0.4×
Ostc prtl exostc/condylc metar head (28288) $1,919.65 $3,509.40 0.6×
Ostectomy calcaneus (28118) $1,575.91 $2,881 0.5×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,386.65 $2,535 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,660.70 $3,036 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,229.11 $2,247 0.4×
Osteochondral allograft knee open (27415)
unusually low: confirm this is the full procedure		 $4,523.42 $8,269.50 0.4×
Osteochondral knee autograft (27416)
unusually low: confirm this is the full procedure		 $3,238.79 $5,921 0.5×
Osteoplasty Radius/Ulna Shortening (25390) $5,289.77 $9,670.50 0.8×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,793.89 $3,279.50 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,492.77 $2,729 0.5×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $2,056.18 $3,759 0.3×
Osteotomy Clavicle W Bone Graft (23485) $6,287.77 $11,495 0.5×
Osteotomy Tibia (27705)
unusually low: confirm this is the full procedure		 $2,404.07 $4,395 0.3×
Osteotomy Ulna (25360)
unusually low: confirm this is the full procedure		 $2,140.96 $3,914 0.3×
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) $8,996.51 $16,447 1.3×
Ovarian cystectomy, unilateral or bilateral (58925) $2,447.83 $4,475 0.5×
Parathyroidectomy or exploration of parathyroid(s); (60500) $3,162.76 $5,782 0.6×
Part exc bone femur prox tibia (27360) $2,238.88 $4,093 0.7×
Part remv talus or calcaneus (28120) $2,790.25 $5,101 0.9×
Partial excision bone olecranon process (24147) $1,625.96 $2,972.50 0.5×
Partial Excision Distal Phalanx Finger (26236) $1,173.05 $2,144.50 0.8×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,339.61 $2,449 0.9×
Partial removal of fibula (27641) $1,761.07 $3,219.50 0.6×
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure		 $2,326.67 $4,253.50 0.4×
Partial removal of tibia (27640) $4,665.37 $8,529 1.5×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure		 $2,245.71 $4,105.50 0.4×
Partical Excision Bone Phalanx Toe (28124) $1,520.88 $2,780.40 0.5×
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure		 $2,054.54 $3,756 0.3×
Penile Injection (54235)
range across 3 matching MRF lines		 $46.50–$233.57 $85–$427 varies
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $1,026.29 $1,876.20 0.3×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
likely a partial charge, not the full procedure		 $1,191.92 $2,179 0.2×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $1,648.66 $3,014 1.1×
Peri-Implant Capsulectomy Breast Complete (19371) $2,506.36 $4,582 0.7×
Peritoneal Lavage (49084) $347.35 $635 0.4×
Perq dev breast 1st strtctc (19283) $519.11 $949 0.8×
Perq dev breast 1st us imag (19285) $690.59 $1,262.50 1.0×
Perq device breast 1st imag (19281) $611.82 $1,118.50 0.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $3,557.69 $6,504 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $21,732.59 $39,730.50 3.1×
Perq Vertebral Augmentation (22513) $22,792.67 $41,668.50 3.2×
Pin hand dislocation (26676) $2,636.82 $4,820.50 0.8×
Placement of needle for intraosseous infusion (36680) $64.28 $117.50 0.1×
Placement of seton (46020) $773.46 $1,414 0.3×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $2,231.76 $4,080 0.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $142.50–$198.02 $260.50–$362 varies
Proctosgmdsc Rigid Control Bleeding (45317) $142.50 $260.50 0.1×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $604.44 $1,105 0.2×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $618.94 $1,131.50 0.5×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $566.42 $1,035.50 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $142.50 $260.50 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $381.54 $697.50 0.3×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $298.94 $546.50 0.1×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) $3,560.65 $6,509.40 0.5×
Prosthesis Removal Humeral/Glenoid Component (23334)
unusually low: confirm this is the full procedure		 $3,390.31 $6,198 0.5×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,168.12 $2,135.50 0.4×
Prq skel fixj femoral fx prox end neck (27235) $5,938.24 $10,856 0.8×
Prq skel fixj metar fx w/manj (28476) $927.17 $1,695 0.3×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $3,994.47 $7,302.50 0.6×
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
likely a partial charge, not the full procedure		 $1,261.61 $2,306.40 0.2×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $1,060.09 $1,938 0.3×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $2,512.10 $4,592.50 0.8×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $1,404.43 $2,567.50 0.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,579.19 $2,887 0.5×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $64.55–$323.28 $118–$591 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $42.40–$744.47 $77.50–$1,361 varies
