Procedures & surgery prices at Seattle Children's Hospital

Seattle, WA · every code in this section with a posted price and a Medicare benchmark.

1409 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $65,711.50 — 16.1×
Abd paracentesis w/imaging (49083) $2,764 $2,764 2.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,518.70 $1,518.70 1.4×
Ablate inf turbinate submuc (30802) $88,249 — 49.0×
Ablation 1/> liver tumor perq cryoablation (47383) $28,791.30 $28,791.30 2.3×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 3 matching MRF lines		 $49,639.10–$57,453.30 — varies
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $107,814.10 — 12.8×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $50,274.45 — 27.9×
Acne surgery (10040) $326.70 $326.70 1.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $22,564.90 — 9.4×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $21,646.95 — 9.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $84,278.30 — 20.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $97,083.45 — 40.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $37,234.70–$65,711.50 — varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $19,818.95–$75,326.35 — varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $68,028.25 — 28.4×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $35,346.65 — 14.8×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
range across 3 matching MRF lines		 $19,779.75–$34,125.35 — varies
Allogeneic lymphocyte infusions (38242) $5,541.70 $5,541.70 3.1×
Amniocentesis diagnostic (59000) $1,696 $1,696 1.6×
Amniocentesis therapeutic (59001) $1,380 $1,380 3.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $20,806.78 — 5.5×
Amputation, leg, through tibia and fibula; re-amputation (27886) $63,459.70 — 16.7×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $1,136.50 $1,136.50 3.2×
Anal/Urinary Muscle Study (51784) $5,998.05 — 40.1×
Anoplasty, plastic operation for stricture; adult Facility (46700) $19,467.45 — 6.0×
Anoscopy W/Rmvl Foreign Body (46608) $1,106.60 $1,106.60 1.0×
Anoscopy; with biopsy, single or multiple (46606) $3,450 $3,450 2.5×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,167.70 $1,167.70 0.8×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $17,567.35 — 5.5×
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines		 $85,396.37–$106,521.13 — varies
Apheresis Platelets (36513) $7,451.70 $7,451.70 14.5×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $519.90–$1,127.50 — varies
Appl cranial tong/strtctc frame w/removal spx (20660)
range across 2 matching MRF lines		 $16,802.91–$24,853.15 — varies
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325)
range across 2 matching MRF lines		 $25,146.85–$25,831.65 — varies
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $1,281.50–$4,876.90 — varies
Application Cast Shoulder Spica (29055) $1,977.30 $1,977.30 6.1×
Application Finger Splint Dynamic (29131) $125.30 $125.30 1.8×
Application finger splint static (29130)
range across 2 matching MRF lines		 $369.60–$554.40 $369.60–$554.40 varies
Application Hip Spica Cast 1 Leg (29305)
range across 2 matching MRF lines		 $22,097.40–$27,036.75 — varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $607.80–$911.70 $607.80–$911.70 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $885.20 $885.20 2.7×
Application Long Leg Splint (29505) $501.60 $501.60 2.7×
Application multiplane external fixation system (20692)
range across 2 matching MRF lines		 $134,922.91–$158,819.37 — varies
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines		 $789.10–$1,499 $789.10–$1,499 varies
Application of long leg cast (29345)
range across 5 matching MRF lines		 $658.30–$2,285.10 $658.30–$2,285.10 varies
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
range across 2 matching MRF lines		 $161,833.17–$190,977.17 — varies
Application Patellar Tendon Bearing Cast (29435) $745.50 $745.50 2.3×
Application risser jacket localizer body only (29010) $17,844.80 — 54.9×
Application Short Arm Splint Dynamic (29126) $275.50 $275.50 1.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $487.90–$731.90 $487.90–$731.90 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $448.10–$672.30 $448.10–$672.30 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $552.40–$718.20 $552.40–$718.20 varies
Apply long arm cast (29065)
range across 7 matching MRF lines		 $497.20–$1,733.30 $497.20–$1,733.30 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $737.30–$1,221.40 — varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $646.60–$969.70 $646.60–$969.70 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180)
range across 4 matching MRF lines		 $80,057.70–$107,386.40 — varies
Arrest Epiphyseal Distal Femur (27475)
range across 4 matching MRF lines		 $33,926.95–$120,332.40 — varies
Arrest Epiphyseal Open Distal Tibia (27730)
range across 4 matching MRF lines		 $20,814–$85,072.02 — varies
Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485)
range across 4 matching MRF lines		 $35,534.55–$80,576.63 — varies
Arterial puncture (36600) $263.10 $263.10 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $1,010.65–$13,790.05 — varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines		 $1,510.45–$19,260.30 — varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $1,894.85–$38,770.30 — varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $2,531.15–$12,980.35 — varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $12,149.40–$14,359.10 — varies
Arthrodesis Pantalar (28705) $149,249.49 — 7.3×
Arthrodesis Posterior Interbody Lumbar (22630) $178,026.45 — 5.7×
Arthrodesis triple (28715)
range across 3 matching MRF lines		 $87,317.26–$125,139.66 — varies
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
range across 3 matching MRF lines		 $88,557.24–$126,998.07 — varies
Arthroplasty Patella W/Prosthesis (27438) $91,125.78 — 6.1×
Arthroplasty, temporomandibular joint, with allograft Facility (21242)
range across 2 matching MRF lines		 $107,741.90–$136,849.60 — varies
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240)
range across 2 matching MRF lines		 $128,614.80–$208,630.93 — varies
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851)
range across 3 matching MRF lines		 $60,519.71–$88,630.23 — varies
Arthroscopy Elbow Surgical Debridement Extensive (29838) $23,620.08 — 6.2×
Arthroscopy knee synovectomy limited spx (29875)
range across 3 matching MRF lines		 $57,828.64–$105,194.51 — varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $65,850.80–$97,400.38 — varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 3 matching MRF lines		 $35,947.10–$88,079.96 — varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $24,182.70 — 6.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $162,102.46–$193,116.30 — varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $92,667.20–$105,958.43 — varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $84,845.12 — 22.3×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $65,482.74–$92,977.12 — varies
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $72,268.30 — 19.0×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612)
range across 2 matching MRF lines		 $77,532.30–$103,367.40 — varies
Aspirate pleura w/ imaging (32555) $20,169.05 — 27.7×
Aspirate/Inj Ganglion Cyst (20612) $561.70 $561.70 1.6×
Aspiration & Injection Treatment Bone Cyst (20615)
range across 3 matching MRF lines		 $38,965.73–$47,666.85 — varies
Aspiration and/or injection thyroid cyst (60300) $912.10 $912.10 1.1×
Aspiration bladder insert suprapubic catheter (51102) $27,696.65 — 11.4×
Aspiration Bladder Needle (51100) $468.20 $468.20 1.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $436.90–$14,502.85 — varies
Biopsy Abdominal Mass (49180) $15,141.35 — 7.9×
Biopsy bone open deep (20245)
range across 3 matching MRF lines		 $32,794–$36,163.80 — varies
Biopsy bone open superficial (20240)
range across 3 matching MRF lines		 $20,280.35–$28,554.30 — varies
Biopsy bone trocar/needle deep (20225)
range across 3 matching MRF lines		 $24,817–$29,918.70 — varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines		 $30,849.80–$40,157.15 — varies
Biopsy External Auditory Canal (69105) $23,287.20 — 12.9×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $14,354.80–$21,498.95 — varies
Biopsy nail unit (11755) $40,157.15 — 48.8×
Biopsy of lip (40490) $673.70 — 2.4×
Biopsy of liver, needle; percutaneous (47000) $25,216.75 — 13.1×
Biopsy of rectum (45100) $22,964.10 — 7.1×
Biopsy Oropharynx (42800) $57,623.25 — 32.0×
Biopsy Pleura Percutaneous Needle (32400)
range across 3 matching MRF lines		 $22,269.75–$28,221.30 — varies
Biopsy Salivary Gland Incisional (42405)
range across 2 matching MRF lines		 $36,400.60–$99,892.80 — varies
Biopsy Salivary Gland Needle (42400) $17,111.95 — 20.8×
Biopsy Soft Tissue Back/Flank Superficial (21920) $29,636.25 — 15.5×
Biopsy soft tissue forearm&/wrist deep (25066)
range across 2 matching MRF lines		 $36,085.70–$78,078.32 — varies
Biopsy soft tissue forearm&/wrist superficial (25065)
range across 2 matching MRF lines		 $17,460.80–$24,284.70 — varies
Biopsy soft tissue leg/ankle area superficial (27613)
range across 3 matching MRF lines		 $16,882.30–$24,929.95 — varies
Biopsy soft tissue neck/thorax (21550) $19,037 — 9.9×
Biopsy Soft Tissue Shoulder Deep (23066) $36,077.25 — 10.7×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324)
range across 3 matching MRF lines		 $21,672–$38,470.80 — varies
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 3 matching MRF lines		 $17,926.20–$25,878.20 — varies
Biopsy Testis Incisional Separate Procedure (54505)
range across 3 matching MRF lines		 $38,174.50–$49,821.10 — varies
Biopsy Testis Needle Separate Procedure (54500) $2,495 $2,495 0.7×
Biopsy Tongue Anterior Two-Thirds (41100) $76,962.25 — 122.9×
Biopsy Tongue Posterior One-Third (41105) $6,277 $6,277 1.6×
Biopsy Vaginal Mucosa Simple (57100) $16,331.15 — 15.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $11,643.40 — 10.9×
Biopsy, vestibule of mouth (40808) $27,816.40 — 44.4×
Biopsy/removal lymph nodes (38510)
range across 3 matching MRF lines		 $26,084.35–$47,184.45 — varies
Bladder Irrigation (51700) $255.50 $255.50 0.9×
Bladder Scan (51798) $1,631.70 — 23.8×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $78,390.70 $78,390.70 43.3×
Blepharotomy drainage abscess eyelid (67700) $16,554.30 — 44.9×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $1,627.20–$3,534.70 $1,627.20–$3,534.70 varies
Bone Graft Any Donor Area Minor/Small (20900) $46,412.30 — 5.5×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $2,941.10–$4,764.10 $2,941.10–$4,764.10 varies
Bone marrow harvest allogen (38230)
range across 2 matching MRF lines		 $15,957.90–$289,720 $15,957.90–$289,720 varies
Bone Marrow; Aspiration Only (38220)
range across 4 matching MRF lines		 $17,794.25–$29,811.55 — varies
Breast augmentation with implant (19325)
range across 3 matching MRF lines		 $46,546.05–$76,896.95 — varies
Breast Reduction (19318)
range across 3 matching MRF lines		 $65,313.65–$74,664.35 — varies
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)
range across 2 matching MRF lines		 $32,054.22–$39,497.35 — varies
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $26,226.40 — 6.1×
Bronchoscopy Clear Airways (31645) $4,952.60 $4,952.60 2.4×
Bronchoscopy W/Excision Tumor (31640) $26,447.15 — 6.1×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $14,300.70 — 1.7×
Bronchoscopy W/Removal Foreign Body (31635) $34,747.90 — 16.8×
Bx Arm/Elbow Soft Tissue,Deep (24066)
range across 2 matching MRF lines		 $20,325.90–$21,400.10 — varies
Bx breast 1st lesion us imag (19083) $4,623.20 $4,623.20 2.4×
Bx Cervix (57500) $596.80 $596.80 0.6×
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines		 $21,971.10–$29,485.25 — varies
Canthoplasty (67950)
range across 2 matching MRF lines		 $29,992.75–$114,014.80 — varies
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $30,332.34 — 16.2×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520)
range across 2 matching MRF lines		 $38,105.26–$54,046.60 — varies
Capsulotomy Midfoot W/Tendon Lengthening (28261)
range across 4 matching MRF lines		 $86,818.36–$130,792.59 — varies
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $96,880.16 — 25.5×
Car-t admn autologous (38228)
range across 2 matching MRF lines		 $1,106.50–$6,137.60 $1,106.50–$6,137.60 varies
Carpal Tunnel Surgery (64721) $30,082 — 13.3×
Cataract surgery complex (66982)
range across 4 matching MRF lines		 $38,206.35–$87,843.75 — varies
Cessj Therapy Cath Removal (37214)
range across 3 matching MRF lines		 $5,031.30–$12,816.10 $5,031.30–$12,816.10 varies
Change Cystostomy Tube Complicated (51710) $1,728.10 — 2.1×
Change Cystostomy Tube Simple (51705) $1,233.80 — 4.3×
Change of Windpipe Airway (31502) $973.60 $973.60 3.5×
Change ureter stent percut (50382) $7,214.20 $7,214.20 3.0×
Chemical Cautery Tissue (17250) $1,592 — 6.8×
Chemical Pleurodesis (32560)
range across 2 matching MRF lines		 $1,268.40–$1,383.70 $1,268.40–$1,383.70 varies
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines		 $15,454.70–$21,327.90 — varies
Chemodenerv 1 extremity 1-4 (64642)
range across 3 matching MRF lines		 $15,320.20–$23,627.85 — varies
Chemodenerv Eccrine Glands (64650) $432.40 $432.40 1.2×
Chemodenerv Musc Migraine (64615) $1,942.20 $1,942.20 5.4×
Chemodenerv musc neck dyston (64616)
range across 3 matching MRF lines		 $8,630.65–$11,398.50 — varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611)
range across 3 matching MRF lines		 $5,591.70–$37,684.70 — varies
