Procedures & surgery prices at Skagit Valley Hospital
Mount Vernon, WA · every code in this section with a posted price and a Medicare benchmark.
1009 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) | $2,578.40 | $3,223 | 2.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,772 | $2,215 | 1.8× |
| Ablate inf turbinate submuc (30802) | $1,328 | $1,660 | 0.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $12,568.80 | $15,711 | 0.6× |
| Acne surgery (10040) | $178.40 | $223 | 0.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $1,640 | $2,050 | 0.7× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,640 | $2,050 | 0.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $3,280.80 | $4,101 | 0.8× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $1,640 | $2,050 | 0.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,640 | $2,050 | 0.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,640 | $2,050 | 0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $1,640 | $2,050 | 0.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $1,640 | $2,050 | 0.7× |
| Amniocentesis diagnostic (59000) | $745.60 | $932 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $6,320.80 | $7,901 | 1.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $7,831.20 | $9,789 | 2.1× |
| Amputation metatarsal with toe single (28810) | $8,196 | $10,245 | 2.2× |
| Amputation toe interphalangeal joint (28825) | $7,080 | $8,850 | 1.9× |
| Amputation toe metatarsophalangeal joint (28820) | $2,908 | $3,635 | 0.8× |
| Anal/Urinary Muscle Study (51784) | $288 | $360 | 2.0× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $817.60 | $1,022 | 0.8× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$110.40–$411.20 | $138–$514 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,728 | $2,160 | 1.7× |
| Anoscopy; with biopsy, single or multiple (46606) | $1,380 | $1,725 | 1.0× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$238.40–$333.60 | $298–$417 | varies |
| Application Finger Splint Dynamic (29131) | $53.60 | $67 | 0.8× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$116–$332 | $145–$415 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$141.60–$591.20 | $177–$739 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$141.60–$588 | $177–$735 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$238.40–$252 | $298–$315 | varies |
| Application of rigid total contact leg cast (29445) | $248 | $310 | 0.8× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$116–$540.80 | $145–$676 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$141.60–$604.80 | $177–$756 | varies |
| Apply hand/wrist cast (29085) | $176 | $220 | 1.0× |
| Apply long arm cast (29065) | $238.40 | $298 | 0.8× |
| Apply Multlay Comprs Lwr Leg (29581) | $460 | $575 | 2.5× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$238.40–$434.40 | $298–$543 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$238.40–$440 | $298–$550 | varies |
| Arterial puncture (36600) | $348.80 | $436 | 2.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$264.80–$890.40 | $331–$1,113 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$620.80–$1,108.80 | $776–$1,386 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$264.80–$2,360 | $331–$2,950 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$264.80–$1,054.40 | $331–$1,318 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$264.80–$790.40 | $331–$988 | varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $2,908 | $3,635 | 0.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $3,303.20 | $4,129 | 1.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $2,498.40 | $3,123 | 1.4× |
| Aspirate pleura w/ imaging (32555) | $2,924 | $3,655 | 4.2× |
| Aspirate Pleura W/O Imaging (32554) | $1,816 | $2,270 | 2.6× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$264.80–$481.60 | $331–$602 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $631.20 | $789 | 0.8× |
| Aspiration and/or injection thyroid cyst (60300) | $1,771.20 | $2,214 | 2.2× |
| Aspiration bladder insert suprapubic catheter (51102) | $4,915.20 | $6,144 | 2.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$178.40–$597.60 | $223–$747 | varies |
| Biopsy Abdominal Mass (49180) | $3,063.20 | $3,829 | 1.7× |
| Biopsy bone trocar/needle deep (20225) | $4,044.80 | $5,056 | 2.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,276.80 | $4,096 | 1.8× |
| Biopsy external ear (69100) | $376 | $470 | 1.4× |
| Biopsy muscle percutaneous needle (20206) | $1,452 | $1,815 | 0.8× |
| Biopsy Muscle Superficial (20200) | $1,452 | $1,815 | 0.8× |
| Biopsy nail unit (11755) | $631.20 | $789 | 0.8× |
| Biopsy of breast; open, incisional (19101) | $3,432 | $4,290 | 0.8× |
| Biopsy of lip (40490) | $360 | $450 | 1.4× |
| Biopsy of liver, needle; percutaneous (47000) | $3,218.40 | $4,023 | 1.7× |
| Biopsy of palate, uvula (42100) | $1,328 | $1,660 | 0.8× |
| Biopsy of penis (54100) | $1,452 | $1,815 | 0.8× |
| Biopsy of toe joint lining (28054) | $2,908 | $3,635 | 0.8× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,387.20 | $2,984 | 1.3× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $1,452 | $1,815 | 0.8× |
| Biopsy soft tissue forearm&/wrist deep (25066) | $2,565.60 | $3,207 | 0.8× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $1,452 | $1,815 | 0.8× |
| Biopsy soft tissue neck/thorax (21550) | $1,452 | $1,815 | 0.8× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $2,565.60 | $3,207 | 0.8× |
| Biopsy Vaginal Mucosa Simple (57100) | $780.80 | $976 | 0.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $780.80 | $976 | 0.8× |
| Bladder instillation anticarcinogenic agent (51720) | $598.40 | $748 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$224–$749.60 | $280–$937 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$88–$281.60 | $110–$352 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$268–$903.20 | $335–$1,129 | varies |
| Blood Transfusion Service (36430) | $1,680 | $2,100 | 3.4× |
| Bone Marrow Biopsy (38221) | $3,024.80 | $3,781 | 1.6× |
| Bone Marrow Harvest Autolog (38232) | $4,199.20 | $5,249 | 0.9× |
| Bone Marrow; Aspiration Only (38220) | $2,935.20 | $3,669 | 1.6× |
| Brnchsc Brushing/Protected Brushings (31623) | $3,895.20 | $4,869 | 2.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $6,964.80 | $8,706 | 1.7× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $6,843.20 | $8,554 | 1.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $6,656 | $8,320 | 1.6× |
| Bronchoscopy Bronch Stents (31636) | $12,045.60 | $15,057 | 1.5× |
| Bronchoscopy Clear Airways (31645) | $5,723.20 | $7,154 | 2.9× |
| Bronchoscopy Reclear Airway (31646) | $3,832.40 | $4,790.50 | 8.8× |
| Bronchoscopy W/Biopsy(S) (31625) | $5,464 | $6,830 | 2.8× |
| Bronchoscopy W/Excision Tumor (31640) | $5,788 | $7,235 | 1.4× |
| Bronchoscopy W/Removal Foreign Body (31635) | $3,725.60 | $4,657 | 1.9× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $6,800.80 | $8,501 | 1.6× |
| Bronchoscopy/Needle Bx Each (31629) | $7,635.20 | $9,544 | 1.8× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) | $2,565.60 | $3,207 | 0.8× |
| Bx breast 1st lesion mr imag (19085) | $3,736 | $4,670 | 2.0× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$1,452–$2,445.60 | $1,815–$3,057 | varies |
| Bx Cervix (57500) | $780.80 | $976 | 0.8× |
| Canthotomy Separate Procedure (67715) | $4,931.20 | $6,164 | 1.9× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $2,908 | $3,635 | 0.8× |
| Catheter aspiration nasotracheal spx (31720) | $344 | $430 | 1.4× |
| Cessj Therapy Cath Removal (37214) | $5,920.80 | $7,401 | 1.7× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$598.40–$1,414.40 | $748–$1,768 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$224–$879.20 | $280–$1,099 | varies |
| Change ureter stent percut (50382) | $5,125.60 | $6,407 | 2.2× |
| Chemical Cautery Tissue (17250) | $178.40 | $223 | 0.8× |
| Chemical peel face dermal (15789) | $548.80 | $686 | 0.7× |
| Chemical peel nonfacial dermal (15793) | $358.40 | $448 | 0.8× |
| Chemical peel nonfacial epidermal (15792) | $548.80 | $686 | 0.7× |
| Chemical peel, facial; epidermal (15788) | $358.40 | $448 | 0.8× |
| Chemical Pleurodesis (32560) | $943.20 | $1,179 | 1.3× |
| Chemodenerv 1 extrem 5/> mus (64644) | $620.80 | $776 | 0.8× |
| Chemodenerv 1 extremity 1-4 (64642) | $620.80 | $776 | 0.8× |
| Chemodenerv Eccrine Glands (64650) | $264.80 | $331 | 0.8× |
| Chemodenerv Musc Migraine (64615) | $264.80 | $331 | 0.8× |
| Chemodenerv musc neck dyston (64616) | $264.80 | $331 | 0.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $264.80 | $331 | 0.8× |
| Chemodenerv trunk musc 1-5 (64646) | $620.80 | $776 | 0.8× |
| Chemodenerv trunk musc 6/> (64647) | $620.80 | $776 | 0.8× |
| Chemodenervation eccrine glands oth area per day (64653) | $264.80 | $331 | 0.8× |
| Chemodenervation of internal anal sphincter (46505) | $1,056.80 | $1,321 | 0.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $264.80 | $331 | 0.8× |