Puncture Aspiration Cyst Breast (19000)
range across 6 matching MRF lines		 $61.27–$916.23 $112–$1,675 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
unusually low: confirm this is the full procedure		 $2,331.59 $4,262.50 0.3×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,476.27 $4,527 1.6×
Radical resection of tumor, distal phalanx of finger Facility (26262) $1,670.54 $3,054 1.1×
Radical resection of tumor, femur or knee Facility (27365) $6,747.52 $12,335.50 2.1×
Radical styloidectomy separate procedure (25230) $1,119.44 $2,046.50 0.4×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,646.91 $3,010.80 0.5×
Rcnstj Dislocating Patella (27420)
unusually low: confirm this is the full procedure		 $2,312.72 $4,228 0.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure		 $2,131.01 $3,895.80 0.3×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,459.40 $2,668 0.4×
Re-explore parathyroids (60502) $4,213.27 $7,702.50 0.7×
Realignment extensor tendon hand each tendon (26437) $1,943.77 $3,553.50 0.6×
Realignment of knee (27457)
unusually low: confirm this is the full procedure		 $3,411.37 $6,236.50 0.5×
Reconstruct Finger Joint (26548) $2,484.21 $4,541.50 0.8×
Reconstruct wrist joint (25445)
unusually low: confirm this is the full procedure		 $2,352.10 $4,300 0.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure		 $2,438.26 $4,457.50 0.3×
Reinforce humerus (24498)
likely a partial charge, not the full procedure		 $3,094.38 $5,657 0.2×
Removal Anal Seton Other Marker (46030) $394.39 $721 0.3×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $30.36–$890.25 $55.50–$1,627.50 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $278.97–$1,214.62 $510–$2,220.50 varies
Removal Foreign Body Foot Complicated (28193) $1,319.37 $2,412 0.8×
Removal foreign body foot deep (28192) $1,202.31 $2,198 0.7×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $142.50–$574.35 $260.50–$1,050 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $142.50–$444.17 $260.50–$812 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $6.57–$33.65 $12–$61.50 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $25.17–$134.57 $46–$246 varies
Removal Implant Deep (20680) $2,289.47 $4,185.50 0.8×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $64.28–$801.36 $117.50–$1,465 varies
Removal implantable contraceptive capsules (11976) $380.99 $696.50 0.6×
Removal of anal fissure (46200) $1,249.90 $2,285 0.5×
Removal of ankle implant (27704) $1,807.07 $3,303.60 0.6×
Removal of anterior instrumentation (22855) $3,555.50 $6,500 0.5×
Removal of bladder cyst (51500)
unusually low: confirm this is the full procedure		 $2,046.33 $3,741 0.3×
Removal of bone lesion (23140) $1,365.86 $2,497 0.4×
Removal of cervix (57530) $1,142.14 $2,088 0.2×
Removal of foot joint lining (28072) $1,342.34 $2,454 0.4×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $142.50–$419.01 $260.50–$766 varies
Removal of heel spur (28119) $1,672.84 $3,058.20 0.5×
Removal of hip joint lining (27054) $2,249 $4,111.50 0.7×
Removal of hip prosthesis; (separate procedure) Facility (27090)
unusually low: confirm this is the full procedure		 $2,718.32 $4,969.50 0.4×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
likely a partial charge, not the full procedure		 $518.01 $947 0.0×
Removal of humerus lesion (23150) $2,099.66 $3,838.50 0.7×
Removal of knee prosthesis (27488) $7,877.35 $14,401 0.6×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $92.17–$461.40 $168.50–$843.50 varies
Removal of posterior segmental instrumentation Facility (22852) $4,464.62 $8,162 0.6×
Removal of sesamoid bone (28315) $1,282.99 $2,345.50 0.4×
Removal of sperm cord lesion (55520) $1,241.69 $2,270 0.4×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $1,604.63 $2,933.50 0.2×
Removal of testis (54520) $961.63 $1,758 0.3×
Removal of wrist bone (25210) $2,631.07 $4,810 0.8×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $25.17–$173.13 $46–$316.50 varies
Removal shoulder foreign body deep subfascial/im (23333) $1,201.49 $2,196.50 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $25.17–$194.74 $46–$356 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $294.02 $537.50 0.1×
Removal sweat gland lesion (11450) $1,056.81 $1,932 0.4×
Removal, under anesthesia, of external fixation system (20694) $1,811.40 $3,311.50 1.2×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $25.17–$163.83 $46–$299.50 varies
Remove Ankle Joint Lining (27626) $1,958.37 $3,580.20 0.6×
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure		 $2,265.68 $4,142 0.4×
