Procedures & surgery prices at Sentara Halifax Regional Hospital
South Boston, VA · every code in this section with a posted price and a Medicare benchmark.
1105 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,246 | $2,492 | 1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$913.50–$1,096 | $1,827–$2,192 | varies |
| Abdomen Surgery Procedure (22999) | $481 | $962 | 2.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $10,659.50 | $21,319 | 1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $10,651.50 | $21,303 | 0.6× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $12,071 | $24,142 | 1.7× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,587.50 | $3,175 | 1.0× |
| Acne surgery (10040) | $223 | $446 | 1.1× |
| Adding Walker Previously Applied Cast (29440) | $218.50 | $437 | 1.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $4,516.50 | $9,033 | 2.2× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $3,744.50 | $7,489 | 1.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,660–$2,209.50 | $3,320–$4,419 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $5,420 | $10,840 | 2.7× |
| Amniocentesis diagnostic (59000) | $1,724 | $3,448 | 1.9× |
| Amniocentesis therapeutic (59001) | $2,642.50 | $5,285 | 8.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $3,978.50 | $7,957 | 1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,528.50 | $5,057 | 0.8× |
| Amputation toe interphalangeal joint (28825) range across 3 matching MRF lines |
$4,196.50–$5,482.50 | $8,393–$10,965 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$4,196.50–$5,482.50 | $8,393–$10,965 | varies |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $523 | $1,046 | 1.7× |
| Anoscopy Ablation Lesion (46615) | $2,928.50 | $5,857 | 1.1× |
| Anoscopy Control Bleeding (46614) | $1,073 | $2,146 | 0.9× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$168.50–$267 | $337–$534 | varies |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) | $1,586.50 | $3,173 | 1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,500 | $3,000 | 1.6× |
| Anoscopy; with biopsy, single or multiple (46606) | $2,928.50 | $5,857 | 2.5× |
| Apheresis Platelets (36513) | $4,854.50 | $9,709 | 11.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $218.50 | $437 | 1.4× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) | $480 | $960 | 1.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $359.50 | $719 | 2.2× |
| Application Body Cast Shoulder Hips (29035) | $480 | $960 | 1.7× |
| Application Body Cast Shoulder Hips Both Thighs (29046) | $480 | $960 | 1.7× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$299.50–$392 | $599–$784 | varies |
| Application Cast Shoulder Spica (29055) | $480 | $960 | 1.7× |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$250–$327 | $500–$654 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$254–$445 | $508–$890 | varies |
| Application Halo Type Body Cast (29000) | $258 | $516 | 0.9× |
| Application Hip Spica Cast 1 Leg (29305) | $480 | $960 | 1.7× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$254–$489 | $508–$978 | varies |
| Application Long Leg Cast Brace (29358) | $480 | $960 | 1.7× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$254–$375.50 | $508–$751 | varies |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) | $480 | $960 | 3.0× |
| Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) | $258 | $516 | 0.9× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$367–$480 | $734–$960 | varies |
| Application of rigid total contact leg cast (29445) | $683.50 | $1,367 | 2.5× |
| Application of Risser jacket, localizer, body; including head Facility (29015) | $480 | $960 | 1.7× |
| Application Patellar Tendon Bearing Cast (29435) | $480 | $960 | 1.7× |
| Application risser jacket localizer body only (29010) | $480 | $960 | 1.7× |
| Application Short Arm Splint Dynamic (29126) | $222 | $444 | 1.7× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$237.50–$422 | $475–$844 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$197–$443 | $394–$886 | varies |
| Application, cast; figure-of-eight Facility (29049) | $258 | $516 | 0.9× |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$191–$249 | $382–$498 | varies |
| Apply long arm cast (29065) | $395 | $790 | 1.4× |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$299–$781 | $598–$1,562 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$367–$1,191.50 | $734–$2,383 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$277.50–$363 | $555–$726 | varies |
| Apply shoulder cast,plastr velpeau (29058) | $258 | $516 | 0.9× |
| Arterial puncture (36600) | $157.50 | $315 | 1.2× |
| Arteriovenous Anastomosis Open Direct (36821) | $5,691.50 | $11,383 | 1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$343.50–$421.50 | $687–$843 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$629.50–$924.50 | $1,259–$1,849 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$523–$751.50 | $1,046–$1,503 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$656–$1,184 | $1,312–$2,368 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$277–$459.50 | $554–$919 | varies |
| Arthrodesis Glenohumeral Joint (23800) | $5,012 | $10,024 | 0.7× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) | $4,223 | $8,446 | 1.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) range across 2 matching MRF lines |
$4,137.50–$5,406 | $8,275–$10,812 | varies |
| Aspirate pleura w/ imaging (32555) | $3,088.50 | $6,177 | 5.0× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$1,298–$1,696 | $2,596–$3,392 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$308–$347.50 | $616–$695 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $414 | $828 | 0.6× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,054.50 | $6,109 | 1.5× |
| Av Fistula Revision Open (36832) | $4,537 | $9,074 | 0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$163.50–$261 | $327–$522 | varies |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $8,362.50 | $16,725 | 1.3× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) likely a partial charge, not the full procedure |
$2,805 | $5,610 | 0.3× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$2,805 | $5,610 | 0.3× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) unusually low: confirm this is the full procedure |
$2,711 | $5,422 | 0.4× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,711 | $5,422 | 0.4× |
| Biopsy Abdominal Mass (49180) | $1,479 | $2,958 | 0.9× |
| Biopsy bone open superficial (20240) | $6,686.50 | $13,373 | 2.3× |
| Biopsy bone trocar/needle deep (20225) | $4,458 | $8,916 | 2.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,876.50 | $7,753 | 2.4× |
| Biopsy External Auditory Canal (69105) | $2,267 | $4,534 | 1.5× |
| Biopsy external ear (69100) | $283 | $566 | 1.2× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$931.50–$963 | $1,863–$1,926 | varies |
| Biopsy of breast; open, incisional (19101) | $6,358 | $12,716 | 1.7× |
| Biopsy of floor of mouth (41108) | $3,319.50 | $6,639 | 2.0× |
| Biopsy of lip (40490) | $861 | $1,722 | 3.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,762.50 | $3,525 | 1.1× |
| Biopsy of palate, uvula (42100) range across 2 matching MRF lines |
$1,280.50–$1,536.50 | $2,561–$3,073 | varies |
| Biopsy of penis (54100) | $2,169.50 | $4,339 | 1.3× |
| Biopsy of rectum (45100) | $2,500.50 | $5,001 | 0.9× |
| Biopsy Oropharynx (42800) | $3,192.50 | $6,385 | 2.1× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,377.50 | $2,755 | 0.8× |
| Biopsy Salivary Gland Needle (42400) | $1,496 | $2,992 | 2.1× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $1,332.50 | $2,665 | 0.8× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $2,546 | $5,092 | 1.6× |
| Biopsy soft tissue neck/thorax (21550) | $2,669 | $5,338 | 1.6× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $3,327 | $6,654 | 2.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $5,394.50 | $10,789 | 1.9× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $1,874.50 | $3,749 | 1.2× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $1,218 | $2,436 | 0.7× |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$936–$1,123.50 | $1,872–$2,247 | varies |
| Biopsy Vaginal Mucosa Simple (57100) | $1,064 | $2,128 | 1.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$1,290.50–$1,548.50 | $2,581–$3,097 | varies |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$622–$746.50 | $1,244–$1,493 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $1,040 | $2,080 | 1.5× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$501–$601 | $1,002–$1,202 | varies |
| Bladder Scan (51798) range across 3 matching MRF lines |
$145–$181.50 | $290–$363 | varies |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $4,192.50 | $8,385 | 2.7× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$604–$724.50 | $1,208–$1,449 | varies |
| Blood Transfusion Service (36430) | $1,052 | $2,104 | 2.4× |
| Blood/Lymph System Procedure (38999) | $818 | $1,636 | 1.9× |
| Bone Marrow Biopsy (38221) | $1,636 | $3,272 | 1.0× |
| Bone Marrow; Aspiration Only (38220) | $1,456.50 | $2,913 | 0.9× |
| Brnchsc Brushing/Protected Brushings (31623) | $2,007 | $4,014 | 1.1× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $2,963.50 | $5,927 | 0.8× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $2,963.50 | $5,927 | 0.8× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,007 | $4,014 | 1.1× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $7,628 | $15,256 | 1.1× |
| Bronchoscopy W/Removal Foreign Body (31635) | $2,129 | $4,258 | 1.2× |
| Bronchoscopy/Needle Bx Each (31629) | $4,117.50 | $8,235 | 1.1× |
| Bx breast 1st lesion mr imag (19085) | $7,489 | $14,978 | 4.6× |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$2,456–$5,625.50 | $4,912–$11,251 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,801.50–$2,851.50 | $3,603–$5,703 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$1,065.50–$1,391.50 | $2,131–$2,783 | varies |
| Bx Cervix (57500) | $1,998 | $3,996 | 2.2× |
| Bx prostate strtctc saturation sampling img gid (55706) | $5,162.50 | $10,325 | 1.5× |
| Bx/exc lymph node open superficial (38500) | $6,040 | $12,080 | 1.6× |