| Chest tube placement (32551) | $2,778.40 | $3,473 | 1.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $12,301.60 | $15,377 | 3.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $271.20 | $339 | 0.1× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,335.20 | $2,919 | 1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) | $3,811.20 | $4,764 | 2.1× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$124–$489.60 | $155–$612 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$556.80–$1,188 | $696–$1,485 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,539.20 | $3,174 | 1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $496.80 | $621 | 1.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $215.20 | $269 | 0.8× |
| Closed Treatment Sesamoid Fracture (28530) | $215.20 | $269 | 0.8× |
| Closed Treatment Sternum Fracture (21820) | $215.20 | $269 | 0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,084 | $1,355 | 3.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,720.80 | $2,151 | 6.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,985.60 | $3,732 | 1.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $752 | $940 | 2.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $248 | $310 | 0.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,434.40 | $1,793 | 0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $260 | $325 | 0.9× |
| Closed tx femoral fracture prox head w/o manj (27267) | $2,908 | $3,635 | 0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) | $865.60 | $1,082 | 3.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $2,384 | $2,980 | 1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$240–$877.60 | $300–$1,097 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,944.80 | $3,681 | 1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $3,708.80 | $4,636 | 2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$215.20–$843.20 | $269–$1,054 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$215.20–$708 | $269–$885 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,404.80 | $3,006 | 1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$232–$725.60 | $290–$907 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,434.40–$3,215.20 | $1,793–$4,019 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$248–$473.60 | $310–$592 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,434.40–$3,576.80 | $1,793–$4,471 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $232 | $290 | 0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$254.40–$473.60 | $318–$592 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $400 | $500 | 1.5× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$240–$520.80 | $300–$651 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $507.20 | $634 | 1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$774.40–$1,548.80 | $968–$1,936 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,434.40–$2,539.20 | $1,793–$3,174 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $232 | $290 | 0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $254.40 | $318 | 0.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $500.80 | $626 | 1.9× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $476 | $595 | 0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $215.20 | $269 | 0.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $2,540 | $3,175 | 1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$248–$505.60 | $310–$632 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $215.20 | $269 | 0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $4,528.80 | $5,661 | 2.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,440 | $1,800 | 5.2× |
| Clsr Lacrimal Punctum Plug Each (68761) | $268 | $335 | 0.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $442.40 | $553 | 1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,962.40 | $3,703 | 1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,632 | $3,290 | 1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $240 | $300 | 0.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,642.40 | $3,303 | 1.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$736–$800 | $920–$1,000 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$215.20–$451.20 | $269–$564 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $215.20 | $269 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $984.80 | $1,231 | 3.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$254.40–$805.60 | $318–$1,007 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$228–$884 | $285–$1,105 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$240–$867.20 | $300–$1,084 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$256–$1,029.60 | $320–$1,287 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,434.40–$3,613.60 | $1,793–$4,517 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,334.40 | $2,918 | 1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$305.60–$1,298.40 | $382–$1,623 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,384.80 | $2,981 | 1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $473.60 | $592 | 1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$215.20–$811.20 | $269–$1,014 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$248–$954.40 | $310–$1,193 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$240–$466.40 | $300–$583 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $3,500.80 | $4,376 | 2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $215.20 | $269 | 0.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $268 | $335 | 1.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $215.20 | $269 | 0.8× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $2,894.40 | $3,618 | 1.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $3,673.60 | $4,592 | 2.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,313.60 | $1,642 | 4.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $237.60 | $297 | 0.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,962.40 | $3,703 | 1.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,539.20 | $3,174 | 1.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $232 | $290 | 0.8× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $2,474.40 | $3,093 | 1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $526.40 | $658 | 1.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $2,474.40 | $3,093 | 1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$238.40–$472 | $298–$590 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$222.40–$1,058.40 | $278–$1,323 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,632.80 | $3,291 | 1.5× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$244–$821.60 | $305–$1,027 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$276–$1,109.60 | $345–$1,387 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$240–$752.80 | $300–$941 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $2,335.20 | $2,919 | 1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$244–$1,144 | $305–$1,430 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$220–$760.80 | $275–$951 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $3,740.80 | $4,676 | 2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,350.40 | $1,688 | 4.9× |
| Cltx prox fibula/shft fx w/manj (27781) | $3,112 | $3,890 | 1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) | $232 | $290 | 0.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,844.80 | $4,806 | 2.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $576 | $720 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$232–$638.40 | $290–$798 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,632.80 | $3,291 | 1.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,840 | $3,550 | 1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,962.40 | $3,703 | 1.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $252.80 | $316 | 0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $215.20 | $269 | 0.8× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$236–$632.80 | $295–$791 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$248–$584.80 | $310–$731 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,172 | $1,465 | 4.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $3,048.80 | $3,811 | 1.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$245.60–$842.40 | $307–$1,053 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $332 | $415 | 2.2× |
| Collection of venous blood by venipuncture (36415) | $37.60 | $47 | 4.0× |
| Colonoscopy Flexible With Decompression (45393) | $1,798.40 | $2,248 | 1.3× |
| Colonoscopy Stoma Ablation Lesion (44401) | $3,615.20 | $4,519 | 2.7× |
| Colonoscopy Stoma Control Bleeding (44391) | $5,165.60 | $6,457 | 3.9× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $3,045.20 | $3,806.50 | 2.3× |
| Colonoscopy stoma w/balloon dilation (44405) | $1,708 | $2,135 | 1.3× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) | $2,424.80 | $3,031 | 1.8× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) | $1,708 | $2,135 | 1.6× |
| Colonoscopy Stoma W/Submucosal Injection (44404) | $1,813.60 | $2,267 | 1.4× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $3,669.60 | $4,587 | 2.8× |
| Colonoscopy thru stoma (44388) | $3,284 | $4,105 | 3.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $3,636 | $4,545 | 2.7× |
| Colonoscopy w/ablation (45388) | $3,790.40 | $4,738 | 2.8× |
| Colonoscopy W/Band Ligation (45398) | $1,702 | $2,127.50 | 1.3× |
| Colonoscopy w/fb removal (45379) | $2,724.80 | $3,406 | 2.0× |
| Colonoscopy W/Resection (45390) | $4,616 | $5,770 | 1.5× |