Remove cerclage suture (59871) $810.39 $1,481.50 0.3×
Remove drug implant device (11982) $423.38 $774 1.0×
Remove elbow joint implant (24160) $1,652.22 $3,020.50 0.5×
Remove elbow lesion (24120) $1,391.57 $2,544 0.4×
Remove femur lesion/graft (27356)
likely a partial charge, not the full procedure		 $2,641.47 $4,829 0.2×
Remove Forearm Foreign Body (25248) $1,493.59 $2,730.50 1.0×
Remove foreign body from eye (65235) $334.77 $612 0.1×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $30.36–$168.75 $55.50–$308.50 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $64.28–$285.27 $117.50–$521.50 varies
Remove Lower Leg Bone Lesion (27635) $3,850.45 $7,039.20 1.2×
Remove lung catheter (32552)
range across 3 matching MRF lines		 $100.38–$502.97 $183.50–$919.50 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $64.28–$614.29 $117.50–$1,123 varies
Remove Peritoneal Foreign Body (49402) $2,792.44 $5,105 0.8×
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure		 $1,264.67 $2,312 0.2×
Remove shoulder joint lining (23105)
unusually low: confirm this is the full procedure		 $2,294.12 $4,194 0.3×
Remove spine eltrd plate (63662) $2,553.40 $4,668 0.8×
Remove spine fixation device (22850)
unusually low: confirm this is the full procedure		 $2,378.91 $4,349 0.3×
Remove Tendon Sheath Lesion (26160) $1,717.58 $3,140 1.1×
Remove thyroid lesion (60200)
unusually low: confirm this is the full procedure		 $1,812.22 $3,313 0.3×
Remove/graft leg bone lesion (27637)
unusually low: confirm this is the full procedure		 $2,426.06 $4,435.20 0.3×
Remove/Insert Drug Implant (11983) $589.67 $1,078 1.4×
Renal Biopsy Perq (50200) $1,104.94 $2,020 0.7×
Repair Achilles Tendon (27650) $4,364.74 $7,979.40 0.6×
Repair Anorectal Fistula Plug (46707) $467.96 $855.50 0.2×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $278.97–$4,576.21 $510–$8,366 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $2,028.28 $3,708 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $278.97–$1,047.24 $510–$1,914.50 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $278.97–$1,322.10 $510–$2,417 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $278.97–$819.41 $510–$1,498 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $278.97–$1,132.29 $510–$2,070 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $278.97–$740.10 $510–$1,353 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $278.97–$1,782.40 $510–$3,258.50 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $278.97–$708.37 $510–$1,295 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $278.97–$815.86 $510–$1,491.50 varies
Repair Elbow Perc (24357) $1,449.01 $2,649 0.5×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $278.97–$2,994.56 $510–$5,474.50 varies
Repair Finger Tendon (26433) $2,786.70 $5,094.50 0.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,003.39 $3,662.50 0.6×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $2,126.19 $3,887 0.3×
Repair Forearm Tendon Sheath (25275) $1,784.05 $3,261.50 0.6×
Repair Hallux Rigidus (28289) $1,938.57 $3,544 0.6×
Repair Hand Joint (26540) $1,686.41 $3,083 0.5×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $278.97–$2,967.21 $510–$5,424.50 varies
Repair incomplete circumcision (54163) $569.16 $1,040.50 0.3×
Repair inguinal hernia, sliding, any age (49525) $1,561.69 $2,855 0.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,065.20 $3,775.50 0.6×
Repair initial femoral hernia, any age; reducible (49550) $1,571.54 $2,873 0.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,918.06 $3,506.50 0.6×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $1,650.58 $3,017.50 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 4 matching MRF lines		 $121.17–$606.35 $221.50–$1,108.50 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $278.97–$632.61 $510–$1,156.50 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $278.97–$677.74 $510–$1,239 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $278.97–$750.22 $510–$1,371.50 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $278.97–$1,301.04 $510–$2,378.50 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $278.97–$793.70 $510–$1,451 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $103.93–$520.20 $190–$951 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $278.97–$634.80 $510–$1,160.50 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $278.97–$682.39 $510–$1,247.50 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $278.97–$1,188.09 $510–$2,172 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $278.97–$930.18 $510–$1,700.50 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $95.73–$478.36 $175–$874.50 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $189.54–$1,200.40 $346.50–$2,194.50 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $278.97–$1,017.70 $510–$1,860.50 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $278.97–$652.58 $510–$1,193 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $278.97–$1,198.48 $510–$2,191 varies