| Canthotomy Separate Procedure (67715) | $2,571 | $5,142 | 1.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $4,196.50 | $8,393 | 1.3× |
| Cautery Cervix Electro/Thermal (57510) | $6,189.50 | $12,379 | 1.9× |
| Cerclage cervix pregnancy vaginal (59320) | $3,056 | $6,112 | 1.0× |
| Cessj Therapy Cath Removal (37214) | $7,511.50 | $15,023 | 2.4× |
| Change Cystostomy Tube Complicated (51710) | $1,996.50 | $3,993 | 2.9× |
| Change Cystostomy Tube Simple (51705) | $620 | $1,240 | 2.5× |
| Change of Windpipe Airway (31502) | $386 | $772 | 1.7× |
| Change ureter stent percut (50382) | $4,576 | $9,152 | 2.2× |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
$242–$249 | $484–$498 | varies |
| Chemical Pleurodesis (32560) | $3,687.50 | $7,375 | 6.0× |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,534.50 | $3,069 | 2.2× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,534.50 | $3,069 | 2.2× |
| Chemodenerv Musc Migraine (64615) | $489 | $978 | 1.6× |
| Chemodenerv musc neck dyston (64616) | $439.50 | $879 | 1.5× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $415.50 | $831 | 1.4× |
| Chemodenerv trunk musc 1-5 (64646) | $1,498 | $2,996 | 2.2× |
| Chemodenerv trunk musc 6/> (64647) | $2,036 | $4,072 | 2.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $302.50 | $605 | 1.0× |
| Chest tube placement (32551) | $1,696 | $3,392 | 1.1× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $3,035.50 | $6,071 | 1.5× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,063.50 | $6,127 | 0.9× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) | $1,588 | $3,176 | 0.7× |
| Circumcision 28 days or older (54161) | $2,090.50 | $4,181 | 1.0× |
| Circumcision Neonate (54160) | $1,418.50 | $2,837 | 2.1× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$1,891–$2,269.50 | $3,782–$4,539 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $1,787.50 | $3,575 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $3,295 | $6,590 | 2.1× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$158.50–$292.50 | $317–$585 | varies |
| Closed Treat Vert Body Fract (22310) | $451 | $902 | 1.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $376 | $752 | 1.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $3,350 | $6,700 | 2.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $609.50 | $1,219 | 2.5× |
| Closed Treatment Sesamoid Fracture (28530) | $445.50 | $891 | 1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$360–$609.50 | $720–$1,219 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $957 | $1,914 | 3.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,006 | $2,012 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$263–$342.50 | $526–$685 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$566–$739.50 | $1,132–$1,479 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $263 | $526 | 1.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,767 | $3,534 | 1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$198–$258 | $396–$516 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) | $4,202.50 | $8,405 | 1.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $462.50 | $925 | 1.9× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,677 | $3,354 | 1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) | $609.50 | $1,219 | 2.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $3,295 | $6,590 | 2.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $525 | $1,050 | 1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $7,000 | $14,000 | 1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$290.50–$379.50 | $581–$759 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,898 | $5,796 | 1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,960.50 | $5,921 | 1.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,404.50 | $6,809 | 1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $609.50 | $1,219 | 2.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $380 | $760 | 1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,006 | $2,012 | 0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $375 | $750 | 1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,025.50 | $4,051 | 1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$198–$258 | $396–$516 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $3,284.50 | $6,569 | 2.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$401–$523 | $802–$1,046 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $382.50 | $765 | 1.6× |
| Closed tx septal&nose fx (21337) | $2,622 | $5,244 | 0.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,019 | $2,038 | 4.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $493 | $986 | 2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,006 | $2,012 | 0.6× |
| Closed tx talus fracture w/o manipulation (28430) | $298.50 | $597 | 1.2× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $581 | $1,162 | 2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $194 | $388 | 0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,006 | $2,012 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$198–$258 | $396–$516 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $376 | $752 | 1.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $651 | $1,302 | 2.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $2,328 | $4,656 | 4.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,465 | $2,930 | 6.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $513.50 | $1,027 | 2.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $2,807.50 | $5,615 | 1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $393.50 | $787 | 1.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $1,164 | $2,328 | 2.2× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $198 | $396 | 0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,145 | $6,290 | 2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$507.50–$609.50 | $1,015–$1,219 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $162.50 | $325 | 0.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $3,299 | $6,598 | 2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,006 | $2,012 | 0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$369.50–$483 | $739–$966 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,127 | $2,254 | 0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $344.50 | $689 | 1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $609.50 | $1,219 | 2.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $609.50 | $1,219 | 2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$203–$265 | $406–$530 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $523 | $1,046 | 2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$401–$523 | $802–$1,046 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$338–$441.50 | $676–$883 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$915–$1,104 | $1,830–$2,208 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $2,637 | $5,274 | 1.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,368 | $2,736 | 0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $401 | $802 | 1.7× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $396 | $792 | 0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $434.50 | $869 | 1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,128.50 | $6,257 | 2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$577.50–$609.50 | $1,155–$1,219 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $264 | $528 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$379–$495.50 | $758–$991 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$321–$418.50 | $642–$837 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $3,741 | $7,482 | 2.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $487.50 | $975 | 2.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $382.50 | $765 | 1.6× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $1,329.50 | $2,659 | 5.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,809 | $3,618 | 1.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,953.50–$2,246.50 | $3,907–$4,493 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $275 | $550 | 1.1× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $401 | $802 | 1.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $3,284.50 | $6,569 | 2.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,006 | $2,012 | 0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $257.50 | $515 | 1.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $2,687.50 | $5,375 | 1.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $997.50 | $1,995 | 3.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $609.50 | $1,219 | 2.5× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $2,345 | $4,690 | 1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $3,145 | $6,290 | 11.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$212–$609.50 | $424–$1,219 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $3,031.50 | $6,063 | 1.9× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$263–$342.50 | $526–$685 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$599–$783 | $1,198–$1,566 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$212–$277 | $424–$554 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,006 | $2,012 | 0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$308–$402.50 | $616–$805 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$280.50–$367 | $561–$734 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $2,528.50 | $5,057 | 1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) | $425.50 | $851 | 1.8× |
| Cltx prox fibula/shft fx w/manj (27781) | $3,741 | $7,482 | 2.4× |
| Cltx prox fibula/shft fx w/o manj (27780) | $264 | $528 | 1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,873 | $3,746 | 1.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $258 | $516 | 1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $609.50 | $1,219 | 2.5× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $878 | $1,756 | 0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,528.50 | $5,057 | 1.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $951.50 | $1,903 | 0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,006 | $2,012 | 0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $198 | $396 | 0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$2,104.50–$2,801.50 | $4,209–$5,603 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $314 | $628 | 1.3× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $5,534 | $11,068 | 1.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $342.50 | $685 | 1.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $380 | $760 | 1.6× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$367–$445.50 | $734–$891 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$915–$1,252.50 | $1,830–$2,505 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$263–$342.50 | $526–$685 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $219.50 | $439 | 1.7× |
