Procedures & surgery prices at SSM Health St. Anthony Hospital - Oklahoma City

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

1983 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $948.20–$1,323.30 $1,724–$2,406 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $749.65–$861.85 $1,363–$1,567 varies
Ablate inf turbinate submuc (30802) $4,074.40 $7,408 2.7×
Ablate Pulm Tumor Perq Crybl (32994) $8,691.65 $15,803 0.9×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $9,042.55 $16,441 0.5×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $4,563.90 $8,298 3.1×
Abrasion single lesion (15786) $1,046.10 $1,902 5.4×
Acetabuloplasty (27120) $13,046 $23,720 1.1×
Acetabuloplasty resection femoral head (27122) $9,958.85 $18,107 1.4×
Acromiopl/Acromionect Partial (23130) $5,997.20 $10,904 1.9×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $4,306.50 $7,830 2.2×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $6,285.95 $11,429 3.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,274.05 $7,771 1.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $5,612.75 $10,205 2.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $6,285.40 $11,428 3.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,752.45 $10,459 2.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $7,856.75 $14,285 4.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $7,856.75 $14,285 4.0×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $5,964.20 $10,844 0.9×
Amniocentesis diagnostic (59000) $573.65 $1,043 0.6×
Amniocentesis therapeutic (59001) $638.55 $1,161 2.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $8,003.60–$9,201.50 $14,552–$16,730 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $7,483.85–$8,603.65 $13,607–$15,643 varies
Amputate Metacarpal Bone (26910) $12,199 $22,180 3.9×
Amputate Thigh,Re-Amputatn (27596) $8,467.25 $15,395 2.7×
Amputation follow-up surgery (27594) $6,171 $11,220 2.0×
Amputation Foot Midtarsal (28800) $5,610 $10,200 1.8×
Amputation foot transmetarsal (28805) $6,725.95 $12,229 2.1×
Amputation metatarsal with toe single (28810) $5,256.35 $9,557 1.7×
Amputation thigh through femur any level (27590) $9,737.75 $17,705 3.1×
Amputation toe interphalangeal joint (28825) $9,259.80 $16,836 2.9×
Amputation toe metatarsophalangeal joint (28820) $9,259.80 $16,836 2.9×
Amputation, arm through humerus; with primary closure Facility (24900)
unusually low: confirm this is the full procedure		 $5,953.75 $10,825 0.5×
Amputation, forearm, through radius and ulna; Facility (25900) $6,558.20 $11,924 0.9×
Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905) $9,314.80 $16,936 1.3×
Amputation, forearm, through radius and ulna; re-amputation Facility (25909) $6,915.70 $12,574 1.0×
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $3,124 $5,680 1.0×
Amputation, leg, through tibia and fibula; (27880) $4,969.80 $9,036 0.7×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $4,517.70 $8,214 1.4×
Amputation, leg, through tibia and fibula; re-amputation (27886) $6,171 $11,220 2.0×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $6,171 $11,220 2.0×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $4,969.80 $9,036 1.6×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) $10,711.80 $19,476 3.4×
Ankle Arthroscopy/Surgery (29892) $7,091.15 $12,893 1.0×
Ankle disarticulation (27889) $7,332.05 $13,331 1.1×
Anoscopy diagnostic (46600) $88.70 $161.28 0.7×
Anoscopy W/Rmvl Foreign Body (46608) $537.90 $978 0.6×
Anoscopy; with biopsy, single or multiple (46606) $5,514.30 $10,026 4.8×
Anterior Tibial Tubercleplasty (27418) $8,780.20 $15,964 1.3×
Apheresis Platelets (36513)
range across 2 matching MRF lines		 $3,046.45–$3,958.35 $5,539–$7,197 varies
Appendectomy (44950) $3,426.50 $6,230 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $255.20 $464 1.6×
Application cast elbow finger short arm (29075) $391.05 $711 1.5×
Application Finger Splint Dynamic (29131) $198.55 $361 3.5×
Application finger splint static (29130) $441.10 $802 3.4×
Application long arm splint shoulder hand (29105) $563.20 $1,024 3.6×
Application Long Leg Splint (29505) $558.80 $1,016 3.6×
Application multiplane external fixation system (20692) $13,732.40 $24,968 1.1×
Application of long leg cast (29345) $846.45 $1,539 3.1×
Application of rigid total contact leg cast (29445) $846.45 $1,539 3.1×
Application Short Arm Splint Dynamic (29126) $255.20 $464 2.0×
Application short arm splint forearm-hand static (29125) $606.10 $1,102 4.7×
Application short leg splint calf foot (29515) $431.75 $785 2.8×
Application uniplane external fixation system (20690) $12,261.70 $22,294 1.8×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $247.50–$495.55 $450–$901 varies
Apply short leg cast (29425) $327.25 $595 1.2×
Arterial puncture (36600) $117.70 $214 0.9×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $10,986.80 $19,976 0.9×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $11,971.85 $21,767 1.0×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $11,301.95 $20,549 1.6×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $10,203.05 $18,551 0.8×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $11,971.85 $21,767 1.0×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $19,224.70 $34,954 2.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $715–$927.30 $1,300–$1,686 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,389.30 $2,526 2.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $1,200.10–$1,379.95 $2,182–$2,509 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $1,597.20–$1,867.80 $2,904–$3,396 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $621.25–$715 $1,129.55–$1,300 varies
Arthrodesis ankle open (27870) $11,971.85 $21,767 1.0×
Arthrodesis Glenohumeral Joint (23800) $17,845.30 $32,446 2.6×
Arthrodesis great toe interphalangeal joint (28755) $10,371.35 $18,857 1.5×
Arthrodesis great toe metatarsophalangeal joint (28750) $17,164.95 $31,209 2.5×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $12,199 $22,180 3.9×
Arthrodesis knee any technique (27580) $9,553.50 $17,370 0.8×
Arthrodesis Pantalar (28705) $15,700.30 $28,546 0.9×
Arthrodesis Posterior Interbody Lumbar (22630) $15,700.30 $28,546 0.6×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $9,369.80 $17,036 0.6×
Arthrodesis Posterior/Posterolateral Thoracic (22610) $10,508.30 $19,106 0.6×
Arthrodesis sacroiliac joint percutaneous (27279)
range across 2 matching MRF lines		 $15,700.30–$19,045.40 $28,546–$34,628 varies
Arthrodesis subtalar (28725) $11,971.85 $21,767 1.0×
Arthrodesis triple (28715) $16,222.80 $29,496 1.3×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure		 $9,553.50 $17,370 0.4×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $16,222.80 $29,496 2.3×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595)
range across 2 matching MRF lines		 $11,758.45–$11,759 $21,379–$21,380 varies
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) $11,361.35 $20,657 0.7×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
unusually low: confirm this is the full procedure		 $7,407.95 $13,469 0.4×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $46,737.90 $84,978 2.8×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $16,222.80 $29,496 1.3×
Arthrodesis, wrist; with sliding graft Facility (25805) $7,785.25 $14,155 1.1×
Arthroplasty ankle revision total ankle (27703) $9,510.60 $17,292 0.6×
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure		 $11,971.85 $21,767 0.5×
Arthroplasty glenohumeral joint total shoulder (23472) $16,137.55 $29,341 1.0×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $19,621.25 $35,675 1.6×
Arthroplasty interphalangeal joint each (26535) $13,534.40 $24,608 4.3×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $8,046.50 $14,630 2.6×
Arthroplasty Patella W/Prosthesis (27438) $11,262.35 $20,477 0.9×
Arthroplasty radial head (24365) $11,971.85 $21,767 1.0×
Arthroplasty Radial Head W/Implant (24366) $24,961.75 $45,385 2.0×
Arthroplasty with prosthetic replacement; distal radius Facility (25441) $27,458.20 $49,924 2.2×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) $10,138.15 $18,433 0.8×
Arthroplasty, knee, tibial plateau; Facility (27440) $25,896.20 $47,084 2.1×
Arthroplasty, patella; without prosthesis (27437) $8,015.15 $14,573 1.1×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $7,424.45 $13,499 4.8×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $7,091.15 $12,893 0.6×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $4,534.75 $8,245 1.4×
Arthroscopy Ankle Surgical Debridement Limited (29897) $4,534.75 $8,245 1.4×
Arthroscopy ankle w/removal loose/foreign body (29894) $4,534.75 $8,245 1.4×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $4,534.75 $8,245 1.4×
Arthroscopy Elbow Surgical Debridement Limited (29837) $4,534.75 $8,245 1.4×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $4,534.75 $8,245 1.4×
Arthroscopy hip w/femoroplasty (29914) $8,445.80 $15,356 1.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $4,534.75 $8,245 1.4×
Arthroscopy Knee Osteochondral Allograft (29867) $10,769 $19,580 0.9×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $4,988.50 $9,070 1.6×
Arthroscopy knee synovectomy limited spx (29875) $4,534.75 $8,245 1.4×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,534.75 $8,245 1.4×
Arthroscopy shoulder distal claviculectomy (29824) $7,869.40 $14,308 2.5×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $14,214.20 $25,844 2.0×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $4,534.75 $8,245 1.4×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $4,534.75 $8,245 1.4×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $4,807 $8,740 0.7×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $4,534.75 $8,245 1.4×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $7,091.15 $12,893 1.0×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $7,091.15 $12,893 1.0×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $7,800.65 $14,183 2.5×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $7,091.15 $12,893 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $8,180.70 $14,874 2.6×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,988.50 $9,070 1.6×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,534.75 $8,245 1.4×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) $5,123.25 $9,315 1.6×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $6,257.35 $11,377 0.9×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $7,091.15 $12,893 2.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $4,807 $8,740 1.5×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $14,214.20 $25,844 2.0×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $7,091.15 $12,893 2.3×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $7,091.15 $12,893 2.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,091.15 $12,893 1.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $4,534.75 $8,245 1.4×
Arthrotomy ankle w/expl drainage/removal fb (27610) $13,732.40 $24,968 4.4×
Arthrotomy W/Biopsy Hip Joint (27052) $5,177.70 $9,414 3.3×
Arthrotomy W/Meniscus Repair Knee (27403) $7,857.85 $14,287 1.1×
Arthrotomy W/Synovectomy Ankle (27625) $6,460.30 $11,746 2.1×
Arthrotomy Wrist Joint With Biopsy (25100) $13,060.85 $23,747 4.2×
Arthrotomy wrist joint with synovectomy (25105) $10,723.90 $19,498 3.4×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $10,404.35 $18,917 3.3×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) $8,780.20 $15,964 1.3×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $6,108.85 $11,107 1.9×
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) $7,300.70 $13,274 2.3×
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) $7,755 $14,100 2.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $9,369.80 $17,036 0.8×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $7,489.90 $13,618 2.4×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $17,234.25 $31,335 1.4×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $21,116.15 $38,393 3.0×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $7,517.95 $13,669 2.4×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $7,077.95 $12,869 1.0×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $7,091.15 $12,893 0.6×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $4,534.75 $8,245 1.4×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $4,534.75 $8,245 1.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,988.50 $9,070 1.6×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $4,534.75 $8,245 1.4×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $4,534.75 $8,245 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $6,122.05 $11,131 1.9×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $11,237.05 $20,431 3.6×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $13,732.40 $24,968 4.4×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $7,105.45 $12,919 2.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $7,145.60 $12,992 4.6×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $8,804.40 $16,008 2.8×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $13,380.95 $24,329 4.3×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $7,105.45 $12,919 2.3×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $5,366.35 $9,757 3.5×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $4,878.50 $8,870 1.6×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $4,878.50 $8,870 1.6×
Arthrt w/synvct kne ant&post w/pop area (27335) $7,071.90 $12,858 1.0×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $13,732.40 $24,968 4.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $2,085.05–$2,398 $3,791–$4,360 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $697.95–$802.45 $1,269–$1,459 varies
Aspirate/Inj Ganglion Cyst (20612) $2,184.05 $3,971 7.4×
Aspiration and/or injection thyroid cyst (60300) $712.25 $1,295 1.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $3,637.15–$4,181.65 $6,613–$7,603 varies
Autologous Chondrocyte Implantation Knee (27412) $12,598.30 $22,906 1.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 6 matching MRF lines		 $361.35–$1,453.65 $657–$2,643 varies
Axillary lymphadenectomy; complete (38745) $14,517.80 $26,396 2.5×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure		 $2,156.55 $3,921 0.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure		 $3,429.80 $6,236 0.3×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
unusually low: confirm this is the full procedure		 $2,233.55 $4,061 0.4×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,156.55 $3,921 0.3×
Biopsy Abdominal Mass (49180) $1,706.65 $3,103 1.1×
Biopsy bone open deep (20245) $9,310.95 $16,929 3.3×
Biopsy bone open superficial (20240) $5,899.30 $10,726 2.1×
Biopsy bone trocar/needle deep (20225) $7,638.95 $13,889 4.8×
Biopsy Bone Trocar/Needle Superficial (20220) $1,586.75 $2,885 1.0×
Biopsy External Auditory Canal (69105) $4,481.95 $8,149 3.0×
Biopsy external ear (69100) $2,022.90 $3,678 8.9×
Biopsy muscle percutaneous needle (20206) $1,181.95 $2,149 0.7×
Biopsy nail unit (11755) $1,248.50 $2,270 1.8×
Biopsy Nasopharynx Visible Lesion Simple (42804) $4,074.40 $7,408 1.3×
Biopsy of breast; open, incisional (19101) $6,617.05 $12,031 1.8×
Biopsy of floor of mouth (41108) $3,036.55 $5,521 1.9×
Biopsy of lip (40490) $1,507 $2,740 6.6×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,448.15–$1,736.90 $2,633–$3,158 varies
Biopsy of nerve (64795) $3,063.50 $5,570 1.6×
Biopsy of palate, uvula (42100) $2,582.80 $4,696 1.7×
Biopsy of toe joint lining (28054) $5,365.80 $9,756 1.7×
Biopsy of upper nose/throat (42806) $7,873.80 $14,316 2.5×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $6,463.60 $11,752 1.7×
Biopsy Oropharynx (42800) $4,074.40 $7,408 2.7×
Biopsy Pleura Percutaneous Needle (32400) $1,365.65 $2,483 0.9×
Biopsy Salivary Gland Incisional (42405) $6,391.55 $11,621 4.3×
Biopsy Salivary Gland Needle (42400) $2,632.30 $4,786 3.9×
Biopsy soft tissue back/flank deep (21925)
range across 3 matching MRF lines		 $1,118.70–$4,137.10 $2,034–$7,522 varies
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,118.70 $2,034 0.7×
Biopsy soft tissue forearm&/wrist deep (25066) $1,533.95 $2,789 0.5×
Biopsy soft tissue leg/ankle area superficial (27613) $3,039.85 $5,527 1.9×
Biopsy soft tissue neck/thorax (21550) $3,983.65 $7,243 2.5×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $2,642.20 $4,804 1.7×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041)
range across 2 matching MRF lines		 $3,372.05–$3,531.55 $6,131–$6,421 varies
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $10,934 $19,880 3.9×
Biopsy soft tissue thigh/knee area superficial (27323) $3,024.45 $5,499 1.9×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $4,614.50 $8,390 2.9×
Biopsy Tongue Anterior Two-Thirds (41100) $2,245.10 $4,082 4.3×
Biopsy Tongue Posterior One-Third (41105) $4,074.40 $7,408 1.3×
Biopsy, vestibule of mouth (40808) $1,988.80 $3,616 3.8×
Biopsy/removal lymph nodes (38510) $7,239.65 $13,163 1.9×
Bladder Irrigation (51700) $548.90 $998 2.3×
Bladder Scan (51798)
range across 2 matching MRF lines		 $141.90–$163.90 $258–$298 varies
Blepharoplasty Lower Eyelid (15820) $6,006 $10,920 3.0×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $6,607.70 $12,014 3.3×
Blepharoplasty upper eyelid (15822) $5,899.30 $10,726 3.0×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $6,006–$6,564.80 $10,920–$11,936 varies
Blepharotomy drainage abscess eyelid (67700) $431.75 $785 1.4×