Repair Leg Fascia Defect (27656) $1,676.56 $3,065 0.5×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,911.77 $3,495 0.3×
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $3,438.72 $6,286.50 0.3×
Repair Nonunion Hand (26546)
unusually low: confirm this is the full procedure		 $3,386.48 $6,191 0.5×
Repair of anal fistula with fibrin glue (46706) $648.75 $1,186 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268) $1,596.15 $2,918 0.3×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $3,063.10 $5,599.80 0.4×
Repair of hydrocele (55060) $1,003.20 $1,834 0.3×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $2,098.30 $3,836 0.3×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $142.50–$707.82 $260.50–$1,294 varies
Repair of rectocele (45560) $1,905.48 $3,483.50 0.7×
Repair of Ruptured Tendon (24342) $4,222.84 $7,720 0.6×
Repair of shoulder (23420) $6,332.35 $11,576.50 0.9×
Repair of urethra injury (53502) $1,331.40 $2,434 0.4×
Repair of web finger (26560) $304.68 $557 0.2×
Repair recurrent femoral hernia; reducible Facility (49555) $1,627.06 $2,974.50 0.5×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,337.34 $4,273 0.4×
Repair Rotator Cuff Chronic (23412) $5,593.63 $10,226 0.8×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,867.46 $3,414 0.3×
Repair shoulder capsule (23462) $7,025.95 $12,844.50 1.0×
Repair shoulder capsule (23466) $3,534.72 $6,462 0.5×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $278.97–$1,263.57 $510–$2,310 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,964.83 $3,592 0.3×
Repair tongue laceration (41252) $227.56 $416 1.0×
Repair tongue laceration (41250) $64.28 $117.50 0.1×
Repair webbed toe(s) (28345) $301.40 $551 0.2×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $3,736.56 $6,831 0.5×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,257.28 $2,298.50 0.2×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $2,210.98 $4,042 0.3×
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure		 $2,166.45 $3,960.60 0.3×
Repair/Graft Wrist Bone (25440)
unusually low: confirm this is the full procedure		 $2,427.86 $4,438.50 0.3×
Repair/transpose nerve (64856) $6,637.03 $12,133.50 0.8×
Repr Elbw Med Ligmnt W/Tiss (24345)
unusually low: confirm this is the full procedure		 $2,121 $3,877.50 0.3×
Repr torn cruciate knee ligam (27407)
unusually low: confirm this is the full procedure		 $2,450.56 $4,480 0.3×
Rerepair ing hernia reduce (49520) $2,065.20 $3,775.50 0.6×
Resection/transplantation long tendon biceps (23440) $4,938.43 $9,028.20 0.7×
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure		 $5,150.83 $9,416.50 0.4×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure		 $5,749.25 $10,510.50 0.5×
Revise Hand/Foot Nerve (64704) $838.56 $1,533 0.4×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $1,662.61 $3,039.50 0.2×
Revise ulnar nerve at wrist (64719) $2,117.17 $3,870.50 1.1×
Revise/Repair Finger/Toe Nerve (64702) $1,421.11 $2,598 0.7×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $1,516.84 $2,773 0.5×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $3,356.40 $6,136 1.0×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $3,764.19 $6,881.50 1.1×
Revision of foot (28116) $2,429.01 $4,440.60 0.8×
Revision of foot bones (28737)
likely a partial charge, not the full procedure		 $2,211.74 $4,043.40 0.2×
Revision of lower leg tendon (27685) $1,749.04 $3,197.50 0.6×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $9,794.86 $17,906.50 0.8×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
unusually low: confirm this is the full procedure		 $5,006.70 $9,153 0.4×
Revision of urethra (57220) $1,062.28 $1,942 0.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
unusually low: confirm this is the full procedure		 $2,500.34 $4,571 0.4×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $12,825.79 $23,447.50 1.0×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $11,688.85 $21,369 0.7×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $9,288.61 $16,981 0.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,700.82 $4,937.50 0.8×
Revj/rmvl peripheral neurostimulator electrode (64585) $371.96 $680 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $30.36–$179.42 $55.50–$328 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $30.36–$233.03 $55.50–$426 varies