Chemodenerv trunk musc 1-5 (64646) $22,222.50 — 27.1×
Chemodenerv trunk musc 6/> (64647) $697.80 $697.80 0.9×
Chemodenervation eccrine glands oth area per day (64653) $471.30 $471.30 1.3×
Chemodenervation Muscle Larynx Unilat W/Emg (64617)
range across 2 matching MRF lines		 $577.40–$865.70 $577.40–$865.70 varies
Chemodenervation of internal anal sphincter (46505) $20,791 — 15.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines		 $4,678.80–$23,902.80 — varies
Chest tube placement (32551) $4,496.60 $4,496.60 2.5×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $4,404.80 $4,404.80 1.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $10,537.40 $10,537.40 2.5×
Chorionic Villus Sampling (59015) $1,904 $1,904 1.8×
Ciliary body destruction; cryotherapy Facility (66720) $42,161.15 — 15.3×
Ciliary body dstrj cyclophotocoag transsceral (66710)
range across 3 matching MRF lines		 $17,787.20–$28,031.80 — varies
Circumcision 28 days or older (54161) $33,800.95 — 13.9×
Circumcision w/clamp/oth dev w/block (54150) $932.40 — 0.4×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $16,769.95–$20,688.30 — varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $509.90–$706.80 $509.90–$706.80 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 2 matching MRF lines		 $946.60–$1,419.90 $946.60–$1,419.90 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines		 $15,587.55–$38,902.10 — varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $835.20 $835.20 0.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $560.50 $560.50 2.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 3 matching MRF lines		 $14,811.90–$23,589.90 — varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $10,329.75 — 5.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $11,580.35 — 3.0×
Closed tx patellar dislocation w/o anesthesia (27560) $316.90 $316.90 1.1×
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines		 $16,057.80–$24,403.05 — varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $12,235.45–$17,721.25 — varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $11,880.85–$12,549.95 — varies
Closed tx septal&nose fx (21337) $79,992.17 — 20.8×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines		 $13,026.25–$29,313 — varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $21,540.25–$48,396.10 — varies
Closure Gastrostomy Surg (43870) $30,323.55 — 6.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $833.30 $833.30 3.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,566.80 $1,566.80 2.5×
Closure of cystostomy (separate procedure) Facility (51880) $35,862.40 — 8.8×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $156,492.85–$434,681.60 — varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $25,920.35 — 90.5×
Clsr Lacrimal Punctum Plug Each (68761) $596.90 — 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $31,408.80 — 16.8×
Cltx dstl fibular fx lat malls w/manj (27788) $1,495.10 $1,495.10 5.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $11,411.80–$19,183.90 — varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $32,623.60 — 17.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 3 matching MRF lines		 $14,846.85–$30,600.95 — varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $15,147.55–$31,314.70 — varies
Cltx hip dislocation traumatic req anesthesia (27252) $3,059.90 $3,059.90 1.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,315.60 $1,315.60 4.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $105.40 $105.40 0.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $530 $530 1.9×
Cltx Med Ankle Fx W/Mnpj (27762) $1,635 $1,635 0.9×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $11,374.85–$20,081.40 — varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $10,763.40 — 37.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $572.40 $572.40 2.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,199.90 $1,199.90 0.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,880 $1,880 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $800.50 $800.50 2.8×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines		 $279–$1,025.90 $279–$1,025.90 varies
Collection of venous blood by venipuncture (36415) $48 $48 5.1×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $4,485.50 $4,485.50 3.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $5,819.80 $5,819.80 4.2×
Colonoscopy thru stoma (44388) $6,627.80 $6,627.80 6.1×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $9,965 $9,965 7.2×
Colonoscopy w/ablation (45388) $5,301.10 $5,301.10 3.8×
Colonoscopy w/fb removal (45379) $4,485.50 $4,485.50 3.2×
Colonoscopy w/submucosal inj (45381) $4,203.40 $4,203.40 3.0×
Colporrhaphy (57200) $16,757.25 — 4.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $875.80 $875.80 2.5×
Colposcopy entire vagina w/cervix if present (57420) $21,557.25 — 60.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $44,027.55 — 41.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $4,975.50 $4,975.50 3.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $5,301.10 $5,301.10 3.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $5,301.10 $5,301.10 3.8×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $6,187.10 $6,187.10 4.5×
Complex Cystometrogram (51726) $7,098.95 — 24.5×
Complex drainage wound (10180) $36,988.60 — 11.0×
Conjunctivorhinostomy Insj Tube/Stent (68750)
range across 2 matching MRF lines		 $19,993.35–$70,552.10 — varies
Construct thumb replacement (26550)
range across 2 matching MRF lines		 $75,191.60–$106,172.20 — varies
Control Nasal Hemorrhage Anterior Complex (30903) $9,541.40 — 61.8×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $513.80–$19,011.50 — varies
Control oropharyngeal hemorrhage simple (42960) $29,634.75 — 47.3×
Conversion ext bil drg cath (47535) $11,767.40 $11,767.40 2.8×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $8,357.40 — 3.8×
Convert Nephrostomy Catheter (50434) $5,320.40 $5,320.40 2.2×
Cordocentesis (59012) $929 $929 2.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $7,807.20 $7,807.20 4.1×
Correction hammertoe (28285) $36,405.65 — 9.6×
Correction of trichiasis; epilation, by forceps only (67820) $210 $210 1.4×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $817.10–$1,113.20 $817.10–$1,113.20 varies
Create Tear Sac-Nasal Fistula (68720)
range across 2 matching MRF lines		 $23,542.82–$54,048.95 — varies
Csf shunt reprogram (62252) $5,573.60 — 15.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $283.90 $283.90 1.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $365.10 $365.10 1.3×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $49,468.20 — 12.8×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 3 matching MRF lines		 $16,942.90–$74,963.31 — varies
Cysto calibration dilat urtl strix/stenosis (52281) $23,359.25 — 9.6×
Cysto w/insert ureteral stent (52332)
range across 4 matching MRF lines		 $25,063.12–$74,116.90 — varies
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300)
range across 2 matching MRF lines		 $32,639.50–$47,733.25 — varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $15,466.25–$20,231.55 — varies
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 3 matching MRF lines		 $36,771.65–$63,045.30 — varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 3 matching MRF lines		 $47,878.15–$79,769.45 — varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 3 matching MRF lines		 $22,650.35–$29,397.80 — varies
Cysto/uretero w/lithotripsy (52356)
range across 4 matching MRF lines		 $63,744.31–$125,362.50 — varies
Cystolithotomy (51050) $38,994.95 — 6.3×
Cystometrogram W/Up (51727) $1,701.60 $1,701.60 2.1×
Cystometrogram W/Vp (51728) $6,657.35 — 8.2×
Cystometrogram W/Vp&Up (51729) $1,585.60 $1,585.60 2.0×
Cystoscopy inject material (52327) $53,943.20 — 8.7×
Cystouretero W/Congen Repr (52400)
range across 2 matching MRF lines		 $30,873.70–$211,104.95 — varies
Cystourethroscopy (52000) $27,000.50 — 33.3×
Cystourethroscopy inj chemodenervation bladder (52287) $27,969.10 — 11.5×
Cystourethroscopy w/dil bladder general anesth (52260) $15,346 — 6.3×
Cystourethroscopy with biopsy (52204) $25,973.85 — 10.7×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $57,878.90 — 14.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $67,757.80 — 20.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $31,997.25 — 38.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $43,580.90 — 50.8×
Debride nail 1-5 (11720) $40,157.15 — 586.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $46,043.10 — 24.0×
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 3 matching MRF lines		 $21,334.20–$31,244.70 — varies
Debridement Mastoidectomy Cavity Simple (69220) $221.20 $221.20 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $19,751.45 — 41.8×
Declot vascular device (36593) $1,251.10 $1,251.10 3.3×
Decompression of tibia nerve (28035) $97,980.50 — 43.2×
Deep Muscle Biopsy (20205)
range across 3 matching MRF lines		 $29,662–$75,445.05 — varies
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $81,245.75 — 33.9×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $36,101 — 15.1×
Derma-fat-fascia graft (15770) $80,282.23 — 19.5×
Destruc retinal lesn,photocoag (67210)
range across 4 matching MRF lines		 $10,655.30–$17,737.45 — varies
Destruct B9 Lesion 1-14 (17110) $452 — 1.9×
Destruction Benign Lesions 15/> (17111) $630.60 — 2.7×
Destruction by neurolytic agent, intercostal nerve (64620) $102,804.05 — 100.1×
Destruction Lesions Vulva Extensive (56515) $2,598.10 $2,598.10 1.1×
Destruction Lesions Vulva Simple (56501) $2,288.90 $2,288.90 1.0×
Destruction of skin lesions (17106) $1,024.60 — 2.2×
Destruction Premalignant Lesion 15/> (17004) $712.80 $712.80 1.5×
Destruction premalignant lesion 1st (17000) $328.80 $328.80 1.4×
Diagnostic sigmoidoscopy (45330) $5,267.80 $5,267.80 4.9×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $9,484.65 — 6.8×
Dilat rct strix spx under anes oth/thn local (45910) $14,083.05 — 10.1×
Dilation & curettage dx&/ther nonobstetric (58120) $25,023.60 — 6.7×
Dilation of vagina (57400) $21,852.90 — 5.8×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $38,232.20 — 18.5×
Division of symblepharon (68340) $2,293.20 $2,293.20 0.8×
Drain Cerebro Spinal Fluid (62272) $9,359.55 — 11.4×
Drain Spinal Cord Cyst (62268) $4,519.50 $4,519.50 4.4×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $882.50–$15,890 — varies
Drainage external auditory canal abscess (69020) $798.90 $798.90 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $622.40 $622.40 0.8×
Drainage Mouth Roof Lesion (42000) $18,528.95 — 67.4×
Drainage of eye (65800)
range across 2 matching MRF lines		 $12,999.20–$20,562.15 — varies
Drainage of finger abscess simple (26010) $1,504.70 — 6.5×
Drainage of gum lesion (41800) $894.10 $894.10 5.8×
Drainage of hematoma/fluid (10140) $15,258.65 — 8.0×
Drainage of mouth lesion (41017) $2,576.40 $2,576.40 0.7×
Draw Blood Off Venous Device (36591) $812.80 $812.80 5.3×
Dressing Change Under Anesthesia (15852) $15,581.45 — 18.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $13,216.95 — 16.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $783.20 $783.20 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $732.20 $732.20 3.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $718.80 $718.80 3.1×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $1,197.35 — 1.4×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,510.85 — 0.6×
Dstrj les/scar vestibule mouth physical meths (40820) $12,206.70 — 3.2×
Dstrj Lesion Anus Simple Chemical (46900) $181.60 $181.60 0.4×
Dstrj lesion anus simple cryosurgery (46916) $695.30 $695.30 3.0×
Dstrj lesion anus simple surg excision (46922) $17,446.10 — 5.4×
Dstrj Lesion Penis Simple Chemical (54050) $217.70 $217.70 0.5×
Dstrj Lesion Penis Simple Cryosurgery (54056) $236.20 $236.20 1.0×
Dstrj lesion penis simple laser (54057) $354.40 $354.40 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $21,299.65–$30,849.25 — varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,109.60 $1,109.60 1.1×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $16,517.50–$23,992.35 — varies
Dx Bronchoscope/Lavage (31624)
range across 5 matching MRF lines		 $18,099–$44,325.70 — varies
Dx Bronchoscope/Wash (31622) $27,160.35 — 13.1×
Dx Laryngoscopy Excl Nb (31525) $3,978.40 $3,978.40 1.9×
Dx laryngoscopy w/oper scope (31526) $36,376.80 — 17.6×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $12,229.20–$15,332.95 — varies
Egd Balloon Dil Esoph30 Mm/> (43233) $6,600.70 $6,600.70 3.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $18,202–$23,125.55 — varies
Egd cautery tumor polyp (43250) $9,071 $9,071 4.1×
Egd control bleeding any (43255) $32,583.25 — 14.6×
Egd dilation gastric/duodenal stricture (43245) $6,552.80 $6,552.80 2.9×
Egd Endoscopic Stent Place (43266) $11,331 $11,331 1.6×
Egd Flexible Foreign Body Removal (43247) $23,848.30 — 22.6×
Egd guide wire insertion (43248) $5,952.50 $5,952.50 5.7×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $4,180 $4,180 1.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $8,417.70 $8,417.70 3.8×
Egd lesion ablation (43270) $7,469 $7,469 3.4×
Egd place gastrostomy tube (43246) $21,929.95 — 9.8×
Egd remove lesion snare (43251) $6,108.50 $6,108.50 2.7×
Egd Tube/Cath Insertion (43241)
range across 2 matching MRF lines		 $28,311.30–$39,082.30 — varies
Egd us exam duodenum/jejunum (43259) $26,512.55 — 11.9×
Egd us transmural injxn/mark (43253) $8,275.30 $8,275.30 3.7×
Egd Varices Ligation (43244) $7,136.50 $7,136.50 3.2×