Blood Transfusion Service (36430) $1,254.55 $2,281 3.0×
Blood/Lymph System Procedure (38999)
range across 3 matching MRF lines		 $1,467.40–$5,412.55 $2,668–$9,841 varies
Bone Graft Any Donor Area Major/Large (20902) $6,081.90 $11,058 0.9×
Bone Graft Any Donor Area Minor/Small (20900) $6,081.90 $11,058 0.9×
Bone Marrow Biopsy (38221) $1,049.40 $1,908 0.7×
Bone Marrow; Aspiration Only (38220) $1,049.40 $1,908 0.7×
Breast augmentation with implant (19325) $11,438.90 $20,798 1.5×
Breast Reduction (19318) $9,331.85 $16,967 1.5×
Bronchoscopy Clear Airways (31645) $1,749 $3,180 1.0×
Bronchoscopy W/Biopsy(S) (31625)
range across 3 matching MRF lines		 $1,789.15–$1,843.05 $3,253–$3,351 varies
Bx Arm/Elbow Soft Tissue,Deep (24066) $10,830.60 $19,692 3.9×
Bx breast 1st lesion mr imag (19085) $2,748.90 $4,998 1.7×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $4,359.30–$4,412.10 $7,926–$8,022 varies
Bx breast 1st lesion us imag (19083) $2,470.60 $4,492 1.6×
Bx breast needle core w/o imaging guidance spx (19100) $2,422.75 $4,405 1.5×
Bx/exc lymph node open deep axillary node (38525) $4,943.95 $8,989 1.3×
Bx/exc lymph node open superficial (38500) $8,686.70 $15,794 2.3×
Canthoplasty (67950) $2,685.65 $4,883 1.2×
Canthotomy Separate Procedure (67715) $1,745.70 $3,174 0.8×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $9,259.80 $16,836 2.9×
Capsular contracture release (23020) $20,533.15 $37,333 6.5×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) $4,772.35 $8,677 0.7×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $8,003.60 $14,552 5.2×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520)
range across 2 matching MRF lines		 $8,853.90–$12,856.25 $16,098–$23,375 varies
Capsulorrhaphy Anterior W/Labral Repair (23455) $16,222.80 $29,496 2.3×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,465.20 $2,664 0.9×
Capsulotomy Posterior Capsular Release Knee (27435) $8,780.20 $15,964 2.8×
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines		 $3,667.95–$6,862.35 $6,669–$12,477 varies
Carpectomy All Bones Proximal Row (25215) $16,270.10 $29,582 5.2×
Cartilage graft; costochondral (20910) $4,307.60 $7,832 6.1×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $229.90–$326.70 $418–$594 varies
Cerclage cervix pregnancy vaginal (59320) $4,510 $8,200 1.4×
Cerv artific diskectomy (22856) $15,700.30 $28,546 0.9×
Cessj Therapy Cath Removal (37214) $2,838.55 $5,161 0.9×
Change Cystostomy Tube Complicated (51710) $3,103.10 $5,642 4.6×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $520.85–$599.50 $947–$1,090 varies
Change of Windpipe Airway (31502) $705.10 $1,282 3.1×
Change ureter stent percut (50382) $4,479.20 $8,144 2.2×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $260.15–$299.75 $473–$545 varies
Chemical peel face dermal (15789) $2,749.45 $4,999 3.9×
Chemical peel, facial; epidermal (15788) $1,034 $1,880 2.6×
Chemical Pleurodesis (32560) $1,356.30 $2,466 2.2×
Chemodenerv 1 extrem 5/> mus (64644) $131.08 $238.32 0.2×
Chemodenerv 1 extremity 1-4 (64642) $111.67 $203.04 0.2×
Chemodenerv Musc Migraine (64615) $117.20 $213.10 0.4×
Chemodenerv musc neck dyston (64616) $101.38 $184.32 0.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $112.46 $204.48 0.4×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,306.25–$1,500.95 $2,375–$2,729 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,225.85 $4,047 1.1×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,903.45 $5,279 0.8×
Circumcision Neonate (54160) $796.95 $1,449 1.2×
Circumcision w/clamp/oth dev w/block (54150) $3,636.60 $6,612 1.8×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $1,252.90–$1,439.90 $2,278–$2,618 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $4,235–$4,868.60 $7,700–$8,852 varies
Claviculectomy partial (23120) $5,997.20 $10,904 1.9×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $349.80–$402.60 $636–$732 varies
Closed Rx Metacarpal Fx,Percut (26608) $5,884.45 $10,699 1.9×
Closed Rx Spontaneous Hip Disloc (27256) $410.85 $747 1.7×
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $257.40–$296.45 $468–$539 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $1,697.30–$1,950.85 $3,086–$3,547 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,846.90 $3,358 1.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $2,046.55 $3,721 8.6×
Closed Treatment Ulnar Styloid Fracture (25650) $627.55 $1,141 2.6×
Closed tx ankle dislocation w/o anesthesia (27840) $431.75 $785 1.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $894.30–$1,029.05 $1,626–$1,871 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $557.70 $1,014 2.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $2,605.90–$2,995.85 $4,738–$5,447 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $433.40 $788 1.8×
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $3,043.70–$3,499.10 $5,534–$6,362 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,664.85 $3,027 7.0×
Closed tx fx orbit except blowout w/manipulation (21401) $2,825.35 $5,137 1.9×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $5,107.85–$5,874 $9,287–$10,680 varies
Closed tx knee dislocation w/o anesthesia (27550) $308 $560 1.3×
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $3,347.85–$3,849.45 $6,087–$6,999 varies
Closed tx mandibular fracture w/manipulation (21451) $1,856.80 $3,376 1.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,686.85 $3,067 3.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $10,749.75 $19,545 1.9×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $400.95–$460.35 $729–$837 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $9,697.05 $17,631 6.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $3,945.70–$4,536.40 $7,174–$8,248 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,074.40 $7,408 1.3×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $8,221.40 $14,948 2.6×
Closed tx patellar dislocation w/anesthesia (27562) $789.25 $1,435 3.3×
Closed tx patellar dislocation w/o anesthesia (27560) $480.15 $873 2.0×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $433.40–$498.85 $788–$907 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,252.90–$1,439.90 $2,278–$2,618 varies
Closed tx radial head/neck fx w/o manipulation (24650) $510.95 $929 2.2×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,342.55–$1,542.75 $2,441–$2,805 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $2,046.55–$2,353.45 $3,721–$4,279 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $455.40 $828 1.9×
Closed tx septal&nose fx (21337) $4,074.40 $7,408 1.3×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $2,251.70 $4,094 9.5×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $1,737.45–$1,997.60 $3,159–$3,632 varies
Closed tx talus fracture w/o manipulation (28430) $535.70 $974 2.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $402.60 $732 1.7×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $7,158.25 $13,015 4.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $546.70 $994 2.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,629.65–$1,873.85 $2,963–$3,407 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $455.40 $828 1.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $534.05 $971 2.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $469.70 $854 2.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $776.60 $1,412 1.5×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $394.35–$453.75 $717–$825 varies
Clsd tx clavicular fracture w/o manipulation (23500) $891 $1,620 3.8×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $7,467.35–$8,585.50 $13,577–$15,610 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $781.55–$839.85 $1,421–$1,527 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $7,467.35 $13,577 4.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $2,302.30–$2,647.15 $4,186–$4,813 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,502.60 $2,732 6.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,830.95 $3,329 1.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $293.70 $534 1.2×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $508.75–$586.30 $925–$1,066 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $459.80 $836 1.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $695.75–$800.25 $1,265–$1,455 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $695.75 $1,265 2.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $779.90 $1,418 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 5 matching MRF lines		 $1,640.10–$2,983.20 $2,982–$5,424 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $8,003.60 $14,552 5.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $2,976.60–$3,422.65 $5,412–$6,223 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $476.85–$548.90 $867–$998 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $4,636.50–$5,332.80 $8,430–$9,696 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $573.65 $1,043 2.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $568.70 $1,034 2.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $527.45–$606.10 $959–$1,102 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $293.70 $534 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $4,235–$4,868.60 $7,700–$8,852 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $269.50 $490 1.1×
Cltx hip dislocation traumatic req anesthesia (27252) $2,641.10 $4,802 1.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $343.75 $625 1.4×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,038.40 $1,888 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,997.05 $3,631 1.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $8,148.25 $14,815 30.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $466.40 $848 2.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $955.35–$1,097.25 $1,737–$1,995 varies
Cltx iphal jt dislc w/manj w/o anes (26770) $513.15 $933 2.2×
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,071.40–$1,232.55 $1,948–$2,241 varies
Cltx Medial Ankle Fx (27760) $476.30 $866 2.0×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $823.35–$946.55 $1,497–$1,721 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $597.85 $1,087 2.5×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,110.35 $3,837 1.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $7,406.85 $13,467 4.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $823.35–$946.55 $1,497–$1,721 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $597.85–$686.40 $1,087–$1,248 varies
Cltx post hip arthrp dislc req anes (27266) $3,261.50 $5,930 2.1×
Cltx post hip arthrp dislc w/o anes (27265) $247.50 $450 1.0×
Cltx prox fibula/shft fx w/manj (27781) $2,452.45 $4,459 1.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $8,658.10–$9,953.90 $15,742–$18,098 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $504.35 $917 2.1×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,351.90 $2,458 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $3,776.30–$7,613.10 $6,866–$13,842 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $903.10–$1,038.40 $1,642–$1,888 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,629.65–$1,873.85 $2,963–$3,407 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $601.70 $1,094 2.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,351.90 $2,458 0.9×
Cltx tibial fx proximal w/o manipulation (27530) $433.40 $788 1.8×
Cltx tibial shaft fx w/o manipulation (27750) $251.90 $458 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,242.45–$1,428.35 $2,259–$2,597 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $459.80 $836 1.9×
Coccygectomy, primary (27080) $15,106.85 $27,467 4.8×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $220–$253 $400–$460 varies
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $26.40–$34.10 $48–$62 varies
Colporrhaphy (57200) $4,503.40 $8,188 1.4×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $3,395.15–$3,902.80 $6,173–$7,096 varies
Composite Skin Graft (15760) $5,189.80 $9,436 2.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $5,432.35 $9,877 1.7×
Conization of cervix (57520) $5,878.40 $10,688 1.9×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $2,685.65 $4,883 1.2×
Contour of face bone lesion (21029) $5,134.25 $9,335 1.6×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 4 matching MRF lines		 $436.15–$762.30 $793–$1,386 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 5 matching MRF lines		 $756.25–$1,154.45 $1,375–$2,099 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $790.35–$909.15 $1,437–$1,653 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $7,153.30 $13,006 0.6×
Conversion ext bil drg cath (47535) $4,745.40 $8,628 1.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,333.10 $4,242 1.3×
Convert Nephrostomy Catheter (50434) $1,738.55 $3,161 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,276.45 $4,139 1.4×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,392.95 $6,169 1.0×
Correction claw finger, other methods Facility (26499) $2,567.40 $4,668 0.8×
Correction hammertoe (28285) $9,259.80 $16,836 2.9×
Correction Trichiasis Inccision Lid Margin (67830) $1,366.20 $2,484 1.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $13,532.75 $24,605 4.3×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $5,164.50 $9,390 1.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $15,156.90 $27,558 1.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $13,532.75 $24,605 1.9×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $12,872.20 $23,404 4.1×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $14,596.45 $26,539 2.1×
Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) $2,685.65 $4,883 1.2×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $6,653.90 $12,098 1.2×
Csf shunt reprogram (62252) $561 $1,020 1.9×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $753.50 $1,370 3.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $689.70–$793.10 $1,254–$1,442 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $674.30–$775.50 $1,226–$1,410 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $5,377.90 $9,778 1.7×
Curettage postpartum (59160) $3,315.40 $6,028 1.1×
Cysto Bladder W/Ureteral Catheterization (52005) $5,113.90 $9,298 2.5×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $2,613.60–$5,484.60 $4,752–$9,972 varies
Cysto w/insert ureteral stent (52332)
range across 3 matching MRF lines		 $2,083.95–$3,938.55 $3,789–$7,161 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $1,073.60–$1,213.85 $1,952–$2,207 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,083.95 $3,789 0.6×
Cystostomy Cystotomy W/Drainage (51040) $5,362.50 $9,750 2.7×
Cystourethroscopy (52000) $1,668.15 $3,033 2.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,148.40 $2,088 2.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 3 matching MRF lines		 $2,748.35–$4,478.10 $4,997–$8,142 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $2,027.85–$2,379.85 $3,687–$4,327 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,453.55 $4,461 3.6×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $15,106.30 $27,466 4.8×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,827.25 $10,595 1.9×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $6,794.15 $12,353 2.2×
Dcmprn fasct leg post compartment only (27601) $6,511.45 $11,839 2.1×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $3,011.80–$4,213.55 $5,476–$7,661 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $220–$253 $400–$460 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $293.64–$293.70 $533.90–$534 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $2,541–$3,505.15 $4,620–$6,373 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $2,350.15 $4,273 4.5×
Debridement Mastoidectomy Cavity Simple (69220) $774.95 $1,409 4.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $2,058.65–$2,655.95 $3,743–$4,829 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $842.60–$969.10 $1,532–$1,762 varies
Decomp forearm,1 compart,w/o debride (25020) $12,261.70 $22,294 7.9×
Decompress Fingers/Hand (26035) $8,804.40 $16,008 2.8×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $8,933.65 $16,243 5.8×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $16,270.10 $29,582 5.2×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) $7,082.35 $12,877 1.0×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $2,891.90 $5,258 1.9×
Decompression of leg (27894) $6,910.20 $12,564 2.2×
Decompression of tibia nerve (28035) $7,582.30 $13,786 4.0×
Decompressive fasciotomy hand (26037) $6,250.20 $11,364 2.0×
Deep Muscle Biopsy (20205) $7,638.95 $13,889 2.7×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $4,503.40 $8,188 2.3×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $6,244.70 $11,354 3.1×
Delivery of placenta (59414) $4,678.30 $8,506 1.5×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $4,210.25 $7,655 1.2×
Derma-fat-fascia graft (15770) $5,189.80 $9,436 1.5×
Dermabrasion segmental face (15781) $1,746.25 $3,175 2.6×
Dermabrasion superficial any site (15783) $1,935.45 $3,519 5.0×
Dermabrasion total face (15780) $7,267.15 $13,213 2.6×
Destr W Neurolytic; Celiac Plexus (64680) $2,991.45 $5,439 3.5×
Destroy cerv/thor facet jnt (64633) $1,705 $3,100 0.9×
Destroy lumb/sac facet jnt (64635) $1,705 $3,100 0.9×
Destruct B9 Lesion 1-14 (17110) $206.25 $375 1.1×
Destruction Benign Lesions 15/> (17111) $228.25 $415 1.2×
Destruction by neurolytic agent, intercostal nerve (64620) $3,573.90 $6,498 4.2×