| Collection of venous blood by venipuncture (36415) | $20 | $40 | 2.1× |
| Colporrhaphy (57200) | $2,087 | $4,174 | 0.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $517 | $1,034 | 1.7× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$5,118–$6,686.50 | $10,236–$13,373 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $654.50 | $1,309 | 5.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$332.50–$399 | $665–$798 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,242 | $2,484 | 2.3× |
| Conversion ext bil drg cath (47535) | $4,620 | $9,240 | 1.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,669 | $5,338 | 1.4× |
| Convert Nephrostomy Catheter (50434) | $2,895 | $5,790 | 1.4× |
| Cordocentesis (59012) | $1,440 | $2,880 | 4.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,549.50 | $5,099 | 1.6× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $399.50 | $799 | 0.9× |
| Correction hammertoe (28285) | $5,445 | $10,890 | 1.7× |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$890–$1,068.50 | $1,780–$2,137 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $399 | $798 | 3.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $356.50 | $713 | 1.5× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $5,110.50 | $10,221 | 1.6× |
| Curettage postpartum (59160) | $3,203 | $6,406 | 1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $4,799 | $9,598 | 2.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $1,797.50 | $3,595 | 0.9× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $4,799 | $9,598 | 1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) | $3,085 | $6,170 | 1.5× |
| Cysto w/ureter stricture tx (52341) | $5,250.50 | $10,501 | 1.5× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $2,146 | $4,292 | 0.6× |
| Cystometrogram W/Vp (51728) | $1,169.50 | $2,339 | 1.7× |
| Cystourethroscopy (52000) | $1,259 | $2,518 | 1.8× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | $3,954.50 | $7,909 | 1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$318.50–$376.50 | $637–$753 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,512 | $5,024 | 0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,606.50 | $3,213 | 2.3× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,606.50 | $3,213 | 2.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$1,299.50–$1,698 | $2,599–$3,396 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$102–$306 | $204–$612 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$102–$187.50 | $204–$375 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$2,706.50–$3,536 | $5,413–$7,072 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) | $246 | $492 | 1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$868–$1,087.50 | $1,736–$2,175 | varies |
| Declot vascular device (36593) | $949.50 | $1,899 | 2.9× |
| Delay Flap/Sectioning Flap Trunk (15600) | $4,312 | $8,624 | 1.2× |
| Delivery of placenta (59414) | $2,454 | $4,908 | 0.8× |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,547 | $5,094 | 2.9× |
| Destruct B9 Lesion 1-14 (17110) | $227 | $454 | 1.2× |
| Destruction Benign Lesions 15/> (17111) | $223.50 | $447 | 1.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $2,500 | $5,000 | 2.9× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $647 | $1,294 | 2.1× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,192.50 | $2,385 | 1.0× |
| Destruction Lesions Vulva Simple (56501) | $3,239.50 | $6,479 | 1.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $663 | $1,326 | 3.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $663 | $1,326 | 3.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $663 | $1,326 | 1.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $364.50 | $729 | 1.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $364.50 | $729 | 1.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $364.50 | $729 | 1.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $364.50 | $729 | 0.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $437.50 | $875 | 1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $364.50 | $729 | 1.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $364.50 | $729 | 1.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $364.50 | $729 | 1.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $663 | $1,326 | 1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $273.50 | $547 | 1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $4,166.50 | $8,333 | 2.2× |
| Destruction Premalignant Lesion 15/> (17004) | $663 | $1,326 | 1.7× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$161.50–$194 | $323–$388 | varies |
| Diagnostic sigmoidoscopy (45330) | $965 | $1,930 | 1.1× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $299.50 | $599 | 2.4× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $242 | $484 | 1.8× |
| Dilat Xst Trc New Access Rcs (50437) | $4,564.50 | $9,129 | 1.3× |
| Dilate Urethra Stricture (53620) | $1,390.50 | $2,781 | 2.0× |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$469–$613 | $938–$1,226 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $3,056 | $6,112 | 1.0× |
| Dilation Salivary Duct (42650) | $3,571.50 | $7,143 | 2.3× |
| Drain ant chmbr,remv vitreous (65810) | $2,756.50 | $5,513 | 1.2× |
| Drain Cerebro Spinal Fluid (62272) | $1,941 | $3,882 | 2.8× |
| Drain Hand Tendon Sheath (26020) | $5,278 | $10,556 | 1.6× |
| Drain Spinal Cord Cyst (62268) | $994 | $1,988 | 1.1× |
| Drain/inj small joint/bursa w/us (20604) | $804.50 | $1,609 | 2.7× |
| Drainage abscess parotid simple (42300) | $2,664.50 | $5,329 | 1.7× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $1,124.50 | $2,249 | 2.1× |
| Drainage external auditory canal abscess (69020) | $620.50 | $1,241 | 0.9× |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,876.50 | $5,753 | 1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $436 | $872 | 0.6× |
| Drainage Finger Abscess Complicated (26011) | $1,609 | $3,218 | 1.0× |
| Drainage Mouth Roof Lesion (42000) | $525 | $1,050 | 2.3× |
| Drainage of eye (65800) | $1,201 | $2,402 | 0.5× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$179.50–$436 | $359–$872 | varies |
| Drainage of gum lesion (41800) | $465 | $930 | 3.6× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$1,933.50–$2,135 | $3,867–$4,270 | varies |
| Drainage of hydrocele (55000) | $1,131.50 | $2,263 | 1.6× |
| Drainage of mouth lesion (41017) | $2,376 | $4,752 | 0.7× |
| Drainage of nose lesion (30000) | $614 | $1,228 | 2.6× |
| Drainage of rectal abscess (45005) | $2,154 | $4,308 | 1.8× |
| Drainage of scrotal wall abscess (55100) | $1,956.50 | $3,913 | 1.2× |
| Drainage of scrotum (54700) | $2,712.50 | $5,425 | 1.3× |
| Drainage of skene's gland abscess or cyst (53060) | $2,766.50 | $5,533 | 1.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $3,091 | $6,182 | 1.0× |
| Draw Blood Off Venous Device (36591) | $219.50 | $439 | 1.7× |
| Dressing Change Under Anesthesia (15852) | $1,205 | $2,410 | 1.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $2,528.50 | $5,057 | 4.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $465 | $930 | 0.7× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $1,072 | $2,144 | 2.0× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $2,111 | $4,222 | 0.7× |
| Drg privesical/prevesical space absc (51080) | $2,473.50 | $4,947 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $894 | $1,788 | 2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$374–$487.50 | $748–$975 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$365.50–$374 | $731–$748 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $364.50 | $729 | 1.8× |
| Dstrj lesion anus simple surg excision (46922) | $3,823 | $7,646 | 1.4× |
| Dstrj Lesion Penis Simple Chemical (54050) | $348.50 | $697 | 0.9× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $223 | $446 | 1.1× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $3,249 | $6,498 | 1.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,465.50 | $2,931 | 1.7× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,894 | $3,788 | 2.2× |
| Dx Bone Marrow Bx & Aspir (38222) | $5,619 | $11,238 | 2.0× |
| Dx Bronchoscope/Lavage (31624) | $2,007 | $4,014 | 1.1× |
| Dx Bronchoscope/Wash (31622) | $2,007 | $4,014 | 1.1× |
| Dx Laryngoscopy Excl Nb (31525) | $1,251 | $2,502 | 0.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,532.50 | $5,065 | 3.6× |
| Egd Flexible Foreign Body Removal (43247) | $1,885 | $3,770 | 2.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $523 | $1,046 | 1.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $651 | $1,302 | 2.2× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $551.50 | $1,103 | 1.8× |
| Endometrial Biopsy (58100) | $487 | $974 | 2.4× |
| Endoscopy of ureter (50953) | $4,200.50 | $8,401 | 1.2× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $15,846.50 | $31,693 | 1.4× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) | $5,154.50 | $10,309 | 1.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,262.50 | $8,525 | 1.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$3,469.50–$3,688 | $6,939–$7,376 | varies |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) | $1,656 | $3,312 | 0.9× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $2,299.50 | $4,599 | 1.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,288.50 | $6,577 | 1.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,288.50 | $6,577 | 1.6× |
| Epidural Blood Patch (62273) | $1,350 | $2,700 | 1.9× |
| Episiotomy or vaginal repair (59300) | $6,052.50 | $12,105 | 1.9× |
| Ercp W/Biopsy Single/Multiple (43261) | $4,233.50 | $8,467 | 1.1× |