| Colonoscopy w/stent plcmt (45389) | $8,564.80 | $10,706 | 1.3× |
| Colonoscopy w/submucosal inj (45381) | $3,818.40 | $4,773 | 2.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $277.60 | $347 | 0.8× |
| Colposcopy Cervix Endocervical Curettage (57456) | $277.60 | $347 | 0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) | $180.80 | $226 | 0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $277.60 | $347 | 0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $2,849.60 | $3,562 | 0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,849.60 | $3,562 | 0.8× |
| Colposcopy entire vagina w/cervix if present (57420) | $277.60 | $347 | 0.8× |
| Colposcopy of vulva (56820) | $180.80 | $226 | 0.8× |
| Colposcopy Vulva W/Biopsy (56821) | $277.60 | $347 | 0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $780.80 | $976 | 0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $3,900.80 | $4,876 | 2.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $3,233.60 | $4,042 | 2.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $3,840.80 | $4,801 | 2.9× |
| Complex Cystometrogram (51726) | $280 | $350 | 1.0× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$2,565.60–$5,360.80 | $3,207–$6,701 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,849.60 | $3,562 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$110.40–$906.40 | $138–$1,133 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$124–$1,096 | $155–$1,370 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,008 | $1,260 | 1.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $3,597.60 | $4,497 | 1.7× |
| Convert Nephrostomy Catheter (50434) | $3,080.80 | $3,851 | 1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,656 | $4,570 | 2.0× |
| Correction hammertoe (28285) | $2,908 | $3,635 | 0.8× |
| Create Eardrum Opening (69433) | $476 | $595 | 0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$110.40–$1,091.20 | $138–$1,364 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $413.60 | $517 | 1.6× |
| Curettage postpartum (59160) | $6,136 | $7,670 | 1.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$1,836–$4,428 | $2,295–$5,535 | varies |
| Cysto w/complex removal stone & stent (52315) | $1,836 | $2,295 | 0.8× |
| Cysto w/destruction of lesions (52214) | $3,091.20 | $3,864 | 0.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $3,091.20 | $3,864 | 0.8× |
| Cysto w/removal of lesions small (52224) | $3,091.20 | $3,864 | 0.8× |
| Cysto w/removal of tumors small (52234) | $3,091.20 | $3,864 | 0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$1,836–$6,208 | $2,295–$7,760 | varies |
| Cystometrogram W/Vp (51728) | $590.40 | $738 | 0.8× |
| Cystostomy Cystotomy W/Drainage (51040) | $4,073.60 | $5,092 | 1.7× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$590.40–$2,264.80 | $738–$2,831 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $1,836 | $2,295 | 0.8× |
| Cystourethroscopy with biopsy (52204) | $1,836 | $2,295 | 0.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) | $1,836 | $2,295 | 0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$548.80–$1,268 | $686–$1,585 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$2,565.60–$4,210.40 | $3,207–$5,263 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $631.20 | $789 | 0.8× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) | $4,283.20 | $5,354 | 1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $548.80 | $686 | 0.7× |
| Debride nail 1-5 (11720) | $76.80 | $96 | 1.2× |
| Debride nail 6 or more (11721) | $53.60 | $67 | 0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,452 | $1,815 | 0.8× |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $476 | $595 | 0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) | $178.40 | $223 | 0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$358.40–$4,120 | $448–$5,150 | varies |
| Declot vascular device (36593) | $1,252.80 | $1,566 | 3.4× |
| Deep Muscle Biopsy (20205) | $2,565.60 | $3,207 | 0.8× |
| Delivery of placenta (59414) | $4,660.80 | $5,826 | 1.3× |
| Destr penis lesion(s) (54065) | $1,640 | $2,050 | 0.7× |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,340 | $2,925 | 2.4× |
| Destroy cerv/thor facet jnt (64633) | $4,044 | $5,055 | 1.9× |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$6,640–$13,280 | $8,300–$16,600 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$178.40–$444.80 | $223–$556 | varies |
| Destruction Benign Lesions 15/> (17111) | $178.40 | $223 | 0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,365.60 | $1,707 | 1.4× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $264.80 | $331 | 0.8× |
| Destruction Lesions Vulva Extensive (56515) | $1,640 | $2,050 | 0.7× |
| Destruction Lesions Vulva Simple (56501) | $1,640 | $2,050 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $344.80 | $431 | 1.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $344.80 | $431 | 1.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $358.40 | $448 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $548.80 | $686 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $548.80 | $686 | 0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $178.40 | $223 | 0.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $178.40 | $223 | 0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $178.40 | $223 | 0.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $358.40 | $448 | 0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $358.40 | $448 | 0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $178.40 | $223 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $180 | $225 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $177.60 | $222 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $178.40 | $223 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $358.40 | $448 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $358.40 | $448 | 0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $178.40 | $223 | 0.8× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $875.20 | $1,094 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $358.40 | $448 | 0.8× |
| Destruction premalignant lesion 1st (17000) | $178.40 | $223 | 0.8× |
| Destruction Vaginal Lesions Simple (57061) | $2,849.60 | $3,562 | 0.8× |
| Diagnostic sigmoidoscopy (45330) | $817.60 | $1,022 | 0.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $140.80 | $176 | 1.0× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $116 | $145 | 0.8× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $116 | $145 | 0.8× |
| Dilat Xst Trc New Access Rcs (50437) | $5,255.20 | $6,569 | 1.3× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,728.80 | $2,161 | 1.7× |
| Dilate Urethra Stricture (53620) | $598.40 | $748 | 0.8× |
| Dilate Urethra Stricture (53600) | $224 | $280 | 0.8× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $465.60 | $582 | 0.8× |
| Dilation Cervical Canal (57800) | $2,849.60 | $3,562 | 0.8× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $358.40 | $448 | 0.7× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $2,793.60 | $3,492 | 1.4× |
| Drain Cerebro Spinal Fluid (62272) | $1,472.80 | $1,841 | 1.9× |
| Drain/inj small joint/bursa w/us (20604) | $264.80 | $331 | 0.8× |
| Drainage external auditory canal abscess (69020) | $1,082.40 | $1,353 | 1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$631.20–$1,451.20 | $789–$1,814 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$1,452–$4,036 | $1,815–$5,045 | varies |
| Drainage Mouth Roof Lesion (42000) | $392 | $490 | 1.5× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$1,012.80–$1,100 | $1,266–$1,375 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$116–$1,141.60 | $145–$1,427 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,452–$5,988 | $1,815–$7,485 | varies |
| Drainage of mouth lesion (41006) | $1,328 | $1,660 | 0.8× |
| Drainage of nose lesion (30000) | $376.80 | $471 | 1.4× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,452–$3,850.40 | $1,815–$4,813 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$1,836–$5,371.20 | $2,295–$6,714 | varies |
| Drainage of skene's gland abscess or cyst (53060) | $4,216.80 | $5,271 | 1.8× |
| Draw Blood Off Venous Device (36591) | $268.80 | $336 | 1.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,160 | $1,450 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $681.60 | $852 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$184–$753.60 | $230–$942 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$178.40–$695.20 | $223–$869 | varies |
| Dstrj Lesion Anus Extensive (46924) | $2,457.60 | $3,072 | 0.8× |
| Dstrj Lesion Anus Simple Chemical (46900) | $584 | $730 | 1.3× |
| Dstrj lesion anus simple cryosurgery (46916) | $173.60 | $217 | 0.8× |
| Dstrj Lesion Penis Simple Chemical (54050) | $358.40 | $448 | 0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $178.40 | $223 | 0.8× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $1,640 | $2,050 | 0.7× |
| Dstrj lesion penis simple surg excision (54060) | $1,640 | $2,050 | 0.7× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $366.40 | $458 | 0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,295.20 | $2,869 | 2.3× |
| Dx Bone Marrow Bx & Aspir (38222) | $3,815.20 | $4,769 | 1.2× |
| Dx Bronchoscope/Lavage (31624) | $4,567.20 | $5,709 | 2.3× |