Egd W/Transmural Drain Cyst (43240) $10,273.10 $10,273.10 1.5×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $5,480.40 — 15.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,445.70 — 4.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $382.50 $382.50 1.1×
Electro-Uroflowmetry First (51741) $440 $440 1.8×
Endoscopic injection/implant (51715) $34,816.60 — 8.5×
Endoscopic us exam esoph (43237) $7,296.10 $7,296.10 3.3×
Endoscopy Upper Small Intestine (44360) $44,741.40 — 20.1×
Endoscopy upper small intestine w/biopsy (44361) $6,434.10 $6,434.10 2.9×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $14,804.80 $14,804.80 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 3 matching MRF lines		 $39,764.60–$54,316.05 — varies
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $8,113.60 $8,113.60 3.6×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $8,479.70 $8,479.70 3.8×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $5,645.50 $5,645.50 2.5×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $9,187.70 $9,187.70 4.1×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $4,653.20 $4,653.20 2.1×
Epidural Blood Patch (62273) $16,370.55 — 20.0×
Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185)
range across 4 matching MRF lines		 $37,227.95–$57,174.90 — varies
Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) $35,459.30 — 9.3×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $16,077.90 $16,077.90 2.3×
Ercp duct stent placement (43274) $13,177.10 $13,177.10 1.9×
Ercp Dx Collection Specimen Brushing/Washing (43260) $10,339.90 $10,339.90 2.3×
Ercp ea duct/ampulla dilate (43277) $11,547.10 $11,547.10 2.6×
Ercp remove calculi/debris biliary/pancreas duct (43264) $11,839.60 $11,839.60 2.6×
Ercp remove forgn body duct (43275) $10,325.20 $10,325.20 4.6×
Ercp Stent Exchange W/Dilate (43276) $10,964.50 $10,964.50 1.6×
Ercp W/Biopsy Single/Multiple (43261) $10,008.90 $10,008.90 2.2×
Ercp,Sphincterotomy (43262) $10,497.20 $10,497.20 2.3×
Esoph Scope W/Submucous Inj (43201) $6,869.10 $6,869.10 3.1×
Esophagogastroduodenoscopy Submucosal Injection (43236) $5,825.10 $5,825.10 5.5×
Esophagoscop Stent Placement (43212) $41,554.95 — 5.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $23,630.35 — 10.6×
Esophagoscopy Flexible Guide Wire Dilation (43226) $6,600.70 $6,600.70 3.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $10,766.40 $10,766.40 10.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $8,936.60 $8,936.60 8.5×
Esophagoscopy Rigid Balloon (43195) $28,947.45 — 6.5×
Esophagoscopy rigid trnso dx (43191) $19,865.40 — 8.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $5,345 $5,345 2.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,869 $2,869 1.3×
Esophagoscp Rig Trnso Inject (43192) $25,960.60 — 11.7×
Evacuation of subungual hematoma (11740) $337.10 $337.10 2.2×
Exc arm/elbow les sc < 3 cm (24075) $19,064.10 — 9.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $16,903.05 — 20.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $31,288.70 — 16.3×
Exc Back Les Sc < 3 Cm (21930) $34,886.05 — 18.2×
Exc back tum deep < 5 cm (21932) $29,434.20 — 8.7×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048)
range across 3 matching MRF lines		 $21,670.70–$93,980.85 — varies
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046)
range across 5 matching MRF lines		 $26,547.05–$56,838.40 — varies
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
range across 3 matching MRF lines		 $48,328.60–$77,145.95 — varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810)
range across 4 matching MRF lines		 $33,432.10–$61,100.85 — varies
Exc Chalazion Anes Req Hospization Single/Mult (67808)
range across 3 matching MRF lines		 $17,774–$21,170.40 — varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $3,780 $3,780 4.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $31,075.20 — 37.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $17,185.70 — 20.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $27,882.80 — 33.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $54,693.20 — 28.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $47,440.65 — 24.7×
Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) $60,312.85 — 33.5×
Exc Forearm Les Sc 3 Cm/> (25071) $41,980.45 — 21.9×
Exc Forearm Tum Deep 3 Cm/> (25073)
range across 3 matching MRF lines		 $25,473.85–$72,243.55 — varies
Exc Frenum Labial/Buccal (40819) $46,940.90 — 26.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $30,443.85 — 15.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $22,660.40 — 27.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $18,487.40 — 9.6×
Exc hand tum deep < 1.5 cm (26116) $76,358.80 — 39.8×
Exc hydrocele sprmatic cord uni spx (55500) $22,188.40 — 5.4×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $17,794.25 — 15.4×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $49,346.20 — 12.8×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $51,633.60 — 13.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $25,070.40–$27,521.75 — varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $27,870.15 — 7.2×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $20,426.15 — 5.3×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $13,744.45 — 3.6×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $13,603.74 — 3.5×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $39,119.40 — 10.2×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788)
range across 2 matching MRF lines		 $20,264.65–$32,699.20 — varies
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $99,239.55 — 14.4×
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 3 matching MRF lines		 $46,864–$125,602.80 — varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $24,100.75 — 29.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $31,478.75 — 16.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $116,664.50 — 34.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $33,506.95 — 17.5×
Exc Skin Benig >4cm Face,Facial (11446) $2,786.20 $2,786.20 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $62,527.35 — 32.6×
Exc tendon shth lesion leg/ankle (27630)
range across 3 matching MRF lines		 $22,700.60–$98,716.81 — varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $23,957.80–$50,067.55 — varies
Exc thigh/knee tum dep 5cm/> (27339)
range across 3 matching MRF lines		 $55,874.05–$135,382.50 — varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $17,141.75 — 36.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $15,602.60 — 19.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $29,992.95 — 15.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $47,435.40 — 14.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $29,323.40 — 8.7×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $31,872.85 — 16.6×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $20,476.35 — 10.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $36,711.80 — 10.9×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $80,607.75–$117,396.35 — varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $44,778.95 — 13.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $56,056.95 — 16.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $34,816.60 — 18.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 3 matching MRF lines		 $62,248.05–$93,753.85 — varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $28,783.25 — 15.0×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634)
range across 3 matching MRF lines		 $30,609.50–$127,057.15 — varies
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619)
range across 3 matching MRF lines		 $44,616.65–$123,058.15 — varies
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 3 matching MRF lines		 $18,491.30–$31,928.05 — varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $55,207.85 — 16.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $31,762.85 — 16.6×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $81,954.15 — 24.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $20,302.40–$26,877.90 — varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 3 matching MRF lines		 $25,585.95–$116,729.30 — varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530)
range across 2 matching MRF lines		 $44,963.80–$61,208.55 — varies
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
range across 2 matching MRF lines		 $46,959.36–$52,767.89 — varies
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
range across 3 matching MRF lines		 $44,244.56–$64,480.87 — varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $22,660.80 — 12.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $51,911.70 — 12.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 4 matching MRF lines		 $15,224.70–$223,302.40 — varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $14,730.35 — 6.6×
Excis Mouth Complex,Exc Thru Muscle (40816) $38,412.95 — 10.0×
Excis Mouth Mucosa/Sub,No Repair (40810) $54,163.15 — 14.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $28,848.55 — 16.0×
Excise mandible lesion (21040)
range across 3 matching MRF lines		 $29,277.95–$71,363.89 — varies
Excise Neurofibroma Extensive (64792) $129,869.15 — 32.7×
Excision Bone Mandible (21025) $27,379.30 — 4.0×
Excision Chalazion Single (67800) $19,174.15 — 52.0×
Excision Chest Wall Tumor Including Ribs (21601) $40,996.65 — 12.2×
Excision External Ear Partial Simple Repair (69110)
range across 3 matching MRF lines		 $47,087.70–$148,586.10 — varies
Excision external ear; complete amputation Facility (69120)
range across 3 matching MRF lines		 $129,133.50–$152,490.05 — varies
Excision Facial Bone (21026) $61,928.50 — 9.0×
Excision inferior turbinate partial/complete (30130)
range across 4 matching MRF lines		 $49,497.80–$98,902.65 — varies
Excision Lesion Conjunctiva </1 Cm (68110)
range across 3 matching MRF lines		 $6,986.80–$32,074.65 — varies
Excision lesion conjunctiva > 1 cm (68115) $19,139.90 — 6.9×
Excision lesion meniscus/capsule knee (27347) $48,160.05 — 12.7×
Excision lesion mouth roof (42104) $15,484.15 — 4.0×
Excision Lesion Tongue W/O Closure (41110) $39,133.75 — 10.2×
Excision Lingual Frenum Frenectomy (41115) $28,848.55 — 16.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $99,892.80 — 52.1×
Excision nasal polyp(s) simple (30110) $440.30 $440.30 0.2×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
range across 3 matching MRF lines		 $22,036.50–$71,363.89 — varies
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066)
range across 2 matching MRF lines		 $103,677.98–$162,662.95 — varies
Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555)
range across 2 matching MRF lines		 $100,347.40–$106,633.35 — varies
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550)
range across 2 matching MRF lines		 $65,450.55–$104,139.80 — varies
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $56,345.36 — 14.8×
Excision of extraparenchymal lesion of testis (54512)
range across 2 matching MRF lines		 $28,223.10–$32,968.95 — varies
Excision of ganglion, wrist (dorsal or volar); primary (25111) $14,556 — 7.8×
Excision of hydrocele; bilateral (55041) $57,434.95 — 13.8×
Excision of hydrocele; unilateral (55040)
range across 3 matching MRF lines		 $28,439.20–$43,022.50 — varies
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $11,707.80 $11,707.80 1.7×
Excision of lingual tonsil (42870) $48,103.15 — 7.0×
Excision of local lesion of epididymis (54830) $79,885.15 — 19.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $41,895.30 — 18.5×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
range across 3 matching MRF lines		 $127,921.30–$249,419.30 — varies
Excision of pilonidal cyst or sinus; simple (11770) $23,952.80 — 7.1×
Excision of single external papilla or tag, anus (46220) $5,225.70 $5,225.70 3.8×
Excision of sublingual gland (42450)
range across 3 matching MRF lines		 $43,883.25–$53,182.65 — varies
Excision of sublingual salivary cyst (ranula) (42408)
range across 2 matching MRF lines		 $13,172.70–$40,589.25 — varies
Excision of submandibular (submaxillary) gland (42440)
range across 2 matching MRF lines		 $55,272.65–$59,694.90 — varies
Excision of vaginal septum (57130) $41,536.35 — 11.0×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146)
range across 2 matching MRF lines		 $33,923.69–$40,275.64 — varies
Excision or curettage of bone cyst or benign tumor of femur; (27355)
range across 2 matching MRF lines		 $34,919.35–$51,370.05 — varies
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) $140,925.74 — 16.7×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116)
range across 2 matching MRF lines		 $53,691.91–$64,678 — varies
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100)
range across 2 matching MRF lines		 $33,657.65–$38,367.55 — varies
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) $27,871 — 3.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $19,410.95 — 5.8×
Excision Pilonidal Cyst/Sinus Extensive (11771) $21,264.45 — 6.3×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $80,401.20 — 10.4×
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines		 $462.50–$39,875.45 — varies
Excision spermatocele w/wo epididymectomy (54840) $24,769.15 — 10.2×
Excision synovial cyst popliteal space (27345)
range across 2 matching MRF lines		 $26,338.15–$32,238.95 — varies
Excision Thyroglossal Duct Cyst/Sinus (60280)
range across 2 matching MRF lines		 $64,702.60–$65,204.10 — varies