| Esc i p ulcer w ostect & flap (15946) | $5,253 | $10,506 | 2.6× |
| Escharotomy; initial incision (16035) | $475.50 | $951 | 1.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,593 | $3,186 | 0.8× |
| Evacuation of subungual hematoma (11740) | $154 | $308 | 1.2× |
| Exc arm/elbow les sc < 3 cm (24075) | $4,357.50 | $8,715 | 2.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$1,019.50–$1,332.50 | $2,039–$2,665 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$2,343.50–$2,812.50 | $4,687–$5,625 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $4,357.50 | $8,715 | 2.7× |
| Exc back tum deep < 5 cm (21932) | $3,577 | $7,154 | 1.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$2,209.50–$2,887 | $4,419–$5,774 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$2,209.50–$2,887 | $4,419–$5,774 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$3,026–$3,282 | $6,052–$6,564 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,050 | $4,100 | 1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$1,230–$1,606.50 | $2,460–$3,213 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$1,230–$1,606.50 | $2,460–$3,213 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$2,050–$2,678.50 | $4,100–$5,357 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,460.50 | $4,921 | 1.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $3,195.50 | $6,391 | 2.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $5,758 | $11,516 | 3.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$2,050–$2,460 | $4,100–$4,920 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$1,656–$1,716.50 | $3,312–$3,433 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$1,584.50–$2,232 | $3,169–$4,464 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $4,357.50 | $8,715 | 2.7× |
| Exc hand tum deep < 1.5 cm (26116) | $4,357.50 | $8,715 | 2.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $2,789.50 | $5,579 | 1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$1,332.50–$2,025.50 | $2,665–$4,051 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$2,815–$3,254.50 | $5,630–$6,509 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$3,446.50–$4,136 | $6,893–$8,272 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,679.50–$4,357.50 | $5,359–$8,715 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $3,423.50 | $6,847 | 1.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$2,686–$3,223 | $5,372–$6,446 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$4,642.50–$6,065.50 | $9,285–$12,131 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$2,686–$3,223 | $5,372–$6,446 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $5,758 | $11,516 | 2.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $7,665 | $15,330 | 6.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$658.50–$1,196.50 | $1,317–$2,393 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$1,149.50–$1,762.50 | $2,299–$3,525 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$2,330–$4,357.50 | $4,660–$8,715 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $5,758 | $11,516 | 2.0× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $2,472 | $4,944 | 1.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $5,758 | $11,516 | 2.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $4,652.50 | $9,305 | 1.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $4,357.50 | $8,715 | 1.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $3,942 | $7,884 | 1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $4,357.50 | $8,715 | 2.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $4,357.50 | $8,715 | 2.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $4,357.50 | $8,715 | 2.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $4,357.50 | $8,715 | 2.7× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $3,577 | $7,154 | 1.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $4,293 | $8,586 | 1.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $5,758 | $11,516 | 2.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,620 | $9,240 | 1.3× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $3,114 | $6,228 | 1.5× |
| Exchange Transfusion Blood Newborn (36450) | $877.50 | $1,755 | 2.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,952.50 | $3,905 | 1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $1,889.50 | $3,779 | 1.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 3 matching MRF lines |
$1,131.50–$1,479 | $2,263–$2,958 | varies |
| Excision Chalazion Single (67800) | $571 | $1,142 | 1.8× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $4,642.50 | $9,285 | 1.6× |
| Excision Lesion Conjunctiva </1 Cm (68110) | $1,132 | $2,264 | 0.5× |
| Excision lesion mouth roof (42104) | $3,872.50 | $7,745 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,131.50 | $2,263 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$1,131.50–$1,479 | $2,263–$2,958 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$984–$1,069.50 | $1,968–$2,139 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$1,131.50–$1,358 | $2,263–$2,716 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$2,209.50–$2,887 | $4,419–$5,774 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$2,209.50–$2,887 | $4,419–$5,774 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,854 | $7,708 | 1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $3,509 | $7,018 | 2.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$2,686–$3,223 | $5,372–$6,446 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$2,686–$3,223 | $5,372–$6,446 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$2,686–$3,223 | $5,372–$6,446 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $5,866 | $11,732 | 2.1× |
| Excision of chalazion; multiple, different lids (67805) | $1,250.50 | $2,501 | 4.0× |
| Excision of pilonidal cyst or sinus; simple (11770) | $3,254.50 | $6,509 | 1.1× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$3,883.50–$4,660.50 | $7,767–$9,321 | varies |
| Excision of vaginal septum (57130) | $4,284 | $8,568 | 1.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $4,506.50 | $9,013 | 1.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $5,758 | $11,516 | 3.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $3,230 | $6,460 | 2.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $5,376 | $10,752 | 3.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $5,758 | $11,516 | 3.5× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) | $4,312 | $8,624 | 1.2× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) | $4,312 | $8,624 | 2.1× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) | $4,312 | $8,624 | 1.2× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) | $4,312 | $8,624 | 1.2× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) | $4,312 | $8,624 | 2.1× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) | $4,312 | $8,624 | 1.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $4,802 | $9,604 | 1.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $2,050 | $4,100 | 1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $5,564.50 | $11,129 | 1.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $5,758 | $11,516 | 2.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $4,357.50 | $8,715 | 2.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $3,647 | $7,294 | 1.8× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$2,163.50–$2,826.50 | $4,327–$5,653 | varies |
| Exploration penetrating wound spx chest (20101) | $3,647 | $7,294 | 1.8× |
| Exploration penetrating wound spx extremity (20103) | $1,925.50 | $3,851 | 1.2× |
| Exploration Penetrating Wound Spx Neck (20100) | $1,164 | $2,328 | 2.2× |
| Exploratory elbow surgery (24000) | $4,840 | $9,680 | 1.5× |
| External cephalic version (59412) | $2,052.50 | $4,105 | 0.6× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $2,835 | $5,670 | 1.2× |
| Fetal Contraction Stress Test (59020) | $547.50 | $1,095 | 2.8× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $1,993.50 | $3,987 | 6.7× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$301.50–$361.50 | $603–$723 | varies |
| Fetal Scalp Blood Sampling (59030) | $305 | $610 | 1.0× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) | $1,993.50 | $3,987 | 6.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 3 matching MRF lines |
$1,073–$1,197 | $2,146–$2,394 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$426.50–$480.50 | $853–$961 | varies |
| Fluid Pressure Muscle (20950) | $475.50 | $951 | 0.7× |
| Fluoro exam of g/colon tube (49465) | $1,051.50 | $2,103 | 4.5× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $820 | $1,640 | 1.2× |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$770.50–$988.50 | $1,541–$1,977 | varies |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$775.50–$1,013.50 | $1,551–$2,027 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,470.50 | $4,941 | 1.2× |
| Guide Cathet Fluid Drainage (10030) | $3,035 | $6,070 | 4.4× |
| Head Surgery Procedure (21499) | $3,256 | $6,512 | 14.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,890 | $5,780 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,452 | $2,904 | 1.6× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) | $4,346.50 | $8,693 | 1.6× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $4,173.50 | $8,347 | 1.3× |
| I&d abscess peritonsillar (42700) | $614 | $1,228 | 2.6× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$363.50–$523 | $727–$1,046 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $3,948 | $7,896 | 1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $3,948 | $7,896 | 1.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $5,121 | $10,242 | 1.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $2,707 | $5,414 | 1.0× |
| I&D Mouth/Tong Intra,Masticator (41009) | $1,004.50 | $2,009 | 1.9× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$1,648.50–$2,154 | $3,297–$4,308 | varies |
| I&d pilonidal cyst complicated (10081) | $3,814.50 | $7,629 | 5.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$475–$620.50 | $950–$1,241 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $2,957 | $5,914 | 1.0× |
| Icd Pocket Revision (33223) | $1,783.50 | $3,567 | 0.9× |