| Dx Bronchoscope/Wash (31622) | $4,464 | $5,580 | 2.3× |
| Dx Laryngoscopy Excl Nb (31525) | $5,238.40 | $6,548 | 2.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,003.20 | $2,504 | 2.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $3,612 | $4,515 | 1.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $5,710.40 | $7,138 | 2.7× |
| Egd cautery tumor polyp (43250) | $4,210.40 | $5,263 | 2.0× |
| Egd control bleeding any (43255) | $3,687.20 | $4,609 | 1.7× |
| Egd dilation gastric/duodenal stricture (43245) | $4,252 | $5,315 | 2.0× |
| Egd endo mucosal resection (43254) | $4,419.20 | $5,524 | 2.1× |
| Egd Endoscopic Stent Place (43266) | $7,659.20 | $9,574 | 1.1× |
| Egd Flexible Foreign Body Removal (43247) | $3,361.60 | $4,202 | 3.3× |
| Egd guide wire insertion (43248) | $4,119.20 | $5,149 | 4.1× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $2,741.60 | $3,427 | 1.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $4,514.40 | $5,643 | 2.1× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $4,275.20 | $5,344 | 2.0× |
| Egd lesion ablation (43270) | $3,950.40 | $4,938 | 1.8× |
| Egd Optical Endomicroscopy (43252) | $4,751.20 | $5,939 | 2.2× |
| Egd place gastrostomy tube (43246) | $4,950.40 | $6,188 | 2.3× |
| Egd remove lesion snare (43251) | $3,360 | $4,200 | 1.6× |
| Egd Tube/Cath Insertion (43241) | $3,472.80 | $4,341 | 1.6× |
| Egd us exam duodenum/jejunum (43259) | $4,434.40 | $5,543 | 2.1× |
| Egd us transmural injxn/mark (43253) | $3,992 | $4,990 | 1.9× |
| Egd Varices Ligation (43244) | $3,700.80 | $4,626 | 1.7× |
| Egd W/Transmural Drain Cyst (43240) | $6,854.40 | $8,568 | 1.0× |
| Electro-Uroflowmetry First (51741) | $279.20 | $349 | 1.2× |
| Embedded ip cath exit-site (49436) | $1,700 | $2,125 | 0.8× |
| Endocervical curettage (57505) | $780.80 | $976 | 0.8× |
| Endometrial Biopsy (58100) | $180.80 | $226 | 0.8× |
| Endoscopic injection/implant (51715) | $3,091.20 | $3,864 | 0.8× |
| Endoscopic us exam esoph (43237) | $3,600 | $4,500 | 1.7× |
| Endoscopy Upper Small Intestine (44360) | $3,527.20 | $4,409 | 1.6× |
| Endoscopy upper small intestine w/biopsy (44361) | $3,404 | $4,255 | 1.6× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $2,820.80 | $3,526 | 0.8× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $3,915.20 | $4,894 | 1.8× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) | $2,657.60 | $3,322 | 1.2× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) | $2,708.80 | $3,386 | 1.3× |
| Epidural Blood Patch (62273) | $2,014.40 | $2,518 | 2.6× |
| Episiotomy or vaginal repair (59300) | $3,148.80 | $3,936 | 0.9× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $6,766.40 | $8,458 | 1.0× |
| Ercp duct stent placement (43274) | $10,580.80 | $13,226 | 1.6× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $6,938.40 | $8,673 | 1.6× |
| Ercp ea duct/ampulla dilate (43277) | $6,565.60 | $8,207 | 1.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $7,608 | $9,510 | 1.8× |
| Ercp remove forgn body duct (43275) | $7,595.20 | $9,494 | 3.6× |
| Ercp Stent Exchange W/Dilate (43276) | $7,651.20 | $9,564 | 1.1× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $5,830.40 | $7,288 | 1.4× |
| Ercp W/Biopsy Single/Multiple (43261) | $5,474.40 | $6,843 | 1.3× |
| Ercp w/pressure measurement sphincter of oddi (43263) | $5,488 | $6,860 | 2.6× |
| Ercp,Sphincterotomy (43262) | $7,111.20 | $8,889 | 1.7× |
| Escharotomy; initial incision (16035) range across 2 matching MRF lines |
$417.60–$558.40 | $522–$698 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $3,280.80 | $4,101 | 3.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $3,911.20 | $4,889 | 1.8× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $5,933.60 | $7,417 | 1.4× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) | $1,629.60 | $2,037 | 1.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $3,830.40 | $4,788 | 3.8× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) | $3,501.60 | $4,377 | 1.6× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) | $6,262.40 | $7,828 | 2.9× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $4,012 | $5,015 | 1.9× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $3,495.20 | $4,369 | 1.6× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$116–$332.80 | $145–$416 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $1,452 | $1,815 | 0.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,452 | $1,815 | 0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$631.20–$839.20 | $789–$1,049 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,452 | $1,815 | 0.8× |
| Exc Back Les Sc < 3 Cm (21930) | $1,452 | $1,815 | 0.8× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,565.60 | $3,207 | 0.8× |
| Exc back tum deep < 5 cm (21932) | $2,565.60 | $3,207 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $676 | $845 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $676 | $845 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,452 | $1,815 | 0.8× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,452 | $1,815 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $631.20 | $789 | 0.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $631.20 | $789 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $788 | $985 | 1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,452 | $1,815 | 0.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,452 | $1,815 | 0.8× |
| Exc Frenum Labial/Buccal (40819) | $1,328 | $1,660 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,452 | $1,815 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $631.20 | $789 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,452–$2,745.60 | $1,815–$3,432 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,452 | $1,815 | 0.8× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $875.20 | $1,094 | 0.8× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,434.40 | $1,793 | 0.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $1,434.40 | $1,793 | 0.8× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $1,750.40 | $2,188 | 0.8× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $10,945.60 | $13,682 | 3.5× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $2,565.60 | $3,207 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $631.20 | $789 | 0.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,452 | $1,815 | 0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,565.60 | $3,207 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,452 | $1,815 | 0.8× |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,565.60 | $3,207 | 0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,452 | $1,815 | 0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,565.60 | $3,207 | 0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,452 | $1,815 | 0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,565.60 | $3,207 | 0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$1,280–$6,899.20 | $1,600–$8,624 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$396–$1,053.60 | $495–$1,317 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$631.20–$1,342.40 | $789–$1,678 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$1,452–$3,590.40 | $1,815–$4,488 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $2,565.60 | $3,207 | 0.8× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $2,565.60 | $3,207 | 0.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $1,452 | $1,815 | 0.8× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $2,452.80 | $3,066 | 0.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,452 | $1,815 | 0.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $2,565.60 | $3,207 | 0.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,452 | $1,815 | 0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,565.60 | $3,207 | 0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,452 | $1,815 | 0.8× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $1,434.40 | $1,793 | 0.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $6,560 | $8,200 | 1.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $4,124.80 | $5,156 | 1.8× |
| Exchange Transfusion Blood Newborn (36450) | $649.60 | $812 | 1.3× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,702.40 | $4,628 | 1.7× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $5,320 | $6,650 | 1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $780 | $975 | 1.0× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $2,565.60 | $3,207 | 0.8× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $2,565.60 | $3,207 | 0.8× |
| Excision Lesion Tongue W/O Closure (41110) | $2,906.40 | $3,633 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $780 | $975 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $631.20 | $789 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $358.40 | $448 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $780 | $975 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,452 | $1,815 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,565.60 | $3,207 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $3,064 | $3,830 | 1.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $780 | $975 | 1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $780 | $975 | 1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,452 | $1,815 | 0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,565.60 | $3,207 | 0.8× |