Rmvl fecal impaction/fb spx under anes (45915) $922.52 $1,686.50 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $278.97–$778.39 $510–$1,423 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $421.74 $771 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $142.50–$403.14 $260.50–$737 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,386.02 $4,362 1.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $164.65–$822.15 $301–$1,503 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $545.09 $996.50 0.9×
Rmvl/revj sling stress incontinence (57287) $2,139.87 $3,912 0.7×
Rplc Gtube No Revj Trc (43762) $64.28 $117.50 0.3×
Rplcmt compl tun ctr vad w/subq port (36582) $2,875.31 $5,256.50 0.9×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure		 $2,041.41 $3,732 0.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $935.92 $1,711 0.3×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $2,107.32 $3,852.50 0.3×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $1,749.58 $3,198.50 0.3×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $1,563.33 $2,858 0.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,153.35 $2,108.50 0.3×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,566.89 $2,864.50 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,301.59 $2,379.50 0.2×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $278.97–$2,382.74 $510–$4,356 varies
Rpr blvsl w/grf other/than vein lower extremity (35286)
unusually low: confirm this is the full procedure		 $2,630.25 $4,808.50 0.5×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $2,727.62 $4,986.50 0.9×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,001.84 $1,831.50 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $142.50–$686.76 $260.50–$1,255.50 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $1,260.29 $2,304 0.2×
Rpr Ing Hernia Baby, Reduc (49495) $1,075.13 $1,965.50 0.3×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $1,231.85 $2,252 0.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $278.97–$1,161.83 $510–$2,124 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $189.54 $346.50 0.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $278.97 $510 0.5×
Rpr Lip Full Thickness Vermilion Only (40650) $278.97 $510 0.5×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $4,023.41 $7,355.40 0.6×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,358.21 $2,483 0.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,589.15 $6,561.50 1.1×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $278.97 $510 0.1×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $1,327.03 $2,426 0.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,502.26 $4,574.50 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $801.91 $1,466 0.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $921.43 $1,684.50 0.8×
Shave skin lesion 0.5 cm/< (11300) $161.64 $295.50 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $196.92 $360 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $365.95 $669 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $161.92 $296 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $223.73 $409 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $257.37 $470.50 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $303.32 $554.50 0.8×
Shoulder arthroscopy (29820)
unusually low: confirm this is the full procedure		 $3,501.24 $6,400.80 0.5×
Shoulder arthroscopy diagnostic (29805) $3,032.57 $5,544 1.0×
Shoulder Arthroscopy/Surgery (29825) $3,793.34 $6,934.80 1.2×
Shoulder joint surgery (23101) $1,218.45 $2,227.50 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $25.17–$243.15 $46–$444.50 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $284.17 $519.50 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $209.23 $382.50 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $320.27 $585.50 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $249.98 $457 1.3×
Sigmoidoscopy & decompress (45337) $142.50 $260.50 0.2×
Sigmoidoscopy & Polypectomy (45333) $861.26 $1,574.50 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $7,555.44 $13,812.50 6.5×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,435.33 $2,624 1.2×
Sigmoidoscopy w/fb removal (45332)
range across 2 matching MRF lines		 $142.50–$813.12 $260.50–$1,486.50 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $142.50–$429.40 $260.50–$785 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)
range across 2 matching MRF lines		 $142.50–$563.96 $260.50–$1,031 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $189.54–$814.21 $346.50–$1,488.50 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $64.28–$421.74 $117.50–$771 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $64.28–$463.04 $117.50–$846.50 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $278.97–$729.43 $510–$1,333.50 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $142.50–$545.09 $260.50–$996.50 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $278.97–$858.52 $510–$1,569.50 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $25.17–$398.22 $46–$728 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $278.97–$865.91 $510–$1,583 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $64.28–$495.86 $117.50–$906.50 varies