| Image Cath Fluid Colxn Visc (49405) | $3,800.50 | $7,601 | 2.3× |
| Image Cath Fluid Peri/Retro (49406) | $3,124.50 | $6,249 | 1.9× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,556 | $5,112 | 1.6× |
| Implant Neuroelectrodes (64561) | $12,535.50 | $25,071 | 2.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) unusually low: confirm this is the full procedure |
$4,169 | $8,338 | 0.5× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$397–$831.50 | $794–$1,663 | varies |
| Incise finger tendon sheath (26055) | $4,137.50 | $8,275 | 2.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$750.50–$980.50 | $1,501–$1,961 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $5,619 | $11,238 | 2.0× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$3,401.50–$4,445 | $6,803–$8,890 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$436.50–$552.50 | $873–$1,105 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$551.50–$662 | $1,103–$1,324 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$490.50–$662 | $981–$1,324 | varies |
| Incision of Foot Tendon (28234) | $1,997.50 | $3,995 | 1.3× |
| Incision of lingual frenum (frenotomy) (41010) | $1,911.50 | $3,823 | 1.3× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$2,798.50–$3,656.50 | $5,597–$7,313 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$3,687–$4,908 | $7,374–$9,816 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$432.50–$566 | $865–$1,132 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $262 | $524 | 1.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,571.50 | $5,143 | 3.0× |
| Inj W/Fluor Eval Cv Device (36598) | $637 | $1,274 | 3.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,611 | $3,222 | 1.9× |
| Inject Intravitreal Pharmcologic (67028) | $644.50 | $1,289 | 2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$367.50–$460 | $735–$920 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $544 | $1,088 | 0.6× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,832.50 | $3,665 | 2.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,515 | $3,030 | 2.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$1,506.50–$1,967.50 | $3,013–$3,935 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $1,933 | $3,866 | 2.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,514.50 | $3,029 | 2.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $918.50 | $1,837 | 1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $745 | $1,490 | 2.5× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,922 | $3,844 | 2.2× |
| Injection anesthetic agent suprascapular nerve (64418) | $487 | $974 | 0.7× |
| Injection enzyme palmar fascial cord (20527) | $609.50 | $1,219 | 2.0× |
| Injection for identification of sentinel node (38792) | $652 | $1,304 | 1.7× |
| Injection Into Brain Canal (61055) | $2,199 | $4,398 | 7.3× |
| Injection of sclerosing solution, hemorrhoids (46500) | $1,872 | $3,744 | 2.0× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$330.50–$365 | $661–$730 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$458.50–$622 | $917–$1,244 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$460–$489.50 | $920–$979 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,576.50 | $3,153 | 1.0× |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$302.50–$394 | $605–$788 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $633.50 | $1,267 | 0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,073 | $2,146 | 1.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$1,157–$1,511.50 | $2,314–$3,023 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $349.50 | $699 | 1.8× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$223–$291 | $446–$582 | varies |
| Injx Anterior Chamber Eye Medication Spx (66030) | $1,201 | $2,402 | 0.5× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $1,657 | $3,314 | 1.9× |
| Ins cath ren art 1st bilat (36252) | $5,533.50 | $11,067 | 1.8× |
| Ins cath ren art 1st unilat (36251) | $8,417.50 | $16,835 | 2.7× |
| Ins cath ren art 2nd+ bilat (36254) | $7,330 | $14,660 | 2.4× |
| Ins cath ren art 2nd+ unilat (36253) | $7,330 | $14,660 | 1.3× |
| Ins endovas vena cava filtr (37191) | $15,057 | $30,114 | 2.8× |
| Ins/Rep Subq Defibrillator (33270) | $73,319 | $146,638 | 2.4× |
| Insert 1 Electrode Pm-Defib (33216) | $7,539 | $15,078 | 0.9× |
| Insert and remove bone pin (20650) | $3,354.50 | $6,709 | 1.0× |
| Insert Bladder Cath Complex (51703) | $508.50 | $1,017 | 4.0× |
| Insert cath pleura w/ image (32557) | $3,088.50 | $6,177 | 2.0× |
| Insert cath pleura w/o image (32556) | $1,696 | $3,392 | 0.9× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $4,302.50 | $8,605 | 3.7× |
| Insert cervical dilator (59200) | $873.50 | $1,747 | 2.9× |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
$1,151–$1,381 | $2,302–$2,762 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,669 | $5,338 | 1.4× |
| Insert Heart Pm Atrial (33206) | $11,197.50 | $22,395 | 1.1× |
| Insert Heart Pm Ventricular (33207) | $20,776 | $41,552 | 2.0× |
| Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$4,358 | $8,716 | 0.2× |
| Insert non-tunnel cv cath (36556) | $2,823 | $5,646 | 0.9× |
| Insert Pacing Lead & Connect (33224) | $9,512 | $19,024 | 0.9× |
| Insert pessary/other device (57160) | $286.50 | $573 | 1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,823 | $5,646 | 1.8× |
| Insert pulse gen dual leads (33213) | $11,739 | $23,478 | 1.1× |
| Insert pulse gen mult leads (33221) | $13,500 | $27,000 | 0.7× |
| Insert Pulse Gen Sngl Lead (33212) | $10,208.50 | $20,417 | 1.3× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$158.50–$207.50 | $317–$415 | varies |
| Insert tun ip cath perc (49418) | $6,504.50 | $13,009 | 1.8× |
| Insert tunneled cv cath (36561) | $4,638 | $9,276 | 1.5× |
| Insert tunneled cv cath (36563) | $11,135.50 | $22,271 | 2.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $4,605 | $9,210 | 0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$90.50–$138 | $181–$276 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $4,641 | $9,282 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,992 | $7,984 | 2.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $10,314.50 | $20,629 | 1.3× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $3,881 | $7,762 | 1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $8,669.50 | $17,339 | 1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,575 | $5,150 | 0.8× |
| Insj Picc Rs&I <5 Yr (36572) | $3,891.50 | $7,783 | 6.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,078 | $8,156 | 1.3× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $4,078 | $8,156 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,823 | $5,646 | 1.8× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $5,793.50 | $11,587 | 0.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $6,713.50 | $13,427 | 2.2× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $11,135.50 | $22,271 | 2.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $3,861.50 | $7,723 | 1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $4,420.50 | $8,841 | 1.4× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $30,386.50 | $60,773 | 1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $6,958.50 | $13,917 | 0.9× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) range across 2 matching MRF lines |
$5,586–$6,703.50 | $11,172–$13,407 | varies |
| Insrt heart pm atrial & vent (33208) | $24,290.50 | $48,581 | 2.4× |
| Insrt Pulse Gen W/Dual Leads (33230) | $18,409 | $36,818 | 0.8× |
| Insrt Pulse Gen W/Mult Leads (33231) | $24,332.50 | $48,665 | 0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) | $18,409 | $36,818 | 0.8× |
| Interdental Wiring Other Than Fracture (21497) | $1,825 | $3,650 | 1.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $920 | $1,840 | 0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $789.50 | $1,579 | 2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $907.50 | $1,815 | 2.3× |
| Intranasal Biopsy (30100) range across 2 matching MRF lines |
$2,659–$3,190.50 | $5,318–$6,381 | varies |
| Intraoral i&d tongue/floor lingual (41000) | $2,622 | $5,244 | 4.9× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $611 | $1,222 | 2.6× |
| Intraoral i&d tongue/floor submental space (41007) | $3,503 | $7,006 | 2.3× |
| Intraoral i&d tongue/floor submndblr space (41008) | $3,581 | $7,162 | 1.1× |
| Intro cath dialysis circuit (36901) | $989.50 | $1,979 | 0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $20,804 | $41,608 | 1.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $9,297 | $18,594 | 1.7× |
| Intro Gastrointestinal Tube (44500) | $1,946 | $3,892 | 2.2× |
| Intubation endotracheal emergency procedure (31500) | $780 | $1,560 | 3.3× |
| Iridotomy/irridectomy laser surg per session (66761) | $937 | $1,874 | 1.7× |
| Irrigation of corpora cavernosa for priapism (54220) | $2,251.50 | $4,503 | 9.2× |
| IV injection test vascular flow flap/graft (15860) | $1,183 | $2,366 | 2.7× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) | $4,847 | $9,694 | 0.8× |
| Laryngoscopy diagnostic (31505) | $103.50 | $207 | 0.5× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$204–$273 | $408–$546 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $2,176 | $4,352 | 1.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $349 | $698 | 0.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $578 | $1,156 | 1.5× |
| Late closure of wound (13160) | $4,032.50 | $8,065 | 1.2× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) | $6,615.50 | $13,231 | 2.1× |
| Ligation of a-v fistula (37607) | $5,540 | $11,080 | 1.8× |
| Ligation Of Neck Artery (37615) | $4,916 | $9,832 | 1.6× |
| Ligation, internal jugular vein Facility (37565) | $2,031.50 | $4,063 | 0.7× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $7,815.50 | $15,631 | 2.5× |
| Lip Surgery Procedure (40799) | $356 | $712 | 1.5× |
| Lyse chest fibrin init day (32561) | $1,016 | $2,032 | 1.6× |
| Lyse Chest Fibrin Subq Day (32562) | $1,016 | $2,032 | 1.6× |
| Lysis/excision penile postcircumcision adhesions (54162) | $3,503 | $7,006 | 1.7× |
| Maniplatn palar fascial crd post inj single cord (26341) | $1,186 | $2,372 | 4.9× |