| Excision of single external papilla or tag, anus (46220) | $1,420 | $1,775 | 1.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,565.60 | $3,207 | 0.8× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $2,565.60 | $3,207 | 0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,452 | $1,815 | 0.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $5,360.80 | $6,701 | 1.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $1,452 | $1,815 | 0.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,640 | $2,050 | 0.9× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,452 | $1,815 | 0.8× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,434.40 | $1,793 | 0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,565.60 | $3,207 | 0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,452 | $1,815 | 0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,565.60 | $3,207 | 0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $2,565.60 | $3,207 | 0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,452 | $1,815 | 0.8× |
| Explo/Drain Breast Abscess (19020) | $3,988 | $4,985 | 2.2× |
| External cephalic version (59412) | $4,079.20 | $5,099 | 1.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $2,908 | $3,635 | 0.8× |
| Fasciotomy, foot and/or toe (28008) | $2,908 | $3,635 | 0.8× |
| Fetal Contraction Stress Test (59020) | $278.40 | $348 | 1.2× |
| Fetal non-stress test (59025) | $180.80 | $226 | 0.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,220.80 | $2,776 | 2.8× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$358.40–$789.60 | $448–$987 | varies |
| Fluid Pressure Muscle (20950) | $1,796.80 | $2,246 | 2.3× |
| Fluoro exam of g/colon tube (49465) | $776.80 | $971 | 2.9× |
| Fna bx w/us gdn 1st les (10005) | $630.40 | $788 | 0.8× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$220–$556.80 | $275–$696 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,640 | $2,050 | 0.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $1,640 | $2,050 | 0.7× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $1,640 | $2,050 | 0.7× |
| Guide Cathet Fluid Drainage (10030) | $2,337.60 | $2,922 | 3.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $817.60 | $1,022 | 0.8× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $4,424 | $5,530 | 0.8× |
| Hysteroscopy Biopsy (58558) | $2,849.60 | $3,562 | 0.8× |
| Hysteroscopy Dx Sep Proc (58555) | $2,849.60 | $3,562 | 0.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $2,849.60 | $3,562 | 0.8× |
| I&d abscess peritonsillar (42700) | $1,024 | $1,280 | 3.9× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$178.40–$934.40 | $223–$1,168 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $1,434.40 | $1,793 | 0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$2,565.60–$5,904 | $3,207–$7,380 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $6,555.20 | $8,194 | 2.0× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$817.60–$4,480 | $1,022–$5,600 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$631.20–$3,612.80 | $789–$4,516 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$631.20–$1,540.80 | $789–$1,926 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $5,244 | $6,555 | 1.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $2,565.60 | $3,207 | 0.8× |
| Icd Pocket Revision (33223) | $6,420 | $8,025 | 2.8× |
| Ileoscopy Stoma W/Balloon Dilation (44381) | $2,804 | $3,505 | 1.3× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $2,005.60 | $2,507 | 2.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $2,476 | $3,095 | 2.4× |
| Image Cath Fluid Colxn Visc (49405) | $3,969.60 | $4,962 | 2.2× |
| Image Cath Fluid Peri/Retro (49406) | $4,099.20 | $5,124 | 2.2× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,451.20 | $3,064 | 1.3× |
| Implant neuroelectrodes (63650) | $11,980 | $14,975 | 1.7× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$237.60–$914.40 | $297–$1,143 | varies |
| Incise finger tendon sheath (26055) | $3,068 | $3,835 | 1.7× |
| Incise tendon(s) & muscle(s) (23406) | $6,402.40 | $8,003 | 0.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$358.40–$1,457.60 | $448–$1,822 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $6,513.60 | $8,142 | 2.0× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,452–$5,662.40 | $1,815–$7,078 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$358.40–$1,891.20 | $448–$2,364 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$180.80–$653.60 | $226–$817 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$277.60–$1,299.20 | $347–$1,624 | varies |
| Incision of eardrum (69420) | $211.20 | $264 | 0.8× |
| Incision of lingual frenum (frenotomy) (41010) | $1,328 | $1,660 | 0.8× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,344–$7,466.40 | $1,680–$9,333 | varies |
| Incision&drainage bursa foot (28001) | $1,452 | $1,815 | 0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$1,452–$2,655.20 | $1,815–$3,319 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) | $268 | $335 | 0.8× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$548.80–$1,030.40 | $686–$1,288 | varies |
| Induced abortion dilation and curettage (59840) | $2,849.60 | $3,562 | 0.8× |
| Induced abortion, by dilation and evacuation (59841) | $2,849.60 | $3,562 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$178.40–$476 | $223–$595 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,504.80–$5,009.60 | $3,131–$6,262 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $591.20 | $739 | 2.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,280.80 | $2,851 | 2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$264.80–$440.80 | $331–$551 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $798.40 | $998 | 0.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $2,676.80 | $3,346 | 3.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$264.80–$668 | $331–$835 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$620.80–$1,621.60 | $776–$2,027 | varies |
| Injection enzyme palmar fascial cord (20527) | $264.80 | $331 | 0.8× |
| Injection for identification of sentinel node (38792) | $1,578.40 | $1,973 | 3.5× |
| Injection Into Brain Canal (61055) | $1,817.20 | $2,271.50 | 5.3× |
| Injection procedure for peyronie disease (54200) | $218.40 | $273 | 0.8× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$264.80–$373.60 | $331–$467 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$264.80–$904 | $331–$1,130 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$264.80–$914.40 | $331–$1,143 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$264.80–$488.80 | $331–$611 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,545.60 | $1,932 | 2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$620.80–$6,326.40 | $776–$7,908 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $178.40 | $223 | 0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) | $178.40 | $223 | 0.8× |
| Ins cath ren art 1st bilat (36252) | $8,244 | $10,305 | 2.3× |
| Ins cath ren art 1st unilat (36251) | $8,548 | $10,685 | 2.4× |
| Ins cath ren art 2nd+ unilat (36253) | $10,491.20 | $13,114 | 1.7× |
| Ins endovas vena cava filtr (37191) | $15,400 | $19,250 | 2.5× |
| Ins/Rep Subq Defibrillator (33270) | $73,575.20 | $91,969 | 2.1× |
| Insert 1 Electrode Pm-Defib (33216) | $13,470.40 | $16,838 | 1.5× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$140.80–$723.20 | $176–$904 | varies |
| Insert cath pleura w/ image (32557) | $3,410.40 | $4,263 | 1.9× |
| Insert cath pleura w/o image (32556) | $3,338.40 | $4,173 | 1.6× |
| Insert Drug Implant Device (11981) | $116 | $145 | 0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $4,652.80 | $5,816 | 2.2× |
| Insert Heart Pm Atrial (33206) | $19,076.80 | $23,846 | 1.6× |
| Insert Heart Pm Ventricular (33207) | $19,012.80 | $23,766 | 1.6× |
| Insert hepatic shunt (tips) (37182) | $18,086.40 | $22,608 | 0.9× |
| Insert non-tunnel cv cath (36556) | $3,420 | $4,275 | 1.0× |
| Insert Pacing Lead & Connect (33224) | $35,381.60 | $44,227 | 3.0× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$180.80–$371.20 | $226–$464 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$124–$406.40 | $155–$508 | varies |
| Insert tun ip cath perc (49418) | $9,376.80 | $11,721 | 2.4× |
| Insert tunneled cv cath (36561) | $8,982.40 | $11,228 | 2.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$124–$341.60 | $155–$427 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $7,919.20 | $9,899 | 2.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,656 | $5,820 | 2.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $22,188.80 | $27,736 | 2.4× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $9,435.20 | $11,794 | 1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,856 | $3,570 | 0.8× |
| Insj Picc Rs&I <5 Yr (36572) | $1,080.80 | $1,351 | 1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,588.80 | $4,486 | 2.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $9,004.80 | $11,256 | 2.6× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $98,172.80 | $122,716 | 2.8× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $36,954.40 | $46,193 | 1.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $17,790.40 | $22,238 | 1.9× |