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $98.46–$493.67 $180–$902.50 varies
Skin sub graft trnk/arm/leg (15271)
range across 4 matching MRF lines		 $94.64–$473.16 $173–$865 varies
Skin sub grft t/arm/lg child (15273)
range across 4 matching MRF lines		 $196.92–$983.78 $360–$1,798.50 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $340.79–$617.29 $623–$1,128.50 varies
Skn sub grft f/n/hf/g child (15277)
range across 4 matching MRF lines		 $215.80–$1,078.14 $394.50–$1,971 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $2,249.82 $4,113 0.5×
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $142.50–$502.15 $260.50–$918 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $64.28–$423.38 $117.50–$774 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $142.50–$616.75 $260.50–$1,127.50 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $189.54–$767.17 $346.50–$1,402.50 varies
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $2,090.09 $3,821 0.8×
Sphincterotomy anal division sphincter spx (46080) $698.25 $1,276.50 0.3×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $394.39–$441.71 $721–$807.50 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,811.86 $5,140.50 0.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,370.70 $4,334 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,860.63 $3,401.50 0.6×
Strapping ankle (29540) $101.20 $185 0.6×
Strapping elbow or wrist (29260) $140.58 $257 2.5×
Strapping hand/finger (29280) $25.17 $46 0.4×
Strapping knee (29530) $25.17 $46 0.2×
Strapping shoulder (29240) $25.17 $46 0.2×
Strapping toes (29550) $98.19 $179.50 1.7×
Strapping Unna Boot (29580)
range across 8 matching MRF lines		 $25.17–$267.76 $46–$489.50 varies
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $2,658.15 $4,859.50 0.1×
Surg tx anal fistula subq (46270) $1,412.91 $2,583 0.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,503.16 $2,748 0.6×
Suture digital nerve hand/foot 1 nerve (64831) $3,659.71 $6,690.50 1.9×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,564.15 $2,859.50 0.2×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $5,181.74 $9,473 0.7×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,584.39 $2,896.50 0.2×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure		 $2,802.83 $5,124 0.4×
Syndactylization toes (28280) $1,401.15 $2,561.50 0.4×
Synovectomy Tendon Sheath Foot Flexor (28086) $1,445.45 $2,642.50 0.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,721.60 $4,975.50 1.7×
Talectomy (astragalectomy) Facility (28130)
likely a partial charge, not the full procedure		 $2,010.56 $3,675.60 0.3×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $51.42–$257.37 $94–$470.50 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $4,247.46 $7,765 1.3×
Tenodesis long tendon biceps (23430) $4,793.09 $8,762.50 0.7×
Tenodesis Wrist Extensors Fingers (25301) $1,701.72 $3,111 0.5×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $2,506.09 $4,581.50 0.8×
Tenolysis extensor foot single tendon (28225) $1,095.92 $2,003.50 0.3×
Tenolysis Flexor Foot Multiple Tendons (28222) $1,354.65 $2,476.50 0.4×
Tenolysis flexor foot single tendon (28220) $1,186.17 $2,168.50 0.8×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,188.91 $2,173.50 0.4×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,031.48 $5,542 1.0×
Tenotomy extensor hand/finger open each tendon (26460) $1,009.49 $1,845.50 0.6×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,241.69 $2,270 0.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $628.51 $1,149 0.4×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $747.48 $1,366.50 0.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $899.55 $1,644.50 0.6×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $947.68 $1,732.50 0.3×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $2,058.37 $3,763 0.3×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $1,231.85 $2,252 0.4×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure		 $1,051.61 $1,922.50 0.2×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876)
unusually low: confirm this is the full procedure		 $2,678.12 $4,896 0.5×
Thrombolytic Therapy Stroke (37195) $470.70 $860.50 1.5×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $341.88–$906.11 $625–$1,656.50 varies
Thyroidectomy Post Prev Thyr Surg (60260) $3,575.47 $6,536.50 0.6×