Destruction Internal Hemorrhoid Thermal Energy (46930) $2,417.80 $4,396 2.1×
Destruction neurolytic agt genicular nerve w/img (64624) $4,163.50 $7,570 2.2×
Destruction of skin lesions (17106) $508.75 $925 1.3×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $188.65–$217.25 $343–$395 varies
Dilat Xst Trc New Access Rcs (50437) $6,204 $11,280 1.8×
Dilate Esophagus 1/Mult Pass (43450) $2,637.25 $4,795 3.0×
Dilation and catheterization of salivary duct, with or without injection (42660) $704.55 $1,281 1.4×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $492.80 $896 1.1×
Dilation Salivary Duct (42650) $4,074.40 $7,408 2.7×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $7,278.15 $13,233 1.4×
Disarticulation At Knee (27598) $8,604.20 $15,644 2.7×
Disarticulation of hip Facility (27295)
likely a partial charge, not the full procedure		 $3,513.40 $6,388 0.2×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $10,508.30 $19,106 1.5×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975)
range across 3 matching MRF lines		 $348.70–$418 $634–$760 varies
Dissection, deep jugular node(s) Facility (38542) $13,479.40 $24,508 2.3×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $910.25–$1,047.20 $1,655–$1,904 varies
Drain Hand Tendon Sheath (26020) $7,251.75 $13,185 2.3×
Drain shoulder bursa (23031)
range across 2 matching MRF lines		 $6,444.35–$7,408.50 $11,717–$13,470 varies
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $1,658.25–$1,906.85 $3,015–$3,467 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $706.20–$1,573 $1,284–$2,860 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $2,892.45–$3,326.40 $5,259–$6,048 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $532.95–$612.15 $969–$1,113 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $3,397.35–$3,905.55 $6,177–$7,101 varies
Drainage lymph node lesion (38305) $5,771.70 $10,494 2.1×
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $557.15–$640.20 $1,013–$1,164 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $589.05–$676.50 $1,071–$1,230 varies
Drainage of gum lesion (41800) $3,388 $6,160 26.5×
Drainage of hematoma/fluid (10140)
range across 5 matching MRF lines		 $3,495.25–$5,270.10 $6,355–$9,582 varies
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $386.65–$444.95 $703–$809 varies
Drainage of palmar bursa; multiple bursa Facility (26030) $8,003.60 $14,552 2.5×
Drainage of salivary cyst (42409) $5,134.25 $9,335 1.6×
Drainage of salivary gland (42320) $2,228.05 $4,051 4.3×
Drainage of salivary gland (42305) $7,873.80 $14,316 2.5×
Drainage of scrotal wall abscess (55100) $2,356.75 $4,285 1.5×
Drainage of scrotum (54700) $6,285.95 $11,429 3.1×
Drainage of skene's gland abscess or cyst (53060) $3,352.25 $6,095 1.7×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $119.90–$137.50 $218–$250 varies
Dressing Change Under Anesthesia (15852) $1,074.70 $1,954 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $2,350.15 $4,273 4.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $1,204.50–$1,384.90 $2,190–$2,518 varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $3,418.25 $6,215 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $504.90–$580.25 $918–$1,055 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $482.35–$554.40 $877–$1,008 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $480.15–$552.20 $873–$1,004 varies
Dstrj les/scar vestibule mouth physical meths (40820) $6,024.70 $10,954 1.9×
Dstrj lesion anus simple surg excision (46922) $5,366.90 $9,758 2.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,191.20 $3,984 2.6×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $2,899.60 $5,272 3.4×
Dx Bone Marrow Bx & Aspir (38222) $2,375.45 $4,319 0.9×
Dx Bronchoscope/Lavage (31624) $1,789.15 $3,253 1.0×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,446.50–$1,663.75 $2,630–$3,025 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $2,377.10–$2,734.05 $4,322–$4,971 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,239.15 $2,253 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,216.95 $5,849 1.7×
Egd Flexible Foreign Body Removal (43247) $1,199 $2,180 1.4×
Egd place gastrostomy tube (43246) $2,025.65 $3,683 1.1×
Egd Tube/Cath Insertion (43241) $4,711.85 $8,567 2.6×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) $4,853.20 $8,824 0.9×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $246.95–$284.90 $449–$518 varies
Endoscopic plantar fasciotomy (29893) $3,473.80 $6,316 1.1×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $20,658.55 $37,561 1.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,364.80 $7,936 1.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,364.80 $7,936 1.4×
Enucleation Eye Implt Musc X Attached Implt (65103) $5,561.05 $10,111 1.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $930.60–$1,069.75 $1,692–$1,945 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $4,107.40–$4,721.75 $7,468–$8,585 varies
Escharotomy; initial incision (16035) $358.60 $652 0.9×
Esophagosc Dilate Balloon 30 (43214) $4,379.10 $7,962 2.4×
Esophagoscopy Flexible Guide Wire Dilation (43226) $4,379.10 $7,962 2.4×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $2,289.65 $4,163 2.6×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $2,289.65 $4,163 2.6×
Esophagoscopy Retro Balloon (43213) $3,806 $6,920 2.1×
Esophagoscopy rigid trnso dx (43191) $2,513.50 $4,570 1.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,400.20 $4,364 1.3×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $8,435.35 $15,337 1.5×
Ethmoidectomy Intranasal Anterior (31200) $7,873.80 $14,316 1.4×
Ethmoidectomy; intranasal, total Facility (31201) $6,391.55 $11,621 4.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $147.95–$170.50 $269–$310 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $9,405 $17,100 5.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $10,428 $18,960 6.6×
Exc abdl tum deep 5 cm/> (22901) $5,935.60 $10,792 2.1×
Exc arm/elbow les sc < 3 cm (24075) $6,818.90 $12,398 4.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $614.35–$706.20 $1,117–$1,284 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $4,776.75–$5,490.65 $8,685–$9,983 varies
Exc Back Les Sc < 3 Cm (21930) $3,983.65 $7,243 2.5×
Exc Back Tum Deep 5 Cm/> (21933) $8,539.30 $15,526 3.1×
Exc back tum deep < 5 cm (21932) $8,539.30 $15,526 3.1×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $8,221.40 $14,948 1.4×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $10,749.75 $19,545 1.9×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $7,158.25 $13,015 2.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $2,096.05 $3,811 3.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $2,262.70 $4,114 3.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $4,381.85 $7,967 2.8×
Exc Face Les Sbq 2 Cm/> (21012) $3,364.90 $6,118 2.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,746.25 $3,175 2.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $2,096.05 $3,811 3.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $2,233 $4,060 3.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,501.95 $4,549 1.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,680.15 $4,873 1.7×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $9,887.90 $17,978 1.4×
Exc Forearm Les Sc 3 Cm/> (25071) $10,476.40 $19,048 6.6×
Exc Forearm Tum Deep 3 Cm/> (25073) $10,476.40 $19,048 3.8×
Exc Frenum Labial/Buccal (40819) $4,563.90 $8,298 3.1×
Exc ganglion wrist recurrent (25112) $8,003.60 $14,552 5.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $2,453.55–$2,820.40 $4,461–$5,128 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $3,066.80–$3,526.60 $5,576–$6,412 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $3,338.50 $6,070 2.1×
Exc Hand Les Sc < 1.5 Cm (26115) $6,763.35 $12,297 4.3×
Exc hand tum deep < 1.5 cm (26116) $9,310.95 $16,929 5.9×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $6,024.70 $10,954 1.9×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $4,499 $8,180 1.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $9,259.80 $16,836 6.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $10,371.35 $18,857 6.7×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $4,074.40 $7,408 1.3×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $4,889.50 $8,890 1.5×
Exc lesion tongue w/clsr w/local tongue flap (41114) $7,709.90 $14,018 2.4×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $5,020.40 $9,128 1.6×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $6,391.55 $11,621 2.0×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $5,348.20 $9,724 2.8×
Exc neuroma hand/foot xcp digital nerve (64782) $5,348.20 $9,724 2.8×
Exc neuroma major peripheral nrv xcp sciatic (64784) $5,348.20 $9,724 2.8×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $8,595.40 $15,628 1.5×
Exc Shoulder Tum Deep 5 Cm/> (23073) $8,356.70 $15,194 3.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $711.70 $1,294 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $5,590.20–$6,426.20 $10,164–$11,684 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $6,239.20 $11,344 2.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,354.45 $6,099 2.1×
Exc Skin Benig >4cm Face,Facial (11446) $5,899.30 $10,726 2.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $4,244.35 $7,717 2.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $5,554.45 $10,099 2.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,048.55 $7,361 2.5×
Exc tendon shth lesion leg/ankle (27630) $8,933.65 $16,243 2.8×
Exc thigh/knee les sc 3 cm/> (27337) $10,476.40 $19,048 3.8×
Exc thigh/knee tum dep 5cm/> (27339) $12,638.45 $22,979 4.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $645.15–$742.50 $1,173–$1,350 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $677.05 $1,231 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,194.40 $5,808 2.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,899.30 $10,726 2.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,301.10 $6,002 1.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $3,301.10 $6,002 2.1×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $9,310.95 $16,929 5.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $5,747.50 $10,450 2.1×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $5,975.20 $10,864 2.1×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $7,473.95 $13,589 2.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $5,606.15 $10,193 2.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $4,794.90 $8,718 1.7×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $5,220.05 $9,491 3.3×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $10,371.35 $18,857 3.7×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $7,712.65 $14,023 2.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $7,638.95 $13,889 4.8×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $8,356.70 $15,194 3.0×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $5,918.55 $10,761 2.1×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $3,183.95 $5,789 2.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $9,392.90 $17,078 3.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $5,258 $9,560 3.3×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $6,037.90 $10,978 2.2×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $5,354.25 $9,735 1.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $10,028.70 $18,234 3.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $11,327.80 $20,596 4.1×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $7,123.05 $12,951 1.0×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $5,952.65 $10,823 0.9×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) $16,067.15 $29,213 2.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $4,529.80 $8,236 1.4×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $5,366.35 $9,757 3.5×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,745.40 $8,628 1.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,329.90 $2,418 0.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,348.60 $2,452 0.7×
Excis Mouth Complex,Exc Thru Muscle (40816) $7,288.60 $13,252 2.3×
Excis Mouth Mucosa/Sub,No Repair (40810) $4,074.40 $7,408 1.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $4,640.90 $8,438 3.1×
Excise excessive skin arm (15836) $3,854.40 $7,008 1.4×
Excise intraspinal lesion (63267) $15,097.50 $27,450 2.2×
Excise mandible lesion (21040) $7,320.50 $13,310 2.3×
Excise Neurofibroma Extensive (64792) $10,441.75 $18,985 3.2×
Excise oral mucosa for graft (40818) $2,228.05 $4,051 4.3×
Excise tendon forearm/wrist (25109) $8,003.60 $14,552 2.5×
Excise Wrist Tendon Sheath (25118) $5,997.20 $10,904 3.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $3,809.85 $6,927 5.6×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $2,685.65 $4,883 1.2×
Excision Aural Polyp (69540) $3,273.05 $5,951 2.2×
Excision Distal Ulna Partial/Complete (25240) $12,418.45 $22,579 3.9×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,678.95 $6,689 1.3×
Excision exostosis(es), external auditory canal Facility (69140) $9,309.85 $16,927 1.6×
Excision External Ear Partial Simple Repair (69110) $4,035.90 $7,338 1.4×
Excision Facial Bone (21026) $5,134.25 $9,335 0.9×
Excision Hidradenitis Axillary Complex Repair (11451) $6,606.60 $12,012 2.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $6,606.60 $12,012 2.4×
Excision Infected Graft Extremity (35903) $7,526.75 $13,685 2.5×
Excision inferior turbinate partial/complete (30130) $6,391.55 $11,621 2.0×
Excision lesion meniscus/capsule knee (27347) $5,177.70 $9,414 1.6×
Excision lesion mouth roof (42104) $4,211.35 $7,657 1.3×
Excision lesion tendon sheath forearm&/wrist (25110)
range across 2 matching MRF lines		 $7,987.10–$8,003.60 $14,522–$14,552 varies
Excision Lingual Frenum Frenectomy (41115) $2,097.70 $3,814 1.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $2,582.25 $4,695 3.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $2,806.10 $5,102 4.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $2,933.15 $5,333 7.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $3,983.65 $7,243 5.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,956.90 $3,558 2.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,947.45 $5,359 1.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $6,449.85 $11,727 2.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $3,001.35 $5,457 1.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $3,536.50 $6,430 5.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $5,184.30 $9,426 3.3×
Excision Maxillary Torus Palatinus (21032) $5,785.45 $10,519 1.8×
Excision Nasal Polyp Extensive (30115) $7,158.25 $13,015 2.2×
Excision nasal polyp(s) simple (30110) $2,350.15 $4,273 1.6×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $5,904.25 $10,735 1.0×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) $7,962.90 $14,478 2.1×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $9,658 $17,560 3.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $7,145.60 $12,992 4.6×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) $7,873.80 $14,316 1.4×
Excision of lingual tonsil (42870) $4,694.25 $8,535 0.8×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $8,064.10 $14,662 4.3×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $9,455.60 $17,192 1.7×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $9,924.20 $18,044 1.7×
Excision of pilonidal cyst or sinus; simple (11770) $6,606.60 $12,012 2.4×
Excision of sublingual gland (42450) $13,242.90 $24,078 2.3×
Excision of sublingual salivary cyst (ranula) (42408) $7,873.80 $14,316 2.5×
Excision of submandibular (submaxillary) gland (42440) $12,390.40 $22,528 2.2×
Excision of tonsil tags (42860) $10,944.45 $19,899 3.4×
Excision olecranon bursa (24105) $8,933.65 $16,243 2.8×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $6,897 $12,540 2.2×
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) $14,225.20 $25,864 2.0×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $5,198.60 $9,452 1.7×
Excision Pilonidal Cyst/Sinus Complicated (11772) $7,267.15 $13,213 2.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $6,606.60 $12,012 2.4×
Excision prepatellar bursa (27340) $8,933.65 $16,243 2.8×
Excision Radial Head (24130) $9,288.95 $16,889 3.0×
Excision soft tissue lesion, external auditory canal (69145) $5,258 $9,560 1.9×
Excision synovial cyst popliteal space (27345) $8,933.65 $16,243 2.8×
Excision tendon finger flexor/extensor each (26180) $7,145.60 $12,992 4.6×
Excision Thyroglossal Duct Cyst/Sinus (60280) $13,333.65 $24,243 2.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,983.65 $7,243 2.5×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $10,371.35 $18,857 3.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $9,310.95 $16,929 5.9×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $7,031.75 $12,785 4.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $7,053.75 $12,825 4.4×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $5,189.80 $9,436 1.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) $3,678.95 $6,689 1.3×
Excision, interdigital (morton) neuroma, single, each (28080) $10,371.35 $18,857 6.7×