| Insrt heart pm atrial & vent (33208) | $22,272.80 | $27,841 | 1.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $3,737.60 | $4,672 | 1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $782.40 | $978 | 1.7× |
| Intraoral i&d tongue/floor lingual (41000) | $1,127.20 | $1,409 | 1.9× |
| Intraoral i&d tongue/floor submental space (41007) | $1,328 | $1,660 | 0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) range across 2 matching MRF lines |
$2,906.40–$4,920 | $3,633–$6,150 | varies |
| Intro cath dialysis circuit (36901) | $2,367.20 | $2,959 | 1.3× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $31,802.40 | $39,753 | 2.5× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $19,360 | $24,200 | 3.1× |
| Intro Gastrointestinal Tube (44500) | $1,404.80 | $1,756 | 1.4× |
| Intubation endotracheal emergency procedure (31500) | $916.80 | $1,146 | 3.5× |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$218.40–$584 | $273–$730 | varies |
| Labyrinthotomy Transcanal (69801) | $1,328 | $1,660 | 0.8× |
| Laryngoscopy diagnostic (31505) | $594.40 | $743 | 2.7× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$174.40–$675.20 | $218–$844 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $1,545.60 | $1,932 | 0.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $663.20 | $829 | 1.5× |
| Laryngoscopy Indirect W/Biopsy (31510) | $3,304.80 | $4,131 | 0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) | $2,904.80 | $3,631 | 1.5× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $663.20 | $829 | 1.5× |
| Late closure of wound (13160) | $3,570.40 | $4,463 | 0.9× |
| Ligation of a-v fistula (37607) | $2,820.80 | $3,526 | 0.8× |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$1,452–$3,370.40 | $1,815–$4,213 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,836 | $2,295 | 0.8× |
| Maniplatn palar fascial crd post inj single cord (26341) | $215.20 | $269 | 0.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,524 | $1,905 | 0.9× |
| Mech remov tunneled cv cath (36595) | $4,180 | $5,225 | 1.2× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) | $543.20 | $679 | 0.7× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) | $543.20 | $679 | 0.7× |
| Myelography Lumbar Injection (62305) | $3,051.20 | $3,814 | 3.5× |
| Myelography Lumbar Injection (62304) | $2,112.80 | $2,641 | 2.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,986.40 | $2,483 | 2.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,009.60 | $2,512 | 2.3× |
| N Block Inj Celiac Pelus (64530) | $1,687.20 | $2,109 | 1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $620.80 | $776 | 0.8× |
| N block inj intercost sng (64420) | $620.80 | $776 | 0.8× |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$264.80–$934.40 | $331–$1,168 | varies |
| N Block Inj Pudendal (64430) | $798.40 | $998 | 0.8× |
| N Block Lumbar/Thoracic (64520) | $2,513.60 | $3,142 | 2.6× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$174.40–$302.40 | $218–$378 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $775.20 | $969 | 1.6× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) | $5,301.60 | $6,627 | 0.8× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) | $5,301.60 | $6,627 | 0.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 4 matching MRF lines |
$1,545.60–$11,721.60 | $1,932–$14,652 | varies |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) | $2,674.40 | $3,343 | 1.3× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $1,728 | $2,160 | 1.7× |
| Needle Biopsy Lymph Nodes (38505) | $1,452 | $1,815 | 0.8× |
| Needle Biopsy Pancreas (48102) | $2,906.40 | $3,633 | 1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,132.80 | $1,416 | 2.7× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,551.20 | $3,189 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$264.80–$1,004 | $331–$1,255 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,576 | $5,720 | 1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,262.40 | $6,578 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$3,132–$6,264 | $3,915–$7,830 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,511.20 | $3,139 | 3.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,527.20 | $3,159 | 3.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,812.80 | $2,266 | 1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,456.80 | $1,821 | 1.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $2,141.60 | $2,677 | 2.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $358.40 | $448 | 0.8× |
| Obstructive material removal from gi tube (49460) | $1,387.20 | $1,734 | 1.4× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$332–$820 | $415–$1,025 | varies |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $4,826.40 | $6,033 | 1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $6,403.20 | $8,004 | 1.8× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $12,549.60 | $15,687 | 0.9× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $6,403.20 | $8,004 | 1.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $17,564.80 | $21,956 | 2.2× |
| Open/Perq Place Stent 1St (37236) | $27,800.80 | $34,751 | 2.2× |
| Open/Perq Place Stent Same (37238) | $21,492 | $26,865 | 1.7× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $6,796 | $8,495 | 1.9× |
| Partial Excision Distal Phalanx Finger (26236) | $3,148.80 | $3,936 | 1.8× |
| Partial removal of toe (28160) | $2,908 | $3,635 | 0.8× |
| Partical Excision Bone Phalanx Toe (28124) | $2,908 | $3,635 | 0.8× |
| Penile Injection (54235) range across 2 matching MRF lines |
$220–$503.20 | $275–$629 | varies |
| Perc Cryo Ablate Renal Tum (50593) | $21,154.40 | $26,443 | 1.8× |
| Perc Rf Ablate Renal Tumor (50592) | $12,144 | $15,180 | 1.8× |
| Percut Ablate Liver Rf (47382) | $12,310.40 | $15,388 | 1.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $21,194.40 | $26,493 | 1.6× |
| Percut Drain/Inject Renal Cyst (50390) | $2,195.20 | $2,744 | 2.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $5,188 | $6,485 | 1.5× |
| Pericardiocentesis W/Imaging (33016) | $2,896.80 | $3,621 | 1.7× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $5,140 | $6,425 | 1.4× |
| Peritoneal Lavage (49084) | $1,632 | $2,040 | 1.6× |
| Perq Cervicothoracic Inject (22510) | $11,202.40 | $14,003 | 3.1× |
| Perq dev breast 1st mr guide (19287) | $1,084 | $1,355 | 1.4× |
| Perq Lumbosacral Injection (22511) | $10,574 | $13,217.50 | 2.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,326.40 | $1,658 | 1.7× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $31,802.40 | $39,753 | 2.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $13,653.60 | $17,067 | 2.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $16,277.60 | $20,347 | 2.0× |
| Perq Vertebral Augmentation (22513) | $18,220.80 | $22,776 | 2.3× |
| Place Cath Subclavian Art (36225) | $8,960 | $11,200 | 2.5× |
| Place Cath Thoracic Aorta (36221) | $8,740 | $10,925 | 2.5× |
| Place Cath Vertebral Art (36226) | $14,699.20 | $18,374 | 2.4× |
| Place Rt Device/Marker Pros (55876) | $1,226.40 | $1,533 | 0.8× |
| Placement of needle for intraosseous infusion (36680) | $1,008.80 | $1,261 | 2.0× |
| Plastic Repair Introitus (56800) | $2,849.60 | $3,562 | 0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $4,976 | $6,220 | 2.1× |
| Plmt Nephroureteral Catheter (50433) | $5,731.20 | $7,164 | 1.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $6,465.60 | $8,082 | 1.6× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $6,795.20 | $8,494 | 1.7× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $6,955.62 | $8,694.53 | 1.8× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) | $5,301.60 | $6,627 | 0.8× |
| Prim art mech thrombectomy (37184) | $17,952.80 | $22,441 | 0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $817.60 | $1,022 | 0.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $2,457.60 | $3,072 | 0.8× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $1,380 | $1,725 | 1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,342.40 | $1,678 | 1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,713.60 | $7,142 | 1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $6,970.40 | $8,713 | 1.7× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $2,908 | $3,635 | 0.8× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $2,908 | $3,635 | 0.8× |
| Prtl Exchange Transfuse Nb (36456) | $649.60 | $812 | 1.3× |
| Pseudoaneurysm Injection Trt (36002) | $1,360 | $1,700 | 1.9× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$358.40–$483.20 | $448–$604 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$358.40–$933.60 | $448–$1,167 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$631.20–$1,200.80 | $789–$1,501 | varies |
| Redo Endovas Vena Cava Filtr (37192) | $6,177.60 | $7,722 | 1.8× |
| Reduction of rectal prolapse (45900) | $809.60 | $1,012 | 0.8× |
| Relocation Pocket Pacemaker (33222) | $5,875.20 | $7,344 | 2.6× |
| Rem Endovas Vena Cava Filter (37193) | $8,747.20 | $10,934 | 2.5× |
| Removal Embedded Foreign Body Eyelid (67938) | $504 | $630 | 1.4× |