Thyroidectomy, total or complete (60240) $3,020.81 $5,522.50 0.5×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $4,167.32 $7,618.50 0.7×
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure		 $2,483.17 $4,539.60 0.4×
Tnot elbow lateral/medial debride open (24358) $1,717.58 $3,140 0.5×
Tnot elbow lateral/medial debride open tdn rpr (24359) $4,228.04 $7,729.50 1.3×
Tooth extraction (41899)
range across 4 matching MRF lines		 $77.13–$591.59 $141–$1,081.50 varies
Total Knee Arthroplasty (27447) $10,166.82 $18,586.50 0.8×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $3,059.38 $5,593 0.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $334.77 $612 1.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $334.77 $612 0.2×
Transfer/transplant tendon palmar w/o graft each (26485) $2,110.33 $3,858 0.7×
Transplant hand tendon (26480) $1,941.03 $3,548.50 0.6×
Transplant/graft hand tendon (26483) $2,597.71 $4,749 0.8×
Transrectal Drainage of Pelvic Abscess (45000) $1,165.11 $2,130 1.0×
Transur electr resection of prostate (52601) $2,676.20 $4,892.50 0.5×
Transurethral incision of prostate (52450) $1,238.14 $2,263.50 0.4×
Transurethral resection bladder neck (52500) $1,286 $2,351 0.4×
Treat ankle dislocation (27848) $6,010.99 $10,989 0.9×
Treat Ankle Dislocation (27846) $4,031.29 $7,369.80 0.6×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure		 $3,347.32 $6,119.40 0.5×
Treat Big Toe Fracture (28505) $1,794.44 $3,280.50 0.6×
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure		 $2,489.40 $4,551 0.4×
Treat Elbow Fracture (24635) $4,628.45 $8,461.50 0.7×
Treat Finger Fracture Each (26727) $1,283.54 $2,346.50 0.4×
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure		 $2,830.46 $5,174.50 0.4×
Treat Fx Rad Extra-Articul (25607) $3,877.96 $7,089.50 0.6×
Treat Hand Bone Lesion (26034) $1,395.95 $2,552 0.9×
Treat humerus fracture (24500)
range across 4 matching MRF lines		 $278.97–$1,642.92 $510–$3,003.50 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $278.97–$1,299.40 $510–$2,375.50 varies
Treat humerus fracture (23616)
unusually low: confirm this is the full procedure		 $8,260.53 $15,101.50 0.5×
Treat humerus fracture (23600)
range across 4 matching MRF lines		 $278.97–$1,537.62 $510–$2,811 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $278.97–$1,624.32 $510–$2,969.50 varies
Treat Knee Fracture(S) (27538) $1,464.32 $2,677 6.1×
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure		 $3,197.99 $5,846.40 0.5×
Treat Kneecap Fracture (27524) $4,893.14 $8,945.40 0.7×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $278.97–$899.55 $510–$1,644.50 varies
Treat lower leg dislocation (27832)
unusually low: confirm this is the full procedure		 $2,514.67 $4,597.20 0.4×
Treat metacarpal fracture (26607) $1,289.28 $2,357 0.4×
Treat Metatarsal Fracture (28475) $278.97 $510 1.2×
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure		 $894.08 $1,634.50 0.1×
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure		 $3,091.65 $5,652 0.4×
Treat Tail Bone Fracture (27200) $278.97 $510 1.2×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $278.97–$1,012.50 $510–$1,851 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $278.97–$1,147.06 $510–$2,097 varies
Treat thumb fracture (26665) $1,654.13 $3,024 0.5×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $142.50–$323.28 $260.50–$591 varies
Treat Vaginal Bleeding (57180) $64.28 $117.50 0.3×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $278.97–$2,445.37 $510–$4,470.50 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $278.97–$1,741.11 $510–$3,183 varies
Treatment of anal fissure (46940) $142.50 $260.50 0.1×
Treatment of ankle fracture (27823) $6,271.91 $11,466 0.9×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $8,051.84 $14,720 1.1×
Trim skin lesion (11055)
range across 4 matching MRF lines		 $21.06–$104.48 $38.50–$191 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $28.72–$142.22 $52.50–$260 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $34.19–$171.49 $62.50–$313.50 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $9.85–$48.14 $18–$88 varies
Trurl rescj postop bladder neck contracture (52640) $995.27 $1,819.50 0.3×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,299.40 $2,375.50 0.5×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $278.97–$883.96 $510–$1,616 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $8,173.55 $14,942.50 1.2×
Tx open tendon flexor toe 1 tendon spx (28232) $1,028.09 $1,879.50 0.7×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,139.95 $2,084 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $189.54–$999.10 $346.50–$1,826.50 varies