| Manipulation knee joint under general anesthesia (27570) | $2,138 | $4,276 | 1.4× |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $3,284.50 | $6,569 | 2.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $2,138 | $4,276 | 1.4× |
| Maternity Care Procedure (59899) | $400 | $800 | 2.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,138.50 | $2,277 | 0.7× |
| Mech remov tunneled cv cath (36595) | $2,691 | $5,382 | 0.9× |
| Middle ear surgery proc unlisted (69799) | $418.50 | $837 | 1.8× |
| Myelography Lumbar Injection (62305) | $5,022 | $10,044 | 6.5× |
| Myelography Lumbar Injection (62304) | $2,057.50 | $4,115 | 2.7× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,712 | $7,424 | 4.8× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $3,712 | $7,424 | 4.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$1,160–$1,515 | $2,320–$3,030 | varies |
| N block inj intercost sng (64420) range across 4 matching MRF lines |
$1,160–$1,515 | $2,320–$3,030 | varies |
| N Block Inj Paracervical (64435) range across 2 matching MRF lines |
$490–$587.50 | $980–$1,175 | varies |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$647–$844.50 | $1,294–$1,689 | varies |
| N Block Lumbar/Thoracic (64520) | $1,832.50 | $3,665 | 2.1× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$154–$498 | $308–$996 | varies |
| Nasal surgery procedure (30999) | $494 | $988 | 2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $555.50 | $1,111 | 1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$3,311.50–$3,808 | $6,623–$7,616 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $1,463 | $2,926 | 0.8× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $721 | $1,442 | 2.9× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $1,726 | $3,452 | 1.9× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,254.50–$1,825 | $2,509–$3,650 | varies |
| Needle Biopsy Pancreas (48102) | $1,446 | $2,892 | 0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $58.50 | $117 | 2.1× |
| Needle insertion w/o injection 3 or more muscles (20561) | $58.50 | $117 | 2.1× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $283 | $566 | 1.8× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $188.50 | $377 | 1.2× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $984 | $1,968 | 2.4× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,832.50 | $3,665 | 2.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$599–$783 | $1,198–$1,566 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,014.50 | $4,029 | 0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $6,246 | $12,492 | 1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,973 | $3,946 | 2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $2,057 | $4,114 | 2.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,532.50 | $5,065 | 3.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $2,199 | $4,398 | 3.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $2,057 | $4,114 | 2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $2,057 | $4,114 | 2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,636 | $3,272 | 2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $2,050.50 | $4,101 | 2.4× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $5,455 | $10,910 | 2.7× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $5,455 | $10,910 | 2.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,972.50 | $3,945 | 2.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,972.50 | $3,945 | 2.9× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) range across 2 matching MRF lines |
$602.50–$614 | $1,205–$1,228 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $602.50 | $1,205 | 1.5× |
| Njx Sclrsnt Spider Veins (36468) | $808.50 | $1,617 | 2.0× |
| Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) | $321.50 | $643 | 1.3× |
| Obstructive material removal from gi tube (49460) | $817.50 | $1,635 | 0.9× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$582–$1,138.50 | $1,164–$2,277 | varies |
| Onc thyr mut alys 10 gen 37 RNA fsn xprsn 4 mrna (0245U) | $507.50 | $1,015 | 0.4× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) | $82,224 | $164,448 | 1.9× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) | $3,416 | $6,832 | 0.6× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $4,967 | $9,934 | 1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,377 | $8,754 | 1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $5,433 | $10,866 | 1.7× |
| Open/Perq Place Stent 1St (37236) | $8,272.50 | $16,545 | 0.7× |
| Open/Perq Place Stent Same (37238) | $17,337.50 | $34,675 | 1.5× |
| Partial Excision Distal Phalanx Finger (26236) | $2,567 | $5,134 | 1.6× |
| Partical Excision Bone Phalanx Toe (28124) | $2,146.50 | $4,293 | 0.7× |
| Penile Injection (54235) | $756 | $1,512 | 3.1× |
| Perc Cryo Ablate Renal Tum (50593) | $19,743 | $39,486 | 1.9× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $2,479.50 | $4,959 | 1.8× |
| Perc Rf Ablate Renal Tumor (50592) | $8,156 | $16,312 | 1.4× |
| Percut Ablate Liver Rf (47382) | $6,543.50 | $13,087 | 1.1× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $9,487.50 | $18,975 | 0.8× |
| Percut Drain/Inject Renal Cyst (50390) | $1,967 | $3,934 | 2.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $8,605 | $17,210 | 2.8× |
| Pericardiocentesis W/Imaging (33016) | $1,943 | $3,886 | 1.3× |
| Peritoneal Lavage (49084) | $1,096 | $2,192 | 1.2× |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$4,015.50 | $8,031 | 0.2× |
| Perq av fistula creation uxtr single access (36836) | $28,055 | $56,110 | 1.6× |
| Perq Cervicothoracic Inject (22510) | $4,899.50 | $9,799 | 1.5× |
| Perq dev breast 1st mr guide (19287) | $513.50 | $1,027 | 0.7× |
| Perq dev breast 1st strtctc (19283) | $4,090.50 | $8,181 | 5.9× |
| Perq dev breast 1st us imag (19285) | $619 | $1,238 | 0.9× |
| Perq device breast 1st imag (19281) | $931 | $1,862 | 0.6× |
| Perq dilation xst trc endourologic px w/img (50436) | $4,149 | $8,298 | 1.2× |
| Perq Lumbosacral Injection (22511) | $4,910 | $9,820 | 1.5× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $8,026.50 | $16,053 | 1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines |
$999.50–$1,199.50 | $1,999–$2,399 | varies |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $20,804 | $41,608 | 1.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $10,295.50 | $20,591 | 1.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $9,697 | $19,394 | 1.4× |
| Perq Vertebral Augmentation (22513) | $5,830 | $11,660 | 0.8× |
| Phleb Veins - Extrem 20+ (37766) | $7,815.50 | $15,631 | 2.5× |
| Place Cath Subclavian Art (36225) | $19,014 | $38,028 | 6.1× |
| Place Cath Thoracic Aorta (36221) | $8,994 | $17,988 | 2.9× |
| Place Cath Vertebral Art (36226) | $18,651 | $37,302 | 3.4× |
| Place Duod/Jej Tube Perc (49441) | $2,669 | $5,338 | 1.4× |
| Place Rt Device/Marker Pros (55876) | $2,923 | $5,846 | 2.1× |
| Placement of needle for intraosseous infusion (36680) | $466.50 | $933 | 1.1× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $5,701 | $11,402 | 0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $10,446.50 | $20,893 | 1.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $8,736 | $17,472 | 1.5× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $8,736 | $17,472 | 1.5× |
| Plmt expandable cath brst following prtl mast (19296) range across 2 matching MRF lines |
$12,652.50–$14,136 | $25,305–$28,272 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,198.50 | $6,397 | 1.6× |
| Plmt Nephroureteral Catheter (50433) | $1,784 | $3,568 | 0.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $5,692.50 | $11,385 | 1.6× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $5,692.50 | $11,385 | 1.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $5,692.50 | $11,385 | 1.6× |
| Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$8,998 | $17,996 | 0.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,059 | $2,118 | 1.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $3,497 | $6,994 | 1.3× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) unusually low: confirm this is the full procedure |
$2,495.50 | $4,991 | 0.4× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $937 | $1,874 | 1.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,540 | $3,080 | 2.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $4,684 | $9,368 | 1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,684 | $9,368 | 1.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $6,632 | $13,264 | 2.1× |
| Pseudoaneurysm Injection Trt (36002) | $1,249.50 | $2,499 | 2.0× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$393.50–$513.50 | $787–$1,027 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$419–$470 | $838–$940 | varies |
| Puncture Aspiration Cyst Breast (19000) | $552 | $1,104 | 0.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $652.50 | $1,305 | 0.9× |
| Pvb thoracic cont infusion (64463) | $1,834 | $3,668 | 2.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,834 | $3,668 | 2.6× |
| Radical resection of tumor; phalanx of toe Facility (28175) | $3,195.50 | $6,391 | 2.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $4,166.50 | $8,333 | 2.2× |
| Reinsert ocular implant (65150) | $4,368.50 | $8,737 | 1.1× |
| Relocation Pocket Pacemaker (33222) | $2,138 | $4,276 | 1.1× |
| Rem Endovas Vena Cava Filter (37193) | $12,714 | $25,428 | 4.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $943.50 | $1,887 | 1.1× |
| Removal Embedded Foreign Body Eyelid (67938) | $766 | $1,532 | 2.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $4,188.50 | $8,377 | 1.5× |
| Removal foreign body foot deep (28192) | $3,557.50 | $7,115 | 2.2× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,261.50–$1,469.50 | $2,523–$2,939 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$821–$1,051.50 | $1,642–$2,103 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $4,877 | $9,754 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$110.50–$245 | $221–$490 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$186.50–$210.50 | $373–$421 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $4,679.50 | $9,359 | 1.5× |
| Removal Implant Deep (20680) | $4,390.50 | $8,781 | 1.5× |
| Removal Implant Superficial Separate Procedure (20670) | $3,230 | $6,460 | 2.0× |