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $58,769.80 — 8.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $29,267.15 — 15.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 3 matching MRF lines		 $27,889.05–$59,564.85 — varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $19,818.05–$28,077.20 — varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 3 matching MRF lines		 $20,524.85–$26,205 — varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $25,265.70 — 13.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 3 matching MRF lines		 $25,049.30–$51,308.10 — varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $28,924.45 — 8.6×
Excision/curettage cyst/tumor carpal bones (25130) $47,506.30 — 12.5×
Excision/curettage cyst/tumor phalanx finger (26210) $39,395.20 — 21.1×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120)
range across 2 matching MRF lines		 $46,404.86–$48,656.58 — varies
Excision/destruction intranasal lesion int appr (30117) $69,086.45 — 17.9×
Excision/destruction lesion pharynx any method (42808) $22,353.50 — 5.8×
Exploration of hip joint (27033) $54,873.70 — 6.5×
Exploratory elbow surgery (24000)
range across 2 matching MRF lines		 $57,199.10–$59,988.05 — varies
Explore/Treat Knee Joint (27331) $28,671.60 — 7.5×
Extensive Retinopathy 1/> Sess Preterm Infant (67229)
range across 2 matching MRF lines		 $53,784.65–$70,683 — varies
Extraction of lens (66930)
range across 3 matching MRF lines		 $51,930.40–$378,338.65 — varies
Fasciectomy Palm Only (26121) $108,173.35 — 28.5×
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $42,021.25–$138,728.60 — varies
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $965 $965 2.7×
Fetal non-stress test (59025) $1,171 $1,171 5.0×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $952 $952 2.7×
Fine needle aspiration without imaging guidance (10021) $14,317.70 — 30.3×
Fixation contralateral testis separate procedure (54620) $26,542.45 — 6.5×
Fluid Pressure Muscle (20950) $901.10 $901.10 1.1×
Fluoro exam of g/colon tube (49465) $1,166.45 — 4.2×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $14,388.65–$18,022.90 — varies
Foreskin manipulation (54450) $666.30 $666.30 2.3×
Fracture Nasal Inferior Turbinate Therapeutic (30930)
range across 2 matching MRF lines		 $69,708.50–$88,234.50 — varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $92,754.10 — 38.7×
Fusion Finger Joint (26860) $37,234.70 — 9.8×
Fusion of foot bones (28740)
range across 4 matching MRF lines		 $62,119.44–$197,279.19 — varies
Fusion of knuckle (26850) $60,785.13 — 7.2×
Gastrocnemius recession (27687)
range across 4 matching MRF lines		 $35,448.85–$60,906.35 — varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $113,834.15 — 51.1×
Genioplasty Sliding Osteotomy Single Piece (21121) $142,486.85 — 37.0×
Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) $204,799.80 — 53.2×
Goniotomy (65820)
range across 4 matching MRF lines		 $36,996.30–$63,229.30 — varies
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 3 matching MRF lines		 $78,840.85–$91,350.15 — varies
Graft, Bone; Mandible (Includes Obtaining Graft) (21215) $132,611.38 — 19.3×
Grafting of autologous fat by lipo 25 cc or less (15773) $94,470.55 — 39.4×
Grafting of autologous fat by lipo 50 cc or less (15771) $76,120.95 — 18.5×
Grafting of autologous soft tiss by direct exc (15769)
range across 3 matching MRF lines		 $51,659.45–$62,777.25 — varies
Guide Cathet Fluid Drainage (10030) $21,553.90 — 26.2×
Gum graft (41870) $54,482.15 — 30.2×
Head Surgery Procedure (21499) $19,069.15 — 69.3×
Hymenotomy Simple Incision (56442) $365.20 $365.20 0.1×
Hysteroscopy Dx Sep Proc (58555) $25,388.85 — 6.8×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $77,384.55 — 20.1×
I&d abscess peritonsillar (42700) $946.20 $946.20 3.4×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $1,398.35–$1,526 — varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 3 matching MRF lines		 $15,473.55–$60,520.80 — varies
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $32,890.35 — 10.2×
I&d perianal abscess superficial (46050) $1,747 $1,747 1.6×
I&d pilonidal cyst simple (10080) $1,494.95 — 1.8×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,293.60 $1,293.60 0.4×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $4,993.70 $4,993.70 4.7×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $4,520.80 $4,520.80 4.3×
Image Cath Fluid Colxn Visc (49405) $34,913.95 — 18.2×
Image Cath Fluid Peri/Retro (49406) $95,166.30 — 49.6×
Image Cath Fluid Trns/Vgnl (49407) $6,601.40 $6,601.40 3.4×
Implant cochlear device (69930)
range across 4 matching MRF lines		 $206,051.55–$394,793.10 — varies
Implant Spine Infusion Pump (62362) $99,860.05 — 4.8×
Implant temple bone w/stimul (69714)
range across 6 matching MRF lines		 $62,649.40–$194,074.35 — varies
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716)
range across 4 matching MRF lines		 $59,865.80–$108,749.20 — varies
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $145,672.75 — 14.3×
Impression & Preparation Auricular Prosthesis (21086)
range across 3 matching MRF lines		 $126,712.95–$209,767.68 — varies
Impression & Preparation Oral Surgical Splint (21085) $133,132.67 — 484.0×
Impression and custom preparation; definitive obturator prosthesis Facility (21080)
range across 2 matching MRF lines		 $3,182.70–$15,862 $3,182.70–$15,862 varies
Impression and custom preparation; interim obturator prosthesis Facility (21079)
range across 6 matching MRF lines		 $2,613.20–$11,826.50 $2,613.20–$11,826.50 varies
Impression and custom preparation; speech aid prosthesis Facility (21084) $1,603.20 $1,603.20 0.4×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $14,714.12–$15,593.20 — varies
Incise Wrist/Forearm Tendon (25290)
range across 2 matching MRF lines		 $75,326.35–$79,337.90 — varies
Incision & drainage abscess complicated/multiple (10061) $19,077 — 40.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $72,648.15 — 21.5×
Incision & removal foreign body subq tiss compl (10121) $17,591.40 — 9.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $942.60–$1,082.60 — varies
Incision and drainage of bartholin's gland abscess (56420) $621.20 $621.20 2.6×
Incision and drainage of vulva or perineal abscess (56405) $814.90 $814.90 2.3×
Incision bone cortex foot (28005) $36,355 — 9.6×
Incision of eardrum (69421)
range across 3 matching MRF lines		 $37,636.15–$51,534.35 — varies
Incision of eardrum (69420)
range across 3 matching MRF lines		 $27,682.50–$50,314.70 — varies
Incision of eye (65850)
range across 4 matching MRF lines		 $42,499.30–$92,902.95 — varies
Incision of Foot Tendon (28234) $3,169.40 $3,169.40 1.7×
Incision of hip tendon (27001)
range across 4 matching MRF lines		 $52,493.70–$59,868.50 — varies
Incision of labial frenum (frenotomy) (40806) $23,876.50 — 38.1×
Incision of lingual frenum (frenotomy) (41010) $1,515.50 — 0.8×
Incision of rectal abscess (46040) $23,301.95 — 16.8×
Incision of tibia & fibula (27709)
range across 3 matching MRF lines		 $89,803.70–$158,819.37 — varies
Incision of urethra (53025) $455.40 $455.40 0.2×
Incision of urethra (53020) $713.80 — 0.3×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) $43,499.15 — 11.4×
Incisional biopsy eyelid skin & lid margin (67810) $8,939.90 — 24.3×
Incisional biopsy skin single lesion (11106) $39,313.80 — 45.8×
Initial Tx 1st Degree Burn Local Tx (16000) $426 $426 1.8×
Inj W/Fluor Eval Cv Device (36598) $803.90 $803.90 3.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,704.70 $3,704.70 3.6×
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $19,225.85–$22,300.45 — varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $370 $370 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,777.20 $1,777.20 5.0×
Injection anesthetic agent suprascapular nerve (64418) $2,733.20 $2,733.20 3.3×
Injection Into Brain Canal (61055) $2,748 $2,748 7.7×
Injection single/mlt trigger point 1/2 muscles (20552) $375.70 $375.70 1.1×
Injection single/mlt trigger point 3/> muscles (20553) $314.70 $314.70 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $3,490.20 $3,490.20 3.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $2,644.50–$3,667.50 $2,644.50–$3,667.50 varies
Injection, Intralesional; More Than 7 Lesions (11901) $380.40 $380.40 1.6×
Injection, intralesional; up to and including 7 lesions (11900) $509.30 — 2.2×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $2,678.40 $2,678.40 2.6×
Ins cath ren art 1st bilat (36252) $19,391.90 $19,391.90 5.3×
Ins cath ren art 1st unilat (36251)
range across 3 matching MRF lines		 $79,726.90–$113,401.65 — varies
Ins cath ren art 2nd+ bilat (36254) $20,818.20 $20,818.20 5.7×
Ins cath ren art 2nd+ unilat (36253)
range across 2 matching MRF lines		 $95,198.35–$113,401.65 — varies
Ins endovas vena cava filtr (37191) $28,229.30 $28,229.30 4.4×
Ins/Rep Subq Defibrillator (33270) $116,806 $116,806 3.2×
Insert 1 Electrode Pm-Defib (33216) $16,248.80 $16,248.80 1.7×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $62,436.45 — 13.0×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $932.20–$2,471.40 $932.20–$2,471.40 varies
Insert cath pleura w/ image (32557) $6,501.80 $6,501.80 3.6×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $5,781.20 $5,781.20 4.2×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $108,487.55–$109,454.55 — varies
Insert Gastrostomy Tube Percutaneous (49440) $58,449.71 — 26.2×
Insert Heart Pm Atrial (33206) $80,797.70 — 6.7×
Insert Heart Pm Ventricular (33207) $28,131.80 $28,131.80 2.3×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $21,138.30–$60,936.65 — varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,672.20 $3,672.20 2.0×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $404.60–$1,251.60 $404.60–$1,251.60 varies
Insert tun ip cath perc (49418) $9,703.30 $9,703.30 2.3×
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $40,876.10–$44,937.40 — varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines		 $32,331.30–$33,309.60 — varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $324–$688 $324–$688 varies
Insertion indwelling tunneled pleural catheter (32550) $2,826.50 $2,826.50 0.7×
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) $77,957.67 — 7.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $17,143.05 — 9.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $46,881.35 — 4.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $19,394.10 $19,394.10 2.0×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985)
range across 4 matching MRF lines		 $30,992.25–$77,737 — varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $4,685.70 $4,685.70 1.3×
Insj Picc Rs&I <5 Yr (36572) $16,122.85 — 22.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $27,192.30 — 7.4×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $4,358.30 $4,358.30 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,271.80 $3,271.80 1.8×
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $56,728.85 — 20.5×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $8,081.60 $8,081.60 1.3×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)
range across 2 matching MRF lines		 $36,412.75–$42,532.90 — varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $24,325.40–$30,231.60 — varies
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
range across 2 matching MRF lines		 $76,121.25–$83,862.15 — varies
Insj/Rplcmt Defib W/Lead(S) (33249) $184,045.85 — 5.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $20,754.40 $20,754.40 2.2×
Insrt heart pm atrial & vent (33208) $31,704 $31,704 2.6×
Insrt Pulse Gen W/Singl Lead (33240) $58,069.30 $58,069.30 2.2×
Insrt/Redo Neurostim 1 Array (61885)
range across 4 matching MRF lines		 $65,786.65–$89,197.30 — varies
Instlj ther agent renal pelvis&/ureter via tub (50391) $1,583.90 $1,583.90 5.5×
Interdental fixation (21110) $37,331.85 — 20.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $9,134.80 $9,134.80 5.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,751.50 $1,751.50 3.7×
Intranasal Biopsy (30100) $39,091.65 — 21.7×
Intraoral i&d tongue/floor sublngl supfc (41005) $25,408.40 — 92.4×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $6,384.50–$7,692.80 $6,384.50–$7,692.80 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $42,246.80 $42,246.80 3.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $25,007.20 $25,007.20 3.8×
Intro Gastrointestinal Tube (44500) $2,765.10 $2,765.10 2.6×
Intubation endotracheal emergency procedure (31500) $1,278.30 $1,278.30 4.6×
Island pedicle flap graft (15740) $68,479.10 — 28.6×
IV injection test vascular flow flap/graft (15860) $136,524.20 — 263.2×
Lap insert tunnel ip cath (49324) $60,075.35 — 8.6×
Laparoscopy aspiration (49322) $82,990.55 — 11.8×
Laparoscopy gastrostomy (43653)
range across 2 matching MRF lines		 $59,321.90–$64,153.05 — varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 4 matching MRF lines		 $37,781.35–$50,080 — varies
Laparoscopy surgical orchiectomy (54690)
range across 4 matching MRF lines		 $43,898.95–$95,539.65 — varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 4 matching MRF lines		 $46,793.50–$63,984.35 — varies
Laparoscopy, surgical, appendectomy (44970) $45,961.95 — 6.5×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $120,035.25 — 9.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $94,227.80 — 13.4×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
range across 5 matching MRF lines		 $60,427.70–$200,735.20 — varies
Laparoscopy, surgical; pyeloplasty (50544)
range across 3 matching MRF lines		 $163,773.40–$212,910.30 — varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $46,008.70–$63,622.95 — varies
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948)