Excision, lesion of palate, uvula; with local flap closure Facility (42107) $5,638.60 $10,252 1.0×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $7,115.35 $12,937 4.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $8,058.05–$8,058.60 $14,651–$14,652 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,728 $4,960 1.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $9,310.95 $16,929 3.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $10,984.05 $19,971 3.9×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $11,829.95 $21,509 4.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $6,278.80 $11,416 4.0×
Excision/curettage cyst/tumor carpal bones (25130) $13,732.40 $24,968 4.4×
Excision/curettage cyst/tumor phalanx finger (26210) $8,003.60 $14,552 5.2×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $13,732.40 $24,968 4.4×
Excision/destruction intranasal lesion int appr (30117) $4,074.40 $7,408 1.3×
Excision/destruction lesion pharynx any method (42808) $7,158.25 $13,015 2.2×
Excision/surgical planing skin nose rhinophyma (30120) $7,873.80 $14,316 2.5×
Excision; trochanteric bursa or calcification (27062) $5,412 $9,840 1.7×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $6,090.70 $11,074 1.1×
Expl po hemrrg thrombosis/infctj xtr (35860) $6,090.70 $11,074 2.0×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $4,657.40–$5,354.25 $8,468–$9,735 varies
Exploration maxillary sinus (31020) $7,158.25 $13,015 2.2×
Exploration of hip joint (27033) $8,780.20 $15,964 1.3×
Exploration of knee joint (27310) $13,732.40 $24,968 4.4×
Exploration of spinal fusion (22830) $9,553.50 $17,370 1.4×
Exploration penetrating wound spx extremity (20103)
range across 4 matching MRF lines		 $3,839–$5,611.10 $6,980–$10,202 varies
Exploratory elbow surgery (24000) $13,732.40 $24,968 4.4×
Explore inner ear (69806) $12,641.20 $22,984 2.2×
Explore treat shoulder joint (23107) $7,323.80 $13,316 1.0×
Explore/Treat Elbow Joint (24101) $2,110.90 $3,838 0.7×
Explore/Treat Hand Joint (26070) $7,605.95 $13,829 4.9×
Explore/Treat Knee Joint (27331) $8,209.85 $14,927 2.6×
Explore/Treat Wrist Joint (25040) $12,285.90 $22,338 3.9×
Extensive ear canal surgery (69150) $6,398.15 $11,633 1.1×
External cephalic version (59412) $2,547.05 $4,631 0.8×
Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) $6,438.30 $11,706 4.2×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $4,863.65 $8,843 2.5×
Fascia lata graft; by stripper Facility (20920) $5,162.85 $9,387 2.6×
Fasciectomy Palm Only (26121) $5,822.30 $10,586 1.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,314.85 $6,027 1.1×
Fasciotomy Iliotibial Open (27305) $12,100 $22,000 3.8×
Fasciotomy palmar open partial (26045) $8,003.60 $14,552 2.5×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $9,259.74–$9,259.80 $16,835.90–$16,836 varies
Fasciotomy, hip or thigh, any type (27025) $4,761.90 $8,658 1.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $6,013.15 $10,933 1.9×
Fetal Contraction Stress Test (59020) $354.75 $645 1.8×
Fetal non-stress test (59025) $406.45 $739 2.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $950.40 $1,728 1.4×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $950.40 $1,728 1.4×
Fine needle aspiration without imaging guidance (10021) $715 $1,300 1.8×
Finger tendon transfer (26497) $11,110 $20,200 3.5×
Fluid Pressure Muscle (20950) $1,298.55 $2,361 1.9×
Fluoro exam of g/colon tube (49465) $737 $1,340 3.2×
Fna Bx W/Fluor Gdn 1St Les (10007) $950.40 $1,728 1.4×
Fna bx w/us gdn 1st les (10005) $863.50 $1,570 1.3×
Forehead flap w/vasc pedicle (15731) $4,102.45 $7,459 1.2×
Foreskin manipulation (54450) $457.05 $831 1.9×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $3,916 $7,120 1.1×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $6,391.55 $11,621 2.0×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $5,056.70 $9,194 2.5×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,916 $7,120 2.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,472.70 $6,314 1.7×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,829.10 $6,962 1.9×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $3,418.25 $6,215 1.7×
Fuse hand bones with graft (25825) $17,845.30 $32,446 2.6×
Fusion Finger Joint (26860) $4,657.95 $8,469 1.5×
Fusion of foot bones (28740) $10,018.80 $18,216 1.4×
Fusion of hand bones (25820) $9,927.50 $18,050 1.4×
Fusion of hand joint (26843) $13,615.80 $24,756 2.0×
Fusion of knuckle (26850) $9,210.85 $16,747 1.3×
Fusion of knuckle joint (26516) $8,525 $15,500 2.7×
Fusion of knuckle joints (26518) $16,869.05 $30,671 2.4×
Fusion of knuckle with graft (26852) $8,798.90 $15,998 1.3×
Fusion of shoulder joint (23802) $29,781.40 $54,148 2.4×
Fusion of tibiofibular joint (27871) $11,971.85 $21,767 1.0×
Gastrocnemius recession (27687) $6,460.30 $11,746 2.1×
Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) $8,778.55 $15,961 1.5×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $7,473.95 $13,589 1.3×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $4,937.90 $8,978 0.9×
Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) $6,607.70 $12,014 1.9×
Grafting of autologous fat by lipo 25 cc or less (15773) $3,109.70 $5,654 1.6×
Grafting of autologous fat by lipo 50 cc or less (15771) $5,702.95 $10,369 1.7×
Grafting of autologous soft tiss by direct exc (15769)
range across 3 matching MRF lines		 $5,702.95–$9,441.30 $10,369–$17,166 varies
Guide Cathet Fluid Drainage (10030) $1,892.55 $3,441 2.8×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $16,033.60 $29,152 2.3×
Hand tendon reconstruction (26500) $8,003.60 $14,552 1.1×
Head Surgery Procedure (21499) $5,773.90 $10,498 25.3×
Hemiarthroplasty hip partial (27125) $10,431.30 $18,966 0.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $4,373.05 $7,951 1.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,373.05 $7,951 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $225.32 $409.68 0.3×
Hip arthro acetabuloplasty (29915) $8,445.80 $15,356 1.2×
Hip arthro w/labral repair (29916) $8,445.80 $15,356 1.2×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $5,639.70 $10,254 1.8×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $878.35–$1,009.80 $1,597–$1,836 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $744.15–$855.80 $1,353–$1,556 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $6,019.20 $10,944 3.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $7,821 $14,220 2.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $5,179.35 $9,417 1.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $8,933.65 $16,243 2.8×
I&D Mouth/Tong Intra,Masticator (41009) $905.30 $1,646 1.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $9,662.40 $17,568 3.1×
I&d perianal abscess superficial (46050) $774.95 $1,409 0.9×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $2,521.75–$2,899.05 $4,585–$5,271 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $731.50–$841.50 $1,330–$1,530 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $7,696.15–$8,847.30 $13,993–$16,086 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $7,696.15 $13,993 2.8×
Icd Pocket Revision (33223) $2,566.30 $4,666 1.3×
Image Cath Fluid Colxn Visc (49405) $3,509 $6,380 2.2×
Image Cath Fluid Peri/Retro (49406) $3,789.50 $6,890 2.4×
Immediate breast prosthesis (19340) $7,376.05 $13,411 0.9×
Implant cochlear device (69930)
range across 2 matching MRF lines		 $26,191.55–$33,466.40 $47,621–$60,848 varies
Implant neuroelectrodes (63650) $7,326 $13,320 1.2×
Implant Neuroelectrodes (64561) $11,970.20 $21,764 2.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $14,687.75 $26,705 0.8×
Implant temple bone w/stimul (69714) $10,157.40 $18,468 0.8×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $13,087.80 $23,796 1.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $905.30–$1,040.60 $1,646–$1,892 varies
Incise finger tendon sheath (26055) $7,145.60 $12,992 4.6×
Incise flexor carpi radialis (25001) $8,933.65 $16,243 2.8×
Incise Wrist/Forearm Tendon (25290) $12,261.70 $22,294 3.9×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $1,146.75–$1,317.80 $2,085–$2,396 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $8,091.05 $14,711 2.9×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,364–$1,568.05 $2,480–$2,851 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $883.30–$1,015.85 $1,606–$1,847 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $627.55–$722.15 $1,141–$1,313 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $697.95–$802.45 $1,269–$1,459 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) $7,927.70 $14,414 1.1×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $7,927.70 $14,414 1.1×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $9,662.40 $17,568 6.2×
Incision bone cortex foot (28005) $9,259.80 $16,836 2.9×
Incision extensor tendon sheath wrist (25000) $8,933.65 $16,243 5.8×
Incision of eardrum (69421) $4,074.40 $7,408 1.3×
Incision of eardrum (69420) $479.05 $871 2.1×
Incision of Foot Tendon (28234) $10,956 $19,920 7.1×
Incision of labial frenum (frenotomy) (40806) $2,024.55 $3,681 3.9×
Incision of lingual frenum (frenotomy) (41010) $1,647.80 $2,996 1.1×
Incision of rectal abscess (46040) $3,980.35 $7,237 3.5×
Incision of thigh tendons (27392) $16,255.25 $29,555 5.2×
Incision of tibia & fibula (27709) $11,971.85 $21,767 1.0×
Incision of urethra (53020) $3,417.70 $6,214 1.7×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $1,175.90–$1,352.45 $2,138–$2,459 varies
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) $9,481.45 $17,239 6.1×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $8,130.65 $14,783 2.6×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $7,931.55 $14,421 2.5×
Incisional biopsy eyelid skin & lid margin (67810) $1,872.75 $3,405 6.1×
Incisional biopsy skin single lesion (11106) $561.55 $1,021 0.8×
Initial Tx 1st Degree Burn Local Tx (16000) $326.15 $593 1.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $891.55–$1,486.65 $1,621–$2,703 varies
Inj W/Fluor Eval Cv Device (36598) $1,582.90 $2,878 7.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $2,088.90–$4,178.35 $3,798–$7,597 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $1,906.08–$1,906.30 $3,465.60–$3,466 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $3,281.30 $5,966 3.9×
Injection aa&/strd genicular nrv branches w/img (64454) $2,230.80 $4,056 3.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,467.30 $4,486 2.9×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $2,242.35 $4,077 2.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $2,758.25–$3,281.30 $5,015–$5,966 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $2,185.70–$2,513.50 $3,974–$4,570 varies
Injection Anes Superior Hypogastric Plexus (64517) $3,483.15 $6,333 4.1×
Injection anesthetic agent suprascapular nerve (64418) $2,242.35 $4,077 3.3×
Injection for identification of sentinel node (38792) $988.35 $1,797 2.6×
Injection Into Brain Canal (61055) $423.50 $770 1.4×
Injection single tendon origin/insertion (20551) $2,135.65 $3,883 7.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $939.40–$1,069.20 $1,708–$1,944 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $972.37–$1,129.70 $1,767.95–$2,054 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $1,164.90–$1,165.18 $2,118–$2,118.50 varies
Injection, anesthetic agent; brachial plexus, single (64415) $3,281.30 $5,966 3.9×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $1,998.15–$2,578.95 $3,633–$4,689 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $1,998.15–$2,578.95 $3,633–$4,689 varies
Injection, intralesional; up to and including 7 lesions (11900) $963.60 $1,752 5.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)
range across 3 matching MRF lines		 $1,018.60–$3,080 $1,852–$5,600 varies
Inner ear surgery proc unlisted (69949) $502.70 $914 2.2×
Ins cath ren art 1st bilat (36252) $6,782.05 $12,331 2.2×
Ins cath ren art 1st unilat (36251) $3,391.30 $6,166 1.1×
Ins cath ren art 2nd+ bilat (36254) $9,567.25 $17,395 3.2×
Ins cath ren art 2nd+ unilat (36253) $4,783.35 $8,697 0.9×
Ins endovas vena cava filtr (37191) $7,034.50 $12,790 1.3×
Insert 1 Electrode Pm-Defib (33216) $4,868.05 $8,851 0.6×
Insert and remove bone pin (20650) $3,905.55 $7,101 1.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $282.15–$323.95 $513–$589 varies
Insert cath pleura w/ image (32557) $1,692.90 $3,078 1.1×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $1,612.05–$1,854.05 $2,931–$3,371 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $3,438.05 $6,251 3.0×
Insert cervical dilator (59200) $391.05 $711 1.3×
Insert Drug Implant Device (11981) $640.75 $1,165 5.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,179.10 $3,962 1.2×
Insert Heart Pm Atrial (33206) $9,314.25 $16,935 0.9×
Insert Heart Pm Ventricular (33207) $5,896 $10,720 0.6×
Insert hepatic shunt (tips) (37182) $12,634.60 $22,972 0.7×
Insert Nasal Septal Button (30220) $4,889.50 $8,890 3.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $3,956.70–$4,549.05 $7,194–$8,271 varies
Insert Pacing Lead & Connect (33224) $6,203.45 $11,279 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,228.15 $2,233 0.8×
Insert pulse gen dual leads (33213) $8,364.95 $15,209 0.8×
Insert pulse gen mult leads (33221) $9,337.35 $16,977 0.5×
Insert Pulse Gen Sngl Lead (33212) $6,926.15 $12,593 0.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $239.25–$275.55 $435–$501 varies
Insert tissue expander(s) (11960) $5,662.80 $10,296 1.7×
Insert tun ip cath perc (49418) $5,618.80 $10,216 1.6×
Insert tunneled cv cath (36561) $3,139.40 $5,708 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $198–$228.25 $360–$415 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $4,259.75–$4,897.20 $7,745–$8,904 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $2,917.75–$3,423.20 $5,305–$6,224 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $4,364.25 $7,935 0.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,088.80 $5,616 0.9×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $3,254.35 $5,917 0.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,266.25 $9,575 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,956.70 $7,194 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $2,588.85–$2,976.05 $4,707–$5,411 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $21,087.55 $38,341 1.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $5,025.35–$5,777.20 $9,137–$10,504 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $17,637.95 $32,069 0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $16,645.20 $30,264 0.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,067.70 $9,214 0.6×
Insrt heart pm atrial & vent (33208) $7,137.90 $12,978 0.7×
Insrt Pulse Gen W/Dual Leads (33230) $13,758.25 $25,015 0.6×
Insrt Pulse Gen W/Mult Leads (33231) $19,598.15 $35,633 0.6×
Insrt Pulse Gen W/Singl Lead (33240) $13,758.25 $25,015 0.6×
Interdental Wiring Other Than Fracture (21497) $2,137.30 $3,886 1.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,922.25 $3,495 1.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $993.85 $1,807 2.5×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,408 $2,560 3.6×
Intranasal Biopsy (30100) $2,571.25 $4,675 1.7×
Intraoral i&d tongue/floor lingual (41000) $873.40 $1,588 1.7×
Intraoral i&d tongue/floor submndblr space (41008) $3,076.15 $5,593 1.0×
Intro cath dialysis circuit (36901) $3,872 $7,040 2.6×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $14,072.85 $25,587 1.3×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $11,081.95 $20,149 2.0×
Intro Gastrointestinal Tube (44500) $1,284.80 $2,336 1.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $545.60–$627.55 $992–$1,141 varies
Irrigation maxillary sinus (31000) $2,228.05 $4,051 9.8×
Irrigation of corpora cavernosa for priapism (54220) $435.60 $792 1.8×
Island pedicle flap graft (15740) $4,512.20 $8,204 2.3×
Knee arthroscopy/drainage (29871) $4,534.75 $8,245 1.4×
Knee Arthroscopy/Surgery (29885) $7,424.45 $13,499 1.1×
Knee Arthroscopy/Surgery (29874) $4,534.75 $8,245 1.4×
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819)
unusually low: confirm this is the full procedure		 $8,171.35 $14,857 0.5×
Labyrinthectomy; with mastoidectomy Facility (69910) $10,764.05 $19,571 1.9×
Lam facetec & foramot lumbar (63047) $8,060.80 $14,656 1.2×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $12,085.70 $21,974 1.7×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $12,085.70 $21,974 1.7×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $10,484.65 $19,063 1.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $10,986.80 $19,976 1.6×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) $13,127.95 $23,869 1.9×
Laminotomy Single Lumbar (63042) $10,484.65 $19,063 1.5×
Largsc Arytenoidectomy Microscope/Telescope (31561) $3,564 $6,480 0.5×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $3,564 $6,480 1.0×
Laryngoplasty Medialization Unliateral (31591) $8,595.95 $15,629 1.5×
Laryngoplasty, cricoid split, without graft placement Facility (31587) $6,332.15 $11,513 1.1×
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) $8,985.35 $16,337 1.6×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $2,377.10 $4,322 0.7×
Laryngoscopy and dilation (31528) $4,459.40 $8,108 1.2×
Laryngoscopy diagnostic (31505) $164.45 $299 0.9×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $3,564 $6,480 1.0×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $2,377.10 $4,322 0.7×
Laryngoscopy flexible diagnostic (31575)
range across 5 matching MRF lines		 $128.15–$872.30 $233–$1,586 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $2,377.10 $4,322 0.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,377.10 $4,322 1.4×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $2,377.10 $4,322 0.7×