| Removal intact breast implant (19328) | $4,900 | $9,800 | 1.3× |
| Removal of foreign body from pharynx (42809) | $779.50 | $1,559 | 1.8× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$684–$1,084 | $1,368–$2,168 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $3,497 | $6,994 | 1.1× |
| Removal Pacemaker Electrode (33235) | $4,006 | $8,012 | 1.1× |
| Removal peritoneal-venous shunt (49429) | $3,254 | $6,508 | 1.0× |
| Removal ppm generator only (33233) | $5,206 | $10,412 | 0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$257–$322 | $514–$644 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,365 | $2,730 | 2.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $3,226.50 | $6,453 | 1.6× |
| Removal sweat gland lesion (11450) | $5,758 | $11,516 | 2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $683.50 | $1,367 | 2.5× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $3,894 | $7,788 | 1.9× |
| Remove brain canal fluid (61050) | $2,199 | $4,398 | 7.3× |
| Remove cerclage suture (59871) | $2,020.50 | $4,041 | 0.6× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$735.50–$882.50 | $1,471–$1,765 | varies |
| Remove Elctrd Transvenously (33244) | $3,157.50 | $6,315 | 0.9× |
| Remove foreign body from eye (65235) | $1,587 | $3,174 | 0.7× |
| Remove foreign body from eye (65205) | $129.50 | $259 | 1.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $3,826.50 | $7,653 | 1.9× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$279.50–$335 | $559–$670 | varies |
| Remove intrvas foreign body (37197) | $3,878.50 | $7,757 | 1.2× |
| Remove lung catheter (32552) | $1,133 | $2,266 | 1.8× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$132–$158.50 | $264–$317 | varies |
| Remove Pulse Generator (33241) | $3,157.50 | $6,315 | 0.9× |
| Remove renal tube w/fluoro (50389) | $1,278 | $2,556 | 1.9× |
| Remove Shoulder Foreign Body (23330) | $2,025.50 | $4,051 | 1.2× |
| Remove Tendon Sheath Lesion (26160) | $4,137.50 | $8,275 | 2.6× |
| Remove thigh pressure sore (15956) | $2,458.50 | $4,917 | 1.2× |
| Remove ureter stent percut (50384) | $4,576 | $9,152 | 2.2× |
| Remove&replace pm gen singl (33227) | $16,028 | $32,056 | 2.0× |
| Remove/Insert Drug Implant (11983) | $811 | $1,622 | 1.8× |
| Remv&replc cvd gen dual lead (33263) | $59,042.50 | $118,085 | 2.7× |
| Remv&replc cvd gen mult lead (33264) | $59,042.50 | $118,085 | 1.9× |
| Remv&replc cvd gen sing lead (33262) | $59,042.50 | $118,085 | 2.7× |
| Remv&replc pm gen dual lead (33228) | $17,678 | $35,356 | 1.7× |
| Remv&replc pm gen mult leads (33229) | $17,678 | $35,356 | 0.9× |
| Renal Biopsy Perq (50200) | $1,250 | $2,500 | 0.8× |
| Repair Blood Vessel Direct Hand Finger (35207) | $2,718.50 | $5,437 | 0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $3,722 | $7,444 | 1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $796 | $1,592 | 1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,425.50 | $2,851 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$660.50–$863.50 | $1,321–$1,727 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 4 matching MRF lines |
$761.50–$993 | $1,523–$1,986 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $566 | $1,132 | 1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $965 | $1,930 | 2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) | $632 | $1,264 | 0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$1,039.50–$1,358 | $2,079–$2,716 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $2,732.50 | $5,465 | 1.7× |
| Repair Eyelid Wound (67935) | $2,668.50 | $5,337 | 1.1× |
| Repair Finger Tendon (26433) | $6,678.50 | $13,357 | 2.1× |
| Repair Finger/Hand Tendon (26350) | $6,678 | $13,356 | 2.1× |
| Repair Hand Tendon (26410) | $3,288.50 | $6,577 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$259–$451.50 | $518–$903 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$259–$518 | $518–$1,036 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$259–$596.50 | $518–$1,193 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $686 | $1,372 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,043 | $2,086 | 2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $530 | $1,060 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$259–$451.50 | $518–$903 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$259–$451.50 | $518–$903 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$405.50–$451.50 | $811–$903 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,694.50 | $3,389 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$625–$816.50 | $1,250–$1,633 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$625–$816.50 | $1,250–$1,633 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$625–$816.50 | $1,250–$1,633 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,237.50 | $2,475 | 1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$625–$816.50 | $1,250–$1,633 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $4,048 | $8,096 | 2.0× |
| Repair lead pace-defib dual (33220) | $3,157.50 | $6,315 | 0.9× |
| Repair Lead Pace-Defib One (33218) | $2,308.50 | $4,617 | 0.6× |
| Repair of nail bed (11760) | $451.50 | $903 | 0.6× |
| Repair paravag defect vag (57285) | $10,070 | $20,140 | 1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $6,632 | $13,264 | 2.1× |
| Repair tongue laceration (41252) | $1,947 | $3,894 | 8.4× |
| Repair tongue laceration (41250) | $356.50 | $713 | 0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,462 | $2,924 | 1.6× |
| Replace G-J Tube Perc (49452) | $1,479 | $2,958 | 1.7× |
| Replace g/c tube perc (49450) | $1,946 | $3,892 | 2.2× |
| Replantation digit complete (20822) | $12,150.50 | $24,301 | 7.7× |
| Reposition Gastrostomy Tube (43761) | $1,568.50 | $3,137 | 6.4× |
| Reposition L Ventric Lead (33226) | $3,157.50 | $6,315 | 1.0× |
| Reposition Pacing-Defib Lead (33215) | $2,961 | $5,922 | 1.0× |
| Reposition Venous Catheter (36597) | $1,138.50 | $2,277 | 0.7× |
| Revise Abdomen-Venous Shunt (49426) | $2,866 | $5,732 | 0.8× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $9,879.50 | $19,759 | 1.8× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $4,576 | $9,152 | 2.2× |
| Rmvl embedded fb vestibule mouth comp (40805) | $2,528.50 | $5,057 | 4.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $2,008 | $4,016 | 2.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $5,758 | $11,516 | 3.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $172.50 | $345 | 0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $172.50 | $345 | 1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $306 | $612 | 0.7× |
| Rmvl fecal impaction/fb spx under anes (45915) | $2,447 | $4,894 | 2.1× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $5,758 | $11,516 | 2.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $1,811 | $3,622 | 0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,051.50 | $2,103 | 0.6× |
| Rmvl of subq implantable defibrillator electrode (33272) | $3,157.50 | $6,315 | 0.9× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $3,157.50 | $6,315 | 0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 4 matching MRF lines |
$2,622–$3,426.50 | $5,244–$6,853 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$1,266–$1,655 | $2,532–$3,310 | varies |
| Rplc Gtube No Revj Trc (43762) | $1,263.50 | $2,527 | 5.1× |
| Rplc gtube revj gstrst trc (43763) | $1,390.50 | $2,781 | 5.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,691 | $5,382 | 0.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,654 | $5,308 | 1.7× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $6,728 | $13,456 | 2.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,654 | $5,308 | 1.7× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $11,510 | $23,020 | 2.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $6,728 | $13,456 | 2.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $6,728 | $13,456 | 2.2× |
| Rpr blood vessel direct lower extremity (35226) | $911.50 | $1,823 | 1.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,241 | $2,482 | 0.8× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $10,150.50 | $20,301 | 1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $451.50 | $903 | 2.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,049 | $2,098 | 4.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,328 | $4,656 | 4.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,164 | $2,328 | 2.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,328 | $4,656 | 1.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $3,829 | $7,658 | 1.2× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $6,678 | $13,356 | 2.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,241 | $2,482 | 2.0× |
| Sclerotx Fluid Collection (49185) | $2,415 | $4,830 | 1.5× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$223–$291 | $446–$582 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $223 | $446 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$223–$268 | $446–$536 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$223–$268 | $446–$536 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$223–$268 | $446–$536 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $380 | $760 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$223–$232.50 | $446–$465 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $259 | $518 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$223–$268 | $446–$536 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $364.50 | $729 | 0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $223 | $446 | 1.1× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $2,742 | $5,484 | 0.8× |
| Sigmoidoscopy w/plcmt stent (45347) unusually low: confirm this is the full procedure |
$2,683 | $5,366 | 0.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,059 | $2,118 | 1.2× |
| Simple Cystometrogram (51725) | $433.50 | $867 | 1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $451.50 | $903 | 1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$313.50–$376 | $627–$752 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $451.50 | $903 | 2.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,331.50 | $2,663 | 3.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $451.50 | $903 | 2.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,531 | $3,062 | 7.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$313.50–$461.50 | $627–$923 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $907.50 | $1,815 | 4.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $596.50 | $1,193 | 3.0× |