range across 2 matching MRF lines		 $79,592.05–$88,555.40 — varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $37,555.65 — 5.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $51,529.50 — 7.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 4 matching MRF lines		 $47,327.40–$57,812.75 — varies
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $96,350.55 — 13.7×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)
range across 2 matching MRF lines		 $11,805.20–$39,344.65 $11,805.20 varies
Laryngoscope Injection Vocal Cord Therapeutic (31570) $18,425.80 $18,425.80 4.3×
Laryngoscopy and dilation (31528) $22,318.90 — 5.2×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $871.60–$5,591.70 — varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $29,722.75 — 14.4×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $50,682.90 — 24.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $23,160.70 — 51.0×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 2 matching MRF lines		 $2,134.40–$2,623.10 — varies
Laryngoscopy w/biopsy microscope/telescope (31536) $47,184.45 — 10.9×
Larynscop w/tumr exc + scope (31541) $44,256 — 10.2×
Laser Surgery Anal Lesions (46917) $1,042.90 $1,042.90 0.3×
Late closure of wound (13160) $29,696.15 — 7.2×
Lateral Canthopexy (21282)
range across 3 matching MRF lines		 $35,308.40–$142,235.50 — varies
Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) $65,261.25 — 17.2×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478)
range across 2 matching MRF lines		 $72,209.05–$79,337.90 — varies
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $65,482.74–$92,667.20 — varies
Ligation salivary duct, intraoral Facility (42665) $61,728.70 — 16.0×
Litholapaxy smpl/sm <2.5 cm (52317) $46,554 — 11.4×
Low Back Disk Surgery (63030)
range across 3 matching MRF lines		 $90,889.90–$111,203.45 — varies
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,319.20 $1,319.20 2.1×
Lsh uterus 250 g or less (58541) $90,249.20 — 7.3×
Lyse chest fibrin init day (32561) $1,566.40 $1,566.40 2.2×
Lyse Chest Fibrin Subq Day (32562) $1,222.20 $1,222.20 1.7×
Lysis Intranasal Synechia (30560) $93,220.23 — 148.8×
Lysis of labial adhesions (56441) $17,567.35 — 4.7×
Lysis/excision penile postcircumcision adhesions (54162) $813.70 — 0.3×
Malar Augmentation Prosthetic Material (21270)
range across 3 matching MRF lines		 $82,809.20–$157,084.55 — varies
Manipulation tmj therapeutic require anesthesia (21073)
range across 2 matching MRF lines		 $13,594.90–$17,743.50 — varies
Manometric stds thru tube/ndwellg urtrl cath (50396) $2,252.20 $2,252.20 2.8×
Marsupialization of bartholin's gland cyst (56440) $786.60 $786.60 0.2×
Mastectomy for gynecomastia (19300)
range across 3 matching MRF lines		 $31,914.20–$67,434.35 — varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $51,656.10–$77,514.20 — varies
Mech remov tunneled cv cath (36595) $18,909.85 — 5.2×
Middle ear expl thru postaur/ear canal inc (69440) $35,096.70 — 9.1×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $105,433.95 — 25.6×
Multifetal Pregnancy Reduction (59866) $1,769.60 $1,769.60 5.0×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $100,938.70 — 24.5×
Muscle-skin graft trunk (15734) $101,653.50 — 24.7×
Muscle/tendon transfer upper arm/elbow single (24301)
range across 2 matching MRF lines		 $82,369.70–$94,564 — varies
Myringoplasty (69620)
range across 4 matching MRF lines		 $22,722.75–$65,734.45 — varies
N Block Inj Celiac Pelus (64530) $33,026.50 — 32.2×
N Block Inj Ilio-Ing/Hypogi (64425) $3,156.80 $3,156.80 3.9×
Nasal Endoscopy Dx (31231) $1,133.70 — 4.9×
Nasal/Orogastric W/Tube Plmt (43752) $26,368.20 — 50.8×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 4 matching MRF lines		 $45,553.65–$82,192.65 — varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 2 matching MRF lines		 $43,809.20–$58,913.75 — varies
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $25,994.85 — 3.8×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 3 matching MRF lines		 $2,256.90–$61,350.85 — varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 3 matching MRF lines		 $32,392–$81,123.70 — varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 4 matching MRF lines		 $15,938.95–$29,546.40 — varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 3 matching MRF lines		 $73,539.85–$95,649.80 — varies
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 3 matching MRF lines		 $61,569.40–$101,214.60 — varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 4 matching MRF lines		 $61,654.45–$98,902.65 — varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 3 matching MRF lines		 $91,083.85–$101,214.60 — varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines		 $43,377.80–$76,026.35 — varies
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $4,776.50 $4,776.50 4.4×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $4,520.80 $4,520.80 4.2×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $19,634.20–$25,055.70 — varies
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886)
range across 2 matching MRF lines		 $80,434–$236,328.45 — varies
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) $236,874.45 — 23.2×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) $166,541.15 — 16.3×
Nerve graft arm/leg <4 cm (64892)
range across 2 matching MRF lines		 $172,651.45–$191,252.76 — varies
Nerve Pedicle Transfer First Stage (64905)
range across 3 matching MRF lines		 $166,541.15–$194,287.35 — varies
Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) $80,434 — 35.5×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $33,047.75–$47,290.74 — varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 3 matching MRF lines		 $41,198.60–$116,945.35 — varies
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $64,640 — 28.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $706 $706 1.7×
Nipple/areola reconstruction (19350)
range across 2 matching MRF lines		 $51,856.30–$77,514.20 — varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $686–$1,028.80 $686–$1,028.80 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,693.10 $2,693.10 0.6×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines		 $3,701.60–$4,746 $3,701.60–$4,746 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $18,858.25–$21,782.40 — varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $20,800.05 — 25.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $2,505.60 $2,505.60 3.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $4,519.10 $4,519.10 5.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,163.10 $1,163.10 2.5×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 4 matching MRF lines		 $52,973.25–$100,004 — varies
Obstructive material removal from gi tube (49460) $1,320.30 $1,320.30 1.3×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $730–$1,050 $730–$1,050 varies
Onc Hl Neo Gen Seq Alys Alg (0364U) $4,783.50 $4,783.50 2.4×
Onc pan cancer analysis mrd from plasma (0340U) $7,292.20 $7,292.20 2.0×
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $24,006.90–$31,156.95 — varies
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
range across 3 matching MRF lines		 $29,130.80–$127,479.95 — varies
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
range across 2 matching MRF lines		 $118,995.15–$137,610.35 — varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 4 matching MRF lines		 $40,873.35–$91,727.53 — varies
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $66,570.50–$86,415.15 — varies
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $42,848.26–$50,047.60 — varies
Open Treatment Humeral Condylar Fracture (24579)
range across 3 matching MRF lines		 $38,074.85–$55,869.50 — varies
Open Treatment Medial Malleolus Fracture (27766)
range across 3 matching MRF lines		 $40,862.21–$48,574.66 — varies
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $29,867.34–$44,043.80 — varies
Open treatment of acromioclavicular dislocation acute or chronic (23550) $73,356.44 — 8.7×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 3 matching MRF lines		 $45,570.92–$78,248.25 — varies
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365)
range across 2 matching MRF lines		 $40,927.45–$79,992.17 — varies
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $108,642.82 — 12.9×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $37,359.70 — 4.4×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $77,320.94 — 5.2×
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178)
range across 2 matching MRF lines		 $60,207.13–$82,875.80 — varies
Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258)
range across 2 matching MRF lines		 $86,431.45–$102,048.65 — varies
Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) $135,054.92 — 35.5×
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $27,587.97–$37,111.95 — varies
Open treatment of ulnar styloid fracture (25652) $82,276.43 — 9.8×
Open Treatment Proximal Humeral Fracture (23615) $50,233.30 — 3.4×
Open Treatment Radial Shaft Fracture (25515)
range across 3 matching MRF lines		 $38,267.88–$53,123.10 — varies
Open Treatment Tarsal Bone Dislocation (28555) $107,062.24 — 12.7×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $28,034.45 — 7.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 3 matching MRF lines		 $34,523.08–$56,842.89 — varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 3 matching MRF lines		 $50,544.83–$102,774.13 — varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
range across 2 matching MRF lines		 $52,710.75–$61,589.70 — varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $36,004.05 — 9.5×
Open Tx Humeral Epicondylar Fracture (24575)
range across 3 matching MRF lines		 $39,555.33–$45,694.16 — varies
Open tx humeral supracondylar fracture w/o xtn (24545)
range across 2 matching MRF lines		 $48,767.30–$61,385.90 — varies
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
range across 3 matching MRF lines		 $35,439.55–$57,538.23 — varies
Open Tx Radial Head/Neck Fracture (24665)
range across 4 matching MRF lines		 $26,606.45–$129,154.39 — varies
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $107,062.24 — 12.7×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $106,967.92–$112,427.95 — varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 3 matching MRF lines		 $62,662.77–$78,810.54 — varies
Open tx ulnar fx proximal end (24685)
range across 3 matching MRF lines		 $45,905.35–$49,809.65 — varies
Open/Perq Place Stent 1St (37236) $147,846.10 — 11.0×
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $175,322.85–$213,868.40 — varies
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $61,868.90 — 16.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $45,891.43 — 5.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $54,668.29–$68,892 — varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $96,713.84 — 6.5×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $79,289.53–$79,686.75 — varies
Orbital implant removal/revision (67560) $26,302.60 — 5.8×
Orbitotomy w/o bone flap expl w/wo biopsy (67400)
range across 2 matching MRF lines		 $23,134.30–$78,225.65 — varies
Orbitotomy W/O Bone Flap W/Removal Lesion (67412)
range across 3 matching MRF lines		 $15,574.80–$26,519.30 — varies
Orchiectomy partial (54522)
range across 3 matching MRF lines		 $24,515.20–$36,779.50 — varies
Orchiectomy radical tumor inguinal approach (54530)
range across 3 matching MRF lines		 $34,971.35–$37,740.85 — varies
Orchiopexy Ingun/Scrot Appr (54640)
range across 4 matching MRF lines		 $37,038.30–$55,231.10 — varies
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $64,215.55 — 15.4×
Osteochondral allograft knee open (27415)
range across 2 matching MRF lines		 $109,800.60–$137,251.19 — varies
Osteoplasty Radius/Ulna Shortening (25390) $101,493.45 — 12.0×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208)
range across 2 matching MRF lines		 $41,648.04–$157,084.55 — varies
Osteoplasty, facial bones; reduction (21209)
range across 3 matching MRF lines		 $41,068.50–$208,563.55 — varies
Osteoplasty, femur; lengthening Facility (27466)
range across 3 matching MRF lines		 $150,410.80–$210,701.05 — varies
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) $170,964.50 — 11.5×
Osteotomy calcaneus w/wo internal fixation (28300)
range across 3 matching MRF lines		 $82,164.10–$96,880.16 — varies
Osteotomy Phalanx Finger Each (26567) $80,644.35 — 21.2×
Osteotomy radius distal third (25350) $45,132.05 — 5.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 4 matching MRF lines		 $86,818.36–$123,924.80 — varies
Osteotomy Tibia (27705)
range across 2 matching MRF lines		 $123,870.21–$130,792.59 — varies
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $160,414.35 — 19.0×
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) $65,482 — 7.8×
Osteotomy, iliac, acetabular or innominate bone; Facility (27146)
range across 2 matching MRF lines		 $89,102.55–$135,054.92 — varies
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) $82,011.43 — 9.7×
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $59,168.17 — 8.6×
Ovarian cystectomy, unilateral or bilateral (58925)
range across 3 matching MRF lines		 $46,188.85–$68,914.40 — varies
Palatop cl palate soft&/hard palate only (42200) $81,407.95 — 11.8×
Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) $106,517.90 — 27.7×
Palatoplasty for cleft palate; major revision Facility (42215) $94,470.55 — 13.7×
Part exc bone femur prox tibia (27360) $34,791 — 9.2×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) $194,287.35 — 23.1×
Partial Excision Distal Phalanx Finger (26236) $5,491.60 $5,491.60 2.9×
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) $39,278.90 — 4.7×