| Removal foreign body foot deep (28192) | $1,452 | $1,815 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$790.40–$2,718.40 | $988–$3,398 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$1,452–$2,993.60 | $1,815–$3,742 | varies |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$2,565.60–$4,113.60 | $3,207–$5,142 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$57.60–$438.40 | $72–$548 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$53.60–$262.40 | $67–$328 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $4,199.20 | $5,249 | 1.2× |
| Removal Implant Deep (20680) | $2,565.60 | $3,207 | 0.8× |
| Removal Implant Superficial Separate Procedure (20670) | $1,452 | $1,815 | 0.8× |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$631.20–$1,029.60 | $789–$1,287 | varies |
| Removal of foreign body from pharynx (42809) | $537.60 | $672 | 1.1× |
| Removal of mammary implant material (19330) | $5,374.40 | $6,718 | 1.2× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$358.40–$2,488 | $448–$3,110 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $6,360.80 | $7,951 | 1.8× |
| Removal or bivalving full arm or full leg cast (29705) | $238.40 | $298 | 0.8× |
| Removal Pacemaker Electrode (33235) | $6,847.20 | $8,559 | 1.6× |
| Removal ppm generator only (33233) | $18,915.20 | $23,644 | 2.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$178.40–$465.60 | $223–$582 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $2,554.40 | $3,193 | 3.2× |
| Removal sweat gland lesion (11450) | $2,565.60 | $3,207 | 0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) | $420.80 | $526 | 1.4× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$344.80–$688.80 | $431–$861 | varies |
| Remove Elctrd Transvenously (33244) | $7,768 | $9,710 | 1.9× |
| Remove Forearm Foreign Body (25248) | $2,973.60 | $3,717 | 1.7× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$118.40–$494.40 | $148–$618 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$277.60–$1,006.40 | $347–$1,258 | varies |
| Remove intrvas foreign body (37197) | $6,324.80 | $7,906 | 1.8× |
| Remove lung catheter (32552) | $1,488.80 | $1,861 | 2.1× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$110.40–$450.40 | $138–$563 | varies |
| Remove Pulse Generator (33241) | $9,120 | $11,400 | 2.2× |
| Remove renal tube w/fluoro (50389) | $2,110.40 | $2,638 | 2.7× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$1,452–$2,656 | $1,815–$3,320 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,434.40 | $1,793 | 0.8× |
| Remove ureter stent percut (50384) | $2,927.20 | $3,659 | 1.3× |
| Remove&replace pm gen singl (33227) | $19,339.20 | $24,174 | 2.1× |
| Remove/Insert Drug Implant (11983) | $365.60 | $457 | 0.7× |
| Remv&replc cvd gen dual lead (33263) | $61,900 | $77,375 | 2.5× |
| Remv&replc cvd gen mult lead (33264) | $108,080 | $135,100 | 3.1× |
| Remv&replc cvd gen sing lead (33262) | $40,677.60 | $50,847 | 1.6× |
| Remv&replc pm gen dual lead (33228) | $36,550.40 | $45,688 | 3.1× |
| Remv&replc pm gen mult leads (33229) | $30,686.40 | $38,358 | 1.4× |
| Renal Biopsy Perq (50200) | $5,913.60 | $7,392 | 3.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $6,716.80 | $8,396 | 1.9× |
| Repair brow ptosis (67900) | $2,091.20 | $2,614 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$543.20–$2,268 | $679–$2,835 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$543.20–$2,936.80 | $679–$3,671 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$358.40–$1,200 | $448–$1,500 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$543.20–$2,944 | $679–$3,680 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$543.20–$1,447.20 | $679–$1,809 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$543.20–$2,544 | $679–$3,180 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$543.20–$1,415.20 | $679–$1,769 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$543.20–$4,672.80 | $679–$5,841 | varies |
| Repair Elbow Perc (24357) | $2,908 | $3,635 | 0.8× |
| Repair extensor tendon finger w/o graft each (26418) | $3,335.20 | $4,169 | 1.9× |
| Repair Fistula Oromaxillary (30580) | $5,301.60 | $6,627 | 0.8× |
| Repair Hand Tendon (26410) | $2,474.40 | $3,093 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$358.40–$1,032.80 | $448–$1,291 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$358.40–$1,281.60 | $448–$1,602 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$358.40–$1,350.40 | $448–$1,688 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$358.40–$1,694.40 | $448–$2,118 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,607.20 | $2,009 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$358.40–$1,152 | $448–$1,440 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$358.40–$1,210.40 | $448–$1,513 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$543.20–$1,394.40 | $679–$1,743 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $3,123.20 | $3,904 | 1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$358.40–$1,536.80 | $448–$1,921 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$358.40–$1,570.40 | $448–$1,963 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$358.40–$1,364 | $448–$1,705 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$548.80–$1,620.80 | $686–$2,026 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$358.40–$1,544.80 | $448–$1,931 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,640–$3,048 | $2,050–$3,810 | varies |
| Repair Laceration Palate >2 Cm/Complex (42182) | $8,604.80 | $10,756 | 1.3× |
| Repair lead pace-defib dual (33220) | $4,060.80 | $5,076 | 1.0× |
| Repair Lead Pace-Defib One (33218) | $5,644 | $7,055 | 1.4× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$548.80–$1,252.80 | $686–$1,566 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $13,206.40 | $16,508 | 1.6× |
| Repair tongue laceration (41252) | $1,008 | $1,260 | 3.8× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$358.40–$596.80 | $448–$746 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,594.40 | $3,243 | 2.6× |
| Replace G-J Tube Perc (49452) | $3,183.20 | $3,979 | 3.1× |
| Replace g/c tube perc (49450) | $2,750.40 | $3,438 | 2.7× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $4,458.40 | $5,573 | 1.1× |
| Reposition Gastrostomy Tube (43761) | $1,858.40 | $2,323 | 6.7× |
| Reposition L Ventric Lead (33226) | $6,037.60 | $7,547 | 1.7× |
| Reposition Pacing-Defib Lead (33215) | $6,912.80 | $8,641 | 2.0× |
| Reposition Venous Catheter (36597) | $4,483.20 | $5,604 | 2.6× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $2,908 | $3,635 | 0.8× |
| Resection, partial or complete, phalangeal base, each toe (28126) | $2,908 | $3,635 | 0.8× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $15,200 | $19,000 | 2.1× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $10,806.40 | $13,508 | 1.7× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $8,602.40 | $10,753 | 2.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $3,788.80 | $4,736 | 1.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $840.80 | $1,051 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$358.40–$724.80 | $448–$906 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$116–$506.40 | $145–$633 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$358.40–$620 | $448–$775 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$2,565.60–$4,114.40 | $3,207–$5,143 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$1,452–$2,655.20 | $1,815–$3,319 | varies |
| Rmvl of subq implantable defibrillator electrode (33272) | $5,457.60 | $6,822 | 1.3× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $2,936 | $3,670 | 1.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $7,624 | $9,530 | 1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,392.80–$3,260.80 | $1,741–$4,076 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $580 | $725 | 0.8× |
| Rplc Gtube No Revj Trc (43762) | $1,100 | $1,375 | 4.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,312.80 | $2,891 | 1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $3,368 | $4,210 | 1.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $7,299.20 | $9,124 | 2.1× |
| Rpr blood vessel direct lower extremity (35226) | $1,406.40 | $1,758 | 1.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $3,588.80 | $4,486 | 2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$178.40–$963.20 | $223–$1,204 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $543.20 | $679 | 0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $366.40 | $458 | 1.4× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) | $6,479.20 | $8,099 | 1.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$476–$1,560.80 | $595–$1,951 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,426.40 | $3,033 | 4.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$1,328–$3,267.20 | $1,660–$4,084 | varies |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) | $5,301.60 | $6,627 | 0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,772 | $2,215 | 2.5× |
| Sclerotx Fluid Collection (49185) | $1,590.40 | $1,988 | 0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,889.60 | $2,362 | 1.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $3,566.40 | $4,458 | 2.7× |
| Shave skin lesion 0.5 cm/< (11300) | $358.40 | $448 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $188 | $235 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $358.40 | $448 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $178.40 | $223 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $178.40 | $223 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $188 | $235 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $358.40 | $448 | 0.8× |