Laryngoscopy Indirect W/Biopsy (31510) $2,580.05 $4,691 0.7×
Laryngoscopy W/Biopsy (31535) $2,615.80 $4,756 0.7×
Laryngoscopy w/biopsy microscope/telescope (31536) $2,377.10 $4,322 0.7×
Laryngoscopy W/Foreign Body Removal (31530) $2,377.10 $4,322 1.4×
Larynscop w/tumr exc + scope (31541) $3,564 $6,480 1.0×
Late closure of wound (13160)
range across 2 matching MRF lines		 $3,965.50–$4,559.50 $7,210–$8,290 varies
Lateral Canthopexy (21282) $3,273.05 $5,951 1.0×
Lateral retinacular release open (27425) $9,288.95 $16,889 3.0×
Lengthen radius or ulna (25391) $17,951.45 $32,639 1.5×
Lengthening of hamstring tendon; single tendon Facility (27393) $13,732.40 $24,968 2.0×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $6,013.70 $10,934 1.9×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $26,302.10 $47,822 2.1×
Ligamentous Reconstruction Knee Extra-Articular (27427) $8,780.20 $15,964 1.3×
Ligamentous reconstruction knee intra-articular (27428) $11,971.85 $21,767 1.0×
Ligation of a-v fistula (37607) $3,964.95 $7,209 1.3×
Ligation Of Inf Vena Cava (37619) $4,396.15 $7,993 0.8×
Ligation or biopsy temporal artery (37609) $5,888.30 $10,706 3.7×
Lip Surgery Procedure (40799)
range across 2 matching MRF lines		 $867.90–$998.80 $1,578–$1,816 varies
Lithotripsy, extracorporeal shock wave (50590) $12,734.70 $23,154 3.8×
Low Back Disk Surgery (63030) $10,986.80 $19,976 1.6×
Lumbar spine fusion combined (22633)
unusually low: confirm this is the full procedure		 $11,708.40 $21,288 0.4×
Lyse chest fibrin init day (32561) $733.15 $1,333 1.2×
Lyse Chest Fibrin Subq Day (32562) $733.15 $1,333 1.2×
Lysis Intranasal Synechia (30560) $1,807.85 $3,287 3.5×
Manipulation Ankle Under General Anesthesia (27860) $7,467.35 $13,577 2.4×
Manipulation Elbow Under Anesthesia (24300) $7,334.80 $13,336 4.7×
Manipulation knee joint under general anesthesia (27570) $6,667.65 $12,123 4.3×
Manipulation wrist under anesthesia (25259) $13,732.40 $24,968 8.9×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,828.20 $3,324 1.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $6,667.65 $12,123 4.3×
Manometric stds thru tube/ndwellg urtrl cath (50396) $2,116.40 $3,848 3.2×
Marsupialization of bartholin's gland cyst (56440) $3,546.95 $6,449 1.1×
Mastectomy for gynecomastia (19300) $5,819 $10,580 1.5×
Mastopexy (19316) $6,679.20 $12,144 1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,978.35 $3,597 1.3×
Mech remov tunneled cv cath (36595) $4,428.60 $8,052 1.5×
Medial Canthopexy Separate Procedure (21280) $8,221.40 $14,948 2.6×
Middle ear expl thru postaur/ear canal inc (69440) $13,242.90 $24,078 4.2×
Middle ear surgery proc unlisted (69799) $1,900.80 $3,456 8.3×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $4,102.45 $7,459 2.1×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $4,102.45 $7,459 1.2×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $13,891.90 $25,258 2.0×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $4,512.20 $8,204 1.3×
Muscle-skin graft trunk (15734) $4,503.40 $8,188 1.3×
Myelography Lumbar Injection (62305) $2,880.35 $5,237 3.8×
Myelography Lumbar Injection (62304) $2,350.15 $4,273 3.1×
Myelography via lumbar injection rs&i cervical (62302) $2,250.60 $4,092 3.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,006.95 $3,649 2.7×
Myringoplasty (69620) $7,670.30 $13,946 2.4×
N Block Inj Celiac Pelus (64530) $1,340.90 $2,438 1.6×
N Block Inj Ilio-Ing/Hypogi (64425) $2,003.10 $3,642 3.0×
N block inj intercost sng (64420) $2,610.30 $4,746 3.8×
N Block Inj Plantar Digit (64455) $40.39 $73.44 0.1×
N Block Lumbar/Thoracic (64520) $3,931.40 $7,148 4.6×
Nasal Endoscopy Dx (31231) $618.75 $1,125 3.2×
Nasal surgery procedure (30999) $788.15 $1,433 3.5×
Nasal/Orogastric W/Tube Plmt (43752) $383.35 $697 0.9×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $3,234 $5,880 0.9×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $3,564 $6,480 0.5×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $11,810.70 $21,474 2.1×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $11,810.70 $21,474 2.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,377.10 $4,322 1.4×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $3,564 $6,480 2.1×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,377.10 $4,322 1.4×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $9,398.40 $17,088 1.4×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $3,564 $6,480 0.5×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $3,564 $6,480 0.5×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $3,564 $6,480 0.5×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $3,564 $6,480 0.5×
Nasal/sinus ndsc total with sphenoidotomy (31257) $3,564 $6,480 0.5×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $3,564 $6,480 2.1×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $3,564 $6,480 0.5×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $3,564 $6,480 0.5×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $3,564 $6,480 0.5×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $4,534.75 $8,245 2.9×
Neck spine fusion (22600)
range across 2 matching MRF lines		 $7,356.25–$9,553.50 $13,375–$17,370 varies
Needle Biopsy Lymph Nodes (38505) $2,232.45 $4,059 1.4×
Needle Biopsy Pancreas (48102) $1,365.65 $2,483 0.9×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) $8,813.20 $16,024 1.0×
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) $10,857.55 $19,741 1.3×
Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) $10,857.55 $19,741 3.3×
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
range across 2 matching MRF lines		 $10,198.65–$10,204.70 $18,543–$18,554 varies
Nerve graft arm/leg <4 cm (64892) $9,870.85 $17,947 1.2×
Nerve repair w/conduit each nerve (64910) $8,050.90 $14,638 1.0×
Nerve Repair W/Nerve Allograft First Strand (64912) $10,441.75 $18,985 1.2×
Neurectomy Popliteal (27326) $9,341.75 $16,985 5.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $7,565.25 $13,755 4.0×
Neurorraphy w/vein autograft (64911) $9,468.25 $17,215 1.1×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $7,582.30 $13,786 4.0×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $10,191.50 $18,530 5.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $1,108.80–$1,360.15 $2,016–$2,473 varies
Nipple/areola reconstruction (19350) $5,818.45 $10,579 1.5×
Njx anes stellate ganglion crv sympathetic (64510) $3,191.65 $5,803 3.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $96.25–$971.85 $175–$1,767 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,351.80 $4,276 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,973.20 $7,224 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $920.70–$1,533.40 $1,674–$2,788 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $852.50 $1,550 1.3×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $774.95 $1,409 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $852.50 $1,550 1.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $957 $1,740 1.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $957 $1,740 1.4×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $407–$1,416.25 $740–$2,575 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $812.90 $1,478 2.1×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure		 $3,234 $5,880 0.5×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $3,564 $6,480 0.5×
Obstructive material removal from gi tube (49460) $1,663.75 $3,025 1.9×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $704.85–$810.70 $1,281.55–$1,474 varies
Open biopsy/excision inguinofemoral nodes (38531) $10,069.95 $18,309 2.7×
Open bone biopsy (20251) $14,174.60 $25,772 2.0×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $67,570.80 $122,856 1.6×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
range across 3 matching MRF lines		 $27,441.15–$28,694.05 $49,893–$52,171 varies
Open nasoethmoid fx w/o fixj (21338) $13,242.90 $24,078 2.3×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $12,564.20 $22,844 1.8×
Open Repair of Rotator Cuff Acute (23410) $8,780.20 $15,964 1.3×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) $14,180.10 $25,782 1.1×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $8,981.50 $16,330 0.7×
Open Treatment Bimalleolar Ankle Fracture (27814) $9,737.75 $17,705 1.4×
Open treatment calcaneal fracture (28415) $12,299.10 $22,362 1.8×
Open Treatment Fracture Distal Tibia & Fibula (27828) $12,299.10 $22,362 1.0×
Open treatment fracture distal tibia only (27827) $12,299.10 $22,362 1.0×
Open treatment greater trochanteric fracture (27248) $8,656.45 $15,739 1.2×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $26,146.45 $47,539 3.7×
Open Treatment Humeral Condylar Fracture (24579) $14,143.80 $25,716 1.1×
Open treatment interphalangeal joint dislocation (28675) $6,248 $11,360 2.0×
Open Treatment Lunate Dislocation (25695) $12,829.30 $23,326 1.8×
Open Treatment Medial Malleolus Fracture (27766) $18,002.05 $32,731 2.6×
Open treatment metacarpophalangeal dislocation (26715) $13,410.65 $24,383 4.3×
Open treatment metatarsal fracture each (28485) $16,073.20 $29,224 2.3×
Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228)
range across 2 matching MRF lines		 $7,966.20–$10,388.40 $14,484–$18,888 varies
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) $8,171.35 $14,857 1.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $8,219.20 $14,944 1.2×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $10,711.80 $19,476 1.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $26,146.45 $47,539 3.7×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $13,242.90 $24,078 2.3×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $9,455.60 $17,192 1.7×
Open treatment of depressed frontal sinus fracture Facility (21343) $6,184.75 $11,245 1.1×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $6,184.75 $11,245 1.1×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $7,428.30 $13,506 1.1×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $7,428.30 $13,506 1.1×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $7,428.30 $13,506 0.6×
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) $12,002.65 $21,823 2.1×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $9,455.60 $17,192 1.7×
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) $8,693.30 $15,806 2.8×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $16,767.30 $30,486 1.4×
Open treatment of mandibular condylar fracture Facility (21465) $10,905.40 $19,828 1.9×
Open treatment of nasal fracture; uncomplicated Facility (21325) $5,921.30 $10,766 1.9×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $8,322.60 $15,132 2.6×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $5,656.75 $10,285 1.8×
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) $8,221.40 $14,948 1.4×
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) $8,221.40 $14,948 1.4×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $8,595.95 $15,629 1.5×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $8,221.40 $14,948 1.4×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $7,473.95 $13,589 1.3×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $17,857.40 $32,468 2.6×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
range across 3 matching MRF lines		 $3,367.10–$6,107.20 $6,122–$11,104 varies
Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) $8,693.30 $15,806 2.8×
Open Treatment of Ulnar Shaft Fracture (25545) $18,002.05 $32,731 2.6×
Open treatment of ulnar styloid fracture (25652) $16,073.20 $29,224 2.3×
Open treatment posterior malleolus fracture (27769) $9,081.60 $16,512 1.3×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $16,073.20 $29,224 2.3×
Open Treatment Proximal Humeral Fracture (23615) $12,734.70 $23,154 1.0×
Open Treatment Radial Shaft Fracture (25515) $13,058.10 $23,742 1.9×
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure		 $3,138.85 $5,707 0.4×
Open tx acute shoulder dislocation (23660) $14,067.35 $25,577 2.0×
Open Tx Acute/Chronic Elbow Dislocation (24615) $19,306.10 $35,102 2.8×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $11,171.05 $20,311 3.5×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $18,665.90 $33,938 5.9×
Open tx carpal scaphoid navicular fracture (25628) $13,637.80 $24,796 2.0×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $5,526.95 $10,049 1.8×
Open Tx Depressed Malar Fracture (21360) $12,038.95 $21,889 2.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $16,073.20 $29,224 2.3×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 4 matching MRF lines		 $8,019–$14,387.45 $14,580–$26,159 varies
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) $8,762.60 $15,932 1.3×
Open Tx Distal Tibiofibular Joint Disruption (27829) $8,467.25 $15,395 1.2×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $5,736.50 $10,430 0.5×
Open tx femoral supracondylar fracture w/o xtn (27511) $7,428.30 $13,506 0.6×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $11,171.05 $20,311 3.5×
Open Tx Humeral Epicondylar Fracture (24575) $14,143.80 $25,716 1.1×
Open tx humeral supracondylar fracture w/o xtn (24545) $15,938.45 $28,979 1.3×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $8,174.65 $14,863 1.2×
Open tx interphalangeal joint dislocation (26785) $11,171.05 $20,311 3.5×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $10,905.40 $19,828 1.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $8,467.25 $15,395 2.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $12,510.85–$14,383.05 $22,747–$26,151 varies
Open Tx Radial Head/Neck Fracture (24665) $20,793.85 $37,807 3.0×
Open Tx Radial Head/Neck Fracture Prosth (24666) $25,144.90 $45,718 2.0×
Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) $12,829.30 $23,326 1.8×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $13,058.10 $23,742 1.9×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $7,757.75 $14,105 1.1×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $9,737.75 $17,705 1.4×
Open tx ulnar fx proximal end (24685) $16,073.20 $29,224 2.3×
Open/Perq Place Stent 1St (37236) $9,996.80 $18,176 0.9×
Open/Perq Place Stent Same (37238) $9,736.65 $17,703 0.9×
Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) $13,615.80 $24,756 4.3×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $10,134.30 $18,426 3.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $28,162.20 $51,204 4.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $28,162.20 $51,204 4.0×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $6,883.25 $12,515 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $12,585.65 $22,883 1.0×
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) $10,335.05 $18,791 1.5×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $8,171.35 $14,857 1.2×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $11,971.85 $21,767 1.0×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $5,561.05 $10,111 1.5×
Ostc prtl exostc/condylc metar head (28288) $9,973.70 $18,134 3.2×
Ostectomy calcaneus (28118) $10,185.45 $18,519 3.2×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $10,371.35 $18,857 3.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $5,378.45 $9,779 1.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $9,259.80 $16,836 2.9×
Osteochondral allograft knee open (27415) $16,222.80 $29,496 1.3×
Osteochondral knee autograft (27416) $8,780.20 $15,964 1.3×
Osteochondral talus autogrft (28446) $11,421.85 $20,767 1.6×
Osteoplasty Radius/Ulna Shortening (25390) $13,206.60 $24,012 1.9×
Osteoplasty, facial bones; reduction (21209) $8,221.40 $14,948 1.4×
Osteoplasty, femur; shortening (excluding 64876) Facility (27465)
unusually low: confirm this is the full procedure		 $2,847.35 $5,177 0.4×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) $9,658 $17,560 0.8×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $12,824.35 $23,317 1.8×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $10,371.35 $18,857 1.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $9,259.80 $16,836 2.9×
Osteotomy calcaneus w/wo internal fixation (28300) $10,018.80 $18,216 1.4×
Osteotomy Clavicle W Bone Graft (23485) $16,222.80 $29,496 1.3×
Osteotomy Metacarpal Each (26565) $7,338.65 $13,343 2.3×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $4,219.60 $7,672 0.6×
Osteotomy Phalanx Finger Each (26567) $15,424.20 $28,044 4.9×
Osteotomy radius distal third (25350) $13,206.60 $24,012 1.9×
Osteotomy talus (28302) $3,675.10 $6,682 0.5×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $12,883.20 $23,424 1.8×
Osteotomy Tibia (27705) $8,780.20 $15,964 1.3×
Osteotomy Ulna (25360) $9,607.40 $17,468 1.4×
Osteotomy, femoral neck (separate procedure) Facility (27161) $8,171.35 $14,857 1.2×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)
unusually low: confirm this is the full procedure		 $2,847.35 $5,177 0.4×
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448)
unusually low: confirm this is the full procedure		 $2,847.35 $5,177 0.4×
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) $9,216.35 $16,757 1.3×
Palatop cl palate soft&/hard palate only (42200) $9,455.60 $17,192 1.7×
Palatopharyngoplasty (42145) $7,473.95 $13,589 1.3×
Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) $5,904.25 $10,735 1.0×
Palatoplasty for cleft palate; major revision Facility (42215) $8,221.40 $14,948 1.4×
Parathyroidectomy or exploration of parathyroid(s); (60500) $13,695 $24,900 2.4×
Part exc bone femur prox tibia (27360) $12,261.70 $22,294 3.9×