Partial hymenectomy or revision of hymenal ring (56700) $17,604.15 — 4.7×
Partial removal of fibula (27641) $32,965.18 — 8.7×
Partial removal of rib (21600)
range across 2 matching MRF lines		 $26,956.65–$162,662.95 — varies
Partial removal of thyroid (60220)
range across 3 matching MRF lines		 $76,561.60–$104,292.40 — varies
Partial removal of tongue (41120) $57,798.90 — 8.4×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $2,487.50 $2,487.50 1.4×
Pelvic examination under anesthesia (other than local) (57410) $9,582.40 — 2.5×
Penis plastic surgery (54360) $34,739.10 — 8.5×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $10,243.80 $10,243.80 6.4×
Perc Rf Ablate Renal Tumor (50592) $10,180.80 $10,180.80 1.5×
Percut Ablate Liver Rf (47382) $15,385.30 $15,385.30 2.2×
Percut Cath Occlusn Non Cns Lesn (61626) $249,419.30 — 18.6×
Percut Drain/Inject Renal Cyst (50390) $2,256.30 $2,256.30 2.7×
Percut Mech Thrombectomy, Venous, Repeat (37188) $5,407.20 $5,407.20 1.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496)
range across 2 matching MRF lines		 $24,909.55–$30,250.70 — varies
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
range across 3 matching MRF lines		 $25,067.70–$30,216.05 — varies
Perm Occlusion/Embolization,Percut,Cns (61624) $19,968 $19,968 0.9×
Perq av fistula creation uxtr single access (36836) $37,106.70 $37,106.70 1.7×
Perq dilation xst trc endourologic px w/img (50436) $6,100.80 $6,100.80 1.5×
Perq Elec Nrv Field Stimj Cranial Nrv W/O Impltj (64567)
range across 2 matching MRF lines		 $176.50–$6,000 $176.50–$6,000 varies
Perq p-art revsc 1 nm nt uni (33900) $26,882.50 $26,882.50 2.0×
Perq p-art revsc st 1st abnor connj unilateral (33902)
range across 2 matching MRF lines		 $135,688.13–$172,803.55 — varies
Perq p-art revsc st 1st abnormal connj bilateral (33903) $37,500.80 $37,500.80 2.8×
Perq p-art revsc st 1st nml native connj bi (33901) $28,196 $28,196 2.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $3,375.10 $3,375.10 4.1×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 3 matching MRF lines		 $23,011.10–$28,425.25 — varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $41,202.80 $41,202.80 3.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $20,365 $20,365 3.1×
Photopheresis extracorporeal (36522)
range across 2 matching MRF lines		 $25,971.50–$26,982.60 $25,971.50–$26,982.60 varies
Pin Finger Dislocation (26776) $19,785.75 — 5.2×
Pin hand dislocation (26676) $33,503.45 — 8.8×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $27,375.80 — 23.6×
Place Cath Subclavian Art (36225) $138,143.35 — 37.7×
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines		 $107,175.55–$118,966.80 — varies
Place ndl musc/tis for rt (20555) $17,199.60 $17,199.60 4.5×
Place Rt Device/Marker Pros (55876) $10,485.70 $10,485.70 6.5×
Placement needle head/neck radioelement applicat (41019) $25,629.60 $25,629.60 3.7×
Placement Needle Pelvic Organ Radioelement Appl (55920) $23,249.10 $23,249.10 4.0×
Placement of needle for intraosseous infusion (36680) $516.20 $516.20 1.0×
Placement of seton (46020) $11,182.80 $11,182.80 3.5×
Plastic Repair Canaliculi (68700) $39,016.35 — 14.1×
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) $111,774.95 — 16.3×
Plmt Bile Duct Stent Prq Existing Access (47538) $61,630.99 — 8.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines		 $34,781.35–$43,236.70 — varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $8,867.70–$13,308.50 $8,867.70–$13,308.50 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $10,489.60 $10,489.60 2.6×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $21,557.25 — 5.3×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $61,299.25 — 15.0×
Prepare face/oral prosthesis (21089) $1,168.40 $1,168.40 4.2×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $10,247.30 $10,247.30 0.5×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815)
range across 3 matching MRF lines		 $20,734.35–$33,170.20 — varies
Probe nasolacrimal duct w/wo irrig req gen anes (68811)
range across 4 matching MRF lines		 $37,894.40–$81,840.86 — varies
Probe nl duct w/balloon (68816)
range across 2 matching MRF lines		 $52,975.15–$59,334.90 — varies
Probing nasolacrimal duct (68810) $584.50 $584.50 1.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $7,372.70 $7,372.70 6.8×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $7,062.70 $7,062.70 5.1×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 5 matching MRF lines		 $16,249.55–$43,803.50 — varies
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) $64,678 — 4.3×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
range across 3 matching MRF lines		 $129,385.32–$204,571.10 — varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $14,656.80 $14,656.80 3.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $74,502.50 — 17.9×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $32,311.35 — 8.5×
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $54,971.50–$59,533.25 — varies
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $40,862.25 — 10.8×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 3 matching MRF lines		 $25,314–$35,753.85 — varies
Prq Skeletal Fixj Femoral Fx Distal End (27509) $32,740.40 — 3.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 3 matching MRF lines		 $33,142.60–$43,777.15 — varies
Pseudoaneurysm Injection Trt (36002) $2,519.40 $2,519.40 3.5×
Punch biopsy skin single lesion (11104) $2,063.90 — 4.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $866–$42,902.15 — varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $6,055.10–$25,376.75 — varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
range across 4 matching MRF lines		 $49,999.40–$114,153.33 — varies
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $72,436.80 — 21.5×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $28,281.25 — 8.4×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $51,882.25 — 15.4×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047)
range across 2 matching MRF lines		 $26,137.60–$106,339.60 — varies
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $45,498.65 — 13.5×
Rbc DNA gntyp 12 bld grp gen (0282U) $746.30 $746.30 1.0×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $45,091.50 — 6.6×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) $118,747.72 — 17.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $123,924.80 — 14.7×
Realignment of knee (27457) $88,923.59 — 10.6×
Reconst lwr jaw w/fixation (21196) $142,486.85 — 20.7×
Reconstruct cleft palate (42220) $84,356.80 — 12.3×
Reconstruct cleft palate (42210)
range across 2 matching MRF lines		 $49,776.50–$78,995.90 — varies
Reconstruct extra finger (26587) $23,765.40 — 6.3×
Reconstruct midface lefort (21143) $136,511.05 — 19.9×
Reconstruct upper jaw bone (21206) $70,403.95 — 10.2×
Reconstruction external auditory canal for congenital atresia, single stage Facility (69320)
range across 3 matching MRF lines		 $66,763–$107,947.15 — varies
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $145,050.34 — 21.1×
Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) $119,139.28 — 17.3×
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) $154,624.66 — 22.5×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
range across 3 matching MRF lines		 $27,566.20–$41,131.15 — varies
Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247)
range across 2 matching MRF lines		 $125,788.35–$170,962.64 — varies
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) $85,960.68 — 12.5×
Reconstruction of throat (42950) $62,922.35 — 9.2×
Reconstruction of urethra (54326) $60,949.15 — 14.9×
Reconstruction Toe Polydactyly (28344)
range across 3 matching MRF lines		 $25,174.70–$83,836.40 — varies
Reconstruction Tongue Fold (41520) $20,141.70 — 5.2×
Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) $109,789.30 — 28.9×
Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) $208,563.55 — 30.3×
Reduction of rectal prolapse (45900) $1,252.90 $1,252.90 1.2×
Reinforce hip bones (27187)
range across 2 matching MRF lines		 $62,408.98–$120,444.12 — varies
Reinforce tibia (27745)
range across 3 matching MRF lines		 $92,471.46–$111,716.50 — varies
Reinsert spinal fixation (22849) $94,621.90 — 6.3×
Release of big toe (28240)
range across 4 matching MRF lines		 $42,021.25–$142,956.70 — varies
Release of shoulder ligament (23415)
range across 2 matching MRF lines		 $82,369.70–$94,564 — varies
Release Thenar Muscle (26508)
range across 3 matching MRF lines		 $44,648.60–$67,007.05 — varies
Relocation Pocket Pacemaker (33222) $9,304.60 $9,304.60 3.9×
Rem Endovas Vena Cava Filter (37193) $78,896.75 — 21.5×
Removal Anal Seton Other Marker (46030) $21,541.40 — 15.5×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $19,660 — 18.7×
Removal Embedded Foreign Body Eyelid (67938) $26,815.55 — 72.8×
Removal entire oi implt skl perq attachment esp (69726) $27,641.30 — 7.3×
Removal foreign body foot deep (28192)
range across 3 matching MRF lines		 $17,623.75–$26,334.20 — varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $12,018.05–$19,147.70 — varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $12,290.25 — 6.4×
Removal foreign body, intranasal; requiring general anesthesia (30310)
range across 2 matching MRF lines		 $7,807.10–$10,902 — varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $227–$317.60 — varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $384.10–$506.10 — varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,826.80 $1,826.80 0.5×
Removal Implant Deep (20680)
range across 4 matching MRF lines		 $33,731.55–$57,986.90 — varies
Removal Implant Superficial Separate Procedure (20670)
range across 4 matching MRF lines		 $2,136.40–$22,142.65 — varies
Removal implantable contraceptive capsules (11976) $7,328.10 — 8.9×
Removal of a lesion from the floor of the mouth (41116) $62,903.25 — 16.3×
Removal of adenoids (42835) $50,387.30 — 13.1×
Removal of adenoids (42831) $44,940 — 11.7×
Removal of adenoids (42830) $27,020.10 — 7.0×
Removal of adenoids (42836) $34,814.60 — 9.0×
Removal of bladder cyst (51500) $35,694.25 — 5.1×
Removal of bone lesion (23140)
range across 3 matching MRF lines		 $31,423.70–$77,984.25 — varies
Removal of foreign body from pharynx (42809) $28,195.50 — 54.4×
Removal of heel spur (28119) $45,508.75 — 12.0×
Removal of humerus lesion (23150)
range across 2 matching MRF lines		 $34,281.25–$39,395.20 — varies
Removal of humerus lesion (23156)
range across 2 matching MRF lines		 $50,360.02–$53,691.07 — varies
Removal of intranasal lesion (30118) $50,297.10 — 13.1×
Removal of nail bed (11750) $15,075.95 — 31.9×
Removal of nose lesion (30124) $31,720.10 — 17.6×
Removal of tendon for graft (20924)
range across 2 matching MRF lines		 $39,427.65–$144,940 — varies
Removal of testis (54520)
range across 3 matching MRF lines		 $47,263.80–$68,820.20 — varies
Removal of tonsils (42825) $32,871 — 4.8×
Removal of tonsils (42826) $28,520.80 — 7.4×
Removal of tunneled intraperitoneal catheter (49422) $28,373.90 — 7.7×
Removal or bivalving full arm or full leg cast (29705) $282.20 $282.20 0.9×
Removal ppm generator only (33233) $17,268.70 $17,268.70 1.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $522.80 — 2.2×
Removal subcutaneous cardiac rhythm monitor (33286) $3,660.20 $3,660.20 4.5×
Removal Submand Stone,Complicated (42335) $23,735.80 — 6.2×
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $18,836.95–$22,199.95 — varies
Removal tong/halo applied by another individual (20665) $13,003.90 — 25.1×
Removal, under anesthesia, of external fixation system (20694) $20,845.80 — 11.2×
Removal/bivalving gauntlet boot/body cast (29700) $359.10 $359.10 1.1×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $64,895.70 — 26.7×
Remove brain canal fluid (61050) $2,421.80 $2,421.80 6.8×
Remove Brain Cavity Fluid (61020) $1,608.80 $1,608.80 1.6×
Remove coronoid process (21070)
range across 3 matching MRF lines		 $91,469.45–$170,962.64 — varies
Remove drug implant device (11982) $10,183.40 — 19.6×
Remove eye/attach implant (65105)
range across 3 matching MRF lines		 $46,965.30–$63,005 — varies
Remove femur lesion/graft (27356)
range across 3 matching MRF lines		 $62,121.26–$114,562.10 — varies
Remove foreign body from eye (65205) $143.40 $143.40 0.9×
Remove Intrauterine Device (58301) $13,258 — 37.5×
Remove intrvas foreign body (37197) $198,645.75 — 54.2×
Remove Lower Leg Bone Lesion (27635)
range across 4 matching MRF lines		 $23,775.55–$44,043.63 — varies
Remove Nasal Foreign Body (30300) $384.10 $384.10 2.5×
Remove Pulse Generator (33241) $80,981.65 — 18.7×
Remove renal tube w/fluoro (50389) $1,843.20 $1,843.20 2.3×
Remove Shoulder Foreign Body (23330) $3,264.20 $3,264.20 1.7×
Remove Tendon Sheath Lesion (26160) $20,451.50 — 11.0×
Remove ureter stent percut (50384) $5,107.10 $5,107.10 2.1×
Remove&replace pm gen singl (33227) $54,678.90 — 5.7×
Remove/graft foot lesion (28107) $47,757.02 — 5.7×
Remove/graft leg bone lesion (27637) $43,508.91 — 5.2×
Remove/Insert Drug Implant (11983) $110,825.55 — 213.6×
Remv&replc cvd gen dual lead (33263) $97,968.40 $97,968.40 3.8×
Remv&replc pm gen dual lead (33228) $59,480.10 — 4.9×
Renal Biopsy Perq (50200) $23,132.95 — 12.1×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $35,645.70–$43,390.45 — varies
Repair Blood Vessel Direct Upper Extremity (35206) $10,644.60 $10,644.60 2.9×
Repair brow ptosis (67900)
range across 2 matching MRF lines		 $204,799.80–$208,563.55 — varies
Repair Choanal Atresia Intranasal (30540)
range across 2 matching MRF lines		 $38,350.50–$58,140.60 — varies
Repair cleft lip/nasal (40720)