| Skin Full Grft Face/Genit/Hf (15240) | $3,288.50 | $6,577 | 1.6× |
| Skin Pinch Graft (15050) | $2,350.50 | $4,701 | 3.2× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$2,834.50–$3,773 | $5,669–$7,546 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$2,834.50–$3,773 | $5,669–$7,546 | varies |
| Skin sub grft t/arm/lg child (15273) | $6,510 | $13,020 | 3.2× |
| Skin Tissue Procedure (17999) | $889.50 | $1,779 | 4.5× |
| Skn sub grft f/n/hf/g child (15277) | $3,773 | $7,546 | 1.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $14,272.50 | $28,545 | 2.6× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $11,226.50 | $22,453 | 3.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $14,314 | $28,628 | 2.6× |
| Slitting of prepuce (54001) | $4,229.50 | $8,459 | 2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$530–$775.50 | $1,060–$1,551 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $711.50 | $1,423 | 1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $789.50 | $1,579 | 2.0× |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$970–$1,485 | $1,940–$2,970 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $6,032.50 | $12,065 | 1.7× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,933 | $7,866 | 1.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $7,815.50 | $15,631 | 2.5× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$367–$376.50 | $734–$753 | varies |
| Strapping elbow or wrist (29260) | $380.50 | $761 | 6.6× |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$475.50–$621 | $951–$1,242 | varies |
| Strapping Hip (29520) | $218.50 | $437 | 1.7× |
| Strapping knee (29530) | $503.50 | $1,007 | 3.8× |
| Strapping shoulder (29240) | $636 | $1,272 | 4.9× |
| Strapping thorax (29200) | $167.50 | $335 | 1.0× |
| Strapping toes (29550) range across 2 matching MRF lines |
$375.50–$491 | $751–$982 | varies |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$299–$781 | $598–$1,562 | varies |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) | $636.50 | $1,273 | 0.9× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) | $988 | $1,976 | 1.4× |
| Suction Lipectomy Lwr Extrem (15879) | $7,088.50 | $14,177 | 2.0× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $2,668.50 | $5,337 | 1.1× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) unusually low: confirm this is the full procedure |
$3,298 | $6,596 | 0.5× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$357–$467 | $714–$934 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $51,435.50 | $102,871 | 1.8× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $29,060 | $58,120 | 1.5× |
| Tcat Rmvl Perm Ldls Pm (33275) | $17,437 | $34,874 | 5.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $3,884 | $7,768 | 2.5× |
| Ther Apheresis,Red Blood Cells (36512) | $3,646.50 | $7,293 | 2.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $2,532.50 | $5,065 | 3.6× |
| Therapeutic Apheresis White Blood Cells (36511) | $3,646.50 | $7,293 | 2.4× |
| Therapeutic plasma exchange (36514) | $3,646.50 | $7,293 | 2.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $31,533 | $63,066 | 1.7× |
| Thromblytic art/ven therapy (37213) | $7,511.50 | $15,023 | 2.4× |
| Thrombolytic Art Therapy (37211) | $7,511.50 | $15,023 | 1.4× |
| Thrombolytic Therapy Stroke (37195) | $4,691 | $9,382 | 14.4× |
| Thrombolytic Venous Therapy (37212) | $7,511.50 | $15,023 | 2.4× |
| Thyroid biopsy (60100) | $632.50 | $1,265 | 0.9× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $3,744.50 | $7,489 | 1.8× |
| Tooth extraction (41899) | $2,402 | $4,804 | 10.3× |
| Trabeculoplasty by laser surgery (65855) | $951 | $1,902 | 1.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $620 | $1,240 | 1.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,405 | $4,810 | 10.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,141.50 | $2,283 | 0.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $329 | $658 | 1.1× |
| Transcatheter biopsy (37200) | $3,851 | $7,702 | 0.7× |
| Transfusion Intrauterine Fetal (36460) | $1,259 | $2,518 | 2.9× |
| Treat ankle dislocation (27848) | $5,060 | $10,120 | 0.7× |
| Treat Dental Ridge Fracture (21440) | $2,417 | $4,834 | 0.7× |
| Treat dental ridge fracture (21445) | $4,155 | $8,310 | 0.7× |
| Treat Hand Bone Lesion (26034) | $4,137.50 | $8,275 | 2.6× |
| Treat Hip Socket Fracture (27222) | $2,423 | $4,846 | 10.0× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$343.50–$448 | $687–$896 | varies |
| Treat Humerus Fracture (24505) | $1,089 | $2,178 | 0.7× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$393.50–$513.50 | $787–$1,027 | varies |
| Treat knee fracture (27532) | $3,295 | $6,590 | 1.0× |
| Treat Knee Fracture(S) (27538) | $401 | $802 | 1.7× |
| Treat Knuckle Dislocation (26700) | $493 | $986 | 2.0× |
| Treat Metatarsal Fracture (28475) | $609.50 | $1,219 | 2.5× |
| Treat Tail Bone Fracture (27200) | $258 | $516 | 1.1× |
| Treat Thumb Dislocation (26641) | $207 | $414 | 0.9× |
| Treat Thumb Fracture (26645) | $1,006 | $2,012 | 0.6× |
| Treat toe dislocation (28630) | $389.50 | $779 | 1.6× |
| Treat Vaginal Bleeding (57180) | $520.50 | $1,041 | 2.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,671 | $5,342 | 1.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $609.50 | $1,219 | 2.5× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$184–$374 | $368–$748 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$184–$229 | $368–$458 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$184–$374 | $368–$748 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$108.50–$142 | $217–$284 | varies |
| Trluml Balo Angiop 1St Art (37246) | $8,854 | $17,708 | 1.6× |
| Trluml Balo Angiop 1St Vein (37248) | $8,879 | $17,758 | 1.6× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $3,165.50 | $6,331 | 2.1× |
| Tx Gastro Intub W/Asp (43753) | $269.50 | $539 | 1.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,951 | $5,902 | 0.9× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,951 | $5,902 | 0.9× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $2,951 | $5,902 | 0.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$2,099–$2,518.50 | $4,198–$5,037 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $3,216 | $6,432 | 2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,404.50 | $2,809 | 1.9× |
| Tx superficial wound dehiscence w/packing (12021) | $963.50 | $1,927 | 2.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $2,384 | $4,768 | 1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $263 | $526 | 1.1× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $4,373.50 | $8,747 | 0.7× |
| Unlisted procedure anus (46999) | $2,195.50 | $4,391 | 2.4× |
| Unlisted Procedure Biliary Tract (47999) | $2,455.50 | $4,911 | 2.8× |
| Unlisted procedure breast (19499) | $5,700 | $11,400 | 1.5× |
| Unlisted procedure colon (45399) | $1,707.50 | $3,415 | 1.9× |
| Unlisted Procedure Endocrine System (60699) | $6,222 | $12,444 | 1.0× |
| Unlisted Procedure External Ear (69399) | $344.50 | $689 | 1.5× |
| Unlisted procedure femur or knee (27599) | $3,732 | $7,464 | 15.4× |
| Unlisted procedure foot or toes (28899) | $1,288 | $2,576 | 5.3× |
| Unlisted procedure forearm or wrist (25999) range across 2 matching MRF lines |
$362–$416 | $724–$832 | varies |
| Unlisted Procedure Hands/Fingers (26989) | $179.50 | $359 | 0.7× |
| Unlisted procedure humerus/elbow (24999) | $458 | $916 | 1.9× |
| Unlisted Procedure Intestine (44799) | $1,457 | $2,914 | 1.6× |
| Unlisted Procedure Leg/Ankle (27899) | $502 | $1,004 | 2.1× |
| Unlisted procedure lungs and pleura (32999) | $1,324 | $2,648 | 2.1× |
| Unlisted Procedure Male Genital System (55899) | $296.50 | $593 | 1.2× |
| Unlisted Procedure Muscskeletal System General (20999) | $4,232.50 | $8,465 | 17.4× |
| Unlisted procedure neck or thorax (21899) | $412.50 | $825 | 1.8× |
| Unlisted procedure nervous system (64999) range across 7 matching MRF lines |
$398–$529.50 | $796–$1,059 | varies |
| Unlisted procedure pelvis/hip joint (27299) range across 2 matching MRF lines |
$362–$481 | $724–$962 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $344.50 | $689 | 1.5× |
| Unlisted Procedure Rectum (45999) | $1,682 | $3,364 | 1.8× |
| Unlisted procedure shoulder (23929) | $347.50 | $695 | 1.4× |
| Unlisted procedure spine (22899) | $4,232.50 | $8,465 | 17.4× |
| Unlisted procedure stomach (43999) | $1,598 | $3,196 | 1.8× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $344.50 | $689 | 1.5× |
| Unlisted Procedure Trachea Bronchi (31899) | $318.50 | $637 | 1.6× |
| Unlisted Procedure Vascular Surgery (37799) range across 6 matching MRF lines |
$446–$482.50 | $892–$965 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $5,821.50 | $11,643 | 6.5× |
| Unlisted procedure, orbit (67599) | $380 | $760 | 1.2× |
| Unlisted Procedure, Urinary System (53899) | $525 | $1,050 | 2.1× |
| Unlisted Px Salivary Glands/Ducts (42699) | $4,259.50 | $8,519 | 18.3× |
| Upgrade of pacemaker system (33214) | $18,453 | $36,906 | 1.8× |
| Vaginal delivery only (59409) | $2,556 | $5,112 | 0.8× |
| Vasc embolize/occlude artery (37242) | $23,715 | $47,430 | 1.3× |
| Vasc Embolize/Occlude Bleed (37244) | $23,715 | $47,430 | 2.1× |
| Vasc Embolize/Occlude Organ (37243) | $23,715 | $47,430 | 2.1× |
| Vasc embolize/occlude venous (37241) | $23,715 | $47,430 | 2.1× |
| Venous Mech Thrombectomy (37187) | $7,954.50 | $15,909 | 0.7× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$259–$338 | $518–$676 | varies |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$1,110–$1,477.50 | $2,220–$2,955 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$2,834.50–$3,773 | $5,669–$7,546 | varies |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $1,599.50 | $3,199 | 1.0× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) | $4,992 | $9,984 | 0.9× |
| Xtroral I&D Floor Masticator Space (41018) | $3,192.50 | $6,385 | 2.1× |
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.