Part remv talus or calcaneus (28120) $9,716.30 $17,666 3.1×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $10,404.35 $18,917 1.5×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) $11,443.30 $20,806 1.6×
Partial Excision Bone Humerus (24140) $9,142.10 $16,622 2.9×
Partial excision bone metacarpal (26230) $8,003.60 $14,552 2.5×
Partial excision bone olecranon process (24147) $14,579.95 $26,509 4.6×
Partial Excision Bone Radius (25151) $13,732.40 $24,968 4.4×
Partial Excision Bone Ulna (25150) $13,732.40 $24,968 4.4×
Partial Excision Distal Phalanx Finger (26236) $7,145.60 $12,992 4.6×
Partial excision of lip (40520) $5,020.40 $9,128 1.6×
Partial Excision Proximal/Middle Phalanx Finger (26235) $7,902.40 $14,368 5.1×
Partial removal of fibula (27641) $16,666.10 $30,302 5.3×
Partial removal of lip (40530) $7,158.25 $13,015 2.2×
Partial removal of nose (30150) $12,735.25 $23,155 2.2×
Partial removal of thyroid (60220) $12,576.85 $22,867 2.2×
Partial removal of tibia (27640) $16,666.10 $30,302 5.3×
Partial removal of toe (28160) $15,156.90 $27,558 4.8×
Partial removal of tongue (41120) $8,590.45 $15,619 1.5×
Partial thyroid excision (60212) $10,287.20 $18,704 1.8×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $12,786.40 $23,248 2.2×
Partical Excision Bone Phalanx Toe (28124) $4,878.50 $8,870 1.6×
Patellectomy or hemipatellectomy (27350) $6,460.30 $11,746 0.9×
Pelvic examination under anesthesia (other than local) (57410) $2,031.15 $3,693 0.7×
Penile Injection (54235) $458.15 $833 1.9×
Perc Cryo Ablate Renal Tum (50593) $7,096.65 $12,903 0.7×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,957.45 $3,559 1.5×
Perc Rf Ablate Renal Tumor (50592) $6,452.60 $11,732 1.1×
Percut Ablate Liver Rf (47382) $5,036.90 $9,158 0.9×
Percut Cath Occlusn Non Cns Lesn (61626) $9,753.70 $17,734 0.9×
Percut Drain/Inject Renal Cyst (50390) $1,706.65 $3,103 2.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,644.20 $8,444 1.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $12,335.40 $22,428 3.9×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) $4,671.15 $8,493 0.7×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $10,264.10 $18,662 3.3×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $7,873.80 $14,316 2.5×
Peri-Implant Capsulectomy Breast Complete (19371) $6,679.20 $12,144 1.8×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $2,361.15–$2,715.35 $4,293–$4,937 varies
Peritoneal Lavage (49084) $785.40 $1,428 0.9×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $4,731.10 $8,602 0.3×
Perq Cervicothoracic Inject (22510) $7,587.25 $13,795 2.4×
Perq dev breast 1st strtctc (19283) $2,657.60 $4,832 3.9×
Perq dev breast 1st us imag (19285) $1,978.90 $3,598 2.9×
Perq device breast 1st imag (19281) $2,223.10 $4,042 1.4×
Perq dilation xst trc endourologic px w/img (50436) $3,688.85 $6,707 1.1×
Perq Lumbosacral Injection (22511) $6,460.30 $11,746 2.1×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,221.80 $7,676 0.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,080.75 $1,965 1.6×
Perq skel fixj distal radial fx/epiphysl sep (25606) $11,171.05 $20,311 3.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $12,566.40 $22,848 1.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,392 $13,440 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,365.50 $15,210 1.2×
Perq Vertebral Augmentation (22513) $8,365.50 $15,210 1.2×
Pin Finger Dislocation (26776) $8,003.60 $14,552 2.5×
Pin hand dislocation (26676) $12,414.60 $22,572 3.9×
Place breast rad tube/caths (19298)
unusually low: confirm this is the full procedure		 $6,025.80 $10,956 0.5×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $3,950.10–$7,900.20 $7,182–$14,364 varies
Place Cath Thoracic Aorta (36221) $3,914.35 $7,117 1.3×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $5,645.75–$11,291.50 $10,265–$20,530 varies
Place Duod/Jej Tube Perc (49441) $2,383.70 $4,334 1.3×
Place Rt Device/Marker Pros (55876) $1,284.80 $2,336 1.0×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $321.75–$370.15 $585–$673 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,745.40 $8,628 0.8×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,892.60 $12,532 1.2×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $9,912.65 $18,023 1.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $10,849.30 $19,726 1.9×
Plmt expandable cath brst following prtl mast (19296) $8,656.45 $15,739 1.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,283.50 $5,970 1.6×
Plmt Nephroureteral Catheter (50433) $3,283.50 $5,970 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,993.45 $9,079 1.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,540.25 $8,255 1.3×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,540.25 $8,255 1.3×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $7,873.80 $14,316 1.4×
Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) $13,242.90 $24,078 2.3×
Prim art mech thrombectomy (37184) $9,753.70 $17,734 0.6×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,685.65 $4,883 1.2×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $2,685.65 $4,883 1.2×
Probe nl duct w/balloon (68816) $2,685.65 $4,883 1.2×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) $16,738.70 $30,434 1.4×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) $15,571.60 $28,312 2.2×
Prosthesis Removal Humeral/Glenoid Component (23334) $5,128.75 $9,325 0.7×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $986.70 $1,794 1.4×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $9,192.70 $16,714 1.5×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,024.65 $1,863 1.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,404.95 $8,009 1.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,846.05 $8,811 1.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $11,171.05 $20,311 3.5×
Prq skel fixj femoral fx prox end neck (27235) $6,558.20 $11,924 0.9×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $6,599.45 $11,999 2.1×
Prq skel fixj metar fx w/manj (28476) $12,261.70 $22,294 3.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $12,288.10 $22,342 1.8×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $6,194.10 $11,262 2.0×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $11,084.70 $20,154 3.5×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $11,418.55 $20,761 1.6×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $11,309.10 $20,562 3.6×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $6,460.30 $11,746 0.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $9,259.80 $16,836 2.9×
Pseudoaneurysm Injection Trt (36002) $896.50 $1,630 1.5×
Punch biopsy skin single lesion (11104) $491.70 $894 1.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $664.95–$765.05 $1,209–$1,391 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $977.90–$1,124.75 $1,778–$2,045 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $787.60 $1,432 1.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $2,467.30 $4,486 3.6×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $8,780.20 $15,964 1.3×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $4,706.35 $8,557 3.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $4,706.35 $8,557 1.5×
Rad resect elbow caps/sr bone w rels (24149) $14,319.80 $26,036 2.1×
Rad resect hand tumor 3 cm/> (26118) $5,851.45 $10,639 2.1×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $7,115.35 $12,937 2.5×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $4,101.35 $7,457 1.5×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $9,392.90 $17,078 3.4×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $5,134.25 $9,335 1.8×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $8,306.65 $15,103 3.0×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $5,691.40 $10,348 2.0×
Radical resection of tumor, femur or knee Facility (27365) $4,101.35 $7,457 1.3×
Radical resection of tumor, proximal humerus Facility (23220) $10,568.80 $19,216 1.5×
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $3,042.60 $5,532 1.0×
Radical resection of tumor, radial head or neck Facility (24152) $15,422 $28,040 2.2×
Radical resection of tumor, radius or ulna (25170) $14,596.45 $26,539 2.1×
Radical resection of tumor; fibula Facility (27646) $9,379.70 $17,054 3.0×
Radical resection of tumor; tibia Facility (27645) $13,385.35 $24,337 4.3×
Radical styloidectomy separate procedure (25230) $10,404.35 $18,917 3.3×
Rcnstj angular dfrm toe soft tiss px only (28313) $4,878.50 $8,870 1.6×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $6,054.40 $11,008 1.9×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $6,054.40 $11,008 1.9×
Rcnstj Dislocating Patella (27420) $8,780.20 $15,964 1.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $9,043.10 $16,442 1.3×
Realignment extensor tendon hand each tendon (26437) $3,765.30 $6,846 1.2×
Realignment of knee (27457)
unusually low: confirm this is the full procedure		 $2,847.35 $5,177 0.4×
Reconstr lwr jaw segment (21198) $5,904.25 $10,735 1.0×
Reconstruct elbow lat ligmnt (24344) $37,941.75 $68,985 5.4×
Reconstruct elbow med ligmnt (24346) $14,142.15 $25,713 1.1×
Reconstruct extra finger (26587) $4,142.05 $7,531 1.3×
Reconstruct Finger Joint (26548)
range across 2 matching MRF lines		 $5,822.30–$6,460.30 $10,586–$11,746 varies
Reconstruct lip with flap (40525) $7,873.80 $14,316 2.5×
Reconstruct ulna/radioulnar (25337) $9,607.40 $17,468 1.4×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $8,780.20 $15,964 1.3×
Reconstruction of dislocating patella; with patellectomy Facility (27424) $13,334.20 $24,244 1.9×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $8,774.70 $15,954 1.5×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $12,378.85 $22,507 3.9×
Reconstruction Toe Polydactyly (28344) $5,366.35 $9,757 1.7×
Reconstruction Tongue Fold (41520) $6,391.55 $11,621 2.0×
Redo Endovas Vena Cava Filtr (37192) $3,237.85 $5,887 1.1×
Reduction of rectal prolapse (45900) $1,197.90 $2,178 1.3×
Reinforce hip bones (27187) $10,381.25 $18,875 1.5×
Reinforce tibia (27745) $16,035.25 $29,155 2.3×
Reinsert spinal fixation (22849) $15,854.30 $28,826 1.3×
Release Intrinsic Muscles Hand Each Muscle (26593) $11,938.85 $21,707 3.8×
Release of big toe (28240) $10,371.35 $18,857 3.3×
Release of shoulder ligament (23415) $8,780.20 $15,964 1.3×
Release or recession, hamstring, proximal Facility (27097) $7,105.45 $12,919 2.3×
Relieve Pressure on Nerve(S) (64722) $6,418.50 $11,670 3.4×
Relocation Pocket Pacemaker (33222) $2,784.10 $5,062 1.4×
Rem Endovas Vena Cava Filter (37193) $2,628.45 $4,779 0.9×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,158.30 $2,106 1.3×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $765.05–$880 $1,391–$1,600 varies
Removal Entire Oi Implt Skl Mag Tc Attch Esp<100 (69727) $6,599.45 $11,999 2.1×
Removal entire oi implt skl perq attachment esp (69726) $8,308.30 $15,106 2.6×
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $4,255.35–$4,892.80 $7,737–$8,896 varies
Removal Foreign Body Foot Complicated (28193) $10,371.35 $18,857 6.5×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $10,371.35–$11,922.90 $18,857–$21,678 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,321.10–$1,519.65 $2,402–$2,763 varies
Removal foreign body jawbone (41806) $5,020.40 $9,128 3.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,956.90–$2,250.60 $3,558–$4,092 varies
Removal foreign body upper arm/elbow deep (24201) $10,428 $18,960 3.7×
Removal foreign body, intranasal; requiring general anesthesia (30310) $5,020.40 $9,128 1.6×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $12,454.75 $22,645 3.8×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $17.82–$373.45 $32.40–$679 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $198.55–$457.05 $361–$831 varies
Removal Implant Deep (20680) $9,290.05 $16,891 3.3×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $6,606.60–$7,594.95 $12,012–$13,809 varies
Removal implantable contraceptive capsules (11976) $969.65 $1,763 1.4×
Removal intact breast implant (19328) $6,679.20 $12,144 1.8×
Removal of a lesion from the floor of the mouth (41116) $7,321.05 $13,311 2.3×
Removal of adenoids (42835) $6,493.85 $11,807 2.0×
Removal of adenoids (42831) $5,114.45 $9,299 1.6×
Removal of adenoids (42830) $6,228.20 $11,324 2.0×
Removal of adenoids (42836) $5,196.95 $9,449 1.6×
Removal of ankle implant (27704) $7,105.45 $12,919 2.3×
Removal of anterior instrumentation (22855) $9,553.50 $17,370 1.4×
Removal of bone lesion (23140) $9,458.35 $17,197 3.0×
Removal of foot joint lining (28072) $4,529.25 $8,235 1.4×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $504.90–$580.25 $918–$1,055 varies
Removal of heel spur (28119) $5,130.95 $9,329 1.6×
Removal of hip joint lining (27054) $8,796.70 $15,994 2.8×
Removal of hip prosthesis; (separate procedure) Facility (27090) $9,299.40 $16,908 1.3×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $11,765.05 $21,391 1.0×
Removal of humerus lesion (23150) $8,936.40 $16,248 2.8×
Removal of humerus lesion (23156) $10,187.10 $18,522 1.5×
Removal of intranasal lesion (30118) $7,030.65 $12,783 2.2×
Removal of knee prosthesis (27488) $10,644.70 $19,354 0.9×
Removal of mammary implant material (19330) $6,587.90 $11,978 1.7×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $904.20–$1,247.40 $1,644–$2,268 varies
Removal of nose lesion (30124) $7,873.80 $14,316 5.3×
Removal of posterior segmental instrumentation Facility (22852) $9,553.50 $17,370 1.4×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $5,128.75 $9,325 0.7×
Removal of sesamoid bone (28315) $9,259.80 $16,836 2.9×
Removal of skin wrinkles (15829) $6,607.70 $12,014 1.9×
Removal of tendon for graft (20924) $5,695.80 $10,356 0.8×
Removal of tonsils (42825) $8,595.95 $15,629 1.5×
Removal of tonsils (42826) $4,884.55 $8,881 1.5×
Removal of tunneled intraperitoneal catheter (49422) $4,702.50 $8,550 1.5×
Removal of wrist bone (25210) $11,146.85 $20,267 3.5×
Removal Pacemaker Electrode (33235) $2,505.80 $4,556 0.7×
Removal ppm generator only (33233) $4,868.05 $8,851 0.6×
Removal shoulder foreign body deep subfascial/im (23333) $4,141.50 $7,530 1.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $824.45–$947.65 $1,499–$1,723 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,485 $2,700 2.2×
Removal Submand Stone,Complicated (42335) $9,450.10 $17,182 3.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,577.75 $6,505 1.8×
Removal sweat gland lesion (11450) $6,606.60 $12,012 2.4×
Removal, under anesthesia, of external fixation system (20694) $8,950.70 $16,274 5.8×
Removal/bivalving gauntlet boot/body cast (29700) $231 $420 0.9×
Remove & graft wrist lesion (25135) $15,106.85 $27,467 2.2×
Remove Ankle Joint Lining (27626) $6,460.30 $11,746 2.1×
Remove armpit lymph nodes (38740) $14,517.80 $26,396 2.5×
Remove cerclage suture (59871) $3,916 $7,120 1.3×
Remove drug implant device (11982) $1,113.20 $2,024 2.6×
Remove ear lesion (69550) $11,853.05 $21,551 2.1×
Remove elbow joint implant (24160) $14,579.95 $26,509 4.6×
Remove Elbow Joint Lining (24102) $5,734.85 $10,427 1.8×
Remove elbow lesion (24120) $10,404.35 $18,917 3.3×
Remove Elctrd Transvenously (33244) $2,237.40 $4,068 0.6×
Remove eye/attach implant (65105) $5,561.05 $10,111 1.5×
Remove femur lesion/graft (27356) $14,527.15 $26,413 1.2×
Remove Forearm Foreign Body (25248) $10,824.55 $19,681 7.0×
Remove foreign body from eye (65205) $535.15 $973 4.2×
Remove groin lymph nodes (38760) $8,317.10 $15,122 1.3×
Remove Hand Bone Lesion (26200) $7,982.15 $14,513 5.2×
Remove humerus lesion (24110) $10,402.70 $18,914 3.3×
Remove Intrauterine Device (58301) $564.85 $1,027 1.9×
Remove intrvas foreign body (37197)
range across 2 matching MRF lines		 $4,183.30–$4,810.30 $7,606–$8,746 varies
Remove knee joint lining (27334) $6,460.30 $11,746 2.1×
Remove lamina/facets lumbar (63012) $5,926.80 $10,776 0.8×
Remove Lower Leg Bone Lesion (27635) $13,206.60 $24,012 4.2×
Remove lung catheter (32552) $3,746.05 $6,811 6.2×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $385–$442.75 $700–$805 varies
Remove palate/lesion (42120) $7,030.65 $12,783 1.2×
Remove part lumbar vertebra (22102) $7,520.15 $13,673 1.1×
Remove Pulse Generator (33241) $2,598.20 $4,724 0.7×
Remove radius head implant (24164) $13,253.90 $24,098 4.2×
Remove renal tube w/fluoro (50389) $623.15 $1,133 0.9×
Remove Skin Nerve Lesion (64774) $8,492.55 $15,441 4.5×
Remove spine eltrd plate (63662) $4,778.40 $8,688 1.4×
Remove spine fixation device (22850) $5,421.90 $9,858 0.8×
Remove spine lamina 1/2 lmbr (63005) $12,085.70 $21,974 1.7×
Remove spine lamina 1/2 thrc (63003) $12,800.15 $23,273 1.8×
Remove sympathetic nerves (64821) $5,612.75 $10,205 1.8×
Remove Tendon Sheath Lesion (26160) $7,145.60 $12,992 4.6×
Remove tissue expander (11971) $5,131.50 $9,330 1.8×
Remove ureter stent percut (50384) $4,000.15 $7,273 2.0×
Remove vc lesion w/scope (31545) $4,006.20 $7,284 1.1×
Remove wrist joint cartilage (25107) $6,194.10 $11,262 2.0×
Remove&replace pm gen singl (33227) $8,107 $14,740 1.0×
Remove/graft finger lesion (26215) $8,804.40 $16,008 2.8×
Remove/graft foot lesion (28102) $5,540.70 $10,074 0.8×
Remove/graft foot lesion (28107) $11,117.15 $20,213 1.6×
Remove/graft forearm lesion (25126) $15,106.85 $27,467 4.8×
Remove/graft forearm lesion (25125) $15,106.85 $27,467 9.8×
Remove/graft leg bone lesion (27637) $16,067.15 $29,213 2.3×
Remove/Insert Drug Implant (11983) $1,213.85 $2,207 2.8×
Remv cartilage for graft nasal (20912) $5,363.05 $9,751 1.6×