Tx superficial wound dehiscence w/packing (12021) $397.40 $726.50 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $278.97–$755.69 $510–$1,381.50 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 4 matching MRF lines		 $129.10–$645.46 $236–$1,180 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $6,554.82 $11,983.20 0.5×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,914.78 $3,500.50 0.6×
Unlisted laparoscopic procedure liver (47379)
range across 3 matching MRF lines		 $337.23–$3,597.62 $616.50–$6,577 varies
Unlisted laparoscopy procedure appendix (44979)
likely a partial charge, not the full procedure		 $1,638.82 $2,996 0.3×
Unlisted laparoscopy procedure stomach (43659)
range across 3 matching MRF lines		 $2,933.29–$4,049.45 $5,362.50–$7,403 varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 4 matching MRF lines		 $288.82–$3,086.45 $528–$5,642.50 varies
Unlisted laparoscopy procedure, biliary tract (47579)
likely a partial charge, not the full procedure		 $1,049.15 $1,918 0.2×
Unlisted laparoscopy procedure, bladder (51999)
range across 3 matching MRF lines		 $357.47–$5,383.31 $653.50–$9,841.50 varies
Unlisted laparoscopy procedure, esophagus (43289) $4,934.49 $9,021 0.8×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 3 matching MRF lines		 $400.41–$1,391.30 $732–$2,543.50 varies
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
range across 5 matching MRF lines		 $2,526.87–$8,005.62 $4,619.50–$14,635.50 varies
Unlisted laparoscopy procedure, lymphatic system (38589)
likely a partial charge, not the full procedure		 $1,423.30 $2,602 0.2×
Unlisted laparoscopy procedure, rectum (45499) $6,313.48 $11,542 1.1×
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure		 $992.26 $1,814 0.2×
Unlisted procedure anus (46999)
range across 4 matching MRF lines		 $389.47–$1,056.26 $712–$1,931 varies
Unlisted procedure arthroscopy (29999)
range across 23 matching MRF lines		 $560.68–$7,261.43 $1,025–$13,275 varies
Unlisted procedure breast (19499) $1,974.67 $3,610 0.5×
Unlisted Procedure Casting/Strapping (29799) $231.11 $422.50 1.5×
Unlisted procedure femur or knee (27599)
range across 6 matching MRF lines		 $478.19–$4,618.76 $874.20–$8,443.80 varies
Unlisted procedure foot or toes (28899)
range across 23 matching MRF lines		 $1,030.22–$4,558.05 $1,883.40–$8,332.80 varies
Unlisted procedure forearm or wrist (25999) $1,740.01 $3,181 7.3×
Unlisted Procedure Hands/Fingers (26989)
range across 5 matching MRF lines		 $184.89–$1,829.17 $338–$3,344 varies
Unlisted procedure humerus/elbow (24999)
range across 3 matching MRF lines		 $202.67–$1,012.50 $370.50–$1,851 varies
Unlisted Procedure Leg/Ankle (27899)
range across 11 matching MRF lines		 $1,358.10–$5,679.83 $2,482.80–$10,383.60 varies
Unlisted procedure lungs and pleura (32999) $502.97 $919.50 0.8×
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $1,318.55–$1,824.52 $2,410.50–$3,335.50 varies
Unlisted procedure nervous system (64999)
range across 5 matching MRF lines		 $30.36–$2,477.09 $55.50–$4,528.50 varies
Unlisted procedure pelvis/hip joint (27299)
range across 7 matching MRF lines		 $658.05–$7,573.22 $1,203–$13,845 varies
Unlisted Procedure Rectum (45999) $3,691.71 $6,749 4.1×
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $1,978.50–$2,206.06 $3,617–$4,033 varies
Unlisted procedure stomach (43999) $4,464.35 $8,161.50 5.1×
Unlisted Procedure Tongue Floor Mouth (41599) $294.73 $538.80 1.3×
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines		 $140.04–$1,296.94 $256–$2,371 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 3 matching MRF lines		 $318.09–$3,494.24 $581.50–$6,388 varies
Unlisted Procedure, Urinary System (53899)
range across 5 matching MRF lines		 $53.61–$3,865.11 $98–$7,066 varies
Unlisted px female genital system nonobstetrical (58999) $1,173.87 $2,146 6.0×
Urethrlys Transvag W/ Scope (53500) $2,383.83 $4,358 0.7×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $334.77–$2,678.66 $612–$4,897 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $2,732.27 $4,995 0.6×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $2,909.22 $5,318.50 0.6×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $311.25–$1,556.22 $569–$2,845 varies
Vein Access Cutdown < 1 Yr (36420) $25.17 $46 0.2×
Venous Cutdown >1 Y/O (36425) $64.28 $117.50 0.1×
Vulvectomy simple partial (56620) $1,684.22 $3,079 0.5×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $64.28–$235.49 $117.50–$430.50 varies
Wedging of cast (29740) $259.56 $474.50 1.0×
Windowing of cast (29730)
range across 2 matching MRF lines		 $25.17–$171.49 $46–$313.50 varies
Wound Prep F/N/Hf/G (15004) $1,253.46 $2,291.50 3.2×
Wound Prep Trk/Arm/Leg (15002) $1,139.95 $2,084 1.6×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $2,063.02 $3,771.50 0.3×

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.