range across 4 matching MRF lines		 $58,047.83–$146,642.40 — varies
Repair cleft lip/nasal (40700)
range across 3 matching MRF lines		 $67,328–$84,944.90 — varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $17,185.70 — 20.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,735.20 $1,735.20 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $20,959.75 — 44.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $987.10 $987.10 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $166,541.15 — 352.8×
Repair complex trunk 1.1-2.5 cm (13100) $885.70 $885.70 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $29,992.95 — 34.9×
Repair detached retina (67105)
range across 4 matching MRF lines		 $20,808.40–$33,270.35 — varies
Repair Ectropion Extensive (67917) $17,774 — 6.4×
Repair Entropion Excision Tarsal Wedge (67923)
range across 2 matching MRF lines		 $24,878–$29,003.90 — varies
Repair Entropion Extensive (67924) $29,493 — 10.7×
Repair extensor tendon finger w/o graft each (26418) $26,490.10 — 14.2×
Repair Eyelid Wound (67935) $21,162.75 — 7.7×
Repair Finger/Hand Tendon (26350) $63,790.40 — 16.8×
Repair Fistula Oromaxillary (30580) $113,738.30 — 16.5×
Repair Foot Dislocation (28615) $97,569.17 — 11.6×
Repair Hand Joint (26540) $32,970.35 — 8.7×
Repair Hand Tendon (26410) $28,010.45 — 15.0×
Repair incomplete circumcision (54163) $32,880.10 — 13.5×
Repair inguinal hernia, sliding, any age (49525)
range across 2 matching MRF lines		 $24,805.35–$44,059.90 — varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $22,091.35–$34,616.55 — varies
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $23,739.40 — 5.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $19,872.60 — 42.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,105 — 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,328.20 $1,328.20 2.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,428.50 $1,428.50 3.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,720.50 $1,720.50 2.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $25,455.25 — 53.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $18,487.40 — 39.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,446 $1,446 1.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,795.90 $1,795.90 3.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $10,911.75–$16,231.80 — varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $11,890.80 — 25.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $2,862 $2,862 3.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $32,565.25 — 69.0×
Repair mouth/nose fistula (30600) $60,814.15 — 8.8×
Repair Nasal Vestibular Stenosis (30465)
range across 2 matching MRF lines		 $74,226.50–$123,254.40 — varies
Repair Non/Malunion Humerus W/O Graft (24430)
range across 2 matching MRF lines		 $50,925.54–$107,594.67 — varies
Repair Nonunion/Malunion Tibia W/O Graft (27720)
range across 2 matching MRF lines		 $65,850.87–$100,469.74 — varies
Repair nose to lip fistula (42260) $128,336.65 — 18.7×
Repair of hydrocele (55060)
range across 4 matching MRF lines		 $21,426.90–$48,999.15 — varies
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) $55,360.70 — 13.5×
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) $56,185.45 — 5.1×
Repair of nail bed (11760) $16,104.20 — 18.8×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $39,895.46 — 4.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
range across 2 matching MRF lines		 $42,314–$86,810.52 — varies
Repair of rectum (45505) $31,207.55 — 9.7×
Repair of Ruptured Tendon (24342) $55,817.83 — 6.6×
Repair of web finger (26562)
range across 3 matching MRF lines		 $73,425.65–$120,912.55 — varies
Repair of web finger (26560)
range across 2 matching MRF lines		 $79,372.25–$123,254.40 — varies
Repair of web finger (26561)
range across 3 matching MRF lines		 $51,260.65–$93,415 — varies
Repair palate (42235) $110,537.10 — 16.1×
Repair radius & ulna (25415)
range across 2 matching MRF lines		 $51,720.43–$64,765.84 — varies
Repair Spica/Body/Jacket Cast (29720) $234.30 $234.30 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $166,541.15 — 19.8×
Repair tongue laceration (41252) $2,171.60 $2,171.60 7.9×
Repair tongue laceration (41250) $689.30 $689.30 1.3×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496)
range across 2 matching MRF lines		 $28,513.55–$30,211 — varies
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $92,147.99 — 10.9×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $105,958.43 — 12.6×
Replace duodenostomy/jejunostomy tube perq (49451) $3,851.75 — 3.7×
Replace G-J Tube Perc (49452) $5,791.70 — 5.5×
Replace g/c tube perc (49450) $7,713.30 — 7.3×
Replace/Revise Brain Shunt (62230) $84,815.21 — 8.3×
Reposition Gastrostomy Tube (43761) $1,099.50 $1,099.50 3.8×
Reposition L Ventric Lead (33226) $9,985.50 $9,985.50 2.7×
Reposition Pacing-Defib Lead (33215) $10,831.80 $10,831.80 3.0×
Reposition Venous Catheter (36597) $28,229.95 — 15.4×
Repositioning Io Lens Prosthesis Req Inc Spx (66825)
range across 2 matching MRF lines		 $22,968.75–$30,315.85 — varies
Rerepair ing hernia reduce (49520)
range across 3 matching MRF lines		 $26,327.45–$61,974.70 — varies
Resect enlarged toe tissue (28340) $78,547.10 — 20.7×
Resection of scrotum (55150) $50,640.55 — 12.4×
Revise external ear (69300)
range across 2 matching MRF lines		 $63,251–$64,892.70 — varies
Revise eyelashes (67825)
range across 3 matching MRF lines		 $16,446.20–$24,098.35 — varies
Revise lower leg tendon (27690)
range across 3 matching MRF lines		 $60,906.35–$107,194.65 — varies
Revise Lower Leg Tendons (27686)
range across 4 matching MRF lines		 $52,017.15–$107,194.65 — varies
Revise penis/urethra (54328) $51,829.70 — 12.7×
Revise penis/urethra (54332) $68,680.35 — 16.8×
Revise radius & ulna (25365)
range across 2 matching MRF lines		 $58,990.15–$64,853 — varies
Revise ulnar nerve at wrist (64719) $134,988.38 — 59.5×
Revise Wrist/Forearm Tendon (25280)
range across 3 matching MRF lines		 $54,046.60–$99,732.71 — varies
Revision of big toe (28310) $56,345.36 — 6.7×
Revision of eyelid (67880) $64,548.05 — 23.4×
Revision of foot (28116)
range across 3 matching MRF lines		 $44,242.40–$142,956.70 — varies
Revision of foot and ankle (28262)
range across 4 matching MRF lines		 $51,873.25–$123,924.80 — varies
Revision of foot fascia (28250)
range across 2 matching MRF lines		 $28,397.80–$50,290.75 — varies
Revision of humerus (24400)
range across 3 matching MRF lines		 $52,541.40–$57,415.45 — varies
Revision of lower leg tendon (27685)
range across 3 matching MRF lines		 $35,756.75–$48,551.10 — varies
Revision of neck muscle (21720)
range across 3 matching MRF lines		 $27,463.55–$50,977.80 — varies
Revision of nose (30462) $94,906.15 — 13.8×
Revision of penis (54300) $51,676.40 — 12.6×
Revision of penis (54304) $74,774.45 — 18.3×
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) $160,366.50 — 25.8×
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $31,945.50–$76,120.95 — varies
Revision of scrotum (55180) $59,578.30 — 9.6×
Revision of tracheostomy scar (31830) $27,251.70 — 7.1×
Revision of wrist joint (25450)
range across 3 matching MRF lines		 $27,845.75–$45,891.43 — varies
Revision/replmt neurostimlator eltrd cranial nrv (64569) $126,959.45 — 9.8×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $37,132.95 — 9.0×
Revj Shunt Extraocular Reservoir W/O Graft (66184)
range across 2 matching MRF lines		 $42,161.15–$44,389.70 — varies
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $75,281.45 — 3.7×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $25,136.60 $25,136.60 3.8×
Rhinoplasty primary w/major septal repair (30420) $87,595.85 — 12.7×
Rhinoplasty Secondary Major Revision (30450) $102,780.85 — 15.0×
Rhinp Dfrm W/Colum Lngth Tip Only (30460)
range across 2 matching MRF lines		 $84,525.35–$99,587.85 — varies
Rhinp Prim Complete Xtrnl Parts (30410) $208,563.55 — 30.3×
Rib cartilage graft (21230)
range across 3 matching MRF lines		 $107,830.65–$138,686.60 — varies
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $19,273–$26,554.31 — varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $720.50 $720.50 0.4×
Rmvl embedded fb vestibule mouth comp (40805) $844.90 $844.90 1.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 4 matching MRF lines		 $7,763–$37,313.85 — varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $378.10–$16,548 — varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $481.70 — 3.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $926 $926 1.8×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $26,504.25–$27,928.05 — varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $24,512.65 — 7.3×
Rmvl Lens Material Aspir Tq 1/> Stages (66840)
range across 3 matching MRF lines		 $28,409.70–$60,830.30 — varies
Rmvl Lens Material Phacofragmentation Aspir (66850)
range across 3 matching MRF lines		 $40,775.35–$59,056.20 — varies
Rmvl of subq implantable defibrillator electrode (33272) $15,560 $15,560 3.6×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $42,098.40 — 18.6×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $58,126.55 — 14.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $15,144.80–$22,296.15 — varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $12,480–$29,266.40 — varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $36,453.05 — 13.6×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $350.90 $350.90 1.1×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711)
range across 3 matching MRF lines		 $37,893.80–$61,872.29 — varies
Rplc Gtube No Revj Trc (43762) $953.20 — 3.3×
Rplc gtube revj gstrst trc (43763) $93,521.30 — 322.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,808 $2,808 1.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,634.90 $2,634.90 1.4×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 4 matching MRF lines		 $39,354.05–$89,673.60 — varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $24,368.80–$31,405.35 — varies
Rplcmt/irrigation ventricular catheter (62225) $78,629.52 — 19.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $26,077.70 — 6.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $26,355.55 — 6.3×
Rpr aa hrn 1st 3-10 rdc (49593) $66,275.70 — 8.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $19,558.85 — 2.8×
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901)
range across 3 matching MRF lines		 $29,493–$42,110.60 — varies
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $26,464.70 — 9.6×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $16,798 — 6.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $4,520.10 $4,520.10 2.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,365.20 $1,365.20 5.9×
Rpr ing hern premie blocked (49492) $47,815.30 — 11.5×
Rpr Ing Hernia Baby, Reduc (49495)
range across 4 matching MRF lines		 $30,514.30–$42,157.80 — varies
Rpr ing hernia init reduce (49500)
range across 4 matching MRF lines		 $25,865.30–$55,779.90 — varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $576.10 $576.10 2.1×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $44,714.25 — 7.2×
Rpr Lip Full Thickness Vermilion Only (40650) $1,707.20 $1,707.20 2.7×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $70,687.45 — 18.6×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $45,346.60 — 11.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $746.20 $746.20 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $31,752.55 — 8.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $52,526.05 — 13.8×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $53,450.60 — 14.1×
Sclerotx Fluid Collection (49185) $32,139.80 — 16.8×
Scrotoplasty Simple (55175) $36,338.55 — 8.9×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $74,226.50 — 19.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $4,265.10 $4,265.10 3.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $10,760 $10,760 7.7×
Shave skin lesion 0.5 cm/< (11300) $297.50 $297.50 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $1,168.80 — 5.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $696 $696 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $2,060.30 — 8.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $388 $388 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $466.70 $466.70 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $575 $575 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $2,348.60 — 10.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $561 $561 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $334.80 $334.80 1.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $580.70 $580.70 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $405 $405 1.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,169.30 $1,169.30 0.3×
Sigmoidoscopy & decompress (45337) $4,535.20 $4,535.20 4.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $4,982.10 $4,982.10 3.6×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $6,314.10 $6,314.10 4.5×
Sigmoidoscopy w/fb removal (45332) $4,649.10 $4,649.10 3.3×
Sigmoidoscopy W/Ultrasound (45341) $5,546.80 $5,546.80 5.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $6,727 $6,727 6.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,531 $1,531 3.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $967.70 — 4.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,116.80 — 4.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,320.30 — 5.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $907.30 — 3.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,500 $1,500 6.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,125.20 $1,125.20 4.8×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