Remv&replc cvd gen dual lead (33263) $13,758.25 $25,015 0.6×
Remv&replc cvd gen mult lead (33264) $19,598.15 $35,633 0.6×
Remv&replc cvd gen sing lead (33262) $13,758.25 $25,015 0.6×
Remv&replc pm gen dual lead (33228) $9,275.20 $16,864 0.9×
Remv&replc pm gen mult leads (33229) $9,275.20 $16,864 0.5×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $1,593.35–$1,911.25 $2,897–$3,475 varies
Repair Achilles Tendon (27650) $17,951.45 $32,639 2.6×
Repair arm/leg nerve (64857) $11,695.20 $21,264 3.6×
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $2,829.20–$3,253.25 $5,144–$5,915 varies
Repair blood vessel direct neck (35201)
range across 2 matching MRF lines		 $7,541.60–$8,672.95 $13,712–$15,769 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 4 matching MRF lines		 $5,619.35–$7,465.70 $10,217–$13,574 varies
Repair brow ptosis (67900) $3,737.80 $6,796 1.6×
Repair Choanal Atresia Intranasal (30540) $8,221.40 $14,948 1.4×
Repair cleft lip/nasal (40720) $8,221.40 $14,948 2.6×
Repair cleft lip/nasal (40700) $8,221.40 $14,948 1.4×
Repair Collat Ankle Ligmnt,Secondary (27698) $6,460.30 $11,746 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $955.90–$1,098.35 $1,738–$1,997 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,210–$1,391.50 $2,200–$2,530 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $825–$948.75 $1,500–$1,725 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,229.80–$1,414.60 $2,236–$2,572 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $972.40–$1,118.15 $1,768–$2,033 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 4 matching MRF lines		 $1,275.45–$2,637.80 $2,319–$4,796 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $1,537.25–$1,767.70 $2,795–$3,214 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $1,854.05–$2,131.80 $3,371–$3,876 varies
Repair defect w/autograft radius/ulna (25425) $15,097.50 $27,450 2.2×
Repair Ectropion Excision Tarsal Wedge (67916) $2,685.65 $4,883 1.2×
Repair Ectropion Extensive (67917) $2,685.65 $4,883 1.2×
Repair Ectropion Suture (67914) $4,062.30 $7,386 1.8×
Repair Elbow Perc (24357) $6,373.40 $11,588 2.0×
Repair Entropion Excision Tarsal Wedge (67923) $2,685.65 $4,883 1.2×
Repair Entropion Extensive (67924) $2,685.65 $4,883 1.2×
Repair Entropion Suture (67921) $2,685.65 $4,883 1.2×
Repair Extensor Tendon Finger W/Graft Each (26420) $12,378.85 $22,507 3.9×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $7,145.60–$8,215.90 $12,992–$14,938 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $11,295.35 $20,537 3.6×
Repair Finger Tendon (26433)
range across 2 matching MRF lines		 $4,024.90–$4,627.15 $7,318–$8,413 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $13,418.35–$15,426.95 $24,397–$28,049 varies
Repair Fistula Oromaxillary (30580) $12,038.95 $21,889 2.1×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $8,933.65 $16,243 2.8×
Repair Foot Dislocation (28615) $11,283.80 $20,516 1.6×
Repair Forearm Tendon Sheath (25275) $15,106.85 $27,467 4.8×
Repair Hallux Rigidus (28289) $9,259.80 $16,836 2.9×
Repair Hand Joint (26540) $6,063.75 $11,025 1.9×
Repair Hand Tendon (26410) $7,145.60 $12,992 4.6×
Repair humerus with graft (24435) $24,961.75 $45,385 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $750.20–$862.95 $1,364–$1,569 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $783.75–$902 $1,425–$1,640 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $827.20–$950.95 $1,504–$1,729 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $864.60–$994.40 $1,572–$1,808 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,943.70 $3,534 5.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $1,101.10–$1,266.65 $2,002–$2,303 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $841.50–$967.45 $1,530–$1,759 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $982.30–$1,129.70 $1,786–$2,054 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $1,008.70–$1,159.95 $1,834–$2,109 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,742.95 $3,169 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $1,181.40–$1,357.95 $2,148–$2,469 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $842.60–$969.10 $1,532–$1,762 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $1,011.45–$1,163.80 $1,839–$2,116 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,212.75–$1,394.80 $2,205–$2,536 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $1,102.75–$1,267.75 $2,005–$2,305 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $2,514.60–$2,890.80 $4,572–$5,256 varies
Repair lead pace-defib dual (33220) $3,563.45 $6,479 1.0×
Repair Lead Pace-Defib One (33218) $3,563.45 $6,479 1.0×
Repair Leg Fascia Defect (27656) $3,605.80 $6,556 1.1×
Repair lower leg tendons (27676) $14,791.15 $26,893 2.1×
Repair mouth/nose fistula (30600) $15,891.15 $28,893 2.8×
Repair nasal septal perforations (30630) $7,158.25 $13,015 2.2×
Repair Nasal Vestibular Stenosis (30465) $11,960.85 $21,747 2.1×
Repair Non/Malunion Humerus W/O Graft (24430) $16,222.80 $29,496 1.3×
Repair Nonunion Carpal Bone Each Bone (25431) $20,533.15 $37,333 2.9×
Repair Nonunion Hand (26546)
range across 2 matching MRF lines		 $6,695.70–$9,317 $12,174–$16,940 varies
Repair Nonunion/Malunion Tarsal Bones (28320) $21,452.20 $39,004 1.7×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $9,392.35 $17,077 1.3×
Repair of biceps tendon (24340) $18,667 $33,940 2.7×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $8,807.70 $16,014 1.3×
Repair of knee ligaments (27409) $17,845.30 $32,446 2.6×
Repair of metatarsals (28322) $17,164.95 $31,209 2.5×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $1,040.60–$1,196.80 $1,892–$2,176 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $16,222.80 $29,496 2.3×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $11,412.50 $20,750 1.6×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $9,681.10 $17,602 1.4×
Repair of Ruptured Tendon (24342) $16,666.10 $30,302 2.4×
Repair of shoulder (23420) $9,658 $17,560 1.4×
Repair of windpipe defect (31825) $5,245.90 $9,538 1.6×
Repair Rotator Cuff Chronic (23412) $8,780.20 $15,964 1.3×
Repair round window fistula (69667) $4,896.10 $8,902 1.5×
Repair secondary achilles tendon w/wo graft (27654) $18,239.65 $33,163 2.6×
Repair shoulder capsule (23462) $8,780.20 $15,964 1.3×
Repair shoulder capsule (23466) $9,658 $17,560 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $6,457.55–$7,424.45 $11,741–$13,499 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $18,667 $33,940 2.7×
Repair Toe Dislocation (28645) $5,906.45 $10,739 1.9×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $774.40–$1,006.50 $1,408–$1,830 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $565.40–$651.20 $1,028–$1,184 varies
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $4,881.25 $8,875 0.7×
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $19,945.20 $36,264 2.9×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $6,439.40 $11,708 0.9×
Repair, primary, disrupted ligament, ankle; collateral (27695) $4,961.55 $9,021 0.7×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $8,780.20 $15,964 1.3×
Repair/graft achilles tendon (27652) $37,149.20 $67,544 5.3×
Repair/graft femur head/neck (27170) $6,404.75 $11,645 0.9×
Repair/Graft Wrist Bone (25440) $16,222.80 $29,496 2.3×
Repair/Revise Wrist Joint (25320) $18,667 $33,940 2.7×
Repair/transpose nerve (64856) $11,695.20 $21,264 1.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,496 $2,720 1.7×
Replace elbow joint (24363) $24,961.75 $45,385 1.5×
Replace G-J Tube Perc (49452) $789.25 $1,435 0.9×
Replace g/c tube perc (49450) $789.25 $1,435 0.9×
Replace/Revise Brain Shunt (62230) $18,187.40 $33,068 2.2×
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719) $11,971.85 $21,767 1.0×
Replantation digit complete (20822) $3,246.10 $5,902 2.1×
Replantation Hand Complete Amputation (20808) $10,385.10 $18,882 0.6×
Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) $4,818 $8,760 3.1×
Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Facility (20824) $6,915.70 $12,574 4.5×
Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) $6,721 $12,220 4.3×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $884.40–$1,018.60 $1,608–$1,852 varies
Reposition L Ventric Lead (33226) $2,756.05 $5,011 0.9×
Reposition Pacing-Defib Lead (33215) $2,237.40 $4,068 0.7×
Reposition Venous Catheter (36597) $1,829.85 $3,327 1.2×
Repr elbow lat ligmnt w/tiss (24343) $12,261.70 $22,294 3.9×
Repr Elbw Med Ligmnt W/Tiss (24345) $31,616.75 $57,485 4.5×
Repr torn cruciate knee ligam (27407) $16,222.80 $29,496 2.3×
Rerepair ing hernia reduce (49520) $6,344.80 $11,536 1.8×
Resect enlarged toe (28341) $3,584.90 $6,518 1.1×
Resect enlarged toe tissue (28340) $3,841.20 $6,984 1.2×
Resect forarm/wrist tum 3cm> (25078) $6,070.90 $11,038 2.2×
Resect hip/pelv tum 5 cm/> (27059) $6,227.10 $11,322 2.2×
Resect hip/pelv tum < 5 cm (27049) $4,510.55 $8,201 1.6×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $8,098.75 $14,725 2.6×
Resection, humeral head Facility (23195) $8,528.30 $15,506 1.2×
Resection/transplantation long tendon biceps (23440) $8,780.20 $15,964 1.3×
Rev/rmv prph sac/gstr npg/r (64595) $4,246 $7,720 1.3×
Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) $24,961.75 $45,385 2.0×
Revis reconst shoulder joint (23473) $10,029.25 $18,235 0.8×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $10,757.45 $19,559 0.9×
Revise external ear (69300) $5,377.90 $9,778 1.7×
Revise finger joint each (26140) $7,145.60 $12,992 4.6×
Revise Hand/Foot Nerve (64704) $8,492.55 $15,441 4.5×
Revise knuckle joint (26530) $15,983 $29,060 2.3×
Revise lower leg tendon (27690) $18,667 $33,940 2.7×
Revise Lower Leg Tendons (27686) $13,732.40 $24,968 4.4×
Revise radius & ulna (25365) $17,951.45 $32,639 1.5×
Revise reconst elbow joint (24371) $27,458.20 $49,924 1.6×
Revise ulnar nerve at wrist (64719) $8,492.55 $15,441 4.5×
Revise Wrist/Forearm Tendon (25280) $12,261.70 $22,294 3.9×
Revise/Implant Finger Joint (26536) $18,140.10 $32,982 2.6×
Revise/Repair Finger/Toe Nerve (64702) $8,492.55 $15,441 4.5×
Revision of foot (28116) $5,366.35 $9,757 1.7×
Revision of foot bones (28737) $11,486.75 $20,885 0.9×
Revision of humerus (24400) $11,438.90 $20,798 1.6×
Revision of knee joint (27442) $11,971.85 $21,767 1.0×
Revision of lower leg tendon (27685) $12,261.70 $22,294 3.9×
Revision of nose (30462) $12,038.95 $21,889 2.1×
Revision of reconstructed breast (19380) $8,114.15 $14,753 1.3×
Revision of stapedectomy or stapedotomy Facility (69662) $8,830.25 $16,055 1.6×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
unusually low: confirm this is the full procedure		 $5,238.20 $9,524 0.4×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $6,726.50 $12,230 0.5×
Revision Peri-Implant Capsule Breast (19370) $6,072 $11,040 1.6×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $9,510.60 $17,292 1.4×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $15,073.30 $27,406 2.5×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $6,930.55 $12,601 0.6×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $10,228.90 $18,598 0.6×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $6,439.40 $11,708 0.5×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $16,754.65 $30,463 3.1×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,960.45 $9,019 1.5×
Rhinoplasty primary w/major septal repair (30420) $17,014.80 $30,936 3.0×
Rhinoplasty Secondary Major Revision (30450) $14,263.70 $25,934 2.5×
Rhinoplasty Secondary Minor Revision (30430) $8,480.45 $15,419 1.5×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) $13,242.90 $24,078 2.3×
Rhinp Prim Complete Xtrnl Parts (30410) $13,019.05 $23,671 2.3×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $6,883.80 $12,516 1.2×
Rhytidectomy Cheek Chin & Neck (15828) $5,899.30 $10,726 1.7×
Rhytidectomy Forehead (15824) $6,607.70 $12,014 3.3×
Rhytidectomy Neck W/Platysmal Tightening (15825) $6,607.70 $12,014 1.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,670.25 $4,855 1.3×
Rmvl embedded fb vestibule mouth comp (40805) $7,873.80 $14,316 15.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $602.80 $1,096 0.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $5,899.30 $10,726 3.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $591.25–$680.35 $1,075–$1,237 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $748 $1,360 5.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $591.25 $1,075 1.4×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $3,077.80–$3,538.70 $5,596–$6,434 varies
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $7,158.25 $13,015 4.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $4,496.25–$5,169.45 $8,175–$9,399 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,884.30 $3,426 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $958.10 $1,742 0.6×
Rmvl of subq implantable defibrillator electrode (33272) $3,753.75 $6,825 1.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $3,785.65 $6,883 2.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,662.55 $4,841 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $3,191.65–$3,809.85 $5,803–$6,927 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $1,480.05–$2,435.95 $2,691–$4,429 varies
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $6,770.50 $12,310 2.1×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $586.85–$674.30 $1,067–$1,226 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $534.05–$613.80 $971–$1,116 varies
Rplcmt cath ctr vad subq port/pmp (36578) $4,379.10 $7,962 1.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $2,215.40–$2,545.95 $4,028–$4,629 varies
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $4,927.45 $8,959 1.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,917.75 $5,305 1.9×
Rplcmt compl tun ctr vad w/subq port (36582) $5,522 $10,040 1.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,486.90 $8,158 1.5×
Rpr aa hrn 1st 3-10 rdc (49593) $6,105 $11,100 1.0×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $2,685.65 $4,883 1.2×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $2,754.40–$3,168 $5,008–$5,760 varies
Rpr blvsl w/grf other/than vein lower extremity (35286) $7,278.15 $13,233 1.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,401.85 $4,367 1.6×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $10,006.15 $18,193 3.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $9,288.95 $16,889 1.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $737.55–$849.20 $1,341–$1,544 varies
Rpr flexor tendon leg secondary w/o graft each (27659) $11,006.60 $20,012 1.6×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,142.35 $2,077 1.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $419.10 $762 1.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,928.85 $3,507 3.7×
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $2,137.30–$2,456.85 $3,886–$4,467 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $3,296.70–$3,789.50 $5,994–$6,890 varies
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $10,711.80 $19,476 1.5×
Rpr Nsl Vlv Collapse W/Implt (30468) $9,359.90 $17,018 1.6×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,808.90 $14,198 1.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $9,259.80 $16,836 2.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $7,252.30–$8,338.55 $13,186–$15,161 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $10,404.35 $18,917 3.3×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $11,407.55 $20,741 1.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,002 $3,640 3.3×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $11,052.80 $20,096 3.5×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $30,760.40 $55,928 4.4×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $15,103.55 $27,461 2.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $13,333.10 $24,242 4.2×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $9,378.05 $17,051 3.0×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $8,597.05 $15,631 2.7×
Sclerotx Fluid Collection (49185) $2,627.35 $4,777 1.7×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) $11,824.45 $21,499 2.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $5,326.20 $9,684 1.7×
Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) $13,732.40 $24,968 4.4×
Shave skin lesion 0.5 cm/< (11300) $79.60 $144.72 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $770 $1,400 4.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $957 $1,740 2.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $770 $1,400 4.0×
Shoulder arthroscopy (29820) $7,091.15 $12,893 1.0×
Shoulder arthroscopy diagnostic (29805) $9,089.85 $16,527 2.9×
Shoulder Arthroscopy/Surgery (29825) $7,091.15 $12,893 2.3×
Shoulder joint surgery (23101) $8,270.90 $15,038 2.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $98.21 $178.56 0.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $5,378.45 $9,779 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $909.15 $1,653 2.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $620.95–$714.45 $1,129–$1,299 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $671–$771.65 $1,220–$1,403 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $999.90 $1,818 2.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $683.65 $1,243 3.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,210.55 $2,201 6.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $621.50–$715 $1,130–$1,300 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $852.50–$980.65 $1,550–$1,783 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $652.85–$750.20 $1,187–$1,364 varies