| Shoulder arthroscopy diagnostic (29805) | $2,908 | $3,635 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $188 | $235 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $358.40 | $448 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $178.40 | $223 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $358.40 | $448 | 0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $178.40 | $223 | 0.8× |
| Sigmoidoscopy & decompress (45337) | $1,483.20 | $1,854 | 1.4× |
| Sigmoidoscopy & Polypectomy (45333) | $817.60 | $1,022 | 0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $3,604.80 | $4,506 | 2.7× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $2,816 | $3,520 | 2.1× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $3,840.80 | $4,801 | 2.9× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $1,806.40 | $2,258 | 1.4× |
| Sigmoidoscopy w/fb removal (45332) | $1,056.80 | $1,321 | 0.8× |
| Sigmoidoscopy w/plcmt stent (45347) | $8,315.20 | $10,394 | 1.2× |
| Sigmoidoscopy W/Resection (45349) | $4,366.40 | $5,458 | 1.4× |
| Sigmoidoscopy W/Ultrasound (45341) | $2,995.20 | $3,744 | 2.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $817.60 | $1,022 | 0.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $1,056.80 | $1,321 | 0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,086.40 | $1,358 | 2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$178.40–$703.20 | $223–$879 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$178.40–$757.60 | $223–$947 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $629.60 | $787 | 1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$178.40–$824.80 | $223–$1,031 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$178.40–$706.40 | $223–$883 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$173.60–$349.60 | $217–$437 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$178.40–$897.60 | $223–$1,122 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,640 | $2,050 | 0.7× |
| Skin sub graft face/nk/hf/g (15275) | $4,184.80 | $5,231 | 5.1× |
| Skin sub graft trnk/arm/leg (15271) | $3,245.60 | $4,057 | 3.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $11,362.40 | $14,203 | 1.8× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $7,989.60 | $9,987 | 2.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $15,646 | $19,557.50 | 2.5× |
| Slitting of prepuce (54001) | $1,836 | $2,295 | 0.8× |
| Small bowel endoscopy (44366) | $4,303.20 | $5,379 | 2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$178.40–$797.60 | $223–$997 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$358.40–$1,224 | $448–$1,530 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$358.40–$1,526.40 | $448–$1,908 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$620.80–$2,173.60 | $776–$2,717 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $3,280.80 | $4,101 | 0.8× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$141.60–$336 | $177–$420 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$53.60–$184.80 | $67–$231 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$53.60–$59.20 | $67–$74 | varies |
| Strapping knee (29530) | $116 | $145 | 0.8× |
| Strapping shoulder (29240) | $496 | $620 | 3.3× |
| Strapping thorax (29200) | $141.60 | $177 | 0.8× |
| Strapping toes (29550) range across 2 matching MRF lines |
$53.60–$392 | $67–$490 | varies |
| Strapping Unna Boot (29580) | $141.60 | $177 | 0.8× |
| Subcutaneous Hormone Pellet Implantation (11980) | $370.40 | $463 | 0.7× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $548.80 | $686 | 0.7× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$178.40–$426.40 | $223–$533 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $39,098.40 | $48,873 | 1.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $33,600 | $42,000 | 1.6× |
| Tcat Rmvl Perm Ldls Pm (33275) | $5,825.60 | $7,282 | 1.7× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $6,355.20 | $7,944 | 1.7× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) | $1,434.40 | $1,793 | 0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,434.40 | $1,793 | 0.8× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $1,448 | $1,810 | 0.8× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $2,908 | $3,635 | 0.8× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) | $2,908 | $3,635 | 0.8× |
| Tenotomy shoulder area single tendon (23405) | $6,402.40 | $8,003 | 0.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,434.40 | $1,793 | 0.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,851.20 | $2,314 | 2.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $42,598.40 | $53,248 | 2.1× |
| Thromblytic art/ven therapy (37213) | $4,306.40 | $5,383 | 1.2× |
| Thrombolytic Art Therapy (37211) | $8,568.80 | $10,711 | 1.4× |
| Thrombolytic Therapy Stroke (37195) | $1,184.80 | $1,481 | 3.2× |
| Thrombolytic Venous Therapy (37212) | $6,800 | $8,500 | 1.9× |
| Thyroid biopsy (60100) | $1,508.80 | $1,886 | 1.9× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,640 | $2,050 | 0.7× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$492.80–$1,038.40 | $616–$1,298 | varies |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $4,556 | $5,695 | 0.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,387.20 | $1,734 | 5.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,496.80 | $3,121 | 1.4× |
| Transcatheter biopsy (37200) | $9,034.40 | $11,293 | 1.5× |
| Treat Ankle Dislocation (27846) | $11,131.20 | $13,914 | 1.4× |
| Treat Big Toe Fracture (28505) | $2,908 | $3,635 | 0.8× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$252–$544.80 | $315–$681 | varies |
| Treat Humerus Fracture (24505) | $2,767.20 | $3,459 | 1.5× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$248–$864.80 | $310–$1,081 | varies |
| Treat knee fracture (27532) | $5,271.20 | $6,589 | 1.4× |
| Treat Knee Fracture(S) (27538) | $215.20 | $269 | 0.8× |
| Treat Knuckle Dislocation (26700) | $608.80 | $761 | 2.2× |
| Treat Metatarsal Fracture (28475) | $215.20 | $269 | 0.8× |
| Treat Tail Bone Fracture (27200) | $215.20 | $269 | 0.8× |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$1,434.40–$2,335.20 | $1,793–$2,919 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$215.20–$464.80 | $269–$581 | varies |
| Treat Vaginal Bleeding (57180) | $311.20 | $389 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,896 | $3,620 | 1.6× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$236–$1,177.60 | $295–$1,472 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$178.40–$356.80 | $223–$446 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$178.40–$356.80 | $223–$446 | varies |
| Trim skin lesions over 4 (11057) | $184 | $230 | 0.8× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$53.60–$161.60 | $67–$202 | varies |
| Trluml Balo Angiop 1St Art (37246) | $16,679.20 | $20,849 | 2.6× |
| Trluml Balo Angiop 1St Vein (37248) | $16,948.80 | $21,186 | 2.7× |
| Tx Gastro Intub W/Asp (43753) | $825.60 | $1,032 | 3.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $5,028.80 | $6,286 | 1.4× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $1,434.40 | $1,793 | 0.8× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $5,005.60 | $6,257 | 2.8× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $2,474.40 | $3,093 | 1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$548.80–$4,108.80 | $686–$5,136 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$367.20–$548.80 | $459–$686 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $336 | $420 | 1.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $1,328 | $1,660 | 0.8× |
| Unlisted Procedure Biliary Tract (47999) | $9,650.40 | $12,063 | 9.5× |
| Unlisted procedure colon (45399) range across 2 matching MRF lines |
$3,278.40–$3,347.20 | $4,098–$4,184 | varies |
| Unlisted Procedure External Ear (69399) | $400 | $500 | 1.5× |
| Unlisted procedure foot or toes (28899) | $406.40 | $508 | 1.5× |
| Unlisted Procedure Intestine (44799) | $1,863.20 | $2,329 | 1.8× |
| Unlisted procedure nervous system (64999) | $244 | $305 | 0.7× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $424 | $530 | 1.6× |
| Unlisted Procedure Rectum (45999) | $1,502.40 | $1,878 | 1.4× |
| Unlisted procedure stomach (43999) | $4,866.40 | $6,083 | 4.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $2,196.80 | $2,746 | 2.2× |
| Upgrade of pacemaker system (33214) | $21,508 | $26,885 | 1.8× |
| Vaginal delivery only (59409) | $4,199.20 | $5,249 | 1.2× |
| Vasc embolize/occlude artery (37242) | $26,151.20 | $32,689 | 1.3× |
| Vasc Embolize/Occlude Bleed (37244) | $20,381.60 | $25,477 | 1.6× |
| Vasc Embolize/Occlude Organ (37243) | $21,602.40 | $27,003 | 1.7× |
| Vasc embolize/occlude venous (37241) | $18,172.80 | $22,716 | 1.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,836 | $2,295 | 0.8× |
| Venous Mech Thrombectomy (37187) | $10,400 | $13,000 | 0.8× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$358.40–$704 | $448–$880 | varies |
| Wedging of cast (29740) | $238.40 | $298 | 0.8× |
| Wound Prep F/N/Hf/G (15004) | $548.80 | $686 | 1.2× |
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.