range across 2 matching MRF lines		 $54,192.55–$72,814.15 — varies
Skin Full Grft Face/Genit/Hf (15240) $55,775.95 — 23.3×
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $612.40–$891.50 $612.40–$891.50 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $106,758.05–$118,966.80 — varies
Slctv cath carotid/innom art angio xtrcranl art (36222) $18,310.20 $18,310.20 5.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines		 $83,960.55–$118,966.80 — varies
Small bowel endoscopy (44366) $7,091 $7,091 3.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $1,041.10 — 4.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,241.10 $1,241.10 2.6×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $13,764.65–$16,698.10 — varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $112,120.25 — 27.2×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $28,294.55 — 11.8×
Strabismus Any Superior Oblique Muscle (67318)
range across 3 matching MRF lines		 $49,829.40–$69,201.20 — varies
Strabismus Recession/Rescj 1 Hrzntl Musc (67311)
range across 3 matching MRF lines		 $25,050–$41,569 — varies
Strabismus Recession/Rescj 1 Ver Musc (67314)
range across 3 matching MRF lines		 $38,586.95–$51,973.70 — varies
Strabismus Recession/Rescj 2 Hrzntl Musc (67312)
range across 2 matching MRF lines		 $31,452.50–$34,426.35 — varies
Strabismus Recession/Rescj 2/More Ver Musc (67316) $72,497.85 — 26.3×
Strapping ankle (29540) $333.40 $333.40 1.8×
Strapping elbow or wrist (29260) $227 $227 3.3×
Strapping Hip (29520) $237.60 $237.60 1.5×
Strapping knee (29530) $383.70 $383.70 2.5×
Strapping shoulder (29240) $375.10 $375.10 2.4×
Subconjunctival injection (68200) $47,438 — 91.4×
Subcutaneous Hormone Pellet Implantation (11980) $107,961.25 — 208.1×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 3 matching MRF lines		 $47,805.80–$60,203.05 — varies
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $38,552.70 — 10.0×
Surg tx anal fistula subq (46270) $18,521.05 — 5.7×
Surgery to stop leg growth (27479)
range across 4 matching MRF lines		 $39,881.70–$70,812.40 — varies
Surgery to stop leg growth (27477)
range across 2 matching MRF lines		 $23,094.65–$29,555.20 — varies
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $612 $612 0.2×
Suture digital nerve hand/foot 1 nerve (64831) $32,970.35 — 14.5×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $42,632.30–$62,617.35 — varies
Talectomy (astragalectomy) Facility (28130)
range across 2 matching MRF lines		 $130,792.59–$134,958.80 — varies
Tangential biopsy skin single lesion (11102) $1,627.20 — 3.4×
Tcat Insj/Rpl Perm Ldls Pm (33274) $63,287.60 $63,287.60 2.8×
Temple bone implant revision (69717)
range across 3 matching MRF lines		 $33,748.40–$65,901.04 — varies
Temporary Closure Eyelids Suture (67875) $7,647.20 $7,647.20 6.6×
Tendon lengthening upper arm/elbow ea tendon (24305)
range across 3 matching MRF lines		 $75,326.35–$88,422.65 — varies
Tendon shortening (26477) $121,721.87 — 32.0×
Tendon transfer with graft (26492) $144,940 — 38.1×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $68,864.80–$126,998.07 — varies
Tenodesis proximal interphalangeal joint each (26471) $144,940 — 38.1×
Tenotomy Adductor Hip Percutaneous Spx (27000)
range across 2 matching MRF lines		 $43,655–$50,187.50 — varies
Tenotomy Flexor Finger Open Each Tendon (26455) $30,332.34 — 16.2×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 4 matching MRF lines		 $37,321.70–$107,194.65 — varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 4 matching MRF lines		 $19,558.75–$83,836.40 — varies
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 2 matching MRF lines		 $2,880.90–$4,459 — varies
Tenotomy, open, elbow to shoulder, each tendon Facility (24310)
range across 2 matching MRF lines		 $79,337.90–$126,998.07 — varies
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391)
range across 2 matching MRF lines		 $67,244.14–$88,693.15 — varies
Thaw preserved stem cells (38208) $14,516.70 $14,516.70 28.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $10,908.40 — 13.3×
Therapeutic Apheresis White Blood Cells (36511) $9,581.20 $9,581.20 5.3×
Thoracoscopy w/bx nodule (32608)
range across 3 matching MRF lines		 $59,693.10–$69,499.80 — varies
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $35,422.05 — 5.0×
Thrmbc/Nfs Dialysis Circuit (36906) $53,768.60 $53,768.60 2.5×
Thromblytic art/ven therapy (37213) $7,435 $7,435 2.0×
Thrombolytic Art Therapy (37211) $16,193.80 $16,193.80 2.5×
Thrombolytic Venous Therapy (37212) $14,304.50 $14,304.50 3.9×
Thyroid biopsy (60100) $2,537.90 $2,537.90 3.1×
Thyroidectomy, total or complete (60240) $130,901.15 — 18.6×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $83,160.65 — 12.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $80,205.50 — 33.5×
Tissue Expander Placement Breast Reconstruction (19357) $38,946.60 — 2.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $32,159.70 — 8.4×
Tooth extraction (41899) $107,741.90 — 391.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,858.20 — 3.0×
Tracheostoma Revj Cplx W/Flap Rotation (31614) $67,144.35 — 9.8×
Tracheostoma revj smpl w/o flap rotation (31613) $31,335.05 — 8.1×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $1,197 $1,197 3.4×
Transcatheter biopsy (37200) $55,451.70 — 8.6×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498)
range across 2 matching MRF lines		 $61,868.90–$144,940 — varies
Transfusion Intrauterine Fetal (36460) $1,377 $1,377 2.7×
Treat ankle fracture (28445)
range across 2 matching MRF lines		 $60,469.03–$142,095.84 — varies
Treat Big Toe Fracture (28505) $31,997.25 — 8.4×
Treat Elbow Fracture (24635)
range across 3 matching MRF lines		 $22,427.15–$37,115.95 — varies
Treat Finger Fracture Each (26727) $27,997.10 — 7.4×
Treat fracture radius/ulna (25575)
range across 3 matching MRF lines		 $45,421.39–$62,196.22 — varies
Treat Fx Rad Extra-Articul (25607)
range across 3 matching MRF lines		 $38,902.10–$49,259.40 — varies
Treat Hand Bone Lesion (26034) $32,943.05 — 17.6×
Treat knee fracture (27532) $18,585.60 — 4.9×
Treat Kneecap Fracture (27524)
range across 3 matching MRF lines		 $51,661.85–$78,935.57 — varies
Treat Knuckle Dislocation (26700) $499.50 $499.50 1.7×
Treat vagina infection (57150) $120.30 $120.30 1.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $42,049.95 — 22.5×
Treatment closed elbow dislocation w/o anes (24600) $500 $500 1.7×
Treatment extensive retinopathy photocoagulation (67228)
range across 4 matching MRF lines		 $23,399.40–$37,937.80 — varies
Treatment of retinal lesion (67208)
range across 2 matching MRF lines		 $20,443.70–$22,304.60 — varies
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176)
range across 4 matching MRF lines		 $35,111.90–$77,877.60 — varies
Trgt gen seq alys pnl solid orgn neo DNA 55-74 (0242U) $8,996.10 $8,996.10 1.8×
Trim skin lesion (11055) $290.20 $290.20 1.2×
Trim skin lesions 2 to 4 (11056) $312 $312 1.3×
Trim skin lesions over 4 (11057) $406.80 $406.80 1.7×
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $102,336.90–$113,401.65 — varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $53,944.90–$119,277.25 — varies
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 2 matching MRF lines		 $16,224.30–$17,337.70 $16,224.30–$17,337.70 varies
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $7,806.50 $7,806.50 15.2×
Trnsplj autologous hematopoietic cells per donor (38241) $7,817.60 $7,817.60 4.3×
Trnsplj Hematopoietic Cell Boost (38243) $5,755.70 $5,755.70 3.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $8,794.20 — 2.7×
Tx Gastro Intub W/Asp (43753) $345.90 $345.90 1.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 4 matching MRF lines		 $24,752.75–$43,655 — varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $25,194.25 — 29.4×
Tx superficial wound dehiscence w/packing (12021) $1,121.50 $1,121.50 2.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $60,469.03 — 211.1×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 3 matching MRF lines		 $56,182.60–$79,560.11 — varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 4 matching MRF lines		 $1,608.90–$46,959.05 — varies
Tympanoplasty (69631)
range across 2 matching MRF lines		 $54,558.70–$63,387.30 — varies
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637)
range across 2 matching MRF lines		 $64,288.10–$91,119.20 — varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646)
range across 2 matching MRF lines		 $90,112.80–$127,173.15 — varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)
range across 3 matching MRF lines		 $72,548.30–$81,860.95 — varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643)
range across 2 matching MRF lines		 $77,126.70–$91,483.60 — varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
range across 3 matching MRF lines		 $72,362–$88,755.65 — varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
range across 3 matching MRF lines		 $83,598.60–$105,452.25 — varies
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
range across 3 matching MRF lines		 $61,135.67–$104,546 — varies
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
range across 2 matching MRF lines		 $56,096.70–$62,777.25 — varies
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines		 $33,994.95–$48,290.05 — varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $51,404.70 — 12.4×
Umbilical cord occlud w/us (59072) $952 $952 2.7×
Unlisted Cardiac Surgery (33999) $3,924.90 $3,924.90 5.4×
Unlisted laparoscopic procedure liver (47379) $117,748.95 — 16.8×
Unlisted laparoscopy procedure oviduct ovary (58679) $37,422.40 — 5.3×
Unlisted laparoscopy procedure stomach (43659) $49,230.40 — 7.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $96,881.60 — 13.8×
Unlisted laparoscopy procedure, bladder (51999) $110,020.65 — 15.7×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $59,894.10 — 8.5×
Unlisted procedure anus (46999) $5,742.30 $5,742.30 5.3×
Unlisted Procedure Biliary Tract (47999) $80,941.74 — 76.9×
Unlisted procedure colon (45399) $51,110.65 — 47.3×
Unlisted Procedure Endocrine System (60699) $8,108.10 $8,108.10 1.2×
Unlisted Procedure Esophagus (43499) $40,533.65 — 38.5×
Unlisted Procedure External Ear (69399)
range across 2 matching MRF lines		 $135,818.20–$148,586.10 — varies
Unlisted procedure femur or knee (27599) $45,978.95 — 160.5×
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $30,289.80–$92,332.40 — varies
Unlisted procedure forearm or wrist (25999) $65,666.76 — 229.3×
Unlisted Procedure Intestine (44799) $1,481 — 1.4×
Unlisted procedure larynx (31599) $56,704.15 — 206.2×
Unlisted procedure lungs and pleura (32999) $1,821.30 $1,821.30 2.5×
Unlisted Procedure Male Genital System (55899) $4,517.60 — 15.6×
Unlisted procedure neck or thorax (21899) $49,565.91 — 180.2×
Unlisted procedure nervous system (64999) $134,524.15 — 377.4×
Unlisted Procedure Palate Uvula (42299) $23,865.35 — 86.8×
Unlisted procedure pancreas (48999) $21,355.30 $21,355.30 26.0×
Unlisted procedure pelvis/hip joint (27299)
range across 3 matching MRF lines		 $22,515.90–$58,708.50 — varies
Unlisted Procedure Rectum (45999) $15,872.20 — 14.7×
Unlisted procedure spine (22899) $2,879.60 — 10.1×
Unlisted procedure stomach (43999) $11,417.20 $11,417.20 10.8×
Unlisted Procedure Vascular Surgery (37799) $36,238.90 $36,238.90 49.7×
Unlisted Procedure, Urinary System (53899) $19,777.50 — 68.2×
Unlisted px female genital system nonobstetrical (58999) $31,993.15 — 136.3×
Unlisted Px Salivary Glands/Ducts (42699) $59,259.35 — 215.5×
Upgrade of pacemaker system (33214) $31,372.50 $31,372.50 2.6×
Urethrectomy, total, including cystostomy; male Facility (53215) $54,032.50 — 8.7×
Urethromeatoplasty W/Mucosal Advancement (53450) $36,338.55 — 8.9×
Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) $66,369.35 — 16.2×
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) $79,735.35 — 12.8×
Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) $45,015.50 — 11.0×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $70,673.60 — 11.4×
Urethroplasty, reconstruction of female urethra Facility (53430) $73,801.95 — 11.9×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $62,683.70 — 10.1×
Vaginoplasty for intersex state Facility (57335) $26,654.20 — 4.6×
Vasc embolize/occlude artery (37242)
range across 3 matching MRF lines		 $204,804.20–$231,048.55 — varies
Vasc Embolize/Occlude Bleed (37244) $34,547.70 $34,547.70 2.6×
Vasc Embolize/Occlude Organ (37243) $40,332.40 $40,332.40 3.0×
Vasc embolize/occlude venous (37241)
range across 3 matching MRF lines		 $39,163.10–$120,191.80 — varies
Venous Mech Thrombectomy (37187) $79,607.30 — 5.9×
Ventilating tube removal requiring general anesthesia (69424)
range across 4 matching MRF lines		 $17,544.60–$43,722.30 — varies
Ventricular puncture previous burr hole w/inj (61026) $1,342.60 $1,342.60 1.6×
Vestibuloplasty Anterior (40840) $49,289.95 — 7.2×
Vlcad leukocyte enzyme activity whole blood (0257U) $1,526.30 $1,526.30 2.1×
Vulvectomy simple partial (56620) $35,030.15 — 9.3×
Wedge excision skin nail fold (11765) $270.30 $270.30 0.6×
Wedging of cast (29740) $366.60 $366.60 1.1×
Windowing of cast (29730) $357.70 $357.70 1.9×
Wound Prep F/N/Hf/G (15004) $70,342.10 — 149.0×
Wound Prep Trk/Arm/Leg (15002) $28,294.55 — 33.0×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $48,480.35–$73,117.35 — varies
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
unusually low: confirm this is the full procedure		 $2,584.90 $2,584.90 0.4×

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.