Sinusotomy frontal; external, simple (trephine operation) Facility (31070) $13,242.90 $24,078 2.3×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) $8,221.40 $14,948 1.4×
Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) $8,221.40 $14,948 1.4×
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) $8,221.40 $14,948 1.4×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $11,824.45 $21,499 2.1×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $12,038.95 $21,889 2.1×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) $9,455.60 $17,192 1.7×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) $8,595.95 $15,629 1.5×
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) $8,221.40 $14,948 1.4×
Skin Full Grft Face/Genit/Hf (15240) $3,330.80 $6,056 1.7×
Skin Pedicle Flap Trunk (15570) $4,307.60 $7,832 2.2×
Skin Pinch Graft (15050) $2,031.15 $3,693 2.9×
Skin sub graft face/nk/hf/g (15275) $2,094.95 $3,809 2.9×
Skin sub graft trnk/arm/leg (15271) $2,094.95 $3,809 2.9×
Skin sub grft t/arm/lg child (15273) $5,178.80 $9,416 2.6×
Skin Tissue Procedure (17999) $939.95 $1,709 4.9×
Skn sub grft f/n/hf/g child (15277) $5,178.80 $9,416 2.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines		 $7,165.40–$14,329.70 $13,028–$26,054 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $5,208.50–$10,417.55 $9,470–$18,941 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $8,518.95–$17,038.45 $15,489–$30,979 varies
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $3,898.95–$4,483.05 $7,089–$8,151 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $640.75–$737 $1,165–$1,340 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $705.10–$810.70 $1,282–$1,474 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $775.50–$891.55 $1,410–$1,621 varies
Sphincterotomy anal division sphincter spx (46080) $4,952.20 $9,004 1.9×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,112.10–$1,278.75 $2,022–$2,325 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $5,800.85–$6,670.40 $10,547–$12,128 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $10,278.40 $18,688 5.2×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $10,622.70 $19,314 1.9×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $10,622.70 $19,314 1.9×
Stapes mobilization (69650) $4,996.75 $9,085 1.6×
Strapping ankle (29540) $286 $520 1.8×
Strapping elbow or wrist (29260) $400.95 $729 7.1×
Strapping hand/finger (29280) $400.95 $729 7.1×
Strapping Hip (29520) $314.05 $571 2.5×
Strapping knee (29530) $392.70 $714 3.1×
Strapping shoulder (29240) $511.50 $930 4.0×
Strapping thorax (29200) $357.50 $650 2.3×
Strapping toes (29550) $342.65 $623 6.0×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $217.25–$519.20 $395–$944 varies
Subcutaneous Injection Filling Material 1 Cc/< (11950) $2,438.15 $4,433 12.6×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $5,272.30 $9,586 1.7×
Subtalar arthro w/deb (29906) $4,446.20 $8,084 1.4×
Suction assisted lipectomy; head and neck (15876) $6,607.70 $12,014 1.9×
Suction assisted lipectomy; trunk (15877) $5,899.30 $10,726 1.7×
Suction Lipectomy Lwr Extrem (15879) $6,607.70 $12,014 1.9×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $4,745.95 $8,629 1.5×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $10,098 $18,360 1.8×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $4,573.25 $8,315 0.8×
Suture 1 nerve hand/foot common sensory nerve (64834) $9,870.85 $17,947 3.0×
Suture 1 Nerve Median Motor Thenar (64835) $9,870.85 $17,947 3.0×
Suture 1 Nerve Ulnar Motor (64836) $14,207.05 $25,831 4.3×
Suture digital nerve hand/foot 1 nerve (64831) $14,207.05 $25,831 7.6×
Suture infrapatellar tendon primary (27380) $5,025.35 $9,137 0.7×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $10,786.60 $19,612 1.5×
Suture of quadriceps or hamstring muscle rupture primary (27385) $5,124.90 $9,318 0.7×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $9,379.15 $17,053 1.3×
Sympathectomy; digital arteries, each digit Facility (64820) $5,348.20 $9,724 2.8×
Sympathectomy; superficial palmar arch (64823) $5,612.75 $10,205 1.8×
Sympathectomy; ulnar artery (64822) $5,612.75 $10,205 1.8×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $8,781.30 $15,966 2.8×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $7,145.60 $12,992 4.6×
Tangential biopsy skin single lesion (11102) $491.70 $894 1.3×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $17,210.05 $31,291 0.6×
Tcat Insj/Rpl Perm Ldls Pm (33274) $17,458.10 $31,742 0.9×
Tcat Rmvl Perm Ldls Pm (33275) $3,848.35 $6,997 1.3×
Temple bone implant revision (69717) $5,167.80 $9,396 0.7×
Temporary Closure Eyelids Suture (67875) $2,900.70 $5,274 3.0×
Tendon lengthening upper arm/elbow ea tendon (24305) $7,105.45 $12,919 2.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $17,951.45 $32,639 5.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $20,104.70 $36,554 6.4×
Tenodesis distal joint each (26474) $7,861.70 $14,294 5.1×
Tenodesis long tendon biceps (23430) $8,780.20 $15,964 1.3×
Tenodesis proximal interphalangeal joint each (26471)
range across 2 matching MRF lines		 $10,310.30–$11,853.60 $18,746–$21,552 varies
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $2,197.80 $3,996 0.7×
Tenolysis extensor foot single tendon (28225) $10,278.40 $18,688 3.3×
Tenolysis flexor tendon palm&finger each tendo (26442) $13,484.35 $24,517 4.3×
Tenolysis flexor tendon palm/finger each tendon (26440) $7,145.60 $12,992 4.6×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $12,261.70 $22,294 3.9×
Tenolysis Triceps (24332) $12,111.55 $22,021 3.8×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $7,276.50 $13,230 2.3×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $9,662.40 $17,568 3.1×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $15,106.85 $27,467 4.8×
Tenotomy extensor hand/finger open each tendon (26460) $8,804.40 $16,008 5.7×
Tenotomy Flexor Finger Open Each Tendon (26455) $8,003.60 $14,552 5.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,493.15 $4,533 1.6×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $11,852.50 $21,550 3.8×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $13,487.10 $24,522 4.3×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $5,955.95 $10,829 1.9×
Tenotomy shoulder area single tendon (23405) $8,909.45 $16,199 1.3×
Tenotomy, hip flexor(s), open (27005) $5,475.80 $9,956 1.7×
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) $12,271.60 $22,312 3.9×
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) $11,006.60 $20,012 3.5×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 3 matching MRF lines		 $1,480.60–$4,634.30 $2,692–$8,426 varies
Ther Apheresis,Red Blood Cells (36512) $3,521.10 $6,402 2.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,112.10 $2,022 1.6×
Therapeutic plasma exchange (36514) $3,890.70 $7,074 2.6×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $23,415.70 $42,574 1.9×
Thrmbc/Nfs Dialysis Circuit (36906) $18,443.70 $33,534 1.0×
Thromblytic art/ven therapy (37213) $2,838.55 $5,161 0.9×
Thrombolytic Art Therapy (37211) $3,927 $7,140 0.7×
Thrombolytic Therapy Stroke (37195) $436.15 $793 1.4×
Thrombolytic Venous Therapy (37212) $3,927 $7,140 1.3×
Thumb fusion with graft (26842) $14,715.80 $26,756 2.1×
Thyroid biopsy (60100) $718.85 $1,307 1.1×
Thyroidectomy Post Prev Thyr Surg (60260) $12,641.20 $22,984 2.2×
Thyroidectomy, total or complete (60240) $12,576.85 $22,867 2.2×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $11,853.05 $21,551 2.1×
Tibial Arthroscopy/Surgery (29855) $7,091.15 $12,893 1.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,251.50 $7,730 2.1×
Tnot elbow lateral/medial debride open (24358) $6,857.40 $12,468 2.2×
Tnot elbow lateral/medial debride open tdn rpr (24359) $6,460.30 $11,746 2.1×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $5,746.40 $10,448 1.8×
Tooth extraction (41899)
range across 2 matching MRF lines		 $811.80–$933.90 $1,476–$1,698 varies
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $10,523.15 $19,133 0.6×
Total Knee Arthroplasty (27447) $15,464.90 $28,118 1.3×
Tprnl Plmt Biodegrdabl Matrl (55874) $8,461.75 $15,385 1.6×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,195.60 $3,992 0.7×
Tracheostoma Revj Cplx W/Flap Rotation (31614) $14,263.70 $25,934 2.5×
Tracheostoma revj smpl w/o flap rotation (31613) $7,759.40 $14,108 2.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $729.30 $1,326 3.2×
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $1,503.70–$1,728.65 $2,734–$3,143 varies
Tracheostomy Fenestration W/Skin Flaps (31610) $14,263.70 $25,934 2.5×
Tracheostomy planned (31600) $4,299.90 $7,818 1.3×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $617.10 $1,122 2.1×
Transcatheter biopsy (37200) $4,630.45 $8,419 0.9×
Transection or avulsion of; infraorbital nerve Facility (64734) $7,060.35 $12,837 3.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $5,348.20 $9,724 2.8×
Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) $13,333.10 $24,242 4.2×
Transmetacarpal amputation; Facility (25927) $6,875 $12,500 2.2×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $4,283.95 $7,789 0.8×
Transplant hand tendon (26480) $9,378.05 $17,051 3.0×
Transplant/graft hand tendon (26483) $4,006.75 $7,285 1.3×
Transplant/graft palm tendon (26489) $13,615.80 $24,756 4.3×
Treat ankle fracture (28445) $9,716.30 $17,666 1.4×
Treat Big Toe Fracture (28505) $11,171.05 $20,311 3.5×
Treat dislocation/fracture (23670) $28,761.70 $52,294 4.1×
Treat dislocation/fracture (23680) $11,971.85 $21,767 1.0×
Treat elbow fracture (24586) $16,963.10 $30,842 1.4×
Treat Elbow Fracture (24635) $20,793.85 $37,807 3.0×
Treat elbow fracture (24587) $30,606.40 $55,648 2.5×
Treat Finger Fracture Each (26727) $11,171.05 $20,311 3.5×
Treat forearm bone lesion (25035) $13,515.70 $24,574 1.9×
Treat fracture radius/ulna (25575) $25,144.90 $45,718 3.6×
Treat Fx Rad Extra-Articul (25607) $23,345.85 $42,447 3.3×
Treat Hand Bone Lesion (26034) $8,003.60 $14,552 5.2×
Treat Hip Socket Fracture (27222) $2,106.50 $3,830 8.9×
Treat Humerus Fracture (24505) $1,038.40 $1,888 0.7×
Treat humerus fracture (23616) $13,527.80 $24,596 0.8×
Treat humerus fracture (23600) $649.55 $1,181 2.7×
Treat knee fracture (27532)
range across 2 matching MRF lines		 $9,474.85–$10,893.85 $17,227–$19,807 varies
Treat kneecap dislocation (27566) $7,401.35 $13,457 1.1×
Treat Kneecap Fracture (27524) $9,556.25 $17,375 1.4×
Treat Knuckle Dislocation (26700) $466.40 $848 2.0×
Treat lower leg bone lesion (27607) $9,350.55 $17,001 3.0×
Treat lower leg dislocation (27832) $9,737.75 $17,705 1.4×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $667.15–$767.25 $1,213–$1,395 varies
Treat scapula fracture (23585) $14,804.35 $26,917 2.1×
Treat Thumb Dislocation (26641) $428.45 $779 1.8×
Treat Thumb Fracture (26645) $1,038.40 $1,888 0.7×
Treat thumb fracture (26665) $16,073.20 $29,224 5.1×
Treat toe dislocation (28630) $358.60 $652 1.5×
Treat Vaginal Bleeding (57180) $278.30 $506 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $6,666 $12,120 4.3×
Treatment closed elbow dislocation w/o anes (24600) $457.60 $832 1.9×
Treatment mouth roof lesion (42160) $5,020.40 $9,128 1.6×
Treatment of ankle fracture (27823) $13,527.80 $24,596 1.9×
Treatment of foot infection (28003) $8,104.25 $14,735 2.6×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $7,914.50 $14,390 1.1×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $17,343.70 $31,534 5.5×
Treatment of tibia fracture (27756)
range across 2 matching MRF lines		 $15,499.55–$15,502.30 $28,181–$28,186 varies
Trim skin lesion (11055)
range across 3 matching MRF lines		 $358.44–$412.50 $651.70–$750 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $360.80–$361.05 $656–$656.45 varies
Trim skin lesions over 4 (11057) $770 $1,400 4.0×
Trimming Nondystrophic Nails Any Number (11719) $10.69 $19.44 0.2×
Trluml Balo Angiop 1St Art (37246) $6,755.10 $12,282 1.2×
Trluml Balo Angiop 1St Vein (37248) $7,121.40 $12,948 1.3×
Tx Gastro Intub W/Asp (43753) $197.45 $359 1.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $12,299.10 $22,362 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $5,114.45–$5,880.60 $9,299–$10,692 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $12,039.50 $21,890 1.7×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $10,371.10–$10,371.35 $18,856.55–$18,857 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $10,549 $19,180 6.8×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,261.50 $5,930 2.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $2,294.05–$2,637.80 $4,171–$4,796 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $1,269.40–$1,458.60 $2,308–$2,652 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,251.70 $4,094 1.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $356.95–$433.40 $649–$788 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $12,299.10 $22,362 1.0×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $5,621 $10,220 3.8×
Tympanoplasty (69631) $9,060.70 $16,474 1.6×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $12,585.10 $22,882 2.2×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $12,585.10 $22,882 2.2×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $12,585.10 $22,882 2.2×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) $12,585.10 $22,882 2.2×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $12,585.10 $22,882 2.2×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $12,585.10 $22,882 2.2×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $12,585.10 $22,882 2.2×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $11,001.65 $20,003 1.9×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $12,151.15 $22,093 2.1×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $12,585.10 $22,882 2.2×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $12,585.10 $22,882 2.2×
Tympanostomy general anesthesia (69436) $3,388.55 $6,161 2.3×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $2,975.50 $5,410 13.1×
Unlisted Procedure Accessory Sinuses (31299) $812.90 $1,478 3.6×
Unlisted procedure arthroscopy (29999) $9,089.85 $16,527 38.3×
Unlisted Procedure Esophagus (43499) $2,423.30 $4,406 2.8×
Unlisted Procedure External Ear (69399) $492.80 $896 2.2×
Unlisted procedure eyelids (67999) $840.40 $1,528 2.8×
Unlisted procedure femur or knee (27599)
range across 3 matching MRF lines		 $1,107.70–$9,299.40 $2,014–$16,908 varies
Unlisted procedure foot or toes (28899) $1,218.25 $2,215 5.1×
Unlisted procedure forearm or wrist (25999) $1,218.25 $2,215 5.1×
Unlisted Procedure Hands/Fingers (26989) $1,342 $2,440 5.7×
Unlisted procedure humerus/elbow (24999) $1,107.70 $2,014 4.7×
Unlisted procedure larynx (31599) $4,224.55 $7,681 18.5×
Unlisted Procedure Leg/Ankle (27899) $12,299.10 $22,362 51.8×
Unlisted procedure liver (47399) $2,739 $4,980 4.0×
Unlisted procedure lungs and pleura (32999) $1,568.05 $2,851 2.6×
Unlisted Procedure Male Genital System (55899) $257.95 $469 1.1×
Unlisted Procedure Muscskeletal System General (20999) $4,706.35 $8,557 19.8×
Unlisted procedure neck or thorax (21899) $3,557.95 $6,469 15.6×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $1,155–$1,328.80 $2,100–$2,416 varies
Unlisted Procedure Palate Uvula (42299) $867.90 $1,578 3.8×
Unlisted procedure pancreas (48999) $2,835.80 $5,156 4.2×
Unlisted procedure pelvis/hip joint (27299) $9,627.20 $17,504 40.6×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $788.15 $1,433 3.5×
Unlisted Procedure Rectum (45999) $771.10 $1,402 0.9×
Unlisted procedure shoulder (23929) $1,342 $2,440 5.7×
Unlisted procedure spine (22899) $4,706.35 $8,557 19.8×
Unlisted Procedure Tongue Floor Mouth (41599) $853.60 $1,552 3.7×
Unlisted Procedure Trachea Bronchi (31899) $4,888.40 $8,888 25.5×
Unlisted Procedure Vascular Surgery (37799) $3,705.35 $6,737 6.1×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,654.40 $3,008 1.9×
Unlisted Px Salivary Glands/Ducts (42699) $5,361.40 $9,748 23.5×
Upgrade of pacemaker system (33214) $8,065.20 $14,664 0.8×
Uvulectomy excision of uvula (42140) $4,074.40 $7,408 1.3×
Vaginal Delivery After Cesarean Delivery (59612) $2,919.40 $5,308 0.9×
Vaginal delivery only (59409) $3,356.65 $6,103 1.1×
Vasc embolize/occlude artery (37242) $11,625.35 $21,137 0.7×
Vasc Embolize/Occlude Bleed (37244) $11,625.35 $21,137 1.0×
Vasc Embolize/Occlude Organ (37243) $11,625.35 $21,137 1.0×
Vasc embolize/occlude venous (37241) $10,720.60 $19,492 1.0×
Venous Cutdown >1 Y/O (36425) $558.25 $1,015 1.3×
Venous Mech Thrombectomy (37187) $9,753.70 $17,734 0.9×
Ventilating tube removal requiring general anesthesia (69424) $4,074.40 $7,408 1.3×
Vermilionectomy lip shv w/mucosal advmnt (40500) $5,473.05 $9,951 1.7×
Vestibuloplasty Anterior (40840) $8,480.45 $15,419 1.5×
Vestibuloplasty Posterior Bilateral (40843) $10,077.10 $18,322 1.8×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $269.50–$310.20 $490–$564 varies
Wound Prep F/N/Hf/G (15004) $1,714.90 $3,118 4.4×
Wound Prep Trk/Arm/Leg (15002) $1,714.90 $3,118 2.4×
Wrist arthroscopy (29840) $4,608.45 $8,379 1.5×
Wrist arthroscopy with partial removal of joint lining (29844) $4,534.75 $8,245 1.4×
Xfer Single Deep Low Leg Tendon (27691) $16,666.10 $30,302 2.4×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $1,232 $2,240 0.8×

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.